Kupititsa patsogolo kwa okonda moyo wamtima kwa zaka zambiri kwapangitsa zipangizozi kukhala zotetezeka, komanso zothandiza ndi zodalirika. Anthu omwe ali ndi pacemaker akhoza kutsogolera miyoyo yonse yopanda malire. Ngati muli ndi pacemaker kapena mwauzidwa kuti mukusowa, nkhaniyi ikuyenera kukuthandizani kumvetsa zomwe pacemaker imachita, ndi zomwe mungayembekezere.
Kodi Pacemaker N'chiyani?
Pulogalamu ya pacemaker ndi kachipangizo kakang'ono kamene kachipangizo kamene kamakonzedwa pansi pa khungu kothandiza kuthana ndi mtima.
Mwachindunji, opanga pachipatala amagwiritsidwa ntchito kwambiri pochiza maginthmias angapo a mtima omwe amabweretsa bradycardia -mtima umene umakhala wotsika kwambiri. Mitima ya mtima yomwe imayambitsa bradycardia ndi matenda a sinus syndrome ndi mtima wodwalayo . Omwe amapanga masentimita amatha kuthetsa zizindikiro zomwe zimayambitsa bradycardia kuphatikizapo kufooka , kutopa, kumutu , chizungulire , kapena syncope (kutaya chidziwitso).
Kwa anthu ena omwe ali ndi vuto la mtima , mtundu wapadera wa pacemaker ukhoza kuthandizira kukantha zipinda za mtima-atria ndi ventricles. Omwe amapanga pachipatala-omwe amatchedwa disynchronization therapy (CRT) zipangizo-amatha kusintha kwambiri mtima ndi zizindikiro mwa anthu ambiri omwe ali ndi vuto la mtima.
Kodi Opanga Zamapanga Amagwira Ntchito Motani?
Mosiyana ndi zomwe mwamvapo, opanga mtendere samatenga ntchito ya mtima. Mukakhala ndi pacemaker, mtima wanu udakali ndi ntchito yake yonse.
M'malo mwake, pacemaker yokha imathandizira kuthetsa nthawi yotsatira mtima.
Wopanga pulasitiki amakhala ndi mbali zikuluzikulu ziwiri: jenereta ndizitsogolera.
Jenereta kwenikweni ndi kompyuta yaying'ono (pamodzi ndi batri ndi zigawo zina zamagetsi), zimakhala mu chophimba chotchedwa titanamu chosindikizidwa.
Makina ambiri a masiku ano opanga pacemaker ali pafupifupi peresenti ya 50 peresenti ndipo pafupifupi katatu ngati wandiweyani.
Kutsogolera ndi waya wothandizira, omwe amanyamula zizindikiro zamagetsi kumbuyo ndi pakati pakati pa jenereta ya mtima ndi mtima. Mapeto ena amatsogolere jenereta, ndipo mapeto ena amaikidwa kudzera mu mitsempha mkati mwa mtima. Omwe amachititsa opondereza ambiri masiku ano amagwiritsa ntchito njira ziwiri; imodzi imayikidwa pa atrium yoyenera ndipo inayo imakhala mu ventricle yoyenera.
Makina opangira pulasitiki amapangidwa ndi anesthesia. Jenereta imaikidwa pansi pa khungu, pansi pa collarbone. Zitsogoleredwa zimaloledwa kupyolera mu mitsempha yapafupi ndikupita patsogolo pamtima, ndipo mapeto ake amalowetsedwa mu jenereta. Njira yowakhazikitsa nthawi zambiri imatenga mphindi 30 mpaka ola limodzi.
Kamodzi kamangoyambika, pacemaker imagwira ntchito poyang'anira magetsi a mtima, ndikusankha ngati ndi "nthawi" yotani. Ngati chiwerengero cha mtima wanu chimakhala chocheperachepera, chipangizochi chimayenda mwa kutumiza chizindikiro chochepa cha magetsi pamutu wa mtima, kuti chigwirizane.
Pacing ikhoza kuchitidwa kuchokera ku malo abwino, ventricle yoyenera, kapena onse awiri. Chombo cha pacemaker chimagonjetsa chigamulo chokwapulidwa pokhapokha ngati chikufunika kuyenda, ndipo ngati zili choncho, muzipinda zomwe zikuyenera kuyenda.
Izi "zowonongeka" zimatsimikizira kuti kuyima kwa mtima kumagwiritsidwa ntchito nthawi zonse kuti thupi likhale lofunikira, ndi kuti ntchito ya zipinda za mtima nthawi zonse imagwirizanitsidwa.
Olemba pulasitiki amakhala "okonzedwa," zomwe zikutanthauza kuti ntchito zomwe iwo amachita zimatha kusintha nthawi iliyonse. Kukonza pacemaker kumachitika mwa kutumiza mauthenga atsopano kwa waya jenereta pogwiritsa ntchito chipangizo chapadera chotchedwa programmer. Mwachitsanzo, dokotala wanu akhoza kusinthira mosavuta wanu pacemaker kuti asinthe mitengo yomwe idzayendetsa mtima wanu.
Linganirani-Wokonda Pacemakers
Kumayambiriro kwa masiku oyendayenda, opanga chipwirikiti amatha kuyenda mofulumira pamtima umodzi.
Nthawi iliyonse wodwala mwiniwake wa mtima wake wam'kati amatsika pansi pa chiyeso choyambirira (kunena, 70 kugunda pamphindi), pacemaker imayamba kuyendera pa mlingo wokhazikika.
Koma lero, pafupifupi onse opanga pachipatala amatha kusintha kusiyana komwe akuyenda, malinga ndi zosowa zanu. Omwe amachititsa kuti anthu azikhala otetezekawa amatchedwa otetezeka othamanga kwambiri.
Omwe amavomereza oterewa amatha kugwiritsa ntchito imodzi mwa matekinoloje angapo kuti athe kudziwa mlingo woyenera wa mtima, koma ziwiri, makamaka, zatsimikiziridwa zothandiza kwambiri. Chimodzi mwa izi ndi ntchito yotsegula, yomwe imawonetsa kusuntha kwa thupi. Pamene mukugwira ntchito mwakhama, msanga pacemaker imayendetsa mtima wanu (mkati mwa miyeso ya mtima yomwe adayikidwa ndi dokotala). Njira ina yomwe amagwiritsidwa ntchito popanga kusiyana ndi kupuma, komwe kumapangitsa kuti mupume. Mwamsanga mukupuma, mukugwira ntchito mwakhama (mwinamwake), ndipo mofulumira kuyendayenda kudzakhala (kachiwiri, mkati mwasankhulidwe). Zonse zamakono opanga mafilimu amavomereza kuti anthu oterewa amvetsetse kusintha kwa mtima, kamangidwe kanthawi kamene kamakhala pamtima kamene kamaperekedwa ndi mtima wachibadwa.
Kodi Pacemaker Yanu Iyenera Kulimbitsa Mtima Wanu Nthawi Ziti?
Kwa anthu ambiri omwe ali ndi pacemaker, mtima wa magetsi pamtima umapangitsa kuti mitima ikhale yambiri. Pulogalamu ya pacemaker imakhala makamaka ngati "zotetezera," kuti zisawonongeke nthawi zina.
Kwa anthu ena, pacemaker imagwira ntchito mwachangu, kuti mulole kuti mtima uwonjezere bwino pazochita zolimbitsa thupi. Pamene ali pa mpumulo, pacemaker nthawi zambiri sichimayenda. Kuwongolera kuchepetsa kutengeka kumawathandiza kuti azigwira ntchito mwakhama ndi kutopa pang'ono.
Komabe, anthu ena ali ndi mitundu yambiri ya bradycardia ndipo angafunike kuyendayenda nthawi zonse. Anthuwa nthawi zambiri amakhala ndi zizindikiro zoopsa ngati pacemaker yawo imasiya kugwira ntchito bwinobwino. Choncho madokotala amawatcha kuti "akudalira pachiphamaso."
Kodi Moyo Umakhala Ngati Wotani?
Omwe amapanga mphalasitiki amayenera kuteteza kapena kuthetsa mavuto, osati kuwakhazikitsa. Ndipo kawirikawiri, ndizo zomwe amachita.
Malingana ngati mukutsatira njira zosavuta zochepetsera, ndipo tsatirani malangizo a dokotala anu kuti nthawi zonse muziwunika chipangizo chanu, mukhoza kukonzekera kutsogolera moyo umene ulibe ufulu woletsedwa ndi pacemaker wokha. Muyenera kuyang'anitsitsa nthawi zonse, ndipo bateri ikamayamba kuchepa (kawirikawiri pambuyo pa zaka 7-10) jenereta ya pacemaker idzasinthidwa. (Nthawi zambiri izi zimakhala zosavuta kuziganizira.) Nthawi zambiri, anthu amatha kuiwala kuti ali ndi pacemaker nthawi zina. Pano pali kukambirana kwakukulu zokhuza kukhala ndi pacemaker.
> Zotsatira:
> Brignole M, Auricchio A, Baron-Esquivias G, et al. 2013 > Zotsatira za ESC za Cardiac Pacing ndi Matenda a Kugonana kwa Cardiac: Gulu la Ogwira Ntchito pa Cardiac Pacing ndi Resynchronization Therapy ya European Society ya Cardiology (ESC) >. Anakhazikitsa mgwirizano ndi European Heart Rhythm Association (EHRA). Mtima; 34: 2281.
> Tracy CM, Epstein AE, Darbar D, et al. 2012 ACCF / AHA / HRS > Kukonzekera Kwambiri kwa Zotsatira za 2008 za Chithandizo Chogwiritsa Ntchito Chipangizo cha Cardiac Rhythm Zolakwika: Lipoti la American College of Cardiology Foundation / American Heart Association Task Force on Practice Guidelines ndi Heart Rhythm Society >. Kuthamanga kwa 2012; 126: 1784.