Heart pacemaker: ọrụ akwụ ụgwọ, reviews

Ahụ mmadụ mgbe niile-eto, ọtụtụ ndị nke esịtidem akụkụ nke afọ na-eyi. Ọ bụ ya mere na-abịa mgbu n'ókè na adọ aka ná ntị na ụfọdụ ahu enye a malfunction. Otú ọ dị, obi nke a onye na-elekwasị anya na. nchegbu banyere ahụ ike ya na obi mgbu ma ọ bụ arọ na obi na-kere. Dị ka a maara, a ike n'obi - a ogologo ndụ.

N'oge ugbu a na nkà mmụta ọgwụ na-eme ihe niile ọhụrụ breakthroughs na nkà mmụta ọgwụ, ya mere, ugbu a na onye ọ bụla nwere ike ịlele ha obi na iji mata ọrịa ụfọdụ. High-nkenke ule ngwá chọta a usoro na-emezughị, ya mere, dọkịta gị ga-ahọrọ ndị kasị mma na ọgwụgwọ kwesịrị ekwesị. Onye nke kasị mma mgbazi nhọrọ na-na-enyere naghachi furu efu n'obi ọrụ bụ pacemaker nke obi. Operation, reviews nke nke kasị mma, na-eme pụọ na mbụ ọrịa, ihe mgbu. Ha na-ebi a full ndụ. Cardiology na Moscow na-emi odude ke kasị elu larịị. N'afọ gwọrọ ọtụtụ iri puku ndị okenye na ụmụaka, na nke kacha mma dọkịta enye bi nke mba a ọhụrụ full ndụ.

Ma tupu ị na-aghọta ihe gbasara obi pacemaker (na-eri nke ọrụ nwere ike dị iche iche) na otú ọ na-arụ ọrụ, mkpa ka ị mara na Mmebe na physiology nke ahụ, dị ka obi.

Heart: ya Ọdịdị na ọrụ

Heart - a muscular ngwa ahụ bụ ike imipu ọbara ofụri idem. Na ọ bụ a nkebi esịnede muscle anụ ahụ na-ekewa obi n'ime ekpe ma ziri ezi akụkụ. Ndị a abụọ n'akụkụ na-iche site na a nkebi, nke elu ọkara akpọ atria, na ala - na ventricles. Atria na ventricles jikọọ site n'ahụ valves site na nke ọbara na-akpali site muscle mkpi.

Ọbara, mgbe nri ọkara nke atrium abatakwa ngụgụ ebe ọ wereziiri oxygen ifịk ifịk. Ọzọkwa, a na ọbara na-abịa n'ime ekpe ventricle, na mgbe aga n'ime aorta, nke a na-ekewa ihe akwara. N'ihi nke a na usoro nke oxygen-ọgaranya ọbara aga ofụri idem site akwara na otú enriches niile anụ ahụ na akụkụ nke oxygen. Mgbe anaghị achọ oxygen ọrụ na-gburu, na ọbara na-anakọtara na veins na nri azụ obi, mbụ abanye nri atrium, na mgbe ahụ n'ime nri ventricle. Ọbara ọbara jupụta na oxygen, ọ ga-Mkpa ọkụ ka venous.

N'ihi na eziokwu na mmadụ obi na-arụ ọrụ were were, ọbara bụ ike na-eme ka nri na oxygen na niile anụ ahụ na akụkụ. The eke usoro na-akawanye obi na-eme ka ọ imipu ọbara, dabeere na ọkọnọ nke pụrụ iche electric gboo. Na nkà mmụta ọgwụ, ọrụ a na-akpọ imi ọnụ, eke obi ma ọ bụ onye na-akwọ. Ọ na-emi odude ke esịt, ya bụ, nri ọkara nke ya akụkụ ke atrium.

Imi ọnụ ekere òkè dị mkpa na-arụ ọrụ nke obi. Ọ nachi obi ọnụego, na dabere na ọnọdụ na ọnọdụ dịgasị iche iche accelerates obi ọnụego, ma ọ bụ Anglịkan na-akwụsịlata ha. Ka ihe atụ, ọ bụrụ na ị na-egosipụta na obi gbagwojuru ngwa ngwa karịa a n'ezinụlọ ala nke organism. The eke obi na-adị onye na-akwọ na e nwere mkpa ka imipu ọbara ngwa ngwa, otú ahụ ka obi muscle rebuilds a ọzọ ngwa ngwa na ijeụkwụ nke ọrụ.

Nzipu ụzọ electroimpulses

Mgbasa nke eletriki pulses na-emezu site na eziokwu na-ewekarị nso conductive emep uta eri, na ha ka atria na ventricles na nkwekọrịta tupu ọzọ usu. N'ihi na n'agbata contractions, nke nwere ike idi obi, e nwere a "ike" nke obi muscle.

N'okpuru ụfọdụ n'ahụ na-enweghị nchịkwa na ọnọdụ obi ọnụego ka slowed. Ihe mere n'ihi na nke na slows ala obi otiti:

• dizziness;
• ọbara mgbali;
• isi ọwụwa;
• ike ọgwụgwụ, lethargy;
• na-ada mbà;
• akụkụ okuku ume na odida ugboro.

Na nkà mmụta ọgwụ, a ọnọdụ na-akpọ bradycardia. Ihe kpatara ya omume bụ na e nwere a mmeri nke imi ọnụ, ndị mgbanwe conduction usoro. Ndị dị otú ahụ a ọnọdụ na-eduga ná a ọnụ ke ugboro nke obi ọnụego, nke na-emetụta ndị obi usoro, ahụ dị ka a dum, n'ihi na ọ na-ebelata ọkọnọ nke oxygen ka anụ ahụ na akụkụ. Mgbe e mesịrị na-amalite anoxia, na ọnọdụ a na-eduga ná malfunction nke ọtụtụ dị oké mkpa akụkụ. Ke akpa itie ọ na-amalite na-ata ahụhụ obi. Onye ọrịa nwere ike na-eche ihe mgbu na obi, nakwa dị ka ogo nke obi. Ọ bụrụ na mmadụ anaghị ntị ka ihe mgbaàmà na adịghị agwọ ọrịa, ọ mgbe amalite na-ata ahụhụ a ụbụrụ, ma ọ bụ kama mkpụrụ ndụ ụbụrụ, nke na-achọ ezigbo oxygen saturation.

Na mmepe nke obi ngọngọ gboo na-edo na-imi ọnụ ọ bụghị mgbe nile-agbada ruo ventricles, na mgbe ụfọdụ adịghị eru, nke na-eduga ná emeghasịkwa nke synchronous ọrụ atria na ventricles.

Pathology arụ ọrụ obi ọnụego

Congenital obi n'afọ iri na ụma na-enwe nsogbu ndị a na-daa ọrịa nke obi usoro nke nwa, nke ahụ bụ chụọ nke ahụ irreversible mgbanwe (ọrịa obi na ọrịa). Ọtụtụ mgbe ndị dị otú ahụ a mebiri kpebisiri ike site ultrasound nwa ebu n'afọ na-eme nnyocha, ma mgbe ụfọdụ, ọrịa achọpụtara nanị mgbe ọmụmụ nke nwa ahụ.

Ọrịa Ụmụaka Cardiology amụọ na ụmụaka ọgwụgwọ, onye hụrụ omume rụrụ arụ nke obi, mgbe ụfọdụ, ọ dị mkpa ka ịme n'ime ahu a pacemaker ịzọpụta ndụ nwa.

Mebiri nke enwetara obi ọnụego nwere ike ime n'ihi na ọtụtụ ihe mere:

• afọ mgbanwe;
• mgbe infarction nke obi muscle;
• na-efe efe, nke na-enye sikwuoro na obi;
• mkpụrụ ndụ ihe nketa pụrụ ịrịa;
• ibu oké ibu;
• ise siga na ịṅụbiga mmanya.

Mweghachi nke gbasara obi n'afọ iri na ụma

Ọrịa a na-ọgwụ bụghị mesoo, ọgwụ ọjọọ wepụrụ naanị mgbaàmà, ma ọrịa na-ahụ ike bụ ka ndụ n'ihe ize ndụ. Na steeti a na ọ bụ amamihe na-eji keakamere pacemaker. Ọ bụ a pụrụ iche unit - a pacemaker na-akpali gbasara obi pulses were were, na-eme atria na ventricles kpum synchronously. Iji wụnye a pacemaker nke obi, na-eri nke ọrụ ga-elu na ga-abụ ihe siri ike mgbake oge, ma ọ bụrụ na ọrịa na-adịghị na-emeso na oge, na iji ya mee ohere.

Mejupụtara eletriki pacemaker usoro

Ọdịdị nke ahụ ngwa oru bụ nnọọ mgbagwoju anya, ọ na-emi odude ke a kaa akara ụlọ na mejupụtara a usu generator na electrode. The ụlọ mejupụtara pụrụ iche ọgwụ alloy (titanium), nke enwekwu lanarị ọnụego nke stimulant mmadụ.

Ọrụ nke unit a rụrụ naanị na ndị oge, mgbe ọ na-amalite a ngwa ngwa obi kwaa, ma ọ bụ na-egosi kwụsịtụrụ na-arụ ọrụ nke obi. Na nke a, na ngwaọrụ na-arụ ọrụ na usoro, nke na-eziga ọkụ gboo obi onwe muscle, dapụtara na ya kwesịrị ikwu. Nke a bụ ezi ihe nlereanya esereese nke otú pacemaker. Operation Ibọrọ nke ọrịa na gbasara obi daa ọrịa, natara mma. Ha obụpde ala eziokwu na ọrịa na-adịghị na-ata ahụhụ ihe n'obi n'afọ iri na ụma aghara, na-alọghachi kwesịrị ndụ.

ụdị

N'oge ahụ, e nwere atọ ụdị nke ngwaọrụ, nke na-wuru pacemaker.

1. Single-ulo pacemaker. Nwere naanị otu electrode, bụ nke dị na ventricle, ha nwere naanị otu gbasara obi ụlọ. Atrial mkpi na-ahụ rụrụ na a eke ụzọ. Nke a na ụdị ngwa nwere oké njọ-adịghị emezi emezi, dị ka gbasara obi Monitors naanị otu ogige. Mgbe ụfọdụ, ọ na-eme na n'ihi nke a otu ihe ahụ n'afọ iri na ụma nke ventricular fibrillation, nke na-eduga ná ndiiche ọbara si n'obi. N'ihi na malfunctioning nke atrial ọbara ga-enwe ike n'ụzọ zuru ezu igbasa si ventricle n'ime atrium, ya mere adịghị aga n'ihu n'ime n'ọbara.
2. The sọrọ-ulo pacemaker. Ọ nwere ihe abụọ electrodes, otu emi odude ke ventricle, na nke abụọ - na atrium. Nke a ngwaọrụ nwere uru ndị a otu-ulo pacemaker. Na nke a, na e nwere a akara nke ezi ọrụ na zuru ezu mmekọrịta atrium na ventricle. N'ihi na outflow ọbara site n'obi ga-ebe na-enweghị ihe ọ bụla na-enwe nsogbu, ọbara ga-asọpụta mgbe ke n'ọbara nke ochie iwu, dị ka ọ dị mma gbasara obi ọrụ.
3. Atọ ọnụ ụlọ pacemaker. Nke a ngwaọrụ bụ ihe ndị kasị elu wuru obi ọnụego ọkwọ ụgbọala. Ọ nwere atọ electrodes, nke na-emi odude ke esịt atọ compartments: na atrium, ekpe na nri ventricle. N'ihi dị otú ahụ ụzọ ebe physiologically ziri ezi ọbara-agabiga niile nkebi nke a otu obi-ulo abata ọzọ, ada ada were were n'ime ọbara arịa. N'afọ iri na ụma na n'otu oge ahụ bụ otu ihe ahụ dị ka nke a mma obi.

Gịnị bụ ihe electrode, na otú ọ na-arụ ọrụ na pacemaker

Ruru akwa mgbanwe nke electrode ọ nwere ike mfe ehulata na nje ọgụ, nke dị ezigbo mkpa ka ndị dị otú ahụ a na ngwaọrụ, dị ka e nwere a dị iche iche n'ụzọ anụ mmegharị nke onye ahụ, dị ka nke ọma dị ka obi ọnụego. Onye na-eduzi bụ ike nke na mgbasaozi pulses myocardium site na nke site na ozi na obi ọnụego. The electrode nwere a pụrụ iche ultrasensitive isi, nke na-emepụta a na kọntaktị na obi muscle.

Heart pacemaker: ọrụ, reviews

Mgbe a na isi iwebata pacemaker ọrụ dị mfe na mfe usoro. Ọ dịruru ọ dịghị ihe karịrị awa abụọ, rụrụ site ahụmahụ dọkịta Department - Cardiology. Nyocha nke ọrịa na postoperative oge dị mma, n'ihi na mgbake dịtụ ngwa ngwa, na ndị ọrịa ga-adịghị anya atara n'ụlọ. Pacemaker dụkọta n'ime obi na subclavian ebe nke mere na ọ bụ n'etiti akpụkpọ muscle anụ ahụ.

Electrode, tupu na-adaba uji eze nke obi, na-aga site na ụzọ nke akwara. Usoro nile nke electrode pụrụ isi chọta na-ewe ebe n'okpuru ultrasound chọpụtara. Site na mpụta nke gbasara obi nke bụ ofu ngwaọrụ onwe ya - obi pacemaker. Operation reviews ndị ọrịa nwere keakamere pacemaker, na-anabatakwa nke oma. Ekele ekenịmde ịkụnye ha nwere ike n'oge na-adịghị ga-esi na gị n'ụzọ ndụ ya mbụ. Otú ọ dị, ka mgbaka na-agaghị emeli anọgide. Ma ahụ na ẹkenam nnọọ oké njọ ngwaọrụ - a pacemaker nke obi. Na-eri nke ọrụ na-adabere na emeputa nke ngwaọrụ na electrode ihe onwunwe.

ọrụ iwu

Iji bụghị e a glitch na usoro nke akpaka pacemaker, ị ga-rube isi na ụkpụrụ ndị a:

• abụghị nso elu voltaji ike e;
• A machibidoro iwu na-gburugburu dị iche iche compilers ike, nnyefe ụlọ elu redio na TV n'ókè;
• Na ọ bụrụ na-apụghị nyochara site a metal detector (na ọdụ, na-echekwa).

Na ọnụnọ nke agbakwunyere pacemaker amachiri agafe ụfọdụ nchọpụta ọgwụ:

• Ultrasound nke obi;
• MRI (research);
• fiziokabinete ọgwụgwọ dị iche iche wavelength àmà: magnetik ọgwụ, electrotherapy;
• electrocoagulation naanị na ikike nke ịga dibịa.

Na-adị kwa ụbọchị ndụ kwesịkwara esoro iwu ụfọdụ:

• Zere imetụ a isi iyi nke na ọkụ eletrik;
• adịghị akpali na ha onwe ha igwe, bụghị ọkụkụ ya;
• ekwu okwu na a cell ekwentị, tinye ya ntị aka nri ya;
• eji a ntụmadị, malite ịgba mkpa-abụ nnọọ anya;
• ghara ịkpata nsogbu obi uru;
• na mgbatị amachi ibu arọ nke a nke uru ahụ.

The na-eri nke arụmọrụ na price nke pacemaker

Na-emekarị, mgbe a obi ọrụ na-eri na-agụnye ya onwe ya pacemaker. N'ihi ya, ndị ikpeazụ price na-emi esịnede a set nke usoro na-eme. Ndị a gụnyere:

• emeghe ịwa obi;
• pacemaker-akwụ ụgwọ;
• price electrodes;
• oge nke ọnụnọ ke Cardiology, ghara ịgbanwe.

Ọ dị mkpa iji chọpụta ihe ụdị pacemaker, dị ka ọ nwere electrodes nke emeputa. Dabere na nke a, n'oge ịwa obi na-akwụ ụgwọ nwere ike ịdị iche iche site ntakiri ka nnọọ maa elu. The ịnye ọnụahịa nke pacemakers:

• otu ulo ụdị ngwaọrụ (anụ ụlọ mmepụta) nke 10 500 55 000, ibubata - 80 000 rubles;
• abụọ ulo - si na 80 000 250 000 rubles; mbubata analogue - si 250 000 rubles;
• atọ ọnụ ụlọ - n'etiti 300 000 na n'elu, na dị nkezi nke 450.000 rubles.

Otú ọ dị, ọ ga-ha ghọta na nke a adịghị agụnye price nke electrodes. The price nke ụlọ electrode ga-abụ site 2000 4500 rubles, ibubata - si 6000 rubles. Mere mfe gbakọọ ego ole ọ ga-eri na pacemaker nke obi, na-eri nke ọrụ ga-abụ site 15 000 500 000.

wụnye pacemaker

Cardiology Center emi odude ke isi obodo, n'ihi ya, ọ na-emeso ndị bi na dị iche iche n'obodo nke mba.
The center arụpụta ọgwụgwọ nke ndị okenye na ụmụaka. Ọ bụ ihe kwesịrị ịrịba ama na e nwere na ya, na pụrụ iche ụmụaka Cardiology. Modern akụrụngwa na-eji na ọgwụgwọ nke ọrịa na-arịa gị. onwem na a alaka nke "Cardiology" bụkwa a dịgasị iche iche nke elu ngwaọrụ. Diagnosis a mere etozu. Ọgwụgwọ nwere ike na ọgwụ na instrumentally. Mgbe mgbake, ọrịa na-nyere Itie ghara ịgbanwe. Cardiology na Moscow na-emi odude ke kasị elu larịị, otú i nwere ike na-atụ egwu maka ahụ ike ha.

The na-eri nke ọgwụgwọ na Cardiology center

Dabere na otú oké egwu nchoputa, ahịa nwere ike ịdị iche iche. Ọ bụrụ na onye ọrịa na-aga n'okpuru oke, o nwere ike ịgụ na na free ọrụ ọ bụla nkà mmụta ọgwụ: ịwa ahụ, Cardiology. na nke a, ahịa ga-aba na-enwe nsogbu na ọ bụ nnọọ uru ma n'otu oge reliably.