Ukuhluleka kwenhliziyo - ukuhlinzwa namadivayisi

Izindlela zokwelapha ezinkulu zokwehluleka kwenhliziyo zenza ushintsho endleleni yokuphila nokuthatha imithi yakho. Kodwa-ke, kunezinqubo nokuhlinzwa okungasiza.

I-pacemaker yenhliziyo iyithuluzi elincane elisebenza ngebhethri elithumela isignali enhliziyweni yakho. Isiginali yenza inhliziyo yakho ishaye ngejubane elifanele.

Ama-pacemaker angasetshenziswa:

• Ukulungisa isigqi senhliziyo esingajwayelekile. Inhliziyo ingashaya kancane kakhulu, ngokushesha okukhulu, noma ngendlela engajwayelekile.
• Ukudidiyela kangcono ukushaya kwenhliziyo kubantu abanenhliziyo ehlulekayo. Lokhu kubizwa ngokuthi ama-biventricular pacemaker.

Lapho inhliziyo yakho ibuthakathaka, iba nkulu kakhulu, futhi ingampompi igazi kahle, usengozini enkulu yokushaya kwenhliziyo okungavamile okungaholela ekufeni okungazelelwe kwenhliziyo.

• I-cardioverter-defibrillator (ICD) efakelwayo iyithuluzi elithola isigqi senhliziyo. Ithumela masisha ugesi enhliziyweni ukushintsha isigqi sibuyele kokujwayelekile.
• Ama-pacemaker amaningi we-biventricular nawo angasebenza njengama-cardio-defibrillators (ICD) angafakwa.

Isizathu esivame kakhulu sokuhluleka kwenhliziyo yisifo semithambo yegazi (CAD), okuwukuncipha kwemithambo yegazi emincane ehambisa igazi ne-oxygen enhliziyweni. I-CAD ingaba yimbi kakhulu futhi yenze kube nzima ukuphatha izimpawu zakho.

Ngemuva kokwenza izivivinyo ezithile umhlinzeki wakho wokunakekelwa kwezempilo angazizwa ukuthi ukuvula isitsha segazi esincishisiwe noma esivinjiwe kuzothuthukisa izimpawu zakho zokwehluleka kwenhliziyo. Izinqubo eziphakanyisiwe zingafaka:

• Ukubekwa kwe-Angioplasty nokuqina
• Ukuhlinzwa kokudlula kwenhliziyo

Igazi eligeleza phakathi kwamakamelo enhliziyo yakho, noma liphume enhliziyweni yakho lingene ku-aorta, kufanele lidlule ku-valve yenhliziyo. La mavalvu avuleka ngokwanele ukuvumela igazi ukuba ligeleze. Bese bayavala, bagcina igazi lingageleki emuva.

Lapho la ma-valve engasebenzi kahle (avuza kakhulu noma ancipha kakhulu), igazi alihambi kahle enhliziyweni liye emzimbeni. Le nkinga ingadala ukwehluleka kwenhliziyo noma yenze ukwehluleka kwenhliziyo kube kubi kakhulu.

Kungadingeka ukuhlinzekwa kwe-valve yenhliziyo ukulungisa noma ukufaka elinye lama-valve.

Ezinye izinhlobo zokuhlinzwa zenziwa ukwehluleka okukhulu kwenhliziyo lapho ezinye izindlela zokwelapha zingasasebenzi. Lezi zinqubo zivame ukusetshenziswa lapho umuntu elinde ukufakelwa inhliziyo. Futhi kwesinye isikhathi zisetshenziswa isikhathi eside ezimweni lapho ukufakelwa kungakuhlelwanga noma kungenzeki.

Izibonelo zamanye ala madivayisi zifaka insiza ye-ventricular assist yangakwesokunxele (i-LVAD), amadivayisi we-ventricular assist (RVAD) angakwesokudla noma izinhliziyo zokufakelwa sezizonke. Zibhekelwa ukusetshenziswa uma unokwehluleka okukhulu kwenhliziyo okungenakulawulwa ngomuthi noma i-pacemaker ekhethekile.

• Amadivayisi we-Ventricular assist (VAD) asiza inhliziyo yakho ukuthi ipompe igazi lisuka emagumbini okupompa enhliziyo yakho liye emaphashini noma kuwo wonke umzimba wakho La mapampu angafakwa emzimbeni wakho noma axhunywe kupompo ongaphandle komzimba wakho.
• Ungaba sohlwini lokulinda ukufakelwa inhliziyo. Ezinye iziguli ezithola i-VAD zigula kakhulu futhi kungenzeka ukuthi sezivele zisemshinini we-heart-lung bypass.
• Ingqikithi yenhliziyo yokufakelwa iyakhiwa, kepha ayikasetshenziswa kabanzi.

Amadivayisi afakwe ku-catheter anjenge-intra-aortic balloon pumps (IABP) kwesinye isikhathi ayasetshenziswa.

• I-IABP ibhaluni elincanyana elifakwa emthanjeni (imvamisa emlenzeni) bese lifakwa emthanjeni omkhulu ophuma enhliziyweni (aorta).
• Lawa madivayisi angasiza ukugcina ukusebenza kwenhliziyo esikhathini esifushane. Ngoba zingabekwa ngokushesha, ziwusizo ezigulini ezinokwehla okungazelelwe futhi okunzima ekusebenzeni kwenhliziyo
• Asetshenziswa kubantu abalinde ukutakula noma amadivayisi okusiza athuthuke kakhulu.

CHF - ukuhlinzwa; Ukuhluleka kwenhliziyo - ukuhlinzwa; I-Cardiomyopathy - ukuhlinzwa; HF - ukuhlinzwa; Amaphampu ebhaluni angaphakathi kwe-aorta - ukwehluleka kwenhliziyo; IABP - ukwehluleka kwenhliziyo; Amadivayisi okusiza nge-catheter - ukwehluleka kwenhliziyo

• I-Pacemaker

I-Aaronson KD, iPagani FD. Ukusekelwa kwemishini yokujikeleza kwegazi. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 29.

U-Allen LA, uStevenson LW. Ukuphathwa kweziguli ezinesifo senhliziyo nemithambo yegazi esondela ekupheleni kwempilo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 31.

U-Ewald GA, uMilano CA, uRogers JG. Izisetshenziswa zokujikeleza kwegazi ekuhlulekeni kwenhliziyo. Ku: Felker GM, Mann DL, eds. Ukwehluleka Kwenhliziyo: Umngane Wezifo Zenhliziyo zeBraunwald. Umhla wesi-4. IPhiladelphia, PA: Elsevier, 2020: isahluko 45.

UMann DL. Ukuphathwa kweziguli zokwehluleka kwenhliziyo ezinengxenyenamba yokukhipha encishisiwe. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 25.

I-Otto CM, iBonow RO. Sondela esigulini ngesifo senhliziyo se-valvular. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 67.

URihal CS, uNaidu SS, uGivertz MM, et al; Inhlangano ye-Cardiovascular Angiography and Interventions (SCAI); Inhlangano Yehlulekile Yenhliziyo yaseMelika (HFSA); Inhlangano Yabadokotela Abahlinzayo Nge-Thoracic (STS); I-American Heart Association (AHA), kanye ne-American College of Cardiology (ACC). Isitatimende sokuvumelana ngochwepheshe bemitholampilo se-SCAI / ACC / HFSA / STS ngo-2015 ngokusetshenziswa kwamadivayisi asekela imishini yokujikeleza kwegazi ekunakekelweni kwenhliziyo (okuvunyelwe yi-American Heart Association, iCardiological Society of India, neSociedad Latino Americana de Cardiología Intervencionista; ukuqinisekiswa kwenani ngu I-Canadian Association of Interventional Cardiology-Association Canadienne de Cardiologie d'intervention). UJ Am Coll Cardiol. 2015; 65 (19): e7-26. I-PMID: 25861963 www.ncbi.nlm.nih.gov/pubmed/25861963.

UYancy CW, uJessup M, uBozkurt B, et al. Umhlahlandlela we-ACCF / AHA ka-2013 wokuphathwa kokuhluleka kwenhliziyo: umbiko we-American College of Cardiology Foundation / American Heart Association Task Force ngemikhombandlela yokusebenza. Ukujikeleza. 2013; 128 (16): e240-e327. I-PMID: 23741058 www.ncbi.nlm.nih.gov/pubmed/23741058.

• Ukwehluleka Kwenhliziyo
• Ama-pacemaker nama-Defibrillator angafakwa