Iinkqubo zokuNcitshiswa kweentliziyo

Umxholo

• Ufuna nini ukupheliswa kwentliziyo?
• Ukulungiselela njani ukupheliswa kwentliziyo?
• Kwenzeka ntoni ngexesha lokupheliswa kwentliziyo?
• Yeyiphi imingcipheko ebandakanyekayo ekuphelisweni kwentliziyo?
• Kwenzeka ntoni emva kokupheliswa kwentliziyo?
• Imbonakalo

Yintoni ukupheliswa kwentliziyo?

Ukupheliswa kwentliziyo yinkqubo eyenziwa ngugqirha wezifo zentliziyo ongenelelayo, ugqirha ogxile ekwenzeni iinkqubo zeengxaki zentliziyo. Inkqubo ibandakanya ukusongela i-catheters (iingcingo ezinde eziguqukayo) ngesitya segazi nakwintliziyo yakho. I-cardiologist isebenzisa i-electrodes ukuhambisa umbane okhuselekileyo kwiindawo zentliziyo yakho ukunyanga ukubetha kwentliziyo okungaqhelekanga.

Ufuna nini ukupheliswa kwentliziyo?

Ngamanye amaxesha intliziyo yakho ingabetha ngokukhawuleza, kancinci kakhulu, okanye ngokungalinganiyo. Ezi ngxaki zesingqisho zentliziyo zibizwa ngokuba zii-arrhythmias kwaye ngamanye amaxesha zinokunyangwa kusetyenziswa ukupheliswa kwentliziyo. I-Arrhythmias ixhaphake kakhulu, ngakumbi kubantu abadala kunye nakubantu abanezifo ezichaphazela iintliziyo zabo.

Abantu abaninzi abaphila ne-arrhythmias abanazo iimpawu eziyingozi okanye bafuna unyango. Abanye abantu baphila ubomi obuqhelekileyo ngamayeza.

Abantu abanokubona ukuphucuka ekuphelisweni kwentliziyo kubandakanya abo:

• bane-arrhythmias ezingaphenduliyo kunyango
• ubunzima kwiziphumo ebezingalindelekanga ezivela kunyango lwe-arrhythmia
• uhlobo oluthile lwe-arrhythmia edla ngokuphendula kakuhle ekuphelisweni kwentliziyo
• basemngciphekweni omkhulu wokubanjwa ngesiquphe kwentliziyo okanye ezinye iingxaki

Ukuchithwa kwe-Cardiac kunokuba luncedo kubantu abaneentlobo ezithile ze-arrhythmia:

• I-AV nodal reentrant tachycardia (AVNRT): intliziyo ebetha kakhulu ebangelwa sisiphaluka esifutshane entliziyweni
• indlela yokufikelela: ukubetha kwentliziyo okukhawulezayo ngenxa yendlela yombane engaqhelekanga edibanisa amagumbi aphezulu nasentla entliziyo.
• i-atrial fibrillation kunye ne-atrial flutter: ukubetha kwentliziyo okungaqhelekanga nokukhawulezayo okuqala kumagumbi aphezulu entliziyo
• i-ventricular tachycardia: isingqisho esikhawulezayo kakhulu nesiyingozi esiqala kumagumbi amabini asezantsi entliziyo

Ukulungiselela njani ukupheliswa kwentliziyo?

Ugqirha wakho angayalela iimvavanyo ukurekhoda umsebenzi wombane wentliziyo kunye nesingqisho. Ugqirha wakho unokucela nangazo naziphi na ezinye iimeko onazo, kubandakanya isifo seswekile okanye isifo sezintso. Abasetyhini abakhulelweyo akufuneki babene-ablation yentliziyo kuba le nkqubo ibandakanya ukusasazeka kwemitha.

Ugqirha wakho usenokukuxelela ukuba ungatyi okanye usele nantoni na emva kobusuku ezinzulwini zobusuku ngaphambi kwenkqubo. Kuya kufuneka uyeke ukuthatha amayeza anokunyusa umngcipheko wokopha kakhulu, kubandakanya i-aspirin (iBufferin), i-warfarin (i-Coumadin), okanye ezinye iintlobo zegazi ezincinci, kodwa ezinye iingcali zentliziyo zinqwenela ukuba uqhubeke nala mayeza. Qiniseka ukuba uyaxoxa nogqirha wakho ngaphambi kotyando.

Kwenzeka ntoni ngexesha lokupheliswa kwentliziyo?

Ukuthanjiswa kwentliziyo kwenzeka kwigumbi elikhethekileyo elaziwa njengelebhu ye-electrophysiology. Iqela lakho lokhathalelo lwempilo linokubandakanya ugqirha wezentliziyo, uchwepheshe, umongikazi, kunye nomboneleli weanesthesia. Inkqubo ithatha iiyure ezintathu ukuya kwezintandathu ukugqiba. Inokwenziwa phantsi kwe-anesthesia ngokubanzi okanye i-anesthesia yendawo ene-sedation.

Okokuqala, umboneleli wakho we-anesthesia ukunika unyango nge-intravenous (IV) line engalweni yakho eya kukwenza wozele kwaye inokubangela ukuba ulale. Izixhobo zisebenzisa umsebenzi wombane wentliziyo yakho.

Ugqirha wakho ucocekile kwaye abonakalise indawo yesikhumba engalweni yakho, entanyeni, okanye emhlanjeni. Emva koko, bafaka uthotho lweecatheters kwisitya segazi nasentliziyweni yakho. Bafaka idayi eyahlukileyo yokubanceda babone iindawo zemisipha engaqhelekanga entliziyweni yakho. I-cardiologist emva koko isebenzisa i-catheter ene-electrode kwincam ukukhokela ukuqhuma kwamandla e-radiofrequency. Le pulse yombane itshabalalisa amacandelo amancinci eethishu zentliziyo engaqhelekanga ukulungisa ukubetha kwentliziyo yakho ngokungaqhelekanga.

Inkqubo inokuziva ingonwabanga. Qiniseka ukuba ubuza ugqirha wakho amayeza amaninzi ukuba kuya kuba buhlungu.

Emva kwenkqubo, ulele egumbini lokuchacha kangangeeyure ezine ukuya kwezintandathu ukunceda umzimba wakho ukuba uphinde ubuye. Abongikazi bajonga isingqi sentliziyo yakho ngexesha lokuchacha. Ungagoduka kwangolo suku, okanye kungafuneka uhlale esibhedlele ubusuku bonke.

Yeyiphi imingcipheko ebandakanyekayo ekuphelisweni kwentliziyo?

Iingozi zibandakanya ukopha, iintlungu, kunye nosulelo kwindawo yokufaka i-catheter. Iingxaki ezinzima kakhulu zinqabile, kodwa zinokubandakanya:

• amahlwili egazi
• umonakalo kwiimithambo zentliziyo yakho okanye imithambo
• ulwakhiwo olungeenxa zonke entliziyweni yakho
• ukuhlaselwa yintliziyo
• i-pericarditis, okanye ukudumba kwengxowa ejikeleze intliziyo

Kwenzeka ntoni emva kokupheliswa kwentliziyo?

Unokuba udiniwe kwaye ungonwabi kwiiyure zokuqala ezingama-48 emva kovavanyo. Landela imiyalelo kagqirha wakho malunga nokhathalelo lwenxeba, amayeza, umsebenzi womzimba, kunye nokuqeshwa okulandelayo. Amaxesha ee-electrocardiograms aya kwenziwa kwaye kukhokelela kwimigca yesingqisho evavanyiweyo ukujonga isingqisho sentliziyo.

Abanye abantu basenokuba neziqendu ezimfutshane zokubetha kwentliziyo okungaqhelekanga emva kokupheliswa kwentliziyo. Le mpendulo iqhelekileyo njengokuphilisa izicwili, kwaye kufuneka ihambile ngokuhamba kwexesha.

Ugqirha wakho uya kukuxelela ukuba ufuna naziphi na ezinye iinkqubo, kubandakanya ukufakelwa kwe-pacemaker, ngakumbi ukunyanga iingxaki zesingqisho sentliziyo.

Imbonakalo

Imbonakalo emva kwenkqubo intle kodwa ixhomekeke kuhlobo lomcimbi kunye nobukhali bayo. Ngaphambi kokuba impumelelo yenkqubo igqitywe, kukho ixesha lokulinda elimalunga neenyanga ezintathu ukuvumela ukuba uphile. Oku kubizwa ngokuba lixesha elingenanto.

Xa kunyangwa i-atrial fibrillation, uphononongo olukhulu lwehlabathi lwafumanisa ukuba i-catheter ablation yayisebenza kubantu abamalunga neepesenti ezingama-80 zabantu abanale meko, ngeepesenti ezingama-70 ezingafunekiyo neziyobisi ezichasayo.

Olunye uphononongo luye lwajonga amazinga okurhoxisa ngokubanzi kwiingxaki ezahlukeneyo ze-arrhythmia kwaye yafumanisa ukuba iipesenti ezingama-74.1 zabo bafumana inkqubo babona ukuba unyango luyaphumelela, iipesenti eziyi-15.7 zaphumelela ngokuyinxenye, kwaye iipesenti eziyi-9.6 azaphumelela.

Ukongeza, inqanaba lokuphumelela kwakho liya kuxhomekeka kuhlobo lomcimbi ofuna ukucinywa. Umzekelo, abo banemicimbi engapheliyo banezinga lokuphumelela eliphantsi kunelabo baneengxaki zokungena.

Ukuba ucinga ngokupheliswa kwentliziyo, jonga amaxabiso empumelelo kwiziko apho inkqubo yakho iya kwenziwa okanye i-electrophysiologist yakho ethile. Unokuphinda ubuze ukuba impumelelo ichazwa njani ukuze uqiniseke ukuba ucacile kwindlela abayilinganisa ngayo impumelelo.