Pelo ea pelo

Cardioversion ke mokhoa oa ho khutlisa pelo e sa tloaelehang ho khutlela setloaeling.

Ho felloa ke pelo ho ka etsoa ka ts'oaetso ea motlakase kapa ka lithethefatsi.

KHAOLO EA MOTSOALLE OA MOTSI

Pelo ea motlakase ea motlakase e etsoa ka sesebelisoa se fanang ka tšabo ea motlakase pelong ho fetola morethetho ho khutlela setloaeling. Sesebelisoa se bitsoa defibrillator.

Ho tsosoa ho ka tlisoa ho sesebelisoa se kantle ho 'mele se bitsoang defibrillator ea kantle. Tsena li fumanoa likamoreng tsa maemo a tšohanyetso, liambulense, kapa libakeng tse ling tsa sechaba tse kang boema-fofane.

• Li-patches tsa elektrode li beoa sefubeng le mokokotlong. Li-patches li hokahane le defibrillator. Kapa, ​​liphanele tse khomaretsoeng lisebelisoa li beoa ka kotloloho sefubeng.
• The defibrillator e kentsoe tšebetsong 'me o tšosoa ke motlakase.
• Ho tsosoa hona ho emisa ts'ebetso eohle ea motlakase ea pelo. Ebe e lumella morethetho oa pelo o tloaelehileng hore o khutle.
• Ka nako e 'ngoe ho hlokahala ts'oaetso e fetang e le' ngoe, kapa tšabo e nang le matla a phahameng.

Defibrillator e kantle e sebelisetsoa ho alafa lipelo tse sa tloaelehang tsa pelo (arrhythmia) tse bakang ho putlama le ho ts'oaroa ha pelo. Mehlala ke ventricular tachycardia le ventricular fibrillation.

Lisebelisoa tse tšoanang le tsona li ka sebelisoa ho sebetsana le morethetho o seng kotsi o sa tloaelehang, mathata a joalo ka mafura a atrial.

• Batho ba bang ba kanna ba hloka ho qala ho fokotsa mali pele ho nako ho thibela mali a manyane.
• U tla fuoa moriana ho u thusa ho phomola pele ho ts'ebetso.
• Kamora ts'ebetso, o ka fuoa meriana ho thibela ho koaloa ha mali kapa ho thusa ho thibela arrhythmia ho khutla.

Cardioverter-defibrillator (ICD) e kentsoeng ke sesebelisoa se behiloeng ka har'a mmele oa hau. Hangata e sebelisoa ho batho ba kotsing ea ho shoa ka tšohanyetso hobane tšebetso ea pelo ea bona e futsanehile haholo, kapa ba kile ba ba le morethetho oa pelo o kotsi.

• ICD e kentsoe ka tlasa letlalo la sefubeng kapa mpeng.
• Mehala e hoketsoe e kenang pelong kapa haufi le eona.
• Haeba sesebelisoa se lemoha ho otla ha pelo ho kotsi, se romela ho ts'oha ha motlakase pelong ho fetola morethetho ho khutlela setloaeling.

CARDIOVERSION SEBELISA LITHETHEFATSI

Ho felloa ke pelo ho ka etsoa ka ho sebelisa lithethefatsi tse nooang ka molomo kapa tse fanoang ka methapo ea methapo (IV). Ho ka nka metsotso e 'maloa ho isa ho matsatsi hore kalafo ena e sebetse. Kalafo ena hangata e etsoa ha o le sepetlele moo morethetho oa pelo ea hau o tla shebeloa.

Phefumoloho e sebelisang lithethefatsi e ka etsoa kantle ho sepetlele. Kalafo ena hangata e sebelisoa bakeng sa batho ba nang le mafura a atrial a tlang le a fetang. Leha ho le joalo, o tla hloka ho lateloa haufi-ufi ke ngaka ea pelo.

U ka fuoa meriana e fokotsang mali ho thibela mali ho qaleha le ho tsoa pelong (e ka bakang seterouku).

MATS'ELISO

Mathata a lefu la pelo a tloaelehile, empa a ka kenyelletsa:

• Liketso tse fokolang tsa meriana e sebelisitsoeng
• Ho koala mali ho ka bakang stroke kapa tšenyo ea setho se seng
• Ho rohakana, ho chesa, kapa bohloko moo li-electrode li sebelisitsoeng teng
• Ho mpefala ha arrhythmia

Batho ba etsang lefu la pelo le kantle ba ka ts'oha ha ts'ebetso e sa etsoa ka nepo. Sena se ka baka mathata a morethetho oa pelo, bohloko esita le lefu.

Morethetho o sa tloaelehang oa pelo - pelo; Bradycardia - lefu la pelo; Tachycardia - lefu la pelo; Fibrillation - lefu la pelo; Arrhythmia - lefu la pelo; Ho ts'oaroa ha pelo - ho felloa ke pelo; Defibrillator - khatello ea pelo; Phekolo ea pelo ea Pharmacologic

• Cardioverter-defibrillator e ka kenngoang

Al-Khatib SM, Stevenson WG, Ackerman MJ, le al. Tataiso ea 2017 AHA / ACC / HRS ea taolo ea bakuli ba nang le methapo ea pelo le thibelo ea lefu la tšohanyetso la pelo: kakaretso ea phethahatso: tlaleho ea American College of Cardiology / American Heart Association Task Force ho Clinical Practice Guidelines le Heart Rhythm Society. Morethetho oa Pelo. 2018; 15 (10): e190-e252. PMID: 29097320 e fetotsoe.ncbi.nlm.nih.gov/29097320/.

Epstein AE, DiMarco JP, Ellenbogen KA, le al. Tlhatlhobo e tsepamisitsoeng ea ACCF / AHA / HRS ea 2012 e kentsoeng ho tataiso ea ACCF / AHA / HRS 2008 bakeng sa kalafo e thehiloeng sesebedisweng sa morethetho oa pelo: tlaleho ea American College of Cardiology Foundation / American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Mokhatlo. J Ke Coll Cardiol. 2013; 61 (3): e6-e75. PMID: 23265327 www.ncbi.nlm.nih.gov/pubmed/23265327.

Miller JM, Tomaselli GF, Zipes DP. Therapy bakeng sa arrhythmias ea pelo. Ka: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Lefu la pelo la Braunwald: Buka ea bongaka ea meriana ea pelo. 11th ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 36.

Minczak BM, Laub GW. Tlhaloso ea mali le khatello ea pelo. Ka: Roberts JR, Custalow CB, Thomsen TW, li-eds. Mekhoa ea Tleliniking ea Roberts le Hedges ho Meriana ea Tšohanyetso le Tlhokomelo e Ntle. La 7th. Philadelphia, PA: Elsevier; 2019: khaolo ea 12.

Myerburg RJ. Mokhoa oa ho ts'oaroa ha pelo le li-arrhythmias tse sokelang bophelo. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 57.

Santucci PA, DJ ea Wilber. Mekhoa ea ho itšireletsa le ho buoa ka Electrophysiologic. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 60.