Sonke sivile nge-Sudden Cardiac Arrest, akunjalo? Nokuba umntu ucinga ukuba uphilile, intliziyo yakhe inokuyeka ukusebenza ngequbuliso ize ibe yingozi ebomini. Le yinto eyoyikisa abantu abaninzi. Kodwa ngokuhambela phambili kwesayensi yezonyango, kukho izixhobo ezimangalisayo namhlanje ezinokuthintela ukufa okungalindelekanga. Namhlanje, siza kuthetha ngesixhobo esincinci nesisindisa ubomi. Esi sibizwa ngokuba yi-S-ICD.
Kalula nje, yintoni le S-ICD?
Intsingiselo epheleleyo ye-S-ICD yi -Subcutaneous Implantable Cardioverter Defibrillator . Nangona eli gama liyinkimbinkimbi kancinci, olu tyando lulula kakhulu. Esi sisixhobo esincinci se-elektroniki esifakwe phantsi kwesikhumba sakho ngotyando. Silingana nebhokisi encinci yematshisi.
Umsebenzi ophambili wesi sixhobo kukujonga rhoqo isingqisho sentliziyo yakho. Ukuba isingqisho sentliziyo yakho siba ngesantya esiyingozi, oko kukuthi, ukuba uvelisa isingqisho esingaqhelekanga (i-arrhythmia) esisongela ubomi, isixhobo se-S-ICD siya kuyiqonda ngoko nangoko. Emva kokuyiqonda, iya kuzisa umothuko omncinci wombane esifubeni sakho. Olu mothuko luya kubuyisela ukubetha kwentliziyo okungaqhelekanga kwimeko eqhelekileyo, oko kukuthi, isingqisho esiqhelekileyo. Siyibiza le nkqubo ngokuba yi-defibrillation .
Ngamafutshane, i-S-ICD ifana nomkhuseli wentliziyo yakho. Xa isingqisho sentliziyo yakho singahambi kakuhle, esi sixhobo sincinci sinokuyilungisa size sisindise ubomi bakho.
Yintoni umahluko phakathi kwe-ICD eqhelekileyo kunye ne-S-ICD?
Usenokuba ukhe weva ngezixhobo ze-ICD eziqhelekileyo. I-S-ICD ikwaluhlobo lwe-ICD. Kodwa kukho umahluko omkhulu nobalulekileyo phakathi kwezi zimbini.
Kwizixhobo ze-ICD zemveli (ezibizwa ngokuba yi-Transvenous ICDs okanye i-TV-ICDs), intambo enye okanye ezingaphezulu (ezibizwa ngokuba zii-leads) eziqhagamshelwe kwisixhobo zidluliselwa kwimithambo yegazi yakho (imithambo yegazi) kwaye zifakwe entliziyweni yakho. Le yinkqubo enzima kancinci.
Kodwa oko akwenzeki nge-S-ICD. Into ekhethekileyo ngale nto kukuba iingcingo azithunyelwa entliziyweni okanye kwimithambo yegazi . Isixhobo se-S-ICD kunye neengcingo eziqhagamshelwe kuso zibekwe phantsi kolusu lwakho ngokupheleleyo. Oku kusenza sikhuseleke kakhulu. Iingozi zosulelo kunye nokuqhekeka kwegazi okunokwenzeka xa iingcingo zithunyelwa ngemithambo yegazi ziphantsi kakhulu kwi-S-ICD. Kwakhona, ukuba ufuna ukutshintsha esi sixhobo, kulula kakhulu.
| Uphawu | I-ICD yeSiko (iTV-ICD) | I-S-ICD (i-ICD engaphantsi kwesikhumba) |
|---|---|---|
| Ukubekwa kweengcingo (iintambo) | Iqhagamshelana nentliziyo ngemithambo yegazi. | Ifakwe phantsi kolusu ngokupheleleyo. Ayingeni entliziyweni okanye kwimithambo yegazi. |
| Umngcipheko weengxaki | Kukho umngcipheko okhulayo wosulelo lwemithambo yegazi kunye nentliziyo, amahlwili egazi, kunye nokuqhekeka kwentambo. | Iingozi ezinjalo ziphantsi kakhulu. |
| Ukususwa okanye ukudluliselwa | Kunzima ngakumbi. | Kulula kakhulu. |
Ngubani ofuna le S-ICD?
Izixhobo ze-ICD zihlala zicetyiswa kubantu abaneengxaki ezithile zesingqisho sentliziyo. Umzekelo:
- I-Ventricular Tachycardia: Imeko apho amagumbi asezantsi (ii-ventricles) zentliziyo zibetha ngokukhawuleza kakhulu.
- I-Ventricular Fibrillation: Yimeko eyingozi kakhulu apho amagumbi asezantsi entliziyo engcangcazela ngokungalawulekiyo. Oku kunokukhokelela ekufeni kwangoko.
- Abantu abakhe bahlaselwa kukuma kwentliziyo ngequbuliso: Ukuthintela umngcipheko wokuba imeko enjalo iphinde yenzeke.
Kodwa phakathi kwaba bantu, i- S-ICD ifaneleke ngakumbi kwaba bantu balandelayo:
- Abantu abasengozini enkulu yokosuleleka: Umzekelo, abo bakha basuleleka yi-ICD ngaphambili okanye abo bangenawo amasosha omzimba abuthathaka.
- Abantu abanengxaki yokufikelela kwimithambo yegazi: Abanye abantu banokuba nobunzima bokudlulisa iingcingo kwimithambo yegazi, kuxhomekeke kwindawo yomzimba wabo.
- Abantu abaphila ubomi obuxakekileyo: Abantu bathanda abadlali. Ngenxa yokuba iingcingo ze-S-ICD azikho entliziyweni, akukho mngcipheko mkhulu wokonakala kweingcingo ngexesha lomsebenzi womzimba.
- Abantu abaselula: Ngenxa yokuba umntu oselula kuya kufuneka asebenzise esi sixhobo ixesha elide, i-S-ICD yeyona ndlela ingcono kubo kuba ayinazo iingxaki ezininzi ezihlala ixesha elide.
Ngaba i-S-ICD ingakwazi ukulawula isantya sentliziyo (isantya)?
Lo ngumbuzo obaluleke kakhulu. Ezinye iintlobo ze-ICD zinokunceda ukugcina intliziyo ibetha ngesantya esiqhelekileyo ukuba icotha ngokungaqhelekanga. Oku kubizwa ngokuba ngumsebenzi we -pacemaker .
Kodwa izixhobo ze-S-ICD zangoku azinalo olu lwazi lokuhamba ngesantya . Oko kukuthi, i-S-ICD ayinakulungisa izinga lentliziyo xa licotha kakhulu. Umsebenzi wayo kuphela kukubona xa izinga lentliziyo likhawuleza ngendlela eyingozi kwaye ikunike umothuko wokuyibuyisela kwimeko yayo. Ukuba ufuna nezinga lentliziyo, i-S-ICD isenokungakulungeli. Isigqibo esifanelekileyo kukuthetha nogqirha wakho ngale nto.
Ndingenza ntoni ngaphambi kolu tyando?
Ukuba ugqirha wakho ugqiba ekubeni akufakele i-S-ICD, uya kunikwa imiyalelo ethile ngaphambi kotyando. Kubaluleke kakhulu ukuyilandela ngokuchanekileyo.
- Usenokucelwa ukuba uyeke ukusebenzisa amayeza athile, anjenge -blood thinners, kwiintsuku ezimbalwa ngaphambi kotyando.
- Ngomhla wotyando, uya kucetyiswa ukuba ungatyi okanye ungaseli iiyure ezimbalwa ngaphambi kokuba utyando.
- Ekubeni unokukwazi ukuya ekhaya ngosuku olunye emva kotyando, kufuneka ulungiselele kwangaphambili ukuba umntu akuse ekhaya .
Esibhedlele, abasebenzi bezonyango baza kwenza oku kulandelayo ngaphambi kotyando:
- Kwenziwa uphawu eluswini apho isixhobo siza kubekwa khona (ngesiqhelo kwicala lasekhohlo lesifuba okanye phantsi kwekhwapha).
- Iinwele ezikuloo ndawo ziyasuswa kwaye zicocwe kakuhle.
- I-cannula (umgca we-IV) ifakwa emthanjeni osengalweni yakho ukuze ikunike amayeza kunye nolwelo.
- Kuza kunikwa amayeza okubulala iintsholongwane ukuthintela usulelo.
- Uza kunikwa i-anesthesia ukuthintela iintlungu ngexesha lotyando. Ngokuqhelekileyo, luhlobo lwe-anesthesia olukwenza ulale kancinci.
- Izandla zakho zingabotshelelwa ngebhandishi ethambileyo ukuthintela ukuba indawo yotyando ingachukunyiswa.
Kwenzeka ntoni ngexesha lotyando?
Utyando lokufakelwa i-S-ICD ludla ngokuthatha malunga neyure enye ukuya kwezimbini. Lubandakanya ukufakwa kwezinto ezimbini eziphambili: ijenereyitha (le yinxalenye ephambili equlethe ibhetri kunye ne-circuitry) kunye ne-defibrillation lead (le yintambo).
Ugqirha uza kwenza imicu emibini okanye emithathu eluswini kwicala lasekhohlo lesifuba sakho okanye phantsi kwekhwapha lakho. Emva koko, kwenziwa 'ipokotho' encinci phantsi kolusu kunye nomaleko wamafutha, ngaphantsi nje kwembambo yakho, kwaye ijenereyitha ifakwe kuyo. Okulandelayo, ucingo lufakwa phantsi kolusu, embindini wesifuba sakho, kufutshane nethambo lesifuba, uze unyuke ecaleni lentamo yakho.
Emva kokuba yonke into ifakiwe, siza kuyivavanya le sixhobo ukuze sibone ukuba isebenza kakuhle na.Nangona oku kusenokuvakala kungaqhelekanga, nantsi into eyenzekayo: Oogqirha benza ukubetha kwentliziyo okuyingozi nokungaqhelekanga entliziyweni yakho. Emva koko, i-S-ICD iyayibona ize ibangele ukothuka ukuze ibone ukuba ingayibuyisela na intliziyo kwimeko yayo eqhelekileyo. Ngeli xesha, uphantsi kwe-anesthesia, ngoko awuyi kuva ntlungu , ngoko akukho nto inokubangela ukukhathazeka ngayo.
Emva kokuqinisekisa ukuba isixhobo sisebenza kakuhle, imingxunya eyenziwe eluswini ivalwa ngezititshi.
Kwenzeka ntoni emva kotyando?
Emva kotyando, uza kusiwa kwigumbi lokuchacha. Abasebenzi bezonyango baza kukujonga ngokusondeleyo de imiphumo ye-anesthesia iphele. Ungaphinda wenze i-X-ray ukujonga ukuba isixhobo kunye neengcingo zisendaweni.
Uninzi lwabantu luyakwazi ukuya ekhaya ngosuku olunye emva kotyando. Nangona kunjalo, kuba uphantsi kwe-anesthesia, awuyi kukwazi ukuqhuba, ngoko ke kubalulekile ukuba nomntu oza kukuqhuba akuse ekhaya.
Zithini iingenelo ze-S-ICD?
Eyona nzuzo iphambili ye-S-ICD kukuba inokuthintela ukufa kwentliziyo ngesiquphe. Ukongeza, xa kuthelekiswa ne-ICD zemveli (ii-TV-ICD), ezifakwa ngentambo ngemithambo yegazi, i-S-ICD inciphise kakhulu iingozi zezi:
- Ukugqobhoka kwentliziyo: Ukonakala (ukugqobhoka) kwezicubu zentliziyo.
- Izifo: Izifo ezinzulu, ingakumbi ezo zichaphazela ulwelo lwangaphakathi lwentliziyo, ezifana ne -endocarditis .
- Ukuqhekeka kwentambo: Iingcingo ezihamba ngemithambo yegazi zinokuqhekeka okanye zikhululeke ngokuhamba kwexesha. Kwimeko enjalo, kuya kufuneka zisuswe kwaye zitshintshwe. Le ngozi incinci nge-S-ICD.
- I-Thrombosis: Ukuqhekeka kwegazi emthanjeni wegazi.
Zithini iingozi kunye neengxaki zoku?
Njengakwezinye iinkqubo zotyando, kukho iingozi ezincinci ezinxulumene nokufakelwa i-S-ICD. Nangona kunjalo, ezi azixhaphakanga kakhulu.
| Uhlobo lomngcipheko | Inkcazo |
|---|---|
| Iingozi ezinxulumene notyando |
|
| Iingozi ezinokuvela ngokuhamba kwexesha |
|
Ndingazinyamekela njani xa ndiphila ne-S-ICD?
I-S-ICD ifana nomhlobo omtsha ebomini bakho. Ngoko ke, kubalulekile ukufunda ukuphila nayo. Ugqirha wakho uza kukunika imiyalelo eneenkcukacha ngale nto.
- Yiya kwiikliniki ngexesha: Ugqirha uza kukunika umhla wokujonga ukuba isixhobo sisebenza kakuhle na, ibhetri injani, kwaye impilo yentliziyo yakho injani. Qiniseka ukuba uyaya ngaloo mihla.
- Phatha ikhadi lokuzazisa: Soloko uphatha ikhadi elichaza ukuba une-S-ICD. Oku kuya kuba baluleke kakhulu kubasebenzi bezonyango xa kukho imeko engxamisekileyo.
- Yazisa abanye oogqirha: Xa usiya kufuna amayeza alo naluphi na olunye ukugula, xelela ugqirha ukuba une-S-ICD.
- Lumka xa uhamba: Nxibelelana nogqirha wakho, ingakumbi xa ujonga izixhobo zokubona isinyithi kwiindawo ezifana nezikhululo zeenqwelo-moya.
Ibhetri ihlala ixesha elingakanani kwi-S-ICD?
Ibhetri ekwi-S-ICD ayinakutshajwa. Yakhelwe ngaphakathi kwesi sixhobo. Xa ibhetri iphela, kufuneka olunye utyando oluncinci ukuze kutshintshwe yonke ijenereyitha ngentsha.
Ibhetri ye-S-ICD inokuhlala iminyaka emi-5 . Nangona kunjalo, eli xesha lixhomekeke ekubeni isixhobo sivuselelwa kangaphi (sithukile) kunye nezicwangciso zaso. Ugqirha wakho uza kujonga inqanaba lebhetri ngalo lonke ixesha utyelela ikliniki.
Ufanele ufune nini ingcebiso kagqirha?
Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kokufakelwa i-S-ICD, bona ugqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
- Iintlungu zesifuba
- Isiyezi
- Ubomvu okanye ulwelo oluphuma kwimigqomo yotyando
- Ubomvu, ukudumba, okanye intlungu eqatha kufutshane neendawo zokusikwa
- Ubunzima bokuphefumla
- Ukuphinda-phinda kweempawu zentliziyo owawunazo ngaphambi kokuba kufakwe i-S-ICD
I-S-ICD yiteknoloji esebenzayo kakhulu nekhuselekileyo enokuthintela ukufa kwentliziyo ngequbuliso. Ukuba ugqirha wakho ukucebise ukuba ube ne-ICD, thetha naye malunga nokuba i-S-ICD ikulungele na.
Umyalezo Wokuya Ekhaya
- I-S-ICD sisixhobo esincinci esifakwe phantsi kwesikhumba kwaye sinokubangela ukubetheka kombane okusindisa ubomi ukuba isingqisho sentliziyo asihambelani.
- Eyona nzuzo inkulu yoku kukuba ucingo alungeni kwimithambo yegazi okanye entliziyweni, ngoko ke umngcipheko weengxaki ezihlala ixesha elide uphantsi kakhulu.
- Esi sixhobo asinawo amandla okulawula (isantya) sentliziyo xa isantya sincipha.
- Emva kotyando, kubaluleke kakhulu ukuya kwiikliniki zonyango ngemihla emiselweyo ukuze ujonge isixhobo.
- Ukuba ufumana naziphi na iimpawu ezifana neentlungu zesifuba, isiyezi, okanye iimpawu zosulelo lwenxeba, funa ingcebiso kagqirha ngokukhawuleza.
- Ngugqirha wakho kuphela onokwenza isigqibo esifanelekileyo malunga nokuba i-S-ICD ikulungele na, ngoko xoxa naye ngazo zonke iinkcukacha.
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