Ngaba ugqirha wakho wakha wakuxelela ukuba intliziyo yakho ibetha kancinci kakhulu? Xa oko kusenzeka, ungaziva utyhafile kwaye udiniwe. Ngoko ke, ukunceda ngezi ntlobo zentliziyo ezicothayo, sisebenzisa isixhobo esibizwa ngokuba yi-pacemaker. Kodwa namhlanje asithethi nge-pacemaker eqhelekileyo, kodwa sithetha nge-pacemaker encinci kakhulu, engenazingcingo, "i-pacemaker engenalo i-lead" yanamhlanje.
Yintoni i-Leadless Pacemaker?
Ngamafutshane, esi sisixhobo esincinci kakhulu, esineyunithi enye. Ugqirha usifaka entliziyweni yakho ukuze athintele intliziyo yakho ukuba ingacothi. Okumangalisayo ngale nto kukuba zonke iindawo zikwisixhobo esinye. Oko kuthetha ukuba akukho bhetri eyahlukileyo, akukho zintambo (iintambo) zokunxibelelana nentliziyo yakho . Kuba esi sixhobo sonke sibekwe ngaphakathi kwe-ventricle yasekunene yentliziyo yakho.
Khawucinge nje, le incinci kunebhetri ye-AAA esiyisebenzisayo. Ijongeka njenge-cylinder encinci yesinyithi, malunga ne-intshi enye ne-1.5 ubude.
Isebenza njani le sixhobo sincinci?
Esi sisixhobo esikrelekrele kakhulu. Ugqirha usicwangcisa ukuze sikulungele. Emva koko, esi sixhobo sijonga imiqondiso yombane yendalo yentliziyo yakho. Kuphela xa ukubetha kwentliziyo ngokwemvelo kuba ngokukhawuleza kakhulu, esi sixhobo sinikezela ngempembelelo yombane encinci kakhulu kwimisipha yentliziyo. Sisebenza njengokutyhala kancinci entliziyweni. Oku kunceda ukubuyisela isigqi sentliziyo.
Ngubani ofanelekileyo kule pacemaker?
Ii-pacemaker zihlala zisetyenziselwa ukunceda abantu abaneemeko ezibangela ukuba intliziyo ibethe kancinci kakhulu, ezibizwa ngokuba yi -bradyarrhythmias . Le pacemaker engenazingcingo ifanelekile ngakumbi kubantu abanezi meko zilandelayo:
- Kwabo bafuna uncedo lwe-pacemaker kuphela ngamanye amaxesha.
- I-Atrial fibrillation (Afib) yimeko apho isantya sentliziyo sincipha okanye siyeka rhoqo.
- I-Atrial fibrillation okanye i-sinus rhythm ene -AV block .
- Isifo seBradycardia-tachycardia , apho isantya sentliziyo sihamba kancinci kwaye sikhawuleza.
- Isantya sentliziyo esicothayo (bradycardia) kunye neempawu.
Kodwa oku akufanelekanga kuwo wonke umntu. Okwangoku, esi sixhobo sifumaneka kuphela kwabo bafuna inkxaso ye-pacemaker kwigumbi elinye lentliziyo.
Ugqirha wakho uza kugqiba ukuba oku kulungile na kuwe. Uza kuhlola imbali yakho yezonyango, isingqisho sentliziyo, kunye ne -echocardiogram.Ndizijonga ngenyameko iingxelo zovavanyo olunje.
Uzilungiselela njani ngaphambi kolu tyando?
Olu asilotyando olukhulu, kodwa lufuna amalungiselelo amancinci.
- Lungiselela kwangaphambili ukuba umntu akuse ekhaya emva kotyando.
- Ugqirha wakho uza kukunika iingcebiso malunga nokuba uyeke nini ukutya nokusela ngaphambi kotyando, kunye nokuba kufuneka uyeke na ukusebenzisa amayeza.
- Eyona nto ibalulekileyo kukuba, ungayeki ukuthatha amayeza owasebenzisayo ngaphandle kwengcebiso kagqirha wakho.
Inkqubo yokufaka le pacemaker
Musa ukoyika oku, yinkqubo elula kakhulu. Idla ngokuthatha malunga nemizuzu engama-30.
1. Okokuqala, indawo yakho yangaphakathi iya kuba ndindisholo. Awuyi kuva nto.
2. Emva koko kwenziwa ukusika okuncinci kakhulu kuloo ndawo.
3. Ngaloo mqamlo, kufakwa ityhubhu encinci ebizwa ngokuba yi-catheter kumthambo omkhulu emlenzeni wakho ( umthambo we-femoral ).
4. Ngelixa ebukele umatshini we-X-ray, ugqirha ukhokela ngononophelo i-catheter ukuya entliziyweni.
5. I-pacemaker ibekwe kwi-ventricle yasekunene yentliziyo kwaye inamathele kwimisipha yentliziyo.
6. Emva koko, i-pacemaker iyajongwa ukuqinisekisa ukuba isebenza kakuhle kwaye incamathiselwe ngokufanelekileyo.
7. Ekugqibeleni, i-catheter iyasuswa kwaye ukopha kuyamiswa ngokufaka uxinzelelo kwindawo yokusikwa.
Zithini iingenelo kunye neengxaki zoku?
Njengayo nayiphi na enye indlela, kukho izinto ezilungileyo nezingalunganga. Ugqirha wakho uza kuxoxa nawe ngale nto aze akuncede ukhethe eyona ikulungeleyo.
| Iingcali | Iingxaki kunye neengozi |
|---|---|
| Akukho zintambo (iintambo zombane) okanye ibhetri eyahlukileyo efunekayo ukuze kuqhagamshelwe i-pacemaker. Ngenxa yoko, zimbalwa iingxaki ezifana nosulelo kunye neentambo eziphukileyo ezenzeka kwi-pacemakers zemveli. | Igumbi elinye kuphela lentliziyo (i-ventricle) elinokunceda. |
| Ayibonakali njengeqhubu phantsi kwesikhumba sesifuba. Kwakhona, akukho nxeba okanye isilonda esifubeni. | Awunakuyibetha intliziyo ngequbuliso ngombane. Oko kuthetha ukuba awukwazi ukuyisusa umoya emzimbeni . |
| Ixesha lotyando lifutshane. | Kusenokubakho ukudumba okanye ukopha kwindawo yokusikwa (le yeyona ngxaki ixhaphakileyo). |
| Ekubeni kungekho ziingcingo, akukho miqathango kwimisebenzi yomzimba ongaphezulu emva kotyando. | Kukho umngcipheko ongaqhelekanga wokusilela kwentliziyo. |
| Ngokubanzi kukhuselekile ukwenza ii-MRI scans. | Ibiza kakhulu kunezixhobo zokunciphisa isantya sentliziyo zemveli. |
Iphumelele kangakanani le nto? Iza kuhlala ixesha elingakanani?
Izifundo zibonise ukuba ukufakwa kwesi sixhobo kunezinga lempumelelo eliphakathi kwama-95% nama-99% , kunye nezinga leengxaki elingaphantsi kwe-2%.
Ibhetri idla ngokuhlala phakathi kweminyaka emi-5 neli-15 . Xa ibhetri iphela, ugqirha angasusa i-pacemaker endala aze afake entsha. Ngenxa yokuba kukho indawo entliziyweni, entsha ingafakwa ngelixa endala ihleli endaweni yayo.
Ngaba kufuneka ndiphinde ndibone ugqirha? Kuza kuthatha ixesha elingakanani ukuze ndiphile?
Ewe, ngokuqinisekileyo. Ugqirha kuya kufuneka akubone emva kotyando ukuze ajonge ukuba uphilile na kwaye isixhobo sisebenza njani.
- Kwiiyure ezingama-24 emva kotyando
- Kwinyanga nje enye
- Emva koko rhoqo emva kweenyanga ezi-3, ezi-6, okanye ezili-12
Ngokwesiqhelo ungabuyela kwimisebenzi yakho yemihla ngemihla malunga neeveki ezimbini emva kotyando.
Ukuba kwenzeka into efana nale, fowunela ugqirha ngokukhawuleza!
Qiniseka ukuba unika ingqalelo kwezi mpawu kwaye uthethe nogqirha wakho ngaphandle kokulibazisa.
- Ukuba kukho usulelo okanye ukopha apho kwenziwe khona i-incision e-groin.
- Ukuba iqatha okanye unyawo lwakho luyadumba .
- Ukuba iimpawu ezifana nesiyezi kunye nokudinwa ezazikho ngaphambi kokuba kufakwe i-pacemaker ziyabuya .
- Ukuba uziva unesizungu okanye utyhafile .
- Ukuba unengxaki yokuphefumla .
Okokugqibela, kuqhelekile ukuba nexhala malunga nokuba nesixhobo emzimbeni wakho. Kodwa le yiteknoloji esebenzayo kakhulu nekhuselekileyo. Nangona kunjalo, ayisosisombululo silungileyo kuye wonke umntu. Kwabanye abantu, i-pacemaker yendabuko yeyona ifanelekileyo. Ngoko ke vuleleka kuyo nayiphi na imibuzo okanye iinkxalabo onazo nogqirha wakho. Unokukunceda ukhethe okona kulungileyo kuwe.
Umyalezo Wokuya Ekhaya
- Isixhobo esingenantambo esingenantambo sisixhobo esincinci kakhulu, esilawula isantya sentliziyo.
- Oku akungeniswa ngokusikwa esifubeni, kodwa ngokusikwa okuncinci esinqeni.
- Ukuchacha kukhawuleza ngakumbi kunakwii-pacemakers zemveli, kwaye kukho imiqathango embalwa kwimisebenzi yemihla ngemihla emva kotyando.
- Oku akufanelekanga kuwo wonke umntu. Ngugqirha wakho kuphela onokugqiba ukuba oku kulungile kuwe okanye akunjalo.
- Landela imiyalelo kagqirha ngononophelo ngaphambi nasemva kotyando. Ukuba ufumana naziphi na iimpawu ezikrokrisayo, mxelele ngoko nangoko.
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