Pacemaker Surgery: All About Pacemakers

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Chii chinonzi Pacemaker?

A pacemaker chinhu chinobatsira kudzora rwiyo rwemoyo pamwe chete nechiyero chainobaya. Inogona kushandiswa kwenguva pfupi, yakadai sekuvhiyiwa kwemwoyo yakazarurwa, kana kuiswa zvachose, nechinangwa chisina kuitika.

Mwoyo wakagadzika unorova nekufamba kwakasimba, asi kune mamiriro mazhinji anoita kuti mwoyo uite zvisiri izvo. Mutengo wacho unogona kunge wakakurumidza kana unonoka, kana mwoyo unogona kunge usisina kurohwa mumutambo we "lub-dub". Kana mwoyo usisiri kurova zvakanaka, pacemaker inogona kushandiswa kutonga rwiyo.

A pacemaker anotumira magetsi kumusana wemoyo unozviudza nguva yekurova. Kana imwe yemakamuri emoyo ari kushanda zvisina kunaka, iyo pacemaker inogona kuiswa ipapo, kana kumakamuri akawanda kana zvichidiwa.

Mamiriro ezvinhu anokwanisa kurapwa nemhepo inokonzera pacemaker anosanganisira atrial fibrillation uye bradycardia (slow heart rate). Mune zvimwe zviitiko, pacemaker inogona kubatsira kutsigira chikwangwani chekuruboshwe uye chakarurama pane imwe nguva. Iko kunewo defibrillator / pacemaker inowanika iripo, iyo inoshandiswa kurapa tachycardia isina kufanana (inenge isinganzwiki uye inokurumidza kutengesa mwoyo).

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Aina dzePacemakers

Kune miviri miviri yepamusoro yevashandi vemapikisa: chimiro chemhepo chinokonzera chinokonzera makamuri emwoyo, uye mukati re defibrillator / pacemaker pamwe chete inozivikanwa se cardioverter defibrillator.

Mhando yakagadzirwa ye pacemaker inotumira kushanda kwemagetsi kuburikidza nenhare dzakasanganiswa pamwoyo. Izvi zvinotsiva zviratidzo zvinotumirwa nemwoyo, izvo zvinokanganisa kune varwere vanoda pacemaker.

Rutivi rwechipiri rwepemaker, mukati me defibrillator / pacemaker pamwe chete (AICD), inotumira mafungiro emagetsi kumwoyo kudzora chiyero chemwoyo uye rhythm, sekufanana kwechimiro che pacemaker chinoita. Mukuwedzera kune basa iroro, rinogonawo kupa "kushamisika" kumisa "chirevo chinouraya," mwoyo rhythm usingabvumi mwoyo kuti uite zvakanaka.

Mhedziso yekutyisidzika kwakafanana ne "kushamiswa nemapadles" iwe wave wakaona paTV. Zvisinei, nokuti chigadziro chinosungirirwa pamwoyo nematare, kushamiswa hakusi nesimba kudarika zvaungafungidzira. Izvo, zvakadaro, zvinorwadza zvikuru uye zvakafananidzwa nekukandwa mubhokisi nemura.

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Ngozi dzeChipemaker Surgery

Mukuwedzera kune njodzi dzakawanda dzekuvhiya uye njodzi dzeanesthesia , chirwere che pacemaker chinowedzera panjodzi. Kunyange zvazvo varwere vasingapfuuri 5% vane zvinetso mushure mekuvhiya pacemaker, zvinokosha kuti vazive zvinogona kuitika.

Ngozi dzeChipemaker Surgery

• Nzira kukanganisa pane nzvimbo yekudzikisa
• Kukuvadza kumatumbu kana mitsipa yeropa zvakakomberedza mwoyo kana nzvimbo yekudzidzira
• Pneumothorax (mapapu akaputsika)
• Kuvhiringidza panzvimbo yekuiswa (ichi ndicho chinotarisirwa kuitika kwekuvhiyiwa)
• Faulty pacemaker iyo isingashandisi sezvinodiwa mushure mekuvhiyiwa (inonyanya kuwanikwa)
• Faulty kutungamirira mafaira anounganidza pacemaker kusvika pamwoyo (inonyanya kuwanikwa)
• Nzira dzekutungamira dzinosunungurwa mushure mekuvhiyiwa nekuda kwebasa kana kusarudzwa kwakaipa
• Utachiona muhutachiwana
• Icho chinokonzera pacemaker chinogona kuchinjwa munguva yemberi

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Chii Chinoitika Panguva Yechipatimendi ChePacemaker

Kuvhiya kunogadzira pacemaker kunoonekwa sekunenge kusina kuitika . Icho hachisi chirwere chepfungwa chakazaruka , kunyange chichigona kubatanidzwa nekuvhiya kwemoyo yakazarurwa kana zvichidikanwa.

Nzira iyi inowanzoitwa muimba yekugadzira kana mumarayari emakemikari emwoyo. Yenharaunda yeanesthesia inopiwa kuti ifukidze nzvimbo yebhokisi apo nzira inoitwa, zvichiita kuti murwere arambe akasvinura apo chirwere ichi chiri kuitwa pasina kurwadziwa. Mukuwedzera pakuvhara nzvimbo yacho, kungofungidzira kunogona kupiwa kubatsira murwere kuti asunungurwe kana kuti asvike nehope yehope .

Kana imwe nguva anesthesia inoshanda, chifuyo chichagadzirirwa nechinangwa chakakosha chokubvisa mishonga inogona kuve iri paganda, uye nzvimbo yacho ichafukidzwa nesimbi yakashata kuitira kuti kuvhara kuve kwakachena sezvinobvira.

Iyo nzira inotanga nekuiswa kwemafaira anobatanidza chinhu ichi pamwoyo. Nzira dzacho dzinoshandiswa kuburikidza uye mumoyo umo dzinoshandiswa uchishandisa rudzi rwe x-ray kufungidzira izvo zvinobvumira chiremba kuti aone kunyatsoona madhidhi nguva dzose.

Kana imwe nguva mafaira ari panzvimbo, kusanganisa kunogadzirwa mubhokisi kana mudumbu, uye iyo chaiyo yepemaker device inowanikwa pasi peganda. Iro waya, ayo akabatana nemoyo, anonamatira pacemaker. Iyo pacemaker inozoedzwa zvakare kuti ive nechokwadi chokuti iri kushanda zvakanaka.

Pane imwe nguva chiremba anogadzira kuti madairi ari munzvimbo yakakodzera uye pacemaker iri kushanda zvakanaka, iyo incision yakavharwa ne sutures kana mavara ekubatanidza uye mishonga inopiwa kumutsa murwere.

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Pashure pekuvhiya kwePacemaker

Kunyange zvazvo chirwere chaiyo kuisa pacemaker inzira shomanana, kugara kwehusiku muchipatara kunowanzodiwa. Izvi zvinoitwa kuitira kuti basa remwoyo rinogona kunyatsoongororwa mumaawa akawanda mushure mekuvhiyiwa.

Iwe unogona kutarisira kupedza usiku humwe muimba inobvumira mwoyo wako kuti uongororwe nekuenderera mberi. Iwe pachako uchange uine mahwendefa mana pamapfupa ako nemavambo akabatanidzwa kwavari. Izvi zvinobvumira vashandi kuti vaongorore basa romwoyo wako, nenzira yeKEG inoramba ichienderera mberi, pasina iwe muimba yako.

Kana iyo pacemaker iri kushanda zvakanaka mushure mekuvhiyiwa, unofanira kunge uchikwanisa kudzokera kumba zuva rinotevera. Iwe unofanirwa kutarisira kutengesa kwako kwevhiki dzinoverengeka apo inopfigira, kuichengeta iyo zviratidzo zvehutachiona pamwe nekuporesa.

Iwe unogona kunzwa kunzwa pacemaker pasi peganda rako sezvo pacemaker inowanzoiswa pasi peganda. Iyi nzvimbo ichava yakaoma mushure mekuvhiyiwa, asi sezvo nguva inopfuura iyo pacemaker inofanira kunge isingaoneki. Paunenge uchidzoka iwe ungada kurara pamusana wako kana kumativi ako, sezvo nzvimbo yacho inogona kukuvadzwa kana kuteterera.

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Upenyu Pashure Pekupemaker Surgery

Kana wapedza kuporeswa kubva pakushandiswa kwako kwepemaker, iwe unogona kuona kuwedzerwa kunoshamisa kwehuwandu hwemagetsi uye simba rako. Iyo pacemaker inobatsira mwoyo wako kushanda zvakanaka, izvo zvinofanira kuderedza zviratidzo zvekuneta, uye kukubvumira kuti uwedzere kushanda.

Kana pacemaker yako iriwo yakagadziriswa, iwe unogona kuitika "kushungurudzika" sezvo sangano rinoshanda kuchengetedza mwoyo wako mune rhythm. Izvi zvinoshungurudza zvinofanira kuudzwa kune chikwata chenyu, uye kana zvikaitika nguva dzose, unogona kutarisira kuchengetwa muImergency Room.

Mushure mekuvhiyiwa, iwe unoda kudzivisa maginiti masikati kana zvichibvira. Izvi ndechokuti magetsi anogona kukanganisa basa rekushandisa uye anogona kukonzera zvinetso zvakakomba nemoyo wako. Iwe unofanirwa kudzivisa kuisa magetsi mashoma akadai sefoni muhomwe yehombodo yako, sezvo inogona kupindira nechokushandisa. Miedzo inoshandisa magetsi, akadai seMRI , inogona kuvhiringidza basa re pacemaker uye hazvizoitike ne pacemaker panzvimbo.

Iwe unofanirwa kuzivisa chero chiremba kana mupi wehutano wehutano iwe unogona kuona, pasinei nokuti unyanzvi hwemoyo kana kwete, kuti une pacemaker.

Mukuwedzera, basa rakaoma kana chero chinhu chinogona kukonzera kukanganisa pachigadziro chinofanira kudziviswa. Iyo pacemaker yakadzivirirwa kana ichirara pasi peganda; zvisinei, kurwadza kwakasimba kunogona kukuvadza. Semuenzaniso, kutamba mitambo yekubatana yakadai seHockey inogona kukonzera kukuvadza, uye mamwe emitambo yepamusoro inogona kukonzera mafaira kubva panzvimbo yavo mumoyo.

Iwe uchafanirwa kuona chiremba wako nguva dzose mushure mekunge pacemaker inowanikwa kuti ione kuti chigadzirwa chiri kushanda zvakanaka uye chinogona kuti chiyeuchidzo chekombiyuta chinyorwa. Izvi zvinogona kuitwa nyore nyore kuburikidza neganda, uye rinofanira kunge risina kurwadziwa. Yenguva refu, wako pacemaker angadikanwa kugadziriswa, izvo chiremba wako achagadza paunoshanyira nguva dzose.

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Sources

_Sources:

Chii Chinoshandiswa Cardioverter Defibrillator. National Heart Lung uye Blood Institute. Yakasvika May, 2009 http://www.nhlbi.nih.gov/health/dci/Diseases/icd/icd_whatis.html

Chii chinonzi Pacemaker? National Heart Lung uye Blood Institute. Yakasvika May, 2009 http://www.nhlbi.nih.gov/health/dci/Diseases/pace/pace_whatis.html

Kuti Uwane Mashoko Akawanda Pamusoro peMunhu Mwoyo & Mwoyo Kupera

Chii Chingaitarisirwa Panguva Yokuvhiya kwePacemaker. National Heart Lung uye Blood Institute. Yakasvika May, 2009 http://www.nhlbi.nih.gov/health/dci/Diseases/pace/pace_duringsurgery.html