Ibisimba by'umutima (ICDs)

Implantable cardioverter-defibrillator (ICD) ni igikoresho gito gikoreshwa na batiri gishyirwa mu kifuba. Gipima kandi kigahagarika ikurikiranya ry'umutima ritazwi, bitwa arrhythmias. ICD ikurikirana umutima buri gihe. Itanga amashanyarazi, igihe bibaye ngombwa, kugira ngo isubize umutima ku muvuduko usanzwe.

ICD buri gihe isuzumira imitima idakora neza kandi igashyiraho uburyo bwo kuyikosora ako kanya. Ifasha iyo umutima uhagaze burundu, ikibazo cyitwa guhagarara kw'umutima. ICD ni bwo buvuzi nyamukuru kuri uwo wese warokotse guhagarara kw'umutima. Ibyo bikoresho bikoresha cyane ku bantu bafite ibyago byinshi byo guhagarara kw'umutima. ICD igabanya ibyago byo gupfa bitunguranye biturutse ku guhagarara kw'umutima kurusha imiti gusa. Muganga wawe wita ku mutima ashobora kugutekerezaho ICD niba ufite ibimenyetso by'umutima udakora neza witwa tachycardia ya ventricular iramba. Kugwa ni kimwe mu bimenyetso. ICD kandi ishobora kugutekerezaho niba warokotse guhagarara kw'umutima cyangwa niba ufite: Amateka y'indwara y'imitsi y'umutima n'igitero cy'umutima cyaciriye umutima intege. Imima y'umutima yagutse. Indwara y'umutima iva ku mubyeyi ikongera ibyago by'umutima ukora vuba cyane, nka zimwe mu bwoko bwa syndrome ya long QT.

Ibyago bishoboka byo gushyiramo igikoresho gipima umutima (ICD) cyangwa kubagwa kwacyo bishobora kuba birimo: kwandura ahantu hashyizwe igikoresho. Kubyimba, kuva amaraso cyangwa kwishima. Kwangirika kw'imijyana y'amaraso biterwa n'insinga z'igikoresho gipima umutima. Kuva amaraso hafi y'umutima, ibyo bishobora guhitana ubuzima. Amaraso ava mu mbuto y'umutima aho ishinge y'igikoresho gipima umutima ishyizwe. Urufukirwa. Igikoresho cyangwa insinga zigenda, ibyo bishobora gutera umwenda cyangwa igikomere mu gikomere cy'umutima. Iki kibazo, kitwa cardiac perforation, ni gito.

Mbere yuko wakira ICD, hazakorwa ibizamini bitandukanye kugira ngo barebe ubuzima bw'umutima wawe. Ibizamini bishobora kuba birimo: Electrocardiogram (ECG cyangwa EKG). ECG ni ikizamini cyihuse kandi kitababaje kigenzura ukuntu umutima ukora. Udupapuro dutoduto twitwa electrodes dupandikwa ku gatuza, rimwe na rimwe no ku maboko n'amaguru. Insinga zihuza electrodes na mudasobwa, igaragaza cyangwa icapa ibyavuye mu isuzuma. ECG ishobora kwerekana niba umutima ukora cyane cyangwa buhoro. Echocardiogram. Iki kizamini cyo kubona amashusho ikoresha amaseseme kugira ngo ikore amashusho y'umutima. Igaragaza ubunini n'imiterere y'umutima n'uburyo amaraso anyura mu mutima. Holter monitoring. Holter monitor ni igikoresho gitoto, gishyirwaho, gikurikirana imiterere y'umutima. Ubusanzwe uyambara iminsi 1-2. Holter monitor ishobora kubona imiterere idasanzwe y'umutima ECG itashoboye kubona. Insinga zivuye ku bisanzure bipapikwa ku gatuza bihuzwa n'igikoresho cyandika gikoresha batiri. Ujyana icyo gikoresho mu mufuka cyangwa ukacyambara ku gikapu cyangwa ku rutugu. Mu gihe wambaye icyo gikoresho, ushobora gusabwa kwandika ibikorwa byawe n'ibimenyetso. Itsinda ry'abaganga bawe rishobora kugereranya inyandiko zawe n'ibyo icyo gikoresho cyanditse, bagerageze gusobanukirwa icyateye ibyo bimenyetso. Event monitor. Iki gikoresho cya ECG gifite ubushobozi bwo kwambara iminsi 30 cyangwa kugeza ubwo ufite arrhythmia cyangwa ibimenyetso. Ubusanzwe ukande buto iyo ibimenyetso bibayeho. Ubushakashatsi bwa Electrophysiology, bwitwa kandi EP study. Iki kizamini gishobora gukorwa kugira ngo hemezwe uburwayi bw'umutima ukora cyane. Nanone gishobora kugaragaza agace mu mutima gateza imiterere idasanzwe y'umutima. Muganga ayobora umuyoboro woroshye witwa catheter unyuze mu mubiri w'amaraso ujya mu mutima. Akenshi hakoreshwa catheter zirenze imwe. Ibisanzure biri ku mpera ya buri catheter bindika ibimenyetso by'umutima.