Umenzi wenhliziyo

I-pacemaker iyithuluzi elincane elisebenza ngebhethri. Le divayisi iyezwa lapho inhliziyo yakho ishaya ngokungajwayelekile noma ngokunensa kakhulu. Ithumela isignali enhliziyweni yakho eyenza inhliziyo yakho ishaye ngejubane elifanele.

Ama-pacemaker amasha anesisindo esincane njengama-ounce (28 amagremu). Abenzi benhliziyo abaningi banezingxenye ezi-2:

• I-generator iqukethe ibhethri nolwazi lokulawula ukushaya kwenhliziyo.
• Imikhombandlela yizintambo ezixhuma inhliziyo ku-generator futhi zihambise imiyalezo kagesi iye enhliziyweni.

I-pacemaker ifakwa ngaphansi kwesikhumba. Le nqubo ithatha cishe ihora elilodwa ezimweni eziningi. Uzonikezwa isidambisi sokukusiza uphumule. Uzobe uphapheme ngesikhathi senqubo.

Kwenziwa imbobo encane (ukusika). Imvamisa, ukusika kungakwesobunxele (uma ungakwesokunene) sesifuba esingezansi kwekhola lakho. I-pacemaker generator ibese ibekwa ngaphansi kwesikhumba kule ndawo. I-generator nayo ingafakwa esiswini, kepha lokhu akuvamile. I-pacemaker entsha "engaholi" iyunithi equkethe yona efakwa ku-ventricle elungile yenhliziyo.

Usebenzisa ama-x-ray aphilayo ukubona indawo, udokotela ubeka imikhondo phakathi kokunqunyiwe, emthanjeni, bese enhliziyweni. Ukuhola kuxhunywe ku-generator. Isikhumba sivaliwe ngemithungo. Iningi labantu liya emakhaya kungakapheli usuku olu-1 lwenqubo.

Kunezinhlobo ezi-2 zama-pacemaker ezisetshenziswa kuphela ezimeni eziphuthumayo zezokwelapha. Kunjalo:

• Ama-pacemaker we-transcutaneous
• Ama-pacemaker adlulisayo

Akubona abenzi benhliziyo abahlala unomphela.

Ama-pacemaker angasetshenziselwa abantu abanezinkinga zenhliziyo ezibangela ukuthi inhliziyo yabo ishaye kancane. Ukushaya kwenhliziyo okuncane kubizwa nge-bradycardia. Izinkinga ezimbili ezivamile ezibangela ukushaya kwenhliziyo okuhamba kancane yisifo se-sinus node kanye ne-block block.

Lapho inhliziyo yakho ishaya kancane, umzimba wakho nengqondo yakho kungatholi i-oxygen eyanele. Izimpawu kungenzeka

• Ubumhlophe
• Ukukhathala
• Ukuphelelwa amandla
• Ukuphelelwa umoya

Amanye ama-pacemaker angasetshenziselwa ukumisa ukushaya kwenhliziyo okushesha kakhulu (i-tachycardia) noma okungajwayelekile.

Ezinye izinhlobo zama-pacemaker zingasetshenziselwa ukwehluleka okukhulu kwenhliziyo. Lokhu kubizwa ngokuthi ama-biventricular pacemaker. Basiza ukuxhumanisa ukushaywa kwamakamelo enhliziyo.

Iningi lama-biventricular pacemaker afakwe namuhla angasebenza futhi njenge-cardioverter defibrillators (ICD). I-ICD ibuyisa ukushaya kwenhliziyo okujwayelekile ngokuletha ukushaqeka okukhulu lapho kwenzeka isigqi senhliziyo esisheshayo.

Izinkinga ezingenzeka zokuhlinzwa kwe-pacemaker yilezi:

• Isigqi senhliziyo esingajwayelekile
• Ukopha
• Amaphaphu ahlanganisiwe. Lokhu akuvamile.
• Ukutheleleka
• Ukubhoboza inhliziyo, okungadala ukopha nxazonke kwenhliziyo. Lokhu akuvamile.

I-pacemaker senses uma ukushaya kwenhliziyo kungaphezu kwezinga elithile. Uma ingaphezu kwalelo zinga, i-pacemaker izoyeka ukuthumela amasiginali enhliziyweni. I-pacemaker nayo ingabona lapho ukushaya kwenhliziyo kunciphisa kakhulu. Kuzoqala ngokuzenzekelayo ukuhambisa inhliziyo futhi.

Hlala utshela umhlinzeki wakho wezokunakekelwa kwempilo ngazo zonke izidakamizwa oziphuzayo, ngisho nezidakamizwa noma amakhambi owathengile ngaphandle kadokotela.

Ngosuku olungaphambi kokuhlinzwa kwakho:

• Ukugeza kanye ne-shampoo kahle.
• Ungacelwa ukuthi ugeze wonke umzimba wakho ngaphansi kwensipho yakho ngensipho ekhethekile.

Ngosuku lokuhlinzwa:

• Ungacelwa ukuthi ungaphuzi noma ungadli lutho ngemuva kwamabili ebusuku ngaphambi kwenqubo yakho. Lokhu kufaka phakathi ushungamu nomoya wokuphefumula. Hlanza umlomo wakho ngamanzi uma uzizwa womile, kodwa qaphela ukuthi ungagwinyi.
• Thatha imishanguzo otshelwe ukuthi uyiphuze ngamanzi amancane.

Umhlinzeki wakho uzokutshela ukuthi ufika nini esibhedlela.

Uzokwazi ukuya ekhaya ngemuva kosuku olungu-1 noma ngisho nangosuku olufanayo kwezinye izimo. Kufanele ukwazi ukubuyela ezingeni lomsebenzi wakho ojwayelekile ngokushesha.

Buza umhlinzeki wakho ukuthi ungayisebenzisa kangakanani ingalo eseceleni komzimba wakho lapho kubekwa khona i-pacemaker. Ungalulekwa ukuthi:

• Phakamisa noma yini enesisindo esingaphezu kwamakhilogremu ayi-10 kuye kwayi-15 (4.5 kuya ku-6.75 kilograms)
• Phusha, udonse, bese uphendulela ingalo yakho amasonto amabili kuya kwamathathu.
• Phakamisa ingalo yakho ngaphezu kwehlombe lakho amasonto ambalwa.

Uma uphuma esibhedlela, uzonikezwa ikhadi elizoligcina esikhwameni sakho semali. Leli khadi linemininingwane ye-pacemaker yakho futhi linemininingwane yokuxhumana nezimo eziphuthumayo. Kufanele uphathe leli khadi lesikhwama njalo. Kufanele uzame ukukhumbula igama lomenzi wenhliziyo uma ungakwazi uma kungenzeka ulahlekelwe yikhadi lakho.

Abenzi be-pacemakers bangasiza ukugcina isigqi senhliziyo yakho nokushaya kwenhliziyo kusezingeni eliphephile kuwe. Ibhethri lenhliziyo lihlala cishe eminyakeni eyisithupha kuya kwengu-15. Umhlinzeki wakho uzohlola ibhethri njalo futhi alibuyisele lapho kunesidingo.

Ukufakwa komzimba kwenhliziyo; I-pacemaker yokufakelwa; I-pacemaker ehlala njalo; I-pacemaker yangaphakathi; Ukwelashwa kokuvuselelwa kwenhliziyo; CRT; Pacemaker Biventricular; I-Arrhythmia - i-pacemaker; Isigqi senhliziyo esingajwayelekile - i-pacemaker; IBradycardia - i-pacemaker; Inhliziyo block - pacemaker; Mobitz - umenzi wenhliziyo; Ukuhluleka kwenhliziyo - i-pacemaker; I-HF - i-pacemaker; CHF- umenzi wenhliziyo

• I-Angina - ukukhishwa
• U-Angina - ukuthi ubuze ini kudokotela wakho
• I-Angina - lapho unezinhlungu esifubeni
• Izidakamizwa ze-antiplatelet - P2Y12 inhibitors
• I-Aspirin nesifo senhliziyo
• I-Atrial fibrillation - ukukhishwa
• Ibhotela, imajarini namafutha okupheka
• Cholesterol nendlela yokuphila
• Ukulawula umfutho wegazi ophakeme
• Kuchazwe amafutha ezokudla
• Amathiphu okudla okusheshayo
• Isifo senhliziyo - ukukhipha
• Isifo senhliziyo - okufanele ubuze udokotela wakho
• Isifo senhliziyo - izici eziyingozi
• Ukuhluleka kwenhliziyo - ukukhipha
• Uwafunda kanjani amalebula okudla
• I-cardioverter defibrillator engafakelwa - ukukhishwa
• Ukudla okunosawoti omningi
• Ukudla kwaseMedithera
• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile

• I-Pacemaker

U-Epstein AE, uDiMarco JP, u-Ellenbogen KA, et al. Ukubuyekezwa okugxilwe yi-ACCF / AHA / HRS ngo-2012 kufakwe kumhlahlandlela we-ACCF / AHA / HRS ka-2008 wokwelashwa okususelwa kudivayisi kokungajwayelekile kwesigqi senhliziyo: umbiko we-American College of Cardiology Foundation / American Heart Association Task Force ngemihlahlandlela yokusebenza ne-Heart Rhythm Umphakathi. UJ Am Coll Cardiol. 2013; 61 (3): e6-e75. I-PMID: 23265327 pubmed.ncbi.nlm.nih.gov/23265327/.

UMiller JM, uTomaselli GF, uZipes DP. Ukwelashwa kwama-arrhythmias enhliziyo. 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 36.

UPfaff JA, uGerhardt RT. Ukuhlolwa kwamadivayisi angafakwa. Ku: Roberts JR, Custalow CB, Thomsen TW, ama-eds. Izinqubo Zomtholampilo zikaRoberts noHedges ku-Emergency Medicine kanye ne-Acute Care. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 13.

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.