Puas muaj teeb meem nrog Pacemakers?

Lub pacemaker yog ib lub roj teeb ua haujlwm uas yuav pab tau koj lub plawv dhia hauv nws lub suab zoo. Tus kws kho mob yuav txiav nws hauv qab daim tawv nqaij ntawm tus neeg mob lub hauv siab yog tias lawv muaj arrhythmia. Nws yog ib qho mob uas koj lub plawv dhia tsis xwm yeem. Nws tuaj yeem ua tau qeeb dhau (ntau dua) lossis nrawm dhau.

Dab tsi yog hom pacemakers sib txawv?

Muaj peb hom pacemakers. Nws suav nrog cov hauv qab no -

• Ib-chamber pacemaker - Tus qauv no coj hluav taws xob impulses mus rau sab xis ntawm lub plawv (txoj cai ventricle lossis RV).

• Dual-chamber pacemaker - Nws coj hluav taws xob impulses mus rau qis (RV) thiab sab sauv (txoj cai atrium lossis RA) txoj cai chamber ntawm lub plawv. Nws aids nyob rau hauv kev tswj lub sij hawm ntawm lub zog (kev cog lus) ntawm koj lub plawv cov leeg ntawm ob lub compartments.

• Biventricular pacemaker - Biventricular pacing, tseem hu ua cardiac resynchronization therapy, yog rau cov neeg uas muaj lub plawv tsis ua hauj lwm nrog cov tshuab hluav taws xob txawv txav. Hom pacemaker no ua rau lub plawv qis (sab xis thiab sab laug ventricles) ua kom lub plawv dhia zoo dua.

Vim li cas tus kws kho mob thiaj li hais kom tus kws kho mob pacemaker?

Lub luag haujlwm tseem ceeb ntawm lub tshuab pacemaker yog los pab tswj koj lub plawv ua haujlwm los ntawm kev tswj lub plawv dhia. Koj tus kws kho mob tuaj yeem cog nws ib ntus lossis mus tas li, nyob ntawm qhov hnyav ntawm koj tus mob thiab xav tau kev kho mob.

• Yog tias koj lub plawv dhia qeeb, ua raws a lub plawv yuav nres, noj tshuaj ntau dhau, lossis kev phais mob, koj tus kws kho mob yuav hais kom tus kws kho mob ib ntus.

• Hauv rooj plaub nrog lub plawv tsis ua hauj lwm thiab irregular (feem ntau qeeb) lub plawv dhia, tus kws kho mob feem ntau yuav implant ib tug pacemaker mus tas li.

Hu rau 1860-500-1066 kom teem sijhawm sib ntsib

Koj lub siab - nws ua li cas?

Koj lub siab yog lub nrig me me, cov leeg nqaij, thiab lub cev hollow uas zaum ntawm qhov chaw ntawm koj lub cev. Nws muaj plaub chav -

Ob chav sab sauv suav nrog -

• Txoj cai atrium
• Sab laug atrium

Ob chav sab qis suav nrog -

• Txoj cai ventricle
• Sab laug ventricle

Tag nrho cov chav no ua haujlwm ua ke hauv kev sib koom tes nrog cov hluav taws xob ntawm koj lub siab kom tso cai rau nws tuav kom tsim nyog. Koj lub plawv dhia nruab nrab ib feeb, thaum so, nyob ntawm 60 txog 100.

Koj lub plawv hluav taws xob tswj koj lub plawv dhia thiab pib ntawm qhov sinus node (koj lub ntuj pacemaker), kis cov hluav taws xob impulses mus rau hauv qab. Nws ua rau muaj kev sib koom ua ke hauv cov leeg ntawm koj lub plawv, ua rau cov ntshav ntws.

Txawm li cas los xij, vim yog kev laus zuj zus, qee yam mob plawv xws li mob plawv nres , cov teeb meem caj ces, thiab tshuaj kho mob, koj lub plawv yuav dhia tsis zoo li qub. Hauv cov xwm txheej zoo li no, koj tus kws kho mob yuav pom zoo kom siv lub tshuab pacemaker.

Pacemaker - nws ua haujlwm li cas?

Lub pacemaker coj tus txheej txheem ntawm lub cev hluav taws xob ntawm koj lub siab. Nws muaj ob lub ntsiab lus -

• Pulse generator – Nws yog ib chav tsev me me uas muaj cov hluav taws xob hluav taws xob thiab lub roj teeb. Pulse generator tsim hluav taws xob impulses uas tswj koj lub plawv dhia.
• Electrodes (cov) - Cov no yog cov kab hluav taws xob thiab hloov tau yooj yim uas koj tus kws kho mob cog rau hauv koj lub plawv cov leeg. Koj tuaj yeem xav tau ib mus rau peb ntawm cov kev coj no, nyob ntawm koj qhov kev xav tau. Cov coj no nqa impulses los ntawm lub tshuab hluav taws xob mus rau koj lub plawv (lub plawv) cov leeg thiab paub txog cov hluav taws xob ua haujlwm ntawm koj lub plawv, thiab.

Qee qhov tseeb txog cov pacemakers

• Yog tias koj muaj lub pacemaker, nws tsuas yog ua haujlwm thaum koj xav tau. Yog tias koj muaj bradycardia (koj lub plawv dhia qeeb dua li qhov qub), koj lub pacemaker yuav xa cov cim rau koj lub plawv kom tswj tau qhov zoo.
• Lub hnub nyoog tshiab pacemaking li tuaj nrog sensors. Cov sensors no ntes koj tus nqi ua pa thiab chij koj lub pacemaker kom nce nrawm ntawm koj lub siab thaum xav tau, tshwj xeeb tshaj yog thaum ua haujlwm.
• Lub cev tau tso cai hauv Tebchaws Meskas tau muab lub teeb liab ntsuab rau ob lub tshuab pacemaker uas tsis muaj zog uas ncaj qha mus rau hauv koj lub siab. Vim tias cov pacemakers tsis muaj electrodes, cov no tuaj yeem pab kom rov zoo sai thiab txo qee qhov kev pheej hmoo ntawm kev noj qab haus huv. Txawm hais tias cov cuab yeej no ua haujlwm zoo thiab muaj txiaj ntsig, lawv qhov cuam tshuam mus ntev tseem tsis tau kawm.

Puas muaj teeb meem nrog cov pacemakers?

Yog, muaj teeb meem nrog cov pacemakers muaj ntau. Nws muaj ob yam tseem ceeb ntawm tib yam, piv txwv li -

Cov txheej txheem nyuaj

• Pocket hematoma los yog los ntshav - Hauv cov neeg feem coob uas tau txais kev phais mob pacemaker implant, los ntshav yog ib txwm muaj. Txawm li cas los xij, txoj kev pheej hmoo ntawm hematoma (loj los ntshav sab nraum cov hlab ntsha) tsawg. Yog tias koj nyob rau ntawm txoj kev kho anticoagulant, koj yuav los ntshav me ntsis ntxiv, tab sis tsis muaj dab tsi yuav txhawj txog nws
• Hemothorax - Nws yog ib qho ntawm cov txheej txheem mob hnyav ntawm kev muaj lub pacemaker. Txawm li cas los xij, nws tsis tshua muaj.
• Pneumothorax  - Pneumothorax los yog lub ntsws tawg yog ib qho teeb meem ntawm kev muaj lub plawv dhia pacemaker. Nws tshwm sim thaum tus txheej txheem lossis hauv thawj ob hnub (48 teev) ntawm qhov kev phais.

Cov teeb meem dav dav

• Cov hlab ntsha sib sib zog nqus mob ntsws vwm (DVT) thiab phlebitis - Cov mob no (cov ntshav txhaws hauv cov hlab ntsha) feem ntau tshwm sim nrog kev tso pacemaker.
• Lead dislodgement - Nws yog lwm qhov teeb meem ntawm kev muaj lub pacemaker uas tuaj yeem ntxiv rau koj qhov tsis xis nyob. Ntxiv rau, nws yog qhov yuav tsum tau rov ua haujlwm dua los tiv thaiv cov hlau lead los ntawm kev tsiv teb tsaws.
• Pacemaker malfunction - Nws tshwm sim thaum koj lub pacemaker tsis ua haujlwm raws li nws yuav tsum ua. Nws tuaj yeem tshwm sim vim muaj ntau yam laj thawj, pib los ntawm cov cuab yeej tsis ua haujlwm rau kev hloov pauv hauv koj lub siab lub cev.
• Myocardial perforation - Txawm tias tsis tshua muaj, myocardial perforation tuaj yeem ua rau muaj mob hnyav. Ua tsis taus pa thiab mob hauv siab yog ib co ntawm cov tsos mob.
• Tricuspid regurgitation - Nws yuav tshwm sim vim kev puas tsuaj rau tricuspid valve thaum lub sijhawm ua haujlwm.
• Pacemaker Syndrome - Yog tias koj cov tsos mob hnyav zuj zus tom qab tau txais cov pacemaker, thiab koj maj mam qhia cov tsos mob thiab cov tsos mob ntawm CHF (cgestive heart failure), nws yog hu ua pacemaker syndrome. Nws feem ntau tshwm sim vim qhov poob ntawm synchronization ntawm lub atria thiab ventricles (atrioventricular synchrony) ntawm koj lub plawv.

Yuav ua li cas npaj rau tus txheej txheem pacemaker insertion?

Yuav muaj ntau yam laj thawj tom qab lub plawv dhia tsis zoo. Yog li ntawd, koj tus kws kho mob yuav ua ob peb qhov kev ntsuam xyuas los txheeb xyuas qhov laj thawj ntawm koj tus mob ua ntej. Cov kev ntsuam xyuas muaj xws li hauv qab no - 

• ECG los yog Electrocardiogram - Nws yog ib txoj hauv kev uas tsis muaj kev cuam tshuam uas koj tus kws kho mob muab cov ntaub qhwv ntsej muag txuas nrog cov xov hlau ntawm koj lub caj dab lossis lub hauv siab los ntsuas cov hluav taws xob ntawm koj lub siab.
• Echocardiogram – Nws kuj yog ib txoj kev uas tsis yog-invasive. Nws siv suab nthwv dej los saib xyuas koj lub siab ua haujlwm.
• Holter saib xyuas - Nws yog ib qho compact counterpart ntawm electrocardiogram. Nws pab txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm, nws nws yuav pab tau tshem tawm cov kev tsis sib haum xeeb uas tsis tuaj yeem ua pov thawj. Koj yuav tsum tau hnav cov cuab yeej saib xyuas rau ib hnub lossis ob hnub thiab ua nrog koj cov dej num tsis tu ncua. Cov cuab yeej yuav sau tag nrho cov hluav taws xob ua ntawm koj lub siab lub sijhawm.
• Kev nyuaj siab xeem - Qee lub plawv mob tsuas yog tshwm sim thaum koj tawm dag zog. Hauv qhov kev sim no, koj tus kws kho mob yuav ua ib qho electrocardiogram ua ntej thiab tom qab kev tawm dag zog, suav nrog caij tsheb kauj vab lossis kev cob qhia ntawm lub treadmill.

Dab tsi yog qhov txaus ntshai ntawm kev tau txais tus pacemaker?

Qee qhov kev pheej hmoo feem ntau ntawm kev tau txais lub pacemaker suav nrog -

• Kab mob ntawm qhov chaw ntawm pacemaker implantation
• Kev tsis haum tshuaj loog thaum phais
• Bruising los yog o ntawm qhov chaw ntawm pulse generator implant
• Kev puas tsuaj rau hauv zos (ze ntawm qhov cog) cov hlab ntsha thiab cov hlab ntsha

Pacemaker insertion Procedure – Ua ntej, Thaum, thiab Tom qab

Ua ntej cov txheej txheem

Kev phais mob pacemaker siv sijhawm ob peb teev kom tiav. Ua ntej tus txheej txheem, koj tus kws kho mob yuav ntxuav koj lub hauv siab nrog ib tug sterilizing neeg sawv cev. Tom qab ntawd, nws yuav tshuaj loog qhov chaw ntawm qhov chaw phais nrog kev pab ntawm tshuaj loog hauv zos.

Lub sijhawm ua cov txheej txheem

• Thaum lub sij hawm phais, koj tus kws kho mob yuav ntxig cov xov hlau insulated (ib los yog ntau tshaj) rau hauv cov hlab ntsha loj nyob ze lossis hauv qab koj pob txha caj dab thiab coj nws mus rau qhov chaw cog qoob loo nrog kev pab ntawm X-ray duab.
• Tom qab ntawd koj tus kws kho mob yuav kho lub davhlau ya nyob twg ntawm txhua lub xaim (nrog rau lwm qhov kawg ntawm cov xaim ruaj ntseg rau lub tshuab hluav taws xob mem tes) mus rau qhov chaw nyob hauv koj lub siab.

Tom qab kev phais

• Tom qab koj qhov kev phais tiav lawm, koj feem ntau yuav nyob hauv qhov chaw kho mob rau ib hnub lossis ob hnub. Koj tus kws kho mob yuav kho / program koj lub pacemaker raws li koj qhov kev xav tau.
• Tsis txhob tsav tsheb ntawm koj tus kheej. Hu rau tus neeg hauv tsev neeg, phooj ywg, lossis tus tsav tsheb rau tib yam.
• Koj tus kws kho mob tuaj yeem saib xyuas koj lub pacemaker remotely.
• Koj tus kws kho mob feem ntau yuav nug koj kom tsis txhob nqa cov khoom hnyav lossis ua ib qho kev tawm dag zog rau ib hlis lossis yog li ntawd.
• Yog tias koj muaj mob lossis tsis xis nyob, tiv tauj nrog koj tus kws kho mob. Nws tuaj yeem pom zoo kom noj cov tshuaj tom khw muag khoom xws li ibuprofen lossis acetaminophen.

Yuav ua li cas ceev faj koj yuav tsum tau nrog ib tug pacemaker?

Txawm hais tias koj tus pacemaker tsis tshua muaj peev xwm nres ua haujlwm vim muaj hluav taws xob cuam tshuam, nws yog ib lub tswv yim zoo uas yuav tsum tau ceev faj thiab ua raws li qhov tsim nyog ceev faj. Ua tib zoo saib cov kev ceev faj hauv qab no -

• Siv lub xov tooj ntawm tes - Nws muaj kev nyab xeeb siv lub xov tooj ntawm tes thaum koj muaj lub tshuab pacemaker. Txawm li cas los xij, nco ntsoov khaws nws ntawm qhov deb tsawg kawg 15 centimeters lossis 6 ntiv tes ntawm lub cuab yeej. Tsis tas li ntawd, nco ntsoov tsis txhob khaws koj lub xov tooj rau hauv hnab tshos ntawm koj lub tsho. Thiab tuav lub xov tooj ntawm sab nraud ntawm koj qhov cog thaum tham.
• Mus los ntawm ib tug hlau ntes - Mus rau kev kuaj xyuas kev ruaj ntseg los ntawm lub ntsuas hlau ntawm lub khw lossis lub tshav dav hlau yuav tsis cuam tshuam rau koj lub cuab yeej. Txawm li cas los xij, vim yog cov khoom siv hlau ntawm koj lub pacemaker, nws yuav beep. Ib qho zoo tshaj plaws kom tsis txhob muaj teeb meem tshwm sim yog nqa nrog daim npav qhia tus kheej uas nyeem koj hnav lub pacemaker.
• Cov txheej txheem kho mob - Xyuas kom txhua tus kws kho mob, suav nrog koj tus kws kho hniav, txog koj tus kws kho mob. Qee cov kev kho mob thiab cov txheej txheem kuaj mob xws li MRI, hluav taws xob, electrocautery, thiab CT scans tuaj yeem cuam tshuam rau koj lub cuab yeej.
• Nyob ze cov khoom siv hnyav - Nws yog ib qho tseem ceeb kom nyob deb ntawm tsawg kawg yog 2 feet ntawm high-voltage transformers, vuam apparatus, thiab lwm yam.

Nrog koj tus kws kho mob tham!

Lub roj teeb ntawm koj lub pacemaker yuav kav ntev li 5 txog 15 xyoo. Nco ntsoov them nyiaj mus ntsib koj tus kws kho mob ntawm lub sijhawm 3 txog 6 lub hlis.

Cov Lus Nquag Nug (FAQ)

1. Koj lub pacemaker puas yuav pom los ntawm koj daim ntaub?

   Tsis yog, koj lub pacemaker yuav tsis pom vim tias koj tus kws kho mob tso nws hauv qab ntawm koj daim tawv nqaij. Txawm li cas los xij, tej zaum koj yuav hnov ​​​​mob me ntsis.

2. Koj tuaj yeem hnav accessories nyob ib ncig ntawm koj lub caj dab?

   Yog lawm, tau kawg, koj tuaj yeem hnav lub caj dab lossis lwm yam khoom siv nyob ib puag ncig koj lub caj dab. Nws yuav tsis cuam tshuam rau koj lub pacemaker.

Hu rau 1860-500-1066 kom teem sijhawm sib ntsib