Sonke sizwile ngokuboshwa kwenhliziyo okungazelelwe, akunjalo? Ngisho nakumuntu ocabanga ukuthi uphilile, inhliziyo yakhe ingayeka ukusebenza ngokuzumayo futhi ibe yingozi empilweni. Lokhu kuyinto eyethusa abantu abaningi ngempela. Kodwa ngokuthuthuka kwesayensi yezokwelapha, kunemishini emangalisayo namuhla engavimbela ukufa okungazelelwe okunjalo. Namuhla, sizokhuluma ngedivayisi encane kangaka esindisa impilo. Lokhu kubizwa ngokuthi i-S-ICD.
Kalula nje, iyini le-S-ICD?
Incazelo ephelele ye-S-ICD ithi i-Subcutaneous Implantable Cardioverter Defibrillator . Nakuba igama liyinkimbinkimbi kancane, ukuhlinzwa kulula kakhulu. Lena idivayisi encane kagesi efakwa ngaphansi kwesikhumba sakho ngokuhlinzwa. Ingangosayizi webhokisi lomentshisi elincane.
Umsebenzi oyinhloko walo mshini ukuqapha njalo isigqi senhliziyo yakho. Uma isigqi senhliziyo yakho siba ngesivinini esiyingozi, okungukuthi, uma uba nesigqi esingajwayelekile (i-arrhythmia) esisongela impilo, idivayisi ye-S-ICD izosibona ngokushesha. Ngemva kokusibona, sizoletha ukushaqeka okuncane kagesi esifubeni sakho. Lokhu kushaqeka kuzobuyisela ukushaya kwenhliziyo okungajwayelekile esimweni esijwayelekile, okungukuthi, isigqi esijwayelekile. Sibiza le nqubo ngokuthi i-defibrillation .
Kalula nje, i-S-ICD ifana nesivikelo senhliziyo yakho. Uma isigqi senhliziyo yakho singahambi kahle, le divayisi encane ingakulungisa futhi isindise impilo yakho.
Uyini umehluko phakathi kwe-ICD evamile kanye ne-S-ICD?
Kungenzeka ukuthi uke wezwa ngamadivayisi avamile e-ICD. I-S-ICD nayo iwuhlobo lwe-ICD. Kodwa kukhona umehluko omkhulu nobalulekile phakathi kwalawa amabili.
Kumadivayisi e-ICD avamile (abizwa ngokuthi ama-ICD e-Transvenous noma ama-TV-ICD), intambo eyodwa noma ngaphezulu (ebizwa ngokuthi ama-lead) axhunywe kudivayisi adluliselwa emithanjeni yegazi yakho (emithanjeni) bese efakwa enhliziyweni yakho. Lena inqubo eyinkimbinkimbi kancane.
Kodwa lokho akwenzeki nge-S-ICD. Into ekhethekile ngalokhu ukuthi izintambo azithunyelwa enhliziyweni noma emithanjeni yegazi . Idivayisi ye-S-ICD kanye nezintambo ezixhunywe kuyo zibekwe ngokuphelele ngaphansi kwesikhumba sakho. Lokhu kuyenza iphephe kakhulu. Izingozi zokutheleleka kanye nokuqhekeka kwegazi okungenzeka lapho izintambo zithunyelwa emithanjeni yegazi ziphansi kakhulu nge-S-ICD. Futhi, uma kwenzeka udinga ukushintsha le divayisi, kulula kakhulu.
| Isici | I-ICD Yendabuko (i-TV-ICD) | I-S-ICD (i-ICD engaphansi kwesikhumba) |
|---|---|---|
| Ukubekwa kwezintambo (ama-lead) | Ixhuma enhliziyweni ngemithambo yegazi. | Ifakwe ngokuphelele ngaphansi kwesikhumba. Ayingeni enhliziyweni noma emithanjeni yegazi. |
| Ingozi yezinkinga | Kukhona ingozi eyengeziwe yokutheleleka kwemithambo yegazi kanye nezifo ezihlobene nenhliziyo, amahlule egazi, kanye nokuphuka kwentambo. | Izingozi ezinjalo ziphansi kakhulu. |
| Ukususwa noma ukudluliselwa | Kuyinkimbinkimbi kakhulu. | Kulula kakhulu. |
Ubani odinga le S-ICD?
Amadivayisi e-ICD avame ukunconywa kubantu abanezinkinga ezithile zesigqi senhliziyo. Isibonelo:
- I-Ventricular Tachycardia: Isimo lapho amakamelo aphansi enhliziyo (ama-ventricle) eshaya khona ngokushesha okukhulu.
- I-Ventricular Fibrillation: Isimo esiyingozi kakhulu lapho amakamelo aphansi enhliziyo ethuthumela ngokungalawuleki. Lokhu kungaholela ekufeni okusheshayo.
- Abantu abake bahlaselwa yisifo senhliziyo ngokuzumayo: Ukuvimbela ingozi yokuthi isimo esinjalo siphinde senzeke.
Kodwa phakathi kwalaba bantu, i- S-ICD ifaneleka kakhulu kubantu abalandelayo:
- Abantu abasengozini enkulu yokutheleleka: Isibonelo, labo abake baba nokutheleleka kwe-ICD ngaphambilini noma labo amasosha omzimba abo angasebenzi kahle.
- Abantu abanenkinga yokufinyelela emithanjeni yegazi: Abanye abantu bangase babe nobunzima bokudlulisa izintambo emithanjeni yegazi, kuye ngokuthi bakuphi.
- Abantu abanezindlela zokuphila ezimatasa kakhulu: Abantu bathanda abadlali. Ngenxa yokuthi izintambo ze-S-ICD azikho enhliziyweni, kuncane ingozi yokulimala kwezintambo ngesikhathi sokusebenza ngokomzimba.
- Intsha: Ngenxa yokuthi umuntu osemusha kuzodingeka asebenzise le divayisi isikhathi eside, i-S-ICD iyindlela engcono kubo njengoba inezinkinga ezimbalwa zesikhathi eside.
Ingabe i-S-ICD ingalawula izinga lokushaya kwenhliziyo (ijubane)?
Lona umbuzo obaluleke kakhulu. Ezinye izinhlobo zama-ICD zingasiza ukugcina inhliziyo ishaya ngesivinini esijwayelekile uma ihamba kancane ngendlela engavamile. Lokhu kubizwa ngokuthi umsebenzi we-pacemaker .
Kodwa amadivayisi amanje e-S-ICD awanalo leli khono lokuhamba ngesivinini . Okusho ukuthi, i-S-ICD ayikwazi ukulungisa izinga lokushaya kwenhliziyo uma ihamba kancane kakhulu. Umsebenzi wayo kuphela ukubona ukuthi izinga lokushaya kwenhliziyo lishesha kangakanani bese uletha ukushaqeka ukuze ulibuyisele esimweni salo. Uma udinga nezinga lokushaya kwenhliziyo, i-S-ICD ingase ingakulungeli. Isinqumo esingcono kakhulu ukukhuluma nodokotela wakho ngalokhu.
Yini okufanele ngiyenze ngaphambi kwalokhu kuhlinzwa?
Uma udokotela wakho enquma ukukufaka i-S-ICD, uzonikezwa imiyalelo ethile ngaphambi kokuhlinzwa. Kubaluleke kakhulu ukuyilandela kahle.
- Ungase ucelwe ukuthi uyeke ukuthatha imithi ethile, njengemithi yokunciphisa igazi, ezinsukwini ezimbalwa ngaphambi kokuhlinzwa.
- Ngosuku lokuhlinzwa, uzokwaziswa ukuthi ungadli noma uphuze amahora ambalwa ngaphambi kokuhlinzwa.
- Njengoba ungase ukwazi ukuya ekhaya ngosuku olufanayo ngemva kokuhlinzwa, kufanele uhlele kusenesikhathi ukuba othile akuyise ekhaya .
Esibhedlela, abasebenzi bezokwelapha bazokwenza okulandelayo ngaphambi kokuhlinzwa:
- Kwenziwa uphawu esikhumbeni lapho kuzobekwa khona idivayisi (ngokuvamile ohlangothini lwesobunxele lwesifuba noma ngaphansi kwekhwapha).
- Izinwele ezikuleyo ndawo ziyasuswa futhi zihlanzwe kahle.
- I-cannula (umugqa we-IV) ifakwa emthanjeni osengalweni yakho ukuze ikunike imithi kanye noketshezi.
- Ama-antibiotic azonikezwa ukuvimbela ukutheleleka.
- Uzonikezwa i-anesthesia ukuvimbela ubuhlungu ngesikhathi sokuhlinzwa. Ngokuvamile, uhlobo lwe-anesthesia olukwenza ulale kancane.
- Izandla zakho zingase ziboshwe ngebhandeji elithambile ukuze kuvinjelwe ukuthintwa indawo yokuhlinzwa.
Kwenzekani ngesikhathi sokuhlinzwa?
Ukuhlinzwa kokufakelwa i-S-ICD kuvame ukuthatha cishe ihora elilodwa kuya kwamabili. Kuhilela ukufakwa kwezingxenye ezimbili eziyinhloko: ijeneretha (lena yingxenye eyinhloko equkethe ibhethri kanye ne-circuitry) kanye ne-defibrillation lead (lena yintambo).
Udokotela ohlinzayo uzokwenza izicucu ezimbili noma ezintathu ezincane esikhumbeni ohlangothini lwesobunxele lwesifuba sakho noma ngaphansi kwekhwapha lakho. Ngemuva kwalokho, kwenziwa 'iphakethe' elincane ngaphansi kwesikhumba kanye nongqimba lwamafutha, ngaphansi nje kwekheji lakho lezimbambo, bese kufakwa ijenereyitha kulo. Okulandelayo, ucingo lufakwa ngaphansi kwesikhumba, phakathi kwesifuba sakho, eduze kwethambo lesifuba, bese lukhuphukela ohlangothini lwentamo yakho.
Ngemva kokufakwa konke, sizoyihlola le divayisi ukuze sibone ukuthi isebenza kahle yini.Nakuba lokhu kungase kuzwakale kungavamile, nakhu okwenzekayo ngempela: Odokotela bakha ngokuzenzakalelayo ukushaya kwenhliziyo okuyingozi nokungajwayelekile enhliziyweni yakho. Ngemuva kwalokho, i-S-ICD iyakubona bese ikwethuka ukuze ibone ukuthi ingayibuyisela yini inhliziyo esimweni sayo esijwayelekile. Kuleli qophelo, ungaphansi kwe-anesthesia, ngakho ngeke uzwe ubuhlungu , ngakho akukho okufanele ukhathazeke ngakho.
Ngemva kokuqinisekisa ukuthi idivayisi isebenza kahle, izimbobo ezenziwe esikhumbeni zivalwa ngezithungo.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzoyiswa ekamelweni lokululama. Abasebenzi bezokwelapha bazokuqapha eduze kuze kube yilapho imiphumela yokubulala izinzwa iphela. Ungase futhi wenze i-X-ray ukuze uhlole ukuthi idivayisi nezintambo zisendaweni.
Iningi labantu liyakwazi ukuya ekhaya ngosuku olufanayo ngemva kokuhlinzwa. Kodwa-ke, ngenxa yokuthi ungaphansi kwe-anesthesia, ngeke ukwazi ukushayela, ngakho -ke kubalulekile ukuba nomuntu ozokuhambisa ekhaya.
Yiziphi izinzuzo ze-S-ICD?
Inzuzo eyinhloko ye-S-ICD ukuthi ingavimbela ukufa kwenhliziyo okungazelelwe. Ngaphezu kwalokho, uma kuqhathaniswa nama-ICD avamile (ama-TV-ICD), afakwa ngocingo ngemithambo yegazi, i-S-ICD inciphise kakhulu izingozi zalokhu:
- Ukubhoboza kwenhliziyo: Umonakalo (ukubhoboza) kwezicubu zenhliziyo.
- Ukutheleleka: Ukutheleleka okukhulu, ikakhulukazi lokho okuthinta ulwelwesi lwangaphakathi lwenhliziyo, njenge- endocarditis .
- Ukuphuka kwentambo: Izintambo ezihamba ngemithambo yegazi zingaphuka noma zikhululeke ngokuhamba kwesikhathi. Uma kunjalo, kuzodingeka zisuswe futhi zifakwe ezinye. Le ngozi iphansi nge-S-ICD.
- I-Thrombosis: Ukugoba kwegazi emthanjeni wegazi.
Yiziphi izingozi nezinkinga zalokhu?
Njenganoma iyiphi inqubo yokuhlinzwa, kunezingozi ezincane ezihlobene nokufakelwa i-S-ICD. Kodwa-ke, lezi azivamile kakhulu.
| Uhlobo lwengozi | Incazelo |
|---|---|
| Izingozi ezihlobene nokuhlinzwa |
|
| Izingozi ezingase zivele ngokuhamba kwesikhathi |
|
Kufanele ngizinakekele kanjani ngenkathi ngiphila ne-S-ICD?
I-S-ICD ifana nomngane omusha empilweni yakho. Ngakho-ke, kubalulekile ukufunda ukuphila nayo. Udokotela wakho uzokunikeza imiyalelo eningiliziwe ngalokhu.
- Yiya emitholampilo ngesikhathi: Udokotela uzokunikeza usuku lokuhlola ukuthi idivayisi isebenza kahle yini, ibhethri linjani, nokuthi impilo yenhliziyo yakho injani. Qiniseka ukuthi uya kulezo zinsuku.
- Phatha ikhadi lokuzazisa: Hlala uphatha ikhadi elichaza ukuthi une-S-ICD. Lokhu kuzobaluleka kakhulu kubasebenzi bezokwelapha uma kwenzeka isimo esiphuthumayo.
- Yazisa abanye odokotela: Uma uyofuna imithi yanoma yisiphi esinye isifo, tshela udokotela ukuthi une-S-ICD.
- Qaphela lapho uhamba: Xhumana nodokotela wakho, ikakhulukazi uma uhlola izinsimbi ezindaweni ezifana nezikhumulo zezindiza.
Ibhethri lihlala isikhathi esingakanani ku-S-ICD?
Ibhethri eliku-S-ICD alikwazi ukushajwa kabusha. Lakhelwe ngaphakathi kudivayisi. Uma ibhethri liphela, kudingeka olunye ukuhlinzwa okuncane ukuze kufakwe entsha esikhundleni sejeneretha yonke.
Ibhethri le-S-ICD lingahlala iminyaka engaba mi-5 . Kodwa-ke, lesi sikhathi sincike ekutheni idivayisi ivuselelwa kangaki (ishaqekile) kanye nezilungiselelo zayo. Udokotela wakho uzohlola izinga lebhethri njalo uma uvakashela umtholampilo.
Kufanele ufune nini iseluleko sezokwelapha?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokufakelwa i-S-ICD, bona udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Ubuhlungu besifuba
- Isiyezi
- Ubomvu noma uketshezi oluphuma emigqonyeni yokuhlinzwa
- Ubomvu, ukuvuvukala, noma ubuhlungu obukhulu eduze kwezindawo zokusikwa
- Ubunzima bokuphefumula
- Ukuphindaphinda kwezimpawu zenhliziyo owawunazo ngaphambi kokufakwa kwe-S-ICD
I-S-ICD iwubuchwepheshe obusebenza kahle kakhulu futhi obuphephile obungavimbela ukufa kwenhliziyo okuzumayo. Uma udokotela wakho ekuncomile ukuthi ube ne-ICD, khuluma naye mayelana nokuthi i-S-ICD ikufanele yini.
Umlayezo Wokuya Nawe Ekhaya
- I-S-ICD iyithuluzi elincane elifakwa ngaphansi kwesikhumba futhi lingaletha ukushaqeka kukagesi okusindisa impilo uma isigqi senhliziyo singalingani.
- Inzuzo enkulu yalokhu ukuthi ucingo alungeni emithanjeni yegazi noma enhliziyweni, ngakho-ke ingozi yezinkinga zesikhathi eside iphansi kakhulu.
- Le divayisi ayinalo ikhono lokulawula (ukusheshisa) ukushaya kwenhliziyo uma yehlisa ijubane.
- Ngemva kokuhlinzwa, kubaluleke kakhulu ukuya emitholampilo yezokwelapha ngezinsuku ezihleliwe ukuze uhlole idivayisi.
- Uma uhlangabezana nanoma yiziphi izimpawu ezifana nobuhlungu besifuba, isiyezi, noma izimpawu zokutheleleka kwenxeba, funa iseluleko sezokwelapha ngokushesha.
- Udokotela wakho kuphela ongenza isinqumo esingcono kakhulu mayelana nokuthi i-S-ICD ikufanele yini, ngakho xoxa naye ngayo yonke imininingwane.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho