Ukuphefumula kwe-Pacemaker: Yonke Nge-Pacemakers

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Yintoni i-Pacemaker?

I-pacemaker yisistim esinceda ukulawula isigqi se ntliziyo kunye nesantya apho sibaleka khona. Ingasetyenziselwa okwethutyana, njengoko emva kokuhlinzwa kwentliziyo evulekileyo, okanye ibekwa ngokusisigxina, ngenkqubo yokungeniswa kwimizuzu emininzi.

Intliziyo eqhelekileyo ibetha ngokukhawuleza, kodwa kukho iimeko ezininzi ezingenza intliziyo ibetha ngokungaqhelekanga. Isantya sinokukhawuleza okanye sinokuphuza kakhulu, okanye intliziyo ingasayi kutshayelwa kwindlela eqhelekileyo ye "fashion". Ukuba intliziyo ayikubethi kakuhle, i-pacemaker ingasetyenziselwa ukulawula isigqi.

I-pacemaker ithumela impembelelo kagesi kwisiphako senhliziyo esichaza xa ukubetha. Ukuba enye yamagumbi entliziyo isebenza ngokungafanelekanga, i-pacemaker ingaqhotyoshelwe apho, okanye kumagumbi amaninzi xa kuyimfuneko.

Imiqathango enokunyangwa nge-pacemaker ifaka i-fibrillation ye -rial kunye ne-bradycardia (izinga lentliziyo elincinci). Kwezinye iimeko, i-pacemaker inokukunceda ukuqinisekisa i-atrium yekhohlo kunye ne-ventricles yesivumelwano ngexesha elinye. Kukho inhlanganisela ye-defibrillator / pacemaker ekhoyo, esetyenziselwa ukuphatha i-tachycardia engavamile (isantya sentliziyo esingaqhelekanga kunye nokukhawuleza).

Ngolwazi olungakumbi malunga neNtliziyo yeNtliziyo kunye nokuPhepha kwentliziyo

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Iintlobo ze-Pacemakers

Kukho iintlobo ezibini eziphambili ze-pacemakers: i-pacemaker ehamba phambili eyenza iigumbi zentliziyo, kunye ne-internal defibrillator / pacemaker eyaziwa njenge-cardioverter defibrillator.

Uhlobo oluqhelekileyo lwe-pacemaker luthumela umfutho wombane ngeentambo ezikhethekileyo ezifakwe entliziyweni. Oku kufaka indawo yesalathiso esithunyelwa ngentliziyo, ephosakeleyo kwizigulane ezifuna i-pacemaker.

Uhlobo lwesibini lwe-pacemaker, intsebenziswano yangaphakathi ye-defibrillator / pacemaker (AICD), ithumela impembelelo yombane entliziyweni ukulawula izinga lentliziyo kunye nesigqi, njengokuba i-pacemaker evamile. Ukongeza kuloo msebenzi, unokunikela "ukutshitshiswa" ukuyeka "isigqi esibulalayo," isingeniso senhliziyo engavumeli intliziyo ukuba isebenze ngokufanelekileyo.

Ingcamango yokutshitshiswa kufana ne "ukutshitshiswa ngeepaddles" oye wazibona kumabonwakude. Nangona kunjalo, ngenxa yokuba ifowuni ifakwe kwintliziyo ngeencingo, ukutshitshiswa kunamandla kunokuba ungacinga. Noko ke, kuba buhlungu kakhulu kwaye bufaniswa nokukhonywa esifubeni ngamathole.

Ngolwazi olungakumbi malunga neNtliziyo yeNtliziyo kunye nokuPhepha kwentliziyo

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Ubungozi boPileraker Surgery

Ukongeza kwingozi enkulu yokuhlinzwa kunye neengozi ze-aneshesia , ukuhlinzwa kwe-pacemaker kubeka ingozi. Nangona iingaphantsi kwe-5% yezigulane zifumana iingxaki emva kokuhlinzwa kwe-pacemaker, kubalulekile ukuba uqaphele iingxaki ezinokwenzeka.

Ingozi yokuPhenywa kwePakemaker

• Umonakalo wemigudu kwisayithi yokungena
• Ukulimala kwiimfucu okanye imilambo yegazi ejikeleze intliziyo okanye kwisiza sokungena
• I-Pneumothorax (iphosi epholileyo)
• Ukuqhayisa kwisiza sokubekwa (oku kuyiphumo elilindelekileyo lotyando)
• I-pacemaker ephosakeleyo engasebenzi njengoko ihloselwe emva kokuhlinzwa (okunqabile kakhulu)
• Iingcingo ezikhohlisayo ezidibanisa i-pacemaker entliziyweni (inqabile kakhulu)
• Iifoni zenkqubela eziye zacinywa emva kokuhlinzwa ngenxa yemisebenzi okanye ukufakwa kwamatyala
• Usulelo lwe-Infection
• I-pacemaker ingathatyathwa endaweni ezayo

Ngolwazi olungakumbi malunga neNtliziyo yeNtliziyo kunye nokuPhepha kwentliziyo

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Yintoni eyenzeka Ngethuba leNkqubo yeCapemaker

Ukuvuthwa ukufaka i-pacemaker kuthathwa njengenkqubo encinci yokungena . Akuyintliziyo evulekileyo yokuhlinzwa , nangona ingadibaniswa nokuhlinzwa kwentliziyo evulekile xa kuyimfuneko.

Inkqubo iqhutyelwa eklasini yokusebenza okanye kwibhabhinethi yenyama yokusebenza. I-anesthesia yendawo inikezelwa ukuba iguqulwe kwindawo yesifuba apho kwenziwa khona inkqubo, ivumela isigulana ukuba sihlale siphaphekile xa utyando lwenziwa ngaphandle kwentlungu. Ukongezelela ekugubungeni loo ndawo, kunokwenzelwa uncedo ukuze uncede isigulane siphume okanye sifinyelele kwixesha lokulala .

Emva kokuba i- anesthesia iqalisa ukusebenza, isifuba siya kulungiswa ngesisombululo esisodwa sokususa iintsholongwane ezinokuba zikhupha, kwaye loo ndawo iya kuguqulwa nge-drape eyinyumba ukuze kugcinwe i-incision ecocekileyo.

Inkqubo iqala ngokufakwa kweefowuni ezifakela isixhobo kwintliziyo. Iifowuni zifakwe kwi-intliziyo apho zifakwa khona ngohlobo lwe x-ray ekucingeni evumela ugqirha ukuba abone apho iifowuni zihlala khona ngamaxesha onke.

Emva kokuba iingcingo zikhona, i-incision isenziwe kwisifuba okanye ngesisu, kwaye isistim se-pacemaker esifakwe phantsi kwesikhumba. Iifoni, ezixhunyiwe entliziyweni, zifakwe kwi-pacemaker. I-pacemaker ivavanywa ukuqinisekisa ukuba isebenza ngokufanelekileyo.

Xa ugqirha ugqiba ukuba iingcingo zihlala kwindawo echanekileyo kwaye i-pacemaker isebenza ngokufanelekileyo, isicatshulwa sivaliwe nge- sutures okanye kumacandelo okubamba kunye neyeza kunikwa ukuvusa isigulane.

Ngolwazi olungakumbi malunga neNtliziyo yeNtliziyo kunye nokuPhepha kwentliziyo

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Emva kokuphelelwa nguPhakemaker

Nangona ukuhlinzwa okwenziweyo ukubeka i-pacemaker yinkqubo encinci, ukuhlala ubusuku besikhala esibhedlele kuyadingeka. Oku kwenziwa ukwenzela ukuba umsebenzi weentliziyo unokubekwa iliso kwiiyure emva kokuhlinzwa.

Unokulindela ukuchitha ubusuku kwigumbi elivumela intliziyo yakho ukuba ihlolwe ngokuqhubekayo. Ngokuqinisekileyo uya kuba neentlanzi ezine kwisifubeni sakho ngeencingo ezifakwe kuwo. Oku kuvumela abasebenzi ukuba bajonge umsebenzi wenhliziyo yakho, ngohlobo lwe-EKG eqhubekayo, ngaphandle kokungena kwigumbi lakho.

Ukuba i-pacemaker isebenza ngokufanelekileyo emva kokuhlinzwa, kufuneka ukwazi ukubuyela ekhaya ngosuku olulandelayo. Uya kufuneka ukuba unakekele ukukhangela kwakho kwiiveki ezimbalwa njengoko ivala, ukubeka iliso kwiimpawu zentsholongwane kunye nokuphilisa.

Unokwazi ukuziva i-pacemaker phantsi kwesikhumba sakho njengoko i-pacemaker ibeka nje ngaphantsi kwesikhumba. Le ndawo iya kuba yintlungu emva kokuhlinzwa, kodwa njengoko ixesha lidlulayo i-pacemaker kufuneka ibonakale ingabonakali. Ngethuba lokubuyiswa kwakho ungafuna ukulala emhlane okanye kwicala lakho, njengoko loo ndawo ingatyunjwa okanye ithenda.

Ukunyamekelwa kweNkcazo emva kokuPiliswa kweeNkcukacha ngeeNkcukacha zeNtliziyo kunye nokuPhepha kwentliziyo

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Ubomi Emva kokuphefumula kwe-Pacemaker

Xa usuphilise ekusebenziseni ukuqhutyelwa kwe-pacemaker, ungabona ukuphuculwa okuphawulekayo kwinqanaba lamandla akho kunye ne-stamina. I-pacemaker iya kunceda intliziyo yakho isebenze ngokufanelekileyo, nto leyo kufuneka inciphise iimpawu zokukhathala, kwaye ikuvumele ukuba usebenze.

Ukuba i-pacemaker yakho nayo i-defibrillator efakwe kwi-defibrillator, unako ukufumana "ukukrakra" ngokukhawuleza njengoko ifowuni isebenza ukugcina intliziyo yakho kwisigqi esinempilo. Ezi ntshutshiso zimele zixelwe kwi-cardiologist yakho, kwaye ukuba zihlala zihlala zihlala zihlala zifuna ukunyamekela kwiGumbi eliPhezulu.

Emva kokuhlinzwa, uya kufuna ukukhusela umbane xa kunokwenzeka. Oku kungenxa yokuba amagorha angaphazamisa umsebenzi wefowuni kwaye ingabangela iingxaki ezinzulu ngentliziyo yakho. Kufuneka uphephe ukubeka i-electronics encinci njengefowuni ephakamileyo lakho, njengoko inokuphazamisa isixhobo. Uvavanyo olusebenzisa amatshini, njenge- MRI , lunokuphazamisa umsebenzi we-pacemaker kwaye aluyi kukwazi ukuhamba nge-pacemaker endaweni.

Kufuneka uxelele nayiphi na ugqirha okanye umboneleli wezempilo ukuze ubone, nokuba ingaba yintliziyo yengcali okanye ayikho, ukuba une-pacemaker.

Ukongezelela, umsebenzi onzima okanye nayiphi na into eya kubangela impembelelo enkulu kwicebo kufuneka igwenywe. I-pacemaker iyakhuselwa ngokukodwa phantsi kwesikhumba; Nangona kunjalo, umonakalo obuhlungu ungalonakalisa. Umzekelo, ukudlala umdlalo woqhagamshelwano olunjengehokkey kunokubangela umonakalo, kunye neminye imidlalo ethintekayo ingabangela ukuba iintambo zisuke kwindawo yazo entliziyweni.

Uya kufuneka ufunde ugqirha wakho rhoqo emva kokuba i-pacemaker efakwe ukuqinisekisa ukuba ifowuni isebenza ngokufanelekileyo kwaye inokwenzeka ukuba imemori yekhompyutha ikhutshwe. Oku kunokwenziwa ngokulula kakhulu kwesikhumba, kwaye akufanele kube buhlungu. Ixesha elide, i-pacemaker yakho ingadinga ukugcinwa, ugqirha wakho uya kugqiba ngexesha lokutyelela rhoqo.

Ngolwazi olungakumbi malunga neNtliziyo yeNtliziyo kunye nokuPhepha kwentliziyo

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Imithombo

_Imithombo:

Yintoni i-Cardioverser Implantable Defibrillator. I-Heart Heart Lung ne-Blood Institute. Ufikelele kuMeyi, 2009 http://www.nhlbi.nih.gov/health/dci/Diseases/icd/icd_whatis.html

Yintoni i-Pacemaker? I-Heart Heart Lung ne-Blood Institute. Ufikelele kuMeyi, 2009 http://www.nhlbi.nih.gov/health/dci/Diseases/pace/pace_whatis.html

Ngolwazi olungakumbi malunga neNtliziyo yeNtliziyo kunye nokuPhepha kwentliziyo

Yintoni onokuyilindela Ngethuba loPhando lwe-Pacemaker. I-Heart Heart Lung ne-Blood Institute. Kufumaneke ngoMeyi, 2009 http://www.nhlbi.nih.gov/health/dci/Izixhobo / indawo / indawo_duringsurgery.html