Ingabe ngezinye izikhathi uzizwa inhliziyo yakho ishaya ngendlela exakile? Ngokungazelelwe ishaya ngokushesha okukhulu, noma izwa sengathi iyashaya? Noma uzizwa uphelelwa amandla ngokuzumayo noma unenkinga yokuphefumula? Lokhu kungabangelwa ushintsho oluthile esigqini senhliziyo yethu. Ngakho-ke namuhla sikhuluma ngedivayisi encane, kodwa ebaluleke kakhulu ezosiza inhliziyo yakho ngezikhathi ezinjengalezi. Leyo yi-pacemaker.
Ngakho-ke, iyini i-pacemaker?
Kalula nje, i-pacemaker iyithuluzi elincane le-elekthronikhi elifakwa emzimbeni wakho, ngokuvamile ngokuhlinzwa okuncane. Lilingana nebhokisi lomentshisi. Umsebenzi walo oyinhloko ukusekela uhlelo lwemvelo lukagesi enhliziyweni yethu.
Cabanga ukuthi inhliziyo yethu ifana nephampu esebenza ngesigqi esithile. Le phampu inikezwa imiyalo yokusebenza kahle uhlelo oluncane lukagesi enhliziyweni uqobo. Ngezinye izikhathi, uma kukhona iphutha noma ubuthakathaka kulolu hlelo lukagesi, inhliziyo ishaya ngokungajwayelekile. Ishaya ngokushesha kakhulu noma kancane kakhulu. Lokho okwenziwa yi-pacemaker ukuqapha ukushaya kwenhliziyo nokuthumela isignali encane kagesi kuphela uma kudingeka, ukubuyisela isigqi senhliziyo esigqini esifanele.
Yiziphi izimo ezidinga i-pacemaker?
Kunezimo eziningana ezingelashwa nge-pacemaker. Nazi ezinye zazo:
- Ukuphazamiseka kwesigqi senhliziyo: Lesi yisisombululo esihle kakhulu kwezinye izinkinga zesigqi senhliziyo (i-Arrhythmia).
- Ukuvinjwa kwenhliziyo: Uma kukhona ukuvinjwa ezindleleni lapho izimpawu zikagesi zihamba khona enhliziyweni (ama-Heart Blocks).
- Ukwehluleka Kwenhliziyo: Kusetshenziswa futhi njengokusekela lapho inhliziyo ibuthakathaka futhi ingakwazi ukupompa igazi elanele emzimbeni.
- Ukuba nomlando wokuhlaselwa yinhliziyo ngaphambilini: Ngezinye izikhathi uhlelo lukagesi lwenhliziyo lungalimala ngemva kokuhlaselwa yinhliziyo.
Yiziphi izimpawu ezingase zibonise ukuthi udinga i-pacemaker?
Udokotela ozokuxilonga uzonquma ukuthi uyayidinga yini i-pacemaker. Kodwa uma unezinye zezimpawu ezingezansi, kufanele ukhulume nodokotela ngazo. Ungazinaki.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ubuhlungu besifuba (i-Angina) | Ukuqina kwesifuba noma ubuhlungu obuvela lapho inhliziyo ingatholi igazi elanele. |
| Inhliziyo esheshayo (i-Tachycardia) | Inhliziyo ishaya ngokushesha okungaphezu kwezikhathi eziyi-100 ngomzuzu ngaphandle kwesizathu. |
| Inhliziyo eshaya kancane (i-Bradycardia) | Isilinganiso senhliziyo esingaphansi kwama-beats angu-60 ngomzuzu lapho uphumule. |
| Ukushaya kwenhliziyo okungajwayelekile (i-Arrhythmia) | Inhliziyo ishaya ngokungajwayelekile, yeqa ukushaya okuthile, noma ibe nokushaya okwengeziwe. |
| Ukushaya kwenhliziyo | Umuzwa ongakhululekile njengokungathi inhliziyo ishaya noma igobhoza esifubeni. |
| Ubunzima bokuphefumula | Ikakhulukazi uma ukhathele kancane. |
| Ukuzizwa unesizungu, ukuquleka | Ukuzungeza okungazelelwe, amehlo aluhlaza okwesibhakabhaka, isicanucanu, noma ukuquleka. |
| Ukuvuvukala kwamaqakala, imilenze, kanye nesisu | Ukuvuvukala okubangelwa ukunqwabelana koketshezi emzimbeni. |
Yiziphi izinhlobo ze-pacemaker ezikhona?
Kuye ngesimo senhliziyo yakho, udokotela wakho uzokhetha uhlobo lwe-pacemaker olukulungele. Lokhu kungaba nomsizi oyedwa, ababili, noma abathathu.
- I-Pacemaker Engenamthofu: Lokhu kucishe kube usayizi we-capsule enkulu yamavithamini. Kufakwa enhliziyweni nge-catheter (ithubhu) bese kufakwa odongeni lwenhliziyo. Lokhu kuqeda isidingo sezintambo zangaphandle.
- I-Pacemaker yegumbi elilodwa:Lokhu kunentambo eyodwa kuphela. Kunamathele ekamelweni elilodwa lenhliziyo.
- I-pacemaker enamakamelo amabili: Lena inezintambo ezimbili ezixhunywe emakamelweni amabili enhliziyo.
- I-Biventricular Pacemaker: Lokhu kunezintambo ezintathu. Kubizwa nangokuthi 'i-Cardiac Resynchronization Therapy (CRT).' Lokhu kwenza wonke amakamelo enhliziyo asebenze ndawonye, ngesigqi esifanayo.
Udokotela wakho angase futhi ancome i-implantable cardioverter defibrillator (ICD), efana ne-pacemaker kodwa ehlukile kancane. I-pacemaker ingalawula kuphela isigqi senhliziyo. Kodwa i-ICD ingalawula nesigqi, futhi uma inhliziyo ingena esigqini esisheshayo ngendlela eyingozi, iyibone bese ikhipha ukushaqeka okuncane kagesi ukuze inhliziyo ibuyele esimeni sayo esijwayelekile.
Ingabe lokhu ukuhlinzwa okukhulu?
Cha. Ngobuchwepheshe obuthuthukisiwe banamuhla, lokhu kuvame ukwenziwa ngaphandle kokuhlinzwa okukhulu kwesifuba. Kwenziwa ngendlela ekuvumela ukuthi uye ekhaya ungenabuhlungu obukhulu, ululame ngokushesha, futhi uzizwe ungcono.
Ngokuvamile, kwenziwa ukusika okuncane esikhumbeni ngaphansi kwethambo lentamo, bese kudluliswa ucingo noma izintambo ngalo ngomthambo wegazi (umthambo) ziye enhliziyweni. Ibhethri le-pacemaker libe selifakwa 'ephaketheni' elincane elenziwe ngaphansi kwesikhumba eduze kokusika. Yonke inqubo ithatha amahora ambalwa. Udokotela wakho uzochaza indlela engcono kakhulu kuwe.
Yiziphi izinzuzo zokuba ne-pacemaker?
Inhloso eyinhloko ye-pacemaker ukuthuthukisa ikhwalithi yempilo yakho.
- Izimpawu eziningi ezibangelwa izinkinga zesigqi senhliziyo, njengobuhlungu besifuba, isiyezi, ukuquleka, kanye nokushaya kwenhliziyo, ziyanyamalala.
- Kuvimbela izinto ezingathandeki njengokulahlekelwa ubuthongo ngokuzumayo nokuwa.
- Okubaluleke kakhulu, kungakusindisa ezimweni ezisongela ukuphila njengokuma kwenhliziyo.
Akuyona yini ingozi-ke?
Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane. Kodwa azivamile. Kunezinto ezifana nokungezwani komzimba, amahlule egazi, kanye nokungasebenzi kahle kwemishini. Kodwa udokotela wakho uzothatha zonke izinyathelo zokuqapha ukuze anciphise lezi zingozi. Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho futhi ugweme umsebenzi onzima isikhashana ngemva kokuhlinzwa.
Ibhethri le-pacemaker lihlala isikhathi esingakanani?
Lokhu kuncike ohlotsheni lwe-pacemaker onayo nokuthi isetshenziswa kangaki. Kodwa amabhethri amaningi e-pacemaker manje ahlala iminyaka eyi-10-15 . Ukushintsha ibhethri kuyinqubo elula kakhulu kunokwenza i-pacemaker kwasekuqaleni. Udokotela wakho uzokuletha ngezikhathi ezithile ukuze ahlole izinga lebhethri.
Umlayezo Wokuya Nawe Ekhaya
- I-pacemaker iyithuluzi elisindisa impilo elisiza ukugcina isigqi esifanele senhliziyo yakho. Ungesabi.
- Uma unezimpawu ezifana nokushintsha kwesigqi sesifuba sakho, isiyezi, noma ukuquleka, ungazinaki futhi ubone udokotela ngokushesha.
- Ngemva kokufakelwa i-pacemaker, landela imiyalelo kadokotela (ukuthatha imithi, ukuya emitholampilo ngesikhathi) ngqo.
- Lalela umzimba wakho. Uma izimpawu zakho zangaphambilini zibuya ngemva kokusebenzisa i-pacemaker, uma unenkinga yokuphefumula, noma uma imilenze yakho ivuvukala, tshela udokotela wakho ngokushesha.
- Khumbula, lesi isiqalo esisha kuwe. Le divayisi encane izokusiza ukuthi uphile impilo evamile nejabulisayo.
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