Iyiphi i-pacemaker yesikhashana yenhliziyo esetshenziselwe

-Delile
I-pacemaker yesikhashana, eyaziwa nangokuthi yesikhashana noma yangaphandle, iyithuluzi elisetshenziselwa ukulawula isigqi senhliziyo, lapho inhliziyo ingasebenzi kahle. Le divayisi yakha imizwa kagesi elawula ukushaya kwenhliziyo, inikeze ukusebenza okujwayelekile kwenhliziyo.
I-pacemaker yesikhashana ithuluzi elenza amandla kagesi futhi atholakala ngaphandle komzimba onamathiselwe esikhunjeni, exhunywe kolunye uhlangothi lwe-electrode, okuluhlobo lwentambo, olunolunye uhlangothi oluxhunywe nenhliziyo.
Kunezinhlobo ezintathu zama-pacemaker esikhashana:
- I-pacemaker yesikhashana esinqunyiwe noma yangaphandle, ukuthi uhlelo oluphezulu lwamandla, okugqugquzelwa kwalo kusetshenziswa ngqo esifubeni, kuba buhlungu impela futhi kusetshenziswe kuphela ezimweni eziphuthumayo ngokweqile;
- I-pacemaker yesikhashana ye-endocardial, okuyisistimu yamandla aphansi, amandla ayo asetshenziswa ku-endocardium nge-electrode ebekwe emithanjeni;
- I-pacemaker yesikhashana ye-epicardial, okuwuhlelo olunamandla aphansi, amandla alo asetshenziswa enhliziyweni nge-electrode ebekwe ngqo kwi-epicardium ngesikhathi sokuhlinzwa kwenhliziyo.

Kukuziphi izimo okukhonjisiwe
Ngokuvamile, i-pacemaker yesikhashana ikhonjiswa ezimweni eziphuthumayo kuma-bradyarrhythmias, okuyizinguquko ezingeni lokushaya kwenhliziyo kanye / noma isigqi, noma kubantu abane-bradyarrhythmias eseduze, njengasesimweni se-acute myocardial infarction, postoperative yokuhlinzwa kwenhliziyo noma izidakamizwa zokudakwa, ngokwesibonelo . Ingasetshenziswa futhi njengesisekelo sokwelashwa, ngenkathi kulindwe ukubekwa kwe-pacemaker unomphela.
Ngaphezu kwalokho, yize kungaphansi kakhulu, ingasetshenziswa ukulawula, ukuvimbela noma ukubuyisela emuva i-tachyarrhythmias.
Yiziphi izinyathelo okufanele uzithathe
Iziguli ezine-pacemaker kufanele zihambisane nodokotela, ngoba izinkinga zingenzeka ngokuphathwa okungalungile kwe-pacemaker nomholi. Ibhethri lenhliziyo kufanele lihlolwe nsuku zonke.
Ngaphezu kwalokho, ukugqoka esifundeni lapho kwenziwa khona ukufakelwa kufanele kuguqulwe nsuku zonke, ukuvimbela ukuthuthukiswa kwezifo.
Umuntu kufanele aphumule ngenkathi ephethe i-pacemaker yesikhashana, futhi ukuqapha kwe-electrocardiographic kufanele kube njalo, ngoba kubaluleke kakhulu ukuvimbela izinkinga. Ngemuva kokuthi isikhathi esikhonjiswe ngudokotela sesidlulile, i-pacemaker ingasuswa noma ifakwe enye into ehlala njalo. Thola ukuthi kusebenza kanjani, kukhonjiswa nini nokuthi kwenziwa kanjani ukuhlinzwa kokuqina kwenhliziyo.