Cabanga nje, uma inhliziyo yakho ingaqala ukushaya ngokushesha okukhulu futhi ingenakho ukulawula... lokho kungaba usongo olukhulu empilweni yakho, akunjalo? Esimweni esiyingozi kangaka, namuhla sizokhuluma ngedivayisi encane, kodwa enamandla kakhulu yezobuchwepheshe engasiza ekusindiseni impilo yakho. Lokhu sikubiza ngokuthi i-S-ICD. Ungesabi, yize igama liyinkimbinkimbi kancane, masiqonde ukusebenza kwalo kalula.
Iyini le-S-ICD?
Kalula nje, i-S-ICD (Subcutaneous Implantable Cardioverter Defibrillator) iyithuluzi elincane le-elekthronikhi elifakwe ngaphansi kwesikhumba sakho, ngaphakathi emzimbeni wakho. Lifana nebhokisi elincane likamentshisi. Umsebenzi walo oyinhloko ukuqapha njalo isigqi senhliziyo yakho.
Cabanga nje, uma isigqi senhliziyo sishesha ngokuzumayo, okungukuthi, uma siqala ukushaya ngokungalawuleki, le divayisi encane iyasibona. Iyasibona bese ngokushesha inika inhliziyo ukushaqeka okuncane kagesi. Lokhu kushaqeka kuyayekisa ukushaya okungajwayelekile nokusheshayo futhi kubuyisela inhliziyo esigqini esijwayelekile. Sibiza le nqubo ngokuthi i-defibrillation . Lokhu kusindisa umuntu ekufeni ngenxa yokuma kwenhliziyo okungazelelwe.
Ihluke kanjani i-S-ICD ku-ICD evamile?
Kungenzeka ukuthi uke wezwa ngamadivayisi avamile e-ICD. Uma usuqonda umehluko omkhulu phakathi kwalawa amabili, uzoqonda ukuthi yini eyenza i-S-ICD ibe ekhethekile kangaka.
- I-ICD Yendabuko (i-Transvenous ICD - i-TV-ICD): Kulolu hlobo, intambo eyodwa noma ngaphezulu ( ama-lead ) axhunywe kudivayisi adlula emithanjeni yakho bese exhuma ngqo enhliziyweni .
- I-S-ICD: Kodwa akunjalo nge-S-ICD. Lapha, ucingo alufakwa emthanjeni wegazi. Kunalokho, lufakwa ngaphansi kwesikhumba , maphakathi nesifuba , ngaphezu kwenhliziyo.
Ngakho-ke, ingozi yokulimala kwemithambo yegazi noma inhliziyo ngesikhathi sokufakwa kwe-S-ICD iphansi kakhulu. Futhi, ingozi yokutheleleka kanye nokuqhekeka kwegazi okungenzeka ngenxa yezintambo ezidlula emithanjeni yegazi incishiswa kakhulu ngale ndlela.
Ubani odinga le S-ICD?
I-S-ICD ivame ukunconywa kubantu abanezinkinga ezithile zesigqi senhliziyo.
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| I-Ventricular Tachycardia | Ukushaya kwenhliziyo okusheshayo okungajwayelekile okuqala emakamelweni angezansi (ama-ventricle) enhliziyo. |
| I-Fibrillation ye-Ventricular | Isimo esisongela kakhulu impilo lapho amakamelo aphansi enhliziyo ethuthumela ngokungalawuleki. |
| Abantu abake baba nokuma kwenhliziyo okungazelelwe ngaphambilini | Ukuvimbela ukuthi kungenzeki futhi kulabo abake babhekana nesigameko esinjalo. |
Ikakhulukazi, i-S-ICD ifaneleka kakhulu kubantu aba:
- Kulabo abasengozini enkulu yokutheleleka.
- Kulabo abanezimo zomzimba ezenza kube nzima ukufinyelela emithanjeni yegazi yomzimba.
- Kulabo abaphila impilo esebenzayo (isib. abadlali).
- Abantu abasha , ngenxa yokuthi baphila isikhathi eside, bangagwema izinkinga ezingabangelwa yizintambo ze-ICD zendabuko ngokuhamba kwesikhathi.
Ingabe i-S-ICD ingalawula (ijubane) ukushaya kwenhliziyo?
Lona umbuzo obaluleke kakhulu. Cha. Amadivayisi e-S-ICD amanje awakwazi ukulawula izinga lokushaya kwenhliziyo, okungukuthi, ukulisheshisa .
Cabanga nje, uma ukushaya kwenhliziyo yomuntu kwehla , i -pacemaker iyithuluzi elisiza ukuyigcina isezingeni elijwayelekile. I-S-ICD ayikwazi ukwenza lokho. I-S-ICD ishaqisa kuphela ukushaya kwenhliziyo uma iba phezulu ngendlela eyingozi , bese iyibuyisela esigqini sayo esijwayelekile. Ngakho-ke, uma udinga i-pacemaker, udokotela wakho uzoncoma idivayisi efaneleka kakhulu kuwe.
Kwenzekani ngaphambi naphakathi nalokhu kuhlinzwa?
Lokhu ukuhlinzwa okungeyona inkimbinkimbi okuvame ukuthatha amahora ambalwa.
Ukulungiselela ngaphambi kokuhlinzwa
Udokotela wakho uzokunikeza iseluleko esidingekayo.
- Uzocelwa ukuthi uyeke ukuthatha imithi ethile, njengemithi yokunciphisa igazi, ezinsukwini ezimbalwa ngaphambi kokuhlinzwa.
- Uzocelwa ukuba uzile ukudla amahora ambalwa ngosuku lokuhlinzwa.
- Bangitshela ukuthi ngihlele imoto yokuya ekhaya ngemva kokuhlinzwa.
Indlela ukuhlinzwa okwenziwa ngayo
Ngesikhathi sokuhlinzwa, ngeke uzizwe ubuhlungu. Ezimweni eziningi, uzonikezwa imithi yokukugcina uphapheme kodwa uphumule (`i-hype sedation`).
1. Ukulungiselela: Indawo lapho kuzofakwa khona idivayisi (ngokuvamile ohlangothini lwesobunxele lwesifuba) iyahlanzwa futhi izinwele ziyasuswa uma kudingeka. Kunikezwa ama-antibiotic ukuvimbela ukutheleleka.
2. Ukusikwa: Udokotela uzokwenza izimbobo ezimbili noma ezintathu ezincane ohlangothini lwesobunxele lwesifuba sakho, ngaphansi nje kwekhwapha lakho.
3. Ukufakelwa kwedivayisi: Ijeneretha (ibhokisi elincane) ifakwa ngaphansi kwesikhumba eduze kwekheji lezimbambo ngokusika okukodwa. Bese kufakwa ucingo (umthofu) ngaphansi kwesikhumba ngokusika okunye, olugijima phakathi kwesifuba (ithambo lesifuba).
4. Ukuhlola: Okokugcina, odokotela bahlola ukuthi umshini usebenza kahle yini. Ukuze benze lokhu, bakha ukushaya kwenhliziyo okusheshayo okungajwayelekile enhliziyweni yakho bese beyishaqisa nge-S-ICD ukuze ilungiswe. Ungakhathazeki, usazohlala ulalisiwe ngalesi sikhathi, ngakho ngeke uzwe lutho.
5. Ukuthunga amanxeba : Ngemva kokuba konke sekuqediwe ngempumelelo, ukusikwa kuyathungwa kuvaliwe.
Ngemva kokuhlinzwa, uzoyiswa ekamelweni lokululama ukuze uhlolwe isikhashana. Iningi labantu lingaya ekhaya ngalolo suku.
Yiziphi izinzuzo nezingozi ze-S-ICD?
Njenganoma iyiphi inqubo yezokwelapha, i-S-ICD inezinzuzo kanye nezingozi ezincane.
| Izinzuzo | Izingozi |
|---|---|
| Ukuvimbela ukufa kwenhliziyo okuzumayo nokusindisa izimpilo. | Ukutheleleka kwesilonda. |
| Ingozi yokulimala kwemithambo yegazi kanye nenhliziyo iphansi kakhulu. | Ukopha noma amahlule egazi avela esilonda. |
| Ukunciphisa ingozi yokutheleleka kwegazi (isib. i-endocarditis). | Idivayisi yahamba kancane lapho yayingaphansi kwesikhumba. |
| Izinkinga ezincishisiwe ngezintambo eziphukile noma ukudingeka uzishintshe. | Ngezinye izikhathi ukushaqeka okungadingekile kungase kwenzeke (akuvamile). |
Kufanele ufune nini iseluleko sezokwelapha?
Uma uhlangabezana nanoma yiziphi zalezi zimpawu ngemva kokufakelwa i-S-ICD yakho, kufanele ubone udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze nawe.
- Ubuhlungu besifuba
- Isiyezi
- Ubunzima bokuphefumula
- Ubomvu, ukuvuvukala, noma ubuhlungu endaweni yokusikwa
- Ubomvu noma olunye uketshezi oluphuma esicutshini
- Ukuphindaphinda kwezimpawu ezazikhona ngaphambi kokufakwa kwe-S-ICD
Umlayezo Wokuya Nawe Ekhaya
- I-S-ICD iyithuluzi elisindisa impilo elivimbela ukufa okuzumayo okubangelwa ukushaya kwenhliziyo okuyingozi nokusheshayo.
- Lokhu kuhlukile kuma-ICD avamile, njengoba izintambo zingangeni emithanjeni yegazi noma enhliziyweni, okunciphisa ingozi yezinkinga.
- Idivayisi ye-S-ICD ayikwazi ukulawula ukushaya kwenhliziyo (isebenza njenge-pacemaker) uma yehlisa ijubane.
- Uma idivayisi isifakiwe, kubaluleke kakhulu ukuvakashela udokotela ngosuku oluhleliwe ukuze ihlolwe. Ibhethri livame ukuhlala iminyaka engaba mi-5, ngemva kwalokho ingxenye yejeneretha idinga ukushintshwa.
- Uma uhlangabezana nanoma yiziphi izinkinga ngedivayisi noma impilo yakho (njengobuhlungu besifuba, ukutheleleka kwenxeba), funa iseluleko sezokwelapha ngokushesha.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho