Ese uzi igikoresho cya ICD kirinda umutima wawe gukora neza? (Implantable Cardioverter Defibrillator)

Hari igihe umutima wacu utera cyane, cyangwa vuba cyane, sibyo? Ubwo bwoko bw'umutima utera nabi (arrhythmia) rimwe na rimwe bushobora kuba ikimenyetso cy'imimerere iteje akaga. Uyu munsi rero turimo kuvuga ku gikoresho gito, ariko gikomeye cyane gishobora gufasha kurokora ubuzima muri bene ibyo bihe. Ibi tubyita ICD, bisobanura Implantable Cardioverter Defibrillator.

ICD ni iki mu by'ukuri?

Mu magambo make, ICD ni igikoresho cy’ubuvuzi gishyirwa munsi y’uruhu rw’igituza cyawe, binyuze mu kubagwa gato. Gifite ibice bibiri by’ingenzi. Kimwe ni bateri nto, nk’isaha yo guhagarara. Ikindi ni insinga nto zigenda ziva kuri iyi bateri zijya mu byumba by’umutima wawe. Izi nsinga kandi tuzita "leads".

Iki gikoresho gikoresha bateri gihora gikurikirana umuvuduko w'umutima wawe n'umuvuduko wawe . Tekereza, niba umutima wawe utangiye gutera nabi mu buryo butunguranye, iki gikoresho gito gishobora gutanga umuvuduko w'amashanyarazi ukenewe kugira ngo gikosorwe. Uwo muvuduko w'amashanyarazi ujyanwa mu mutima unyuze mu nsinga zitwa "leads."

ICD ikoreshwa cyane cyane kuri:

• Kosora imitsi y'umutima idakora neza (arrhythmias). Urugero, aho umutima utera vuba cyane (tachycardia) cyangwa buhoro cyane (bradycardia).
• Kurinda guhagarara k'umutima mu buryo butunguranye.
• Kusanya amakuru yerekeye imikorere y'umutima wawe no gufasha muganga wawe gufata ibyemezo byo kuvura.

Ni irihe tandukaniro riri hagati ya ICD na Pacemaker?

Abantu benshi bavanga ibi bikoresho byombi. Hari itandukaniro rigaragara hagati yabyo.

Ariko, ni ngombwa kwibuka ko hari ubwoko bushya bwa ICD bushobora no gukora nk'igikoresho gipima umutima. Muganga wawe ni we uzaguhitiramo ubwoko bukubereye.

Ni nde ukeneye igikoresho cya ICD?

Igikoresho cya ICD gishobora gukenerwa ku bantu bafite indwara zimwe na zimwe z’umutima zigoye kugenzura mu bundi buryo bwo kuvura. Imbonerahamwe iri hepfo igaragaza zimwe muri izi ndwara.

Kubaga kugira ngo umuntu ashyiremo igikoresho cya ICD bikorwa gute?

Ubusanzwe ubu buvuzi bukorerwa mu bitaro. Bufata amasaha menshi. Bukorwa n'umuganga w'indwara z'umutima cyangwa umuhanga mu by'amashanyarazi.

Kwitegura mbere yo kubagwa

Muganga wawe azaguha amabwiriza akurikira mbere yo kubagwa:

• Amasaha make mbere yo kubagwaIsonzeshe (ntukarye cyangwa ngo unywe ikindi kintu kitari amazi).
• Hazakorwa ibizamini by'amaraso, inkari, na ECG kugira ngo harebwe niba umeze neza kugira ngo ubagwe.
• Niba ufite ikibazo cyo kuva amaraso cyangwa ufata imiti igabanya amaraso, menya neza ko wabibwiye muganga wawe .
• Bamenyeshe kandi niba ufite ubwivumbure ku bintu nk'irangi ritandukanye, iyode, cyangwa imiti.
• Niba ufite izindi ndwara nka asima, diyabete, cyangwa indwara y'impyiko, menyesha itsinda ry'abaganga ibyazo.

Mu gihe cyo kubaga

Ibi akenshi bikorwa binyuze mu buryo bwitwa "transvenous approach." Ibi bivuze ko hakorwa incision nto hafi y'igufwa ry'umugongo hanyuma insinga zitwa "leads" zigashyirwa mu mutima binyuze mu mitsi. Hari igihe nabwo biba ngombwa ko habagwa umutima.

Izi ni intambwe ubusanzwe zibagwa:

1. Imiti itangwa binyuze mu "IV" kugira ngo ikuruhure cyangwa ikubuze gusinzira no kuruhuka.

2. Aho igisebe cyakorewe hazaba hameze nk'ibinya.

3. Hakorwa akato gato hafi y'igufwa ry'umugongo, igituza, cyangwa inda.

4. Insinga zishyirwa mu byumba by'umutima binyuze mu mutsi munini.

5. Bateri ya ICD ishyirwa ahantu hato hakozwe munsi y'uruhu.

6. Insinga zifatanye n'umutima na ICD.

7. Reba niba igikoresho n'insinga bihujwe neza kandi bikora neza.

8. Icyuho gifunze.

9. Sisitemu izongera gusuzumwa mbere yuko woherezwa mu cyumba cy’ubuvuzi.

Nyuma yo kubagwa no kubana na ICD

Nyuma yo kubagwa, ushobora kumva umunaniro n'ububabare aho wakorewe. Ibi bishobora kugenzurwa n'imiti igabanya ububabare. Abantu benshi bashobora gutaha umunsi umwe nyuma yo kubagwa.

Ihungabana rituruka kuri ICD rimeze rite?

Iki ni ikibazo abantu benshi bafite. ICD ishobora gutanga ingaruka mbi ku ngufu nkeya ndetse no ku ngufu nyinshi.

• Gutungurwa n'ingufu nkeya bisa n'aho umuntu akubita cyangwa akubita mu gituza.
• Guturika kw'ingufu nyinshi bitangwa mu bihe bikomeye cyane. Bishobora kubabaza gato mu kanya gato. Bishobora kumva nk'aho ari ugukubitwa mu gituza.

Ubusanzwe, guturika rimwe gusa bizagarura umuvuduko w'umutima. Ariko, hari abantu bashobora guturika kenshi mu masaha 24. Iyo uhuye n'utubazo twinshi mu gihe gito (urugero, dutatu cyangwa turenga), bishobora kuba ari ikibazo cyihutirwa cyitwa 'inkubi y'umuyaga'. Ibi nibibaho, ugomba kujya mu bitaro bikuru byita ku buzima bw'abantu (ETU) by'ibitaro biri hafi yawe. Ibi bishobora kugaragaza ikibazo gikomeye cy'umutima cyangwa ikibazo cy'imikorere mibi ya ICD.

Ibintu ugomba kuzirikana mu gihe ubana n'indwara ya ICD

Niba ufite ICD, buri gihe ujye ufite ikarita y'indangamuntu mu gakapu kawe kagaragaza iyo ndangamuntu.Byaba ingirakamaro cyane ku bakozi b'ubuvuzi niba udashobora kuvugana mu gihe cy'impanuka.

Nanone, ugomba kubwira abakozi bose bo mu rwego rw'ubuzima, harimo n'abaganga bawe, abaganga b'amenyo, n'abatekinisiye bakora ibizamini nka MRI, ko ufite ICD, kuko bimwe mu bikoresho bishobora kwangiza ICD.

Ibintu bishobora kubangamira ICD

Hari ibikoresho by'ikoranabuhanga bishobora kubangamira imikorere ya ICD. Baza muganga wawe niba ukeneye kwitonda mu gihe ukoresha ibintu nk'ibyo.

• Sisitemu zo kurwanya ubujura mu maduka
• Ubwoko bumwe na bumwe bwa radiyo (radiyo za CB, radiyo za ham)
• Inzitiro z'amashanyarazi
• Ecouteurs
• Insinga zo gushyushya bateri z'imodoka, insinga zo gusimbuka
• Imashini zirimo rukuruzi zikomeye
• Imashini zipima ibyuma ahantu nka ku bibuga by'indege
• Bimwe mu bipimo by'ubuvuzi, nka MRI

Igihe cyo guhamagara muganga wawe ako kanya

Niba ubonye kimwe muri ibi bimenyetso bikurikira nyuma yo kubagwa, bishobora kuba ikimenyetso cy'ubwandu. Ibi nibibaho, menyesha muganga wawe ako kanya.