Defibrillators aan la ilaawi karin (ICDs) ayaa si aad ah ugu waxtarka leh si looga hortago dhimashada degdega ah ee wadnaha ka yimaada. Nasiib daro, inta badan 400,000 oo Maraykan ah oo si lama filaan ah u dhintaan sannad walba marnaba ma bartaan in khatartoodu ay sarayso - sidaas darteed, marnaba fursad uma haysan inay tixgeliyaan ICD.
Qof kasta oo qaba cudurka wadnaha ee muhiimka ah, ama uu leeyahay xubin qoys oo u dhow oo geerida si lama filaan ah u geeriyooday, waa in uu la hadlo dhaqtarkooda khatarta dhimashada degdegga ah.
Haddii khatartaada aad u sareyso, waa inaad leedahay dood ku saabsan ICD.
Ma leedahay Khatar Kordhin Dhimasho Dhiman?
Dadka ku jira khatarta sii kordhaysa ee dhimashada degdega ah waxay guud ahaan ku dhacdaa afar qaybood:
1) Dadka qaba cudurka halbowlaha wadnaha (CAD) . Dabaqadaha la xidhiidha CAD waxay si lama filaan ah u dillaaci karaan, iyagoo soo saaraya xaalado loo yaqaan " Acute Coronary Syndrome" (ACS) .
Mid ka mid ah natiijooyinka culus ee ACS waa mid xiran wadnaha. Tani waxay dhacdaa sababtoo ah dillaac boodhku wuxuu si ba'an u waxyeeleyn karaa nidaamka korontada wadnaha, kaas oo soo saaraya qalabka daaweynta degdega ah ee farsamada (VT ) ama fibrillion-ka (VF) . Waxaa lagu qiyaasaa in qiyaastii 30% dadka CAD-yada ah, dhimashada deg-degga ahi ay tahay calaamada ugu horeysa ee cudurku ku jiro.
Hase yeeshe, guud ahaan, dadka qaba CAD laakiin kuwa aan wali lahayn infakshanka maskaxda (wadno-qabad) uma baahna ICDs. Halkii, shakhsiyaadkani waxay u baahanyihiin inay qaadaan talaabooyin dagaal ah oo lagu xakameynayo khatarta khatarta ah ee la ogsoon yahay in ay dardar galiso CAD-ka iyo in ay ka dhigaan duufaanka huuriga ah.
Daryeel caafimaad oo wanaagsan iyo isbedel hab nololeed oo wax ku ool ah ayaa si weyn u yareyn kara halista dhimashada degdega ah, weerarada wadnaha, iyo angina .
2) Dadka horay ugu dhacay VT ama VF, gaar ahaan haddii arrminthia ay sababtay xadhig wadnaha ah ama miyir beelid. Dadkani waxay leeyihiin halis aad u sareeya oo leh haysasho kale oo wadnaha ah - waxaa dhici karta in hal mar 1 fursad 5 sanadkiiba - oo dhammaantood waa in la siiyaa ICD.
3) Dadka qaba wadne-qabadka wadnaha oo leh hoos-u-dhac ku yimaada dhinacyada isgoysyada ee garabka bidix. Waxaa lagu qiyaasaa in ku dhawaad 50% bukaannada qaba wadnaha oo aan wadnaha qabin ee ugu dambeyn ay la kulmaan xannuun wadne. Tilmaamaha hadda lagu taliyo waxay ku talinayaan in ICD-du ay tahay in loo tixgeliyo dadka loo yareeyo jajabyada in ay hoos u dhacaan 35% ama ka hooseeya.
Tani waa sabab keliya, haddii aad qabto cudurka wadnaha ee nooc kasta, waxaa muhiim ah in la ogaado jajabka dhadhanka.
4) Dadka qaba ciladaha wadnaha ee dhaxalka ah ee keena VT ama VF inay u badan tahay inay dhacaan. Xaaladaha noocan oo kale ah waxaa ka mid ah qotka dheer ee QT , qalabka wadnaha ee wadnaha iyo hypertrophic cardiomyopathy , iyo Brugada syndrome . ICDs waxay ka hortagi karaan dhimashada degdega ah ee xaaladdan dhaxalka ah waana in si xoog ah loo tixgeliyaa shakhsiyaad badan oo ay saameeyeen. Qofkasta oo leh taariikh qoys oo xooggan oo dhimasho degdeg ah waa inay kala hadlaan taariikhdooda qoyska dhakhtarkooda waxayna waydiinayaan inay jiraan wax tijaabo ah oo loo baahan yahay in la sameeyo. Xaaladaha intooda badan, ECG fudud oo laga yaabo in laga yaabo in echocardiogram ay ku filan tahay in laga saaro cudurrada wadnaha ee ugu badan ee dhaxalka ee sii kordhiya khatarta dhimashada degdegga ah.
Haddii aad aaminsan tahay in mid ka mid ah afartan nooc ee ay ku khuseeyaan adiga, waxaad u baahan tahay inaad kala hadasho dhakhtarkaaga si aad u qiimeyso khatarta aad u leedahay dhimashada degdega ah.
Lahaanshaha ICD Haddii Khatartaada Lagu Saarayo
ICDs ma ahan qof walba. Waxaa jira halis ah qalabkan iyo sidoo kale faa'iidooyinka. Haddi aad haysato mid - xitaa haddii khatartaada ay sare u kacday oo aad leedahay "calaamad" rasmi ah oo loogu talagalay ICD - marwalba waa go'aan gooni ah. Si kastaba ha noqotee, ka hor intaadan xitaa fursad u yeelan inaad go'aankan sameyso, waxaad u baahan tahay inaad ogaato in khatarta dhimashada degdega ah ay kor u kacdo. Nasiib darro, takhaatiir badani (fahmi) waxay diidaan inay mowduucaan ula hadlaan bukaankooda. Sidaa darteed, haddii aad ka walwalsan tahay in aad halis dheeraad ah u tahay, barafka iska jooji - weydii dhakhtarkaaga in uu kaala hadlo arrintaas.
> Ilo:
Russo AM, Stainback RF, Bailey SR, iyo al. Isticmaalka shuruudaha ugu habboon ee loogu talagalay daaweynta wadnaha iyo qalabka wadnaha ee loo yaqaan 'cardioverter-defibrillators' iyo daaweynta raajada wadnaha 'heart' Ururka, Bulshada Maraykanka ee Echocardiography, Wadnaha Wadnaha ee Maraykanka, Bulsho ee Wadnaha iyo Qalitaanka Wadnaha, Bulsho Qalitaanka Wadnaha ee Wadnaha, Tomography, iyo Society for Cardiovascular Magnetic Resonance. J Am Coll Cardiol 2013; 61: 1318.