Inhliziyo pacemaker - ukukhipha

I-pacemaker iyithuluzi elincane, eliqhutshwa ibhethri elizwa lapho inhliziyo yakho ishaya ngokungajwayelekile noma ngokunensa kakhulu. Ithumela isignali enhliziyweni yakho eyenza inhliziyo yakho ishaye ngejubane elifanele. Lo mbhalo ukhuluma ngalokho okudingeka ukwenze ukuze uzinakekele lapho uphuma esibhedlela.

Qaphela: Ukunakekelwa kwama-pacemaker athile akhethekile noma ama-pacemaker kuhlanganiswe nama-defibrillator kungahluka kunalokho okuchazwe ngezansi.

Ubunomshini wokushaya inhliziyo obekwe esifubeni sakho ukusiza inhliziyo yakho ishaye kahle.

• Ukusikwa okuncane kwenziwa esifubeni sakho ngaphansi kwekhola lakho. I-pacemaker generator yabe isibekwa ngaphansi kwesikhumba kule ndawo.
• Ukuhola (izintambo) kwakuxhunywe ku-pacemaker, futhi uhlangothi olulodwa lwezintambo lwalufakwa emthanjeni enhliziyweni yakho. Isikhumba ngaphezulu kwendawo lapho kubekwa khona i-pacemaker savalwa ngemithungo.

Abenzi benhliziyo abaningi banentambo eyodwa noma ezimbili eziya enhliziyweni. Lezi zintambo zishukumisa igumbi elilodwa noma amaningi enhliziyweni ukukhama (contract) lapho ukushaya kwenhliziyo kuhamba kancane. Uhlobo olukhethekile lwe-pacemaker lungasetshenziselwa abantu abanesifo senhliziyo. Inemikhombandlela emithathu yokusiza ukushaya kwenhliziyo ngendlela ehlelekile.

Amanye ama-pacemaker nawo angaletha ukushaqeka kukagesi enhliziyweni okungamisa i-arrhythmias esongela impilo (ukushaya kwenhliziyo okungajwayelekile). Lokhu kubizwa nge- "cardioverter defibrillators."

Uhlobo olusha lwedivayisi olubizwa nge- "leadless pacemaker" iyunithi yokuzihambela equkethe ukuzimela efakwa ku-ventricle efanele yenhliziyo. Akudingi ukuxhuma izintambo ku-generator ngaphansi kwesikhumba sesifuba. Iqondiswa endaweni nge-catheter efakwe emthanjeni emgodini. Njengamanje ama-pacemaker angaholi atholakala kuphela kubantu abanezimo ezithile zezokwelapha ezibandakanya ukushaya kwenhliziyo okuhamba kancane.

Kufanele wazi ukuthi unhloboni ye-pacemaker nokuthi iyiphi inkampani eyenzile.

Uzonikezwa ikhadi ozozigcina esikhwameni sakho semali.

• Ikhadi linolwazi mayelana ne-pacemaker yakho futhi lifaka igama likadokotela nenombolo yakho yocingo. Iphinde itshele abanye ukuthi benzeni uma kunesimo esiphuthumayo.
• Kufanele uphathe leli khadi lesikhwama njalo. Kuzoba wusizo kunoma yimuphi umhlinzeki wezokunakekelwa kwempilo ongabona ngokuzayo ngoba kusho ukuthi unaluphi uhlobo lwe-pacemaker onalo.

Kufanele ufake isongo lesilumkiso somuthi noma umgexo othi une-pacemaker. Esimweni esiphuthumayo sezokwelapha, abasebenzi bezempilo abakunakekelayo kufanele bazi ukuthi une-pacemaker.

Iningi lemishini namadivayisi ngeke kuphazamise i-pacemaker yakho. Kodwa abanye abanamandla amakhulu kazibuthe bangakwenza. Njalo buza umhlinzeki wakho mayelana nanoma iyiphi idivayisi ethile okudingeka uyigweme. Ungabeki uzibuthe eduze ne-pacemaker yakho.

Imishini eminingi ekhaya lakho iphephile ukuba khona. Lokhu kufaka phakathi isiqandisi sakho, iwasha, isomisi, i-toaster, i-blender, amakhompyutha nemishini yefeksi, isomisi sezinwele, isitofu, isidlali se-CD, izilawuli kude, nama-microwave.

Kufanele ugcine amadivayisi amaningi okungenani amasentimitha ayi-12 (amasentimitha angama-30) kude nesayithi lapho i-pacemaker ibekwa khona ngaphansi kwesikhumba sakho. Lokhu kufaka phakathi:

• Amathuluzi angenantambo webhethri anjengezintambo (njengezi-screwdriver kanye ne-drill)
• Amathuluzi kagesi wokufaka (njengama-drill namasaha etafula)
• Ama-lawnmowers kagesi nama-blower leaf
• Imishini Slot
• Izipikha zestiriyo

Tshela bonke abahlinzeki ukuthi une-pacemaker ngaphambi kokwenza noma yikuphi ukuhlolwa.

Imishini ethile yezokwelapha ingaphazamisa i-pacemaker yakho.

Hlala kude nezinjini ezinkulu, ugesi kanye nemishini. Unganciki phezu kwesigqoko esivulekile semoto egijima. Futhi hlala kude ne:

• Iziteshi zomsakazo nezintambo zikagesi ezinamandla amakhulu
• Imikhiqizo esebenzisa i-magnetic therapy, njengamatilasi athile, imicamelo, nezimasaja
• Izinto ezinkulu ezisebenza ngogesi noma uphethiloli

Uma unomakhalekhukhwini:

• Ungayifaki ephaketheni ohlangothini olufanayo lomzimba wakho njenge-pacemaker yakho.
• Uma usebenzisa iselula yakho, yibeke endlebeni yakho kolunye uhlangothi lomzimba wakho.

Qaphela ezungeze imitshina yensimbi nezinsimbi zokuphepha.

• Izindwangu zokuphepha eziphathwayo zingaphazamisa i-pacemaker yakho. Khombisa ikhadi lakho lesikhwama bese ucela ukuseshwa ngesandla.
• Amasango amaningi okuphepha ezikhumulweni zezindiza nasezitolo alungile. Kepha ungami eduze kwalawa madivayisi isikhathi eside. I-pacemaker yakho ingasetha ama-alamu.

Ngemuva kwanoma yikuphi ukuhlinzwa, cela umhlinzeki wakho ahlole i-pacemaker yakho.

Kufanele ukwazi ukwenza imisebenzi ejwayelekile ezinsukwini ezi-3 kuye kwezi-4.

Okwamasonto amabili kuya kwamathathu, ungenzi lezi zinto ngengalo eseceleni komzimba wakho lapho kubekwe khona i-pacemaker:

• Ukuphakamisa noma yini esindayo kunamakhilogremu ayi-10 kuye kwayi-15 (4.5 kuya ku-7 kilograms)
• Ukududula ngokweqile, ukudonsa, noma ukusonta

Musa ukuphakamisa le ngalo ngaphezu kwehlombe lakho amasonto ambalwa. Ungagqoki izingubo ezigcobayo enxebeni amasonto ama-2 noma ama-3. Gcina imbobo yakho isomile ngokuphelele izinsuku ezine kuya kwezingu-5. Ngemuva kwalokho, ungageza bese uyishaya ngomile. Hlanza izandla zakho njalo ngaphambi kokuthinta isilonda.

Umhlinzeki wakho uzokutshela ukuthi uzodinga kaningi kangakanani ukuhlola i-pacemaker yakho. Ezimweni eziningi, kuzoba njalo ezinyangeni eziyisithupha kuya onyakeni. Ukuhlolwa kuzothatha cishe imizuzu eyi-15 kuye kwengama-30.

Amabhethri ku-pacemaker yakho kufanele agcine iminyaka engu-6 kuye kwengu-15. Ukuhlolwa okujwayelekile kungathola ukuthi ngabe ibhethri ligugile yini noma uma kunezinkinga ngomthofu (izintambo). Umhlinzeki wakho uzoshintsha i-generator nebhethri lapho ibhethri liphansi.

Shayela umhlinzeki wakho uma:

• Isilonda sakho sibukeka sinegciwane (ububomvu, ukwanda kwamanzi, ukuvuvukala, ubuhlungu).
• Unezimpawu obukade unazo ngaphambi kokufakwa kwe-pacemaker.
• Uzizwa unesiyezi noma uphelelwa umoya.
• Unobuhlungu besifuba.
• Unama-hiccups angahambi.
• Uquleke isikhashana.

Ukufakwa komzimba kwenhliziyo - ukukhipha; I-pacemaker yokufakelwa - ukukhishwa; Pacemaker unomphela - ukukhipha; I-pacemaker yangaphakathi - ukukhishwa; Ukwelashwa kokuvuselelwa kwenhliziyo - ukukhishwa; CRT - ukukhishwa; I-pacemaker ye-biventricular - ukukhipha; Inhliziyo block - ukukhishwa kwenhliziyo; I-AV block - ukukhishwa kwenhliziyo; Ukwehluleka kwenhliziyo - ukukhishwa kwenhliziyo; I-Bradycardia - ukukhishwa kwe-pacemaker

• I-Pacemaker

Ukulandelela kwe-Knops P, Jordaens L. Pacemaker. Ku: Saksena S, Camm AJ, ama-eds. Ukuphazamiseka Kwe-Electrophysiological Yenhliziyo. Okwesibili. IPhiladelphia, PA: Elsevier Saunders; 2012: isahluko 37.

ISantucci PA, uWilber DJ. Izinqubo nokuhlinzwa kwe-Electrophysiologic. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 60.

I-Swerdlow CD, i-Wang PJ, i-Zipes DP. Ama-pacemaker kanye nama-cardioverter-defibrillator angafakwa. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 41.

I-Webb SR. I-pacemaker engaholi. Iwebhusayithi yaseAmerican College of Cardiology. www.acc.org/latest-in-cardiology/ten-points-to-remember/2019/06/10/13/49/the-leadless-pacemaker. Kubuyekezwe ngoJuni 10, 2019. Kufinyelelwe kuDisemba 18, 2020.

• I-Arrhythmias
• I-Atrial fibrillation noma i-flutter
• Izinqubo zokukhipha inhliziyo
• Isifo senhliziyo
• Ukuhlinzwa kokudlula kwenhliziyo
• Ukuhlinzwa kokudlula kwenhliziyo - kukuhlasela kancane
• Ukwehluleka kwenhliziyo
• Amazinga aphezulu e-cholesterol egazini
• Isifo se-sinus syndrome

• Isifo senhliziyo - ukukhipha
• I-cardioverter defibrillator engafakelwa - ukukhishwa
• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile

• Ama-pacemaker nama-Defibrillator angafakwa