Izindleko Zokuhlinza I-Pacemaker

I-pacemaker iyisisetshenziswa sikagesi esincane, esifakwe ngaphansi kwesikhumba eduze kwethambo lenhliziyo, esisebenza ukulawula ukushaya kwenhliziyo. Yakhiwe ngejeneretha yokushaya kwenhliziyo exhunywe ngomthofu noma izintambo ezingena ngokuqondile emithanjeni engaphakathi enhliziyweni, ekhipha amagalelo kagesi ukuze iqhubeke ishukumise imisipha yenhliziyo ukuba ifinyeze futhi ijubane. Kodwa-ke, asetshenziswa kakhulu ukwenza ukushaya kwenhliziyo okungajwayelekile okubizwa ngokuthi yingakhob. Lokhu kuhlinzwa okuncane kuthatha cishe amahora angu-1 kuya kwangu-2.

Ubani Odinga I-Pacemaker?

Ama-Pacemaker atuswa ezigulini ezishaya inhliziyo kancane kakhulu noma okungajwayelekile ukuthi zihlinzeke ngezidingo zegazi elijikelezayo. Izimo ezingase zidinge i-pacemaker zihlanganisa:

• I-Bradycardia: I-Bradycardia yisimo sezokwelapha esivame kakhulu esidinga i-pacemaker. Ngokuyisisekelo, kusho ukuthi ukushaya kwenhliziyo kuhamba kancane kakhulu noma akuvamile ukuhlangabezana nezidingo zomzimba phakathi nemisebenzi evamile.
• I-Heart block: A inhliziyo block kwenzeka lapho umfutho kagesi uhamba kancane kakhulu noma ungafiki kuyo yonke inhliziyo. Lokhu kungabangela ukushaya kwesigqi senhliziyo.
• I-Arrhythmias: Izigqi zenhliziyo ezingavamile ziphazamisa ukugeleza kwegazi futhi kungabangela izinkinga.
• Ukuguga noma isifo senhliziyo: Ukuguga noma isifo senhliziyo kungalimaza ikhono le-sinus node yakho ukusetha izinga elifanele lokushaya kwenhliziyo yakho. Umonakalo onjalo ungabangela isigqi senhliziyo esihamba kancane kunesivamile noma ikhefu elide phakathi kokushaya kwenhliziyo.
• I-Atrial fibrillation: I-Atrial fibrillation yilapho ukufinyela okusheshayo, okungajwayelekile kwenzeka emakamelweni angaphezulu enhliziyo. I-Atrial fibrillation ingase idinge i-pacemaker njengengxenye yokwelashwa kwayo.

Iziguli ezithola izimpawu ezinjengokuquleka, ukuphelelwa umoya, noma ukukhathala ngenxa yalezi zimo zingase zibe abantu abazofakelwa i-pacemaker.

Izinhlobo Zokuhlinza Kwenhliziyo

Uhlobo lwe-pacemaker ongase uludinge luzoncika kuzimpawu zakho kanye nohlobo lwesimo senhliziyo onaso:

• I-Single-Chamber Pacemaker: Lolu hlobo lunomthofu owodwa (intambo) exhunywe ku-atrium (igumbi eliphezulu) noma i-ventricle (igumbi elingaphansi) lenhliziyo. Lokhu kusetshenziselwa kakhulu iziguli ezifuna ukwesekwa kokuhamba kancane kuma-ventricle azo angakwesokudla kuphela.
• I-Dual-Chamber Pacemaker: Le divayisi inemikhondo emibili, eyodwa iya ku-atrium engakwesokudla kanye ne-ventricle engakwesokudla-womabili amagumbi angakwesokudla senhliziyo yakho. Udokotela uzohlela i-dual-chamber pacemaker ukuze abeke izinga lokufinyela kuwo womabili amakamelo.
• I-Biventricular Pacemaker (I-Cardiac Resynchronization Therapy (CRT)): Lesi simiso senhliziyo sibizwa ngokuthi idivayisi yokwelapha yokuvumelanisa inhliziyo kabusha, futhi sinemikhondo emithathu: eyodwa ye-atrium engakwesokudla kanti enye emibili yawo womabili ama-ventricles. Isetshenziselwa ukwelapha iziguli ezine-arrhythmia ebangelwa ukuhluleka kwenhliziyo okuthuthukisiwe.

Ziyini Izindleko Zokuhlinza I-Pacemaker e-India?

I-India isiphenduke enye yezindawo ezithandwa kakhulu ezokuvakasha kwezokwelapha emhlabeni wonke ngenxa yekhwalithi ephezulu, nezindleko eziphakeme zezempilo ezisezingeni eliphezulu ezweni. Ngakho-ke, izindleko zokuhlinzwa kwe-pacemaker zizohluka kuye ngezici ezifana nohlobo lwe-pacemaker esetshenzisiwe, idumela lesibhedlela, imali kadokotela ohlinzayo, nezinye izinkinga zezokwelapha. Izindleko ezimaphakathi zokuhlinzwa kwe-pacemaker zingahluka kusuka ku-Rs 1,80,000 kuya ku-Rs 3,50,000 e-India. Idivayisi izobiza noma yini phakathi kwama-Rs.45,000 kuya ku-Rs.3,00,000. Nokho, amanani angahluka kuye ngezibhedlela ezisemadolobheni ahlukene.

Izinto Ezinomthelela Ezindlekweni Zokuhlinza I-Pacemaker

Kunezici eziningana ezithonya izindleko eziphelele zokuhlinzwa kwe-pacemaker:

• Uhlobo lwePacemaker: Imodeli ye-pacemaker iyisici esisodwa esikhulu sezindleko zayo zizonke. Ama-pacemaker asezingeni eliphezulu, anezici noma imisebenzi eyinkimbinkimbi, azoba nokuhlinzwa okuyinkimbinkimbi futhi ngaleyo ndlela kube nezindleko eziphakeme zokufakelwa kwe-pacemaker.
• Izindleko Zesibhedlela: Izindleko ngendawo yokuhlala yazo zonke izibhedlela, ukusetshenziswa kwemishini, kanye nezinsizakalo zabasebenzi ziyehluka. Lokhu kungancika esimeni sesikhungo, ingqalasizinda yaso, kanye nezinsiza ezihlinzekwayo, okubuye kukhombise umehluko wezindleko zizonke phakathi kwezikhungo ezahlukene.
• Izimali Zokuhlinza: Odokotela abahlinzayo abanolwazi abanamakhono akhethekile nekhono ezinqubo zenhliziyo bangakhokhisa imali ephakeme ngezinkonzo ezihlinzekiwe. Idumela likadokotela ohlinzayo, iziqu, neminyaka yokuhlangenwe nakho kungase kube izici ezinqumayo ezindlekweni zezinqubo zokuhlinzwa.
• Izinkinga Zezokwelapha: Noma yikuphi ukwelashwa okwengeziwe noma izinqubo ezidingekayo ngenxa yezinkinga zinganyusa izindleko zizonke.
• Ukunakekelwa Kwangaphambi Kokuhlinzwa: Ukuhlolwa kokuxilonga ngaphambi kokuhlinzwa kanye nokubonisana kubalulekile ekuhloleni isimo sempilo yesiguli. Ukuhlola okunjalo kwangaphambi kokusebenza nakho kuzokwengeza ezindlekweni zizonke.
• Ukunakekelwa Kwangemva Kokuhlinzwa: Ama-aphoyintimenti okulandelela kanye nemithi ngemva kokufakwa kunomthelela emalini yonke.

Iziguli ezicabangela ukuhlinzwa kwe-pacemaker e-India kufanele zibambe iqhaza kulokhu okuguquguqukayo futhi zithintane nabahlinzeki bezempilo ukuze zithole isilinganiso sezindleko esiphelele.

Kungani Kudingeka Ukuhlinzwa Kwenhliziyo Yenhliziyo?

Ukuhlinzwa kwe-Pacemaker kungenye yezindlela zokwelapha ezibaluleke kakhulu zokuphazamiseka okukhulu kwesigqi senhliziyo ezigulini ezinezifo ezingakwazi ukulawulwa ngemithi. Imigomo eyinhloko yokufakwa kwe-pacemaker imi kanje:

• Ngokulawula ukushaya kwenhliziyo, ama-pacemaker akhulula izimpawu isiyezi, ukuquleka, nokukhathala nokusiza abantu ukuba baphile impilo ematasa.
• Ukushaya kwenhliziyo okuvamile kunciphisa izinkinga ezimbi kakhulu ezibangelwa ama-arrhythmias, njengokushaywa unhlangothi noma ukuhluleka kwenhliziyo.
• Ama-Pacemaker aklanyelwe ukunikeza izixazululo ezihlala isikhathi eside, ahlinzeke ngokuqapha okuqhubekayo nokulungiswa njengoba kudingeka ukuze kuqinisekiswe ukusebenza kahle kwenhliziyo.

Yiziphi Izingozi Ezihambisana Nokuhlinzwa Kwenhliziyo Yenhliziyo?

Nakuba zimbalwa izingozi ezihlobene nezinqubo ze-pacemaker, xoxa ngazo nodokotela wakho ukuze wazi ukuthi yini engenzeka. Ubungozi obuhambisana nakho bungabandakanya:

• Ukutheleleka: Kunengozi encane yokutheleleka endaweni yokuhlinzwa noma eduze kwemithombo ye-pacemaker.
• Ukungezwani nomzimba: Lokhu kungase kube umphumela womuthi owunikiwe noma ungase uguliswe enye yezinto ezisetshenziswa ku-pacemaker ngokwayo.
• Ukopha noma I-Hematoma: Ezinye izingozi zihlanganisa ukopha noma ukwakheka kwe-a ihluli (hematoma) ngesikhathi nangemva kokuhlinzwa.
• Ukulimala Kwezitho Eziseduze: Akuvamile, ukuhola kungabangela ukulimala emithanjeni yegazi eseduze noma izinzwa.
• Ukungasebenzi Kwedivayisi: Nakuba kuvamile, ukungasebenzi kahle kwe-pacemaker noma ukukhishwa komthofu kungase kwenzeke, okudinga ukubuyekezwa kokuhlinzwa noma ukushintshwa.
• Izinkinga ezingalindelekile ngesigqi senhliziyo: Abanye abantu baba nezinkinga zesigqi senhliziyo, ezimweni ezingavamile, ngenxa ye-pacemaker. Udokotela wakho uzoxoxa nawe ngalezi zingozi futhi achaze izinyathelo ongazithatha ukuze uzinciphise.

Disclaimer

Imininingwane yezindleko nezilinganiso ezinikezwe kule webhusayithi ezezinjongo zokwaziswa kuphela futhi zisekelwe ezimweni ezimaphakathi. Azihlanganisi isilinganiso esinqunyiwe noma isiqinisekiso sezindleko zokugcina.

Izibhedlela ze-CARE azimeli noma azikukhuthazi ukuqiniseka kwalezi zibalo zezindleko. Izindleko zakho zangempela zizohluka ngokuya ngohlobo lokwelashwa, izinsiza ezikhethiwe noma izinsizakalo, indawo yesibhedlela, impilo yesiguli, ukuhlinzekwa komshwalense, kanye nezidingo zezokwelapha ezinqunywe udokotela wakho. Ukusebenzisa kwakho okuqukethwe kwale webhusayithi kusho ukuthi uyakwamukela futhi wamukele lokhu kuhlukahluka nokuthi noma yikuphi ukuthembela ezindlekweni ezilinganiselwe kuzifaka engozini ngokwakho. Ukuze uthole ulwazi lwezindleko lwamanje kakhulu nolwenzelwe wena siqu, sicela usithinte ngokuqondile noma usishayele.

Imibuzo Evame Ukubuzwa

Q1. I-pacemaker ihlala isikhathi esingakanani?

Izimpendulo. I-Pacemaker ingasebenza iminyaka emi-5 kuye kweyi-15, kuye ngokusetshenziswa nohlobo lwedivayisi esetshenzisiwe. Ukuvakashela udokotela ukuze ulandelelwe njalo kuzosiza ekuhloleni isimo sayo sokusebenza kanye nenani lebhethri elisele kanye nokuqinisekisa ukushintshwa ngokushesha lapho kudingeka.

Q2. Ingakanani iminyaka yobudala ye-pacemaker?

Izimpendulo. Awukho umkhawulo weminyaka othize we-pacemaker. Ingasetshenziswa kunoma yisiphi isiguli kungakhathaliseki ubudala, kusukela kosana kuya esigulini esikhulile, njengoba ukufakwa kwayo kuncike esimweni sezokwelapha somuntu ngamunye. Ngakho isinqumo sizobe sisekelwe empilweni jikelele yesiguli kanye nokuba khona kwesimo esithile senhliziyo.

Q3. Ingabe impilo ijwayelekile ngemva kwe-pacemaker?

Izimpendulo. Yebo, umuntu angaphila ukuphila okuvamile nge-pacemaker. Iningi labo libuyela emisebenzini evamile, ehlanganisa ukuzivocavoca, ukusebenza, noma ukuhamba, nokho, ukuguqulwa kwendlela yokuphila kanye nokuhlolwa kwezokwelapha ngezikhathi ezithile kufanele kunakekelwe ukuze idivayisi isebenze kahle.

Q4. Inhliziyo eshaya inhliziyo idingeka ngaliphi izinga?

Izimpendulo. Yebo, umuntu angaphila ukuphila okuvamile ngokufakwa kwe-pacemaker. Abaningi babo babuyela emisebenzini evamile, ukuzivocavoca, umsebenzi, nokuhamba. Kodwa-ke, ezinye izinguquko endleleni yokuphila yesiguli kanye nokulandelwa nodokotela kuyadingeka ukuze kulandelelwe ukusebenza kwedivayisi ngendlela efanele.

Q5. Yini okufanele uyigweme nge-pacemaker?

Izimpendulo. Gwema izindawo eziphakeme kazibuthe nezikagesi, njengalezo ezikhiqizwe imishini ye-MRI, amashisela ezimbonini, neminye imishini enamandla kakhulu. Gcina wonke amadivaysi e-elekthronikhi okungenani ama-intshi ayisithupha kude nesayithi le-pacemaker emzimbeni wakho. Xoxa nganoma iyiphi inqubo yezokwelapha nodokotela wakho kusengaphambili uma uzochayeka emishinini kagesi phakathi kwayo.