Ukuhlinzwa kwe-Pacemaker: Konke Mayelana Ne-Pacemaker

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Yini i-Pacemaker?

I-pacemaker iyinsiza esiza ukulawula isigqi senhliziyo kanye nesilinganiso esishaywa ngayo. Ingasetshenziswa okwesikhashana, njengokungathi ngemuva kokuhlinzwa ngenhliziyo evulekile, noma ifakwe unomphela, inqubo encane yokuhlasela.

Inhliziyo evamile iyabulala ngokulinganisela, kodwa kunezimo eziningi ezingenza inhliziyo ishaye ngokungavamile. Isilinganiso singase sibe msinya kakhulu noma sihambe kancane, noma inhliziyo ingase isakwazi ukushaywa ngendlela evamile "ye-lub-dub". Uma inhliziyo ingashayi kahle, i-pacemaker ingasetshenziswa ukulawula isigqi.

I-pacemaker ithumela umfutho kagesi kumsizi wenhliziyo ekutshela ukuthi ukushaya nini. Uma enye yamakamelo enhliziyo isebenza ngendlela engafanele, i-pacemaker ingaxhunyaniswa lapho, noma kumakamelo amaningi uma kunesidingo.

Izimo ezingaphathwa nge-pacemaker zihlanganisa i-frill fibrillation ne-bradycardia (ijubane lenhliziyo elincane). Kwezinye izimo, i-pacemaker ingasiza ekuqinisekiseni i-atrium kwesokunxele noma kwesokudla noma isivumelwano se-ventricles ngesikhathi esifanayo. Kukhona inhlanganisela ye-defibrillator / pacemaker etholakalayo, esetshenziselwa ukuphatha i-tachycardia engavamile (isilinganiso senhliziyo esingavamile futhi esisheshayo).

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Izinhlobo ze-Pacemakers

Kunezinhlobo ezimbili eziyinhloko zama-pacemakers: i-pacemaker evamile edala amakamelo enhliziyo, futhi inhlanganisela yangaphakathi ye-defibrillator / pacemaker eyaziwa ngokuthi i-cardioverter defibrillator.

Uhlobo olujwayelekile lwe-pacemaker luthumela umfutho kagesi ngezingcingo ezikhethekile ezihambisana nenhliziyo. Lokhu kufaka esikhundleni sesignali esithunywe yinhliziyo, okuyinto engalungile kwiziguli ezidinga i-pacemaker.

Uhlobo lwesibili lwe-pacemaker, inhlanganisela yangaphakathi ye-defibrillator / pacemaker (i-AICD), ithumela umfutho kagesi enhliziyweni ukulawula isilinganiso senhliziyo nesigqi, njengoba nje i-pacemaker evamile. Ngaphezu kwalowo msebenzi, kungenza futhi "ukushaqeka" ukuyeka "isigqi esibulalayo," isigqi senhliziyo esingavumeli inhliziyo ukuba isebenze ngempumelelo.

Umqondo wokushaqeka kufana nalokho "ukushaqeka nge-paddles" okungenzeka ukuthi uyibonile kuthelevishini. Kodwa-ke, ngoba idivayisi ifakwe enhliziyweni ngezingcingo, ukushaqeka kunamandla kunalokho ongakucabanga. Kodwa-ke, kuyabuhlungu kakhulu futhi kuqhathaniswa nokukhishwa esifubeni ngumama.

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Izingozi Zokuhlinzwa Kwe-Pacemaker

Ngaphandle kwezingozi ezijwayelekile zokuhlinzwa kanye nezingozi ze-anesthesia , ukuhlinzwa kwe-pacemaker kunezingozi zayo. Nakuba iziguli ezingaphansi kuka-5% zihlangabezana nezinkinga ngemuva kokuhlinzwa kwe-pacemaker, kubalulekile ukuqaphela izinkinga ezingenzeka.

Izingozi zokuhlinzwa kwe-Pacemaker

• Umonakalo wezinzwa endaweni yesehlakalo
• Ukulimala kwezicubu noma imithwalo yegazi ezungeze inhliziyo noma indawo yokucubungula
• I-Pneumothorax (amaphaphu aphelile)
• Ukuthukuthela esakhiweni sokubekwa (lokhu kungumphumela olindelekile wokuhlinzwa)
• I-pacemaker engafanele engasebenzi njengoba ihloselwe ngemuva kokuhlinzwa (okungajwayelekile)
• Izintambo ezikhohlisayo ezixhuma i-pacemaker enhliziyweni (ezingavamile kakhulu)
• Izintambo eziholayo ezikhishwa ngemuva kokuhlinzwa ngenxa yomsebenzi noma ukubekwa okubi
• Ukutheleleka ku-incision
• I-pacemaker ingadingeka ishintshwe esikhathini esizayo

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Okukwenzeka Ngenkathi Inqubo Yokwenza I-Pacemaker

Ukwelashwa ukufaka i-pacemaker kubhekwa njengenqubo encane yokuhlasela . Akuyona ukuhlinzwa kwenhliziyo evulekile , nakuba kungahlanganiswa nokuhlinzwa kwenhliziyo evulekile uma kunesidingo.

Le nqubo ivame ukuqhutshwa ekamelweni lokusebenza noma ebhokisini le-catheterization cardiac. I-anesthesia yasendaweni inikezwa ukuba iphoqe endaweni yesifuba lapho kwenziwa khona inqubo, okwenza isiguli sihlale siphapheme ngenkathi ukuhlinzwa kwenziwa ngaphandle kobuhlungu. Ngaphandle kokuphazamisa indawo, kungase kunikezwe isilwane sokusiza isiguli ukuba siphumule noma sifinyelele esimweni sokulala esikhathele.

Uma i- anesthesia iqale ukusebenza, isifuba sizobe sesilungiselelwe ngesisombululo esikhethekile sokususa amagciwane angase abe esikhumbeni, futhi indawo izobe igcwele ama-drapes oyinyumba ukuze kugcinwe ukuthi ukuhlanza kuhlambuluke ngangokunokwenzeka.

Inqubo iqala ngokufakwa kwezintambo ezifaka idivayisi enhliziyweni. Izintambo zifakwe ngaphakathi futhi zingene enhliziyweni lapho zifakwa khona ngohlobo lwama-ray ray e-ray evumela ukuthi udokotela abone ukuthi yikuphi lapho izintambo zikhona ngaso sonke isikhathi.

Uma nje izintambo zikhona, ukufakwa kwesibindi kwenziwa esikhwameni noma esiswini, futhi idivayisi ye-pacemaker yangempela ifakwa ngaphansi kwesikhumba. Izintambo, ezixhunywe enhliziyweni, zixhunywe kwi-pacemaker. I-pacemaker ihlolwe ukuze kuqinisekiswe ukuthi isebenza ngokuphumelelayo.

Uma udokotela esinqume ukuthi izintambo zisendaweni efanele futhi i-pacemaker isebenza ngendlela efanele, ukufakwa komshini kuvaliwe nge- sutures noma emithini yokunamathisela kanye nemithi inikezwa ukuvusa isiguli.

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Ngemuva kokuhlinzwa kwe-Pacemaker

Nakuba ukuhlinzwa kwangempela ukubeka i-pacemaker kuyinkambiso encane, ukuhlala ebusuku esibhedlela kuyadingeka. Lokhu kwenziwa ukuze umsebenzi wenhliziyo ungaqashwe ngokucophelela emahoreni emva kokuhlinzwa.

Ungalindela ukuchitha ubusuku ekamelweni elivumela inhliziyo yakho ukuba ihlolwe njalo. Cishe uzoba nezimpawu ezine ezifubeni sakho ngezingcingo ezithintekayo. Lokhu kuvumela abasebenzi ukuqapha umsebenzi wenhliziyo yakho, ngendlela ye-EKG eqhubekayo, ngaphandle kokungena ekamelweni lakho.

Uma i-pacemaker isebenza kahle ngemva kokuhlinzwa, kufanele ukwazi ukubuyela ekhaya ngosuku olulandelayo. Kuzodingeka ukhathalele ukuchotshozwa kwakho amasonto ambalwa njengoba ivala, ukuyiqapha ngezibonakaliso zokutheleleka kanye nokuphulukiswa.

Ungakwazi ukuzwa i-pacemaker ngaphansi kwesikhumba sakho njengoba i-pacemaker igcinwa nje ngaphansi kwesikhumba. Le ndawo izoba nzima emva kokuhlinzwa, kodwa njengoba isikhathi sidlula i-pacemaker kufanele ibonakale kancane. Ngesikhathi uthola kabusha ungase ufune ukulala ngemuva noma eceleni, njengoba indawo ingase ivunwe noma ithenda.

Ukunakekelwa kwe-Incision Ngemuva kokuhlinzwa Ukuthola Ulwazi Olwengeziwe Nge-Human Heart & Heart Surgery

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Ukuphila Ngemva Kokuhlinzwa Kwe-Pacemaker

Uma usuphulukile ekuhlinzekeni kwakho kwe-pacemaker, ungabona ukuthuthukiswa okukhulu kwezinga lakho lamandla nokuqina. I-pacemaker izosiza inhliziyo yakho isebenze ngokuphumelelayo, okumele yehlise izimpawu zokukhathala, futhi ikuvumele ukuba usebenze ngokwengeziwe.

Uma i-pacemaker yakho iphinde ibe i-defibrillator esetshenzisiwe, ungase uthole "ukushaqeka" ngezikhathi ezithile njengoba idivayisi isebenza ukugcina inhliziyo yakho ngesigqi esinempilo. Lokhu kushaqeka kufanele kubikwe ku-cardiologist yakho, futhi uma beba njalo, ungadinga ukunakekelwa ekamelweni eliphuthumayo.

Ngemuva kokuhlinzwa, uzodinga ukugwema izinkinobho zamagnetic uma kunokwenzeka. Lokhu kungenxa yokuthi amamitha angaphazamisa ukusebenza kwedivayisi futhi angabangela izinkinga ezinkulu ngenhliziyo yakho. Kumele ugweme ukubeka ama-electronics amancane afana nefoni ephaketheni lakho lesifuba, ngoba angaphazamisa idivayisi. Izivivinyo ezisetshenziswa amamitha, njenge- MRI , zingaphazamisa umsebenzi we-pacemaker futhi ngeke kwenzeke nge-pacemaker endaweni.

Kufanele wazise noma yimuphi udokotela noma umhlinzeki wezempilo ozobona, kungakhathaliseki ukuthi uchwepheshe wezinhliziyo noma cha, ukuthi une-pacemaker.

Ngaphezu kwalokho, umsebenzi okhuni noma noma yini engabangela umthelela omkhulu kudivayisi kufanele igwenywe. I-pacemaker ivikelekile njengoba ilele ngaphansi kwesikhumba; Nokho, iphutha elibukhali lingalimaza. Isibonelo, ukudlala imidlalo yokuxhumana njengehockey kungabangela umonakalo, neminye imidlalo ethinteka kakhulu ingase ibangele izintambo zisuke endaweni yazo enhliziyweni.

Uzodinga ukubona udokotela wakho njalo ngemva kokuba i-pacemaker efakwe ukuqinisekisa ukuthi idivayisi isebenza kahle futhi kungenzeka ukuthi imemori yekhompyutha ilayishwe. Lokhu kungenziwa kalula ngesikhumba, futhi kufanele kube buhlungu. Isikhathi eside, i-pacemaker yakho ingadinga ukunakekelwa, okuyinto udokotela wakho azoyinquma ngesikhathi uvakashela njalo.

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Imithombo

_Imithombo:

Iyini i-Cardioverter Defibrillator efakazwayo. I-National Heart Lung ne-Blood Institute. Kufinyelelwe ngoMeyi, 2009 http://www.nhlbi.nih.gov/health/dci/Diseases/icd/icd_whatis.html

Yini i-Pacemaker? I-National Heart Lung ne-Blood Institute. Kufinyelelwe ngoMeyi, 2009 http://www.nhlbi.nih.gov/health/dci/Diseases/pace/pace_whatis.html

Ukuze uthole olunye ulwazi mayelana ne-Human Heart & Heart Surgery

Yini Ongayilindela Phakathi Nokuhlinzwa Kwe-Pacemaker. I-National Heart Lung ne-Blood Institute. Kufinyelelwe ngoMeyi, 2009 http://www.nhlbi.nih.gov/health/dci/Diseases/pace/pace_duringsurgery.html