Ingabe inhliziyo yakho izizwa ikhathele kancane? Mhlawumbe ukushaya kwenhliziyo yakho kuhlukile kancane, akujwayelekile? Wake wezwa ngomshini omncane onganikeza inhliziyo yethu usizo oluncane ngezikhathi ezinjalo? Namuhla sizokhuluma ngalawa madivayisi okusiza inhliziyo, noma amadivayisi okusiza inhliziyo. Kuvamile ukuzizwa wesaba kancane uma uzwa igama elithi "amadivayisi okusiza inhliziyo" (Amadivayisi Okusiza Inhliziyo) . Kodwa lawa madivayisi asindisa izimpilo zezigidi zabantu futhi abasize baphile kahle.
Kalula nje, iyini idivayisi yokusiza inhliziyo?
Lena idivayisi encane oyifaka esifubeni sakho. Isiza inhliziyo yakho ukuthi yenze umsebenzi wayo ngendlela efanele. Cabanga nje, abanye abantu banokushaya kwenhliziyo okungajwayelekile, esikubiza ngokuthi i-arrhythmia . Lokho kusho ukuthi inhliziyo ishaya kancane ngezinye izikhathi, ishesha kakhulu ngezinye izikhathi. Kulezo zimo, le divayisi inganika inhliziyo isignali ethi, "Kulungile, lesi yisikhathi sokushaya," futhi iyisize igcine isigqi sayo. Futhi, izinhliziyo zabanye abantu azikwazi ukupompa igazi elanele emzimbeni. La madivayisi angasiza nangalezo zikhathi.
Yiziphi izinhlobo eziyinhloko zala madivayisi?
Kunezinhlobo eziningana zezinsimbi ezisetshenziswayo kuye ngenkinga ekhona. Ake sibheke izinhlobo eziyinhloko.
| Uhlobo lwedivayisi | Kalula nje, kwenzekani ngalokhu? |
|---|---|
| I-Pacemaker | Uma inhliziyo ishaya ngokushesha kakhulu, lokhu kuthumela isignali encane kagesi enhliziyweni, iyitshela ukuthi "ishaye manje." Lokhu kugcina izinga lokushaya kwenhliziyo lisezingeni elijwayelekile. |
| I-Biventricular Pacemaker | Lokhu kusiza amakamelo amabili angezansi enhliziyo (ama-ventricle) ukuthi ashaye ngesikhathi esisodwa, okwandisa ukusebenza kahle kwenhliziyo ekupompeni. |
| I-ICD (I-Implantable Cardioverter Defibrillator) | Uma ukushaya kwenhliziyo kuba ngesivinini esiyingozi, le divayisi ibangela ukushaqeka okuncane ngogesi enhliziyweni, ibuyisele isigqi sayo esijwayelekile. Lokhu kungasiza ekuvimbeleni ukufa okuzumayo. |
| I-VAD (Idivayisi Yokusiza Nge-Ventricular) | Uma inhliziyo iba buthakathaka kakhulu ukuba ingapompa inani legazi elidingwa umzimba, lo mshini wenza umsebenzi wenhliziyo. Kufana nokunikeza inhliziyo ukuphumula okuncane. |
Kungani usebenzisa idivayisi enjalo?
Kunezizathu eziningana ezenza udokotela wakho angase ancome idivayisi efana nale. Eyinhloko ukusiza ekulawuleni isigqi senhliziyo yakho, ukusiza inhliziyo yakho ipompe igazi, noma ukukuvikela ekuhlaselweni yinhliziyo okungazelelwe.
Kalula nje, le divayisi isiza inhliziyo ukuthi yenze umsebenzi obekungadingeka iwenze yodwa.
Lawa madivayisi angaba usizo kakhulu kubantu abanezimo ezilandelayo:
- Ukushaya kwenhliziyo okungajwayelekile: Uma ukushaya kwenhliziyo kushintsha ngendlela engajwayelekile.
- Ukuvinjwa Kwenhliziyo: Lapho izimpawu zikagesi eziya enhliziyweni zivinjiwe kakhulu noma ngokuphelele.
- I-Sick Sinus Syndrome: Uma umsebenzi we-node eyinhloko ekhombisa ukuthi inhliziyo ishaya uphazamiseka.
- I-Long QT Syndrome: Lapho inhliziyo ithatha isikhathi eside kunokujwayelekile ukulungiselela ukushaya okulandelayo ngemva kokushaya kanye.
- I-Tachycardia: Uma ukushaya kwenhliziyo kushesha kakhulu.
- I-Bradycardia: Uma ukushaya kwenhliziyo kuhamba kancane kakhulu.
- I-Ventricular Fibrillation: Ukushaya kwenhliziyo okungajwayelekile, okusheshayo okungasongela impilo.
- Ukwehluleka Kwenhliziyo: Inhliziyo ayikwazi ukupompa igazi elanele emzimbeni.
- I-Cardiomyopathy: Isifo semisipha yenhliziyo.
Asebenza kanjani la madivayisi?
Cabanga nje, lapho kufakwa idivayisi efana ne-pacemaker noma i-ICD, odokotela baxhuma izintambo ezincane (ama-lead) ezivela kudivayisi ziye ezicutshini zenhliziyo. Ngalezi zintambo, idivayisi 'ingakwazi' ukuzwa, noma ukwazi, umsebenzi wenhliziyo.
Uma idivayisi izwa ukuthi inhliziyo yakho ishaya ngokushesha okukhulu, ithumela isignali encane kagesi enhliziyweni yakho ukuze iyitshele ukuthi ishaye. Uma ukushaya kwenhliziyo yakho kushesha ngendlela eyingozi, i-ICD ikhipha ukushaqeka okuncane kagesi ukuze ibuyele esimweni sayo esijwayelekile. Konke lokhu kwenzeka ngokohlelo udokotela wakho alunikeza idivayisi evela ngaphandle.Lawa madivayisi asebenza ngebhethri elincane, elihlala isikhathi eside.
Enye into enhle ukuthi amanye amadivayisi amasha angaqoqa ulwazi mayelana nenhliziyo yakho bese eluthumela kudokotela wakho ngocingo noma nge-inthanethi . Ngakho akudingeki uye esibhedlela ngaso sonke isikhathi. Udokotela wakho angabheka inhliziyo yakho ekhaya futhi athole ukuthi kukhona yini ushintsho ngaphambi kokuba ibe yimbi kakhulu.
Ziyini izinzuzo zala madivayisi?
Izinzuzo zedivayisi efana nale ziningi kakhulu.
| Inzuzo | Lokho kusho ukuthi... |
|---|---|
| Ukuphepha kwempilo | Kuwusizo olukhulu ekusindiseni izimpilo ekumisweni yinhliziyo okungazelelwe. |
| Ukujikeleza kwegazi okuhle | Ukujikeleza kwegazi emzimbeni wonke kuhle. |
| Ukushaya kwenhliziyo okulungile | Ukushaya kwenhliziyo kugcinwa ngesigqi esijwayelekile. |
| Ukunciphisa izimpawu | Izimpawu ezifana nesiyezi kanye nokuqina kwesifuba ziyancipha. |
| Ukwehla kokulaliswa esibhedlela | Isidingo sokuhlala esibhedlela siyancipha kaningi. |
| Ibhethri elihlala isikhathi eside | Ibhethri ledivayisi lingasetshenziswa cishe iminyaka eyi-6-15. |
Ingabe ikhona imiphumela emibi noma izingozi?
Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane kakhulu ezihilelekile ekufakweni kwale divayisi. Khumbula, lezi azivamile kakhulu. Kodwa-ke, kuhle ukuziqaphela.
- Ukopha: Kungase kube nokopha okuthile endaweni yokuhlinzwa.
- Umonakalo omncane wenhliziyo: Akuvamile kakhulu ukuthi kwakheke imbobo encane odongeni lwenhliziyo.
- Ukuwa Kwamaphaphu (i-Pneumothorax): Kungase kube nomonakalo omncane emaphashini.
- Amahlule Egazi: Kunengozi encane yokuqhekeka kwegazi.
- Izinkinga ngezintambo zedivayisi: Izintambo ezifakiwe zingase zonakale.
- Ukungasebenzi kahle kwedivayisi: Akuvamile kakhulu, idivayisi ingase ingasebenzi kahle.
- Ukunyakaza kwedivayisi: Idivayisi ingase isuke endaweni yayo efakiwe.
- Ukutheleleka: Kukhona ingozi yokutheleleka endaweni yokuhlinzwa.
Ungesabi uma uzwa lezi zinto. Udokotela wakho uzokwenza konke okusemandleni akhe ukunciphisa lezi zingozi.
Yini okufanele ngiyiqaphele lapho ngisebenzisa idivayisi?
Uma idivayisi isifakiwe, ungaphila impilo evamile. Kodwa-ke, kunezinto ezimbalwa okufanele uziqaphele ezigabeni zokuqala.
- Nakekela inxeba: Gcina indawo yokuhlinzwa ihlanzekile ngokwemiyalelo kadokotela wakho.
- Umsebenzi womzimba: Kungase kudingeke unciphise imisebenzi efana nokuphakamisa izinsimbi nokuphakamisa izingalo zakho emasontweni ambalwa okuqala. Buza udokotela wakho ukuthi ungaqhubeka nini nemisebenzi evamile nokushayela.
- I-MRI Scan: Uma kwenzeka udinga i-MRI scan, kufanele utshele udokotela wakho ukuthi unalolu hlobo lwemishini. Abantu abaningi bangaba ne-MRI, kodwa kudingeka bathathe izinyathelo zokuphepha ezikhethekile.
- Amadivayisi ansuku zonke: Izinto ezifana namafoni, ama-oven e-microwave, kanye nezikena zokuphepha zasesikhumulweni sezindiza ngokuvamile azibangeli izinkinga. Kodwa ungabambeli ifoni yakho eduze kakhulu nedivayisi.
Ngingambona nini udokotela?
Ngemva kokufaka idivayisi, kuzodingeka ubone udokotela wakho njalo ekuqaleni, bese kuba kanye ngonyaka kamuva, ukuqinisekisa ukuthi isebenza kahle. Kodwa-ke, uma ubona noma yini engavamile, kufanele ushayele udokotela wakho ucingo ngokushesha.
| Uma uhlangabezana nanoma yikuphi kwalokhu ngemva kokuhlinzwa, shayela udokotela wakho ngokushesha. | |
|---|---|
| Isibonakaliso | Incazelo |
| Umkhuhlane noma ukubanda | Lezi kungaba izimpawu zokutheleleka. |
| Ubuhlungu obungapheli | Uma kukhona ubuhlungu obungapheli ngisho nangemva kokuthatha imithi. |
| Isiyezi | Uma uzizwa unesiyezi. |
| Ukushaya kwenhliziyo (ukuzwa sengathi inhliziyo yakho ishaya ngokushesha) | Uma isifuba sakho sizwakala sengathi sishaya kakhulu. |
| Izinguquko endaweni yokuhlinzwa | Uma kukhona ukubomvu, ukuvuvukala, ukushintsha kombala, noma ukopha okungavamile endaweni. |
Umlayezo Wokuya Nawe Ekhaya
- Amadivayisi okusiza inhliziyo awubuchwepheshe obusindisa impilo obusiza inhliziyo ebuthakathaka noma engajwayelekile.
- Kunezinhlobo ezahlukene zamadivayisi (njenge-pacemakers kanye ne-ICD) kuye ngokuthi unenkinga engakanani ngenhliziyo yakho.
- Nakuba zimbalwa kakhulu izingozi ezihilelekile ekufakweni kwalezi zinto, izinzuzo zidlula kakhulu lezo.
- Ngemva kokufaka idivayisi, landela imiyalelo kadokotela wakho ngqo. Uma uzizwa ungavamile, ungangabazi ukuxhumana nodokotela wakho.
- Ungaphila impilo ephelele nejwayelekile ngale divayisi. Ngakho-ke ungayesabi.
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