Amadivayisi Enhliziyo Afakelwayo - ICD, Pacemaker

Ukuhlinzwa Kwe-ICD kanye Ne-Pacemaker E-Hyderabad

Iziguli ezihlushwa ukungahambi kahle kwesigqi sokushaya kwenhliziyo zingase zibulale uma zingelashwa futhi kuzodingeka zihlinzwe. Kungenzeka ukuthi bahlushwa isimo sokushaya kwenhliziyo okusheshayo nokusheshayo okubizwa nge-tachycardia. Ezigulini ezinjalo, odokotela benhliziyo banquma ukubeka umshini ofakelwayo obizwa ngokuthi i-implantable cardioverter-defibrillator (ICD). Abantu abahlushwa ukushaya kwenhliziyo okunensayo kunokujwayelekile, okubizwa nge-bradycardia, badinga umshini wenhliziyo ukuze bafakwe ngaphansi kwesikhumba ukuze balawule ukushaya kwenhliziyo okungajwayelekile. Izibhedlela ze-CARE zihlinzeka ngokuhlinzwa kwabantu abanokuthula e-Hyderabad nodokotela abahlinzayo abanolwazi olunzulu nabaqeqeshwe kahle futhi bakunikeze ukwelashwa okungcono kakhulu. 

Izimpawu ze-tachycardia ne-bradycardia

Nazi ezinye izimpawu ezivamile ze-tachycardia ne-bradycardia:

• Isiyezi nokuquleka

• Ukukhathala

• Ukuphelelwa umoya

• Izinhlungu zesifuba

• Izinkinga zememori

• ukuquleka

• Ukushaya kwenhliziyo okuphindaphindiwe.

Sifo 

Okulandelayo ukuhlolwa okwenziwa ukuze kutholwe isifo esinembile ngaphambi kokuqhubeka nokufakelwa idivayisi yenhliziyo: 

• I-Electrocardiogram (ECG)

Lena inqubo yokuxilonga esheshayo futhi engenabuhlungu ekala umsebenzi kagesi wenhliziyo. 

• Holter qapha

Lona umshini we-ECG ophathwayo okufanele ugqokwe ekhaya usuku lonke ukuze urekhode isigqi senhliziyo phakathi nemisebenzi evamile.

• ukuqapha umcimbi

Lona futhi idivayisi ye-ECG ephathekayo okufanele igqokwe isikhathi esingangenyanga noma kuze kube yilapho isiguli sibonisa izimpawu.

• I-Transthoracic echocardiogram (i-echo noma i-TTE)

I-transthoracic echocardiogram (TTE) iwuhlobo lwe-echocardiogram ehlinzeka ngezithombe ezimile noma ezihambayo zezifunda zangaphakathi zenhliziyo zisebenzisa i-ultrasound.

• I-Transoesophageal echocardiogram (TEE)

I-Transoesophageal echocardiogram wuhlobo lwe-echocardiogram esebenzisa i-echocardiography ukuhlola ukusebenza kwenhliziyo.

• Nyakazisa Ukuhlolwa Kwethebula 

Ekuhlolweni kwetafula elitshekile, isiguli senziwa ukuthi silale phansi phezu kwetafula ngokuvundlile bese lenziwa ukuthi lizungezise liqonde ukuze lifane nendawo yokuma.

Ukwelashwa kanye nezinqubo ezihlinzekwa yi-CARE Hospitals

1. I-ICD - I-Implantable Cardioverter Defibrillator

Yini i-ICD?

I-cardioverter-defibrillator (ICD) efakelwayo iwukufakelwa okuklanyelwe ukuqapha isigqi senhliziyo usuku lonke. I-ICD ihlale iqapha inhliziyo futhi ilethe ngokuzenzakalela izindlela zokwelapha ukulungisa isigqi esisheshayo lapho kudingeka. 

Isebenza kanjani i-ICD?

Uma inhliziyo yesiguli ishaya ngokushesha kakhulu noma ngokungajwayelekile, idivayisi ye-ICD izothumela amasignali amancane kagesi angenabuhlungu ukuze alungise isigqi sokushaya kwenhliziyo. Uma ukushaya kwenhliziyo okusheshayo kuqhubeka, idivayisi ye-ICD izoletha ukushaqeka ukuze ibuyisele ukushaya kwenhliziyo kumazinga avamile. Ngemva kokufakwa kwedivayisi ye-ICD, udokotela wenhliziyo angaqapha futhi ahlele idivayisi esebenzisa ikhompuyutha yangaphandle ebizwa ngokuthi i-programmer, futhi akhiphe ulwazi kudivayisi ukuze asize isiguli ekwelashweni kokwehluleka kwenhliziyo. Udokotela wenhliziyo uzohlela ukuqapha ngezikhathi ezithile uma kubonakala kunesidingo. 

Idingeka nini i-ICD?

I-ventricular tachycardia kanye ne-ventricular fibrillation yiziphambeko ezimbili zesigqi senhliziyo ezingase zibe yingozi uma zishiywe zingalashwa. Udokotela wenhliziyo angase atuse i-ICD esigulini uma noma yisiphi salezi ziqephu sikhathaza isiguli noma sisengozini enkulu yokuthuthukisa lezi ziphambeko zesigqi senhliziyo. 

Ukufakelwa kwe-ICD kungase kunconyelwe abantu aba:

• waba nesiqephu sangaphambili sokuboshwa kwenhliziyo kungazelelwe

• kwaba nesiqephu esisodwa noma ngaphezulu se-ventricular tachycardia

• kwaba nesiqephu esisodwa sangaphambili se-fibrillation ye-ventricular

• babe nomlando wokuhlaselwa yinhliziyo futhi babe nengozi eyengeziwe yokuboshwa ngokuzumayo kwenhliziyo

• babe ne-hypertrophic cardiomyopathy

2. I-Pacemaker

Iyini iPacemaker?

I-pacemaker iyisisetshenziswa sezokwelapha sikagesi esifakwe ngaphansi kwesikhumba ukuze sisize ukulawula i-arrhythmia nokwelapha ezinye izinhlobo zokwehluleka kwenhliziyo. I-pacemaker ikhiqiza ama-impulses kagesi asiza ukushaya kwenhliziyo ngesigqi esivamile, izinga, noma kokubili.

Isebenza kanjani i-pacemaker?

I-sinus node yenhliziyo yomuntu inomthwalo wemfanelo wokuthumela amathonya kagesi ukuze kugcinwe isigqi esivamile senhliziyo. Uma kukhona ukungasebenzi kahle kwe-sinus node noma kukhona ukuvinjelwa endleleni yesignali kagesi eya ku-atria, i-pacemaker ithatha okwesikhashana indima ye-sinus node. Imiyalo kagesi ethunyelwa yi-pacemaker yenza inhliziyo ifinyele uma idingeka. Kodwa-ke, ama-pacemakers awathumeli ukushaqeka kukagesi.

Idingeka nini i-pacemaker?

Isiguli singase sidinge i-pacemaker etshalwe kabusha kunoma yiziphi izimo ezilandelayo:

• Isiguli sinohlobo lokuvaleka kwenhliziyo oluthiya noma olubambezele amasignali kagesi ahamba ngenhliziyo futhi enze ukushaya kwenhliziyo kube kancane,

• Imithi yokwelapha i-arrhythmia ayisebenzi futhi ukushaya kwenhliziyo sekushesha ngendlela eyingozi,

• Isiguli sinenkinga yokwehluleka kwenhliziyo okwenza inhliziyo ishaye ingavumelani.

• I-Pacemaker imvamisa isindisa impilo ezigulini ezinjalo futhi ithuthukisa kakhulu izinga lempilo. I-pacemaker ilula, isayizi encane, futhi ibonakala kancane ngemva kokufakwa.

Zisiza kanjani izibhedlela ze-CARE?

Ithimba lezinhlaka eziningi eZibhedlela ze-CARE linikeza ukwelashwa okuhambisana nezindinganiso zamazwe ngamazwe ezisekelwa uchwepheshe bezokwelapha obungenakuqhathaniswa kanye nobuchwepheshe bamuva. Senza izinqubo zokuhlinza ezivamile nezingangeneleli kancane ukuze kusizakale iziguli ngokuhlala isikhathi esifushane esibhedlela kanye nezikhathi zokululama ezinemiphumela emihle kakhulu yomtholampilo futhi sihlinzeka ngezindleko ezinengqondo nezithengekayo zokuhlinza umenzi wokuthula e-Hyderabad.