Gyarawa mai juyawa-defibrillator

Abun da za'a iya dasawa a zuciya-defibrillator (ICD) shine na'urar da take gano duk wata barazanar rai, saurin bugun zuciya. Wannan bugun zuciya mara kyau an kira shi arrhythmia. Idan ya faru, ICD da sauri yana aika turaran lantarki zuwa zuciya. Girgizar ta canza rhythm din ta koma yadda take. Wannan shi ake kira defibrillation.

Anyi ICD daga waɗannan sassan:

• Injin bugun bugun jini ya kai girman girman agogon aljihu. Ya ƙunshi batir da da'irorin lantarki waɗanda ke karanta aikin lantarki na zuciyar ku.
• Wayoyin sune wayoyi ne, wanda kuma ake kira jagoranci, wanda ke bi ta jijiyoyinka zuwa zuciyar ku. Suna haɗa zuciyarka da sauran na'urar. ICD ɗinka na iya samun 1, 2, ko 3 wayoyi.
• Yawancin ICDs suna da ginanniyar bugun zuciya. Zuciyarka na iya buƙatar buguwa idan tana bugawa da sauri ko sauri, ko kuma idan ka sami damuwa daga ICD.
• Akwai nau'ikan ICD na musamman da ake kira ICD. Wannan na'urar tana da gubar da aka sanya a cikin nama zuwa hagun kashin ƙirji maimakon a cikin zuciya. Wannan nau'in ICD din ba zai iya zama bugun zuciya ba.

Kwararren likitan zuciya ko likitan likita galibi zai sanya ICD ɗinka lokacin da kake farka. Yankin bangon kirjin da ke kasan kashin wuyan ku zai kasance tare da maganin sa barci, don haka ba za ku ji zafi ba. Dikita zai yi wa mutum rauni (yankewa) ta cikin fata kuma ya samar da sarari a ƙarƙashin fata da tsoka ga janareta na ICD. A mafi yawan lokuta, ana yin wannan sarari kusa da kafadar hagu.

Likita zai sanya wutan lantarki cikin jijiya, sannan cikin zuciyar ka. Ana yin wannan ta amfani da x-ray na musamman don gani a cikin kirjin ku. Sannan likita mai fiɗa zai haɗa wayoyin zuwa janareto na bugun jini da na'urar bugun zuciya.

Hanyar mafi yawan lokuta yakan ɗauki awanni 2 zuwa 3.

Wasu mutanen da ke da wannan yanayin za su sami wata na'ura ta musamman wacce ta haɗu da defibrillator da na'urar sanyaya zuciya mai inganci. Na'urar bugun zuciya ta taimaka wa zuciya don bugawa a cikin daidaitaccen salon.

An sanya ICD a cikin mutanen da ke cikin haɗarin haɗarin mutuwar zuciya ba zato ba tsammani daga mummunan yanayin zuciya wanda ke barazanar rai. Wadannan sun hada da tachycardia mai kwakwalwa (VT) ko kuma fibrillation na ventricular (VF).

Dalilan da ka iya zama cikin babban hadari sune:

• Kun taɓa yin lokuttan ɗayan waɗannan mawuyacin yanayi na zuciya.
• Zuciyarka tayi rauni, tayi girman gaske, kuma bata fitar da jini sosai. Wannan na iya zama daga bugun zuciya na farko, gazawar zuciya, ko bugun zuciya (cututtukan zuciya).
• Kuna da nau'in cututtukan haihuwa (yanzu a lokacin haihuwa) matsalar zuciya ko yanayin lafiyar kwayoyin halitta.

Hadarin ga kowane tiyata shine:

• Jinin jini a kafafu wanda na iya tafiya zuwa huhu
• Matsalar numfashi
• Ciwon zuciya ko bugun jini
• Maganin rashin lafia ga magunguna (maganin sa barci) da akayi amfani dashi yayin aikin tiyata
• Kamuwa da cuta

Matsaloli da ka iya faruwa ga wannan tiyata sune:

• Ciwon rauni
• Rauni ga zuciyarka ko huhu
• Harshen zuciya mai hatsari

Wani lokaci ICD yana ba da damuwa ga zuciyarka lokacin da BAKA buƙatar su. Kodayake wata damuwa ta ɗauki ɗan gajeren lokaci, za ka iya ji a mafi yawan lokuta.

Wannan da sauran matsalolin ICD wasu lokuta ana iya hana su ta canza yadda aka tsara ICD ɗin ku. Hakanan za'a iya saita shi don yin sautin faɗakarwa idan akwai matsala. Likitan da ke kula da kulawar ku na ICD na iya tsara na'urar ku.

Koyaushe fadawa mai ba da lafiyar ka waɗanne irin ƙwayoyi kake sha, har da magunguna ko ganye da kuka saya ba tare da takardar sayan magani ba.

Ranar da za a fara tiyata:

• Bari mai ba da sabis ya san game da duk wani sanyi, mura, zazzaɓi, ɓarkewar ƙwayoyin cuta, ko wata cuta da za ka iya samu.
• Shawa da shamfu da kyau. Ana iya tambayarka ka wanke duk jikinka a wuyanka da sabulu na musamman.
• Haka nan ana iya tambayarka ka sha maganin rigakafi, don kiyaye kamuwa da cuta.

A ranar tiyata:

• Yawanci za a umarce ku kada ku sha ko ku ci wani abu bayan tsakar dare daren da za a yi tiyatar ku. Wannan ya hada da tauna danko da mints na numfashi. Kurkuya bakinka da ruwa idan yaji bushe, amma ka kiyaye karka hadiye.
• Theauki magungunan da aka ce ka sha tare da ɗan shan ruwa kaɗan.

Za a gaya muku lokacin da za ku isa asibiti.

Mafi yawan mutanen da aka dasa musu ICD suna iya komawa gida daga asibiti a cikin kwana 1. Mafi yawa suna komawa zuwa matakin ayyukansu na yau da kullun. Cikakken dawowa yana ɗaukar makonni 4 zuwa 6.

Tambayi mai ba ku sabis nawa za ku iya amfani da hannun a gefen jikinku inda aka sanya ICD. Ana iya ba ka shawarar kar ka daga wani abu da ya fi nauyin fam 10 zuwa 15 (kilogram 4.5 zuwa 6.75) kuma ka guji turewa, ja, ko murza hannunka tsawon makonni 2 zuwa 3. Hakanan za'a iya gaya maka kada ka ɗaga hannunka sama da kafaɗarka har tsawon makonni.

Lokacin da kuka bar asibiti, za a ba ku katin da za ku ajiye a cikin walat ɗin ku. Wannan katin yana lissafin bayanan ICD ɗinka kuma yana da bayanan tuntuɓar don gaggawa. Ya kamata koyaushe ku ɗauki wannan katin walat tare da ku.

Kuna buƙatar bincika yau da kullun don a iya sa ido akan ICD ɗin ku. Mai ba da sabis zai bincika don ganin idan:

• Na'urar tana hango bugun zuciyarka daidai
• Guda nawa aka kawo
• Yaya ƙarfin da ya rage a cikin batura.

ICD ɗinka zai ci gaba da lura da bugun zuciyarku koyaushe don tabbatar da cewa suna tsaye. Zai sadar da damuwa ga zuciya yayin da take jin sautin barazanar rai. Yawancin waɗannan na'urori kuma zasu iya aiki azaman na'urar bugun zuciya.

ICD; Defibrillation

• Angina - fitarwa
• Angina - lokacin da kake da ciwon kirji
• Magungunan Antiplatelet - Masu hanawa P2Y12
• Asfirin da cututtukan zuciya
• Butter, margarine, da man girki
• Cholesterol da rayuwa
• Kula da hawan jini
• An bayyana kitsen abincin
• Abincin abinci mai sauri
• Ciwon zuciya - fitarwa
• Ciwon zuciya - abubuwan haɗari
• Rashin zuciya - fitarwa
• Yadda ake karanta alamun abinci
• Cincin gishiri mara nauyi
• Rum abinci
• Kula da rauni na tiyata - a buɗe

• Gyarawa mai juyawa-defibrillator

Al-Khatib SM, Stevenson WG, Ackerman MJ, et al. Jagoran 2017 AHA / ACC / HRS don kula da marasa lafiya tare da cututtukan zuciya da hana rigakafin mutuwar zuciya kwatsam: rahoto na Kwalejin Kwalejin Cardiology ta Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka kan Sharuɗɗan Ayyukan Clinical da Rungiyar Rhythm Society. J Am Coll Cardiol. 2018: 72 (14): e91-e220. PMID: 29097296 pubmed.ncbi.nlm.nih.gov/29097296/.

Epstein AE, DiMarco JP, Ellenbogen KA, et al. 2012 ACCF / AHA / HRS mayar da hankali sabuntawa da aka sanya a cikin jagororin ACCF / AHA / HRS 2008 don maganin tushen kayan aiki na cututtukan cututtukan zuciya: rahoto na Kwalejin Kwalejin Cardiology ta Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka a kan jagororin aiki da Zuciyar Zuciya Al'umma. J Am Coll Cardiol. 2013; 61 (3): e6-e75. PMID: 23265327 pubmed.ncbi.nlm.nih.gov/23265327/.

Miller JM, Tomaselli GF, Zipes DP. Far don cututtukan zuciya na zuciya. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: babi na 36.

Pfaff JA, Gerhardt RT. Ofimar na'urori masu dasawa. A cikin: Roberts JR, Custalow CB, Thomsen TW, eds. Hanyoyin Clinical na Roberts da Hedges a cikin Magungunan gaggawa da Kulawa Mai Girma. 7th ed. Philadelphia, PA: Elsevier; 2019: sura 13.

Swerdlow CD, Wang PJ, Zipes DP. Masu ɗaukar hoto da masu dasawa da maɓallin bugun jini. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: babi na 41.