Izinkinga zokuhlinzwa nezokuthutha nge-ICDs
Nakuba i-cardioverter defibrillators (i-ICDs) efakwe ngaphakathi iyasebenza kakhulu futhi ngokuvamile iphephile, kungenzeka ukuthi uhlangane nezinkinga nge-ICD yakho. Lezi zinkinga ze-ICD ziwela ezinhlobonhlobo ezimbili ezijwayelekile: izinkinga zokuhlinzwa, kanye nezinkinga zokuhamba emva kokuhlinzwa.
Izinkinga Zokuhlinzwa
Izingozi ezinkulu ezihlobene nokuhlinzwa okufakelwa i-ICD zihlanganisa:
- ukuphuma
- ukutheleleka
- i-pneumothorax
- umonakalo wenhliziyo noma isitsha segazi
Ingozi enkulu yokuba neyodwa yalezi zinkinga iphakathi kuka-2 kuya ku-3%. Ingozi yokufa eqinisweni inqubo yokufakelwa kwe-ICD iphansi kakhulu - ngokuvamile ngaphansi kwe-1%. Iningi lezinkinga ezihlobene nokuhlinzwa liphela liba mncane futhi liphathwa kalula.
Okuphambene nalokhu "ukubusa" jikelele kuyinto ukutheleleka. Uma i-ICD ithola igciwane, sonke isimiso se-ICD (i-generator ye-ICD nayo yonke imikhombandlela) ngokuvamile kumele isuswe ukuze siphile ngempumelelo ukutheleleka ngama-antibiotics - futhi uma isifo sesisusiwe, esinye isistimu ye-ICD sidinga ukufakwa .
Uzokwehliswa ngalezi zingozi ezifanayo zokuhlinzwa ngesikhathi ngasinye i-ICD generator yakho idinga ukushintshwa (cishe cishe yonke iminyaka engu-6 kuya kwengu-7, lapho ibhethri iqala ukuphuma). Ingozi yakho kusuka kulolu hlelo lokuhlinzwa oluthile ngokuvamile liphansi kunezokuhlinzwa kokuqala.
Lokhu kungenxa yokuthi ukuhlinzekwa ngokuphindaphindiwe ngokuvamile kudinga ukufakwa esikhundleni se-generator ye-ICD ngokwayo, hhayi imithwalo ye-ICD, okunciphisa cishe ingozi yokuphazamisa amaphaphu, kanye nomonakalo enhliziyweni noma emithanjeni yegazi.
Kodwa-ke, kunobunye ubufakazi bokuthi ingozi yokutheleleka iphakeme ngokuhlinzwa okwenziwa esikhundleni esikhundleni sokuhlinzwa kokuqala.
Izinkinga Zokuthunyelwe Okuthunyelwe
Izinkinga zokuthutha emva kokuhlinzwa kwe-ICD therapy zihlanganisa:
- ukubhekana nezinkinga ezifana nokuhola "ukuphazamiseka" (ukuhamba kwezinto ezivela ngaphandle kwesimo sabo esifanele) noma ukuhoxiswa okungaholela ekulahlekelweni kokusebenza kwe-ICD, noma ukushaywa okungafanele (bheka ngezansi)
- ukunyakaza kwe-generator ye-ICD ngaphandle kwesimo sayo esifanele, okungabangela ubuhlungu, ukuguguleka kwesikhumba noma ukuphuma kwegazi
- ukushaywa okungafanele, okubangela ubuhlungu, futhi kungabangela ukuhlukunyezwa kwengqondo
Okuvamile kulezi zinkinga kukhona ukushaywa okungafanelekile. Ukushaywa kwe-ICD kulimaza. Ngenkathi ukushaqeka kuklanyelwe ukuhanjiswa kuphela lapho kuhlasela okusongela ukuphila, abantu abangaba ngu-20% abane-ICD ngesikhathi esisodwa noma omunye bayothola ukushuswa kwezinye izizathu - okuthiwa "ukungalungile" ukushaqeka. Lokhu kushuswa okungalungile kungabangelwa yinoma yisiphi isigqi senhliziyo esheshayo esinjenge -fibrillation ye-atrial , noma ngesilinganiso senhliziyo esheshayo osithola ekuzivocavoca okunamandla.
Ukuvimbela ukushaqeka okungafaneleki okunye okuxhomeke kulokho okubangela. Uma ukushaqeka okungalungile kwenzeka ngenxa ye-fibrillation ye-atrial noma ukuzivocavoca, ezimweni eziningi udokotela angakwazi "ukuhlela kabusha" i-ICD ukunciphisa ithuba lokushaqeka okungafanelekanga. Kodwa ukuvimbela ukushaqeka okungalungile okubangelwa inkinga yokuhola i-ICD ngokuvamile kudinga inqubo yokuhlinzwa.
Okokugcina, amadivaysi e-electronics ahlanganisiwe, afana nama-ICD kanye nama-pacemakers angakwazi ukuhluleka ukusebenza ngezikhathi ezithile. Uma lokhu kwenzeka, i-ICD ingase ingakwazi ukuletha ukwelashwa lapho kudingeka, noma ingase ihambise ukushuswa okungalungile. I-ICD ehluleka ukusebenza ngokuvamile cishe idinga ukususwa futhi ishintshwe ngedivayisi entsha.
Eminyakeni yamuva i-ICD yangaphansi yenzelwe, ikakhulukazi emzamweni wokunciphisa izinkinga enhliziyweni nasemithanjeni yegazi okungenzeka ngezinye izikhathi nge-ICD ejwayelekile. Ngenkathi i-ICD engaphansi kwayo inezinkinga zayo siqu, isipiliyoni sangaphambilini sikhombisa ukuthi izimo zengozi eziyingozi zingancishiswa ngala madivayisi.
Ngenhlanhla, iningi labantu abanama-ICD akakaze lithole noma yikuphi ukucindezeleka okunzima ngamadivaysi abo.
Funda kabanzi Mayelana nama-ICD:
- Sibutsetelo sama-ICD
- Funda ngalokho okufanele ukwenze uma i-ICD yakho "ikhumbula."
- Funda mayelana nokulungiswa kwendlela yokuphila nama-ICD.
Imithombo:
Maisel, WH, Moynahan, M, Zuckerman, BD, et al. I-Pacemaker kanye ne-ICD ye-generator malfunctions: ukuhlaziywa kwemibiko yaminyaka yonke yokuPhatha nokuDrug. I-JAMA 2006; 295: 1901.
Ellenbogen, KA, Wood, MA, Shepard, RK, et al. Ukutholakala nokuphathwa kwe-cardioverter defibrillator ukuhluleka ukuhola: izigameko kanye nemiphumela yomtholampilo. J Am Coll Cardiol 2003; 41:73.
Maisel, WH. Ukuthembeka kwe-Pacemaker kanye ne-ICD generator: ukuhlaziywa kwemeta kokubhaliswa kwedivayisi. I-JAMA 2006; 295: 1929.
Imithombo:
Maisel, WH, Moynahan, M, Zuckerman, BD, et al. I-Pacemaker kanye ne-ICD ye-generator malfunctions: ukuhlaziywa kwemibiko yaminyaka yonke yokuPhatha nokuDrug. I-JAMA 2006; 295: 1901.
Ellenbogen, KA, Wood, MA, Shepard, RK, et al. Ukutholakala nokuphathwa kwe-cardioverter defibrillator ukuhluleka ukuhola: izigameko kanye nemiphumela yomtholampilo. J Am Coll Cardiol 2003; 41:73.
Maisel, WH. Ukuthembeka kwe-Pacemaker kanye ne-ICD generator: ukuhlaziywa kwemeta kokubhaliswa kwedivayisi. I-JAMA 2006; 295: 1929.