Mtima pacemaker

Pacemaker ndi kachipangizo kakang'ono kogwiritsira ntchito batire. Chipangizochi chimamva ngati mtima wanu ukugunda mosakhazikika kapena pang'onopang'ono. Imatumiza chizindikiritso pamtima panu chomwe chimapangitsa mtima wanu kugunda pamlingo woyenera.

Opanga pacem opanga atsopano amalemera pang'ono pokha ndi magalamu 28. Opanga pacem ambiri ali ndi magawo awiri:

• Jenereta imakhala ndi batri komanso chidziwitso chowongolera kugunda kwa mtima.
• Zotsogolera ndi waya zomwe zimalumikiza mtima ku jenereta ndikunyamula mauthenga amagetsi kumtima.

Wopanga pacemaker amaikidwa pansi pa khungu. Njirayi imatenga pafupifupi ola limodzi nthawi zambiri. Mupatsidwa mankhwala okuthandizani kupumula. Mudzakhala ogalamuka panthawiyi.

Kuchepetsa pang'ono (kudula) kumapangidwa. Nthawi zambiri, odulidwa amakhala mbali yakumanzere (ngati muli ndi dzanja lamanja) pachifuwa pansi pa kolala lanu. Jenereta wopanga pacem amaikidwa pansi pa khungu pamalo ano. Jenereta amathanso kuikidwa m'mimba, koma izi sizodziwika kwenikweni. Watsopano "wopanda" pacemaker ndi gawo lodziyimira lokha lomwe limayikidwa mu ventricle yoyenera yamtima.

Pogwiritsa ntchito ma x-ray amoyo kuti awone malowa, adotolo amaika zotsogola podutsamo, mumtsempha, kenako mumtima. Zotsogolera zimalumikizidwa ndi jenereta. Khungu limatsekedwa ndi ulusi. Anthu ambiri amapita kwawo pasanathe tsiku limodzi.

Pali mitundu iwiri yopanga pacemaker yomwe imagwiritsidwa ntchito pakagwa zadzidzidzi. Ali:

• Opanga zida zapaulendo
• Opanga pacem opanga

Sali opanga okhazikika pamtendere.

Opanga ma pacem amatha kugwiritsidwa ntchito kwa anthu omwe ali ndi vuto la mtima lomwe limapangitsa mtima wawo kugunda pang'onopang'ono. Kugunda pang'ono kwa mtima kumatchedwa bradycardia. Mavuto awiri omwe amachititsa kugunda kwa mtima pang'ono ndi matenda amtundu wa sinus komanso mtima.

Pamene mtima wanu ukugunda pang'onopang'ono, thupi lanu ndi ubongo wanu sizingapeze mpweya wokwanira. Zizindikiro zitha kukhala

• Mitu yopepuka
• Kutopa
• Kukomoka
• Kupuma pang'ono

Zida zina zopangira pacem zingagwiritsidwe ntchito kuyimitsa kugunda kwamtima komwe kumathamanga kwambiri (tachycardia) kapena kosazolowereka.

Mitundu ina yama pacemaker itha kugwiritsidwa ntchito polephera mtima kwambiri. Izi zimatchedwa biventricular pacemaker. Amathandizira kulinganiza kumenyedwa kwa zipinda zamtima.

Makina opanga ma biventricular pacemaker omwe adakhazikitsidwa lero amathanso kugwira ntchito ngati ma implantable cardioverter defibrillators (ICD). ICD imabwezeretsa kugunda kwamtima pobweretsa mantha akulu pakachitika kugunda kwamtima kwakanthawi kochepa kwambiri.

Zovuta zomwe zingachitike pakuchita opaleshoni yopanga pacemaker ndi:

• Nyimbo zosadziwika bwino zamtima
• Magazi
• Mapapu ophulika. Izi ndizochepa.
• Matenda
• Kuboola mtima, komwe kumatha kubweretsa magazi kuzungulira mtima. Izi ndizochepa.

Wopanga pacemaker amamva ngati kugunda kwa mtima kulipo pamlingo winawake. Ikakhala pamwambapa, wopanga pacem amasiya kutumiza zikwangwani pamtima. Wopanga pacem amadziwikanso pamene kugunda kwa mtima kumachepetsa kwambiri. Icho chimangoyambanso kuyendetsa mtima.

Nthawi zonse uzani wothandizira zaumoyo wanu za mankhwala omwe mumamwa, ngakhale mankhwala osokoneza bongo kapena zitsamba zomwe mwagula popanda mankhwala.

Dzulo lisanachitike opaleshoni yanu:

• Sambani ndi shampu bwino.
• Mutha kupemphedwa kuti musambe thupi lonse pansi pa khosi lanu ndi sopo wapadera.

Patsiku la opaleshoniyi:

• Mutha kupemphedwa kuti musamwe kapena kudya chilichonse pakati pausiku usiku womwe musanachite. Izi zimaphatikizapo kutafuna chingamu ndi timbewu tomwe timapuma. Muzimutsuka m'kamwa ndi madzi ngati mukuuma, koma samalani kuti musameze.
• Tengani mankhwala omwe adauzidwa kuti mumwe pang'ono pokha madzi.

Wothandizira anu adzakuuzani nthawi yoti mufike kuchipatala.

Mutha kupita kwanu mutatha tsiku limodzi kapena tsiku lomwelo nthawi zina. Muyenera kubwerera kuntchito yanu mwachangu.

Funsani omwe akukuthandizani momwe mungagwiritsire ntchito mkono wanu pambali pa thupi lanu pomwe pacemaker adayikidwa. Mutha kulangizidwa kuti musachite izi:

• Kwezani chilichonse cholemera kuposa mapaundi 10 mpaka 15 (4.5 mpaka 6.75 kilogalamu)
• Kankhirani, kokerani, ndikupotoza dzanja lanu kwa milungu iwiri kapena itatu.
• Kwezani dzanja lanu pamwamba pamapewa anu kwa milungu ingapo.

Mukachoka kuchipatala, mudzapatsidwa khadi loti muzisunga m'chikwama chanu. Khadi ili limatchula zambiri za pacemaker yanu ndipo lili ndi zambiri zadzidzidzi. Nthawi zonse muziyenda ndi chikwama chachikwamachi. Muyenera kukumbukira dzina la wopanga pacemaker ngati mungathe kutaya khadi yanu.

Opanga ma pacem amatha kuthandizira kuti mtima wanu ugwire bwino komanso kugunda kwa mtima wanu kuti mukhale otetezeka. Batire ya pacemaker imatha pafupifupi zaka 6 mpaka 15. Wothandizira anu amayang'ana batiri pafupipafupi ndikuisintha ngati kuli kofunikira.

Kukhazikika kwa mtima wamtima; Wopanga pacemaker; Permanent pacemaker; Wopanga pacemaker wamkati; Chithandizo chotsitsimutsa mtima; CRT; Biventricular pacemaker; Arrhythmia - wopanga pacemaker; Nyimbo yachilendo - pacemaker; Bradycardia - pacemaker; Mtima kutchinga - pacemaker; Mobitz - wopanga pacemaker; Mtima kulephera - pacemaker; HF - wopanga pacemaker; CHF- wopanga pacem

• Angina - kumaliseche
• Angina - zomwe mungafunse dokotala wanu
• Angina - mukakhala ndi ululu pachifuwa
• Mankhwala osokoneza bongo - P2Y12 inhibitors
• Aspirin ndi matenda amtima
• Matenda a atrial - kutulutsa
• Batala, majarini, ndi mafuta ophikira
• Cholesterol ndi moyo
• Kulamulira kuthamanga kwa magazi
• Mafuta azakudya anafotokoza
• Malangizo achangu
• Matenda a mtima - kutulutsa
• Matenda a mtima - zomwe mungafunse dokotala wanu
• Matenda a mtima - zoopsa
• Kulephera kwa mtima - kutulutsa
• Momwe mungawerenge zolemba za chakudya
• Chodetsa cha mtima wamafuta - kutulutsa
• Zakudya zamcherecherere
• Zakudya zaku Mediterranean
• Chisamaliro cha bala la opaleshoni - chotseguka

• Wopanga zida

Epstein AE, DiMarco JP, Ellenbogen KA, ndi al. 2012 ACCF / AHA / HRS idasinthiratu zomwe zidaphatikizidwa mu ACCF / AHA / HRS 2008 malangizo othandizira kugwiritsa ntchito zida zamatenda amtima: lipoti la American College of Cardiology Foundation / American Heart Association Task Force pamaupangiri a machitidwe ndi Heart Rhythm Sosaiti. J Ndine Coll Cardiol. 2013; 61 (3): e6-e75. PMID: 23265327 pubmed.ncbi.nlm.nih.gov/23265327/.

Miller JM, Tomaselli GF, Zipes DP. Thandizo la arrhythmias yamtima. 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 36.

Pfaff JA, Gerhardt RT. Kuunika kwa zida zokhazikika. Mu: Roberts JR, Custalow CB, Thomsen TW, olemba., Eds. Ndondomeko Zachipatala za Roberts ndi Hedges mu Emergency Medicine ndi Acute Care. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: mutu 13.

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.