Ngaba ngamanye amaxesha ukhe uzive intliziyo yakho ibetha ngendlela engaqhelekanga? Ngequbuliso ibetha ngokukhawuleza kakhulu, okanye ivakala ngathi iyabetha? Okanye uzive ubuthathaka ngequbuliso okanye unengxaki yokuphefumla? Oku kusenokubangelwa lutshintsho oluthile kwisingqi sentliziyo yethu. Ngoko ke namhlanje sithetha ngesixhobo esincinci, kodwa esibaluleke kakhulu esiza kunceda intliziyo yakho ngamaxesha anje. Leyo yi-pacemaker.
Ngoko ke, yintoni i-pacemaker?
Ngamafutshane, i-pacemaker sisixhobo esincinci se-elektroniki esifakwa emzimbeni wakho, ngesiqhelo ngotyando oluncinci. Silingana nebhokisi yematshisi ngobukhulu. Umsebenzi waso ophambili kukuxhasa inkqubo yombane yendalo entliziyweni yethu.
Khawuthelekelele ukuba intliziyo yethu ifana nepompo esebenza ngesingqisho esithile. Le mpompi inikwa imiyalelo yokusebenza ngokufanelekileyo yinkqubo yombane encinci entliziyweni ngokwayo. Ngamanye amaxesha, xa kukho isiphene okanye ubuthathaka kule nkqubo yombane, intliziyo ibetha ngokungacwangciswanga. Ibetha ngokukhawuleza kakhulu okanye kancinci kakhulu. Into eyenziwa yile pacemaker kukujonga ukubetha kwentliziyo nokuthumela isignali yombane encinci kuphela xa kuyimfuneko, ukubuyisela isingqisho sentliziyo kwisingqisho esichanekileyo.
Ziziphi iimeko ezifuna i-pacemaker?
Kukho iimeko ezahlukeneyo ezinokunyangwa nge-pacemaker. Nazi ezinye zazo:
- Ukuphazamiseka kwesingqisho sentliziyo: Esi sesona sisombululo silungileyo kwezinye iingxaki zesingqisho sentliziyo (i-Arrhythmia).
- Ukuvimba kwentliziyo: Xa kukho ukuvaleka kweendlela ezihamba ngazo imiqondiso yombane entliziyweni (iiHeart Blocks).
- Ukusilela kwentliziyo: Ikwasetyenziswa njengenkxaso xa intliziyo ibuthathaka kwaye ingakwazi ukupompa igazi elaneleyo emzimbeni.
- Ukuba nembali yokuhlaselwa yintliziyo ngaphambili: Ngamanye amaxesha inkqubo yombane yentliziyo inokonakala emva kokuhlaselwa yintliziyo.
Ziziphi iimpawu ezibonisa ukuba udinga i-pacemaker?
Ugqirha oza kukuhlola uza kugqiba ukuba uyayidinga na i-pacemaker. Kodwa ukuba unezinye zeempawu ezingezantsi, ngokuqinisekileyo kuya kufuneka uthethe nogqirha ngazo. Ungazityesheli.
| Uphawu | Ingcaciso elula |
|---|---|
| Intlungu yesifuba (i-Angina) | Ukuqina kwesifuba okanye intlungu eyenzeka xa intliziyo ingafumani gazi laneleyo. |
| Ukubetha kwentliziyo ngokukhawuleza (iTachycardia) | Intliziyo ibetha ngokukhawuleza ngaphezu kwe-100 ngomzuzu ngaphandle kwesizathu. |
| Intliziyo ecothayo (iBradycardia) | Isantya sentliziyo esingaphantsi kwama-60 ngomzuzu xa uphumle. |
| Ukubetha kwentliziyo okungaqhelekanga (i-Arrhythmia) | Intliziyo ibetha ngokungacwangciswanga, itsiba ezinye izingqisho, okanye ibe nokubetha okungakumbi. |
| Ukubetha kwentliziyo | Ukuziva ungonwabanga ngokungathi intliziyo iyabetha okanye iqengqeleka ngaphakathi esifubeni. |
| Ubunzima bokuphefumla | Ingakumbi xa udiniwe kancinci. |
| Ukudinwa okungachazekiyo, ukuquleka | Ukudinwa ngequbuliso, amehlo aluhlaza okwesibhakabhaka, isicaphucaphu, okanye ukuquleka. |
| Ukudumba kwamaqatha, imilenze, kunye nesisu | Ukudumba okubangelwa kukuqokelelana kolwelo emzimbeni. |
Ziziphi iintlobo zee-pacemakers ezikhoyo?
Ngokuxhomekeke kwimeko yentliziyo yakho, ugqirha wakho uya kukhetha uhlobo lwe-pacemaker olulungele wena. Ezi zinokuba ne-lead enye, ezimbini, okanye ezintathu.
- Isixhobo sokunceda imisipha esingenalo i-lead: Esi sixhobo silingana ne-capsule enkulu yeevithamini. Sifakwa entliziyweni nge-catheter (ityhubhu) size sifakwe eludongeni lwentliziyo. Oku kuphelisa isidingo seentambo zangaphandle.
- Isixhobo sokuncedisa ukupholisa imisipha esinegumbi elinye:Le inentambo enye kuphela. Inamathele kwigumbi elinye lentliziyo.
- Isixhobo sokuncedisa ukujikeleza kwentliziyo esinamagumbi amabini: Esi sineentambo ezimbini ezinamathele kumagumbi amabini entliziyo.
- I-Biventricular Pacemaker: Le ineentambo ezintathu. Ikwabizwa ngokuba yi-'Cardiac Resynchronization Therapy (CRT).' Oku kwenza onke amagumbi entliziyo asebenze kunye, ngesingqi esinye.
Ugqirha wakho angacebisa ne-implantable cardioverter defibrillator (ICD), efana ne-pacemaker kodwa eyahlukileyo kancinci. I-pacemaker inokulawula kuphela isigqi sentliziyo. Kodwa i-ICD inokulawula nesingqisho, kwaye ukuba intliziyo ingena kwisingqisho esikhawulezayo ngokuyingozi, yibhaqe kwaye inike umothuko omncinci wombane ukubuyisela intliziyo esiqhelweni.
Ingaba olu lutyando olukhulu?
Hayi. Ngenxa yeteknoloji yanamhlanje ephucukileyo, oku kudla ngokwenziwa ngaphandle kotyando olukhulu lwesifuba. Kwenziwa ngendlela ekuvumela ukuba ugoduke ungenazintlungu zingako, uphile ngokukhawuleza, kwaye uzive ungcono.
Amaxesha amaninzi, kwenziwa umsikelo omncinci eluswini olungaphantsi kwethambo lentamo, kwaye ucingo okanye iingcingo zidluliselwa kulo ngemithambo yegazi (umthambo) ukuya entliziyweni. Ibhetri ye-pacemaker emva koko ifakwa 'kwipokotho' encinci eyenziwe phantsi kwesikhumba kufutshane nomsikelo. Lonke olu tyando luthatha iiyure ezimbalwa. Ugqirha wakho uza kukuchazela indlela efanelekileyo kuwe.
Zithini iingenelo zokuba ne-pacemaker?
Eyona njongo iphambili ye-pacemaker kukuphucula umgangatho wobomi bakho.
- Iimpawu ezininzi ezibangelwa ziingxaki zesingqisho sentliziyo, ezinje ngeentlungu zesifuba, isiyezi, ukuquleka, kunye nokubetha kwentliziyo, ziyanyamalala.
- Ithintela izinto ezingathandekiyo ezifana nokungalali ngequbuliso nokuwa.
- Okona kubaluleke kakhulu, kunokukusindisa kwiimeko ezisongela ubomi ezifana nokubanjwa yintliziyo.
Ngaba akuyongozi ke ngoko?
Njengakweminye inkqubo yezonyango, kukho iingozi ezincinci. Kodwa azixhaphakanga. Kukho izinto ezifana ne-allergies, amahlwili egazi, kunye nokungasebenzi kakuhle kwezixhobo. Kodwa ugqirha wakho uya kuthatha amanyathelo onke okunciphisa ezi ngozi. Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho kwaye uphephe ukwenza umsebenzi onzima okwethutyana emva kotyando.
Ibhetri ye-pacemaker ihlala ixesha elingakanani?
Oku kuxhomekeke kuhlobo lwe-pacemaker onayo kunye nokuba isetyenziswa kangaphi. Kodwa uninzi lweebhetri ze-pacemaker ngoku zihlala malunga neminyaka eli-10-15 . Ukutshintsha ibhetri yinkqubo elula kakhulu kunokufumana i-pacemaker kwasekuqaleni. Ugqirha wakho uza kukwazisa ngamaxesha athile ukujonga inqanaba lebhetri.
Umyalezo Wokuya Ekhaya
- I-pacemaker sisixhobo esisindisa ubomi esinceda ukugcina isigqi sentliziyo yakho sisebenza kakuhle. Musa ukoyika.
- Ukuba uneempawu ezifana nokutshintsha kwesantya sesifuba sakho, isiyezi, okanye ukuquleka, musa ukuzityeshela kwaye ubone ugqirha ngoko nangoko.
- Emva kokufakelwa isixhobo sokuncedisa umgudu wokunceda, landela imiyalelo kagqirha (ukuthatha amayeza, ukuya kwiikliniki ngexesha) ngokuchanekileyo.
- Mamela umzimba wakho. Ukuba iimpawu zakho zangaphambili zibuya emva kokusebenzisa i-pacemaker, ukuba unengxaki yokuphefumla, okanye ukuba imilenze yakho idumbile, xelela ugqirha wakho ngoko nangoko.
- Khumbula, esi sisiqalo esitsha kuwe. Esi sixhobo sincinci siza kukunceda uphile ubomi obuqhelekileyo nobonwabisayo.
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