Mtima pacemaker - kutulutsa

Pacemaker ndi kachipangizo kakang'ono, kama batire kamene kamamva pamene mtima wanu ukugunda mosasinthasintha kapena pang'onopang'ono. Imatumiza chizindikiritso pamtima panu chomwe chimapangitsa mtima wanu kugunda pamlingo woyenera. Nkhaniyi ikufotokoza zomwe muyenera kuchita kuti mudzisamalire mukamachoka kuchipatala.

Chidziwitso: Kusamalira kwa ena opanga zida zapadera kapena opangira makina ophatikizira ophatikizira ndi otetezera makina atha kukhala osiyana ndi omwe afotokozedwa pansipa.

Munali ndi pacemaker yoyika pachifuwa kuti muthandize mtima wanu kugunda bwino.

• Kacheka kakang'ono kanapangidwa pachifuwa panu pansi pa kolala lanu. Jenereta wopanga pacem ndiye adayikidwa pansi pa chikopa pamalo ano.
• Zotsogolera (zingwe) zinali zolumikizidwa ndi pacemaker, ndipo mbali imodzi ya mawilo idalumikizidwa kudzera mu mtsempha kulowa mumtima mwako. Khungu lakumalo komwe pacemaker adayikidwiratu lidatsekedwa ndi zoluka.

Anthu ambiri opanga zida amakhala ndi waya umodzi kapena iwiri yokha yomwe imafika pamtima. Mawaya amenewa amalimbikitsa chipinda chimodzi kapena zingapo za mtima kufinya (mgwirizano) pamene kugunda kwa mtima kumachedwa. Mtundu wapadera wa pacemaker ungagwiritsidwe ntchito kwa anthu omwe ali ndi vuto la mtima. Ili ndi zitsogozo zitatu zothandiza kugunda kwa mtima m'njira yolumikizana.

Ena opanga masewera olimbitsa thupi amathanso kugwedeza magetsi pamtima omwe amatha kuyimitsa kuwopsa kwa mapangidwe am'mimba (kugunda kwamtima kosazolowereka). Izi zimatchedwa "cardioverter defibrillators."

Mtundu wachida chatsopano chotchedwa "leadless pacemaker" ndimayendedwe oyenda okha omwe amalowetsedwa mu ventricle yoyenera yamtima. Sifunikira kulumikiza mawaya ndi jenereta pansi pa khungu la chifuwa. Amatsogozedwa m'malo kudzera pa catheter cholowetsedwa mumtsinje. Pakadali pano opanga ma pacemet opanda pake amapezeka kokha kwa anthu omwe ali ndi matenda ena okhudzana ndi kugunda kwamtima pang'ono.

Muyenera kudziwa mtundu wa pacemaker womwe muli nawo ndi kampani yomwe idapanga.

Mupatsidwa khadi kuti musunge muchikwama chanu.

• Khadilo liri ndi chidziwitso chokhudza pacemaker yanu ndipo limaphatikizapo dzina la dokotala ndi nambala yanu yafoni. Amauzanso ena zoyenera kuchita pakagwa vuto ladzidzidzi.
• Nthawi zonse muziyenda ndi chikwama chachikwamachi. Zikhala zothandiza kwa othandizira azaumoyo onse omwe mudzawaone mtsogolo chifukwa akuti ndi mtundu wanji wa pacemaker womwe muli nawo.

Muyenera kuvala chibangili chodziwitsa zamankhwala kapena mkanda chomwe chimati muli ndi pacemaker. Pazadzidzidzi zamankhwala, ogwira ntchito yazaumoyo omwe amakusamalirani ayenera kudziwa kuti muli ndi pacemaker.

Makina ambiri ndi zida sizingasokoneze pacemaker yanu. Koma ena okhala ndi maginito olimba amatha. Nthawi zonse funsani omwe akukuthandizani pazida zilizonse zomwe muyenera kupewa. Musati muyike maginito pafupi ndi pacemaker yanu.

Zipangizo zambiri m'nyumba mwanu ndi zotetezeka kukhalapo. Izi zikuphatikiza firiji yanu, makina ochapira, chowumitsira, toya, blender, makompyuta ndi makina a fakisi, chowumitsira tsitsi, chitofu, chosewerera ma CD, maulamuliro akutali, ndi ma microwaves.

Muyenera kusunga zida zingapo osachepera mainchesi 12 (30 sentimita) kuchokera pamalo pomwe pacemaker imayikidwa pansi pa khungu lanu. Izi zikuphatikiza:

• Zida zamagetsi zopanda zingwe (monga ma screwdrivers ndi ma drill)
• Zida zamagetsi (monga kubowola ndi macheka a tebulo)
• Makina opangira magetsi ndi zotulutsa masamba
• Kagawo makina
• Oyankhula sitiriyo

Uzani opereka chithandizo onse kuti muli ndi pacemaker musanayesedwe.

Zida zina zamankhwala zingasokoneze pacemaker yanu.

Khalani kutali ndi magalimoto akuluakulu, magudumu, ndi zida. Osadalira malo otseguka a galimoto yomwe ikuyenda. Komanso khalani kutali ndi:

• Ma wailesi komanso magetsi amphamvu
• Zida zomwe zimagwiritsa ntchito mankhwala amagetsi, monga matiresi ena, mapilo, ndi massager
• Zipangizo zazikulu zamagetsi kapena zamagetsi

Ngati muli ndi foni:

• Osayiika m'thumba mbali yomweyo ya thupi lanu monga pacemaker yanu.
• Mukamagwiritsa ntchito foni yanu yam'manja, ikani khutu lanu mbali ina ya thupi lanu.

Samalani mozungulira chojambulira chitsulo ndi zingwe zachitetezo.

• Mawoko otetezera m'manja atha kusokoneza pacemaker yanu. Onetsani khadi lanu la chikwama ndikupempha kuti mufufuze ndi manja.
• Zipata zambiri zachitetezo kuma eyapoti ndi malo ogulitsira zili bwino. Koma osayima pafupi ndi zida izi kwakanthawi. Wopanga pacemaker wanu amatha kuyimitsa ma alarm.

Pambuyo pa ntchito iliyonse, pemphani omwe akukuthandizani kuti ayang'ane pacemaker yanu.

Muyenera kuchita zinthu zachilendo masiku atatu kapena anayi.

Kwa milungu iwiri kapena itatu, musachite izi ndi dzanja lanu pambali pa thupi lanu pomwe pacemaker imayikidwa:

• Kukweza chilichonse cholemera kuposa mapaundi 10 mpaka 15 (4.5 mpaka 7 kilogalamu)
• Kukankha kwambiri, kukoka, kapena kupotoza

Osakwezera dzanja lanu pamwambapa kwa milungu ingapo. Osavala zovala zopaka pamabala kwa milungu iwiri kapena itatu. Sungani mawonekedwe anu owuma kwa masiku 4 mpaka 5. Pambuyo pake, mutha kusamba kenako ndikuphimba. Nthawi zonse muzisamba m'manja musanakhudze chilondacho.

Wopereka wanu angakuuzeni kangati kuti mufunika kuyeserera pacemaker yanu. Nthawi zambiri, zimakhala miyezi isanu ndi umodzi iliyonse mpaka chaka. Mayesowa atenga pafupifupi mphindi 15 mpaka 30.

Mabatire mu pacemaker yanu amayenera kukhala zaka 6 mpaka 15. Kuyesedwa pafupipafupi kumatha kudziwa ngati batri ikutha kapena ngati pali zovuta zilizonse ndi zingwe (zingwe). Wopereka wanu amasintha ma jenereta ndi batiri batire likatsika.

Itanani omwe akukuthandizani ngati:

• Chilonda chako chimawoneka kuti chili ndi kachilombo (kufiira, kuchuluka kwa ngalande, kutupa, kupweteka).
• Mukukhala ndi zizindikilo zomwe mudali nazo pacemaker isanaikidwe.
• Mumamva chizungulire kapena kupuma movutikira.
• Mukumva kupweteka pachifuwa.
• Muli ndi ma hiccups omwe samapita.
• Simunakomoke kwakamphindi.

Kukhazikika kwa mtima wamtima - kutulutsa; Wopanga pacemaker - kutulutsa; Permanent pacemaker - kutulutsa; Mkati pacemaker - kumaliseche; Mtima resynchronization mankhwala - kumaliseche; CRT - kutulutsa; Biventricular pacemaker - kutulutsa; Kutchinga kwa mtima - kutulutsa kwa pacemaker; Kutseka kwa AV - kutulutsa pacemaker; Kulephera kwa mtima - kutulutsa kwa pacemaker; Bradycardia - kutulutsa pacemaker

• Wopanga zida

Knops P, kutsata kwa Jordaens L. Pacemaker. Mu: Saksena S, Camm AJ, olemba. Kusokonezeka Kwa Electrophysiological a Mtima. Wachiwiri ed. Philadelphia, PA: Elsevier Saunders; 2012: chap 37.

Santucci PA, DJ wa Wilber. Njira zopangira ma electrophysiologic ndi opaleshoni. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 60.

CD ya Swerdlow, Wang PJ, Zipes DP. Ma Pacemaker ndi ma cardioverter-defibrillator okhazikika. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 41.

Webb SR. Wopanda pacemaker wopanda lead. Tsamba la American College of Cardiology. www.acc.org/latest-in-cardiology/ten-points-to-remember/2019/06/10/13/49/the-leadless-pacemaker. Idasinthidwa pa Juni 10, 2019. Idapezeka pa Disembala 18, 2020.

• Arrhythmias
• Matenda a Atrial kapena flutter
• Njira zochotsera mtima
• Matenda a mtima
• Opaleshoni ya mtima
• Opaleshoni ya mtima - yowopsa pang'ono
• Mtima kulephera
• Kuchuluka kwa cholesterol m'magazi
• Matenda odwala sinus

• Matenda a mtima - kutulutsa
• Chodetsa cha mtima wamafuta - kutulutsa
• Chisamaliro cha bala la opaleshoni - chotseguka

• Opanga ma Pacem ndi Ma Defibrillator Okhazikika