Isixhobo sokunceda intliziyo esincinci esingenazingcingo zentliziyo? Masifunde yonke into malunga nesixhobo sokunceda intliziyo esingenazo iingcingo!

Xa ucinga "ngesixhobo sokunceda abantu balale ngesantya esiphezulu," mhlawumbi ucinga ngesixhobo esifana neqhuma elincinci phantsi kwesikhumba sesifuba sakho, esiqhagamshelwe kwiingcingo ezininzi. Kodwa ngokuhambela phambili kwesayensi yezonyango, ngoku kukho ubuchwepheshe obulula kakhulu, obuncinci, nobungenazingcingo. Namhlanje, sithetha ngaloo mmangaliso mncinci: 'isixhobo sokunceda abantu balale ngesantya esiphezulu esingenalo i-lead.'

Yintoni le nto ingenalo i-pacemaker?

Ngamafutshane, sisixhobo esincinci kakhulu, esisixhobo esinye. Ugqirha wakho usifaka ngqo entliziyweni yakho. Yintoni esiyenzayo? Nqanda isantya sentliziyo yakho ukuba singanciphi.

Ngokungafaniyo ne-pacemaker eqhelekileyo, ayinayo ibhetri okanye iileads ezahlukeneyo. Yonke into ingaphakathi kwesi silinda sincinci. Lonke isixhobo sibekwe kwi-ventricle yasekunene yentliziyo yakho. Khawuthelekelele, sincinci kunebhetri ye-AAA, malunga ne-intshi eziyi-1.5 ubude, ukuba kunjalo kanye.

Isebenza njani le sixhobo sincinci?

Esi sisixhobo esikrelekrele kakhulu. Ugqirha uyasicwangcisa aze asifake entliziyweni yakho. Emva koko i-pacemaker "imamela" imiqondiso yendalo yombane yentliziyo yakho.

Ukuba isantya sentliziyo yakho sehla ngequbuliso ngaphantsi kwenqanaba elifunekayo, esi sixhobo siyasiva size sinike intliziyo impembelelo encinci yombane. Oku kubangela ukuba intliziyo iqale ukubetha ngokuqhelekileyo kwakhona. Oku kuthetha ukuba isebenza kuphela xa kufuneka.

Ngubani ofanelekileyo oku?

Ii-pacemakers zihlala zifuneka kubantu abaneentliziyo ezicothayo. Kwizonyango, oku sikubiza ngokuba yi-"Bradyarrhythmias." Oko kukuthi, xa intliziyo ibetha kancinci ngenxa yesifo kwinkqubo yombane yentliziyo.

Isixhobo sokuncedisa ukujikeleza kwegazi esingenalo ilead singabalungele ngakumbi abantu abanezi meko zilandelayo:

• Kwabo bafuna uncedo lwe-pacemaker kuphela ngamanye amaxesha.
• Kwabo banemeko ebizwa ngokuba yi-"Atrial Fibrillation - Afib" apho isantya sentliziyo siyehla okanye siyeka.
• Kubantu abanemeko ebizwa ngokuba yi-'AV block'.
• Kwabo bane-"Bradycardia-tachycardia syndrome", apho isantya sentliziyo ngamanye amaxesha siyehla kwaye ngamanye amaxesha siyenyuka ngesantya.
• Kwabo bafumana iimpawu ezifana nesiyezi ngenxa yesantya sentliziyo esicothayo (`(Bradycardia)` kunye neempawu).

Ugqirha wakho uza kugqiba ukuba oku kulungile na kuwe. Uza kukubuza malunga:

• Imbali yesifo
• Ipatheni yokubetha kwentliziyo
• Iingxelo zeskeni ezifana ne-``(Echocardiogram)`` ziyahlolwa.

Ndingazilungiselela njani ngaphambi kolu tyando?

Olu asilotyando olukhulu, kodwa kufuneka uzinyamekele ezi zinto ngaphambi kokuba zenzeke.

• Lungiselela ukuba umntu akuse ekhaya emva kotyando.
• Ugqirha uza kukunika iingcebiso malunga nokuba uyeke nini ukutya nokusela ngaphambi kotyando kunye namayeza omawuyeke ukuwasela.
• Ungaze uyeke ukuthatha amayeza akho ngaphandle kwengcebiso kagqirha wakho.

Indlela yokwenza utyando inyathelo ngenyathelo

Le nkqubo yenzeka ngolu hlobo. Idla ngokuthatha malunga nemizuzu engama-30.

1. Okokuqala, indawo yakho yangaphakathi iya kurhawuzelelwa.

2. Emva koko kwenziwa ukusika okuncinci kakhulu kuloo ndawo.

3. Ngaloo mngxuma, kufakwa umbhobho omncinci obizwa ngokuba yi-"Catheter" kwenye yemithambo yakho, i-"Femoral Vein".

4. Xa ujonge umatshini we-X-ray, ugqirha ukhokela ityhubhu ngononophelo ukuya entliziyweni yakho.

5. Le pacemaker incinci ifakelwe kwaye iqiniswe kwi-ventricle yasekunene yentliziyo.

6. Emva koko, jonga ukuba isebenza kakuhle na kwaye ifakwe kakuhle.

7. Ukuba yonke into ilungile, ityhubhu iya kususwa kwaye inxeba liza kuvalwa.

Emva kotyando, uza kuhlala esibhedlele ubusuku bonke. Ngosuku olulandelayo, i-pacemaker iza kuhlolwa kwakhona kwaye kuza kuthathwa i-X-ray yesifuba ngaphambi kokuba uthunyelwe ekhaya.

Zithini izinto ezilungileyo nezingalunganga?

Njengayo nayiphi na inkqubo yezonyango, kukho izinto ezilungileyo nezingalunganga. Ugqirha wakho uza kuxoxa nawe ngale nto aze akuncede ukhethe eyona ikulungeleyo.

Ezinye izinto ezibalulekileyo ekufuneka uzazi

Oku kuza kuhlala ixesha elingakanani?

Ibhetri idla ngokuhlala phakathi kweminyaka emi-5 neli-15. Xa ibhetri iphela, ugqirha angacima i-pacemaker endala aze afake entsha ecaleni kwayo. Akuyi kuba yingxaki ukuba endala isekhona.

Kuthatha ixesha elingakanani ukuphiliswa?

Ngokwesiqhelo ungaqhubeka nemisebenzi yakho yesiqhelo emva kweeveki ezimbini.

Ndingaya kwi-MRI scan?

Ewe. Uninzi lwexesha, ezi zikhuselekile kwiiskeni ze-MRI. Kodwa kubalulekile ukuthetha nogqirha wakho kwaye uqinisekise ngaphambi kokuba uye kuzo.

Ndifanele ndiphinde ndimbone ugqirha kwakhona? Zeziphi iimpawu ekufuneka ndizixele ngoko nangoko?

Kufuneka ubone ugqirha ngexesha elithile. Ukuze ubone ukuba i-pacemaker isebenza kakuhle na, ukuba ibhetri ilungile na, kwaye ukuba uphola kakuhle na.

• Kwiiyure ezingama-24 emva kotyando
• Kwinyanga nje enye
• Emva koko rhoqo emva kweenyanga ezi-3, ezi-6, okanye ezili-12.

Ukuba unale mpawu, fowunela ugqirha wakho ngokukhawuleza.

• Ukuba kukho usulelo (ububomvu, ukudumba, ubomvu) okanye ukopha kwindawo yokusikwa.
• Ukuba iqatha okanye unyawo lwakho luyadumba.
• Ukuba ufumana iimpawu (ezifana nesiyezi) ezazikho ngaphambi kokuba kufakwe i-pacemaker kwakhona.
• Ukuba ngequbuliso uzive utyhafile okanye unesizungu.
• Ukuba unengxaki yokuphefumla.

Kuqhelekile ukuba uzive usoyika kwaye unexhala xa ucinga ngokuba nesixhobo sonyango emzimbeni wakho. Kodwa awuwedwa, izigidi zabantu kwihlabathi liphela ziphila ubomi obuqhelekileyo nge-pacemaker. I-pacemaker engenalo i-lead ayisosisombululo silungileyo kuye wonke umntu, kwaye i-pacemaker yendabuko inokuba ngcono kwabanye abantu. Ngoko ke thetha nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo. Uya kukunceda ukhethe eyona ndlela ifanelekileyo kuwe.