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

Ingabe ngezinye izikhathi uzizwa into engavamile ngokushaya kwenhliziyo yakho? Noma ingabe unezikhathi lapho ulahlekelwa khona ingqondo ngokuzumayo? Abanye abantu bangaba nalezi zinto ngaphandle kobuhlungu besifuba. Ukuthola imbangela yalezi zinto ngezinye izikhathi kungaba nzima kancane. Ngoba uma uya kudokotela, ungase ungazibonisi lezo zimpawu ngokushesha. Yilapho-ke le divayisi encane engizokhuluma ngayo, ebizwa ngokuthi i-Loop Recorder, ingasisiza khona. Ake sixoxe ngalokhu ngokuningiliziwe, kulungile?

Kuyini i-Loop Recorder?

Kalula nje, i-Loop Recorder iyithuluzi elincane elifakwe ngaphansi kwesikhumba sesifuba sakho. Liqopha ulwazi mayelana nesivinini kanye nesigqi senhliziyo yakho. Cabanga ngakho njengomseshi omncane ongakwazi ukuqapha ukusebenza kukagesi kwenhliziyo yakho amahora angama-24 ngosuku, kuze kube yiminyaka emithathu. Kukhona ezinye iziqaphi zenhliziyo ezibheka inhliziyo yakho isikhathi esifushane kuphela. Kodwa lesi sihlukile.

Le Loop Recorder iqopha idatha ngokuzenzakalelayo bese iyithumela kudokotela wakho wenhliziyo. Ukuqapha okuqhubekayo kungasiza ekutholeni ukungalingani kwesigqi senhliziyo, okubizwa ngokuthi i-arrhythmias , njenge- atrial fibrillation . Lezi zi-arrhythmias ngezinye izikhathi zingaba yingozi. Zingaholela ezinkingeni ezifana nesifo sohlangothi noma ukuboshwa kwenhliziyo ngokuzumayo . Yingakho kubalulekile ukuqaphela nokwelapha ngokushesha.

Le Loop Recorder ibizwa nangokuthi:

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

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

Lokhu kubonakala kanjani?

Le Loop Recorder iyithuluzi elincane kakhulu, elinomumo oyisikwele . Lifana nepeni encane oyisebenzisayo. Lingaba amasentimitha angu-1-2 ubude. Lenziwe ngensimbi, linesekethe encane kagesi ngaphakathi, kanye nebhethri elihlala isikhathi eside.

Le divayisi ifakwa ngaphansi kwesikhumba. Ungase ukwazi ukubona kahle ukuma kwayo ngaphansi kwesikhumba, kodwa ngeke uzwe ubuhlungu noma ukungakhululeki.

Kanye nale divayisi esifubeni sakho, udokotela wakho uzokunika i-activator encane ongayibamba ngesandla sakho . Lokhu kuhambisana nedivayisi. Kuzokunika ukushaya kwenhliziyo.Uma uzwa izimpawu ezifana nokushaya kwenhliziyo, okumele ukwenze nje ukucindezela inkinobho kulesi siqalisi. I-Loop Recorder izobe isiqopha umsebenzi wenhliziyo yakho ngaleso sikhathi.

Kuzokwenzekani ngempela kulokhu?

I-Loop Recorder iqapha izinga kanye nesigqi senhliziyo yakho. Uma kukhona umsebenzi kagesi ongajwayelekile, iwuqopha ngokuzenzakalelayo bese igcina idatha kwimemori (njenge-memory chip). Le datha ithunyelwa kudokotela wakho wenhliziyo izikhathi eziningana ngosuku.

Futhi, uma uzwa noma yiziphi izimpawu, ungatshela le divayisi ukuthi "iqophe manje" usebenzisa i-activator esandleni sakho. Cabanga nje, ngisho nangemva kokuba unezimpawu futhi ziphele, le divayisi ingabuyela emuva iqophe umsebenzi wenhliziyo wemizuzu embalwa edlule.

Ngakho-ke, le divayisi ingaqopha noma yimuphi umsebenzi ongajwayelekile, kungakhathaliseki ukuthi unezimpawu noma cha, noma ngabe awuzwa lutho. Ngale datha, udokotela wakho angabona ngqo ukuthi hlobo luni lomsebenzi ongajwayelekile inhliziyo yakho enawo nokuthi yiziphi izimpawu ezibangela lokho.

Ngingadinga nini into efana nale?

Uma uvame ukushaya kwenhliziyo noma ukushaya kwenhliziyo okungajwayelekile, kodwa ukuhlolwa kwangaphambilini kungazange kuthole izinkinga zesigqi senhliziyo ( arrhythmias ), ungase udinge i-loop recorder. Lokhu kungasiza udokotela wakho ukuthi athole futhi elaphe noma yiziphi izigqi zenhliziyo ezingavamile, kuvimbele izinkinga eziyingozi. Kungasiza futhi ukuqinisekisa ukuthi ukuquleka kwakho noma ezinye izimpawu azibangelwa inkinga yenhliziyo.

Nazi ezinye zezindlela eziyinhloko zokusebenzisa ama-Loop Recorders ngodokotela benhliziyo:

• Thola isizathu sokuvele uquleke noma uwe ngaphandle kwesizathu esibonakalayo.
• Hlola ukushaya kwenhliziyo okuqhubekayo nokungachazeki.
• Gada ukusebenza kwenhliziyo kubantu abane -atrial fibrillation (ngokuvamile ukusiza ekuphatheni ukwelashwa).
• Thola izinkinga zesilinganiso senhliziyo kanye nesigqi kubantu abadala abanesifo senhliziyo abazalwa naso.
• Thola izigqi zenhliziyo ezingavamile ezenzeka ngemva kokuhlaselwa yisifo sohlangothi .
• Ngaphambi kokufaka umshini wokushaya kwenhliziyo ohlala njalo, hlola labo abanenhliziyo eshaya kancane (bradycardia).
• Isifo senhliziyoQapha ukusebenza kukagesi kwenhliziyo ngemva kwesenzo ngasinye.

Ubani owenza inqubo yokufaka?

I-loop recorder ifakwe kuwe ngudokotela we-electrophysiology . Ungudokotela wenhliziyo, kodwa uqeqeshwe ngokukhethekile ohlelweni lukagesi lwenhliziyo yakho. Cabanga ngakho njengochwepheshe kagesi wenhliziyo.

Kwenzekani ngaphambi kokuba lokhu kulungiswe?

Udokotela wakho wenhliziyo uzoqala anqume ukuthi i-loop recorder ikufanele yini. Uzobuyekeza umlando wakho wezokwelapha ophelele futhi enze ukuhlolwa ngokomzimba. Bangase futhi bacele ezinye izivivinyo ezimbalwa, ezifana nalezi:

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

Ngisho noma lezi zivivinyo zingabonisi izinkinga ezinkulu zenhliziyo, uma uqhubeka nokuba nezimpawu ezifana nokuquleka, ungase udinge i-loop recorder.

Ngingakulungiselela kanjani lokhu?

Udokotela wakho uzokutshela ukuthi uzilungiselele kanjani. Ngokuvamile, khumbula lezi zinto:

• Udokotela wakho angase akubuze ngemithi oyiphuzayo futhi angase asikisele ukwenza izinguquko ezithile ngaphambi kosuku lokufakelwa. Ungayeki noma ushintshe noma yimiphi imithi ngaphandle kokuthi udokotela wakho akutshele ukuthi wenze kanjalo.
• Uzodinga umuntu ozokuhambisa ekhaya ngemoto ngemuva kokuthi lokhu sekuqediwe. Lokhu kungenxa yokuthi uzonikezwa imithi yokukwenza uzizwe unesiyezi kancane, futhi akuphephile ukushayela amahora angama-24 ngemva kwalokho.

Ungayifaka kanjani i-loop recorder?

Lokhu akusilo ukuhlinzwa okukhulu , futhi ngokuvamile kuyinqubo yokulaliswa esibhedlela lapho ungaya ekhaya ngalolo suku ngaphandle kokuhlala esibhedlela. Ngeke ulale ( ukuhlinzwa okuvamile ). Uzohlala uphapheme, kodwa uzonikezwa imithi yokukusiza uphumule.

Namathisela irekhoda yeluphu, bese isazi se-electrophysiologist sizokwenza lezi zinyathelo:

1. Uzonikezwa umuthi wokukuphumuza kanye nomuthi wokubulala izinzwa wendawo ukuze uqede indawo. Ngemuva kwalokho ngeke uzwe ubuhlungu.

2. Kuzokwenziwa ukusika okuncane kakhulu esikhumbeni ohlangothini lwesobunxele lwesifuba sakho. Lokhu kusika kungaba kuncane kakhulu njengengxenye eyodwa kwezine yesentimitha.

3. Kwenziwa isikhwama esincane ngaphansi kwesikhumba ukuze sibambe idivayisi.

4. Bese ubeka irekhoda yeluphu ngaphakathi kwaleso sikhala.

5. Ukusikwa kwesikhumba kuvalwa ngezithungo noma ngeglue ekhethekile yokuhlinzwa.

6. Ekugcineni, uvula idivayisi ngokubamba into efana nemagnethi phezu kwesifuba sakho.

Le nqubo encane ithatha cishe imizuzu eyi-10 kuya kweyi-15 .

Kwenzekani ngokulandelayo?

Iningi labantu liya ekhaya ngokushesha ngemva kwalokhu futhi lingakwazi ukwenza imisebenzi yansuku zonke. Udokotela wakho uzokutshela ukuthi ungalinakekela kanjani inxeba ekhaya nokuthi ungaligcina kanjani lihlanzekile.

Kungase kube nobuhlungu obuthile eduze kwesilonda, futhi kungase kubonakale kuluhlaza okwesibhakabhaka. Lokhu kuvamile, futhi ukungakhululeki kuzophela ezinsukwini ezimbalwa.

Ngaphambi kokuba uye ekhaya, udokotela uzokukhombisa ukuthi ungazisebenzisa kanjani ezinye izinto ezisebenza nale divayisi. Okungukuthi:

• Isiqalisi osibamba ngesandla sakho nenkinobho yokucindezela uma unezimpawu.
• Isithumeli se-elekthronikhi osigcina eduze kombhede wakho. Yilokhu okuthumela njalo idatha kudokotela wakho.

Ziyini izingozi?

Lena inqubo enobungozi obuphansi kakhulu , kodwa kubantu abambalwa kakhulu, okulandelayo kungenzeka:

• Ukutheleleka : Uma kuvela ukutheleleka endaweni yedivayisi, kungadingeka ama-antibiotic . Ngezinye izikhathi, idivayisi ingadinga ukuthuthelwa kwenye indawo esifubeni.
• Ukusabela kokungezwani komzimba : Ungase ube nomzimba wokungezwani komzimba nento ethile edivayisini. Uma lokhu kwenzeka, kungadingeka usebenzise uhlobo oluhlukile lwedivayisi yokuqapha.
• Isignali engeyinhle : Ngezinye izikhathi, idivayisi ingase ingakwazi ukuthola kahle izimpawu zikagesi ezivela enhliziyweni. Kuleso simo , udokotela kungadingeka ahambise idivayisi kwenye indawo esifubeni.

Ingabe lokhu kungayilimaza inhliziyo?

Cha, i-Loop Recorder iyithuluzi eliphephile kakhulu , ngeke ilimaze inhliziyo yakho nganoma iyiphi indlela. Ngeke ishintshe izinga lokushaya kwenhliziyo yakho, ikunike ukushaqeka, noma yenze noma yini ezothinta ukusebenza kwenhliziyo yakho. Imane iqapha ukusebenza kukagesi kwenhliziyo yakho futhi iqophe noma yikuphi ukukhubazeka.

Ngingazi kanjani imiphumela?

I-Loop Recorder yakho izothumela idatha ngokuzenzakalelayo kudokotela wakho , ozokwazisa uma udinga ukubuya ukuzoxoxa ngemiphumela.

Kufanele kugcinwe isikhathi esingakanani lokhu?

Kuzodingeka ugcine le divayisi endaweni yayo kuze kube yilapho udokotela wakho ekwazi ukuthola ukuthi ikhona yini inkinga. Lesi sikhathi siyahlukahluka kuye ngomuntu nomuntu. Uma imiphumela ibonisa ukuthi udinga i-pacemaker noma i-implantable cardioverter defibrillator (ICD), udokotela wakho uzosusa i-loop recorder uma idivayisi entsha ifakiwe.

Ibhethri kula ma-loop recorder lihlala iminyaka emithathu , ngakho-ke kunesikhathi esanele sokuhlonza imigqi engavamile engase yenzeke kanye ngenyanga noma izikhathi ezimbalwa ngonyaka, okuyinto lawo ma-monitor esikhashana angenakukwazi ukuyibamba.

Kufanele ngimshayele nini udokotela ?

Shayela udokotela wakho ngokushesha uma unezinye zalezi zimpawu endaweni yakho yokusika:

• Uma kuba bomvu
• Uma kuvuvukele
• Uma kukhona ukopha
• Uma kukhona ubomvu noma olunye uketshezi oluphumayo

Lokhu kungaba izimpawu zenkinga edinga ukwelashwa ngokushesha.

Yiziphi izinzuzo kanye nokungalungi kwe-loop recorder?

Kunezinzuzo eziningi ze-loop recorder. Nazi:

• Ukuqapha isikhathi eside : Lokhu kungarekhoda umsebenzi kagesi wenhliziyo kuze kube yiminyaka emithathu. Amanye amamonitha awakwenzi lokhu isikhathi eside kangako. Isibonelo, imonitha ye-Holter irekhoda umsebenzi amahora angama-24 kuphela. Kukhona namamonitha angasetshenziswa kuze kube amasonto amabili. Lokho kuwusizo, kodwa lokho kungase kungabi isikhathi esanele sokubamba isigqi esingajwayelekile esenzeka cishe kanye ngenyanga. Ucwaningo luye lwabonisa ukuthi lokhu kuqapha isikhathi eside kuyinzuzo enkulu.
• Ukurekhoda okuzenzakalelayo : Ngisho noma ukhohlwa ukucindezela inkinobho uma unezimpawu, lokhu kuzoqopha ngokuzenzakalelayo ukusebenza kwenhliziyo okungajwayelekile. Lokhu kungathola ukukhubazeka ngisho noma ungenazo izimpawu. Lokhu kuyasiza noma ngabe uqulekile futhi awukhumbuli. Ucwaningo oluthile lukhombisile ukuthi le divayisi ingathola amacala angenazimpawu e-atrial fibrillation.
• Ubulula : Nge-Loop Recorder, ungageza, ubhukude, futhi wenze imisebenzi yakho yansuku zonke njengokujwayelekile. Ifihliwe ngaphansi kwezingubo zakho, ngakho akekho ozoqaphela. Ayiphazamisi njengezinye izikrini. Lokhu kulula kakhulu uma unomsebenzi osebenzayo noma indlela yokuphila esebenzayo.

Kodwa kungase kube nezinkinga ezimbalwa ezincane:

• Isidingo sokuhlinzwa okuncane : Le divayisi idinga ukufakwa ngaphansi kwesikhumba, ngakho-ke kudingeka ukuhlinzwa okuncane. Ngisho noma kuyinqubo encane kakhulu, kunengozi encane nganoma yikuphi ukuhlinzwa.
• Okuhle okungamanga: Ngezinye izikhathi, kungenza kubonakale sengathi une-atrial fibrillation uma ungenayo. Kodwa udokotela wakho kuzodingeka enze ezinye izivivinyo ukuqinisekisa ukuxilongwa.

Uyini umehluko phakathi kwe-Loop Recorder ne-Pacemaker?

Manje ungase uzibuze, ingabe le Loop Recorder kanye nale Pacemaker efakwe enhliziyweni yinto efanayo? Cha, zihlukile kancane.

I-loop recorder ayishintshi ukusebenza kukagesi kwenhliziyo yakho. Imane ibukele futhi iqophe uma kukhona okungajwayelekile ngesigqi noma isivinini sokushaya kwenhliziyo yakho. Kufana nomseshi.

Kodwa i-pacemaker iyithuluzi elingenelela ukulungisa isigqi senhliziyo esingajwayelekile, ikakhulukazi uma sishaya kancane kakhulu (bradycardia). Lithumela izimpawu zikagesi ezincane enhliziyweni, liyitshela ukuthi ishaye kanje.

Ulwazi oluvela ku-Loop Recorder lungabonisa ukuthi udinga ukwelashwa kwesikhathi eside ngedivayisi ehlala njalo, njenge-pacemaker.

Ingabe lokhu kungasiza ekuboneni ukuhlaselwa yinhliziyo?

I-Loop Recorder ayiklanyelwe ukuthola ukuhlaselwa yinhliziyo. Kodwa-ke, ingathola ama-arrhythmia, okuyizinkinga zokuhlaselwa yinhliziyo.

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

Ungaphuza utshwala ugqoke i-loop recorder?

Landela iseluleko sikadokotela wakho mayelana nokuphuza utshwala kanye nezinye izinguquko zendlela yokuphila. Ucwaningo oluthile lubonise ukuthi ukuphuza utshwala kungabangela ukungalingani kwenhliziyo. Lokhu kungenzeka kungakhathaliseki ukuthi uphuza kakhulu noma ngokulinganisela (isiphuzo esisodwa noma ezimbili ngosuku).

Lokhu kusacwaningwa, ngakho-ke kubalulekile ukukhuluma nodokotela wakho mayelana nendlela utshwala obuthinta ngayo ingozi yakho yezinkinga zesigqi senhliziyo.

Okokugcina, izinto okufanele uzikhumbule

Njengoba ubona, le Implantable Loop Recorder iyithuluzi eliwusizo kakhulu elivumela wena nodokotela wakho ukuthi nifunde ngokusebenza kwansuku zonke kwenhliziyo yenu. Imininingwane eyinikezayo ingasiza ekuboneni nasekuphatheni izinkinga zesigqi senhliziyo (ama-arrhythmia) ngaphambi kokuba zibe yizinkinga eziyingozi.

Ungase uzizwe wesaba kancane uma uzwa ukuthi kuzodingeka uhlinzwe kancane ukuze ufake le divayisi. Lokho kuvamile. Kodwa khumbula, le inqubo ayinangozi kakhulu. Khuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka onakho. Angakunika ingqondo ekhululekile futhi akuchazele konke. Jabula ngokuthi ubuchwepheshe obufana nabu bungasiza ukugcina inhliziyo yakho iphilile!

` Isilinganiso senhliziyo, i-loop recorder, i-arrhythmia, isifo senhliziyo, ukuqapha inhliziyo, impilo, imishini yezokwelapha