Pacemaker
Mayelana nalokhu kuhlolwa
I-pacemaker iyidivayisi encane, esebenza ngebhethri, evikela inhliziyo ekubetheni kancane kakhulu. Udinga ukuhlinzwa ukuze uthole i-pacemaker. Le divayisi ifakwa phansi kwesikhumba eduze komthambo. I-pacemaker ibizwa nangokuthi idivayisi yokubetha kwenhliziyo. Kunezinhlobo ezahlukene ze-pacemakers.
Kungani kwenziwa
I-pacemaker isebenza ukulawula noma ukwandisa ukushaya kwenhliziyo. Ikhuthaza inhliziyo njengoba kudingeka ukuyigcina ishaya njalo. Isistimu yombane yenhliziyo ngokuvamile ilawula ukushaya kwenhliziyo. Izimpawu zombane, ezibizwa ngokuthi ama-impulses, zihamba ngamakamelo enhliziyo. Zitshela inhliziyo ukuthi ishaye nini. Ukushintsha kokunikezwa kombane kwenhliziyo kungenzeka uma isibindi senhliziyo silimale. Izinkinga zokunikezwa kombane kwenhliziyo zingabangelwa ukushintsha kwe-jini ngaphambi kokuzalwa noma ngokusebenzisa imithi ethile. Ungadinga i-pacemaker uma: Une-heartbeat ehamba kancane noma engajwayelekile isikhathi eside, ebizwa nangokuthi i-chronic. Une-heart failure. I-pacemaker isebenza kuphela uma ithola inkinga ngokushaya kwenhliziyo. Isibonelo, uma inhliziyo ishaya kancane kakhulu, i-pacemaker ithumela izimpawu zombane ukuze kulungiswe ukushaya. Ezinye i-pacemakers zingakwazi ukwandisa ukushaya kwenhliziyo njengoba kudingeka, njengasesikhathini sokuzivocavoca. I-pacemaker ingaba namaqembu amabili: I-Pulse generator. Leli bhokisi elincane lensimbi linebhethri nezingxenye zombane. Ilawula izinga lezimpawu zombane ezithunyelwa enhliziyweni. Ama-Leads. Lezi zingcingo ezithambile, ezihlanganisiwe. Ucingo olulodwa kuya kwamathathu lubekwa kwenye noma ngaphezulu kwamakamelo enhliziyo. Lezi zingcingo zithumela izimpawu zombane ezidingekayo ukulungisa ukushaya kwenhliziyo okungajwayelekile. Ezinye i-pacemakers ezintsha azidingi ama-leads. Lezi zinto zibizwa ngokuthi yi-leadless pacemakers.
Izingozi nezinkinga
Izingozi ezingase zenzeke ngenxa yedivayisi yokubeka isikhululo sokupompa inhliziyo noma ukuhlinzwa kwayo zingafaka: Ukutheleleka eduze kwendawo enhliziyweni lapho ifakwe khona idivayisi. Ukukhula, ukulunywa noma ukuphuza igazi, ikakhulukazi uma uthatha izidakamizwa zokuncipha kwegazi. Amaqanda egazi eduze kwendawo lapho ifakwe khona idivayisi. Ukuphazamiseka kwezitho zegazi noma imithambo. Amaphaphu awohlokile. Igazi endaweni phakathi kwamaphaphu nodonga lwesifuba. Ukuhamba noma ukuhambisana kwedivayisi noma izintambo, okungabangela i-hole enhliziyweni. Le ngozi ayivamile.
Indlela yokulungiselela
Ivivinyo eziningi zenziwa ukuze kubonwe ukuthi i-pacemaker ifanele yini kuwe. Lezi zihloko zingafaka: I-Electrocardiogram (ECG noma EKG). Lo mvivinyo osheshayo futhi ongenaphimbo uhlola umsebenzi womgogodla wenhliziyo. I-ECG ibonisa ukuthi inhliziyo ishaya kanjani. Amanye amadivayisi omuntu siqu, njenge-smartwatches, angahlola ukushaya kwenhliziyo. Buza ilungu leqembu lakho lokunakekelwa kwempilo uma lokhu kuyinketho kuwe. I-Holter monitor. Le divayisi ephathekayo igqokwe usuku olulodwa noma ngaphezulu ukuze irekhode izinga nenhliziyo yokuhlangana kwansuku zonke. Ingase yenziwe uma i-ECG inganiki imininingwane eyanele ngeproblemu yenhliziyo. I-Holter monitor ingakwazi ukubona izindlela ezingajwayelekile zokubetha kwenhliziyo i-ECG eyiphuthe. I-Echocardiogram. I-echocardiogram isebenzisa amaza omsindo ukwenza izithombe zenhliziyo eshaya. Ibonisa ukuthi igazi ligeleza kanjani ngenhliziyo ne-heart valves. Uvivinyo lokucindezela noma lokuzivocavoca. Lezi zihloko zivame ukufaka ukuhamba kwesitebhisi noma ukuqhubela ibhayisikili elimi njengoba izinga nenhliziyo yokuhlangana kuqashwe. Uvivinyo lokuzivocavoca lubonisa ukuthi inhliziyo iphendula kanjani emisebenzini yomzimba. Ngezinye izikhathi, uvivinyo lokucindezela lenziwa ngezinye izivivinyo zokuthwebula izithombe, njenge-echocardiogram.
Ukuqonda imiphumela yakho
I-pheysameka kufanele lilungise izimpawu ezingelwe yisigxobo esinciphile sokubetha kwenhliziyo, njengokukhathala okukhulu, ukukhanya kwekhanda nokuhlanza. I-pheysameka eningi yanamuhla ishintsha ngokuzenzakalelayo isivinini sokubetha kwenhliziyo ukuze lifane nomazinga wemisebenzi yomzimba. I-pheysameka ingakuvumela ukuba ube nempilo esebenzayo. Kuyelulekwa ukuba uhlolwe impilo njalo ngemva kokufakwa i-pheysameka. Buza iqembu lakho lokunakekelwa kwempilo ukuthi mangaki amaxesha okufanele uye ehhovisi lezokwelapha ukuze wenze ukuhlolwa okunjalo. Tshela iqembu lakho lokunakekelwa kwempilo uma ukhuluphala, uma imilenze yakho noma izingalo zakho zifufusa, noma uma uhlanza noma uzwela isizungu. Ochwepheshe bezempilo kufanele bahlole i-pheysameka yakho njalo ngenyanga ezintathu kuya kweziyisithupha. I-pheysameka eningi ingahlolwa kude. Lokhu kusho ukuthi awudingi ukuya ehhovisi lezokwelapha ukuze wenze ukuhlolwa. I-pheysameka ithumela ulwazi mayelana nedivayisi nenhliziyo yakho ngokusebenzisa amandla kakhulu ehhovisi lika-dokotela wakho. Ibhethri le-pheysameka lihlala iminyaka emi-5 kuya kwengu-15. Uma ibhethri iyeka ukusebenza, uzodinga ukuhlinzwa ukuze ithathelwe indawo. Ukuhlinzwa kokushintsha ibhethri le-pheysameka kuvame ukuba ngokushesha kunokuhlinzwa kokuqala kokufaka idivayisi. Kufanele futhi ube nokuphulukiswa okusheshayo.