Thatha izinyathelo ezilula zokulinda, futhi impilo kufanele ibe yinto evamile
I-pacemaker iyisisetshenziswa esincane se-elekthronikhi esifakwa ngaphansi kwesikhumba ukusiza ukulawula isigqi senhliziyo. Ama-pacemaker amaningi asetshenziselwa ukuphatha izimpawu ezibangelwa yi-bradycardia (izinga lentliziyo elincane) elibangelwa yisifo se-sinus syndrome noma i- heart block .
Ukuba ne-pacemaker kufanele kuqede noma kuvimbele izinkinga, hhayi kubangele. Ngokuvamile, yilokho abakwenzayo.
Ukuba ne-pacemaker akufanele kuguquke kakhulu noma kuphazamise impilo yakho. Uma nje ulandela izixwayiso ezimbalwa ezilula futhi ulandela isimiso somdokotela wakho wokulandelela ngezikhathi ezithile, i-pacemaker yakho akufanele ithinte ngokuphawulekayo indlela yakho yokuphila nganoma iyiphi indlela engafanele.
Ngemuva kokufakelwa kwe-Pacemaker
Ukufakelwa kwe-Pacemaker ukuhlinzwa okuncane okungavamile. Isikhathi sokuphumula esivamile asikho eside noma kunzima. Ungase uzwe ubuhlungu endaweni yesisindo ezinsukwini ezimbalwa. Udokotela wakho angakucela ukuthi ukhawulele umsebenzi onamandla noma uphakamise izinto ezinzima ngesonto noma ezimbili. Indawo yokuhlunga ngokuvamile ivame ukuphulukiswa ngokuphelele ngemva kwamasonto amabili noma amathathu, futhi akufanele ube nemingcele eminye.
Phakathi nalesi sikhathi sokuqala kufanele ubukele izimpawu zokugaya noma ukutheleleka, njengokukhukhumeza, ukubomvu okwenyuka noma ukulimala okwedlulele, futhi uvumele udokotela wakho ukuthi uma kukhona noma iyiphi yalezi zimpawu zenzeka.
Ngenhlanhla, lezi zinkinga ziyinto engavamile.
Kuzodingeka ukuthi i-pacemaker yakho ihlolwe ngezikhathi ezithile ukuqinisekisa ukuthi isebenza ngendlela evamile futhi ibhethri layo inamandla amaningi. Ngokujwayelekile, lokhu kuhlolwa kwe-pacemaker kungenziwa ekhaya, ngaphandle kwentambo, usebenzisa idivaysi ekhethekile udokotela wakho uzokunika ukulandela okulandelayo.
Uzohlolwa futhi ehhovisi likadokotela wakho kanye noma kabili ngonyaka.
Lapho ibhethri iqala ukuphuma - ngokuvamile emva kweminyaka emihlanu kuya kweyishumi - udokotela wakho uzohlela ukushintshwa kwe-pacemaker ekhethiwe . Le nqubo elula, eyenziwa ngaphansi kwe-anesthesia yendawo, lapho i-generemaker yakho yangaphambili ye-pacemaker igxothwa khona kusukela ekuholeni kwayo futhi iphonswa kude. Manje i-generator entsha inamathele, futhi ukuchotshozwa kukhonyiwe. Ngokujwayelekile, i-pacemaker ihola akudingeki ukuthi ithathwe indawo ngaphandle uma ikhula.
Yikuphi okuqaphayo Okudingeka Uyenze Ukuthatha I-Pacemaker?
Ngokuphambene nenkolelo evamile, imishini yasendlini yanamuhla - kuhlanganise ama-oven microwave - ungaphazamisi ama-pacemakers futhi akufanele kubangele noma yikuphi ukukhathazeka. Ngamanye amadivaysi athile, kunezinyathelo ezimbalwa zokuqapha okudingeka uzithathe. Zihlanganisa:
- Amakholi weselula. Amafoni weselula, uma aphethwe eduze kwe-pacemaker (okungenzeka kwenzeke uma ifoni igcinwa ephaketheni lesifuba) kungase kuthinte umsebenzi we-pacemaker. Kodwa uma nje ifoni igcinwa amasentimitha ayisithupha noma ngaphezulu kude ne-pacemaker akufanele kube nenkinga.
- Amagnethi. Ngokufanayo namafoni, amathemikhali angathinta i-pacemaker uma efakwa ngaphakathi kwamasentimitha ayisithupha noma kunjalo. Mane nje ugcine amamitha kude ne-pacemaker yakho.
- Ama detectors wokulwa nobugebengu. Ukuhamba ngezinyawo, izimboni zokulwa nokulwa kwezitolo zisebenza ngokukhiqiza amagagasi kagesi, okungaphazamisa okwesikhashana umsebenzi we-pacemaker. Kodwa-ke, uma nje uhamba ngokusebenzisa umtshina ngokuvamile (futhi ungayeki noma ume isikhashana ngaphakathi), akufanele uhlangabezane nezinkinga. Ngakho-ke, uma uhlangana nalunye lwala madivayisi, qhubeka uhamba ngokuya kuwo.
- Izivikeli zensimbi yokuvikela isikhungo sezindiza. I-pacemaker yakho ingase isuse ukuhamba-ngokusebenzisa umtshina wensimbi ovame ukusetshenziselwa ukuphepha kwezindiza. Umtshina wensimbi ngeke uthinte i-pacemaker yakho. Kodwa inkinga engaba khona yi-scanner ephethwe ngesandla ukuthi i-agent yokuphepha ingasebenzisa kuwe ngemuva kokususa umtshina wensimbi. Isithwebuli esiphethwe ngesandla sinamathemikhali angase aphazamise i-pacemaker yakho lapho isondelwa. Ngaphambi kokuba uhambe ngokuphepha kwezindiza, kufanele utshele i-agent ukuthi une-pacemaker nokuthi akufanele asebenzise isithwebuli esiphethwe ngesandla eduze ne-pacemaker yakho.
- Ukuphepha kwesikhumulo sezindiza ngokugcwele imizimba yomzimba. Ama-scanner aphelele emiphakathini yezindiza (amadivaysi enza isithombe somzimba wakho) ngokusobala ngeke ashintshe i-pacemaker yakho - kodwa kunomqondo omncane ongobufakazi obukhona okhona kulo magazini. Okuningi mayelana nezithwebuli zomzimba ezigcwele kanye nama-pacemakers lapha .
- Ama-welders e-Arc kanye nama-chain saw. Ngokungafani nemishini yasendlini, ama-arc welders nama-saws anezinamandla ngokwanele ukuphazamisa umsebenzi we-pacemaker yakho. Abantu abanama-pacemaker kufanele bagweme ukusebenzisa le mishini.
- I-MRI ihlola . Izikrini ze-MRI zingaphazamisa umsebenzi we-pacemaker; ngaphansi kwezimo ezithile, zingase zilimaze ngempela idivayisi. Izinkinga nge-MRI zingagwenywa ngokuthatha izinyathelo ezikhethekile zokuqapha ngesikhathi senqubo ye-MRI, kanye nokunciphisa izinhlobo ezithile ze-MRI scans. Uma une-pacemaker futhi udinga i-MRI, kufanele uxoxe ngokucophelela izingozi nezinzuzo nodokotela wakho.
- Ukwelashwa kwamafutha . Imishanguzo enamandla esetshenziselwa ukwelashwa kwemisebe yomdlavuza ingalimaza izifunda ze-pacemaker. Uma udinga ukwelashwa kwe-radiation, i-pacemaker yakho izodinga ukuvikela ngokukhethekile ukuyivikela emkhakheni wezimoto.
- Ezinye izinqubo zokwelashwa. Ama-Pacemakers angathinteka yi- lithotripsy , esebenzisa amagagasi omsindo ukuphatha ama-gallstones noma amatshe ezinso; ama-stimulators (transensaneous electro-nerve / muscle stimulators (TENS) , asetshenziselwa ukulawula ubuhlungu; electrocautery, esetshenziswa ngesikhathi sokuhlinzwa ukulawula ukuphuma kwegazi; kanye ne-diathermy, lapho imisebe yombane noma ama-microwave asetshenziselwa ukushisa izicubu. Ngokuvamile, kunengqondo ukukhumbuza noma yimuphi odokotela bakho ukuthi une-pacemaker ngaphambi kokuba benze noma iyiphi inqubo yokwelashwa.
Izwi elivela
Ama-Pacemakers kufanele athuthukise noma aqhubeke nendlela yakho yokuphila, hhayi ukulinganisa. Futhi ingxenye enkulu yilokhu okwenzekayo. Uma usuphulukile ekuhlinzekeni okufakelwe, akukho okunye okumele ukwenze okudingeka ukwenze kuyimithwalo enkulu, futhi ngeke uhlangane nabo abaningi phakathi nokuphila kwakho kwansuku zonke. Ngokuyinhloko, uma i-pacemaker yakho isetshenzisiwe, ungahamba ngokuphila kwakho okuvamile ngaphandle kokucabanga ngakho.
> Imithombo:
> Epstein AE, DiMarco JP, Ellenbogen KA, et al. I-ACC / AHA / HRS 2008 Izinkombandlela zokwelashwa okusekelwe ngeDivaysi ye-Cardiac Rhythm Okungajwayelekile: Umbiko we-American College of Cardiology / American Heart Association Task Force on Guidelines Practice (Ikomidi Lokubhala Ukubuyekeza I-ACC / AHA / NASPE 2002 Isiqondiso Sokuqondisa Ukufakwa Kwentuthuko of Pacemakers Cardiac kanye nama-Antiarrhythmia Devices) athuthukiswe ngokubambisana ne-American Association for Thoracic Surgery kanye ne-Society of Thoracic Surgeons. J Am Coll Cardiol 2008; 51: e1.
> Hauser RG, Hayes DL, Kallinen LM, et al. Okuhlangenwe nakho kwemitholampilo nge-Pacemaker Generator Pulse and Leads Transvenous: Isifundo Esiyiminyaka Eyisishiyagalolunye Esifundwayo Esibucayi. I-Heart Rhythm 2007; 4: 154.