Mishonga inogadziriswa (ICDs) inobatsira chaizvo pakudzivirira kufa kamwe kamwe kwemoyo kubva pamwoyo arrhythmias . Zvinosuruvarisa, vazhinji vevanhu vanopfuura 400 000 vekuAmerica vanofa kamwe kamwe gore negore kuti varege kudzidza kuti dambudziko ravo rakakwirira - uye naizvozvo, havana kana mukana wekutarisa ICD.
Ani naani ane chirwere chemwoyo chakanyanya, kana ane nhengo dzemhuri dzepedyo dzakave nekufa kamwe kamwe, anofanira kutaura nachiremba wavo pamusoro pengozi yavo yekufa kamwe kamwe.
Kana njodzi yako yakakwirira, iwe unofanira kuva nehurukuro pamusoro peIndaneti.
Une Dambudziko Rakawedzerwa Rokufa Nenguva Isipi Here?
Vanhu avo vari pangozi yakawanda yekufa kamwe kamwe kamwe vanowira muzvikamu zvina:
1) Vanhu vane chiremera chikuru chechirwere chirwere (CAD) . Miti iyo inobatanidza neCAD inogona kuparara kamwe, ichiita mamiriro ezvinhu anonzi Acute Coronary Syndrome (ACS) .
Imwe yemigumisiro yakaoma yeAAC isungamire mwoyo. Izvi zvinokonzerwa nokuti kuputika kwepakisi kunogona kuvhiringidza hupenyu hwemagetsi emagetsi, zvichibudisa nokukurumidza ventricular tachycardia (VT ) kana ventricular fibrillation (VF) . Inofungidzirwa kuti munenge 30% yevanhu vane CAD inokosha, kufa kamwe-kamwe ndicho chiratidzo chokutanga chekuti chirwere chiripo.
Kazhinji kutaura, zvakadaro, vanhu vane CAD asi vasati vambova neyoyo myocardial infarction (kurwisa kwemoyo) havandi ICDs. Pane kudaro, vanhu ava vanofanira kuita zviyero zvechisimba mukudzivirira zvinhu zvinowanzoisa pangozi iyo inozivikanwa kuti iwedzere kuwedzera CAD uye iyo inoita kuputika kwepachipfu.
Kuchengetwa kwakanaka kwechiremba uye kugadzirisa mararamiro ekugadzirisa kunogona kuderedza zvikuru njodzi yekufa kamwe kamwe, kurwadziwa kwemwoyo, uye angina .
2) Vanhu vakatove vane zvikamu zveVV kana VF, kunyanya kana urhythmia yakabata mwoyo kana kurasikirwa. Vanhu ava vane ngozi yakakura yekuva nekumwe kusungwa kwemwoyo - zvichida imwe yevamwe mukana wegore rimwe nerimwe - uye inenge yose inofanira kupiwa ICD.
3) Vanhu vane mwoyo wekukundikana uye zvakaderedza zvakaderera chikamu chinokonzerwa ne ventricular ejection fraction . Inofungidzirwa kuti vanenge 50% yevarwere vane kukanganisa kwakanyanya kwemoyo pakupedzisira vanonzwa kusungwa kwemwoyo. Nhasi mazano anoratidza kuti ICDs inofanirwa kutaridzirwa kune vanhu vane zvikamu zviduku zveejection zvakaderedzwa kusvika 35% kana zvishoma.
Ichi ndicho chikonzero chikonzero nei, kana une chirwere chemoyo chinenge chero rudzi rwemhando ipi, zvakakosha kuziva chikamu chako che ejection.
4) Vanhu vakagara nhaka zviremara zvemwoyo zvinoita kuti VT kana VF zvigone kuitika. Mamiriro ezvinhu akadaro anosanganisira kwenguva yakareba QT syndrome , hypertrophic cardiomyopathy , uye Brugada syndrome . ICDs inogona kudzivirira kufa kamwe kamwe mune izvi zvakagara nhaka uye inofanira kunyatsoongororwa kune vakawanda vakawirwa. Munhu wese ane mhuri yakasimba nhoroondo yekufa kamwe-kamwe anofanirwa kukurukura nhoroondo yemhuri yavo nechiremba wavo uye anobvunza kana chero kuedza kunokosha kuchizoitwa. Muzviitiko zvakawanda, ECG iri nyore uye zvichida echocardiogram yaizova yakakwana kubudisa kunze kwemaitiro anowanzoberekwa nemararamiro emwoyo anowedzera dambudziko rekufa kamwe kamwe.
Kana iwe uchitenda kuti chimwe chezvikamu zvina izvi chinogona kushanda kwauri, unofanirwa kuva nehurukuro yakakomba nachiremba wako pamusoro pekuongorora dambudziko rako rekufa kamwe kamwe.
Kuva neCII Kana Ngozi Yako Ichikwiridzirwa
ICDs haisi yevanhu vose. Pane njodzi dzine majaira aya pamwe chete nezvipo. Zvichida kuva nechimwe-kunyange kana mungozi yako yakakwirira uye iwe wakarongeka "chiratidzo" che ICD - nguva dzose iri sarudzo. Zvisinei, usati wawana mukana wekuita sarudzo iyi, unofanira kuziva kuti njodzi yako yekufa kamwe kamwe inokudzwa. Zvinosuruvarisa, vanachiremba vakawanda (zvinonzwisisika) havadi kugovera nyaya iyi nevarwere vavo. Saka, kana iwe uine hanya kuti iwe unogona kunge uri mungozi yakawanda, bvisa ice iwe pachako - kumbira chiremba wako kuti ataure newe pamusoro pazvo.
> Sources:
Russo AM, Stainback RF, Bailey SR, et al. ACCF / HRS / AHA / ASE / HSE / HFSA / SCAI / SCCT / SCMR 2013 inoshandiswa yakakodzera yekushandiswa kwema cardioverter-defibrillators uye kushandiswa kwepachimiro rezvechirongwa: chiitiko cheAmerican College of Cardiology Foundation yakakodzera kushandisa maitiro ekugadzirira basa, Heart Rhythm Society, American Heart Sangano, American Society of Echocardiography, Heart Failure Society of America, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, uye Society for Cardiovascular Magnetic Resonance. J Am Coll Cardiol 2013; 61: 1318.