Isixhobo se-Cardioverter defibrillator esinokufakwa

Isixhobo se-Cardioverter-defibrillator (i-ICD) esisisixhobo esifumanisa ukusongela ubomi, ukubetha kwentliziyo okungaqhelekanga. Ukuba kuyenzeka, esi sixhobo sithumela umothuko wombane entliziyweni ukutshintsha isingqisho sibuyele esiqhelweni. Eli nqaku lixoxa ngento ekufuneka uyazi emva kokuba ufake i-ICD.

Qaphela: Ukhathalelo lwee-defibrillator ezithile zingahluka kunokuba kuchaziwe ngezantsi.

Uhlobo lweengcali zentliziyo ezibizwa ngokuba yi-electrophysiologist okanye ugqirha wotyando wenza usiko oluncinci (olusikiweyo) eludongeni lwesifuba. Isixhobo esibizwa ngokuba yi-ICD safakwa phantsi kolusu kunye nemisipha. ICD bubungakanani becookie enkulu. Ukukhokela, okanye ii-electrode, zabekwa entliziyweni yakho kwaye zaqhagamshelwa kwi-ICD yakho.

I-ICD iyakwazi ukubona ngokukhawuleza ukusongela ubomi ngokungaqhelekanga kwintliziyo (arrhythmias). Yenzelwe ukuguqula nasiphi na isingqisho sentliziyo esingaqhelekanga sibuyele esiqhelweni ngokuthumela umothuko wombane entliziyweni yakho. Eli nyathelo libizwa ngokuba yi-defibrillation. Esi sixhobo sinokusebenza njengesincedisi-ntliziyo.

Xa uphuma esibhedlele, uyakunikwa ikhadi oza kuligcina kwisipaji sakho. Eli khadi lidwelisa iinkcukacha ze-ICD yakho kwaye linolwazi loqhakamshelwano olungxamisekileyo.

Phatha ikhadi lakho lokuchonga le-ICD uhambe nawo NGAMAXESHA ONKE. Ulwazi oluqulethweyo luya kuxela bonke ababoneleli ngezempilo ukuba ubona luhlobo luni lwe-ICD onayo. Ayizizo zonke ii-ICD ezifanayo. Kuya kufuneka uyazi ukuba loluphi uhlobo lwe-ICD onayo kwaye yeyiphi inkampani eyenzileyo. Oku kunokuvumela abanye ababoneleli ukuba bajonge isixhobo ukuze babone ukuba isebenza kakuhle.

Kuya kufuneka ukwazi ukwenza uninzi lwemisebenzi yakho yesiqhelo kwiintsuku ezi-3 ukuya kwezi-4 emva kotyando. Kodwa uya kuba nemida ukuya kuthi ga kwiiveki ezi-4 ukuya kwezi-6.

Sukwenza ezi zinto iiveki ezi-2 ukuya kwezi-3:

• Phakamisa nantoni na enzima kune-10 ukuya kwi-15 leepawundi (4.5 ukuya kwiikhilogram ezisixhenxe)
• Push, tsala, okanye ukujija kakhulu
• Nxiba iimpahla ezihlikihla inxeba

Gcina ubume bakho bomile kangangeentsuku ezi-4 ukuya kwezi-5. Emva koko, unokuthatha ishawa kwaye uyiphathe yomile. Ngalo lonke ixesha hlamba izandla zakho ngaphambi kokuba ubambe inxeba.

Kwiiveki ezi-4 ukuya kwezi-6, sukuyiphakamisela phezulu ingalo yakho kunegxa lakho kwicala lomzimba wakho apho ibekwe khona i-ICD.

Uya kudinga ukubona umboneleli wakho rhoqo ukubeka esweni. Ugqirha wakho uya kuqinisekisa ukuba i-ICD yakho isebenza ngokuchanekileyo kwaye uya kujonga ukuba zingaphi izothuso ezithunyelweyo kunye namandla ashiye ibhetri. Utyelelo lwakho lokuqala olulandelayo luya kuba malunga nenyanga e-1 emva kokuba ibekwe i-ICD yakho.

Iibhetri ze-ICD zenzelwe ukuhlala iminyaka emi-4 ukuya kwe-8. Ukuhlolwa rhoqo kwebhetri kuyafuneka ukubona ukuba amandla ashiyekileyo angakanani. Uya kudinga utyando oluncinci ukuze ubeke endaweni yakho ICD xa ibhetri iqala ukwehla.

Uninzi lwezixhobo alunakuphazamisa i-defibrillator yakho, kodwa ezinye zinamandla amakhulu emagneti. Buza umboneleli wakho ukuba unemibuzo malunga nesixhobo esithile.

Uninzi lwezixhobo ekhayeni lakho zikhuselekile ukuba zibekho. Oku kubandakanya ifriji yakho, iwasha, isomisi, i-toaster, i-blender, ikhompyuter yakho kunye nomatshini wefeksi, isomisi seenwele, isitovu, isidlali seCD, izixhobo ezikude kunye nemicrowave

Kukho izixhobo ezininzi ekufuneka uzigcine ubuncinci i-intshi ezili-12 (30.5 iisentimitha) kude nendawo apho i-ICD yakho ibekwe khona phantsi kolusu lwakho. Oku kubandakanya:

• Izixhobo ezingena-bhetri ezingenazintambo (ezinje ngescrewdriver kunye nezoqheliso)
• 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-ICD. Ezinye izixhobo zonyango zingayonakalisa i-ICD yakho. Ngenxa yokuba oomatshini beMRI baneemagnethi ezinamandla, thetha nogqirha wakho ngaphambi kokuba ube neMRI.

Hlala kude neenjini ezinkulu, iijeneretha kunye nezixhobo. Sukuncika phezu komphezulu ovulekileyo wemoto ebalekayo. Kwakhona hlala kude:

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

Ukuba uneselfowuni:

• Sukuyifaka epokothweni kweli cala lomzimba wakho njenge-ICD yakho.
• Xa usebenzisa iselfowuni, yibambe endlebeni kwelinye icala lomzimba wakho.

Lumka ujikeleze izixhobo zokukhangela iintsimbi kunye neewands zokhuseleko.

• Ukhuseleko olugcinwe ngesandla lunokuphazamisa i-ICD yakho. Veza ikhadi lakho lesipaji kwaye ucele ukusetwa ngesandla.
• Uninzi lwamasango okhuseleko kwizikhululo zeenqwelo moya nakwiivenkile alungile. Kodwa sukuma ecaleni kwezi zixhobo ixesha elide. I-ICD yakho inokucwangcisa ii-alam.

Xelela umboneleli wakho ngako konke ukothuka oziva kwi-ICD yakho. Useto lwe-ICD yakho lunokufuna uhlengahlengiso, okanye amayeza akho anokufuna ukutshintshwa.

Biza kwakhona ukuba:

• Inxeba lakho likhangeleka linosulelo. Iimpawu zosulelo bubomvu, ukwanda kwamanzi, ukudumba, kunye nentlungu.
• Unempawu obenazo ngaphambi kokuba i-ICD yakho ifakwe.
• Unesiyezi, unentlungu esifubeni, okanye uphefumla kancinci.
• Unee-hiccups ezingahambiyo.
• Ubungekho zingqondweni okomzuzwana.
• I-ICD yakho ithumele umothuko kwaye awukaziva kakuhle okanye uyafa. Thetha nomboneleli wakho malunga nexesha lokufowunela iofisi okanye i-911.

ICD - ukubhobhoza; Ukucacisa - ukukhutshwa; Ukukhutshwa kwe-Arrhythmia-ICD; Isingqisho sentliziyo esingaqhelekanga-ukukhutshwa kwe-ICD; Ukufakelwa kwe-Ventricular fibrillation-ICD ukukhutshwa; Ukukhutshwa kwe-VF-ICD; Ukukhutshwa kwe-V Fib-ICD

• Isixhobo se-cardiac defibrillator esinokufakwa

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

I-Swerdlow C, i-Friedman P.I-cardiac defibrillator enokufakelwa: iinkalo zeklinikhi. Ku: Zipes DP, Jalife J, Stevenson WG, ii-eds. I-Cardiac Electrophysiology: Ukusuka kwiseli ukuya ebhedini. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2018: isahluko 117.

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.

• Isifo sentliziyo
• Ukumelwa yintliziyo
• Intliziyo yomenzi wentliziyo
• Uxinzelelo lwegazi oluphezulu - abantu abadala
• Ifayibrari yomoya
• Tachycardia omoya

• Ukuhlaselwa yintliziyo - ukukhutshwa
• Ukungaphumeleli kwentliziyo - ukukhutshwa
• Intliziyo pacemaker - ukubhobhoza

• Iipacemaker kunye nezixhobo ezinokufakwa ngaphakathi