Yu ɔ pɔsin we yu sabi dɔn put pesmɛka ɔ implantable cardioverter defibrillator (ICD) insay? If na so, yu go mɔs dɔn yɛri bɔt di waya dɛn, we dɛn kɔl ‘lid.’ Sɔntɛnde, if prɔblɛm de wit dis lid, dɛn fɔ ɔpreshɔn am. Dis na wetin dɔktɔ dɛn kɔl ‘lid ɛkstrakshɔn.’ We yu yɛri dis nem, i kin mek yu fred smɔl. Bɔt nɔ wɔri, wi go tɔk bɔt am simpul ɛn klia wan tide.
Mek wi si fos, wetin bi ‘Lead’?
Fɔ tɔk am simpul wan, lid na spɛshal waya we nɔ gɛt wata ɛn we de kɛr ilɛktrik signal frɔm yu pesmɛka ɔ ICD (Implantable Cardioverter-Defibrillator) divays to yu at. I tan lɛk waya we de kɛr kɔrɛnt go na layt na wi os.
We yu at ritm nɔ de rigul (Arrhythmia), na dis lid de no am ɛn sɛn di kɔrɛkt ilɛktrik signal to di at fɔ ɛp fɔ mek di ritm kam bak. Bɔku tɛm, wan, tu, ɔ ivin tri pan dɛn kayn lid dɛn de kin de, i kin dipen pan di divays we dɛn put na pɔsin in chɛst. dis dεm de kכnekt to di rayt say na di at along wan bכdi vεsεl (vein).
Wetin mek i nid fɔ pul dis lid?
Bɔku rizin dɛn kin de fɔ pul wan lid. Bɔt bɔku tɛm di men rizin na infekshɔn. Imajin, if wan jem go insay di bכdi (Bacteremia), dat infεkshכn kin travul along dis lid εn ivin infεkt di at valv dεm (Infective Endocarditis). If na so i bi, dɛn fɔ pul di divays ɛn di lid.
Di tin we impɔtant pas ɔl na dat i rili denja fɔ lɛf infɛkshɔn lɛk dis we dɛn nɔ trit. So, if di dɔktɔ advays am, i rili impɔtant fɔ pul dɛn tin ya.
Apat frɔm di infɛkshɔn, dɛn kin nid fɔ pul wan lid fɔ sɔm ɔda rizin dɛn.
| Rizin | Simpul ɛksplen |
|---|---|
| Lid brok ɔ nɔ de wok fayn | Tin dɛn lɛk we di wan we mek am brok, brok, ɔ kɔl bak, insay ɔ ausayd di lid. |
| Obstrukshɔn dɛn we di ska tisu kin mek | As tɛm de go, bɔku skata tisu kin gɛda rawnd di tip pan di lid. Dɔn di ilɛktrik signal we de kɔmɔt na di divays nɔ de go na di at fayn. Wi kɔl dis wan ɛkzit blɔk . |
| Blɔd vesel dɛn we de blok | Blɔd klɔt ɔ ska tisu kin fɔm rawnd di lid, we kin mek blɔd nɔ flɔ tru am. |
| Aritmia we di lid insɛf kin mek | Sɔntɛnde, wan lid kin ambɔg di ritm na di at ɛn mek di at bit nɔ de bit ɔltɛm. |
Aw dɛn kin du dis prɔsidyu?
Dis kin kɔmplikt smɔl ɛn na dɔktɔ we gɛt bɔku ɛkspiriɛns fɔ du am. biכs afta sכm tεm, di lid kin tay fayn fayn wan na di bכdi bכdi bikoz fכ di ska tisu we de fכm rawnd am. So, dɛn nid fɔ pul am bay we dɛn de yuz spɛshal tin dɛn fɔ mek i nɔ pwɛl di blɔd vesel.
Dɛn kin du dis ɔpreshɔn ɔnda jenɛral anestezi , we min se yu nɔ go fil natin, yu go de slip.
1. di dכkta de mek sכm sכm sכm כnda di kכlabon (klavikul) כ na di groin εria (nia di fεmoral atεri) εn i de go insay di bכdi vεsεl.
2. Dɔn, dɛn kin pas wan spɛshal tiub (sheath) along dis blɔd vesel to di say we di lid de.
3. Di dɔktɔ de gayd dis tiub kɔrɛkt wan along di lid we i de luk spɛshal skrin (fluoroscopy) lɛk ɛkstrem rayt.
4. we yu yuz di instrכmεnt dεm we de na di tכp pan dis tכb, di ska tisu we de rawnd di lid de brok sכmtεm, we de fri di lid.
5. Sɔntɛnde dɛn kin ivin yuz lɛsa tɛknɔlɔji fɔ sɔlv dis ska tisu.
6. We di lid dɔn fri ɔl, dɛn kin tek tɛm pul am, lɔk di say we dɛn kɔt am, ɛn put bandej pan am.
Ustɛm dɛn go post nyu lida?
I dipen pan di rizin we mek dɛn pul di lid. If dɛn pul am bikɔs ɔf infekshɔn, yu go nid fɔ wet fɔs te di infekshɔn wɛl ɔl. Na da tɛm de nɔmɔ dɛn go instɔl nyu lida ɛn divays. Fɔ ɔda rizin dɛn, dɛn kin put nyu wan we dɛn de du di ɔpreshɔn fɔ pul di lid. Yu dɔktɔ go ɛksplen dis to yu.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Lɛk ɛni ɔpreshɔn, dis wan gɛt bɛnifit dɛn ɛn sɔm prɔblɛm dɛn bak.
| ✅ Di bɛnifit dɛn we pɔsin kin gɛt | ⚠️ Risk dɛn |
|---|---|
| Fɔ ebul fɔ mɛn wan infɛkshɔn if i bin de. | Kɔmplikɛshɔn dɛn we kin kam bikɔs ɔf anestezi. |
| If yu riples wan lid we dɔn brok ɔ we nɔ de wok fayn wit nyu wan, dat go mek di divays wok fayn bak. | Di lid kin brok we dɛn pul am. |
| Dɛn kin pul di blɔd vesel dɛn we dɔn blo ɛn di blɔd kin go bak. | Damej to wan blɔd vesel ɔ at. |
| Rilif frɔm aritmia we di lid kin mek. | Blɔd we de kɔmɔt pasmak ɛn transfyushɔn. |
Us tɛm yu nid fɔ tɔk to di dɔktɔ?
We yu go na os afta dɛn dɔn du yu ɔpreshɔn, sɔm tin dɛn de we yu fɔ no bɔt. If yu gɛt ɛni wan pan dɛn sik ya, nɔ west tɛm ɛn kɔl yu dɔktɔ wantɛm wantɛm.
- If i nɔ izi fɔ yu fɔ blo .
- If yu gɛt fiva we pas 101 digri F (101°F) .
- Swel na di say we dɛn du di ɔpreshɔn, we nɔ kɔmɔn fɔ kɔmɔt na wata lɛk blɔd ɔ pus.
- Di finga ɔ fut finga dɛn kin swel.
Mɛmba se if yu gɛt imejensi, lɛk fɔ mek yu nɔ ebul fɔ blo ɔ yu de fil pen bad bad wan na yu chɛst, go na di Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- Lead Extraction na ɔspitul we dɛn kin pul di waya (lid) dɛn na wan pesmɛka ɔ ICD divays.
- Dis kin bi mɔs pan infekshɔn, bɔt i kin bi bak bikɔs lid brok ɔr nɔr de wok fayn.
- Dis na kɔmpleks ɔpreshɔn we dɔktɔ we gɛt bɔku ɛkspiriɛns fɔ du am, so i impɔtant fɔ go to dɔktɔ we gɛt ɛkspiriɛns fɔ mek yu gɛt di bɛst rizɔlt.
- Fɔ fala di dɔktɔ in instrɔkshɔn dɛn jɔs afta di ɔpreshɔn.
- If yu gɛt ɛni prɔblɛm ɔ tin we de mɔna yu, nɔ ɛva fred fɔ tɔk to yu dɔktɔ bɔt am.
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