Inodyarwa Cardioverter Defibrillator (ICD)

Zvemukati

• Chii chinonzi implantable cardioverter defibrillator?
• Nei ini ndichida iyo inogadzikwa cardioverter defibrillator?
• Inoiswa sei cardioverter defibrillator inoshanda?
• Ini ndinogadzirira sei kuita?
• Chii chinoitika panguva yekuita?
• Ndeipi njodzi dzinosanganisirwa nemaitiro acho?
• Chii chinoitika mushure mekuita?
• Ndeupi mutarisiro wenguva refu?

Chii chinonzi implantable cardioverter defibrillator?

Iyo inogadzirirwa cardioverter defibrillator (ICD) chishandiso chidiki icho chiremba wako chaanogona kuisa muchipfuva chako kuti ubatsire kudzora irregular yemoyo mutinhimira, kana arrhythmia.

Kunyangwe iri diki pane dhiketi remakadhi, iyo ICD ine bhatiri uye komputa diki iyo inoongorora kurova kwemoyo wako. Iyo komputa inounza diki magetsi emagetsi kumoyo wako pane dzimwe nguva. Izvi zvinobatsira kudzora kurova kwemoyo wako.

Vanachiremba vanowanzoisa maICD mune vanhu vane hupenyu hunotyisidzira arrhythmias uye vari panjodzi yekusungwa kamwe kamwe kwemoyo, mamiriro umo moyo unomira kurova. Arrhythmias inogona kuve yakaberekwa (chimwe chinhu chawakazvarwa uine) kana chiratidzo chehosha yemoyo.

ICDs dzinozivikanwawo semidziyo inogadzirwa nemoyo kana zvidziviriri.

Nei ini ndichida iyo inogadzikwa cardioverter defibrillator?

Mwoyo wako une maviri atria (kuruboshwe uye kurudyi kumusoro makamuri) uye maviri ma ventricles (kuruboshwe uye kurudyi ezasi dzimba). Ma ventricles ako anopomba ropa kubva pamoyo wako kuenda kune iro rese muviri wako. Aya makamuri mana echibvumirano chemoyo wako munguva yakateedzana yekupomba ropa mumuviri wako wese. Iyi inonzi rhythm.

Nzvimbo mbiri mumoyo mako dzora rwiyo rwemoyo wako. Node yega yega inotumira simba remagetsi munguva yakateedzana. Izvi zvinokonzeresa kuti mhasuru dzemwoyo wako dzigundane. Kutanga chibvumirano cheatria, uyezve chibvumirano che ventricles. Izvi zvinogadzira pombi.

Kana nguva yezvishuwo izvi yakadzima, moyo wako haupombi ropa zvakanyanya. Matambudziko emoyo mutinhimira muma ventricles ako ane njodzi nekuti moyo wako unogona kumira kupomba. Izvi zvinogona kuuraya kana ukasagamuchira kurapwa nekukasira.

Unogona kubatsirwa neICD kana iwe uine:

• yakakurumidza uye ine njodzi moyo mutinhimira unonzi ventricular tachycardia
• kupomba kwakasarudzika, uko kunonzi kunodedera kana kufema kwemhepo
• moyo wakaneta nenhoroondo yechirwere chemwoyo kana chirwere chemwoyo chekare
• muswe wemwoyo wakakura kana wakakora, unonzi wakadzamiswa, kana hypertrophic, cardiomyopathy
• kuberekwa kwemoyo hurema, senge refu QT syndrome, iyo inokonzeresa moyo kudedera
• kutadza kwemoyo

Inoiswa sei cardioverter defibrillator inoshanda?

ICD mudziyo mudiki wakaiswa mubhokisi rako. Chikamu chikuru, icho chinonzi pulse jenareta, inobata bhatiri nekombuta kadiki iyo inoongorora zvitauro zvemwoyo wako. Kana mwoyo wako uchirova zvakanyanya uye zvisina kujairika, komputa inounza kurova kwemagetsi kugadzirisa dambudziko.

Tambo dzinodaidzwa kuti dzinotungamira dzinomhanya kubva kumagetsi jenareta kuenda kunzvimbo dzakananga dzemoyo wako. Izvi zvinotungamira zvinounza mafambiro emagetsi anotumirwa neinjiniya yekupomba.

Zvichienderana nekutarisa kwako, chiremba wako anogona kukurudzira imwe yeanotevera marudzi eICDs:

• Imwe-kamuri ICD inotumira masaini emagetsi kune kurudyi ventricle.
• Iyo mbiri-kamuri ICD inotumira masaini emagetsi kune kurudyi atrium uye kurudyi ventricle.
• Chigadzirwa che biventricular chinotumira masaini emagetsi kune chaiyo atrium uye ese ma ventricles. Vanachiremba vanoshandisa iyo kune vanhu vane kutadza kwemoyo.

ICD inogona zvakare kuendesa kusvika pamhando ina dzemasaini emagetsi kune moyo wako:

1. Kushushikana. Cardioversion inopa yakasimba magetsi chiratidzo iyo inogona kunzwa senge kurovera kuchifuva chako. Inogadzirisazve zviyero zvemwoyo kune zvakajairwa kana ichinge yaona kukurumidza kwazvo kurova kwemoyo.
2. Kusadzikiswa. Defibrillation inotumira yakasimba kwazvo magetsi chiratidzo chinodzoreredza moyo wako. Kunzwa kunorwadza uye kunogona kukugogodza kubva patsoka dzako asi kunongotora sekondi chete.
3. Antitachycardia. Antitachycardia pacing inopa yakaderera-simba kurova kunoreva kuti itangezve nekukurumidza kurova kwemoyo. Kazhinji, iwe haunzwe chero chinhu kana iko kurovera kuchiitika. Nekudaro, iwe unogona kuona kamhepo kakuyerera muchipfuva chako.
4. Bradycardia. Bradycardia pacing inodzorera kune yakajairwa kumhanya kurova kwemoyo kwakanyanya kunonoka. Mune ino mamiriro, iyo ICD inoshanda senge pacemaker. Vanhu vane ICDs vane moyo inorova nekukurumidza. Nekudaro, defibrillation dzimwe nguva inogona kukonzera moyo kudzikira padanho rine njodzi. Bradycardia pacing inodzosera iyo rhythm kune yakajairwa.

Ini ndinogadzirira sei kuita?

Iwe haufanire kudya kana kunwa chero chinhu pakati pehusiku pazuva rakatangira maitiro ako. Chiremba wako anogona zvakare kukukumbira iwe kuti urege kutora mimwe mishonga, yakadai seaspirin kana iyo inopesana nekugwamba kweropa. Asati maitiro acho, ive shuwa kuudza chiremba wako nezve iyo mishonga, pamusoro-pe-iyo zvinodhaka, uye zvinowedzera zvaunotora.

Iwe haufanire kumbomira kutora mushonga usina kutaura nachiremba wako kutanga.

Chii chinoitika panguva yekuita?

Iyo ICD yekumisikidza maitiro iri zvishoma inoparadza. Kazhinji unenge uri murabhoritari yeelectophysiology apo nyanzvi yemagetsi inodyara mudziyo. Kazhinji, unenge wakamuka panguva yekuita. Nekudaro, iwe uchagamuchira inonyaradza kukuita iwe unotsumwa uye yemuno inesthetic yekugonyesa nzvimbo yako yechipfuva.

Mushure mekuita zvidiki zvidiki, chiremba anotungamira iwo anotungamira kuburikidza netsinga uye anoanamatira kune chaiwo zvikamu zvemoyo wako mhasuru. Chishandiso chekutarisa X-ray chinonzi fluoroscope chinogona kubatsira kutungamira chiremba wako kumoyo wako.

Ivo vanobva vanamatira mumwe mugumo wezvinotungamira kune iyo pulse jenareta. Chiremba anogadzira chidiki uye anoisa mudziyo muhomwe yeganda pachifuva chako, kazhinji pasi pefudzi rako reruboshwe.

Maitiro acho anowanzo kutora pakati peawa imwe nemaawa matatu. Mushure mezvo, iwe uchagara muchipatara kwemaawa makumi maviri nemana ekugadzirisa uye kuongorora. Iwe unofanirwa kunzwa zvakakwana kupora mukati memavhiki mana kusvika matanhatu.

Chiremba anogona zvakare kuseta iyo ICD kuvhiya pasi peiyo general anesthesia. Mune ino kesi, yako nguva yekudzosa muchipatara inogona kusvika mazuva mashanu.

Ndeipi njodzi dzinosanganisirwa nemaitiro acho?

Sezvakaita chero kuvhiyiwa, iyo ICD yekumisikidza maitiro inogona kukonzera kubuda ropa, kurwadziwa, uye hutachiona pane incision saiti. Zvinokwanisika kuve neanogadzirisa maitiro kumishonga yaunogamuchira panguva yekuita.

Mamwe matambudziko akakomba akanangana neiyi nzira haawanzo kuitika. Nekudaro, izvo zvinogona kusanganisira:

• kugwamba kweropa
• kukuvara kumwoyo wako, mavharuvhu, kana tsinga
• mvura inovaka yakatenderedza moyo
• kumira kurova kwemoyo
• mapapu akadonha

Zvinogonekawo kuti mudziyo wako pano neapo unokatyamadza moyo wako zvisingaite. Kunyangwe izvi zvekuvhunduka zviri zvipfupi uye zvisina kukuvadza, pamwe ungazvinzwa. Kana paine dambudziko neiyo ICD, yako electrophysiologist ingangoda kuigadzirisazve.

Chii chinoitika mushure mekuita?

Zvichienderana nemamiriro ako ezvinhu, kupora kunogona kutora chero kubva pamazuva mashoma kusvika kumavhiki mashoma. Dzivisa zviitwa zvepamusoro-soro uye kusimudza zvine simba kweinenge mwedzi mushure mekuita kwako.

IAmerican Heart Association inoodza moyo kutyaira kweinenge mwedzi mitanhatu mushure mekugadziriswa kweICD. Izvi zvinokupa iwe mukana wekutarisa kana kuvhunduka pamoyo wako kuchikonzera kuti ufende. Unogona kufunga kutyaira kana iwe ukaenda kwenguva yakareba pasina zvinokatyamadza (mwedzi mitanhatu kusvika gumi nemiviri) kana kana ukasapera simba paunovhunduka.

Ndeupi mutarisiro wenguva refu?

Kuve neICD kuzvipira kweupenyu hwese.

Mushure mekupora, chiremba wako achasangana newe kuronga chishandiso chako. Iwe unofanirwa kuramba uchisangana nachiremba wako pamusoro pemwedzi mitatu kusvika kumatanhatu yega yega. Ive neshuwa yekutora chero yakatemwa mishonga uye kutora mararamiro uye dhayeti shanduko inokurudzirwa nachiremba wako.

Mabhatiri ari muchigadzirwa anogara kwemakore mashanu kusvika manomwe. Iwe uchazoda imwe nzira kutsiva mabhatiri. Nekudaro, maitiro aya zvishoma akaomarara pane yekutanga.

Zvimwe zvinhu zvinokanganisa mashandiro echigadzirwa chako, saka uchafanira kuzvidzivirira. Izvi zvinosanganisira:

• hurongwa hwekuchengetedza
• zvimwe zvekurapa michina, seMRI michina
• magetsi emagetsi

Ungangoda kutakura kadhi muchikwama chako kana kupfeka chitupa chinozivikanwa chinotaura mhando yeICD yauinayo.

Iwe unofanirwa zvakare kuedza kuchengeta nharembozha uye zvimwe nharembozha anosvika matanhatu masendimita kure neICD yako.

Udza chiremba wako kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchisangana nahwo hupi noapi nezvinetso nefoni yako, uye danaidza chiremba wako nokukurumidza kana wako defibrillator akaunza kuvhunduka kutanga mwoyo wako.