Tiyeni tiphunzire za chida chaching'ono chomwe chimawunika mobisa kayendedwe ka mtima wanu! (Loop Recorder)?

Kodi nthawi zina mumamva chinthu chachilendo pakugunda kwa mtima wanu? Kapena nthawi zina mumataya mwadzidzidzi chidziwitso? Anthu ena amatha kukhala ndi zinthuzi popanda kupweteka pachifuwa. Kupeza chomwe chimayambitsa zinthuzi nthawi zina kumakhala kovuta pang'ono. Chifukwa mukapita kwa dokotala, simungawonetse zizindikirozo nthawi yomweyo. Pamenepo ndi pomwe chipangizochi chomwe ndikulankhula, chomwe chimatchedwa Loop Recorder, chingatithandize. Tiyeni tikambirane za izi mwatsatanetsatane, chabwino?

Kodi Loop Recorder ndi chiyani?

Mwachidule, Loop Recorder ndi kachipangizo kakang'ono komwe kamayikidwa pansi pa khungu la chifuwa chanu. Kamakhala ndi chidziwitso chokhudza kugunda kwa mtima wanu ndi kamvekedwe kake. Taganizirani ngati katswiri wofufuza yemwe amatha kuyang'anira momwe mtima wanu umagwirira ntchito maola 24 patsiku, mpaka zaka zitatu. Palinso ena owunikira mtima omwe amangoyang'ana mtima wanu kwa kanthawi kochepa. Koma ichi ndi chosiyana.

Chojambulira cha Loop ichi chimalemba deta yokha ndikutumiza kwa dokotala wanu wa mtima. Kuwunika kosalekeza kungathandize kuzindikira zolakwika mu kayimbidwe ka mtima, kotchedwa arrhythmias , monga atrial fibrillation . Nthawi zina arrhythmias izi zimakhala zoopsa. Zingayambitse mavuto monga sitiroko kapena kuima kwa mtima mwadzidzidzi . Ndicho chifukwa chake ndikofunikira kuzindikira ndi kuchiza mwachangu.

Chojambulira cha Loop ichi chimatchedwanso:

• Chojambulira Chingwe Cholowetsedwa (ILR)
• Chowunikira Mtima Chomwe Chingalowetsedwe (ICM)

Chipangizo chaching'ono ichi chimayikidwa pansi pa khungu kumtunda kumanzere kwa chifuwa chanu.

Kodi izi zikuwoneka bwanji?

Chojambulira cha Loop ichi ndi chipangizo chaching'ono kwambiri, chooneka ngati sikweya . Chili ngati cholembera chaching'ono chomwe mumagwiritsa ntchito. Chili ndi kutalika kwa mainchesi 1-2. Chimapangidwa ndi chitsulo, chili ndi magetsi ang'onoang'ono mkati, komanso batire yokhalitsa.

Chipangizochi chimayikidwa pansi pa khungu. Simungathe kuwona mawonekedwe ake pansi pa khungu, koma simudzamva kupweteka kapena kusasangalala kulikonse.

Pamodzi ndi chipangizochi chomwe chili pachifuwa panu, dokotala wanu adzakupatsani choyambitsa chaching'ono chomwe mungachigwire m'dzanja lanu . Ichi chikugwirizana ndi chipangizocho. Chidzakupatsani kugunda kwa mtima.Ngati mukumva zizindikiro monga kugunda kwa mtima, chomwe muyenera kuchita ndikudina batani pa activator iyi. Kenako Loop Recorder idzalemba zomwe mtima wanu ukuchita panthawiyo.

Kodi kwenikweni chidzachitika ndi chiyani kuchokera pa izi?

Loop Recorder imayang'anira kugunda kwa mtima wanu ndi kayimbidwe kake. Ngati pali vuto lililonse lamagetsi, imazilemba zokha ndikusunga detayo mu memori (monga memory chip). Deta iyi imatumizidwa kwa dokotala wa mtima wanu kangapo patsiku.

Komanso, ngati mukumva zizindikiro zilizonse, mutha kuuza chipangizochi kuti "chijambule tsopano" ndi choyambitsa m'manja mwanu. Tangoganizirani, ngakhale mutakhala ndi zizindikirozo ndipo zitatha, chipangizochi chingabwererenso ndikulemba momwe mtima wa munthu ukugwirira ntchito mphindi zochepa zapitazi.

Kotero, chipangizochi chimatha kujambula zochitika zilizonse zachilendo, kaya muli ndi zizindikiro kapena ayi, ngakhale simukumva chilichonse. Ndi deta iyi, dokotala wanu amatha kuwona mtundu wa zochitika zachilendo zomwe mtima wanu ukuchita komanso zizindikiro zomwe zimayambitsa.

Kodi ndingafunike liti chinthu chonga ichi?

Ngati mumakhala ndi kugunda kwa mtima pafupipafupi kapena kukomoka kwa mtima, koma mayeso am'mbuyomu sanapeze vuto lililonse la kugunda kwa mtima ( arrhythmias ), mungafunike chida chojambulira kuzungulira. Izi zingathandize dokotala wanu kuzindikira ndikuchiza kugunda kwa mtima kosazolowereka, kupewa mavuto oopsa. Zingathandizenso kuonetsetsa kuti kukomoka kwanu kapena zizindikiro zina sizimayambitsidwa ndi vuto la mtima.

Nazi zina mwa njira zazikulu zomwe madokotala a mtima amagwiritsa ntchito polemba ma Loop Recorders:

• Pezani chifukwa chongokomoka kapena kugwa popanda chifukwa chomveka.
• Unikani kugunda kwa mtima kosalekeza komanso kosamveka bwino.
• Yang'anirani momwe mtima umagwirira ntchito mwa anthu omwe ali ndi vuto la atrial fibrillation (nthawi zambiri kuti muthandize kuwongolera chithandizo).
• Dziwani mavuto a kugunda kwa mtima ndi kugunda kwa mtima mwa akuluakulu omwe ali ndi matenda a mtima obadwa nawo.
• Dziwani mayendedwe a mtima osazolowereka omwe amachitika pambuyo pa sitiroko .
• Musanaike pacemaker yokhazikika, yang'anani anthu omwe ali ndi kugunda kwa mtima pang'onopang'ono (bradycardia).
• Matenda amtimaYang'anirani momwe magetsi a mtima amagwirira ntchito mukamaliza kuchita chilichonse.

Ndani akuchita ndondomeko yokhazikitsa?

Chojambulira cha loop chimayikidwa kwa inu ndi katswiri wa zamagetsi . Iye ndi katswiri wa mtima, koma waphunzitsidwa mwapadera za magetsi a mtima wanu. Taganizirani ngati katswiri wamagetsi wa mtima.

Kodi chimachitika ndi chiyani izi zisanakonzedwe?

Katswiri wanu wa mtima adzayamba waona ngati chida chojambulira matenda a mtima chili choyenera kwa inu. Iye adzaunikanso mbiri yanu yonse yachipatala ndikukuyesani thupi. Akhozanso kuyitanitsa mayeso ena angapo, monga:

• Electrocardiogram ( ECG /EKG)
• Echocardiogram
• Mayeso Olimbitsa Thupi
• Mayeso a Tebulo Lopendekeka

Ngakhale mayesowa atakhala kuti sakuwonetsa mavuto aakulu a mtima, ngati mukupitirizabe kukhala ndi zizindikiro monga kukomoka, mungafunike chida chojambulira kuzungulira.

Kodi ndingakonzekere bwanji izi?

Dokotala wanu adzakuuzani momwe mungakonzekere. Kawirikawiri, kumbukirani zinthu izi:

• Dokotala wanu angakufunseni za mankhwala omwe mukumwa ndipo angakulangizeni kuti musinthe zina musanagwiritse ntchito implant. Musasiye kapena kusintha mankhwala aliwonse pokhapokha ngati dokotala wanu wakuuzani.
• Mudzafunika wina woti akuyendetseni kunyumba mukamaliza izi. Izi zili choncho chifukwa mudzapatsidwa mankhwala oti akupangitseni kumva chizungulire pang'ono, ndipo sikoyenera kuyendetsa galimoto kwa maola 24 pambuyo pake.

Kodi mungayike bwanji chojambulira cha loop?

Iyi si opaleshoni yaikulu , ndipo nthawi zambiri ndi njira yopitira kuchipatala komwe mungapite kunyumba tsiku lomwelo popanda kukhala m'chipatala. Simudzagonekedwa ( anesthesia ). Mudzakhala maso, koma mudzapatsidwa mankhwala okuthandizani kupumula.

Ikani chojambulira cha kuzungulira, ndipo katswiri wa zamagetsi adzachita izi:

1. Mudzapatsidwa mankhwala oti akupumulireni komanso mankhwala oletsa ululu omwe angathandize kuti malowo asamveke bwino. Mukatero simudzamva kupweteka kulikonse.

2. Kucheka pang'ono kwambiri kudzachitika pakhungu kumanzere kwa chifuwa chanu. Kucheka kumeneku kungakhale kochepa ngati kotala la inchi.

3. Pansi pa khungu pamakhala thumba laling'ono loti ligwire chipangizocho.

4. Kenako ikani chojambulira cha kuzungulira mkati mwa malo amenewo.

5. Chodula pakhungu chimatsekedwa ndi zosokera kapena guluu wapadera wa opaleshoni.

6. Pomaliza, mumayambitsa chipangizochi mwa kugwira chinthu chonga maginito pachifuwa chanu.

Njira yaying'ono iyi imatenga pafupifupi mphindi 10 mpaka 15 .

Kodi chimachitika n’chiyani kenako?

Anthu ambiri amapita kunyumba nthawi yomweyo akamaliza izi ndipo amatha kuchita ntchito zawo za tsiku ndi tsiku. Dokotala wanu adzakuuzani momwe mungasamalire bala kunyumba komanso momwe mungalisamalire kukhala loyera.

Pakhoza kukhala kupweteka pang'ono mozungulira bala, ndipo lingawoneke ngati labuluu. Izi ndi zachilendo, ndipo kusasangalalako kumatha pakatha masiku angapo.

Musanapite kunyumba, dokotala adzakuonetsani momwe mungagwiritsire ntchito zinthu zina zomwe zimagwira ntchito ndi chipangizochi. Izi ndi izi:

• Choyambitsa chomwe mumagwira m'manja mwanu ndi batani loti musindikize mukakhala ndi chizindikiro.
• Chotumizira chamagetsi chomwe mumasunga pafupi ndi bedi lanu. Ichi ndi chomwe chimatumiza deta kwa dokotala wanu nthawi zonse.

Kodi zoopsa zake ndi ziti?

Iyi ndi njira yochepetsera chiopsezo , koma mwa anthu ochepa kwambiri, zotsatirazi zingachitike:

• Matenda : Ngati matenda ayamba pamalo pomwe chipangizocho chili, maantibayotiki angafunike. Nthawi zina, chipangizocho chingafunike kusunthidwa kupita kwina pachifuwa.
• Matenda a ziwengo : Mutha kukhala ndi ziwengo ku chinthu chomwe chili mu chipangizocho. Ngati izi zitachitika, mungafunike kugwiritsa ntchito chipangizo china chowunikira.
• Chizindikiro choipa : Nthawi zina, chipangizocho sichingathe kunyamula bwino zizindikiro zamagetsi zochokera mumtima. Zikatero , dokotala angafunike kusamutsa chipangizocho pamalo ena pachifuwa.

Kodi izi zingawononge mtima?

Ayi, Loop Recorder ndi chipangizo chotetezeka kwambiri , sichidzavulaza mtima wanu mwanjira iliyonse. Sichidzasintha liwiro la kugunda kwa mtima wanu, kukupangitsani kugwedezeka, kapena kuchita chilichonse chomwe chingakhudze ntchito ya mtima wanu. Chimangoyang'anira momwe magetsi a mtima wanu amagwirira ntchito komanso kulemba zolakwika zilizonse.

Kodi ndingadziwe bwanji zotsatira zake?

Loop Recorder yanu idzatumiza deta yanu kwa dokotala wanu , yemwe adzakudziwitsani nthawi yomwe muyenera kubweranso kudzakambirana za zotsatira zake.

Kodi izi ziyenera kusungidwa kwa nthawi yayitali bwanji?

Muyenera kusunga chipangizochi pamalo ake mpaka dokotala wanu atapeza matenda. Nthawi imeneyi imasiyana malinga ndi munthu. Ngati zotsatira zake zikusonyeza kuti mukufuna pacemaker kapena implantable cardioverter defibrillator (ICD), dokotala wanu adzachotsa loop recorder chipangizo chatsopanocho chikayikidwa.

Batire yomwe ili mu ma loop recorder awa imatenga pafupifupi zaka zitatu , kotero pali nthawi yokwanira yodziwira nyimbo zachilendo zomwe zingachitike kamodzi pamwezi kapena kangapo pachaka, zomwe ma monitor a nthawi yochepa sangamvetse.

Kodi ndiyenera kuyimbira dokotala liti?

Imbani dokotala wanu nthawi yomweyo ngati muli ndi zizindikiro izi pamalo omwe mwaduladula:

• Ngati ikhala yofiira
• Ngati kutupa
• Ngati pali kutuluka magazi
• Ngati pali mafinya kapena madzi ena akutuluka

Izi zitha kukhala zizindikiro za vuto lomwe limafuna chithandizo chachangu.

Kodi ubwino ndi kuipa kwa chida chojambulira mawu cha loop ndi kotani?

Pali ubwino wambiri wa chida chojambulira mawu cha loop. Izi ndi izi:

• Kuyang'anira kwa nthawi yayitali : Izi zimatha kujambula momwe mtima umagwirira ntchito kwa zaka zitatu. Ma monitor ena sachita izi kwa nthawi yayitali. Mwachitsanzo, monitor ya Holter imalemba zochitika kwa maola 24 okha. Palinso ma monitor omwe angagwiritsidwe ntchito kwa milungu iwiri. Izi ndi zofunika, koma sizingakhale zokwanira kuti munthu amvetse bwino momwe mtima umagwirira ntchito kamodzi pamwezi. Kafukufuku wasonyeza kuti kuyang'anira kwa nthawi yayitali kumeneku ndi mwayi waukulu.
• Kujambula zokha : Ngakhale mutayiwala kukanikiza batani mukakhala ndi zizindikiro, izi zimalemba zokha zochitika za mtima zosazolowereka. Izi zimatha kuzindikira zolakwika ngakhale mutakhala kuti mulibe zizindikiro. Izi ndizothandiza ngakhale mutakomoka ndipo simukukumbukira. Kafukufuku wina wasonyeza kuti chipangizochi chimatha kuzindikira milandu yopanda zizindikiro ya atrial fibrillation.
• Zosavuta : Ndi Loop Recorder, mutha kusamba, kusambira, ndikuchita zinthu zanu zatsiku ndi tsiku monga mwachizolowezi. Zimabisika pansi pa zovala zanu, kotero palibe amene angazindikire. Sizosokoneza monga momwe zimakhalira ndi ma monitor ena. Izi ndizothandiza kwambiri ngati muli ndi ntchito yogwira ntchito kapena moyo wochita zinthu zolimbitsa thupi.

Koma pakhoza kukhala zovuta zingapo zazing'ono:

• Kufunika kwa opaleshoni yaying'ono : Chipangizochi chiyenera kuikidwa pansi pa khungu, kotero opaleshoni yaying'ono imafunika. Ngakhale itakhala njira yaying'ono kwambiri, pali chiopsezo chochepa ndi opaleshoni iliyonse.
• Zabwino zabodza: Nthawi zina, zingakupangitseni kuoneka ngati muli ndi matenda a atrial fibrillation pamene inu mulibe. Koma dokotala wanu adzafunika kuchita mayeso ena kuti atsimikizire matendawa.

Kodi pali kusiyana kotani pakati pa Loop Recorder ndi Pacemaker?

Tsopano mwina mukudabwa, kodi Loop Recorder iyi ndi Pacemaker yomwe imayikidwa mumtima ndi chinthu chimodzi? Ayi, ndi zosiyana pang'ono.

Chojambulira cha loop sichisintha ntchito yamagetsi ya mtima wanu. Chimangoyang'ana ndi kujambula ngati pali china chilichonse chachilendo mu kayimbidwe kapena liwiro la kugunda kwa mtima wanu. Zili ngati wofufuza.

Koma chida chothandizira pacemaker ndi chipangizo chomwe chimathandiza kukonza kayimbidwe ka mtima kosazolowereka, makamaka pamene kakugunda pang'onopang'ono kwambiri (bradycardia). Chimatumiza zizindikiro zazing'ono zamagetsi kumtima, ndikuuza kuti ugwire motere.

Chidziwitso chochokera ku Loop Recorder chingasonyeze kuti mukufunikira chithandizo cha nthawi yayitali ndi chipangizo chokhazikika, monga pacemaker.

Kodi izi zingathandize kuzindikira matenda a mtima?

Chojambulira cha Loop sichinapangidwe kuti chizindikire matenda a mtima. Komabe, chimatha kuzindikira matenda a arrhythmia, omwe ndi mavuto a matenda a mtima.

Matenda a mtima ndi vuto ladzidzidzi lachipatala. Ngati mukumva kupweteka pachifuwa kapena zizindikiro zina za matenda a mtima, musazengereze kufunafuna thandizo. Imbani 911 nthawi yomweyo kapena pitani kuchipatala chapafupi.

Kodi mungamwe mowa mutavala chojambulira cha loop?

Tsatirani malangizo a dokotala wanu okhudza kumwa mowa ndi kusintha kwina kwa moyo. Kafukufuku wina wasonyeza kuti kumwa mowa kungayambitse kugunda kwa mtima kosasinthasintha. Izi zitha kuchitika kaya mumamwa mopitirira muyeso kapena pang'ono (chakumwa chimodzi kapena ziwiri patsiku).

Izi zikufufuzidwabe, choncho ndikofunikira kulankhula ndi dokotala wanu za momwe mowa umakhudzira chiopsezo chanu cha matenda a mtima.

Pomaliza, zinthu zoti muzikumbukira

Monga mukuonera, Implantable Loop Recorder iyi ndi chida chamtengo wapatali chomwe chimakupatsani inu ndi dokotala wanu kudziwa za momwe mtima wanu umagwirira ntchito tsiku ndi tsiku. Zambiri zomwe imapereka zingathandize kuzindikira ndikuchiza matenda a mtima (arrhythmias) asanakhale mavuto oopsa.

Mungamve mantha pang'ono mukamva kuti muyenera kuchitidwa opaleshoni yaying'ono kuti muyike chipangizochi. Zimenezo ndi zachilendo. Koma kumbukirani, iyi ndi njira yochepetsera chiopsezo. Lankhulani ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe muli nazo. Iye akhoza kukutonthozani ndikukufotokozerani zonse. Khalani okondwa kuti ukadaulo ngati uwu ungathandize kuti mtima wanu ukhale wathanzi!

` Kugunda kwa mtima, chojambulira kuzungulira, kusakhazikika kwa mtima, matenda a mtima, kuyang'anira mtima, thanzi, zida zachipatala