Chinhu chakakosha chekubatsira pacemaker chakaiswa mumoyo: Zvese nezve Biventricular Pacemaker

Ungave wakambonzwa vanachiremba dzimwe nguva vachitaura nezvemuchina wakakosha wemunhu ane moyo wava kushata, kureva kuti, ane moyo wava kushata zvakanyanya. Pane dzimwe nguva apo mushonga wega haukwani kune avo vanoomerwa nekufema kunyangwe vachishanda nesimba uye vanonzwa kuneta nguva dzese. Ndipo patinoda rubatsiro rwemuchina uyu wekubatsira kufema zvakanaka.

Zvichitaurwa zviri nyore, chii chinonzi biventricular pacemaker iyi?

Iyi imhando ye pacemaker inoiswa mumoyo. Asi yakasiyana zvishoma ne pacemaker yenguva dzose, uye inoita basa rakakosha. Kazhinji, pacemaker inoshandiswa kugadzirisa kusagadzikana kwe rhythm yemoyo (arrhythmias) ine waya imwe kana mbiri. Asi biventricular pacemaker iyi ine waya nhatu (leads).

Zvino ungave uchishamisika kuti, "Sei paine waya nhatu?" Zviri nyore kwazvo. Mwoyo wedu une makamuri makuru mana. Maviri pamusoro uye maviri pasi. Imwe yeaya waya nhatu inobatanidza neatrium yekurudyi, imba yepamusoro yemoyo, uye dzimwe waya mbiri dzinobatana neventricles mbiri, makamuri epasi emoyo.

Mukushaya simba kwakanyanya kwemoyo, makamuri maviri epasi emwoyo haagwinyi panguva imwe chete kana kuti muchimiro chimwe chete. Mumwe anogwinyira mumwe haagwinyi. Zvakafanana nevanhu vaviri vanoshanda pamwe chete, asi pachinzvimbo chekushanda pamwe chete, vanochinjana. Izvi zvinoita kuti mwoyo usakwanise kupomba ropa zvakanaka mumuviri wese. Apa ndipo patinonzwa kuneta uye kushaya mweya.

Iyi biventricular pacemaker inotumira masaini emagetsi kumakamuri ese ari maviri epasi panguva imwe chete, zvichiita kuti amire pamwe chete, murhythm imwe chete. Izvi zvinovandudza zvikuru kugona kwemoyo kupomba. Vanachiremba vanodana kurapwa uku kuti Cardiac Resynchronization Therapy , kana kuti CRT muchidimbu.

Chishandiso ichi chinoshanda sei?

Ichi chinhu chinoiswa mumuviri mushure mekuvhiyiwa kudiki. Chine zvikamu zviviri zvikuru.

1. Pulse Generator: Ichi chikamu chinoita sehuropi. Chine bhatiri nekombuta diki mukati.

2. Matinji: Aya ndiwo waya nhatu dzatakataura nezvadzo. Idzi dzinobatana kubva kuPulse Generator kuenda kumakamuri akakodzera emoyo.

Nguva dzese mwoyo paunorova, mudziyo uyu unotumira chiratidzo chemagetsi chisina kunyatsojeka. Chiratidzo ichi chinofamba netambo uye chinoita kuti makamuri maviri epazasi emoyo agumbuke panguva imwe chete. Kazhinji, hatitombonzwi chiratidzo ichi chemagetsi. Asi basa remoyo riri kuitika sezvarinofanira kuita.

Ndiani angada pacemaker yakadai?

Chiremba achaongorora zvinhu zvakati wandei asati akurudzire kushandisa mudziyo uyu. Tafura iri pazasi inotsanangura izvi zvakanyanya.

Ndezvipi zvakanakira kuisa mudziyo uyu?

Pane mabhenefiti akawanda anowanikwa mune izvi. Chikuru ndechekuti zvinovandudza hupenyu.

• Kuderera kwezviratidzo: Zvinhu zvakaita sekuneta uye kushaya mweya zvinoderera zvakanyanya.
• Hunhu hwehupenyu huri nani: Mabasa ezuva nezuva anova nyore uye anova nyore.
• Kuderera kwekugara muchipatara: Kudiwa kwekugara muchipatara nguva nenguva nekuda kwezvirwere zvemwoyo zvinoramba zvichiipa kunoderera.
• Kushanda kwemoyo kwavandudzika: Kugona kwemoyo kupomba ropa kunovandudzika.
• Kuwedzera kwetariro yekurarama: Izvi zvinokubatsira kuti urarame hupenyu hune hutano kwenguva yakareba, kunyangwe uine chirwere chemwoyo.

Ndezvipi njodzi dzeizvi?

Sekunge kune chero kuvhiyiwa kupi zvako, kune njodzi. Mamwe matambudziko anogona kuitika kunyangwe mudziyo wacho waiswa. Semuenzaniso:

• Waya yakagadzika inofamba.
• Waya yacho inobviswa kubva mujenareta yemoyo kana yekurova kwemoyo.
• Mudziyo wacho hausi kushanda nemazvo.

Zvakare, zvakakosha kuyeuka kuti havasi vese vanowana mudziyo uyu vanowana mhedzisiro yakafanana. Zvichitaurwa zviri pachena, vanhu vatatu pavanhu gumi vanouwana vangasaona musiyano mukuru muzviratidzo zvavo. Taura nachiremba wako nezvazvo pachena.

Munhu wese haakwanise kuisa mudziyo uyu here?

Ehe, pane dzimwe nguva apo vamwe vanhu havagone kuisa mudziyo uyu. Heano mamwe mamiriro ezvinhu akadaro:

• Kuvapo kwehutachiona hunoshanda mumuviri.
• Kuva nechirwere chekubuda ropa.
• Zvirwere zvakaita sekushaya pfungwa.
• Kuva nechimwe chirwere chakakomba chinogona kuuraya mukati megore.
• Kuvapo kwezvisina kunaka mutsinga huru panopinzwa waya dzepacemaker.

Chiremba wako ndiye munhu akakodzera kusarudza kana izvi zvakakunakira iwe kana kwete.

Ndingaziva sei kana paine dambudziko nemudziyo wacho?

Dzimwe nguva mudziyo wacho unogona kuita ruzha rwekurira. Kana kuti chiremba wako anogona kuona dambudziko panguva yekuongororwa kwako kwemwedzi wega wega. Kunze kweizvozvo, muviri wako unogonawo kukupa mamwe masaini. Unofanira kunyanya kunetseka kana zviratidzo zvawaiva nazvo usati watanga kushandisa pacemaker zvadzoka.

Ndezvipi zvinhu zvekungwarira paunenge uchigara nepacemaker?

Ehe, izvi zvakakosha zvikuru. Chaizvoizvo, unofanira kugara kure nezvinhu zvine simba remagineti. Kazhinji, zvinoreva kuti unofanira kuramba uri kure neinenge masendimita matanhatu. Nekuti simba remagineti iri rinogona kukanganisa masaini anobva ku pacemaker yako.

Zvinhu zvekungwarira zvakanyanya:

• Nharembozha nemahedhifoni: Paunenge uchitaura pafoni, shandisa speakerphone. Kana kuti bata foni munzeve yakatarisana nepacemaker. Usambofa wakatakura foni kana mahedhifoni muhomwe yehembe yako.
• Zvishandiso zvesimbi: Zvishandiso zvesimbi panhandare dzendege nezvitoro zvinogona kuridza maaramu. Saka, usati wapinda, ratidza kadhi rako repacemaker kune vashandi vekuchengetedza uye kumbira cheki yakasiyana.
• Mamwe marapirwo ekurapa uye emazino: Izvi zvakakosha zvikuru. Ungave uri kuenda kuna chiremba nekuda kwechimwe chirwere kana kuenda kuna chiremba wemazino, chinhu chekutanga chaunofanira kuvaudza ndechekuti une pacemaker. Zvakakosha kuzivisa chiremba wako wemwoyo usati waita chero nzira dzakadai seMRI scans, kurapwa kwematombo eitsvo, TENS therapy yekurwadziwa, kana radiation therapy yegomarara.