Ingabe nawe uzwa ubuhlungu besifuba uma ukhathele kancane, uma ukhuphuka izitebhisi, noma uma ukhathazekile kancane? Akwanele yini ngezinye izikhathi ukuthatha umuthi walokhu? Mhlawumbe udokotela uthe ukuhlinzwa akunakwenzeka. Ngakho-ke kunzima kangakanani ukuphila nobuhlungu besifuba obunje? Ngakho lokhu kumayelana nendlela yokwelapha ekhethekile engabaluleka kakhulu kubantu abanjalo, futhi yenziwa ngaphandle kokuhlinzwa. Lokhu sikubiza ngokuthi i-EECP.
Kalula nje, iyini i-EECP?
Igama eliphelele le-EECP yi- Enhanced External Counterpulsation . Lena indlela yokwelapha ephephile kakhulu evunyelwe ngisho nayizikhungo ezifana ne-US Food and Drug Administration (FDA).
Kalula nje, lokhu kuyindlela yokwelapha engadingi ukuhlinzwa ethuthukisa ukugeleza kwegazi enhliziyweni ngokusebenzisa ingcindezi yangaphandle.
Ake siqale sibone ukuthi ubani odinga lokhu. Kungenzeka ukuthi uke wezwa ngesimo esibizwa ngokuthi "i-Angina". Okusho ukuthi, ubuhlungu besifuba noma ingcindezi eyenzeka lapho inhliziyo yethu ingatholi inani elifanele legazi elinomoya-mpilo ngenxa yokuncipha noma ukuvaleka kwemithambo yegazi. Lokhu kuvame ukwenzeka lapho sikhathele, sivivinya umzimba, noma sicindezelekile. Lokhu sikubiza ngokuthi 'i-Chronic Stable Angina' .
Ngakho-ke, ukwelashwa kwe-EECP kuvame ukunconywa kubantu abane-angina efana nale, abangasabeli kahle emithini, futhi abangakwazi ukwenza into efana nokuhlinzwa kwe-bypass.
Kulungile, lokhu kwelashwa kusebenza kanjani? Kuyamangalisa!
Indlela lokhu okusebenza ngayo iyamangalisa. Cabanga ukuthi kukhona ukuvinjelwa okuncane endaweni ethile epayipini okunikeza amanzi engadini yakho, futhi amanzi ageleza kancane kakhulu. Uma sicindezela ngemuva kwalelo payipi, ijubane lamanzi liyakhula phambi kokuvinjelwa, akunjalo? Kwenzeka into efanayo nge-EECP.
Phakathi nalokhu kwelashwa, uzolaliswa embhedeni okhululekile. Ngemuva kwalokho, uzofakwa ama-cuff amakhulu afaka ingcindezi emathangeni akho, emilenzeni engezansi, nasemaqakaleni. Lawa afana nama-cuff owagqoka lapho uthatha umfutho wegazi lakho.
Ngemuva kwalokho, uzoxhunywa emshinini we-EKG ukuze uqaphe ukusebenza kwenhliziyo yakho. Manje umsebenzi wangempela uyenzeka.
- Njalo uma inhliziyo yakho iphumula (okungukuthi, uma igcwele igazi), lawo mabhande emilenze agcwala umoya ngokushesha.
- Lokhu kucindezela kusunduza igazi emilenzeni libuyele enhliziyweni, okwenza kube ngcono ukugeleza kwegazi emithanjeni yenhliziyo, ehlinzeka ngegazi enhliziyweni.
- Khona-ke, lapho inhliziyo ifinyela futhi iqala ukupompa igazi , wonke umoya okulawo mabhande uyaphuma ngesikhathi esisodwa.
- Khona-ke inhliziyo ingapompa igazi emzimbeni wonke ngaphandle kwesithiyo nangomzamo omncane.
Ngale ndlela, la mabhande ayavuvukala futhi aphume ngokuhambisana nesigqi senhliziyo yakho. Uma lokhu kuqhubeka kwenzeka, kwenzeka into emangalisayo. Imithambo yegazi emincane emisha iqala ukwakheka, idlula imithambo yegazi evinjiwe ethwala igazi liye enhliziyweni. Njengoba nje kwakheka imigwaqo eseceleni emgwaqweni omatasa. Lokhu sikubiza ngokuthi 'ukudlula kwemvelo' . Lena inzuzo enkulu yokwelashwa kwe-EECP.
Ubani ofanele lokwelashwa futhi ofanele yena?
Lokhu akuyona indlela yokwelapha efanele wonke umuntu. Udokotela wakho uzothatha isinqumo sokugcina sokuthi lokhu kulungile yini kuwe. Kodwa ngokuvamile, nansi incazelo yokuthi ubani okufanelekelayo nongakufanelekeli lokhu kwelashwa.
| Ubani ongafanelekela ukwelashwa kwe-EECP? | Abantu abangase bangafaneleki ukwelashwa kwe-EECP |
|---|---|
| Ukuba nobuhlungu besifuba obuhlala isikhathi eside (i-angina) obuvela ngesikhathi sokuzikhandla ngokomzimba noma ukucindezeleka kwengqondo. | Abesifazane abakhulelwe. |
| Ubuhlungu besifuba obungasakwazi ukulawulwa ngemithi. | Ukuba nesifo senhliziyo esibi kakhulu. |
| Ukungafaneleki kokuhlinzwa okufana nokuhlinzwa kwe-bypass, i-angioplasty, noma ukufakwa kwe-stent. | Ukuba nomfutho wegazi ophakeme ongalawuleki. |
| Izimpawu ziyavela futhi ngemva kokuhlinzwa okukhulunywe ngakho ngenhla. | Ukuba nezinkinga zokujiya kwegazi. |
| Ukuba nokushaya kwenhliziyo okungajwayelekile, njenge-atrial fibrillation (Afib). |
Into ebaluleke kakhulu ukuthi uma une-pacemaker noma ezinye izimo ezibalwe kuleli thebula, kufanele ukhulume nodokotela wakho mayelana nokuthi ungaba ne-EECP noma cha.
Isebenza kanjani inqubo yokwelapha?
Lokhu akuyona into okudingeka yenziwe esibhedlela. Ukwelashwa kuvame ukuthatha cishe ihora ngosuku. Ukwelashwa konke kuthatha amahora angu-35. Lokho kusho ukuthi kufanele ukwenze lokhu izinsuku ezinhlanu ngesonto, cishe amasonto ayisikhombisa.
Ngaphambi kokwelashwa
Udokotela uzokuxilonga bese enza izinto ezifana nokuhlolwa kokucindezeleka kokuzivocavoca ukuze abone ukuthi uyakufanelekela yini lokhu. Ngaphambi kokuba ukwelashwa kuqale, uzogqokwa amabhulukwe akhethekile. Uzocelwa ukuthi uchame. Ngemuva kwalokho bazonamathisela amabhande e-EKG esifubeni sakho kanye nama-cuffs emilenzeni yakho.
Ngesikhathi sokwelashwa
Okumele ukwenze nje ukulala phansi ngokunethezeka embhedeni. Abanye abantu bangase balale. Njengoba amabhande evuvukala, uzozwa ukuqina emilenzeni nasezinqeni zakho. Kodwa akubuhlungu. Uzojwayela ngemva kwesikhashana. Udokotela noma umuntu oqeqeshiwe uzokuqapha ihora lonke.
Ngemva kokwelashwa
Ngemva kokwelashwa kwehora elilodwa, ungaya ekhaya njengokujwayelekile. Ungaqhubeka nemisebenzi yakho yansuku zonke njengokujwayelekile. Abanye abantu bangase bazizwe bekhathele kancane ngemva kokwelashwa. Lokhu kuvamile.
Izinzuzo nezingozi zokwelashwa kwe-EECP
Njenganoma yikuphi ukwelashwa, kunezinzuzo kanye nemiphumela emibi emincane.
| Izinzuzo eziyinhloko | Imiphumela emibi emincane engaba khona |
|---|---|
| Ukunciphisa noma ukunyamalala kwezimpawu ze-angina (ubuhlungu besifuba). | Ukukhathala kanye nobuhlungu bemisipha. |
| Ukuzizwa unamandla kakhulu emzimbeni. | Ukubomvu okuncane noma ubuhlungu besikhumba lapho kufakwa khona amabhandeji. |
| Ukukwazi ukuzivocavoca noma ukusebenza ngaphandle kobuhlungu. | Ukuphuka kwemilenze. |
| Ukukwazi ukunciphisa inani lemithi ethathwayo ye-angina. | Akuvamile ukuthi umuntu abe nobunzima bokuphefumula (ezimweni ezinjalo, kudingeka ukuthi alaliswe esibhedlela ukuze elashwe). |
Kwabaningi, izinzuzo zalokhu kwelashwa zihlala iminyaka eminingana. Ngezinye izikhathi, uma izimpawu zibuya, kungase kudingeke olunye uhlobo lokwelashwa, njengoba kuceliwe udokotela wakho.
Ekugcineni, kufanele ubonane nodokotela nini?
Uma uvame ukuzwa ubuhlungu besifuba uma ucindezelekile noma ukhathele, khuluma nodokotela wakho ngakho. Uzokuhlola bese enquma ukuthi ukwelashwa okufana ne-EECP kulungile yini kuwe.
Kodwa khumbula lokhu: Uma uzwa ubuhlungu obukhulu esifubeni ngokuzumayo ngaphandle kwesizathu esibonakalayo, kungaba uphawu lokuhlaselwa yinhliziyo. Uma lokho kwenzeka , hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
I-EECP iyindlela yokwelapha ephumelelayo eyilethe ithemba elisha futhi yathuthukisa ikhwalithi yokuphila kubantu abaningi abalwa nesifo senhliziyo. Ngakho-ke ungesabi ukukhuluma nodokotela wakho ngakho.
Umlayezo Wokuya Nawe Ekhaya
- I-EECP iyindlela yokwelapha ephephile, engadingi ukuhlinzwa ye-angina engapheli engalawulwa ngemithi noma ukuhlinzwa.
- Lokhu kuthuthukisa ukugeleza kwegazi enhliziyweni futhi kusiza ekudaleni 'ukudlula kwemvelo' kwemithambo yegazi.
- Lokhu kwelashwa akufanele wonke umuntu. Udokotela wakho kuphela onganquma ukuthi kulungile yini kuwe.
- Imiphumela emibi yalokhu kwelashwa ivame ukuba mincane kakhulu. Ungaphila impilo yakho evamile ngemva kokwelashwa.
- Ubuhlungu besifuba obungazelelwe, obukhulu buyisimo esiphuthumayo. Ezimweni ezinjalo, hamba uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
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