Ingabe ngezinye izikhathi uzizwa ubuthakathaka? Noma ingabe inhliziyo yakho ishaya ngokushesha kangangokuthi uzizwa wesaba? Kodwa uma uya kudokotela, i-ECG ayibonisi lutho olungalungile ngaleso sikhathi? Lena inkinga abantu abaningi abanayo. Ngakho-ke, namuhla sikhuluma ngedivayisi encane, kodwa ebaluleke kakhulu esetshenziselwa ukuthola ukuphazamiseka kwenhliziyo okwenzeka ngezikhathi ezithile kuphela.
Iyini le Implantable Loop Recorder (ILR)?
Kalula nje, iyithuluzi elincane kakhulu le-elekthronikhi elifakwe ngaphansi kwesikhumba sesifuba sakho. Lifana nepeni elincane elishayelayo. Umsebenzi walo oyinhloko ukuqapha njalo ukushaya kwenhliziyo yakho kanye nesigqi, nokuqopha noma yikuphi ukukhubazeka.
Isetshenziselwa ukuthola izinguquko ezingavamile emsindweni wenhliziyo ezingabonwa ukuhlolwa kwenhliziyo (njenge-monitor ye-Holter) okuvame ukwenziwa kabili ngosuku. Le divayisi ingashiywa emzimbeni wakho kuze kube yiminyaka emithathu . Uma udokotela ethola ulwazi oludingekayo phakathi naleso sikhathi, ingasuswa kusenesikhathi.
Kungani udokotela angakuncoma le divayisi?
Udokotela wakho wenhliziyo angancoma i-ILR uma:
- Uma unesifo sokuwa noma ukushaya kwenhliziyo okungachazeki: Lokhu kungasiza ekutholeni imbangela yangempela uma ezinye izivivinyo zehlulekile ukuthola imbangela.
- Thola ukukhubazeka okungavamile kwesigqi senhliziyo (i-arrhythmias): Ezinye izinhlobo ze-arrhythmias, njenge-``Atrial Fibrillation - AFib``, azivamile. Le divayisi iwusizo kakhulu ezimweni ezinjalo.
- Qaphela i-arrhythmia esivele itholakale ngesikhathi iselashwa.
- Qapha ukusebenza kukagesi kwenhliziyo ngemva kokuhlaselwa yinhliziyo noma isifo sohlangothi.
Isebenza kanjani le gajethi encane?
Cabanga ngakho njengokuhlola inhliziyo yakho okuncane. Kubona ukusebenza kukagesi kwenhliziyo yakho futhi kuqophe noma yiziphi izinguquko ezingavamile. Kuncane kakhulu, cishe isentimitha elilodwa noma amabili ubude.
Ngenxa yokuthi itholakala ngaphansi kwesikhumba (ngaphansi kwesikhumba), ungabona iqhubu elingaphezu kwesikhumba, kodwa ngeke uzwe ubuhlungu noma ukungakhululeki.
Le divayisi isebenza ngezindlela ezimbili:
1. Ngokuzenzakalelayo: Uma le divayisi ithola ukungahambi kahle kwenhliziyo yakho, noma ngabe awunazo izimpawu, izoqopha ngokuzenzakalelayo lesi sigameko.
2. Ngesandla: Le divayisi iza ne-activator encane ongayibamba ngesandla sakho.Uyakuqonda. Uma uzizwa uphelelwa amandla noma inhliziyo yakho ishaya ngokushesha, kufanele ucindezele inkinobho ku-activator. Ngemuva kwalokho, le divayisi iqopha umsebenzi wenhliziyo yakho ngaleso sikhathi kanye nesikhathi esifushane ngaphambi kwalokho. Lokhu kuzosiza udokotela wakho aqonde ubudlelwano phakathi kwezimpawu zakho nomsebenzi wenhliziyo ongavamile.
Lonke lolu lwazi lugcinwa enkumbulweni yalo. Lube selwenza lolo lwazi lutholakale kudokotela wakho ngesikhathi esifanele.
Kwenzekani ngaphambi kokuba idivayisi ifakwe?
Okokuqala, udokotela wakho uzonquma ukuthi uyayidinga ngempela le divayisi. Ukuze enze lokhu, uzobuyekeza umlando wakho wezokwelapha, enze ukuhlolwa ngokomzimba, futhi, uma kudingeka, enze izivivinyo ezimbalwa.
- `EKG` (I-Electrocardiogram)
- I-Echocardiogram (ukuskena kwenhliziyo)
- `Ukuhlolwa kokucindezeleka kokuzivocavoca` (ukuhlolwa okwenziwa ngesikhathi uzivocavoca)
- `Ukuhlolwa kwetafula elithambekele` (ukuhlolwa kokuhlola isiyezi)
Uma, ngemva kwalezi zivivinyo, imbangela ecacile yezimpawu zakho ingatholakali, kunganconywa i-ILR.
Udokotela wakho uzokweluleka ukuthi ungayilungiselela kanjani inqubo. Ngokuvamile uzozizwa ulele kancane, ngakho-ke uzocelwa ukuthi ulethe umuntu ozokuhambisa ekhaya ngemuva kwenqubo . Akukhuthazwa ukushayela amahora angama-24.
Ingabe kuyinto enkulu ukulungisa lokhu? Injani inqubo?
Lutho neze. Lena inqubo elula kakhulu, encane. Ungaya ekhaya ngalolo suku. Ngeke unikezwe i-anesthesia ngokuphelele, kodwa uzonikezwa imithi yokukusiza uphumule futhi ungazizwa ubuhlungu.
Lokhu kuvame ukwenziwa udokotela ogxile ohlelweni lukagesi lwenhliziyo ("i-Electrophysiologist"). Izinyathelo yilezi ezilandelayo:
1. Uzonikezwa umuthi wokudambisa kanye nowokubulala izinzwa wendawo ukuze uqede indawo ukuze ungezwa ubuhlungu.
2. Kwenziwa ukusika okuncane kakhulu esikhumbeni ohlangothini lwesobunxele lwesifuba sakho.
3. Kudalwa isikhala esincane (iphakethe) ngaphansi kwesikhumba ukuze kubekwe idivayisi.
4. Idivayisi ye-ILR ifakwa kuleso sikhala.
5. I-incision ivalwa ngezitishi noma uhlobo olukhethekile lweglue (`glue yokuhlinzwa`).
6. Ekugcineni, idivayisi iyasebenza ngokubeka into efana nemagnet eduze kwesifuba.
Lonke lolu hlelo luthatha isikhathi esifushane kakhulu, cishe imizuzu eyi-10 kuya kweyi-15 .
Yiziphi izinzuzo kanye nokungalungi kwalokhu?
Njenganoma iyiphi inqubo yezokwelapha, kunezinzuzo nezinkinga. Udokotela wakho uzoxoxa nawe ngalokhu bese enza isinqumo.
| Izinzuzo | Izinkinga |
|---|---|
| Ukuqapha isikhathi eside: Ukusebenza kwenhliziyo kungaqashwa isikhathi eside kakhulu (kuze kube yiminyaka emi-3) kunamanye amadivayisi. Lokhu kuyinzuzo enkulu. | Kudingeka ukuhlinzwa okuncane: Kudingeka inqubo encane ukuze kulungiswe ngaphansi kwesikhumba. |
| Ukubika okuzenzakalelayo: Ngisho noma ungaziboni izimpawu, lokhu kubikwa ngokuzenzakalela uma uba nenkinga yenhliziyo. | Ingozi yokutheleleka: Ezimweni ezingavamile, ukutheleleka kungavela endaweni lapho idivayisi ibekwe khona. Uma lokhu kwenzeka, kuzodingeka uthathe ama-antibiotic. |
| Ubulula: Njengoba ingaphakathi emzimbeni, ayiphazamisi imisebenzi yakho yansuku zonke, njengokugeza noma ukubhukuda. Ayibonakali nangaphandle. | Ukungezwani komzimba: Abanye abantu bangase babe nokungezwani komzimba nento ekule divayisi. Uma kunjalo, kungadingeka usebenzise indlela ehlukile yokuqapha. |
Cha. Le divayisi ngeke ilimaze inhliziyo yakho. Ngeke ishintshe ukushaya kwenhliziyo yakho noma ikunike ukwethuka kukagesi. Izoqapha kuphela ukusebenza kukagesi kwenhliziyo yakho futhi iqophe noma yiziphi izinguquko.
Yini okufanele ngiyinake ngemva kokufaka idivayisi?
Iningi labantu lingaya ekhaya ngalolo suku bese liqhubeka nemisebenzi yalo evamile. Ngaphambi kokuba uye ekhaya, udokotela wakho uzokukhombisa ukuthi ungayisebenzisa kanjani imishini eza nedivayisi. Lokhu kufaka phakathi i-activator oyicindezelayo uma unezimpawu kanye ne-transmitter ethumela idatha kudokotela wakho.
Uzonikezwa nemiyalelo yokuthi ungayigcina kanjani indawo ihlanzekile. Kungase kube nobuhlungu kanye nokushaqeka endaweni ezinsukwini ezimbalwa zokuqala. Lokhu kuvamile. Kuzophela ezinsukwini ezimbalwa. Udokotela uzokutshela nokuthi kufanele ugcine indawo ihlanzekile futhi yomile isikhathi esingakanani.
Uma unalezi zimpawu, shayela udokotela wakho ngokushesha!
Uma unezinye zalezi zimpawu endaweni lapho kufakwe khona idivayisi (incision), tshela udokotela wakho ngokushesha . Lezi zingase zibe izimpawu zokutheleleka.
| Izici okufanele uziqaphele |
|---|
| Ubomvu noma ukushintsha kombala eduze kwesilonda |
| ukuvuvukala okuvuvukile |
| 🩸 Ukopha |
| 🟡 Ubomvu obuvuzayo noma olunye uketshezi |
Lokhu kuhluke kanjani kumshini wokushaya indlwabu?
Lona umbuzo obaluleke kakhulu. Lawa amadivayisi amabili enza imisebenzi emibili ehluke ngokuphelele.
- I-Loop Recorder (ILR): Lena idivayisi yokuxilonga . Ifana nekhamera. Iqopha kuphela okwenzekayo enhliziyweni. Ayithinti inhliziyo nganoma iyiphi indlela.
- I-Pacemaker: Lena idivayisi " yokwelapha" . Njengodokotela, ithola ukukhubazeka kwesigqi senhliziyo bese ithumela izimpawu zikagesi ukuze zilungiswe.
Kalula nje, ulwazi oluvela ku-Loop Recorder lukusiza ukuthi unqume ukuthi uyayidinga yini i-pacemaker noma cha.
Ingabe lokhu kungasiza ekuboneni ukuhlaselwa yinhliziyo?
Cha. Le divayisi ayiklanyelwe leyo njongo. Kodwa-ke, ingakwazi ukubona ama-arrhythmia, okuyizinkinga zokuhlaselwa yinhliziyo.
Khumbula, ukuhlaselwa yinhliziyo kuyisimo esiphuthumayo sezokwelapha. Uma uzwa ubuhlungu besifuba noma ezinye izimpawu zokuhlaselwa yinhliziyo, ungalindi ukuthi le divayisi ibike. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
Okokugcina, kuyinto evamile ukuzizwa ukhungathekile uma izimpawu zakho zingabonakali ekuhlolweni. Kodwa ngenxa yokuthi i-Implantable Loop Recorder iqapha inhliziyo yakho isikhathi eside, udokotela wakho cishe uyobona inkinga futhi ayithole. Lokhu kungaholela ezimpendulweni obuzifuna, kanye nokululama okusheshayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Implantable Loop Recorder (ILR) iyithuluzi elincane elifakwa ngaphansi kwesikhumba ukuze liqaphe isigqi senhliziyo isikhathi eside.
- Lokhu kusetshenziselwa kakhulu ukuthola imbangela yokuquleka okungachazeki kanye nokushaya kwenhliziyo okungachazeki.
- Inqubo yokufaka ilula kakhulu, iyashesha, futhi ayinangozi eningi.
- Le divayisi iqopha idatha kuphela; ayilaphi noma ayithinti inhliziyo nganoma iyiphi indlela.
- Uma ubona noma yiziphi izimpawu zokubomvu, ukuvuvukala, noma ubomvu endaweni yedivayisi, yazisa udokotela wakho ngokushesha.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho