Isifundo se-Intracardiac electrophysiology (EPS)

Isifundo se-Intracardiac electrophysiology (EPS) luvavanyo lokujonga indlela esebenza ngayo imiqondiso yombane yentliziyo. Isetyenziselwa ukukhangela ukubetha kwentliziyo okungaqhelekanga okanye izingqisho zentliziyo.

Iingcingo zombane zibekwe entliziyweni ukwenza olu vavanyo. Ezi electrode zilinganisa umsebenzi wombane entliziyweni.

Inkqubo yenziwa kwilabhoratri yasesibhedlele. Abasebenzi baya kubandakanya ugqirha wentliziyo, amagcisa, kunye nabongikazi.

Ukufumana esi sifundo:

• Indawo yakho yokuthambisa kunye / okanye yentamo iya kucocwa kwaye iyeza elenzakalisayo (iyeza) liya kufakwa kulusu.
• I-cardiologist iya kubeka ii-IV ezininzi (ezibizwa ngokuba yi-sheaths) kwindawo ye-groin okanye yentamo. Nje ukuba ezi IVs zibekhona, iingcingo okanye ii-electrode zinokugqithiswa kwizingxobo zomzimba wakho.
• Ugqirha usebenzisa imifanekiso ye-x-ray ehambayo ukukhokela i-catheter entliziyweni kwaye ubeke ii-electrode kwiindawo ezifanelekileyo.
• Ii-electrode zithatha imiqondiso yombane yentliziyo.
• Iimpawu zombane ezivela kwii-electrode zingasetyenziselwa ukwenza intliziyo yeqe ukubetha okanye ukuvelisa isigqi senhliziyo esingaqhelekanga. Oku kunokunceda ugqirha aqonde ngakumbi malunga nento ebangela isingqisho sentliziyo esingaqhelekanga okanye apho iqala khona entliziyweni.
• Unokunikwa amayeza anokusetyenziselwa injongo enye.

Ezinye iinkqubo ezinokuthi zenziwe ngexesha lovavanyo:

• Ukubekwa kwentliziyo pacemaker
• Inkqubo yokuguqula iindawo ezincinci entliziyweni yakho ezinokubangela iingxaki zentliziyo yakho (ebizwa ngokuba yi-catheter ablation)

Uya kuxelelwa ukuba ungatyi okanye usele iiyure ezi-6 ukuya kwezi-8 phambi kovavanyo.

Uya kunxiba ilokhwe yasesibhedlele. Kufuneka usayine ifom yemvume yokwenza le nkqubo.

Umboneleli wakho wokhathalelo lwempilo uya kukuxelela kwangethuba ukuba ufuna ukwenza utshintsho kumayeza owathatha rhoqo. SUKUYEKE ukuthatha okanye ukutshintsha nawaphi na amayeza ngaphandle kokuqala uthethe nomboneleli wakho.

Kwiimeko ezininzi, uya kunikwa iyeza lokukunceda uzive uzolile ngaphambi kwenkqubo. Isifundo sinokuhlala ukusuka kwiyure enye ukuya kuthi ga kwiiyure ezininzi. Usenokungakwazi ukuqhuba ugoduke emva koko, ke kuya kufuneka ucwangcise ukuba umntu akuqhube.

Uya kuba uvukile ngexesha lovavanyo. Unokuziva ungonwabanga xa i-IV ibekwa engalweni yakho. Unokuziva uxinzelelo kwindawo xa kufakwa i-catheter. Unokuziva ukuba intliziyo yakho itsiba ukubetha okanye ukubaleka ngamanye amaxesha.

Umboneleli wakho unoku-odola olu vavanyo ukuba uneempawu zesingqisho sentliziyo esingaqhelekanga (arrhythmia).

Kusenokufuneka ube nezinye iimvavanyo phambi kokuba kwenziwe olu phando.

I-EPS inokwenziwa:

• Vavanya umsebenzi wombane wentliziyo yakho
• Khomba isingqisho sentliziyo esingaqhelekanga (arrhythmia) esiqala entliziyweni
• Thatha isigqibo sonyango olulungileyo kwisingqisho sentliziyo esingaqhelekanga
• Chonga ukuba usemngciphekweni weziganeko zentliziyo ezizayo, ngakumbi ukufa kwentliziyo ngesiquphe
• Jonga ukuba amayeza alawula isingqisho sentliziyo esingaqhelekanga
• Jonga ukuba ufuna i-pacemaker okanye i-cardioverter-defibrillator (ICD)

Iziphumo ezingaqhelekanga zinokubangelwa ziingqondo zentliziyo ezingavumelekanga ezicothayo okanye ezikhawulezayo. Oku kunokubandakanya:

• I-Atrial fibrillation okanye i-flutter
• Ibhloko yentliziyo
• Isifo sesinus
• I-Supraventricular tachycardia (ingqokelela yesingqisho sentliziyo esingaqhelekanga esiqala kumagumbi aphezulu entliziyo)
• I-Ventricular fibrillation kunye ne-tachycardia ye-ventricular
• Iswekile yeWolff-Parkinson-White

Kunokubakho ezinye izizathu ezingekho kolu luhlu.

Umboneleli kufuneka afumane indawo kunye nohlobo lwengxaki yesingqisho sentliziyo ukuze amisele unyango olufanelekileyo.

Inkqubo ikhuselekile kakhulu kwiimeko ezininzi. Imingcipheko enokubakho ibandakanya:

• Arrhythmias
• Ukopha
• Amagqabantshintshi egazi akhokelela ekubambeni
• I-tamponade yentliziyo
• Ukuhlaselwa yintliziyo
• Usulelo
• Ukwenzakala emthanjeni
• Uxinzelelo lwegazi oluphantsi
• Ukubetha

Isifundo se-Electrophysiology-intracardiac; I-EPS - i-intracardiac; Iingqungquthela zentliziyo engaqhelekanga-i-EPS; IBradycardia - i-EPS; Itachycardia - i-EPS; Ifayibha - EPS; Arrhythmia -I-EPS; Ibhloko yentliziyo-i-EPS

• Intliziyo - umbono wangaphambili
• Inkqubo yokuqhuba kwentliziyo

IFerreira SW, Mehdirad AA. Ilebhu ye-electrophysiology kunye neenkqubo ze-electrophysiologic. Ku: Sorajja P, Lim MJ, Kern MJ, ii-eds. Incwadi kaKern's Catheterization Handbook. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2020: isahluko 7.

U-Olgin JE. Indlela yesigulana esirhanelwa ukuba sisithintelo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 56.

UTomaselli GF, uRubart M, uZipes DP. Iindlela ze-arrhythmias yentliziyo. 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 34.