Ngaba ngamanye amaxesha uvakalelwa kukuba ukubetha kwentliziyo yakho kusebenza ngendlela engaqhelekanga? Mhlawumbi uvakalelwa kukuba ibetha ngesantya esingalindelekanga, okanye ngokuchaseneyo, ibetha kancinci kakhulu? Ngaba ufumana isiyezi ngequbuliso okanye ukuphefumla okufutshane? Ezi mvakalelo zinokuba ziimpawu zokuba isingqi sendalo sentliziyo yakho asisebenzi kakuhle. Namhlanje, siza kuthetha ngesixhobo esincinci kodwa esitshintsha ubomi esinceda ukugcina intliziyo yakho ikwimeko entle: i-pacemaker. Wamkelekile eNirogi Lanka.
Yintoni kanye kanye iPacemaker?
Ngamafutshane, i-pacemaker sisixhobo esincinci se-elektroniki esifakwa emzimbeni wakho ngexesha lotyando oluncinci. Sincinci kakhulu, sidla ngokuba sincinci kunebhokisi yematshisi. Umsebenzi waso oyintloko kukuxhasa inkqubo yombane yendalo yentliziyo yakho.
Cinga ngentliziyo yakho njengempompo ebetha ngesingqisho esithile. Esi singqisho silawulwa sisignali yombane yangaphakathi. Xa le nkqubo ifumana ingxaki okanye iba buthathaka, ukubetha kwentliziyo yakho kunokuba yinto engahambelaniyo—ukubetha ngokukhawuleza kakhulu, kancinci kakhulu, okanye ukutsiba izingqisho. I-pacemaker ihlala ijonga umsebenzi wentliziyo yakho kwaye, kuphela xa kuyimfuneko, ithumela imiqondiso yombane ethambileyo ukuqinisekisa ukuba intliziyo yakho igcina isingqisho esisempilweni nesizinzileyo.
Zeziphi iimeko zonyango ezifuna iPacemaker?
Kukho iingxaki ezininzi zentliziyo ezinokulawulwa ngempumelelo nge-pacemaker. Nazi imizekelo embalwa eqhelekileyo:
- Izingqisho zentliziyo ezingaqhelekanga (i-Arrhythmia): Esi sisisombululo esisebenzayo kakhulu ekulawuleni iintlobo ezithile zeengxaki zesingqisho sentliziyo.
- Ukuvaleka kwentliziyo: Xa kukho ukuphazamiseka kwindlela yokuhambisa umbane entliziyweni yakho.
- Ukusilela kwentliziyo: Isetyenziswa njengonyango oluxhasayo xa izihlunu zentliziyo yakho zibuthathaka kwaye zingakwazi ukupompa igazi ngokufanelekileyo emzimbeni wakho wonke.
- Imbali yohlaselo lwentliziyo lwangaphambili: Kwezinye iimeko, umonakalo kwinkqubo yombane yentliziyo yakho unokwenzeka emva kohlaselo lwentliziyo, nto leyo enokubangela ukuba kufuneke uncedo.
Iimpawu zokuba unokufuna i-pacemaker
Ingcali yakho yentliziyo iza kugqiba ukuba ngaba kuyimfuneko na ukusebenzisa i-pacemaker ngokusekelwe kuvavanyo lwakho lweklinikhi. Nangona kunjalo, ukuba ufumana iimpawu ezidweliswe ngezantsi, kufuneka udibane nogqirha wezempilo. Musa ukuyityeshela le miqondiso ilumkisayo.
| Uphawu | Ingcaciso elula |
|---|---|
| Intlungu yesifuba (i-Angina) | Ukuziva uxinezelekile okanye intlungu esifubeni xa intliziyo ingafumani igazi elaneleyo. |
| Isantya sentliziyo esikhawulezayo (iTachycardia) | Xa intliziyo ibetha ngokukhawuleza ngaphezu kwe-100 ngomzuzu ngaphandle kwesizathu esicacileyo. |
| Isantya sentliziyo esicothayo (iBradycardia) | Xa intliziyo ibetha ngaphantsi kwezihlandlo ezingama-60 ngomzuzu ngelixa uphumle. |
| Isantya sentliziyo esingaqhelekanga (i-Arrhythmia) | Xa isingqisho sentliziyo singahambelani, sibonakala ngokubetha okungavumelekanga okanye ii-pulses ezongezelelweyo. |
| Ukubetha kwentliziyo | Ukuziva ungonwabanga ukuba intliziyo iyabhabha, ibetha ngamandla, okanye ibetha esifubeni sakho. |
| Ukuqhawukelwa ngumphefumlo | Ubunzima bokuphefumla, ingakumbi xa usebenza nzima. |
| Ukudinwa okanye ukuquleka okungachazekiyo | Iziganeko zequbuliso zokuba nentloko ekhaphukhaphu, ukubona okufipheleyo, isicaphucaphu, okanye ukuphelelwa zingqondo. |
| Ukudumba emaqatheni, emilenzeni, okanye esiswini | Ukudumba okubangelwa kukugcinwa kolwelo emzimbeni. |
Iintlobo zee-pacemakers ezikhoyo
Ngokuxhomekeke kwimeko yentliziyo yakho ethile, ugqirha wakho wentliziyo uya kukhetha uhlobo olufanelekileyo lwe-pacemaker. Ezi zinokuba neentambo enye, ezimbini, okanye ezintathu.
- Isixhobo sokunceda imisipha esingenalo ilead: Silingana ne-capsule enkulu yeevithamini. Sifakwa nge-catheter ngqo entliziyweni size sinamathele eludongeni lwentliziyo, nto leyo esusa imfuneko yeengcingo zangaphandle.
- Isixhobo sokunceda uphefumle esinendawo enye: Sisebenzisa intambo enye eqhagamshelwe kwigumbi elinye lentliziyo.
- Isixhobo sokunceda abantu abagulayo esinamagumbi amabini: Sisebenzisa izixhobo ezimbini ezidityaniswe namagumbi amabini ahlukeneyo entliziyo.
- I-Biventricular Pacemaker: Isebenzisa iilead ezintathu, ezaziwa ngokuba yiCardiac Resynchronization Therapy (CRT). Oku kulungelelanisa onke amagumbi entliziyo ukuba abethe ngesingqi esihambelanayo.
Ugqirha wakho unokucebisa ne-Implantable Cardioverter Defibrillator (ICD). Nangona i-pacemaker ilawula isigqi sentliziyo yakho, i-ICD yenza okungakumbi: ijonga isigqi esikhawulezayo esisongela ubomi kwaye inika umothuko omncinci wombane ukubuyisela intliziyo yakho kwisigqi sayo esiqhelekileyo nesisempilweni.
Ngaba olu lutyando olukhulu?
Hayi. Ngenxa yophuhliso lwezonyango lwanamhlanje, le nkqubo ayisiyondlela inkulu yotyando lwentliziyo. Yenzelwe ukuba ingangeni kakhulu, iqinisekise ukuba iintlungu azipheli kwaye uphile ngokukhawuleza ukuze ukwazi ukubuyela ekhaya ngokukhawuleza.
Ngokwesiqhelo, kwenziwa umngxuma omncinci ngaphantsi kwethambo lentamo, kwaye intambo (iintambo) zikhokelwa ngomthambo ukuya entliziyweni. Ibhetri ye-pacemaker emva koko ifakwa kwipokotho encinci phantsi kwesikhumba kufutshane nomngxuma. Yonke le nkqubo ithatha iiyure ezimbalwa kuphela. Ugqirha wakho wentliziyo uza kukuchazela ngenkqubo efanelekileyo kuwe eNirogi Lanka.
Zithini iingenelo ze-pacemaker?
Injongo ephambili ye-pacemaker kukuphucula umgangatho wobomi bakho bonke.
- Ukukhululeka kwiimpawu: Iimeko ezininzi ezifana neentlungu zesifuba, isiyezi, ukuquleka, kunye nokungakwazi ukuphefumla okubangelwa ziingxaki zesingqisho sentliziyo ziyancipha kakhulu okanye ziphele.
- Ukuthintela iimeko ezingxamisekileyo: Kuthintela iziganeko ezibangela usizi ezifana nokuquleka ngequbuliso okanye ukuquleka.
- Ukusindisa ubomi: Okubaluleke kakhulu, kunokukukhusela kwiimeko ezisongela ubomi apho intliziyo inokuyeka ukubetha kakuhle.
Ngaba kukho naziphi na iingozi?
Njengakweminye inkqubo yezonyango, kukho iingozi ezincinci, nangona zinqabile kakhulu. Iingxaki ezinokubakho ezifana neempendulo ze-allergy, amahlwili egazi, okanye ukungasebenzi kakuhle kwesixhobo aziqhelekanga, kwaye iqela lakho lezonyango eNirogi Lanka lithatha amanyathelo onke okunciphisa ezi ngozi. Ukulandela inkqubo yakho, kubalulekile ukuba uphephe ukuphakamisa izinto ezisindayo okwethutyana elifutshane kwaye ulandele imiyalelo kagqirha wakho emva kotyando.
Ibhetri ye-pacemaker ihlala ixesha elingakanani?
Ixesha lobude bebhetri yakho ye-pacemaker lixhomekeke kwimodeli yesixhobo esithile kunye nokuba kufuneka ikhawuleze kangakanani na ukuze ikhawulezise intliziyo yakho. Ngokubanzi, uninzi lweebhetri ze-pacemaker zanamhlanje zihlala iminyaka eli-10 ukuya kweli-15 . Ukutshintsha ibhetri yinkqubo elula kakhulu kunokufakelwa kokuqala. Ugqirha wakho uza kucwangcisa utyelelo oluqhubekayo eNirogi Lanka ukuze ajonge amanqanaba ebhetri yakho ngokusondeleyo.
Umyalezo Wokuya Ekhaya
- I-pacemaker sisixhobo esisindisa ubomi esenzelwe ukugcina isigqi sentliziyo yakho; akukho mfuneko yokuba ukhathazeke ngayo.
- Ukuba ufumana ukubetha kwentliziyo okungaqhelekanga, ukuphefumla okufutshane, okanye isiyezi, musa ukuzityeshela ezi mpawu— qhagamshelana nogqirha wakho ngoko nangoko okanye ufune iinkonzo zongxamiseko.
- Emva kokufumana i-pacemaker yakho, nceda ulandele ngokungqongqo ulwalathiso lukagqirha wakho malunga namayeza kunye nokuhlolwa okucwangcisiweyo kwikliniki yethu.
- Phulaphula umzimba wakho. Ukuba ubona iimpawu zakho zangaphambili zibuya, ubunzima bokuphefumla, okanye ukudumba okuqhubekayo emilenzeni yakho, qhagamshelana nogqirha wakho ngoko nangoko.
- Khumbula, olu luqalo olutsha lwempilo yakho. Esi sixhobo sincinci siya kukunika amandla okuphila ubomi obuqhelekileyo, obusebenzayo, nobanelisayo.
I-Pacemaker, isifo sentliziyo, isantya sentliziyo, i-arrhythmia, isingqisho sentliziyo, i-bradycardia, i-tachycardia, iimeko zentliziyo, iintlungu zesifuba
