Dzimwe nguva mwoyo yedu inorova nekukurumidza, kana kuti nekukurumidza, handiti? Rudzi urwu rwekurova kwemoyo kusina kurongeka (arrhythmia) dzimwe nguva runogona kuva chiratidzo chemamiriro ezvinhu ane njodzi. Saka, nhasi tiri kutaura nezvemuchina wekurapa mudiki, asi une simba guru unogona kubatsira kuponesa hupenyu mumamiriro ezvinhu akadaro. Tinodana izvi kuti ICD, zvinoreva Implantable Cardioverter Defibrillator.
Chii chaizvo chinonzi ICD?
Zvichitaurwa zviri nyore, ICD mudziyo wekurapa unoiswa pasi peganda rechipfuva chako, kuburikidza nekuvhiyiwa kudiki. Une zvikamu zviviri zvikuru. Chimwe ibheteri diki, senge stopwatch. Chimwe iwaya dzakatetepa dzinobva pabheteri iri kuenda kumakamuri emwoyo wako. Tinodanawo waya idzi kuti "leads".
Chishandiso ichi chinoshandisa bhatiri chinoramba chichitarisa kurova kwemoyo wako uye mutinhimira . Fungidzira, kana kurova kwemoyo wako kukangoerekana kwava kusagadzikana zvine njodzi, chishandiso ichi chidiki chinogona kupa kuvhunduka kwemagetsi kunodiwa kuti kuchigadzirise. Kuvhunduka kwemagetsi ikoko kunotakurwa kuenda kumoyo kuburikidza newaya dzinonzi "leads."
ICD inonyanya kushandiswa pa:
- Gadzirisa kurova kwemoyo kusina kurongeka (arrhythmias). Semuenzaniso, mamiriro ezvinhu apo moyo unorova nekukurumidza (tachycardia) kana kunonoka zvakanyanya (bradycardia).
- Dzivisa kumisa kwemwoyo kamwe kamwe.
- Unganidza ruzivo nezve mashandiro emwoyo wako uye ubatsire chiremba wako kuita sarudzo dzekurapa.
Ndeupi musiyano uripo pakati peICD nePacemaker?
Vanhu vazhinji vanovhiringidza zvishandiso zviviri izvi. Pane musiyano wakajeka pakati pezviviri izvi.
Chishandiso chekubatsira pacemaker chinoita kuti mwoyo urambe uchirova zvakanaka uye zvakanaka. Izvi zvinoreva kuti chinogara chakabatidzwa.
ICD chishandiso chinoongorora mutinhimira wemoyo uye chinopindira chete kana zvichidikanwa . Kureva kuti, chinongopa kuvhunduka chete kana mutinhimira wemoyo ukachinja zvine njodzi.
Zvisinei, zvakakosha kuyeuka kuti mamwe maICD matsva anogonawo kushanda semushonga wemoyo. Chiremba wako ndiye achasarudza kuti ndeipi mhando yakakunakira.
Ndiani anoda mudziyo weICD?
Mudziyo weICD ungangodiwa kune vanhu vane mamwe matambudziko emwoyo anonetsa kudzora nemamwe marapirwo. Tafura iri pazasi inoratidza mamwe ematambudziko aya.
| Mamiriro Ekurapa | Tsananguro iri nyore |
|---|---|
| Chirwere cheBrugada | Chirwere chisingawanzoitiki chemajini chinokonzera kurova kwemoyo kune njodzi uye kusina kurongeka. |
| Zvimwe zvirwere zvemwoyo zvekuzvarwa nazvo | Kuchinja kwemutinhimira kunokonzerwa nematambudziko ane chekuita nemaumbirwo emwoyo kubva pakuzvarwa. |
| Hypertrophic cardiomyopathy | Kukora kwetsandanyama dzemwoyo kusingawanzoitiki, zvichikonzera kuoma kwekupomba ropa. |
| Chirwere cheLong QT | Kurova kwemoyo nekukurumidza uye kusina kurongeka kunokonzerwa nedambudziko remagetsi emoyo. |
| Vanhu vakambova nechirwere chemwoyo kana kuti mwoyo wakambomira | Kuderedza njodzi yekuti mamiriro ezvinhu akadaro adzoke zvakare. |
| Kusagadzikana kwemwoyo / Kusagadzikana kwemwoyo | Kurova kwemoyo kusingaenderane nezvinodiwa kunotangira mumakamuri epasi emwoyo uye kunogona kuisa hupenyu panjodzi. |
Kuvhiyiwa kwekuisa mudziyo weICD kunoitwa sei?
Kuvhiyiwa uku kunowanzoitirwa muchipatara. Kunotora maawa akati wandei. Kunoitwa nachiremba wemwoyo kana nyanzvi yemagetsi.
Kugadzirira usati wavhiyiwa
Chiremba wako achakupa mirairo inotevera usati wavhiyiwa:
- Maawa mashoma vasati vavhiyiwaKutsanya (usadya kana kunwa chimwe chinhu kunze kwemvura).
- Kuongororwa ropa, weti, uye ECG zvichaitwa kuti zvionekwe kana uri muhutano hwakanaka hwekuvhiyiwa.
- Kana uine dambudziko rekubuda ropa kana kuti uri kutora mishonga inobvisa ropa mumuviri, iva nechokwadi chekuudza chiremba wako .
- Vazivisewo kana uine allergies yezvinhu zvakaita se contrast dye, iodine, kana mishonga.
- Kana uine zvimwe zvirwere zvakaita seasthma, chirwere cheshuga, kana chirwere cheitsvo, zivisawo timu yezvekurapa nezvazvo.
Panguva yekuvhiyiwa
Izvi zvinowanzoitwa nenzira inonzi ``transvenous approach.'' Izvi zvinoreva kuti kucheka kudiki kunoitirwa pedyo necollarbone uye waya dzinonzi ``leads'' dzinopinzwa nepatsinga mumoyo. Dzimwe nguva, kuvhiyiwa kwemoyo kunogonawo kudiwa.
Aya ndiwo matanho anowanzoitwa kuvhiyiwa:
1. Mishonga inopihwa kuburikidza ne "IV" kuti unzwe wakasununguka kana kuti unzwe wakaneta uye wakarara.
2. Nzvimbo yekuchekwa ichave isina simba.
3. Kuchekwa kudiki kunoitirwa pedyo nebhonzo remudumbu, chipfuva, kana dumbu.
4. Waya dzinopinzwa mumakamuri emwoyo kuburikidza netsinga huru.
5. Bhatiri reICD rinoiswa munzvimbo diki yakagadzirwa pasi peganda.
6. Waya dzakabatana nemoyo neICD.
7. Tarisa kuti mudziyo newaya zvakabatana zvakanaka here uye zviri kushanda zvakanaka.
8. Kucheka kwacho kwakasonerwa kwakavharwa.
9. Sisitimu yacho ichaongororwa zvakare usati watumirwa kuward.
Mushure mekuvhiyiwa uye kugara neICD
Mushure mekuvhiyiwa, unogona kunzwa kuneta uye kurwadziwa panzvimbo yakachekwa. Izvi zvinogona kudzorwa nemishonga inoderedza marwadzo. Vanhu vazhinji vanogona kudzokera kumba zuva rapfuura mushure mekuvhiyiwa.
Kuvhunduka kunobva kuICD kunonzwa sei?
Iri idambudziko rine vanhu vazhinji. ICD inogona kukonzera kuvhunduka kusingashande nesimba rakawanda uye kuvhunduka kusingashande nesimba rakawanda.
- Kuvhunduka kusingashande zvakanaka kunoita sekunge munhu ari kubhururuka kana kuti ari kubatwa-batwa muchipfuva.
- Kuvhunduka kunokonzerwa nesimba guru kunoitwa kana paine chirwere chakakomba. Kunogona kurwadza zvishoma kwenguva pfupi. Kunogona kuita sekunge kurohwa pachipfuva.
Kazhinji, kuvhunduka kamwe chete kunodzoreredza kumhanya kwemoyo. Zvisinei, vamwe vanhu vanogona kuvhunduka kakawanda mukati memaawa makumi maviri nemana. Kana ukasangana nekuvhunduka kakawanda munguva pfupi (semuenzaniso, katatu kana kupfuura), ingave emergency inonzi 'electrical storm'. Kana izvi zvikaitika, unofanira kuenda kuchipatara chiri pedyo (ETU) nekukurumidza. Izvi zvinogona kuratidza dambudziko guru remwoyo kana kuti ICD isina kushanda zvakanaka.
Zvinhu zvekufunga nezvazvo kana uchirarama neICD
Kana uine ICD, gara uine kadhi reID mubhegi rako rinotaura izvozvo.Zvingabatsira zvikuru vashandi vezvehutano kana musingakwanise kutaura kana paine dambudziko.
Uyewo, unofanira kuudza vashandi vese vehutano, kusanganisira vanachiremba vako, vanachiremba vemazino, uye mainjiniya vanoita bvunzo dzakadai seMRIs, kuti une ICD, sezvo mimwe michina inogona kukanganisa ICD.
Zvinhu zvinogona kukanganisa ICD
Mimwe michina yetekinoroji inogona kukanganisa mashandiro eICD. Bvunza chiremba wako kana uchifanira kungwarira pakushandisa zvinhu zvakadaro.
- Masisitimu ekudzivirira kuba muzvitoro
- Mamwe marudzi eredhiyo (maredhiyo eCB, maredhiyo eham)
- Fenzi dzemagetsi
- Mahedhifoni
- Machaja emabhatiri emotokari, tambo dzejumper
- Michina ine magineti akasimba
- Zvishandiso zvesimbi munzvimbo dzakadai senhandare dzendege
- Mimwe miedzo yezvekurapa, yakadai seMRI
Nguva yekufonera chiremba wako nekukasika
Kana ukaona chimwe chezviratidzo zvinotevera mushure mekuvhiyiwa, zvinogona kunge zviri chiratidzo chehutachiona. Kana izvi zvikaitika, zivisa chiremba wako nekukasika.
| Zvinhu zvekutarisa | |
|---|---|
| Zviratidzo zvehutachiona |
|
| Dzimwe njodzi | |
Mharidzo Yekuenda Nayo Kumba
- ICD chishandiso chakakosha chekurapa chinogona kuponesa hupenyu hwevanhu vane matambudziko emwoyo ane njodzi.
- Izvi zvakasiyana nepacemaker. ICD inoshanda chete kana ichidikanwa.
- Kana uine ICD, gara uine kadhi rako reID.
- Zivisai vashandi vese vehutano, kusanganisira chiremba wenyu nachiremba wemazino, nezveizvi.
- Chenjerera zvishandiso zvinogona kukanganisa ICD, zvakaita semagineti nezvishandiso zvesimbi.
- Kana ukasangana nedambudziko rakawanda munguva pfupi, funga kuti idambudziko rekukurumidza uye enda kuEmergency Treatment Unit (ETU) yechipatara nekukasika.
- Kana uine zvinokunetsa kana kusava nechokwadi nazvo, usatya kutaura nachiremba wako nezvazvo.
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