Intliziyo yethu sisitho esimangalisayo kakhulu. Ayibethi nje kuphela, inenkqubo yayo yombane yokulawula ukubetha kwentliziyo. Cinga ngayo njengenkqubo yocingo endlwini yethu. Imiqondiso yombane emincinci evela kule nkqubo ixelela amagumbi entliziyo ukuba anciphe ngexesha elifanelekileyo. Kodwa ngamanye amaxesha, ngezizathu ezahlukeneyo, le nkqubo yombane inokuba mdaka kancinci. Kulapho ke esi sixhobo sincinci, kodwa sibaluleke kakhulu esibizwa ngokuba yi-"pacemaker" siza kusinceda khona.
Ngoko ke, yintoni le pacemaker?
Ngamafutshane, i-pacemaker sisixhobo esincinci se-elektroniki esifakelwa emzimbeni wakho ngotyando ukuxhasa inkqubo yombane yentliziyo yakho. Sifana "nomqhubi" omncinci onceda ekulawuleni isigqi sentliziyo yakho xa ingasasebenzi.
Khawucinge ukuba inkqubo yombane yentliziyo yakho ibuthathaka. Emva koko amagumbi entliziyo awanciphi ngexesha elifanelekileyo. Mhlawumbi abetha ngokukhawuleza kakhulu, okanye kancinci kakhulu, okanye isingqisho siphazamiseke ngokupheleleyo. Ngenxa yoko, intliziyo ayikwazi ukupompa igazi elaneleyo emzimbeni wonke.
I-pacemaker ijonga ukusebenza kwenkqubo yombane yendalo yentliziyo. Ukuba ibona nayiphi na into engaqhelekanga, i-pacemaker ithumela imiqondiso yombane engabonakaliyo exelela intliziyo, "Kulungile, ngoku lixesha lokuba unciphe." Oku kunceda ukugcina intliziyo ibetha ngesantya esizinzileyo.
Ziziphi iimpawu zokuba unokufuna i-pacemaker?
Ugqirha wakho uza kugqiba ukuba uyayidinga na i-pacemaker okanye hayi. Nangona kunjalo, ukuba unale mpawu, kubalulekile ukubona ugqirha uze uxoxe ngazo.
Khumbula, ayinguye wonke umntu onezi mpawu oya kufuna i-pacemaker, kodwa kubalulekile ukuzazi ezi zinto uze ufumane ingcebiso kugqirha.
| Uphawu | Ingcaciso elula |
|---|---|
| Intlungu yesifuba (i-Angina) | Ukuqina kwesifuba okanye intlungu ebangelwa kukungabikho kwegazi elaneleyo entliziyweni. |
| Ukubetha kwentliziyo ngokukhawuleza (iTachycardia) | Intliziyo ibetha ngokukhawuleza ngaphezu kwe-100 ngomzuzu ngaphandle kwesizathu. |
| Intliziyo ecothayo (iBradycardia) | Intliziyo ibetha kancinci kakhulu, ngesantya esingaphantsi kwama-60 ngomzuzu. |
| Ukubetha kwentliziyo okungaqhelekanga (i-Arrhythmia) | Ukubetha kwentliziyo kuvakala kungaqhelekanga, ngamanye amaxesha kudlula isandi esinye, okanye kube nokubetha okungakumbi. |
| Ukubetha kwentliziyo | Imvakalelo yokuxinana esifubeni, ngokungathi intliziyo "iyasokola" okanye "iqengqeleka amatye." |
| Ubunzima bokuphefumla | Ukudinwa nokuphefumla kancinci, ingakumbi xa usenza imisebenzi emincinci okanye uhambahamba. |
| Ukudinwa, ukuba nentloko ende, ukulahlekelwa zingqondo | Ukuziva utyhafile, unesicaphucaphu, okanye uphelelwa ngamandla ngaphandle kwesizathu. |
| Ukudumba kwamaqatha, imilenze, kunye nesisu | Ukudumba kwiindawo ezifana nemilenze nasemaqatheni ngenxa yokuqokelelana kolwelo emzimbeni. |
Ukuba unale mpawu, kusenokwenzeka ukuba kungenxa yengxaki yesingqisho sentliziyo. Umzekelo, abantu abanembali yokuvaleka kwentliziyo okanye ukuhlaselwa yintliziyo banokufuna i-pacemaker.
Zingaphi iintlobo zee-pacemakers ezikhoyo?
Ewe, kuxhomekeke kwimeko yentliziyo yakho, ugqirha wakho uya kukhetha uhlobo lwe-pacemaker olulungele wena. Olu lunokuba ne-lead enye, ezimbini, okanye ezintathu.
| Uhlobo lwe-pacemaker | Inkcazo |
|---|---|
| I-Pacemaker engenalo i-Lead | Le incinci kakhulu, ilingana ne-capsule enkulu yevithamini. Akukho zintambo. Ifakwa entliziyweni nge-catheter kwaye inamathele eludongeni lwangaphakathi lwentliziyo. |
| Isixhobo sokuncedisa ukuphumla segumbi elinye | Le inentambo enye kuphela. Iqhagamshela kwigumbi elinye lentliziyo. |
| I-Pacemaker enamagumbi amabini | Oku kuneengcingo ezimbini eziqhagamshela kwiigumbi ezimbini zentliziyo. |
| I-Biventricular Pacemaker | Ineengcingo ezintathu. Ezimbini ziqhagamshelwe kwigumbi elisezantsi lentliziyo (ii-ventricles) kwaye enye iqhagamshelwe kwigumbi eliphezulu lasekunene (i-atrium yasekunene). Isetyenziselwa iCardiac Resynchronization Therapy (CRT). |
Yintoni umahluko phakathi kwe-pacemaker kunye ne-ICD?
Ugqirha wakho angathetha nawe nge- ICD (Implantable Cardioverter Defibrillator), efana ne-pacemaker, kodwa yahlukile kancinci.
- Isixhobo sokulungisa intliziyo sithumela imiqondiso yombane kuphela ukulawula isigqi sentliziyo. Asinakwenza intliziyo ibe nomsindo ngombane.
- I-ICD ingasebenza njenge-pacemaker. Ukongeza, ukuba isantya sentliziyo siba sibi kakhulu (umz., i-ventricular tachycardia), inokuyibona ize inike intliziyo umothuko omkhulu ukuze ibuyisele isigqi sayo.
Ingaba olu lutyando olukhulu? Uyifaka njani i-pacemaker?
Olu asilotyando olukhulu, oluvulelekileyo lwentliziyo. Ngenxa yeteknoloji ekhoyo namhlanje, olu tyando luphucuke kakhulu. Iintlungu azincinci, kwaye ungaphila ngokukhawuleza kwaye ubuyele kubomi bakho besiqhelo. Kukho iindlela ezintathu eziphambili.
1.Indlela esebenzisa i-catheter: Le isetyenziswa kwi-pacemakers ezingenalo ilead. Ityhubhu encinci (i-catheter) ifakwa kumthambo nge-groin, kwaye i-pacemaker ikhokelwa ngayo ize ifakwe entliziyweni. Oku kudla ngokuthatha ngaphantsi kweyure.
2. Indlela yokuvula imithambo yegazi: Le yeyona ndlela isetyenziswa kakhulu. Kwenziwa ukusika okuncinci phantsi kwethambo lentamo okanye eluswini lwentamo, kwaye iintambo ze-pacemaker (i-leads) zifakwa entliziyweni ngomthambo. Oku kwenziwa phantsi kwesikhokelo se-X-ray (fluoroscopy). Emva kokuba iintambo zibekwe kwiindawo ezifanelekileyo entliziyweni, isixhobo se-pacemaker sifakwa "kwipokotho" encinci eyenziwe phantsi kwesikhumba esisesifubeni esingaphezulu.
3. Indlela yokuhlinzwa kwentliziyo: Oku kudla ngokwenziwa ebantwaneni okanye xa kukho olunye utyando lwentliziyo. Kwenziwa utyando oluncinci esifubeni kwaye kufakwe iingcingo ngaphandle kwentliziyo. Isixhobo se-pacemaker sibekwa phantsi kwesikhumba sesisu.
Olu tyando ludla ngokuthatha iiyure ezimbini ukuya kwezintlanu. Ugqirha wakho uza kukuchazela ukuba yeyiphi indlela efanelekileyo kuwe.
Njengayo yonke into, ngaba kukho naziphi na iingozi? (Iingxaki)
Njengakwezinye iinkqubo zonyango, kukho iingozi ezincinci. Nangona kunjalo, ezi azixhaphakanga. Ugqirha wakho uza kukwazisa ngezi zinto.
- Iimpendulo ze-allergic: I-allergic inokwenzeka kwiyeza elisetyenzisiweyo okanye kwisinyithi esenziwe ngaso i-pacemaker.
- Ukuqhekeka kwegazi: Ukuze kuncitshiswe le ngozi, ugqirha wakho unokukunika amayeza okuthintela ukuqhekeka kwegazi.
- Iziphene zesixhobo okanye ucingo: Ngamanye amaxesha ucingo lunokuhamba kancinci ukusuka apho lufakwe khona. Yiyo loo nto kucetyiswa ukuba kuthintelwe ukuxinwa kakhulu kwilungu lomzimba okwethutyana emva kotyando.
- Ukuphazamiseka kwezixhobo zangaphandle: Kufuneka ulumke xa usondela kwezinye izixhobo ezineendawo zombane okanye zemagnethi ezinamandla (umz. oomatshini beMRI). Nangona kunjalo, ii-pacemakers ezintsha ngoku zenzelwe ukuba zikwazi ukumelana noku. Ugqirha wakho uza kukunika icebiso ngale nto.
Izinto ekufuneka uzazi malunga nokuhlala ne-pacemaker
Emva kokuba ne-pacemaker, ungaphila ubomi obuqhelekileyo nobusebenzayo. Nangona kunjalo, kukho izinto ezimbalwa ekufuneka uzikhumbule.
Ibhetri ye-pacemaker ihlala ixesha elingakanani?
Oku kuxhomekeke kuhlobo lwe-pacemaker kunye nendlela esebenza ngayo. Ngokomyinge, ibhetri ihlala malunga neminyaka eli-10-15 . Ugqirha wakho uza kukucela ukuba uze ekliniki ngamaxesha athile. Emva koko, zombini i-pacemaker kunye nebhetri ziya kuhlolwa. Xa kufika ixesha lokutshintsha ibhetri, kungenziwa ngotyando olulula kakhulu, oluncinci kunokufaka i-pacemaker kwasekuqaleni.
Izinto onokuzenza ukuze uhlale usempilweni
Ubomi bomntu one-pacemaker buxhomekeke kwimpilo yakhe iyonke. Ukuba uphila ubomi obusempilweni, ungalindela ukuphila ubomi obuqhelekileyo okanye obuphantse bube buqhelekileyo.
- Sela amayeza akho njengoko uyalelwe: Ukuba ugqirha wakho ubhale amanye amayeza ukongeza kwi-pacemaker yakho, wasele ngexesha elifanelekileyo kwaye ixesha elimiselweyo. Musa ukoyika ukubuza ukuba unemibuzo.
- Yiya kwiikliniki ngexesha: Oku kubaluleke kakhulu. Ugqirha uza kujonga impilo yakho kunye nokusebenza kwe-pacemaker ngeli xesha.
- Mamela umzimba wakho: Ukuba izinga lokubetha kwentliziyo yakho lihlala lingaphaya komlinganiselo oqhelekileyo ugqirha wakho akunike wona (uphantsi kakhulu okanye uphezulu kakhulu), fowunela ugqirha wakho ngoko nangoko.
Ukuba unale mpawu, xelela ugqirha wakho ngoko nangoko:
* Ukuba unengxaki yokuphefumla.
* Ukuba ngequbuliso utyeba okanye imilenze okanye amaqatha akho avuvukala.
* Ukuba unesizungu, uphelelwa ngamandla, okanye udidekile.
* Ukuba iimpawu obunazo ngaphambi kokuba kufakwe i-pacemaker ziyavela kwakhona.
Kuqhelekile ukuziva usoyika kwaye uxhalabile xa uxelelwa ukuba udinga i-pacemaker ngenxa yengxaki yentliziyo. Kodwa khumbula, le yinto eyenziwayo ukuphucula umgangatho wobomi bakho nokukukhusela. Thetha nogqirha wakho ngayo nayiphi na inkxalabo onayo. Ngaleyo ndlela, uya kuba nokuqonda okungcono kunye noxolo lwengqondo.
Umyalezo Wokuya Ekhaya
- I-pacemaker sisixhobo esincinci se-elektroniki esinceda ukulungisa ukubetha kwentliziyo okungaqhelekanga.
- Kubalulekile ukufuna iingcebiso zonyango ukuba ufumana iimpawu ezifana nesiyezi, ukuphefumla okufutshane, okanye ukubetha kwentliziyo okukhawulezayo okanye okucothayo.
- Olu asilotyando olukhulu, oluvulelekileyo lwentliziyo, kwaye lunokwenziwa ngokukhuselekileyo kakhulu ngetekhnoloji yangoku.
- I-pacemaker ikuvumela ukuba uphile ubomi obuqhelekileyo nobusebenzayo kwakhona.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha emva kotyando kwaye uye kwiikliniki ngexesha.
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