Intliziyo pacemaker - ukubhobhoza

I-pacemaker sisixhobo esincinci, esisebenza ngebhetri esive xa intliziyo yakho ibetha ngokungagungqiyo okanye ngokuthe chu. Ithumela umqondiso entliziyweni yakho eyenza ukuba intliziyo yakho ibethe ngesantya esifanelekileyo. Eli nqaku lixoxa ngento ekufuneka uyenzile ukuzikhathalela xa uphuma esibhedlele.

Qaphela: Ukunyamekela abantu abathile abenza i-pacemaker okanye i-pacemaker kunye ne-defibrillators zingahluka kunokuba zichazwe ngezantsi.

Wayephethe pacemaker ibekwe esifubeni sakho ukunceda intliziyo yakho ibethe kakuhle.

• Ukusikwa okuncinci kwenziwa esifubeni sakho ngaphantsi kwekhola yakho. Umvelisi wenqwelo-mafutha wabekwa phantsi kolusu kule ndawo.
• Imikhombandlela (iingcingo) yayiqhagamshelene ne-pacemaker, kwaye isiphelo esinye seengcingo sasifakwa ngomthambo entliziyweni yakho. Ulusu ngaphezulu kwendawo apho i-pacemaker ibekwe khona lavalwa ngemithungo.

Uninzi lwabenzi be-pacemaker lunocingo olunye okanye ezimbini eziya entliziyweni. Ezi ngcingo zivuselela elinye lamagumbi entliziyo ukucudisa (ikhontrakthi) xa ukubetha kwentliziyo kuhamba kancinci. Uhlobo olukhethekileyo lwe-pacemaker lunokusetyenziselwa abantu abanesifo sentliziyo. Inemikhombandlela emithathu yokunceda ukubetha kwentliziyo ngendlela ehambelana ngakumbi.

Abanye abenza i-pacemaker nabo banokuhambisa ukothuka kombane entliziyweni okunokumisa i-arrhythmias esongela ubomi (ukubetha kwentliziyo ngokungaqhelekanga). Oku kubizwa ngokuba yi "cardioverter defibrillators."

Uhlobo olutsha lwesixhobo ekuthiwa yi "leadless pacemaker" sisixhobo esizimele sodwa esifakwa kwi-ventricle elungileyo yentliziyo. Akufuneki ukudibanisa iingcingo kumvelisi phantsi kwesikhumba sesifuba. Ikhokelwa endaweni nge-catheter efakwe emthanjeni kwi-groin. Okwangoku ii-pacemaker ezingenasiphelo ziyafumaneka kuphela kubantu abaneemeko ezithile zonyango ezibandakanya ukubetha kwentliziyo kancinci.

Kuya kufuneka uyazi ukuba loluphi uhlobo lwe-pacemaker onayo kwaye yeyiphi inkampani eyenzileyo.

Uya kunikwa ikhadi oza kuligcina kwisipaji sakho.

• Ikhadi linolwazi malunga ne-pacemaker yakho kwaye liquka igama likagqirha kunye nenombolo yomnxeba. Ikwaxelela nabanye ngento mabayenze xa kukho imeko kaxakeka.
• Kuya kufuneka uphathe eli khadi. Kuya kuba luncedo kuye nawuphi na umboneleli wezempilo onokuyibona kwikamva kuba ithi luhlobo luni lwe-pacemaker onayo.

Kuya kufuneka unxibe isacholo sokulumkisa amayeza okanye isacholo somqala esithi unesixhobo esisebenza ngomsindo. Kwimeko kaxakeka kwezonyango, abasebenzi bezempilo abakukhathaleleyo kufuneka bazi ukuba une-pacemaker.

Uninzi loomatshini kunye nezixhobo aziyi kuphazamisa i-pacemaker yakho. Kodwa abanye abanamandla amakhulu emagneti banako. Soloko ubuza umboneleli wakho ngaso nasiphi na isixhobo esithile ekufuneka usiphephe. Musa ukubeka umazibuthe kufutshane nesincedisi-ntliziyo sakho.

Uninzi lwezixhobo ekhayeni lakho zikhuselekile ukuba zibekho. Oku kubandakanya ifriji yakho, iwasha, isomisi, i-toaster, i-blender, iikhompyuter kunye noomatshini befeksi, isomisi seenwele, isitovu, isidlali seCD, iremote control, kunye nee-microwaves.

Kuya kufuneka ugcine izixhobo ezininzi ubuncinci iisentimitha ezili-12 (iisentimitha ezingama-30) kude nesiza apho i-pacemaker ibekwe phantsi kolusu lwakho. Oku kubandakanya:

• Izixhobo zebhetri ezingenazintambo (ezinje ngezikrufu kunye neziqhoboshi)
• Izixhobo zamandla ezi-plug-in (ezinje ngezoqheliso kunye neesarha zetafile)
• Izixhobo zokucoca umbane zombane kunye neempepho zamagqabi
• Oomatshini ekufakwa
• Izithethi zestiriyo

Xelela bonke ababoneleli ukuba une-pacemaker ngaphambi kokuba kwenziwe naluphi na uvavanyo.

Ezinye izixhobo zonyango zinokuphazamisa pacemaker yakho.

Hlala kude neenjini ezinkulu, iijeneretha kunye nezixhobo. Sukuncika phezu kwendawo evulekileyo yemoto ebalekayo. Kwakhona hlala kude:

• Izixhobo zerediyo kunye namandla ombane aphezulu
• Iimveliso ezisebenzisa unyango lwamandla kazibuthe, ezinje ngoomatrasi, iipilo, kunye nemasager
• Izixhobo zombane ezikhulu zombane okanye zepetroli

Ukuba uneselfowuni:

• Ungayifaki epokothweni kwicala elifanayo lomzimba njengesixhobo sokwenza amandla omoya.
• Xa usebenzisa iselfowuni, yibambe endlebeni kwelinye icala lomzimba wakho.

Lumka ujikeleze izixhobo zokukhangela iintsimbi kunye neewands zokhuseleko.

• Izandla ezikhuselekileyo zezokhuseleko zinokuphazamisana nesixhobo sakho sokwenza izinto ngokukhawuleza. Veza ikhadi lakho lesipaji kwaye ucele ukusetwa ngesandla.
• Uninzi lwamasango okhuseleko kwizikhululo zeenqwelo moya nakwiivenkile alungile. Kodwa sukuma ecaleni kwezi zixhobo ixesha elide. Isincedisi-ntliziyo sakho singacwangcisa ii-alam.

Emva kwawo nawuphi na umsebenzi, mbonelele umboneleli wakho ukuba akhangele pacemaker.

Kuya kufuneka ukwazi ukwenza imisebenzi yesiqhelo kwiintsuku ezi-3 ukuya kwezi-4.

Kwiiveki ezi-2 ukuya kwezi-3, ungenzi ezi zinto ngengalo esecaleni lomzimba wakho apho kubekwe khona i-pacemaker:

• Ukuphakamisa nantoni na enzima kune-10 ukuya kwi-15 yeepawundi (4.5 ukuya kwi-7 kilogram)
• Ukutyhala kakhulu, ukutsala, okanye ukujija

Musa ukuphakamisa le ngalo ngaphezu kwegxalaba lakho iiveki ezininzi. Musa ukunxiba iimpahla ezihlikihla enxebeni iiveki ezi-2 okanye ezi-3. Gcina ubume bakho bomile kangangeentsuku ezi-4 ukuya kwezi-5. Emva koko, ungathatha ishawa kwaye emva koko uyiphathe yomile. Ngalo lonke ixesha hlamba izandla zakho ngaphambi kokuba ubambe inxeba.

Umboneleli wakho uya kukuxelela ukuba kuya kufuneka kaninzi kangakanani na ukuba umvavanye isantya sakho. Kwiimeko ezininzi, iya kuba rhoqo kwiinyanga ezi-6 ukuya kunyaka. Uviwo luya kuthatha malunga nemizuzu eli-15 ukuya kwengama-30.

Iibhetri kwi-pacemaker yakho kufuneka zihlale iminyaka emi-6 ukuya kweli-15. Ukuhlolwa rhoqo kunokufumanisa ukuba ibhetri inxibile okanye ukuba kukho naziphi na iingxaki ngokukhokela (iingcingo). Umboneleli wakho uya kutshintsha zombini i-generator kunye nebhetri xa ibhetri iphantsi.

Fowunela umnikezeli wakho ukuba:

• Inxeba lakho likhangeleka linosulelo (ukuba bomvu, ukwanda kwamanzi, ukudumba, iintlungu).
• Unempawu obenazo ngaphambi kokuba ifakwe pacemaker.
• Uziva unesiyezi okanye uphefumla kancinci.
• Unentlungu esifubeni.
• Unee-hiccups ezingahambiyo.
• Ubungekho zingqondweni okomzuzwana.

Ukumiliselwa kwentliziyo kunye nokukhutshwa; Pacemaker eyenziweyo - ukukhutshwa; Isigxina esisigxina - ukukhutshwa; Pacemaker yangaphakathi - ukukhutshwa; Unyango lwe-cardiac resynchronization - ukukhutshwa; Ukukhutshwa kweCRT; Bemntricular pacemaker - ukukhutshwa; Ibhloko yentliziyo - ukukhutshwa kwentliziyo; Ukukhutshwa kwe-AV-pacemaker discharge; Ukungaphumeleli kwentliziyo-ukukhutshwa kwe-pacemaker; Bradycardia - ukubhobhoza pacemaker

• Umenzi wePacemaker

Knops P, Jordaens L.Ukulandelwa kukaPacemaker. Ku: Saksena S, Camm AJ, ii-eds. Ukuphazamiseka kwi-Electrophysiological yentliziyo. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier Saunders; Ngo-2012: isahluko 37.

ISantucci PA, uWilber DJ. Iinkqubo zongenelelo ngoncedo lwe-Electrophysiologic kunye notyando. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 60.

I-Swerdlow CD, i-Wang PJ, iZipes DP. Iipemaker kunye ne-cardioverter-defibrillators enokufakwa. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 41.

IWebb SR. I-pacemaker engenanto. Ikholeji yaseMelika yeCardiology iwebhusayithi. www.acc.org/latest-in-cardiology/ten-points-to-remember/2019/06/10/13/49/the-leadless-pacemaker. Ukuhlaziywa ngoJuni 10, 2019. Kufikeleleke ngoDisemba 18, 2020.

• Arrhythmias
• I-Atrial fibrillation okanye i-flutter
• Iinkqubo zokupheliswa kwentliziyo
• Isifo sentliziyo
• Utyando lwentliziyo ngokudlula
• Utyando lwentliziyo olugqithisileyo- olungenayo intsholongwane
• Ukumelwa yintliziyo
• Amanqanaba aphezulu e-cholesterol egazini
• Isifo sesinus

• Ukuhlaselwa yintliziyo - ukukhutshwa
• Isixhobo se-Cardioverter defibrillator esinokufakwa
• Unonophelo lwenxeba lotyando - luvulekile

• Iipacemaker kunye nezixhobo ezinokufakwa ngaphakathi