Panogona kuve nekunetswa nePacemakers?

Pacemaker chishandiso chinoshanda nebhatiri chinobatsira moyo wako kurova murwiyo wawo chaiwo. Chiremba anozoiisa pasi peganda rechipfuva chemurwere kana aine arrhythmia. Chimiro chehutano umo kurova kwemoyo wako kusingaite. Inogona kunge yakanyanya kunonoka (yakajairika) kana kukurumidza.

Ndezvipi zvakasiyana-siyana zvepacemakers?

Kune marudzi matatu epacemaker. Inosanganisira zvinotevera-

• Single-chamber pacemaker - Iyi modhi inotungamira mafambiro emagetsi kukamuri rezasi rekurudyi yemoyo (right ventricle kana RV).

• Dual-chamber pacemaker -Inotungamira mafungiro emagetsi kune yakaderera (RV) uye yepamusoro (kurudyi atrium kana RA) kurudyi kamuri yemoyo. It AIDS mukudzora nguva yekufamba (contractions) yemhasuru dzemwoyo wako pakati pezvikamu zviviri.

• Biventricular pacemaker -Biventricular pacing, inonziwo cardiac resynchronization therapy, ndeyevanhu vane moyo kukundikana nemagetsi asina kujairika. Rudzi urwu rwepacemaker runonyandura makamuri ezasi emwoyo (maventricles ekurudyi nekuruboshwe) kuita kuti mwoyo urove zvakanaka.

Sei chiremba achikurudzira pacemaker?

Basa rinokosha repacemaker nderekubatsira kudzora kushanda kwemoyo wako nekudzora kurova kwemoyo. Chiremba wako anogona kuidyara kwenguva pfupi kana zvachose, zvichienderana nekuoma kwemamiriro ako uye kurapwa kwaunoda.

• Kana mwoyo wako uchirova zvishoma nezvishoma, kutevera a kumira kurova kwemoyo, kuwandisa kwemishonga, kana kuvhiyiwa, chiremba wako achakupa zano renguva pfupi pacemaker.

• Muzviitiko ne mwoyo kukanganisa uye kusarongeka (kunyanya kunonoka) kurova kwemwoyo, chiremba anonyanya kuisa zvachose pacemaker.

Fonera 1860-500-1066 kuti ubhuke musangano

Mwoyo wako - unorova sei?

Mwoyo wako inhengo yakakura yezvibhakera, ine tsandanyama, uye ine mhango inogara pakati pesimba rako rekutenderera. Ine makamuri mana -

Dzimba mbiri dzepamusoro dzinosanganisira -

• Right atrium
• Left atrium

Dzimba mbiri dzepasi dzinosanganisira -

• Right ventricle
• Kuruboshwe ventricle

Zvose izvi makamuri anoshanda pamwe chete mukubatana nemagetsi emwoyo wako kuti abvumire kurova zvakakodzera. Kurova kwemwoyo wako paminiti paminiti, pakuzorora, kunotangira pa60 kusvika ku100.

Magadzirirwo emagetsi emwoyo wako anodzora kurova kwemwoyo wako uye anotangira pa sinus node (yako yepanyama pacemaker), achiparadzira mafungiro emagetsi kusvika pasi. Zvinoguma nekubatana kwakabatana mumasumbu emwoyo wako, zvichiita kuti ropa ripombe.

Zvisinei, nekuda kwekukwegura, mamwe matambudziko emwoyo akadai sekurwadziwa kwemoyo , zvikanganiso zvemajini, uye mishonga, moyo wako unogona kurova zvisingawanzoitiki. Muzviitiko zvakadaro, chiremba wako anogona kukurudzira pacemaker.

A pacemaker - inoshanda sei?

A pacemaker inotevedzera maitiro echisikigo chemagetsi system yemoyo wako. Iine zvikamu zviviri -

• Pulse jenareta - Iyo idiki simbi yuniti inosanganisira yemagetsi seketi uye bhatiri. Iyo pulse generator inogadzira mafungiro emagetsi anogadzirisa kurova kwemoyo wako.
• Electrodes (inotungamira) - Aya mawaya akavharirwa uye anochinjika anoiswa nachiremba wako mumhasuru yemwoyo wako. Iwe unogona kuda imwe kusvika kune mitatu yeiyi inotungamira, zvichienderana nezvido zvako. Izvi zvinotungamira zvinotakura zvinokurudzira kubva kujenareta kuenda kumoyo wako (moyo) tsandanyama uye unonzwa kushanda kwemagetsi kwemoyo wako, zvakare.

Zvimwe chokwadi nezve pacemakers

• Kana uine pacemaker, inongoshanda kana waida. Kana uine bradycardia (kurova kwemwoyo wako kunonoka kupfuura zvakajairika), pacemaker yako inotumira zviratidzo kumwoyo wako kuti uchengetedze kufamba kwakakodzera.
• Iyo nyowani-yezera pacemaking zvishandiso zvinouya nemasensor. Aya ma sensor anoona kufema kwako uye anomisa pacemaker yako kuti uwedzere kumhanya kwemoyo wako uye pazvinenge zvichidikanwa, kunyanya paunenge uchishanda.
• Boka rakatenderwa muUnited States rakapa chiratidzo chegirini kumidziyo miviri isingatungamiri pacemaker inopinda mumoyo mako. Nekuti aya ma pacemaker haana maelectrode, aya anogona kubatsira kukurumidza kupora uye kuderedza dzimwe njodzi dzehutano. Kunyangwe midziyo iyi ichishanda zvakachengeteka uye zvinobudirira, zvazvinoreva zvenguva refu zvichiri kuda kuongororwa.

Pangave nemacomplications nema pacemakers?

Ehe, matambudziko ane pacemaker akajairika. Pane zvikamu zviviri zvakakosha zvakafanana, kureva -

Procedural complications

• Homwe hematoma kana kubuda ropa - Muvanhu vazhinji vanovhiyiwa pacemaker implant, kubuda ropa kwakajairika. Zvisinei, njodzi yehematoma (kubuda ropa kwemunharaunda kunze kwetsinga dzeropa) yakaderera. Kana iwe uri pa anticoagulant therapy, unogona kubuda ropa zvishoma, asi hapana chekunetseka nazvo.
• Hemothorax - Ndiyo imwe yeacute procedural complications yekuve ne pacemaker. Zvisinei, hazviwanzoitiki.
• Pneumothorax  - Pneumothorax kana akadonha mapapu idambudziko rekuve neyakagadzirwa cardiac pacemaker. Izvo zvinoitika panguva yekuvhiyiwa kana mukati memazuva maviri ekutanga (48 maawa) ekuvhiya.

General complications

• Deep vein thrombosis (DVT) uye phlebitis - Mamiriro aya (magwamba eropa mutsinga) akanyanya kuwanda nekuisa pacemaker.
• Lead dislodge -Iri rimwe dambudziko rekuva ne pacemaker iyo inogona kuwedzera kukusagadzikana kwako. Uyezve, zvingangoda kushandiswazve kudzivirira kutungamira kubva kutama.
• Pacemaker kusashanda zvakanaka -Inomuka kana pacemaker yako isiri kushanda sezvainofanirwa kuita. Zvinogona kuitika nekuda kwekuwanda kwezvikonzero, kutanga kubva pakutadza kwechishandiso kuenda kune shanduko mukutsinhirwa kwemoyo wako.
• Myocardial perforation -Kunyange zvisingawanzo, myocardial perforation inogona kutungamirira kumatambudziko makuru ehutano. Kutadza kufema uye chipfuva chepfu ndezvimwe zvezviratidzo zvinowanzoitika.
• Tricuspid regurgitation - Zvinogona kuitika nekuda kwekukuvadza kune tricuspid valve panguva yekuita.
• Pacemaker syndrome - Kana zviratidzo zvako zvichiwedzera kuipa mushure mekutora pacemaker, uye iwe zvishoma nezvishoma unoratidza zviratidzo nezviratidzo zveCHF (congestive heart failure), inozivikanwa se pacemaker syndrome. Zvinonyanya kuitika nekuda kwekurasikirwa kwekuenderana pakati peatria nemaventricles (atrioventricular synchrony) yemoyo wako.

Nzira yekugadzirira sei nzira yekuisa pacemaker?

Panogona kuva nezvikonzero zvakati kuti shure kwekurova kwemoyo kusingaite. Naizvozvo, chiremba wako achaita mashoma bvunzo kuti aone chikonzero chinokonzera mamiriro ako zvisati zvaitika. Maedzo anosanganisira anotevera - 

• ECG kana Electrocardiogram -Iyo isiri-invasive maitiro umo chiremba wako anoisa sensor pads akabatana newaya pamakumbo ako kana chipfuva kuyera kufambisa kwemagetsi kwemoyo wako.
• Echocardiogram - Iyo zvakare isiri-invasive maitiro. Inoshandisa masaisai anonzwika kutarisa kushanda kwemoyo wako.
• Holter monitoring -Iri compact muenzanisi we electrocardiogram. Inobatsira pakuona kusarongeka kusinga fungidzike mukurongeka kwemoyo wako. Iwe unofanirwa kupfeka chigadziro chekutarisa kwezuva kana maviri uye uenderere mberi nemabasa ako enguva dzose. Chigadzirwa chacho chichanyora zvose zviito zvemagetsi zvemwoyo wako panguva ino.
• stress test -Mamwe mamiriro emoyo anongobuda chete kana uchisimbisa muviri. Mumuedzo uyu, chiremba wako achaita electrocardiogram nguva isati yasvika uye mushure mekuita maekisesaizi, kusanganisira kukwira bhasikoro rekurovedza muviri kana kudzidziswa pachitsiko.

Ndedzipi njodzi dzekuwana pacemaker?

Dzimwe dzenjodzi dzakajairika dzekuwana pacemaker kubatanidza -

• Utachiona panzvimbo yepacemaker implantation
• Allergic reaction kune anesthesia panguva yekuvhiyiwa
• Kupwanya kana kuzvimba panzvimbo yepulse generator implant
• Kukuvadzwa kwenzvimbo (pedyo nekuisa) tsinga netsinga dzeropa

Pacemaker yekuisa Maitiro - Pamberi, Panguva, uye Mushure

Asati maitiro

Kuvhiyiwa kwepacemaker kunotora maawa mashoma kuti kupere. Usati waitwa, chiremba wako achachenesa chipfuva chako neajenti inouraya . Zvadaro, iye achaita anesthetize nzvimbo yezvinyorwa nerubatsiro rweanesthesia yemunharaunda.

Panguva yekuita

• Panguva yekuvhiyiwa, chiremba wako achaisa tambo dze insulated (imwe kana kupfuura) mutsinga huru iri pedyo kana pasi pecollarbone yako uye inoitungamirira kunzvimbo yekuisa nerubatsiro rwe X-ray imaging.
• Ipapo chiremba wako achagadzirisa iyo yekupedzisira yewaya imwe neimwe (nemumwe mugumo wewaya yakachengetedzwa kune pulse jenareta) kunzvimbo chaiyo mumoyo mako.

Mushure mekuvhiyiwa

• Mushure mekuvhiyiwa kwako kwapera, unogona kugara munzvimbo yehutano kwezuva rimwe kana maviri. Chiremba wako achagadzira / kuronga pacemaker yako zvinoenderana nezvinodiwa pakufamba kwako.
• Usatyaira kumba wega. Fonera nhengo yemhuri, shamwari, kana mutyairi zvakafanana.
• Chiremba wako anogona kutarisa pacemaker yako ari kure.
• Chiremba wako angangokukumbira kuti urege kusimudza zvinhu zvinorema kana kuita maekisesaizi akasimba kwemwedzi kana kupfuura.
• Kana ukanzwa kurwadziwa kana kusagadzikana, taura nachiremba wako. Anogona kukurudzira kutora-the-counter mishonga yakadai seibuprofen kana acetaminophen.

Ndeapi matanho aunofanira kutora ne pacemaker?

Kunyangwe pacemaker yako isingakwanisi kumira kushanda nekuda kwekukanganiswa kwemagetsi (s), ipfungwa yakanaka kungwarira uye kutora matanho anodiwa. Tarisa matanho anotevera ekudzivirira -

• Kushandisa nharembozha – Hazvina ngozi kushandisa mbozhanhare kana uine pacemaker. Nekudaro, ita shuwa yekuichengeta iri chinhambwe chingangoita masendimita gumi nemashanu kana masendimita matanhatu kubva pachigadzirwa. Zvakare, ita shuwa kuti usachengeta foni yako muhomwe yehembe yako. Uye bata foni kune rimwe divi rekudyara kwako uchitaura.
• Kuenda nemuchina chesimbi -Kuenda kunotariswa kuchengetedza kuburikidza nesimbi detector panzvimbo yekutengesa kana airport hakuzopindire nemudziyo wako. Nekudaro, nekuda kwezvikamu zvesimbi zvepacemaker yako, inogona kurira. Chimwe chezvinhu zvakanakisa kudzivirira nyaya dzinobvira kutakura chitupa chinoverenga kuti wakapfeka pacemaker.
• Kuita maitiro ekurapa - Ita shuwa vanachiremba vako vese, kusanganisira chiremba wemazino, nezve pacemaker yako. Mamwe marapirwo ekurapa uye maitiro ekuongorora akadai se MRI, radiation, electrocautery, uye CT scans zvinogona kukanganisa mudziyo wako.
• Kuve pedyo neheavy-duty equipment -Zvakakosha kuchengetedza chinhambwe chingangoita 2 tsoka kubva kune yakakwira-voltage transformers, welding zvishandiso, nezvimwe.

Batana nachiremba wako!

Bhatiri re pacemaker yako rinogona kugara kwemakore mashanu kusvika gumi nemashanu. Ita shuwa yekubhadhara kushanya kuna chiremba wako pane imwe nguva ye5 kusvika 15 mwedzi.

Inowanzobvunzwa Mibvunzo (FAQ)

1. Ko pacemaker yako ichaonekwa nemucheka wako here?

   Kwete, pacemaker yako haizooneki nekuti chiremba wako anoiisa pasi peganda reganda rako. Zvisinei, unogona kunzwa kabumbu.

2. Unogona here kupfeka accessories pamutsipa wako?

   Hongu, hongu, iwe unogona kupfeka chishongo kana chero chimwe chishongedzo pamutsipa wako. Hazvizokanganisa pacemaker yako.

Fonera 1860-500-1066 kuti ubhuke musangano