Ingabe ngezinye izikhathi uzizwa sengathi inhliziyo yakho iyashaya, isifuba sakho siyashaya, noma uzizwa ubuthakathaka noma unesiyezi? Lezi zinto zingabangelwa inkinga encane ohlelweni lukagesi lwenhliziyo yakho. Yilapho udokotela wakho angase akutshele ukuthi wenze ucwaningo lwe-EP. Ngakho ake sixoxe ngalokhu ngamazwi alula namuhla.
Kalula nje, siyini isifundo se-EP?
Ucwaningo lwe-EP, noma Ucwaningo lwe-Electrophysiology, luwukuhlolwa okujulile komsebenzi kagesi wenhliziyo yakho. Inhliziyo yethu ifana nephampu enohlelo oluncane lukagesi. Inhliziyo ishaya kahle kuphela uma lezi zimpawu zikagesi zigeleza kahle nangendlela ehlelekile.
Cabanga nje, sinesistimu yokuxhuma izintambo endlini yethu. Ukuze isibani sivuleke lapho iswishi ivuliwe, izintambo kumele zixhunywe kahle. Kunjalo nangenhliziyo. Ngezinye izikhathi kuba nenkinga encane endleleni yalezi zimpawu zikagesi, noma isignali entsha ingaqala endaweni engafanele, noma isignali ingahamba ngokushesha noma kancane kunalokho okufanele. Lokhu sikubiza ngokuthi ukushaya kwenhliziyo okungajwayelekile (i-arrhythmia).
Ucwaningo lwe-EP luhilela ukufaka amashubhu amancane kakhulu, athambile (ama-catheter) enhliziyweni ukuze kutholakale ukuthi la masignali kagesi avelaphi, ayaphi, nokuthi inkinga ikuphi. Kufana nochwepheshe kagesi othola iphutha ezintanjeni zezintambo ekhaya lakho. Ngale ndlela, ungathola ulwazi oluningi ngaphakathi enhliziyweni kune-ECG, okuyisitika osinamathisela esifubeni sakho.
Kungani kufanele wenze i-EP Study? Yini ezoyithola?
Uma udokotela wakho esola ukuthi unenhliziyo engajwayelekile (i-arrhythmia), ukudlulisela kulolu vivinyo ukuze aluphenye kabanzi. Ucwaningo lwe-EP lungaveza ulwazi oluningi olungatholakali ezivivinyweni ezifana ne-ECG, i-Holter monitor, noma ukuhlolwa kokucindezeleka.
| Okutholakele ophenyweni | Incazelo elula |
|---|---|
| Uhlobo lokungajwayelekile | Ungakwazi ukubona ukuthi hlobo luni lokuphazamiseka kwenhliziyo olunayo. |
| Imbangela yenkinga | Ungathola ukuthi iyini imbangela yale nkinga. |
| Umsuka wenkinga | Ungamaka ngqo ukuthi lesi siginali kagesi esinephutha siqala kuphi enhliziyweni. |
| Ukwelashwa okungcono kakhulu | Unganquma ukuthi imithi ikufanele yini, noma ukuthi udinga ukwelashwa okufana nokususwa kwe-catheter, noma i-pacemaker. |
| Ingozi yesikhathi esizayo | Kungenzeka ukwazi kusengaphambili ukuthi kunezimo eziyingozi kakhulu, njengokufa kwenhliziyo ngokuzumayo, ezingabangelwa yizifo ezithile. |
Into ebalulekile ukuthi ngezinye izikhathi, ngenkathi benza lolu cwaningo lwe-EP, odokotela bangathola nendawo yenkinga bese benza ukwelashwa (i-catheter ablation). Lokhu kusho ukuthi bangenza izinto ezimbili ngesikhathi esisodwa.
Ulungiselela kanjani isifundo se-EP?
Udokotela wakho uzokweluleka ngokuthi ungalungiselela kanjani lolu vivinyo, kodwa ngokuvamile, qaphela la maphuzu.
Ukulungiselela okuvamile
- Ukushayela: Awukwazi ukushayela amahora angama-24 ngemuva kokuhlolwa, ngakho hlela ukuthi othile akulande akuyise ekhaya.
- Izingubo: Gqoka izingubo ezilula kakhulu nezikhululekile uma uza esibhedlela.
- Ubucwebe nezinto eziyigugu: Susa zonke izinto zobucwebe, njengendandatho, imigexo, namawashi, bese uzishiya ekhaya.
- I-Nail Polish: Susa yonke i-nail polish kanye ne-makeup.
- Ukungezwani komzimba: Uma une-allergies ezintweni ezifana ne-latex, noma uma unezinkinga nge-anesthesia, tshela udokotela wakho kusenesikhathi.
Iseluleko ngemithi nokudla
- Imithi oyithathayo: Tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi). Ungase ucelwe ukuthi uyeke ukuthatha eminye imithi ezinsukwini ezimbalwa ngaphambi kokuhlolwa.Ungalokothi uyeke ukuthatha imithi ngaphandle kokubuza udokotela wakho.
- Isifo Sikashukela: Uma unesifo sikashukela, buza udokotela wakho ukuthi ungayithatha kanjani imithi yakho ngosuku lokuhlolwa.
- Ukudla Nokuphuza: Yidla ngokujwayelekile ngobusuku bangaphambi kokuhlolwa. Kodwa-ke, ungadli, ungaphuzi, noma ungahlafuni itshungama ngemva kwamabili. Lokhu kubaluleke kakhulu ukuze uphephe. Thatha umuthi kanye namanzi uma kudingeka, futhi wenze lokho kuphela uma udokotela wakho ekuyala.
Kwenzekani ngosuku lokuhlolwa?
Lokhu kuhlolwa kwenziwa ekamelweni elikhethekile, elibizwa ngokuthi ilabhorethri ye-EP noma ilabhorethri yokufaka i-catheter.
Ngemva kokulala embhedeni,
1. Ukufaka umugqa we-IV: I-cannula encane (umugqa we-IV) izofakwa emthanjeni osengalweni yakho. Yilapho imithi edingekayo kanye noketshezi kuzonikezwa khona ngesikhathi sokuhlolwa.
2. Ukuhlanza: Indawo lapho kufakwa khona ama-catheter (ngokuvamile indawo ye-groin) iyagundwa, uma kudingeka, bese ihlanzwa kahle ngesisombululo se-antiseptic.
3. Ukubulala amagciwane: Uzombozwa ngendwangu engcolile. Izandla zakho zizoboshwa ngentambo ukuze zingathinti indawo engcolile.
Ngesikhathi sokuhlolwa
Udokotela uzofaka umuthi obangela ukungazwani endaweni lapho kuzofakwa khona i-catheter. Ngemuva kwalokho, kuzofakwa amashubhu amaningana amancane kakhulu, aguquguqukayo (ama-catheter) angene enhliziyweni ngemithambo. Ngeke uzwe ubuhlungu uma lokhu sekwenziwe. Udokotela uzosebenzisa i-X-ray monitor (fluoroscopy) ukuqondisa la ma-catheter ngqo emakamelweni enhliziyo.
Izinzwa ezikula ma-catheter ziqopha izimpawu zikagesi zenhliziyo. Bese kuthi,
- Ukunyakaza: Isignali encane kagesi ithunyelwa nge-catheter ukuze inhliziyo yakho ishaye ngokushesha. Ungase uzizwe isifuba sakho sishaya phakathi nalesi sikhathi. Ungakhathazeki, konke lokhu kwenziwa ngendlela elawulwa kakhulu.
- Ukuthola inkinga: Ngale ndlela, ungashintsha izinga lokushaya kwenhliziyo, udale ukungalingani onakho, bese uzama ukuthola ukuthi kuqala kuphi ngqo.
- Ukwelashwa: Uma kudingeka futhi kufanele, uma inkinga isitholakele, ukususwa kwe-catheter , ukwelashwa okubhubhisa amaseli athumela izimpawu zikagesi ezingalungile, kungenziwa ngesikhathi esifanayo.
Uma uzizwa ungakhululekile ngesikhathi sokuhlolwa (isib. ubuhlungu besifuba, ukuquleka), tshela udokotela noma umhlengikazi ngokushesha. Uphephile ngokuphelele, futhi imishini nemithi edingekayo yokubuyisela izinga lokushaya kwenhliziyo yakho esimweni esijwayelekile nganoma yisiphi isikhathi isilungile ngaleso sikhathi.
Kwenzekani ngemva kokuhlolwa?
Ngemva kokuba ukuhlolwa, okuhlala cishe ihora elilodwa kuya kwamane, sekuqediwe, udokotela ususa i-catheter, ayibambe isikhashana ukuze amise ukopha, bese efaka iplasta encane.
- Uma i-catheter ifakiwe nge-groin, kuzodingeka uphumule embhedeni imilenze yakho iqonde amahora ambalwa.
- Ngokuvamile, ungaya ekhaya kusihlwa esifanayo. Kodwa-ke, ngezinye izikhathi kungadingeka uhlale esibhedlela usuku lonke kuye ngemiphumela.
- Ungaqhubeka nemisebenzi evamile ngosuku olulandelayo, kodwa gwema ukuphakamisa izinto ezisindayo cishe isonto lonke.
- Gcina indawo ye-catheter ihlanzekile futhi yomile.
Ingabe zikhona izingozi ngalolu vivinyo?
Njenganoma yikuphi ukuhlolwa kwezokwelapha, kunezingozi ezincane kakhulu ezihilelekile. Kodwa-ke, kubhekwa njengokuhlolwa okuphephile kakhulu . Amathuba ezinkinga mancane kakhulu.
- Ukopha noma ukutheleleka endaweni yokufaka i-catheter.
- Umonakalo omncane emthanjeni wegazi noma enhliziyweni.
- Ukwakheka kwehlule legazi.
- Ukuphazamiseka kwesigqi senhliziyo.
Udokotela kanye nethimba lezokwelapha baqikelela kakhulu ukunciphisa zonke lezi zingozi. Ngakho-ke asikho isidingo sokukhathazeka kakhulu ngalokhu.
Uzobona nini udokotela
Uma uba nanoma yiziphi izimpawu ezingezansi ngemva kokubuyela ekhaya, shayela udokotela wakho ngokushesha.
- Ukuvuvukala, ukubomvu, noma uketshezi olufana nobomvu oluphuma endaweni ye-catheter.
- Ukuba ndikindiki engalweni noma emlenzeni.
- Ukuzizwa ubanda noma ushintshe umbala esandleni noma emlenzeni.
- Ubuhlungu besifuba.
- Ukuhlanza.
| Isimo Esiphuthumayo! Yiya e-ETU (i-Emergency Treatment Unit) ngokushesha. | |
|---|---|
| Ukopha okuqhubekayo | Uma ukopha kungayeki ngisho nangemva kokufaka ingcindezi endaweni yokufaka i-catheter. |
| Ukuvuvukala okungazelelwe | Uma indawo lapho kufakwe khona i-catheter ivuvukala ngokuzumayo ngaphandle kwesizathu. |
Umlayezo Wokuya Nawe Ekhaya
- Ucwaningo lwe-EP luwuvivinyo olubaluleke kakhulu noluphephile olubheka izinkinga ngohlelo lukagesi lwenhliziyo yakho.
- Nakuba lokhu kungase kubonakale kuyinkimbinkimbi kancane, uzonikezwa imithi yokuvimbela ukuthi ungezwa ubuhlungu. Uzozwa ukozela okuncane nje.
- Lokhu kuhlolwa kuzosiza kakhulu udokotela wakho ukuthola imbangela eqondile yokushaya kwenhliziyo yakho okungajwayelekile (i-arrhythmia) futhi akhethe ukwelashwa okungcono kakhulu ngakho.
- Ngezinye izikhathi, ukususwa kwe-catheter kungenziwa ngesikhathi esifanayo nokuhlolwa, futhi inkinga yakho ingalapheka ngokuphelele.
- Uma unemibuzo noma ukukhathazeka ngalokhu, khuluma nodokotela wakho ngakho ngokukhululekile.
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