Usenokuba ukhe weva oogqirha ngamanye amaxesha bethetha ngesixhobo esikhethekileyo somntu osebenza intliziyo yakhe ebuthathaka, oko kukuthi, oye waphelelwa ngamandla entliziyo. Kukho amaxesha apho amayeza ewodwa anganelanga kwabo bakufumanisa kunzima ukuphefumla nokuba basebenza nzima kwaye beziva bediniwe ngalo lonke ixesha. Kulapho ke sidinga khona uncedo lwale biventricular pacemaker.
Ngamafutshane, yintoni le biventricular pacemaker?
Olu lukwaluhlobo lwe-pacemaker efakwe entliziyweni. Kodwa yahlukile kancinci kwi-pacemaker eqhelekileyo, kwaye yenza umsebenzi okhethekileyo. Ngokwesiqhelo, i-pacemaker esetyenziselwa ukulungisa iingxaki zesingqisho sentliziyo (arrhythmias) inentambo enye okanye ezimbini. Kodwa le pacemaker ye-biventricular inentambo ezintathu (i-leads).
Ngoku usenokuba uzibuza, "Kutheni kukho iingcingo ezintathu?" Kulula kakhulu. Intliziyo yethu ineegumbi ezine eziphambili. Ezimbini phezulu nezimbini ezantsi. Enye yezi ngcingo zintathu iqhagamshela kwi-atrium yasekunene, igumbi eliphezulu lentliziyo, kwaye ezinye iingcingo ezimbini ziqhagamshela kwi-ventricles ezimbini, amagumbi asezantsi entliziyo.
Kwisifo sentliziyo esinzima, amagumbi amabini asezantsi entliziyo awanciphi ngaxeshanye okanye ngesingqi esinye. Omnye uyancipha omnye akanciphi. Kufana nabantu ababini abasebenza kunye, kodwa endaweni yokusebenza kunye, bayatshintshana. Oku kwenza intliziyo ingakwazi ukupompa igazi ngokufanelekileyo kuwo wonke umzimba. Kulapho siziva sidiniwe kwaye siphelelwa ngumphefumlo.
Le biventricular pacemaker ithumela imiqondiso yombane kuzo zombini ii-rooms ezisezantsi ngaxeshanye, nto leyo ebangela ukuba zinciphe kunye, ngesingqi esinye. Oku kuphucula kakhulu amandla okupompa kwentliziyo. Oogqirha babiza olu nyango ngokuba yiCardiac Resynchronization Therapy , okanye iCRT ngamafutshane.
Isebenza njani le sixhobo?
Esi sisixhobo esifakwa emzimbeni emva kotyando oluncinci. Sineenxalenye ezimbini eziphambili.
1. Ijenereyitha yePulse: Le yinxalenye ebonakala ngathi yingqondo. Inebhetri kunye nekhompyutha encinci ngaphakathi.
2. Iintambo: Ezi ziintambo ezintathu esithethe ngazo. Ezi ziqhagamshelana ukusuka kwiPulse Generator ukuya kwiindawo ezifanelekileyo zentliziyo.
Ngalo lonke ixesha intliziyo ibetha, esi sixhobo sithumela isignali yombane engabonakaliyo. Esi signali sihamba ngentambo kwaye sibangela ukuba amagumbi amabini asezantsi entliziyo anciphe ngaxeshanye. Uninzi lwexesha, asiyiva nesi signali yombane. Kodwa umsebenzi wentliziyo wenzeka kanye ngendlela efanele.
Ngubani oza kufuna i-pacemaker efana nale?
Ugqirha uza kujonga izinto ezininzi ngaphambi kokuba akucebise esi sixhobo. Le theyibhile ingezantsi ichaza oku ngakumbi.
| Xa isixhobo sinokufuneka | Ingcaciso elula |
|---|---|
| Amayeza esifo sentliziyo awakwaziyo ukulawula iimpawu. | Nokuba uthatha onke amayeza amiselweyo ngokuchanekileyo, iimpawu ezinje ngokudinwa kunye nokuphefumla kancinci (ukuphelelwa ngamandla) aziphucuki. |
| Ukuziva udiniwe kakhulu ukuba ungenza imisebenzi yemihla ngemihla. | Ukuba uziva udiniwe kwaye udiniwe nangona sele wenze umsebenzi wasekhaya okanye uhambahamba kancinci. |
| Intliziyo ayipompi igazi ngokwaneleyo. | Ukuba ugqirha wakho ukuxelela ukuba amandla okumpompa kwentliziyo yakho (inxalenye yokukhupha igazi) aphantsi kakhulu. |
| Ukungaphumeleli kwamagumbi entliziyo ukufinyela kunye. | Ukuba iimvavanyo ezifana ne-ECG ziqinisekisa ukuba amagumbi amabini entliziyo awasebenzi ngaxeshanye. |
| Umngcipheko omkhulu wokubanjwa yintliziyo ngequbuliso. | Ukuba kukho umngcipheko ebomini ngenxa yesingqisho sentliziyo esikhawulezayo ngendlela eyingozi. |
Kubalulekile: Ngamanye amaxesha, esinye isixhobo sifakwa kule biventricular pacemaker. Sibizwa ngokuba yi-defibrillator , okanye i-ICD . Oku kubona isigqi esiyingozi nesikhawulezayo entliziyweni kwaye kubangele ukubetheka kombane ukuyimisa. Oku kunokunceda ukuthintela ukufa ngequbuliso. Ukudibana kwezi zixhobo zimbini kukwabizwa ngokuba yi-CRT-D.
Zithini iingenelo zokufaka esi sixhobo?
Zininzi iingenelo zoku. Eyona iphambili kukuba iphucula umgangatho wobomi.
- Ukuncipha kweempawu: Izinto ezifana nokudinwa kunye nokuphefumla kancinci ziyancipha kakhulu.
- Umgangatho wobomi ophucukileyo: Imisebenzi yemihla ngemihla iba lula kwaye ilula ngakumbi.
- Ukuncipha kokulaliswa esibhedlele: Isidingo sokulaliswa esibhedlele rhoqo ngenxa yeemeko zentliziyo eziya zisiba mandundu siyancipha.
- Ukusebenza kwentliziyo okuphuculweyo: Amandla entliziyo okupompa igazi ayaphucuka.
- Ukwanda kwexesha lokuphila: Oku kukunceda uphile ubomi obusempilweni ixesha elide, nokuba unesifo sentliziyo.
Zithini iingozi zoku?
Njengakwezinye iintlobo zotyando, kukho iingozi. Ezinye iingxaki zinokwenzeka nasemva kokuba isixhobo sifakiwe. Umzekelo:
- Ucingo oluzinzileyo oluhambayo.
- Ucingo luyasuswa kwi-heart okanye kwi-pulse generator.
- Isixhobo asisebenzi kakuhle.
Kwakhona, kubalulekile ukukhumbula ukuba ayinguye wonke umntu ofumana esi sixhobo oza kufumana iziphumo ezifanayo. Xa sithetha nje, malunga nabantu abathathu kwabalishumi abasifumanayo basenokungawuboni umahluko omkhulu kwiimpawu zabo. Thetha nogqirha wakho ngale nto ngokukhululekileyo.
Ngaba wonke umntu akanakukwazi ukufaka esi sixhobo?
Ewe, kukho amaxesha apho abanye abantu bengakwazi ukuyifaka le sixhobo. Nazi ezinye zeemeko ezinjalo:
- Ukubakho kosulelo olusebenzayo emzimbeni.
- Ukuba nesifo sokopha.
- Izifo ezifana ne-dementia.
- Ukuba nesinye isifo esinzulu esinokubangela ukufa kungekapheli nonyaka.
- Ukubakho kweengxaki kwimithambo ephambili apho kufakwa khona iingcingo ze-pacemaker.
Ugqirha wakho ngumntu ofanelekileyo ukugqiba ukuba oku kulungile kuwe okanye akunjalo.
Ndingazi njani ukuba kukho ingxaki ngesixhobo?
Ngamanye amaxesha isixhobo sinokwenza isandi sokukhala. Okanye ugqirha wakho angabona ingxaki ngexesha lokuhlolwa kwakho kwenyanga. Ngaphandle koko, umzimba wakho unokukunika nemiqondiso ethile. Kufuneka ukhathazeke ngakumbi ukuba iimpawu owawunazo ngaphambi kokuba i-pacemaker ibuye.
| Uphawu ekufuneka luqwalaselwe | Kwenziwe ntoni? |
|---|---|
| Ukuba uziva unesizungu | Yazisa ugqirha wakho ngoko nangoko. |
| Ukuba uziva ngathi ufuna ukuhlanza | Yazisa ugqirha wakho ngoko nangoko. |
| Ukuba uziva kunzima ukuphefumla | Yazisa ugqirha wakho ngoko nangoko. |
| Ukuba uziva umbane uqhaqhwa yi-defibrillator yakho (ICD) | Le yimeko engxamisekileyo. Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko. |
Zeziphi izinto ekufuneka uzilumkele xa uhlala ne-pacemaker?
Ewe, oku kubaluleke kakhulu. Ngokusisiseko, kufuneka uhlale kude nezinto ezineemagnethi ezinamandla. Ngokwesiqhelo, ithi gcina umgama ubuncinane wee-intshi ezi-6. Kuba ezi magnethi zinokuphazamisana nemiqondiso evela kwi-pacemaker yakho.
Izinto ekufuneka uzilumkele ngakumbi:
- Iiselfowuni kunye nee-headphones: Xa uthetha efowunini, sebenzisa i-speakerphone. Okanye ubambe ifowuni endlebeni ecaleni kwe-pacemaker. Ungaze uyiphathe ifowuni okanye ii-headphones epokothweni yehempe yakho.
- Izixhobo zokubona isinyithi: Izixhobo zokubona isinyithi kwizikhululo zeenqwelo-moya nakwiindawo zokuthenga zinokubangela ii-alamu. Ngoko ke, ngaphambi kokuba ungene, bonisa ikhadi lakho le-pacemaker kubasebenzi bokhuseleko kwaye ucele itshekhi eyahlukileyo.
- Ezinye iindlela zonyango zonyango kunye nonyango lwamazinyo: Oku kubaluleke kakhulu. Nokuba ubona ugqirha ngenxa yesinye isifo okanye uya kugqirha wamazinyo, into yokuqala ekufuneka ubaxelele kukuba une-pacemaker. Kubaluleke kakhulu ukwazisa ugqirha wakho wentliziyo ngaphambi kokuba wenze naziphi na iinkqubo ezifana ne-MRI scans, unyango lwamatye ezintso, unyango lwe-TENS lweentlungu, okanye unyango lwemitha yomhlaza.
Umyalezo Wokuya Ekhaya
- I-biventricular pacemaker sisixhobo esikhethekileyo esisetyenziselwa ukungasebenzi kakuhle kwentliziyo esinceda amagumbi amabini asezantsi entliziyo ukuba abethe kunye ngesingqi esinye.
- Oku kunokunciphisa iimpawu ezifana nokudinwa kunye nokuphefumla kancinci, kwaye kuphucule umgangatho wobomi bakho.
- Esi sixhobo asifanelekanga kuye wonke umntu. Kukho iingozi ezinxulumene naso. Ugqirha wakho uya kugqiba ukuba esi sixhobo sikulungele na.
- Emva kokufaka isixhobo, lumka kwizinto ezinemagnethi enamandla, njengeefowuni eziphathwayo kunye nezixhobo zokubona isinyithi.
- Ngaphambi kokuba wenze naluphi na olunye unyango okanye utyando, qiniseka ukuba wazisa ugqirha ukuba une-pacemaker.
- Kubalulekile ukubona ugqirha ngexesha elibekiweyo uze uhlole isixhobo.
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