Isifundo se-Electrophysiological: yintoni, yenzelwe ntoni kwaye yenziwa njani

Umxholo

• Yenzelwe ntoni
• Kwenziwa njani
• Yintoni isifundo se-electrophysiological kunye ne-ablation?

Isifundo se-electrophysiological yinkqubo ejolise ekuchongeni nasekurekhodeni umsebenzi wombane wentliziyo ukuze kuqinisekiswe utshintsho kwisingqi sentliziyo. Ke, olu phononongo luhlala lubonakaliswa ngugqirha wezentliziyo xa umntu ebonisa iimpawu kunye neempawu zotshintsho entliziyweni enokuthi inxulunyaniswe nokuphendula kwabo kukhuthazo lombane.

Isifundo se-electrophysiological yinkqubo elula kwaye ihlala malunga neyure e-1, nangona kunjalo yenziwa kwigumbi lokusebenza kwaye ifuna ukuba umntu abe phantsi kwe-anesthesia ngokubanzi, kuba ibandakanya ukwenziwa kwe-catheters nge-vein ebekwe kwindawo ye-groin kwaye ukufikelela ngqo entliziyweni, ukuvumela isifundo ukuba senziwe.

Yenzelwe ntoni

Isifundo se-electrophysiological sihlala siboniswa yi-cardiologist ukuze kuqinisekiswe ukuba unobangela weempawu kunye neempawu eziboniswe ngumntu zihambelana nokwahluka kwesikhuthazi sombane esifikelela entliziyweni kunye / okanye ukuba eli lungu liphendula njani kwimpembelelo zombane. Ke, le nkqubo inokuboniswa ukulungiselela:

• Phanda unobangela wokuphelelwa ngamandla, isiyezi kunye nokubetha kwentliziyo okukhawulezileyo;
• Phanda utshintsho kwisingqi sokubetha kwentliziyo, esikwabizwa ngokuba yi-arrhythmia;
• Phanda ngesifo seBrugada;
• Ukunceda ekuchongeni ibhloko atrioventricular;
• Jonga ukusebenza kwe-defibrillator enokufakelwa, esisisixhobo esifana nesomenzi wenhliziyo.

Ke, ukusuka kwisiphumo esifunyenwe ngophando lwe-electrophysiological, ugqirha wentliziyo unokubonisa ukusebenza kwezinye iimvavanyo okanye ukuqala konyango olujolise kwisisombululo sokutshintsha kwentliziyo.

Kwenziwa njani

Ukwenza isifundo se-electrophysiological, kuyacetyiswa ukuba umntu azile ukutya ubuncinci iiyure ezi-6, ukongeza kuvavanyo lwegazi oluqhelekileyo kunye ne-electrocardiogram. Ngaphambi kwenkqubo, ukwenziwa kwendawo apho i-catheter iya kufakwa khona kuyenziwa, oko kukuthi, ummandla wobufazi, ohambelana nommandla we-groin. Inkqubo ithatha malunga nemizuzu engama-45 ukuya kweyure eli-1 kwaye yenziwa kwigumbi lokusebenza, kuba kunyanzelekile ukuba wenze imbobo yokubeka i-catheter ukwenza isifundo se-electrophysiological.

Njengoko inkqubo inokubangela iintlungu kunye nokuphazamiseka, ihlala isenziwa phantsi kwe-anesthesia yendawo kunye nokuqhelekileyo. Uphononongo lwe-electrophysiological lwenziwa ngokusungulwa kwezinye iicatheters ngokusebenzisa umthambo wobufazi, ongumthambo obekwe kwindawo yokuma, ebekwe ngoncedo lwekhamera, kwiindawo ezisentliziyweni ezinxulumene nefuthe lombane elifikelela ilungu.

Ukusukela ngela xesha ii-catheters zikwiindawo ezifanelekileyo zokwenza uviwo, iimpembelelo zombane zenziwa, ezibhaliswe sisixhobo apho i-catheters incamathele khona. Ke, ugqirha unokuvavanya ukusebenza kwentliziyo kwaye ajonge utshintsho.

Yintoni isifundo se-electrophysiological kunye ne-ablation?

Isifundo se-electrophysiological kunye ne-ablation sihambelana nenkqubo apho, ngaxeshanye kuqhutywa isifundo, unyango lotshintsho, oluqukethe ukupheliswa. I-Ablation ihambelana nenkqubo ejonge ukutshabalalisa okanye ukususa indlela yokubonisa yombane enesiphene kwaye enxulumene notshintsho lwentliziyo.

Ke, ukucinywa kwenziwa kwangoko emva kwesifundo se-electrophysiological kwaye kubandakanya ukwenziwa kwe-catheter, ngendlela efanayo yokungena emzimbeni weecatheters ezisetyenziswe ngexesha lofundo, olufikelela entliziyweni. Isiphelo sale catheter sisinyithi kwaye xa sidibana nethishu yentliziyo, iyashushu kwaye ibangele ukutsha okuncinci kwindawo leyo ekwaziyo ukususa umqondiso wombane.

Emva kokwenza ukurhoxiswa, isifundo esitsha se-electrophysiological sihlala senziwa ukuze kuqinisekiswe ukuba ngaba ngexesha lokurhoxiswa kwakukhona naluphi na utshintsho nakweyiphi na indlela yokubonisa yentliziyo yombane.