Wake waba ne-pacemaker noma i-ICD (Implantable Cardioverter Defibrillator), ithuluzi elincane elisiza ukugcina inhliziyo yakho ishaya kahle? Uma kunjalo, cishe uyazi ukuthi ngemva kwesikhashana, kuzodingeka ushintshe izingxenye ezifana nebhethri. Abantu abaningi bayasaba kancane uma bezwa ngalokhu. Kuvamile ukucabanga izinto ezinjengokuthi, "Ingabe kuzodingeka ngiphinde ngihlinzwe? Ingabe kuzoba nzima?" Kodwa empeleni akwesabisi njengoba sicabanga. Namuhla, ake sixoxe ngokushintsha lezi zinsimbi zenhliziyo ngendlela elula.
Kusho ukuthini ukufaka esikhundleni sedivayisi yenhliziyo?
Kalula nje, lokhu futhi kuyindlela yokuhlinzwa. Kodwa kuhilela ukufaka esikhundleni sedivayisi kagesi (i-Cardiac Implantable Electronic Device - CIED) esivele ifakiwe ukulawula isigqi senhliziyo yakho ngentsha. Kunezinhlobo ezimbili zala madivayisi. Enye iyi -pacemaker . Enye iyi -ICD (Implantable Cardioverter Defibrillator) .
Esikhathini esiningi, lokhu kuwukuhlinzwa okuncane okungadingi ukuhlala esibhedlela futhi ungaya ekhaya ngalolo suku . Ngakho asikho isidingo sokukhathazeka kakhulu ngakho.
Ubani ongathanda ukushintsha idivayisi efana nale?
Isizathu esiyinhloko sokushintsha idivayisi yenhliziyo yilapho ibhethri layo liphansi. Kufana nebhethri efonini yethu eliphelayo. Ibhethri kudivayisi enjalo lingasetshenziswa iminyaka ephakathi kwengu-6 nengu-10 . Ngakho-ke, kungase kudingeke ukuthi lishintshwe izikhathi eziningana phakathi nokuphila kwayo konke.
Kodwa ungakhathazeki ngalokhu. Udokotela wakho uzohlola njalo izinga lebhethri lale divayisi uma uya emtholampilo. Ngakho bazokwazisa kusenesikhathi uma ibhethri selizophela.
Ngaphezu kokuphela kwebhethri, kunezinye izizathu eziningana zokuthi kungani kungadingeka ukuthi ufake lawa madivayisi esikhundleni sawo. Ake sibheke ukuthi ayini.
| Isizathu | Incazelo |
|---|---|
| Ibhethri liyaphela | Lesi yisona sizathu esivame kakhulu nesiyinhloko. Uma ibhethri libuthakathaka, idivayisi kufanele ishintshwe. |
| Ukuthuthukiswa kwedivayisi | Udokotela wakho angase akuncomele idivayisi entsha nenekhono elingcono kunaleyo onayo njengamanje. |
| Amaphutha emishini | Uma idivayisi efakiwe iba nephutha lobuchwepheshe noma iyeka ukusebenza ngokuphelele, kuzodingeka ishintshwe. |
| Izimo ezithathelwanayo | Akuvamile kakhulu, uma kuvela ukutheleleka eduze kwedivayisi, kungadingeka kususwe. Lokhu akubonakali njalo. |
Kwenzekani ngaphambi kokuhlinzwa?
Udokotela wakho uzokunikeza imiyalelo eqondile yokuthi ungalungiselela kanjani lokhu kuhlinzwa. Le miyalelo ingafaka:
- Ukuyeka imithi ethile: Ungase ucelwe ukuthi uyeke ukuthatha imithi yokunciphisa igazi (isibonelo, i-aspirin ) kanye neminye imithi yokunciphisa ubuhlungu izinsuku ezimbalwa.
- Ukuhlolwa kwenhliziyo: Kungenziwa into efana ne -ECG (i-Electrocardiogram) noma i-Echocardiogram scan ukuhlola ukusebenza kwenhliziyo.
- Ukuhlolwa kwegazi: Kuzokwenziwa ukuhlolwa kwegazi okuningana ukuze kubonakale ukuthi uphilile yini ngesikhathi sokuhlinzwa.
Kwenzekani ngesikhathi sokuhlinzwa?
Ingxenye engcono kakhulu ukuthi isikhathi esiningi, lokhu kuhlinzwa kuthatha indawo yengxenye yomzimba wakho ebizwa ngokuthi ijeneretha equkethe ibhethri, engaphansi kwesikhumba sakho. Lokhu kusho ukuthi izintambo ezixhunywe enhliziyweni yakho azisuswa. Lokhu kwenza kube ukuhlinzwa okuncane kunokuba kube okukhulu.
Kodwa-ke, kwezinye izimo, kungadingeka ukuthi ushintshe yonke idivayisi, kufaka phakathi izintambo. Leyo inqubo eyinkimbinkimbi kancane.
Kwenzekani lapho kufakwa esikhundleni sejeneretha evamile:
1. Okokuqala, uzonikezwa umuthi wokudambisa (ukudambisa) omncane ngomthambo osengalweni yakho. Ngeke uzwe ubuhlungu.
2. Ngemuva kwalokho, kwenziwa ukusikwa okuncane esikhumbeni lapho kuzofakwa khona idivayisi.
3. Ijeneretha endala isuswa ngokunqamula izintambo.
4. Ijeneretha entsha ixhunywe endaweni efanayo futhi ixhunywe ezintanjeni ezifanayo nezendala.
5. Ekugcineni, ukusikwa kuvalwa ngezitishi noma uhlobo olukhethekile lweglue .
Yiziphi izinzuzo nezingozi zalokhu?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezinzuzo kanye nezingozi ezincane kakhulu.
| Izinzuzo | Izingozi |
|---|---|
| Idivayisi isebenza kahle kakhulu. | Ukungezwani komzimba nemithi yokudambisa. |
| Ukuvimbela izigqi zenhliziyo ezingavamile neziyingozi. | Ukopha ngokweqile noma ukujiya kwegazi. |
| Ukugcina impilo enhle yenhliziyo nokuvikela impilo. | Ukutheleleka okuzungeze i-incision noma ucingo (uma ucingo lushintshiwe). |
Into ebaluleke kakhulu ukuthi lokhu kuyindlela yokuhlinzwa ephephile kakhulu futhi engenangozi kakhulu . Izinkinga azivamile.
Kufanele ngikhulume nini nodokotela ngesikhathi sokululama?
Kuzodingeka uhlale esibhedlela amahora ambalwa ngemva kokuhlinzwa. Abasebenzi bazokuqapha futhi uma konke kuhamba kahle, uzothunyelwa ekhaya ngalolo suku. Ngemva kokuya ekhaya , kufanele ugweme ukwenza noma yini esindayo, njengokuzivocavoca, izinsuku ezimbalwa. Kuvamile ukuthi inxeba livuvuke kancane futhi libe buhlungu. Udokotela uzokunika imithi yobuhlungu ngalokho.
Ngaphezu kwalokho, udokotela wakho uzokunikeza imiyalelo yokuthi ungayigcina kanjani imbobo ihlanzekile, ukuthi ungayinakekela kanjani idivayisi entsha, nokuthi ungaqhubeka nini nemisebenzi evamile.
Kodwa-ke, uma uhlangabezana nezimpawu ezilandelayo, kufanele uxhumane nodokotela wakho ngokushesha.
| Funa iseluleko sezokwelapha ngokushesha. | |
|---|---|
| Uma unalezi zimpawu: | |
| Ubuhlungu besifuba | Umkhuhlane noma ubuhlungu bomzimba |
| Ubunzima bokuphefumula (i-Dyspnea) | Izimpawu zokutheleleka, njengobomvu, iphunga, noma ukubomvu okuvela endaweni eqoshiwe |
| Uma usola ukuthi idivayisi ayisebenzi kahle (uma unalezi zimpawu): | |
| Isiyezi | Ukulahlekelwa ukwazi (ukuquleka) |
| Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha noma kancane | Ukuphazamiseka okuqhubekayo |
Okubaluleke kakhulu: Uma uzwa ubuhlungu obukhulu esifubeni, ubunzima obukhulu bokuphefumula, noma uquleka , hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Ukushintsha idivayisi yakho ye-pacemaker noma ye-ICD kuyinqubo evamile nehleliwe. Isizathu esiyinhloko ukuthi ibhethri lifile.
- Lokhu kuyindlela encane yokuhlinzwa, engenangozi evame ukukuvumela ukuthi uye ekhaya ngalolo suku ngaphandle kokuhlala esibhedlela.
- Udokotela wakho uzohlola njalo izinga lebhethri ledivayisi futhi akwazise uma sekuyisikhathi sokuyishintsha.
- Kubaluleke kakhulu ukulandela yonke imiyalelo enikezwe udokotela ngaphambi nangemva kokuhlinzwa.
- Qaphela izimpawu eziyisixwayiso. Uma unenkinga, ungangabazi ukushayela udokotela wakho ucingo noma uye e-ETU uma kunesimo esiphuthumayo.
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