Iwe kana mumwe munhu waunoziva wakamboisirwa pacemaker kana kuti implantable cardioverter defibrillator (ICD) here? Kana zvakadaro, pamwe wakambonzwa nezvewaya, dzinozivikanwa se'leads.' Dzimwe nguva, kana paine dambudziko nelead iyi, inofanira kubviswa nekuvhiyiwa. Izvi ndizvo zvinonzi navanachiremba 'lead extraction.' Kunzwa zita iri kunogona kutyisa zvishoma. Asi usazvidya moyo, tichataura nezvazvo zviri nyore uye zvakajeka nhasi.
Ngatitangei tione, chii chinonzi 'Lead'?
Muchidimbu, lead iwaya yakakosha, inodzivirirwa inotakura masaini emagetsi kubva ku pacemaker yako kana mudziyo weICD (Implantable Cardioverter-Defibrillator) kuenda kumoyo wako. Yakafanana newaya inotakura magetsi kuenda kuchiedza chiri mumba medu.
Kana kurova kwemoyo wako kwava kusina kurongeka (Arrhythmia), tambo iyi ndiyo inoiona uye inotumira chiratidzo chemagetsi chakakodzera kumoyo kuti ibatsire kudzoreredza tambo. Kazhinji, panogona kuva netambo imwe, mbiri, kana kunyange nhatu dzakadaro, zvichienderana nemudziyo wakaiswa muchipfuva chemunhu. Idzi dzakabatana nerutivi rwerudyi rwemoyo pamwe chete netsinga yeropa (tsinga).
Sei zvichikosha kubvisa dombo iri?
Panogona kuva nezvikonzero zvakawanda zvekubvisa lead. Asi kazhinji chikonzero chikuru chirwere. Fungidzira, kana utachiona hukapinda muropa (Bacteremia), chirwere ichocho chinogona kufamba nemulead uyu uye kutotapukira mumavharuvhu emwoyo (Infective Endocarditis). Muchiitiko chakadaro, mudziyo nemulead zvinofanirwa kubviswa.
Chinhu chinonyanya kukosha ndechekuti zvine njodzi kusiya hutachiona hwakadai husina kurapwa. Saka, kana chiremba akakupa zano, zvakakosha kubvisa hutachiona uhu.
Pamusoro pehutachiona, simbi inogona kubviswa nekuda kwezvimwe zvikonzero zvakawanda.
| Chikonzero | Tsananguro iri nyore |
|---|---|
| Kutyoka kana kusashanda zvakanaka kwemutobvu | Zvinhu zvakaita sekutyoka, kutyoka, kana kudzoserwazve nemugadziri, kungave mukati kana kunze kwesimbi. |
| Zvipingamupinyi zvinokonzerwa nemavanga | Nekufamba kwenguva, mavanga akawanda anoungana akakomberedza muromo wemutobvu. Ipapo chiratidzo chemagetsi chinobva mumudziyo hachiendi kumoyo nemazvo. Tinochidaidza kuti chivharo chekubuda . |
| Kuvharika kwetsinga dzeropa | Mavanga eropa kana kuti mavanga anogona kuumbwa akapoteredza mutobvu, zvichitadzisa kufamba kweropa nepauri. |
| Arrhythmia inokonzerwa ne lead pachayo | Muzviitiko zvisingawanzoitiki, lead inogona kukanganisa kurira kwemoyo uye kukonzera kurova kwemoyo kusina kurongeka. |
Maitiro aya anoitwa sei?
Izvi zvakaoma zvishoma uye zvinofanira kuitwa nachiremba ane ruzivo rwakakura. Nekuti mushure mechinguva, simbi inogona kunamira zvakasimba patsinga yeropa nekuda kwemavanga anoipoteredza. Saka, inofanira kubviswa uchishandisa michina yakakosha kudzivirira kukuvadza tsinga yeropa.
Kuvhiyiwa uku kunoitwa pasi peanesthesia , zvinoreva kuti hauzonzwi chero chinhu, uchange wakarara.
1. Chiremba anoita kucheka kudiki pasi pebhonzo remudumbu (clavicle) kana munzvimbo yehudyu (pedyo netsinga yefemoral) opinda mutsinga yeropa.
2. Zvadaro, chubhu yakakosha (sheath) inopfuudzwa netsinga iyi yeropa kusvika panzvimbo ine lead.
3. Chiremba anotungamira chubhu iyi nemazvo achitevedza muromo wechubhu uku achitarisa chidzitiro chakakosha (fluoroscopy) seX-ray.
4. Uchishandisa zvishandiso zviri kumucheto kwechubhu iyi, ganda remavanga rakatenderedza tambo rinotsemuka zvishoma nezvishoma, zvichiita kuti tambo yacho ibude.
5. Dzimwe nguva tekinoroji yelaser inoshandiswawo kunyungudutsa ganda iri remavanga.
6. Kana simbi yacho yasununguka zvachose, inobviswa nokungwarira, danda racho rinovharwa, uye bhandeji rinoiswa.
Mutongo mutsva uchaiswa riini?
Zvinoenderana nechikonzero chekubvisa lead. Kana yakabviswa nekuda kwehutachiona, unofanira kutanga wamirira kusvika hutachiona hwapora zvachose. Ndipo chete pachaiswa lead itsva nemuchina. Nezvimwe zvikonzero, imwe itsva inogona kuiswa panguva yekuvhiyiwa kubvisa lead. Chiremba wako achakutsanangurira izvi.
Ndezvipi zvakanakira uye njodzi dzekuvhiyiwa uku?
Kufanana nekuvhiyiwa kupi zvako, uku kune zvakanakira pamwe nenjodzi.
| ✅ Mabhenefiti | ⚠️ Njodzi |
|---|---|
| Kukwanisa kurapa chirwere kana chiripo. | Matambudziko anokonzerwa nekushandisa mushonga weanesthesia. |
| Kutsiva tambo yakatyoka kana kuti isiri kushanda zvakanaka netambo itsva kuchaita kuti mudziyo ushande zvakanaka. | Mutobvu unotyoka kana wabviswa. |
| Kuvharika kwetsinga dzeropa kunobviswa uye kufamba kweropa kunodzoserwa. | Kukuvadzwa kwetsinga yeropa kana moyo. |
| Kurerukirwa kubva ku arrhythmias inokonzerwa ne lead. | Kubuda ropa rakawanda uye kudiwa kwekuwedzerwa ropa. |
Inguva ipi yaunofanira kutaura nachiremba?
Paunodzokera kumba mushure mekuvhiyiwa, pane zvinhu zvishoma zvaunofanira kuziva. Kana uine chimwe chezviratidzo zvinotevera, usapedza nguva uye fonera chiremba wako nekukasika.
- Kana uchinetseka kufema .
- Kana uine fivha inodarika madhigirii Fahrenheit 101 (101°F) .
- Kuzvimba panzvimbo yekuvhiyiwa, kubuda kwemvura isina kujairika yakadai seropa kana hurwa.
- Kuzvimba kweminwe kana zvigunwe.
Yeuka, kana uine dambudziko rekukurumidza, rakadai sekuoma kwekufema kana kurwadziwa kwakanyanya muchipfuva, enda kuDhipatimendi reEmergency (ETU) riri pedyo nekukasika.
Mharidzo Yekuenda Nayo Kumba
- Kubvisa Lead kuvhiyiwa kunobvisa waya dzemuchina wepacemaker kana ICD.
- Izvi zvinowanzokonzerwa nehutachiona, asi zvinogonawo kukonzerwa nekutyoka kwemutobvu kana kusashanda zvakanaka.
- Uku kuvhiyiwa kwakaoma kunofanira kuitwa nachiremba ane ruzivo rwakakura, saka zvakakosha kutsvaga kurapwa nachiremba ane ruzivo kuti uwane mhedzisiro yakanaka.
- Tevedzera mirairo yachiremba mushure mekuvhiyiwa.
- Kana uine matambudziko kana zvinokunetsa, usambotya kutaura nachiremba wako nezvazvo.
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