Yintoni esetyenzisiweyo pacemaker yentliziyo

Umxholo

• Zeziphi iimeko ezibonisiweyo
• Ngawaphi amanyathelo okuthabatha

I-pacemaker yethutyana, ekwabizwa ngokuba yeyethutyana okanye yangaphandle, sisixhobo esisetyenziselwa ukulawula isingqisho sentliziyo, xa intliziyo ingasebenzi kakuhle. Esi sixhobo sivelisa amandla ombane alawula ukubetha kwentliziyo, enika ukusebenza okuqhelekileyo kwentliziyo.

I-pacemaker yethutyana sisixhobo esidala amandla ombane kwaye simi ngaphandle komzimba oqhotyoshelwe eluswini, siqhagamshelene kwelinye icala le-electrode, eluhlobo lwentambo, olunesiphelo esinye esidityaniswe nentliziyo.

Zintathu iindidi zabenzi bexesha lokuphumla:

• Okwexeshana kwe-pacacaker okanye kwangaphandle pacemaker, ukuba yinkqubo yamandla aphakamileyo, ene-stimuli esetyenziswa ngokuthe ngqo esifubeni, iba buhlungu kwaye isetyenziswe kuphela kwiimeko zongxamiseko olugqithisileyo;
• I-pacemaker ye-endocardial yethutyana, eyinkqubo yamandla asezantsi, amandla ayo asetyenziswa kwi-endocardium ngokusebenzisa i-electrode ebekwe ngaphakathi ngaphakathi;
• I-pacemaker yethutyana ye-epicardial, eyinkqubo yamandla asezantsi, amandla ayo asetyenziswa entliziyweni ngokusebenzisa i-electrode ebekwe ngqo kwi-epicardium ngexesha lotyando lwentliziyo.

Zeziphi iimeko ezibonisiweyo

Ngokubanzi, i-pacemaker yethutyana ibonakalisiwe kwiimeko ezingxamisekileyo kwi-bradyarrhythmias, notshintsho kumgangatho wentliziyo kunye / okanye isingqisho, okanye kubantu abane-bradyarrhythmias ekufutshane, njengakwimeko ye-infyoction ye-myocardial acute, postoperative yoqhaqho lwentliziyo okanye iziyobisi. . Ingasetyenziselwa ukuxhasa unyango, ngelixa ulinde ukubekwa kwe-pacemaker esisigxina.

Ukongeza, nangona iphantsi rhoqo, inokusetyenziselwa ukulawula, ukuthintela okanye ukubuyisela umva i-tachyarrhythmias.

Ngawaphi amanyathelo okuthabatha

Izigulana ezine-pacemaker kufuneka zikhatshwe ngugqirha, kuba iingxaki zinokubakho ngokusingathwa ngendlela eyiyo kwesincedisi-ntliziyo kunye nokhokelo. Ibhetri yomatshini pacemaker kufuneka ihlolwe yonke imihla.

Ukongeza, ukunxiba kwingingqi apho ukufakelwa kwenziwa khona kufuneka kutshintshwe yonke imihla, ukuthintela ukukhula kwezifo.

Umntu kufuneka aphumle ngelixa ephethe pacemaker yethutyana, kwaye ukubekwa kweliso kwi-electrocardiographic kufuneka kube rhoqo, kuba kubaluleke kakhulu ukuthintela iingxaki. Emva kwexesha eliboniswe ngugqirha lidlulile, i-pacemaker ingasuswa okanye ifakwe endaweni yayo isixhobo esisigxina. Fumanisa ukuba isebenza njani, xa kubonisiwe kwaye uqhaqho olwenziweyo lwe-pacemaker lwenziwa njani.