Chokhazika mtima chosintha mtima

An implantable cardioverter-defibrillator (ICD) ndichida chomwe chimazindikira kugunda kulikonse kowopsa, kwachangu. Kugunda kwachilendo kumeneku kumatchedwa arrhythmia. Ngati zichitika, ICD imatumiza msanga magetsi pamtima. Kusokonezeka kumasintha kayendedwe kawo kubwerera mwakale. Izi zimatchedwa defibrillation.

ICD yapangidwa ndi magawo awa:

• Jenereta ya pulse ili pafupi kukula kwa wotchi yayikulu mthumba. Lili ndi mabatire amagetsi omwe amawerengera zamagetsi zomwe zili mumtima mwanu.
• Maelekitirodi ndi mawaya, otchedwanso lead, omwe amadutsa mumitsempha yanu mpaka pamtima panu. Amalumikiza mtima wako ndi chipangizocho chonse. ICD yanu itha kukhala ndi maelekitirodi 1, 2, kapena 3.
• Ma ICD ambiri amakhala ndi pacemaker yokhazikika. Mtima wanu ungafunike kuyenda ngati ukugunda pang'onopang'ono kapena mofulumira kwambiri, kapena ngati mwadzidzimuka kuchokera ku ICD.
• Pali mtundu wina wapadera wa ICD wotchedwa ICD yodutsamo. Chida ichi chimakhala ndi cholozera chomwe chimayikidwa munyama kumanzere kwa fupa la chifuwa osati mumtima. Mtundu uwu wa ICD sungakhalenso wopanga pacemaker.

Katswiri wa zamankhwala kapena dotolo nthawi zambiri amaika ICD yanu mukadzuka. Dera la khoma lanu pachifuwa pansi pa kolala lanu likhala lopanda mankhwala, choncho simumva kuwawa. Dokotalayo amapanga khungu (kudula) pakhungu lanu ndikupanga danga pansi pa khungu lanu ndi minofu ya jenereta ya ICD. Nthawi zambiri, malowa amapangidwa pafupi ndi phewa lanu lamanzere.

Dokotalayo adzaika maelekitirodi mu mtsempha, kenako mumtima mwanu. Izi zimachitika pogwiritsa ntchito x-ray yapadera kuti muwone mkati mwa chifuwa chanu. Kenako dokotalayo amalumikiza maelekitirodi ku pulse generator ndi pacemaker.

Njira nthawi zambiri imatenga maola awiri kapena atatu.

Anthu ena omwe ali ndi vutoli adzakhala ndi chida chapadera chomwe chimaphatikizira chophatikizira ndi biventricular pacemaker yoyikidwa. Chida chopangira pacemaker chimathandiza mtima kugunda mwanjira yolumikizana kwambiri.

ICD imayikidwa mwa anthu omwe ali pachiwopsezo chachikulu chakufa mwadzidzidzi kwamtima kuchokera pamtima wosadziwika womwe umawopseza moyo. Izi zikuphatikiza ma ventricular tachycardia (VT) kapena ventricular fibrillation (VF).

Zifukwa zomwe mungakhale pachiwopsezo chachikulu ndi izi:

• Mwakhala ndi magawo amodzi mwanjira zosamveka zamitima iyi.
• Mtima wanu ndi wofooka, ndi waukulu kwambiri, ndipo sukupopa magazi bwino. Izi zikhoza kukhala chifukwa cha matenda a mtima oyambirira, kulephera kwa mtima, kapena matenda a mtima (matenda a mtima wamatenda).
• Muli ndi vuto lobadwa nalo (lomwe mulipo pobadwa) kapena vuto la thanzi.

Zowopsa za opaleshoni iliyonse ndi izi:

• Magazi amatundikira m'miyendo yomwe imatha kupita kumapapu
• Mavuto opumira
• Matenda a mtima kapena sitiroko
• Thupi lawo siligwirizana ndi mankhwala (ochititsa dzanzi) ntchito pa opaleshoni
• Matenda

Zowopsa zomwe zingachitike pakuchita opaleshoniyi ndi izi:

• Matenda opweteka
• Kuvulaza mtima wanu kapena mapapu
• Matenda owopsa amtima

ICD nthawi zina imabweretsa zoopsa mumtima mwanu ngati simukuzifuna. Ngakhale kugwedezeka kumatenga nthawi yayifupi kwambiri, mutha kuzimva nthawi zambiri.

Vutoli ndi mavuto ena a ICD nthawi zina amatha kupewedwa posintha momwe ma ICD amakonzera. Itha kukhazikitsidwanso kuti imve tcheru ngati pali vuto. Dokotala yemwe amayang'anira chisamaliro chanu cha ICD amatha kupanga pulogalamu yanu.

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

Dzulo lisanachitike opaleshoni yanu:

• Lolani wothandizira wanu adziwe za chimfine, chimfine, malungo, kuphulika kwa herpes, kapena matenda ena omwe mungakhale nawo.
• Sambani ndi shampu bwino. Mutha kupemphedwa kuti musambe thupi lonse pansi pa khosi lanu ndi sopo wapadera.
• Muthanso kufunsidwa kutenga maantibayotiki, kuti muteteze ku matenda.

Patsiku la opaleshoniyi:

• Nthawi zambiri mudzafunsidwa kuti musamwe kapena kudya kalikonse pakati pausiku usiku musanachite opareshoni. Izi zimaphatikizapo kutafuna chingamu ndi timbewu tomwe timapuma. Muzimutsuka m'kamwa ndi madzi ngati mukuuma, koma samalani kuti musameze.
• Tengani mankhwala omwe mwauzidwa kuti mumwe ndikumwa madzi pang'ono.

Mudzauzidwa nthawi yobwera kuchipatala.

Anthu ambiri omwe ali ndi ICD amatha kupita kunyumba kuchokera kuchipatala tsiku limodzi. Ambiri amabwerera kuntchito yawo yanthawi zonse. Kuchira kwathunthu kumatenga pafupifupi milungu 4 mpaka 6.

Funsani omwe akukuthandizani kuchuluka kwa momwe mungagwiritsire ntchito mkono womwe uli mbali ya thupi lanu pomwe ICD idayikidwa. Mutha kulangizidwa kuti musakweze chilichonse cholemera kuposa mapaundi 10 mpaka 15 (4.5 mpaka 6.75 kilograms) ndikupewa kukankha, kukoka, kapena kupotoza dzanja lanu kwa milungu iwiri kapena itatu. Mwinanso mungauzidwe kuti musakweze dzanja lanu pamwamba pamapewa anu milungu ingapo.

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

Muyenera kuyang'aniridwa pafupipafupi kuti ICD yanu iziyang'aniridwa. Wothandizira adzayang'ana kuti awone ngati:

• Chipangizocho chimazindikira kugunda kwamtima kwanu
• Zadzidzidzi zingati zaperekedwa
• Ndi mphamvu zingati zomwe zatsala m'mabatire.

ICD yanu imayang'anitsitsa kugunda kwa mitima yanu kuti iwonetsetse kuti ndiyokhazikika. Idzabweretsa chisokonezo pamtima ikamva nyimbo yoopsa pamoyo. Zambiri mwazinthuzi zitha kugwiranso ntchito ngati pacemaker.

ICD; Kutsegula

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

• Chokhazika mtima chosintha mtima

Al-Khatib SM, Stevenson WG, Ackerman MJ, ndi al. Malangizo a 2017 AHA / ACC / HRS oyang'anira odwala omwe ali ndi ma ventricular arrhythmias komanso kupewa kufa kwamwadzidzidzi kwa mtima: lipoti la American College of Cardiology / American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. J Ndine Coll Cardiol. 2018: 72 (14): e91-e220. [Adasankhidwa] PMID: 29097296 pubmed.ncbi.nlm.nih.gov/29097296/.

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.