Koj lossis ib tug neeg koj paub puas tau muaj lub tshuab ua pacemaker lossis lub tshuab ua kom lub plawv dhia ceev (ICD) uas koj muab cog rau hauv koj lub cev? Yog tias muaj, tej zaum koj twb tau hnov txog cov xov hlau, hu ua 'cov hlau txuas'. Qee zaum, yog tias muaj teeb meem nrog cov hlau txuas no, nws yuav tsum tau phais tshem tawm. Qhov no yog qhov uas cov kws kho mob hu ua 'kev rho cov hlau txuas tawm.' Hnov lub npe no tuaj yeem ua rau ntshai me ntsis. Tab sis tsis txhob txhawj, peb yuav tham txog nws yooj yim thiab meej hnub no.
Cia peb xub saib, 'Lead' yog dab tsi?
Hais yooj yim xwb, ib txoj hlua yog ib txoj hlua tshwj xeeb, uas muaj rwb thaiv tsev uas nqa cov teeb liab hluav taws xob los ntawm koj lub tshuab pacemaker lossis ICD (Implantable Cardioverter-Defibrillator) mus rau koj lub plawv. Nws zoo li ib txoj hlua uas nqa hluav taws xob mus rau lub teeb hauv peb lub tsev.
Thaum koj lub plawv dhia tsis xwm yeem (Arrhythmia), nws yog cov hlau no uas paub nws thiab xa cov teeb liab hluav taws xob kom raug mus rau lub plawv kom pab rov qab ua kom lub plawv dhia zoo li qub. Feem ntau, yuav muaj ib, ob, lossis peb cov hlau zoo li no, nyob ntawm seb lub cuab yeej twg tau teeb tsa rau hauv lub hauv siab ntawm tus neeg. Cov no txuas rau sab xis ntawm lub plawv raws li cov hlab ntsha (vein).
Vim li cas thiaj li yuav tsum tau rho tawm cov hlau no?
Muaj ntau yam ua rau tshem cov hlau lead. Tab sis feem ntau qhov laj thawj tseem ceeb yog kev kis kab mob. Xav txog, yog tias cov kab mob nkag mus rau hauv cov ntshav (Bacteremia), qhov kev kis kab mob ntawd tuaj yeem mus ncig raws cov hlau lead no thiab txawm tias kis mus rau lub plawv (Infective Endocarditis). Hauv qhov xwm txheej zoo li no, lub cuab yeej thiab cov hlau lead yuav tsum tau tshem tawm.
Qhov tseem ceeb tshaj plaws yog tias nws yog ib qho txaus ntshai heev uas tsis kho tus kab mob zoo li no. Yog li ntawd, yog tias tus kws kho mob qhia, nws yog ib qho tseem ceeb uas yuav tsum tshem tawm cov no.
Ntxiv rau kev kis kab mob, tej zaum yuav tsum tau tshem tawm cov hlau lead vim ntau lwm yam.
| Vim li cas | Piav qhia yooj yim |
|---|---|
| Kev tawg ntawm cov hlau lead lossis kev ua haujlwm tsis zoo | Tej yam zoo li kev tawg, kev tawg, lossis kev rov qab los ntawm tus neeg tsim khoom, tsis hais sab hauv lossis sab nraud ntawm cov hlau lead. |
| Cov teeb meem uas ua rau muaj cov qhov txhab ntawm cov hlab ntsha | Raws li lub sijhawm dhau mus, ntau cov nqaij caws pliav yuav tsim nyob ib puag ncig lub hau ntawm cov hlau lead. Tom qab ntawd lub teeb liab hluav taws xob los ntawm lub cuab yeej tsis mus rau lub plawv kom raug. Peb hu qhov no ua qhov thaiv tawm . |
| Kev thaiv cov hlab ntsha | Tej zaum yuav muaj cov ntshav txhaws lossis cov nqaij caws pliav nyob ib puag ncig cov hlau txhuas, ua rau cov ntshav ntws tsis tau. |
| Arrhythmia tshwm sim los ntawm cov hlau lead nws tus kheej | Muaj qee kis tsis tshua muaj, cov hlau txhuas tuaj yeem cuam tshuam lub plawv dhia thiab ua rau lub plawv dhia tsis xwm yeem. |
Cov txheej txheem no ua li cas?
Qhov no nyuaj me ntsis thiab yuav tsum tau ua los ntawm tus kws kho mob uas muaj kev paub dhau los. Vim tias tom qab ib pliag, cov hlau txhuas tuaj yeem lo rau ntawm cov hlab ntsha vim yog cov nqaij caws pliav uas tsim nyob ib puag ncig nws. Yog li ntawd, nws yuav tsum tau tshem tawm siv cov khoom siv tshwj xeeb kom tsis txhob ua rau cov hlab ntsha puas tsuaj.
Qhov kev phais no yog ua nyob rau hauv qab kev siv tshuaj loog dav dav , uas txhais tau tias koj yuav tsis hnov dab tsi, koj yuav tsaug zog.
1. Tus kws kho mob ua ib qho kev phais me me hauv qab pob txha caj dab (clavicle) lossis hauv thaj tsam ntawm lub puab tais (nyob ze ntawm cov hlab ntsha femoral) thiab nkag mus rau hauv cov hlab ntsha.
2. Tom qab ntawd, ib lub raj tshwj xeeb (lub plhaub) raug xa mus raws cov hlab ntsha no mus rau qhov chaw uas cov hlau lead nyob.
3. Tus kws kho mob coj lub raj no raws txoj hlua thaum saib ntawm lub vijtsam tshwj xeeb (fluoroscopy) zoo li X-ray.
4. Siv cov cuab yeej ntawm lub hau ntawm lub raj no, cov nqaij caws pliav nyob ib puag ncig cov hlau lead maj mam tawg ua tej daim me me, thiab ua rau cov hlau lead dawb.
5. Qee zaum cov thev naus laus zis laser txawm siv los yaj cov nqaij caws pliav no.
6. Thaum cov hlau txhuas raug tshem tawm tag, nws yuav raug tshem tawm kom zoo, kaw qhov phais, thiab muab ib daim ntaub qhwv rau.
Thaum twg yuav muaj tus thawj coj tshiab?
Nws nyob ntawm seb yog vim li cas ho muab cov hlau lead tshem tawm. Yog tias nws raug tshem tawm vim muaj kev kis kab mob, koj yuav tsum tos kom txog thaum qhov kev kis kab mob zoo tag nrho. Tsuas yog tom qab ntawd thiaj li yuav muaj cov hlau lead tshiab thiab cov khoom siv tshiab. Vim lwm yam laj thawj, yuav muaj ib qho tshiab raug ntsia thaum lub sijhawm phais kom tshem cov hlau lead. Koj tus kws kho mob yuav piav qhia qhov no rau koj.
Cov txiaj ntsig thiab kev pheej hmoo ntawm kev phais mob no yog dab tsi?
Ib yam li lwm yam kev phais mob, qhov no muaj cov txiaj ntsig zoo thiab qee qhov kev pheej hmoo.
| ✅ Cov txiaj ntsig | ⚠️ Kev Pheej Hmoo |
|---|---|
| Muaj peev xwm kho tau tus kab mob yog tias muaj. | Cov teeb meem vim yog tshuaj loog. |
| Hloov ib txoj hlua uas tawg lawm los yog ua haujlwm tsis zoo nrog ib txoj tshiab yuav ua rau lub cuab yeej rov qab ua haujlwm tau zoo. | Cov hlau lead tawg thaum nws raug tshem tawm. |
| Cov hlab ntsha uas txhaws raug tshem tawm thiab cov ntshav ncig rov qab zoo li qub. | Kev puas tsuaj rau cov hlab ntsha lossis lub plawv. |
| Kev pab los ntawm arrhythmias los ntawm cov hlau lead. | Kev los ntshav ntau dhau thiab kev hloov ntshav. |
Koj yuav tsum tau mus nrog kws kho mob tham thaum twg?
Thaum koj mus tsev tom qab phais lawm, muaj ob peb yam uas koj yuav tsum paub txog. Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, tsis txhob nkim sijhawm thiab hu rau koj tus kws kho mob tam sim ntawd.
- Yog koj ua pa nyuaj .
- Yog tias koj kub taub hau tshaj 101 degrees Fahrenheit (101°F) .
- Qhov chaw phais mob o, cov kua dej tawm txawv txawv xws li ntshav lossis kua qaub ncaug.
- Cov ntiv tes lossis cov ntiv taw o.
Nco ntsoov, yog tias koj muaj xwm txheej ceev, xws li ua pa nyuaj lossis mob hauv siab hnyav, mus rau Chav Kho Mob Ceev (ETU) ze tshaj plaws tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev rho cov hlau lead yog ib txoj kev phais uas tshem cov xov hlau (cov hlau lead) ntawm lub tshuab pacemaker lossis ICD.
- Qhov no feem ntau yog los ntawm kev kis kab mob, tab sis kuj tuaj yeem yog los ntawm kev tawg lossis kev ua haujlwm tsis zoo.
- Qhov no yog ib qho kev phais mob nyuaj uas yuav tsum tau ua los ntawm tus kws kho mob uas muaj kev paub dhau los, yog li nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev kho mob los ntawm tus kws kho mob uas muaj kev paub dhau los kom tau txais txiaj ntsig zoo tshaj plaws.
- Ua raws li tus kws kho mob cov lus qhia tom qab phais tas.
- Yog koj muaj teeb meem lossis kev txhawj xeeb, tsis txhob ntshai tham nrog koj tus kws kho mob txog qhov ntawd.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus