Nthawi zina mtima wathu umagunda mofulumira kwambiri, kapena mofulumira kwambiri, eti? Mtundu uwu wa kugunda kwa mtima kosakhazikika (arrhythmia) nthawi zina ungakhale chizindikiro cha mkhalidwe woopsa. Chifukwa chake, lero tikulankhula za chipangizo chamankhwala chaching'ono, koma champhamvu kwambiri chomwe chingathandize kupulumutsa miyoyo m'mikhalidwe yotere. Timachitcha ichi kuti ICD, chomwe chimayimira Implantable Cardioverter Defibrillator.
Kodi ICD ndi chiyani kwenikweni?
Mwachidule, ICD ndi chipangizo chachipatala chomwe chimayikidwa pansi pa khungu la chifuwa chanu, kudzera mu opaleshoni yaying'ono. Chili ndi zigawo ziwiri zazikulu. Chimodzi ndi batire yaying'ono, ngati wotchi yoyimitsa. China ndi mawaya ena opyapyala omwe amachokera ku batire iyi kupita ku zipinda za mtima wanu. Timatchanso mawaya awa kuti ``leads``.
Chipangizo ichi chogwiritsa ntchito batire chimayang'anira kugunda kwa mtima wanu ndi kayimbidwe kake nthawi zonse . Tangoganizirani, ngati kugunda kwa mtima kwanu kwasintha mwadzidzidzi, chipangizochi chingathe kubweretsa kugwedezeka kwamagetsi komwe kumafunika kuti chikonze. Kugwedezeka kwamagetsi kumeneko kumapita kumtima kudzera mu waya wotchedwa "leads."
ICD imagwiritsidwa ntchito kwambiri pa:
- Konzani kugunda kwa mtima kosakhazikika (arrhythmias). Mwachitsanzo, matenda omwe mtima umagunda mofulumira kwambiri (tachycardia) kapena pang'onopang'ono kwambiri (bradycardia).
- Pewani kuima kwa mtima mwadzidzidzi.
- Sonkhanitsani deta yokhudza momwe mtima wanu umagwirira ntchito ndikuthandizira dokotala wanu kupanga zisankho za chithandizo.
Kodi pali kusiyana kotani pakati pa ICD ndi Pacemaker?
Anthu ambiri amasokoneza zipangizo ziwirizi. Pali kusiyana koonekeratu pakati pa ziwirizi.
Chothandizira pacemaker chimathandiza kuti mtima ugwire bwino komanso nthawi zonse. Izi zikutanthauza kuti nthawi zonse chimakhala chogwira ntchito.
ICD ndi chipangizo chomwe chimayang'anira kayendedwe ka mtima ndipo chimalowererapo pokhapokha ngati pakufunika kutero . Izi zikutanthauza kuti, chimangobweretsa mantha ngati kayendedwe ka mtima kasintha moopsa.
Komabe, ndikofunikira kukumbukira kuti ma ICD ena atsopano amathanso kugwira ntchito ngati pacemaker. Dokotala wanu adzasankha mtundu womwe ukukuyenererani.
Ndani akufunikira chipangizo cha ICD?
Chipangizo cha ICD chingafunike kwa anthu omwe ali ndi vuto linalake la mtima lomwe ndi lovuta kulithetsa ndi mankhwala ena. Gome ili pansipa likuwonetsa zina mwa matenda amenewa.
| Matenda | Kufotokozera kosavuta |
|---|---|
| Matenda a Brugada | Matenda osowa kwambiri omwe amayambitsa kugunda kwa mtima koopsa komanso kosasinthasintha. |
| Matenda ena obadwa nawo a mtima | Kusintha kwa kayendedwe ka mtima komwe kumachitika chifukwa cha mavuto omwe amakhudza kapangidwe ka mtima kuyambira kubadwa. |
| Hypertrophic cardiomyopathy | Kukhuthala kosazolowereka kwa minofu ya mtima, zomwe zimapangitsa kuti magazi aziyenda bwino. |
| Matenda a QT aatali | Kugunda kwa mtima mofulumira komanso kosasinthasintha komwe kumachitika chifukwa cha vuto la magetsi a mtima. |
| Anthu omwe kale anali ndi matenda a mtima kapena kugwidwa ndi mtima | Kuchepetsa chiopsezo chakuti vuto lotere libwerenso. |
| Kusakhazikika kwa ventricular / Ventricular fibrillation | Kugunda kwa mtima kosakhazikika komwe kumayambira m'zipinda zapansi pa mtima ndipo kumatha kupha munthu. |
Kodi opaleshoni yoika chipangizo cha ICD imachitidwa bwanji?
Opaleshoni iyi nthawi zambiri imachitikira kuchipatala. Imatenga maola angapo. Imachitika ndi dokotala wa opaleshoni ya mtima kapena katswiri wa zamagetsi.
Kukonzekera musanachite opaleshoni
Dokotala wanu adzakupatsani malangizo awa musanachite opaleshoni:
- Maola angapo opaleshoni isanachitikeKusala kudya (musadye kapena kumwa china chilichonse kupatula madzi).
- Magazi, mkodzo, ndi ECG zidzachitika kuti zione ngati muli bwino pochita opaleshoni.
- Ngati muli ndi vuto la magazi kapena mukumwa mankhwala ochepetsa magazi, onetsetsani kuti mwadziwitsa dokotala wanu .
- Muwadziwitsenso ngati muli ndi vuto lililonse la zinthu monga utoto wosiyana, ayodini, kapena mankhwala.
- Ngati muli ndi matenda ena monga mphumu, matenda a shuga, kapena matenda a impso, dziwitsani gulu lachipatala za matendawo.
Pa nthawi ya opaleshoni
Izi nthawi zambiri zimachitika kudzera mu njira yotchedwa ``transvenous approach.'' Izi zikutanthauza kuti kudula pang'ono kumapangidwa pafupi ndi collarbone ndipo mawaya otchedwa ``leads'' amalowetsedwa kudzera mumtsempha kupita mumtima. Nthawi zina, opaleshoni yotsegula mtima ingafunikenso.
Izi ndi njira zomwe opaleshoni nthawi zambiri imachitika:
1. Mankhwala amaperekedwa kudzera mu "IV" kuti akupatseni mpumulo kapena kuti akupatseni mankhwala oletsa ululu komanso tulo.
2. Malo odulira adzakhala opanda kanthu.
3. Kudula pang'ono kumapangidwa pafupi ndi khosi, pachifuwa, kapena pamimba.
4. Mawaya amalowetsedwa m'zipinda za mtima kudzera mu mtsempha waukulu.
5. Batire ya ICD imayikidwa pamalo ang'onoang'ono opangidwa pansi pa khungu.
6. Mawayawa alumikizidwa ku mtima ndi ICD.
7. Yang'anani ngati chipangizocho ndi mawaya alumikizidwa bwino ndipo akugwira ntchito bwino.
8. Chodulidwacho chimasokedwa chotsekedwa.
9. Dongosolo lidzayang'aniridwanso musanatumizidwe ku ward.
Pambuyo pa opaleshoni ndikukhala ndi ICD
Mukachita opaleshoni, mungamve kutopa ndi kupweteka pang'ono pamalo odulidwa. Izi zitha kuthetsedwa ndi mankhwala ochepetsa ululu. Anthu ambiri amatha kupita kunyumba tsiku lotsatira opaleshoni.
Kodi kugwedezeka kuchokera ku ICD kumamveka bwanji?
Vutoli ndi lomwe anthu ambiri ali nalo. ICD imatha kubweretsa zinthu zomwe zimakhala ndi mphamvu zochepa komanso zomwe zimakhala ndi mphamvu zambiri.
- Kugwedezeka ndi mphamvu zochepa kumamveka ngati kugwedezeka kapena kugwedezeka pachifuwa.
- Kugwedezeka kwamphamvu kwambiri kumachitika pazochitika zazikulu kwambiri. Kungakhale kopweteka pang'ono kwakanthawi. Kungamveke ngati kumenyedwa pachifuwa.
Kawirikawiri, kugwedezeka kamodzi kokha kumabwezeretsa kagwiridwe ka mtima. Komabe, anthu ena angalandire kugwedezeka kangapo mkati mwa maola 24. Ngati mwalandira kugwedezeka kangapo m'kanthawi kochepa (monga katatu kapena kuposerapo), kungakhale vuto ladzidzidzi lotchedwa 'mphepo yamagetsi'. Ngati izi zitachitika, muyenera kupita ku dipatimenti yadzidzidzi ya chipatala chapafupi (ETU) nthawi yomweyo. Izi zitha kusonyeza vuto lalikulu la mtima kapena vuto la ICD.
Zinthu zofunika kuziganizira mukakhala ndi ICD
Ngati muli ndi ICD, nthawi zonse nyamulani chiphaso m'chikwama chanu chomwe chili ndi chizindikirocho.Zingakhale zothandiza kwambiri kwa ogwira ntchito zachipatala ngati simungathe kulankhulana pakagwa ngozi.
Komanso, muyenera kuuza ogwira ntchito zonse zachipatala, kuphatikizapo madokotala anu, madokotala a mano, ndi akatswiri omwe amachita mayeso monga MRIs, kuti muli ndi ICD, chifukwa zida zina zimatha kusokoneza ICD.
Zinthu zomwe zingasokoneze ICD
Zipangizo zina zamakono zingasokoneze ntchito ya ICD. Funsani dokotala wanu ngati muyenera kusamala mukamagwiritsa ntchito zinthu zotere.
- Makina oletsa kuba m'masitolo
- Mitundu ina ya mawayilesi (mawayilesi a CB, mawayilesi a ham)
- Mipanda yamagetsi
- Mahedifoni
- Ma charger a batri a galimoto, zingwe zojambulira
- Makina okhala ndi maginito amphamvu
- Zipangizo zodziwira zitsulo m'malo ngati ma eyapoti
- Mayeso ena azachipatala, monga MRI
Nthawi yoti muyimbire dokotala wanu nthawi yomweyo
Ngati mukukumana ndi zizindikiro zotsatirazi mutachita opaleshoni, izi zitha kukhala chizindikiro cha matenda. Ngati izi zitachitika, dziwitsani dokotala wanu nthawi yomweyo.
| Zinthu zofunika kuziganizira | |
|---|---|
| Zizindikiro za matenda |
|
| Zadzidzidzi zina | |
Uthenga Wopita Nawo Kunyumba
- ICD ndi chipangizo chofunikira kwambiri chachipatala chomwe chingapulumutse miyoyo ya anthu omwe ali ndi vuto loopsa la mtima.
- Izi ndi zosiyana ndi pacemaker. ICD imagwira ntchito pokhapokha ngati pakufunika.
- Ngati muli ndi ICD, nthawi zonse sungani khadi lanu la ID.
- Dziwitsani ogwira ntchito zachipatala onse, kuphatikizapo dokotala wanu ndi dokotala wa mano, za izi.
- Samalani ndi zipangizo zomwe zingasokoneze ICD, monga maginito ndi zowunikira zitsulo.
- Ngati mwakumana ndi zoopsa zambiri pakapita nthawi yochepa, muzione ngati zadzidzidzi ndipo pitani ku chipatala cha Emergency Treatment Unit (ETU) nthawi yomweyo.
- Ngati muli ndi nkhawa kapena kukayikira kulikonse, musaope kulankhula ndi dokotala wanu za vutoli.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu