Ingabe ngezinye izikhathi uzizwa sengathi ukushaya kwenhliziyo yakho kusebenza ngendlela exakile? Mhlawumbe kuzwakala sengathi kugijima ngokungalindelekile, noma ngokuphambene nalokho, kushaya kancane kakhulu? Ingabe uhlangabezana nokuzizwa unesizungu noma ukuphelelwa umoya? Le mizwa ingaba izimpawu zokuthi isigqi semvelo senhliziyo yakho asisebenzi kahle. Namuhla, sizokhuluma ngedivayisi encane kodwa eshintsha impilo esiza ukugcina inhliziyo yakho ihambisana kahle: i-pacemaker. Siyakwamukela eNirogi Lanka.
Iyini ngempela i-Pacemaker?
Kalula nje, i-pacemaker iyithuluzi elincane likagesi elifakwa emzimbeni wakho ngesikhathi sokuhlinzwa okuncane. Lincane kakhulu, ngokuvamile lincane kunebhokisi likamentshisi. Umsebenzi walo oyinhloko ukusekela uhlelo lwemvelo lukagesi lwenhliziyo yakho.
Cabanga ngenhliziyo yakho njengephampu eshaya ngesigqi esithile. Lesi sigqi silawulwa isignali kagesi yangaphakathi. Uma lolu hlelo luba nephutha noma luba buthaka, ukushaya kwenhliziyo yakho kungaba okungajwayelekile—ukushaya ngokushesha kakhulu, kancane kakhulu, noma ukweqa ukushaya. I-pacemaker ihlala iqapha ukusebenza kwenhliziyo yakho futhi, kuphela uma kudingeka, ithumela izimpawu zikagesi ezithambile ukuqinisekisa ukuthi inhliziyo yakho igcina isigqi esinempilo nesizinzile.
Yiziphi izimo zezokwelapha ezidinga i-Pacemaker?
Kunezinkinga eziningana zenhliziyo ezingaphathwa ngempumelelo nge-pacemaker. Nazi izibonelo ezimbalwa ezivamile:
- I-Irregular heart rhythm (Arrhythmia): Lesi yisisombululo esisebenza kahle kakhulu sokuphatha izinhlobo ezithile zezinkinga zesigqi senhliziyo.
- Ukuvaleka kwenhliziyo: Uma kukhona ukuphazamiseka emizileni yokuhambisa ugesi enhliziyweni yakho.
- Ukwehluleka kwenhliziyo: Kusetshenziswa njengokwelashwa okusekelayo lapho imisipha yenhliziyo yakho ibuthakathaka futhi ingakwazi ukupompa igazi kahle emzimbeni wakho wonke.
- Umlando wokuhlaselwa yinhliziyo kwangaphambilini: Kwezinye izimo, umonakalo ohlelweni lukagesi lwenhliziyo yakho ungase uvele ngemva kokuhlaselwa yinhliziyo, okudinga ukungenelela.
Izimpawu zokuthi ungadinga i-pacemaker
Udokotela wakho wenhliziyo uzonquma ukuthi ngabe kudingeka yini i-pacemaker ngokusekelwe ekuhlolweni kwakho kwezokwelapha. Kodwa-ke, uma uhlangabezana nezimpawu ezibalwe ngezansi, kufanele uthintane nochwepheshe wezempilo. Ungazinaki lezi zimpawu eziyisixwayiso.
| Isibonakaliso | Incazelo Elula |
|---|---|
| Ubuhlungu besifuba (i-Angina) | Umuzwa wokuqina noma ubuhlungu esifubeni lapho inhliziyo ingatholi igazi elanele. |
| Isilinganiso senhliziyo esisheshayo (i-Tachycardia) | Uma inhliziyo ishaya ngokushesha okungaphezu kwezikhathi eziyi-100 ngomzuzu ngaphandle kwesizathu esibonakalayo. |
| Isilinganiso senhliziyo esihamba kancane (i-Bradycardia) | Uma inhliziyo ishaya ngaphansi kwezikhathi ezingama-60 ngomzuzu ngenkathi uphumule. |
| Isilinganiso senhliziyo esingajwayelekile (i-Arrhythmia) | Uma isigqi senhliziyo singaguquguquki, sibonakala ngokushaya okungeqiwe noma ukushaya kwenhliziyo okwengeziwe. |
| Ukushaya kwenhliziyo | Umuzwa ongakhululekile wokuthi inhliziyo iyashaya, ishaya ngamandla, noma ishaya esifubeni sakho. |
| Ukuphelelwa umoya | Ubunzima bokuphefumula, ikakhulukazi ngesikhathi sokuzikhandla ngokomzimba. |
| Ukuzizwa unesizungu noma ukuphelelwa amandla okungachazeki | Izigameko ezingazelelwe zokuphelelwa yikhanda, ukubona okufiphele, isicanucanu, noma ukulahlekelwa ukwazi. |
| Ukuvuvukala emaqakaleni, emilenzeni, noma esiswini | Ukuvuvukala okubangelwa ukugcinwa koketshezi emzimbeni. |
Izinhlobo ze-pacemaker ezitholakalayo
Kuye ngesimo senhliziyo yakho, udokotela wakho wenhliziyo uzokhetha uhlobo olufanele kakhulu lwe-pacemaker. Lokhu kungaba nezintambo (izintambo) eyodwa, ezimbili, noma ezintathu.
- I-Pacemaker Engenalo I-Lead: Cishe ilingana ne-capsule enkulu yamavithamini. Ifakwa nge-catheter ngqo enhliziyweni bese inamathela odongeni lwenhliziyo, okususa isidingo sezintambo zangaphandle.
- I-Pacemaker yegumbi elilodwa: Isebenzisa intambo eyodwa exhunywe ekamelweni elilodwa lenhliziyo.
- I-Pacemaker enamakamelo amabili: Isebenzisa izintambo ezimbili ezixhunywe emakamelweni amabili ahlukene enhliziyo.
- I-Biventricular Pacemaker: Isebenzisa ama-lead amathathu, aziwa nangokuthi i-Cardiac Resynchronization Therapy (CRT). Lokhu kuhlanganisa wonke amakamelo enhliziyo ukuze ashaye ngesigqi esivumelanisiwe.
Udokotela wakho angase futhi ancome i-Implantable Cardioverter Defibrillator (ICD). Nakuba i-pacemaker ilawula isigqi senhliziyo yakho, i-ICD yenza okwengeziwe: iqapha isigqi esisheshayo esisongela impilo futhi inikeze ukushaqeka okuncane kagesi ukubuyisela inhliziyo yakho esigqini sayo esijwayelekile nesinempilo.
Ingabe lokhu kungukuhlinzwa okukhulu?
Cha. Ngentuthuko yezokwelapha yesimanje, le nqubo ngokuvamile akuyona indlela enkulu yokuhlinzwa kwenhliziyo. Yenzelwe ukuthi ingangenisi ubuhlungu obuningi, iqinisekise ukuthi ubuhlungu buncane futhi kululame ngokushesha ukuze ukwazi ukubuyela ekhaya ngokushesha.
Ngokuvamile, kwenziwa ukusika okuncane ngaphansi kwethambo lentamo, bese kuthi umsizi (ama-lead) aqondiswe ngomthambo uye enhliziyweni. Ibhethri le-pacemaker libe selifakwa ephaketheni elincane ngaphansi kwesikhumba eduze kokusika. Yonke inqubo ithatha amahora ambalwa kuphela. Udokotela wakho wenhliziyo uzochaza inqubo efanele kakhulu kuwe eNirogi Lanka.
Yiziphi izinzuzo ze-pacemaker?
Umgomo oyinhloko we-pacemaker ukuthuthukisa ikhwalithi yokuphila kwakho iyonke.
- Ukukhululeka ezimpawini: Izimo eziningi ezifana nobuhlungu besifuba, isiyezi, ukuquleka, kanye nokuphelelwa umoya okubangelwa izinkinga zesigqi senhliziyo ziyancipha kakhulu noma ziqedwe.
- Ukuvimbela izimo eziphuthumayo: Kuvimbela izehlakalo ezicindezelayo njengokuquleka noma ukuwa ngokuzumayo.
- Kusindisa impilo: Okubaluleke kakhulu, kungakuvikela ezimweni ezisongela impilo lapho inhliziyo ingayeka ukushaya kahle.
Ingabe zikhona izingozi?
Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane, yize zingavamile kakhulu. Izinkinga ezingaba khona ezifana nokusabela kokungezwani komzimba, amahlule egazi, noma ukungasebenzi kahle kwedivayisi akuvamile, futhi ithimba lakho lezokwelapha eNirogi Lanka lithatha zonke izinyathelo zokuphepha ukuze linciphise lezi zingozi. Ukulandela inqubo yakho, kubalulekile ukuthi ugweme ukuphakamisa izinto ezisindayo isikhathi esifushane futhi unamathele ngokuqinile emiyalweni kadokotela wakho yangemva kokuhlinzwa.
Ibhethri le-pacemaker lihlala isikhathi esingakanani?
Isikhathi sokuphila kwebhethri lakho le-pacemaker sincike kumodeli ethile yedivayisi nokuthi idinga ukushesha kangaki ukuze inhliziyo yakho isheshise. Ngokuvamile, amabhethri amaningi e-pacemaker anamuhla ahlala iminyaka eyi-10 kuya kweyi-15 . Ukufaka ibhethri esikhundleni salo kuyinqubo elula kakhulu kunokufakelwa kokuqala. Udokotela wakho uzohlela ukuvakasha okulandela njalo eNirogi Lanka ukuze aqaphe amazinga ebhethri lakho eduze.
Umlayezo Wokuya Nawe Ekhaya
- I-pacemaker iyithuluzi elisindisa impilo elenzelwe ukugcina isigqi senhliziyo yakho; asikho isidingo sokukhathazeka ngayo.
- Uma uzwa ukushaya kwenhliziyo okungajwayelekile, ukuphelelwa umoya, noma isiyezi, ungazinaki lezi zimpawu —xhumana nodokotela wakho ngokushesha noma ufune izinsizakalo eziphuthumayo.
- Ngemva kokuthola i-pacemaker yakho, sicela ulandele ngokuqinile isiqondiso sikadokotela wakho mayelana nemithi kanye nokuhlolwa okuhleliwe emtholampilo wethu.
- Lalela umzimba wakho. Uma ubona ukubuya kwezimpawu zakho zangaphambilini, ubunzima bokuphefumula, noma ukuvuvukala okuqhubekayo emilenzeni yakho, xhumana nodokotela wakho ngokushesha.
- Khumbula, lokhu kuyisiqalo esisha sempilo yakho. Le divayisi encane izokunika amandla okuphila impilo evamile, esebenzayo, neyanelisayo.
I-Pacemaker, isifo senhliziyo, izinga lokushaya kwenhliziyo, i-arrhythmia, isigqi senhliziyo, i-bradycardia, i-tachycardia, izimo zenhliziyo, ubuhlungu besifuba
