Umbhali: Clyde Lopez
Umhla Wokudalwa: 25 Eyekhala 2021
Hlaziya Umhla: 17 Eyenkanga 2024
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I-Cardioversion yindlela yokubuyisa isigqi sentliziyo esingaqhelekanga sibuyele esiqhelweni.

I-Cardioversion inokwenziwa kusetyenziswa umbane okanye iziyobisi.

UKUTSHINTSHA UMBANE NOMBANE

Ukuphefumla ngombane kwenziwa ngesixhobo esikhupha umothuko wombane entliziyweni ukutshintsha isingqisho sibuyele esiqhelweni. Isixhobo sibizwa ngokuba sisidibanisi.

Umothuko unokuhanjiswa ngesixhobo esingaphandle komzimba esibizwa ngokuba sisixhobo sangaphandle se-defibrillator. Ezi zifumaneka kumagumbi kaxakeka, ii-ambulensi, okanye kwezinye iindawo zikawonke-wonke ezinje ngezikhululo zeenqwelo moya.

  • Amachaphaza e-Electrode abekwe esifubeni nasemqolo. Iimpawu ezixhume kwi-defibrillator. Okanye, ii-paddles ezifakwe kwizixhobo zibekwa ngqo esifubeni.
  • I-defibrillator iyasebenza kwaye umothuko wombane uhanjiswa entliziyweni yakho.
  • Oku kothuka kumisa ngokufutshane yonke imisebenzi yombane yentliziyo. Emva koko ivumela isingqi sentliziyo esiqhelekileyo ukuba sibuye.
  • Ngamanye amaxesha ukothuka okungaphezulu kwesinye, okanye ukothuka ngamandla aphezulu kuyadingeka.

I-defibrillator yangaphandle isetyenziselwa ukunyanga izingqi zentliziyo engaqhelekanga (arrhythmia) ebangela ukuwa kunye nokubanjwa kwentliziyo. Imizekelo yi-tachycardia ye-ventricular kunye ne-ventricular fibrillation.


Kwa ezi zixhobo zinokusetyenziselwa ukunyanga isingqisho esingaqhelekanga, iingxaki ezinje nge-atrill fibrillation.

  • Abanye abantu banokufuna ukuqala ukucoca igazi kwangaphambili ukuthintela amahlwili egazi amancinci.
  • Uya kunikwa iyeza lokukunceda uphumle ngaphambi kwenkqubo.
  • Emva kwenkqubo, unokunikwa amayeza okuthintela amahlwili egazi okanye ukunceda ukuthintela i-arrhythmia ukuba ingabuyi.

Isixhobo se-Cardioverter-defibrillator (ICD) sisixhobo esifakwe emzimbeni wakho. Ihlala isetyenziswa kubantu abasemngciphekweni wokufa ngesiquphe ngenxa yokuba umsebenzi wentliziyo yabo ulihlwempu, okanye bebekhe banesingqisho sentliziyo esiyingozi ngaphambili.

  • I-ICD ifakwe phantsi kolusu lwesifuba sakho esingasentla okanye isisu.
  • Iingcingo ziqhotyoshelwe ngaphakathi okanye kufutshane nentliziyo.
  • Ukuba isixhobo sibona ukubetha kwentliziyo okunobungozi, sithumela umothuko wombane entliziyweni ukutshintsha isingqisho sibuyele esiqhelweni.

UKUSETYENZISWA KWE-CARDIOVERSION USebenzisa iziyobisi


I-Cardioversion inokwenziwa kusetyenziswa iziyobisi ezithathwa ngomlomo okanye zinikezwe ngomgca we-intravenous line (IV). Ingathatha kwimizuzu eliqela ukuya kwiintsuku ukuba olu nyango lusebenze. Olu nyango luhlala lusenziwa ngelixa usesibhedlele apho isingqi sentliziyo yakho siza kujongwa.

I-Cardioversion esebenzisa iziyobisi inokwenziwa ngaphandle kwesibhedlele. Olu unyango luhlala lusetyenziselwa abantu abane-fibrillation ye-atrial ezayo kwaye ihambe. Nangona kunjalo, kuya kufuneka ulandelwe ngokusondeleyo ngugqirha wezifo zentliziyo.

Unokunikwa amayeza okucoca igazi ukukhusela amahlwili egazi ekubeni ayile kwaye ashiye intliziyo (enokubangela ukubetha).

IINGXAKI

Iingxaki ze-cardioversion aziqhelekanga, kodwa zingabandakanya:

  • Izinto ebezingalindelekanga ezivela kumayeza asetyenzisiweyo
  • Amahlwili egazi anokubangela ukubetha okanye omnye umonakalo kumalungu
  • Ukuthuthuzela, ukutshisa, okanye iintlungu apho kusetyenziswa ii-electrode
  • Ukwandiswa kwe-arrhythmia

Abantu abenza i-cardioversion yangaphandle bangothuka ukuba le nkqubo ayenziwanga ngokuchanekileyo. Oku kunokubangela iingxaki zentliziyo, iintlungu, kunye nokufa.


Isingqisho sentliziyo esingaqhelekanga -i-cardioversion; I-Bradycardia - i-cardioversion; I-tachycardia -ukuphazamiseka kwentliziyo; Ifibrillation - i-cardioversion; I-Arrhythmia -ukutshintsha kweentliziyo; Ukubanjwa kwe-Cardiac - i-cardioversion; I-Defibrillator -ukutshintsha kweentliziyo; Ukunyanzeliswa kwentliziyo kwi-Pharmacologic

  • Isixhobo se-Cardioverter-defibrillator esinokufakwa

UAl-Khatib SM, uStevenson WG, uAckerman MJ, et al. Isikhokelo se-2017 AHA / ACC / HRS kulawulo lwezigulana ezine-ventricular arrhythmias kunye nokuthintela ukufa kwentliziyo ngesiquphe: isishwankathelo sesigqeba: ingxelo ye-American College of Cardiology / American Heart Association Task Force kwi-Clinical Practice Guidelines kunye ne-Heart Rhythm Society. Isingqi sentliziyo. 2018; 15 (10): e190-e252. IINKCUKACHA: 29097320 pubmed.ncbi.nlm.nih.gov/29097320/.

U-Epstein AE, uDiMarco JP, uEllenbogen KA, okqhubekayo. Uhlaziyo lwe-ACCF / AHA / HRS lwango-2012 olubandakanywe kwizikhokelo ze-ACCF / AHA / HRS zika-2008 zonyango olusekwe kwizixhobo zesifo senhliziyo esingaqhelekanga: ingxelo yeAmerican College of Cardiology Foundation / American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Umbutho. J NdinguColl Cardiol. Ngo-2013; 61 (3): e6-e75. IINKCUKACHA: 23265327 www.ncbi.nlm.nih.gov/pubmed/23265327.

UMiller JM, uTomaselli GF, uZipes DP. Unyango lwe-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 36.

IMinczak BM, iLaub GW. Ukuchazwa kunye nokuchithwa kwentliziyo. Ku: Roberts JR, Custalow CB, Thomsen TW, ii-eds. Iinkqubo zeKlinikhi zikaRoberts kunye neHedges kwiNyango kaXakeka kunye noKhathalelo oluQhelekileyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 12.

IMyerburg RJ. Indlela yokubanjwa kwentliziyo kunye ne-arrhythmias esongela ubomi. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 57.

ISantucci PA, uWilber DJ. Iinkqubo zongenelelo ngoncedo lwe-Electrophysiologic kunye notyando. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 60.

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