Izinqubo Zokukhipha Inhliziyo

-Delile

• Udinga nini ukukhishwa kwenhliziyo?
• Ukulungiselela kanjani ukukhishwa kwenhliziyo?
• Kwenzekani ngesikhathi sokukhishwa kwenhliziyo?
• Yiziphi izingozi ezihilelekile ekususeni kwenhliziyo?
• Kwenzekani ngemuva kokukhishwa kwenhliziyo?
• Umbono

Kuyini ukukhishwa kwenhliziyo?

Ukukhishwa kwe-cardiac inqubo eyenziwa yi-cardiologist ongenele, udokotela ogxile ekwenzeni izinqubo zezinkinga zenhliziyo. Le nqubo ihilela ukufaka izintambo (izintambo ezinde eziguquguqukayo) ngomthambo wegazi nasenhliziyweni yakho. Isazi se-cardiologist sisebenzisa ama-electrode ukuletha ukushaya kukagesi okuphephile ezindaweni zenhliziyo yakho ukwelapha ukushaya kwenhliziyo okungajwayelekile.

Udinga nini ukukhishwa kwenhliziyo?

Kwesinye isikhathi inhliziyo yakho ingashaya ngokushesha okukhulu, kancane kakhulu, noma ngokungalingani. Lezi zinkinga zesigqi senhliziyo zibizwa ngokuthi ama-arrhythmias futhi kwesinye isikhathi zingelashwa kususwe ukukhishwa kwenhliziyo. I-Arrhythmias ivame kakhulu, ikakhulukazi kubantu abadala asebekhulile nakubantu abanezifo ezithinta izinhliziyo zabo.

Abantu abaningi abaphila nama-arrhythmias abanazo izimpawu eziyingozi noma badinga ukwelashwa. Abanye abantu baphila impilo ejwayelekile ngemithi.

Abantu abangabona ukuthuthuka ekususeni kwenhliziyo bafaka labo:

• unama-arrhythmias angaphenduli emithini
• uhlushwa imiphumela emibi evela emithini ye-arrhythmia
• ube nohlobo oluthile lwe-arrhythmia ethambekele ekuphenduleni kahle ekukhishweni kwenhliziyo
• basengozini enkulu yokuboshwa okungazelelwe kwenhliziyo noma ezinye izinkinga

Ukuchithwa kwenhliziyo kungasiza kubantu abanezi zinhlobo ezithile ze-arrhythmia:

• I-AV nodal reentrant tachycardia (AVNRT): ukushaya kwenhliziyo okushesha kakhulu okubangelwa isifunda esifushane enhliziyweni
• indlela yokufinyelela: ukushaya kwenhliziyo okusheshayo ngenxa yendlela kagesi engajwayelekile exhuma amakamelo enhliziyo aphezulu nangaphansi
• i-atrial fibrillation ne-atrial flutter: ukushaya kwenhliziyo okungajwayelekile nokusheshayo okuqala emagumbini amabili aphezulu enhliziyo
• i-ventricular tachycardia: isigqi esisheshayo futhi esiyingozi kakhulu esiqala emakamelweni amabili aphansi enhliziyo

Ukulungiselela kanjani ukukhishwa kwenhliziyo?

Udokotela wakho angalawula izivivinyo ukuqopha umsebenzi kagesi wenhliziyo yakho nesigqi. Udokotela wakho angabuza futhi nganoma yiziphi ezinye izimo onazo, kufaka phakathi isifo sikashukela noma isifo sezinso. Abesifazane abakhulelwe akufanele babe nokukhishwa kwenhliziyo ngoba inqubo ifaka imisebe.

Udokotela wakho uzokutshela ukuthi ungadli noma uphuze noma yini ngemuva kwamabili ebusuku ngaphambi kokwenza. Kungase kudingeke uyeke ukuthatha imishanguzo engakhuphula ingozi yokuphuma kwegazi ngokweqile, kufaka phakathi i-aspirin (iBufferin), i-warfarin (i-Coumadin), noma ezinye izinhlobo zezinciphisi zegazi, kepha abanye o-cardiologists bafisa ukuthi uqhubeke nale mithi. Qiniseka ukuthi uxoxa ngayo nodokotela wakho ngaphambi kokuhlinzwa.

Kwenzekani ngesikhathi sokukhishwa kwenhliziyo?

Izithambiso zenhliziyo zenzeka egumbini elikhethekile elaziwa njengelebhu ye-electrophysiology. Ithimba lakho lokunakekelwa kwezempilo lingabandakanya udokotela wenhliziyo, uchwepheshe, umhlengikazi nomhlinzeki wokubulala izinzwa. Inqubo ngokuvamile ithatha amahora amathathu kuya kwayisithupha ukuqeda. Kungenziwa ngaphansi kwe-anesthesia ejwayelekile noma i-anesthesia yendawo ene-sedation.

Okokuqala, umhlinzeki wakho we-anesthesia ukunika umuthi ngentambo efakwa emthanjeni (IV) engalweni yakho ezokwenza ukozele futhi ikubangele ukuthi ulale. Izisetshenziswa zihlola umsebenzi kagesi wenhliziyo yakho.

Udokotela wakho uhlanza futhi abulale indawo yesikhumba engalweni yakho, entanyeni noma emgodini. Okulandelayo, bafaka uchungechunge lwama-catheters emthanjeni wegazi nasenhliziyweni yakho. Bafaka udayi okhethekile wokuqhathanisa ukuze ubasize babone izindawo zemisipha engavamile enhliziyweni yakho. Isazi senhliziyo bese sisebenzisa ipayipi eline-electrode ethiphu ukuqondisa ukuqhuma kwamandla e-radiofrequency. Le pulse kagesi ibhubhisa izingxenye ezincane zezicubu zenhliziyo ezingavamile ukulungisa ukushaya kwenhliziyo kwakho okungajwayelekile.

Inqubo ingazizwa ingakhululekile. Qiniseka ukuthi ubuza udokotela wakho imishanguzo eyengeziwe uma iba buhlungu.

Ngemuva kwale nqubo, ulele namanje egumbini lokululama amahora amane kuya kwayisithupha ukusiza umzimba wakho ukuthi ululame. Abahlengikazi baqapha isigqi senhliziyo yakho ngesikhathi sokululama. Ungaya ekhaya ngosuku olufanayo, noma kungadingeka ukuthi uhlale esibhedlela ubusuku bonke.

Yiziphi izingozi ezihilelekile ekususeni kwenhliziyo?

Izingozi zihlanganisa ukuphuma kwegazi, ubuhlungu nokutheleleka endaweni yokufaka i-catheter. Izinkinga ezibucayi kakhulu azivamile, kepha zingafaka:

• amahlule egazi
• ukulimala kuma-valves enhliziyo noma emithanjeni yakho
• uketshezi oluzungeze inhliziyo yakho
• isifo senhliziyo
• i-pericarditis, noma ukuvuvukala kwesaka elizungeze inhliziyo

Kwenzekani ngemuva kokukhishwa kwenhliziyo?

Kungenzeka ukhathele futhi uzwe ukungakhululeki phakathi namahora okuqala angama-48 ngemuva kokuhlolwa. Landela imiyalo kadokotela wakho mayelana nokunakekelwa kwesilonda, imishanguzo, ukuvivinya umzimba, nokuqokwa kokulandelela. Kuzokwenziwa ama-electrocardiograms ngezikhathi ezithile futhi kubuyekezwe imichilo yesigqi ukuqapha isigqi senhliziyo.

Abanye abantu basengaba neziqephu ezimfushane zokushaya kwenhliziyo okungajwayelekile ngemuva kokukhishwa kwenhliziyo. Lokhu ukusabela okujwayelekile njengoba izicubu ziphilisa, futhi kufanele zihambe ngokuhamba kwesikhathi.

Udokotela wakho uzokutshela uma udinga ezinye izinqubo, kufaka phakathi ukufakelwa kwe-pacemaker, ikakhulukazi ukuphatha izinkinga zesigqi senhliziyo eziyinkimbinkimbi.

Umbono

Ukubuka ngemuva kwenqubo kuhle impela kepha kuya ngohlobo lokukhishwa nobulukhuni balo. Ngaphambi kokuphumelela kwenqubo kunganqunywa, kunesikhathi sokulinda sezinyanga ezintathu sokuvumela ukwelashwa. Lokhu kubizwa ngokuthi yisikhathi sokuvala.

Lapho welapha i-fibrillation ye-atrial, ucwaningo olukhulu lomhlaba wonke lwathola ukuthi ukukhishwa kwe-catheter kwakusebenza kubantu abangamaphesenti angama-80 abanalesi simo, ngamaphesenti angama-70 angadingi eminye imishanguzo yokulwa nesigqi.

Olunye ucwaningo lubheke amazinga okukhishwa kwezidakamizwa ngokujwayelekile ngezinkinga ezahlukahlukene ze-supraventricular arrhythmia futhi athola ukuthi amaphesenti angama-74.1 alabo abenza le nqubo abona ukuthi ukwelashwa kwe-ablation kuphumelele, amaphesenti ayi-15.7 aphumelele ngokwengxenye, kwathi amaphesenti ayi-9.6 awaphumelelanga.

Ngaphezu kwalokho, izinga lakho lempumelelo lizoya ngohlobo lwenkinga edinga ukukhishwa kwemali. Isibonelo, labo abanezinkinga eziphikelelayo banezinga eliphansi lokuphumelela kunelabo abanezinkinga eziphakathi nezikhathi.

Uma ucabangela ukukhishwa kwenhliziyo, hlola amazinga okuphumelela esikhungweni lapho inqubo yakho izokwenziwa khona noma i-electrophysiologist yakho ethile. Ungase ubuze nokuthi impumelelo ichazwa kanjani ukuze uqiniseke ukuthi ucacile ukuthi bayilinganisa kanjani impumelelo.