Ngaba ngamanye amaxesha uziva utyhafile? Okanye intliziyo yakho ibetha ngokukhawuleza kangangokuba uzive usoyika? Kodwa xa uya kugqirha, i-ECG ayibonisi nto ingalunganga ngelo xesha? Le yingxaki abantu abaninzi abanayo. Ngoko ke, namhlanje sithetha ngesixhobo esincinci, kodwa esibaluleke kakhulu esisetyenziselwa ukubona iingxaki kwintliziyo ezenzeka ngamaxesha athile.
Yintoni le Implantable Loop Recorder (ILR)?
Ngamafutshane, sisixhobo esincinci kakhulu se-elektroniki esifakwe phantsi kwesikhumba sesifuba sakho. Sifana nepeni encinci. Umsebenzi waso ophambili kukujonga rhoqo isantya sentliziyo yakho kunye nesingqisho, kunye nokurekhoda naziphi na izinto ezingaqhelekanga.
Isetyenziselwa ukubona utshintsho olungaqhelekanga kwisingqisho sentliziyo olungabonwayo luvavanyo lwentliziyo (njengesixhobo sokubona i-Holter) oludla ngokwenziwa kabini ngemini. Esi sixhobo singashiywa emzimbeni wakho ukuya kuthi ga kwiminyaka emithathu . Ukuba ugqirha ufumana ulwazi olufunekayo ngelo xesha, singasuswa kwangethuba.
Kutheni ugqirha angakucebisa esi sixhobo?
Ingcali yakho yentliziyo ingacebisa i-ILR ukuba:
- Ukuba unesiphene okanye ukubetha kwentliziyo okungaziwayo: Oku kunokunceda ekufumaneni unobangela wokwenene ukuba ezinye iimvavanyo aziphumelelanga ekufumaneni unobangela.
- Fumanisa ukungaqheleki kwentliziyo (arrhythmias): Ezinye iintlobo ze-arrhythmias, ezifana ne-``Atrial Fibrillation - AFib``, azifumaneki rhoqo. Esi sixhobo siluncedo kakhulu kwiimeko ezinjalo.
- Jonga i-arrhythmia esele ibonwe ngelixa inyangwa.
- Jonga ukusebenza kombane kwentliziyo emva kokuhlaselwa yintliziyo okanye isifo sohlangothi.
Isebenza njani le gajethi incinci?
Cinga ngayo njengentlola encinci ehlola intliziyo yakho. Ibona ukusebenza kombane kwentliziyo yakho kwaye irekhode naluphi na utshintsho olungaqhelekanga. Incinci kakhulu, malunga ne-intshi enye okanye ezimbini ubude.
Ngenxa yokuba ikwindawo engaphantsi kolusu (ingaphantsi kolusu), ungayibona iqhuma elingaphezulu kolusu, kodwa awuyi kuva ntlungu okanye ukungakhululeki.
Esi sixhobo sisebenza ngeendlela ezimbini:
1. Ngokuzenzekelayo: Ukuba esi sixhobo sibona into engaqhelekanga kwisingqisho sentliziyo yakho, nokuba awunazo iimpawu, siya kusirekhoda ngokuzenzekelayo eso siganeko.
2. Ngesandla: Esi sixhobo siza nesiqalisi esincinci onokusibamba ngesandla.Uyayiqonda. Xa uziva utyhafile okanye intliziyo yakho ibetha ngokukhawuleza, kufuneka ucinezele iqhosha kwi-activator. Emva koko, esi sixhobo sirekhoda umsebenzi wentliziyo yakho ngelo xesha kunye nexesha elifutshane ngaphambi koko. Oku kuya kunceda ugqirha wakho aqonde ulwalamano phakathi kweempawu zakho kunye nomsebenzi wentliziyo ongaqhelekanga.
Lonke olu lwazi lugcinwa kwinkumbulo yalo. Emva koko lwenza olo lwazi lufumaneke kugqirha wakho ngexesha elifanelekileyo.
Kwenzeka ntoni ngaphambi kokuba isixhobo sifakwe?
Okokuqala, ugqirha wakho uya kugqiba ukuba uyasidinga ngokwenene esi sixhobo. Ukuze enze oku, uza kuhlola imbali yakho yezonyango, enze uvavanyo lomzimba, kwaye, ukuba kuyimfuneko, enze uvavanyo olumbalwa.
- `EKG` (I-Electrocardiogram)
- I-Echocardiogram (ukuskena kwentliziyo)
- `Uvavanyo loxinzelelo lokuzivocavoca` (uvavanyo olwenziwe ngelixa usenza umthambo)
- `Uvavanyo lwetafile etyekayo` (uvavanyo lokujonga ukuba akukho sizungu)
Ukuba, emva kwezi mvavanyo, unobangela ocacileyo weempawu zakho awufumaneki, unokucetyiswa ukuba wenze i-ILR.
Ugqirha wakho uza kukucebisa ngendlela yokulungiselela inkqubo. Ngokuqhelekileyo uya kuziva ulele kancinci, ngoko ke uya kucelwa ukuba uze nomntu oza kukuyisa ekhaya emva kwenkqubo . Akucetyiswa ukuba uqhube iiyure ezingama-24.
Ingaba yinto enkulu na ukulungisa oku? Injani inkqubo?
Akunjalo konke konke. Le yinkqubo elula kakhulu, encinci. Ungagoduka ngaloo mini inye. Awuyi kunikwa i-anesthesia epheleleyo, kodwa uza kunikwa amayeza okukunceda uphumle kwaye ungabi nantlungu.
Oku kudla ngokwenziwa ngugqirha ogxile kwinkqubo yombane yentliziyo ("ingcali ye-Electrophysiology"). Amanyathelo ngala alandelayo:
1. Uza kunikwa isithomalalisi kunye ne-anesthetic yendawo ukuze uvale loo ndawo ukuze ungabi nantlungu.
2. Kwenziwa umngxuma omncinci kakhulu eluswini kwicala lasekhohlo lesifuba sakho.
3. Kwenziwa indawo encinci (ipokotho) phantsi kwesikhumba ukuze kubekwe isixhobo.
4. Isixhobo se-ILR sifakwe kuloo ndawo.
5. I-incision ivalwa ngezititshi okanye uhlobo oluthile lweglue (`glue yotyando`).
6. Ekugqibeleni, isixhobo siyasebenza ngokubeka into efana nemagnethi kufutshane nesifuba.
Lonke eli xesha lithatha ixesha elifutshane kakhulu, malunga nemizuzu eli-10 ukuya kweli-15 .
Zithini iingenelo kunye neengxaki zoku?
Njengakweminye inkqubo yezonyango, kukho izinto ezilungileyo nezingalunganga. Ugqirha wakho uza kuxoxa nawe ngale nto aze enze isigqibo.
| Iinzuzo | Iingxaki |
|---|---|
| Ukujonga ixesha elide: Ukusebenza kwentliziyo kunokuhlolwa ixesha elide kakhulu (ukuya kuthi ga kwiminyaka emi-3) kunezinye izixhobo. Eli lithuba elikhulu. | Kufuneka utyando oluncinci: Kufuneka inkqubo encinci ukuze ilungiswe phantsi kolusu. |
| Ingxelo ezenzekelayo: Nokuba awuboni zimpawu, oku kuxelwa ngokuzenzekelayo ukuba unengxaki yentliziyo. | Umngcipheko wokosuleleka: Kwiimeko ezingaqhelekanga, ukosuleleka kunokukhula kwindawo yesixhobo. Ukuba oku kuyenzeka, kuya kufuneka uthathe amayeza okubulala iintsholongwane. |
| Ukulungela: Ekubeni ingaphakathi emzimbeni, ayiphazamisi imisebenzi yakho yemihla ngemihla, njengokuhlamba okanye ukudada. Ayibonakali nangaphandle. | Ukunganyamezelani: Abanye abantu banokuba ne-aleji kwinto ekwesi sixhobo. Kwimeko enjalo, kunokufuneka usebenzise indlela eyahlukileyo yokujonga. |
Hayi. Esi sixhobo asiyi kuyenzakalisa intliziyo yakho. Asiyi kutshintsha isantya sentliziyo yakho okanye sikunike umbane. Siza kujonga kuphela ukusebenza kombane kwentliziyo yakho kwaye sirekhode naluphi na utshintsho.
Yintoni endifanele ndiyiqwalasele emva kokufaka esi sixhobo?
Uninzi lwabantu lunokubuyela ekhaya ngaloo mini inye baze baqhubeke nemisebenzi yabo yesiqhelo. Ngaphambi kokuba ugoduke, ugqirha wakho uza kukubonisa indlela yokusebenzisa izixhobo eziza nesixhobo. Oku kuquka i-activator oyicinezelayo xa uneempawu kunye ne-transmitter ethumela idatha kugqirha wakho.
Uza kunikwa nemiyalelo yokuba ungayigcina njani indawo ekrwitshiweyo icocekile. Kusenokubakho iintlungu kunye nokukrwitshwa kwindawo kwiintsuku ezimbalwa zokuqala. Oku kuqhelekile. Kuya kuphela kwiintsuku ezimbalwa. Ugqirha uza kukuxelela nokuba kufuneka uyigcine ixesha elingakanani indawo icocekile kwaye yomile.
Ukuba unale mpawu, fowunela ugqirha wakho ngokukhawuleza!
Ukuba unayo nayiphi na kwezi mpawu kwindawo yesixhobo (indawo yokusikwa), xelela ugqirha wakho ngoko nangoko . Ezi zisenokuba ziimpawu zosulelo.
| Iimpawu ekufuneka uzijonge |
|---|
| Ubomvu okanye ukutshintsha kombala okujikeleze inxeba |
| ukudumba okudumbileyo |
| 🩸 Ukopha |
| 🟡 Ubomvu obuvuzayo okanye olunye ulwelo |
Oku kwahluke njani kwi-pacemaker?
Lo ngumbuzo obaluleke kakhulu. Ezi zizixhobo ezibini ezenza imisebenzi emibini eyahlukileyo ngokupheleleyo.
- I-Loop Recorder (ILR): Esi sisixhobo sokuxilonga . Sifana nekhamera. Sirekhoda kuphela okwenzekayo entliziyweni. Asiyichaphazeli intliziyo nangayiphi na indlela.
- I-Pacemaker: Esi sisixhobo " sonyango" . Njengogqirha, sibona iingxaki kwisigqi sentliziyo size sithumele imiqondiso yombane ukuze siyilungise.
Ngamafutshane, ulwazi oluvela kwiLoop Recorder lukunceda ukuba uthathe isigqibo sokuba uyayifuna na i-pacemaker okanye hayi.
Ngaba oku kunokunceda ekuchongeni isifo sentliziyo?
Hayi. Esi sixhobo asiyilwanga loo njongo. Nangona kunjalo, sinokubona i-arrhythmias, eyingxaki yokuhlaselwa yintliziyo.
Khumbula, ukuhlaselwa yintliziyo yingxamiseko yezonyango. Ukuba ufumana iintlungu esifubeni okanye ezinye iimpawu zokuhlaselwa yintliziyo, musa ukulinda ukuba esi sixhobo sikuxele. Yiya kwiSebe leeNgxamiseko lesibhedlele (ETU) ngoko nangoko.
Okokugqibela, kuyinto eqhelekileyo ukuziva ukhathazekile xa iimpawu zakho zingabonakali kwiimvavanyo. Kodwa ngenxa yokuba i-Implantable Loop Recorder ijonga intliziyo yakho ixesha elide, ugqirha wakho unethuba elikhulu lokubona ingxaki. Oku kunokukhokelela kwiimpendulo obuzifuna, kunye nokuchacha ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- I-Implantable Loop Recorder (ILR) sisixhobo esincinci esifakwa phantsi kwesikhumba ukuze sijonge isigqi sentliziyo ixesha elide.
- Oku kusetyenziswa kakhulu ekufumaneni unobangela wokuquleka okungachazwanga kunye nokubetheka kwentliziyo.
- Inkqubo yokufaka ilula kakhulu, iyakhawuleza, kwaye ayinabungozi bungako.
- Esi sixhobo sirekhoda idatha kuphela; asinyangi okanye asiyichaphazeli intliziyo nangayiphi na indlela.
- Ukuba ubona naziphi na iimpawu zokuba bomvu, ukudumba, okanye ubomvu kwindawo yesixhobo, yazisa ugqirha wakho ngoko nangoko.
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