Ngaba ugqirha wakho ukuxelele ukuba ukusebenza kwentliziyo yakho kubuthathaka, oko kuthetha ukuba unentliziyo engasebenzi kakuhle? Ngaba uziva udiniwe kwaye uphelelwa ngumphefumlo kangangokuba awukwazi ukwenza imisebenzi yakho yemihla ngemihla? Ugqirha wakho usenokuba ukuxelele nange-pacemaker. Namhlanje sithetha ngesixhobo esifanayo, kodwa esahlukileyo kancinci, esinokuba luncedo kakhulu kubantu abane-cardiac function ebuthathaka kakhulu. Leyo yi-Biventricular Pacemaker.
Ngamafutshane, yintoni le Biventricular Pacemaker?
I-biventricular pacemaker sisixhobo esincinci esifakelwa emzimbeni ngotyando, njenge-pacemaker eqhelekileyo, ukunceda ukulawula izingqisho zentliziyo ezingaqhelekanga (ii-arrhythmias). Nangona kunjalo, umahluko ophambili linani leentambo eziqhagamshelwe kuso.
Khawucinge nje, i-pacemaker eqhelekileyo inentambo enye okanye ezimbini. Kodwa le Biventricular Pacemaker inentambo ezintathu . Oku kubaluleke kakhulu. Ngenxa yezi ntambo zintathu, enye iqhagamshelwe kwigumbi eliphezulu lasekunene lentliziyo (Right Atrium), kwaye ezinye intambo ezimbini ziqhagamshelwe kwiigumbi ezimbini eziphambili (Ventricles) ezantsi kwentliziyo.
Ngoku, khangela, xa uhlaselwa yintliziyo, ngamanye amaxesha amagumbi amabini asezantsi (ii-ventricles) entliziyo yakho awanciphi ngaxeshanye, ngesingqi esifanayo. Kufana nabantu ababini ababheqa isikhephe endaweni yokubheqa kwicala elichaseneyo, kodwa xa omnye umntu egqiba ukubheqa, omnye umntu uyathatha indawo. Emva koko isikhephe asihambi kakuhle, akunjalo? Yiyo loo nto. Xa amagumbi amabini entliziyo engasebenzi kunye, kunzima kakhulu ukuba intliziyo ikwazi ukupompa igazi elinomoya-mpilo omninzi elifunekayo emzimbeni.
I-Biventricular Pacemaker isebenza ngokuthumela imiqondiso yombane kumagumbi omabini ukuze inciphe ngaxeshanye kwaye ijikeleze isingqi esifanayo, ibuyisela ukusebenza kakuhle kwentliziyo. Oogqirha babiza olu nyango ngokuba yiCardiac Resynchronization Therapy (CRT) .
Ngubani osidingayo esi sixhobo?
Ngokwesiqhelo, ugqirha ucebisa isixhobo esifana nesi ngezizathu ezithile. Masibone ukuba zeziphi.
- Ukuba awukwazi ukulawula iimpawu zakho ngamayeza amiselweyo okulawula imeko yentliziyo yakho.
- Ukuba awukwazi ukwenza imisebenzi yemihla ngemihla ngokufanelekileyo ngenxa yokudinwa kakhulu kunye nobunzima bokuphefumla (ukuphelelwa ngamandla).
- Ukuba intliziyo yakho ayimpompi igazi elaneleyo emzimbeni wakho.
- Ukuba iimvavanyo ezifana ne-ECG ziqinisekisa ukuba amagumbi entliziyo awasebenzi kunye.
- Ukuba ugqirha ufumanisa ukuba kukho umngcipheko wobomi ngenxa yokuma kwentliziyo ngequbuliso.
Umahluko phakathi kwe-CRT-P kunye ne-CRT-D
Nantsi enye into omele uyazi. Abanye abantu banokufuna i-defibrillator ukulawula isigqi sentliziyo esiyingozi, kunye nale Biventricular Pacemaker (CRT-P).Kufakelwe ne-ICD. Esi sixhobo sibizwa ngokuba yi-CRT-D . Oku kufumanisa xa intliziyo ibetha ngesantya esiyingozi kwaye kunika umbane omncinci ukubuyisela isigqi sentliziyo. Oku kunokusindisa umntu ekufeni ngequbuliso. Ugqirha wakho uya kugqiba ukuba loluphi uhlobo olufunekayo.
Zithini iingenelo kunye neengozi ezinokubakho zokufaka esi sixhobo?
Njengakwezinye iindlela zonyango, kukho iingenelo kunye neengozi ezincinci. Kubalulekile ukuba nokuqonda okucacileyo.
| Iingenelo eziphambili | Iingozi kunye neengxaki ezinokubakho |
|---|---|
| Ukuncipha okukhulu kweempawu ezifana nokudinwa kunye nokuphefumla kancinci. | Njengakwezinye iintlobo zotyando, kukho iingozi ezifana nosulelo kunye nokopha. |
| Ukuphucula umgangatho wobomi. | Ucingo olunamathele kwintambo luyaphuncuka okanye luqhawuke. |
| Ukuncipha kokulaliswa esibhedlele ngenxa yesifo sentliziyo. | Isixhobo asisebenzi njengoko bekulindelekile. (umz. iingxaki zebhetri) |
| Ukuphucula ukusebenza kwentliziyo. | Ngamanye amaxesha (malunga nabantu abathathu kwabalishumi) ukuphucuka okulindelekileyo kwiimpawu kusenokungenzeki. |
| Ukwandisa ixesha onokuphila ngalo nesifo sentliziyo. | Ukuba luhlobo lwe-CRT-D, i-defibrillator inokubangela ukukhwankqiswa okungeyomfuneko. |
Ngaba kukho naziphi na iimeko apho esi sixhobo singenakufakelwa khona?
Ewe, oku kusenokungafaneleki kwabanye abantu. Umzekelo, ukuba kukho usulelo olusebenzayo emzimbeni, isifo sokopha, okanye esinye isifo esinzulu esinokuba yingozi kubomi kunyaka omnye, ugqirha usenokungalucebisi olu tyando.
Yintoni ekufuneka uyilumkele emva kokufaka i-pacemaker?
Kufana yinxalenye yomzimba wakho, ngoko ke kufuneka uyinyamekele.
Ukuhlolwa kwezonyango (Ukulandelelana)
Kuya kufuneka ubone ugqirha wakho amaxesha ambalwa ngonyaka. Ngexesha lotyelelo, uza kujonga impilo yakho, aqinisekise ukuba isixhobo sakho sisebenza kakuhle, ajonge ibhetri, aze ajonge uhlaziyo lwesoftware . Ungacelwa ukuba wenze uhlolo lwenyanga usekhaya.
Wazi njani ukuba kukho ingxaki?
Ukuba iimpawu zakho (ukudinwa, isiyezi, ukuphelelwa ngamandla, ukuphefumla kancinci) zibuya njengangaphambili, fowunela ugqirha wakho ngoko nangoko. Ngamanye amaxesha isixhobo sinokukhala. Ukuba une-CRT-D, kufuneka uyixele ngoko nangoko ukuba uziva uthukile ngombane .
Izixhobo ekufuneka uhlale kude nazo
Oku kubaluleke kakhulu. Kufuneka uhlale kude nezinto ezinemagnethi enamandla, kuba zinokuphazamisana nemiqondiso evela kwi-pacemaker yakho.
- Iiselfowuni kunye nee-headphones: Xa uthetha kwifowuni, yibambe endlebeni ecaleni kwe-pacemaker. Kungcono ukusebenzisa ifowuni yesithethi. Ungaze uyiphathe ifowuni okanye ii-headphones epokothweni yehempe.
- Izixhobo zokubona isinyithi: Ezi zinokuvula ii-alamu kwiindawo ezifana nezikhululo zeenqwelo-moya. Ngoko ke soloko uphatha ikhadi lakho le-pacemaker uze ulibonise abasebenzi bokhuseleko ukuze bacele itshekhi ekhethekileyo.
- Ezinye izixhobo zonyango: Ukuba ufuna olunye utyando, i-MRI scan, unyango lwamatye ezintso, unyango lwe-TENS lweentlungu, okanye unyango lwemitha yomhlaza, ngokuqinisekileyo kufuneka wazise ugqirha wakho wentliziyo kwangethuba.
Kuqhelekile ukuziva usoyika kwaye uxhalabile xa uxelelwa ukuba udinga i-pacemaker yesifo sentliziyo esinganelanga ngamayeza kuphela. Kodwa uncedo kunye neenzuzo ezinokubakho kwesi sixhobo ebomini bakho zininzi. Ngoko ke, ukuba unemibuzo okanye iinkxalabo malunga noku, ungathandabuzi ukuthetha nogqirha wakho.
Umyalezo Wokuya Ekhaya
- I-biventricular pacemaker sisixhobo esikhethekileyo esongeza ukusebenza kakuhle kwentliziyo ngokwenza amagumbi amabini entliziyo asebenzisane kubantu abaneengxaki ezinkulu zentliziyo.
- Oku kuya kunceda kakhulu ukunciphisa iimpawu ezifana nokudinwa nokuphefumla nzima, kwaye kuphucule umgangatho wobomi bakho.
- Emva kokuba isixhobo sifakiwe, kubalulekile ukuya kuhlolwa ngamaxesha amiselweyo njengoko ugqirha emisele.
- Lumka xa uphethe izinto ezifana neeselfowuni kunye neemagnethi ezinamandla. Hlala ugcina ikhadi lakho lesazisi kuwe.
- Ukuba unesizungu, uphelelwa ngamandla, uphefumla nzima, okanye uziva ushukuma kwisixhobo, yazisa ugqirha wakho ngoko nangoko.
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