Ake sifunde ngegajethi encane eqapha ngasese isigqi senhliziyo yakho! (I-Loop Recorder) | Nirogi Lanka

Uke uzizwe sengathi inhliziyo yakho iyagxumagxuma noma yenza ngendlela engavamile? Uke wabhekana nezigameko ezingazelelwe zokuzizwa uphelelwe amandla noma ulahlekelwe ukuqonda? Kwabaningi, lezi zimpawu zenzeka ngisho noma kungekho ubuhlungu besifuba, futhi ukuthola imbangela kungaba nzima kakhulu. Ngokuvamile, uma uvakashela udokotela wakho, lezi zimpawu azisebenzi, okwenza kube nzima ukuthola ukuxilongwa. Yilapho kanye lapho idivayisi encane, ethuthukisiwe ebizwa ngokuthi i -Implantable Loop Recorder (ILR) ingena khona ukusisiza sithole izimpendulo ozidingayo. Kwa-Nirogi Lanka, ake sibheke kabanzi ukuthi lobu buchwepheshe busebenza kanjani kuwe.

Kuyini i-Loop Recorder?

Kalula nje, i-loop recorder iyithuluzi elincane elibekwa ngaphansi kwesikhumba sesifuba sakho. Umsebenzi walo ukulandelela njalo izinga lokushaya kwenhliziyo yakho kanye nesigqi sayo. Cabanga ngayo njengomseshi oqapha umsebenzi kagesi wenhliziyo yakho amahora angama-24 ngosuku, izinsuku eziyi-7 ngesonto kuze kube yiminyaka emithathu. Ngokungafani nabaqaphi benhliziyo abajwayelekile abanikeza isithombe-skrini somsebenzi wenhliziyo yakho isikhathi esifushane kuphela, le divayisi inikeza ukuqonda kwesikhathi eside.

Irekhoda ye-loop ibamba idatha ngokuzenzakalelayobese uyithumela kudokotela wakho wenhliziyo. Ngokuqapha inhliziyo yakho isikhathi eside, kusebenza kahle kakhulu ekuboneni izigqi zenhliziyo ezingajwayelekile, ezaziwa ngokuthi i-Arrhythmias , njenge- Atrial Fibrillation . Ngenxa yokuthi ezinye izigqi zenhliziyo zingaba zimbi kakhulu futhi ziholele ezinkingeni ezifana nohlangothi noma ukumiswa kwenhliziyo ngokuzumayo , ukutholakala kusenesikhathi nokuphathwa kubalulekile.

Ungase futhi uzwe i-loop recorder ibizwa ngala magama:

• Irekhoda Yesiluphu Esifakelwayo (ILR)
• I-Insertable Cardiac Monitor (ICM)

Le divayisi encane ibekwe ngaphansi kwesikhumba ohlangothini olungaphezulu kwesobunxele lwesifuba sakho.

Kubukeka kanjani?

I-loop recorder iyithuluzi elincane kakhulu, elingunxande , elifana ngobukhulu nesimo se-thumb drive encane—cishe ubude obuyi-intshi eyodwa kuya kwezimbili. Yenziwe ngensimbi futhi iqukethe i-electronic circuitry eyinkimbinkimbi kanye nebhethri elihlala isikhathi eside.

Idivayisi ifakwa ngaphansi kwesikhumba (ngaphansi kwesikhumba). Nakuba ungase ubone uhlaka oluncane lwedivayisi ngaphansi kwesikhumba sakho, akufanele ikubangele ubuhlungu noma ukungakhululeki.

Kanye nedivayisi esesifubeni sakho, udokotela wakho uzokunikeza i -activator encane ephathwa ngesandla . Le divayisi ivumelana ne-recorder yakho. Uma uzwa izimpawu ezifana nokushaya kwenhliziyo , umane ucindezele inkinobho ku-activator ukuze i-loop recorder ibhale phansi umsebenzi wenhliziyo yakho ngaleso sikhathi.

Isebenza kanjani ngempela?

I-loop recorder ilandelela ukushaya kwenhliziyo yakho kanye nesigqi. Uma ithola noma yimuphi umsebenzi kagesi ongajwayelekile, ibamba ngokuzenzakalelayo futhi igcine leyo datha enkumbulweni yayo. Lolu lwazi ludluliselwa kudokotela wakho wenhliziyo izikhathi eziningi ngosuku.

Ngaphezu kwalokho, uma uzizwa unezimpawu, ungasebenzisa i-activator yakho ephathwayo ukuze ufundise idivayisi ukuthi ilondoloze leso sikhathi esithile. Idivayisi ingabuka emuva emizuzwini embalwa edlule ukuze ibambe lokho inhliziyo yakho eyayikwenza ngaphambi kokuba ubhekane nezimpawu zakho.

Ngamafuphi, idivayisi ibamba idatha kokubili uma uzizwa izimpawu kanye nangezikhathi lapho ungezwa lutho nhlobo ngaphandle kokuthi inhliziyo iziphethe ngendlela engajwayelekile. Lokhu kuqonda kuvumela udokotela wakho ukuthi athole ngqo ukuthi kwenzekani ngenhliziyo yakho nokuthi kuhlobana kanjani nalokho okuzwayo.

Ngingadinga nini eyodwa?

Uma uzwa ukushaya kwenhliziyo njalo noma ukuphonswa kokuphelelwa yithemba (i-syncope) futhi izivivinyo zangaphambilini zehlulekile ukuveza i- Arrhythmia , i-loop recorder ingaba yingxenye yephazili engekho. Isiza udokotela wakho ukuthola izinkinga zesigqi senhliziyo, ukuphatha ukwelashwa, nokuvimbela izinkinga eziyingozi. Ingasiza futhi ekuqinisekiseni ukuthi ukuphonswa kwakho noma ezinye izimpawu *azihlobene* nenhliziyo yakho.

Odokotela benhliziyo bavame ukusebenzisa i-loop recorder ukuze:

• Thola imbangela yeziphepho zokuquleka ezingachazeki.
• Hlola ukushaya kwenhliziyo okuqhubekayo, okungachazeki.
• Qapha ukusebenza kwenhliziyo kweziguli ezine- Atrial Fibrillation ( Atrial Fibrillation ) ukuze usize ekuphatheni ukwelashwa.
• Thola izinkinga zesilinganiso senhliziyo kanye nesigqi kubantu abadala abanesifo senhliziyo abazalwa naso.
• Thola izigqi zenhliziyo ezingavamile ngemva kokuhlaselwa yisifo sohlangothi .
• Hlola i-bradycardia (ukushaya kwenhliziyo okuhamba kancane) ngaphambi kokunquma ukuthi kuyadingeka yini i-pacemaker ehlala njalo.
• Gada ukusebenza kukagesi kwenhliziyo ngemva kokuhlaselwa yinhliziyo .

Ubani owenza le nqubo?

I-loop recorder yakho izofakwa yi- Electrophysiologist ( i-Electrophysiologist ) . Lona udokotela wenhliziyo oqeqeshwe ngokukhethekile ukuze aqonde kahle uhlelo lukagesi lwenhliziyo. Cabanga ngaye njengochwepheshe kagesi wenhliziyo yakho.

Kwenzekani ngaphambi kwenqubo?

Udokotela wakho wenhliziyo uzoqala ahlole ukuthi i-loop recorder iyisisombululo esifanele yini kuwe. Uzobuyekeza umlando wakho wezokwelapha ophelele futhi enze ukuhlolwa ngokomzimba. Ungase futhi ucelwe ukuthi wenze izivivinyo eziningana zokuxilonga, njengokuthi:

• I-Electrocardiogram ( ECG /EKG)
• I-Echocardiogram
• Ukuhlolwa Kokucindezeleka Kokuzivocavoca
• Ukuhlolwa Kwethebula Elithambekile

Ngisho noma lokhu kuhlolwa kungabonisi inkinga enkulu yenhliziyo, i-loop recorder ingadingeka uma uqhubeka nokuzwa izimpawu ezifana nokuquleka.

Kufanele ngilungiselele kanjani inqubo?

Udokotela wakho uzokunikeza imiyalelo ethile, kodwa ngokuvamile, khumbula la maphuzu:

• Udokotela wakho uzoxoxa ngemithi yakho yamanje futhi angase akunikeze iseluleko mayelana nokulungiswa okuncane ngaphambi kwenqubo. Ungayeki noma ushintshe noma yimuphi umuthi ngaphandle kokuthi uqondiswe ngokucacile ngudokotela wakho.
• Uzodinga umuntu ozokuthatha akuyise ekhaya ngemva kwenqubo. Ngenxa yokuthi uzonikezwa umuthi wokudambisa omnene, akufanele ushayele noma usebenzise imishini amahora angama-24 ngemva kwalokho.

I-loop recorder ifakwa kanjani?

Lokhu akusikho ukuhlinzwa okukhulu ; ngokuvamile kuyinqubo yokulaliswa esibhedlela, okusho ukuthi ungaya ekhaya ngalolo suku. Ngeke udingeUkubulala Izinzwa Okuvamile . Uzohlala uphapheme, yize uzonikezwa imithi yokukusiza uphumule.

Ukuze ufake idivayisi, isazi sakho se-electrophysiology sizolandela lezi zinyathelo:

1. Bazokunikeza umuthi wokudambisa omnene ukukusiza uphumule futhi basebenzise umuthi wokubulala izinzwa wendawo ukuze uqede indawo, baqinisekise ukuthi awuzizwa ubuhlungu.

2. Kwenziwa ukusika okuncane kakhulu (cishe ingxenye yesine yesentimitha) esikhumbeni ohlangothini lwesobunxele lwesifuba sakho.

3. Kwenziwa isikhwama esincane ngaphansi kwesikhumba sedivayisi.

4. Irekhoda yeluphu ibe isifakwa kuleli phakethe.

5. I-incision ivalwa nge-sutures noma i-glue ekhethekile yokuhlinzwa.

6. Ekugcineni, bazoyenza isebenze idivayisi ngokubeka ithuluzi elifana nozibuthe phezu kwesifuba sakho.

Le nqubo emfushane ivame ukuthatha imizuzu eyi-10 kuya kweyi-15 kuphela.

Kwenzekani ngemva kwalokho?

Iningi leziguli liya ekhaya ngokushesha ngemva kwenqubo futhi lingaqhubeka nemisebenzi yalo yansuku zonke. Udokotela wakho uzokunikeza imiyalelo yokuthi ungayinakekela kanjani indawo yokusikwa futhi uyigcine ihlanzekile.

Ukungakhululeki noma ukudumba okuncane endaweni kuvamile futhi kufanele kuphele ezinsukwini ezimbalwa. Ngaphambi kokuba uhambe, udokotela wakho uzokukhombisa imishini ozoyisebenzisa, okuhlanganisa:

• Isiqalisi, osiphatha ukuze ubhale izimpawu uma zenzeka.
• Isithumeli se-elekthronikhi esiseceleni kombhede wakho, esithumela idatha ngokuzenzakalelayo eqenjini lakho lokunakekela laseNirogi Lanka .

Ziyini izingozi?

Lena inqubo enobungozi obuphansi . Kodwa-ke, njenganoma yikuphi ukungenelela kwezokwelapha, izinkinga ezingavamile zingavela, njenge:

• Ukutheleleka : Uma indawo itheleleka, ungadinga ama-Antibiotic , noma kwezinye izimo, idivayisi ingadinga ukuthuthwa kwenye indawo.
• Ukusabela kokungezwani komzimba : Ungase ube nokungezwani komzimba nezinto ezikudivayisi, okuzodinga ukusetshenziswa kohlelo lokuqapha oluhlukile.
• Isignali engeyinhle : Ngezinye izikhathi idivayisi ingaba nobunzima bokuthwebula amasignali kagesi acacile, okungadinga udokotela ukuthi alungise indawo yedivayisi.

Ingabe lokhu kungalimaza inhliziyo yami?

Cha, i-loop recorder iyithuluzi eliphephile kakhulu elingabeki ingozi enhliziyweni yakho. Ayilawuli ukushaya kwenhliziyo yakho, ayilethi ukushaqeka, noma iphazamise ukusebenza kwenhliziyo yakho. Yenzelwe kuphela ukuqapha ukusebenza kukagesi kwenhliziyo yakho nokuqopha noma yikuphi ukukhubazeka.

Ngizoyithola kanjani imiphumela?

I-loop recorder yakho idlulisela idatha ngokuzenzakalelayo kudokotela wakho eNirogi Lanka. Udokotela wakho uzokwazisa ukuthi kufanele uhlele nini ama-aphoyintimenti okulandelela ukuze kuxoxwe ngokutholakele.

Ngizoyidinga isikhathi esingakanani le divayisi?

Uzogqoka idivayisi kuze kube yilapho udokotela wakho enedatha eyanele yokwenza ukuxilongwa okunembile. Lesi sikhathi siyahlukahluka kuye ngesiguli ngasinye. Uma imiphumela ibonisa isidingo se-pacemaker noma i-Implantable Cardioverter Defibrillator (ICD), udokotela wakho uzosusa i-loop recorder phakathi naleyo nqubo.

Ibhethri le-loop recorder lihlala cishe iminyaka emithathu , linikeza isikhathi esanele sokuthwebula izinkinga zesigqi senhliziyo ezingase zingatholakali kuma-monitor esikhashana.

Kufanele uxhumane nini nodokotela wakho?

Sicela uxhumane nodokotela wakho ngokushesha uma ubona noma yiziphi izimpawu ezilandelayo endaweni lapho idivayisi yakho ifakelwe khona (indawo yokusikwa):

• Ububomvu
• Ukuvuvukala
• Ukopha
• Ukuphuma kobomvu noma olunye uketshezi

Lokhu kungaba izimpawu zezinkinga ezidinga usizo lwezokwelapha ngokushesha.

Yiziphi izinzuzo kanye nokungalungi kwe-Loop Recorder?

I-loop recorder inikeza izinzuzo eziningana ezibalulekile:

• Ukuqapha kwesikhathi eside: Le divayisi ingaqapha futhi iqophe umsebenzi kagesi wenhliziyo yakho kuze kube yiminyaka emithathu. Amanye ama-monitor awakwazi ukulinganisa lesi sikhathi. Isibonelo, i-monitor ye-Holter ilandelela umsebenzi amahora angama-24 kuphela. Nakuba amanye ama-monitor emboza cishe amasonto amabili, leso sikhathi singase singanele ukubamba isigqi esingajwayelekile esenzeka kanye ngenyanga. Izifundo zibonisa ukuthi le ndlela yesikhathi eside inenzuzo enkulu.
• Ukurekhoda okuzenzakalelayo: Ngisho noma ukhohlwa ukucindezela inkinobho uma uzwa izimpawu, idivayisi iqopha ngokuzenzakalelayo ukusebenza kwenhliziyo okungajwayelekile. Ingakwazi ukubona ukungalingani ngisho noma ungenazo nhlobo izimpawu, okuwusizo kakhulu uma uhlangabezana neziphepho zokuquleka futhi ungakhumbuli lesi sigameko. Ezinye izifundo zibonise ukuthi le divayisi ingakwazi ukubona i-atrial fibrillation engenazimpawu.
• Ukunethezeka: Nge-loop recorder, ungageza, ubhukude, futhi uqhubeke nemisebenzi yakho yansuku zonke njengenjwayelo. Njengoba ihlala ngaphansi kwesikhumba sakho ngasese, ifihliwe ekubonweni futhi ayinzima njengezinye izikrini zangaphandle. Uma unempilo esebenzayo noma umsebenzi onzima, lena inketho elula kakhulu.

Noma kunjalo, kunezinkinga ezimbalwa ezincane okufanele uzicabangele:

• Isidingo senqubo encane: Ngenxa yokuthi idivayisi kumele ifakwe ngaphansi kwesikhumba, idinga inqubo encane yokuhlinzwa. Nakuba kuyinqubo encane yokungenelela, noma yikuphi ukuhlinzwa kunezingozi ezithile ezihambisana nayo.
• Okuhle Okungamanga: Ngezinye izikhathi, idivayisi ingabonisa izimpawu zezimo ezifana ne-atrial fibrillation uma ingenzeki ngempela. Udokotela wakho uzoqinisekisa njalo ukuxilongwa ngokuhlolwa okwengeziwe.

Uyini umehluko phakathi kwe-Loop Recorder ne-Pacemaker?

Ungase uzibuze ukuthi i-loop recorder kanye ne-heart pacemaker ziyafana yini. Eqinisweni, zihlukile kakhulu.

I-loop recorder ayishintshi ukusebenza kukagesi kwenhliziyo yakho. Isebenza njengomseshi othule, imane ibukele futhi iqophe ukuze ibone ukuthi kukhona yini ukungalingani ekushayeni kwenhliziyo yakho noma isigqi sayo.

Nokho, i- pacemaker iyithuluzi elisebenzayo. Uma isigqi senhliziyo yakho siba esingajwayelekile—ikakhulukazi uma sishaya kancane kakhulu (i-bradycardia)—i-pacemaker iyangenelela ngokuthumela izimpawu zikagesi ezincane enhliziyweni yakho ukusiza ukulawula isigqi sayo.

Idatha eqoqwe kusuka ku-loop recorder ingasiza udokotela wakho ekugcineni ukuthi anqume ukuthi udinga yini idivayisi yokwelapha yesikhathi eside njenge-pacemaker.

Ingabe lokhu kungakhomba ukuhlaselwa yinhliziyo?

I-loop recorder ayiklanyelwe ukuxilonga ukuhlaselwa yinhliziyo. Kodwa-ke, ingasiza ekutholeni ukungalingani kwesigqi senhliziyo (ama-arrhythmia) okungase kwenzeke njengenkinga yokuhlaselwa yinhliziyo.

Ukuhlaselwa yinhliziyo kuyisimo esiphuthumayo sezokwelapha. Uma uzwa ubuhlungu besifuba noma ezinye izimpawu zokuhlaselwa yinhliziyo, ungalibali. Shayela u-911 noma izinsizakalo eziphuthumayo zasendaweni ngokushesha noma uye esibhedlela esiseduze.

Ngingaphuza utshwala nge-Loop Recorder?

Sicela ulandele iseluleko sikadokotela wakho mayelana nokuphuza utshwala nezinye izici zendlela yokuphila. Olunye ucwaningo lubonisa ukuthi utshwala bungabangela ukungalingani kwe-cardiogram, kungakhathaliseki ukuthi uphuza kakhulu noma ngisho nesilinganiso esimaphakathi (isiphuzo esisodwa noma ezimbili ngosuku).

Ucwaningo ngalesi sihloko luyaqhubeka. Ngakho-ke, kubaluleke kakhulu ukuxoxa nodokotela wakho ngokuthi utshwala bungathinta kanjani ingozi yakho yezinkinga zesigqi senhliziyo.

Izinto zokugcina okufanele uzikhumbule

Njengoba ubona, i-Implantable Loop Recorder iyithuluzi eliwusizo kakhulu elivumela wena nodokotela wakho waseNirogi Lanka ukuthi niqaphe imisebenzi yansuku zonke yenhliziyo yenu. Imininingwane eyinikezayo iyasiza ekutholeni ama-arrhythmias ngaphambi kokuba kuvele izinkinga eziyingozi, okuyindlela yokwelashwa okusheshayo.

Kungokwemvelo ukuzizwa ukhathazekile kancane ngenqubo encane yokuhlinzwa, kodwa sicela ukhumbule ukuthi lokhu kuyindlela yokungenelela engenangozi kakhulu. Khuluma nodokotela wakho nganoma yimiphi imibuzo noma ukwesaba onakho; bakhona ukuze bakunike ukuthula kwengqondo futhi bachaze inqubo ngokucacile. Khuthazwa iqiniso lokuthi ubuchwepheshe obunjengalobu bukusiza ukuthi ugcine inhliziyo yakho iphilile!

I-Nirogi Lanka Amathegi: Izinga Lokushaya Kwenhliziyo, I-Loop Recorder, I-Arrhythmia, Isifo Senhliziyo, Ukuqapha Inhliziyo, Impilo, Amadivayisi Ezokwelapha