Kodi pacemaker yanthawi yayitali yamtima imagwiritsidwa ntchito bwanji

Zamkati

• M'mikhalidwe yomwe ikusonyezedwa
• Zomwe muyenera kusamala

Wopanga pacemaker wakanthawi, yemwe amadziwikanso kuti wakanthawi kapena wakunja, ndi chida chomwe chimagwiritsidwa ntchito kuwongolera kugunda kwa mtima, pomwe mtima sugwira bwino ntchito. Chida ichi chimapanga mphamvu zamagetsi zomwe zimayendetsa kugunda kwa mtima, ndikupatsa magwiridwe antchito amtima.

Pacemaker yakanthawi ndi chida chomwe chimapangitsa kuti magetsi azitha kuyenda ndipo amakhala kunja kwa thupi lolumikizidwa pakhungu, yolumikizidwa kumapeto amodzi a elekitirodi, womwe ndi mtundu wa waya, womwe uli ndi mathero ena olumikizana ndi mtima.

Pali mitundu itatu yopanga zopumira kwakanthawi:

• Wosakhalitsa cutaneous-thoracic kapena kunja pacemaker, kuti ndi mphamvu yamagetsi yambiri, yomwe zoyeserera zake zimagwiritsidwa ntchito pachifuwa, zimakhala zopweteka kwambiri ndipo zimagwiritsidwa ntchito pakagwa zadzidzidzi;
• Wopanga pacemaker wosakhalitsa, yomwe ndi mphamvu yamagetsi yotsika, yomwe zoyeserera zake zimagwiritsidwa ntchito ku endocardium kudzera pa elekitirodi yoyika bwino;
• Wosakhalitsa epicardial pacemaker, yomwe ndi njira yamagetsi yotsika, yomwe chidwi chake chimagwiritsidwa ntchito pamtima kudzera pa maelekitirodi oyikidwa molunjika pa epicardium panthawi yochita opaleshoni ya mtima.

M'mikhalidwe yomwe ikusonyezedwa

Nthawi zambiri, pacemaker yakanthawi kochepa imawonetsedwa pamavuto mu bradyarrhythmias, omwe amasintha kugunda kwa mtima ndi / kapena mungoli, kapena mwa anthu omwe ma bradyarrhythmias ayandikira, monga momwe zimakhalira ndi infarction yaminyewa yaminyewa, postoperative ya opaleshoni yamtima kapena mankhwala osokoneza bongo, mwachitsanzo . Itha kugwiritsidwanso ntchito ngati chithandizo chothandizira, podikirira kukhazikitsidwa kwa pacemaker yokhazikika.

Kuphatikiza apo, ngakhale kangapo, itha kugwiritsidwanso ntchito kuwongolera, kupewa kapena kusintha tachyarrhythmias.

Zomwe muyenera kusamala

Odwala omwe ali ndi pacemaker amayenera kutsagana ndi adotolo, chifukwa zovuta zimatha kuchitika posagwira bwino pacemaker ndi lead. Batire ya pacemaker iyenera kuyang'aniridwa tsiku lililonse.

Kuphatikiza apo, mavalidwe m'chigawo chomwe adayikirako amayenera kusinthidwa tsiku lililonse, kuti tipewe kukula kwa matenda.

Munthuyo ayenera kupumula pomwe amakhala ndi pacemaker yakanthawi, ndipo kuwunika kwa electrocardiographic kuyenera kukhala pafupipafupi, chifukwa ndikofunikira kupewa zovuta. Nthawi ikadutsa yomwe adokotala adadutsa, pacemaker imatha kuchotsedwa kapena kusinthidwa ndi chida chosatha. Pezani momwe zimagwirira ntchito, nthawi yomwe ikuwonetsedwa komanso momwe opaleshoni yotsimikizika yachitetezo cha pacemaker imachitikira.