Ovuselela - Iyini? Umgomo we operation kanye nezinhlobo

Minyaka yonke nokudlondlobala kwezinso inhliziyo siyakhuphuka, futhi ngeshwa, emazweni amaningi, lezi zifo ziyimbangela ehamba phambili yokufa. Futhi kuvela izinkinga inhliziyo hhayi kuphela abantu asebekhulile, kodwa futhi abasha. Medicine Umhlaba uzama ngezindlela ezahlukene ukubhekana nalezi pathologies, usebenzisa imishini yesimanje, futhi ezimweni ezimbi kakhulu asesebenzisa ukuhlinzwa. idivayisi ezifana ovuselela, odokotela zisetshenziselwa ekusindiseni ukuphila ukubuyela impilo.

Kuyini lokhu?

Ovuselela - idivayisi okhethekile, umphumela wangaleso sikhathi phezu kwenhliziyo amaza ezinamandla kagesi. Phakathi ekukhishweni le nqubo kukhona ezibucayi mass depolarization we imisipha yenhliziyo, okuholela arrhythmia isusiwe. Phezu kwakho konke, ukusetshenziswa kule divayisi ivumela amaseli engokwemvelo engeyokuqala itheku ukubuyela isigqi inhliziyo evamile. Injongo eyinhloko ye-ovuselela iwukuba kujwayeleke ukuvama ukusikwa futhi aziphumulele we imisipha yenhliziyo.

Inkambu ukusetshenziswa ovuselela

I izinkomba esiyinhloko usebenzisa idivayisi - arrhythmia futhi fibrillation ventricular. Inqubo ukupholisa mechanical akusho ngaso sonke isikhathi ngisize ukuguqula fibrillation atrial ukuba itheku isigqi, ngakho odokotela ziye zanquma ukuba ovuselela.

Namuhla ovuselela - it is a idivayisi kudingekile, iyatholakala ukuba isetshenziswe hhayi kuphela empilweni kodwa futhi izikole, amapaki, amahhovisi kanye nokunye. Phela, umuntu nganoma isiphi isikhathi futhi kunoma iyiphi indawo kungenzeka ukwephulwa womsebenzi inhliziyo, futhi ngeke ugcine nje ngosizo leli thuluzi.

Umgomo we operation wemishini yezokwelapha

Ovuselela - idivayisi okuyinto isebenza njengoba qapha, belinganisa normal inhliziyo isigqi. Kuyadingeka ukuba ubuyisele uhlevane evamile umzimba womuntu main. Ngo o uhle eziningi defibrillators samanje imisebenzi eminingana:

• Cardioversion. Kule modi, ephula inhliziyo usebenzisa shock ngogesi nge yamandla aphansi.
• Ukugqugquzela ne bradycardia. Uhlelo ikuvumela uma inhliziyo ezingavamile ukuthumela amaza amancane kagesi ukulondoloza isigqi evamile.
• Defibrillation. Ukuze wakhe yakhetha lapho inhliziyo ishaya fast kakhulu. Idivayisi idedela okusezingeni eliphezulu amandla zamanje, kanjalo ekubuyiseleni kweso.
• peysing Antitahikardialny. Idivayisi kule modi okuthunyelwa imisipha yenhliziyo, amaza amancane kagesi kujwayeleke isigqi.

Design izici ovuselela yesimanje

Le divayisi ifakwe electrode esikhethekile transthoracic imiphumela zamanje kanye ngqo ku imisipha yenhliziyo. It siqukethe le izingxenye ezilandelayo: ishaja, capacitor noma isitoreji amandla iyunithi, kanye wesifunda khulula. Ngaphezu kwalokho, ezinye defibrillators ngaphezu kwalokho ifakwe idivayisi esikhethekile kardiosinhronizatsii.

Amandla kuzo zonke lezi amadivaysi ezokwelapha Kwenziwa ngumuntu AC ezivamile. Kukhona amacebo okukuvumela ukushaja kusukela inethiwekhi ugibelile ambulense imoto noma imithombo ezimele. Ukusebenza kahle ngokusebenzisa kwawo kuncike ezicini ezilandelayo: ilungiselelo electrode, amandla ukuxoshwa kanye nesikhathi sisetshenziswa isihlobo esigabeni lomjikelezo inhliziyo.

izinhlobonhlobo defibrillators

Amadivayisi, ukunciphisa fibrillation kwenhliziyo, kunezinhlobo ezahlukene:

• ovuselela okuzenzakalelayo - ukuthola izifo inhliziyo, bese yenza opharetha ukwenza khulula. Ukuze enze defibrillation wokuqala kumele uvule iyunithi, unamathele electrode phezu kwesifuba isiguli bese ucindezela inkinobho oyifunayo. Ukusebenza nabo akudingi amakhono akhethekile, ngakho inqubo yokwelapha bengayi ngisho abasebenzi bezempilo, futhi, isibonelo, amaqembu ezemidlalo, abaqeqeshi, abaqaphi, indiza zesifazane, othisha nokunye.
• ovuselela Implantable - idivayisi ehlukile kwezinye usetha Ubukhulu bayo ezihlangene. Livame ukusetshenziswa ngokuhlanganyela umshini wokulawula ukushaya kwenhliziyo iziguli ezinzima isifo senhliziyo.
• ovuselela Professional kokuba ukulawula manual, has isofthiwe ezidingekayo. osenyameni agesi sidlula lesi electrode kudivayisi njengoba izinyawo ngeketanga. Ngaphambi kokwenza defibrillation kubo ecindezelwe baqaphe ukuze umzimba wesiguli.

Enye amadivaysi ezokwelapha enjalo zingafani imingcele elakhiwe pulses. Ngokusekelwe kulezi zici, defibrillators kungenzeka monophasic noma biphasic. Lesi sakamuva manje ngeke uzithole emakethe eyinhloko amadivayisi okuguquguqukayo okuningi kahle, ngakho basuke kancane kancane esikhundleni monopolar.

Usebenza kanjani nge ovuselela?

Ngaphambi kokusebenzisa lezi amadivaysi kumele ufunde ngokucophelela iziqondiso ohambisana nalo. Ovuselela avunyelwe ukusebenzisa kuphela uma umuntu kude izinto, eqhuba samanje, futhi phezu flat.

Uma defibrillation kuyadingeka ukuba balandele yonke imithetho yokuphepha. Phakathi esiphuthumayo kudingeka isinyathelo ngomoya ophansi futhi ngokushesha ngaphandle panicking. Ngaphambi kokuqhubeka ukusiza esigulini ngesimiso swoon, kufanele uqiniseke ukuthi unesikhathi ishayela futhi ukuphefumula. Khona-ke kubalulekile ukubiza i-ambulensi, ngoba ngaphandle kosizo ochwepheshe bezokwelapha ithuba siphumelele ekwenzeni yokusiza umuntu ukuba aphefumule liphansi kakhulu.

Qhubekisa ngokuthwebula defibrillation can ngaphambi kokufika odokotela, ukuze ngingasebenzisi ukulahlekelwa yisikhathi esibalulekile, bavele. Ukuze nokuqaliswa kwalo uzodinga ukususa izingubo zangaphandle ezivela nesineke futhi zabekwa isifuba electrode kudivayisi ulandele iziyalezo ezikuyo. Isikhumba lomuntu kuleli cala kumele kube yomile. Ukuze kuncishiswe ukumelana kwesikhumba, kungcono ukusebenzisa nokunamathisela kagesi conductive. Ukuvimbela ukusha nokwehlisa ukungawi electrode kumele sicindezelwe ngokuqinile umzimba wesiguli.

Lapho ukudedelwa ungathinti amashidi electrode metal nongazimbi. Kungenxa yalesi sizathu kuthiwa abantu abaningana kumelwe nakanjani anyakaze ukuba eziqhele. Phakathi defibrillation wamaphaphu ukupholisa akudingekile ukuba afeze. Ukuchithwa apharathasi kwenziwa kanye, kabusha ishayela wenziwa nge uhlobo olufanayo noma nokwanda a Amakilasi ambalwa.

onobuhle Popular. Ovuselela "Dki-N-10" - idivayisi ezishisa

Le yunithi basekhaya zithandwa kakhulu. Kuhlanganisa: ingxenye ephathekayo nezingane kanye nabantu abadala electrode, ibhethri esikhiphekayo futhi ishaja ngabo. Isici sokuqala siklanyelwe njengoba umengameli, ukuthi ubonisa ulwazi mayelana nokusebenza idivayisi iphinde ukusebenza inhliziyo yesiguli.

Ovuselela-qapha kuyinto ephathekayo, ngakho azigcina wonke amathuba amadivayisi okhokhelwayo. Uma usebenza nabo ungasebenzisa kukuphi yezwi. Isibonisi LCD ubonisa lonke ulwazi ukuze kudlule indlela umcimbi wezokwelapha. Ngo idivayisi kukhona iphrinta ehlangene, ukuvumela ukuba ngokushesha ukushicilela nemingcele ezidingekayo.

Ovuselela "Dki" lisetshenziswa hhayi kuphela e nezikhungo zezokwelapha, futhi isetshenziswa amaqembu mobile. Idivayisi sithuthukiswe imodi kuhlola kwekusebenta kubukwe kwenhliziyo, ngisho ehlukile ECG siteshi.

Kudivayisi "Dki-H-11"

idivayisi okunjalo kuhloselwe imiphumela zokwelapha emzimbeni womuntu main olulodwa biphasic osenyameni transthoracic electrode. Ovuselela "Axion" - phambili uchungechunge amadivaysi "Dki-N-10", kodwa inokusebenza okuthuthukisiwe. imodeli okuthuthukisiwe ivumela odokotela ukuba enze into EHAMBAHAMBA zangaphandle. Izinzuzo amadivaysi "Dki-N" yilezi:

• isicelo yashesha amandla inzuzo;
• ukwesekwa ngomlomo inqubo idivayisi iphinde opharetha yezenzo;
• ophathwa amabhethri amabili;
• ukwakha okuguquguqukayo ishayela ukuchayeka;
• esakhelwe iphrinta ezishisayo.

Izici ICD-ICD

Imishini yezokwelapha okunjalo akhiqizwa osayizi amancane. Basuke ezibekwe esifubeni ukunciphisa ingozi nokufa ephula izinga ventricular, ngaleyo ndlela kuncishiswe ingozi yesifo senhliziyo. Enye idivayisi efanayo ingenisa nabantu ventricular tachycardia, okuholela iziyaluyalu kwegazi futhi ngisho ukuboshwa inhliziyo.

Cardioverter-ovuselela kuyinto ICD, ngokuvamile ezifakelwa ngaphansi izinzwa wendawo. Idivayisi ingenisa ngaphansi ingqwababa, ngesikhathi esifanayo ephuma ke electrode ibekwe ngqo enhliziyweni. ukusebenza Isikhathi kuthatha amahora angaba ngu-2.

Zenhliziyo wethula electrode ngasesinqeni entanyeni noma umthambo ehlombe. Yena ifaka ucingo ekamelweni inhliziyo, idivayisi kokulandela ukubonisa ze-X ray yesikhundla sakhe, bese ulungise Stitch ixhuma umshini wokulawula ukushaya kwenhliziyo efakwe esikhaleni phakathi imisipha esifubeni isikhumba. Khona-ke onguchwepheshe ihlola ukusebenza kwe-mshini, uma konke ukuze ke umuntu othungela up imbobo.

Uma ukuthenga kudivayisi efana ovuselela, kubalulekile ukuhlola isitifiketi. Khumbula ukuthi idivayisi kufanele Kunconywa ukuba isetshenziswe yi-Ministry of Health, ngenxa izinga yayo yokuphila komuntu kuncike.