Kodi dokotala wanu wakuuzani kuti ntchito ya mtima wanu ndi yofooka, kutanthauza kuti muli ndi vuto la mtima? Kodi mukumva kutopa kwambiri komanso kupuma movutikira kotero kuti simungathe kuchita ntchito zanu za tsiku ndi tsiku? Dokotala wanu mwina wakuuzaninso za pacemaker. Lero tikulankhula za chipangizo chofanana, koma chosiyana pang'ono, chomwe chingathandize kwambiri anthu omwe ali ndi vuto la mtima. Ndicho chida chothandizira pacemaker.
Mwachidule, kodi Biventricular Pacemaker iyi ndi chiyani?
Chothandizira pacemaker cha biventricular ndi chipangizo chaching'ono chomwe chimayikidwa m'thupi mwa opaleshoni, monga chothandizira pacemaker wamba, kuti chithandize kuwongolera kayimbidwe ka mtima kosazolowereka (arrhythmias). Komabe, kusiyana kwakukulu ndi kuchuluka kwa mawaya olumikizidwa nacho.
Tangoganizirani, pacemaker wabwinobwino ali ndi waya umodzi kapena iwiri. Koma Biventricular Pacemaker iyi ili ndi waya zitatu . Izi ndizofunikira kwambiri. Chifukwa cha mawaya atatuwa, imodzi imalumikizidwa ku chipinda chakumanja chapamwamba cha mtima (Right Atrium), ndipo mawaya ena awiri amalumikizidwa ku zipinda ziwiri zazikulu (Ventricles) pansi pa mtima.
Tsopano, onani, mu matenda a mtima, nthawi zina zipinda ziwiri zapansi (ventricles) za mtima wanu sizimagwedezeka nthawi imodzi, mu kamvekedwe kameneko. Zili ngati anthu awiri akupalasa bwato m'malo mopalasa mbali zosiyana, koma munthu mmodzi akamaliza kupalasa, winayo amatenga malo. Kenako bwatolo silikuyenda bwino, sichoncho? Umu ndi momwe zilili. Zipinda ziwiri za mtima zikapanda kugwira ntchito limodzi, zimakhala zovuta kwambiri kuti mtima upope kuchuluka kwa magazi okhala ndi mpweya womwe thupi limafunikira.
Chothandizira kupuma cha Biventricular Pacemaker chimagwira ntchito potumiza zizindikiro zamagetsi ku zipinda zonse ziwiri kuti zichepetse nthawi imodzi komanso mu rhythm yomweyo, kubwezeretsa mphamvu ya mtima yopopa. Madokotala amatcha chithandizochi kuti Cardiac Resynchronization Therapy (CRT) .
Ndani akufunikira chipangizochi?
Kawirikawiri, dokotala amalangiza chipangizo chonga ichi pazifukwa zina. Tiyeni tiwone zomwe zili.
- Ngati simungathe kulamulira zizindikiro zanu ndi mankhwala olembedwa kuti athetse vuto la mtima wanu.
- Ngati simungathe kuchita bwino ntchito za tsiku ndi tsiku chifukwa cha kutopa kwambiri komanso kuvutika kupuma (dyspnea).
- Ngati mtima wanu sukupereka magazi okwanira m'thupi lanu.
- Ngati mayeso monga ECG atsimikizira kuti zipinda za mtima sizikugwira ntchito limodzi.
- Ngati dokotala atsimikiza kuti pali chiopsezo cha moyo chifukwa cha kuima kwadzidzidzi kwa mtima.
Kusiyana pakati pa CRT-P ndi CRT-D
Nayi chinthu china chomwe muyenera kudziwa. Anthu ena angafunikenso defibrillator kuti azitha kuyendetsa bwino mtima, limodzi ndi Biventricular Pacemaker (CRT-P).ICD imayikidwanso. Chipangizochi chimatchedwa CRT-D . Izi zimazindikira pamene mtima ukugunda mofulumira kwambiri ndipo zimapangitsa kuti pakhale kugwedezeka pang'ono kwamagetsi kuti abwezeretse kamvekedwe ka mtima. Izi zitha kupulumutsa munthu ku imfa yadzidzidzi. Dokotala wanu adzasankha mtundu womwe mukufuna.
Kodi ubwino ndi zoopsa zomwe zingabwere chifukwa choyika chipangizochi ndi ziti?
Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali ubwino komanso zoopsa zazing'ono. Ndikofunikira kumvetsetsa bwino izi.
| Ubwino waukulu | Zoopsa ndi mavuto omwe angakhalepo |
|---|---|
| Kuchepa kwakukulu kwa zizindikiro monga kutopa ndi kupuma movutikira. | Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa monga matenda opatsirana komanso kutuluka magazi. |
| Kukweza moyo wabwino. | Waya wolumikizidwa ku waya umatuluka pamalo pake kapena umasokonekera. |
| Kuchepa kwa kuchuluka kwa anthu omwe amagonekedwa m'chipatala chifukwa cha matenda a mtima. | Chipangizochi sichikugwira ntchito monga momwe amayembekezera. (monga mavuto a batri) |
| Kuwongolera ntchito ya mtima. | Nthawi zina (pafupifupi anthu atatu mwa khumi) kusintha komwe kumayembekezeredwa kwa zizindikiro sikungachitike. |
| Kutalikitsa nthawi yomwe mungathe kukhala ndi matenda a mtima. | Ngati ndi mtundu wa CRT-D, defibrillator ikhoza kubweretsa kugwedezeka kosafunikira. |
Kodi pali zochitika zina pamene chipangizochi sichingathe kuyikidwa?
Inde, izi sizingakhale zoyenera kwa anthu ena. Mwachitsanzo, ngati pali matenda m'thupi, matenda otuluka magazi, kapena matenda ena oopsa omwe angakhale oopsa mkati mwa chaka chimodzi, dokotala sangalimbikitse opaleshoni iyi.
Kodi muyenera kusamala ndi chiyani mukayika pacemaker?
Zili ngati gawo la thupi lanu, kotero muyenera kuzisamalira.
Kuyezetsa kuchipatala (Kutsatira)
Muyenera kukaonana ndi dokotala wanu kangapo pachaka. Pa maulendo amenewa, iye adzafufuza thanzi lanu, kuonetsetsa kuti chipangizo chanu chikugwira ntchito bwino, adzayang'ana batire, komanso adzafufuza zosintha za pulogalamu . Mungapemphedwenso kuti muyezetsedwe kunyumba kwanu mwezi uliwonse.
Kodi mumadziwa bwanji kuti pali vuto?
Ngati zizindikiro zanu (kutopa, chizungulire, kukomoka, kupuma movutikira) zibwerera monga kale, imbani dokotala nthawi yomweyo. Nthawi zina chipangizocho chingamveke. Ngati muli ndi CRT-D, muyeneranso kuiuza nthawi yomweyo ngati mukumva kugwedezeka kwamagetsi .
Zipangizo zopewera
Izi ndizofunikira kwambiri. Muyenera kupewa zinthu zomwe zili ndi mphamvu zamaginito amphamvu, chifukwa zimatha kusokoneza zizindikiro zochokera ku pacemaker yanu.
- Mafoni ndi mahedifoni: Mukamalankhula pafoni, igwireni pa khutu moyang'anizana ndi pacemaker. Ndi bwino kugwiritsa ntchito foni yolankhulira. Musanyamule foni kapena mahedifoni m'thumba la malaya.
- Zipangizo Zowunikira Zitsulo: Izi zimatha kuyambitsa ma alamu m'malo monga ma eyapoti. Choncho nthawi zonse nyamulani khadi lanu la pacemaker ndipo liwonetseni kwa ogwira ntchito zachitetezo kuti apemphe cheke chapadera.
- Zipangizo zina zachipatala: Ngati mukufuna opaleshoni ina iliyonse, MRI scan, chithandizo cha miyala ya impso, chithandizo cha TENS cha ululu, kapena chithandizo cha radiation cha khansa, muyenera kudziwitsa dokotala wanu wa mtima pasadakhale.
Ndizachibadwa kumva mantha pang'ono komanso nkhawa mukauzidwa kuti mukufuna pacemaker ya matenda a mtima omwe mankhwala okha sakwanira. Koma mpumulo ndi maubwino omwe chipangizochi chingakubweretsereni ndi ambiri. Chifukwa chake, ngati muli ndi mafunso kapena nkhawa zokhudzana ndi izi, musazengereze kulankhula ndi dokotala wanu.
Uthenga Wopita Nawo Kunyumba
- Chojambulira mtima cha biventricular ndi chipangizo chapadera chomwe chimawonjezera mphamvu ya mtima mwa kupangitsa zipinda ziwiri za mtima kugwira ntchito limodzi kwa anthu omwe ali ndi vuto lalikulu la mtima.
- Izi zithandiza kwambiri kuchepetsa zizindikiro monga kutopa ndi kupuma movutikira, komanso kukonza moyo wanu.
- Chipangizocho chikayikidwa, ndikofunikira kupita kukayezetsa nthawi zomwe dokotala wanena.
- Samalani mukanyamula zinthu monga mafoni am'manja ndi maginito amphamvu. Nthawi zonse sungani khadi lanu la ID.
- Ngati mukumva chizungulire, kukomoka, kupuma movutikira, kapena kumva kugwedezeka kuchokera ku chipangizocho, dziwitsani dokotala wanu nthawi yomweyo.
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