Wake wazizwa inhliziyo yakho ishaya ngamandla futhi ishaya ngamandla ngaphandle kwesizathu esibonakalayo lapho udidekile? Kuvamile ukuzizwa wesaba futhi ukhathazekile ngezikhathi ezinjengalezi. Esinye sezizathu zalokhu kushaya kwenhliziyo okusheshayo yi-SVT, okusho ukuthi i-Supraventricular Tachycardia. Ngakho-ke namuhla sizokhuluma ngokwelashwa okuphumelelayo kakhulu kwalokhu. Yilokho i-SVT Ablation.
Kalula nje, iyini i-SVT kanye ne-Ablation?
Ake siqale sibone ukuthi iyini i-SVT. Inhliziyo yethu iyisitho esimangalisayo. Inesimiso sezimpawu zikagesi sokusebenza kwayo. Njengesistimu yokuxhuma izintambo endlini. Uma lezi zimpawu zikagesi zihamba ngendlela efanele nangendlela ehlelekile, inhliziyo yethu ishaya ngesigqi esifanele.
Kodwa kwabanye abantu, "i-short circuit" encane ingenzeka ohlelweni lokubonisana ngogesi emakamelweni aphezulu enhliziyo. Cabanga ngayo njenge-wire loop. Ngemuva kwalokho izimpawu zikagesi okufanele zihambe ngendlela ethile ziyaphazamiseka ngenxa yalesi sigaba esifushane, bese inhliziyo iqala ukushaya ngokushesha okukhulu. Yilokhu esikubiza ngokuthi i-SVT (Supraventricular Tachycardia) .
Manje ake sibheke ukuthi i-Ablation iyini. Lokhu kuyindlela yokwelapha "ekhubaza" amangqamuzana anephutha adala leyo short circuit. Odokotela basebenzisa ama-catheter akhethekile, amashubhu amancane kakhulu, ukuze bangene bajule enhliziyweni futhi bathole ukuthi izimpawu zikagesi ezinephutha zivela kuphi. Bese benza umonakalo omncane kuleyo ndawo.
- Amandla e-Radiofrequency: Kule ndlela, amangqamuzana ayashiswa bese kuba nesibazi esincane.
- Ukuqothula: Kule ndlela, kusetshenziswa ukubanda okukhulu (i-nitric oxide) ukuqandisa amaseli, okudala isibazi.
Uma isilonda sidalwa ngale ndlela, isignali kagesi enephutha ayikwazi ukudlula. Lokho kusho ukuthi i-short circuit iyaphuka. Bese inhliziyo iqala ukushaya ngesigqi esijwayelekile futhi.
Odokotela bavame ukusebenzisa lolu hlobo lokwelashwa uma isimo singenakulawuleka ngemithi, noma uma imithi ibangela imiphumela emibi. Kodwa-ke, ngezinye izikhathi kuyanconywa njengendlela yokuqala.
Kwenzekani ngaphambi nangesikhathi sokwelashwa?
Ngemva kokunquma usuku lokuthola lokhu kwelashwa, udokotela uzokunikeza imiyalelo ekhethekile.
- Uzocelwa ukuthi ungadli noma uphuze lutho amahora angu-6 kuya kwangu-8 ngaphambi kokwelashwa (ukuzila ukudla) .
- Ungase futhi ucelwe ukuthi uyeke okwesikhashana ukuphuza eminye yemithi oyiphuzayo. Kufanele uxoxe ngakho konke lokhu nodokotela wakho ukuze uqiniseke.
Ukwelashwa kwenziwa elebhu ye-electrophysiology ehlonyiswe ngokukhethekile. Ake sibheke kancane kancane ukuthi kwenzekani lapho:
1. Okokuqala, uzonikezwa imithi ngemithambo yegazi (IV) ukuze ikusize uphumule futhi ungezwa ubuhlungu. Ngokuvamile, uzonikezwa lokho okubizwa ngokuthi i-conscious sedation . Lokhu kusho ukuthi ngeke ulale ngokuphelele, kodwa uzokhululeka futhi ulale kancane.
2. Ngemuva kwalokho, isikhumba endaweni yakho yezinsini siyaba ndikindiki (i-local anesthetic), bese kufakwa i-catheter encane emthanjeni wegazi. Ngeke uzwe ubuhlungu obukhulu ngenxa yondikindiki.
3. Le catheter iqondiswa emthanjeni wegazi kuze kufike enhliziyweni.
4. Ngemuva kwalokho, izimpawu zikagesi zithunyelwa ngale catheter ukuthola indawo eqondile yamaseli abangela inkinga.
5. Uma indawo isilungile, amandla e-radiofrequency esikhulume ngawo ekuqaleni asetshenziswa ukuvala lawo maseli. Ngeke uzwe ubuhlungu ngalesi sikhathi.
Kwenzekani ngemva kokwelashwa? Futhi wenzani uma usuya ekhaya?
Ngemva kokuphela kokwelashwa, indawo ye-catheter izoboshwa isikhashana ukuze kumiswe ukopha. Ngezinye izikhathi kuzosetshenziswa idivayisi ekhethekile (idivayisi yokuvala imithambo yegazi). Ngemva kwalokho, uzoyalwa ukuba ugcine umlenze wakho weluliwe cishe amahora ayi-6 kuya kwangu-8.
Ngemva kokubuyela ekhaya, ungaqala ukwenza imisebenzi evamile ngosuku olulandelayo . Kodwa-ke, kubaluleke kakhulu ukugwema imisebenzi enzima njengokugijima, ukugxuma, noma ukuphakamisa izinsimbi cishe izinsuku ezintathu.
Yiziphi izinzuzo nezingozi zalokhu kwelashwa?
Inzuzo enkulu yalokhu ukuthi izinga lempumelelo liphezulu kakhulu . Ezinhlotsheni eziningi ze-SVT, lokhu kwelashwa kuphumelele ngo-90% - 95% . Lokhu kusho ukuthi uma wenza lokhu kubantu abayishumi, abayisishiyagalolunye bazophulukiswa ngokuphelele. Kodwa-ke, inani elincane kakhulu (2% - 11%) lingase libe nalesi simo esiphinde sibuye.
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezingozi ezincane kakhulu. Ake sithole ukuthi ziyini.
| Ingozi/imiphumela emibi | Incazelo elula |
|---|---|
| Ukopha noma ukutheleleka | Isimo esingase senzeke endaweni yokufaka i-catheter. Lokhu akuvamile kakhulu. |
| I-Hematoma | Igazi liqongelela ngaphansi kwesikhumba lapho kwafakwa khona i-catheter. |
| Amahlule egazi | Kukhona ingozi encane kakhulu yokuthi amahlule egazi akheke emithanjeni yegazi. |
| I-Tamponade Yenhliziyo | Umgodi ozungeze inhliziyo ogcwele igazi noma uketshezi. Lesi yisimo esiphuthumayo esingavamile kakhulu. |
| Isidingo se-pacemaker | Akuvamile kakhulu, uma uhlelo lukagesi olujwayelekile lwenhliziyo lonakele, kungadingeka ukuthi kufakwe umshini wokulawula ukusebenza kwenhliziyo. |
Into ebaluleke kakhulu: Kufanele ukhumbule ukuthi iningi lalezi zingozi alivamile , nokuthi odokotela abakwelaphayo bazoqaphela kakhulu ngalokhu.
Kunini lapho kufanele ufune khona iseluleko sezokwelapha ngokushesha?
Kudingeka futhi sazi ukuthi yini okufanele siyenze uma kuvela inkinga ngemva kokufika ekhaya.
| Isimo Esiphuthumayo! Yiya e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha. | |
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| Uma unalezi zimpawu, khuluma nodokotela wakho. | |
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Kungaba yinto eyesabekayo kancane ukwazi ukuthi unenkinga yesigqi senhliziyo. Kodwa uzozizwa ukhululekile kakhulu uma wazi ukuthi kunezindlela zokwelapha eziphumelelayo kakhulu. I-SVT Ablation ingenye yezindlela zokwelapha eziphumelela kakhulu. Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukukhuluma nodokotela wakho ukuze uthole konke okuchazwe.
Umlayezo Wokuya Nawe Ekhaya
- I-SVT (i-Supraventricular Tachycardia) yisimo lapho inhliziyo ishaya khona ngokushesha ngenxa yephutha elifana "nomjikelezo omfushane" ohlelweni lukagesi lwenhliziyo.
- I-SVT Ablation iyindlela yokwelapha ephumelela kakhulu esebenzisa ama-catheter akhethekile ukungena enhliziyweni futhi avimbele amangqamuzana anephutha ngokuwafudumeza noma ukuwaqandisa, abuyisele isigqi senhliziyo.
- Izinga lempumelelo yalokhu kwelashwa liphezulu kakhulu lifinyelela ku- 90% - 95% .
- Ukululama kuyashesha ngemva kokwelashwa, futhi ungabuyela empilweni evamile zingakapheli izinsuku ezimbalwa.
- Uma inxeba livuvukala kakhulu noma liphuma igazi njalo, kufanele uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha. Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile, yazisa udokotela wakho.
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