Ngaba wena okanye umntu omaziyo ukhe wafakelwa i-pacemaker okanye i-implantable cardioverter defibrillator (ICD)? Ukuba kunjalo, mhlawumbi ukhe weva ngeengcingo, ezaziwa ngokuba 'zii-leads.' Ngamanye amaxesha, ukuba kukho ingxaki ngale lead, kufuneka isuswe ngotyando. Oku kubizwa ngoogqirha ngokuba 'yi-lead extraction.' Ukuva eli gama kunokoyikisa kancinci. Kodwa ungakhathazeki, siza kuthetha ngalo ngokulula nangokucacileyo namhlanje.
Masiqale sibone, yintoni 'iNkokeli'?
Ngamafutshane, i-lead yintambo ekhethekileyo, egqunyiweyo ethwala imiqondiso yombane esuka kwi-pacemaker yakho okanye kwisixhobo se-ICD (Implantable Cardioverter-Defibrillator) ukuya entliziyweni yakho. Ifana nentambo ethwala umbane ukuya ekukhanyeni endlwini yethu.
Xa isingqisho sentliziyo yakho singahambelani (i-Arrhythmia), yile lead eyiqaphelayo ize ithumele isignali yombane echanekileyo entliziyweni ukunceda ukubuyisela isingqisho. Ngokwesiqhelo, kunokubakho i-lead enye, ezimbini, okanye ezintathu ezinjalo, kuxhomekeke kwisixhobo esifakwe esifubeni somntu. Ezi ziqhagamshelwe kwicala lasekunene lentliziyo ecaleni komthambo wegazi (umthambo).
Kutheni kuyimfuneko ukususa eli qhosha?
Kunokubakho izizathu ezininzi zokususa i-lead. Kodwa uninzi lwezizathu eziphambili lusulelo. Khawuthelekelele, ukuba intsholongwane ingena egazini (iBacteremia), olo sulelo lunokuhamba ngale lead luze lusulele neevalvu zentliziyo (i-Infective Endocarditis). Kwimeko enjalo, isixhobo kunye ne-lead kufuneka zisuswe.
Eyona nto ibalulekileyo kukuba kuyingozi kakhulu ukushiya usulelo olufana nolu lunganyangwa. Ngoko ke, ukuba ugqirha uyacebisa, kubalulekile ukuba zisuswe.
Ukongeza kwiintsholongwane, ilothe ingadinga ukususwa ngenxa yezizathu ezininzi.
| Isizathu | Ingcaciso elula |
|---|---|
| Ukuphuka kwelothe okanye ukungasebenzi kakuhle | Izinto ezifana nokuqhekeka, ukwaphuka, okanye ukubuyiselwa ngumvelisi, nokuba ngaphakathi okanye ngaphandle kweleyiti. |
| Ukuvaleka okubangelwa zizicwili zesilonda | Ekuhambeni kwexesha, izicubu ezininzi zesilonda ziyaqokelelana zijikeleze incam yentsimbi. Emva koko isignali yombane evela kwisixhobo ayihambi kakuhle entliziyweni. Oku sikubiza ngokuba yibhloko yokuphuma . |
| Ukuvaleka kwemithambo yegazi | Amahlwili egazi okanye izicwili zesilonda zinokwenzeka zijikeleze ilothe, nto leyo ethintela ukuhamba kwegazi kuyo. |
| I-Arrhythmia ebangelwa yilothe ngokwayo | Kwezinye iimeko ezingaqhelekanga, i-lead inokuphazamisa isigqi sentliziyo kwaye ibangele ukubetha kwentliziyo okungahambelaniyo. |
Yenziwa njani le nkqubo?
Oku kunzima kancinci kwaye kufanele kwenziwe ngugqirha onamava kakhulu. Kuba emva kwexesha elithile, ilothe inokunamathela ngokuqinileyo kwimithambo yegazi ngenxa yezicubu ezijikeleze yona. Ke ngoko, kufuneka isuswe kusetyenziswa izixhobo ezikhethekileyo ukuze kuthintelwe ukonakala kwemithambo yegazi.
Olu tyando lwenziwa phantsi kwe-anesthesia eqhelekileyo , oko kuthetha ukuba awuyi kuva nto, uza kube ulele.
1. Ugqirha wenza umngxuma omncinci phantsi kwe-collarbone (clavicle) okanye kwindawo ye-groin (kufutshane nomthambo we-femoral) aze angene kwimithambo yegazi.
2. Emva koko, ityhubhu ekhethekileyo (isheya) idluliselwa kulo mthambo wegazi ukuya kwindawo apho ilothe ikhona khona.
3. Ugqirha ukhokela le tube ngokuchanekileyo ecaleni kwelothe ngelixa ejonga isikrini esikhethekileyo (i-fluoroscopy) njenge-X-ray.
4. Ngokusebenzisa izixhobo ezikwincam yale tube, izicubu zesilonda ezijikeleze ilothe ziyaqhekeka kancinci kancinci, nto leyo ekhulula ilothe.
5. Ngamanye amaxesha iteknoloji yelaser isetyenziselwa ukunyibilikisa esi sicwili sesilonda.
6. Xa intsimbi ikhululekile ngokupheleleyo, isuswa ngononophelo, inxeba liyavalwa, kwaye kufakwa ibhandishi.
Iza kuthunyelwa nini i-lead entsha?
Kuxhomekeke kwisizathu sokususa i-lead. Ukuba isusiwe ngenxa yosulelo, kuya kufuneka uqale ulinde de i-lead iphile ngokupheleleyo. Kulapho ke kuphela apho kuya kufakwa i-lead entsha kunye nesixhobo. Ngezinye izizathu, kunokufakwa entsha ngexesha lotyando ukuze kususwe i-lead. Ugqirha wakho uya kukuchazela oku.
Ziziphi iingenelo kunye neengozi zalo tyando?
Njengalo naluphi na utyando, olu luneengenelo kunye neengozi ezithile.
| ✅ Iingenelo | ⚠️ Iingozi |
|---|---|
| Ukukwazi ukunyanga usulelo ukuba lukhona. | Iingxaki ezibangelwa yi-anesthesia. |
| Ukutshintsha intambo ephukileyo okanye engasebenzi kakuhle ngentambo entsha kuya kubuyisela isixhobo kwimeko yokusebenza kakuhle. | Ilothe iyaphuka xa isusiwe. |
| Imibhobho yegazi evalekileyo iyasuswa kwaye ukujikeleza kwegazi kuyabuyiselwa. | Ukonakala komthambo wegazi okanye intliziyo. |
| Ukukhululeka kwi-arrhythmias ebangelwa yi-lead. | Ukopha kakhulu kunye nesidingo sotofelo-gazi. |
Linini ixesha ekufuneka uthethe nogqirha?
Xa ubuyela ekhaya emva kotyando, kukho izinto ezimbalwa ekufuneka uzazi. Ukuba unezinye zezi mpawu zilandelayo, musa ukuchitha ixesha kwaye ufowunele ugqirha wakho ngoko nangoko.
- Ukuba unengxaki yokuphefumla .
- Ukuba umkhuhlane ungaphezulu kwe-101°F (101°F) .
- Ukudumba kwindawo yotyando, ukukhupha ulwelo olungaqhelekanga olufana negazi okanye ubomvu.
- Ukudumba kweminwe okanye iinzwane.
Khumbula, ukuba unemeko engxamisekileyo, efana nobunzima bokuphefumla okanye iintlungu eziqatha esifubeni, yiya kwiSebe leNgxamiseko elikufutshane (ETU) ngoko nangoko.
Umyalezo Wokuya Ekhaya
- Ukutsalwa kweLead yinkqubo yotyando esusa iingcingo (ii-leads) zesixhobo se-pacemaker okanye se-ICD.
- Oku kudla ngokubangelwa zizifo, kodwa kunokubangelwa kukwaphuka kwelothe okanye ukungasebenzi kakuhle kwayo.
- Olu lutyando oluntsonkothileyo olufanele lwenziwe ngugqirha onamava kakhulu, ngoko ke kubalulekile ukufuna unyango kugqirha onamava ukuze ufumane iziphumo ezilungileyo.
- Landela imiyalelo kagqirha kanye emva kotyando.
- Ukuba uneengxaki okanye izinto ezikuxhalabisayo, ungaze woyike ukuthetha nogqirha wakho ngazo.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho