Ingabe udokotela wakho ukutshelile ukuthi ukusebenza kwenhliziyo yakho kubuthakathaka, okusho ukuthi une-heart failure? Ingabe uzizwa ukhathele futhi uphelelwa umoya kangangokuthi awukwazi ukwenza imisebenzi yakho yansuku zonke? Udokotela wakho kungenzeka ukuthi ukutshelile nange-pacemaker. Namuhla sikhuluma ngedivayisi efanayo, kodwa ehlukile kancane, engaba usizo kakhulu kubantu abanomsebenzi wenhliziyo obuthakathaka kakhulu. Leyo yi-Biventricular Pacemaker.
Kalula nje, iyini le Biventricular Pacemaker?
I-pacemaker ye-biventricular iyithuluzi elincane elifakwa ngokuhlinzwa emzimbeni, njenge-pacemaker evamile, ukusiza ukulawula izigqi zenhliziyo ezingavamile (ama-arrhythmia). Kodwa-ke, umehluko omkhulu inani lezintambo ezixhunywe kuyo.
Cabanga nje, i-pacemaker evamile inentambo eyodwa noma ezimbili. Kodwa le Biventricular Pacemaker inezintambo ezintathu . Lokhu kubaluleke kakhulu. Ngenxa yalezi zintambo ezintathu, eyodwa ixhunywe ekamelweni eliphezulu kwesokudla senhliziyo (Right Atrium), kanti ezinye izintambo ezimbili zixhunywe emakamelweni amabili amakhulu (Ventricles) phansi kwenhliziyo.
Manje, bheka, ekuhlaselweni yinhliziyo, ngezinye izikhathi amakamelo amabili aphansi (ama-ventricle) enhliziyo yakho awanciphi ngesikhathi esifanayo, ngesigqi esifanayo. Kufana nabantu ababili abagwedla isikebhe esikhundleni sokugwedla ngezindlela eziphambene, kodwa lapho umuntu oyedwa eqeda ukugwedla, omunye umuntu uyathatha izintambo. Khona-ke isikebhe asiqhubeki kahle, akunjalo? Yilokho okwenzekayo. Lapho amakamelo amabili enhliziyo engasebenzi ndawonye, kunzima kakhulu ngenhliziyo ukupompa inani legazi elicebile ngomoya-mpilo elidingwa umzimba.
I-Biventricular Pacemaker isebenza ngokuthumela izimpawu zikagesi kuzo zombili izinhlangothi ukuze zinciphe ngesikhathi esifanayo nangesigqi esifanayo, ibuyisele ukusebenza kahle kwenhliziyo. Odokotela babiza lokhu kwelashwa ngokuthi i-Cardiac Resynchronization Therapy (CRT) .
Ubani odinga le divayisi?
Ngokuvamile, udokotela utusa idivayisi efana nale ngezizathu ezithile. Ake sibone ukuthi iyini.
- Uma ungakwazi ukulawula izimpawu zakho ngemithi enqunyiwe yokulawula isimo senhliziyo yakho.
- Uma ungakwazi ukwenza imisebenzi yansuku zonke ngendlela efanele ngenxa yokukhathala ngokweqile kanye nobunzima bokuphefumula (ukuphelelwa umoya).
- Uma inhliziyo yakho ingapompi igazi elanele emzimbeni wakho.
- Uma ukuhlolwa okufana ne-ECG kuqinisekisa ukuthi amakamelo enhliziyo awasebenzi ndawonye.
- Uma udokotela ethola ukuthi kukhona ingozi empilweni ngenxa yokumiswa kwenhliziyo ngokuzumayo.
Umehluko phakathi kwe-CRT-P ne-CRT-D
Nakhu okunye okufanele ukwazi. Abanye abantu bangase badinge i-defibrillator ukulawula isigqi senhliziyo esiyingozi, kanye nale Biventricular Pacemaker (CRT-P).Kuphinde kufakwe i-ICD. Le divayisi ibizwa ngokuthi i-CRT-D . Lokhu kuyabona lapho inhliziyo ishaya ngesivinini esiyingozi futhi kunikeze ukushaqeka okuncane kagesi ukuze kubuyiselwe isigqi senhliziyo. Lokhu kungasindisa umuntu ekufeni okuzumayo. Udokotela wakho uzonquma ukuthi yiluphi uhlobo oludingayo.
Yiziphi izinzuzo kanye nezingozi ezingaba khona zokufaka le divayisi?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezinzuzo kanye nezingozi ezincane. Kubalulekile ukuqonda kahle lokhu.
| Izinzuzo eziyinhloko | Izingozi nezinkinga ezingaba khona |
|---|---|
| Ukwehla okukhulu kwezimpawu ezifana nokukhathala kanye nokuphelelwa umoya. | Njenganoma yikuphi ukuhlinzwa, kunezingozi ezifana nokutheleleka kanye nokopha. |
| Ukuthuthukisa ikhwalithi yokuphila. | Ucingo oluxhunywe ocingweni luyaphunyuka noma lunqamuke. |
| Ukwehla kwezikhathi zokulaliswa esibhedlela ngenxa yesifo senhliziyo. | Idivayisi ayisebenzi njengoba bekulindelekile. (isib. izinkinga zebhethri) |
| Ukuthuthukisa ukusebenza kwenhliziyo. | Ngezinye izikhathi (cishe abantu abathathu kwabayishumi) ukuthuthuka okulindelekile kwezimpawu kungase kungenzeki. |
| Ukwandisa isikhathi ongaphila ngaso nesifo senhliziyo. | Uma kuwuhlobo lwe-CRT-D, i-defibrillator ingase ilethe ukushaqeka okungadingekile. |
Ingabe zikhona izimo lapho le divayisi ingenakufakwa khona?
Yebo, lokhu kungase kungafaneleki kwabanye abantu. Isibonelo, uma kukhona ukutheleleka okusebenzayo emzimbeni, ukuphazamiseka kwegazi, noma esinye isifo esingathi sína esingasongela ukuphila phakathi nonyaka, udokotela angase angakuncomi lokhu kuhlinzwa.
Yini okufanele uyiqaphele ngemva kokufaka i-pacemaker?
Kufana nengxenye yomzimba wakho, ngakho-ke udinga ukuyinakekela.
Ukuhlolwa kwezokwelapha (Ukulandelela)
Kuzodingeka ubonane nodokotela wakho izikhathi ezimbalwa ngonyaka. Phakathi nalokhu kuvakashela, uzohlola impilo yakho, aqinisekise ukuthi idivayisi yakho isebenza kahle, ahlole ibhethri, futhi ahlole izibuyekezo zesofthiwe . Ungase futhi ucelwe ukuthi wenze ukuhlolwa kwanyanga zonke ukude ekhaya.
Wazi kanjani ukuthi kunenkinga?
Uma izimpawu zakho (ukukhathala, isiyezi, ukuphelelwa umoya, ukuphelelwa umoya) zibuya njengakuqala, shayela udokotela wakho ngokushesha. Ngezinye izikhathi idivayisi ingase ikhale. Uma une-CRT-D, kufanele futhi uyibike ngokushesha uma uzizwa ushaqekile ngogesi .
Amadivayisi okufanele uwagweme
Lokhu kubaluleke kakhulu. Kufanele uhlale kude nezinto ezinamasimu kazibuthe anamandla, njengoba zingaphazamisa amasignali avela ku-pacemaker yakho.
- Omakhalekhukhwini nama-headphone: Uma ukhuluma ocingweni, lubambe endlebeni ebhekene ne-pacemaker. Kungcono ukusebenzisa ifoni yesipikha. Ungalokothi uphathe ifoni noma ama-headphone ephaketheni lehembe.
- Ama-Metal Detector: Lawa angavula ama-alamu ezindaweni ezifana nezikhumulo zezindiza. Ngakho-ke phatha ikhadi lakho le-pacemaker njalo bese ulibonisa abasebenzi bezokuphepha ukuze bacele ukuhlolwa okukhethekile.
- Amanye amadivayisi ezokwelapha: Uma udinga ukuhlinzwa okunye, i-MRI scan, ukwelashwa kwamatshe ezinso, ukwelashwa kwe-TENS ngenxa yobuhlungu, noma ukwelashwa ngemisebe yomdlavuza, kufanele nakanjani wazise udokotela wakho wenhliziyo kusenesikhathi.
Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane uma utshelwa ukuthi udinga i-pacemaker yesifo senhliziyo esinganele ngemithi yodwa. Kodwa impumuzo nezinzuzo ezingalethwa yile divayisi empilweni yakho ziningi. Ngakho-ke, uma unemibuzo noma ukukhathazeka ngalokhu, ungangabazi ukukhuluma nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-biventricular pacemaker iyithuluzi elikhethekile elandisa ukusebenza kahle kwenhliziyo ngokwenza amakamelo amabili enhliziyo asebenzisane kubantu abanesifo senhliziyo esinzima.
- Lokhu kuzosiza kakhulu ukunciphisa izimpawu ezifana nokukhathala nokuphelelwa umoya, futhi kuthuthukise ikhwalithi yokuphila kwakho.
- Ngemva kokufakwa kwedivayisi, kubalulekile ukuya kohlolwa ngezikhathi ezihleliwe njengoba kunqunywe udokotela.
- Qaphela lapho uphethe izinto ezifana namaselula kanye nama-magnet aqinile. Hlala uphethe ikhadi lakho le-ID.
- Uma uzwa isiyezi, uquleka, ubunzima bokuphefumula, noma uzwa ukunyakaza kusuka kudivayisi, yazisa udokotela wakho ngokushesha.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment