Na'urorin bugun zuciya da na'urorin defibrillators na subcutaneous na'urorin kiwon lafiya ne waɗanda za a iya dasa su ta hanyar aikin tiyata kuma ana nuna su ga marasa lafiya da ke fama da cututtukan zuciya.

Daidai saboda kamanceceniya ta hanyar dasa su da kuma yadda suke aiki, na'urorin biyu suna rikicewa da juna.

A zahiri, na'urori ne daban-daban guda biyu:

• na'urar bugun zuciya, wacce aka fi amfani da ita, na'urar lantarki ce da ke lura da bugun zuciya da kuma isar da kuzarin lantarki idan ta gano karanci ko kadan. A aikace, ana amfani da shi don warware waɗancan toshewar zuciya waɗanda ke haifar da bradycardia pathological (yawan jinkirin bugun zuciya, wanda ke haifar da dizziness ko suma).
• Subcutaneous defibrillator, wanda kuma ake kira implantable defibrillator ko ICD (Icplantable Cardioverter Defibrillator), na'urar da aka dasa ta tiyata ce mai iya gano bugun zuciya mara kyau ko mai haɗari. Idan ya cancanta, yana ba da girgizar ceton rai wanda ke sake saita ayyukan zuciya zuwa sifili kuma yana ba da damar dawo da bugun zuciya ta al'ada.

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Masu bugun bugun zuciya da kuma Defibrillators Subcutaneous, Abin da Ake Amfani da su Don

Babban bambanci tsakanin na'urar bugun zuciya da na'urar defibrillator na subcutaneous ya ta'allaka ne akan dalilin da yasa aka dasa su:

• Ana dasa na'urar bugun zuciya a cikin marasa lafiya masu fama da bradycardia kuma saboda haka suna da bugun zuciya wanda ke da sannu a hankali. Na'urar bugun zuciya tana lura da zuciyarsu koyaushe kuma yana shiga tsakani kai tsaye lokacin da ya gano motsin zuciyar da yayi ƙasa da ƙasa, yana aika kuzarin lantarki wanda ya yi nasarar dawo da ita.
• Defibrillator na subcutaneous, a daya bangaren, yana aiki duka a yanayin yanayin bugun zuciya mai rauni sosai (kamar na'urar bugun zuciya) da kuma yanayin canjin bugun zuciya. A cikin waɗannan lokuta har ma yana ba da girgiza, wanda zai sake kunna zuciya, yana maido da ƙwanƙwasa na yau da kullun.

Dangane da nau'in ciwon zuciya da aka gano, likita zai ba da shawarar wacce na'urar ta fi dacewa.

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Ga Wanda Aka Dasa Na'urar bugun zuciya da Defibrillators Subcutaneous

Yin maganin cututtuka daban-daban, a bayyane yake cewa waɗannan na'urori guda biyu ana nuna su don nau'ikan marasa lafiya daban-daban, dangane da ƙimar zuciyar su:

• Ana nuna na'urar bugun zuciya a cikin marasa lafiya da ke fama da bradycardia, watau bugun zuciya wanda ke da sannu a hankali. Wannan nau'in cutar sankara yana da jinkirin bugun zuciya (kasa da bugun 60 a minti daya). Jinin da ke da iskar oxygen da ake fitarwa don haka bai isa ya biya bukatun jiki ba, yana haifar da raguwar kuzari, tashin hankali, dyspnea da suma.
• Ana nuna defibrillator na subcutaneous ICD a cikin marasa lafiya tare da m arrhythmias kuma yana aiki don hana mutuwa kwatsam. Marasa lafiya na ɗan takarar don dasa su ne mutanen da suka gabatar da arrhythmias na ventricular ko kama zuciya; suna da babban haɗari na samun arrhythmia na ventricular ko kama zuciya.

Na'urar bugun zuciya da Defibrillator Subcutaneous: Shigarwa

Dangane da hanyar dasa shuki, babu manyan bambance-bambance tsakanin su biyun.

A gaskiya ma, ana dasa na'urorin biyu a ƙarƙashin fata a ƙasan clavicle na hagu ta hanyar aikin tiyata, wanda ke faruwa a ƙarƙashin maganin sa barci kuma yana ɗaukar tsawon minti 45 zuwa 90.

Ana aiwatar da hanyar azaman hanyar cikin-haƙuri.

Na'urar bugun zuciya, na'urar lantarki mai girman girman tsabar kudin Yuro 2, ana sanya shi a cikin yankin thoracic, a ƙasan ƙashin wuya.

Ana haɗa shi da wayoyi ɗaya ko biyu (leads) waɗanda kuma suna sadarwa tare da tsokar zuciya.

Jagoran suna aika bayanai daga na'urar bugun zuciya zuwa zuciya kuma suna aika motsin wutar lantarki idan ya cancanta.

Ana tsara na'urar bugun zuciya ta kwamfuta ta musamman, godiya ga wanda ƙwararren zai iya duba duk bayanan da suka shafi zuciyar majiyyaci da ayyukanta.

Shigar da na'urar na'urar da ke ƙarƙashin jikin jiki tana bin matakai iri ɗaya da na'urar bugun bugun zuciya

Kashi na farko ya shafi sanya jagororin, watau 'wayoyin lantarki' waɗanda ke shiga zuciya. Adadin su zai iya bambanta daga ɗaya zuwa uku, ya danganta da nau'in na'urar da za a dasa.

Ana shigar da jagororin a cikin jijiya (subclavian ko cephalic, yawanci hagu).

Da zarar a cikin tsarin venous, ana tura jagororin zuwa cikin ɗakunan zuciya (ventricle na dama, dama atrium, sinus na jijiyoyin jini) kuma an sanya su a wuraren da suka fi dacewa da aikin zuciya kuma suna iya motsa zuciya tare da mafi ƙarancin kuzari.

Bayan duba kwanciyar hankali na catheters da ma'auni na lantarki, ana haɗe da jagorancin zuwa tsokar da ke ciki sannan kuma an haɗa su da defibrillator, wanda aka sanya shi a cikin subcutaneously.

Har yaushe cajin zai ƙare?

Ana yin amfani da na'urorin bugun zuciya da na'urorin defibrillators ta batirin lithium mara caji.

Saboda haka, baturin yana fita bayan wani ɗan lokaci, ya danganta da ko na'urar na'urar bugun zuciya ne ko na'urar bugun zuciya.

A bayyane yake, adadin lokutan da na'urar ta kunna a zahiri yana da mahimmanci: na'urorin suna lura da ayyukan zuciya koyaushe kuma suna tsoma baki tare da girgiza idan ya cancanta.

Da zarar sun shiga tsakani, da zarar cajin ya ƙare.

Ma'ana, masu yin bugun zuciya suna wucewa tsakanin shekaru 7 zuwa 10, yayin da na'urorin defibrillators ke wucewa tsakanin shekaru 5 zuwa 7.

Lokacin da ake buƙatar maye gurbin baturi, ana canza duk na'urar saboda an haɗa baturin a ciki.

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Source:

Defibrillatore.net