Ndeupi Musiyano pakati pePacemaker uye Subcutaneous Defibrillator?
Pacemakers uye subcutaneous defibrillators midziyo yekurapa inogona kuiswa nenzira yekuvhiya uye inoratidzwa kune varwere vane kusagadzikana kwemoyo.
Kunyanya nekuda kwekufanana munzira yavanosimwa uye mashandisiro avanoita, michina miviri iyi inowanzovhiringika kune imwe neimwe.
Muchokwadi, iwo maturusi maviri akasiyana:
- iyo pacemaker, iyo inonyanya kushandiswa zvakanyanya, inyanzvi yemagetsi inotarisa kurova kwemwoyo uye inopa simba remagetsi kana ikaona yakaderera kana yakanyanya kuderera. Mukuita, inoshandiswa kugadzirisa izvo zvivharo zvemwoyo zvinokonzeresa pathological bradycardia (inononoka kwazvo kurova kwemoyo, izvo zvinokonzera dzungu kana kupera simba).
- The subcutaneous defibrillator, inonziwo implantable defibrillator kana ICD (Implantable Cardioverter Defibrillator), mudziyo wakavhiyiwa unokwanisa kuona kurova kwemwoyo kusiri kwenguva kana kuti kune ngozi. Kana zvichidikanwa, zvinounza kuvhundutsa kunoponesa hupenyu kunodzoreredza kuita kwemoyo ku zero uye kunobvumira kuti moyo wakajairika udzorerwe.
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Pacemakers uye Subcutaneous Defibrillators, Zvavanoshandiswa
Musiyano mukuru pakati pe pacemaker uye subcutaneous defibrillator uri muchinangwa chavakaisirwa:
- Iyo pacemaker inoiswa muvarwere vane bradycardia uye avo saka vane moyo mutinhimira unononoka. Iyo pacemaker inogara ichiongorora moyo yavo uye inopindira yega kana ichinge yaona rhythm yemoyo yakadzikira, ichitumira mafungiro emagetsi anobudirira mukuidzorera.
- Iyo subcutaneous defibrillator, kune rumwe rutivi, inoshanda zvose munyaya yemwoyo yakaderera zvikuru (sezvakangoita pacemaker) uye munyaya yemoyo yakashandurwa zvikuru rhythm. Muzviitiko izvi zvinotopa kuvhunduka, izvo zvinotangazve moyo, kudzorera rhythm yakajairika.
Zvichienderana nerudzi rwechirwere chemoyo chinowanikwa, chiremba achakurudzira kuti ndeipi mudziyo unonyanya kukodzera.
Kwaari Pacemakers uye Subcutaneous Defibrillators Akasimwa
Kurapa akasiyana pathologies, zviri pachena kuti midziyo miviri iyi inoratidzwa kune akasiyana marudzi evarwere, zvichienderana nekurova kwemoyo wavo:
- Iyo pacemaker inoratidzwa kune varwere vane bradycardia, kureva moyo rhythm inononoka. Iyi pathology inoratidzirwa nekunonoka kwemoyo rhythm (isingasviki 60 beats paminiti). Ropa rine mweya weokisijeni rinopomba harina kukwana kuzadzisa zvinodiwa nemuviri, zvichiita kuti simba ridzike, dzungu, dyspnoea uye kupera simba.
- I-subcutaneous ICD defibrillator inoratidzwa kune varwere vane arrhythmias yakaipa uye inoshumira kudzivirira kufa kamwe kamwe. Varwere vanokodzera kuisirwa vanhu vakapa ventricular arrhythmias kana kusungwa kwemoyo; vane njodzi huru yekuva ne ventricular arrhythmia kana kusungwa kwemoyo.
Pacemaker uye Subcutaneous Defibrillator: Kudyara
Nezvekuisirwa maitiro kune chekuita, hapana misiyano mikuru pakati pezviviri izvi.
Muchokwadi, iyo michina miviri yakasimwa pasi peganda pazasi pekuruboshwe clavicle kuburikidza nekuvhiya nzira, inoitika pasi peanesthesia yemunharaunda uye kazhinji inotora 45 kusvika 90 maminetsi.
Iyo nzira inoitwa senge in-murwere maitiro.
Iyo pacemaker, mudziyo wemagetsi wakaenzana nehukuru hwe2-euro coin, inoiswa munzvimbo yechipfuva, pazasi pecollarbone.
Inobatanidzwa kune imwe kana mbiri waya (inotungamira) iyo inozotaurirana nemhasuru yemoyo.
Iwo anotungamira anofambisa ruzivo kubva pacemaker kuenda kumoyo uye anotumira manzwiro emagetsi kana zvichidikanwa.
Iyo pacemaker inorongwa kuburikidza nekombuta yakakosha, nekuda kwekuti nyanzvi inogona kuona ruzivo rwese zvine chekuita nemoyo wemurwere nekushanda kwawo.
Subcutaneous defibrillator implantation inotevera matanho akafanana sepacemaker implantation
Chikamu chekutanga chine chekuita nekuiswa kwemitoo, kureva 'waya dzemagetsi' dzinosvika pamwoyo. Nhamba yavo inogona kusiyana kubva kune imwe kusvika kune mitatu, zvichienderana nerudzi rwechigadzirwa chichaiswa.
Iyo inotungamira inoiswa mutsinga (subclavian kana cephalic, kazhinji yakasara).
Kana yangove mutsinga, zvinotungamira zvinosundirwa mumakamuri emwoyo (right ventricle, right atrium, coronary sinus) uye inoiswa panzvimbo painonyatsa kunzwa kuita kwemoyo nekudaro vanokwanisa kunyandura moyo nesimba rishoma.
Mushure mekutarisa kugadzikana kwekateti uye maparamendi avo emagetsi, zvinotungamira zvakanamirwa kune yakadzika tsandanyama uye zvino yakabatana kune defibrillator, iyo inoiswa pasi pecutaneously.
Inotora nguva yakareba sei?
Pacemakers uye defibrillators inoshandiswa nebhatiri retium risingadzokeri.
Nokudaro, bhatiri rinobudiswa mushure meimwe nguva, zvichienderana nokuti iri defibrillator kana pacemaker.
Zviripachena, nhamba yenguva iyo mudziyo unorovera mukati yakakosha: zvishandiso zvinogara zvichitarisa chiitiko chemoyo uye zvinongopindira nekuvhunduka kana zvichidikanwa.
Pavanonyanya kupindira, ndipo panopera mhosva yacho.
Sezvineiwo, pacemakers anogara pakati pe7 ne10 makore, nepo defibrillator inogara pakati pe5 ne7 makore.
Kana bhatiri richida kuchinjwa, mudziyo wose unoshandurwa nekuti bhatiri rinosanganiswa mukati.
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