Ngaba wakha wasebenzisa i-pacemaker okanye i-ICD (Implantable Cardioverter Defibrillator), isixhobo esincinci esikunceda ukugcina intliziyo yakho ibetha kakuhle? Ukuba kunjalo, mhlawumbi uyazi ukuba emva kwexesha elithile, kuya kufuneka utshintshe iindawo ezifana nebhetri. Abantu abaninzi bayaxhalaba xa besiva ngale nto. Kuqhelekile ukucinga izinto ezinje, "Ngaba kuya kufuneka ndenze olunye utyando? Ngaba kuya kuba nzima?" Kodwa eneneni ayoyiki njengoko sicinga. Namhlanje, masithethe ngokutshintsha ezi zixhobo zentliziyo ngendlela elula.
Kuthetha ukuthini ukutshintsha isixhobo sentliziyo?
Ngamafutshane, olu lutyando. Kodwa lubandakanya ukutshintsha isixhobo se-elektroniki (iCardiac Implantable Electronic Device - CIED) esele sifakiwe ukulawula isigqi sentliziyo yakho ngesinye esitsha. Kukho iintlobo ezimbini zezi zixhobo. Esinye yi -pacemaker . Esinye yi -ICD (Implantable Cardioverter Defibrillator) .
Uninzi lwexesha, olu lutyando oluncinci olungadingi ukuhlala esibhedlele kwaye ungaya ekhaya ngaloo mini inye . Ngoko ke akukho mfuneko yokukhathazeka kakhulu ngalo.
Ngubani ongathanda ukutshintsha isixhobo esinje?
Eyona sizathu sokutshintsha isixhobo sentliziyo kukuba xa ibhetri yaso iphantsi. Kufana nebhetri ekwifowuni yethu ephelelwa ngamandla. Ibhetri ekwisixhobo esinjalo idla ngokusetyenziswa phakathi kweminyaka emi-6 neli-10 . Ke ngoko, kusenokufuneka itshintshwe amaxesha amaninzi ebomini.
Kodwa ungakhathazeki ngale nto. Ugqirha wakho uza kujonga rhoqo inqanaba lebhetri yesi sixhobo xa usiya ekliniki. Ngoko ke baza kukwazisa kwangaphambili xa ibhetri sele iza kuphela.
Ukongeza ekuphelelweni kwebhetri, kukho ezinye izizathu zokuba kutheni ungadinga ukutshintsha ezi zixhobo. Makhe sijonge ukuba zeziphi.
| Isizathu | Inkcazo |
|---|---|
| Ibhetri iyaphela | Esi sesona sizathu siqhelekileyo nesiphambili. Xa ibhetri ibuthathaka, isixhobo kufuneka sitshintshwe. |
| Uphuculo lwesixhobo | Ugqirha wakho angacebisa isixhobo esitsha nesinamandla ngakumbi kuneso unaso ngoku. |
| Iimpazamo zezixhobo | Ukuba isixhobo esifakelweyo sifumana impazamo yobugcisa okanye siyeka ukusebenza ngokupheleleyo, kuya kufuneka sitshintshwe. |
| Iimeko ezichaphazelayo | Amaxesha amaninzi, ukuba kukho usulelo olujikeleze isixhobo, kunokufuneka lususwe. Oku akubonakali rhoqo. |
Kwenzeka ntoni ngaphambi kotyando?
Ugqirha wakho uza kukunika imiyalelo ethile malunga nendlela yokulungiselela olu tyando. Le miyalelo ingaquka:
- Ukuyeka amayeza athile: Usenokucelwa ukuba uyeke ukusebenzisa amayeza okunciphisa igazi (umzekelo, i-aspirin ) kunye nezinye izithomalalisi zentlungu kangangeentsuku ezimbalwa.
- Uvavanyo lwentliziyo: Into efana ne -ECG (i-Electrocardiogram) okanye i-Echocardiogram scan ingenziwa ukujonga ukusebenza kwentliziyo.
- Uvavanyo lwegazi: Kuza kwenziwa uvavanyo lwegazi oluninzi ukuze kubonwe ukuba usempilweni na xa utyando luqhubeka.
Kwenzeka ntoni ngexesha lotyando?
Eyona nto ilungileyo kukuba uninzi lwexesha, olu tyando luthatha indawo yelungu lomzimba wakho elibizwa ngokuba yijenereyitha equlathe ibhetri, elingaphantsi kolusu lwakho. Oku kuthetha ukuba iingcingo ezidibene nentliziyo yakho azisuswa. Oku kwenza ukuba lube lutyando oluncinci kunokuba lube lolona lukhulu.
Nangona kunjalo, kwezinye iimeko, kunokufuneka utshintshe isixhobo sonke, kuquka neengcingo. Leyo yinkqubo enzima ngakumbi.
Kwenzeka ntoni xa kutshintshwa ijenereyitha eqhelekileyo:
1. Okokuqala, uza kunikwa isithomalalisi esincinci (isithomalalisi) ngomthambo osengalweni yakho. Awuyi kuva ntlungu.
2. Emva koko, kwenziwa umngxuma omncinci eluswini apho isixhobo siza kufakelwa khona.
3. Ijenereyitha endala isuswa ngokukhupha iingcingo.
4. Ijenereyitha entsha ixhunywe kwindawo enye kwaye iqhagamshelwe kwiingcingo ezifanayo nezendala.
5. Ekugqibeleni, isigqubuthelo sivalwa ngezititshi okanye uhlobo oluthile lweglu .
Zithini iingenelo kunye neengozi zoku?
Njengakwezinye iindlela zonyango, kukho iingenelo kunye neengozi ezincinci kakhulu.
| Iinzuzo | Iingozi |
|---|---|
| Esi sixhobo sisebenza ngempumelelo ephezulu. | Ukunganyamezelani nezinto zokuthomalalisa umzimba. |
| Ukuthintela izingqisho zentliziyo ezingaqhelekanga neziyingozi. | Ukopha kakhulu okanye ukugabha kwegazi. |
| Ukugcina impilo entle yentliziyo nokukhusela ubomi. | Usulelo olujikeleze i-incision okanye ucingo (ukuba ucingo lutshintshiwe). |
Eyona nto ibalulekileyo kukuba olu lutyando olukhuselekileyo nolungenabungozi bungako . Iingxaki azixhaphakanga kakhulu.
Ndifanele ndithethe nini nogqirha ngexesha lokuchacha?
Kuya kufuneka uhlale esibhedlele iiyure ezimbalwa emva kotyando. Abasebenzi baza kukujonga kwaye ukuba yonke into ilungile, uza kuthunyelwa ekhaya ngaloo mini inye. Emva kokuba ubuyele ekhaya , kufuneka uphephe ukwenza nantoni na enzima, njengokuzilolonga, kangangeentsuku ezimbalwa. Kuqhelekile ukuba inxeba lidumbe kwaye libe buhlungu kancinci. Ugqirha uza kukunika iintlungu ngenxa yoko.
Ukongeza, ugqirha wakho uza kukunika imiyalelo yokuba ungayigcina njani i-incision icocekile, indlela yokunyamekela isixhobo esitsha, kunye nokuba ungaqhubeka nini nemisebenzi yakho yesiqhelo.
Nangona kunjalo, ukuba ufumana ezi mpawu zilandelayo, kufuneka uqhagamshelane nogqirha wakho ngoko nangoko.
| Funa ingcebiso yezonyango ngoko nangoko. | |
|---|---|
| Ukuba unezi mpawu: | |
| Iintlungu zesifuba | Umkhuhlane okanye iintlungu zomzimba |
| Ubunzima bokuphefumla (i-Dyspnea) | Iimpawu zosulelo, ezinje ngobomvu, ivumba, okanye ukubomvu ngenxa yesigqubuthelo |
| Ukuba ukrokrela ukuba isixhobo asisebenzi kakuhle (ukuba unale mpawu): | |
| Isiyezi | Ukulahlekelwa yingqondo (ukuquleka) |
| Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza okanye kancinci | Iingxaki eziqhubekayo |
Okubaluleke kakhulu: Ukuba ufumana iintlungu eziqatha esifubeni, ubunzima obukhulu bokuphefumla, okanye ukuphelelwa ngamandla , yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko.
Umyalezo Wokuya Ekhaya
- Ukutshintsha isixhobo sakho se-pacemaker okanye se-ICD yinkqubo eqhelekileyo necwangcisiweyo. Isizathu esiphambili kukuba ibhetri ayisebenzi.
- Olu lutyando oluncinci, olungenabungozi kangako oluhlala lukuvumela ukuba uye ekhaya ngaloo mini inye ngaphandle kokuhlala esibhedlele.
- Ugqirha wakho uza kujonga rhoqo inqanaba lebhetri yesixhobo aze akwazise xa kufika ixesha lokusitshintsha.
- Kubaluleke kakhulu ukulandela yonke imiyalelo enikwe ngugqirha ngaphambi nasemva kotyando.
- Qaphela imiqondiso yesilumkiso. Ukuba unenkxalabo, ungathandabuzi ukufowunela ugqirha wakho okanye uye kwi-ETU xa kukho imeko engxamisekileyo.
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