Zochita za opaleshoni ndi zochitika pambuyo pa opaleshoni ndi ICDs
Ngakhale makina opanga magetsi otchedwa cardioverter defibrillators (ICDs) ali othandiza kwambiri ndipo ambiri amakhala otetezeka, n'zotheka kuti mukumane ndi mavuto ndi dongosolo lanu la ICD. Zovuta za ICD zikugwera mu mitundu iwiri yosiyanasiyana: zovuta za opaleshoni, ndi zovuta zapambuyo pa opaleshoni.
Mavuto Opaleshoni
Mavuto akuluakulu okhudzana ndi kuikidwa opaleshoni ya ICD ndi awa:
- magazi
- matenda
- pneumothorax
- kuwonongeka kwa mtima kapena chotengera cha magazi
Chiopsezo chachikulu chokhala ndi mavutowa ndi pafupifupi 2 mpaka 3%. Kuopsa kwa imfa ya ICD kumakhala kochepa kwambiri - pansi pa 1%. Mavuto ambiri okhudza opaleshoni amatha kukhala ochepa komanso ochiritsidwa mosavuta.
Chinthu chachikulu pa "ulamuliro" uwu ndi matenda. Ngati ICD ili ndi kachilomboka, ndiye kuti ICD yonse (jenereta ya ICD ndi njira zonse) zimayenera kuchotsedwa kuti athe kuchiza matendawa ndi maantibayotiki - ndipo kamodzi kachilombo kamatulutsidwa, machitidwe ena a ICD adzayenera kuikidwa .
Mudzadziwidwa ndi zoopsa zomwe mukuchita panthawi iliyonse pamene jenereta yanu ya ICD iyenera kusinthidwa (pafupifupi zaka 6 mpaka 7, pamene batsi ikuyamba kutha). Mavuto anu kuchokera ku opaleshoni yowonjezerekayo nthawi zambiri ndi yochepa kusiyana ndi opaleshoni yoyamba.
Izi zimachitika chifukwa chakuti opaleshoni yowonjezera imangotenga malo enieni a jenereta ya ICD yokha, osati yotsatira ya ICD, yomwe imachepetsanso zowopsa za mapapu akugwa, komanso kuwonongeka kwa mtima kapena mitsempha ya magazi.
Komabe, pali umboni wina wakuti chiopsezo chotenga matenda ndi chokwanira ndi opaleshoni yowonjezera kusiyana ndi opaleshoni yoyamba.
Mavuto a Post-Surgical
Mavuto a post-opaleshoni a mankhwala a ICD ndi awa:
- zovuta monga kutsogolera "kutayika" (kutuluka kwa malo otuluka kumalo awo abwino) kapena kutayika kwapangidwe, zomwe zingayambitse kuwonongeka kwa machitidwe a ICD, kapena zoopsya zosayenera (onani m'munsimu)
- kayendedwe ka jenereta ya ICD kunja kwa malo ake abwino, omwe amachititsa ululu, kutuluka kwa khungu kapena kutuluka magazi
- zosokoneza zosayenera, zomwe zimachititsa kupweteka, ndipo zingabweretse vuto la maganizo
Zowopsya kwambiri izi ndi zododometsa zosayenera. ICD ikudodometsa. Ngakhale kudodometsedwa kwapangidwe kupulumutsidwa pokhapokha ngati chiopsezo chotenga moyo chimachitika, pafupifupi 20 peresenti ya anthu omwe ali ndi ICD nthawi imodzi adzalandidwa chifukwa cha zifukwa zina - zotchedwa "zosayenera". Zosokoneza izi zosayenera zingayambidwe chifukwa cha mtima wachangu womwe umatuluka mofulumira kwambiri, monga kutentha kwapirinku , kapena kuthamanga kwa mtima komwe mumapeza kuchokera ku masewera olimbitsa thupi.
Kupewa zovuta zina zosayenera kumadalira zomwe zikuwatsogolera. Ngati chisokonezo chosayenera chimachitika chifukwa cha matenda opatsirana pogonana kapena kuchita masewero olimbitsa thupi, nthawi zambiri adokotala akhoza "kukonzanso" ICD kuti athetseretu zolakwika zina zosayenera. Koma kupewa zovuta zosayenera zomwe zimayambitsa vuto la ICD zimadalira njira yopaleshoni.
Pomalizira, zipangizo zamagetsi zowonongeka monga ICDs ndi otetezera mtendere nthawi zina zimatha kugwira ntchito moyenera. Ngati izi zitachitika, ICD ikhoza kutha kupereka mankhwala pamene ikufunikira, kapena ikhoza kusokoneza zosayenera. ICD yomwe imalephera kugwira ntchito nthawi zonse imafunika kuchotsedwa ndi kusinthidwa ndi chipangizo chatsopano.
Zaka zaposachedwapa, ICD yapangidwa, makamaka pofuna kuyesetsa kuchepetsa mavuto m'mitima ndi mitsempha yomwe nthawi zina imapezeka ndi ICD. Ngakhale kuti ICD yapansi imakhala ndi mavuto ake enieni, chidziwitso choyambirira chikusonyeza kuti zotsatira za mavuto owopsa angathe kuchepetsedwa ndi zipangizozi.
Mwamwayi, anthu ambiri omwe ali ndi ICD sakhala ndi mavuto aakulu ndi zipangizo zawo.
Werengani zambiri Zokhudza ICDs:
- Chidule cha ICDs
- Werengani zomwe mungachite ngati ICD yanu "ikukumbukiridwa."
- Werengani za kusintha kwa moyo ndi ICDs.
Zotsatira:
Maisel, WH, Moynahan, M, Zuckerman, BD, et al. Zolemba zopanga makina a Pacemaker ndi ICD: Kusanthula malipoti a Zakudya ndi Drug chaka chilichonse. JAMA 2006; 295: 1901.
Ellenbogen, KA, Wood, MA, Shepard, RK, et al. Kuzindikira ndi kuyendetsa makina opanga ma cardioverter defibrillator kutsogolera kutsogolo: zochitika ndi zovuta zachipatala.J Am Coll Cardiol 2003; 41:73.
Maisel, WH. Kudalirika kwa Pacemaker ndi ICD jenereta: meta-analysis of registry entries. JAMA 2006; 295: 1929.
Zotsatira:
Maisel, WH, Moynahan, M, Zuckerman, BD, et al. Zolemba zopanga makina a Pacemaker ndi ICD: Kusanthula malipoti a Zakudya ndi Drug chaka chilichonse. JAMA 2006; 295: 1901.
Ellenbogen, KA, Wood, MA, Shepard, RK, et al. Kuzindikira ndi kuyendetsa makina opanga ma cardioverter defibrillator kutsogolera kutsogolo: zochitika ndi zovuta zachipatala.J Am Coll Cardiol 2003; 41:73.
Maisel, WH. Kudalirika kwa Pacemaker ndi ICD jenereta: meta-analysis of registry entries. JAMA 2006; 295: 1929.