Kodi mukudziwa za CRT (Cardiac Resynchronization Therapy), yomwe imapangitsa kuti zipinda za mtima zigunde pamodzi?

Kodi nthawi zina mumamva kutopa popanda chifukwa, kapena mumavutika kupuma mukakwera masitepe? Mwina dokotala wanu wakuuzani kuti mtima wanu ukugwira ntchito mofooka pang'ono, zomwe zikutanthauza kuti muli ndi vuto lotchedwa 'Heart Failure'. Chinthu chachikulu chomwe chimachitika pazochitika zotere ndichakuti zipinda za mtima sizigunda nthawi imodzi komanso mu kamvekedwe kake. Chifukwa cha izi, mtima sungapope magazi omwe thupi limafunikira moyenera. Iyi ndiye yankho la vutoli lomwe tikulankhula lero, chithandizo chapadera ichi chotchedwa CRT.

Mwachidule, kodi chithandizo cha CRT ichi ndi chiyani?

CRT ndi chidule cha 'Cardiac Resynchronization Therapy'. Kunena zoona, iyi ndi njira yomwe pacemaker yapadera imayikidwa mumtima kudzera mu opaleshoni yaying'ono. Dzina lina la izi ndi 'biventricular pacing'.

Tangoganizirani, mtima wathu uli ndi zipinda ziwiri zotsika, zomwe madokotala amati ma ventricles . Mu mtima wathanzi, zipinda zonsezi ziyenera kugwedezeka pamodzi, nthawi imodzi, kuti zipompe magazi kupita m'thupi. Koma m'mikhalidwe monga kulephera kwa mtima, zipinda ziwirizi zimagwedezeka nthawi zosiyanasiyana. Izi zimatchedwa 'dyssynchrony.' Panthawiyo, chomwe chipangizo cha CRT ichi chimachita ndikutumiza zizindikiro zazing'ono zamagetsi kuti zipinda zonsezi zizigunda nthawi imodzi, mu kamvekedwe kake. Ndiko kuti, chimagwirizanitsanso kugunda kwa mtima.

Kodi chipangizo cha CRT ichi chimagwira ntchito bwanji?

Mwina mwamvapo za makina oyeretsera mtima wamba. Ali ndi makina amodzi kapena awiri. Koma makina oyeretsera mtima a CRT awa ali ndi makina atatu . Ichi ndi chapadera.

Tangoganizirani, imodzi mwa mawaya atatuwa yalumikizidwa ku ventricle yakumanja ya mtima, ndipo inayo ku ventricle yakumanzere. Waya wachitatu walumikizidwa ku atrium yakumanja, yomwe ndi chipinda pamwamba pa mtima. Chifukwa chake, kayimbidwe ka mtima kamayang'aniridwa nthawi zonse kudzera mu mawaya atatuwa. Ngati kayimbidwe kawoneka kolakwika, ndiko kuti, ngati zipinda sizikugundana pamodzi, chipangizochi chimatumiza chizindikiro chamagetsi chaching'ono panthawi yoyenera ndikupangitsa zipindazo kugwira ntchito limodzi. Zili ngati wotsogolera gulu la oimba, akulamulira aliyense ku kayimbidwe kamodzi.

Kodi kusiyana pakati pa CRT ndi ICD ndi kotani?

Mwina munamvapo za chipangizo chotchedwa ICD. Musasokoneze awiriwa. Awiriwa amachita ntchito ziwiri. Tiyeni timvetse izi ndi tebulo.

Koma pali china chake. Odwala ena akhoza kukhala ndi mavuto onsewa. Izi zikutanthauza kuti zipinda zamtima sizigundana, ndipo kayimbidwe kake koopsa kamachitika. Kwa anthu otere, madokotala amalimbikitsa kuyika zida ziwirizi (chipangizo cha CRT-D) .

Ndani akufunikira chithandizo ichi?

Kawirikawiri, anthu omwe ali ndi kayimbidwe ka mtima kosasinthasintha (arrhythmias) amafunika mtundu uwu wa pacemaker. Komabe, chithandizo cha CRT chimalimbikitsidwa makamaka kwa anthu omwe amakwaniritsa zofunikira zina. Pakhoza kukhala zifukwa zingapo zomwe mtima ungakhale wofooka kapena wokhala ndi kayimbidwe kosasinthasintha.

• Kulephera kwa Mtima: Mtima sungathe kupompa magazi okwanira kupita m'thupi.
• Kuwonongeka kwa mtima chifukwa cha matenda a mtima omwe adachitikapo kale .
• Ntchito ya mtima imachepa ndi ukalamba.
• Chifukwa cha mankhwala ena.
• Matenda a mtima obadwa nawo .
• Kusokonezeka kwa kutumiza kwa zizindikiro zamagetsi mumtima. Mwachitsanzo, vuto lotchedwa 'Bundle Branch Block' .

Momwe opaleshoni imachitikira

Kodi chimachitika ndi chiyani musanachite opaleshoni?

Masiku angapo opaleshoni isanachitike, dokotala wanu adzakulamulani kuti muyesere momwe mtima wanu umagwirira ntchito komanso momwe umagwirira ntchito. Mwachitsanzo, mungapemphedwe kuti muyesedwe ndi MRI kapena Transthoracic Echocardiogram (TTE) . Mudzapatsidwa mankhwala oletsa ululu kuti musamve ululu uliwonse panthawi ya opaleshoni. Muthanso kugonedwa.

Pa nthawi ya opaleshoni...

1. Choyamba, dokotala amaika mawaya atatu apadera m'malo enaake mumtima mwanu, kaya kudzera mu mtsempha womwe uli paphewa panu kapena mwina pa ntchafu yanu.

2. Kenako, kudula pang'ono kumapangidwa pakhungu pansi pa phewa kuti pakhale thumba laling'ono logwirira chipangizo chothandizira pacemaker (bokosi laling'ono lokhala ndi batire ndi ma circuitry).

3. Kenako mawaya otumizidwa kumtima amalumikizidwa ku chipangizochi ndikuyang'aniridwa kuti awone ngati chikugwira ntchito bwino.

4. Ngati zonse zili bwino, chipangizocho chimayikidwa mkati mwa thumba lomwe lapangidwa, ndipo kudula khungu kumatsekedwa ndi ma stitches osungunuka.

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?

• Muyenera kukhala m'chipatala kwa maola angapo kapena usiku wonse.
• Popeza mwapatsidwa mankhwala oletsa kugona, musayendetse galimoto kupita kunyumba. Muyenera kupita ndi munthu wina.
• Amakuuzani kuti musamayendetse mkono wanu wakumanzere kwa maola 12 mutachita opaleshoni mpaka mawaya atakhazikika pamalo ake.
• Mudzapatsidwa khadi lapadera. Lili ndi tsatanetsatane wa chipangizo chomwe chinaikidwa mwa inu. Ndikofunikira kwambiri kusunga khadi ili nthawi zonse . Izi ndizofunikira m'malo monga ma eyapoti.
• Mungafunike kutenga X-ray kuti muwonetsetse kuti mawaya ali pamalo oyenera, kapena mungafunike kuchita EKG (electrocardiogram) kuti muwone momwe mtima wanu umagwirira ntchito.

Ubwino ndi zoopsa za chithandizo cha CRT

Ubwino wa chithandizo

Ngati chithandizochi chikuyenda bwino, moyo wanu ukhoza kukhala wabwino kwambiri.

• Kuchuluka kwa magazi omwe mtima umapopa kupita ku thupi kumawonjezeka.
• Kugwira ntchito bwino kwa mtima kumawonjezeka.
• Zizindikiro monga kupuma movutikira komanso kutopa zimachepa.
• Amachepetsa chiopsezo cha kugunda kwa mtima kosazolowereka.
• Nthawi yokhala ndi moyo ingawonjezeke.
• Ngakhale matenda monga mitral regurgitation, komwe magazi amabwerera m'mbuyo kudzera mu valavu ya mtima, amatha kusintha.
• Luso lochita masewera olimbitsa thupi limakula.

Kodi palibe chiopsezo mu izi?

• Mawaya oyikidwa amasweka kapena kusuntha kuchoka pamalo pake.
• Matenda opatsirana pamalo ochitira opaleshoni.
• Magazi amaundana.
• Matenda a ziwengo chifukwa cha mankhwala oletsa ululu kapena china chilichonse.
• Kukhala ndi vuto lina la mtima, monga matenda a mtima (osowa kwambiri).

Kuchira ndi kufunsa upangiri wa dokotala

Mukhoza kuyambiranso kuchita zinthu zachizolowezi pasanathe masiku angapo mutachita opaleshoni. Komabe, madokotala amakulangizani kuti musachite chilichonse monga kuyendetsa galimoto kapena kunyamula zolemera kwa sabata imodzi kapena ziwiri . Batire yomwe ili mu pacemaker iyi nthawi zambiri imakhala kwa zaka pafupifupi 7-10. Batire ikafooka, imatha kusinthidwa ndi opaleshoni ina yaying'ono.

Kodi muyenera kupita kwa dokotala liti?

Mudzakhala ndi nthawi yokumana ndi dokotala mwezi umodzi mutachita opaleshoni. Pambuyo pake, muyenera kuonana ndi dokotala kamodzi kapena kawiri pachaka. Adzayang'ana chipangizo, batire, ndi mawaya pa kompyuta kuti atsimikizire kuti zikugwira ntchito bwino.

Chofunika Kwambiri: Ngati mukuyamba kutentha thupi, kapena ngati malo omwe chipangizocho chinayikidwapo afiira, kutupa, kapena kupweteka, milungu kapena miyezi mutachita opaleshoni, imbani dokotala wanu nthawi yomweyo. Ichi chikhoza kukhala chizindikiro cha matenda.