Inodyara cardioverter defibrillator - kubuda

Inodyarwa cardioverter-defibrillator (ICD) chishandiso chinoona chinotyisa hupenyu, kurova kwemoyo zvisina kujairika. Kana zvikaitika, mudziyo unotumira kuvhunduka kwemagetsi kumoyo kuti uchinje mutinhimira udzokere pane zvakajairwa. Chinyorwa ichi chinokurukura zvaunofanira kuziva mushure mekunge waiswa ICD.

Ongorora: Kuchengetedza kwevamwe vakasarudzika defibrillator kunogona kuve kwakasiyana pane kunotsanangurwa pazasi.

Rumwe rudzi rwehunyanzvi hwemwoyo hunodaidzwa kuti electrophysiologist kana chiremba anovhiya akaita incision diki (cheka) mubhokisi rako chipfuva. Chigadzirwa chinonzi ICD chakaiswa pasi peganda nemhasuru yako. Iyo ICD iri saizi yekuki hombe. Kutungamira, kana ma electrode, akaiswa mumoyo mako uye aive akabatana neICD yako.

Iyo ICD inogona kukurumidza kuona kutyisidzira hupenyu kutyisidzira kujairika kwemoyo (arrhythmias). Iyo yakagadzirirwa kushandura chero isina kujairika moyo rhythm kudzokera kune yakasarudzika nekutumira kushamisika kwemagetsi kumoyo wako. Ichi chiito chinonzi defibrillation. Ichi chishandiso chinogona zvakare kushanda sepacemaker.

Paunobuda muchipatara, unozopihwa kadhi rekuchengeta muchikwama chako. Iri kadhi rinonyora ruzivo rweICD yako uye rine ruzivo rwekuonana nezve emergency.

Takura kadhi rako rekuzivisa ICD uende NENGUVA DZOSE. Ruzivo irwo rwunotaurira vese vanopa hutano iwe unoona kuti ndeipi ICD yauinayo. Haasi ese maICD akafanana. Iwe unofanirwa kuziva kuti ndechipi ICD chauinacho uye ndeipi kambani yakachiita. Izvi zvinogona kurega vamwe vanopa rubatsiro vatarise mudziyo kuti vaone kana uchishanda nemazvo.

Iwe unofanirwa kugona kuita yakawanda yemabasa ako akajairwa mukati memazuva matatu kusvika mana mushure mekuvhiyiwa. Asi iwe unenge uine mimwe miganho inosvika kumana kusvika kumavhiki matanhatu.

Usaite zvinhu izvi kwemavhiki maviri kusvika matatu:

• Simudza chero chinhu chinorema kupfuura gumi kusvika pa15 mapaundi (4.5 kusvika 7 kilograms)
• Push, dhonza, kana kumonyanisa zvakanyanya
• Pfeka mbatya dzinokwesha pachironda

Chengetedza yako incision yakaoma zvachose kwemazuva mana kusvika mashanu. Mushure meizvozvo, unogona kutora sipo uye kuibata yakaoma. Gara uchigeza maoko usati wabata ronda.

Kwemavhiki mana kusvika matanhatu, usasimudze ruoko rwako kumusoro kupfuura papfudzi rako padivi remuviri wako pakaiswa ICD yako.

Iwe unozofanirwa kuwona wako mupi wenguva dzose yekutarisa. Chiremba wako achave nechokwadi chekuti ICD yako iri kushanda nemazvo uye anozotarisa kuti aone kuwanda kwekuvhundutsa kwayakatumira uye kuti ingani simba rakasara mubhatiri. Kushanya kwako kwekutanga kwekutevera kungangove mwedzi mumwe chete mushure mekunge ICD yako yaiswa.

ICD mabhatiri akagadzirirwa kupedza makore mana kusvika masere. Kugara uchiongorora bhatiri kunodiwa kuti uone kuti rasiya simba rakawanda sei. Iwe unozoda kuvhiyiwa kudiki kuti utsive ICD yako kana bhatiri ratanga kumhanya pasi.

Midziyo mizhinji haizokanganisa defibrillator yako, asi mamwe ane magineti akasimba anogona. Kumbira mupiki wako kana iwe uine mibvunzo nezve chero chaicho chigadzirwa.

Midziyo mizhinji iri mumba mako yakachengeteka kuvepo. Izvi zvinosanganisira firiji yako, washer, dryer, toaster, blender, yako pacomputer uye fakisi muchina, bvudzi dryer, chitofu, CD player, kure zvinodzora, uye microwave.

Pane michina yakati wandei yaunofanirwa kuchengeta inosvika gumi nemaviri masendimita (30.5 masentimita) kure nenzvimbo kunoiswa ICD yako pasi peganda rako. Izvi zvinosanganisira:

• Bhatiri-inofambiswa netambo maturusi (senge screwdrivers uye drills)
• Plug-in zvishandiso zvemagetsi (senge drills uye tafura saw)
• Magetsi lawnmowers uye mashizha emashizha
• Slot michina
• Vatauri veStereo

Udza vese vanopa kuti une ICD. Mimwe michina yekurapa inogona kukuvadza ICD yako. Nekuti michina yeMRI ine magineti ane simba, taura nachiremba wako usati wave neMRI.

Gara kure nemota huru, magwenya, uye zvishandiso. Usa zembera pane hood yakavhurika yemota inomhanya. Gara zvakare kure ne:

• Nhepfenyuro dzinofambisa uye dzakakwira-magetsi magetsi mitsara
• Zvigadzirwa zvinoshandisa magineti kurapa, senge mamwe metiresi, mapiro, uye massager
• Magetsi kana peturu-inowaniswa midziyo yemagetsi

Kana uine foni:

• Usaise muhomwe padivi rimwe remuviri wako seICD yako.
• Paunenge uchishandisa yako nhare mbozha, iise nzeve yako kune rakatarisana nemuviri wako.

Ive nekuchengetera kutenderedza simbi michina uye chengetedzo wands.

• Mahwindo ekuchengetedza mawoko anogona kukanganisa ICD yako. Ratidza kadhi rako rechikwama uye kumbira kuti utsvage ruoko.
• Masuwo mazhinji ekuchengetedza panhandare dzendege nezvitoro zvakanaka. Asi usamira pedyo nemidziyo iyi kwenguva yakareba. ICD yako inogona kuseta maalarm.

Udza mupiki wako nezvese kuvhunduka kwaunonzwa kubva kuICD yako. Zvirongwa zveICD yako zvingangoda kugadziriswa, kana mishonga yako ingangoda kuchinjwa.

Zvakare fona kana:

• Ronda rako rinoratidzika kunge rine hutachiona. Zviratidzo zvehutachiona kutsvuka, kuwedzerwa kwemvura, kuzvimba, uye kurwadziwa.
• Iwe uri kuve nezviratidzo zvawanga uine ICD yako isati yaiswa.
• Iwe une dzungu, une kurwadziwa pachipfuva, kana kushaya mweya wekufema.
• Une hiccups dzisingaendi.
• Wakanga usina kuziva kwekanguva.
• Yako ICD yakatumira kuvhunduka uye hausati uchinzwa mushe kana kuti uchipfuura. Taura nemupi wako nezve nguva yekufonera hofisi kana 911.

ICD - kubuda; Defibrillation - kubuda; Arrhythmia - kuburitswa kweICD; Abnormal moyo mutinhimira - ICD kubuda; Ventricular fibrillation - kubudiswa kweICD; VF - ICD kuburitsa; V Fib - ICD kubuda

• Inodyarwa yemoyo defibrillator

Santucci PA, Wilber DJ. Electrophysiologic yekupindirana maitiro uye kuvhiya. Mu: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 60.

Swerdlow C, Friedman P. Inogoneka yemoyo defibrillator: zvemakiriniki zvinhu. Mune: Zipes DP, Jalife J, Stevenson WG, eds. Cardiac Electrophysiology: Kubva kuSero kuenda Kumubhedha. 7th ed. Philadelphia, PA: Elsevier; 2018: chits. 117.

Swerdlow CD, Wang PJ, Zipes DP. Pacemaker uye inodyara cardioverter-defibrillators. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 41.

• Coronary chirwere chemoyo
• Kutadza kwemoyo
• Mwoyo pacemaker
• Yakakwira BP - vakuru
• Ventricular fibrillation
• Ventricular tachycardia

• Kurwadziwa kwemoyo - kubuda
• Kutadza kwemoyo - kubuda
• Mwoyo pacemaker - kubuda

• Pacemaker uye Inogadzika Inogadzikiswa