Izinqubo zokukhipha inhliziyo

Ukuchithwa kwenhliziyo yinqubo esetshenziselwa ukonakalisa izindawo ezincane enhliziyweni yakho ezingabandakanyeka ezinkingeni zesigqi senhliziyo yakho. Lokhu kungavimba amasiginali kagesi angajwayelekile noma isigqi ukuthi singagudluki enhliziyweni.

Ngesikhathi senqubo, izintambo ezincane ezibizwa ngama-electrode zifakwa ngaphakathi kwenhliziyo yakho ukukala umsebenzi kagesi wenhliziyo yakho. Lapho kutholakala umthombo wenkinga, izicubu ezibangela inkinga ziyonakala.

Kunezindlela ezimbili zokwenza ukukhishwa kwenhliziyo:

• Ukukhishwa kwe-Radiofrequency isebenzisa amandla okushisa ukuqeda indawo enenkinga.
• I-Cryoablation isebenzisa amazinga okushisa abanda kakhulu.

Uhlobo lwenqubo onayo luzoncika ekutheni unasiphi isigqi senhliziyo esingajwayelekile.

Izinqubo zokukhipha inhliziyo zenziwa elabhorathri yasesibhedlela ngabasebenzi abaqeqeshiwe. Lokhu kufaka phakathi izazi zenhliziyo (odokotela benhliziyo), ochwepheshe nabahlengikazi. Isethingi iphephile futhi ilawulwa ngakho-ke ingozi yakho iphansi ngangokunokwenzeka.

Uzonikezwa umuthi (isidambisi) ngaphambi kwenqubo yokukusiza uphumule.

• Isikhumba esisentanyeni yakho, ingalo, noma imbila yakho sizohlanzwa kahle futhi senziwe ndikindiki ngomuthi wokubulala izinzwa.
• Okulandelayo, udokotela uzosika kancane esikhunjeni.
• Ishubhu elincane eliguquguqukayo (ipayipi) lizofakwa ngalokhu kusikwa komunye wemithambo yegazi endaweni. Udokotela uzosebenzisa izithombe ezibukhoma ze-x-ray ukuqondisa ngokucophelela i-catheter iye enhliziyweni yakho.
• Kwesinye isikhathi kuyadingeka okudlula ipayipi elilodwa.

Lapho i-catheter isikhona, udokotela wakho uzobeka ama-electrode amancane ezindaweni ezahlukahlukene zenhliziyo yakho.

• La ma-electrode axhunywe kuma-monitors avumela i-cardiologist ukuthi isho ukuthi iyiphi indawo enhliziyweni yakho edala izinkinga ngesigqi senhliziyo yakho. Ezimweni eziningi, kunendawo eyodwa noma eziningi ezithile.
• Lapho umthombo wenkinga usutholakele, omunye wolayini be-catheter usetshenziselwa ukuthumela amandla kagesi (noma kwesinye isikhathi abandayo) endaweni enenkinga.
• Lokhu kudala isibazi esincane esibangela ukuthi inkinga yesigqi senhliziyo iyeke.

Ukukhishwa kwepayipi kuyindlela ende. Ingahlala amahora amane noma ngaphezulu. Ngesikhathi senqubo inhliziyo yakho izobhekwa eduze.Umhlinzeki wezokunakekelwa kwempilo angakubuza ukuthi ngabe unezimpawu ngezikhathi ezahlukahlukene ngesikhathi senqubo. Izimpawu ongazizwa zikhona:

• Ukushisa okwesikhashana lapho kujovwa imithi
• Ukushaya kwenhliziyo okusheshayo noma okuqinile
• Ubumhlophe
• Ukushisa lapho kusetshenziswa amandla kagesi

Ukukhishwa kwenhliziyo kusetshenziselwa ukwelapha izinkinga ezithile zesigqi senhliziyo imithi engazilawuli. Lezi zinkinga zingaba yingozi uma zingelashwa.

Izimpawu ezivamile zezinkinga zesigqi senhliziyo zingafaka:

• Ubuhlungu besifuba
• Ukuquleka
• Ukushaya kwenhliziyo okuhamba kancane noma okusheshayo (ukushaya kwenhliziyo)
• Ubumhlophe, isiyezi
• Ukudinwa
• Ukuphelelwa umoya
• Ukweqa amabhithi - izinguquko kuphethini ye-pulse
• Ukujuluka

Ezinye izinkinga zesigqi senhliziyo yilezi:

• I-AV nodal reentrant tachycardia (AVNRT)
• Indlela yokufinyelela, njenge-Wolff-Parkinson-White syndrome
• I-Atrial fibrillation
• I-atrial flutter
• I-tachycardia evundlile

Ukukhishwa kwe-catheter ngokuvamile kuphephile. Khuluma nomhlinzeki wakho ngalezi zinkinga ezingavamile:

• Ukopha noma ukuhlanganisa igazi lapho kufakwa khona ipayipi
• Ukuqina kwegazi okuya emithanjeni emlenzeni wakho, enhliziyweni, noma ebuchosheni
• Ukulimala emthanjeni lapho kufakwa khona ipayipi
• Ukulimala kwama-valve enhliziyo
• Ukulimala kwemithambo yegazi (imithambo yegazi ehambisa igazi liyise enhliziyweni yakho)
• I-esophageal atrial fistula (ukuxhumana okwenzeka phakathi kwesifo sakho nengxenye yenhliziyo yakho)
• Uketshezi oluzungeze inhliziyo (i-tamponade yenhliziyo)
• Isifo senhliziyo
• Ukulimala kwe-Vagal noma i-phrenic nerve

Njalo utshele umhlinzeki wakho ukuthi yiziphi izidakamizwa oziphuzayo, ngisho nezidakamizwa noma amakhambi owathengile ngaphandle kwemithi kadokotela.

Phakathi nezinsuku ngaphambi kwenqubo:

• Buza umhlinzeki wakho ukuthi yiziphi izidakamizwa okufanele usaziphuza ngosuku lokuhlinzwa.
• Tshela umhlinzeki wakho uma uthatha i-aspirin, i-clopidogrel (i-Plavix), i-prasugrel (i-Effient), i-ticagrelor (i-Brilinta), i-warfarin (i-Coumadin), noma elinye igazi elincanyana njenge-apixaban (i-Eliquis), i-rivaroxaban powder (i-Xarelto), i-dabigatran (i-Pradaxa) kanye i-edoxaban (Savaysa).
• Uma ubhema, yeka ngaphambi kwenqubo. Cela usizo kumhlinzeki wakho uma uludinga.
• Tshela umhlinzeki wakho uma unomkhuhlane, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, noma okunye ukugula.

Ngosuku lwenqubo:

• Imvamisa uzocelwa ukuthi ungaphuzi noma ungadli lutho ngemuva kwamabili ebusuku ngaphambi kwenqubo yakho.
• Thatha izidakamizwa umhlinzeki wakho akutshele ukuthi uziphuze ngesiphuzo esincane samanzi.
• Uzotshelwa ukuthi ufika nini esibhedlela.

Ingcindezi yokwehlisa ukopha ifakwa endaweni lapho kufakwa khona ama-catheters emzimbeni wakho. Uzogcinwa embhedeni okungenani ihora elilodwa. Ungadinga ukuhlala embhedeni amahora angafika kwayisi-5 noma ayisithupha. Isigqi senhliziyo yakho sizohlolwa ngalesi sikhathi.

Udokotela wakho uzonquma ukuthi ungaya yini ekhaya ngosuku olufanayo, noma uma uzodinga ukuhlala esibhedlela ubusuku bonke ukuze uqhubeke nokuqapha inhliziyo. Uzodinga umuntu ozokushayela ekhaya ngemuva kwenqubo yakho.

Izinsuku ezimbili noma ezintathu ngemuva kwenqubo yakho, ungaba nalezi zimpawu:

• Ukukhathala
• Ukuzizwa kwe-Achy esifubeni sakho
• Ukushaya kwenhliziyo kweqiwe, noma izikhathi lapho ukushaya kwenhliziyo yakho kushesha kakhulu noma kungajwayelekile.

Udokotela wakho angakugcina emithini yakho, noma akunikeze emisha esiza ukulawula isigqi senhliziyo yakho.

Izinga lempumelelo lihlukile kuye ngokuthi hlobo luni lwenkinga yesigqi senhliziyo elashwa.

Ukukhishwa kwepayipi; Ukukhishwa kwe-catheter ye-Radiofrequency; Cryoablation - ukukhishwa kwenhliziyo; I-AV nodal reentrant tachycardia - ukukhishwa kwenhliziyo; I-AVNRT - ukukhishwa kwenhliziyo; I-Wolff-Parkinson-White Syndrome - ukuqeda inhliziyo; I-Atrial fibrillation - ukukhishwa kwenhliziyo; I-atrial flutter - ukukhishwa kwenhliziyo; I-ventricular tachycardia - ukukhishwa kwenhliziyo; I-VT - ukukhishwa kwenhliziyo; I-Arrhythmia - ukukhishwa kwenhliziyo; Isigqi senhliziyo esingajwayelekile - ukukhishwa kwenhliziyo

• I-Angina - ukukhishwa
• I-Angina - lapho unezinhlungu esifubeni
• Izidakamizwa ze-antiplatelet - P2Y12 inhibitors
• I-Aspirin nesifo senhliziyo
• I-Atrial fibrillation - ukukhishwa
• Ibhotela, imajarini namafutha okupheka
• Cholesterol nendlela yokuphila
• Ukulawula umfutho wegazi ophakeme
• Kuchazwe amafutha ezokudla
• Amathiphu okudla okusheshayo
• Isifo senhliziyo - ukukhipha
• Isifo senhliziyo - izici eziyingozi
• Ukuhluleka kwenhliziyo - ukukhipha
• Inhliziyo pacemaker - ukukhipha
• Uwafunda kanjani amalebula okudla
• Ukudla okunosawoti omningi
• Ukudla kwaseMedithera

UCalkins H, uHindricks G, uCappato R, et al. Isitatimende sokuvumelana ngochwepheshe se-HRS / EHRA / ECAS / APHRS / SOLAECE nge-catheter kanye ne-ablation yokuhlinzwa ye-atrial fibrillation. Isigqi senhliziyo. 2017; 14 (10): e275-e444. I-PMID: 28506916 pubmed.ncbi.nlm.nih.gov/28506916/.

UFerreira SW, uMehdirad AA. Ilebhu ye-electrophysiology kanye nenqubo ye-electrophysiologic. Ku: Sorajja P, Lim MJ, Kern MJ, ama-eds. Incwadi kaKern's Cardathe ye-Catheterization. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2020: isahluko 7.

UMiller JM, uTomaselli GF, uZipes DP. Ukwelashwa 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 36.