Heart pacemaker: Izimo. Isikhokelo nomonde ipacemaker

Izifo sentliziyo zezona ixhaphake kakhulu ehlabathini. Eyona eyingozi imiphumo unyango ngokungafanelekanga wegazi. Phuhlisa istrowuku okanye intliziyo ukuhlasela, sinereyithi lokusweleka eliphezulu kakhulu.

Kwimeko apho imiphumo ebuhlungu enjalo na indima lokugqibela edlalwa arrhythmia. Ayilunganga nokuncipha olungenangqamaniso kwemisipha intliziyo iziphumo kuphela ekuncipheni igazi ubonelelo amalungu kubalulekile, kodwa okuvuselela ukuyilwa egazi. Izigulane neefom kakhulu arrhythmia kudla kunye ezahlukeneyo imithi, kodwa ngobuwena ngokwaneleyo ngobuchule kunye enokuthenjwa cupping yi ipacemaker. Naliphi na iziko zentliziyo mihla eRashiya ukuqhuba umsebenzi ukufakwa kwayo.

Yintoni pacemaker

-Ntliziyo yi kwizixhobo ze-elektroniki ukuba yenzelwe ukuba esweni kunye nokulungiswa kwentliziyo. Isixhobo ngokwawo iqulathe iibhetri eqhelekileyo, kunye electrode eziliqela, ezinikwa imisipha intliziyo. Umongo-ntliziyo kukuchonga arrhythmias nokulungisa yayo ngenxa imiqondiso yombane ukuba zifike entliziyweni. ukusebenza esahlala magnetic kwi imisipha intliziyo kwaye ibangela "tshintshela" ukulungisa isingqisho engalunganga. Ngoko ke, ukuze kupheliswe ngempumelelo arrhythmia eyingozi uya kumisa kwesincedisi- ntliziyo. Izimo ukuba umzila ndingekho.

Ziziphi iindidi pacemakers

Izixhobo Ukwahlukana ngokusekelwe kwinani ezingontsini zentliziyo, afaneleka electrode idivayisi. Ngenxa yoko, phantse zonke ugqirha wentliziyo kunyusela kuwe zonyaka, ezimbini okanye ezintathu kwigumbi pacemaker. Photo iimboniselo ibonisa isixhobo single-gumbi, nto leyo eye electrode enye kuphela. Oku ngokuqhelekileyo akhiwe kule ventricle. imifuziselo ezinjalo ngenkankulu zisetyenziswa ngoku, ngenxa kuluhlu eliqingqiweyo intlawulo yombane. Ezimbini-zawo isixhobo ukuba electrode omnye intendelezo, kunye nesinye - kwi ventricle, ebonelela zombini esweni ngcono kunye nokulungiswa kwentliziyo. izixhobo ezifana asetyenziswa rhoqo. Kwesincedisi- egumbini emithathu kuye electrode ezintathu, kwaye omnye wabo inokufana defibrillator, leyo akuyonto ngakumbi izigulana fibrillation atrial okanye ventricular. Iindleko ixhomekeke nkqubo kwamaxabiso umenzi ipacemaker kunye namaziko zonyango.

Xa ufaka pacemaker

Umzila we pacemaker ijolise ukubuyisela isingqisho yesiqhelo. Ukuze alwe tachyarrhythmias bradi- kunye ipacemaker intliziyo efakiweyo. Olu tyando kusebenza kuphela xa kweentlobo ezithile arrhythmia. Ngokukodwa, iqela ekubhekiswa bradyarrhythmias bradycardia ukubetha kunye rhoqo ibetha ngaphantsi kwe-40 ngomzuzu, syndrome Morgagni-Edemsa-Stokes, AV-kwafa level-II III, yaye kuvalwe engaphelelanga, abagulayo sinus syndrome, kunye carotid sinus. Morgagni-Edemsa-Stokes syndrome kuboniswa ilahleko osezingqondweni, ukuxhuzula, ngenxa ukugqiba AV-block. Ke tachyarrhythmias, kubonakala fibrillation atrial kunye arrhythmia zinxulunyaniswa fiznagruzki.

Centre of zentliziyo namhlanje ukunikela ukuseka ipacemaker ngokungesosigxina okanye ngokusisigxina. isixhobo umzila okwethutyana isetyenziswa kunqabile kwaye lisebenza ukuba uqeqesho ezithile iindidi arrhythmias (umz paroxysmal tachyarrhythmia).

Kwesincedisi- wentliziyo, Izimo

Ifakela pacemaker akukho Izimo. Le caveat kuphela wihi ukufakelwa isixhobo, ngokuxhomekeke ubude wobomi ngomonde arrhythmia neentlobo ze arrhythmia intliziyo. Phambi umzila we umguli ipacemaker kufuneka baye esweni Holter. Ngayo ngeenxa zonke yokucupha iwotshi kunye nohlalutyo izinga lentliziyo kunye nesingqisho evumela ukuba ufumane naxa arrhythmia kaninzi kwenzeka.

Njengokuba ukusebenza pacemaker Wafaka

Olu tyando ithathwa ngokuba kancinane yeli lizwe, njengokuba kubhaliwe eyenziwe ukusikwa ezincinane. Okokuqala, lo gqirha ufaka catheter kuloo ndlela subclavian naphantsi kolawulo lwe X-ray icwangcisa electrode ukuya kummandla ezinqwenelekayo kwentliziyo. Emva kokuba kuqaliswe boluvo ayasekwa ibhokisi ezayo esihlunwini enkulu pectoralis efakiweyo ipacemaker kwentliziyo. Olu tyando iphela kunye nokubekwa yaseZimbabwe ezininzi apha esikhumbeni.

Emva koko, ifowuni iqalisa ukusebenza kwaye yenza pulses ngokuxhomekeke izinga lokulusebenzisa kwabo ngokufanelekielyo. Nokucutha umngcipheko arrhythmias ziya ntliziyo wentliziyo, apho akukho Izimo.

Indlela yokuphila yesigulana emva kotyando

Ubomi kwesincedisi- umisela imiqathango ethile kwi ogulayo, nangona serious, ke, ibalulekile intsebenziswano echanekileyo rhoqo kwesi sixhobo.

Okokuqala, kufuneka ikhunjulwe malunga nemigaqo zeemviwo umzimba lo mgaqo esekelwe kwi intshukumo isimaphambili se intsimi magnetic okanye ngoku. Kucetyiswa ukuba usebenzise CT scan okanye ultrasound umguli lowo ipacemaker intliziyo. Izimo ulandise intlokoma umfanekiso Imagnethi yomhlaba kunye defibrillation bangaphandle, kunye radiotherapy lithotripsy. Xa echocardiography kufuneka lazise ugqirha malunga isixhobo esifakelweyo, ekubeni hit ngqo kunokubangela uphazamiseko.

Isigulana ngasinye ikhutshwa noxwebhu uxwebhu ethile nomonde, nto leyo ingenisa pacemaker. Olu xwebhu luqulethe ulwazi malunga imodeli izixhobo lusekiwe, umhla umzila kunye omalunga nexesha replacement ibhetri. Kuba abantu baye phesheya, loo maxwebhu afunekayo xa idlula masiko ukulawula kwizikhululo zeenqwelo-moya.

Fiznagruzok idosi kufuneka ibe omncinane kodwa rhoqo. Kwinyanga yokuqala yemisebenzi yasekhaya ukukhanya isincomo, kusasa imithambo ucoceko, elifutshane uhamba ngumoya. Kamva ukwandisa ngcembe imo ukwandisa nokunganyamezelwa ntshikilelo. Ukuba isigulana phambi kokuba ukusebenza abandakanyeke ukudada okanye intenetya, nama-ezintandathu kweenyanga, unako inokuphinda umgangatho wayo yengqesho. Kwangaxeshanye, qiniseka ukuba esweni izinga lentliziyo kunye noxinzelelo lwegazi. Ukuba uphawula ukuphazamiseka, ukuphelelwa umoya, isiyezi kunye ubuthathaka jikelele - qhagamshelana nogqirha wakho.

inxeba Postoperative nokubuka yakhe

Ixesha kakhulu kakhulu na iintsuku ezisi-7 emva kotyando. lo
Oku wayeyixhalabele kunye imo amanxeba post-operative. Iintsuku zokuqala 5-7 isigulana esibhedlele ukubeka esweni ukusebenza stimulator umbane. Yonke imihla bandaging zabanjwa kunye yangasese nxeba. Sutures zisuswa kwi-6 - umhla wesi-7. Emva ukususwa sutures 7 iintsuku ezingaphezulu isigulane kufuneka kuncitshiswe umthwalo ezisekupheleni aphezulu ngokuthi likhuphe le nezixhobo ezifakiweyo. imisebenzi enjalo yenziwa ukuze kudaleke: kukuqulungana oqolileyo, nto leyo ukumelana umsebenzi ngokwesiqhelo.

yokudla

Kuba izigulane wasinika ukutya ukutya, hilaha ku yegazi. Ukutya inombolo 10 lithethelela umda amafutha ezilwanyana siyiguqulela ngenxa oyile yemifuno (zikajongilanga, linseed, yomnquma), ukutya ukuba ahlanganiswe ifayibha kunye neeproteni ze imvelaphi zezityalo. It ayinqweneleki ukusebenzisa zizityebi umhluzi, inyama ngetyuwa neentlanzi, anciphise izitya umgubo. Kufuneka kwakhona umda ulwamkelo ikofu, iti eyomeleleyo, ekubeni ezi kuthelwa mziba e-nervous system kwaye kungabangela arrhythmia. Kuba ukhetho oluchanekileyo ekutyeni kufuneka afune uncedo isazi okanye, kungenjalo, ukuze zingabandakanywa ukutya esalelweyo ngokupheleleyo.

uxilongo lwezonyango

Kuxhomekeke ekubeni awunalo naziphi na izikhalazo, uviwo lokuqala lonyango kufuneka wenziwe ngenyanga. Officer Medical wonyula uvavanyo lwegazi, ECG kunye coagulation, leyo ke iisaveyi ezisisiseko. Kwixa elizayo, kufuneka uye kwagqirha ngeenyanga ezi-3, zizi ziphindwe qho emva kweenyanga ezintandathu 1. Utyelelo ezinjalo kufuneka ze uvumele ulawulo olungcono umsebenzi ipacemaker kunye izihlunu intliziyo yakho.