Masifunde ngesixhobo esincinci esijonga ngasese isingqisho sentliziyo yakho! (I-Loop Recorder)?

Ngaba ngamanye amaxesha ukhe uzive into engaqhelekanga ngokubetha kwentliziyo yakho? Okanye ngaba unamaxesha apho ulahlekelwa zingqondo ngequbuliso? Abanye abantu banokuba nezi zinto ngaphandle kwentlungu esifubeni. Ukufumana unobangela wezi zinto ngamanye amaxesha kunokuba nzima kancinci. Kuba xa uya kugqirha, usenokungazibonisi ezo mpawu kwangoko. Kulapho ke esi sixhobo sincinci ndiza kuthetha ngaso, esibizwa ngokuba yiLoop Recorder, sinokusinceda khona. Masithethe ngale nto ngokweenkcukacha, kulungile?

Yintoni iLoop Recorder?

Ngamafutshane, iLoop Recorder sisixhobo esincinci esifakwe phantsi kwesikhumba sesifuba sakho. Sirekhoda ulwazi malunga nesantya kunye nesingqi sentliziyo yakho. Cinga ngayo njengomcuphi omncinci onokujonga umsebenzi wombane wentliziyo yakho iiyure ezingama-24 ngosuku, ukuya kuthi ga kwiminyaka emithathu. Kukho ezinye iimonitha zentliziyo ezijonga intliziyo yakho ixesha elifutshane kuphela. Kodwa le yahlukile.

Le Loop Recorder irekhoda idatha ngokuzenzekelayo ize iyithumele kwingcali yentliziyo yakho. Ukubeka iliso rhoqo kunokunceda ekufumaneni iingxaki kwisingqisho sentliziyo, ezibizwa ngokuba yi-arrhythmias , ezifana ne -atrial fibrillation . Ezi arrhythmias ngamanye amaxesha zinokuba yingozi. Zinokukhokelela kwiingxaki ezifana ne -stroke okanye ukuhla kwentliziyo ngequbuliso . Yiyo loo nto kubalulekile ukuziqonda nokuzinyanga ngokukhawuleza.

Le Loop Recorder ikwabizwa ngokuba:

• Irekhoda yeLoop efakelweyo (ILR)
• Isixhobo sokuGcina iintliziyo esifakelwayo (ICM)

Esi sixhobo sincinci sifakwe phantsi kwesikhumba kwicala eliphezulu lasekhohlo lesifuba sakho.

Ibonakala njani le nto?

Le Loop Recorder sisixhobo esincinci kakhulu, esimile okwesikwere . Sifana nepeni encinci oyisebenzisayo. Sinobude obuyi-intshi ezi-1-2. Senziwe ngesinyithi, sinesekethe encinci ye-elektroniki ngaphakathi, kunye nebhetri ehlala ixesha elide.

Esi sixhobo sibekwe phantsi kwesikhumba. Usenokungakwazi ukubona kakuhle imilo yaso phantsi kwesikhumba, kodwa awuyi kuva ntlungu okanye ukungakhululeki.

Kunye nesi sixhobo esingaphakathi esifubeni sakho, ugqirha wakho uza kukunika isixhobo esincinci onokuthi usibambe ngesandla sakho . Esi sixhobo sihambelana nesixhobo. Siza kukunika isantya sentliziyo.Ukuba ufumana iimpawu ezifana nokubetha kwentliziyo, okufuneka ukwenze kukucofa iqhosha kule activator. I-Loop Recorder iya kurekhoda umsebenzi wentliziyo yakho ngelo xesha.

Yintoni kanye kanye eza kwenzeka koku?

I-Loop Recorder ijonga isantya kunye nesingqisho sentliziyo yakho. Ukuba kukho nawuphi na umsebenzi ongaqhelekanga wombane, uyirekhoda ngokuzenzekelayo kwaye igcine idatha kwimemori (njenge-memory chip). Le datha ithunyelwa kwingcali yentliziyo yakho izihlandlo ezininzi ngemini.

Kwakhona, ukuba uziva naziphi na iimpawu, ungaxelela esi sixhobo ukuba "sirekhode ngoku" siphethe isixhobo sokusebenza. Khawuthelekelele, nokuba sele uneempawu kwaye ziphele, esi sixhobo sinokubuyela umva sirekhode umsebenzi wentliziyo wemizuzu embalwa yokugqibela.

Ngoko ke, esi sixhobo sinokurekhoda nayiphi na imisebenzi engaqhelekanga, nokuba uneempawu okanye awunazo, nokuba awuziva nto. Ngale datha, ugqirha wakho unokubona ukuba loluphi uhlobo lomsebenzi ongaqhelekanga obangelwa yintliziyo yakho kunye neempawu ezibangela oko.

Ndingadinga nini into enje?

Ukuba usoloko ubetha intliziyo okanye uphazamiseka yintliziyo, kodwa uvavanyo lwangaphambili aluzange lufumane ngxaki yesingqisho sentliziyo ( arrhythmias ), unokufuna i-loop recorder. Oku kunokunceda ugqirha wakho ukuba afumanise aze anyange naziphi na izingqisho zentliziyo ezingaqhelekanga, nto leyo ethintela iingxaki eziyingozi. Kunokukunceda uqinisekise ukuba ukuquleka kwakho okanye ezinye iimpawu azibangelwa yingxaki yentliziyo.

Nazi ezinye zeendlela eziphambili zokusetyenziswa kweLoop Recorders ziingcali zentliziyo:

• Fumana isizathu sokuquleka okanye ukuwa ngaphandle kwesizathu esicacileyo.
• Vavanya ukubetha kwentliziyo okungapheliyo nokungacaciyo.
• Jonga ukusebenza kwentliziyo kubantu abane- atrial fibrillation (rhoqo ukunceda ekulawuleni unyango).
• Chonga iingxaki zesantya sentliziyo kunye nesingqisho kubantu abadala abanesifo sentliziyo sokuzalwa.
• Chonga izingqisho zentliziyo ezingaqhelekanga ezenzeka emva kwestroke .
• Ngaphambi kokuba ufake isixhobo sokuncedisa ukubetha kwentliziyo esisisigxina, jonga abo banesantya sentliziyo esicothayo (bradycardia).
• Ukuhlaselwa yintliziyoJonga umsebenzi wombane wentliziyo emva kwesenzo ngasinye.

Ngubani owenza inkqubo yokufakela?

I-loop recorder ifakelwe kuwe yi - electrophysiologist . Ungugqirha wentliziyo, kodwa uqeqeshwe ngokukodwa kwinkqubo yombane yentliziyo yakho. Cinga ngayo njengombane wentliziyo.

Kwenzeka ntoni ngaphambi kokuba oku kulungiswe?

Ugqirha wakho wentliziyo uza kuqala agqibe ukuba i-loop recorder ikulungele na. Uza kuhlola imbali yakho epheleleyo yezonyango aze enze uvavanyo lomzimba. Basenokuyalela nezinye iimvavanyo ezimbalwa, ezifana nezi:

• I-Electrocardiogram ( ECG /EKG)
• I-Echocardiogram
• Uvavanyo loxinzelelo lomzimba
• Uvavanyo lweTheyibhile eThambekileyo

Nokuba olu vavanyo alubonisi naziphi na iingxaki ezinkulu zentliziyo, ukuba uyaqhubeka uneempawu ezifana nokuquleka, unokufuna i-loop recorder.

Ndingayilungiselela njani le nto?

Ugqirha wakho uza kukuxelela indlela yokulungiselela. Ngokubanzi, khumbula ezi zinto zilandelayo:

• Ugqirha wakho unokukubuza ngamayeza owasebenzisayo kwaye angacebisa ukuba wenze utshintsho oluthile ngaphambi kosuku lokufakelwa. Musa ukuyeka okanye ukutshintsha naluphi na unyango ngaphandle kokuba ugqirha wakho ekuxelele ukuba wenze njalo.
• Uza kufuna umntu oza kukuyisa ekhaya emva kokuba oku kwenziwe. Oku kungenxa yokuba uza kunikwa amayeza okukwenza uzive unesizungu, kwaye akukhuselekanga ukuqhuba iiyure ezingama-24 emva koko.

Ungayifakela njani i-loop recorder?

Olu asilotyando olukhulu , kwaye ludla ngokuba yinkqubo yokulaliswa ngaphandle apho unokuya ekhaya ngaloo mini inye ngaphandle kokulaliswa esibhedlele. Awuyi kulaliswa ( i-anesthesia jikelele ). Uza kuhlala uvukile, kodwa uza kunikwa amayeza okukunceda uphumle.

Ncamathisela irekhoda yeluphu, kwaye ingcali ye-electrophysiologist iya kwenza la manyathelo:

1. Uza kunikwa iyeza lokukuphumza kunye ne-anesthetic yendawo ukuze uvale loo ndawo. Emva koko awuyi kuva ntlungu.

2. Kuza kwenziwa umsikelo omncinci kakhulu eluswini kwicala lasekhohlo lesifuba sakho. Olu lusikelo lunokuba ncinci kangangekota yesentimitha.

3. Kwenziwa ipokotho encinci phantsi kwesikhumba ukuze ibambe isixhobo.

4. Emva koko beka irekhoda yeluphu ngaphakathi kweso sithuba.

5. Ukusika kwesikhumba kuvalwa ngezititshi okanye ngeglue ekhethekileyo yotyando.

6. Ekugqibeleni, uvula isixhobo ngokubamba into efana nemagnethi phezu kwesifuba sakho.

Le nkqubo incinci ithatha malunga nemizuzu eli-10 ukuya kweli-15 .

Kuza kwenzeka ntoni emva koko?

Uninzi lwabantu luya ekhaya emva koko kwaye lunokwenza imisebenzi yalo yemihla ngemihla. Ugqirha wakho uza kukuxelela indlela yokunyamekela inxeba ekhaya kunye nendlela yokuligcina licocekile.

Kusenokubakho ubuhlungu obujikeleze inxeba, kwaye lisenokubonakala liluhlaza okwesibhakabhaka. Oku kuqhelekile, kwaye ukungakhululeki kuya kuphela kwiintsuku ezimbalwa.

Ngaphambi kokuba ugoduke, ugqirha uza kukubonisa indlela yokusebenzisa ezinye izinto ezisebenza nesixhobo. Oko kukuthi:

• Isiqalisi osibamba ngesandla sakho kunye neqhosha lokucinezela xa unempawu.
• Isixhobo sokuhambisa idatha se-elektroniki osigcina ecaleni kwebhedi yakho. Yile nto ehlala ithumela idatha kugqirha wakho.

Zithini iingozi?

Le yinkqubo engenamngcipheko mkhulu , kodwa kubantu abambalwa kakhulu, oku kulandelayo kunokwenzeka:

• Usulelo : Ukuba usulelo luvela kwindawo yesixhobo, kusenokufuneka amayeza okubulala iintsholongwane . Ngamanye amaxesha, isixhobo sisenokufuneka sifuduselwe kwenye indawo esifubeni.
• I-Allergic reaction : Usenokuba ne-allergic kwisixhobo esikwisixhobo. Ukuba oku kuyenzeka, kunokufuneka usebenzise uhlobo olwahlukileyo lwesixhobo sokujonga.
• Isignali engalunganga : Ngamanye amaxesha, isixhobo sisenokungakwazi ukuzifumana kakuhle iimpawu zombane ezivela entliziyweni. Kwimeko enjalo , ugqirha unokufuneka afudusele isixhobo kwenye indawo esifubeni.

Ngaba oku kungonakalisa intliziyo?

Hayi, iLoop Recorder sisixhobo esikhuselekileyo kakhulu , asiyi kuyenzakalisa intliziyo yakho nangayiphi na indlela. Ayiyi kutshintsha izinga lokubetha kwentliziyo yakho, ayizukukwenza wothuke, okanye yenze nantoni na eya kuchaphazela ukusebenza kwentliziyo yakho. Ijonga nje umsebenzi wombane wentliziyo yakho kwaye irekhode naziphi na izinto ezingaqhelekanga.

Ndingazazi njani iziphumo?

I-Loop Recorder yakho iya kuthumela idatha ngokuzenzekelayo kugqirha wakho , oya kukwazisa xa kufuneka ubuye ukuze uxoxe ngeziphumo.

Ifanele igcinwe ixesha elingakanani le nto?

Kuya kufuneka ugcine esi sixhobo kwindawo yaso de ugqirha wakho akwazi ukuxilonga. Eli xesha liyahluka kumntu nomntu. Ukuba iziphumo zibonisa ukuba udinga i-pacemaker okanye i-implantable cardioverter defibrillator (ICD), ugqirha wakho uya kuyisusa i-loop recorder xa isixhobo esitsha sifakiwe.

Ibhetri kwezi rekhoda ze-loop ihlala malunga neminyaka emithathu , ngoko ke kukho ixesha elaneleyo lokuchonga izingqisho ezingaqhelekanga ezinokwenzeka kube kanye ngenyanga okanye amaxesha ambalwa ngonyaka, nto leyo ezo monitors zexesha elifutshane ezingenakukwazi ukuyibamba.

Ndifanele ndimtsalele umnxeba nini ugqirha ?

Fowunela ugqirha wakho ngokukhawuleza ukuba unayo nayiphi na kwezi mpawu kwindawo osike kuyo:

• Ukuba ijika ibe bomvu
• Ukuba idumbile
• Ukuba kukho ukopha
• Ukuba kukho ubomvu okanye olunye ulwelo oluphumayo

Ezi zisenokuba ziimpawu zengxaki efuna unyango olukhawulezileyo.

Ziziphi iingenelo kunye neengxaki ze-loop recorder?

Zininzi iingenelo ze-loop recorder. Nazi:

• Ukubeka esweni ixesha elide : Oku kunokurekhoda umsebenzi wombane wentliziyo ukuya kuthi ga kwiminyaka emithathu. Ezinye iimonitha azenzi oku ixesha elide kangako. Umzekelo, imonitha yeHolter ibhala kuphela umsebenzi weeyure ezingama-24. Kukwakho neemonitha ezinokusetyenziswa ukuya kuthi ga kwiiveki ezimbini. Oko kuxabisekile, kodwa oko kusenokungabi lixesha elaneleyo lokubamba isigqi esingaqhelekanga esenzeka malunga kanye ngenyanga. Uphando lubonise ukuba oku kubeka esweni ixesha elide kuyinzuzo enkulu.
• Ukurekhoda ngokuzenzekelayo : Nokuba ulibele ukucofa iqhosha xa uneempawu, oku kuya kurekhoda ngokuzenzekelayo imisebenzi engaqhelekanga yentliziyo. Oku kunokubona izinto ezingaqhelekanga nokuba awunazo iimpawu. Oku kuluncedo nokuba awukho zingqondweni kwaye awukhumbuli. Olunye uphando lubonise ukuba esi sixhobo sinokubona iimeko ezingenazimpawu ze-atrial fibrillation.
• Ukulungela : Nge-Loop Recorder, ungahlamba, uqubhe, kwaye uqhubeke nemisebenzi yakho yemihla ngemihla njengesiqhelo. Ifihliwe phantsi kweempahla zakho, ngoko akukho mntu uya kuyiqaphela. Ayiphazamisi njengezinye iimonitha. Oku kulula kakhulu ukuba unomsebenzi osebenzayo okanye indlela yokuphila esebenzayo.

Kodwa kunokubakho iingxaki ezimbalwa ezincinci:

• Imfuneko yotyando oluncinci : Esi sixhobo kufuneka sifakwe phantsi kolusu, ngoko ke kufuneka utyando oluncinci. Nokuba yinkqubo encinci kakhulu, kukho umngcipheko omncinci ngalo naluphi na utyando.
• Izinto ezilungileyo ezingezizo: Ngamanye amaxesha, kunokukwenza kubonakale ngathi une-atrial fibrillation xa ungenayo. Kodwa ugqirha wakho kuya kufuneka enze olunye uvavanyo ukuqinisekisa ukuba unesifo.

Yintoni umahluko phakathi kweLoop Recorder kunye nePacemaker?

Ngoku usenokuba uzibuza, ingaba le Loop Recorder kunye nePacemaker efakwe entliziyweni ziyafana? Hayi, zahlukile kancinci.

I-loop recorder ayitshintshi umsebenzi wombane wentliziyo yakho. Ijonga nje kwaye irekhoda ukuba kukho into engaqhelekanga kwisigqi okanye isantya sokubetha kwentliziyo yakho. Kufana nomcuphi.

Kodwa i-pacemaker sisixhobo esingenelelayo ukulungisa isingqisho sentliziyo esingaqhelekanga, ingakumbi xa ibetha kancinci kakhulu (bradycardia). Ithumela imiqondiso emincinci yombane entliziyweni, iyixelela ukuba ibethe ngolu hlobo.

Ulwazi oluvela kwiLoop Recorder lunokubonisa ukuba udinga unyango lwexesha elide ngesixhobo esisisigxina, esifana ne-pacemaker.

Ngaba oku kunokunceda ekuchongeni isifo sentliziyo?

I-Loop Recorder ayenzelwanga ukubona uhlaselo lwentliziyo. Nangona kunjalo, iyakwazi ukubona i-arrhythmias, eziyingxaki zohlaselo lwentliziyo.

Uhlaselo lwentliziyo lungxamiseko lwezonyango. Ukuba ufumana iintlungu esifubeni okanye ezinye iimpawu zohlaselo lwentliziyo, musa ukulibazisa ukufuna uncedo. Fowunela u-911 ngoko nangoko okanye uye kwisibhedlele esikufutshane.

Ngaba ungasela utywala xa unxibe i-loop recorder?

Landela icebiso likagqirha wakho malunga nokusela utywala kunye nezinye iinguqu kwindlela ophila ngayo. Olunye uphando lubonise ukuba ukusela utywala kunokubangela ukubetha kwentliziyo okungaqhelekanga. Oku kunokwenzeka nokuba usela kakhulu okanye ngokulinganisela (isiselo esinye okanye ezimbini ngosuku).

Oku kusaphandwa, ngoko ke kubalulekile ukuthetha nogqirha wakho malunga nendlela utywala obuchaphazela ngayo umngcipheko wakho weengxaki zesingqisho sentliziyo.

Okokugqibela, izinto ekufuneka uzikhumbule

Njengoko ubona, le Implantable Loop Recorder sisixhobo esibaluleke kakhulu esivumela wena nogqirha wakho ukuba nifunde ngokusebenza kwentliziyo yakho imihla ngemihla. Idatha eyinikayo inokunceda ekuchongeni nasekunyangeni iingxaki zesingqisho sentliziyo (arrhythmias) ngaphambi kokuba zibe ziingxaki eziyingozi.

Usenokuziva usoyika kancinci xa usiva ukuba kuya kufuneka wenze utyando oluncinci ukuze ufake esi sixhobo. Yinto eqhelekileyo leyo. Kodwa khumbula, le yinkqubo engenamngcipheko kakhulu. Thetha nogqirha wakho ngayo nayiphi na imibuzo okanye izinto ezikuxhalabisayo. Angakunika ingqondo ekhululekileyo aze akuchazele yonke into. Yonwaba kukuba ubuchwepheshe obufana nobu bunokukunceda ugcine intliziyo yakho isempilweni!

Isantya sentliziyo, i-loop recorder, i-arrhythmia, isifo sentliziyo, ukujonga intliziyo, impilo, izixhobo zonyango