Inhliziyo yethu iyiphampu emangalisayo ngempela, engami, akunjalo? Kusukela osukwini esizalwa ngalo kuze kube usuku esifa ngalo, lesi sitho esincane sipompa igazi emzimbeni wethu ngaphandle kokwehluleka. Kodwa bewazi ukuthi ukuze le phampu isebenze kahle, inesimiso sayo sikagesi? Yebo, njengohlelo 'lokuxhuma' emakhaya ethu. Izimpawu ezincane ezivela kulesi simiso sikagesi yizo ezitshela inhliziyo ukuthi "ishaye manje." Konke lokhu kwenzeka ngesigqi esihlelekile nesijwayelekile. Kodwa-ke, ngezinye izikhathi, amaphutha amancane angenzeka kulesi simiso sikagesi. Yilapho ukushaya kwenhliziyo kuqala khona ukweqa lapha nalaphaya, kusheshiswe, noma kwehle ijubane. Ngezikhathi ezinjengalezi, sidinga usizo lomuntu onolwazi olukhethekile kulesi simiso sikagesi, kunokuba udokotela ojwayelekile. Yilokho esikubiza ngokuthi i-Electrophysiologist .
Kalula nje, ubani lo chwepheshe we-Electrophysiology?
Cabanga ukuthi kunenkinga enkulu ngezintambo endlini yakho, izibani ziyavuleka futhi zicime, futhi kunezijikelezo ezimfushane kwezinye izindawo. Ngaleso sikhathi, awukhulumi nochwepheshe kagesi ojwayelekile, kodwa ukhuluma nochwepheshe kagesi okwazi kahle lokhu. Yilokho kanye okwenzekayo. Isazi se-electrophysiology singuchwepheshe ohlelweni lukagesi lwenhliziyo.
Bangodokotela benhliziyo, kodwa ubuchwepheshe babo busesimisweni sikagesi esilawula isigqi senhliziyo. Lolu hlelo lukagesi yilona olwenza inhliziyo yethu ishaye, lulawule ijubane layo, futhi luyigcine ishaya ngendlela evamile. Uma kunenkinga ndawana thize kulokhu, i-Electrophysiologist ikhona ukuze ithole ukuthi ikuphi ngempela, ukuthi inkinga iyini, futhi iyiphathe.
Siphinde sibize ochwepheshe be -electrophysiology yezingane abaphatha izinkinga zesigqi senhliziyo ezinganeni ezincane kanye nentsha.
Uyini umehluko phakathi kukadokotela wenhliziyo nodokotela we-electrophysiologist?
Leli iphuzu lapho abantu abaningi bedideka khona. Ngakho-ke masiqonde lokhu kalula.
- Udokotela wenhliziyo ungudokotela ogxile kuzo zonke izifo ezihlobene nenhliziyo. Isibonelo, welapha izimo eziningi, njengomfutho wegazi ophakeme, ukuhlaselwa yinhliziyo, izinkinga zamavalvu enhliziyo, kanye nokwehluleka kwenhliziyo. Ufana 'noDokotela Ojwayelekile' wenhliziyo.
- Isazi se-electrophysiology singudokotela wenhliziyo, kodwa siqeqeshwe ngokukhethekile engxenyeni eyodwa yenhliziyo, okungukuthi uhlelo lukagesi kanye nesigqi senhliziyo .
Kalula nje, wonke uchwepheshe we-Electrophysiology unguchwepheshe we-Cardiology. Kodwa akuwona wonke uchwepheshe we-Cardiology onguchwepheshe we-Electrophysiology. Kufana nokuthi akuwona wonke umuntu owaziyo ngemoto onguchwepheshe we-gearbox.
Uma unenhliziyo engajwayelekile (i-arrhythmia), udokotela wakho wenhliziyo angakuthumela kudokotela we-electrophysiologist.
Yiziphi izimo ezelashwa yi-electrophysiologist?
Laba ochwepheshe belapha izifo eziningi ezibangelwa ukukhubazeka okuhlukahlukene ohlelweni lukagesi lwenhliziyo. Nakuba ezinye zazo zingembi kangako, ezinye zingaba yingozi empilweni. Ngakho-ke, ubuchwepheshe be-Electrophysiologist bubalulekile ukuze kuhlukaniswe phakathi kwalezi futhi kuhlinzekwe ukwelashwa okufanele.
Ithebula elingezansi libala ezinye zezimo zezokwelapha eziyinhloko kanye nezincazelo zazo ezilula.
| Igama Lesimo | Incazelo elula |
|---|---|
| I-Atrial Fibrillation (AFib) | Amakamelo aphezulu enhliziyo (i-atria) ashaya ngokushesha okukhulu nangokungajwayelekile, njengokungathi ayathuthumela. Lokhu kungaholela ezimweni ezifana nesifo sohlangothi. |
| Ukukhukhuleka kwe-Atrial | Kufana kancane ne-AFIB, kodwa lapha amakamelo aphezulu enhliziyo ashaya ngokushesha, kodwa avame kakhulu. |
| I-Supraventricular Tachycardia (SVT) | Ukushaya kwenhliziyo okusheshayo kakhulu okuqala engxenyeni engenhla yenhliziyo bese kufika ngokuzumayo bese kuma ngokushesha okufanayo. |
| I-Ventricular Tachycardia (VT) | Ukushaya kwenhliziyo okusheshayo kakhulu futhi okungaba yingozi okuqala emakamelweni aphansi (ama-ventricle) enhliziyo. |
| I-Fibrillation ye-Ventricular (VFib) | Isimo esisongela kakhulu impilo lapho amakamelo aphansi enhliziyo ethuthumela ngokungalawuleki, okubangela ukumiswa kwenhliziyo ngokuzumayo. |
| Ukuvimba Inhliziyo | Ukuvaleka noma ukubambezeleka kwezimpawu zikagesi zenhliziyo njengoba zihamba zisuka emakamelweni aphezulu ziya emakamelweni aphansi. Lokhu kungabangela ukuthi inhliziyo ishaye kancane kakhulu. |
| I-Sick Sinus Syndrome | Ubuthakathaka bomsebenzi we-sinus node, okuyi-pacemaker yemvelo yenhliziyo. Lokhu kungabangela ukuthi inhliziyo ishaye ngokushesha noma kancane. |
Kungani uthunyelwa ku-Electrophysiologist?
Ngokuvamile, udokotela womndeni wakho noma udokotela wenhliziyo yakho uzokudlulisela kudokotela we-electrophysiologist. Kungaba nezizathu eziningana zalokhu.
- Uma ubona ukuthi ukushaya kwenhliziyo yakho kushesha kunokujwayelekile (i-Tachycardia) noma kuhamba kancane kunokujwayelekile (i-Bradycardia) .
- Uma ukuhlolwa kwe-ECG kubonisa ukuthi ukushaya kwenhliziyo yakho akujwayelekile .
- Uma uvame ukuquleka noma ukungakwazi ukulala , hlola ukuthi imbangela iyinkinga yini ohlelweni lukagesi lwenhliziyo.
- Uma othile emndenini wakho enomlando wokufa kwenhliziyo ngokuzumayo, hlola ukuze ubone ukuthi usengozini yini.
Cabanga nje, uma uya kudokotela wakho, ubheka i-ECG bese ethi, "Kukhona ukungahambi kahle kancane esigqini senhliziyo yakho, ake sibheke lokhu kabanzi bese sikubonisa uchwepheshe owaziyo ngalokhu." Yilapho-ke uthunyelwa ku-Electrophysiologist.
Yiziphi izivivinyo ezenziwa yilaba odokotela?
Ukuze athole ukuthi yini ngempela engalungile ngohlelo lukagesi lwenhliziyo, isazi se-electrophysiology sisebenzisa izinhlobo ezahlukene zokuhlola. Eziningi zalezi zivivinyo ezilula, ezingangenisi uhlaselo.
| Igama Lokuhlolwa | Wenzani ngalokhu? |
|---|---|
| I-Electrocardiogram (EKG/ECG) | Lesi yisilingo esilula kakhulu. Izinzwa, njengezitikha, zinamathele esifubeni sakho, ezingalweni nasemilenzeni, futhi umsebenzi kagesi wenhliziyo yakho uyaqoshwa ngaleso sikhathi. |
| I-Holter Monitor | Lona umshini omncane. Uzocelwa ukuthi uwugqoke cishe amahora angama-24 noma angama-48. Uzoqopha njalo ukushaya kwenhliziyo yakho njengoba uqhubeka nemisebenzi yakho yansuku zonke. |
| Ukuqapha Imicimbi | Kufana ne-monitor ye-Holter, kodwa ingagqokwa izinsuku noma amasonto. Uma uzizwa izimpawu, ungacindezela inkinobho bese uqopha ukushaya kwenhliziyo yakho ngaleso sikhathi. |
| I-Echocardiogram (i-Echo) | Lokhu kufana nokuskena kwenhliziyo nge-ultrasound. Kungabheka isakhiwo senhliziyo, ama-valve, kanye nendlela inhliziyo esebenza ngayo. |
| Ukuhlolwa Kwethebula Elithambekile | Ukuhlolwa kwabantu abavame ukuquleka. Ubekwa embhedeni futhi umfutho wegazi lakho kanye nokushaya kwenhliziyo yakho kuyaqashelwa njengoba umbhede uphendulwa kancane kancane uqonde phezulu. |
| Ucwaningo lwe-Electrophysiology (Ucwaningo lwe-EP) | Lolu vivinyo olujulile kakhulu. Izintambo ezincane kakhulu (ama-catheter) zidluliselwa emthanjeni osemlenzeni noma engalweni ziye enhliziyweni, zidale imephu yesistimu kagesi yenhliziyo ukuze kutholakale indawo eqondile yenkinga. |
Yiziphi izimpawu okufanele ngizibonele udokotela we-electrophysiologist?
Uma unesinye noma ngaphezulu kwalezi zimpawu ezilandelayo, kubaluleke kakhulu ukukhuluma nodokotela wakho ngazo. Uzokudlulisela kudokotela we-electrophysiologist uma kudingeka.
- Ukushaya Kwenhliziyo Okukhulu:Ukushaya kwenhliziyo yilokho esikubiza ngokuthi umuzwa wokushaya kwenhliziyo yethu. Kungase kuzwakale sengathi inhliziyo yethu ishaya ngamandla esifubeni sethu, sengathi ishaya ngokushesha bese ima, noma sengathi yeqa ukushaya.
- Ukuphelelwa umoya: Ukuzizwa sengathi unenkinga yokuphefumula ngisho nangemisebenzi emincane.
- Ubuhlungu noma ukungakhululeki esifubeni: Umuzwa wokuqina noma ukucinana esifubeni.
- Ukuzizwa unesizungu noma uphelelwe amandla: Lesi simo singasukela ekuzizweni unesizungu lapho usukuma ngokuzumayo kuya ekulahlekelweni ingqondo.
- Ukukhathala: Ukuzizwa ukhathele kakhulu ngaso sonke isikhathi ngaphandle kwesizathu esibonakalayo.
Ngenxa yokuthi lezi zimpawu zivame ukufana, ulwazi lukachwepheshe we-electrophysiologist lubalulekile ukuze kutholakale ukuthi inkinga iyini ngempela.
Izinkinga zesigqi senhliziyo ziphathwa kanjani?
Into engcono kakhulu ukuthi namuhla kunezindlela zokwelapha eziphumelela kakhulu zezinkinga eziningi zesigqi senhliziyo. Uma udokotela we-electrophysiologist esesitholile kahle isimo sakho, uzoncoma ukwelashwa okufanele kakhulu kuwe.
| Indlela Yokwelapha | Kwenzekani ngalokhu? |
|---|---|
| Imithi | Amaphilisi alawula ukushaya kwenhliziyo, anciphise ijubane, noma avimbele ukuqhekeka kwegazi. |
| Ukususwa kwe-Catheter | Ucwaningo lwe-EP luthole ukuthi indawo yenhliziyo ethumela izimpawu zikagesi ezingalungile idalwa ngokusebenzisa amandla afana ne-radiofrequency ukudala isilonda esincane. Bese izimpawu ezingalungile ziyayeka ukubuya. Lokhu ukwelashwa okuphumelele ngaphezu kuka-90%. |
| I-Pacemaker | Idivayisi encane kagesi esiza abantu abanokushaya kwenhliziyo okuhamba kancane kakhulu ukuthi balondoloze ijubane elijwayelekile. Ifakwa ngokuhlinzwa ngaphansi kwesikhumba. |
| I-Implantable Cardioverter Defibrillator (ICD) | Lokhu kufana kancane ne-pacemaker, kodwa okuhlukile ngalena ukuthi ingakwazi ukubona ukushaya kwenhliziyo okusheshayo kakhulu (njenge-VT noma i-VFib) okungaba yingozi empilweni, futhi ilethe ukushaqeka kukagesi enhliziyweni ukuze kuyibuyisele esimweni sayo esijwayelekile. |
| Ukuguqulwa kwenhliziyo | Esimweni esiphuthumayo, kuba nokushaqeka ngogesi ngokubeka 'ama-paddle' ngaphandle kwesifuba ukuze kubuyiselwe ngokushesha ukushaya kwenhliziyo okusheshayo nokungajwayelekile. |
Uma udinga ukubona i-Electrophysiologist, ungesabi. Bangochwepheshe abaqeqeshwe kakhulu kulo mkhakha futhi bazinikele ekuthuthukiseni ikhwalithi yempilo yakho. Khuluma nabo nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Thola ukuqonda okucacile ngesimo sakho kanye nokwelashwa.
Umlayezo Wokuya Nawe Ekhaya
- I-electrophysiologist ingudokotela wenhliziyo ogxile ohlelweni lukagesi lwenhliziyo kanye nesigqi senhliziyo.
- Uma unezimpawu ezifana nokushaya kwenhliziyo okusheshayo, okuhamba kancane, okungajwayelekile, noma ukuquleka njalo, kungaba uphawu lokukhubazeka ohlelweni lukagesi lwenhliziyo.
- Ungazinaki izimpawu ezinjengalezi. Qiniseka ukuthi ukhuluma nodokotela wakho ngakho.
- Namuhla, kunezindlela zokwelapha eziphumelela kakhulu zokushaya kwenhliziyo okungajwayelekile (i-arrhythmias), kusukela emithini kuya ku-ablation kanye ne-pacemaker.
- Ungesabi ukuhlangana nodokotela we-electrophysiologist. Bakhona ukuzokusiza. Lalela imibuzo yakho futhi uqiniseke ukuthi uqonda konke ngokucacile.
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