Kodi mukumva kukomoka popanda chifukwa? Kodi mukumva kugunda kwa mtima kwanu kwachilendo? Tiyeni tiphunzire za (Implantable Loop Recorder).

Kodi nthawi zina mumamva kukomoka? Kapena mtima wanu umagunda mofulumira kwambiri moti mumaopa? Koma mukapita kwa dokotala, ECG siimasonyeza vuto lililonse panthawiyo? Ili ndi vuto lomwe anthu ambiri ali nalo. Chifukwa chake, lero tikulankhula za chipangizo chaching'ono, koma chofunikira kwambiri chomwe chimagwiritsidwa ntchito kuzindikira zolakwika mu kugunda kwa mtima zomwe zimachitika nthawi ndi nthawi.

Kodi Implantable Loop Recorder (ILR) iyi ndi chiyani?

Mwachidule, ndi chipangizo chamagetsi chaching'ono kwambiri chomwe chimayikidwa pansi pa khungu la chifuwa chanu. Chili ngati cholembera chaching'ono. Ntchito yake yayikulu ndikuyang'anira kugunda kwa mtima wanu ndi kamvekedwe kake, ndikulemba zolakwika zilizonse.

Amagwiritsidwa ntchito kuzindikira kusintha kosazolowereka kwa kagwiridwe ka mtima komwe sikumawonedwa ndi mayeso a mtima (monga Holter monitor) omwe nthawi zambiri amachitidwa kawiri patsiku. Chipangizochi chingasiyidwe m'thupi lanu kwa zaka zitatu . Ngati dokotala apeza chidziwitso chofunikira panthawiyo, chingachotsedwe msanga.

N’chifukwa chiyani dokotala angakulangizeni chipangizochi?

Dokotala wanu wa mtima angakulangizeni ILR ngati:

• Ngati muli ndi vuto la kukomoka kapena kugunda kwa mtima kosamvetsetseka: Izi zingathandize kupeza chifukwa chenicheni ngati mayeso ena alephera kupeza chifukwa.
• Dziwani zovuta za kagayidwe ka mtima (arrhythmias): Mitundu ina ya arrhythmias, monga ``Atrial Fibrillation - AFib``, siichitika kawirikawiri. Chipangizochi n'chothandiza kwambiri pazochitika zotere.
• Yang'anirani vuto la kusakhazikika kwa mtima lomwe ladziwika kale pamene likuchiritsidwa.
• Yang'anirani momwe magetsi a mtima amagwirira ntchito pambuyo pa matenda a mtima kapena sitiroko.

Kodi chida ichi chaching'ono chimagwira ntchito bwanji?

Taganizirani izi ngati kazembe kakang'ono kakufufuza mtima wanu. Kamazindikira momwe magetsi a mtima wanu amagwirira ntchito ndikulemba kusintha kulikonse kosazolowereka. Ndi kakang'ono kwambiri, pafupifupi inchi imodzi kapena ziwiri kutalika.

Popeza ili pansi pa khungu (pansi pa khungu), mutha kuwona chotupa pamwamba pa khungu, koma simudzamva kupweteka kapena kusasangalala kulikonse.

Chipangizochi chimagwira ntchito m'njira ziwiri:

1. Yokha: Ngati chipangizochi chazindikira vuto la kugunda kwa mtima wanu, ngakhale mutakhala kuti mulibe zizindikiro, chidzalemba chokha chochitikacho.

2. Pamanja: Chipangizochi chimabwera ndi choyatsira chaching'ono chomwe mungathe kuchigwira m'manja mwanu.Mumamvetsa. Mukamva kukomoka kapena mtima wanu ukugunda mofulumira, muyenera kungodina batani la activator. Kenako chipangizocho chimalemba zomwe mtima wanu ukuchita panthawiyo komanso nthawi yochepa isanafike. Izi zithandiza dokotala kumvetsetsa ubale womwe ulipo pakati pa zizindikiro zanu ndi zomwe zimachitika mumtima mwanu.

Deta yonseyi imasungidwa mu kukumbukira kwake. Kenako imapangitsa kuti detayo ipezeke kwa dokotala wanu panthawi yoyenera.

Kodi chimachitika ndi chiyani chipangizocho chisanayikidwe?

Choyamba, dokotala wanu adzasankha ngati mukufunikiradi chipangizochi. Kuti achite izi, adzawunikanso mbiri yanu yachipatala, adzakuyezani thupi, ndipo ngati pakufunika, adzakuyesani kangapo.

• `EKG` (Electrocardiogram)
• Echocardiogram (kujambula mtima)
• `Mayeso opsinjika maganizo` (mayeso ochitidwa mukuchita masewera olimbitsa thupi)
• `Mayeso a tebulo lopendekera` (mayeso oyesera chizungulire)

Ngati, pambuyo pa mayeso awa, chifukwa chomveka bwino cha zizindikiro zanu sichingapezeke, ILR ingakulimbikitseni.

Dokotala wanu adzakupatsani malangizo a momwe mungakonzekerere opaleshoniyi. Nthawi zambiri mumakhala ndi tulo pang'ono, choncho mudzapemphedwa kuti mubweretse munthu woti akuyendetseni kunyumba mukamaliza opaleshoniyi . Sikoyenera kuyendetsa galimoto kwa maola 24.

Kodi ndi nkhani yaikulu kukonza izi? Kodi ndondomekoyi ili bwanji?

Ayi ndithu. Iyi ndi njira yosavuta komanso yaying'ono. Mutha kupita kunyumba tsiku lomwelo. Simudzapatsidwa mankhwala oletsa ululu mokwanira, koma mudzapatsidwa mankhwala okuthandizani kupumula komanso kuti musamve ululu uliwonse.

Izi nthawi zambiri zimachitika ndi dokotala yemwe ndi katswiri wa zamagetsi a mtima ("Electrophysiologist"). Njira zake ndi izi:

1. Mudzapatsidwa mankhwala ochepetsa ululu komanso mankhwala oletsa ululu kuti musamve kupweteka kulikonse.

2. Pakhungu la kumanzere kwa chifuwa chanu pamakhala kudula pang'ono kwambiri .

3. Malo ang'onoang'ono (thumba) amapangidwa pansi pa khungu kuti ayike chipangizocho.

4. Chipangizo cha ILR chayikidwa pamalo amenewo.

5. Chodulidwacho chimatsekedwa ndi zosokera kapena mtundu wapadera wa guluu (`guluu wa opaleshoni`).

6. Pomaliza, chipangizocho chimayatsidwa poika chinthu chonga maginito pafupi ndi chifuwa.

Njira yonseyi imatenga nthawi yochepa kwambiri, pafupifupi mphindi 10 mpaka 15 .

Kodi ubwino ndi kuipa kwa izi ndi kotani?

Monga momwe zimakhalira ndi njira ina iliyonse yachipatala, pali zabwino ndi zoyipa zake. Dokotala wanu adzakambirana nanu nkhaniyi ndikupanga chisankho.

Kodi ndiyenera kulabadira chiyani ndikayika chipangizochi?

Anthu ambiri amatha kupita kunyumba tsiku lomwelo ndikuyambiranso ntchito zawo zachizolowezi. Musanapite kunyumba, dokotala wanu adzakuwonetsani momwe mungagwiritsire ntchito zida zomwe zimabwera ndi chipangizocho. Izi zikuphatikizapo choyambitsa chomwe mumakanikiza mukakhala ndi zizindikiro ndi chotumizira deta chomwe chimatumiza deta kwa dokotala wanu.

Mudzapatsidwanso malangizo a momwe mungasungire chotupacho kukhala choyera. Pakhoza kukhala ululu ndi mabala m'derali kwa masiku oyamba. Izi ndi zachilendo. Zidzatha pakatha masiku ochepa. Dokotala adzakuuzaninso nthawi yomwe muyenera kusunga malowo oyera komanso ouma.

Ngati muli ndi zizindikiro izi, imbani dokotala nthawi yomweyo!

Ngati muli ndi zizindikiro izi pamalo pomwe chipangizocho chadulidwira (chodulidwacho), uzani dokotala wanu nthawi yomweyo . Izi zitha kukhala zizindikiro za matenda.

Kodi izi zikusiyana bwanji ndi pacemaker?

Funso ili ndi lofunika kwambiri. Izi ndi zipangizo ziwiri zomwe zimagwira ntchito ziwiri zosiyana kwambiri.

• Chojambulira Loop (ILR): Ichi ndi chipangizo chodziwira matenda . Chili ngati kamera. Chimangolemba zomwe zikuchitika mumtima. Sichikhudza mtima mwanjira iliyonse.
• Chothandizira kupuma: Ichi ndi chipangizo cha `` mankhwala`` . Monga dokotala, chimazindikira zolakwika mu kayendedwe ka mtima ndipo chimatumiza zizindikiro zamagetsi kuti ziwongolere.

Mwachidule, mfundo zochokera ku Loop Recorder zimakuthandizani kusankha ngati mukufuna pacemaker kapena ayi.

Kodi izi zingathandize kuzindikira matenda a mtima?

Ayi. Chipangizochi sichinapangidwe kuti chigwire ntchito imeneyi. Komabe, chimatha kuzindikira matenda a arrhythmia, omwe ndi vuto la matenda a mtima.

Pomaliza, ndi zachilendo kukhumudwa ngati zizindikiro zanu sizikuonekera pa mayeso. Koma chifukwa chakuti Implantable Loop Recorder imayang'anira mtima wanu kwa nthawi yayitali, dokotala wanu amatha "kuona" ndikuzindikira vutolo. Izi zingayambitse mayankho omwe mwakhala mukuwafuna, ndikuchira mwachangu.