Kufambira mberi mumoyo yevanhu vane mwoyo miviri mukati memakore vakaita kuti mafaira aya ave akachengeteka, uye anoshanda uye akavimbika. Vanhu vane vane pacemaker vanogona kutora upenyu husingaregi. Kana uine pacemaker kana wakamboudzwa kuti unoda imwe, nyaya ino inofanira kukubatsira kuti unzwisise kuti pacemaker inoitei, uye chii chaungatarisira kubva nayo.
Chii chinonzi Pacemaker?
A pacemaker chinhu chiduku asi chakanyanyogadzirwa zvemagetsi chinoshandiswa pasi peganda kuti chibatsire kutonga mwoyo.
Kunyanya, vanoita kuti pacemakers vawanzoshandiswa kurapa maitiro akawanda emakemikari emuviri anobudisa bradycardia -kushaya mwoyo kunonoka. Mwoyo miviri inokonzera bradycardia inorwara sinus syndrome uye moyo block . Pacemakers vanowanzobvisa zviratidzo zvinokonzerwa neBradycardia kusanganisira kushaya simba , kuneta, kuchena , chizivo , kana syncope (kurasikirwa kwekuziva).
Mune vamwe vanhu vane mwoyo wekukundikana , rudzi rwemhando yehutachiona hunogona kubatsira kubatanidza kurohwa kwemakamuri emwoyo-iyo atria uye mhepo inotyisa. Izvi zvinonzi pacemakers-izvo zvinonzi chirwere chemoyo chinonzi resynchronization therapy (CRT) -chigoni chinogona kuwedzera basa remwoyo uye zviratidzo kune vanhu vakawanda vane mwoyo kusakatika.
Vashandi veCapemaker Vanoshanda Sei?
Kusiyana nezvaunogona kunge wakanzwa, vanogadzirisa mwoyo havaiti basa remoyo. Mushure mekunge uine pacemaker, mwoyo wako uchiri kuita basa rawo rose.
Pane kudaro, chigadziro chekugadzirisa zvinokanganisa chete chinobatsira kutonga nguva nekuenzanisa kwemoyo wako.
Pacemaker ine zvikamu zviviri zvikuru: jenereta uye inotungamirira.
Jenereta inonyanya kombiyuta (pamwe chete nebheteri uye zvimwe zvikamu zvemagetsi), yakagara muchitinha chakavharidzirwa chinonzi titanium container.
Yakawanda yemazuva ano pacemaker generator inenge yakaenzana nechikamu che50-cent uye inenge katatu seyakawanda.
Mutungamiri isimbi inoshandiswa, yakasungirirwa iyo inotakura zviratidzo zvemagetsi kumashure nepakati pejenereta ye pacemaker uye mwoyo. Imwe magumo emutungamiri inowanikwa kune jenereta, uye imwe mugumo inowanikwa kuburikidza nemuviri mumoyo. Vakawanda vanovhiringidzika nhasi vanoshandisa mbiri inotungamirira; imwe inowanikwa muatrium chaiyo uye imwe iri mu ventricle yakarurama.
Pacemakers inoshandiswa pasi peaneshesia. Jenereta inoshandiswa pasi peganda, pasi pemukora. Mitungamiri inosungirirwa kuburikidza nenyuchi yakatarisana uye yakasvika panzvimbo yakakodzera mukati memwoyo, uye magumo avo anotemerwa mujenereta. Iyo nzira yekugadziriswa inowanzotora maminitsi makumi matatu kusvika paawa.
Kana ikasimwa, motokari inoshanda kuburikidza nokucherechedza basa remagetsi emwoyo, uye kusarudza kana uye "rhanya" rinorevei. Kana uwandu hwemwoyo wako hukawedzereka, chigadziro chinomhanya nekutumira chiduku chechigetsi kumusana wemwoyo, kuchiita kuti chibvumirane.
Pacing inogona kuitwa kubva pane yakakodzera, iyo ventricle yakarurama, kana maviri. Iko pacemaker inosarudza pachigadziro chekurova-cheka kana ichifanira kufamba, uye kana zvakadaro, mumakamuri ayo inofanira kufamba.
Ichi "chinononoka kufamba" chinova nechokwadi chokuti kukodzera kwema moyo kunogara kwakachengetwa nekuda kwekuda kwemuviri, uye kuti basa remakamuri emwoyo rinongorongedzwa.
Pacemakers "inogadziriswa," izvo zvinoreva kuti mabasa aanoita anogona kuchinjwa chero nguva. Kuronga pacemaker kunoitwa nekushambadzira pasina kutengesa mirayiridzo mitsva kune jenereta, uchishandisa chigadzirwa chakakosha chinonzi programmer. Semuenzaniso, chiremba wako anogona nyore nyore kudzokorora wako pacemaker kuti uchinje matanho ayo achabatsira mwoyo wako.
Nhamba-Mhinduro yePacemakers
Mumazuva okutanga ekufambisa, vanoita kuti pave nekugadzirisa mwoyo vaikwanisa kungomhanya pane imwe tsanga yemwoyo.
Chero pose apo murwere wacho pachake ari mukati membeu yemwoyo yakaderera pasi peiyo isati yaiswa pasi (ichiti, makumi mana makumi matanhatu neminiti paminiti), pacemaker yaizotanga kufamba neyoyo yakatarwa.
Asi nhasi, inenge vose vanogadzirisa simba vanogona kusiyanisa mukana wavanofamba nawo, zvichienderana nezvinodiwa zvino. Ava vanogadzirisa zvinonzi vanoratidzika-mukana-unonzwa pacemakers.
Kuyera-kugamuchira pacemakers kunogona kushandisa imwe yemichina yakawanda kuti ione yakakosha yemwoyo, asi maviri, kunyanya, yakaratidza kuti yakakosha chaizvo. Imwe yeiyi ndiyo inoratidzira basa, iyo inoona kufamba kwemuviri. Kana iwe uri kushingaira iwe, inokurumidza pacemaker inokurudzira mwoyo wako (mukati mehutano hwemwoyo hunogadzwa nachiremba wako). Imwe nzira inowanzoshandiswa kusiyanisa mukana wekufambisa ishoko rinopfurikidza, iro rinoyera kuwanda kwekufema. Iwe unokurumidza kufema, unowedzera kushanda iwe (zvichida), uye nekukurumidza kufamba-famba kuchave (zvakare, mukati megadziriro yakatarisa). Zvimwe zvemagetsi aya anobvumira mukana-unogadzirisa pacemaker kuti uedze kushanduka kwemazuva ose, kuchinja kwechinguvana mumutambo wemwoyo unogona kugoverwa nemoyo wakakwana.
Ko Pakemaker yako Inofanira Kuita Sei Kazhinji Mwoyo Wako?
Muhuzhinji hwevanhu vane pacemaker, mwoyo yemagetsi system inowanzoita kuti mwoyo wose urove. Iyo pacemaker inonyanya kuve se "sevhavhavhavha," kudzivirira dzimwe nguva zvikamu zvisingabvumirwi neBradycardia.
Mune vamwe vanhu, pacemaker inoshanda zvikuru kunyanya-inoteerera mafungiro, kubvumira kutora kwemwoyo kuwedzera zvakakodzera munguva yekurovedza muviri. Pavanenge vachizorora, pacemaker kazhinji haisi kufamba. Kuenzanisa-kuiteerera kunobvumira kunoita kuti vashande zvikuru nekuneta zvishoma.
Kunyange zvakadaro, vamwe vanhu vane maitiro akaoma e-bradycardia uye vanogona kuda kutenderera nguva dzose. Vanhu ava vanowanzokurumidza kuwedzera zviratidzo zvakasimba kana yavo ye pacemaker inofanira kumbomira kushanda zvakanaka. Saka vanachiremba vanotaura kwavari se "pacemaker-vanovimba."
Upenyu Hwakadini Kufanana neCapemaker?
Pacemakers inofanirwa kudzivirira kana kubvisa matambudziko, kwete kuvasika. Uye kazhinji, ndizvo zvavanoita.
Chero bedzi iwe uchitevera zvishomanana zvingwarira, uye teerera mirayiridzo yechiremba wako yekuita kuti chimbo chako chiongororwe nguva nenguva, unogona kuronga kutungamira hupenyu hunenge husina rusununguko runokonzerwa ne pacemaker pachako. Iwe uchadikanwa kuti wako pacemaker uongorore nguva nenguva, uye apo bhatiro inotanga kuvhara (kazhinji mushure memakore 7-10) jenereta ye pacemaker inoda kuchinjwa. (Izvi zvinowanzova nyore kunze kwekuita.) Muzviitiko zvakawanda, vanhu vanogona kukanganwa zvachose vane pacemaker pane dzimwe nguva. Heano pane hurukuro yakazara pamusoro pekurarama ne pacemaker.
> Sources:
> Brignole M, Auricchio A, Baron-Esquivias G, et al. 2013 > ESC Zvinyorwa zveCardiac Pacing uye Cardiac Resynchronization Therapy: the Task Force on Cardiac Pacing uye Resynchronization Therapy yeEuropean Society of Cardiology (ESC) >. Yakagadzirirwa muKubatana neEuropean Heart Rhythm Association (EHRA). Eur Moyo J 2013; 34: 2281.
> Tracy CM, Epstein AE, Darbar D, et al. 2012 ACCF / AHA / HRS > Ongororo Yakanyatsogadziriswa yeMitemo ye2008 yeChechi-Based Therapy yeCardiac Rhythm Kuipa kwepfungwa: Mharidzo yeAmerican College of Cardiology Foundation / American Heart Association Task Force pamusoro pekushandisa mazano uye Heart Rhythm Society >. Circulation 2012; 126: 1784.