Wake wazizwa sengathi inhliziyo yakho ishaya ngokushesha noma ngokushesha kunokujwayelekile? Wake wazizwa sengathi kukhona okujikelezayo esifubeni sakho bese uthola kunzima ukuphefumula? Namuhla sizokhuluma ngokwelashwa okukhethekile okusetshenziswa odokotela ukubuyisela izigqi zenhliziyo ezijwayelekile (ama-arrhythmia) ezimweni ezinjengalezi. Lokhu kubizwa ngokuthi i-cardioversion.
Kalula nje, kuyini i-Cardioversion?
I-Cardioversion inqubo yezokwelapha eyenziwa odokotela ukuze babuyisele isigqi senhliziyo yakho esingajwayelekile, noma isigqi. Cabanga ngakho njengokulungisa kabusha insimbi yomculo elahlekelwe isigqi sayo. Lokhu kungenziwa ngezindlela ezimbili. Enye iwukusebenzisa idivayisi kagesi. Enye iwukukunikeza imithi. Kwezinye izimo eziphuthumayo, njengesimo esibizwa ngokuthi i-ventricular arrhythmia, lokhu kwelashwa kungasindisa impilo yakho. Kwezinye izimo, kwenziwa ukuze kuvinjelwe izinkinga zesikhathi esizayo.
Yiziphi izinhlobo eziyinhloko zokwelapha i-cardioversion?
Njengoba sishilo ngaphambili, lokhu kwenziwa ngezindlela ezimbili eziyinhloko. Masikuqonde kahle.
| Uhlobo lokwelashwa | Indlela esebenza ngayo |
|---|---|
| I-Cardioversion kagesi | Lokhu kuhilela ukuletha inani elilawulwayo lamandla kagesi (ukushaqeka) esifubeni sakho usebenzisa idivayisi ekhethekile ebizwa ngokuthi i-defibrillator . Lokhu kwenziwa ngama-pad amabili akhethekile (ama-electrode patches) abekwa esifubeni sakho nasemhlane. Lokhu kwenziwa ngemva kokuba ulele, ukuze ungezwa ubuhlungu. Kubantu abasengozini enkulu yezinkinga eziyingozi zesigqi senhliziyo, idivayisi encane ebizwa ngokuthi i-Implantable Cardioverter-Defibrillator (ICD) nayo ingasetshenziswa. |
| Ngemithi (I-Cardioversion Yamakhemikhali) | Lokhu kuhilela ukukunikeza umuthi njengephilisi oligwinyayo noma nge-IV efakwa emthanjeni ongalweni yakho. Umuthi ungathatha imizuzu, amahora, noma ngisho nezinsuku ukusebenza. Lokhu kwelashwa kuvame ukwenziwa esibhedlela ngoba ukusebenza kwenhliziyo yakho kudinga ukubhekwa. Uma uphuza umuthi wakho ekhaya, kubalulekile ukuhlala useduze nodokotela wakho. |
Yiziphi izimo ezisetshenziselwa i-cardioversion?
Lokhu kwelashwa kusetshenziselwa ukulungisa izigqi eziningana zenhliziyo ezisheshayo noma ezingajwayelekile. Ezinye zalezi zifo zifaka:
- I-Atrial Fibrillation kanye ne-Atrial Flutter: Lezi yizimo ezimbili ezivame ukwelashwa nge-cardioversion.
- I-Atrial Tachycardia
- I-Ventricular Tachycardia
- I-Ventricular Fibrillation: Lesi yisimo esiphuthumayo kakhulu futhi esisongela impilo.
Kungani ngidinga ukwelashwa kwe-cardioversion?
Ukuze inhliziyo yakho ikwazi ukupompa igazi elifanele emzimbeni wakho, kudingeka ibe nesigqi nesigqi esifanele. Uma inhliziyo yakho ishaya ngokungajwayelekile, ungase ube nezimpawu ezifana nalezi:
- Isifuba sami sivele sizwa sengathi sishaya kakhulu, sengathi ngishaywa inhlawulo.
- Ubunzima bokuphefumula.
- Ukungakhululeki noma ubuhlungu esifubeni.
- Ukuzizwa unesizungu noma ukhathele kakhulu.
Lezi zimpawu zisho ukuthi inhliziyo yakho ayimpompi igazi elanele emzimbeni wakho. Ngisho noma ungaziboni lezi zimpawu, uma zingelashwa, usengozini enkulu yokuthola izimo ezibucayi njengokuhlaselwa yinhliziyo noma isifo sohlangothi esikhathini esizayo.
Ulungiselela kanjani usuku lokwelashwa?
Ithimba lakho lezokwelapha lizokunikeza imiyalelo eningiliziwe ngalokhu, kodwa kunezinto ezithile ezijwayelekile okufanele uzikhumbule.
Usuku olwandulela kanye nosuku lokwelashwa ekuseni
- Ukushayela: Ngeke ukwazi ukushayela amahora angama-24 ngemuva kokwelashwa. Ngakho-ke, kubalulekile ukuthi ube nomuntu ozokuhambisa ekhaya.
- Ukudla Nokuphuza: Yidla ngokujwayelekile ngobusuku bangaphambi kokwelashwa kwakho. Kodwa-ke, ungadli, ungaphuzi, noma ungahlafuni lutho ngemva kwamabili ngalobo busuku. Lokhu kufaka phakathi amanzi, itshungama, noma ama-mint. Futhi, qaphela ukuthi ungagwinyi amanzi ngenkathi uxubha amazinyo akho.
- Imithi: Uma uthatha imithi yokunciphisa igazi (imithi yokwehlisa igazi) noma imithi yesifo sikashukela, qiniseka ukuthi ubuza udokotela wakho ukuthi uyisebenzisa kanjani ngosuku lokwelashwa kwakho. Thatha eminye imithi evamile njengokujwayelekile ngamanzi amancane, ngaphandle kokuthi udokotela wakho akutshele ukuthi ungayisebenzisi.
Yini okufanele uyenze uma ufika esibhedlela?
- Izingubo:Woza ugqoke izingubo ezikhululekile okulula ukuzigqoka nokuzikhumula. Kuzodingeka ugqoke ingubo yasesibhedlela ngesikhathi sokwelashwa kwakho.
- Ukuhlanzeka: Ungafaki izimonyo noma i-nail polish. Futhi, ungafaki noma iyiphi i-deodorant, i-powder, noma ukhilimu esifubeni noma emhlane. Lokhu kungaphazamisa ama-adhesive pad asetshenziselwa ukwelashwa.
- Izinto Eziyigugu: Shiya zonke izinto zokuhloba, amawashi, nezinto eziyigugu ekhaya, okuhlanganisa nezindandatho zomshado.
Kwenzekani ngesikhathi sokwelashwa nangemva kwalokho?
Ukulungiselela ngaphambi kokwelashwa
Uzobekwa embhedeni bese kufakwa umugqa we-IV (umugqa we-intravenous) emthanjeni ongalweni yakho. Lapha kulapho uzothola khona imithi edingekayo kanye noketshezi ngesikhathi sokwelashwa. Ngemuva kwalokho, ama-EKG pads kanye nama-Cardioversion pads azobekwa esifubeni sakho nasemhlane. Uma kukhona uboya kulezo zindawo, zizosuswa.
Kungase kudingeke futhi ukuthi wenze isivivinyo esibizwa ngokuthi i-Transesophageal Echocardiogram (TEE) ngaphambi kokuhlinzwa kwenhliziyo. Lokhu kuhilela ukugoba umphimbo wakho bese udlulisela ipayipi elincane emphinjeni wakho ukuze uthwebule izithombe zenhliziyo yakho ukuze kuhlolwe amahlule egazi, okungaba yingozi uma ephuma ngesikhathi sokwelashwa.
Ngivukile?
Cha. Uzonikezwa imithi nge-IV bese ulaliswa. Ngakho ngeke uzwe lutho, ngeke uzwe ubuhlungu.
Ngesikhathi sokwelashwa
Ngesikhathi ulele, udokotela wakho usebenzisa umshini we-cardioverter ukuze alethe inani elilawulwayo lamandla kagesi (ukushaqeka) enhliziyweni yakho ngama-pad. La mandla amisa isigqi sikagesi esingajwayelekile futhi asivumele ukuthi sibuyele esigqini esijwayelekile. Lokhu kungadinga ukwenziwa izikhathi eziningana ukuze kubuyiselwe isigqi.
| Izinto nemishini okufanele iqashwe ngesikhathi sokwelashwa | |
|---|---|
| Idivayisi | Umsebenzi |
| I-Cardioverter / I-Defibrillator | Ukunikeza amandla kagesi enhliziyweni. |
| I-Electrocardiogram (ECG/EKG) | Ukuqapha okuqhubekayo ukusebenza kukagesi kwenhliziyo. |
| Isiqaphi Sokucindezeleka Kwegazi | Kala umfutho wegazi lakho. |
| I-Oximeter | Ukulinganisa amazinga e-oxygen egazini ngesiqeshana esincane esinamathiselwe emunweni. |
Ngemva kokwelashwa
Ngemva kokwelashwa, uzovuka kancane. Uzozizwa ulele ngenxa yemithi oyinikeziwe. Isifuba sakho singase sizizwe sibuhlungu futhi singakhululeki izinsuku ezimbalwa. Uma udokotela wakho evuma, ungasebenzisa into efana nokhilimu 'we-Hydrocortisone' kulokhu. Uma usuvukile ngokuphelele, udokotela wakho uzokhuluma nawe ngemiphumela kanye nohlelo lwakho lokwelashwa lwesikhathi esizayo.
Yiziphi izinzuzo nezingozi zokwelashwa?
Njenganoma iyiphi inqubo yezokwelapha, kunezinzuzo kanye nezingozi ezincane kakhulu.
- Izinzuzo: Izinzuzo eziyinhloko ukwenza inhliziyo ihambisane kahle, ukunciphisa izimpawu, kanye nokushaya inhliziyo ngendlela ephumelela kakhudlwana.
- Izingozi: Izinkinga azivamile, kodwa zingabandakanya ukubomvu lapho ama-pads enamathele esikhumbeni, ukuminyana lapho i-IV ifakiwe khona, ukuqhekeka kwegazi enhliziyweni okuphumayo bese kubangela isifo sohlangothi (yilokhu okwenziwa ukuhlolwa kwe-TEE ukuvimbela), ukuwohloka kwesigqi senhliziyo, noma ukusabela kokungezwani nomuthi.
Ngokuvamile ungaya ekhaya ngalolo suku. Kodwa akufanele ushayele amahora angama-24. Ungadla futhi uphuze ngendlela evamile ngemva kokwelashwa. Khuluma nodokotela wakho ukuze uthole ukuthi ungabuyela nini emsebenzini.
Umlayezo Wokuya Nawe Ekhaya
- I-Cardioversion iyindlela yokwelapha ephumelela kakhulu futhi ephephile esetshenziselwa ukulungisa ukushaya kwenhliziyo okungajwayelekile.
- Lokhu kwenziwa ngokukulalisa ngokuphelele, ukukunika amandla kagesi alawulwayo, noma ukusebenzisa imithi. Ngeke uzwe ubuhlungu.
- Landela imiyalelo kadokotela wakho ngokucophelela ngaphambi kokwelashwa, ikakhulukazi mayelana nokudla, iziphuzo, kanye nemithi yokunciphisa igazi.
- Njengoba ungakwazi ukushayela amahora angama-24 ngemuva kokwelashwa, kubalulekile ukuba nomuntu ozokuthatha akuyise ekhaya.
- Uma unezimpawu ezifana nokuqina kwesifuba, ubunzima bokuphefumula, noma isiyezi, ungazinaki. Bona udokotela wakho ngokushesha.
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