Zimene Mukuyenera Kudziwa Poganizira AICD
Nthaŵi zonse munthu atalandira makina opanga magetsi otchedwa cardioverter-defibrillator (AICD), cholinga chake nthawi zonse chimalola kuti wodwala abwerere kumoyo wamba mwamsanga. Komabe, pali zovuta zambiri zomwe mukufuna kuziganizira ngati mukuganizira za AICD .
Nthawi Yopereka Opaleshoni Pambuyo
Mwezi woyamba wotsatira kuikidwa opaleshoni ya AICD, muyenera kupewa kuchita masewera olimbitsa thupi, komanso ntchito zomwe zimafuna kusuntha kwa mikono.
Zochita izi zingaphatikizepo golf, tennis, kusambira, kupuma ndi kukweza mapaundi oposa.
Pambuyo Panu Mukuchiritsidwa Kwathunthu
Mwezi woyamba, mutha kubwerera kuntchito zanu zachizolowezi. Zitetezo zina zidakali zofunikira, komabe, monga zokhudzana ndi:
Masewera othandizira: Muyenera kupewa masewera olimbitsa thupi, monga mpira ndi mpikisano wothamanga.
Mafoni a m'manja: Mungagwiritse ntchito foni yanu, koma muyese kuyendetsa foni kuposa masentimita asanu ndi limodzi kuchokera ku AICD yanu. (Izi zikutanthauza, mwachitsanzo, kuzichotsa m'thumba lanu la chifuwa.) Kupewa kumeneku kumalangizidwa chifukwa mafunde a wailesi opangidwa ndi mafoni ang'onoting'ono nthawi zina akhoza "kusokoneza" AICD pamene ikupitiriza kufufuza mtima wanu.
Zipangizo zachipatala: Zitetezo zapadera ziyenera kutengedwa kuti muteteze AICD musanakhale ndi MRI scan, lithotripsy (makina opanga mauthenga ogwiritsira ntchito miyala ya impso ) kapena opaleshoni iliyonse yomwe ingafunike kugwiritsira ntchito cautery.
Choncho, njira yabwino kwambiri ndi kukumbukira dokotala kuti muli ndi AICD musanakhale ndi njira iliyonse yachipatala.
Magnet: Magnetti omwe amakhala pafupi ndi AICD (mkati mwa masentimita sikisi kapena asanu) akhoza kuletsa AICD kuti isaperekedwe mankhwala (ngati ziyenera kukhala zofunika); Nthawi zina maginito omwe amatsutsana ndi AICD kwa masekondi 20 mpaka 30 akhoza kuthetsa chipangizocho palimodzi.
Choncho magetsi ayenera kupeŵa. Maginito amapezeka m'malo ambiri kumalo athu, ndipo AICDs adanenedwa kuti amakhudzidwa ndi zinthu monga bendi, mabakitale, ndi okweza otupa pampando. Kotero ngati muli ndi AICD muyenera kuzindikira magetsi mumalo anu, ndi kuwasunga masentimita angapo kutali ndi chipangizo chanu.
Zida zotetezera: Chifukwa chakuti AICD ikhoza kuyendayenda-kupyolera mu makanema otetezeka ku ndege, mudzapatsidwa khadi lodzizindikiritsa kuti muli ndi AICD yomwe mungasonyeze kwa ogwira ntchito. Komanso, zizindikiro zogwiritsira ntchito zitsulo zomwe zimagwiritsidwa ntchito poyesa thupi lanu zili ndi maginito, kotero ingokumbutsani antchito oteteza chitetezo kuti asayese ndondomeko yanu pa AICD yanu kwa masekondi oposa 20 mpaka 30. (Kupititsa mwachangu wandolo pa AICD yanu sikungayambitse vuto.)
Welders ndi magetsi ena opangira magetsi: Zowonjezera mafakitale, magetsi oyendetsa magalimoto komanso otentha kwambiri amapanga mphamvu zamagetsi zomwe zingakhudze AICD yanu. Muyenera kupewa kugwirizana kwambiri (ndiko kuti, mkati mwa mapazi pang'ono) ndi zipangizo zamtundu umenewu.
Nanga Bwanji Kuyendetsa Galimoto?
Pakhala chisokonezo chachikulu - pakati pa odwala ndi madokotala - za zoyenera zoyendetsa galimoto kwa odwala AICDs.
Anthu ambiri omwe ali ndi AICD amalandira iwo chifukwa ali ndi chiopsezo chowonjezeka cha kumangidwa kwadzidzidzi kwa mtima , chikhalidwe chomwe chimapangitsa kutaya mwadzidzidzi kutaya mtima. Mwadzidzidzi kutaya chidziwitso, kungakhale kovuta ngati mukuyendetsa galimoto. Koma kodi AICD imakhudza bwanji chiopsezo chotaya chidziwitso? Funso limeneli lakhala lovuta kukambirana.
Kwachidziwitso chachikulu, chiopsezo chachikulu cha kumangidwa kwa mtima (osati kukhalapo kwa AICD) chomwe chimakhudza kwambiri chiopsezo chotsatira gudumu. Akatswiri ambiri amakhulupirira kuti AICD - mwa kupereka mankhwala m'miyezi yochepa chabe yoyamba kumangidwa kwa mtima - kungapangitse kusowa kwa chidziwitso mochepa .
Kumbali inayi, adanenedwa kuti kutengeka mwadzidzidzi pamene kuyendetsa galimoto kungayambitse anthu kuyendetsa magalimoto awo ngakhale atapitirira. Komanso, pazidziwikiratu kaye kaye kaye yoyesa AICD ikamapanga kasamalimia akhoza kuthamangitsa chiwalo m'malo moimitsa - ndipo mofulumira arrhythmias ndizovuta kukupititsani. Kotero, kutsutsana kukupitirira.
Zotsatira zamakono zomwe madokotala ayenera kuwuza odwala awo ndi AICD za kuyendetsa galimoto kusiyanitsa pakati pa anthu omwe amalandira AICD chifukwa adagwidwa ndi mtima wam'mbuyo kapena chigawo cha ventricular tachycardia (VT ) kapena ventricular fibrillation (VF) , ndi iwo omwe alandira AICD chifukwa chakuti chiopsezo chawo ndi chachikulu (koma omwe sanayambe kumangidwa mtima).
Ngati muli m'gulu lomaliza (palibe chilango chamoyo choyambirira kapena VT kapena VF), madokotala ambiri adzakulolani kuyendetsa galimoto mwamsanga mutachira opaleshoni.
Koma ngati mwakhala mukugwidwa mtima, kapena VT kapena VF, American Heart Association ikuyamikira kuti palibe woyendetsa galimoto kwa miyezi isanu ndi umodzi kuchokera pamene AICD yakhazikika kapena mkati mwa miyezi isanu ndi umodzi yodabwa. Koma pakangotha miyezi isanu ndi umodzi mutatha kuikidwa kapena kusokonezeka (zomwe zilipo posachedwa), kawirikawiri galimoto imaloledwa.
Chifukwa pali malingaliro ambiri kuposa deta yokhudza kuyendetsa galimoto ndi AICD, kuyendetsa galimoto, pomaliza, nthawi zambiri amadziwika payekha. Kuwonjezera apo, mayiko osiyanasiyana ali ndi malamulo osiyanasiyana pa kuyendetsa ndi AICDs zomwe zingakhale zosagwirizana ndi ndondomeko zamankhwala zamakono. Kotero inu mukufuna kuyankhula ndi dokotala wanu za ndondomeko yake yokhudza kuyendetsa galimoto ndi AICD.
Werengani Zambiri Pa AICD:
- Chidule cha AICDs
- Kodi mavutowa ndi AICD ndi otani?
- Werengani zomwe mungachite ngati AICD "ikukumbukiridwa."
- Ndani ayenera kulandira AICDs?
Zotsatira:
Winters, SL, Packer, DL, Marchlinski, FE, etal. Mawu ovomerezeka pa zizindikiro, malangizo othandizira, ndi malingaliro othandizira kutsatila magetsi opangira ma cardioverter. Pacing Clin Electrophysiol 2001; 24: 262.
Akiyama, T, Powell, JL, Mitchell, LB, et al. Kuyambiranso kuyendetsa galimoto pambuyo poika moyo pachiswe tachyarrhythmia. N Engl J Med 2001; 345: 391.