Tengani zosavuta zosavuta, ndipo moyo ukhale wabwinobwino
Pulogalamu ya pacemaker ndi kachipangizo kakang'ono kamene kamakonzedwa pansi pa khungu kuti athandize kusintha mtima. Ambiri opanga chipangizo cham'mimba amaikidwa kuti athetse zizindikiro za bradycardia (kuchepa kwa mtima) chifukwa cha matenda a sinus syndrome kapena mtima wodwalayo .
Kukhala ndi pacemaker akuyenera kuthetsa kapena kuthetsa mavuto, osati kuwachititsa. Nthawi zambiri, ndizo zomwe amachita.
Kukhala ndi pacemaker sikuyenera kusintha kwambiri kapena kusokoneza moyo wanu. Malingana ngati mukutsatira njira zochepa zochepetsera ndikutsata ndondomeko ya dokotala kuti muzitsatira nthawi yeniyeni, phokoso lanu siliyenera kuwonetsa moyo wanu m'njira iliyonse yolakwika.
Pambuyo pa Pacemaker Implantation
Kuika pulasitiki kumapanga opaleshoni yochepa. Nthawi yowononga siitalika kapena yovuta. Mukhoza kumva ululu pa malo osungirako zinthu kwa masiku angapo. Dokotala wanu angakufunseni kuti musalephere kugwira ntchito mwamphamvu kapena kukweza katundu wolemera kwa sabata kapena awiri. Malo osungira malo nthawi zambiri amachiritsidwa pambuyo pa milungu iwiri kapena itatu, ndipo simukuyenera kukhala ndi malamulo ena.
Pa nthawi yoyambayi muyenera kuyang'ana zizindikiro za magazi kapena matenda, monga kutupa, kuwonjezeka kofiira kapena kupweteka kochulukirapo, ndipo dokotala wanu adziwe ngati zizindikiro izi zikuchitika.
Mwamwayi, mavutowa ndi osavuta.
Muyenera kuyendetsa nthawi zonse kuti mutsimikizire kuti ikugwira ntchito bwino ndipo batri yake ili ndi mphamvu zambiri. Kawirikawiri, kufufuza kwa pacemaker kungatheke pakhomo, mosasamala, pogwiritsira ntchito chipangizo chapadera dokotala wanu adzakupatsani kutali.
Muyeneranso kufufuzidwa ku ofesi ya dokotala kamodzi kapena kawiri pachaka.
Beteli ikayamba kutuluka - kawirikawiri pambuyo pa zaka zisanu kapena khumi - dokotala wanu adzasintha malo osankhidwa a pacemaker m'malo mwake . Imeneyi ndi njira yosavuta, yomwe imapangidwa ndi anesthesia, komwe jenereta yanu yakale ya pacemaker imachotsedwa pazitsogozo zake ndikuponyedwa kutali. Kenaka jenereta yatsopano imamangirizidwa, ndipo kusungunula kumeneku kumatulutsidwa. Kawirikawiri, pacemaker imatsogolera kuti isayambe kusinthidwa pokhapokha atakhala ndi vuto.
Kodi Ndi Zisamaliro Ziti zomwe Mukufunikira Kutenga ndi Pacemaker?
Mosiyana ndi chikhulupiliro chofala, zipangizo zamakono zamakono - kuphatikizapo mavuniki a microwave - osasokoneza otetezera mtendere ndipo sayenera kudetsa nkhawa iliyonse. Ndi zipangizo zina, pali zochepa chabe zomwe mungachite kuti muteteze. Zikuphatikizapo:
- Mafoni am'manja. Mafoni a m'manja, ngati atagwiritsidwa ntchito pafupi ndi pacemaker (zomwe zingachitike ngati foniyo imasungidwa mu thumba la m'mawere) zingasokoneze ntchito ya pacemaker. Koma malinga ngati foniyo imasungidwa masentimita sikisi kapena kuposa kutalika kwa pacemaker sipangakhale vuto.
- Magnet. Mofanana ndi mafoni a m'manja, magetsi angakhudze pacemaker ngati amalowa mkati mwa masentimita asanu kapena apo. Ingosungani magetsi kutali ndi pacemaker yanu.
- Zotsutsa zotsutsa. Kuyenda-kupyolera, zotsutsa zotsutsa m'masitolo zimagwira ntchito popanga mafunde a magetsi, omwe angasokoneze ntchito ya pacemaker. Komabe, bola ngati mukuyenda kudzera mu detector nthawi zonse (ndipo musaime kapena kupumula mkati mwake), simuyenera kupeza mavuto. Kotero, mukakumana ndi imodzi mwa zipangizozi, pitirizani kusuntha.
- Zida zotetezera zitsulo. Pachimake yanu imatha kuchoka-kupyolera mu chitsulo chogwiritsira ntchito chomwe chimagwiritsidwa ntchito pachitetezo cha ndege. Chojambulira chitsulo sichidzakhudzanso pacemaker yanu. Koma vuto linalake ndilolowetsa dzanja limene wotetezedwa angagwiritse ntchito iwe utatha kuchotsa chojambulira chitsulo. Chojambulira dzanja chimakhala ndi maginito omwe angasokoneze pacemaker yanu ikadzayandikira. Musanayambe kudutsa pachipatala cha ndege, muyenera kuuza wothandizira kuti muli ndi pacemaker ndipo sayenera kugwiritsa ntchito chojambulira dzanja pafupi ndi pacemaker yanu.
- Zisakaniziro zathunthu za chitetezo cha ndege. Zomwe zimagwira ntchito pa ndege (zipangizo zomwe zimapanga chithunzi cha thupi lanu) zikuoneka kuti sizikukhudzani pacemaker yanu - koma pali zodabwitsa zochepa zomwe zikupezeka pa nkhaniyi. Zambiri zokhudzana ndi thupi ndi zivomezi pano .
- Mawotchi ndi zitsulo zamtambo. Mosiyana ndi zipangizo zam'nyumba, zowonjezera ndi zitsulo zamakono zili ndi mphamvu zokwanira kuti zisokoneze ntchito ya pacemaker yanu. Anthu omwe ali ndi pacemaker ayenera kupewa kugwiritsa ntchito zipangizozi.
- MRI ikuyang'ana . Kujambula kwa MRI kungasokoneze kugwira ntchito kwa pacemaker; nthawi zina, akhoza kuwononga chipangizocho. Mavuto ndi MRI angapewe podziwa mosamala pa nthawi ya MRI, komanso kuchepetsa mitundu ina ya MRI. Ngati muli ndi pacemaker ndipo mukusowa MRI, muyenera kukambirana bwino za dokotala ndi dokotala.
- Kuchiza ma ARV . Mafunde amphamvu omwe amagwiritsidwa ntchito popanga mankhwala a khansa angawononge maulendo a pacemaker. Ngati mukufuna chithandizo cha ma radiation, pacemaker yanu iyenera kukhala yotetezedwa makamaka kuti muteteze ku dera lotentha.
- Njira zina zamankhwala. Omwe amapanga mphalasitiki amatha kugwiritsidwa ntchito ndi ma thottipsy , omwe amagwiritsa ntchito mafunde kuti azitsatira miyala yamtundu kapena impso; • Mitsempha yamagetsi yotchedwa transcutaneous / muscle stimulators (TENS) , yomwe imagwiritsidwa ntchito pofuna kupweteka; magetsi, omwe amagwiritsidwa ntchito pa opaleshoni kuti athetse magazi; ndi diathermy, kumene magetsi opangira magetsi kapena microwaves amagwiritsidwa ntchito kutenthetsa tizilombo. Kawirikawiri, zimakhala zomveka kukumbukira madokotala anu kuti muli ndi pacemaker musanachite chithandizo chamankhwala chilichonse.
Mawu Ochokera
Omwe amapanga mphalasitiki amayenera kusintha kapena kukhalabe ndi moyo, osati kuchepetsa. Ndipo mbali zambiri izi ndi zomwe zimachitika. Mukangoyambiranso kuchitidwa opaleshoni, palibe njira iliyonse yomwe mungagwiritsire ntchito kuti mukhale olemetsa, ndipo simudzakumana nawo ambiri pa moyo wanu wa tsiku ndi tsiku. Kawirikawiri, pokhapokha ngati pacemaker yanu yakhazikitsidwa, mungathe kupyolera mu moyo wanu wamba popanda kuganizira za izo.
> Zotsatira:
> Epstein AE, DiMarco JP, Ellenbogen KA, ndi al. Mauthenga a ACC / AHA / HRS 2008 Malangizo Othandiza Kugwiritsa Ntchito Chipangizo cha Cardiac Rhythm Zolakwika: Lipoti la American College of Cardiology / American Heart Association Ntchito Yogwiritsa Ntchito Malangizo Othandizira (Komiti Yolemba Kubwereza Bungwe la ACC / AHA / NASPE 2002 Lotsogoleredwe Loyamba Kukhazikitsa ya Cardiac Pacemakers ndi Antiarrhythmia Devices) ikugwirizana mogwirizana ndi American Association for Thoracic Surgery ndi Society of Thoracic Surgeons. J Am Coll Cardiol 2008; 51: e1.
> Hauser RG, Hayes DL, Kallinen LM, et al. Zochitika zachipatala ndi Pacemaker Generator Pulse Generators ndi Otsogolera: Zaka 8 Zophunzira Multicenter Study. Mtima wamkati 2007; 4: 154.