Mwoyo pacemaker: pokuvhiyiwa mari, wongororo

Muviri womunhu anogara anokura, vazhinji zvomukati zera uye kusakara. Ndokusaka kuuya marwadzo anonongedzera kuti vanonyevera kuti vamwe muviri zvinopa atadze kushanda zvakanaka. Zvisinei, mwoyo munhu kufunga. kufunganya pamusoro utano hwake kurwadziwa mwoyo kana Kutambudzika mubhokisi iri zvakasikwa. Sezvo chikazozikamwa, mwoyo utano - upenyu hurefu.

Panguva ino mushonga kuita Zvinhu zvose zvitsva zvokurapa, saka zvino vose vanogona kuongorora mwoyo yavo uye kuziva zvimwe zvirwere. High-zvakarurama kunovhenekwa nhumbi kuwana mashandiro kuti akundikana, saka chiremba wako achasarudza chakanakisisa uye zvakakodzera kurapwa. Imwe yenzira dzakanakisisa kururamiswa Ipfungwa inobatsira apore yakarasika mwoyo kushanda ndiko pacemaker mwoyo. Operation, wongororo iyo kupfuura zvakanaka, Anobvisa varwere akare, chii pamatambudziko. Vanorarama hupenyu huzere. Cardiology muMoscow riri kumusoro chechetere. Mugore akarapa makumi ezviuru vakuru nevana, uye vanachiremba yakanakisisa kupa vagari munyika itsva upenyu huzere.

Asi usati kunzwisisa cardiac pacemaker chii (mari oparesheni angava yakasiyana) uye kuti inoshanda, unofanira kuziva anatomi uye physiology womuviri, somwoyo.

Mwoyo: kwayo marongerwo uye mashandiro

Heart - a tsandanyama nhengo kuti anokwanisa kupomba ropa rose muviri. In iri partition zvinosanganisira tsandanyama rinenge runoparadzanisa mwoyo kupinda kurudyi chikamu. zvikamu zviviri izvi vanoitwa vakaparadzana kunoitwa partition, yokumusoro hafu akadana atria, uye rezasi - the ventricles. Atria uye ventricles chokuita ne vasiri mavharuvhu kuburikidza iyo ropa kunoita kuburikidza tsandanyama marwadzo.

Ropa, ukuwo rworudyi hafu atrium anopinda mumapapu uko otora okisijeni nokushingaira. Uyezve, ropa ichi achipinda ventricle kuruboshwe, uye ipapo runoyerera kupinda yeropa, rakakamurwa kuva tsinga. Pamusana mashandiro iyi okisijeni-vapfumi ropa Rwako yose muviri kuburikidza arteries uye pakudaro Anopfumisa munyama zvose uye nhengo okisijeni. Pashure hazviiti okisijeni basa iri aurayiwa, ropa inounganidzwa mu mutsinga uye zvokudya kuna mwoyo, kutanga kupinda zvakanaka atrium, uye ipapo kupinda zvakanaka ventricle. Arterial ropa yakazara okisijeni, zvichava vakareruka kupfuura venous.

Nokuti chokuti mwoyo womunhu ari kushanda zvakanaka, ropa anokwanisa nguva rokuvandudza zvinovaka muviri uye okisijeni zvose munyama uye zvomukati. The dzinongoitika mashandiro anowana mwoyo uye zvinoita kupomba ropa, kwakavakirwa nerubatsiro inokosha yemagetsi nomunhu. In mushonga, basa iri anonzi sinus raiva pedyo nebundu, yepanyama mwoyo kana mutyairi. It riri mumwoyo, kureva, rworudyi hafu ake mugove atrium.

Sinus raiva pedyo nebundu inoita basa rinokosha mubasa mwoyo. It anodzora kwemwoyo, uye zvichienderana mamiriro ezvinhu uye siyana ezvinhu Inowedzera mwoyo zvazvingava, kana vakutarisire yokurembedza navo. Somuenzaniso, kana iwe kuratidza mwoyo anorova dzichimhanya kupfuura kungotarisa mamiriro nhengo. The dzinongoitika mwoyo anonzwa mutyairi kuti pane chikonzero kupomba ropa nokukurumidza, saka mwoyo tsandanyama rebuilds kupfuura nokukurumidza kumhanya basa.

Kufamba nzira electroimpulses

Mashoko nemagetsi pulses kwapera nokuti vanoda pedyo conductive fibers, uye ivo muchiswededza atria uye ventricles kuti chibvumirano pamberi inotevera kufamba kweropa. Nokuda penguva pakati sunga, izvo zvinogona kukunda mwoyo, pane "zororo" mwoyo tsandanyama.

Under vamwe vasiri uye pathological zvemupiro kwemwoyo yave seiyi. Zvikonzero nekuti izvo DZEMUNHU DZINODZORA kwemwoyo:

• dzungu;
• neBP;
• kurwadziwa nemusoro;
• kuneta, lethargy;
• kufenda;
• kufema kukundikana maitikiro.

Mukurapa, mamiriro inonzi bradycardia. Chikonzero parinowanika ndechokuti pane kukundwa vari sinus raiva pedyo nebundu, zvichiteverwa zvachinja conduction mugadziriro. ezvinhu akadaro kunoita kuti vasanyanye kakawanda nomwoyo zvazvingava, hunobata kumwoyo uye seboka, nokuti zvinoderedza nerubatsiro okisijeni kuti nyama uye nhengo dzomuviri. Gare gare anovandudza anoxia, uye ichi kunoita kuti atadze kushanda zvakanaka vazhinji zvinokosha nhengo. Pakutanga rwunotanga kutambura mwoyo pacharo. Murwere vanganzwa marwadzo ari mubhokisi, uyewo kwokuomerwa mwoyo. Kana munhu asingadi kuteerera kune zviratidzo uye regai kurapa chirwere, zvino anotanga kutambudzika uropi, kana panzvimbo muuropi masero, iyo nguva zvinoda Zvakanyanya Kunaka Panguva Yepamuviri okisijeni saturation.

With kukura mwoyo nechigumbuso nomunhu kuti pasi riri sinus raiva pedyo nebundu Hazviwanzovi kungapfuurira kune ventricles, uye dzimwe nguva regai kusvika, iyo inotungamirira nokuvhiringidzirwa synchronous kushanda atria uye ventricles.

Zvokurwara kushanda kwemwoyo

Vachiberekwa mwoyo mutinhimira vachivavhiringidza chokuita zvokurwara pakati kumwoyo mwana, kuti ndiye kuvafira muviri kusingarapiki kuchinja (mwoyo chirwere). Kakawanda kutyorwa kwakadaro kunotemwa Ultrasound fetus tsvakurudzo, asi dzimwe nguva maperembudzi dzakaonekwa chete pashure pokuberekwa vomwana.

Chiremba cardiology inotaura vana kurapwa, uyo akawana zvakaipa mumoyo, dzimwe nguva zvakakodzera kutanga kupinda muviri chinodzora kurova kuponesa upenyu hwomwana.

Kutyora vawana kwemwoyo anogona kuitika nokuda zvakawanda:

• zera kuchinja;
• pashure infarction pamusoro pomwoyo;
• zvirwere, iyo kupa kuomesa mwoyo;
• nemagene kubatwa;
• kufutisa;
• kusvuta uye kudhakwa.

Kudzorerwa cardiac mutinhimira

chirwere ichi chiri pakurapa kwete zvakaipa, zvinodhaka kubviswa chete zviratidzo, asi utano murwere achiri pangozi. In mamiriro ichi zvinokurudzirwa kushandisa rakagadzirwa nevanhu pacemaker. Chinhu chinokosha chikwata - chinodzora kurova kuti kunomutsa cardiac pulses zvakanaka, zvichiita atria uye ventricles kuti kubata synchronously. Kuti hwokugadza chinodzora kurova kwomwoyo, mari oparesheni achava yepamusoro uye achava kwakaoma zvikuru kupora nguva, kana hosha haina kurapwa nguva, uye kuisa kuti mukana.

Zvinoumba magetsi pacemaker hurongwa

The nemamiriro mudziyo uri yakaoma chaizvo, riri munzvimbo ine chisimbiso pekugara uye rine kupomba jenareta uye electrode. Dzimba ine chinokosha yezvokurapa chiwanikwa (titanium), izvo anowedzera kupona mwero rinodhaka muvanhu.

Nokushanda chikwata rinoitwa chete idzodzo, kana anotanga zvishoma mwoyo urove, kana kuonekwa anombomira mubasa mwoyo. Panyaya iyi, mudziyo anoshanda ari mashandiro, iyo anotuma nemagetsi nomunhu pachedu mumwoyo tsandanyama, zvichiita zvarakanga ezvinhu. Izvi dhayagiramu muenzaniso wakanaka sei pacemaker. Operation mhinduro varwere cardiac zvokurwara, vakagamuchira zvakanaka. Ivo kubika pasi chokwadi kuti varwere havatamburi zvakawanda mwoyo mutinhimira nyonganyonga, achidzokera zvakajairika muupenyu.

mhando

Panguva iyoyo, pane mhando nhatu mano, izvo chakagadzirwa pacemaker.

1. Single-yokuvata pacemaker. Ane electrode imwe chete, iyo iri mukati ventricle, vane chete chete cardiac kamuri. Atrial marwadzo ari ipapo kuitwa takasununguka. Izvi mhando midziyo ine zvakakura nezvikanganiso, sezvo cardiac monitors mupanda imwe chete. Dzimwe nguva zvinoitika kuti nemhaka iyi mutinhimira kubva ventricular fibrillation, iyo inotungamirira kuupenyu zvemamiriro ropa kuyerera kubva pamwoyo. Nokuda malfunctioning rimwe atrial ropa havazokwanisi kuti zvakazara kutenderedza kubva ventricle kupinda atrium, uye saka hazvipindi mberi kupinda muropa.
2. Hunyambiri-yokuvata pacemaker. Chine electrodes mbiri, imwe iri pamusoro ventricle, uye wechipiri - iri atrium. mudziyo uyu ane zvakanakira rimwe-kamuri pacemaker. Muchiitiko chino, pane kudzora yakarurama kushanda uye kwakakwana yaunonyanya kushandisa atrium uye ventricle. Nokuda water drainage ropa kubva mumwoyo kuchaitika pasina chero vachivavhiringidza, ropa dzichayerera vari muropa vatana mitemo, sezvo zvakaita utano cardiac basa.
3. Three-chambered pacemaker. mudziyo Ndiwo zvemberi chakagadzirwa kwemwoyo mutyairi. Chine electrodes matatu, izvo dziri mumwoyo nezvikamu vatatu: atrium, ari kurudyi ventricle. Nokuda inokosha yepachikomo kwakadaro physiologically ropa kwakarurama inopfuura nomunyika zvose zvokukura mwoyo chete kamuri kuuya mune imwe, akawira zvakanaka munzvimbo nemidziyo ropa. Mutinhimira panguva kwakafanana kuti ane mwoyo utano.

Ndeipi electrode, uye sei akunoita iri pacemaker

Nokuda mukuru kuchinja kubva electrode inogona Vanokunga nyore uye monyorora, izvo zvinokosha chaizvo kuti mudziyo kwakadaro, sezvo pane zvakasiyana kufamba zvokunyama munhu, uyewo kwemwoyo. Muitisi anokwanisa kuparadzira pulses myocardium kuburikidza iyo zvinowanisa mashoko pamusoro kwemwoyo. The electrode ane ultrasensitive musoro, iyo pave nevanhu mwoyo tsandanyama.

Mwoyo pacemaker: pokuvhiyiwa, wongororo

Panguva iyi pakatanga pacemaker kushanda zviri nyore uye nyore muitiro. Rinotora hapana maawa anopfuura maviri, akaita kuvarapi ruzivo Department - cardiology. Reviews dzevarwere vari postoperative nguva zvakanaka, nokuti kupora achiri nokukurumidza, uye varwere achakurumidza pauri kumba. Pacemaker vasonanidza mubhokisi iri subclavian nharaunda zvokuti pakati ganda uye tsandanyama tishu.

Electrode, asati achipinda mhango kwemoyo, ichipfuura nzira tsinga. Yose Chiito electrode placement kunoitika pasi Ultrasound rucherechedzo. By rokunze chikamu cardiac chidimbu ndee mudziyo pachayo - moyo pacemaker. Operation wongororo wevarwere vane hazvizivi pacemaker, anogamuchira zvakanaka. Thanks achiitiswa kudyara vangave nokukurumidza kupinda dzenyu mararamiro avaimboita. Zvisinei, achiri kuzvuzvungudza uye zvatisingakwanisi zviripo. Asi muviri kutaurwa zvakakura chaizvo mudziyo - chinodzora kurova kwomwoyo. Cost kushanda kunoenderana akaigadzira mudziyo uye electrode zvinhu.

uchishandisa mitemo

To kwete paiva glitch ari hurongwa otomatiki pacemaker, unofanira kuomerera mitemo zvinotevera:

• haisi pedo yakakwirira voltage simba mitsetse;
• Zvinonzi rambidzwa kuva kumativi akasiyana compilers simba, hutachiwana seshongwe redhiyo uye TV anonongedzera;
• Hapana nyaya hazvigoni iongororwe resimbi detector (panhandare yendege, muzvitoro).

In kuvapo midzi pacemaker vairambidzwa hurege vamwe yezvokurapa tsvakurudzo:

• Ultrassom pechipfuva;
• MRI (tsvakurudzo);
• fiziokabinete kurapwa akasiyana wavelength neeSultan: rinobva kurapa, electrotherapy;
• electrocoagulation chete mvumo kupinda chiremba.

Muupenyu hwezuva nezuva kunofanira vanoomerera zvimwe mitemo:

• Usabata ichikonzera magetsi;
• haifambi pachavo muchina, kwete kumurova;
• achitaura pamusoro serura, akariisa rwake nzeve kurudyi;
• kushandisa punchi, chibooreso kungwarira chaizvo;
• kwete kunotadzisawo chipfuva tsandanyama;
• ari yokurovedza muviri kushomeka mutoro pamusoro boka iri netsandanyama.

Mari remapazi uye mutengo pacemaker

Kazhinji, kana mwoyo kushanda mari zvinosanganisira pachake pacemaker. Somugumisiro, chokupedzisira mutengo rinoumbwa kuva maitirwo uye mabasa. Idzi dzinosanganisira:

• rakavhurika Kuvhiya mwoyo;
• pacemaker mari;
• mutengo electrodes;
• nguva vari cardiology, vapore.

Zvakakosha kuziva mhando pacemaker, sezvo ane electrodes iyo mugadziri. Zvichienderana ichi, panguva mwoyo kuvhiya mari zvinogona anosiyana kubva usingashandi kune chaizvo Chokwadi mukuru. The Pricing of pacemakers:

• kuroora kamuri mhando mudziyo (mumhuri production) 10 500 kusvika 55 000, imupota - 80 000 rubles;
• mukamuri miviri - kubva 80 000 kusvika 250 000 rubles; Import analogue - kubva 250 000 rubles;
• zvitatu-chambered - pakati 300 000 uye kupfuura, uye kutorwa avhareji 450,000 rubles.

Zvisinei, zvinofanira kujekeswa kuti ichi haibatanidzi mutengo electrodes. The mutengo mudzimba electrode zvichava kubva 2000 kusvika 4500 rubles, imupota - kubva 6000 rubles. Naizvozvo nyore kuverenga sei zvikuru zvichaita nomutengo pacemaker mwoyo, mutengo kushanda achava kubva 15 000 kusvika 500 000.

kugadzwa pacemaker

Cardiology Center iri muguta guru, saka Yainokurukura navagere mumaguta akasiyana munyika.
The pakati anobereka kurapwa vakuru nevana. Zvinokosha kucherechedza kuti pane mariri, uye unyanzvi chiremba cardiology. Modern midziyo inoshandiswa pakurapa varwere uye nechirwere. akashongedzerwa aine davi "Cardiology" ndiyewo zvakasiyana yemhando mano. Chirwere chinoitwa nevanhu vashandi vanokwanisa. Treatment ngaave mishonga uye instrumentally. Mushure kupora, varwere vanopiwa ndima Zvokusunungurwa. Cardiology muMoscow riri kumusoro yakati sandara, saka unogona usatya utano hwavo.

Mari kurapwa mune cardiology centre

Zvichienderana sei yakaoma nechirwere, mitengo dzingasiyana. Kana murwere anoenda pasi kota, anogona kuvimba vakasununguka basa chero zvokurapa: kuvhiyiwa, cardiology. munyaya ino, mitengo havachazotamburi kunetseka kuti zvinobatsira chaizvo uye panguva imwe chete yakavimbika.