Kugunda kwa mtima kosakhazikika? Tiyeni tikambirane za chithandizo cha CRT (Cardiac Resynchronization Therapy)

Ganizirani mtima wanu ngati gulu la oimba. Aliyense akamagwira ntchito limodzi, nthawi yomweyo, nyimbo zokongola zimapangidwa. Koma nthawi zina, makamaka ndi matenda monga kulephera kwa mtima, zipinda ziwiri zapansi pa mtima, ma ventricles, zimayamba kugwira ntchito motsutsana, mosagwirizana. Chimodzi chikagunda, china sichigunda, ndipo china chikagunda, sichigunda. Zipinda ziwiri za mtima zikagundana, mtima sungathe kupopa magazi bwino. Pamenepo ndi pamene chithandizo chapadera chotchedwa Cardiac Resynchronization Therapy, kapena CRT mwachidule, chimatithandiza.

Mwachidule, kodi CRT iyi ndi chiyani?

CRT ndi mankhwala omwe amabwezeretsa kamvekedwe ka mtima kukhala kabwinobwino. Amatchedwanso Biventricular Pacing. "Biventricular" amatanthauza "zipinda zonse ziwiri." Izi zikutanthauza kuti chithandizochi chimapangitsa zipinda ziwiri zapansi (ventricles) za mtima kugundana pamodzi nthawi imodzi. Kuti achite izi, dokotala wanu adzaika chipangizo chaching'ono pansi pa khungu la chifuwa chanu.

Izi n'zosiyana pang'ono ndi pacemaker wamba. Pacemaker wamba ali ndi waya umodzi kapena iwiri. Koma chipangizo cha CRT ichi chili ndi waya zitatu . Waya atatuwa amalumikizidwa ku malo atatu enieni mumtima.

• Waya umodzi umapita ku chipinda chapamwamba cha mtima (right atrium)
• Waya wachiwiri umapita ku chipinda chakumanja cha pansi pa mtima (ventricle yakumanja).
• Waya wachitatu umapita ku chipinda chakumanzere cha mtima (ventricle yakumanzere).

Mawaya atatuwa amatumiza zizindikiro zamagetsi zosamveka bwino, zomwe zimapangitsa kuti zipinda za mtima zigwire ntchito limodzi, mogwirizana. Zili ngati woyendetsa sitima atakhala patsogolo pa gulu la oimba ndipo amapatsa aliyense chizindikiro choti azisewera limodzi. Izi zimawonjezera kwambiri mphamvu ya mtima.

Ndani kwenikweni akufunikira chithandizo cha CRT ichi?

Mankhwalawa si a aliyense. Dokotala wanu adzayang'ana zinthu zingapo asanakulimbikitseni.

• Mkhalidwe wa Kulephera kwa Mtima: Kuwunika ngati muli ndi vuto la mtima lochepa kapena lalikulu.
• Chithandizo cha mankhwala: Ngakhale mutagwiritsa ntchito mankhwala abwino kwambiri a mtima, zizindikiro (kupuma movutikira, kutopa) zimaonekerabe.
• Mavuto a mtima: Kuyezetsa kwa ECG kumayang'ana kuchedwa kwa kutumiza kwa zizindikiro zamagetsi mumtima mwanu. Izi nthawi zambiri zimalimbikitsidwa, makamaka kwa anthu omwe ali ndi vuto ngati Left Bundle Branch Block .
• Mphamvu ya mtima yopopa:Echocardiogram (kujambula mtima) idzawonanso ngati mphamvu ya mtima wanu yopopera magazi (gawo lotulutsa magazi) ndi yotsika.

Mwachidule, madokotala amaona kuti chithandizochi ndi cha anthu omwe ali ndi vuto la mtima losakhazikika lomwe ndi lovuta kulithetsa pogwiritsa ntchito mankhwala ndi kusintha moyo wawo.

Kodi mumakonzekera bwanji musanalandire chithandizo?

Popeza opaleshoni iyi ndi yaing'ono, muyenera kukonzekera pasadakhale. Dokotala wanu adzakuuzani kuti muchite izi:

• Mayeso: Masiku angapo opaleshoni isanachitike, mudzapemphedwa kuti mupimidwe ndi echocardiogram , mwina MRI scan ya mtima , ndi mayeso ena a magazi kuti mudziwe momwe mtima wanu ulili.
• Kusala Kudya: Mudzalangizidwa kuti musadye kapena kumwa chilichonse kwa maola osachepera 6 musanachite opaleshoni.
• Mankhwala: Pa opaleshoni, mudzapatsidwa mankhwala ochepetsa ululu wanu ndikukugonetsani tulo tochepa, kuti musamve chilichonse.

Kodi opaleshoniyi imachitidwa bwanji?

Izi zimatenga maola angapo. Izi ndi zomwe zimachitika:

1. Kuyika mawaya: Choyamba, dokotala amaika mawaya atatu owonda kwambiri kudzera mu mtsempha womwe uli paphewa panu, kapena mwina ntchafu yanu. Izi zimachitika mosamala kwambiri mukamaonera makina a X-ray.

2. Kutumiza mawaya kumtima: Kenako mawaya amenewa amadutsa m'mitsempha ndikuyikidwa m'malo atatu omwe atchulidwa kale a mtima (right atrium, right ventricle, ndi lamanzere ventricle).

3. Kupanga malo a chipangizocho: Kenako, kudula pang'ono kumapangidwa pakhungu pansi pa khosi lanu, ndikupanga malo ochepa (thumba) pansi pa khungu. Apa ndi pomwe chipangizo cha CRT chidzayikidwa.

4. Kulumikiza ndi kuyesa: Malekezero ena a mawaya atatu otumizidwa kumtima amalumikizidwa ku chipangizochi cha CRT. Kenako, amafufuza ngati chikugwira ntchito bwino komanso ngati zizindikiro zikuyenda bwino.

5. Kuyika chipangizocho: Ngati chilichonse chili bwino, chipangizo cha CRT chimayikidwa mkati mwa thumba lomwe lapangidwa, kudulako kumatsekedwa, ndipo ma stitches amayikidwa bwino.

Kodi ubwino ndi zoopsa za chithandizochi ndi ziti?

Monga chithandizo chilichonse chamankhwala, CRT ili ndi ubwino ndi zoopsa zake. Ndikofunikira kukambirana izi mosamala ndi dokotala wanu.

Kodi chimachitika ndi chiyani mukalandira chithandizo?

Muyenera kukhala m'chipatala kwa pafupifupi tsiku limodzi mutachita opaleshoni.

• Paulendo wobwerera kunyumba: Popeza mwapatsidwa mankhwala ogonetsa, simungathe kuyendetsa galimoto . Chifukwa chake, ndikofunikira kubweretsa munthu woti akutengereni kunyumba.
• Kusuntha kwa mkono: Mkono womwe uli kumbali yomwe chipangizocho chinayikidwa (nthawi zambiri mkono wakumanzere) uyenera kukhala chete osakwezedwa kwa maola pafupifupi 12. Izi zimathandiza kuti mawaya olowetsedwawo akhazikike bwino mumtima.
• Khadi Lapadera: Mudzapatsidwa khadi lapadera, lomwe lili ndi tsatanetsatane wonse wa chipangizochi. Ndikofunikira kwambiri kusunga khadi ili m'chikwama chanu nthawi zonse.
• Kuchira: Mutha kuyambiranso ntchito zanu zachizolowezi mkati mwa masiku ochepa, koma sikoyenera kuyendetsa galimoto kapena kunyamula zinthu zolemera kwa pafupifupi sabata imodzi.
• Kuyang'ananso: Musanatumizidwe kunyumba, X-ray kapena ECG ikhoza kutengedwa kuti muwone ngati mawaya ali pamalo ake.

Kodi kusiyana pakati pa CRT ndi ICD ndi kotani?

Ichi ndi chinthu chomwe chimasokoneza anthu ambiri. CRT ndi ICD ndi mitundu iwiri ya zipangizo.

• CRT (Cardiac Resynchronization Therapy): Monga tafotokozera, izi zimagwiritsidwa ntchito pogwirizanitsa kugunda kwa mtima. Izi zikutanthauza kuti, zimapangitsa kuti zipinda za mtima zigwire ntchito limodzi, mu rhythm imodzi. Ndi mtundu wapamwamba wa pacemaker.
• ICD (Implantable Cardioverter-Defibrillator): Izi zimachita zosiyana. Ngati mtima ukugunda mofulumira kwambiri, umazindikira ndipo umayambitsa kugwedezeka pang'ono kwamagetsi kuti ubwerere mwakale . Ichi ndi chipangizo chopulumutsa moyo.

Koma nthawi zambiri, anthu omwe ali ndi matenda a mtima amatha kukhala ndi mavuto onsewa. Ichi ndichifukwa chake madokotala amaika chipangizo chimodzi chomwe chili ndi mphamvu zonse ziwiri, CRT-D (CRT yokhala ndi Defibrillator) .

Nthawi yoti mulankhule ndi dokotala

Mukayika chipangizo cha CRT, pali zinthu zina zomwe muyenera kusamala nazo.

Kuphatikiza apo, muyenera kupita ku masiku okonzedweratu a chipatala.

• Kutsatira koyamba kudzachitika pafupifupi mwezi umodzi pambuyo pa opaleshoni.
• Pambuyo pake, adzakupemphani kuti muonane kamodzi kapena kawiri pachaka.

Ku zipatala izi, dokotala amafufuza momwe chipangizochi chilili, batire yake, ndi mawaya ake. Amafufuzanso momwe mtima wanu wagwirira ntchito bwino chifukwa cha chipangizochi.