Ingabe ngezinye izikhathi uzizwa sengathi ukushaya kwenhliziyo yakho kunyuka ngokuzumayo ngaphandle kwesizathu esicacile? Njengokungathi usanda kugijima kakhulu? Lokhu kungaba uphawu lwesimo okungenzeka ukuthi uke wasizwa esibizwa ngokuthi 'i-Supraventricular Tachycardia' noma '(SVT)'. Nakuba lokhu kungaba yinto eyesabekayo, ungakhathazeki. Manje kunezindlela zokwelapha eziphumelela kakhulu zalokhu. Namuhla sikhuluma ngenye yezindlela zokwelapha eziphumelela kakhulu, 'i-SVT Ablation'.
Kalula nje, kuyini i-SVT Ablation?
I-'SVT Ablation' inqubo elimaza futhi ivale amaseli ambalwa emakamelweni aphezulu enhliziyo yakho aphazamisa izimpawu zikagesi ezihlobene nokushaya kwenhliziyo. Cabanga ngohlelo lukagesi lwenhliziyo yethu njengohlelo lwezintambo endlini. Ngokuvamile, inhliziyo ishaya kahle kuphela uma izimpawu zikagesi zihamba ngendlela ehlelekile ngalezi "zintambo".
Kodwa kwabanye abantu, iluphu encane, noma into efana neluphu, yakha kulolu hlelo "lwentambo". Bese kuba "i-short circuit" , isigqi esivamile senhliziyo siyaphazamiseka, futhi inhliziyo ngokuzumayo iqala ukushaya ngokushesha. Ekwelashweni kwe-'Ablation', ithubhu elincane kakhulu elibizwa ngokuthi i-'catheter' ekhethekile lisetshenziselwa ukungena ngaphakathi kwenhliziyo, ukuthola "i-short circuit" ethumela izimpawu ezingalungile, bese iyenza ingasebenzi.
Kunezindlela ezimbili zokwenza lokhu:
- Amandla e-Radiofrequency: Amanye ama-catheter athumela ukushisa ukuze kubhubhise amangqamuzana futhi kudale isilonda esincane.
- Ukuqandisa: Amanye ama-catheter asebenzisa umkhuhlane omkhulu ukuze avale lawo maseli.
Zombili lezi zindlela zivimba indlela ethumela izimpawu zikagesi ezingalungile, okuvumela inhliziyo ukuthi ishaye ngendlela evamile futhi.
Odokotela bavame ukuncoma lokhu kwelashwa uma i-SVT ingenakukwazi ukulawulwa ngemithi, noma uma imithi ibangela imiphumela emibi. Kodwa-ke, ngezinye izikhathi, kuye ngesimo sesiguli, i-ablation inganconywa njengokwelashwa kokuqala.
Kuvame kangakanani lokhu kwelashwa?
Ngokwesilinganiso, cishe abantu ababili kwabayi-1,000 emhlabeni bangaba ne-SVT. Kodwa-ke, inani elikhulu labantu, eliphakathi kuka-60% no-80%, lithola impumuzo enhle ngemithi. Ngakho-ke, lokhu kwelashwa 'kwe-Ablation' kuvame ukuba yisisombululo esihle kakhulu kulabo okunzima ukukulawula ngemithi.
Yini okufanele yenziwe ngaphambi kokukhishwa kwe-SVT?
Lokhu akuyona inqubo enkulu yokuhlinzwa, kodwa kudinga ukulungiselela okuncane.
- Ukwelashwa kudinga ukuyeka ngokuphelele ukudla nokuphuza amahora angu-6 kuya kwangu-8 (ukuzila ukudla).
- Udokotela wakho angase abe neminye yemithi oyithathayo njengamanje.(Ikakhulukazi imithi yokunciphisa igazi) ingase yelulekwe ukuthi iyeke ukuyithatha izinsuku ezimbalwa. Udokotela wakho uzokunikeza imiyalelo ecacile ngalokhu.
Kwenzekani ngesikhathi sokwelashwa?
Lokhu kwelashwa kwenziwa endaweni ekhethekile ebizwa ngokuthi `ilabhorethri ye-electrophysiology.` Ake sibheke isinyathelo ngesinyathelo ukuthi kwenzekani kulokhu.
| Izinyathelo | Kwenzekani? |
|---|---|
| 1. Ukunikeza imithi yokwelapha izinhlungu | Umugqa we-IV (umugqa we-saline) ufakwa emthanjeni ongalweni yakho bese kunikezwa imithi ngawo ukuze ikusize uphumule futhi ungezwa ubuhlungu. |
| 2. Ukufakwa kwe-catheter | Isikhumba endaweni yakho yezimbotshana siphelelwe amandla futhi kufakwa ipayipi elincane kakhulu (i-catheter) ngomthambo wegazi omkhulu lapho. |
| 3. Uhambo oluya enhliziyweni | I-catheter enama-electrode akhethekile idluliselwa kule tube iye enhliziyweni yakho. |
| 4. Ukuthola inkinga | Udokotela uthumela izimpawu zikagesi ezincane ngale catheter ukuze athole indawo eqondile "ye-short circuit" ebangela ukuba inhliziyo ishaye ngokushesha. |
| 5. Ukususwa kwesisu | Uma indawo eqondile yenkinga isitholakele, ukushisa (amandla omsakazo) noma ukubanda kusetshenziswa ukubhubhisa lawo maseli. |
Ulahlekile ngokuphelele?
Esikhathini esiningi, ngeke uphapheme ngokuphelele. Uzonikezwa imithi yokukwenza uzizwe ulele kancane, uzizwa ukhathele. Lokhu sikubiza ngokuthi 'ukuthula kwengqondo'.Ngalesi sikhathi, awuqapheli kahle okwenzekayo eduze kwakho, futhi awuzizwa ubuhlungu. Kodwa-ke, akuvamile kakhulu, kwezinye izimo ezikhethekile, kungadingeka ukuthi unikezwe i-anesthesia ejwayelekile. Lokhu kunqunywa udokotela ngokusekelwe esimweni sakho.
Ingabe lokhu kubuhlungu?
Empeleni, awuzizwa ubuhlungu uma ushisa lawo maseli angalungile. Udokotela uvala indawo lapho kufakwe khona i-catheter. Ngakho-ke ubuhlungu obuwuzwayo umuzwa omncane, ohlabayo lapho uthola umjovo wokwenza kube nzima (i-lidocaine).
Kwenzekani ngemva kokwelashwa?
Ngemva kokuphela kokwelashwa futhi wonke ama-catheter esesusiwe, indawo ye-catheter iyaboshwa ukuze kumiswe ukopha. Ngezinye izikhathi kusetshenziswa idivayisi encane ebizwa ngokuthi i-vascular closure device ukuvala inxeba. Ngemva kwalokho, kuzodingeka ulale embhedeni imilenze yakho yeluliwe cishe amahora ayisithupha kuya kwayisishiyagalombili . Lokhu kungase kungakhululeki, kodwa kubalulekile ukuvimbela izinkinga ezifana nokopha.
Yiziphi izinzuzo nezingozi zalokhu kwelashwa?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezinzuzo kanye nezingozi ezincane kakhulu.
| Uhlobo | Incazelo |
|---|---|
| Izinzuzo | Lokhu kwelashwa kunezinga eliphezulu kakhulu lempumelelo eliphakathi kuka-90% no-95% . Lokhu kusho ukuthi abantu abangu-95 kwabayi-100 bathola ukwelashwa okuphelele. Amathuba okuthi lesi simo siphinde sivele mancane kakhulu (cishe u-2% - 11%). |
| Izingozi | Lezi yizinto ezingavamile kakhulu.
|
Kuthatha isikhathi esingakanani ukuphulukiswa?
Enye into enhle ngalokhu ukuthi ungalulama ngokushesha. Ungaya ekhaya uqale imisebenzi yakho evamile (njengomsebenzi wasehhovisi, umsebenzi wasekhaya) ngosuku olulandelayo . Kodwa-ke, uma ufuna ukwenza okuthile okudinga umzamo omncane, njengokuphakamisa izinsimbi, noma ukuzivocavoca, kungcono ukulinda okungenani izinsuku ezintathu .
Kufanele ubonane nini nodokotela?
Kubaluleke kakhulu ukunakekela umzimba wakho ngemva kokwelashwa. Qaphela izimpawu ezilandelayo.
| Ithuba | Izici |
|---|---|
| Yiya e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha. | |
| Isimo Esiphuthumayo |
|
| Khuluma nodokotela wakho. | |
| Izici okufanele uziqaphele |
|
Ukuba nokushaya kwenhliziyo okungajwayelekile kungaba yinto esabekayo. Kodwa ungakhathazeki, kunezindlela zokwelapha ezisebenza kahle kakhulu. Ukususwa kwe-SVT kungenye yezindlela zokwelapha ezisebenza kahle kakhulu nezinengozi encane. Uma unalezi zimpawu, khuluma nodokotela wakho ukuze unqume ukuthi lokhu kwelashwa kulungile yini kuwe.
Umlayezo Wokuya Nawe Ekhaya
- I-SVT yisimo lapho inhliziyo ishaya ngokushesha kakhulu ngenxa yezimpawu zikagesi ezingalungile ezivela emakamelweni aphezulu enhliziyo.
- I-SVT Ablation iyindlela yokwelapha ephumelela kakhulu evala "i-short circuit" ethumela lezi zimpawu ezingalungile.
- Lokhu kusetshenziswa ezimweni lapho imithi ingakwazi ukulawula isimo, noma ngezinye izikhathi njengokwelashwa kokuqala.
- Izinga lempumelelo yalokhu kwelashwa lingaphezu kuka-90%, futhi izingozi ziphansi kakhulu.
- Kuthatha izinsuku ezimbalwa nje ukululama, futhi ungabuyela empilweni yakho evamile ngokushesha.
- Uma kuvela izimpawu ezingavamile ngemva kokwelashwa, yazisa udokotela wakho ngokushesha.
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