Mtima pacemaker: contraindications. Malangizo kwa mtima ndi pacemaker ndi

matenda a mtima ndi ambiri mu dziko. The owopsa ndi zotsatira za mankhwala molakwika oopsa. Khalani sitiroko kapena mtima, zomwe ndi mtengo kwambiri imfa.

Mu chochitika cha zotsatirapo zoipazi si udindo wotsiriza ankaimba ndi arrhythmia. Pachithunzichi asynchronous chidule cha minofu mtima zotsatira osati kuchepa kotunga magazi kuti ziwalo zofunika kwambiri, komanso kumapangitsa mapangidwe magazi kuundana. Odwala ndi njira yaikulu arrhythmia kawirikawiri ankapatsidwa zosiyanasiyana asatayike, koma mokwanira kothandiza ndiponso odalirika iyeyo cupping ndi pacemaker. Aliyense masiku ano pakati cardiology mu Russia amachita ntchito pa unsembe wake.

ndi pacemaker Kodi

The pacemaker ndi pazipangizo kuti lakonzedwa chounikira ndi chilangizo cha mtima. The chida lokha tichipeza mabatire ochiritsira, ndi maelekitirodi angapo omwe amaperekedwa kwa minofu mtima. Akamanena za pacemaker ndi kupeza arrhythmias ndi chilangizo chake chifukwa chizindikiro magetsi kuti mowafika pamtima. Mu atomu irritant amasintha minofu mtima ndipo amayambitsa "lophimba" kukonza kayendedwe cholakwika. Choncho, bwino kuthetsa arrhythmia oopsa adzaika mtima pacemaker. Contraindications implantation kwina.

mitundu ya pacemakers Kodi

zipangizo Kupatukana zochokera chiwerengero cha zipinda za mtima, zimene ali oyenera maelekitirodi chipangizo. Choncho, pafupifupi mtima dokotala adzadzipereka inu loyamba-, thuu kapena atatu chipinda pacemaker. Photo maganizo amasonyeza umodzi chipinda chipangizo, amene ali elekitirodi chimodzi chokha. Nthawi zambiri imapezeka ventricle lapansi. zitsanzo imeneyi si ntchito tsopano, chifukwa osiyanasiyana zochepa mlandu magetsi. Ziwiri chambered chipangizo ndi elekitirodi imodzi atrium, ndi wina - mu ventricle, chimene chimapereka polojekiti bwino ndi chilangizo cha mtima. makina onga ntchito nthawi zambiri. The pacemaker atatu chipinda ali maelekitirodi atatu, ndipo mmodzi wa iwo akhoza kuchita monga Makina amenewa amene ali makamaka zabwino odwala fibrillation matenda kapena yamitsempha yamagazi. mtengo zimadalira mitengo mfundo pacemaker wopanga ndi mabungwe zachipatala.

Pamene khazikitsa pacemaker

Implantation wa pacemaker ndi cholinga kubwezeretsa mungoli yachibadwa. Kudzamenyana tachyarrhythmias bradi- ndi mtima pacemaker anaika. opaleshoni ntchito kokha ngati mitundu ina ya arrhythmia. Makamaka, gulu amatchedwa bradyarrhythmias bradycardia zimachitika ndi pafupipafupi kumenyedwa zosakwana 40 pa mphindi, syndrome Morgagni-Edemsa-Stokes, AV-anatseka misewu II-III msinkhu, chosakwanira anatseka misewu, odwala nkusani syndrome, ndi carotid nkusani. syndrome Morgagni-Edemsa-Stokes akuwonetseredwa ndi imfa ya chikumbumtima, khunyu, chifukwa kumaliza AV-chipika. Koma tachyarrhythmias, ndi zizindikiro ndi matenda fibrillation ndi arrhythmia imakhudzana ndi fiznagruzki.

Center wa cardiology masiku ano kupereka kukhazikitsa pacemaker pa maziko zosakhalitsa kapena okhazikika. Zosakhalitsa implantation chipangizo sikawirikawiri ntchito ndi Amagwila nchito malangizo ena mitundu ya arrhythmias (mwachitsanzo paroxysmal tachyarrhythmia).

The pacemaker wa mtima, contraindications

Khazikitsa pacemaker alibe contraindications. The chenjezo okha ndi zotuluka pa unsembe chipangizo, malinga ndi kutalika kwa moyo wa wodwalayo ndi arrhythmia ndi mitundu ya arrhythmia mtima. Pamaso implantation wa pacemaker wodwala ayenera kukumana Holter polojekiti. Ndi kuzungulira ndi anaziika wotchi ndi kusanthula kugunda kwa mtima ndi kayimbidwe kotani kuti amalola kupeza ndi pamene arrhythmia zambiri kumachitika.

Monga ntchito kuphunzitsa pacemaker

opaleshoni imatengedwa kuti asang'ambe, monga opangidwa kuchokera ku amacheka yaing'ono. Choyamba, dokotalayo amaika ndi catheter mu mtsempha subclavian ndi kuyang'aniridwa ndi X-ray amakhazikitsa maelekitirodi ku dera Napempha kwa mtima. Pambuyo kumayambiriro masensa aumbike mwa bokosi mu ziyerekezo kwa minofu pectoralis lalikulu anamanga pacemaker za mtima. ntchito umatha ndi imposition wa stitches angapo pa khungu.

Kenako, chipangizo wayamba ntchito ndi amapanga nyemba malingana mlingo molondola. Tichepetse kutenga arrhythmias adzakhala pacemaker mtima, amene palibe contraindications.

Njira ya moyo wa wodwalayo pambuyo opaleshoni

Moyo wa pacemaker amaika malire zina pa wodwala, ngakhale kuti iwo si yaikulu, ndi yofunika kwambiri pa ntchito lolondola ndi mosalekeza chipangizo.

Choyamba, tiyenera kukumbukira za ndondomeko ya Kupenda thupi, mfundo ya ozikidwa pa zochita za m'munda mu atomu kapena panopa. Ndi bwino kugwiritsa ntchito CT jambulani kapena ultrasound ngati wodwala amene ali mtima pacemaker. Contraindications ikukhudzana chapamwamba kwambiri uyambenso kunja, ndipo lithotripsy radiotherapy. Pamene echocardiography ayenera awadziwitse dokotala za chipangizo anaika, kuyambira kukumenya mwachindunji zingachititse chisokonezo.

Aliyense wodwala anapereka makamaka mtima chikalata pepala, amene anapatsa pacemaker. Tsamba ili lili ndi mfundo za chitsanzo cha zida anakhazikitsa, tsiku implantation ndi pafupifupi nthawi batire m'malo. Kwa anthu amene kupita kudziko lina, zolembedwa amenewa chofunika pamene tikudutsa miyambo kulamulira pa ndege.

Fiznagruzok mlingo ayenera pang'onopang'ono koma zonse. Mwezi woyamba wa analimbikitsa zapakhomo kuwala, mmawa ukhondo olimbitsa lalifupi amayenda mu mpweya wabwino. Kenako pang'onopang'ono kuwonjezeka mode kuonjezera kulolerana nkhawa. Ngati wodwala pamaso opaleshoni chinkhoswe mu kusambira kapena tennis, pafupifupi miyezi isanu ndi umodzi, iye akhoza pang'onopang'ono atengenso mlingo wake wa ntchito. Pa nthawi yomweyo onetsetsani kuti aziona mlingo mtima ndi kuthamanga kwa magazi. Ngati inu munazindikira kusokonezedwa ndi kufupika kwa mpweya, chizungulire ndi kufooka ambiri - dotolo anu.

Postoperative chilonda akumuyang'ana iye

Nthawi yovuta kwambiri ndi masiku 7 pambuyo opaleshoni. izi
Kwenikweni za boma mabala pambuyo ntchito. Woyamba masiku 5-7 wodwalayo kuchipatala kuti aziona ntchito ya stimulator magetsi. Tsiku lililonse unachitikira bandaging nawukulunga chimbudzi. Sutures amachotsedwa pa mutu wa 6 - 7 tsiku. Pambuyo kuchotsa sutures 7 masiku wodwala ayenera kuchepetsa katundu kumalekezero chapamwamba mwa mayikidwe a chipangizo sangafe. Zinthu zimenezi akutsatiridwa kuti alenge chipsera okhwima, amene angathe kupirira ntchito mwachizolowezi.

zakudya

Kwa odwala anapereka chakudya zakudya, monga atherosclerosis. Zakudya nambala 10 akuonetsa Kuchepetsa nyama mafuta ndi kuchotsa iwo masamba mafuta (mpendadzuwa, linseed, maolivi), zakudya kuti limayenda ndi CHIKWANGWANI ndi mapuloteni chiyambi mbewu. Ndi osafunika ntchito msuzi wolemera, nyama mchere nsomba ndi kuchepetsa ufa mbale. Muyeneranso kuchepetsa phwando khofi, wamphamvu tiyi, kuyambira zakumwa awa ogalamutsa ya ubongo ndipo kungakhale arrhythmia. Kusankha olondola a zakudya ayenera kupempha thandizo kwa dietitian kapena, Kapenanso, kuti achotse koletsedweratu chakudya.

mayeso zachipatala

Malinga mulibe madandaulo aliyense, woyamba Kupenda mankhwala liyenera kuchitidwa mu mwezi. Officer Medical chimaika atayezetsa, ECG ndi coagulation, amene Kafukufuku zofunika. M'tsogolo, muyenera kukaona dokotala miyezi 3 kenako miyezi sikisi iliyonse 1. akamuchezera zifunika ndi kulola kulamulira bwino ntchito pacemaker ndi mtima wanu minofu.