Chothandizira pacemaker chapadera chomwe chinaikidwa mumtima: Zonse zokhudza Biventricular Pacemaker

Mwina mudamvapo madokotala nthawi zina akunena za chipangizo chapadera cha munthu amene ntchito yake ya mtima yafooka, kutanthauza kuti, amene mtima wake walephera kugwira ntchito bwino. Nthawi zina mankhwala okha sakwanira kwa iwo omwe amavutika kupuma ngakhale atachita khama pang'ono ndipo amamva kutopa nthawi zonse. Pamenepo ndi pamene timafunikira thandizo la chipangizo chothandizira kupuma cha biventricular pacemaker ichi.

Mwachidule, kodi choyimitsa mtima cha biventricular ichi n'chiyani?

Iyi ndi mtundu wa pacemaker womwe umayikidwa mumtima. Koma ndi wosiyana pang'ono ndi pacemaker wamba, ndipo umagwira ntchito yapadera. Nthawi zambiri, pacemaker yomwe imagwiritsidwa ntchito kukonza zolakwika za kugunda kwa mtima (arrhythmias) imakhala ndi waya umodzi kapena iwiri. Koma pacemaker iyi ya biventricular ili ndi waya zitatu (leads).

Tsopano mwina mukudzifunsa kuti, "N’chifukwa chiyani pali mawaya atatu?" N’zosavuta kwambiri. Mtima wathu uli ndi zipinda zinayi zazikulu. Ziwiri pamwamba ndi ziwiri pansi. Chimodzi mwa zingwe zitatuzi chimalumikizana ndi atrium yakumanja, chipinda chapamwamba cha mtima, ndipo zingwe zina ziwiri zimalumikizana ndi ma ventricle awiri, zipinda zapansi za mtima.

Pa vuto lalikulu la mtima, zipinda ziwiri zapansi pa mtima sizimagwedezeka nthawi imodzi kapena mu kamvekedwe kake. Chimodzi chimagwedezeka ndipo china sichimagwedezeka. Zili ngati anthu awiri akugwira ntchito limodzi, koma m'malo mogwira ntchito limodzi, amasinthasintha. Izi zimapangitsa mtima kulephera kupompa magazi bwino m'thupi lonse. Apa ndi pamene timamva kutopa komanso kupuma movutikira.

Chojambulira cha pacemaker ichi chimatumiza zizindikiro zamagetsi ku zipinda zonse ziwiri zapansi nthawi imodzi, zomwe zimapangitsa kuti zigwirizane, mu kamvekedwe kameneka. Izi zimathandizira kwambiri mphamvu ya mtima yopopa. Madokotala amatcha chithandizochi kuti Cardiac Resynchronization Therapy , kapena CRT mwachidule.

Kodi chipangizochi chimagwira ntchito bwanji?

Ichi ndi chipangizo chomwe chimayikidwa m'thupi pambuyo pa opaleshoni yaying'ono. Chili ndi zigawo ziwiri zazikulu.

1. Pulse Generator: Iyi ndi gawo lomwe limaoneka ngati ubongo. Lili ndi batri ndi kompyuta yaying'ono mkati.

2. Ma waya: Awa ndi mawaya atatu omwe tidakambirana. Awa amalumikizana kuchokera ku Pulse Generator kupita ku zipinda zoyenera za mtima.

Nthawi iliyonse mtima ukagunda, chipangizochi chimatumiza chizindikiro chamagetsi chosavuta kumva. Chizindikirochi chimayenda kudzera pa waya ndipo chimapangitsa zipinda ziwiri zapansi pa mtima kuti zikoke nthawi imodzi. Nthawi zambiri, sitimamva chizindikiro chamagetsichi. Koma ntchito ya mtima ikuchitika momwe iyenera kukhalira.

Ndani angafunike pacemaker ngati iyi?

Dokotala adzayang'ana zinthu zingapo asanakulimbikitseni kugwiritsa ntchito chipangizochi. Tebulo lomwe lili pansipa likufotokoza izi mozama.

Kodi ubwino woyika chipangizochi ndi wotani?

Pali zabwino zambiri pa izi. Chofunika kwambiri ndichakuti zimakweza moyo.

• Kuchepa kwa zizindikiro: Zinthu monga kutopa ndi kupuma movutikira zimachepa kwambiri.
• Moyo wabwino: Ntchito za tsiku ndi tsiku zimakhala zosavuta komanso zosavuta.
• Kuchepa kwa anthu ogonekedwa m'chipatala: Kufunika kogonekedwa m'chipatala pafupipafupi chifukwa cha matenda a mtima omwe akuipiraipira kumachepa.
• Kugwira ntchito bwino kwa mtima: Mphamvu ya mtima yopompa magazi imakula.
• Kuwonjezeka kwa nthawi yoyembekezera moyo: Izi zimakuthandizani kukhala ndi moyo wathanzi kwa nthawi yayitali, ngakhale muli ndi matenda a mtima.

Kodi zoopsa zake ndi ziti?

Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa. Mavuto ena amatha kuchitika ngakhale chipangizocho chitayikidwa. Mwachitsanzo:

• Waya wokhazikika ukusuntha.
• Waya umachotsedwa mu jenereta ya mtima kapena kugunda kwa mtima.
• Chipangizochi sichikugwira ntchito bwino.

Komanso, ndikofunikira kukumbukira kuti si aliyense amene alandira chipangizochi amene adzapeza zotsatira zofanana. Mwachidule, anthu atatu mwa khumi omwe alandira chipangizochi sangazindikire kusiyana kwakukulu kwa zizindikiro zawo. Lankhulani ndi dokotala wanu za izi momasuka.

Kodi aliyense sangaike chipangizochi?

Inde, nthawi zina anthu ena sangathe kuyika chipangizochi. Nazi zina mwazochitika ngati izi:

• Kupezeka kwa matenda opatsirana m'thupi.
• Kukhala ndi vuto la kutuluka magazi.
• Matenda monga matenda amisala.
• Kukhala ndi matenda ena aakulu omwe angakupheni mkati mwa chaka chimodzi.
• Kupezeka kwa zolakwika m'mitsempha yayikulu komwe mawaya a pacemaker amayikidwa.

Dokotala wanu ndiye munthu wabwino kwambiri wosankha ngati izi zili zoyenera kwa inu kapena ayi.

Ndingadziwe bwanji ngati pali vuto ndi chipangizochi?

Nthawi zina chipangizochi chingapangitse phokoso lolira. Kapena dokotala wanu angazindikire vuto pamene mukuyezetsa mwezi uliwonse. Kupatula apo, thupi lanu lingakupatseni zizindikiro zina. Muyenera kuda nkhawa makamaka ngati zizindikiro zomwe munali nazo musanayambe kugwiritsa ntchito pacemaker zikubwereranso.

Kodi ndi zinthu ziti zomwe muyenera kusamala nazo mukakhala ndi pacemaker?

Inde, izi ndizofunikira kwambiri. Kwenikweni, muyenera kupewa zinthu zomwe zili ndi mphamvu ya maginito yamphamvu. Nthawi zambiri, imati pitirizani mtunda wa mainchesi osachepera 6. Chifukwa mphamvu ya maginito iyi imatha kusokoneza zizindikiro kuchokera ku pacemaker yanu.

Zinthu zofunika kusamala kwambiri:

• Mafoni ndi mahedifoni: Mukamalankhula pafoni, gwiritsani ntchito sipika. Kapena gwiritsani foniyo pakhutu moyang'anizana ndi pacemaker. Musanyamule foniyo kapena mahedifoni m'thumba la malaya anu.
• Zipangizo zoyesera zitsulo: Zipangizo zoyesera zitsulo m'mabwalo a ndege ndi m'masitolo akuluakulu zimatha kuyambitsa ma alamu. Chifukwa chake, musanalowe, onetsani chiphaso chanu cha pacemaker kwa ogwira ntchito zachitetezo ndikupempha cheke china.
• Mankhwala ena azachipatala ndi mano: Izi ndizofunikira kwambiri. Kaya mukupita kwa dokotala chifukwa cha vuto lina lililonse kapena kupita kwa dokotala wa mano, chinthu choyamba chomwe muyenera kuwauza ndichakuti muli ndi pacemaker. Ndikofunikira kwambiri kudziwitsa dokotala wanu wa mtima musanachite njira zilizonse monga MRI scans, chithandizo cha miyala ya impso, chithandizo cha TENS cha ululu, kapena chithandizo cha radiation cha khansa.