Implantable Device Monitors Heart Rhythm, Inopedza Ngozi Yokufa Nokukurumidza
Iyo inogadziriswa inonzi defibrillator - inonziwo iyo inogadziriswa cardioverter defibrillator (ICD) - chirwere chinoshandiswa pakuvhiya chinotarisa mwoyo wako rhythm uye chinoponesa mushonga unoponesa unofanirwa kunge iwe unokurumidza kuunza mwoyo inokonzera mashythmias anozivikanwa se ventricular fibrillation uye ventricular tachycardia . ICDs inokurudzirwa kune vanhu vanozivikanwa kuti vane ngozi yakawanda yekufa kamwe kamwe kubva pamwoyo kusungwa .
ICD Inotarisa Sei?
Kazhinji ICDs inosanganisira duku, tsvuku, yakashandiswa nebheteri-generator "jenereta," iyo inowanikwa pasi peganda iri pasi pekororo, uye maviri kana matatu "vatungamiri" (waya) akabatanidzwa jenereta. Iyo waya inopfuura nemidziyo yeropa iri pedyo uye yakatarwa kune dzimwe nzvimbo mukati memwoyo.
Mufananidzo uri papeji ino unofananidza nekukura kwechidimbu cheCI generator kusvika kwechina.
Munguva pfupi yapfuura, iyo ICD inoshandiswa yakave yakagadzirwa, iyo iyo jenereta uye zvinotungamirirwa zviri pasi peganda, uye kwete mumidziyo yeropa nemoyo. Iyi itsva, inonyanya kuipa yeCII inobatsira, uye zvimwe zvisingabatsiri, zvichienzaniswa neIndaneti yakazara. Ichi chinyorwa chinotaura zvakananga chete neIndaneti dzakazara, asi iwe unogona kuverenga pamusoro peCDC ine pasi pano.
Iyo ICD generator ine bheteri, capacitors, kombiyuta uye mamwe magetsi anonyanya kushandiswa. Iyo inotungamirira inopinza zviratidzo zviduku zvemagetsi zvemwoyo (zviratidzo izvo zvinodzora mwoyo rhythm) kudzokera kune jenereta, kwavanoramba vachiongororwa.
Kana chirongwa chinotyisa chinogadziriswa, ICD inokurumidza kuifambisa kana inofambisa kana kutyisa mwoyo kuburikidza nemutungamiri.
Chii ICD Inoita?
Basa guru re ICD nderekudzivirira kufa kamwe kwechirwere chepfungwa kubva pamwoyo kusungwa kwakakonzerwa ne ventricular tachycardia kana ventricular fibrillation.
Imwe ICD ichazongobva kuona kuti nguva dzose dzinokonzerwa nematambudziko aya, uye mukati memaminitsi gumi kusvika kumakumi maviri ega ichange ichinyatsobudisa hurukuro yemagetsi (kureva, kushamiswa) kumwoyo, iyo inomisa arrhythmia uye inobvumira kuti mwoyo unofanirwa kudzoka.
ICDs inoshanda zvikuru. ICD inogadziriswa, yakashanda zvakanaka inogadzirisa zvirongwa izvi zvinotyisa upenyu kupfuura 99% yenguva.
Mukuwedzera pakuunza kushungurudzika kunomisa kusungwa kwemwoyo, ICDs inogonawo kushanda se pacemakers. Pacemakers vanoshandisa zviduku zvemagetsi zvinoita kuti mwoyo urove kana mwoyo wekukura uchinonoka. (Cherechedza: iyo pacemaker inoenderana neCCD inowanikwa zvishoma - iyi ndeimwe yezvisingabatsiri zvemajaya aya asingasviki.)
Mune vamwe varwere, basa re pacemaker reI ICD rinogona kushandiswa kumira zvikamu zve ventricular tachycardia (asi kwete ventricular fibrillation), nokudaro kudzivisa kudiwa kwekutya. Pakupedzisira, dzimwe ICD dzinogona kupawo hutano hwekushongedzwa kwepfungwa (CRT) , iyo inogona kuvandudza zviratidzo kune vanhu vane mwoyo yekukundikana .
Zvose ICDs "zvinogadziriswa," izvo zvinoreva kuti nechirongwa chepurogiramu chaiyo chine wirelessly chinotaura neIndaneti, chiremba anogona nyore nyore kuchinja nzira iyo iyo inoshanda nayo chero nguva iyo zvirongwa zvayo zvichishandurwa.
Asi sezvo ICDs ichigona kukwanisa kuita zvinhu izvi zvose zvakasiyana, basa ravo guru nderokudzivirira kufa kwechirwere chemwoyo mukati mevanhu vari kuwedzera mungozi yekusungwa kwemwoyo.
ICD Inowanikwa sei?
Kuvhiyiwa kwekugadzira ICD kunofungidzirwa kusinganzwisisiki, uye kazhinji kunogadzirwa nechechi, nyanzvi yekushandisa anesthesia, mune chirwere chepati catheterization laboratory.
Chinyorwa chiduku chinoitwa pasi pegorobhoni, uye inotungamirirwa inosungirirwa uye yakaiswa mukati memwoyo inoshandisa flouroscopy (an x-ray "vidiyo") semutungamiri. Zvadaro mitungamiri inonamatira kuGenerator yeCI; jenereta inoiswa pasi peganda; uye iyo incision yakavharwa.
Kana kamwe ICD yave ichishandiswa, chiremba anogona kuedza iyo chigadziro kuti ave nechokwadi chokuti ichashanda sezvakagadzirwa, kana uye kana kusungwa kwemoyo kuchiitika. Izvi zvinoitwa nekuisa murwere muhope yehope nechinguva chiduku chekuita, achiita kuti arhythmia inobvumira uye kubvumira ICD kuti ione uye inomisa arrhythmia pakarepo.
Iko kunyorera kunowanzotora anenge awa kana kupfuura, uye munguva dzakawanda murwere anogona kuenda kumba musi iwoyo.
Chii Chinotevera Kufanana NeC ICD?
Mushure mekunge ICD ichiiswa, chiremba achaona murwere mumavhiki mana kusvika matanhatu kuti ave nechokwadi chokuti nzvimbo yekuvhiya inoporesa zvakakwana. Nguva yakareba yekutevera inowanzoda kuti ofisi ishanyire maviri kusvika mana pagore. Munguva dzose idzi dzinoshanyira, ICD haina kushandiswa "isina kubvunzwa" ichishandisa shanduri. Izvi zvinopa chiremba ruzivo ruzivo rwekuti ICD inoshanda sei, iyo yebhateri yayo, iyo yemamiriro ekufambisa uye kana uye kakawanda ICD inoda sei kupa chirwere - zvose kurapa kurapa uye kurapa kunotyisa.
Mazhinji eCADD emazuva ano ane kodzero yekutumira faira iri rudzi rwemashoko kuna chiremba kubva kumba, kuburikidza neInternet. Iyi "kubvunzurudzwa kure" inoita kuti chiremba aongorore ICD yemunhu pose paanenge achidiwa, pasina chikonzero chokuti murwere auye kuhofisi.
Verenga zvakawanda nezve ICDs:
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.