I-pacemaker encane engenazintambo zenhliziyo? Ake sifunde konke mayelana ne-Leadless Pacemaker!

Uma ucabanga "nge-pacemaker," cishe ucabanga ngedivayisi ebukeka njengeqhubu elincane ngaphansi kwesikhumba sesifuba sakho, elixhunywe ezintanjeni eziningi. Kodwa ngokuthuthuka kwesayensi yezokwelapha, manje sekukhona ubuchwepheshe obulula kakhulu, obuncane, nobungenazintambo. Namuhla, sikhuluma ngaleso simangaliso esincane: 'i-pacemaker engena-lead.'

Iyini le pacemaker engenamthofu?

Kalula nje, iyithuluzi elincane kakhulu, eliyiyunithi eyodwa. Udokotela wakho ulifaka ngqo enhliziyweni yakho. Lenzani? Vimbela ukushaya kwenhliziyo yakho ukuthi kwehle.

Ngokungafani ne-pacemaker evamile, ayinayo ibhethri noma ama-lead ahlukile. Konke kungaphakathi kwalesi silinda esincane. Lonke idivayisi libekwe ku-ventricle yesokudla yenhliziyo yakho. Cabanga nje, lincane kunebhethri le-AAA, elingaba amasentimitha angu-1.5 ubude, uma kukhulunywa ngakho.

Isebenza kanjani le divayisi encane?

Lesi yithuluzi elihlakaniphe kakhulu. Udokotela uyalihlela bese elifaka enhliziyweni yakho. I-pacemaker ibe "ilalela" izimpawu zikagesi zemvelo zenhliziyo yakho.

Uma izinga lokushaya kwenhliziyo yakho lihla ngokuzumayo ngaphansi kwezinga elidingekayo, le divayisi iyakuzwa lokho bese ithumela umfutho kagesi omncane kakhulu enhliziyweni. Lokhu kubangela ukuthi inhliziyo iqale ukushaya ngendlela evamile futhi. Lokhu kusho ukuthi isebenza kuphela uma kudingeka.

Lokhu kufanelekela bani?

Ama-pacemaker avame ukudingwa kubantu abanezinhliziyo ezishaya kancane. Kwezokwelapha, lokhu sikubiza ngokuthi "i-Bradyarrhythmias." Okusho ukuthi, lapho inhliziyo ishaya kancane ngenxa yesifo ohlelweni lokubonisana lukagesi lwenhliziyo.

I-pacemaker engena-lead ingase ifaneleke kakhulu kubantu abanezimo ezilandelayo:

• Kulabo abadinga usizo lwe-pacemaker kuphela ngezinye izikhathi.
• Kulabo abanesimo lapho ukushaya kwenhliziyo kwehla noma kuyeka khona (i-Atrial Fibrillation - Afib).
• Kubantu abanesifo esibizwa ngokuthi `i-AV block`.
• Kulabo abane-"Bradycardia-tachycardia syndrome", lapho ukushaya kwenhliziyo ngezinye izikhathi kuyehla futhi ngezinye izikhathi kuyashesha.
• Kulabo abathola izimpawu ezifana nokuzungeza ngenxa yokushaya kwenhliziyo okuhamba kancane (`(Bradycardia)` enezimpawu).

Udokotela wakho uzonquma ukuthi lokhu kulungile yini kuwe. Uzokubuza mayelana nalokhu okulandelayo:

• Umlando wesifo
• Iphethini yokushaya kwenhliziyo
• Imibiko yokuskena efana nokuthi ``(Echocardiogram)`` iyahlolwa.

Ngingalungiselela kanjani ngaphambi kwalokhu kuhlinzwa?

Lokhu akuyona inqubo enkulu yokuhlinzwa, kodwa udinga ukunakekela lezi zinto ngaphambi kokuba zenzeke.

• Hlela ukuthi othile akuyise ekhaya ngemva kokuhlinzwa.
• Udokotela uzokweluleka ngokuthi kufanele uyeke nini ukudla nokuphuza ngaphambi kokuhlinzwa nokuthi yimiphi imithi okufanele uyeke ukuyisebenzisa.
• Ungalokothi uyeke ukuthatha imithi yakho ngaphandle kweseluleko sikadokotela wakho.

Indlela yokwenza ukuhlinzwa isinyathelo ngesinyathelo

Le nqubo yenzeka kanje. Ngokuvamile kuthatha imizuzu engaba ngu-30.

1. Okokuqala, indawo yakho yezimbotshana izothuthumela.

2. Bese kwenziwa ukusika okuncane kakhulu kuleyo ndawo.

3. Ngaleso simbozo, ipayipi elincane elibizwa ngokuthi ``i-Catheter'' lifakwa komunye wemithambo yakho, ``i-Femoral Vein''.

4. Ngesikhathi ubheka umshini we-X-ray, udokotela uqondisa ngokucophelela ithubhu kuze kufike enhliziyweni yakho.

5. Lo mshini omncane wokushaya kwenhliziyo ufakwa futhi uqiniswe e-ventricle yesokudla yenhliziyo.

6. Bese, hlola ukuze ubone ukuthi isebenza kahle yini nokuthi ifakwe kahle.

7. Uma konke kulungile, ipayipi lizosuswa bese imbobo ivalwa.

Ngemva kokuhlinzwa, uzolala esibhedlela ubusuku bonke. Ngosuku olulandelayo, i-pacemaker izophinde ihlolwe futhi bese kuthathwa i-X-ray yesifuba ngaphambi kokuba uthunyelwe ekhaya.

Yiziphi izinzuzo nezingozi?

Njenganoma iyiphi inqubo yezokwelapha, kunezinzuzo nezinkinga. Udokotela wakho uzoxoxa nawe ngalokhu futhi akusize ukhethe okulungele wena.

Ezinye izinto ezibalulekile okufanele uzazi

Lokhu kuzohlala isikhathi esingakanani?

Ibhethri livame ukuhlala phakathi kweminyaka emi-5 neyi-15. Uma ibhethri seliphelile, udokotela angacima i-pacemaker endala bese efaka entsha eduze kwayo. Ngeke kube yinkinga uma endala isekhona.

Kuthatha isikhathi esingakanani ukuphulukiswa?

Ngokuvamile ungaqhubeka nemisebenzi yakho evamile ngemva kwamasonto amabili.

Ngingaya yini ukuyokwenza i-MRI scan?

Yebo. Esikhathini esiningi, lokhu kuphephile kuma-MRI scan. Kodwa kubalulekile ukukhuluma nodokotela wakho futhi uqinisekise ngaphambi kokukwenza.

Kufanele ngiphinde ngimbone nini udokotela? Yiziphi izimpawu okufanele ngizibike ngokushesha?

Kufanele ubonane nodokotela ngesikhathi esithile. Ukuze ubone ukuthi i-pacemaker isebenza kahle yini, ukuthi ibhethri lilungile yini, nokuthi uyalulama kahle yini.

• Kungakapheli amahora angama-24 ngemuva kokuhlinzwa
• Ngenyanga eyodwa
• Bese kuba njalo ezinyangeni ezi-3, ezi-6, noma eziyi-12.

Uma unalezi zimpawu, shayela udokotela wakho ngokushesha.

• Uma kukhona ukutheleleka (ububomvu, ukuvuvukala, ubomvu) noma ukopha endaweni yokusikwa.
• Uma iqakala noma unyawo lwakho luvuvukala.
• Uma uzwa izimpawu (ezifana nokuzungeza) ezazikhona ngaphambi kokuba kufakwe i-pacemaker futhi.
• Uma uzizwa uphelelwa amandla noma unesizungu ngokuzumayo.
• Uma unenkinga yokuphefumula.

Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane uma ucabanga ngokuba nedivayisi yezokwelapha emzimbeni wakho. Kodwa awuwedwa, izigidi zabantu emhlabeni jikelele ziphila impilo evamile nge-pacemaker. I-pacemaker engenama-lead ayiyona ikhambi elihle kakhulu lawo wonke umuntu, futhi i-pacemaker yendabuko ingaba ngcono kwabanye abantu. Ngakho-ke khuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Uzokusiza ukuthi ukhethe inketho engcono kakhulu kuwe.