Makina amenewa - ndi chiyani ichi? Mfundo ntchito mitundu ya

Chaka chilichonse zochitika za kuvutika mtima zikuchulukirachulukira, ndipo mwatsoka, m'mayiko ambiri, matenda awa ndi chifukwa utsogoleri wa imfa. Ndipo mavuto mtima uka osati okalamba, komanso achinyamata. World Medicine akuyesera njira zosiyanasiyana kuthana ndi pathologies pogwiritsa ntchito zipangizo zamakono, ndipo pa umphawi wadzaoneni moyembekezera opaleshoni. chipangizo monga Makina amenewa ndi madokotala ntchito kupulumutsa miyoyo ndi thanzi akubwerera.

Ndi chiyani icho?

Makina amenewa - chipangizo wapadera, ndi yochepa zotsatira pa mtima wamphamvu zikhumbo magetsi. Pa kuphedwa kwa njirayi pali yovuta misa depolarization a minofu mtima, chifukwa mu arrhythmia kuchotsedwa. Pamwamba pa zonse, kugwiritsa ntchito chipangizo izi zimathandiza maselo achilengedwe a mfundo nkusani kubwerera mtima kayendedwe yachibadwa. Cholinga cha Makina amenewa ndi kuteteza matenda pafupipafupi chidule ndi zosangalatsa za minofu mtima.

Field ya ntchito Makina amenewa ndi

The zikuonetsa chachikulu ntchito chipangizo - arrhythmia ndi fibrillation yamitsempha yamagazi. Ndondomeko mpweya makina sikuti kuthandiza kutembenuza matenda fibrillation kuti nkusani mungoli zimenezi madokotala ayamba Makina amenewa ndi.

Today Makina amenewa - ndi chipangizo zofunika, logwiritsidwa ntchito osati thanzi komanso m'masukulu, m'mapaki, maofesi ndi zina zotero. Ndipotu, munthu nthawi iliyonse ndiponso malo alionse zingachitike kuphwanya ntchito mtima, ndipo adzapulumutsa yekha mothandizidwa ndi chipangizo chotero.

Mfundo ntchito chipangizo zachipatala

Makina amenewa - chipangizo chimene amatha ngati polojekiti ndi, liwulo nthenda mtima mungoli. M'pofunika kubwezeretsa yachibadwa tokhala waukulu thupi. Mu zitsanzo zambiri za defibrillators pano ntchito zingapo:

• Cardioversion. Ali wopanikizika, kuphwanya mtima pogwiritsa ntchito mantha magetsi ndi mphamvu otsika.
• Kukondoweza ndi bradycardia. pulogalamu amalola vuto la mtima osowa kutumiza yaing'ono zikhumbo magetsi kukhalabe kayimbidwe kotani yachibadwa.
• Uyambenso. Kwa iye anayamba pamene mtima ukugunda kwambiri kudya. chipangizo akumasula mkulu mphamvu panopa, potero anaukitsa kugunda.
• Antitahikardialny peysing. The chipangizo mu mode izi atumiza kwa minofu mtima, ang'ono zikhumbo zamagetsi ku matenda mungoli lapansi.

Kapangidwe ka Makina amenewa masiku ano

chipangizo Izi zida ndi maelekitirodi wapadera zotsatira transthoracic panopa ndi mwachindunji pa minofu mtima. Amakhala ndi zigawo izi: a naupereka, ndi capacitor kapena kusunga mphamvu wagawo, ndi kumaliseche dera la. Komanso, ena defibrillators Komanso okonzeka ndi chipangizo wapadera kardiosinhronizatsii.

mphamvu zonse mwa zipangizozi mankhwala ikuchitika ndi AC ochiritsira. Pali zipangizo zomwe mpata nauza ku misewu adakwera a galimoto ambulansi kapena m'mabuku. Mwachangu ntchito zawo kumatengera zifukwa zotsatirazi: makonzedwe a maelekitirodi, ndi mphamvu kumaliseche ndi nthawi amanena wachibale ku dzidzira kwa kuzungulira mtima.

mitundu defibrillators

Zipangizo, kuchepetsa fibrillation mtima, pali mitundu yosiyanasiyana:

• Makinawa Makina amenewa - azindikire mtima matenda, kenako chimakulimbikitsani ndi woyendetsa kuti n'kusiya ntchito. Kuchita uyambenso choyamba muyenera kuyatsa wagawo ndi, n'kudziphatika maelekitirodi pachifuwa pa wodwalayo komanso akanikizire batani ankafuna. Kugwira ntchito ndi iwo sikutanthauza luso kotero ndondomeko chithandizo simungathe ngakhale ogwira ntchito zaumoyo, ndi Mwachitsanzo, magulu masewera, mabogi, lifeguards, ndege anyamata, aphunzitsi ndi zina zotero.
• Implantable Makina amenewa - chipangizo osiyana ndi ena amakhazikitsa miyeso yake yaying'ono. Amagwiritsidwa ntchito kawirikawiri molumikizana ndi pacemaker kwa odwala matenda aakulu mtima.
• Professional Makina amenewa ndi ulamuliro Buku, ali mapulogalamu kutero. kumaliseche magetsi umadutsa maelekitirodi chotero chipangizo monga zitsulo. Asanayambe kugwira uyambenso iwo mbamuikha molimbira kuti thupi la wodwalayo.

Wina zipangizo ngati mankhwala amasiyana magawo kwaiye nyemba. Kuchokera pa makhalidwe amenewa, defibrillators kungakhale monophasic kapena biphasic. Yotsirizira tsopano n'zosatheka kupeza pa msika yaikulu monga zipangizo ochititsa kuti zambiri efficiently, kotero iwo pang'onopang'ono m'malo monopolar.

Kodi ntchito ndi Makina amenewa ndi?

Musanagwiritse ntchito zipangizozi ayenera kuwerenga bwinobwino malangizo a m'munsili izo. Makina amenewa ankaloledwa kugwiritsa ntchito kokha pamene munthu kutali zinthu, kuchititsa panopa, ndi pa lathyathyathya pamwamba.

Ngati uyambenso m'pofunika kutsatira malamulo onse chitetezo. Pa mwadzidzidzi ayenera kukhala modekha ndi mofulumira popanda kuda nkhawa. Akuyendera kuthandiza wodwala mu swoon, inu ayenera kuonetsetsa kuti ali ndi zimachitika ndipo kupuma. Ndiye m'pofunika itanani ambulansi, chifukwa popanda thandizo la madokotala mwayi bwino kuchita kuwatsitsimula ndi otsika kwambiri.

Chitani uyambenso mungathe isanafike madokotala, kuti kutaya nthawi wapatali. Kukhazikitsa ake ayenera kuchotsa zovala kunja kwa wodwalayo ndipo anaikidwa pachifuwa pa maelekitirodi chipangizo malinga ndi malangizo. Khungu la munthu mu nkhani iyi ayenera kukhala wouma. Kuchepetsa kukana wa khungu, ndi bwino ntchito phala electrically conductive. Pofuna kupewa amayaka ndipo kuchepetsa kulimbikira kwa elekitirodi ayenera mbamuikha mwamphamvu thupi la wodwalayo.

Pamene kumaliseche kwa musakhudze mapepala zitsulo elekitirodi ndi achiwembu. Pachifukwa ichi ndi chiwerengero cha anthu ayenera kupita kutali ndi kutali ndithu. Pa uyambenso m'mapapo mpweya Sikuti kuchita. Kumaliseche zida anachita kamodzi, kachiwiri zimachitika imagwiridwa ndi mavuto amodzimodzi ndi kuwonjezeka mayunitsi ochepa.

Popular zitsanzo. Makina amenewa "DKI-N-10" - chipangizo yotentha

Izi wagawo m'banja otchuka kwambiri. Zimafuna: gawo kunyamula ana ndi akulu maelekitirodi, batire zochotseka ndi naupereka kwa iwo. Amafotokozera woyamba lakonzedwa ngati polojekiti kuti chimasonyeza zokhudza ntchito chipangizo ndi ntchito za mtima wodwala.

Makina amenewa, polojekiti ndi kunyamula, kotero lofotokozabe zothekera zonse za zipangizo akatswiri. Pamene inu ntchito ndi iwo mungagwiritse ntchito chimakulimbikitsani mawu. The LCD anasonyeza limasonyeza zinthu zonse mmene pochitika chochitika zachipatala. Mu chipangizo pali chosindikizira Integrated, wakupatsani mwamsanga kufalitsa magawo kutero.

Makina amenewa "DKI" ntchito osati mabungwe zachipatala ndipo ntchito ndi magulu yam'manja. chipangizo zatithandiza mode ziyenera a kugunda kwa mtima, ndipo ngakhale osiyana ECG njira.

Chipangizo "DKI-H-11"

chipangizo otere anafuna zotsatira achire pa thupi la munthu waukulu limodzi biphasic kumaliseche transthoracic maelekitirodi. Makina amenewa "Axion" - kupitiriza angapo zipangizo "DKI-N-10", koma ndi bwino magwiridwe. Bwino chitsanzo imathandiza madokotala kuchita ndi AKUYENDA kunja. Ubwino wa zipangizo "DKI-N" ndi:

• kutsatira inapita mphamvu phindu;
• thandizo wapakamwa za ndondomeko ya chipangizo ndi woyendetsa zochita;
• mlandu wa mabatire awiri;
• n'kupanga ochititsa kuti zimachitika kukhudzana;
• anamanga-chosindikizira matenthedwe.

NKHANI ICD ICD

makina onga mankhwala opangidwa zazikulu yaing'ono. Iwo anayikidwa mu chifuwa kuchepetsa chiopsezo cha imfa kuphwanya mlingo wa yamitsempha yamagazi, potero kuchepetsa chiopsezo cha matenda a mtima. chipangizo china ofanana ndi amene anapatsa anthu ndi tachycardia yamitsempha yamagazi, zikubweretsa matenda magazi ndipo ngakhale mtima kumangidwa.

Cardioverter-Makina amenewa ndi ICD, nthawi anapatsa pansi mankhwala oletsa ululu pamalopo. chipangizo ndi anapatsa pansi phewa, pa nthawi yomweyo akutuluka izo maelekitirodi anayikidwa mwachindunji mu mtima. Nthawi ntchito limatenga 2 hours.

Cardiologist anayambitsanso maelekitirodi pa khosi m'munsi kapena mtsempha paphewa. Iye amaika waya m'chipinda mtima, chipangizo kutsatira kuti muzisonyeza X-ray a udindo wake, ndipo kenako konzani ulusi ndi zikugwirizana ndi pacemaker anaika mu malo pakati pa chifuwa minofu ndi khungu. Ndiye katswiri limafufuza ntchito makina, ngati chirichonse chiri mu dongosolo, ndiye angaŵile mpaka ang'ambe thupilo.

Pogula chipangizo monga Makina amenewa ndi, m'pofunika kufufuza satifiketi. Kumbukirani kuti chipangizo ayenera akulimbikitsidwa kugwiritsa ntchito ndi unduna wa zaumoyo, chifukwa cha ubwino wake ndi moyo wa anthu zimadalira.