Inhliziyo pacemaker: Izimo. Iziqondiso nesineke umshini wokulawula ukushaya kwenhliziyo

izifo zenhliziyo kuyizinto ezivamile emhlabeni. I esiyingozi kakhulu imiphumela yokwelashwa engafanele nomfutho wegazi ophezulu. Thuthukisa unhlangothi noma isifo senhliziyo, okuyinto abe eliphezulu kakhulu lapho bebeletha.

Esimeni yemiphumela enjalo edabukisayo hhayi indima yokugcina idlalwa ngu arrhythmia. Engalungile ukusikwa indlela we imisipha yenhliziyo imiphumela hhayi kuphela e ukwehla liningi igazi kwezitho ezibalulekile, kodwa futhi kuvusa kumiswa amahlule. Iziguli amafomu ezibucayi arrhythmia uvamise ukwelashwa nge ezihlukahlukene zokwelapha, kodwa samuntu ngokwanele ephumelelayo futhi enokwethenjelwa cupping kuyinto umshini wokulawula ukushaya kwenhliziyo. Noma yimuphi nezenhliziyo isikhungo yesimanje eRussia uqhuba imisebenzi ukufakwa kwalo.

Uyini umshini wokulawula ukushaya kwenhliziyo

Pacemaker kuyinto zobuchwepheshe ukuthi yakhelwe nokuqapha ukulungiswa zenhliziyo. Insimbi ngokwayo siqukethe amabhethri ezivamile, futhi electrode eziningana, okuyinto ayanikezelwa ukuze imisipha yenhliziyo. Ingqikithi we pacemaker ukukhomba arrhythmias nokulungisa yayo ngenxa yezinzwa ukuthi sifinyelele inhliziyo. IElectromagnetic ecasulayo nomthelela imisipha yenhliziyo nemithambo kubangela "inkinobho" ukulungisa isigqi okungalungile. Ngakho-ke, ukuqeda ngempumelelo arrhythmia esiyingozi sizomisa pacemaker inhliziyo. Izimo yenzeka lingekho.

Yiziphi izinhlobo elawula ukushaya kwenhliziyo

amadivaysi Ngokwahlukana esekelwe inani emakamelweni inhliziyo, afaneleka for the electrode kudivayisi. Ngakho-ke, cishe njalo udokotela ohlinzayo inhliziyo ngeke ukukunikeza One-, nobujamo noma ezintathu-chamber elingenalo iwashi lenhliziyo. Ukubukwa kwesithombe ikhombisa idivayisi olulodwa-chamber, esesikhundleni electrode eyodwa kuphela. Ivame elise-ventricle. onobuhle ezinjalo neze asetshenziswa manje, ngenxa ezahlukene elilinganiselwe icala zikagesi. Two-chambered idivayisi kokuba omunye electrode ku ATRIUM, nomunye - e-ventricle, esinikela kokubili ukuqapha kangcono futhi ukulungiswa zenhliziyo. Amadivayisi anjalo asetshenziswa njalo. Pacemaker emithathu ekamelweni has electrode ezintathu, futhi omunye wabo ingaba njengesihluthulelo ovuselela, okuyinto kuyinto efiselekayo ikakhulukazi iziguli fibrillation atrial noma ventricular. Izindleko incike inqubomgomo zamanani nomkhiqizi pacemaker kanye nezikhungo zezokwelapha.

Uma ufaka pacemaker

Yenzeka ka umshini wokulawula ukushaya kwenhliziyo ihlose ukubuyisela isigqi evamile. Ukuze silwe tachyarrhythmias bradi- futhi inhliziyo pacemaker ezifakiwe. Ukusebenza kusebenza kuphela uma uhlobo oluthile arrhythmia. Ikakhulukazi, iqembu elibizwa bradyarrhythmias bradycardia ishayela nge imvamisa engaphansi kuka-40 ngomzuzu, syndrome Morgagni-Edemsa-Stokes, AV-ukuvinjelwa II-III ezingeni, ukuvinjelwa akuphelele, ogulayo itheku syndrome, futhi carotid itheku. Morgagni-Edemsa-Stokes syndrome livezwa nokulahlekelwa ukwazi, ukuquleka, kulindeleke ukuthi baphothule AV-block. Kepha tachyarrhythmias, izimpawu kukhona fibrillation atrial kanye arrhythmia ezihlobene nokusebenzelana fiznagruzki.

Centre of nezenhliziyo yesimanje banganikeza ukusungula pacemaker nsuku okwesikhashana noma unomphela. Okwesikhashana kudivayisi yenzeka kuyaqabukela esetshenziswa futhi ukhonza for ukulungiswa ezithile izinhlobo arrhythmias (isb paroxysmal tachyarrhythmia).

Pacemaker kwenhliziyo, Izimo

Ukufaka pacemaker ayinakho Izimo. Caveat kuphela ukuba yiqiniso kwalesi ukufakwa kudivayisi, kuye ngobude wokuphila nesineke arrhythmia namafomu ka arrhythmia inhliziyo. Ngaphambi yenzeka yesiguli pacemaker kumelwe ibhekane zokuqapha Holter. Kuyinto round abaseshi iwashi kanye nokuhlaziywa kwenhliziyo isigqi elikuvumela ukuba uthole futhi lapho arrhythmia avame kwenzeka.

Njengoba ukusebenza ukugxilisa pacemaker

Ukusebenza ubhekwa kancane koda, njengoba senziwe sebeziqhumbuza ezincane. Okokuqala, udokotela ohlinzayo ufaka ipayipi ku vein subclavian futhi ngaphansi kokulawula-X-ray usetha electrode nesifunda oyifunayo zenhliziyo. Ngemva ukwethulwa izinzwa kwakheka ibhokisi Iwumbono le pectoralis kwemisipha emikhulu efakwe umshini wokulawula ukushaya kwenhliziyo zenhliziyo. Ukusebenza iphela ukunqunywa yaseZimbabwe eziningana ezihlala esikhumbeni.

Ngemva kwalokho, iqale idivayisi ukusebenza futhi yakha pulses kuncike izinga naphutha. Nciphisa ingozi arrhythmias ngeke pacemaker kwenhliziyo, okuyizinto akukho Izimo.

Indlela yokuphila isiguli emva kokuhlinzwa

Impilo ka-pacemaker unemingcele ethile kwi isiguli, Nokho, nakuba bengebona sina, ibalulekile for ukusebenza ilungile futhi okuqhubekayo zedivayisi.

Okokuqala, kumelwe ekhumbula inqubo ukuhlolwa kwesidumbu, isimiso ogxile isenzo emkhakheni kagesi noma yamanje. Kunconywa ukusebenzisa scan CT noma ultrasound isiguli amademeshe has a pacemaker inhliziyo. Izimo eziqondene naye-magnetic resonance imaging kanye defibrillation zangaphandle, futhi ngemisebe lithotripsy. Lapho echocardiography kufanele azise udokotela mayelana idivayisi ifakiwe, kusukela hit ngqo kungabangela ukuphazamiseka.

Isiguli ngasinye ikhishwa ethile nesineke idokhumenti ishidi, okuyinto ingenisa elingenalo iwashi lenhliziyo. Le dokhumenti iqukethe ulwazi mayelana model of the apharathasi esungulwe, yenzeka usuku eseduze isikhathi ibhethri elifakwe esikhundleni. Kubantu phesheya, mibhalo liyadingeka uma wedlula amasiko ukulawula ezikhumulweni zezindiza.

Isikali Fiznagruzok kufanele kube kancane kancane kodwa njalo. Phakathi nenyanga yokuqala Kunconywa wasendlini ukukhanya, ekuseni yokuzijwayeza yokuhlanzeka, okufutshane ehamba emoyeni opholile. Ngemva kwalokho kancane kancane imodi okwandisa ukwandisa ukubekezelelana ukuze ukucindezeleka. Uma isiguli phambi ukusebenza wahlanganyela ukubhukuda noma ithenisi, cishe izinyanga eziyisithupha, angababaza kancane kancane uthole kabusha ezingeni yayo umsebenzi. Ngesikhathi esifanayo, qiniseka ukuqapha inhliziyo ishaya ngamandla nomfutho wegazi. Uma uqaphela iziphazamiso, iphika, isiyezi kanye ubuthakathaka jikelele - uxhumane nodokotela wakho.

isilonda nasezinkingeni ezilandela ngemva kokuhlinzwa ukubukela wakhe

Isikhathi esibucayi kakhulu kuyizinto zokuqala ezingu-7 ngemva kokuhlinzwa. lokhu
Kuyinto akhathalela ngokuyinhloko isimo amanxeba post-op. I zokuqala ezingu 5-7 isiguli esibhedlela ukusebenza kwe-stimulator kagesi. Nsuku zonke labetibambile bandaging kanye yangasese ukulimaza. Sutures ziyasuswa kwi 6th - usuku 7th. Ngemva ukususwa sutures izinsuku ezingaphezu 7 isiguli Kumele ubeke umkhawulo umthwalo emkhawulweni elingenhla ngasemgwaqweni nokubekwa idivayisi ezifakelwa kumuntu. Leyo misebenzi yenziwa ukuze udale isibazi avuthiwe, okungase ukumelana umsebenzi evamile.

ukudla

Ezigulini wanikeza ukudla Ukudla, njengoba e-atherosclerosis. inombolo Ukudla 10 uncoma nokukhawulela ezilwane futhi esikhundleni sazo ngoba zemifino amafutha (sunflower, linseed, umnqumo), ukudla is ahlanganiswe fibre namaprotheni Lokudabuka isitshalo. Kuyinto engathandeki ukusebenzisa umhluzi ecebile, inyama anosawoti nenhlanzi, kukhawulwe ufulawa izitsha. Kufanele futhi ukuthi ubeke umkhawulo yokwamukela ikhofi, itiye eqinile, ngoba lezi iziphuzo kukhona izinto ezisigcina we isimiso sezinzwa futhi singabangela avuse arrhythmia. Ukuze ukukhethwa efanele Ukudla kufanele afune usizo isazi noma, kungenjalo, ukubekela eceleni ukudla okwakwenqatshelwe ngokuphelele.

nokuhlolwa odokotela

Kuncike ekutheni ungenayo noma yiziphi izikhalazo, ukuhlolwa kuqala yezokwelapha kufanele kwenziwe ngenyanga. Medical Officer kwi uqoka ukuhlolwa igazi, ECG kanye coagulation, okuyizinto survey eziyisisekelo. Esikhathini esizayo, kufanele uvakashele udokotela ezinyangeni ezingu-3 bese njalo ngemva kwezinyanga eziyisithupha 1. Lokho kuhanjelwa ziyadingeka futhi uvumele ukulawula kangcono umsebenzi njengoba umshini wokulawula ukushaya kwenhliziyo futhi inhliziyo yakho kwemisipha.