Ngezinye izikhathi inhliziyo yethu ishaya ngokushesha okukhulu, noma ngokushesha okukhulu, akunjalo? Lolu hlobo lokushaya kwenhliziyo okungajwayelekile (i-arrhythmia) ngezinye izikhathi lungaba uphawu lwesimo esiyingozi. Ngakho-ke, namuhla sikhuluma ngedivayisi yezokwelapha encane, kodwa enamandla kakhulu engasiza ekusindiseni izimpilo ezimweni ezinjalo. Lokhu sikubiza ngokuthi i-ICD, okusho ukuthi i-Implantable Cardioverter Defibrillator.
Iyini ngempela i-ICD?
Kalula nje, i-ICD iyithuluzi lezokwelapha elifakwa ngaphansi kwesikhumba sesifuba sakho, ngenqubo encane yokuhlinzwa. Inezingxenye ezimbili eziyinhloko. Enye ibhethri elincane, njengewashi elimiswayo. Enye izintambo ezincane ezisuka kuleli bhethri ziye emakamelweni enhliziyo yakho. Siphinde sizibize lezi zintambo ngokuthi "ama-leads".
Le divayisi esebenzisa ibhethri iqapha njalo ukushaya kwenhliziyo yakho kanye nesigqi . Cabanga nje, uma ukushaya kwenhliziyo yakho kungazelelwe kungalingani ngendlela eyingozi, le divayisi encane ingaletha ukwethuka kagesi okudingekayo ukuze kulungiswe. Lokho kuthuthwa kukagesi kuya enhliziyweni ngezintambo ezibizwa ngokuthi "ama-lead."
I-ICD isetshenziswa kakhulu ku:
- Lungisa ukushaya kwenhliziyo okungajwayelekile (i-arrhythmias). Isibonelo, izimo lapho inhliziyo ishaya khona ngokushesha kakhulu (i-tachycardia) noma ihamba kancane kakhulu (i-bradycardia).
- Vimbela ukuminyana kwenhliziyo okungazelelwe.
- Qoqa idatha mayelana nokusebenza kwenhliziyo yakho futhi usize udokotela wakho ukuthi enze izinqumo zokwelashwa.
Uyini umehluko phakathi kwe-ICD ne-Pacemaker?
Abantu abaningi bayaphambanisa la madivayisi amabili. Kunomehluko ocacile phakathi kwalawa amabili.
I -pacemaker igcina inhliziyo ishaya ngesivinini esijwayelekile nesihlala njalo. Lokho kusho ukuthi ihlala isebenza.
I -ICD iyithuluzi eliqapha isigqi senhliziyo futhi lingenelele kuphela uma kudingeka . Okusho ukuthi, liletha ukwethuka kuphela uma isigqi senhliziyo sishintsha ngendlela eyingozi.
Kodwa-ke, kubalulekile ukukhumbula ukuthi amanye ama-ICD amasha angasebenza njenge-pacemaker. Udokotela wakho uzonquma ukuthi yiluphi uhlobo olufanele wena.
Ubani odinga idivayisi ye-ICD?
Idivayisi ye-ICD ingadingeka kubantu abanezimo ezithile zesigqi senhliziyo okunzima ukuzilawula ngezinye izindlela zokwelapha. Ithebula elingezansi libonisa ezinye zalezi zimo.
| Isimo Sezokwelapha | Incazelo elula |
|---|---|
| I-Brugada syndrome | Isifo esingavamile sofuzo esibangela ukushaya kwenhliziyo okuyingozi nokungajwayelekile. |
| Ezinye izifo zenhliziyo ezizalwa nazo | Izinguquko zesigqi ezibangelwa izinkinga ngesakhiwo senhliziyo ezikhona kusukela ekuzalweni. |
| I-hypertrophic cardiomyopathy | Ukuqina okungavamile kwemisipha yenhliziyo, okubangela ubunzima ekupompeni igazi. |
| I-Long QT syndrome | Ukushaya kwenhliziyo okusheshayo nokungajwayelekile okubangelwa inkinga ohlelweni lukagesi lwenhliziyo. |
| Abantu abake baba ne-myocardial infarction noma ukuboshwa kwenhliziyo ngaphambilini | Ukunciphisa ingozi yokuthi isimo esinjalo siphinde senzeke. |
| Ukuphazamiseka kwe-Ventricular / i-Ventricular fibrillation | Ukushaya kwenhliziyo okungajwayelekile okuqala emakamelweni aphansi enhliziyo futhi kungaba yingozi empilweni. |
Kwenziwa kanjani ukuhlinzwa kokufakelwa idivayisi ye-ICD?
Lokhu kuhlinzwa kuvame ukwenziwa esibhedlela. Kuthatha amahora amaningana. Kwenziwa udokotela ohlinza inhliziyo noma isazi se-electrophysiology.
Ukulungiselela ngaphambi kokuhlinzwa
Udokotela wakho uzokunikeza imiyalelo elandelayo ngaphambi kokuhlinzwa:
- Amahora ambalwa ngaphambi kokuhlinzwaZila ukudla (ungadli noma uphuze lutho ngaphandle kwamanzi).
- Ukuhlolwa kwegazi, umchamo, kanye ne-ECG kuzokwenziwa ukuze kubonakale ukuthi usesimweni esihle yini sokuhlinzwa.
- Uma unesifo sokopha noma uthatha imithi yokunciphisa igazi, qiniseka ukuthi uyamtshela udokotela wakho .
- Bazise futhi uma unezinkinga zokungezwani nezinto ezifana nodayi wokwehlukanisa, i-iodine, noma imithi.
- Uma unezinye izifo ezifana ne-asthma, isifo sikashukela, noma isifo sezinso, yazisa ithimba lezokwelapha ngazo futhi.
Ngesikhathi sokuhlinzwa
Lokhu kuvame ukwenziwa ngendlela ebizwa ngokuthi "indlela yokudlulisa uketshezi." Lokhu kusho ukuthi kwenziwa ukusikwa okuncane eduze kwethambo lentamo bese kufakwa izintambo ezibizwa ngokuthi "ama-lead" ngemithambo enhliziyweni. Ngezinye izikhathi, kungase kudingeke ukuhlinzwa kwenhliziyo evulekile.
Lezi yizinyathelo lapho ukuhlinzwa kuvame ukwenzeka khona:
1. Imithi inikezwa nge-"IV" ukuze ikwenze uzizwe ukhululekile noma ikubeke ngaphansi kwe-anesthesia futhi ulale.
2. Indawo lapho kuqhume khona inxeba izoba yize.
3. Kwenziwa ukusika okuncane eduze kwethambo lentamo, isifuba, noma isisu.
4. Izintambo zifakwa emakamelweni enhliziyo ngomthambo omkhulu.
5. Ibhethri le-ICD lifakwa endaweni encane eyenziwe ngaphansi kwesikhumba.
6. Izintambo zixhunywe enhliziyweni kanye ne-ICD.
7. Hlola ukuthi idivayisi nezintambo zixhunywe kahle futhi zisebenza kahle yini.
8. I-incision ithungwe ivaliwe.
9. Uhlelo luzohlolwa futhi ngaphambi kokuba uthunyelwe ewadini.
Ngemva kokuhlinzwa nokuphila ne-ICD
Ngemva kokuhlinzwa, ungase uzizwe ukhathele futhi ubuhlungu endaweni yokusika. Lokhu kungalawulwa ngezinhlungu zobuhlungu. Iningi labantu lingaya ekhaya ngosuku olulandelayo ngemva kokuhlinzwa.
Kuzwakala kanjani ukushaqeka okuvela kwi-ICD?
Lena inkinga abantu abaningi abanayo. I-ICD ingaletha kokubili ukushaqeka okunamandla amancane kanye nokunamandla aphezulu.
- Ukushaqeka okunamandla amancane kuzwakala njengokuphaphazela noma umuzwa wokushaya esifubeni.
- Ukushaqeka okunamandla amakhulu kunikezwa ezimweni ezibucayi kakhulu. Kungase kube buhlungu kancane okwesikhashana. Kungase kuzwakale njengokushaywa esifubeni.
Ngokuvamile, ukushaqeka okukodwa kuzobuyisela isigqi senhliziyo. Kodwa-ke, abanye abantu bangathola ukushaqeka okuningana zingakapheli amahora angama-24. Uma uthola ukushaqeka okuningana esikhathini esifushane (isibonelo, okuthathu noma ngaphezulu), kungaba yisimo esiphuthumayo esibizwa ngokuthi 'isiphepho sikagesi'. Uma lokhu kwenzeka, kufanele uye emnyangweni wezimo eziphuthumayo wesibhedlela esiseduze (i-ETU) ngokushesha. Lokhu kungabonisa inkinga enkulu yenhliziyo noma ukungasebenzi kahle kwe-ICD.
Izinto okufanele uzicabangele uma uhlala ne-ICD
Uma une-ICD, hlala uphethe ikhadi le-ID esikhwameni sakho elisho lokho.Kungaba usizo olukhulu kubasebenzi bezokwelapha uma ungakwazi ukuxhumana nabantu uma kunesimo esiphuthumayo.
Futhi, kufanele utshele bonke abasebenzi bezempilo, okuhlanganisa odokotela bakho, odokotela bamazinyo, kanye nochwepheshe abenza izivivinyo ezifana ne-MRIs, ukuthi une-ICD, njengoba eminye imishini ingaphazamisa i-ICD.
Izinto ezingaphazamisa i-ICD
Amanye amadivayisi ezobuchwepheshe angaphazamisa ukusebenza kwe-ICD. Buza udokotela wakho uma kudingeka uqaphele lapho usebenzisa izinto ezinjalo.
- Izinhlelo zokulwa nokwebiwa kwempahla ezitolo
- Ezinye izinhlobo zemisakazo (imisakazo ye-CB, imisakazo ye-ham)
- Ucingo lukagesi
- Ama-headphone
- Amashaja ebhethri lemoto, izintambo ze-jumper
- Imishini equkethe omakethi abanamandla
- Izitholi zensimbi ezindaweni ezifana nezikhumulo zezindiza
- Ezinye izivivinyo zezokwelapha, njenge-MRI
Isikhathi sokufonela udokotela wakho ngokushesha
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuhlinzwa, kungaba uphawu lokutheleleka. Uma lokhu kwenzeka, yazisa udokotela wakho ngokushesha.
| Izici okufanele uziqaphele | |
|---|---|
| Izimpawu zokutheleleka |
|
| Ezinye izimo eziphuthumayo | |
Umlayezo Wokuya Nawe Ekhaya
- I-ICD iyithuluzi lezokwelapha elibaluleke kakhulu elingasindisa izimpilo zabantu abanezinkinga eziyingozi zesigqi senhliziyo.
- Lokhu kuhlukile kumshini wokushaya indlwabu. I-ICD isebenza kuphela uma kudingeka.
- Uma une-ICD, hlala ugcina ikhadi lakho lomazisi nawe.
- Yazisa bonke abasebenzi bezempilo, okuhlanganisa nodokotela wakho kanye nodokotela wamazinyo, ngalokhu.
- Qaphela amadivayisi angaphazamisa i-ICD, njengezibuthe kanye nezitholi zensimbi.
- Uma uhlangabezana nokushaqeka okuningi esikhathini esifushane, kubheke njengesimo esiphuthumayo bese uya e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
- Uma unemibuzo noma ukungabaza, ungesabi ukukhuluma nodokotela wakho ngakho.
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