Yala aw walima aw dɔnbaga dɔ ye dusukun tantannikɛlan walima dusukun tantannikɛlan (ICD) don a la wa? N’o don, n’a sɔrɔ i ye o filiw ko mɛn, minnu bɛ wele ko ‘leads’. Tuma dɔw la, ni gɛlɛya bɛ nin plɔmu in na, a ka kan ka opereli kɛ ka a bɔ. Dɔgɔtɔrɔw b’o wele ko ‘plɔmu bɔli’. O tɔgɔ in mɛnni bɛ se ka siran dɔɔnin. Nka aw kana aw hakili ɲagami, an bɛna kuma o kan cogo nɔgɔman na ani ka jɛya bi.
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An k’a lajɛ fɔlɔ, ‘Plomb’ ye mun ye?
N’an y’a fɔ cogo nɔgɔman na, plɔmu ye nɛgɛ kɛrɛnkɛrɛnnen ye, min bɛ ni kuran taamasiɲɛw ye ka bɔ i ka dusukun tantannikɛlan walima ICD (Implantable Cardioverter-Defibrillator) minɛn na ka taa i dusukun na. A bɛ iko nɛgɛ min bɛ kuran ta ka taa yeelen dɔ la an ka so kɔnɔ.
Ni aw dusukun tantanni ma kɛ cogo la min tɛ bɛn (Arrhythmie), o jirisun in de b’a dɔn ani ka kuran taamasiɲɛ ɲuman ci dusukun ma walasa ka dɛmɛ don ka fɔlikan segin a cogo kɔrɔ la. A ka ca a la, o fɛn sugu kelen, fila walima saba yɛrɛ bɛ se ka kɛ, ka kɛɲɛ ni minɛn ye min bilalen bɛ mɔgɔ disi la. Olu bɛ siri dusukun kinin fɛ joli sira (vein) dɔ fɛ.
Mun na a ka kan ka nin plɔmu in bɔ?
Kun caman bɛ se ka kɛ sababu ye ka plɔmu dɔ bɔ. Nka a ka ca a la a kunba ye banakisɛ ye. Miiri k’a filɛ, ni tumu dɔ donna joli la (Bacteremia), o banakisɛ bɛ se ka taama o plɔmu in fɛ, ka dusukun tantanni yɛrɛ minɛ (Infective Endocarditis). O cogo la, minɛn ni plɔmu ka kan ka bɔ.
Min nafa ka bon kosɛbɛ, o ye ko a farati ka bon kosɛbɛ ka nin bana in ɲɔgɔn to a ma furakɛ. O la, ni dɔgɔtɔrɔ y’a laadi, a nafa ka bon ka ninnu bɔ.
Ka fara banakisɛw kan, a bɛ se ka kɛ ko a ka kan ka plɔmu dɔ bɔ kun damadɔ wɛrɛw la.
| Kun | Ɲɛfɔli nɔgɔman |
|---|---|
| Plomb karilen walima a baarakɛbaliya | Fɛn minnu bɛ i n’a fɔ kari, kari, walima hakilijigin dilabaga fɛ, a kɛra plɔmu kɔnɔ walima a kɔkan. |
| Barika minnu bɛ sɔrɔ sɔgɔsɔgɔninjɛ fɛ | Waati tɛmɛnen kɔfɛ, sɔgɔsɔgɔninjɛ caman bɛ ɲɔgɔn sɔrɔ plɔmu kuncɛ lamini na. O kɔ, kuran taamaʃyɛn min bɛ Bɔ minɛn in na, o tɛ Taa dusukun na ka ɲɛ. an b' o wele ko bɔli bloki . |
| Joli siraw datuguli | Joli kurukuruw walima kurukuruw bɛ se ka kɛ plɔmu lamini na, ka joli boli bali a kɔnɔ. |
| Rhythmie min bɛ sɔrɔ plɔmu yɛrɛ fɛ | A man teli ka kɛ dɔw la, plɔmu bɛ se ka dusukun tantanni tiɲɛ ani ka dusukun tantanni kɛ cogo la min tɛ bɛn. |
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Check Availability →O wale in bɛ kɛ cogo di?
O ka gɛlɛn dɔɔni, wa a ka kan ka kɛ dɔgɔtɔrɔ dɔ fɛ min bɛ se kosɛbɛ. Sabula waati dɔ tɛmɛnen kɔ, plɔmu bɛ se ka nɔrɔ joli sira la kosɛbɛ ka a sababu kɛ sɔgɔsɔgɔninjɛ ye min bɛ kɛ a lamini na. O la, walasa jolisira kana tiɲɛ, a ka kan ka bɔ ni minɛn kɛrɛnkɛrɛnnenw ye.
Nin opereli in bɛ kɛ anestezi basigilen na , o kɔrɔ ye ko i tɛna foyi ye, i bɛna sunɔgɔ.
1. Dɔgɔtɔrɔ bɛ tigɛ fitini dɔ kɛ kɔkolo jukɔrɔ (clavicle) walima kɔkolo yɔrɔ la (senkɔni sira kɛrɛfɛ) ka don joli sira la.
2. O kɔ, tubabufura kɛrɛnkɛrɛnnen dɔ (sɔgɔsɔgɔninjɛ) bɛ tɛmɛ o joli sira in fɛ fo ka se plɔmu bɛ yɔrɔ min na.
3. Dɔgɔtɔrɔ bɛ nin tubabufura in bilasira ka ɲɛ plɔmu sira fɛ ka a sɔrɔ a bɛ ekran kɛrɛnkɛrɛnnen dɔ lajɛ (fluoroscopie) i n’a fɔ X-ray.
4. Ni aw bɛ baara kɛ ni minɛnw ye minnu bɛ nin tubabufura in kun na, sɔgɔsɔgɔninjɛ lamini na, o bɛ kari dɔɔni dɔɔni, ka plɔmu hɔrɔnya.
5. Tuma dɔw la, laser fɛɛrɛ yɛrɛ bɛ kɛ ka o sɔgɔsɔgɔninjɛ in wuli.
6. Ni plɔmu bɔra pewu, aw bɛ a bɔ ka ɲɛ, ka a tigɛyɔrɔ datugu, ka bandi kɛ a la.
Tuma jumɛn na ɲɛmɔgɔya kura bɛna bila?
A bɛ bɔ kun min na ka plɔmu bɔ. Ni a bɔra bana dɔ de kosɔn, aw bɛna fɔlɔ ka kɔnɔni kɛ fo banakisɛ ka kɛnɛya pewu. O dɔrɔn de la, ɲɛminɛbaga kura ni minɛn kura bɛna sigi sen kan. Kun wɛrɛw la, kura bɛ se ka don opereli senfɛ walasa ka plɔmu bɔ. Aw ka dɔgɔtɔrɔ bɛna o ɲɛfɔ aw ye.
O opereli in nafa ni farati jumɛnw bɛ a la?
I n’a fɔ opereli suguya bɛɛ, nin opereli in nafa ka bon ka fara farati dɔw kan.
| ✅ Nafa minnu bɛ a la | ⚠️ Faratiw |
|---|---|
| Ka se ka banakisɛ dɔ furakɛ ni a tun bɛ yen. | Gɛlɛya minnu bɛ sɔrɔ anestezi fɛ. |
| Ni aw ye plɔmu karilen walima a baarakɛbali bila kura nɔ na, o bɛna kɛ sababu ye ka minɛn in bila baara kɛcogo ɲuman na. | Plɔmu bɛ kari ni a bɔra. |
| Joli siraw datugulenw bɛ bɔ ka joli lasegin a cogo kɔrɔ la. | Joli sira walima dusukun tiɲɛni. |
| Lafiya sɔrɔli farikoloɲɛnajɛw la minnu bɛ sɔrɔ plɔmu fɛ. | Joli bɔli kojugu ani jolidon. |
Aw ka kan ka kuma dɔgɔtɔrɔ fɛ waati jumɛn?
Ni aw taara so opereli kɔfɛ, fɛn damadɔw bɛ yen aw ka kan ka aw janto minnu na. Ni nin taamasiɲɛ ninnu dɔ bɛ aw la, aw kana waati tiɲɛ ka dɔgɔtɔrɔ wele o yɔrɔnin bɛɛ.
- Ni ninakili ka gɛlɛn aw ma .
- Ni farigan bɛ aw la ka tɛmɛ degere 101 kan .
- Funu opereli yɔrɔ la, ji bɔli min tɛ deli ka kɛ i n’a fɔ joli walima nɔgɔ.
- Senkɔniw walima senkɔniw fununi.
Aw ye aw hakili to a la, ni kɔrɔtɔko dɔ kɛra aw la, i n’a fɔ ninakili gɛlɛya walima disidimi juguman, aw bɛ taa kɔrɔtɔko yɔrɔ la min ka surun aw la (ETU) joona.
Take-Home cikan
- Plɔmu bɔli ye opereli ye min bɛ dusukun tantannikɛlan walima ICD minɛn ka nɛgɛw (plɔmuw) bɔ.
- A ka ca a la o bɛ sɔrɔ banakisɛw fɛ, nka a bɛ se ka sɔrɔ fana plɔmu karilen walima a baarakɛbaliya fɛ.
- Nin ye opereli gɛlɛn ye min ka kan ka kɛ dɔgɔtɔrɔ dɔ fɛ min bɛ se kosɛbɛ, o la a nafa ka bon ka furakɛli ɲini dɔgɔtɔrɔ dɔnbaga fɛ walasa ka nɔ ɲuman sɔrɔ.
- Aw bɛ dɔgɔtɔrɔ ka laadilikanw labato opereli kɔfɛ tigitigi.
- Ni gɛlɛya walima haminanko dɔ bɛ aw la, aw kana siran abada ka kuma aw ka dɔgɔtɔrɔ fɛ o ko la.
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