Ingabe wena noma othile omaziyo uke wafakelwa i-pacemaker noma i-implantable cardioverter defibrillator (ICD)? Uma kunjalo, kungenzeka ukuthi uke wezwa ngezintambo, ezaziwa ngokuthi 'ama-lead.' Ngezinye izikhathi, uma kunenkinga ngaleli lead, kufanele lisuswe ngokuhlinzwa. Yilokhu odokotela abakubiza ngokuthi 'ukukhishwa kwelead.' Ukuzwa leli gama kungaba yinto eyethusayo. Kodwa ungakhathazeki, sizokhuluma ngakho kalula nangokucacile namuhla.
Ake siqale sibone, kuyini 'uMholi'?
Kalula nje, intambo yokudonsa umoya iyintambo ekhethekile, evikelwe ngomlilo ethwala izimpawu zikagesi ezivela kudivayisi yakho ye-pacemaker noma i-ICD (Implantable Cardioverter-Defibrillator) iye enhliziyweni yakho. Ifana nentambo ethwala ugesi uye ekukhanyeni endlini yethu.
Uma isigqi senhliziyo yakho singasasebenzi kahle (i-Arrhythmia), yilo mthombo owuqaphelayo bese uthumela isignali kagesi efanele enhliziyweni ukusiza ekubuyiseleni isigqi. Ngokuvamile, kungaba nomthombo owodwa, emibili, noma emithathu, kuye ngokuthi idivayisi ifakwe esifubeni somuntu. Lokhu kuxhunywe ohlangothini lwesokudla lwenhliziyo eduze komthambo wegazi (umthambo).
Kungani kubalulekile ukukhipha lo mthombo?
Kungaba nezizathu eziningana zokususa umsizi. Kodwa ngokuvamile isizathu esiyinhloko ukutheleleka. Cabanga nje, uma igciwane lingena egazini (i-Bacteremia), lelo gciwane lingahamba ngaleli gciwane futhi lithelele ngisho nama-valve enhliziyo (i-Infective Endocarditis). Esimweni esinjalo, idivayisi kanye nomsizi kumele kususwe.
Into ebaluleke kakhulu ukuthi kuyingozi kakhulu ukushiya ukutheleleka okunje kungalashwa. Ngakho-ke, uma udokotela ekweluleka, kubalulekile ukususa lokhu.
Ngaphezu kokutheleleka, i-lead ingadinga ukususwa ngenxa yezizathu eziningana.
| Isizathu | Incazelo elula |
|---|---|
| Ukuphuka komthofu noma ukungasebenzi kahle | Izinto ezifana nokuphuka, ukuphuka, noma ukubuyiselwa emuva ngumkhiqizi, kungaba ngaphakathi noma ngaphandle kwentambo. |
| Izithiyo ezibangelwa yizicubu zesilonda | Ngokuhamba kwesikhathi, izicubu eziningi zesilonda ziyakheka eduze kwesihloko somthofu. Bese isignali kagesi evela kudivayisi ayihambi kahle enhliziyweni. Lokhu sikubiza ngokuthi ibhulokhi yokuphuma . |
| Ukuvaleka kwemithambo yegazi | Kungase kwakheke amahlule egazi noma izicubu zesilonda nxazonke zomthofu, okuvimbela ukugeleza kwegazi kuwo. |
| I-Arrhythmia ebangelwa yi-lead uqobo | Kwezinye izimo ezingavamile, i-lead ingaphazamisa isigqi senhliziyo futhi ibangele ukushaya kwenhliziyo okungajwayelekile. |
Le nqubo yenziwa kanjani?
Lokhu kuyinkimbinkimbi kancane futhi kufanele kwenziwe udokotela onolwazi kakhulu. Ngoba ngemva kwesikhathi esithile, umsizi unganamathela ngokuqinile emthanjeni wegazi ngenxa yezicubu zesibazi ezakheka nxazonke zawo. Ngakho-ke, udinga ukususwa kusetshenziswa imishini ekhethekile ukuze ugweme ukulimaza umthambo wegazi.
Lokhu kuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile , okusho ukuthi ngeke uzwe lutho, uzobe ulele.
1. Udokotela wenza ukusika okuncane ngaphansi kwethambo lentamo (i-clavicle) noma endaweni yesisu (eduze komthambo we-femoral) bese engena emthanjeni wegazi.
2. Ngemuva kwalokho, kudluliswa ithubhu ekhethekile (umgoqo) kulo mthambo wegazi kuze kufike lapho kukhona khona i-lead.
3. Udokotela uqondisa leli payipi ngokunembile eceleni komthofu ngenkathi ebheka isikrini esikhethekile (i-fluoroscopy) njenge-X-ray.
4. Kusetshenziswa amathuluzi asemaphethelweni aleli payipi, izicubu zesibazi ezizungeze umsizi ziyaqhekeka kancane kancane, kukhululwe umsizi.
5. Ngezinye izikhathi ubuchwepheshe be-laser busetshenziswa ngisho nokuncibilikisa lesi silonda.
6. Uma intambo isikhululekile ngokuphelele, isuswa ngokucophelela, inxeba liyavalwa, bese kufakwa ibhandishi.
Uzothunyelwa nini umholi omusha?
Kuncike esizathwini sokususa umsizi. Uma ususiwe ngenxa yokutheleleka, kuzodingeka uqale ulinde kuze kube yilapho ukutheleleka sekuphulukiswe ngokuphelele. Kulapho-ke kuphela lapho kuzofakwa umsizi omusha kanye nedivayisi. Ngezinye izizathu, kungafakwa omusha ngesikhathi sokuhlinzwa ukuze kususwe umsizi. Udokotela wakho uzochaza lokhu kuwe.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezinzuzo kanye nezingozi ezithile.
| ✅ Izinzuzo | ⚠️ Izingozi |
|---|---|
| Ukukwazi ukwelapha isifo uma sikhona. | Izinkinga ezibangelwa yi-anesthesia. |
| Ukufaka intambo entsha esikhundleni sentambo ephukile noma engasebenzi kahle kuzobuyisela idivayisi esimweni esihle sokusebenza. | Umsizi uyaphuka uma ususwa. |
| Ukuvaleka kwemithambo yegazi kuyasuswa futhi ukujikeleza kwegazi kuyabuyiselwa. | Ukulimala emthanjeni wegazi noma enhliziyweni. |
| Ukukhululeka ekushayweni yi-arrhythmias okubangelwa yi-lead. | Ukopha ngokweqile kanye nesidingo sokumpontshelwa igazi. |
Udinga isikhathi esingakanani ukukhuluma nodokotela?
Uma uya ekhaya ngemva kokuhlinzwa, kunezinto ezimbalwa okufanele uziqaphele. Uma unezinye zezimpawu ezilandelayo, ungachithi isikhathi bese ushayela udokotela wakho ucingo ngokushesha.
- Uma unenkinga yokuphefumula .
- Uma unomkhuhlane ongaphezu kwama-degree Fahrenheit angu-101 (101°F) .
- Ukuvuvukala endaweni yokuhlinzwa, ukuphuma koketshezi okungavamile njengegazi noma ubomvu.
- Ukuvuvukala kweminwe noma izinzwane.
Khumbula, uma unesimo esiphuthumayo, njengobunzima bokuphefumula noma ubuhlungu obukhulu esifubeni, iya eMnyangweni Wezimo Eziphuthumayo (ETU) oseduze ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Ukukhipha i-Lead inqubo yokuhlinzwa esusa izintambo (ama-lead) zedivayisi ye-pacemaker noma ye-ICD.
- Lokhu kuvame ukubangelwa ukutheleleka, kodwa kungabangelwa nokuphuka komthofu noma ukungasebenzi kahle.
- Lokhu ukuhlinzwa okuyinkimbinkimbi okufanele kwenziwe udokotela onolwazi olukhulu, ngakho-ke kubalulekile ukufuna ukwelashwa kudokotela onolwazi ukuze uthole imiphumela emihle kakhulu.
- Landela imiyalelo kadokotela ngemva nje kokuhlinzwa.
- Uma unezinkinga noma ukukhathazeka, ungesabi ukukhuluma nodokotela wakho ngakho.
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