Ese muganga wawe yigeze akubwira ko umutima wawe utera buhoro cyane? Iyo bigenze bityo, ushobora kumva ufite intege nke kandi unaniwe. Rero, kugira ngo dufashe muri ubu bwoko bw'umutima utera buhoro, dukoresha igikoresho cyitwa pacemaker. Ariko uyu munsi ntabwo tuvuga pacemaker isanzwe, ahubwo tuvuga "pacemaker" nto cyane, idafite insinga, kandi igezweho.
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Igikoresho cyo mu mutwe kitagira leads ni iki?
Mu magambo make, iki gikoresho ni gito cyane, gifite igice kimwe. Muganga agishyira mu mutima wawe kugira ngo ahagarike umutima wawe gutinda. Igitangaje kuri ibi ni uko ibice byose biri mu gikoresho kimwe. Ibyo bivuze ko nta bateri yihariye, nta nsinga (leads) zo guhuza umutima wawe . Kubera ko iki gikoresho cyose gishyirwa mu nyababyeyi y'iburyo y'umutima wawe.
Tekereza, iyi ni ntoya ugereranyije na batiri ya AAA dukoresha. Isa nka silindiri nto y'icyuma, ifite uburebure bwa santimetero 1 kuri 1.5.
Iki gikoresho gito gikora gite?
Iki gikoresho ni igikoresho cy’ubwenge cyane. Muganga aragitegura kugira ngo kikubere. Hanyuma, iki gikoresho gipima ibimenyetso by’amashanyarazi by’umutima wawe. Iyo umutima wawe usanzwe utera vuba cyane, iki gikoresho gitanga umuvuduko muto cyane w’amashanyarazi ku mitsi y’umutima. Gikora nk’igisunika gato ku mutima. Ibi bifasha kugarura umuvuduko w’umutima.
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Check Availability →Ni nde ukwiriye iyi pacemaker?
Utwuma dukoresha imbaraga zifasha umutima gutera buhoro cyane, twitwa bradyarrhythmias . Utwuma dukoresha imbaraga zidafite insinga turakwiriye cyane cyane abantu bafite ibi bikurikira:
- Ku bantu bakeneye ubufasha bw'icyuma gipima umutima wabo rimwe na rimwe.
- Indwara yo gucika intege mu mutima (Afib) ni indwara ituma umuvuduko w'umutima ugabanuka cyangwa ugahagarara rimwe na rimwe.
- Ihindagurika rya atrial fibrillation cyangwa rhythm ya sinus hamwe na AV block .
- Indwara ya Bradycardia-tachycardia , aho umutima utera buhoro kandi vuba.
- Umutima utera buhoro buhoro (bradycardia) hamwe n'ibimenyetso.
Ariko ibi ntibikwiriye buri wese. Kuri ubu, iki gikoresho kiboneka gusa ku bantu bakeneye ubufasha bwa pacemaker ku cyumba kimwe cy'umutima.
Muganga wawe ni we uzafata icyemezo niba ibi bikubereye. Azasuzuma amateka y'ubuzima bwawe, umuvuduko w'umutima, na echocardiogram.Ndareba neza raporo z'ibizamini nk'ibi.
Witegura ute mbere y'uku kubagwa?
Ubu si ukubagwa gukomeye, ariko bisaba kwitegura gato.
- Teganya mbere y'igihe ko umuntu azagutwara mu rugo avuye kwa muganga nyuma yo kubagwa.
- Muganga wawe azakugira inama ku gihe cyo kureka kurya no kunywa mbere yo kubagwa, ndetse no kumenya niba ugomba kureka gufata imiti iyo ari yo yose.
- Igikuru ni uko, ntugahagarike gufata imiti iyo ari yo yose ufata utabanje kugirwa inama na muganga.
Uburyo bwo gushyiramo iyi pacemaker
Ibi ntibigutere ubwoba, ni inzira yoroshye cyane. Ubusanzwe bifata iminota 30.
1. Ubwa mbere, igice cy'ikibuno cyawe kizaba kimeze nk'ibinya. Nta kintu na kimwe uzumva.
2. Hanyuma hakorwa akantu gato cyane muri ako gace.
3. Binyuze muri iyo mvune, umuyoboro muto witwa catheter winjizwa mu mutsi munini uri ku kuguru kwawe ( umutsi wo mu kibuno ).
4. Mu gihe areba imashini ya X-ray, muganga ayobora catheter mu mutima yitonze.
5. Akamashini gatuma umutima utera neza gashyirwa mu gice cy'iburyo cy'umutima kandi gafatanyirijwe n'imitsi y'umutima.
6. Hanyuma, pacemaker iragenzurwa kugira ngo irebe neza ko ikora neza kandi ko ifatanye neza.
7. Amaherezo, catheter irakurwaho maze amaraso agahagarara hakoreshejwe imbaraga zishyirwa aho yaciwe.
Ni izihe nyungu n'ibibi by'ibi?
Kimwe n'ubundi buryo ubwo ari bwo bwose, hari ibyiza n'ibibi. Muganga wawe azabiganiraho nawe kandi agufashe guhitamo ikikubereye.
| Ibyiza | Ibyiza n'Ingaruka |
|---|---|
| Nta nsinga (imigozi) cyangwa batiri yihariye ikenewe kugira ngo uhuze pacemaker. Kubwibyo, hari ibibazo bike nko kwandura indwara n'insinga zangiritse bikunze kubaho kuri pacemaker zisanzwe. | Icyumba kimwe cy'umutima (ventricle) ni cyo cyonyine gishobora gufasha. |
| Ntabwo bigaragara nk'ikibyimba kiri munsi y'uruhu rw'igituza. Nanone, nta nkovu cyangwa igisebe kiri ku gituza. | Ntushobora gukubita umutima mu buryo butunguranye. Ibyo bivuze ko udashobora kuwukoresha mu gusukura umwuka . |
| Igihe cyo kubagwa ni gito. | Hashobora kubyimba cyangwa kuva amaraso aho hakorewe icyiciro (iki ni cyo kibazo gikunze kugaragara). |
| Kubera ko nta nsinga zihari, nta mbogamizi ku bikorwa byo hejuru y'umubiri nyuma yo kubagwa. | Hari ibyago bidasanzwe byo gucika intege k'umutima. |
| Muri rusange ni byiza gukorerwa isuzuma rya MRI. | Birahenze cyane kurusha ibikoresho bisanzwe bifasha mu mugongo. |
Ibi byagenze neza gute? Bizamara igihe kingana iki?
Ubushakashatsi bwagaragaje ko igipimo cyo gushyiramo iki gikoresho neza kiri hagati ya 95% na 99% , aho igipimo cy'ingorane kiri munsi ya 2%.
Bateri isanzwe imara hagati y'imyaka 5 na 15. Iyo bateri imaze kugabanuka, muganga ashobora gukuramo pacemaker ishaje agashyiramo indi nshya. Kubera ko hari umwanya mu mutima, indi nshya ishobora gushyirwamo mu gihe ishaje iguma aho iri.
Ese nkeneye kongera kubonana na muganga? Bizatwara igihe kingana iki kugira ngo ngire gukira?
Yego rwose. Muganga azakenera kukubona nyuma yo kubagwa kugira ngo arebe niba icyuma cyawe gikira neza kandi ko gikora neza.
- Mu masaha 24 nyuma yo kubagwa
- Mu kwezi kumwe
- Hanyuma buri mezi 3, 6, cyangwa 12
Ubusanzwe ushobora gusubira mu mirimo yawe ya buri munsi nyuma y'ibyumweru bibiri nyuma yo kubagwa.
Niba ikintu nk'iki kibaye, hamagara muganga ako kanya!
Menya neza ko witaye kuri ibi bimenyetso kandi ukavugana na muganga wawe vuba.
- Iyo hari ubwandu cyangwa kuva amaraso aho icyuho cyakorewe mu kibuno.
- Niba akaguru kawe cyangwa ikirenge cyawe bibyimbye .
- Niba ibimenyetso nk'izunguzungu n'umunaniro byari bihari mbere yuko pacemaker ishyirwamo, garuka .
- Niba wumva umeze nk'uzuzuzuzu cyangwa unaniwe .
- Niba ufite ikibazo cyo guhumeka .
Hanyuma, ni ibisanzwe kumva ufite ubwoba bwo kugira igikoresho mu mubiri wawe. Ariko ubu ni ikoranabuhanga ryiza kandi rifite umutekano. Ariko, si ryo rikwiye buri wese. Kuri bamwe, pacemaker gakondo ni yo ikwiriye. Bityo rero, vuga ku bibazo cyangwa impungenge ufite kuri muganga wawe. Ashobora kugufasha guhitamo ikikubereye.
Ubutumwa bwo kujyana mu rugo
- Imashini ikoresha umuvuduko w'umutima idafite lead ni igikoresho gito cyane, gifite insinga zikoresha umuvuduko w'umutima.
- Ibi ntibishyirwa mu gituza, ahubwo bishyirwa mu gace gato k'igituza.
- Gukira byihuta kurusha uko bigenda ku bakoresha uburyo busanzwe bwo gupima umuvuduko w'amaraso, kandi hari imipaka mike ku bikorwa bya buri munsi nyuma yo kubagwa.
- Ibi ntibikwiriye buri wese. Muganga wawe ni we wenyine ushobora gufata icyemezo niba bikubereye cyangwa bitakubereye.
- Kurikiza amabwiriza ya muganga witonze mbere na nyuma yo kubagwa. Niba ubonye ibimenyetso bikekwa, mubimenyeshe ako kanya.
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