Iingxaki zokuphanda kunye nezopasiphelo zokuhamba kunye nee-ICD
Nangona i-cardioverter defibrillators (i-ICDs) iphumelele kakhulu kwaye ngokubanzi ikhuselekile, kunokwenzeka ukuba ube neengxaki ngeenkqubo zakho ze-ICD. Ezi nkxalabo ze-ICD ziwela ezimbini kwiindidi eziqhelekileyo: iingxaki zokuhlinzwa, kunye neengxaki zokuhamba emva kokuhlinzwa.
Iingxaki zoPhando
Ingozi ebalulekileyo ephathelene nokutyunjwa kwe-ICD yokufakelwa kwezi zibandakanya:
- kuphuma
- sulelo
- pneumothorax
- umonakalo entliziyweni okanye kwisitya segazi
Umngcipheko omkhulu wokuba neyiphi na le nkxalabo iphakathi kwe-2 ukuya kwi-3%. Umngcipheko wokufa ngokwenene kwinkqubo yokufakelwa kwe-ICD iphantsi kakhulu-ngokubanzi phantsi kwe-1%. Uninzi lweengxaki ezinxulumene nophando luphela ngokuba luncinane kwaye luphathwa ngokulula.
Impembelelo enkulu kulo mgaqo "jikelele" usulelo. Ukuba i-ICD ixhaswa, i-ICD yonke inkqubo (i-generator ye-ICD kunye nazo zonke izikhokelo) ngokuqhelekileyo kufuneka isuswe ukwenzela ukuba uphucule ngempumelelo unyango ngamayeza-kwaye emva kokuba usulelekile, enye inkqubo ye-ICD iya kufakwa .
Uza kubonakaliswa nengozi ezifanayo zokuziphawula rhoqo ngexesha lakho le-generator ye-ICD kufuneka lichithwe endaweni (cishe malunga neminyaka emi-6 ukuya kweyesi-7, xa ibhetri iqalisa ukuguga). Umngcipheko wakho kulolu hlobo lotyando oluthile lusezantsi ngaphantsi kokuhlinzwa kwangaphambili.
Oku kungenxa yokuba utyando oluthile ludinga kuphela ukutshintshwa kwe-generator ye-ICD ngokwayo, kwaye akusiyo i-ICD ekhokelayo, okunciphisa phantse umngcipheko wokuphazamisa imiphunga, kunye nomonakalo entliziyweni okanye kwimithambo yegazi.
Nangona kunjalo, kukho ubungqina bokuba umngcipheko wokusuleleka usulele ukwedlula ukutyunjwa okutshintshwayo kunokuba utyando lokuqala.
Iingxaki zoPhulo-Post
Iingxaki zokugqithisa emva kwe-ICD ziquka:
- kubangela ukuxhatshazwa okunjengekhokelo "ukukhutshwa" (ukuhamba kwikhokelo ekuphumeni kwayo) okanye ukukhohliswa kwezinto, okubangelwa ukulahleka kweenkqubo ze-ICD, okanye ukutshutshiswa okungafanelekanga (jonga ngezantsi)
- ukunyakaza kwe-ICD generator ngaphandle kwesimo sayo esifanelekileyo, esinokubangela intlungu, ukukhukhula kwesikhumba okanye ukuphuma kwegazi
- ukutshatyalaliswa okungafanelekanga, okubangela intlungu, kwaye kunokuvelisa ukukhathazeka kwengqondo
Okuqhelekileyo kwezi nkxalabo ayiyiziganeko ezingafanelekiyo. Ukuxhatshazwa kwe-ICD kwenzakala. Nangona ukutshatyalaliswa kuklanyelwe ukuba kuhanjiswe kuphela xa i-arrhythmia isongela ubomi, malunga ne-20% yabantu abanama-ICD ngenye ixesha baya kufumana ezinye izizathu ngenxa yoko-kuthiwa "ukungalunganga". Ezi ntshutshiso ezingafanelekanga zibangelwa yiyiphi na isantya senhliziyo esheshayo ezinjenge- fibrillation ye-atrial , okanye ngesantya senhliziyo esiphuthumayo oyifumana kwisenzo sokuzikhandla.
Ukuthintela ukutshutshiswa okungafanelekanga kuxhomekeke kwizinto ezibangela. Ukuba ukutshatyalaliswa okungafanelekanga kwenzeka ngenxa yefayibrillation ye-agriyiti okanye umzimba, kwiimeko ezininzi ugqirha unokwenza "uphinde ulungise" i-ICD yokunciphisa ithuba lokutshutshiswa okungafanelekanga. Kodwa ukuthintela ukutshutshiswa okungafanelekanga okubangelwa yi-ICD ingxaki yenkxalabo idinga inkqubo yokucoca.
Ekugqibeleni, izixhobo zobugcisa ezifakekayo, ezifana ne-ICD kunye ne-pacemakers, ngezinye iinkqubo ziyakwazi ukusetyenziswa ngokufanelekileyo. Ukuba oku kwenzeka, i-ICD ingenakho ukuhambisa unyango xa iyadingeka, okanye ingabangela ukutshutshiswa okungafanelekanga. I-ICD ehluleka ukusebenza ngokuqhelekileyo ifuna ukuba isuswe ize ishintshwe kunye nefowuni entsha.
Kwiminyaka yakutshanje i-ICD yangaphantsi yenziwe, ikakhulukazi kumgudu wokunciphisa iingxaki kwiintliziyo kunye nemithambo yegazi eyenziwa ngezinye ii-ICD. Nangona i-ICD yangaphantsi inezinxaki zayo, amava okuqala achaza ukuba iziganeko zengxaki ezinobungozi zingancitshiswa ngezixhobo.
Ngenhlanhla, uninzi lwabantu abanama-ICD aluzange lube neyiphi na ingxaki enzulu kunye nezixhobo zabo.
Funda ngakumbi Ngama-ICD:
- Ubume be-ICD
- Funda malunga nento oyenzayo ukuba i-ICD yakho "ikhunjulwe."
- Funda ngokulungiswa kwendlela yokuphila kunye nee-ICD.
Imithombo:
Maisel, WH, Moynahan, M, Zuckerman, BD, et al. I-Pacemaker kunye ne-ICD ye-generator malletctions: uhlalutyo lweeNgxelo zoKutya kunye noLawulo lweeDrug. JAMA 2006; 295: 1901.
Ellenbogen, KA, Wood, MA, Shepard, RK, et al. Ukufumanisa kunye nokulawulwa kwe-cardioverter defibrillator ekukholekeni kwephambili: iziganeko kunye neziphumo zonyango.J Am Coll Cardiol 2003; 41:73.
Maisel, WH. Ukuthembeka kwe-Pacemaker kunye ne-ICD: ukuhlaziywa kweemeta zokubhalisa izixhobo. JAMA 2006; 295: 1929.
Imithombo:
Maisel, WH, Moynahan, M, Zuckerman, BD, et al. I-Pacemaker kunye ne-ICD ye-generator malletctions: uhlalutyo lweeNgxelo zoKutya kunye noLawulo lweeDrug. JAMA 2006; 295: 1901.
Ellenbogen, KA, Wood, MA, Shepard, RK, et al. Ukufumanisa kunye nokulawulwa kwe-cardioverter defibrillator ekukholekeni kwephambili: iziganeko kunye neziphumo zonyango.J Am Coll Cardiol 2003; 41:73.
Maisel, WH. Ukuthembeka kwe-Pacemaker kunye ne-ICD: ukuhlaziywa kweemeta zokubhalisa izixhobo. JAMA 2006; 295: 1929.