Kodi ndi chida chaching'ono chothandizira pacemaker chopanda waya wa pamtima? Tiyeni tiphunzire zonse zokhudza chida chothandizira pacemaker chopanda lead!

Mukaganizira za "pacemaker," mwina mumaganiza za chipangizo chomwe chimawoneka ngati chotupa chaching'ono pansi pa khungu la chifuwa chanu, cholumikizidwa ku mawaya ambiri. Koma ndi kupita patsogolo kwa sayansi ya zamankhwala, tsopano pali ukadaulo wosavuta, waung'ono, komanso wopanda waya. Lero, tikulankhula za chozizwitsa chaching'ono chimenecho: 'Pacemaker Yopanda Lead.'

Kodi chida choyezera mtima chopanda lead ichi n'chiyani?

Mwachidule, ndi chipangizo chaching'ono kwambiri, chopangidwa ndi unit imodzi. Dokotala wanu amachiyika mwachindunji mumtima mwanu. Chimachita chiyani? Letsani kugunda kwa mtima wanu kuti kusachepe.

Mosiyana ndi makina ochiritsira okhazikika, alibe batire kapena ma lead osiyana. Chilichonse chili mkati mwa silinda yaying'ono iyi. Chipangizo chonsecho chili mu ventricle yakumanja ya mtima wanu. Tangoganizirani, ndi chaching'ono kuposa batire ya AAA, pafupifupi mainchesi 1.5 kutalika, kuti ndikhale ndendende.

Kodi chipangizochi chimagwira ntchito bwanji?

Ichi ndi chipangizo chanzeru kwambiri. Dokotala amachikonza ndikuchiyika mumtima mwanu. Kenako chipangizo chothandizira pacemaker "chimamvetsera" zizindikiro zamagetsi zachibadwa za mtima wanu.

Ngati kugunda kwa mtima wanu kwatsika mwadzidzidzi pansi pa mulingo wofunikira, chipangizochi chimazindikira ndipo chimapereka mphamvu yaying'ono kwambiri yamagetsi kumtima. Izi zimapangitsa kuti mtima uyambe kugunda bwino. Izi zikutanthauza kuti umagwira ntchito pokhapokha ngati pakufunika.

Kodi izi zikuyenera ndani?

Mankhwala ochepetsa kuthamanga kwa mtima nthawi zambiri amafunikira kwa anthu omwe ali ndi vuto la kuthamanga kwa mtima pang'onopang'ono. Mu zamankhwala, timatcha izi kuti "Bradyarrhythmias." Ndiko kuti, pamene mtima ukugunda pang'onopang'ono chifukwa cha matenda omwe ali mu dongosolo lamagetsi la mtima.

Chopangira mpweya chopanda lead chingakhale choyenera makamaka kwa anthu omwe ali ndi matenda awa:

• Kwa iwo omwe nthawi zina amafunikira thandizo la pacemaker kuti athandize mtima wawo.
• Kwa iwo omwe ali ndi vuto lomwe kugunda kwa mtima kumachepa kapena kuima (Atrial Fibrillation - Afib).
• Kwa anthu omwe ali ndi vuto lotchedwa `AV block`.
• Kwa iwo omwe ali ndi ``Bradycardia-tachycardia syndrome'', pomwe kugunda kwa mtima nthawi zina kumachepa ndipo nthawi zina kumathamanga.
• Kwa iwo omwe amakumana ndi zizindikiro monga chizungulire chifukwa cha kugunda pang'onopang'ono kwa mtima (`(Bradycardia)` yokhala ndi zizindikiro).

Dokotala wanu adzasankha ngati izi zili zoyenera kwa inu. Iye adzakufunsani za:

• Mbiri ya matenda
• Kapangidwe ka kugunda kwa mtima
• Malipoti ojambulira monga ``(Echocardiogram)`` amawunikidwa.

Kodi ndiyenera kukonzekera bwanji opaleshoniyi isanachitike?

Iyi si opaleshoni yaikulu, koma muyenera kusamalira zinthu izi zisanachitike.

• Konzani kuti wina akutengereni kunyumba mutachita opaleshoni.
• Dokotala adzakulangizani nthawi yoti musiye kudya ndi kumwa musanachite opaleshoni komanso mankhwala oti musiye kumwa.
• Musasiye kumwa mankhwala anu popanda upangiri wa dokotala.

Momwe mungachitire opaleshoni sitepe ndi sitepe

Izi zimachitika motere. Nthawi zambiri zimatenga pafupifupi mphindi 30.

1. Choyamba, malo anu a m'mimba adzagwedezeka.

2. Kenako kudula pang'ono kwambiri kumapangidwa m'dera limenelo.

3. Kudzera mu mtsempha umenewo, chubu chopyapyala chotchedwa ``Catheter'' chimalowetsedwa mu imodzi mwa mitsempha yanu, ``Femoral Vein''.

4. Mukamayang'ana makina a X-ray, dokotalayo amatsogolera chubu mosamala mpaka pamtima panu.

5. Kachipangizo kakang'ono kameneka kamakhala ndi pacemaker ndipo kamayikidwa mu ventricle yakumanja ya mtima.

6. Kenako, yang'anani ngati ikugwira ntchito bwino ndipo yayikidwa bwino.

7. Ngati zonse zili bwino, chubucho chidzachotsedwa ndipo chodulidwacho chidzatsekedwa.

Pambuyo pa opaleshoni, mudzagona m'chipatala usiku wonse. Tsiku lotsatira, pacemaker idzayang'aniridwanso ndipo X-ray ya pachifuwa idzatengedwa musanatumizidwe kunyumba.

Kodi ubwino ndi kuipa kwake ndi kotani?

Monga njira ina iliyonse yochizira matenda, pali zabwino ndi zoyipa zake. Dokotala wanu adzakambirana nanu izi ndikukuthandizani kusankha zomwe zili zabwino kwa inu.

Zinthu zina zofunika kudziwa

Kodi izi zitenga nthawi yayitali bwanji?

Batire nthawi zambiri imakhala pakati pa zaka 5 ndi 15. Batire ikatha, dokotala amatha kuzimitsa pacemaker yakale ndikuyika yatsopano pafupi nayo. Sipadzakhala vuto ngati yakale ikadalipo.

Zimatenga nthawi yayitali bwanji kuti munthu achire?

Nthawi zambiri mukhoza kuyambiranso ntchito zanu zachizolowezi patatha milungu iwiri.

Kodi ndingathe kupita kukajambula MRI?

Inde. Nthawi zambiri, izi zimakhala zotetezeka pa MRI scans. Koma ndikofunikira kulankhula ndi dokotala wanu ndikutsimikizira musanapite.

Kodi ndiyenera kupitanso kwa dokotala liti? Ndi zizindikiro ziti zomwe ndiyenera kunena nthawi yomweyo?

Muyenera kuonana ndi dokotala nthawi yake. Kuti muwone ngati pacemaker ikugwira ntchito bwino, ngati batire ili bwino, komanso ngati mukuchira bwino.

• Mkati mwa maola 24 kuchokera pamene opaleshoni yachitika
• Pakatha mwezi umodzi
• Kenako miyezi itatu, 6, kapena 12 iliyonse.

Ngati muli ndi zizindikiro izi, imbani dokotala wanu nthawi yomweyo.

• Ngati pali matenda (kufiira, kutupa, mafinya) kapena kutuluka magazi pamalo odulidwa.
• Ngati bondo kapena phazi lanu latupa.
• Ngati mukumva zizindikiro (monga chizungulire) zomwe zinalipo musanayambe kugwiritsanso pacemaker.
• Ngati mwadzidzidzi mukumva kukomoka kapena chizungulire.
• Ngati mukuvutika kupuma.

Ndizachilendo kumva mantha pang'ono komanso mantha mukaganizira zokhala ndi chipangizo chamankhwala m'thupi lanu. Koma simuli nokha, anthu mamiliyoni ambiri padziko lonse lapansi amakhala ndi moyo wabwinobwino ndi chida chothandizira pacemaker. Chida chothandizira pacemaker chopanda lead si njira yabwino kwambiri kwa aliyense, ndipo chida chothandizira pacemaker chachikhalidwe chingakhale chabwino kwa anthu ena. Chifukwa chake lankhulani ndi dokotala wanu za mafunso kapena nkhawa zomwe mungakhale nazo. Iye adzakuthandizani kusankha njira yabwino kwambiri kwa inu.