Wake wazizwa inhliziyo yakho ishaya ngokushesha okukhulu, noma sengathi kukhona okundizayo esifubeni sakho, noma sengathi kuyashaya? Ngezinye izikhathi lezi kungaba izinto ezivamile. Kodwa-ke, uma lezi zinto zenzeka njalo, kungaba uphawu lwenkinga encane ezinhliziyweni zethu. Inhliziyo yethu ayiyona nje ibhola lenyama, isebenza nohlelo lukagesi oluyinkimbinkimbi kakhulu. Njengohlelo 'lokuxhuma' endlini yethu. Ngakho-ke, uma kukhona iphutha kulolu hlelo lukagesi, kukhona odokotela abalubheka ngqo futhi balwelaphe. Namuhla sikhuluma ngalabo odokotela abangochwepheshe.
Ubani lo chwepheshe we-electrophysiology?
Kalula nje,
isazi se-electrophysiology , noma ngezinye izikhathi esimbiza ngokuthi
"udokotela we-EP" ngamafuphi, ungudokotela
wenhliziyo . Kodwa ubuchwepheshe bakhe ukubheka uhlelo lukagesi lwenhliziyo kanye nokungahambi kahle kwesigqi okwenzeka nalo, okungukuthi,
ukungalingani kwenhliziyo (arrhythmias) . Cabanga ngale ndlela. Ukushaya kwenhliziyo yethu kulawulwa inethiwekhi ebucayi kakhulu yezibonakaliso zikagesi. Uma lezi zibonakaliso ziya endaweni efanele nangesikhathi esifanele, inhliziyo ishaya kahle. Uma kukhona iphutha, ukuphazamiseka, noma i-short circuit kulesi simiso sezibonakaliso zikagesi, ukushaya kwenhliziyo kuyaphuma ekulawuleni. Kungaba ukuthi kushaya ngokushesha kakhulu, noma kushaya kancane kakhulu, noma kushaya ngokungajwayelekile. Yilokho esikubiza ngokuthi isazi se-Electrophysiology (EP) kudokotela onolwazi ngezinkinga 'zamanje' zenhliziyo.
Yini eyenziwa yi-cardiologist?
Laba ochwepheshe bavame ukusebenza ezibhedlela ezinkulu. Basebenzisa izivivinyo ezikhethekile kanye nezinqubo zokuxilonga, ukuxilonga, kanye nokwelapha ukungasebenzi kahle kwenhliziyo. Baphinde banikeze imithi futhi banikeze iseluleko ngokushintsha indlela yokuphila. Bheka ithebula elingezansi ukuthola uhlu lwezimo eziyinhloko abazelaphayo.
| Isimo | Kalula nje... |
|---|
| I-Bradycardia | Ukuxinana kosuku kungaphezu kwalokho okudingekayo . |
| I-Tachycardia | Ukushaya kwenhliziyo kwenzeka ngokushesha kakhulu kunalokho okudingekayo . |
| I-Atrial Fibrillation | Umuzwa wenhliziyo ishaya ngokungajwayelekile, njengokungathi iyaphaphazela . |
| Ukuboshwa Kwenhliziyo | Ukuma kwenhliziyo okungazelelwe . Lokhu kuhlukile ekuhlaselweni yinhliziyo. |
| Ezinye izinkinga zesigqi senhliziyo | Ngaphandle kwalokhu, kunezinye izinhlobo ezahlukene zezinkinga zesigqi eziphathwayo. |
Kukusiphi isimo lapho ungathunyelwa khona i-EP?
Ngokuvamile, ngeke ubone uchwepheshe onjengalona ngqo. Udokotela wakho womndeni noma udokotela wenhliziyo osevele ekwelapha uzokudlulisela kudokotela we-EP. Kungaba nezizathu eziningana zalokhu.
- Uma unesifo sokuhluleka kwenhliziyo ( i-arrhythmia ) .
- Uma uhlelelwe ukwelashwa okubizwa ngokuthi i-cardiac ablation , lokhu kuhilela ukusebenzisa indlela ekhethekile yokuvala izindawo zenhliziyo ezithumela izimpawu zikagesi ezingalungile.
- Uma unesifo esibizwa ngokuthi i-syncope , okuyilapho ulahlekelwa khona ingqondo ngokuzumayo bese uwe ngaphandle kwesizathu esibonakalayo.
- Uma udokotela ethola ukuthi kunobungozi obukhulu bokufa ngenxa yokufa kwenhliziyo ngokuzumayo.
- Uma udinga ukuba nedivayisi efana ne -pacemaker noma i- ICD (Implantable Cardiac Defibrillator) . Lawa amadivayisi amancane afakwa ngaphansi kwesikhumba ukulawula isigqi senhliziyo.
Into ebaluleke kakhulu ukuthi uma udokotela wakho ekuthumelela kuchwepheshe onjengalona, kwenze. Lokhu kuzomvumela ukuthi ahlole isimo sakho ngokujulile futhi akhethe ukwelashwa okufanele kakhulu kuwe.
Kwenzekani uma uhlangana ne-EP?
Uma uthunyelwa ku-EP, uzobuyekeza izimpawu zakho, imithi yakho yangaphambilini, kanye nemiphumela yokuhlolwa kwakho, futhi uma kudingeka, acele olunye ukuhlolwa okukhethekile. Okubaluleke kakhulu kulokhu yi
-Electrophysiology Study (EPS) . Ungakhathazeki ngegama. Lokhu kwenzelwa ukuhlola umsebenzi kagesi wenhliziyo yakho nokuthola ukuthi ukuphazamiseka kwesigqi kuqala kuphi.
Ukuhlolwa kwe-EPS kwenziwa kanjani?
Lokhu kuhlolwa kwenziwa elabhorethri ekhethekile (ilabhorethri ye-EP noma ilabhorethri ye-Cath) esibhedlela. Ulaliswa (utholiswe), ukuze ungezwa ubuhlungu. Udokotela ufaka ithubhu elincane kakhulu, elithambile, elibizwa ngokuthi
i-electrode catheter , emthanjeni wegazi omkhulu embotsheni yakho, engalweni, noma entanyeni nasenhliziyweni yakho. Udokotela ube esethumela izimpawu ezincane zikagesi ngethubhu enhliziyweni, bese eqopha umsebenzi kagesi wenhliziyo esikrinini sekhompyutha. Lokhu kufana nokusebenzisa 'umhloli' ukuthola iphutha ezintambo zezintambo endlini yakho. Ngemva kwalokhu kuhlolwa, udokotela uzothola imbangela eqondile yenkinga yakho futhi anqume ukwelashwa okungcono kakhulu kwayo.
Umlayezo Wokuya Nawe Ekhaya
- Isazi se-electrophysiology udokotela ogxile ohlelweni lukagesi lwenhliziyo kanye nezinkinga zesigqi (ama-arrhythmia).
- Uma unezimpawu ezifana nokushaya kwenhliziyo okusheshayo noma okuhamba kancane, umuzwa wokuphaphazela esifubeni sakho, noma ukuzizwa nje uphelelwe amandla, ungazinaki. Bona udokotela wakho ngokushesha.
- Uma udokotela wakho ekudlulisela ku-EP, kusho ukuthi isimo sakho sidinga ukuhlolisiswa kabanzi. Ngakho-ke landela leso seluleko.
- Asikho isidingo sokwesaba ukuhlolwa okufana ne-EPS. Kuphephile, akubuhlungu, futhi kuyasiza kakhulu ekutholeni imbangela eqondile yalesi sifo.
Isigqi senhliziyo, i-Electrophysiologist, i-Cardiologist, i-Arrhythmia, i-Heartbeat, i-Pacemaker, i-Cardiac Ablation
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