Mwoyo pacemaker

Iyo pacemaker idiki, bhatiri-rinoshandiswa chishandiso. Ichi chishandiso chinonzwa kana moyo wako uchirova zvisina kujairika kana zvishoma nezvishoma. Inotumira chiratidzo kumoyo wako chinoita kuti moyo wako urove panguva chaiyo.

Nyowani nyowani pacemaker inorema zvishoma kana 1 ounce (28 gramu). Vazhinji vanoita pacemaker vane zvikamu zviviri:

• Iyo jenareta ine bhatiri uye ruzivo rwekudzora kurova kwemoyo.
• Iwo anotungamira iwo waya anobatanidza moyo kune jenareta uye anotakura iwo emagetsi mameseji kumoyo.

Iyo pacemaker inoiswa pasi peganda. Maitiro aya anotora ingangoita 1 awa kazhinji. Iwe unozopihwa kunyaradza kuti ikubatsire kuzorora. Iwe unenge wakamuka panguva yekuita.

Chinhu chidiki (cheka) chinoitwa. Kazhinji kazhinji, iyo yakatemwa iri kuruboshwe (kana iwe uri kurudyi ruoko) chechipfuva pazasi pekora rako. Iyo pacemaker jenareta inozoiswa pasi peganda panzvimbo ino. Iyo jenareta inogona zvakare kuiswa mudumbu, asi izvi hazviwanzo kuitika. Iyo itsva "isina kutungamira" pacemaker chinhu chakazvimiririra icho chinoiswa mune chaiyo ventricle yemoyo.

Uchishandisa mhenyu x-ray kuona nzvimbo, chiremba anoisa zvinotungamira kuburikidza nekucheka, kupinda mutsinga, uyezve mumoyo. Iwo anotungamira akabatana nejenareta. Ganda rakavharwa nezvisungo. Vanhu vazhinji vanoenda kudzimba mukati mezuva rimwechete remaitiro.

Kune maviri marudzi eacacemaker anoshandiswa chete mune zvekukurumidzira zvekurapa. Vari:

• Transcutaneous pacemaker
• Vanoshandura pacemaker

Ivo havasi vekusingaperi vanogadzikana.

Vanogadzira pacemaker vanogona kushandiswa kune vanhu vane matambudziko emoyo ayo anoita kuti moyo wavo urove zvishoma nezvishoma. Iko kunononoka kurova kwemoyo kunonzi bradycardia. Matambudziko maviri akajairika anokonzeresa kurova kwemoyo sinus node chirwere uye moyo block.

Kana moyo wako ukarova zvishoma nezvishoma, muviri wako nehuropi zvinogona kusakwanisa kuwana oxygen yakakwana. Zviratidzo zvinogona kunge zviri

• Musoro wakareruka
• Kuneta
• Kufenda zvitsinga
• Kufema kwekufema

Mamwe ma pacemaker anogona kushandiswa kumisa kurova kwemoyo kwakanyanya (tachycardia) kana izvo zvisina kujairika.

Dzimwe mhando dzevanogadzira pacemaker dzinogona kushandiswa mukutadza kwakasimba kwemoyo. Izvi zvinonzi biventricular pacemaker. Ivo vanobatsira kurongedza kurohwa kwemakamuri emoyo.

Mazhinji biventricular pacemaker akaisirwa nhasi anogona zvakare kushanda seyakaisirwa cardioverter defibrillators (ICD). ICD inodzoreredza kurova kwemoyo kwakajairika nekuburitsa kukatyamadza kukuru kana rwiyo rwemoyo runogona kukurumidza kuitika.

Zvinogona kuitika matambudziko ekuvhiya pacemaker ndeaya:

• Abnormal moyo mutinhimira
• Kubuda ropa
• Akabaya mapapu. Izvi hazviwanzo.
• Utachiona
• Kubaya kwemoyo, uko kunogona kutungamira mukubuda ropa kutenderedza moyo. Izvi hazviwanzo.

A pacemaker senses kana kurova kwemoyo kuri pamusoro peimwe mwero. Kana iri pamusoro peiyo mwero, iyo pacemaker inomira kutumira masaini kumoyo. Iyo pacemaker inogona zvakare kunzwa kana iko kurova kwemoyo kunodzikira zvakanyanya. Izvo zvinobva zvatanga otanga kufambisa moyo zvakare.

Nguva dzose udza mupi wako wezvehutano nezvese mishonga yauri kutora, kunyangwe zvinodhaka kana mishonga yawakatenga usina mushonga.

Zuva rakapfuura kuvhiyiwa kwako:

• Shower uye shampoo zvakanaka.
• Iwe unogona kukumbirwa kushambidza muviri wako wese pazasi pemutsipa wako nesipo yakakosha.

Pazuva rekuvhiyiwa:

• Iwe unogona kukumbirwa kuti usanwa kana kudya chero chinhu pakati pehusiku husiku usati waita maitiro ako. Izvi zvinosanganisira kutsenga chingamu nemweya wekufema. Sukurudza muromo wako nemvura kana ichinzwa kuoma, asi chenjera kuti usamedze.
• Tora mishonga yawakaudzwa kunwa nekamwe kamvura.

Mupiki wako anokuudza iwe kuti usvike nguvai kuchipatara.

Iwe unozogona kukwanisa kuenda kumba mushure mezuva rimwe kana kunyangwe zuva rimwe chetero mune zvimwe zviitiko. Iwe unofanirwa kukwanisa kudzokera kune yako yakajairika nhanho yechiitiko nekukurumidza.

Kumbira mupiki wako kuti ungashandisa ruoko rwakadii padivi remuviri wako pakaiswa pacemaker. Iwe unogona kurairwa kuti usa:

• Simudza chero chinhu chinorema kupfuura gumi kusvika pa15 mapaundi (4.5 kusvika 6.75 kilograms)
• Pusha, dhonza, uye kumonyorora ruoko rwako kwemavhiki maviri kusvika matatu.
• Simudza ruoko rwako pamusoro pefudzi rako kwevhiki dzinoverengeka.

Paunobuda muchipatara, unozopihwa kadhi rekuchengeta muchikwama chako. Iri kadhi rinonyora ruzivo rwe pacemaker yako uye rine ruzivo rwekuonana nezve emergency. Iwe unofanirwa kugara uine kadhi rechikwama iri newe. Iwe unofanirwa kuedza kurangarira zita remugadziri wepacemaker kana uchikwanisa kana ukarasa kadhi rako.

Vanogadzira pacemaker vanogona kubatsira kuchengetedza moyo wako mutinhimira uye kurova kwemoyo padanho rakachengeteka rako. Iyo pacemaker bhatiri inotora makore matanhatu kusvika gumi nemashanu. Wako mupi anoongorora bhatiri nguva dzose uye achitsiva pazvinenge zvakakodzera.

Cardiac pacemaker kuisirwa; Chakagadzirwa pacemaker; Permanent pacemaker; Yemukati pacemaker; Kurapa kwemoyo kurapa; CRT; Biventricular pacemaker; Arrhythmia - pacemaker; Chisina kujairika moyo mutinhimira - pacemaker; Bradycardia - pacemaker; Mwoyo block - pacemaker; Mobitz - pacemaker; Kutadza kwemoyo - pacemaker; HF - pacemaker; CHF- pacemaker

• Angina - kubuda
• Angina - chii chekubvunza chiremba wako
• Angina - kana uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchirwara pachipfuva
• Antiplatelet zvinodhaka - P2Y12 inhibitors
• Aspirin uye chirwere chemwoyo
• Atrial fibrillation - kubuda
• Butter, majarini, uye mafuta ekubikisa
• Cholesterol uye mararamiro
• Kudzora kukwira kweropa rako
• Mafuta echikafu akatsanangura
• Kurumidza kudya matipi
• Kurwadziwa kwemoyo - kubuda
• Kurwisa kwemoyo - chii chekubvunza chiremba wako
• Chirwere chemwoyo - njodzi zvinhu
• Kutadza kwemoyo - kubuda
• Maitiro ekuverenga zvinyorwa zvekudya
• Inodyara cardioverter defibrillator - kubuda
• Kudya kwakaderera-munyu
• Kudya kweMediterranean
• Kuchengeta ronda rekuvhiya - rakavhurika

• Pacemaker

Epstein AE, DiMarco JP, Ellenbogen KA, uye al. 2012 ACCF / AHA / HRS yakatarisana neyakagadziridzwa yakaiswa muAccF / AHA / HRS 2008 nhungamiro yecomputer-based Therapic yemoyo mutinhimira wakaipa: mushumo weAmerican College yeCardiology Foundation / American Heart Association Task Force pane maitiro ekudzidzira uye iyo Mwoyo Rhythm. Society. J Ndiri Coll Cardiol. 2013; 61 (3): e6-e75. PMID: 23265327 pubmed.ncbi.nlm.nih.gov/23265327/.

Miller JM, Tomaselli GF, Zipes DP. Therapy yemoyo arrhythmias. 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: chitsuwa 36.

Pfaff JA, Gerhardt RT. Kuongororwa kwemidziyo inoiswa. Mune: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts uye Hedges 'Clinical Maitiro muEmergency Medicine uye Acute Kuchengeta. 7th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 13.

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.