Mtima wathu ndi chiwalo chodabwitsa kwambiri. Siumangogunda, uli ndi makina akeake amagetsi owongolera kugunda kwa mtima. Taganizirani izi ngati makina olumikizira mawaya m'nyumba mwathu. Zizindikiro zazing'ono zamagetsi zochokera mu makinawa zimauza zipinda za mtima kuti zikoke panthawi yoyenera. Koma nthawi zina, pazifukwa zosiyanasiyana, makinawa amatha kusokonekera pang'ono. Pamenepo ndi pomwe chipangizo chaching'ono ichi, koma chofunikira kwambiri chotchedwa "pacemaker" chimatithandiza.
Ndiye, kodi chida ichi chothandizira pacemaker n'chiyani?
Mwachidule, pacemaker ndi chipangizo chaching'ono chamagetsi chomwe chimayikidwa m'thupi lanu kuti chithandizire dongosolo lamagetsi la mtima wanu. Chili ngati "kondakitala" kakang'ono komwe kamathandiza kuwongolera kamvekedwe ka mtima wanu pamene kugunda kwake sikukugwirizana.
Tangoganizani kuti magetsi a mtima wanu ndi ofooka. Kenako zipinda za mtima sizimagwedezeka panthawi yoyenera. Mwina zimagunda mofulumira kwambiri, kapena pang'onopang'ono kwambiri, kapena kamvekedwe kake kamasokonekera kwathunthu. Zotsatira zake, mtima sungathe kupopera magazi okwanira thupi lonse.
Chida choyezera mtima chimayang'anira momwe magetsi achilengedwe a mtima amagwirira ntchito. Ngati chapeza vuto lililonse, chida choyezera mtima chimatumiza zizindikiro zamagetsi zosamveka bwino zomwe zimauza mtima kuti, "Chabwino, tsopano ndi nthawi yoti muchepetse." Izi zimathandiza kuti mtima upitirize kugunda mofulumira.
Kodi zizindikiro ziti zomwe zikusonyeza kuti mungafunike pacemaker?
Dokotala wanu adzasankha ngati mukufuna pacemaker kapena ayi. Komabe, ngati muli ndi zizindikiro izi, ndikofunikira kuonana ndi dokotala ndikukambirana nazo.
Kumbukirani kuti si aliyense amene ali ndi zizindikiro zimenezi amene angafunike pacemaker, koma ndikofunikira kudziwa izi ndikupempha upangiri kwa dokotala.
| Chizindikiro | Kufotokozera kosavuta |
|---|---|
| Kupweteka pachifuwa (Angina) | Kulimba kwa chifuwa kapena kupweteka komwe kumachitika chifukwa cha magazi osakwanira kufika pamtima. |
| Kugunda kwa mtima mwachangu (Tachycardia) | Mtima umagunda mofulumira kuposa nthawi 100 pamphindi popanda chifukwa. |
| Kugunda pang'onopang'ono kwa mtima (Bradycardia) | Mtima umagunda pang'onopang'ono kwambiri, pa liwiro lochepera 60 pa mphindi. |
| Kugunda kwa mtima kosakhazikika (Arrhythmia) | Kugunda kwa mtima kumakhala kosasinthasintha, nthawi zina kumadumphadumpha, kapena kumagunda mowonjezera. |
| Kugunda kwa mtima | Kumva kupsinjika pachifuwa, ngati kuti mtima "ukuvutika" kapena "ukugubuduza miyala." |
| Kuvuta kupuma | Kumva kutopa komanso kupuma movutikira, makamaka mukamagwira ntchito zazing'ono kapena poyenda. |
| Chizungulire, mutu wopepuka, kutaya chidziwitso | Kumva mutu wopepuka, nseru, kapena kukomoka popanda chifukwa. |
| Kutupa kwa akakolo, miyendo, ndi mimba | Kutupa m'malo monga miyendo ndi akakolo chifukwa cha kuchulukana kwa madzi m'thupi. |
Ngati muli ndi zizindikiro izi, mwina chifukwa cha vuto la mtima. Mwachitsanzo, anthu omwe ali ndi mbiri ya kutsekeka kwa mtima kapena matenda a mtima angafunikenso chida chothandizira pacemaker.
Kodi pali mitundu ingati ya pacemakers?
Inde, kutengera vuto la mtima wanu, dokotala wanu adzasankha mtundu wa pacemaker womwe ungakhale wabwino kwa inu. Izi zitha kukhala ndi ma lead amodzi, awiri, kapena atatu.
| Mtundu wa chida chothandizira pacemaker | Kufotokozera |
|---|---|
| Wothandizira Wopanda Lead | Ichi ndi chaching'ono kwambiri, chofanana ndi kapisozi yaikulu ya vitamini. Palibe mawaya. Chimalowetsedwa mumtima kudzera mu catheter ndikulumikizidwa ku khoma lamkati la mtima. |
| Chothandizira pacemaker cha chipinda chimodzi | Ili ndi waya umodzi wokha. Imalumikizana ndi chipinda chimodzi cha mtima. |
| Chothandizira Kutsegula Ma Pacemaker cha zipinda ziwiri | Izi zili ndi mawaya awiri omwe amalumikizana ndi zipinda ziwiri za mtima. |
| Chothandizira Pacemaker cha Biventricular | Ili ndi mawaya atatu. Awiri amalumikizidwa ku zipinda zapansi za mtima (ma ventricles) ndi imodzi ku chipinda chapamwamba chakumanja (atrium yakumanja). Imagwiritsidwa ntchito pa Cardiac Resynchronization Therapy (CRT). |
Kodi pali kusiyana kotani pakati pa pacemaker ndi ICD?
Dokotala wanu angakuuzeninso za ICD (Implantable Cardioverter Defibrillator), yomwe ndi yofanana ndi pacemaker, koma yosiyana pang'ono.
- Chojambulira mtima chimangotumiza zizindikiro zamagetsi kuti chilamulire kayendedwe ka mtima. Sichingathe kubweretsa kugwedezeka kwamagetsi pamtima.
- ICD ingagwirenso ntchito ngati pacemaker. Kuphatikiza apo, ngati kugunda kwa mtima kukupitirira msanga kwambiri (monga tachycardia ya ventricular), imatha kuzindikira ndikubweretsa kugwedezeka kwamphamvu kwamagetsi kumtima kuti abwezeretse kayendedwe kake.
Kodi opaleshoniyi ndi yaikulu? Kodi mungakonzekere bwanji pacemaker?
Iyi si opaleshoni yaikulu, yotsegula mtima. Ndi ukadaulo womwe ulipo masiku ano, opaleshoniyi ndi yapamwamba kwambiri. Pali ululu wochepa, ndipo mutha kuchira mwachangu ndikubwerera ku moyo wanu wamba. Pali njira zitatu zazikulu.
1.Njira yogwiritsira ntchito catheter: Izi zimagwiritsidwa ntchito pa opanga mtima opanda lead. Chubu chaching'ono (catheter) chimalowetsedwa mumtsempha kudzera m'mimba, ndipo wopanga mtima amatsogozedwa kudzera mmenemo ndikulowetsedwa mumtima. Izi nthawi zambiri zimatenga ola limodzi.
2. Njira yodutsa m'mitsempha: Iyi ndi njira yomwe imagwiritsidwa ntchito kwambiri. Kudula pang'ono kumapangidwa pansi pa khosi kapena pakhungu la khosi, ndipo mawaya olumikizirana ndi pacemaker (ma leads) amalowetsedwa mumtima kudzera mu mtsempha. Izi zimachitika motsogozedwa ndi X-ray (fluoroscopy). Mawayawo akayikidwa pamalo oyenera mumtima, chipangizo cholumikizirana ndi pacemaker chimayikidwa mu "thumba" laling'ono lopangidwa pansi pa khungu pamwamba pa chifuwa.
3. Njira yochizira matenda a mtima: Izi nthawi zambiri zimachitika kwa ana kapena pa opaleshoni ina ya mtima. Pamadulidwa pang'ono pachifuwa ndipo mawaya amaikidwa kunja kwa mtima. Chipangizo chothandizira pacemaker chimayikidwa pansi pa khungu la mimba.
Opaleshoni imeneyi nthawi zambiri imatenga maola awiri kapena asanu. Dokotala wanu adzakufotokozerani njira yoyenera kwa inu.
Monga chilichonse, kodi pali zoopsa zilizonse? (Zovuta)
Monga momwe zimakhalira ndi njira ina iliyonse yachipatala, pali zoopsa zina zazing'ono. Komabe, izi sizichitika kawirikawiri. Dokotala wanu adzakuuzani za izi.
- Matenda a ziwengo: Matenda a ziwengo angachitike chifukwa cha mankhwala omwe agwiritsidwa ntchito kapena chitsulo chomwe chimapanga pacemaker.
- Kuundana kwa magazi: Pofuna kuchepetsa chiopsezochi, dokotala wanu angakupatseni mankhwala omwe amaletsa kuundana kwa magazi.
- Ziphuphu pa chipangizo kapena waya: Nthawi zina waya imatha kusuntha pang'ono kuchokera pomwe idayikidwa. Ichi ndichifukwa chake tikulimbikitsidwa kupewa kupsinjika kwambiri pa mwendo kwa kanthawi mutachita opaleshoni.
- Kusokoneza zipangizo zakunja: Muyenera kusamala mukamayandikira zipangizo zina zomwe zili ndi mphamvu zamagetsi kapena maginito amphamvu (monga makina a MRI). Komabe, makina atsopano oyezera mtima tsopano apangidwa kuti azilimbana ndi izi. Dokotala wanu adzakupatsani upangiri pa izi.
Zinthu zofunika kudziwa zokhudza kukhala ndi pacemaker
Mutatha kugwiritsa ntchito pacemaker, mutha kukhala ndi moyo wabwinobwino komanso wotanganidwa. Komabe, pali zinthu zingapo zomwe muyenera kukumbukira.
Kodi batire ya pacemaker imatenga nthawi yayitali bwanji?
Izi zimadalira mtundu wa pacemaker ndi momwe imagwirira ntchito. Pa avareji, batire limakhala kwa zaka pafupifupi 10-15 . Dokotala wanu adzakufunsani kuti mubwere ku chipatala nthawi ndi nthawi. Kenako, pacemaker ndi batire zidzayang'aniridwa. Nthawi ikakwana yoti musinthe batire, zitha kuchitika ndi opaleshoni yosavuta komanso yaying'ono kuposa kuyika pacemaker poyamba.
Zinthu zomwe mungachite kuti mukhale ndi thanzi labwino
Moyo wa munthu amene ali ndi pacemaker umadalira thanzi lake lonse. Ngati mukukhala moyo wathanzi, mutha kuyembekezera kukhala moyo wabwinobwino kapena pafupifupi wabwinobwino.
- Imwani mankhwala anu monga momwe mwalangizidwira: Ngati dokotala wanu wakupatsani mankhwala ena kuwonjezera pa pacemaker yanu, imwani panthawi yake komanso nthawi yomwe mwalangizidwa. Musaope kufunsa ngati muli ndi mafunso.
- Pitani kuzipatala nthawi yake: Izi ndizofunikira kwambiri. Dokotala adzayang'ana thanzi lanu komanso momwe chipangizo chothandizira kupuma chimagwirira ntchito panthawiyi.
- Mvetserani thupi lanu: Ngati kugunda kwa mtima wanu kuli kopitirira muyeso womwe dokotala wanu wakupatsani (kotsika kwambiri kapena kokwera kwambiri), imbani dokotala wanu nthawi yomweyo.
Ngati muli ndi zizindikiro izi, uzani dokotala wanu nthawi yomweyo:
* Ngati muli ndi vuto lililonse lopuma.
* Ngati mwadzidzidzi mwalemera kapena miyendo kapena akakolo anu atupa.
* Ngati mukumva chizungulire, kukomoka, kapena kusokonezeka.
* Ngati zizindikiro zomwe munali nazo musanayike pacemaker zibwereranso.
Ndizachibadwa kumva mantha pang'ono komanso nkhawa mukauzidwa kuti mukufuna pacemaker chifukwa cha vuto la mtima. Koma kumbukirani, ichi ndi chinthu chomwe chikuchitika kuti chiwongolere moyo wanu ndikukutetezani. Lankhulani ndi dokotala wanu za nkhawa zilizonse zomwe muli nazo. Mwanjira imeneyi, mudzakhala ndi kumvetsetsa bwino komanso mtendere wamumtima.
Uthenga Wopita Nawo Kunyumba
- Chothandizira pacemaker ndi chipangizo chamagetsi chaching'ono chomwe chimathandiza kukonza kugunda kwa mtima kosakhazikika.
- Ndikofunikira kufunafuna upangiri wa dokotala ngati mukukumana ndi zizindikiro monga chizungulire, kupuma movutikira, kapena kugunda kwa mtima mofulumira kapena pang'onopang'ono.
- Iyi si opaleshoni yaikulu, yotsegula mtima, ndipo ingathe kuchitidwa mosamala kwambiri pogwiritsa ntchito ukadaulo wamakono.
- Chothandizira pacemaker chimakupatsani mwayi wokhalanso ndi moyo wabwinobwino komanso wotanganidwa.
- Ndikofunikira kwambiri kutsatira malangizo a dokotala mutangomaliza opaleshoni ndikupita kuzipatala pa nthawi yake.
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