Opaleshoni ya Pacemaker: Zonse Za Pacemakers

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Kodi Pacemaker N'chiyani?

Chimake chowombera ndi chipangizo chomwe chimathandiza kuti muyambe kulingalira kwa mtima komanso mlingo umene umagunda. Angagwiritsidwe ntchito kanthawi, monga atachita opaleshoni yamtima, kapena kuikidwa kosatha, ndi njira yowonongeka yochepa.

Mtima wamba umagunda mofulumira, koma pali zinthu zambiri zomwe zingapangitse mtima kugunda mosalekeza. Mlingowo ukhoza kukhala wofulumira kapena wocheperapo, kapena mtima sungagonjetsedwe mofanana ndi mafashoni "lub-dub". Ngati mtima sukumenya bwino, pacemaker ingagwiritsidwe ntchito kugwiritsira ntchito nyimbo.

Chombo cha pacemaker chimapangitsa kuti magetsi asokonezeke kwambiri. Ngati chipinda chimodzi cha mtima chikugwira ntchito molakwika, pacemaker ingagwirizane kumeneko, kapena kuzipinda zingapo ngati kuli kofunikira.

Mavuto omwe angachiritsidwe ndi pacemaker amaphatikizapo kupha tizilombo toyambitsa matenda komanso bradycardia (kuchepa kwa mtima). Nthawi zina, pacemaker ingathandize kuonetsetsa kuti mgwirizano wa kumanzere ndi wolondola uli pa nthawi yomweyo. Palinso kuphatikizapo piritsi / pacemaker yomwe imagwiritsidwa ntchito pochiza tachycardia (yachilendo ndi yofulumira kwambiri).

Kuti mudziwe zambiri zokhudza mtima wa munthu ndi opaleshoni ya mtima

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Mitundu ya Pacemakers

Pali mitundu iwiri yoyamba ya otetezera mtima: chimbudzi chokhazikika chomwe chimayambitsa zipinda za mtima, komanso kuphatikizapo pulogalamu ya pacemaker / pacemaker yomwe imatchedwa cardioverter defibrillator.

Mtundu wamtundu wa pacemaker umatumiza magetsi pogwiritsa ntchito mawaya apadera omwe ali pamtima. Izi zimalowetsa chizindikiro chomwe chimatumizidwa ndi mtima, chomwe chili cholakwika kwa odwala omwe amafunikira pacemaker.

Mtundu wachiwiri wa pacemaker, wotchedwa defibrillator / pacemaker wothandizira (AICD), umatumiza magetsi kumtima kuti athetse mlingo wa mtima ndi chigamulo, monga momwe pacemaker imachitira. Kuphatikiza pa ntchitoyi, ikhoza kuchitanso "mantha" kuti asiye "nyimbo yosautsa," mtima wamtima umene sulola mtima kugwira bwino ntchito.

Lingaliro lakudodometsa ndi lofanana ndi "kudodometsedwa ndi nsalu" zomwe munaziwona pa TV. Komabe, chifukwa chipangizocho chikuphatikizidwa pamtima ndi waya, manthawo ndi amphamvu kuposa momwe mungaganizire. Komabe, ndi zopweteka kwambiri ndipo zimafanizidwa ndi kukankhidwa mu chifuwa ndi nyulu.

Kuti mudziwe zambiri zokhudza mtima wa munthu ndi opaleshoni ya mtima

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Kuopsa kwa Opaleshoni ya Pacemaker

Kuphatikiza pa zoopsa zambiri za opaleshoni ndi kuopsa kwa anesthesia , opaleshoni ya pacemaker imakhala yoopsa. Ngakhale odwala osachepera 5% atakumana ndi opaleshoni ya pacemaker, ndikofunikira kudziwa mavuto omwe angakhalepo.

Ngozi za Opaleshoni ya Pacemaker

• Kuwonongeka kwa mitsempha pa malo osokoneza
• Kuwonongeka kwa minofu kapena mitsempha ya magazi pamtima kapena malo osokoneza
• Pneumothorax (mapapo otumphuka)
• Kudandaula pa malo a malo oyikidwa (izi ndi zotsatira zoyenera za opaleshoni)
• Chosavulaza chosokoneza bongo chimene sichigwira ntchito moyenera pambuyo pa opaleshoni (yosavuta)
• Mafoni otsogolera olakwika omwe amagwirizanitsa pacemaker ndi mtima (yosavuta)
• Mawindo oyendetsa omwe amachotsedwa pambuyo pa opaleshoni chifukwa cha ntchito kapena malo osauka
• Kutenga mu incision
• Pulogalamu ya pacemaker ingasinthe m'malo mtsogolo

Kuti mudziwe zambiri zokhudza mtima wa munthu ndi opaleshoni ya mtima

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Chimachitika Panthawi ya Pacemaker

Kuchita opaleshoni yopangira pacemaker kumaonedwa kuti ndi njira yochepa yosawonongera . Si opaleshoni yotseguka , ngakhale ikhonza kuphatikizidwa ndi opaleshoni yotseguka ngati kuli kofunikira.

Ndondomekoyi imachitika mu chipinda chogwiritsira ntchito kapena mu labata yotsitsimutsa mtima. Anesthesia ya m'deralo imapangidwira m'kati mwa chifuwa pomwe njirayi ikuchitika, kuti wodwala akhalebe maso pamene opaleshoni ikuchitika popanda kupweteka. Kuphatikiza kufooketsa derali, munthu angapereke chithandizo chothandizira wodwalayo kuti asangalale kapena kufikira madzulo .

Pamene anesthesia ikatha, chifuwacho chidzakonzedwa ndi njira yapadera yothetsera tizilombo toyambitsa matenda zomwe zingakhale pakhungu, ndipo deralo lidzakhala ndi miyala yosalepheretsa kuti chiwombankhanga chikhale choyera.

Njirayi imayamba ndi kuyika kwa mawaya omwe amagwirizanitsa chipangizocho pamtima. Ma waya amaloledwa kupyola mu mtima pomwe amaikidwa pogwiritsira ntchito mtundu wa x-ray kuganiza kuti amalola dokotala kuti awonetse komwe madera ali nthawi zonse.

Pamene mawaya ali pamalo, makina opangidwa ndi chifuwa amawapanga m'chifuwa kapena mimba, ndipo chipangizo cha pacemaker chimayikidwa pansi pa khungu. Ma waya, omwe ali okhudzana ndi mtima, amamangiriridwa ku pacemaker. Pulogalamu ya pacemaker imayesedwa pofuna kutsimikiza kuti ikugwira ntchito bwino.

Dokotala akaganiza kuti mawaya ali pamalo oyenera ndipo pacemaker ikugwira ntchito bwino, mankhwalawa amatsekedwa ndi sutures kapena mapepala omatira ndipo mankhwala amaperekedwa kuti am'dzutse.

Kuti mudziwe zambiri zokhudza mtima wa munthu ndi opaleshoni ya mtima

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Pambuyo Opaleshoni ya Pacemaker

Ngakhale kuti opaleshoni yeniyeni imapanga pacemaker ndi njira yaying'ono, nthawi zonse chipatala chikufunika. Izi zachitika kotero kuti ntchito ya mtima ikhoza kuyang'aniridwa mosamala mu maola omwe atatha opaleshoni.

Mukhoza kuyembekezera kuti mukhale m'chipinda chimodzi chomwe chimalola mtima wanu kuti uwonedwe mosalekeza. Mwinanso mumakhala ndi zikopa zinayi pa chifuwa chanu ndi mawaya omwe amapezeka nawo. Izi zimathandiza antchito kuyang'anitsitsa ntchito ya mtima wanu, monga mawonekedwe a EKG opitilira, osakhala m'chipinda chanu.

Ngati pacemaker ikugwira ntchito bwino mutatha opaleshoni, muyenera kubwerera kunyumba tsiku lotsatira. Muyenera kusamalira mankhwala anu kwa milungu ingapo pamene itseka, kuyang'anitsitsa zizindikiro za matenda komanso machiritso.

Mukhoza kumva pacemaker pansi pa khungu lanu ngati pacemaker imakhala pansi pa khungu. Dera limeneli lidzakhala lopweteka pambuyo pa opaleshoni, koma nthawi ikadutsa pacemaker sayenera kudziwika. Pamene mukuchira mungayambe kugona kumbuyo kwanu kapena kumbali yanu, chifukwa dera lanu likhoza kuvulazidwa kapena kuchepa.

Kusamalira Katemera Pambuyo Pa Kuchita Opaleshoni Kuti Mudziwe Zambiri Zokhudza Moyo wa Munthu ndi Opaleshoni ya Mtima

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Moyo Patatha Opaleshoni ya Pacemaker

Mukachiritsa kuchipatala chanu cha pacemaker, mukhoza kuona kusintha kwakukulu kwa mphamvu yanu ndi mphamvu. Chombo cha pacemaker chingathandize mtima wanu kugwira bwino ntchito, zomwe ziyenera kuchepetsa zizindikiro za kutopa, ndikulolani kuti muzigwira ntchito mwakhama.

Ngati pacemaker yanu imayambanso kupangidwanso, nthawi zina mumatha kumva "kudodometsedwa" pamene chipangizo chimagwirira ntchito kuti mukhale ndi chiyero chabwino. Kusokonezeka kumeneku kuyenera kuuzidwa kwa katswiri wanu wa cardiologist, ndipo ngati kawirikawiri, mungafunike kusamalira m'chipinda chodzidzimutsa.

Pambuyo pa opaleshoni, mudzafunika kupeŵa maginito ngati kuli kotheka. Izi ndichifukwa chakuti magetsi amatha kusokoneza ntchito ya chipangizocho ndipo amatha kuyambitsa mavuto aakulu ndi mtima wanu. Muyenera kupeŵa kuyika magetsi ang'onoang'ono monga foni mu thumba lanu, momwe angathetsere chipangizocho. Mayesero omwe amagwiritsira ntchito magetsi, monga MRI , akhoza kusokoneza ntchito ya pacemaker ndipo sangathe kukhala ndi pacemaker m'malo mwake.

Muyenera kudziwitsa dokotala aliyense kapena wothandizira zaumoyo kuti muwone, kaya ali katswiri wa mtima kapena ayi, kuti mukhale ndi pacemaker.

Kuwonjezera pamenepo, ntchito yovuta kapena chirichonse chimene chikhoza kuwonetsa kwambiri pa chipangizochi chiyenera kupeŵedwa. Phokoso la pacemaker ndi lotetezedwa ngati liri pansi pa khungu; Komabe, kupweteka kwakukulu kungawononge izo. Mwachitsanzo, kusewera masewera olimbitsa thupi monga hockey kungapangitse kuwonongeka, ndipo masewera ena otchuka angayambitse mawaya kuti achoke pamtima pawo.

Muyenera kuwona dokotala wanu nthawi zonse mutapanga pacemaker kuti atsimikizire kuti chipangizochi chikugwira ntchito bwino komanso chomwe chingatheke kuti chikumbukire kompyuta. Izi zikhoza kuphweka mosavuta khungu, ndipo zisakhale zopweteka. Kwa nthawi yayitali, pacemaker yanu ingafunikire kukonza, zomwe dokotala wanu angasankhe pamene mukupita kwanu nthawi zonse.

Kuti mudziwe zambiri zokhudza mtima wa munthu ndi opaleshoni ya mtima

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Zotsatira

_Zotsatira:

Kodi Chophimba Chophimba Chokha Chokhazikika Chotani? National Heart Lung ndi Magazi Institute. Mwezi wa May, 2009 http://www.nhlbi.nih.gov/health/dci/Diseases/icd/icd_whatis.html

Kodi Pacemaker N'chiyani? National Heart Lung ndi Magazi Institute. Mwezi wa May, 2009 http://www.nhlbi.nih.gov/health/dci/Diseases/pace/pace_whatis.html

Kuti mudziwe zambiri zokhudza mtima wa munthu ndi opaleshoni ya mtima

Zimene Muyenera Kuyembekezera Pa Opaleshoni ya Pacemaker. National Heart Lung ndi Magazi Institute. Mwezi wa May, 2009 http://www.nhlbi.nih.gov/health/dci/Diseases/pace/pace_duringsurgery.html