Kodi inuyo kapena munthu wina amene mumamudziwa anaikidwa pacemaker kapena implantable cardioverter defibrillator (ICD)? Ngati ndi choncho, mwina munamvapo za mawaya, omwe amadziwika kuti 'leads.' Nthawi zina, ngati pali vuto ndi lead iyi, imayenera kuchotsedwa opaleshoni. Izi ndi zomwe madokotala amatcha 'lead extraction.' Kumva dzinali kungakhale koopsa pang'ono. Koma musadandaule, tikambirana momveka bwino lero.
Choyamba tiyeni tiwone, kodi 'Lead' ndi chiyani?
Mwachidule, chingwe ndi waya wapadera, wotetezedwa womwe umanyamula zizindikiro zamagetsi kuchokera ku pacemaker yanu kapena chipangizo cha ICD (Implantable Cardioverter-Defibrillator) kupita kumtima kwanu. Uli ngati waya womwe umanyamula magetsi kupita ku nyali m'nyumba mwathu.
Pamene kayimbidwe ka mtima wanu kasinthasintha (Arrhythmia), ndi kayimbidwe aka komwe kamazindikira ndikutumiza chizindikiro choyenera chamagetsi kumtima kuti chithandize kubwezeretsa kayimbidwe ka mtima. Nthawi zambiri, pakhoza kukhala kayimbidwe kamodzi, kawiri, kapena katatu, kutengera chipangizo chomwe chayikidwa pachifuwa cha munthu. Izi zimalumikizidwa kumbali yakumanja ya mtima motsatira mtsempha wamagazi (mtsempha).
Chifukwa chiyani ndikofunikira kuchotsa chida ichi?
Pakhoza kukhala zifukwa zingapo zochotsera lead. Koma nthawi zambiri chifukwa chachikulu ndi matenda. Tangoganizirani, ngati kachilombo kalowa m'magazi (Bacteremia), matendawa amatha kuyenda motsatira lead iyi komanso ngakhale kupatsirana ma valve a mtima (Infective Endocarditis). Zikatero, chipangizocho ndi lead ziyenera kuchotsedwa.
Chofunika kwambiri ndichakuti ndi koopsa kwambiri kusiya matenda ngati amenewa osachiritsidwa. Chifukwa chake, ngati dokotala walangiza, ndikofunikira kuchotsa matendawa.
Kuwonjezera pa matenda, lead ingafunike kuchotsedwa pazifukwa zina zingapo.
| Chifukwa | Kufotokozera kosavuta |
|---|---|
| Kusweka kapena kulephera kugwira ntchito bwino kwa mtolo | Zinthu monga kusweka, kusweka, kapena kubwezedwanso ndi wopanga, kaya mkati kapena kunja kwa chingwe. |
| Zolepheretsa zomwe zimachitika chifukwa cha minofu yolimba | Pakapita nthawi, minofu yambiri ya zipsera imasonkhana mozungulira nsonga ya chingwe. Kenako chizindikiro chamagetsi chochokera ku chipangizocho sichipita kumtima moyenera. Timachitcha kuti chotchinga chotulukira . |
| Kutsekeka kwa mitsempha yamagazi | Magazi oundana kapena minofu ya zipsera ingapangike mozungulira chitsulocho, zomwe zingalepheretse magazi kuyenda bwino. |
| Arrhythmia yomwe imayamba chifukwa cha lead yokha | Nthawi zina, lead ingasokoneze kayendedwe ka mtima ndikupangitsa kugunda kwa mtima kosakhazikika. |
Kodi njira imeneyi imachitidwa bwanji?
Izi ndi zovuta pang'ono ndipo ziyenera kuchitidwa ndi dokotala wodziwa bwino ntchito yake. Chifukwa pakapita nthawi, lead imatha kumamatira mwamphamvu ku mtsempha wamagazi chifukwa cha minofu ya chilonda yomwe imazungulira. Chifukwa chake, iyenera kuchotsedwa pogwiritsa ntchito zida zapadera kuti isawononge mtsempha wamagazi.
Opaleshoni iyi imachitika pansi pa anesthesia wamba , zomwe zikutanthauza kuti simudzamva chilichonse, mudzakhala mukugona.
1. Dokotala amadula pang'ono pansi pa khosi (clavicle) kapena m'dera la chiberekero (pafupi ndi mtsempha wamagazi) ndikulowa m'mitsempha yamagazi.
2. Kenako, chubu chapadera (chophimba) chimadutsa m'mitsempha yamagazi iyi mpaka pomwe pali lead.
3. Dokotala amatsogolera chubuchi molondola motsatira chingwe pamene akuyang'ana chithunzi chapadera (fluoroscopy) ngati X-ray.
4. Pogwiritsa ntchito zida zomwe zili kumapeto kwa chubu ichi, minofu yozungulira chilonda imasweka pang'onopang'ono, zomwe zimapangitsa kuti chilondacho chituluke.
5. Nthawi zina ukadaulo wa laser umagwiritsidwanso ntchito kusungunula minofu ya chilonda ichi.
6. Kachitsulo kakangomasuka kotheratu, kamachotsedwa mosamala, kudulako kumatsekedwa, ndipo bandeji imayikidwa.
Kodi chitsogozo chatsopano chidzaikidwa liti?
Zimadalira chifukwa chochotsera lead. Ngati idachotsedwa chifukwa cha matenda, choyamba muyenera kudikira mpaka matendawa atachira kwathunthu. Pokhapokha ndi pomwe lead yatsopano ndi chipangizo zidzayikidwa. Pazifukwa zina, yatsopano ikhoza kuyikidwa panthawi ya opaleshoni kuti ichotse lead. Dokotala wanu adzakufotokozerani izi.
Kodi ubwino ndi zoopsa za opaleshoniyi ndi ziti?
Monga opaleshoni iliyonse, opaleshoni iyi ili ndi ubwino komanso zoopsa zina.
| ✅ Ubwino | ⚠️ Zoopsa |
|---|---|
| Kutha kuchiza matenda ngati alipo. | Mavuto omwe amabwera chifukwa cha mankhwala oletsa ululu. |
| Kuyika chingwe chosweka kapena chosagwira ntchito bwino m'malo mwa chingwe chatsopano kudzabwezeretsa chipangizocho kuti chigwire bwino ntchito. | Mpeniwo umasweka ukachotsedwa. |
| Mitsempha yamagazi yotsekeka imachotsedwa ndipo kuyenda kwa magazi kumabwezeretsedwa. | Kuwonongeka kwa mtsempha wamagazi kapena mtima. |
| Mpumulo ku arrhythmias yoyambitsidwa ndi lead. | Kutaya magazi kwambiri komanso kufunikira kuikidwa magazi. |
Kodi muyenera kulankhula ndi dokotala nthawi yanji?
Mukapita kunyumba mutachita opaleshoni, pali zinthu zingapo zomwe muyenera kudziwa. Ngati muli ndi zizindikiro zotsatirazi, musataye nthawi ndipo imbani dokotala nthawi yomweyo.
- Ngati mukuvutika kupuma .
- Ngati muli ndi malungo opitirira madigiri 101 Fahrenheit (101°F) .
- Kutupa pamalo ochitira opaleshoni, kutuluka kwa madzi osadziwika bwino monga magazi kapena mafinya.
- Kutupa kwa zala kapena zala za mapazi.
Kumbukirani, ngati muli ndi vuto ladzidzidzi, monga kupuma movutikira kapena kupweteka kwambiri pachifuwa, pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) yapafupi nthawi yomweyo.
Uthenga Wopita Nawo Kunyumba
- Kuchotsa Lead ndi opaleshoni yomwe imachotsa mawaya (ma lead) a chipangizo chothandizira pacemaker kapena chipangizo cha ICD.
- Izi nthawi zambiri zimachitika chifukwa cha matenda, komanso zimatha kuchitika chifukwa cha kusweka kwa mtolo kapena kusagwira bwino ntchito.
- Opaleshoni iyi ndi yovuta kwambiri ndipo iyenera kuchitidwa ndi dokotala wodziwa bwino ntchito yake, choncho ndikofunikira kufunafuna chithandizo kuchokera kwa dokotala wodziwa bwino ntchito yake kuti mupeze zotsatira zabwino.
- Tsatirani malangizo a dokotala pambuyo pa opaleshoni.
- Ngati muli ndi vuto lililonse kapena nkhawa, musaope kulankhula ndi dokotala wanu za vutoli.
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