Intliziyo yomenzi wentliziyo

I-pacemaker sisixhobo esincinci esisebenza ngebhetri. Esi sixhobo siyaziva xa intliziyo yakho ibetha ngokungaqhelekanga okanye ngokucotha. Ithumela umqondiso entliziyweni yakho eyenza ukuba intliziyo yakho ibethe ngesantya esifanelekileyo.

Abenzi bepememaker abatsha banobunzima nje nge-ounce enye (28 gram). Uninzi lwabantu abenza i-pacemaker banamalungu amabini:

• Umvelisi uqukethe ibhetri kunye nolwazi lokulawula ukubetha kwentliziyo.
• Izikhokelo ziingcingo ezidibanisa intliziyo kunye nejeneretha kwaye zihambisa imiyalezo yombane iye entliziyweni.

I-pacemaker ifakwe ngaphakathi kolusu. Le nkqubo ithatha malunga neyure e-1 kwiimeko ezininzi. Uya kunikwa i-sedative ukukunceda uphumle. Uya kuba uvukile ngexesha lenkqubo.

Kusikiwe ukusikwa (ukusika) okuncinci. Rhoqo, ukusikwa kukwicala lasekhohlo (ukuba ulinxele) lesifuba esingezantsi kwekhola yakho. Umvelisi wenhliziyo ubekwa phantsi kolusu kule ndawo. Umvelisi unokubekwa esiswini, kodwa oku akuqhelekanga. I-pacemaker entsha "engenasikhokelo" yiyunithi enezinto ezizimeleyo ezifakwe kwi-ventricle elungileyo yentliziyo.

Sebenzisa i-x-ray ephilayo ukubona le ndawo, ugqirha ubeka umkhondo ngokusika, ungene emthanjeni, emva koko ungene entliziyweni. Izikhokelo zidityaniswe nomvelisi. Ulusu luvaliwe ngemithungo. Uninzi lwabantu luya emakhaya ngaphakathi kosuku olu-1 lwenkqubo.

Kukho iindidi ezi-2 zabahlaziyi-ntliziyo ezisetyenziswa kuphela kwimeko kaxakeka kwezonyango. Bazi:

• Abahamba ngeenyawo
• Abahamba ngeenyawo

Abangabo abenza uxolo ngokusisigxina.

Iipememaker zingasetyenziselwa abantu abaneengxaki zentliziyo ezibangela ukuba iintliziyo zabo zibethe kancinci. Intliziyo ecothayo ibizwa ngokuba yi-bradycardia. Iingxaki ezimbini eziqhelekileyo ezibangela ukubetha kwentliziyo kancinci sisifo se-sinus node kunye nebhloko yentliziyo.

Xa intliziyo yakho ibetha kancinci, umzimba wakho nengqondo zisenokungafumani oksijini yaneleyo. Iimpawu zisenokuba

• Ubumhlophe
• Ukudinwa
• Ukuphelelwa ngamandla
• Ukuqhawukelwa ngumphefumlo

Abanye abenza i-pacemaker banokusetyenziselwa ukumisa ukubetha kwentliziyo okukhawulezayo (i-tachycardia) okanye engaqhelekanga.

Ezinye iindidi ze-pacemaker zingasetyenziselwa ukungaphumeleli kwentliziyo. Ezi zibizwa ngokuba zii-pacemaker ze-biventricular pacemaker. Banceda ukulungelelanisa ukubetha kwamagumbi entliziyo.

Uninzi lwe-biventricular pacemaker ezifakwe namhlanje zinokusebenza njenge-cardioverter defibrillators (ICD). I-ICD ibuyisela ukubetha kwentliziyo kwesiqhelo ngokuhambisa umothuko omkhulu xa isingqi sentliziyo esikhawulezayo esinokubulala.

Iingxaki ezinokwenzeka zotyando lwe-pacemaker zezi:

• Isingqisho sentliziyo esingaqhelekanga
• Ukopha
• Umphunga ogqobileyo. Oku kunqabile.
• Usulelo
• Ukuhlatywa kwentliziyo, oku kungakhokelela ekopha ecaleni kwentliziyo. Oku kunqabile.

I-pacemaker senses ukuba ukubetha kwentliziyo kungaphezulu kwenqanaba elithile. Xa ingaphezulu kwelo nqanaba, i-pacemaker iya kuyeka ukuthumela imiyalezo entliziyweni. I-pacemaker iyakwazi ukuqonda xa ukubetha kwentliziyo kunciphisa kakhulu. Kuya kuqala ngokuzenzekelayo ukuhamba intliziyo kwakhona.

Soloko uxelela umboneleli wakho wezempilo malunga nawo onke amayeza owasebenzisayo, nditsho neziyobisi okanye amayeza owathengileyo ngaphandle kommiselo.

Usuku ngaphambi kokuhlinzwa kwakho:

• Ukuhlamba kunye ne-shampoo kakuhle.
• Unokucelwa ukuba uhlambe umzimba wakho wonke ngaphantsi kwentamo yakho ngesepha ekhethekileyo.

Ngomhla wotyando:

• Unokucelwa ukuba ungaseli okanye utye nantoni na emva kobusuku bobusuku ngaphambi kwenkqubo yakho. Oku kubandakanya itshungama kunye nemizuzu yokuphefumla. Hlamba umlomo wakho ngamanzi ukuba uziva womile, kodwa lumka ungaginyeki.
• Thatha la mayeza uxelelwe ukuba uwathabathe ngesiphuzo esincinci samanzi.

Umboneleli wakho uya kukuxelela ukuba ufike nini esibhedlele.

Uya kuba nakho ukuya ekhaya emva kosuku olu-1 okanye kwangolo suku lunye kwezinye iimeko. Kuya kufuneka ukwazi ukubuyela kwinqanaba lomsebenzi wakho ngokukhawuleza.

Buza umboneleli wakho ukuba ungayisebenzisa kangakanani ingalo esecaleni lomzimba wakho apho kubekwe khona isincedisi-ntliziyo. Unokucetyiswa ukuba:

• Phakamisa nantoni na enzima kune-10 ukuya kwi-15 leepawundi (4.5 ukuya kwi-6.75 kilograms)
• Tyhala, tsala, uze ujije ingalo yakho kangangeeveki ezi-2 ukuya kwezi-3.
• Phakamisa ingalo yakho ngaphezu kwegxalaba lakho iiveki ezininzi.

Xa uphuma esibhedlele, uyakunikwa ikhadi oza kuligcina kwisipaji sakho. Eli khadi lidwelisa iinkcukacha zesincedisi-ntliziyo sakho kwaye linolwazi loqhakamshelwano lwexesha likaxakeka. Kuya kufuneka uphathe eli khadi. Kuya kufuneka uzame ukulikhumbula igama lomenzi weplacemaker ukuba unakho xa unokulahla ikhadi lakho.

Iipemaker zinokukunceda ukugcina isingqi sentliziyo kunye nokubetha kwentliziyo yakho kwinqanaba elikhuselekileyo kuwe. Ibhetri ye-pacemaker ihlala malunga neminyaka emi-6 ukuya kweli-15. Umboneleli wakho uya kujonga ibhetri rhoqo kwaye ayitshintshe xa kukho imfuneko.

Ukumiliselwa kwentliziyo pacemaker; Pacemaker eyenziweyo; Pacemaker esisigxina; I-pacemaker yangaphakathi; Unyango lwe-Cardiac resynchronization; I-CRT; Bemntricular pacemaker; Arrhythmia - pacemaker; Isingqi esingaqhelekanga senhliziyo-pacemaker; I-Bradycardia - pacemaker; Ibhloko yentliziyo - pacemaker; I-Mobitz-pacemaker; Ukungaphumeleli kwentliziyo-pacemaker; HF - pacemaker; CHF- pacemaker

• Angina - ukubhobhoza
• UAngina-yintoni oza kuyibuza ugqirha wakho
• UAngina - xa unentlungu esifubeni
• Iziyobisi Antiplatelet - P2Y12 inhibitors
• I-Aspirin kunye nesifo sentliziyo
• I-Atrial fibrillation - ukukhutshwa
• Ibhotolo, imajarini neeoli zokupheka
• Cholesterol kunye nendlela yokuphila
• Ukulawula uxinzelelo lwegazi oluphezulu
• Kuchazwe amafutha ezempilo
• Iingcebiso zokutya okukhawulezayo
• Ukuhlaselwa yintliziyo - ukukhutshwa
• Ukuhlaselwa sisifo sentliziyo- ukubuza ugqirha
• Isifo sentliziyo - umngcipheko
• Ukungaphumeleli kwentliziyo - ukukhutshwa
• Ufunda njani iilebheli zokutya
• Isixhobo se-Cardioverter defibrillator esinokufakwa
• Ukutya okunetyuwa encinci
• Ukutya kweMeditera
• Unonophelo lwenxeba lotyando - luvulekile

• Umenzi wePacemaker

U-Epstein AE, uDiMarco JP, uEllenbogen KA, okqhubekayo. Ukuhlaziywa kwe-ACCF / AHA / HRS ngo-2012 kufakwe kwi-ACCF / AHA / HRS ka-2008 kwizikhokelo zonyango olusekwe kwisixhobo sesingqisho sentliziyo esingaqhelekanga: ingxelo yeAmerican College of Cardiology Foundation / American Heart Association Task Force kwizikhokelo zokuziqhelanisa kunye neRhythm yeNtliziyo Umbutho. J NdinguColl Cardiol. Ngo-2013; 61 (3): e6-e75. IINKCUKACHA: 23265327 pubmed.ncbi.nlm.nih.gov/23265327/.

UMiller JM, uTomaselli GF, uZipes DP. Unyango lwe-arrhythmias yentliziyo. 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 36.

UPfaff JA, uGerhardt RT. Uvavanyo lwezixhobo ezinokufakwa. Ku: Roberts JR, Custalow CB, Thomsen TW, ii-eds. Iinkqubo zeKlinikhi zikaRoberts kunye neHedges kwiNyango kaXakeka kunye noKhathalelo oluQhelekileyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 13.

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.