Oko Kufuneka Ukwazi Xa Ucinga Nge-AICD
Naliphi na umntu ofumana i-cardioverter-defibrillator (AICD) eyenziwe ngokuzenzekelayo, iinjongo zihlala zivumela ukuba isiguli sibuyele ngokuqhelekileyo ngendlela yokuphila ngokukhawuleza. Sekunjalo, kukho imicimbi ethile yokuphila oyidingayo ukuba uyiqwalasele ukuba ucingisisa i-AICD .
Ixesha loPhulo-oPhulo
Ngenyanga yokuqala kulandela uvavanyo lwe-AICD ukutyunjwa, kuya kufuneka uphephe ukuzivocavoca ngamandla, kunye nemisebenzi ekhethekileyo efuna ukunyakaza okukhulu kweengalo.
Le mi sebenzi ingabandakanya igalofu, i-tennis, ukubhukuda, ukucoca nokuphakamisa ngaphezu kwamakhilogremu ambalwa.
Emva kwakho Kuphiliswa ngokupheleleyo
Emva kwenyanga yokuqala, unokubuyela kwimisebenzi yakho eqhelekileyo. Ezinye izilumkiso zisadingeka, nangona kunjalo, njengalezo eziphathelele:
Imidlalo yoqhagamshelwano: Uzakufuna ukuphepha ukhuphiswano lwezemidlalo, ezifana nebhola lebhola lebhola.
Iifowuni zeefowuni: Ungasebenzisa ifowuni yakho, kodwa kufuneka uzame ukugcina ifowuni engaphezu kwama-intshi ayisithupha ukusuka kwi-AICD yakho. (Oku kuthetha ukuba, umzekelo, ukuwugcina ebhokheni lakho.) Le ngcebiso iyacetyiswa kuba amaza omsakazo aveliswa ngamafowuni ngamanye amaxesha anga "adibanisa" i-AICD njengoko iqhubeka ihlalutya intliziyo yakho.
Izixhobo zonyango: Kufuneka kuthathwe amanyathelo okukhusela okukhuselekileyo ukuze ukhusele i-AICD ngaphambi kokuba ube ne-MRI scan, lithotripsy (umshini wokutshintsha umsindo owenziwe ukuphatha amatye eentso ) okanye nawuphi na utyando olunokubandakanya i-cautery.
Ngoko, inkqubo ekhuselekileyo yenzalo kukukhumbuza nje ugqirha ukuba unayo i-AICD ngaphambi kokuba ube nayiphi na inkqubo yonyango.
Amagnethi: Amagnethe afakwe kufuphi kufuphi ne-AICD (ngaphakathi kweeyintshi ezintandathu okanye njalo) angakuvimbela i-AICD ekunikezeni unyango (ukuba oko kuyafuneka); Kwezinye iimeko izigulane ezibhekiselele kwi-AICD imizuzwana engama-30 ukuya kwe-30 zinokuphelisa ngokupheleleyo idivayisi.
Ngoko magnet kufuneka agwenywe. Amagnethe angatholakala kwiindawo ezininzi kwimeko yethu, kwaye ii-AICD ziye zaxelwa ukuba zichaphazelekayo ngezinto ezifana ne-bingo wands, amatshini amafriji, kunye nokuphakamisa izithethi ze-stereo malunga nesifuba. Ngoko ukuba unayo i-AICD uza kufuneka uqaphele amatshini kwindawo yakho, kwaye ugcine ii-intshi ezimbalwa kude nesixhobo sakho.
Izixhobo zoKhuseleko: Ngenxa yokuba i-AICD ingashenxisa ukuhamba-ngeendlela zokuphepha ezikhuselekileyo kwiinqwelo-moya, uya kunikwa ikhadi ekuzibonakalisa nje ngokuba ne-AICD ongayibonisa kubasebenzi bezokhuseleko. Kwakhona, i-detectors esetyenziswe ngezandla abayisebenzisayo ukutshintshela umzimba wakho uqulethe iimakethi, ngoko umane ukhumbuze abasebenzi bezokhuseleko ukuba bangawubeka i-wand ye-scanning kwi-AICD yakho imizuzwana engama-20 ukuya kwe-30. (Ngokukhawuleza kudlula i-wand nge-AICD yakho ayiyi kubangela ingxaki.)
Izixhobo zomoya kunye nezinye izixhobo zombane: Izixhobo zokumakhenkceza, ii-generator ezihamba ngeenjini kunye ne-high-voltage transformers zivelisa amandla anamandla anezinto ezinokuchaphazela i-AICD yakho. Kufuneka ugweme ukuza kufutshane (oko kukuthi, ngaphantsi kweenyawo ezimbalwa) kunye nolu hlobo lwezixhobo.
Kuthiwani Ngokuqhuba?
Kukho ukudideka okukhulu-phakathi kwezigulane kunye noogqirha-malunga neencomo ezifanelekileyo zokuqhuba izigulane ezine-AICDs.
Uninzi lwabantu abane-AICD bafumana ngenxa yokuba banomngcipheko okhuselekileyo wokubanjelwa kwintliziyo , imeko evelisa ukulahlekelwa kwangoko. Ukulahlekelwa ngokukhawuleza kwesazi, ngokucacileyo, kuya kuba yingxaki ukuba uqhuba imoto. Kodwa i-AICD ifuthe njani umngcipheko wokulahlekelwa ingqondo? Lo mbuzo ube ngumcimbi wengxoxo enamandla.
Kwimeko enkulu kunobungozi bokubanjwa komzimba (kwaye kungekhona ubukho be-AICD) obona buninzi obuchaphazela umngcipheko wokungena emva kwevili. Iingcali ezininzi zikholelwa ukuba ii-AICD - ngokunikezela unyango phakathi kwemizuzwana embalwa yokuqala kokubanjwa kwenhliziyo - kunokukwenza ukuba ilahleko lokuqonda ingabi ncinane .
Ngakolunye uhlangothi, bekuye kwaxutywa ukuba ukuphazamiseka ngokukhawuleza ngexesha lokuqhuba kungawenza abantu balahlekelwe ukulawulwa kweemoto zabo nangona bengadluli. Kwakhona, kwiimeko ezinqabileyo ukuzama kokuqala i-AICD eyenza ukunyanga i- arrhythmia inokukhawulezisa i-arrhythmia esikhundleni sokuyinqamula-kwaye i-arrhythmias ihamba ngokukhawuleza inokukuphelisa. Ngoko, ingxoxo iyaqhubeka.
Izikhokelo zamanje malunga nokokuba oogqirha kufuneka baxelele izigulane zabo nge-AICD malunga nokushayela imoto phakathi kwabantu abafumana ii-AICD zabo kuba babenokubanjelwa kwintliziyo okanye isiqhelo se- ventricular tachycardia (VT ) okanye i- fibrillation ye-ventricular (VF) , kunye nabo bafumana ii-AICD kuba nje umngcipheko wabo uphakamileyo (kodwa abangazange babanjwe ngenhliziyo).
Ukuba uloluhlu lokugqibela (akukho nto yokubanjwa kwenhliziyo okanye i-VT okanye i-VF), uninzi oogqirha baya kukuvumela ukuba uqhube ngokukhawuleza xa ufumene ukuhlinzwa.
Kodwa ukuba uye wabanjwa kwangaphambili, okanye i-VT okanye i-VF, i-American Heart Association iyincoma ukuba akukho ukuqhuba ukuhamba ngeenyanga ezintandathu emva kokufakwa kwe-AICD okanye kwiinyanga ezintandathu zokufumana ukuphazamiseka. Kodwa emva kweenyanga ezintandathu zidlulile emva kokufakela okanye ukutshatyalaliswa (nantoni na yakutshanje), ngokuqhelekileyo ukuqhuba ngokuqhutywa kwemoto kuvumelekile.
Ngenxa yokuba kukho iimbono ezingaphezulu kwedatha kumbuzo wokuqhuba nge-AICD, iinqununu zokuqhuba, ukuhlalutya kokugqibela, zihlala zodwa. Ngaphezu koko, amazwe ahlukeneyo anemimiselo eyahlukileyo ekuqhubeni ii-AICD ezinokuthi zingahambelani nezikhokelo zonyango zangoku. Ngoko uya kufuna ukuthetha nodokotela wakho malunga nomgaqo-nkqubo ngokuphathelele ukushayela nge-AICD.
Funda ngakumbi Ngama-AICD:
- Ubume be-AICD
- Ziziphi iingxaki zeAICD?
- Funda malunga nento oyenzayo ukuba i-AICD "ikhunjulwe."
- Ngubani omele athathe ii-AICD?
Imithombo:
Winters, SL, Packer, DL, Marchlinski, FE, etal. Isitatimende sokubambisana malunga nezibonakaliso, izikhokelo zokusetyenziswa, kunye neengcebiso zokulandelelwa kwe-cardioverter defibrillators. I-Pacing Clin Electrophysiol 2001; 24: 262.
Akiyama, T, Powell, JL, Mitchell, LB, et al. Ukuqalisa ukuqhuma emva kokutshatyalaliswa kweengcipheko ze-tachyarrhythmia. N Engl J Med 2001; 345: 391.