Ukungaphumeleli kwentliziyo - utyando kunye nezixhobo

Unyango oluphambili lokusilela kwentliziyo lwenza utshintsho kwindlela yokuphila kunye nokuthatha amayeza akho. Nangona kunjalo, kukho iinkqubo kunye notyando olunokunceda.

I-pacemaker yentliziyo sisixhobo esincinci, esisebenza ngebhetri esithumela umqondiso entliziyweni yakho. Umqondiso wenza ukuba intliziyo yakho ibethe ngesantya esifanelekileyo.

Iipememaker zingasetyenziswa:

• Ukulungisa isingqisho sentliziyo esingaqhelekanga. Intliziyo inokubetha ngokucotha, ngokukhawuleza, okanye ngendlela engaqhelekanga.
• Ukulungelelanisa ngcono ukubetha kwentliziyo kubantu abanokusilela kwentliziyo. Ezi zibizwa ngokuba zii-pacemaker ze-biventricular pacemaker.

Xa intliziyo yakho ibuthathaka, iba nkulu kakhulu, kwaye ayimpompi igazi kakuhle, usemngciphekweni omkhulu wokubetha kwentliziyo okungaqhelekanga okunokubangela ukufa kwentliziyo ngesiquphe.

• Isixhobo se-cardioverter-defibrillator (ICD) sisixhobo esifumanisa izingqisho zentliziyo. Ithumela ngokukhawuleza ukothuka kombane entliziyweni ukutshintsha isingqisho sibuyele esiqhelweni.
• Uninzi lwee-pacemaker ze-biventricular nazo zinokusebenza njenge-cardio-defibrillators (ICD).

Esona sizathu siqhelekileyo sokusilela kwentliziyo sisifo semithambo (i-CAD), esisinciphiso semithambo yegazi encinci ebonelela ngegazi kunye neoksijini entliziyweni. I-CAD inokuba mandundu kwaye yenze kube nzima ukulawula iimpawu zakho.

Emva kokwenza uvavanyo oluthile umboneleli wakho wokhathalelo lwempilo unokuziva ukuba ukuvula isikhewu segazi esinciphileyo okanye esivaliweyo kuya kuyiphucula imeko yokusilela kwentliziyo yakho. Iinkqubo eziphakanyisiweyo zingabandakanya:

• I-Angioplasty kunye nokubekwa kwesitent
• Utyando lwentliziyo ngokudlula

Igazi elihamba phakathi kwamagumbi entliziyo yakho, okanye liphume entliziyweni yakho liye kwi-aorta, kufuneka lidlule kwivelufa yentliziyo. Ezi zivalo zivula ngokwaneleyo ukuvumela igazi ukuba lingene. Emva koko bayavala, bagcina igazi lingabuyi umva.

Xa ezi zivalo zingasebenzi kakuhle (zivuza kakhulu okanye zincinci kakhulu), igazi alihambi kakuhle entliziyweni ukuya emzimbeni. Le ngxaki inokubangela ukusilela kwentliziyo okanye yenze ukuba ukusilela kwentliziyo kubembi.

Utyando lwevalvu yentliziyo lunokufuneka ukulungisa okanye ukubuyisela enye yezivalo.

Ezinye iintlobo zotyando zenzelwa ukusilela kwentliziyo xa ezinye iindlela zonyango zingasebenzi. Ezi nkqubo zihlala zisetyenziswa xa umntu elinde ukufakelwa kwentliziyo. Ngamanye amaxesha kusetyenziswa ixesha elide kwiimeko xa ukufakelwa kungacwangciswanga okanye kunokwenzeka.

Imizekelo yezinye zezi zixhobo zibandakanya isixhobo sasekhohlo se-ventricular assist (i-LVAD), izixhobo zoncedo ze-ventricular zasekunene (i-RVAD) okanye iintliziyo zokufakelwa zizonke. Zithathelwa ingqalelo ukuba zisetyenziswe ukuba unesifo sentliziyo esomeleleyo esingenakulawulwa ngamayeza okanye ngesincedisi-ntliziyo esikhethekileyo.

• Izixhobo zokuncedisa umoya (VAD) zinceda intliziyo yakho impompe igazi ukusuka kumagumbi okumpompa entliziyweni yakho ukuya kwimiphunga okanye kuwo wonke umzimba wakho Ezi mpompo zinokufakwa emzimbeni wakho okanye zidityaniswe nempompo ngaphandle komzimba wakho.
• Unokuba uluhlu lokulinda ukufakelwa kwentliziyo. Ezinye izigulana ezifumana i-VAD zigula kakhulu kwaye zisenokuba zikumatshini wokudlula kwentliziyo nemiphunga.
• Iintliziyo ezipheleleyo ezingezizo ezenziwayo ziyaphuhliswa, kodwa azikasetyenziswa ngokubanzi.

Izixhobo ezifakwe kwi-catheter ezinje ngeempompo zebhaluni ye-intra-aortic (IABP) ngamanye amaxesha iyasetyenziswa.

• IABP yibhaluni ebhityileyo efakwa kwimithambo (amaxesha amaninzi emlenzeni) kwaye ifakwe kumjelo ophambili ophuma entliziyweni (aorta).
• Ezi zixhobo zinokukunceda ukugcina ukusebenza kwentliziyo kwixesha elifutshane. Ngenxa yokuba zinokubekwa ngokukhawuleza, ziluncedo kwizigulana ezinokwehla ngesiquphe nangokuqatha ekusebenzeni kwentliziyo
• Zisetyenziswa kubantu abalinde ukubuyela kwimeko yesiqhelo okanye izixhobo zoncedo eziphambili.

CHF - utyando; Ukungaphumeleli kwentliziyo-utyando; Cardiomyopathy - utyando; HF - utyando; Iipompo zebhaluni ye-intra-aortic-ukusilela kwentliziyo; IABP - ukusilela kwentliziyo; Catheter izixhobo ezincedisayo-ukusilela kwentliziyo

• Umenzi wePacemaker

IAaronons KD, iPagani FD. Inkxaso yokujikeleza komatshini. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 29.

UAllen LA, uStevenson LW. Ulawulo lwezigulana ezinesifo sentliziyo esondela esiphelweni sobomi. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahl. 31.

U-Ewald GA, uMilano CA, uRogers JG. Ukujikeleza kunceda izixhobo kwintliziyo ukusilela. Ku: Felker GM, Mann DL, ii-eds. Ukungaphumeleli kwentliziyo: Umlingane kwisifo sentliziyo seBraunwald. Ngomhla we-4. IPhiladelphia, PA: Elsevier, 2020: isahluko 45.

IMan DL. Ulawulo lwezigulana ezingaphumeleli kwintliziyo ezinamaqhekeza ancitshisiweyo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 25.

I-Otto CM, iBonow RO. Sondela kwisigulana ngesifo sentliziyo se-valvular. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 67.

URihal CS, uNaidu SS, uGivertz MM, okqhubekayo; Umbutho we-Cardiovascular Angiography kunye noNgenelelo (i-SCAI); Ukusilela kwentliziyo yoMbutho waseMelika (HFSA); Umbutho woNyango lweTroacic (STS); Umbutho weAmerican Heart Association (AHA), kunye neAmerican College of Cardiology (ACC). I-SCAI / i-ACC / i-ACC / i-HFSA / i-STS yeengcali zesivumelwano sokusetyenziswa kwezixhobo ezincedisayo zokujikeleza kwegazi ekunyamekeleni kwentliziyo (kuvunywe yi-American Heart Association, i-Cardiological Society yase-India, kunye ne-Sociedad Latino Americana de Cardiología Intervencionista; ukuqinisekiswa kwexabiso ngu Umbutho waseCanada woNyango lweCardiology-Umbutho Canadienne de Cardiologie d'intervention). J NdinguColl Cardiol. 2015; 65 (19): e7-26. IINKCUKACHA: 25861963 www.ncbi.nlm.nih.gov/pubmed/25861963.

UYancy CW, uJessup M, uBozkurt B, et al. Isikhokelo se-ACCF / AHA sika-2013 solawulo lokungaphumeleli kwentliziyo: ingxelo yeAmerican College of Cardiology Foundation / American Heart Association Task Force kwizikhokelo zokusebenza Ukujikeleza. Ngo-2013; 128 (16): e240-e327. IINKCUKACHA: 23741058 www.ncbi.nlm.nih.gov/pubmed/23741058.

• Ukumelwa yintliziyo
• Iipacemaker kunye nezixhobo ezinokufakwa ngaphakathi