Ucwaningo lwe-Electrophysiological: luyini, lwenzelwe ini nokuthi lwenziwa kanjani

-Delile

• Yenzelwe ini
• Kwenziwa kanjani
• Luyini ucwaningo lwe-electrophysiological nge-ablation?

Ucwaningo lwe-electrophysiological luyinqubo ehlose ukukhomba nokuqopha umsebenzi kagesi wenhliziyo ukuze kuqinisekiswe ushintsho kusigqi senhliziyo. Ngakho-ke, lolu cwaningo luvame ukukhonjiswa ngudokotela wenhliziyo lapho umuntu ekhombisa izimpawu nezimpawu zezinguquko enhliziyweni ezingase zihlobane nokuphendula kwabo ezintweni ezisebenza ngogesi.

Ucwaningo lwe-electrophysiological luyinkqubo elula futhi ihlala cishe ihora eli-1, kepha lwenziwa egumbini lokuhlinza futhi ludinga ukuthi umuntu abe ngaphansi kwe-anesthesia ejwayelekile, ngoba iqukethe ukwethulwa kwama-catheters emthanjeni osendaweni ye-groin futhi ukufinyelela okuqondile enhliziyweni, okuvumela ukuthi kwenziwe isifundo.

Yenzelwe ini

Ucwaningo lwe-electrophysiological luvame ukukhonjiswa ngudokotela wenhliziyo ukuze aqinisekise ukuthi imbangela yezimpawu nezimpawu ezethulwe ngumuntu ihlobene yini nokwehluka kwesikhuthazi sikagesi esifinyelela inhliziyo kanye / noma ukuthi lesi sitho sisabela kanjani ezifisweni zikagesi. Ngakho-ke, le nqubo ingakhonjiswa ku:

• Phenya imbangela yokuquleka, isiyezi nokushaya kwenhliziyo okwashesha;
• Phenya ushintsho kusigqi sokushaya kwenhliziyo, esaziwa nangokuthi i-arrhythmia;
• Phenya i-Brugada Syndrome;
• Siza ekutholeni i-atrioventricular block;
• Hlola ukusebenza kwe-defibrillator efakwa, okuyidivayisi efana ne-pacemaker.

Ngakho-ke, kusuka kumphumela otholwe ngocwaningo lwe-electrophysiological, udokotela wenhliziyo angakhombisa ukusebenza kwezinye izivivinyo noma ukuqala kokwelashwa okuqondiswe kakhulu kusixazululo sokuguqulwa kwenhliziyo.

Kwenziwa kanjani

Ukwenza ucwaningo lwe-electrophysiological, kunconywa ukuthi umuntu azile ukudla okungenani amahora ayisithupha, ngaphezu kokuhlolwa kwegazi okujwayelekile kanye ne-electrocardiogram. Ngaphambi kwenqubo, ukwenziwa kwesifunda lapho i-catheter izofakwa khona kuyenziwa futhi, okungukuthi, indawo yesifazane, ehambelana nesifunda se-groin. Le nqubo ithatha cishe imizuzu engama-45 kuya ehoreni eli-1 futhi yenziwa egumbini lokuhlinza, ngoba kuyadingeka ukwenza imbobo yokubeka ipayipi lokwenza ucwaningo lwe-electrophysiological.

Njengoba inqubo ingadala ubuhlungu nokungahambi kahle, imvamisa yenziwa ngaphansi kwe-anesthesia yendawo neyendawo ejwayelekile. Ucwaningo lwe-electrophysiological lwenziwa kusukela ekwethulweni kwamanye ama-catheters ngomthambo wesifazane, okuwumthambo otholakala emgodini, obekwe, ngosizo lwe-microcamera, ezindaweni ezisenhliziyweni ezihlobene nemizwa kagesi efinyelela isitho.

Kusukela lapho abakwa-catheters besezindaweni ezifanele ukwenza isivivinyo, kukhiqizwa amandla kagesi, abhaliswe yimishini okunamathiselwe kuyo i-catheters. Ngakho-ke, udokotela angahlola ukusebenza kwenhliziyo futhi ahlole ushintsho.

Luyini ucwaningo lwe-electrophysiological nge-ablation?

Ucwaningo lwe-electrophysiological nge-ablation luhambisana nenqubo lapho, ngesikhathi esifanayo nesifundo senziwa, ukwelashwa kwenguquko, okubandakanya ukukhishwa kwemali, kwenziwa. I-Ablation ihambelana nenqubo ehlose ukucekela phansi noma ukususa indlela yokusayina kagesi enesici futhi ehlobene nokuguqulwa kwenhliziyo.

Ngakho-ke, ukukhishwa kwemali kwenziwa ngokushesha ngemuva kocwaningo lwe-electrophysiological futhi kuqukethe ukwethulwa kwe-catheter, ngendlela efanayo yokungena emzimbeni we-catheters esetshenziswe ngesikhathi kufundwa, efinyelela enhliziyweni. Ukuphela kwale catheter kuyinsimbi futhi uma kuthintwa izicubu zenhliziyo, kuyashiswa futhi kubangele ukusha okuncane endaweni okwazi ukususa indlela ekhombisa ugesi.

Ngemuva kokwenza ukukhishwa, kwenziwa ucwaningo olusha lwe-electrophysiological ukuze kuqinisekiswe ukuthi ngabe ngesikhathi sokukhishwa kwemali bekukhona yini ushintsho kunoma iyiphi enye indlela kagesi yokusayina inhliziyo.