Isigaxa sakhe sombane

I-bundle electrography yakhe isivivinyo esilinganisa umsebenzi kagesi engxenyeni ethile yenhliziyo ephethe amasiginali alawula isikhathi phakathi kokushaya kwenhliziyo.

Isigaxa saKhe siyiqembu lezintambo ezithwala imizwa kagesi enkabeni yenhliziyo. Uma lezi zimpawu zivinjelwe, uzoba nezinkinga ngokushaya kwenhliziyo yakho.

I-His bundle electrography iyingxenye yocwaningo lwe-electrophysiology (EP). I-catheter efakwa emthanjeni (umugqa we-IV) ifakwa engalweni yakho ukuze ukwazi ukunikezwa imithi ngesikhathi sokuhlolwa.

Ukuhola kwe-Electrocardiogram (ECG) kubekwe ezingalweni nasemilenzeni yakho. Ingalo yakho, intamo, noma imbilapho yakho kuzohlanzwa futhi kufakwe izinzwa ngomuthi wokubulala izinzwa wendawo. Ngemuva kokuba indawo isikindiki, udokotela wenhliziyo usika kancane emthanjeni afake ishubhu elincanyana elibizwa ngokuthi i-catheter ngaphakathi.

Ipayipi lihanjiswa ngokucophelela ngomthambo liye enhliziyweni. Indlela ye-x-ray ebizwa nge-fluoroscopy isiza ukuholela udokotela endaweni efanele. Ngesikhathi sokuhlolwa, ubhekelwa noma yikuphi ukushaya kwenhliziyo okungavamile (arrhythmias). I-catheter inenzwa ekugcineni, esetshenziselwa ukukala umsebenzi kagesi wenqwaba Yakhe.

Uzotshelwa ukuthi ungadli noma uphuze noma yini amahora ayisithupha kuya kwayisishiyagalombili ngaphambi kokuhlolwa. Ukuhlolwa kuzokwenziwa esibhedlela. Abanye abantu bangadinga ukungena esibhedlela ngobusuku obandulela ukuhlolwa. Ngaphandle kwalokho, uzohlola ekuseni kokuhlolwa. Yize ukuhlolwa kungathatha isikhathi, abantu abaningi AKUDINGI ukuba balale esibhedlela ubusuku bonke.

Umhlinzeki wakho wezokunakekelwa kwempilo uzochaza inqubo kanye nezingozi zayo. Kufanele usayine ifomu lokuvuma ngaphambi kokuqala kokuhlolwa.

Cishe isigamu sehora ngaphambi kwenqubo, uzonikezwa isidambisi esincane ukukusiza uphumule. Uzogqoka ingubo yasesibhedlela. Inqubo ingahlala kusuka ku-1 kuye emahoreni amaningana.

Uvukile ngesikhathi sokuhlolwa. Ungazizwa ungakhululekile lapho i-IV ifakwa engalweni yakho, kanye nengcindezi ethile kusayithi lapho kufakwa khona ipayipi.

Lokhu kuhlolwa kungenziwa ku:

• Thola ukuthi udinga i-pacemaker noma olunye uhlobo lokwelashwa
• Thola i-arrhythmias
• Thola indawo ethize lapho kuvinjelwe khona amasiginali kagesi enhliziyweni

Isikhathi esithatha ukuthi izimpawu zikagesi zihambe ngenqwaba Yakhe sijwayelekile.

I-pacemaker ingadingeka uma imiphumela yokuhlolwa ingavamile.

Izingozi zenqubo zifaka:

• I-Arrhythmias
• I-tamponade yenhliziyo
• I-embolism kusuka kumahlule egazi ekugcineni kwepayipi
• Isifo senhliziyo
• Ukopha
• Ukutheleleka
• Ukulimala emthanjeni noma emthanjeni
• Umfutho wegazi ophansi
• Unhlangothi

Isigaxa sakhe se-elektrogramu; HBE; Ukuqopha inqwaba yakhe; Electrogram - Isigaxa Sakhe; I-Arrhythmia - Yakhe; Inhliziyo block - Eyakhe

• ECG

U-Issa ZF, uMiller JM, uZipes DP. Ukungajwayelekile kwe-atrioventricular conduction. Ku: Issa ZF, Miller JM, Zipes DP, eds. I-Clinical Arrhythmology ne-Electrophysiology. 3rd ed. IPhiladelphia, PA: Elsevier; 2019: isahluko 9.

UMiller JM, uTomaselli GF, uZipes DP. Ukuxilongwa kwama-arrhythmias enhliziyo. 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 35.