Khawucinge nje, ukuba intliziyo yakho ngequbuliso yaqala ukubetha ngokukhawuleza kwaye ingenalo ulawulo... oko kunokuba yingozi enkulu ebomini bakho, akunjalo? Kwimeko eyingozi kangaka, namhlanje siza kuthetha ngesixhobo sobuchwepheshe esincinci, kodwa esinamandla kakhulu esinokukunceda usindise ubomi bakho. Esi sibizwa ngokuba yi-S-ICD. Musa ukoyika, nangona igama liyinkimbinkimbi kancinci, masiqonde ukusebenza kwalo ngokulula.
Yintoni le S-ICD?
Ngamafutshane, i-S-ICD (Subcutaneous Implantable Cardioverter Defibrillator) sisixhobo esincinci se-elektroniki esifakwe phantsi kolusu lwakho, ngaphakathi emzimbeni wakho. Sifana nebhokisi encinci yematshisi. Umsebenzi wayo ophambili kukujonga rhoqo isingqisho sentliziyo yakho.
Khawucinge nje, ukuba isingqisho sentliziyo ngequbuliso siba ngesantya esiyingozi, oko kukuthi, ukuba iqala ukubetha ngokungalawulekiyo, esi sixhobo sincinci siyasibona. Siyasibona size ngoko nangoko sinike intliziyo umothuko omncinci wombane. Olu mothuko luyekisa ukubetha okungaqhelekanga nokukhawulezileyo kwaye lubuyisele intliziyo kwisingqisho esiqhelekileyo. Siyibiza le nkqubo ngokuba yi-defibrillation . Oku kusindisa umntu ekufeni ngenxa yokuma kwentliziyo ngequbuliso.
I-S-ICD yahluke njani kwi-ICD eqhelekileyo?
Usenokuba ukhe weva ngezixhobo ze-ICD eziqhelekileyo. Wakuba uqonde umahluko ophambili phakathi kwezi zimbini, uya kuqonda ukuba yintoni eyenza i-S-ICD ibe yeyodwa.
- I-ICD yesiqhelo (i-Transvenous ICD - i-TV-ICD): Kolu hlobo, intambo enye okanye ezingaphezulu ( iintambo ) eziqhagamshelwe kwisixhobo zidlula kwimithambo yakho zize ziqhagamshelwe ngqo entliziyweni .
- I-S-ICD: Kodwa akunjalo nge-S-ICD. Apha, ucingo alufakwanga kwimithambo yegazi. Endaweni yoko, lufakwa phantsi kwesikhumba , embindini wesifuba , ngaphezu kwentliziyo.
Ngoko ke, umngcipheko wokonakala kwemithambo yegazi okanye intliziyo ngexesha lokufakelwa kwe-S-ICD uphantsi kakhulu. Kwakhona, umngcipheko wosulelo kunye nokuqhekeka kwegazi okunokwenzeka ngenxa yeengcingo ezidlula kwimithambo yegazi uncitshiswa kakhulu ngale ndlela.
Ngubani ofuna le S-ICD?
I-S-ICD idla ngokucetyiswa kubantu abaneengxaki ezithile zesingqisho sentliziyo.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| I-Ventricular Tachycardia | Ukubetha kwentliziyo okukhawulezayo ngendlela engaqhelekanga okuqala kumagumbi asezantsi (ii-ventricles) entliziyo. |
| Ukufiphalisa kwemithambo yegazi | Imeko esongela ubomi kakhulu apho amagumbi asezantsi entliziyo engcangcazela ngokungalawulekiyo. |
| Abantu abakhe babanjwa yintliziyo ngequbuliso ngaphambili | Ukuthintela ukuba oku kungenzeki kwakhona kwabo bafumene isehlo esinjalo. |
Ngokukodwa, i-S-ICD ilungele abantu aba:
- Kwabo basengozini enkulu yokosuleleka.
- Kwabo baneengxaki zomzimba ezenza kube nzima ukufikelela kwimithambo yegazi yomzimba.
- Kwabo baphila ubomi obusebenzayo (umz. abadlali).
- Abantu abaselula , kuba bephila ixesha elide, banokuphepha iingxaki ezibangelwa ziintambo ze-ICD zemveli ngokuhamba kwexesha.
Ngaba i-S-ICD ingakwazi ukulawula (isantya) sentliziyo?
Lo ngumbuzo obaluleke kakhulu. Hayi. Izixhobo ze-S-ICD zangoku azinawo amandla okulawula isantya sentliziyo, oko kukuthi, ukuyikhawulezisa .
Khawucinge nje, ukuba isantya sentliziyo yomntu siyehla , i- pacemaker sisixhobo esisinceda ukuba sihlale sikwisantya esiqhelekileyo. I-S-ICD ayinakukwenza oko. I-S-ICD ibangela ukubetha kwentliziyo xa iphezulu ngendlela eyingozi , ize iyibuyisele kwisantya esiqhelekileyo. Ngoko ke, ukuba ufuna i-pacemaker, ugqirha wakho uya kucebisa isixhobo esifanelekileyo kuwe.
Kwenzeka ntoni ngaphambi nangexesha lotyando?
Olu lutyando olungenazingxaki oludla ngokuthatha iiyure ezimbalwa.
Ukulungiselela ngaphambi kotyando
Ugqirha wakho uza kukunika iingcebiso ezifunekayo.
- Uza kucelwa ukuba uyeke ukusebenzisa amayeza athile, afana ne-blood thinners, kwiintsuku ezimbalwa ngaphambi kotyando.
- Uza kucelwa ukuba uzile ukutya iiyure ezimbalwa ngosuku lotyando.
- Bandixelela ukuba ndilungiselele imoto yokuya ekhaya emva kotyando.
Indlela oluqhutywa ngayo utyando
Ngexesha lotyando, awuyi kuva ntlungu. Kwiimeko ezininzi, uya kunikwa amayeza okukugcina usezingqondweni kodwa uphumle ('ukuphumla engqondweni').
1. Ukulungiselela: Indawo apho isixhobo siza kufakelwa khona (ngesiqhelo kwicala lasekhohlo lesifuba) iyacocwa kwaye iinwele ziyasuswa ukuba kuyimfuneko. Kunikwa amayeza okubulala iintsholongwane ukuthintela usulelo.
2. Ukwenza izisikelo: Ugqirha uza kwenza izisikelo ezimbini okanye ezintathu ezincinci kwicala lasekhohlo lesifuba sakho, ngaphantsi kwekhwapha lakho.
3. Ukufakelwa kwesixhobo: Ijenereyitha (ibhokisi encinci) ifakwa phantsi kwesikhumba kufutshane nekheyiji yembambo ngesikhewu esinye. Emva koko, ucingo (ilothe) lufakwa phantsi kwesikhumba ngesikhewu esinye, luhamba embindini wesifuba (ithambo lesifuba).
4. Ukujonga: Okokugqibela, oogqirha bajonga ukuba umatshini usebenza kakuhle na. Ukuze benze oku, ngokungekho mthethweni benza ukubetha kwentliziyo okukhawulezayo entliziyweni yakho baze bayinike uloyiko oluvela kwi-S-ICD ukuze ilungiswe. Ungakhathazeki, usaza kusela utywala ngeli xesha, ngoko awuyi kuva nto.
5. Ukuthunga amanxeba : Emva kokuba yonke into igqityiwe ngempumelelo, amanxeba athungwa avalwe.
Emva kotyando, uza kusiwa kwigumbi lokuchacha ukuze ujongwe okwethutyana. Uninzi lwabantu lunokubuyela ekhaya ngaloo mini inye.
Zithini iingenelo kunye neengozi ze-S-ICD?
Njengayo nayiphi na inkqubo yezonyango, i-S-ICD ineenzuzo kunye neengozi ezincinci.
| Iingenelo | Iingozi |
|---|---|
| Ukuthintela ukufa kwentliziyo ngesiquphe nokusindisa ubomi. | Usulelo lwenxeba. |
| Umngcipheko wokonakala kwemithambo yegazi kunye nentliziyo uphantsi kakhulu. | Ukopha okanye amahlwili egazi avela kwinxeba. |
| Umngcipheko oncitshisiweyo wosulelo lwegazi (umz. i-endocarditis). | Isixhobo sisuke kancinci ukusuka apho sasiphantsi kwesikhumba. |
| Iingxaki ezincitshisiweyo ngeengcingo eziphukileyo okanye ekufuneka uzitshintshe. | Ngamanye amaxesha uthuko olungeyomfuneko lunokwenzeka (alufane lwenzeke). |
Ufanele ufune nini ingcebiso kagqirha?
Ukuba ufumana naziphi na ezi mpawu emva kokuba i-S-ICD yakho ifakiwe, kufuneka ubone ugqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane nawe.
- Iintlungu zesifuba
- Isiyezi
- Ubunzima bokuphefumla
- Ubomvu, ukudumba, okanye intlungu kwindawo yokusikwa
- Ubomvu okanye olunye ulwelo oluphuma kwisilonda
- Ukuphinda kweempawu ezazikho ngaphambi kokuba kufakwe i-S-ICD
Umyalezo Wokuya Ekhaya
- I-S-ICD sisixhobo esisindisa ubomi esithintela ukufa ngequbuliso okubangelwa zizingqisho zentliziyo eziyingozi nezikhawulezayo.
- Oku kwahlukile kwii-ICD zemveli, njengoko iingcingo zingangeni kwimithambo yegazi okanye entliziyweni, nto leyo enciphisa umngcipheko weengxaki.
- Isixhobo se-S-ICD asinakukwazi ukulawula isantya sentliziyo (sisebenza njenge-pacemaker) xa sicotha.
- Nje ukuba isixhobo sifakwe, kubaluleke kakhulu ukuya kugqirha ngomhla omiselweyo ukuze sihlolwe. Ibhetri idla ngokuhlala iminyaka emi-5, emva koko inxalenye yejenereyitha kufuneka itshintshwe.
- Ukuba ufumana naziphi na iingxaki ngesixhobo okanye impilo yakho (ezifana neentlungu zesifuba, usulelo lwenxeba), funa ingcebiso kagqirha ngoko nangoko.
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