I-cardioverter-defibrillator engafakelwa

I-cardioverter-defibrillator (i-ICD) efakelwayo iyithuluzi elithola noma yikuphi ukushaya kwenhliziyo okusongela ukuphila. Lokhu kushaya kwenhliziyo okungavamile kubizwa ngokuthi i-arrhythmia. Uma kwenzeka, i-ICD ithumela ngokushesha ukushaqeka kukagesi enhliziyweni. Ukushaqeka kushintsha isigqi sibuyele kokujwayelekile. Lokhu kubizwa ngokuthi yi-defibrillation.

I-ICD yenziwe ngalezi zingxenye:

• I-pulse generator icishe ilingane newashi elikhulu lasemaphaketheni. Iqukethe amabhethri namasekhethi kagesi afunda umsebenzi kagesi wenhliziyo yakho.
• Ama-electrode yizintambo, ezibizwa nangokuthi imikhondo, ezidlula emithanjeni yakho iye enhliziyweni yakho. Baxhuma inhliziyo yakho kulo lonke ucingo. I-ICD yakho ingaba nama-electrode ayi-1, 2, noma ama-3.
• Ama-ICD amaningi ane-pacemaker eyakhelwe ngaphakathi. Inhliziyo yakho ingadinga ukuhamba kancane uma ishaya kancane kakhulu noma ngokushesha okukhulu, noma uma uke wethuka yi-ICD.
• Kukhona uhlobo olukhethekile lwe-ICD olubizwa nge-ICD enezinsimbi. Le divayisi inomthofu obekwa ezicutshini ngakwesobunxele sesifuba kunasenhliziyweni. Lolu hlobo lwe-ICD alukwazi futhi ukuba yi-pacemaker.

Udokotela wezinhliziyo noma udokotela ohlinzayo uvame ukufaka i-ICD yakho lapho uvukile. Indawo yodonga lwesifuba sakho engezansi kwekhola lakho lizobulawa nge-anesthesia, ngakho-ke ngeke ubuzwe ubuhlungu. Udokotela ohlinzayo uzokwenza imbobo (asike) isikhumba sakho futhi adale isikhala ngaphansi kwesikhumba sakho kanye nemisipha yomenzi we-ICD. Ezimweni eziningi, lesi sikhala senziwa eduze kwehlombe lakho lesobunxele.

Udokotela ohlinzayo uzofaka i-electrode emthanjeni, bese enhliziyweni yakho. Lokhu kwenziwa kusetshenziswa i-x-ray ekhethekile ukubona ngaphakathi kwesifuba sakho. Lapho-ke udokotela ohlinzayo uzoxhumanisa ama-electrode ne-pulse generator ne-pacemaker.

Inqubo ivame ukuthatha amahora amabili kuya kwangu-3.

Abanye abantu abanalesi simo bazoba nedivayisi ekhethekile ehlanganisa i-defibrillator ne-biventricular pacemaker ebekiwe. Umshini we-pacemaker usiza inhliziyo ukushaya ngendlela ehleleke kakhudlwana.

I-ICD ibekwa kubantu abasengozini enkulu yokufa okungazelelwe kwenhliziyo ngenxa yesigqi senhliziyo esingajwayelekile esisongela impilo. Lokhu kufaka phakathi i-ventricular tachycardia (VT) noma i-ventricular fibrillation (VF).

Izizathu ongaba sengozini enkulu yilezi:

• Ube neziqephu zenye yalezi zingoma zenhliziyo ezingavamile.
• Inhliziyo yakho ibuthakathaka, inkulu kakhulu, futhi ayifaki igazi kahle. Lokhu kungahle kube kusuka ekuhlaselweni yinhliziyo kwasekuqaleni, ukwehluleka kwenhliziyo, noma i-cardiomyopathy (isifo senhliziyo esigulayo).
• Unenkinga yenhliziyo yokuzalwa (ekhona ngesikhathi sokuzalwa) noma isimo sempilo yezofuzo.

Izingozi zanoma yikuphi ukuhlinzwa yilezi:

• Amahlule egazi emilenzeni angahamba aye emaphashini
• Izinkinga zokuphefumula
• Isifo senhliziyo noma isifo sohlangothi
• Ukungezwani komzimba nemithi (i-anesthesia) esetshenziswa ngesikhathi sokuhlinzwa
• Ukutheleleka

Izingozi ezingaba khona zalokhu kuhlinzwa yilezi:

• Ukutheleleka kwesilonda
• Ukulimala enhliziyweni noma emaphashini akho
• Ama-arrhythmias enhliziyo ayingozi

I-ICD kwesinye isikhathi iletha ukwethuka enhliziyweni yakho uma UNGAYIDINGI. Noma ukwethuka kuhlala isikhathi esifushane kakhulu, ungakuzwa ezimweni eziningi.

Le nezinye izinkinga ze-ICD kwesinye isikhathi zingavinjelwa ngokushintsha ukuthi i-ICD yakho ihlelwa kanjani. Kungasethwa futhi ukuthi kuzwakale isexwayiso uma kunenkinga. Udokotela olawula ukunakekelwa kwakho kwe-ICD angahlela idivayisi yakho.

Hlala utshela umhlinzeki wakho wezempilo ukuthi imiphi imishanguzo oyisebenzisayo, ngisho nezidakamizwa noma amakhambi owathengile ngaphandle kadokotela.

Ngosuku olungaphambi kokuhlinzwa kwakho:

• Vumela umhlinzeki wakho azi nganoma yikuphi ukubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, noma okunye ukugula ongahle ube nakho.
• Ukugeza kanye ne-shampoo kahle. Ungacelwa ukuthi ugeze wonke umzimba wakho ngaphansi kwensipho yakho ngensipho ekhethekile.
• Ungacelwa futhi ukuthi uthathe i-antibiotic, ukuqapha ukutheleleka.

Ngosuku lokuhlinzwa:

• Imvamisa uzocelwa ukuthi ungaphuzi noma ungadli lutho ngemuva kwamabili ebusuku ngaphambi kokuhlinzwa kwakho. Lokhu kufaka phakathi ushungamu nomoya wokuphefumula. Hlanza umlomo wakho ngamanzi uma uzizwa womile, kodwa qaphela ukuthi ungagwinyi.
• Thatha izidakamizwa otshelwe ukuthi uziphuze ngophuzo oluncane lwamanzi.

Uzotshelwa ukuthi ufika nini esibhedlela.

Iningi labantu abane-ICD efakiwe bayakwazi ukuya ekhaya besuka esibhedlela ngosuku olungu-1. Ngokushesha okukhulu babuyela ezingeni lomsebenzi wabo ojwayelekile. Ukululama ngokugcwele kuthatha cishe amasonto amane kuye kwayisithupha.

Buza umhlinzeki wakho ukuthi ungayisebenzisa kangakanani ingalo eseceleni komzimba wakho lapho kubekwe khona i-ICD. Ungelulekwa ukuthi ungaphakamisi noma yini enesisindo esingaphezu kwamakhilogremu ayi-10 kuye kwayi-15 (4.5 kuya ku-6.75 kilograms) nokugwema ukusunduza, ukudonsa, noma ukusonta ingalo yakho amasonto ama-2 kuye kwayi-3. Ungatshelwa futhi ukuthi ungaphakamisi ingalo yakho ngaphezu kwehlombe lakho amasonto ambalwa.

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

Uzodinga ukuhlolwa njalo ukuze i-ICD yakho ibhekwe. Umhlinzeki uzohlola ukuthi ngabe:

• Idivayisi izwa kahle ukushaya kwenhliziyo yakho
• Zingaki izithuko esezenzekile
• Kusele amandla amangakanani kumabhethri.

I-ICD yakho izobheka njalo ukushaya kwenhliziyo yakho ukuze iqiniseke ukuthi izinzile. Izoletha ukushaqeka enhliziyweni lapho izwa isigqi esisongela impilo. Iningi lalawa madivayisi angasebenza futhi njenge-pacemaker.

ICD; Ukwehliswa kwesibindi

• I-Angina - ukukhishwa
• I-Angina - lapho unezinhlungu esifubeni
• Izidakamizwa ze-antiplatelet - P2Y12 inhibitors
• I-Aspirin nesifo senhliziyo
• Ibhotela, imajarini namafutha okupheka
• Cholesterol nendlela yokuphila
• Ukulawula umfutho wegazi ophakeme
• Kuchazwe amafutha ezokudla
• Amathiphu okudla okusheshayo
• Isifo senhliziyo - ukukhipha
• Isifo senhliziyo - izici eziyingozi
• Ukuhluleka kwenhliziyo - ukukhipha
• Uwafunda kanjani amalebula okudla
• Ukudla okunosawoti omningi
• Ukudla kwaseMedithera
• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile

• I-cardioverter-defibrillator engafakelwa

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