Ngamanye amaxesha intliziyo yethu ibetha ngokukhawuleza kakhulu, okanye ngokukhawuleza kakhulu, akunjalo? Olu hlobo lokubetha kwentliziyo okungahambelaniyo (arrhythmia) ngamanye amaxesha lunokuba luphawu lwemeko eyingozi. Ngoko ke, namhlanje sithetha ngesixhobo sezonyango esincinci, kodwa esinamandla kakhulu esinokunceda ukusindisa ubomi kwiimeko ezinjalo. Oku sikubiza ngokuba yi-ICD, emele i-Implantable Cardioverter Defibrillator.
Yintoni kanye kanye i-ICD?
Ngamafutshane, i-ICD sisixhobo sezonyango esifakwa phantsi kwesikhumba sesifuba sakho, ngenkqubo encinci yotyando. Ineenxalenye ezimbini eziphambili. Enye yibhetri encinci, njengewotshi yokumisa. Enye ziintambo ezincinci ezisuka kule bhetri ziye kwiigumbi zentliziyo yakho. Sikwabiza ezi ntambo ngokuthi "ziintambo"
Esi sixhobo sisebenza ngebhetri sihlala sijonga izinga lentliziyo yakho kunye nesingqisho . Khawuthelekelele, ukuba ukubetha kwentliziyo yakho ngequbuliso kuba yinto engaqhelekanga ngendlela eyingozi, esi sixhobo sincinci sinokuzisa ukubetha kombane okufunekayo ukulungisa loo nto. Loo kubetha kombane kuthwalelwa entliziyweni ngeengcingo ezibizwa ngokuba yi-"leads."
I-ICD isetyenziswa kakhulu kwezi zinto zilandelayo:
- Lungisa ukubetha kwentliziyo okungahambelaniyo (arrhythmias). Umzekelo, iimeko apho intliziyo ibetha ngokukhawuleza kakhulu (tachycardia) okanye icotha kakhulu (bradycardia).
- Thintela ukuvaleka kwentliziyo ngequbuliso.
- Qokelela idatha malunga nokusebenza kwentliziyo yakho kwaye uncede ugqirha wakho enze izigqibo zonyango.
Yintoni umahluko phakathi kwe-ICD kunye ne-Pacemaker?
Abantu abaninzi bayabhidanisa ezi zixhobo zimbini. Kukho umahluko ocacileyo phakathi kwezi zimbini.
Isixhobo sokunceda intliziyo ihlale ibetha ngesantya esiqhelekileyo. Oko kuthetha ukuba sihlala sisebenza.
I- ICD sisixhobo esijonga isigqi sentliziyo kwaye singenelela kuphela xa kuyimfuneko . Oko kukuthi, ibangela ukothuka kuphela xa isingqi sentliziyo sitshintsha ngendlela eyingozi.
Nangona kunjalo, kubalulekile ukukhumbula ukuba ezinye ii-ICD ezintsha nazo zingasebenza njenge-pacemaker. Ugqirha wakho uya kugqiba ukuba loluphi uhlobo olulungele wena.
Ngubani ofuna isixhobo se-ICD?
Isixhobo se-ICD sinokufuneka kubantu abaneengxaki ezithile zesingqisho sentliziyo ezinzima ukuzilawula ngonyango oluthile. Itheyibhile engezantsi ibonisa ezinye zezi meko.
| Imeko Yezonyango | Ingcaciso elula |
|---|---|
| Isifo seBrugada | Imeko engaqhelekanga yemfuza ebangela ukubetha kwentliziyo okuyingozi nokungaqhelekanga. |
| Ezinye izifo zentliziyo ezizalwa nazo | Utshintsho lwesingqi olubangelwa ziingxaki zesakhiwo sentliziyo ukususela ekuzalweni. |
| I-hypertrophic cardiomyopathy | Ukutyeba okungaqhelekanga kwemisipha yentliziyo, okubangela ubunzima ekupompeni igazi. |
| Isifo se-Long QT | Ukubetha kwentliziyo okukhawulezayo nokungaqhelekanga okubangelwa yingxaki kwinkqubo yombane yentliziyo. |
| Abantu ababekhe baba ne-myocardial infarction okanye i-cardiac attack ngaphambili | Ukunciphisa umngcipheko wokuba imeko enjalo iphinde yenzeke. |
| Ukuphazamiseka kwentliziyo/Ukuphazamiseka kwentliziyo | Ukubetha kwentliziyo okungaqhelekanga okuqala kumagumbi asezantsi entliziyo kwaye kunokuba yingozi ebomini. |
Lwenziwa njani utyando lokufakelwa isixhobo se-ICD?
Olu tyando ludla ngokwenziwa esibhedlele. Luthatha iiyure ezininzi. Lwenziwa ngugqirha wentliziyo okanye yingcali ye-electrophysiologist.
Ukulungiselela ngaphambi kotyando
Ugqirha wakho uza kukunika le miyalelo ilandelayo ngaphambi kotyando:
- Iiyure ezimbalwa ngaphambi kotyandoZila ukutya (ungatyi okanye usele nantoni na ngaphandle kwamanzi).
- Uvavanyo lwegazi, umchamo, kunye ne-ECG kuya kwenziwa ukuze kubonwe ukuba usempilweni na xa utyando.
- Ukuba unengxaki yokopha okanye usela amayeza okunciphisa igazi, qiniseka ukuba uxelele ugqirha wakho .
- Baxelele nokuba kukho naziphi na izinto ezibangela ukuba ungabi namdla kwizinto ezifana nedayi echaseneyo, i-iodine, okanye amayeza.
- Ukuba unezinye izifo ezifana ne-asthma, isifo seswekile, okanye isifo sezintso, yazisa iqela lezonyango ngazo.
Ngexesha lotyando
Oku kudla ngokwenziwa ngendlela ebizwa ngokuba yi-"transvenous approach." Oku kuthetha ukuba kwenziwa umngxuma omncinci kufutshane ne-collarbone kwaye iingcingo ezibizwa ngokuba yi-"leads" zifakwa ngomthambo entliziyweni. Ngamanye amaxesha, kunokufuneka utyando lwentliziyo evulekileyo.
La ngamanyathelo apho utyando ludla ngokwenzeka khona:
1. Amayeza anikwa nge-"IV" ukuze uzive ukhululekile okanye ukukunika i-anesthesia kwaye ulale.
2. Indawo yokusikwa iya kuba ndindisholo.
3. Kwenziwa umsike omncinci kufutshane nethambo lentamo, isifuba, okanye isisu.
4. Iingcingo zifakwa kwiigumbi zentliziyo ngomthambo omkhulu.
5. Ibhetri ye-ICD ibekwa kwindawo encinci eyenziwe phantsi kwesikhumba.
6. Iintambo ziqhagamshelwe kwintliziyo nakwi-ICD.
7. Jonga ukuba isixhobo kunye neentambo ziqhagamshelwe ngokufanelekileyo na kwaye zisebenza ngokufanelekileyo.
8. I-incision ithungwe ivaliwe.
9. Inkqubo iya kuhlolwa kwakhona ngaphambi kokuba uthunyelwe kwiwadi.
Emva kotyando nokuphila ne-ICD
Emva kotyando, ungaziva udiniwe kwaye uneentlungu kwindawo yokusika. Oku kungalawulwa ngeentlungu. Uninzi lwabantu lunokubuyela ekhaya ngosuku olulandelayo emva kotyando.
Ivakalelwa njani loo ngxaki yokoyika evela kwi-ICD?
Le yingxaki abantu abaninzi abanayo. I-ICD inokwenza zombini izinto ezibangela uloyiko olunamandla aphantsi nolubangela uloyiko olunamandla aphezulu.
- Umothuko ongenamandla amaninzi uvakala ngathi kukuphaphazela okanye ukuchukumisa esifubeni.
- Umothuko onamandla aphezulu unikwa kwiimeko ezinzima kakhulu. Kunokuba buhlungu kancinci okomzuzwana. Kusenokuvakala ngathi kukubetha esifubeni.
Ngokwesiqhelo, ukothuka kube kanye kuya kubuyisela isigqi sentliziyo. Nangona kunjalo, abanye abantu banokufumana ukothuka okuliqela kwisithuba seeyure ezingama-24. Ukuba ufumana ukothuka okuliqela kwisithuba esifutshane (umzekelo, okuthathu nangaphezulu), isenokuba yingxamiseko ebizwa ngokuba 'sisiphepho sombane'. Ukuba oku kuyenzeka, kufuneka uye kwicandelo likaxakeka lesibhedlele esikufutshane (ETU) ngoko nangoko. Oku kunokubonisa ingxaki enkulu yentliziyo okanye ukungasebenzi kakuhle kwe-ICD.
Izinto ekufuneka uziqwalasele xa uhlala ne-ICD
Ukuba une-ICD, soloko uphethe ikhadi lesazisi esibhalwe kulo.Kungaba luncedo kakhulu kubasebenzi bezonyango ukuba awukwazi ukunxibelelana xa kukho imeko engxamisekileyo.
Kwakhona, kufuneka uxelele bonke abasebenzi bezempilo, kuquka oogqirha bakho, oogqirha bamazinyo, kunye neengcali ezenza iimvavanyo ezifana neeMRI, ukuba une-ICD, njengoko ezinye izixhobo zinokuphazamisana ne-ICD.
Izinto ezinokuphazamisana ne-ICD
Ezinye izixhobo zobuchwepheshe zinokuphazamisana nokusebenza kwe-ICD. Buza ugqirha wakho ukuba kufuneka ulumke xa usebenzisa ezo zinto.
- Iinkqubo zokulwa nobusela ezivenkileni
- Ezinye iintlobo zeeradiyo (iirediyo ze-CB, iirediyo zeham)
- Ucingo lombane
- Ii-headphones
- Iitshaja zebhetri yesithuthi, iintambo zejumper
- Oomatshini abaneemagnethi ezinamandla
- Izixhobo zokubona isinyithi kwiindawo ezifana nezikhululo zeenqwelo-moya
- Ezinye iimvavanyo zonyango, ezifana ne-MRI
Ufanele ufowunele ugqirha wakho ngokukhawuleza nini
Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kotyando, oko kungaba luphawu losulelo. Ukuba oku kuyenzeka, yazisa ugqirha wakho ngoko nangoko.
| Iimpawu ekufuneka uzijonge | |
|---|---|
| Iimpawu zosulelo |
|
| Ezinye iimeko ezingxamisekileyo | |
Umyalezo Wokuya Ekhaya
- I-ICD sisixhobo sezonyango esibaluleke kakhulu esinokusindisa ubomi babantu abaneengxaki eziyingozi zesingqisho sentliziyo.
- Oku kwahlukile kwi-pacemaker. I-ICD isebenza kuphela xa kuyimfuneko.
- Ukuba une-ICD, hlala ugcina ikhadi lakho lesazisi kuwe.
- Yazisa bonke abasebenzi bezempilo, kuquka ugqirha wakho kunye nogqirha wamazinyo, ngale nto.
- Lumka izixhobo ezinokuphazamisana ne-ICD, ezinje ngeemagnethi kunye nezixhobo zokubona izinto zesinyithi.
- Ukuba ufumana ukothuka okuninzi ngexesha elifutshane, cinga ukuba yingxamiseko kwaye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
- Ukuba uneengxaki okanye amathandabuzo, ungoyiki ukuthetha nogqirha wakho ngayo.
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