I-cardioverter defibrillator engafakelwa - ukukhishwa

I-cardioverter-defibrillator (i-ICD) efakwe ngaphakathi iyithuluzi elithola ukushaya kwenhliziyo okungasongela ukuphila, nokungajwayelekile. Uma kwenzeka, le divayisi ithumela ugesi enhliziyweni ukushintsha isigqi sibuyele kokujwayelekile. Lo mbhalo ukhuluma ngalokho odinga ukukwazi ngemuva kokuthi ufake i-ICD.

Qaphela: Ukunakekelwa kwama-defibrillator athile akhethekile kungahluka kunalokho okuchazwe ngezansi.

Uhlobo lwesazi senhliziyo esibizwa nge-electrophysiologist noma udokotela ohlinzayo lwenza ukusikeka okuncane (ukusika) odongeni lwesifuba sakho. Umshini obizwa nge-ICD wafakwa ngaphansi kwesikhumba sakho kanye nemisipha yakho. I-ICD ilingana nekhukhi enkulu. Ukuhola, noma ama-electrode, kwafakwa enhliziyweni yakho futhi kwaxhunyaniswa ne-ICD yakho.

I-ICD ingabona ngokushesha ukushaya kwenhliziyo okungasongeli impilo (arrhythmias). Idizayinelwe ukuguqula noma yisiphi isigqi senhliziyo esingajwayelekile sibuyele kokujwayelekile ngokuthumela ukwethuka kukagesi enhliziyweni yakho. Lesi senzo sibizwa ngokuthi yi-defibrillation. Le divayisi ingasebenza futhi njenge-pacemaker.

Uma uphuma esibhedlela, uzonikezwa ikhadi elizoligcina esikhwameni sakho semali. Leli khadi libala imininingwane ye-ICD yakho futhi linemininingwane yokuxhumana nezimo eziphuthumayo.

Phatha ikhadi lakho lobunikazi le-ICD NGAZO ZONKE IZIKHATHI. Imininingwane ekuqukethe izotshela bonke abahlinzeki bokunakekelwa kwezempilo ukuthi ubona ukuthi unhloboni ye-ICD. Akuwona wonke ama-ICD afanayo. Kufanele wazi ukuthi unhloboni ye-ICD nokuthi iyiphi inkampani eyenzile. Lokhu kungavumela abanye abahlinzeki ukuthi bahlole idivayisi ukubona ukuthi isebenza kahle yini.

Kufanele ukwazi ukwenza iningi lemisebenzi yakho ejwayelekile zingakapheli izinsuku ezi-3 kuye kwezingu-4 ngemuva kokuhlinzwa. Kepha uzoba nemikhawulo ethile kuze kube amasonto amane kuya kwayisithupha.

Ungenzi lezi zinto amasonto amabili kuya kwamathathu:

• Phakamisa noma yini enesisindo esingaphezu kwamakhilogremu ayi-10 kuye kwayi-15 (amakhilogremu ama-4.5 kuye kwayi-7)
• Phusha, donsa, noma usonte kakhulu
• Gqoka izingubo ezigcobayo enxebeni

Gcina imbobo yakho isomile ngokuphelele izinsuku ezine kuya kwezingu-5. Ngemuva kwalokho, ungageza bese uyishaya ngomile. Hlanza izandla zakho njalo ngaphambi kokuthinta isilonda.

Emasontweni amane kuya kwayisithupha, ungaphakamisi ingalo yakho ngaphezu kwehlombe lakho ohlangothini lomzimba wakho lapho kubekwe khona i-ICD yakho.

Uzodinga ukubona umhlinzeki wakho njalo ukuze aqashwe. Udokotela wakho uzoqinisekisa ukuthi i-ICD yakho isebenza kahle futhi uzohlola ukuthi kuthunyelwe kangaki ukushaqeka nokuthi kusala amandla amangaki ebhethri. Ukuhambela kwakho kokuqala kokulandelela cishe kuzoba cishe inyanga eyodwa ngemuva kokufakwa kwe-ICD yakho.

Amabhethri e-ICD enzelwe ukuhlala iminyaka emi-4 kuye kwengu-8. Ukuhlolwa njalo kwebhethri kuyadingeka ukubona ukuthi ishiye amandla amangakanani. Uzodinga ukuhlinzwa okuncane ukufaka esikhundleni se-ICD yakho lapho ibhethri liqala ukwehla.

Amadivayisi amaningi ngeke aphazamise i-defibrillator yakho, kepha amanye anamandla amakhulu kazibuthe angahle. Buza umhlinzeki wakho uma unemibuzo nganoma iyiphi idivayisi ethile.

Imishini eminingi ekhaya lakho iphephile ukuba khona. Lokhu kufaka phakathi isiqandisi sakho, iwasha, isomisi, i-toaster, i-blender, ikhompyutha yakho nomshini wefeksi, isomisi sezinwele, isitofu, isidlali se-CD, izilawuli kude, ne-microwave.

Kunamadivayisi amaningi okufanele uwagcine okungenani amasentimitha ayi-12 (30.5 amasentimitha) kude nesiza lapho i-ICD yakho ibekwe khona ngaphansi kwesikhumba sakho. Lokhu kufaka phakathi:

• Amathuluzi angenantambo angenantambo yebhethri (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-ICD. Eminye imishini yezokwelapha ingalimaza i-ICD yakho. Ngenxa yokuthi imishini ye-MRI inamazibuthe anamandla, khuluma nodokotela wakho ngaphambi kokuba ube ne-MRI.

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

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

Uma unomakhalekhukhwini:

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

Qaphela ezungeze imitshina yensimbi nezinsimbi zokuphepha.

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

Tshela umhlinzeki wakho ngakho konke ukwethuka okuzwayo ku-ICD yakho. Izilungiselelo ze-ICD yakho zingadinga ukulungiswa, noma imithi yakho ingadinga ukushintshwa.

Fonela futhi uma:

• Inxeba lakho libukeka linegciwane. Izimpawu zokutheleleka ukubomvu, ukwanda kwamanzi, ukuvuvukala nobuhlungu.
• Unezimpawu owawunazo ngaphambi kokufakwa kwe-ICD yakho.
• Unesiyezi, unesihlungu esifubeni, noma uphefumula kanzima.
• Unama-hiccups angahambi.
• Uquleke isikhashana.
• ICD yakho ithumele ukwethuka futhi awukazizwa kahle noma uphelelwa amandla. Khuluma nomhlinzeki wakho mayelana nokuthi ungashayela nini ihhovisi noma u-911.

ICD - ukukhishwa; Defibrillation - ukukhipha; Ukukhishwa kwe-Arrhythmia - ICD; Isigqi senhliziyo esingajwayelekile - ukukhishwa kwe-ICD; I-Ventricular fibrillation - ukukhishwa kwe-ICD; Ukukhishwa kwe-VF - ICD; Ukukhishwa kwe-V Fib - ICD

• I-defibrillator yenhliziyo engafakelwa

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

I-Swerdlow C, i-Friedman P.I-defibrillator yenhliziyo engafakwa: izici zomtholampilo. Ku: Zipes DP, Jalife J, Stevenson WG, ama-eds. I-Cardiac Electrophysiology: Kusuka Eseli Kuya Kombhede. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 117.

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.

• Isifo senhliziyo
• Ukwehluleka kwenhliziyo
• Umenzi wenhliziyo
• Umfutho wegazi ophezulu - abantu abadala
• I-fibrillation ye-Ventricular
• I-tachycardia evundlile

• Isifo senhliziyo - ukukhipha
• Ukuhluleka kwenhliziyo - ukukhipha
• Inhliziyo pacemaker - ukukhipha

• Ama-pacemaker nama-Defibrillator angafakwa