Chiremba wako akambokuudza here kuti moyo wako uri kurova zvishoma nezvishoma? Kana izvozvo zvikaitika, unogona kunzwa kupera simba uye kuneta. Saka, kuti tibatsire nerudzi urwu rwekurova kwemwoyo kunonoka, tinoshandisa mudziyo unonzi pacemaker. Asi nhasi hatisi kutaura nezve pacemaker yenguva dzose, asi "pacemaker" diki, isina waya, yemazuva ano.

Chii chinonzi Leadless Pacemaker?

Zvichitaurwa zviri nyore, ichi chishandiso chidiki kwazvo, chine unit imwe chete. Chiremba anochiisa mumoyo mako kuti amise mwoyo wako kuti usaderere. Chinokosha ndechekuti zvikamu zvese zviri mumudziyo mumwe chete. Izvi zvinoreva kuti hapana bhatiri rakasiyana, hapana waya (leads) dzekubatanidza kumoyo wako . Nekuti mudziyo wese uyu wakaiswa mukati me ventricle yekurudyi yemoyo wako.

Fungidzira, iyi idiki pane bhatiri reAAA ratinoshandisa. Inotaridzika sesirinda diki yesimbi, yakareba masendimita 1 ne 1.5.

Mudziyo uyu mudiki unoshanda sei?

Ichi chishandiso chakangwara kwazvo. Chiremba anochironga kuti chikunakire. Zvadaro, iyi pacemaker inoongorora zviratidzo zvemagetsi zvemoyo wako. Kana kurova kwemoyo kuchikurumidza, chishandiso ichi chinopa simba diki remagetsi kutsandanyama yemoyo. Chinoshanda sekusundidzira moyo kudiki. Izvi zvinobatsira kudzoreredza kumhanya kwemoyo.

Ndiani akakodzera pacemaker iyi?

Mapiritsi ekubatsira mwoyo anowanzo shandiswa kubatsira vanhu vane zvirwere zvinokonzera kuti mwoyo urove zvishoma nezvishoma, zvinonzi bradyarrhythmias . Mapiritsi aya asina waya anonyanya kukodzera vanhu vane zvirwere zvinotevera:

• Kune avo vanongoda rubatsiro rwemuchina wekubatsira mwoyo yavo dzimwe nguva.
• Atrial fibrillation (Afib) chirwere chinokonzerwa nekuderera kana kumira kwekurova kwemoyo nguva nenguva.
• Kupera kweropa mudumbu kana kuti sinus rhythm ine AV block .
• Bradycardia-tachycardia syndrome , uko kurova kwemoyo kunonoka uye nekukurumidza.
• Kurova kwemoyo zvishoma nezvishoma (bradycardia) pamwe nezviratidzo.

Chiremba wako ndiye achasarudza kana izvi zvakakunakira. Iye achaongorora nhoroondo yako yezvekurapa, mutinhimira wemoyo, uye echocardiogram.Ndinonyatsoongorora mishumo yebvunzo yakaita seiyi.

Unogadzirira sei usati wavhiyiwa?

Uku hakusi kuvhiyiwa kukuru, asi kunoda kugadzirira zvishoma.

• Ronga pachine nguva kuti mumwe munhu akutore uende newe kumba kubva kuchipatara mushure mekuvhiyiwa.
• Chiremba wako achakupa mazano ekuti ungarega riini kudya nekunwa usati wavhiyiwa, pamwe chete kana uchifanira kurega kushandisa mishonga.
• Chinonyanya kukosha ndechekuti, usarega kutora chero mushonga wauri kutora usina kurayirwa nachiremba wako.

Maitiro ekuisa iyi pacemaker

Usavhunduke nazvo, ibasa riri nyore kwazvo. Kazhinji zvinotora maminetsi makumi matatu.

1. Kutanga, nzvimbo yako yemuhudyu inenge isina simba. Hauzonzwi chero chinhu.

2. Zvadaro kucheka kudiki kunochekwa munzvimbo iyoyo.

3. Kuburikidza nekucheka ikoko, chubhu tete inonzi catheter inopinzwa mutsinga huru iri mugumbo rako ( femoral vein ).

4. Paanenge achitarisa muchina weX-ray, chiremba anonyatso tungamira catheter mumoyo.

5. Muchina wekubatsira pacemaker unoiswa mu ventricle yekurudyi yemoyo uye unonamirwa netsandanyama yemoyo.

6. Zvadaro, pacemaker inotariswa kuti ive nechokwadi chekuti iri kushanda nemazvo uye yakabatana nemazvo.

7. Pakupedzisira, catheter inobviswa uye kubuda ropa kunomiswa nekuisa kudzvanyirira panzvimbo yakachekwa.

Ndezvipi zvakanakira nezvakaipa zveizvi?

Kufanana nedzimwe nzira dzese, kune zvakanakira nezvakaipira. Chiremba wako achakurukura newe izvi uye achakubatsira kusarudza kuti ndeipi yakakunakira.

Izvi zvinobudirira sei? Zvichagara kwenguva yakareba sei?

Ongororo dzakaratidza kuti kuiswa kwechishandiso ichi kune mwero wekubudirira uri pakati pe95% ne99% , uye mwero wezvinetso uri pasi pe2%.

Bhatiri rinowanzogara pakati pemakore mashanu kusvika gumi nemashanu . Kana bhatiri rapera, chiremba anogona kubvisa pacemaker yekare oisa itsva. Nekuti pane nzvimbo mumoyo, idzva rinogona kuiswa iro rekare richiri panzvimbo yaro.

Ndinofanira kuona chiremba zvakare here? Zvinotora nguva yakareba sei kuti ndipore?

Ehe, zvechokwadi. Chiremba achafanira kukuona mushure mekuvhiyiwa kuti aongorore kupora kwako uye kushanda kwemudziyo wacho.

• Mukati memaawa makumi maviri nemana ekuvhiyiwa
• Mumwedzi mumwe chete
• Zvadaro mwedzi mitatu, mitanhatu, kana gumi nemiviri yega yega

Kazhinji unogona kudzokera kumabasa ako ezuva nezuva anenge mavhiki maviri mushure mekuvhiyiwa.

Kana chimwe chinhu chakadai chikaitika, fonera chiremba nekukasika!

• Kana paine hutachiona kana kubuda ropa panzvimbo pakachekwa dumbu.
• Kana gumbo rako kana tsoka yako zvikazvimba .
• Kana zviratidzo zvakaita sedzungu uye kuneta zvaivepo muchina wekubatsira kufema usati waiswa zvinodzoka .
• Kana uchinzwa dzungu kana kuti kupera simba .
• Kana uchinetseka kufema .

Chekupedzisira, zvakajairika kuti unzwe kutya zvishoma nezvekuva nemudziyo mumuviri wako. Asi iyi tekinoroji inoshanda uye yakachengeteka. Zvisinei, haisiyo mhinduro yakanakira munhu wese. Kune vamwe vanhu, pacemaker yechinyakare ndiyo yakakodzera. Saka taura pachena nezvemibvunzo kana zvinokunetsa zvaunazvo nachiremba wako. Iye anogona kukubatsira kusarudza zvakakunakira.