Ingabe uzizwa ubuhlungu besifuba noma ukuqina lapho uzikhandla, ukhuphuka izitebhisi, noma uhamba ibanga elifushane? Mhlawumbe usuthathe umuthi owunikezwe udokotela wakho, kodwa lesi simo asipheli ngokuphelele. Uma wesaba ukuhlinzwa kwenhliziyo, noma uma odokotela bakho bethi kunzima ukwenza ukuhlinzwa ngenxa yesimo sakho sempilo, lesi sihloko sizoba sibaluleke kakhulu kuwe. Namuhla sikhuluma ngendlela yokwelapha ekhethekile engeyona ukuhlinzwa, kodwa eletha impumuzo enkulu enhliziyweni.
Ngakho-ke, iyini i-EECP?
Kalula nje, i-EECP (Enhanced External Counterpulsation) iyindlela yokwelapha i-angina engapheli ezinzile , isimo esibe khona isikhathi eside. Iyindlela yokwelapha ephephile eye yavunyelwa ngisho nayizikhungo ezifana ne-US Food and Drug Administration (FDA).
Ngokuvamile, lapho imithambo yegazi enhliziyweni ivalekile, inhliziyo ayitholi igazi elicebile ngo-oksijini eliyidingayo. Lokhu sikubiza ngokuthi isifo senhliziyo senhliziyo . Yilokhu okubangela i-angina, okuwubuhlungu besifuba. Uma lobu buhlungu buvela uma ukhathele noma ucindezelekile, futhi buphela ngemva kokuphumula kancane, lokho kubizwa ngokuthi i-angina engapheli eqinile.
Ukwelashwa nge-EECP kubaluleke kakhulu kulabo abangasabeli emithini evamile futhi abangakwazi ukuhlinzwa njengokuhlinzwa kwe-bypass noma i-angioplasty .
Ukwelashwa kwe-EECP kusebenza kanjani?
Lena indlela enhle kakhulu. Cabanga nje, inhliziyo yakho isebenza kanzima futhi ikhathele. Ukwelashwa nge-EECP kusiza inhliziyo ngaphandle.
Ngesikhathi sokwelashwa, kufakwa ama-cuff akhethekile emilenzeni nasezinqeni zakho. Lawa afana nama-cuff omfutho wegazi. Ngokwesigqi senhliziyo yakho (esiqashwe yi-EKG), ama-cuff agcwaliswa ngomoya futhi aqine lapho inhliziyo yakho iphumule. Lokhu kusunduza igazi elisemilenzeni yakho libuyele enhliziyweni yakho. Lokhu kwandisa inani legazi elinomoya-mpilo elifinyelela enhliziyweni yakho.
Bese kuthi lapho inhliziyo iqala ukufinyela (ukupompa) futhi, umoya osesinqeni ukhishwa ngokushesha. Inhliziyo ingakwazi ukupompa igazi kalula.
Njengoba le nqubo iqhubeka, kwakheka izindlela ezintsha zemvelo zokudlula igazi , okuvumela igazi ukuthi lidlule imithambo yegazi evalekile enhliziyweni. Lena inzuzo enkulu yalokhu kwelashwa.
Ubani ofanele lolu hlobo lokwelashwa?
Ukwelashwa nge-EECP akufanele wonke umuntu. Udokotela wakho uzonquma ukuthi kulungile yini kuwe. Kungaba inketho enhle kumuntu onezimo ezilandelayo:
| Ukufaneleka | Incazelo |
|---|---|
| Ubuhlungu besifuba besikhathi eside | I-Angina yisimo esenzeka futhi siphele ngesikhathi sokuzivocavoca noma ukucindezeleka. |
| Ukuntuleka kokukhululeka emithini | Uma izimpawu zingenakulawuleka naphezu kokuthatha imithi ebhalwe ngudokotela. |
| Ukungafaneleki kokuhlinzwa | Kulabo abangafaneleki ukuhlinzwa okufana ne-bypass noma i-angioplasty ngenxa yezinye izinkinga zempilo. |
| Izimpawu ziyabuya ngemva kokuhlinzwa | Uma izimpawu ziphinde zibuya ngemva kokuhlinzwa, i-angioplasty, noma i-stenting. |
Ngubani okunganconywa i-EECP kuye?
Ukwelashwa nge-EECP akufaneleki kubantu abanezimo ezithile zezokwelapha. Isibonelo, akukhuthazwa kwabesifazane abakhulelwe. Futhi, uma unezinye zezimo ezilandelayo, udokotela wakho angase acabangele inketho ehlukile yokwelashwa:
- Isifo senhliziyo esibi kakhulu
- Umfutho wegazi ophezulu ongalawuleki (umfutho wegazi ophezulu ongalawuleki)
- Ingozi yokuqhekeka kwegazi
- Ukushaya kwenhliziyo okusheshayo nokungajwayelekile, isib. I-Atrial Fibrillation (Afib)
- Isifo esibi semithambo yegazi engaphandle
- Umfutho wegazi ophezulu wamaphaphu
Into ebaluleke kakhulu ukukhuluma nodokotela wakho wenhliziyo, hhayi ukuzenza izinqumo ngalokhu wedwa.
Kwenzekani ngaphambi nangesikhathi sokwelashwa?
Njengoba lokhu kungeyona inqubo yokuhlinzwa, akukho okufanele ukwesabe. Ukwelashwa kuvame ukuthatha cishe ihora ngosuku.
Ngaphambi kokwelashwa
Ngaphambi kokuqala ukwelashwa, udokotela uzokuxilonga futhi mhlawumbeUkuhlolwa kokucindezeleka kokuzivocavoca kungenziwa. Ngaphambi nje kokuqala kokwelashwa, umhlengikazi noma uchwepheshe uzokwenza okulandelayo:
1. Uzonikezwa amabhulukwe akhethekile ozowagqoka.
2. Amabhande amathathu e-EKG azonamathiselwa esifubeni sakho.
3. Bafaka lezo zicuffs ezikhethekile emilenzeni nasezinqeni.
4. Inzwa encane (inzwa yomunwe) ibekwa emunweni ukuze kuhlolwe izinga lomoya-mpilo.
Ngesikhathi sokwelashwa
Okumele ukwenze nje ukulala embhedeni okhululekile. Ungafunda incwadi, ulalele umculo, noma ulale kancane. I-cuff izoqina futhi ikhululeke ngokwe-EKG. Lokhu kungase kuzwakale kungavamile ekuqaleni, kodwa uzojwayela ngemizuzu embalwa. Ngeke uzwe ubuhlungu.
Ngokuvamile, lokhu kwelashwa kwenziwa amasonto ayi-7, izinsuku ezi-5 ngesonto, ihora eli-1 ngosuku, amahora angama-35 esewonke.
Yiziphi izinzuzo nezingozi zokwelashwa nge-EECP?
Njenganoma yikuphi ukwelashwa, lokhu kungaba nezinzuzo nemiphumela emibi emincane.
| Izinzuzo | Izingozi/Imiphumela Engemihle |
|---|---|
| Ukunciphisa ubuhlungu besifuba kanye nezimpawu. | Ubuhlungu noma ukukhathala okuncane kwemisipha. |
| Ukuthola amandla engeziwe emzimbeni. | Ukubomvu okuncane noma ukuphuka kwesikhumba ngenxa yesikhumba. |
| Ukukwazi ukuzivocavoca umzimba nokuba matasa ngaphandle kobuhlungu. | Isimo esifana nokungazweli kwesikhumba. |
| Ukukwazi ukunciphisa inani lemithi ethathwayo ye-angina. | Akuvamile kakhulu ukuthi kube nobunzima bokuphefumula futhi kungadingeka ukuthi umuntu alaliswe esibhedlela. |
Isimo esiphuthumayo!Lokhu kwelashwa akufaneleki ezimweni ezingamahlalakhona, kodwa kufanelekela ubuhlungu besifuba obungazelelwe nobunzima (i-angina engazinzile). Uma uzwa ubuhlungu obungazelelwe nobunzima, kungaba uphawu lokuhlaselwa yinhliziyo. Shayela othile ngokushesha bese uya emnyangweni wezimo eziphuthumayo esibhedlela esiseduze (i-ETU) .
Abantu abaningi bazizwa bephilile iminyaka eminingana ngemva kokuphela kokwelashwa, kodwa abanye abantu, ikakhulukazi labo abangakaqedi amahora angu-35 adingekayo, bangadinga ukwelashwa okuphindaphindiwe.
Umlayezo Wokuya Nawe Ekhaya
- I-EECP iyindlela yokwelapha ubuhlungu besifuba obungapheli (i-angina) ngaphandle kokuhlinzwa .
- Lokhu kusebenza ngokufaka ingcindezi evela ngaphandle kwenhliziyo, kwandisa ukugeleza kwegazi enhliziyweni. Lokhu kuthuthukisa ukusebenza kwenhliziyo.
- Lena inketho enhle kakhulu kulabo abangakwazi ukulawulwa ngemithi futhi abangakwazi ukuhlinzwa.
- Ukwelashwa akubuhlungu. Kufanele ulale kahle embhedeni.
- Udokotela wakho kuphela onganquma ukuthi lolu hlobo lokwelashwa lukulungele yini, ngakho khuluma naye ngakho.
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