Inodyara cardioverter-defibrillator

Inodyarwa cardioverter-defibrillator (ICD) chishandiso chinoona chero kutyisidzira hupenyu, nekukurumidza kurova kwemoyo. Uku kurova kwemoyo kusingawanzo kunzi arrhythmia. Kana zvikaitika, iyo ICD inokurumidza kutumira kushamisika kwemagetsi kumoyo. Kuvhunduka kunoshandura mutinhimira kudzokera pane zvakajairwa. Izvi zvinonzi defibrillation.

ICD inogadzirwa nezvikamu izvi:

• Iyo yekupomba jenareta ingangoita saizi hombe muhomwe wachi. Ine bhatiri nemagetsi macircuit anoverenga mashandiro emagetsi emoyo wako.
• Ma electrode iwaya, anonziwo mafambiro, ayo anopinda mutsinga dzako kuenda pamoyo wako. Vanobatanidza moyo wako kune chasara chechigadzirwa. Yako ICD inogona kunge iine 1, 2, kana matatu maelekitirodhi.
• Mazhinji ICD ane akavakirwa-mukati pacemaker. Mwoyo wako ungangoda kufamba kana uchirova zvakanyanya kana kukurumidza, kana kana iwe uchinge waita kushamisika kubva kuICD.
• Iko kune yakasarudzika mhando yeICD inonzi subcutaneous ICD. Ichi chishandiso chine lead iyo inoiswa munyama kuruboshwe rwechipfuva kwete mumoyo. Rudzi urwu rweICD harugone zvakare kuve pacemaker.

Nyanzvi yezve moyo kana chiremba anovhiya kazhinji anoisa ICD yako kana iwe wakamuka. Iyo nharaunda yechipfuva chako madziro pazasi pekora rako rinozovezwa neanesthesia, saka hauzonzwa kurwadziwa. Chiremba anovhiya achagadzira (kucheka) kuburikidza neganda rako uye kugadzira nzvimbo pasi peganda rako uye mhasuru yeiyo ICD jenareta. Muzviitiko zvakawanda, ino nzvimbo inoitwa padhuze nefudzi rako rekuruboshwe.

Chiremba anovhiya anoisa iyo electrode mutsinga, zvadaro mumoyo mako. Izvi zvinoitwa uchishandisa yakakosha x-ray kuti uone mukati mechifuva chako. Ipapo chiremba anovhiya achabatanidza ma electrode kune iyo pulse jenareta uye pacemaker.

Maitiro acho anowanzo kutora maawa maviri kusvika matatu.

Vamwe vanhu vane mamiriro aya vanozove neakakosha chishandiso inosanganisa iyo defibrillator uye biventricular pacemaker yakaiswa. Iyo pacemaker mudziyo inobatsira moyo kurova mune yakafambidzana fashoni.

ICD inoiswa mukati mevanhu vari panjodzi huru yekufa kamwe kamwe kwemoyo kubva kune isina kujairika moyo rhythm iri kutyisidzira hupenyu. Izvi zvinosanganisira ventricular tachycardia (VT) kana ventricular fibrillation (VF).

Zvikonzero zvaunogona kunge uri panjodzi huru ndezvi:

• Iwe wave nezvikamu zveimwe yeaya asina kujairika moyo mutinhimira.
• Moyo wako wakaneta, wakanyanya kukura, uye haupombi ropa zvakanaka. Izvi zvinogona kunge zvichibva pakurwara kwemoyo kwekutanga, kutadza kwemoyo, kana cardiomyopathy (chirwere chemoyo mhasuru).
• Iwe une mhando yekuberekwa (iripo pakuberekwa) dambudziko remoyo kana hutano hwemagene.

Ngozi dzekuvhiyiwa chero ndeidzi:

• Ropa rinovhara mumakumbo ayo anogona kuenda kumapapu
• Matambudziko ekufema
• Chirwere chemwoyo kana sitiroko
• Allergic reaction kumishonga (anesthesia) inoshandiswa panguva yekuvhiya
• Utachiona

Njodzi dzinogona kuitika pakuvhiya uku ndedzekuti:

• Ronda hutachiona
• Kukuvadza kumoyo wako kana mapapu
• Njodzi moyo arrhythmias

Iyo ICD dzimwe nguva inounza zvinotyisa pamoyo wako kana USI KUDA ivo. Kunyangwe hazvo kushamisika kunotora nguva pfupi kwazvo, iwe unogona kuinzwa muzviitiko zvakawanda.

Izvi nemamwe matambudziko eICD dzimwe nguva anogona kudzivirirwa nekuchinja maitiro ICD yako. Iyo inogona zvakare kumisikidzwa kurira yambiro kana paine dambudziko. Chiremba uyo anotarisira yako ICD kuchengetedza anogona kuronga chishandiso chako.

Nguva dzose udza mupi wako wezvehutano kuti ndeapi madhiragi auri kutora, kunyangwe madhiragi kana mahebhu awakatenga pasina mushonga.

Zuva rakapfuura kuvhiyiwa kwako:

• Rega mupi wako azive nezve chero kutonhora, dzihwa, fivha, herpes kuputika, kana chimwe chirwere chaungave uinacho.
• Shower uye shampoo zvakanaka. Iwe unogona kukumbirwa kushambidza muviri wako wese pazasi pemutsipa wako nesipo yakakosha.
• Iwe unogona zvakare kubvunzwa kutora mushonga unorwisa mabhakitiriya, kuchengetedza hutachiona.

Pazuva rekuvhiyiwa:

• Iwe unowanzo kubvunzwa kuti usamwe kana kudya chero chinhu pakati pehusiku husiku usati waitwa oparesheni. Izvi zvinosanganisira kutsenga chingamu nemweya wekufema. Sukurudza muromo wako nemvura kana ichinzwa kuoma, asi chenjera kuti usamedze.
• Tora mishonga yawakaudzwa kuti utore nekungonwisa chete mvura.

Unozoudzwa nguva yekuuya kuchipatara.

Vazhinji vanhu vane ICD yakaisirwa vanokwanisa kuenda kumba kubva kuchipatara mu1 zuva. Vazhinji vanokurumidza kudzokera kune yavo yakajairika chiitiko chikamu. Kudzoreredza zvakakwana kunotora anenge mavhiki mana kusvika matanhatu.

Bvunza mupiki wako kuti ungashandisa ruoko rwakadii padivi remuviri wako pakaiswa ICD. Iwe unogona kurairwa kuti usasimudze chero chinhu chinorema kupfuura gumi kusvika pa15 mapaundi (4.5 kusvika 6.75 kilograms) uye kudzivirira kusunda, kudhonza, kana kumonyorora ruoko rwako kwemavhiki maviri kusvika matatu. Iwe unogona zvakare kuudzwa kuti usasimudze ruoko rwako pamusoro pefudzi rako kwevhiki dzinoverengeka.

Paunobuda muchipatara, unozopihwa kadhi rekuchengeta muchikwama chako. Iri kadhi rinonyora ruzivo rweICD yako uye rine ruzivo rwekuonana nezve emergency. Iwe unofanirwa kugara uine kadhi rechikwama iri newe.

Iwe unozoda kugara uchiongororwa kuti ICD yako igone kuongororwa. Iye mupi anoongorora kuti aone kana:

• Chishandiso chiri kunyatso kuona kurova kwemoyo wako
• How many shocks aendeswa
• Simba rakawanda zvakadii rasara mumabhatiri.

Yako ICD ichagara ichitarisa kurova kwemoyo wako kuti ive nechokwadi chekuti yakatsiga. Ichaunza kushamisika kumoyo kana ichinge yanzwa hupenyu hunotyisidzira hupenyu. Mazhinji emidziyo aya anogona zvakare kushanda seacacemaker.

ICD; Kusadzikiswa

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

• Inodyara cardioverter-defibrillator

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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.