Aliyense amachita mantha pang'ono akamva za makina omwe ali pachifuwa pake, sichoncho? Zimenezo ndi zachilendo. Koma kodi mukudziwa momwe makina ang'onoang'ono awa amathandizira anthu mamiliyoni ambiri omwe ali ndi vuto la mtima kukhala ndi moyo wathanzi komanso wautali? Izi ndi zida zachipatala zofunika kwambiri zomwe zimathandiza kupulumutsa miyoyo. Lero tikulankhula za zida zothandizira mtima izi, zomwe ndi, Zida Zothandizira Mtima. Tiyeni tichotse mantha ndi kukayikira pa izi ndikumvetsetsa zinthu izi.
Kodi zipangizo zothandizira mtima zimenezi ndi ziti?
Mwachidule, ichi ndi chipangizo chaching'ono chomwe dokotala wanu angachiike pachifuwa chanu kuti chithandize mtima wanu kugwira ntchito bwino. Chipangizochi chimabwera kukuthandizani mtima wanu ukafuna kulimbitsa thupi.
Tangoganizirani, kugunda kwa mtima kwa anthu ena kumakhala kosagwirizana. Timatcha ``Arrhythmia''. Muzochitika zotere, zipangizozi zingathandize kuwongolera kugunda kwa mtima, kupewa kuima kwa mtima mwadzidzidzi, kapena kuthandiza mtima kupopa magazi m'thupi lonse.
Mwina simungakhale omasuka ndi lingaliro lokhala ndi makina pachifuwa panu, koma kumbukirani kuti anthu mamiliyoni ambiri padziko lonse lapansi amadalira zipangizozi kuti akhale ndi moyo wathanzi komanso wautali.
Kodi mitundu ikuluikulu ya zipangizozi ndi iti?
Pali mitundu ingapo yayikulu ya zipangizo zomwe zimathandiza mtima. Dokotala amasankha chipangizo choyenera kwambiri kutengera zosowa za munthu aliyense. Tiyeni tiwone mitundu yayikulu.
| Mtundu wa Chipangizo | Mwachidule, kodi zimenezi zikutanthauza chiyani? |
|---|---|
| Chothandizira pacemaker | Izi zimauza minofu ya mtima kuti, "Ine, menyani panthawiyi." Izi zikutanthauza kuti, zimatumiza zizindikiro zamagetsi zazing'ono kuti kugunda kwa mtima kukhale pamlingo woyenera kwa munthu amene kugunda kwa mtima wake kuli mofulumira kwambiri. |
| Chothandizira Pacemaker cha Biventricular | Mawaya ake amalumikizidwa ku zipinda ziwiri zapansi za mtima (ma ventricles) ndi chipinda chapamwamba chakumanja (atrium), zomwe zimapangitsa kuti zipinda zonsezi zigwire ntchito limodzi, mu kamvekedwe kamodzi. |
| Chotsukira Mitsempha Chosalowa M'thupi (ICD) | Ngati kugunda kwa mtima kukupitirira mofulumira kwambiri, chipangizochi chimatha kuzindikira ndikupereka mphamvu yamagetsi kuti chibwererenso mu kamvekedwe koyenera. Izi zimateteza ku imfa yadzidzidzi. |
| Chipangizo Chothandizira Ventricular (VAD) | Makina awa amathandiza mtima kupompa magazi m'thupi lonse. Ali ngati chothandizira chomwe chimachepetsa ntchito ya mtima. Amagwiritsidwa ntchito kwa anthu omwe mitima yawo ndi yofooka kwambiri. |
N’chifukwa chiyani chipangizo choterechi chikufunika?
Pali zifukwa zingapo zomwe dokotala wanu angakulangizeni kugwiritsa ntchito chipangizo chonga ichi. Chofunika kwambiri ndikuwongolera kayimbidwe ka mtima, kupewa kuima kwadzidzidzi kwa mtima, kapena kukonza mphamvu yopopera madzi.
Ngati pali kufooka kulikonse pakugwira ntchito kwa mtima, ndi dokotala wanu amene adzadziwe chomwe chimayambitsa vutolo ndikupeza chipangizo choyenera.
Zipangizozi zingafunike kwa anthu omwe ali ndi matenda awa:
- Kusakhazikika kwa kugunda kwa mtima `(Arrhythmia)`
- Kutseka Mtima
- Mavuto ndi chida chachilengedwe chothandizira mtima (sinus node) (Sick Sinus Syndrome)
- Matenda a QT aatali (matenda a QT aatali)
- Kugunda kwa mtima mwachangu (Tachycardia)
- Kugunda mtima pang'onopang'ono kwambiri (Bradycardia)
- Kusokonezeka kwa mitsempha yamagazi, matenda oopsa komanso oopsa a mtima
- Kulephera kwa Mtima: Kulephera kwa mtima kupompa magazi okwanira kupita m'thupi.
- Matenda a mtima (cardiomyopathy)
Kodi zipangizozi zimagwira ntchito bwanji?
Tangoganizirani kuti dokotala wanu amaika chipangizo mosamala, monga pacemaker kapena ICD, pansi pa khungu la chifuwa chanu. Kenako, amalumikiza mawaya opyapyala (ma lead) kuchokera pamenepo kupita kumalo enaake mumtima mwanu. Mawaya amenewa amalola chipangizocho 'kumvetsera' zomwe mtima wanu ukuchita ndikutumiza zizindikiro zamagetsi kuti akonze kugunda kwa mtima wanu pakafunika kutero. ICD ingathenso kubweretsa kugwedezeka kwamagetsi ngati pakufunika kutero.
Zipangizozi zimagwira ntchito motsatira pulogalamu yomwe dokotala wakhazikitsa kunja. Zili ndi batire yaying'ono komanso yokhalitsa .
Chinthu china chabwino ndichakuti zipangizo zina zimatha kusonkhanitsa zambiri zokhudza mtima wanu ndikutumiza kwa dokotala wanu kudzera pa foni kapena pa intaneti. Chifukwa chake, ngakhale osapita kuchipatala nthawi zonse, dokotala wanu amatha kudziwa momwe mtima wanu ulili. Izi zitha kukhala zothandiza kwambiri pozindikira kusintha kulikonse kusanachitike.
Kodi ubwino wogwiritsa ntchito zipangizozi ndi wotani?
- Chitetezo chopulumutsa moyo ku kulephera kwa mtima mwadzidzidzi.
- Kuyenda bwino kwa magazi m'thupi.
- Kukhazikitsa bwino kayendedwe ka mtima.
- Kuchepa kwa zizindikiro zokhudzana ndi kugunda kwa mtima (monga chizungulire, kutopa).
- Kuchepetsa kugonekedwa m'chipatala chifukwa cha matenda a mtima.
- Zipangizo zina zimatha kuikidwa kudzera mu kudula pang'ono kwambiri, m'malo mwa kudula kwakukulu .
- Batire la chipangizochi limakhala nthawi yayitali , kuyambira zaka 6 mpaka 15 .
Kodi zoopsa kapena zotsatirapo zake zingakhale zotani?
Monga momwe zimakhalira ndi njira iliyonse yachipatala, pali zoopsa zazing'ono kwambiri zomwe zimachitika. Komabe, ndikofunikira kukumbukira kuti izi sizichitika kawirikawiri ndipo madokotala amasamala kwambiri pa izi.
- Kutuluka magazi.
- Bowo laling'ono kwambiri pamtima lingapangidwe chipangizocho chikayikidwa (izi sizimachitika kawirikawiri).
- Pneumothorax.
- Kuundana kwa magazi.
- Kuwonongeka kapena kusweka kwa mawaya a chipangizocho.
- Kulephera kwa chipangizo.
- Kusuntha chipangizocho.
- Matenda okhudzana ndi chipangizo.
Ngati chinthu chonga ichi chichitika, gulu lanu lachipatala nthawi zonse limakhala lokonzeka kupereka chithandizo chofunikira.
Kodi ndiyenera kusamala bwanji ndikakhala ndi chipangizo?
Chipangizocho chikayikidwa m'thupi, mutha kuchita zinthu zatsiku ndi tsiku monga mwachizolowezi. Komabe, pali zinthu zingapo zomwe muyenera kukumbukira.
| Zoona | Zoyenera kuchita |
|---|---|
| Msewu Wodula | Tsatirani malangizo a dokotala a momwe mungasamalire chotupa chanu. |
| Kuchita masewera olimbitsa thupi ndi ntchito | Mudzafunika kuchepetsa zochita monga kunyamula zinthu zolemera poyamba. Funsani dokotala wanu nthawi yomwe mungayambe kuyendetsa galimoto ndikuyambiranso kugwira ntchito. |
| Kujambula kwa MRI | Ngati mukufuna kujambulidwa ndi MRI, onetsetsani kuti mwalankhula ndi dokotala wanu. Anthu ambiri omwe ali ndi zidazi amatha kuchita MRI, koma dokotala wanu ayenera kudziwa njira zina zapadera zomwe muyenera kutsatira kuti zikhale zotetezeka. |
| Zovala za tsiku ndi tsiku | Zinthu za tsiku ndi tsiku monga mafoni am'manja, ma uvuni a microwave, ndi ma scanner achitetezo nthawi zambiri sizimayambitsa mavuto. Musadandaule ndi zimenezo. |
| Imbani dokotala wanu ngati muli ndi zizindikiro izi: | |
| |
Muyenera kuonana ndi dokotala wanu kamodzi pachaka (nthawi zambiri poyamba) kuti muwonetsetse kuti chipangizocho chikugwira ntchito bwino. Komanso, musazengereze kuyimbira dokotala wanu nthawi iliyonse mukamva china chake chachilendo kapena chosasangalatsa.
Uthenga Wopita Nawo Kunyumba
- Zipangizo Zothandizira pa Moyo ndi ukadaulo wotetezeka komanso wopulumutsa moyo womwe ungakuthandizeni kukhala ndi moyo wathanzi komanso wautali. Musaope kuzigwiritsa ntchito.
- Kutengera ndi vuto la mtima wanu, pali mitundu yosiyanasiyana ya zipangizo monga pacemakers, ICDs, ndi VADs. Dokotala wanu adzasankha chomwe chili chabwino kwa inu.
- Chipangizocho chikayikidwa, nthawi zonse tsatirani malangizo a dokotala wanu okhudza ntchito, ma MRI scan, ndi zina zotero.
- Kawirikawiri palibe chifukwa choopera zipangizo zamagetsi za tsiku ndi tsiku monga mafoni a m'manja ndi ma microwave.
- Ngati mukukumana ndi zizindikiro zachilendo, monga kutentha thupi, kupweteka kwambiri, chizungulire, kapena kutupa pamalo ochitira opaleshoni, dziwitsani dokotala wanu nthawi yomweyo.
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