Ukuphefumula kwenhliziyo

I-Cardioversion yindlela yokubuyisa isigqi senhliziyo esingajwayelekile sibuyele kokujwayelekile.

I-Cardioversion ingenziwa ngokusebenzisa ukushaqeka kukagesi noma ngezidakamizwa.

UKUPHILA KWE-CARDIOVERSION

Ukuphefumula kukagesi kwenziwa ngedivayisi enika amandla kagesi enhliziyweni ukushintsha isigqi sibuyele kokujwayelekile. Idivayisi ibizwa ngokuthi i-defibrillator.

Ukushaqeka kungalethwa kusuka kudivayisi engaphandle komzimba ebizwa nge-defibrillator yangaphandle. Lokhu kutholakala emakamelweni okuphuthumayo, kuma-ambulensi, noma kwezinye izindawo zomphakathi ezinjengezikhumulo zezindiza.

• Amachashazi e-electrode abekwa esifubeni nasemuva. Amabala axhumene ne-defibrillator. Noma, ama-paddles anamathiselwe kumadivayisi abekwa ngqo esifubeni.
• I-defibrillator iyasebenza futhi negesi ishaqeka enhliziyweni yakho.
• Lokhu kushaqeka kumisa kafushane yonke imisebenzi kagesi yenhliziyo. Ngemuva kwalokho ivumela isigqi senhliziyo esijwayelekile ukuthi sibuyele emuva.
• Kwesinye isikhathi kudingeka ukushaqeka okungaphezu kokukodwa, noma ukwethuka ngamandla aphezulu.

I-defibrillator yangaphandle isetshenziselwa ukwelapha isigqi senhliziyo esingajwayelekile (arrhythmia) esibanga ukuwa nokuboshwa kwenhliziyo. Izibonelo yi-ventricular tachycardia ne-ventricular fibrillation.

Lawa madivayisi angahle asetshenziselwe ukwelapha isigqi esingeyona ingozi kangako, izinkinga ezinjenge-atrial fibrillation.

• Abanye abantu bangadinga ukuqala izinciphisi zegazi ngaphambi kwesikhathi ukuvimbela amahlule amancane egazi.
• Uzonikezwa umuthi ozokusiza uphumule ngaphambi kwenqubo.
• Ngemuva kwenqubo, unganikezwa imithi yokuvikela amahlule egazi noma ukusiza ukuvimbela i-arrhythmia ukuthi ingabuyi.

I-cardioverter-defibrillator (ICD) efakelwayo iyithuluzi elibekwe emzimbeni wakho. Isetshenziswa kakhulu kubantu abasengozini yokufa kungazelelwe ngoba ukusebenza kwenhliziyo yabo kubi kakhulu, noma bake baba nezigqi zenhliziyo eziyingozi phambilini.

• I-ICD ifakwe ngaphansi kwesikhumba sesifuba sakho esingaphezulu noma esiswini.
• Izintambo zinamathiselwe ezingena ngaphakathi noma eduze kwenhliziyo.
• Uma ngabe lo mshini uthola ukushaya kwenhliziyo okuyingozi, uthumela ukwethuka kukagesi enhliziyweni ukushintsha isigqi sibuyele kokujwayelekile.

CARDIOVERSION UKUSEBENZISA IZIDAKAMIZWA

Ukuphefumula komzimba kungenziwa ngokusebenzisa izidakamizwa ezithathwa ngomlomo noma ezinikezwe ngomugqa we-intravenous (IV). Kungathatha kusuka emizuzwini eminingana kuya ezinsukwini ukuthi lokhu kwelashwa kusebenze. Lokhu kwelashwa kuvame ukwenziwa ngenkathi usesibhedlela lapho kuzobhekwa khona isigqi senhliziyo yakho.

Ukuphefumula usebenzisa izidakamizwa kungenziwa ngaphandle kwesibhedlela. Lokhu kwelashwa kuvame ukusetshenziselwa abantu abane-fibrillation ye-atrial eza futhi idlule. Kodwa-ke, uzodinga ukulandelwa eduze ngudokotela wenhliziyo.

Unganikezwa imishanguzo yokunciphisa igazi ukuvimbela amahlule egazi ekwakheni nashiye inhliziyo (engadala isifo sohlangothi).

IZINKINGA

Izinkinga ze-cardioversion azivamile, kepha zingafaka:

• Ukungezwani komzimba nemithi esetshenzisiwe
• Amahlule egazi angadala ukushaywa unhlangothi noma okunye ukulimala komzimba
• Ukulimaza, ukushisa, noma ubuhlungu lapho kusetshenziswe khona ama-electrode
• Ukuqina kwe-arrhythmia

Abantu abenza i-cardioversion yangaphandle bangashaqeka uma inqubo ingenziwanga kahle. Lokhu kungadala izinkinga zesigqi senhliziyo, ubuhlungu, nokufa.

Isigqi senhliziyo esingajwayelekile - i-cardioversion; I-Bradycardia - i-cardioversion; I-tachycardia - ukuphefumula kwenhliziyo; I-fibrillation - ukuphefumula kwenhliziyo; I-Arrhythmia - ukushintsha kwenhliziyo; Ukuboshwa kwenhliziyo - ukushintsha kwenhliziyo; I-Defibrillator - ukuphefumula kwenhliziyo; I-Pharmacologic cardioversion

• I-cardioverter-defibrillator engafakelwa

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