Ngaba unesixhobo esincinci esifakwe phantsi kolusu lwakho ukuze intliziyo yakho ihlale ibetha kakuhle? Sidla ngokusibiza ngokuba yi-pacemaker, kodwa kukho ezinye iintlobo. Ngoko ke ezi zixhobo zisebenza nakwibhetri. Njengebhetri ekwifowuni yethu, ngokuhamba kwexesha le bhetri nayo ilahlekelwa ngamandla. Emva koko kufuneka itshintshwe. Xa usiva oku, ungaziva usoyika, "Olunye utyando?" Kodwa oku akuyonto yokoyika. Namhlanje siza kuthetha ngayo yonke into ngendlela elula kakhulu, ngendlela onokuyiqonda.
Kuthetha ukuthini ukutshintsha isixhobo sentliziyo?
Ngamafutshane, olu lutyando oluncinci lokutshintsha isixhobo se-elektroniki (iCardiac Implantable Electronic Device - CIED) olunceda ukulawula isigqi sentliziyo yakho ngesinye esitsha. Kukho iintlobo ezimbini eziphambili zezi zixhobo:
1. I-Pacemaker: Inceda ukugcina isigqi sentliziyo sisebenza kakuhle xa ibetha ngendlela engaqhelekanga.
2. I-ICD (Implantable Cardioverter Defibrillator): Xa isantya sentliziyo sikhawuleza ngendlela eyingozi, siyasibona size sibangele ukubetheka kombane okuncinci entliziyweni, okunceda ukuyibuyisela esiqhelweni.
Olu tyando ludla ngokubandakanya ukutshintsha kuphela inxalenye yebhetri yesixhobo. Ngoko ke, ayilotyando olukhulu. Akusoloko kufuneka uhlale esibhedlele. Ungangeniswa kusasa, wenze utyando, kwaye ugoduke ngokuhlwa.
Ngubani odinga olu tyando?
Isizathu esiphambili sokutshintsha esi sixhobo kukuba ibhetri ayisebenzi kakuhle. Kodwa kunokubakho nezinye izizathu ezininzi. Makhe sizijonge ngokusondeleyo.
| Isizathu sokutshintsha isixhobo | Ingcaciso elula |
|---|---|
| Ubomi bebhetri buphelile. | Esi sesona sizathu siqhelekileyo. Iibhetri ezikwezi zixhobo zihlala iminyaka emi-6 ukuya kweli-10 . Ekubeni uya ekliniki rhoqo, ugqirha uza kujonga isixhobo aze akwazise kwangaphambili xa ibhetri iza kufa. |
| Isidingo sezixhobo eziphucukileyo ngakumbi | Njengoko isayensi yezonyango iqhubela phambili, kuvela izixhobo ezintsha neziphucukileyo. Ukuba ugqirha wakho uvakalelwa kukuba udinga isixhobo esitsha esifanela imeko yakho, angacebisa ukuba utshintshe. |
| Ukungasebenzi kakuhle kwezixhobo | Amaxesha amaninzi, isixhobo sinokuba nempazamo yobugcisa. Kwimeko ezinjalo, siya kutshintshwa ngaphambi kokuba siyeke ukusebenza ngokupheleleyo. |
| Usulelo (lunqabile kakhulu) | Ukuba kukho usulelo kwindawo efakwe kuyo okanye ejikeleze, isixhobo kuya kufuneka sisuswe. Oku kunqabile kakhulu. |
Khumbula, kusenokufuneka uzitshintshe ezi zixhobo izihlandlo ezininzi ebomini bakho. Yinto eqhelekileyo leyo.
Ngawaphi amalungiselelo afunekayo ngaphambi kotyando?
Ugqirha wakho uza kukunika yonke imiyalelo oyifunayo ngaphambi kotyando. Oku kudla ngokuba njalo:
- Ukwaziswa ngamayeza: Usenokucelwa ukuba uyeke ukusebenzisa amanye amayeza, ingakumbi amayeza okunciphisa igazi afana ne-aspirin, kwiintsuku ezimbalwa ngaphambi kotyando. Qiniseka ukuba uxelela ugqirha wakho ngawo onke amayeza owasebenzisayo.
- Uvavanyo: Uza kunikwa iimvavanyo ezininzi ukuze kubonwe ukuba ufanelekile na utyando.
- I-EKG (i-Electrocardiogram): Jonga umsebenzi wombane wentliziyo.
- I-Echocardiogram: Ividiyo yokusebenza kwentliziyo kunye nokukwazi kwayo ukupompa.
- Uvavanyo lwegazi: Jonga impilo yomzimba wakho ngokubanzi.
Utyando lulula kakhulu.
Njengoko besitshilo ngaphambili, uninzi lwexesha, oku kubandakanya ukutshintshwa kwenxalenye yebhetri (ijenereyitha). Iingcingo (ieledi) eziqhagamshelwe entliziyweni azidla ngokuchukunyiswa. Ngoko ke le yinkqubo encinci kunokuba ibe lutyando olukhulu.
Cinga ngokutshintsha iibhetri kwithotshi yethu. Kodwa oku kwenziwa ngononophelo olukhulu, ngaphakathi kwigumbi lotyando.
Nazi amanyathelo ale nkqubo:
1. Ukuthomalalisa: Okokuqala, uza kunikwa isithomalalisi esincinci ngemithambo yegazi (IV sedation). Ngoko awuyi kuva ntlungu, kwaye uza kuphumla, mhlawumbi ude ulale.
2. Ukusika okuncinci:Kwenziwa umsikelo omncinci eluswini apho kuza kufakwa khona isixhobo. Olu siko ludla ngokwenziwa kwindawo efanayo apho kwenziwe khona utyando lwangaphambili.
3. Ukususa endala: Emva koko ugqirha ukhupha ijenereyitha endala ngononophelo kwiingcingo eziya entliziyweni aze ayisuse.
4. Ukufakela entsha: Thatha ijenereyitha entsha uze uyiqhagamshele kwezo ntambo.
5. Ukuthunga isiko: Emva kokuba isixhobo esitsha sibekwe phantsi kwesikhumba, isiko livalwa nge-suture enyibilikayo okanye uhlobo oluthile lweglu.
Masifunde nange-Leadless Pacemaker.
Ngoku kukho uhlobo olutsha lwe-pacemaker oluncinci kakhulu kwaye alunazingcingo. Lufakwe ngqo entliziyweni. Ukuba unenye efana nale, inkqubo yokuyitshintsha yahlukile kancinci. Usenokuba nendala ishiywe endaweni yayo uze ufake entsha, okanye usenokuba netyhubhu encinci (i-catheter) efakwe emthanjeni emlenzeni wakho, ukhuphe endala, uze ufake entsha.
Ziziphi iingenelo kunye neengozi zotyando?
Njengakweyiphi na inkqubo yezonyango, kukho iingenelo kunye neengozi ezincinci kakhulu.
| Iinzuzo | Iingozi - Ziphantsi kakhulu |
|---|---|
| Isixhobo siqinisekisiwe ukuba sisebenza kakuhle. | Ukusabela kokunganyamezelani neziyobisi ezithomalalisayo. |
| Ingakhusela kwizingqisho zentliziyo eziyingozi. | Ukopha kakhulu okanye amahlwili egazi avela kwindawo etyumkileyo. |
| Kwezinye iimeko, oku kunokusindisa ubomi. | Usulelo kwindawo yokusikwa. |
Eyona nto ibalulekileyo kukuba olu tyando lukhuselekile kakhulu kwaye luneengozi ezincinci kakhulu . Ngoko ke musa ukuloyika ngokungeyomfuneko.
Linjani ixesha lokuchacha emva kotyando?
Uza kuphila ngokukhawuleza kunokuba unokucinga.
- Usuku lokuqala:Phumla kancinci ngomhla wotyando.
- Iveki yokuqala: Kuphephe ukuphakamisa izinto ezinzima kunye nemisebenzi ebangela ukudinwa kweengalo (umzekelo, ukuphakamisa izinto ngezandla zakho ecaleni apho isixhobo sifakwe khona) kangangeentsuku ezimbalwa.
- Intlungu nokudumba: Kunokubakho ukudumba kunye nobuhlungu obujikeleze inxeba kangangeentsuku ezimbalwa. Oku kuqhelekile. Ugqirha uza kukunika amayeza afunekayo oku.
Ugqirha wakho uza kukunika imiyalelo ecacileyo ngezi zinto xa ubuyela ekhaya:
- Indlela yokugcina inxeba licocekile kunye nendlela yokulinyamekela lide liphole.
- Izinto ekufuneka ziqwalaselwe xa uthenga isixhobo esitsha.
- Ungaqhubeka nini nemisebenzi yakho yesiqhelo?
Lumka kwezi mpawu: Ukuba ufowunela ugqirha nini
Ukuba uneengxaki emva kotyando, kubalulekile ukuzibona ngokukhawuleza. Lumka kwezi mpawu zilandelayo. Ukuba unayo nayiphi na kwezi, fowunela ugqirha wakho ngokukhawuleza.
| Udidi lweempawu | Iimpawu ekufuneka uzijonge |
|---|---|
| Iimpawu zesilumkiso ngokubanzi |
|
| Iimpawu zokuba isixhobo asisebenzi kakuhle |
|
Umyalezo Wokuya Ekhaya
- Ukutshintsha isixhobo esifakelwa kwintliziyo (i-CIED) kudla ngokuba yinkqubo elula nekhuselekileyo equka ukutshintsha ibhetri yaso.
- Iibhetri ezikwezi zixhobo kufuneka zitshintshwe rhoqo emva kweminyaka emi-6 ukuya kweli-10. Yinto eqhelekileyo leyo.
- Ukuchacha emva kotyando kukhawuleza kakhulu, kwaye ungaya ekhaya rhoqo ngaloo mini inye.
- Ngaphambi nasemva kotyando, landela imiyalelo kagqirha wakho ngokuchanekileyo.
- Ukuba ufumana iimpawu ezifana neentlungu esifubeni, umkhuhlane, ubunzima bokuphefumla, okanye isiyezi, musa ukulibazisa kwaye wazise ugqirha wakho ngoko nangoko.
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