Yini i-Cardioversion? Inhloso, Amazinga/Inqubo & Imiphumela

I-Cardioversion iyinqubo yezokwelapha esiza ukubuyisela isigqi senhliziyo yakho esijwayelekile uma ishaya ngokungajwayelekile noma ngokushesha kakhulu. Cabanga ngayo njengokuthi "ukuqalisa kabusha" okumnene kwenhliziyo yakho, okufana nokuqalisa kabusha ikhompyutha esebenza kancane. Lokhu kwelashwa okuphephile, okusungulwe kahle kungaletha ngokushesha impumuzo uma uhlangabezana nezinkinga ezithile zesigqi senhliziyo.

Inhliziyo yakho inesistimu yayo kagesi elawula indlela eshaya ngayo. Ngezinye izikhathi le sistimu iyaphazamiseka, okubangela ukuthi inhliziyo yakho ishaye ngendlela engajwayelekile ebizwa ngokuthi i-arrhythmia. I-Cardioversion isebenza ngokuletha ukushaqeka kukagesi okulawulwayo noma ukusebenzisa imithi ukusiza inhliziyo yakho ukuthi ikhumbule isigqi sayo esifanele futhi.

Yini i-cardioversion?

I-Cardioversion iyinqubo elungisa izigqi zenhliziyo ezingajwayelekile ngokubuyisela iphethini yakho yemvelo kagesi yenhliziyo. Kunezinhlobo ezimbili eziyinhloko: i-cardioversion kagesi, esebenzisa ukushaqeka kukagesi okufushane, kanye ne-cardioversion yamakhemikhali, esebenzisa imithi.

Ngesikhathi se-cardioversion kagesi, odokotela babeka ama-paddles akhethekile noma ama-patch esifubeni sakho ngenkathi ungaphansi kokuthulisa okulula. Idivayisi bese ithumela i-pulse kagesi esheshayo, elawulwayo enhliziyweni yakho. Le pulse iphazamisa amasiginali kagesi anesiphithiphithi abangela ukushaya kwenhliziyo kwakho okungajwayelekile futhi ivumela i-pacemaker yemvelo yenhliziyo yakho ukuthi iphinde ilawule.

I-cardioversion yamakhemikhali isebenza ngendlela ehlukile kodwa ifinyelela umgomo ofanayo. Udokotela wakho ukunika imithi nge-IV noma ngomlomo esiza ukulawula umsebenzi kagesi wenhliziyo yakho. Le ndlela ithatha isikhathi eside kune-cardioversion kagesi kodwa ingasebenza kahle njengoba kunjalo ngezinhlobo ezithile zezinkinga zesigqi.

Kungani i-cardioversion yenziwa?

I-Cardioversion incomendwa uma unezinkinga ezithile zesigqi senhliziyo ezingaphenduli kwezinye izindlela zokwelapha noma ezibangela izimpawu ezikhathazayo. Isizathu esivame kakhulu yi-atrial fibrillation, lapho amagumbi aphezulu enhliziyo yakho eshaya ngendlela engahlelekile esikhundleni sendlela ehlelekile.

Ungase udinge i-cardioversion uma uhlangabezana nezimpawu ezinjengobuhlungu besifuba, ukuphefumula kanzima, isiyezi, noma ukukhathala okukhulu ngenxa yokushaya kwenhliziyo okungajwayelekile. Lezi zimpawu zenzeka ngoba inhliziyo yakho ayigxumisi igazi ngempumelelo uma ishaya ngokungajwayelekile.

Udokotela wakho angase futhi ancome i-cardioversion ngenxa yezinye izinkinga zesigqi ezinjenge-atrial flutter, lapho inhliziyo yakho ishaya ngokushesha kakhulu ngendlela ejwayelekile, noma izinhlobo ezithile ze-ventricular tachycardia. Ngezinye izikhathi i-cardioversion yenziwa njengenqubo ehleliwe, kanti ngezinye izikhathi idingeka ngokuphuthumayo uma izimpawu zakho zinzima.

Le nqubo ilusizo ikakhulukazi kubantu abanezinkinga zesigqi senhliziyo ezintsha noma ezenzeka ezigabeni. Uma uke waba nesigqi esingajwayelekile isikhathi eside, i-cardioversion ingase isasebenza, kodwa udokotela wakho uzodinga ukuhlola isimo sakho ngokuqapha.

Iyini inqubo ye-cardioversion?

Inqubo ye-cardioversion ngokuvamile yenzeka esibhedlela noma emtholampilo wabangaphandle lapho uzoqashwa eduze kuyo yonke inqubo. Uzoxhunywa emishinini elandelela isigqi senhliziyo yakho, umfutho wegazi, kanye namazinga omoya-mpilo ngaphambi, ngesikhathi, nangemva kwenqubo.

Ukuze uthole i-cardioversion kagesi, uzothola imithi nge-IV ukukusiza ukuthi uphumule futhi ulale kancane ngesikhathi senqubo. Uma usuthokomele, udokotela wakho uzobeka amaphedi e-electrode esifubeni sakho futhi ngezinye izikhathi emhlane wakho. Umshini we-cardioversion uzobe usethumela ukushaqeka kagesi okukodwa noma ngaphezulu okufushane ukuze usethe kabusha isigqi senhliziyo yakho.

Ukuqhuma kwangempela kuthatha ingxenyana yomzuzwana nje, futhi ngeke ukuzwe ngenxa yokuthuliswa. Ithimba lakho lezokwelapha lizobheka ukushaya kwenhliziyo yakho ngokushesha ngemva kokuqhuma ngakunye ukuze libone ukuthi ukushaya kwakho okuvamile kubuyele yini. Uma ukuqhuma kokuqala kungasebenzi, udokotela wakho angase kuzame futhi ngezinga lamandla eliphakeme kancane.

I-chemical cardioversion ilandela uhlu lwesikhathi oluhlukile. Uzothola imithi nge-IV, futhi ithimba lakho lezokwelapha lizokubheka amahora amaningana njengoba imithi isebenza ukubuyisela ukushaya kwakho okuvamile. Le nqubo ithambile kodwa ithatha isikhathi eside, ngezinye izikhathi amahora amaningana ukubona imiphumela ephelele.

Ungalungiselela kanjani i-cardioversion yakho?

Ukulungiselela i-cardioversion kuhilela izinyathelo eziningana ezibalulekile ukuqinisekisa ukuthi inqubo ihamba kahle futhi iphephile. Udokotela wakho uzokunikeza imiyalelo ethile ngokusekelwe esimweni sakho ngasinye, kodwa kukhona amalungiselelo avamile okudingeka uwalandele.

Ngokuvamile uzodinga ukuyeka ukudla nokuphuza okungenani amahora angu-6-8 ngaphambi kwenqubo, ikakhulukazi uma wenza i-electrical cardioversion ngokuthuliswa. Lokhu kuqapha kusiza ukuvimbela izinkinga uma udinga ukuhlanza ngenkathi uthulisiwe.

Udokotela wakho angase alungise imithi yakho ngaphambi kwenqubo. Uma uthatha ama-blood thinners, ngokuvamile uzodinga ukuwaqhubeka noma uwaqale emasontweni amaningana ngaphambi kwe-cardioversion ukunciphisa ingozi yakho yama-blood clots. Ungalokothi uyeke noma ushintshe imithi yakho ngaphandle kokukhuluma nethimba lakho lezempilo kuqala.

Kufanele uhlele ukuthi othile akuqhubele ekhaya ngemva kwenqubo, njengoba ukuthuliswa kungakwenza ukozela amahora amaningana. Kuyasiza futhi ukugqoka izingubo ezikhululekile, ezikhululekile futhi ususe noma yimuphi ubucwebe, ikakhulukazi imigexo noma amacici angase aphazamise ukubekwa kwe-electrode.

Udkt wakho angase ayale ukuthi kwenziwe ezinye izivivinyo ngaphambi kwale nqubo, njenge-echocardiogram ukuhlola ukwakheka kwenhliziyo yakho noma ukuhlolwa kwegazi ukuqinisekisa ukuthi umzimba wakho ukulungele ukwelashwa. Lezi zivivinyo zisiza ithimba lakho lezokwelapha ukuthi lihlele indlela ephephe kakhulu yesimo sakho esithile.

Ungawafunda kanjani imiphumela yakho ye-cardioversion?

Imiphumela ye-Cardioversion ivamise ukulinganiswa ngokuthi ngabe isigqi senhliziyo yakho sibuyela kokujwayelekile futhi sihlala ngaleyo ndlela. Impumelelo ivamise ukuchazwa njengokuthola nokugcina isigqi senhliziyo esijwayelekile esibizwa ngokuthi i-sinus rhythm okungenani amahora angama-24 ngemuva kwale nqubo.

Ngemuva nje kwe-cardioversion, ithimba lakho lezokwelapha lizobheka isigqi senhliziyo yakho ku-electrocardiogram (EKG) ukuze libone ukuthi le nqubo isebenzile yini. I-cardioversion ephumelelayo izokhombisa isigqi senhliziyo esijwayelekile esinesilinganiso esijwayelekile, ngokuvamile phakathi kwama-60-100 ukushaya ngomzuzu.

Udkt wakho uzohlola nokuthi uzizwa kanjani ngemuva kwale nqubo. Abantu abaningi baqaphela ukuthuthuka ngokushesha kwezimpawu ezinjengokuphefumula kanzima, ukungakhululeki esifubeni, noma ukukhathala lapho isigqi senhliziyo yabo sesijwayelekile. Kodwa-ke, abanye abantu bazizwa bekhathele usuku noma ezimbili njengoba imizimba yabo iguqukela ekushintsheni kwesigqi.

Impumelelo yesikhathi eside ilinganiswa ngamaviki nezinyanga. Udkt wakho uzohlela ama-aphoyintimenti okulandelayo ukuze abheke isigqi senhliziyo yakho futhi angase ancome ukuthi ugqoke i-monitor yenhliziyo isikhathi esithile ukuze ulandelele ukuthi inhliziyo yakho ikugcina kahle kangakanani isigqi sayo esijwayelekile.

Kubalulekile ukuqonda ukuthi i-cardioversion ayikwelaphi isimo esiyisisekelo esibangele isigqi sakho esingajwayelekile. Le nqubo isetha kabusha isigqi senhliziyo yakho, kodwa ungase udinge ukwelashwa okuqhubekayo ngemithi noma ezinye izindlela zokwelapha ukuvimbela inkinga yesigqi ukuthi ingabuyi.

Ungasigcina kanjani isigqi senhliziyo yakho ngemuva kwe-cardioversion?

Ukunakekela ukushaya kwenhliziyo yakho okuvamile ngemuva kwe-cardioversion kuvame ukudinga ukunakekelwa okuqhubekayo nokulungiswa kwendlela yokuphila. Udokotela wakho cishe uzoqoka imithi ukusiza ukugcina inhliziyo yakho ekushayeni kwayo okuvamile futhi avimbele izigameko zesikhathi esizayo zokushaya kwenhliziyo okungajwayelekile.

Ukuphuza imithi yakho ngqo njengoba kuqokiwe kubalulekile empumelelweni yesikhathi eside. Lokhu kungabandakanya imithi elwa nokushaya kwenhliziyo ukugcina ukushaya kwenhliziyo yakho, izinciphisi zegazi ukuvimbela amahlule, kanye nemithi yokulawula izinga lokushaya kwenhliziyo yakho. Umuthi ngamunye udlala indima ethile ekugcineni inhliziyo yakho iphilile.

Ushintsho lwendlela yokuphila lungathuthukisa kakhulu amathuba akho okuhlala ekushayeni okuvamile. Ukuzivocavoca njalo, njengoba kuvunywe udokotela wakho, kusiza ukuqinisa inhliziyo yakho futhi kuthuthukise impilo yakho yonke yenhliziyo nemithambo yegazi. Ukuphatha ukucindezeleka ngamasu okuphumula, ukulala okwanele, kanye namasu okunqoba anempilo nawo asekela ukuzinza kokushaya kwenhliziyo.

Ukwenza njalo ukugwema izinto ezingase zibangele ukuthi ukushaya kwenhliziyo yakho okungajwayelekile kubuye kubaluleke ngokulinganayo. Izinto ezivamile zihlanganisa ukusetshenziswa ngokweqile kotshwala, i-caffeine, imithi ethile, nokucindezeleka okukhulu. Udokotela wakho angakusiza ukuthi uthole izinto zakho ezithile futhi uthuthukise amasu okuzigwema.

Ukuqokwa okuvamile kokulandela ngemuva kuvumela ithimba lakho lokunakekelwa kwezempilo ukuthi liqaphe inqubekela phambili yakho futhi lilungise uhlelo lwakho lokwelapha njengoba kudingeka. Unganqikazi ukuxhumana nodokotela wakho uma uqaphela izimpawu zibuyela noma uma unezinkathazo mayelana nokushaya kwenhliziyo yakho.

Uyini umphumela ongcono kakhulu we-cardioversion?

Umphumela ongcono kakhulu we-cardioversion ukuzuza nokugcina ukushaya kwenhliziyo okuvamile okukuvumela ukuthi uzizwe kahle futhi uhlanganyele emisebenzini yakho yansuku zonke ngaphandle kwezimpawu. Amazinga empumelelo ayahlukahluka ngokuya ngohlobo lwenkinga yokushaya kwenhliziyo onayo nokuthi usunesikhathi esingakanani unayo.

Nge-atrial fibrillation, i-cardioversion iphumelela ngokushesha cishe ngama-90% wamacala, okusho ukuthi ukushaya kwenhliziyo yakho kubuyela kokujwayelekile ngemuva nje kwenqubo. Kodwa-ke, ukugcina lokho kushaya okujwayelekile isikhathi eside kunzima kakhulu, ngabantu abangama-50-60% abahlala ekushayeni okujwayelekile unyaka owodwa.

Imiphumela emihle kakhulu ivame ukwenzeka kubantu abaye baba nokushaya okungajwayelekile isikhathi esifushane, abanama-chamber amancane enhliziyo, futhi abangenayo isifo senhliziyo esikhulu esingaphansi. Abantu abagcina izindlela zokuphila ezinempilo futhi bathatha imithi yabo ngokuqhubekayo nabo bavame ukuba nemiphumela emihle yesikhathi eside.

Noma ngabe ukushaya kwakho ekugcineni kuphinde kungajwayelekile, i-cardioversion ingavame ukuphindwa ngempumelelo. Abantu abaningi badlula kule nqubo izikhathi eziningi eminyakeni njengengxenye yokuqhubeka kwabo ukuphathwa kokushaya kwenhliziyo.

Yiziphi izici eziyingozi zokwehluleka kwe-cardioversion?

Izici eziningana zingakhuphula amathuba okuthi i-cardioversion ngeke isebenze noma ukuthi ukushaya kwakho okungajwayelekile kuzobuya ngokushesha ngemuva kwenqubo. Ukuqonda lezi zici eziyingozi kukusiza kanye nodokotela wakho ukuthi nenze izinqumo ezinolwazi mayelana nokwelashwa kwakho.

Ubude besikhathi obube nokushaya okungajwayelekile ngesinye sezici ezibaluleke kakhulu. Uma ube ne-atrial fibrillation isikhathi esingaphezu konyaka, i-cardioversion mancane amathuba okuphumelela isikhathi eside. Lokhu kwenzeka ngoba imisipha yenhliziyo yakho iyashintsha ngokuhamba kwesikhathi lapho ishaya ngokungajwayelekile.

Usayizi wama-chamber enhliziyo yakho nawo uthinta amazinga empumelelo. Abantu abane-atria ekhulisiwe (ama-chamber aphezulu enhliziyo) maningi amathuba okuthi ukushaya kwabo okungajwayelekile kubuye ngemuva kwe-cardioversion. Lokhu kwandiswa kuvame ukuthuthuka ngokuhamba kwesikhathi lapho inhliziyo isebenza kanzima ngenxa yokushaya okungajwayelekile.

Izimo zenhliziyo ezingaphansi zingenza i-cardioversion ingasebenzi kahle. Lokhu kuhlanganisa izinkinga zamavalvu enhliziyo, isifo semithambo yenhliziyo, ukuhluleka kwenhliziyo, noma i-cardiomyopathy. Udokotela wakho uzohlola lezi zimo futhi angase ancome ukuzelapha ngaphambi noma ngesikhathi se-cardioversion.

Ezinye izimo zezokwelapha ezingathinta impumelelo ye-cardioversion zihlanganisa izifo ze-thyroid, i-sleep apnea, umfutho wegazi ophezulu, nokukhuluphala ngokweqile. Ukuphatha kahle lezi zimo ngaphambi kwe-cardioversion kungathuthukisa amathuba akho okuphumelela.

Ubudala ngokwawo akudingeki ukuthi bube yisithiyo ku-cardioversion, kodwa abantu abadala bangase babe nezimo zempilo ezingaphansi ezithinta impumelelo yenqubo. Udokotela wakho uzocabangela impilo yakho yonke kunokuba ubudala bakho kuphela lapho encoma ukwelashwa.

Ingabe kungcono ukuba ne-cardioversion kagesi noma yamakhemikhali?

Kokubili i-cardioversion kagesi neyamakhemikhali kungasebenza, kodwa ukukhetha okungcono kuncike esimweni sakho esithile, uhlobo lwenkinga yesigqi onayo, nempilo yakho yonke. Udokotela wakho uzo-ncoma indlela okungenzeka ukuthi izosebenza ngokuphepha kuwe.

I-cardioversion kagesi ngokuvamile isebenza kahle futhi isebenza ngokushesha kune-cardioversion yamakhemikhali. Ibuyisela ngempumelelo isigqi esijwayelekile cishe kubantu abangama-90% abane-atrial fibrillation futhi kuthatha imizuzu embalwa kuphela ukuqeda. Lokhu kuyenza ibe yindlela enhle uma udinga imiphumela esheshayo noma uma imithi ingasebenzanga.

I-cardioversion yamakhemikhali ingase ithandwe uma unezimo ezithile zempilo ezenza ukuthuliswa kube yingozi, noma uma isigqi sakho esingajwayelekile sisha futhi singase siphendule kahle emithini. Kwesinye isikhathi isetshenziswa njengendlela yokuqala kubantu abasebancane, abanempilo enhle abane-atrial fibrillation esanda kuqala.

Inqubo yokululama iyahluka phakathi kwezindlela ezimbili. Ngemuva kwe-cardioversion kagesi, uzodinga isikhathi sokululama emithini yokuthulisa, kodwa inqubo ngokwayo iphela ngokushesha. I-cardioversion yamakhemikhali ithatha isikhathi eside kodwa ayidingi imithi yokuthulisa, ngakho-ke ungafika ekhaya ngokushesha uma isigqi sakho sizinzile.

Udokotela wakho uzocabangela izinto ezinjengobudala bakho, ezinye izimo zempilo, imithi oyithathayo, nokuthi sekuyisikhathi esingakanani unesigqi esingajwayelekile lapho encoma ukuthi hlobo luni lwe-cardioversion olungcono kuwe.

Ziyini izinkinga ezingase zibe khona ze-cardioversion?

I-Cardioversion ngokuvamile iyinqubo ephephile, kodwa njenganoma yikuphi ukwelashwa kwezokwelapha, inezingozi ezithile. Ukuqonda lezi zinkinga ezingaba khona kukusiza ukuthi wenze isinqumo esinolwazi mayelana nokwelashwa kwakho futhi wazi ukuthi yini okufanele uyibheke ngemuva.

Inkinga enkulu kodwa engavamile yi-stroke, engenzeka uma iqhubu legazi lenzeka enhliziyweni yakho futhi lihambe liye ebuchosheni bakho. Le ngozi yingakho udokotela wakho ngokuvamile ezoqoka ama-blood thinners ngaphambi nangemva kwenqubo. Ingozi ye-stroke iphansi kakhulu uma kuthathwa izinyathelo zokuphepha ezifanele.

Ukuvuvukala kwesikhumba noma ukusha ezindaweni ze-electrode kungenzeka nge-cardioversion kagesi, kodwa lokhu kuvame ukuba kuncane futhi kululama ngokushesha. Ithimba lakho lezempilo lisebenzisa ama-gel akhethekile kanye namasu okunciphisa le ngozi. Abanye abantu bazwa ububomvu besikhashana noma ubuhlungu obuncane lapho ama-electrode abekwe khona.

Ukuphazamiseka kwesikhashana kwesigqi kungenzeka ngokushesha ngemuva kwe-cardioversion njengoba inhliziyo yakho ilungela isigqi sayo esisha. Lokhu kuvame ukuzixazulula ngokwako kungakapheli amahora ambalwa, kodwa ithimba lakho lezokwelapha lizokuqapha eduze ukuze liqinisekise ukuthi isigqi senhliziyo yakho sihlala sizinzile.

Abanye abantu bazwa ukwehla okufushane kwengcindezi yegazi ngesikhathi senqubo, yingakho uzoqashwa ngokuqhubekayo. Ithimba lakho lezempilo lilungele ukwelapha lokhu uma kwenzeka, futhi akuvamile ukuthi kubangele izinkinga ezihlala njalo.

Izinkinga zenkumbulo noma ukudideka kungenzeka ngemva kwe-cardioversion kagesi ngenxa yokuthuliswa, kodwa lezi zinto zokusebenza zesikhashana futhi zivame ukuxazululwa emahoreni ambalwa. Ukuba nomuntu okhona ukukushayela ekhaya futhi ahlale nawe kubalulekile ngenxa yalesi sizathu.

Ngokungavamile, i-cardioversion ingase ibangele izinkinga ezinkulu zesigqi, kodwa ithimba lakho lezokwelapha lilungele ukubhekana nalezi zimo ngokushesha. Le nqubo yenziwa endaweni elawulwayo enezinto zokusebenza eziphuthumayo ezitholakala kalula.

Kufanele ngibone nini udokotela ngemva kwe-cardioversion?

Kufanele uthinte udokotela wakho ngokushesha uma uhlangabezana nobuhlungu besifuba, ukuphefumula kanzima, isiyezi, noma ukuquleka ngemva kwe-cardioversion. Lezi zimpawu zingase zibonise ukuthi isigqi senhliziyo yakho sesiphinde saba ngesingajwayelekile noma ukuthi ezinye izinkinga zenzekile.

Shayela umhlinzeki wakho wezempilo uma uqaphela inhliziyo yakho ishaya ngokungajwayelekile noma uma uzizwa sengathi inhliziyo yakho iyagijima, igxuma ukushaya, noma iyathuthumela. Lezi zinzwa zingase zisho ukuthi isigqi sakho esingajwayelekile sibuyile, futhi ukungenelela kwasekuqaleni kuvame ukusiza ukubuyisela isigqi esijwayelekile kalula.

Funana nosizo lwezokwelapha ngokushesha uma uqala izimpawu zokushaywa unhlangothi, okuhlanganisa ubuthakathaka obuzumayo ohlangothini olulodwa lomzimba wakho, ubunzima bokukhuluma, ikhanda elibuhlungu elibuhlungu, noma izinguquko zombono. Nakuba ukushaywa unhlangothi ngemva kwe-cardioversion kungavamile, kubalulekile ukuqaphela lezi zimpawu zokuxwayisa.

Kufanele futhi uthinte udokotela wakho uma unezicubu ezingavamile emilenzeni yakho noma emaqakaleni, njengoba lokhu kungase kubonise ukuhluleka kwenhliziyo noma ezinye izinkinga. Ngokufanayo, uma uzizwa ukhathele kakhulu kunokujwayelekile noma unezinkinga zokuphefumula ngesikhathi semisebenzi ejwayelekile, lezi zingaba yizimpawu zokuthi inhliziyo yakho ayisebenzi kahle njengoba kufanele.

Unganqikazi ukufinyelela uma unezinkathazo ngemithi yakho noma uma uhlangabezana nemiphumela emibi ekukhathazayo. Ithimba lakho lezempilo lifuna ukuqinisekisa ukuthi uzizwa ukhululekile nokuthi ukwelashwa kwakho kusebenza ngempumelelo.

Hlela ama-aphoyintimenti akho okulandelayo njengoba kunconyiwe, ngisho noma uzizwa kahle. Ukuqapha njalo kusiza ukubamba noma yiziphi izinkinga zisasekuqaleni futhi kuvumela udokotela wakho ukuthi alungise uhlelo lwakho lokwelapha uma kudingeka.

Imibuzo evame ukubuzwa mayelana ne-cardioversion

Q.1 Ingabe i-cardioversion ilungile ngokuqina kwe-atrial?

Yebo, i-cardioversion isebenza kahle kakhulu ekuqineni kwe-atrial futhi ivame ukuba yindlela yokuqala yokwelapha odokotela abayeluleka ngayo ngalesi simo. Ibuyisela ngempumelelo isigqi senhliziyo esijwayelekile cishe kuma-90% abantu abane-atrial fibrillation, nakuba ukugcina leso sigqi isikhathi eside kudinga ukuphathwa okuqhubekayo.

I-Cardioversion isebenza kahle ikakhulukazi kubantu abasanda kuthuthukisa i-atrial fibrillation noma abanezikhathi eza futhi zihambe. Noma ngabe isigqi sakho esijwayelekile asihlali unomphela, i-cardioversion inganikeza ukukhululeka okukhulu kwezimpawu futhi kungenzeka iphindwe uma kudingeka.

Q.2 Ingabe i-cardioversion ilapha i-atrial fibrillation unomphela?

I-Cardioversion isetha kabusha isigqi senhliziyo yakho kodwa ayilaphi isimo esiyisisekelo esibangela i-atrial fibrillation. Abantu abaningi bagcina isigqi esijwayelekile izinyanga noma iminyaka ngemva kwe-cardioversion, ikakhulukazi uma bethatha imithi futhi benza izinguquko zokuphila njengoba kunconyiwe ngudokotela wabo.

Le nqubo ingaphindwa uma isigqi sakho esingajwayelekile sibuyela, futhi abantu abaningi badlula i-cardioversion izikhathi eziningi njengengxenye yokuphathwa kwabo kwesigqi senhliziyo eside. Udokotela wakho uzokusiza ukuthi uthuthukise uhlelo olubanzi lokugcina impilo yenhliziyo yakho ngaphezu nje kwenqubo ye-cardioversion.

Q.3 Kuthatha isikhathi esingakanani ukuthi i-cardioversion isebenze?

I-cardioversion kagesi isebenza ngokushesha, ngesigqi senhliziyo yabantu abaningi esibuyela kokujwayelekile ngemizuzwana yenqubo. Uzovuka ekulalisweni ngesigqi senhliziyo esijwayelekile uma inqubo iphumelela.

I-chemical cardioversion ithatha isikhathi eside, ngokuvamile amahora amaningi ukubona imiphumela ephelele. Ithimba lakho lezokwelapha lizokuqapha ngalesi sikhathi ukuze lilandelele inqubekela phambili yakho futhi liqinisekise ukuthi imithi isebenza ngokuphepha nangempumelelo.

Umbuzo 4. Ngingakwazi yini ukuqhuba imoto ngemva kwe-cardioversion?

Awukwazi ukuziqhuba wena imoto ngemva kwe-electrical cardioversion ngoba ukuthuliswa kungathinta ukwahlulela kwakho nesikhathi sokusabela amahora amaningi. Uzodinga othile ukukuqhuba ekhaya futhi kufanele ugweme ukuqhuba imoto kuze kube ngosuku olulandelayo noma uze uzizwe uqaphele ngokuphelele.

Ngemva kwe-chemical cardioversion, ungase ukwazi ukuziqhuba wena imoto ekhaya uma ungatholanga imithi yokuthulisa, kodwa udokotela wakho uzokunikeza imiyalelo ethile esekelwe esimweni sakho ngasinye nokuthi uzizwa kanjani.

Umbuzo 5. Ngizodinga yini ama-blood thinners ngemva kwe-cardioversion?

Abantu abaningi badinga ukuqhubeka nokuthatha ama-blood thinners okungenani amasonto amaningana ngemva kwe-cardioversion, futhi abaningi bayawadinga isikhathi eside ukuze bavimbele isitroko. Udokotela wakho uzoqaphela ukuthi uzowadinga isikhathi esingakanani lawo machiza ngokusekelwe ezingozini zakho zesitroko.

Noma ngabe isigqi senhliziyo yakho sihlala sijwayelekile ngemva kwe-cardioversion, ungase usadinga ama-blood thinners uma unezinye izici eziyingozi zesitroko, njengobudala obungaphezu kweminyaka engama-65, isifo sikashukela, umfutho wegazi ophezulu, noma isitroko esedlule. Udokotela wakho uzoqaphela ingozi yakho ngamunye futhi ancome indlela engcono kakhulu kuwe.