Ingabe unedivayisi encane efakwe ngaphansi kwesikhumba sakho ukusiza ukugcina inhliziyo yakho ishaya kahle? Ngokuvamile sikubiza ngokuthi i-pacemaker, kodwa kunezinye izinhlobo. Ngakho lawa madivayisi asebenza nebhethri. Njengebhethri efonini yethu, ngokuhamba kwesikhathi leli bhethri nalo lilahlekelwa amandla. Bese kudingeka lishintshwe. Uma uzwa lokhu, ungase uzizwe wesaba, "Okunye ukuhlinzwa?" Kodwa lokhu akuyona into okufanele uyesabe ngempela. Namuhla sizoxoxa ngakho konke ngendlela elula kakhulu, ngendlela ongayiqonda.
Kusho ukuthini ukufaka esikhundleni sedivayisi yenhliziyo?
Kalula nje, lokhu kuyindlela encane yokuhlinzwa yokufaka esikhundleni sedivayisi kagesi (i-Cardiac Implantable Electronic Device - CIED) esiza ukulawula isigqi senhliziyo yakho ngentsha. Kunezinhlobo ezimbili eziyinhloko zala madivayisi:
1. I-Pacemaker: Isiza ukugcina isigqi senhliziyo esifanele uma ishaya ngokungajwayelekile.
2. I-ICD (I-Implantable Cardioverter Defibrillator): Uma ukushaya kwenhliziyo kuba ngesivinini esiyingozi, kuyayibona bese kuletha ukushaqeka okuncane kukagesi enhliziyweni, okusiza ukuyibuyisela esimweni sayo esijwayelekile.
Lokhu kuhlinzwa kuvame ukuhilela ukufaka esikhundleni sengxenye yebhethri kuphela yedivayisi. Ngakho-ke, ngokuvamile akuyona ukuhlinzwa okukhulu. Ngokuvamile awudingi ngisho nokuhlala esibhedlela. Ungangeniswa ekuseni, uhlinzwe, bese ubuyela ekhaya kusihlwa.
Ubani odinga lokhu kuhlinzwa?
Isizathu esiyinhloko sokushintsha le divayisi ibhethri elibuthakathaka. Kodwa kungaba nezinye izizathu eziningana. Ake sizihlolisise.
| Isizathu sokushintsha idivayisi | Incazelo elula |
|---|---|
| Impilo yebhethri isiphelile. | Lesi yisona sizathu esivame kakhulu. Amabhethri akula madivayisi avame ukuhlala iminyaka eyi-6 kuya kweyi-10 . Njengoba uya emtholampilo njalo, udokotela uzohlola idivayisi futhi akwazise kusenesikhathi ukuthi ibhethri selizofa nini. |
| Isidingo semishini ethuthukisiwe kakhulu | Njengoba isayensi yezokwelapha ithuthuka, kuvela imishini emisha nethuthuke kakhulu. Uma udokotela wakho enomuzwa wokuthi udinga idivayisi entsha efanela kangcono isimo sakho, angase akuncome ukuthi ushintshe. |
| Ukungasebenzi kahle kwemishini | Akuvamile kakhulu ukuthi idivayisi ibhekane nephutha lobuchwepheshe. Ezimweni ezinjalo, izoshintshwa ngaphambi kokuba iyeke ukusebenza ngokuphelele. |
| Ukutheleleka (okungavamile kakhulu) | Uma kuvela ukutheleleka endaweni yokufaka noma eduze kwayo, idivayisi kuzodingeka isuswe. Lokhu akuvamile kakhulu. |
Khumbula, kungase kudingeke ukuthi uwashintshe lawa madivayisi izikhathi eziningana phakathi nokuphila kwakho. Lokho kuvamile.
Yikuphi ukulungiselela okudingekayo ngaphambi kokuhlinzwa?
Udokotela wakho uzokunikeza yonke imiyalelo oyidingayo ngaphambi kokuhlinzwa. Lokhu kuvame ukwenzeka:
- Ukuqwashisa Ngemithi: Ungase ucelwe ukuthi uyeke ukuthatha imithi ethile, ikakhulukazi imithi yokunciphisa igazi njenge-aspirin, ezinsukwini ezimbalwa ngaphambi kokuhlinzwa. Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyithathayo.
- Ukuhlolwa: Uzonikezwa izivivinyo eziningana ukuze kubonakale ukuthi uyakufanelekela yini ukuhlinzwa.
- I-EKG (i-Electrocardiogram): Buka umsebenzi kagesi wenhliziyo.
- I-Echocardiogram: Ividiyo yokusebenza kwenhliziyo kanye nekhono layo lokupompa.
- Ukuhlolwa kwegazi: Hlola impilo yomzimba wakho jikelele.
Ukuhlinzwa kulula kakhulu.
Njengoba sishilo ngaphambili, isikhathi esiningi, lokhu kuhilela ukufaka esikhundleni sengxenye yebhethri (ijenereyitha). Izintambo (ama-lead) ezixhunywe enhliziyweni ngokuvamile azithintwa. Ngakho-ke lokhu kuyinqubo encane kunokuba kube ukuhlinzwa okukhulu.
Cabanga ngakho njengokushintsha amabhethri ethoshi lethu. Kodwa lokhu kwenziwa ngokucophelela, ngaphakathi kwegumbi lokuhlinza.
Nazi izinyathelo kule nqubo:
1. Ukupholisa: Okokuqala, uzonikezwa umuthi wokuthoba kancane ngomthambo (IV sedation). Ngakho ngeke uzizwe ubuhlungu, futhi uzokhululeka, mhlawumbe uze ulale.
2. Ukusikwa okuncane:Kwenziwa ukusika okuncane esikhumbeni lapho kuzofakwa khona ithuluzi. Lokhu kusikwa kuvame ukwenziwa endaweni efanayo lapho kwenziwa khona ukuhlinzwa kwangaphambilini.
3. Ukususa endala: Udokotela ube esekhipha ngokucophelela ijeneretha endala ezintanjeni eziholela enhliziyweni bese eyisusa.
4. Ukufaka entsha: Thatha ijeneretha entsha bese uyixhuma kulezo zintambo.
5. Ukuthunga i-incision: Ngemva kokuba idivayisi entsha ibekwe ngaphansi kwesikhumba, i-incision ivalwa nge-suture encibilikayo noma uhlobo olukhethekile lweglue.
Ake sifunde futhi nge-Leadless Pacemaker.
Manje sekukhona uhlobo olusha lwe-pacemaker oluncane kakhulu futhi olungenazintambo. Lufakwe ngqo enhliziyweni. Uma unenye efana nale, inqubo yokuyishintsha ihlukile kancane. Ungase ushiye endala endaweni yayo bese kufakwa entsha, noma ungase ufake ithubhu elincane (i-catheter) emthanjeni emlenzeni wakho, ukhiphe endala, bese ufaka entsha.
Yiziphi izinzuzo nezingozi zokuhlinzwa?
Njenganoma iyiphi inqubo yezokwelapha, kunezinzuzo kanye nezingozi ezincane kakhulu.
| Izinzuzo | Izingozi - Ziphansi kakhulu |
|---|---|
| Idivayisi iqinisekisiwe ukuthi izosebenza kahle. | Ukusabela kokungezwani komzimba nomuthi wokudambisa. |
| Kungavikela ekushayweni kwenhliziyo okuyingozi. | Ukopha ngokweqile noma amahlule egazi avela ekusikweni. |
| Kwezinye izimo, lokhu kungasindisa ngisho nokuphila. | Ukutheleleka endaweni yokusikwa. |
Into ebaluleke kakhulu ukuthi lokhu kuhlinzwa kuphephile kakhulu futhi kunezingozi ezincane kakhulu . Ngakho-ke ungakwesabi ngokungadingekile.
Isikhathi sokululama sinjani ngemva kokuhlinzwa?
Uzolulama ngokushesha kunalokho ongakucabanga.
- Usuku lokuqala:Phumula kancane ngosuku lokuhlinzwa.
- Isonto lokuqala: Gwema ukuphakamisa okunzima kanye nemisebenzi ebangela ukukhathala kwezingalo (isibonelo, ukuphakamisa izinto ngezandla zakho ohlangothini lapho kufakwe khona idivayisi) izinsuku ezimbalwa.
- Ubuhlungu nokuvuvukala: Kungase kube nokuvuvukala nobuhlungu obuseduze nendawo yokusikwa izinsuku ezimbalwa. Lokhu kuvamile. Udokotela uzokunikeza imithi edingekayo yalokhu.
Udokotela wakho uzokunikeza imiyalelo ecacile ngalezi zinto uma usuya ekhaya:
- Indlela yokugcina inxeba lihlanzekile nokuthi ungayinakekela kanjani ize iphole.
- Izinto okufanele uzicabangele lapho uthenga idivayisi entsha.
- Ungaqhubeka nini nemisebenzi yakho evamile?
Qaphela lezi zimpawu: Nini ukubiza udokotela
Uma unezinkinga ngemva kokuhlinzwa, kubalulekile ukuzibona ngokushesha. Qaphela izimpawu ezilandelayo. Uma unazo, shayela udokotela wakho ngokushesha.
| Isigaba sezimpawu | Izici okufanele uziqaphele |
|---|---|
| Izimpawu ezijwayelekile zesexwayiso |
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| Izimpawu zokuthi idivayisi ayisebenzi kahle |
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Umlayezo Wokuya Nawe Ekhaya
- Ukufaka esikhundleni sedivayisi efakelwa inhliziyo (i-CIED) ngokuvamile kuyinqubo elula nephephile ehilela ukushintsha ibhethri layo.
- Amabhethri akula madivayisi adinga ukushintshwa njalo eminyakeni engu-6-10. Lokho kuvamile.
- Ukululama ngemva kokuhlinzwa kuyashesha kakhulu, futhi ungaya ekhaya ngalolo suku.
- Ngaphambi nangemva kokuhlinzwa, landela imiyalelo kadokotela wakho ngqo.
- Uma uzwa izimpawu ezifana nobuhlungu besifuba, umkhuhlane, ubunzima bokuphefumula, noma isiyezi, ungalibali bese wazisa udokotela wakho ngokushesha.
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