Ingabe udokotela wakho wake wakutshela ukuthi inhliziyo yakho ishaya kancane kakhulu? Uma lokho kwenzeka, ungazizwa ubuthakathaka futhi ukhathele. Ngakho-ke, ukuze sisize ngalezi zinhlobo zokushaya kwenhliziyo okuhamba kancane, sisebenzisa idivayisi ebizwa ngokuthi i-pacemaker. Kodwa namuhla asikhulumi nge-pacemaker evamile, kodwa nge-"pacemaker" encane kakhulu, engenazintambo, yesimanje.
Iyini i-Pacemaker engena-Lead?
Kalula nje, lena idivayisi encane kakhulu, eneyunithi eyodwa. Udokotela uyifaka enhliziyweni yakho ukuze avimbele inhliziyo yakho ukuthi ingayinciphisi ijubane. Okukhethekile ngalokhu ukuthi zonke izingxenye zisedivayisini eyodwa. Lokho kusho ukuthi ayikho ibhethri ehlukile, azikho izintambo (ama-lead) zokuxhuma enhliziyweni yakho . Ngoba yonke le divayisi ibekwe ngaphakathi kwe-ventricle yesokudla yenhliziyo yakho.
Cabanga nje, lokhu kuncane kunebhethri le-AAA esilisebenzisayo. Kubukeka njengesilinda esincane sensimbi, esingaba yi-intshi eli-1 ngo-1.5 ubude.
Isebenza kanjani le divayisi encane?
Lena idivayisi ehlakaniphe kakhulu. Udokotela uyihlela ngendlela ekufanele. Ngemuva kwalokho, le pacemaker iqapha izimpawu zikagesi zemvelo zenhliziyo yakho. Uma ukushaya kwenhliziyo kwemvelo kuba ngokushesha kakhulu, le divayisi ihambisa umfutho kagesi omncane kakhulu emisipheni yenhliziyo. Isebenza njengokucindezela okuncane enhliziyweni. Lokhu kusiza ukubuyisela isigqi senhliziyo.
Ubani ofanelekela lo mshini wokushaya indlwabu?
Ama-pacemaker avame ukusetshenziselwa ukusiza abantu abanezimo ezibangela ukuba inhliziyo ishaye kancane kakhulu, okubizwa ngokuthi ama-bradyarrhythmia . Le pacemaker engenantambo ifaneleka kakhulu kubantu abanezimo ezilandelayo:
- Kulabo abadinga usizo lwe-pacemaker kuphela ngezinye izikhathi.
- I-Atrial fibrillation (i-Afib) yisimo lapho ukushaya kwenhliziyo kwehla noma kuyeka ngezikhathi ezithile.
- I-fibrillation ye-atrial noma isigqi se-sinus esine -AV block .
- I-Bradycardia-tachycardia syndrome , lapho ukushaya kwenhliziyo kuhamba kancane futhi kushesha khona.
- Inhliziyo ishaya kancane (bradycardia) enezimpawu.
Kodwa lokhu akufanele wonke umuntu. Njengamanje, le divayisi itholakala kuphela kulabo abadinga ukwesekwa kwe-pacemaker ekamelweni elilodwa lenhliziyo.
Udokotela wakho uzonquma ukuthi lokhu kulungile yini kuwe. Uzobuyekeza umlando wakho wezokwelapha, isigqi senhliziyo, kanye ne-echocardiogram.Ngibheka ngokucophelela imibiko yokuhlolwa efana nale.
Uzilungiselela kanjani ngaphambi kwalokhu kuhlinzwa?
Lokhu akuyona inqubo enkulu yokuhlinzwa, kodwa kudinga ukulungiselela okuncane.
- Hlela kusenesikhathi ukuthi othile akuyise ekhaya usuka esibhedlela ngemva kokuhlinzwa.
- Udokotela wakho uzokweluleka ngokuthi kufanele uyeke nini ukudla nokuphuza ngaphambi kokuhlinzwa, kanye nokuthi kufanele uyeke yini ukuthatha noma yimiphi imithi.
- Into ebaluleke kakhulu ukuthi, ungayeki ukuthatha noma yimiphi imithi oyithathayo ngaphandle kweseluleko sikadokotela wakho.
Inqubo yokufaka le pacemaker
Ungakhathazeki ngalokhu, inqubo ilula kakhulu. Ngokuvamile kuthatha cishe imizuzu engama-30.
1. Okokuqala, indawo yakho yezimbobo izoba ndikindiki. Ngeke uzwe lutho.
2. Bese kwenziwa ukusika okuncane kakhulu kuleyo ndawo.
3. Ngaleso simbozo, ithubhu elincane elibizwa ngokuthi i-catheter lifakwa emthanjeni omkhulu emlenzeni wakho ( umthambo we-femoral ).
4. Ngesikhathi ebuka umshini we-X-ray, udokotela uqondisa ngokucophelela i-catheter iye enhliziyweni.
5. I-pacemaker ifakwa ku-ventricle yesokudla yenhliziyo futhi inamathele emisipheni yenhliziyo.
6. Ngemuva kwalokho, i-pacemaker iyahlolwa ukuqinisekisa ukuthi isebenza kahle futhi ixhunywe kahle.
7. Ekugcineni, i-catheter iyasuswa futhi ukopha kuyamiswa ngokufaka ingcindezi endaweni yokusikwa.
Yiziphi izinzuzo kanye nokungalungi kwalokhu?
Njenganoma iyiphi enye indlela, kunezinzuzo nezinkinga. Udokotela wakho uzoxoxa nawe ngalokhu futhi akusize unqume ukuthi yikuphi okungcono kakhulu kuwe.
| Ochwepheshe | Ububi Nezingozi |
|---|---|
| Azikho izintambo (ama-lead) noma ibhethri elihlukile elidingekayo ukuxhuma i-pacemaker. Ngakho-ke, kunezinkinga ezimbalwa ezifana nokutheleleka kanye nezintambo eziphukile ezenzeka kuma-pacemaker avamile. | Ikamelo elilodwa kuphela lenhliziyo (i-ventricle) elingasiza. |
| Akubonakali njengeqhubu ngaphansi kwesikhumba sesifuba. Futhi, akukho ukusikwa noma isibazi esifubeni. | Awukwazi ukushaqeka inhliziyo ngogesi ngokuzumayo. Lokho kusho ukuthi awukwazi ukuyisusa umoya . |
| Isikhathi sokuhlinzwa sifushane. | Kungase kube nokuvuvukala noma ukuphuma kwegazi endaweni yokusikwa (lena inkinga evame kakhulu). |
| Njengoba kungekho zintambo, akukho mingcele emisebenzini yomzimba ongaphezulu ngemva kokuhlinzwa. | Kukhona ingozi engavamile kakhulu yokwehluleka kwenhliziyo. |
| Ngokuvamile kuphephile ukwenza i-MRI scans. | Kubiza kakhulu kunezinjini zokulawula ijubane zendabuko. |
Kuphumelele kangakanani lokhu? Kuzohlala isikhathi esingakanani?
Izifundo zibonise ukuthi ukufakwa kwale divayisi kunesilinganiso sempumelelo esiphakathi kuka-95% no-99% , kanye nesilinganiso sezinkinga esingaphansi kuka-2%.
Ibhethri livame ukuhlala phakathi kweminyaka emi-5 neyi-15 . Uma ibhethri seliphelile, udokotela angasusa i-pacemaker endala bese efaka entsha. Ngenxa yokuthi kukhona isikhala enhliziyweni, entsha ingafakwa ngenkathi endala ihlala endaweni yayo.
Ingabe ngidinga ukubona udokotela futhi? Kuzothatha isikhathi esingakanani ukululama?
Yebo, nakanjani. Udokotela kuzodingeka akubone ngemva kokuhlinzwa ukuze ahlole ukululama kwakho kanye nokusebenza kwedivayisi.
- Kungakapheli amahora angama-24 ngemuva kokuhlinzwa
- Ngenyanga eyodwa
- Bese kuthi njalo ezinyangeni ezi-3, ezi-6, noma eziyi-12
Ngokuvamile ungabuyela emisebenzini yakho yansuku zonke cishe emavikini amabili ngemva kokuhlinzwa.
Uma kwenzeka into efana nale, shayela udokotela ngokushesha!
Qiniseka ukuthi uyazinaka lezi zimpawu futhi ukhulume nodokotela wakho ngokushesha.
- Uma kukhona ukutheleleka noma ukopha lapho kwenziwa khona ukusikwa embotsheni.
- Uma iqakala noma unyawo lwakho luvuvukala .
- Uma izimpawu ezifana nokuzungeza nokukhathala ezazikhona ngaphambi kokufakwa kwe-pacemaker ziyabuya .
- Uma uzizwa unesizungu noma uphelelwa amandla .
- Uma unenkinga yokuphefumula .
Okokugcina, kuvamile ukuzizwa ukhathazekile ngokuba nedivayisi emzimbeni wakho. Kodwa lobu ubuchwepheshe obusebenza kahle kakhulu futhi obuphephile. Kodwa-ke, akusona ikhambi elingcono kakhulu lawo wonke umuntu. Kwabanye abantu, i-pacemaker yendabuko iyona engcono kakhulu. Ngakho-ke vula nganoma yimiphi imibuzo noma ukukhathazeka onakho nodokotela wakho. Angakusiza ukhethe okulungele wena.
Umlayezo Wokuya Nawe Ekhaya
- I-pacemaker engena-lead iyithuluzi elincane kakhulu, elingenantambo elilawula ukushaya kwenhliziyo.
- Lokhu akufakwe ngokusikwa esifubeni, kodwa ngokusikwa okuncane esinqeni.
- Ukululama kuyashesha kunangemishini yokwelapha i-pacemaker evamile, futhi kunemikhawulo embalwa emisebenzini yansuku zonke ngemva kokuhlinzwa.
- Lokhu akufanele wonke umuntu. Udokotela wakho kuphela onganquma ukuthi lokhu kulungile yini kuwe noma cha.
- Landela imiyalelo kadokotela ngokucophelela ngaphambi nangemva kokuhlinzwa. Uma uhlangabezana nanoma yiziphi izimpawu ezisolisayo, mtshele ngokushesha.
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