Kodi mumamva ngati mtima wanu ukudumphadumpha kapena kuchita zinthu zachilendo? Kodi mwakhala mukuvutika mwadzidzidzi ndi kukomoka kapena kutaya chikumbumtima? Kwa ambiri, zizindikirozi zimachitika ngakhale popanda kupweteka pachifuwa, ndipo kudziwa chomwe chimayambitsa matendawa kungakhale kovuta kwambiri. Nthawi zambiri, mukapita kwa dokotala, zizindikirozi sizigwira ntchito, zomwe zimapangitsa kuti matenda azivuta. Apa ndi pomwe chipangizo chaching'ono chotchedwa Implantable Loop Recorder (ILR) chimabwera kuti chitithandize kupeza mayankho omwe mukufuna. Ku Nirogi Lanka, tiyeni tiwone momwe ukadaulowu umagwirira ntchito kwa inu.
Kodi Loop Recorder ndi chiyani?
Mwachidule, chida chojambulira kuzungulira ndi chipangizo chaching'ono chomwe chimayikidwa pansi pa khungu la chifuwa chanu. Ntchito yake ndikutsatira kugunda kwa mtima wanu ndi kamvekedwe kake kosalekeza. Taganizirani izi ngati katswiri wofufuza yemwe amayang'anira ntchito zamagetsi za mtima wanu maola 24 pa sabata kwa zaka zitatu. Mosiyana ndi zida zowunikira mtima zomwe zimangowonetsa momwe mtima wanu umagwirira ntchito kwa kanthawi kochepa, chipangizochi chimapereka chidziwitso cha nthawi yayitali.
Chojambulira cha loop chimajambula deta yokhandipo amatumiza kwa dokotala wanu wa mtima. Mwa kuyang'anira mtima wanu kwa nthawi yayitali, zimathandiza kwambiri kuzindikira mayendedwe osakhazikika a mtima, omwe amadziwika kuti Arrhythmias , monga Atrial Fibrillation . Chifukwa ma arrhythmia ena amatha kukhala oopsa ndipo angayambitse mavuto monga sitiroko kapena kuima kwadzidzidzi kwa mtima , kuzindikira msanga ndikuwongolera ndikofunikira.
Mungamvenso chojambulira cha loop chomwe chikutchulidwa ndi mayina awa:
- Chojambulira Chingwe Cholowetsedwa (ILR)
- Chowunikira Mtima Chomwe Chingalowetsedwe (ICM)
Chipangizo chaching'ono ichi chimayikidwa pansi pa khungu kumtunda kumanzere kwa chifuwa chanu.
Kodi chimawoneka bwanji?
Chojambulira cha loop ndi chipangizo chaching'ono kwambiri, chozungulira , chofanana ndi kukula ndi mawonekedwe a chowongolera chaching'ono cha chala chachikulu—chotalika pafupifupi mainchesi 1 mpaka 2. Chimapangidwa ndi chitsulo ndipo chili ndi magetsi amagetsi apamwamba komanso batire yokhalitsa.
Chipangizocho chimayikidwa pansi pa khungu (pansi pa khungu). Ngakhale kuti mungaone mawonekedwe a chipangizocho pansi pa khungu lanu, sichiyenera kukupwetekani kapena kukupangitsani kusasangalala.
Pamodzi ndi chipangizo chomwe chili pachifuwa panu, dokotala wanu adzakupatsani choyatsira chaching'ono chogwiritsidwa ntchito ndi manja . Chipangizochi chimagwirizana ndi choyatsira chanu. Ngati mukumva zizindikiro monga kugunda kwa mtima , mumangodina batani pa choyatsira kuti choyatsira cha loop chilembe zomwe mtima wanu ukuchita panthawiyo.
Kodi imagwira ntchito bwanji kwenikweni?
Chojambulira cha loop chimatsata kugunda kwa mtima wanu ndi kayimbidwe kake. Ngati chazindikira vuto lililonse lamagetsi, chimasunga detayo ndikuisunga yokha . Kenako chidziwitsochi chimatumizidwa kwa dokotala wa mtima wanu kangapo patsiku.
Kuphatikiza apo, ngati mukumva chizindikiro, mutha kugwiritsa ntchito choyatsira chanu chonyamula m'manja kuti muphunzitse chipangizocho kuti chisunge nthawi yeniyeniyo. Chipangizocho chimathanso kuyang'ana mmbuyo mphindi zochepa zapitazo kuti chijambule zomwe mtima wanu unkachita zomwe zisanachitike zizindikiro zanu.
Mwachidule, chipangizochi chimagwira deta yonse pamene mukumva zizindikiro komanso nthawi yomwe simukumva chilichonse koma mtima ukuchita zinthu zachilendo. Kuzindikira kumeneku kumathandiza dokotala wanu kudziwa zomwe zikuchitika ndi mtima wanu komanso momwe zimagwirizanirana ndi zomwe mukumva.
Kodi ndingafunike liti?
Ngati mukumva kugunda kwa mtima pafupipafupi kapena kukomoka (syncope) ndipo mayeso am'mbuyomu alephera kuwonetsa Arrhythmia , chida chojambulira loop chingakhale chidutswa chosowa pa chithunzicho. Chimathandiza dokotala wanu kuzindikira mavuto a kugunda kwa mtima, kusamalira chithandizo, komanso kupewa mavuto oopsa. Chingathandizenso kutsimikizira ngati kukomoka kwanu kapena zizindikiro zina sizikugwirizana ndi mtima wanu.
Madokotala a mtima nthawi zambiri amagwiritsa ntchito chida chojambulira kuzungulira kuti:
- Dziwani chifukwa cha matenda ofooketsa omwe sakudziwika bwino.
- Unikani kugunda kwa mtima kosalekeza komanso kosamveka bwino.
- Yang'anirani momwe mtima wa odwala omwe ali ndi Atrial Fibrillation ( Atrial Fibrillation ) umagwirira ntchito kuti muthandize kuwongolera chithandizo.
- Dziwani mavuto a kugunda kwa mtima ndi kayimbidwe kake mwa akuluakulu omwe ali ndi matenda a mtima obadwa nawo.
- Dziwani kayimbidwe ka mtima kosazolowereka pambuyo pa sitiroko .
- Yesani bradycardia (kugunda pang'onopang'ono kwa mtima) musanasankhe ngati pacemaker yokhazikika ikufunika.
- Yang'anirani momwe magetsi a mtima amagwirira ntchito pambuyo pa matenda a mtima .
Ndani amachita izi?
Chojambulira chanu cha loop chidzaikidwa ndi katswiri wa zamagetsi ( Electrophysiologist ) . Uyu ndi katswiri wa mtima yemwe waphunzitsidwa mwapadera kuti adziwe bwino magetsi a mtima. Muganizireni ngati katswiri wamagetsi wa mtima wanu.
Kodi chimachitika ndi chiyani musanachite opaleshoniyi?
Katswiri wanu wa mtima adzayamba wafufuza ngati chida chojambulira malupu ndi njira yoyenera kwa inu. Adzawunikanso mbiri yanu yonse yachipatala ndikukupimitsani. Muthanso kupemphedwa kuti muyesedwe matenda angapo, monga:
Ngakhale mayesowa atakhala kuti sakuwonetsa vuto lalikulu la mtima, chida chojambulira kuzungulira chingakhale chofunikira ngati mukupitirizabe kukumana ndi zizindikiro monga kukomoka.
Kodi ndiyenera kukonzekera bwanji ndondomekoyi?
Dokotala wanu adzakupatsani malangizo enieni, koma nthawi zambiri, kumbukirani mfundo izi:
- Dokotala wanu adzakambirana za mankhwala omwe mukumwa panopa ndipo angakulangizeni kusintha pang'ono musanagwiritse ntchito mankhwalawa. Musasiye kapena kusintha mankhwala aliwonse pokhapokha ngati dokotala wanu wakuuzani momveka bwino.
- Mudzafunika munthu woti akutengereni kunyumba mukatha opaleshoniyi. Popeza mudzapatsidwa mankhwala ochepetsa ululu, simuyenera kuyendetsa galimoto kapena kugwiritsa ntchito makina kwa maola 24 mutatha opaleshoniyi.
Kodi chojambulira cha loop chimayikidwa bwanji?
Iyi si opaleshoni yaikulu ; nthawi zambiri imakhala opaleshoni yakunja kwa dokotala, zomwe zikutanthauza kuti mutha kupita kunyumba tsiku lomwelo. SimudzafunikaMankhwala Oletsa Kugona . Mudzakhala maso, ngakhale mudzapatsidwa mankhwala okuthandizani kupumula.
Kuti muyike chipangizochi, katswiri wanu wa zamagetsi adzatsatira izi:
1. Adzakupatsani mankhwala ochepetsa ululu kuti akuthandizeni kupumula ndikugwiritsa ntchito mankhwala oletsa ululu kuti muchepetse ululu m'derali, ndikuonetsetsa kuti simukumva kupweteka.
2. Kucheka pang'ono kwambiri (pafupifupi kotala la inchi) kumachitika pakhungu lomwe lili kumanzere kwa chifuwa chanu.
3. Kathumba kakang'ono kamapangidwa pansi pa khungu la chipangizocho.
4. Chojambulira cha loop chimayikidwa m'thumba ili.
5. Chochekacho chimatsekedwa ndi suture kapena guluu wapadera wa opaleshoni.
6. Pomaliza, adzayambitsa chipangizochi poika chida chonga maginito pachifuwa panu.
Njira yachidule iyi nthawi zambiri imatenga mphindi 10 mpaka 15 zokha.
Kodi chimachitika n’chiyani pambuyo pake?
Odwala ambiri amapita kunyumba nthawi yomweyo opaleshoni ikatha ndipo amatha kuyambiranso ntchito zawo za tsiku ndi tsiku. Dokotala wanu adzakupatsani malangizo a momwe mungasamalire malo odulidwawo ndikusunga oyera.
Kusamva bwino kapena kuvulala pang'ono pamalopo ndi kwachibadwa ndipo kuyenera kutha pasanathe masiku angapo. Musanachoke, dokotala wanu adzakuwonetsani zida zomwe mugwiritse ntchito, kuphatikizapo:
- Choyambitsa matenda, chomwe mumayenda nacho kuti mulembe zizindikiro zikachitika.
- Chotumizira chamagetsi cha pambali pa bedi lanu, chomwe chimatumiza deta yokha ku gulu lanu losamalira odwala ku Nirogi Lanka .
Kodi zoopsa zake ndi ziti?
Iyi ndi njira yochepetsera chiopsezo . Komabe, monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, mavuto osowa nthawi zambiri amatha kuchitika, monga:
- Matenda : Ngati malowo agwidwa ndi kachilombo, mungafunike mankhwala opha tizilombo toyambitsa matenda , kapena nthawi zina, chipangizocho chingafunike kusinthidwa.
- Kusamva bwino kwa zinthu zomwe zili mu chipangizocho: Mutha kukhala ndi vuto la kusamva bwino kwa zinthu zomwe zili mu chipangizocho, zomwe zingafunike kugwiritsa ntchito njira ina yowunikira.
- Chizindikiro choipa : Nthawi zina chipangizochi chingakhale chovuta kujambula zizindikiro zamagetsi zomveka bwino, zomwe zingafunike dokotala kusintha malo a chipangizocho.
Kodi izi zingawononge mtima wanga?
Ayi, chida chojambulira ma loop ndi chida chotetezeka kwambiri chomwe sichimaika pachiwopsezo mtima wanu. Sichilamulira kugunda kwa mtima wanu, sichimachititsa mantha, kapena kusokoneza ntchito ya mtima wanu. Chapangidwa kuti chiziyang'anira momwe magetsi a mtima wanu amagwirira ntchito komanso kulemba zolakwika zilizonse.
Kodi ndilandira bwanji zotsatira zake?
Chojambulira chanu cha loop chimatumiza deta kwa dokotala wanu ku Nirogi Lanka. Dokotala wanu adzakudziwitsani nthawi yoti mukonze nthawi yokumana ndi dokotala kuti mukambirane zomwe zapezeka.
Kodi ndifunika chipangizochi kwa nthawi yayitali bwanji?
Mudzavala chipangizochi mpaka dokotala wanu atakhala ndi zambiri zokwanira kuti adziwe matenda molondola. Nthawi imeneyi imasiyana kwa wodwala aliyense. Ngati zotsatira zake zikusonyeza kuti pakufunika pacemaker kapena Implantable Cardioverter Defibrillator (ICD), dokotala wanu adzachotsa loop recorder panthawi ya opaleshoniyo.
Batire yojambulira ma loop imatha pafupifupi zaka zitatu , zomwe zimapangitsa kuti pakhale nthawi yokwanira yojambulira mavuto a kugunda kwa mtima omwe ma monitor a nthawi yochepa sangawapeze.
Kodi muyenera kulankhulana ndi dokotala wanu liti?
Chonde funsani dokotala wanu nthawi yomweyo ngati muwona zizindikiro zotsatirazi pamalo pomwe chipangizo chanu chinayikidwa (malo odulira):
- Kufiira
- Kutupa
- Kutuluka magazi
- Kutuluka kwa mafinya kapena madzi ena aliwonse
Izi zitha kukhala zizindikiro za mavuto omwe amafunikira thandizo lachipatala mwachangu.
Kodi ubwino ndi kuipa kwa Loop Recorder ndi kotani?
Chojambulira cha loop chimapereka maubwino angapo ofunikira:
- Kuyang'anira kwa nthawi yayitali: Chipangizochi chimatha kuyang'anira ndikulemba momwe magetsi a mtima wanu akuyendera kwa zaka zitatu. Ma monitor ena sangafanane ndi nthawi imeneyi. Mwachitsanzo, monitor ya Holter imatsata zochitika kwa maola 24 okha. Ngakhale kuti ma monitor ena amatha pafupifupi milungu iwiri, nthawi imeneyo singakhale yokwanira kujambula kamvekedwe kosasinthasintha komwe kumachitika kamodzi pamwezi. Kafukufuku akuwonetsa kuti njira yayitali iyi ndi yothandiza kwambiri.
- Kujambula zokha: Ngakhale mutaiwala kukanikiza batani mukamva zizindikiro, chipangizochi chimalemba zokha zochitika za mtima zosazolowereka. Chimatha kuzindikira zolakwika ngakhale mutakhala kuti mulibe zizindikiro konse, zomwe zimathandiza kwambiri ngati mukugwa ndipo simukukumbukira zomwe zinachitika. Kafukufuku wina wasonyeza kuti chipangizochi chimatha kuzindikira matenda a mtima omwe sali ndi zizindikiro.
- Zosavuta: Ndi chida chojambulira zinthu, mutha kusamba, kusambira, ndikupitiriza ndi zochita zanu za tsiku ndi tsiku monga mwachizolowezi. Popeza chimakhala mobisa pansi pa khungu lanu, chimabisika kuti chisawonekere ndipo sichimavuta monga zowunikira zina zakunja. Ngati muli ndi moyo wokangalika kapena ntchito yovuta, iyi ndi njira yabwino kwambiri.
Komabe, pali zovuta zingapo zazing'ono zomwe muyenera kuganizira:
- Kufunika kwa opaleshoni yaying'ono: Popeza chipangizocho chiyenera kuyikidwa pansi pa khungu, chimafuna opaleshoni yaying'ono. Ngakhale kuti ndi opaleshoni yaying'ono, opaleshoni iliyonse imakhala ndi zoopsa zina.
- Zotsatira zabodza: Nthawi zina, chipangizochi chingasonyeze zizindikiro za matenda monga atrial fibrillation pamene sichikuchitika kwenikweni. Dokotala wanu nthawi zonse amatsimikiza matendawa kudzera mu mayeso ena.
Kodi pali kusiyana kotani pakati pa Loop Recorder ndi Pacemaker?
Mungadabwe ngati chojambulira cha loop ndi chopangira mtima chothandizira pacemaker ndi zofanana. Ndipotu, ndi zosiyana kwambiri.
Chojambulira cha loop sichimasintha momwe magetsi amagwirira ntchito pamtima panu. Chimagwira ntchito ngati wofufuza chete, kungoyang'ana ndi kujambula kuti awone ngati pali vuto lililonse pa kugunda kwa mtima wanu kapena kayimbidwe kake.
Komabe, chida chothandizira pacemaker ndi chida chogwira ntchito. Ngati kayimbidwe ka mtima wanu kasintha—makamaka ngati kakugunda pang'onopang'ono (bradycardia)—chida chothandizira pacemaker chimathandiza potumiza zizindikiro zazing'ono zamagetsi kumtima wanu kuti zithandize kuwongolera kayimbidwe ka mtima.
Deta yosonkhanitsidwa kuchokera ku chida chojambulira mawondo ingathandize dokotala wanu kudziwa ngati mukufuna chipangizo chothandizira kwa nthawi yayitali monga pacemaker.
Kodi izi zingathandize kuzindikira matenda a mtima?
Chojambulira cha loop sichinapangidwe kuti chizindikire matenda a mtima. Komabe, chingathandize kuzindikira matenda a mtima (arrhythmias) omwe angachitike chifukwa cha matenda a mtima.
Matenda a mtima ndi vuto ladzidzidzi lachipatala. Ngati mukumva kupweteka pachifuwa kapena zizindikiro zina za matenda a mtima, musazengereze. Imbani 911 kapena ogwira ntchito zadzidzidzi akumaloko nthawi yomweyo kapena pitani kuchipatala chapafupi.
Kodi ndingathe kumwa mowa ndi Loop Recorder?
Chonde tsatirani malangizo a dokotala wanu okhudza kumwa mowa ndi zinthu zina zokhudzana ndi moyo. Kafukufuku wina akusonyeza kuti mowa ungayambitse kusayenda bwino kwa kugunda kwa mtima, kaya mumamwa mowa wambiri kapena pang'ono (chakumwa chimodzi kapena ziwiri patsiku).
Kafukufuku pa nkhaniyi akupitirira. Chifukwa chake, ndikofunikira kwambiri kukambirana ndi dokotala wanu momwe mowa ungakhudzire chiopsezo chanu cha matenda a mtima.
Zinthu zomaliza zoti muzikumbukire
Monga mukuonera, Implantable Loop Recorder ndi chida chamtengo wapatali chomwe chimakupatsani inu ndi dokotala wanu wa ku Nirogi Lanka kuti muziyang'anira ntchito za mtima wanu tsiku ndi tsiku. Deta yomwe imapereka imathandiza kuzindikira arrhythmias musanayambe mavuto oopsa, zomwe zimapangitsa kuti chithandizo chichitike mwachangu.
Ndizachibadwa kukhala ndi nkhawa pang'ono ndi opaleshoni yaying'ono, koma kumbukirani kuti iyi ndi njira yochepetsera chiopsezo. Lankhulani ndi dokotala wanu za mafunso kapena mantha omwe muli nawo; alipo kuti akupatseni mtendere wamumtima ndikukufotokozerani momveka bwino. Khalani olimbikitsidwa ndi mfundo yakuti ukadaulo ngati uwu ukukuthandizani kukhala ndi thanzi la mtima wanu!
👩🏽⚕️ Mafunso Ofunsidwa Kawirikawiri (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi Loop Recorder ndi chiyani kwenikweni?
Ndi chipangizo chaching'ono, chaching'ono kuposa cholembera wamba, chomwe chimayikidwa pansi pa khungu la chifuwa chanu kudzera mu njira yaying'ono, yosavulaza kwambiri. Cholinga chake chachikulu ndikuwunika ndikulemba nthawi zonse kayendedwe ka magetsi a mtima wanu kwa zaka zitatu.
💬 N’chifukwa chiyani chipangizochi chikundilimbikitsa?
Nthawi zambiri timalimbikitsa chida chojambulira kuzungulira kuti chizindikire kusakhazikika kwa kugunda kwa mtima (arrhythmias) kapena kukomoka kosaneneka (syncope) komwe sikungathe kujambulidwa ndi ECG yokhazikika kapena mayeso a Holter monitor a maola 24. Chimatipatsa deta yanthawi yayitali yofunikira kuti tipeze matenda olondola.
💬 Kodi ndingapimidwebe ndi MRI scan ndi chipangizochi?
Chipangizocho chikayikidwa, mutha kuchita ntchito zanu za tsiku ndi tsiku, kuphatikizapo kusamba ndi kuchita masewera olimbitsa thupi, motsimikiza. Komabe, popeza ndi choyikamo chachipatala, muyenera kudziwitsa dokotala wanu kapena gulu la akatswiri a radiology kuti muli ndi chojambulira cha loop musanachite opaleshoni iliyonse ya MRI kuti muwonetsetse kuti ndinu otetezeka.
Nirogi Lanka Tags: Kuthamanga kwa Mtima, Chojambulira Loop, Arrhythmia, Matenda a Mtima, Kuwunika Mtima, Thanzi, Zipangizo Zachipatala
