Chiremba wako akakuudza here kuti kushanda kwemoyo wako hakuna simba, zvichireva kuti une chirwere chemwoyo? Uri kunzwa kuneta uye kushaya mweya zvekuti haugone kuita mabasa ako ezuva nezuva here? Chiremba wako anogona kunge akakuudzawo nezve pacemaker. Nhasi tiri kutaura nezve mudziyo wakafanana, asi wakasiyana zvishoma, unogona kubatsira zvikuru vanhu vane kushanda kwemoyo kusina simba. Ndiyo Biventricular Pacemaker.
Zvichitaurwa zviri nyore, chii chinonzi Biventricular Pacemaker iyi?
Muchina wekubatsira pacemaker wepacemaker (biventricular pacemaker) mudziyo mudiki unoiswa mumuviri nekuvhiyiwa, sezvinoita muchina wekubatsira pacemaker, kuti ubatsire kudzora mafambiro emwoyo asina kujairika (arrhythmias). Zvisinei, musiyano mukuru ndewehuwandu hwewaya dzakabatana nawo.
Fungidzira, pacemaker yakajairika ine waya imwe kana mbiri. Asi iyi Biventricular Pacemaker ine waya nhatu . Izvi zvakakosha zvikuru. Nekuda kwewaya idzi nhatu, imwe yakabatana nekamuri repamusoro rekurudyi remoyo (Right Atrium), uye dzimwe waya mbiri dzakabatana nemakamuri maviri makuru (Ventricles) ari pasi pemoyo.
Zvino, tarisa, kana mwoyo wako wabatwa nechirwere chemwoyo, dzimwe nguva makamuri maviri epasi (ventricles) emwoyo wako haapindi panguva imwe chete, muchimiro chimwe chete. Zvakafanana nevanhu vaviri vari kukwasva chikepe panzvimbo pekukwasva mativi akasiyana, asi kana mumwe munhu apedza kukwasva, mumwe munhu anotora nzvimbo yacho. Ipapo chikepe hachifambi zvakanaka, handiti? Ndizvo zvazviri. Kana makamuri maviri emwoyo asingashande pamwe chete, zvinonetsa kuti mwoyo upombe ropa rakawanda reokisijeni rinodiwa nemuviri.
Biventricular Pacemaker inoshanda nekutumira masaini emagetsi kumakamuri ese ari maviri kuti adzikame panguva imwe chete uye murhythm imwe chete, zvichidzorera kushanda zvakanaka kwemoyo. Vanachiremba vanodana kurapa uku kuti Cardiac Resynchronization Therapy (CRT) .
Ndiani anoda mudziyo uyu?
Kazhinji, chiremba anokurudzira mudziyo wakadai nekuda kwezvikonzero zvakasiyana. Ngationei kuti chii.
- Kana usingakwanise kudzora zviratidzo zvako nemishonga yakanyorwa yekudzora mamiriro emwoyo wako.
- Kana usingakwanise kuita mabasa ezuva nezuva nemazvo nekuda kwekuneta zvakanyanya uye kuoma kufema (dyspnea).
- Kana moyo wako usiri kupomba ropa rakakwana mumuviri wako.
- Kana bvunzo dzakadai seECG dzichiratidza kuti makamuri emoyo haasi kushanda pamwe chete.
- Kana chiremba akaona kuti pane njodzi kuhupenyu nekuda kwekumira kwemwoyo kamwe kamwe.
Musiyano uripo pakati peCRT-P neCRT-D
Hechino chimwe chinhu chaunofanira kuziva. Vamwe vanhu vangadawo defibrillator kuti vadzore rhythm yemwoyo ine njodzi, pamwe chete neBiventricular Pacemaker (CRT-P).ICD inoiswawo. Mudziyo uyu unonzi CRT-D . Izvi zvinoona kana moyo uchirova nekukurumidza zvine njodzi uye zvinopa kakuvhunduka kadiki kemagetsi kuti mwoyo udzorere kumhanya kwawo. Izvi zvinogona kuponesa munhu kubva parufu rwechimbichimbi. Chiremba wako ndiye achasarudza rudzi rwaunoda.
Ndezvipi zvakanakira uye njodzi dzinogona kuitika pakuisa mudziyo uyu?
Sekune mamwe marapirwo ekurapa, kune zvakanakira pamwe nenjodzi diki. Zvakakosha kunzwisisa izvi zvakajeka.
| Mabhenefiti makuru | Njodzi dzinogona kuitika nematambudziko |
|---|---|
| Kuderera kukuru kwezviratidzo zvakaita sekuneta uye kufema zvishoma nezvishoma. | Sekunge kune chero kuvhiyiwa kupi zvako, kune njodzi dzakadai sekutapukirwa nehutachiona uye kubuda ropa. |
| Kuvandudza hupenyu. | Waya yakabatanidzwa pawaya inotsvedza kana kuti inokanganisika. |
| Kuderera kwekuwanda kwevanhu vanopinda muchipatara nekuda kwechirwere chemwoyo. | Mudziyo wacho hausi kushanda sezvaitarisirwa. (semuenzaniso matambudziko ebhatiri) |
| Kuvandudza mashandiro emoyo. | Dzimwe nguva (vanhu vanenge vatatu pavanhu gumi) kuvandudzwa kunotarisirwa kwezviratidzo kunogona kusaitika. |
| Kurebesa nguva yaunogona kurarama nechirwere chemwoyo. | Kana iri mhando yeCRT-D, defibrillator inogona kukonzera kuvhunduka kusingakoshi. |
Pane zviitiko here apo mudziyo uyu haugone kuiswa?
Ehe, izvi zvingasakodzera vamwe vanhu. Semuenzaniso, kana paine hutachiona mumuviri, chirwere chekubuda ropa, kana chimwe chirwere chakakomba chinogona kuisa hupenyu pangozi mukati megore, chiremba anogona kusakurudzira kuvhiyiwa uku.
Chii chaunofanira kungwarira mushure mekuisirwa pacemaker?
Zvakafanana nechikamu chemuviri wako, saka unofanira kuzvitarisira.
Kuongororwa kwechiremba (Kutevera)
Uchafanira kuona chiremba wako kashoma pagore. Panguva yekushanya uku, iye achaongorora hutano hwako, oona kuti mudziyo wako uri kushanda zvakanaka, oongorora bhatiri, uye oongorora software itsva . Unogonawo kukumbirwa kuti uite ongororo yemwedzi wega wega uri kumba.
Unoziva sei kuti pane dambudziko?
Kana zviratidzo zvako (kuneta, dzungu, kufenda, kufema zvishoma nezvishoma) zvikadzoka sezvazvaive kare, fonera chiremba wako nekukasika. Dzimwe nguva mudziyo unogona kurira. Kana uine CRT-D, unofanirawo kuizivisa nekukasika kana ukanzwa kuvhunduka kwemagetsi .
Zvishandiso zvekusashandisa
Izvi zvakakosha zvikuru. Unofanira kudzivisa zvinhu zvine simba remagineti, sezvo zvichigona kukanganisa masaini anobva ku pacemaker yako.
- Nharembozha nemahedhifoni: Paunenge uchitaura pafoni, ibatisise munzeve yakatarisana nepacemaker. Zvakanaka kushandisa speaker phone. Usambofa wakatakura foni kana mahedhifoni muhomwe yehembe.
- Zvishandiso zveSimbi: Izvi zvinogona kuvhura maalamu munzvimbo dzakadai sedzendege. Saka gara uine kadhi rako repacemaker ID woriratidza kune vashandi vekuchengetedza kuti vakumbire cheki yakakosha.
- Zvimwe zvishandiso zvekurapa: Kana uchida kuvhiyiwa kumwe, MRI scan, kurapwa kwematombo eitsvo, TENS therapy yekurwadziwa, kana radiation therapy yegomarara, unofanira kuzivisa chiremba wako wemwoyo pachine nguva.
Zvakajairika kuti unzwe kutya uye kunetseka kana ukaudzwa kuti unoda pacemaker yechirwere chemwoyo icho mishonga chete isingakwani. Asi zororo nemabhenefiti zvinogona kuunzwa nemuchina uyu muhupenyu hwako zvakawanda. Saka, kana uine mibvunzo kana zvinokunetsa nezvazvo, usazeza kutaura nachiremba wako.
Mharidzo Yekuenda Nayo Kumba
- Muchina wekubatsira pacemaker unoshanda zvakanaka mukati memoyo (biventricular pacemaker) chinhu chakakosha chinowedzera kushanda zvakanaka kwemoyo nekuita kuti makamuri maviri emoyo ashande pamwe chete kune vanhu vane chirwere chemwoyo chakakomba.
- Izvi zvichabatsira zvikuru kuderedza zviratidzo zvakaita sekuneta nekushaya mweya, uye kuvandudza hupenyu hwako.
- Mushure mekunge mudziyo waiswa, zvakakosha kuenda kunoongororwa panguva dzakatarwa sezvakarairwa nachiremba.
- Chenjerera paunenge uchitakura zvinhu zvakaita semafoni nemagineti akasimba. Gara uine kadhi rako reID.
- Kana uchinzwa dzungu, kupera simba, kufema zvakaoma, kana kunzwa kuvhunduka kubva mumudziyo, zivisa chiremba wako nekukasika.
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