Okudingeka Ukwazi Uma Ucabanga Nge-AICD
Noma kunini lapho umuntu ethola i-cardioverter-defibrillator (AICD) engenawo othomathikhi, umgomo uhlale uvumela isiguli ukuba ubuyele ngendlela evamile yokuphila ngendlela esheshayo. Noma kunjalo, kunezinkinga eziningi zokuphila ozidingayo uma ucabangela i-AICD .
I-Period ye-Post-Surgery
Ngenyanga yokuqala elandela ukuhlinzekwa kwe-AICD, uzodinga ukugwema ukuzivocavoca ngamandla, kanye nemisebenzi eqondile edinga ukuhamba okukhulu kwezandla.
Le misebenzi ingabandakanya igalofu, i-tennis, ukubhukuda, ukugcoba nokuphakamisa ngaphezu kwamakhilogremu ambalwa.
Emva kwakho Kuphiliswa Ngokuphelele
Ngemuva kwenyanga yokuqala, ungabuyela emisebenzini yakho evamile. Ezinye izinyathelo zokuqapha zisadingeka, noma kunjalo, njengezo eziphathelene nalokhu:
Imidlalo yokuthintana : Uzodinga ukugwema ezemidlalo zokuxhumana, ezifana nebhola lebholabhadi lokuncintisana kakhulu.
Amafoni: Ungasebenzisa ifoni yakho, kodwa kufanele uzame ukugcina ifoni engaphezu kwamasentimitha ayisithupha ukusuka ku-AICD yakho. (Lokhu kusho, ngokwesibonelo, ukuyigcina ephaketheni lakho lesifuba.) Lokhu kuqapha kuyelulekwa ngoba amagagasi omsakazo akhiqizwa ngamafoni angase "adibanise" i-AICD njengoba ihlaziya ngokuqhubekayo isigqi senhliziyo yakho.
Imishini yezokwelapha: Kufanele kuqashwe izinyathelo ezikhethekile zokuvikela i-AICD ngaphambi kokuba ube ne-MRI scan, lithotripsy (umshini womshini womsindo osetshenziselwa ukuphatha amatshe ezinso ) noma noma yikuphi ukuhlinzwa okungase kuhileleke i-cautery.
Ngakho-ke, inkambo ephephile kakhulu ukukhumbuza udokotela ukuthi unayo i-AICD ngaphambi kokuthola inqubo yezokwelapha.
Amagnethi: Amagnethi afakwe eduze kwe-AICD (ngaphakathi kwamasentimitha ayisithupha noma ngaphezulu) angavimbela i-AICD ekunikezeni ukwelashwa (uma lokho kuyadingeka); kwezinye izimboni amakhompi aphethwe i-AICD imizuzwana engu-20 kuya kwezingu-30 angakhipha ngokuphelele idivayisi.
Ngakho amakhomitha kufanele agwenywe. Amaginethi angatholakala ezindaweni eziningi endaweni yethu, futhi i-AICD ibike ihlaselwe yizinto ezinjengama-bingo, ama-friji, kanye nokuphakamisa izipikha ze-stereo ezibhekene nesifuba. Ngakho uma unayo i-AICD kuzodingeka uqaphe amakhomitha endaweni yakho, futhi ugcine kuzo amasentimitha ambalwa kude nedivayisi yakho.
Imishini yokuphepha: Ngenxa yokuthi i-AICD ingasuka ekuhambeni kwezokuphepha ezinkampanini zezindiza, uzonikezwa ikhadi elizibonakalisa njenge-AICD ongabonisa kubasebenzi bokuphepha. Futhi, izitho zensimbi ezenziwe ngesandla ezisebenzisayo ukuskena umzimba wakho ziqukethe amamitha, ngakho umane ukhumbuze abasebenzi bezokuvikeleka ukuthi bangabeki i-wand ye-scanning phezu kwe-AICD yakho imizuzwana engaphezu kuka-20 kuya kwangu-30. (Ukudlula ngokushesha i-wand ye-AICD yakho ngeke kubangele inkinga.)
Ama-Welders namanye ama-generator amandla: Imishini yokwesekwa, ama-generator asebenza ngamandla kanye ne-high-voltage transformers kudala amasimu anamandla kagesi angathinta i-AICD yakho. Kufanele ugweme ukuxhumana okude (okungukuthi, ngaphakathi kwezinyawo ezimbalwa) ngaleyo ndlela yezinto zokusebenza.
Kuthiwani Ngokushayela?
Kube nokudideka okuningi - phakathi kweziguli nodokotela - mayelana nezincomo ezifanele zokushayela iziguli ezine-AICDs.
Abantu abaningi abane-AICD bayayithola ngoba banengozi eyengeziwe yokuboshwa okungazelelwe komzimba , isimo esibangela ukulahlekelwa okungazelelwe kokuqwashisa. Ngokusobala ukulahlekelwa ngokungazelelwe, kungaba yinkinga uma ushayela imoto. Kodwa i-AICD ithinta kanjani ingozi yokulahlekelwa yimiqondo? Lo mbuzo ube yindaba yokuxoxa ngamandla.
Ngokwezinga elikhulu ingozi yokuboshwa komzimba (hhayi ukutholakala kwe-AICD) eyithinta kakhulu ingozi yokuthola isondo. Ochwepheshe abaningi bakholelwa ukuthi i-AICD - ngokuletha ukwelashwa ngaphakathi kwamasekhondi ambalwa ukuqala ukuboshwa kwenhliziyo - kungenza ukulahleka kokuqonda kungabi lula.
Ngakolunye uhlangothi, kuye kwaphikiswa ukuthi ngokuzumayo ukuthola ukwethuka ngenkathi ushayela kungabangela abantu ukuba balahlekelwe yizimoto zabo ngisho noma bengadluli. Futhi, ngezikhathi ezingavamile umzamo wokuqala i-AICD eyenza ekuphatheni i- arrhythmia ingase ijubane nesigamu esikhundleni sokuyiqeda - futhi ama-arrhythmias asheshayo angakwenza ukuba udlule. Ngakho-ke, ingxabano iyaqhubeka.
Imikhombandlela yamanje kulokho odokotela okufanele batshele iziguli zabo nge-AICD mayelana nokushayela umehluko phakathi kwabantu abathola ama-AICD ngoba babeboshwe inhliziyo ngaphambili noma isiqephu se- ventricular tachycardia (VT ) noma i- ventricular fibrillation (VF) , nalabo abathola i-AICD ngoba nje ingozi yabo iphezulu (kodwa abangakaze baboshwe inhliziyo).
Uma ukhona esigabeni esilandelayo (akukho ukuboshwa kwe-cardiac ngaphambi noma i-VT noma i-VF), odokotela abaningi bazokuvumela ukuba ushayela ngokushesha uma usuvele uthola ukuhlinzwa.
Kodwa uma uboshelwe inhliziyo yakho, noma i-VT noma i-VF, i-American Heart Association iyancoma ukuthi akukho ukushayela kwezinyanga eziyisithupha ngemuva kokufakelwa kwe-AICD noma ezinyangeni eziyisithupha zokuthola ukwethuka. Kodwa uma sekudlule izinyanga eziyisithupha emva kokufakelwa noma ukushaqeka (noma yikuphi okusheshayo), ngokuvamile ukushayela kuvunyelwe.
Ngenxa yokuthi kunezimvo ezingaphezu kwedatha embuzweni wokushayela nge-AICD, izincomo zokushayela, ekuhlaziyweni kokugcina, zivame ukuhlukaniswa ngabanye. Ngaphezu kwalokho, amazwe ahlukene anemithethonqubo ehlukene yokushayela nge-AICD okungenzeka noma engahambisani nemikhombandlela yezokwelapha yamanje. Ngakho uzofuna ukukhuluma nodokotela wakho mayelana nenqubomgomo yakhe mayelana nokushayela nge-AICD.
Funda kabanzi Mayelana nama-AICD:
- Sibutsetelo sama-AICD
- Ziyini izinkinga zama-AICD?
- Funda ngalokho okufanele ukwenze uma i-AICD yakho "ikhumbula."
- Ubani okufanele athole ama-AICD?
Imithombo:
Winters, SL, Packer, DL, Marchlinski, FE, etal. Isitatimende se-Consensus mayelana nezinkomba, iziqondiso zokusetshenziswa, nezincomo zokulandelwa kwe-cardioverter defibrillators. I-Pacing Clin Electrophysiol 2001; 24: 262.
Akiyama, T, Powell, JL, Mitchell, LB, et al. Ukuvuselelwa kokushayela ngemuva kwe-tachyarrhythmia esongela ukuphila. N Engl J Med 2001; 345: 391.