Chodetsa cha mtima wamafuta - kutulutsa

An implantable cardioverter-defibrillator (ICD) ndichida chomwe chimazindikira kugunda koopsa, kwachilendo. Zikachitika, chipangizocho chimatumiza magetsi pamtima kuti asinthe mayendedwe ake kukhala abwinobwino. Nkhaniyi ikufotokoza zomwe muyenera kudziwa mutayika ICD.

Chidziwitso: Kusamalira ma defibrillator ena kutha kukhala kosiyana ndi momwe tafotokozera pansipa.

Mtundu wa akatswiri amtima wotchedwa electrophysiologist kapena dotolo wamatenda adadula pang'ono pakhoma lanu pachifuwa. Chida chotchedwa ICD chidayikidwa pansi pa khungu ndi minofu yanu. ICD ndi kukula kwa cookie yayikulu. Zitsogozo, kapena maelekitirodi, adayikidwa mumtima mwanu ndipo adalumikizidwa ndi ICD yanu.

ICD imatha kuzindikira kugunda kwamtima koopsa (arrhythmias) koopsa moyo. Amapangidwa kuti asinthe kayendedwe kabwino ka mtima kubwerera mwakale potumiza kugwedezeka kwamagetsi pamtima panu. Izi zimatchedwa defibrillation. Chida ichi chimatha kugwira ntchito ngati pacemaker.

Mukachoka kuchipatala, mudzapatsidwa khadi loti muzisunga m'chikwama chanu. Khadi ili limandandalika tsatanetsatane wa ICD yanu ndipo ili ndi zidziwitso zadzidzidzi.

Tengani khadi yanu yozindikiritsa ya ICD NTHAWI ZONSE. Zomwe zilipo ziziuza onse othandizira zaumoyo kuti muwone mtundu wa ICD womwe muli nawo. Si ma ICD onse omwe ali ofanana. Muyenera kudziwa mtundu wa ICD womwe muli nawo ndi kampani yomwe idapanga. Izi zitha kuloleza othandizira ena kuti aone ngati zili bwino.

Muyenera kuchita zambiri mwazomwe mukuchita masiku atatu kapena anayi mutachita opaleshoni. Koma mutha kukhala ndi malire mpaka milungu 4 mpaka 6.

Osamachita izi kwa milungu iwiri kapena itatu:

• Kwezani chilichonse cholemera kuposa mapaundi 10 mpaka 15 (4.5 mpaka 7 kilogalamu)
• Kankhirani, kukoka, kapena kupotoza kwambiri
• Valani zovala zomwe zimafinya pachilonda

Sungani mawonekedwe anu owuma kwa masiku 4 mpaka 5. Pambuyo pake, mutha kusamba ndikusamba. Nthawi zonse muzisamba m'manja musanakhudze chilondacho.

Kwa masabata 4 mpaka 6, osakweza mkono wako pamwamba paphewa pambali pa thupi lanu pomwe ICD yanu idayikidwa.

Muyenera kuwona omwe akukuthandizani pafupipafupi kuti muwunikire. Dokotala wanu adzaonetsetsa kuti ICD ikugwira ntchito moyenera ndipo adzawunika kuti awone zodabwitsa zambiri zomwe zatumiza ndi mphamvu zotsalira mu batri. Ulendo wanu woyamba wobwereza mwina utakhala pafupifupi mwezi umodzi ICD yanu itayikidwa.

Mabatire a ICD adapangidwa kuti azitha zaka 4 mpaka 8. Kufufuza pafupipafupi kwa batri kumafunika kuti muwone kuchuluka kwa mphamvu yomwe yatsala. Mufunika opaleshoni yaying'ono kuti mulowetse ICD yanu batire ikayamba kutha.

Zipangizo zambiri sizingasokoneze defibrillator yanu, koma ena okhala ndi maginito olimba amatha. Funsani omwe akukuthandizani ngati muli ndi mafunso pazida zilizonse.

Zipangizo zambiri m'nyumba mwanu ndi zotetezeka kukhalapo. Izi zikuphatikiza firiji yanu, makina ochapira, chowumitsira, chowotchera thukuta, chopondereza, makina apakompyuta ndi makina a fakisi, choumitsira tsitsi, chitofu, makina osewerera CD, maulamuliro akutali, ndi mayikirowevu.

Pali zida zingapo zomwe muyenera kusunga osachepera mainchesi 12 (30.5 masentimita) kuchokera pamalo pomwe ICD yanu imayikidwa pansi pa khungu lanu. Izi zikuphatikiza:

• Zipangizo zamagetsi zopanda zingwe (monga ma screwdriver 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 ICD. Zida zina zamankhwala zitha kuvulaza ICD yanu. Chifukwa makina a MRI ali ndi maginito amphamvu, lankhulani ndi dokotala musanakhale ndi MRI.

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

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

Ngati muli ndi foni:

• Osayiika m'thumba mbali yomweyo ya thupi lanu monga ICD 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 ICD 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. ICD yanu ikhoza kuyambitsa ma alarm.

Uzani wothandizira wanu za mantha aliwonse omwe mumamva kuchokera ku ICD yanu. Makonda a ICD angafunike kusintha, kapena mankhwala anu angafunike kusinthidwa.

Komanso itanani ngati:

• Chilonda chako chikuwoneka kuti chili ndi kachilombo. Zizindikiro za matendawa ndi kufiira, kuchuluka kwa ngalande, kutupa, ndi kupweteka.
• Mukukhala ndi zizindikiro zomwe mudali nazo ICD yanu isanayikidwe.
• Mukuchita chizungulire, mukumva kupweteka pachifuwa, kapena simupuma.
• Muli ndi ma hiccups omwe samapita.
• Simunakomoke kwakamphindi.
• ICD yanu yatumiza mantha ndipo simukumva bwino kapena mumakomoka. Lankhulani ndi omwe akukuthandizani za nthawi yomwe mungayitane ofesi kapena 911.

ICD - kumaliseche; Kusokoneza - kutulutsa; Arrhythmia - kutulutsa kwa ICD; Nyimbo yachilendo - Kutulutsa kwa ICD; Ventricular fibrillation - kutulutsa kwa ICD; Kutulutsa kwa VF - ICD; V Fib - Kutulutsa kwa ICD

• Chodetsa mtima cha mtima

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

Swerdlow C, Friedman P. Implantable mtima defibrillator: zochitika zamankhwala. Mu: Zipes DP, Jalife J, Stevenson WG, olemba., Eds. Electrophysiology Yamtima: Kuchokera Pazipinda Kufikira Pogona. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 117.

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.

• Matenda a mtima
• Mtima kulephera
• Mtima pacemaker
• Kuthamanga kwa magazi - akuluakulu
• Ventricular fibrillation
• Ventricular tachycardia

• Matenda a mtima - kutulutsa
• Kulephera kwa mtima - kutulutsa
• Mtima pacemaker - kutulutsa

• Opanga ma Pacem ndi Ma Defibrillator Okhazikika