Wonke umuntu uyathuka kancane uma ezwa ngomshini osesifubeni sakhe, akunjalo? Lokho kujwayelekile. Kodwa uyazi ukuthi le mishini emincane isiza kangakanani izigidi zabantu abanesifo senhliziyo ukuba baphile impilo enempilo nende? Lawa amadivayisi ezokwelapha abaluleke kakhulu asiza ekusindiseni izimpilo. Namuhla sikhuluma ngala madivayisi asiza inhliziyo, okungukuthi, Amadivayisi Okusiza Inhliziyo. Masisuse ukwesaba nokungabaza ngalokhu futhi siqonde lezi zinto.
Ziyini lezi zinsiza zokusiza inhliziyo?
Kalula nje, lena idivayisi encane udokotela wakho angayifakela esifubeni sakho ukuze asize inhliziyo yakho isebenze kangcono. Le divayisi iyakusiza lapho inhliziyo yakho idinga ukuvuselelwa.
Cabanga nje, ukushaya kwenhliziyo kwabanye abantu kuba okungajwayelekile. Sikubiza ngokuthi ``i-Arrhythmia''. Ezimweni ezinjalo, la madivayisi angasiza ekulawuleni ukushaya kwenhliziyo, ukuvimbela ukumiswa kwenhliziyo ngokuzumayo, noma ukusiza inhliziyo ukuthi ipompe igazi emzimbeni wonke.
Ungase ungakhululeki kancane ngomqondo wokuba nomshini esifubeni sakho, kodwa khumbula ukuthi izigidi zabantu emhlabeni wonke zithembele kula madivayisi ukuze ziphile impilo enempilo nende.
Yiziphi izinhlobo eziyinhloko zala madivayisi?
Kunezinhlobo eziningana eziyinhloko zamadivayisi asiza inhliziyo. Udokotela ukhetha idivayisi efaneleke kakhulu ngokusekelwe ezidingweni zomuntu ngamunye. Ake sibheke izinhlobo eziyinhloko.
| Uhlobo Lwedivayisi | Kalula nje, kuhilelani lokho? |
|---|---|
| I-Pacemaker | Lokhu kutshela imisipha yenhliziyo ukuthi, “Lapha, shaya ngalesi sikhathi.” Okusho ukuthi, ithumela izimpawu zikagesi ezincane ukuze igcine ukushaya kwenhliziyo kusezingeni elifanele kumuntu okushaya kwenhliziyo kwakhe kushesha kakhulu. |
| I-Biventricular Pacemaker | Izintambo zayo zixhunywe emakamelweni amabili aphansi enhliziyo (ama-ventricle) kanye nekamelweni eliphezulu langakwesokudla (i-atrium), okwenza wonke la makamelo asebenze ndawonye, ngesigqi esifanayo. |
| I-Implantable Cardioverter Defibrillator (ICD) | Uma ukushaya kwenhliziyo kuba ngesivinini esiyingozi, le divayisi ingakubona futhi ikhiphe ukushaqeka okuncane kagesi ukuze kubuyisele esigqini esifanele. Lokhu kuvikela ekufeni okuzumayo. |
| Idivayisi Yokusiza Nge-Ventricular (VAD) | Lo mshini usiza inhliziyo ukuthi ipompe igazi emzimbeni wonke. Ufana nomsizi onciphisa umthwalo womsebenzi wenhliziyo. Usetshenziselwa abantu abanezinhliziyo ezibuthakathaka kakhulu. |
Kungani kudingeka idivayisi enjalo?
Kunezizathu eziningana ezenza udokotela wakho angase ancome idivayisi efana nale. Eyinhloko ukulawula isigqi senhliziyo, ukuvimbela ukumiswa kwenhliziyo ngokuzumayo, noma ukuthuthukisa ikhono lokupompa.
Uma kukhona ubuthakathaka ekusebenzeni kwenhliziyo, udokotela wakho ozonquma imbangela eqondile futhi anqume idivayisi efanele kakhulu.
Lawa madivayisi angadingwa ngabantu abanezimo zezokwelapha ezilandelayo:
- Ukuphazamiseka kwenhliziyo `(Arrhythmia)`
- Ukuvimba Inhliziyo
- Izinkinga nge-pacemaker yemvelo yenhliziyo (i-sinus node) (i-Sick Sinus Syndrome)
- I-Long QT Syndrome (i-long QT syndrome)
- Inhliziyo esheshayo (i-Tachycardia)
- Ukushaya kwenhliziyo okuhamba kancane kakhulu (i-Bradycardia)
- I-Ventricular Fibrillation, isifo esiyingozi nesisongela impilo senhliziyo
- Ukwehluleka Kwenhliziyo: Ukungakwazi kwenhliziyo ukupompa igazi elanele emzimbeni.
- I-Cardiomyopathy (izifo zemisipha yenhliziyo)
Asebenza kanjani la madivayisi?
Cabanga ukuthi udokotela wakho ubeka ngokucophelela idivayisi, njenge-pacemaker noma i-ICD, ngaphansi kwesikhumba sesifuba sakho. Bese, banamathisela izintambo ezincane (ama-lead) ezivela kuyo baye ezindaweni ezithile enhliziyweni yakho. Lezi zintambo zivumela idivayisi ukuthi 'ilalele' umsebenzi wenhliziyo yakho futhi ithumele izimpawu zikagesi ukulungisa izinga lokushaya kwenhliziyo yakho lapho kudingeka. I-ICD ingaletha nokwethuka kukagesi uma kudingeka.
Lawa madivayisi asebenza ngokohlelo olusethwe ngaphandle ngudokotela. Anebhethri elincane, elihlala isikhathi eside .
Enye into enhle ukuthi amanye amadivayisi angaqoqa ulwazi mayelana nenhliziyo yakho bese eluthumela kudokotela wakho ngocingo noma nge-inthanethi. Ngakho-ke, ngisho nangaphandle kokuya esibhedlela njalo, udokotela wakho angaqaphela isimo senhliziyo yakho. Lokhu kungaba usizo olukhulu ekuboneni noma yiziphi izinguquko ngaphambi kokuba zibe zimbi kakhulu.
Yiziphi izinzuzo zokusebenzisa la madivayisi?
- Isivikelo esisindisa impilo ekumisweni kwenhliziyo ngokuzumayo.
- Ukujikeleza kwegazi okungcono emzimbeni.
- Ukuhlelwa kabusha kwesigqi sokushaya kwenhliziyo.
- Ukwehla kwezimpawu ezihlobene nokushaya kwenhliziyo (njengesiyezi, ukukhathala).
- Ukuncipha kokulaliswa esibhedlela ngenxa yesifo senhliziyo.
- Amanye amadivayisi angafakwa ngokusebenzisa ukusikwa okuncane kakhulu, kunokuba kufakwe ngokusikwa okukhulu .
- Ibhethri ledivayisi lihlala isikhathi eside , kusukela eminyakeni eyi-6 kuya kweyi-15 .
Yiziphi izingozi noma imiphumela emibi engaba khona?
Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane kakhulu ezihilelekile. Kodwa-ke, kubalulekile ukukhumbula ukuthi lezi azivamile futhi odokotela bayaqaphela kakhulu ngalokhu.
- Ukopha.
- Imbobo encane kakhulu enhliziyweni ingakheka uma kufakwa idivayisi (lokhu akuvamile kakhulu).
- I-Pneumothorax.
- Ukujiya kwegazi.
- Ukulimala noma ukuphuka kwezintambo zedivayisi.
- Ukungasebenzi kahle kwedivayisi.
- Ukuhambisa idivayisi.
- Ukutheleleka okuhlobene nedivayisi.
Uma kwenzeka into efana nale, ithimba lakho lezokwelapha lihlala likulungele ukunikeza ukwelashwa okudingekayo.
Kufanele ngiqaphele kanjani lapho ngihlala nedivayisi?
Ngemva kokuba idivayisi isifakiwe, ungaqala impilo yakho yansuku zonke njengokujwayelekile. Kodwa-ke, kunezinto ezimbalwa okufanele uzikhumbule.
| Iqiniso | Okufanele ngikwenze |
|---|---|
| Umgwaqo Wokusika | Landela imiyalelo kadokotela yokuthi ungayinakekela kanjani i-incision. |
| Ukuzivocavoca kanye nomsebenzi | Kuzodingeka unciphise imisebenzi efana nokuphakamisa izinto ezisindayo ekuqaleni. Buza udokotela wakho ukuthi ungaqala nini ukushayela bese uya emsebenzini futhi. |
| Ukuskena kwe-MRI | Uma udinga ukuskenwa kwe-MRI, qiniseka ukuthi ukhuluma nodokotela wakho. Iningi labantu abanayo imishini bangenza i-MRI, kodwa udokotela wakho kuzodingeka aqaphele noma yiziphi izinyathelo zokuphepha ezikhethekile okudingeka uzithathe ukuze uphephe. |
| Izesekeli zansuku zonke | Izinto zansuku zonke ezifana namafoni aphathwayo, ama-oven e-microwave, kanye nezikena zokuphepha ngokuvamile azibangeli izinkinga. Ungakhathazeki ngalokho. |
| Shayela udokotela wakho uma unalezi zimpawu: | |
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Kufanele ubonane nodokotela wakho okungenani kanye ngonyaka (kaningi ekuqaleni) ukuqinisekisa ukuthi idivayisi isebenza kahle. Futhi, ungangabazi ukushayela udokotela wakho ucingo noma nini lapho uzizwa ungavamile noma ungakhululekile.
Umlayezo Wokuya Nawe Ekhaya
- Amadivayisi Okusiza Inhliziyo awubuchwepheshe obuphephile, obusindisa impilo obungakusiza ukuthi uphile impilo enempilo nende. Ungesabi ukuwasebenzisa.
- Kuye ngesimo senhliziyo yakho, kunezinhlobo ezahlukene zamadivayisi afana nama-pacemaker, ama-ICD, nama-VAD. Udokotela wakho uzonquma ukuthi yikuphi okukulungele.
- Ngemva kokufakwa kwedivayisi, landela njalo imiyalelo kadokotela wakho maqondana nemisebenzi, ama-MRI scan, njll.
- Ngokuvamile asikho isidingo sokwesaba amadivayisi kagesi asetshenziswa nsuku zonke njengezingcingo eziphathwayo nama-microwave.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile, njengomkhuhlane, ubuhlungu obukhulu, isiyezi, noma ukuvuvukala endaweni yokuhlinzwa, yazisa udokotela wakho ngokushesha.
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