Muverengi Mubvunzo: Mibvunzo nezve Pacemaker
Vadiwa vaverengi,
Yasvika nguva. Mushure memakore gumi nemaviri bara rinofanira kupinda muchechi kana temberi. Mwoyo wangu wave kutopera. Ndine genetic disorder yemoyo. Technical:
1. Genetic musiyano MYH7. Genotype: c.4996G>A (p.Asp1666Asn) musiyano muMYH7.
2. MRI inoratidza hypertrophic CMP ine serum ukobvu kusvika ku16 mm uye yakaratidza intramural fibrosis.
3. NSVTb (28 beats) panguva yeDSE
4. Coronagraphy 2016. zvishoma zvakaderedzwa LVES (51%) hapana inokosha stenoses
5. Simba repombi 30 kusvika 40% 60% zvakajairika
Diagnosis;
1. Minimal Pacemaker
2. Nengirozi iri pabendekete ICD
Mubvunzo wangu pano ndewokuti ndiani ane ruzivo nePacemaker uye / kana ICD uye anogona kundiudza zvakawanda nezvezvakanaka uye kunyanya zvakaipa zvakaitika? Ndinoziva zvirambidzo zveDutch kwandiri.
1. Pacemaker inogona kutyaira mota, mudhudhudhu nerori zvakazvimirira
2. MRI is 1 inoshaya kwandiri.
Uyezve, ICD inodzikamisa kunakidzwa kwehupenyu uye pacemaker kushoma. Njodzi: Pasina ICD, njodzi yekufa nguva isati yakwana? mutauro wachiremba.
Bvunza kuti chii chinonzi premature? Uyu mukana uripo zvakare neICD (mutauro wachiremba).
Zvandinoda ndezve pacemaker. Zvino kunouya mubvunzo wekupedzisira, maererano nekugona basa (kamwe chete mwedzi mitanhatu yega yega) ndiri kutsvaga mhando inozivikanwa zvakanyanya muThailand? Inofanirwa kuverengeka kubva kure uye isina yakawanda fancy tekinoroji. Ndeipi mhando inokodzera zvakanyanya muThailand neSouth Asia zvakajairika uye inonyanya kuzivikanwa pano?
1.Abbott
2.Medtronic
Ndinouya nechido 1. ChiDutch cardiologist inoti 2. Abbott ane zvipatara zvakawanda muThailand neMalaysia.
Mamwe mabrand ndeaya:
a. Boston Scientific (yaimbova Guidant)
b. Biotronic
c. Micro port
Iwo ekupedzisira matatu ane mashoma kuwana mumaonero angu. Yekupedzisira kuve c, kunyangwe muNetherlands, mutorwa.
Ndave neICD makore gumi apfuura mushure mekurwadziwa kwemoyo kwakakanganiswa nachiremba sedambudziko remudumbu. Nekuda kwekutadza kupindira kana kupindira kunonoka, chikamu chikuru chemoyo chakafa uye 10% yemoyo inoshanda inoramba iripo.
Ndinoriverenga kaviri pagore uye dzimwe nguva ndinorisvetuka kamwe chete. Kunze kwekuvandudza rezinesi rangu rekutyaira (code 2) uye kushandisa scanner panhandare dzendege, ini handina mamwe matambudziko nechinhu. Bhatiri richine makore maviri asara uye rozotsiviwa kana kambani yeinishuwarenzi ikapa mvumo.
Saka: mashoma kune asina anomisa nyaya neICD mune yangu.
Ndatenda nemhinduro kusvika parizvino.
Tsvaga zviitiko zvevashandisi muThailand uye zano remhando uye ruzivo rwehunyanzvi.
Uyewo mune dzimwe South Asia (Laos, Cambodia, Malaysia uye Philippines).
Ini ndinogara kazhinji yenguva yakatenderedza 50 km kuchamhembe kweUttaradit (mhuri, amai vemba uye kambani yedu). Uye zvakare, muJomtien (yezororo condo) uye padhuze neCha-am neHua-Hin (zvese zviri zviviri 30 kusvika 4 maminetsi kure (teak yezororo kumba).
2 Vakuwasha vekuThai vanogarawo muBangkok nenzvimbo dzakatenderedza.
Ndinoziva kuti mabasa e1 a PACEmaker ndeapi. (inopesana ne sinus bradycardia)
2. Ndine ICD neni yekupikisa kana kururamisa VT chamber tachycordia.
Ndinoziva kuti bakatwa 1 rave rakarembera pamusoro wangu kubva 2008 uye bakatwa 2 kubva 2017.
Ndine mabhuku matatu kubva kuna Catherina Eindhoven nezve Pacemaker, S-CDI uye CDi.
Ndinoziva chimiro chandinacho. Zvakare zvazvingaite kwandiri -> pakupedzisira kufa nekutadza kwemoyo. Is genetic: baba 68 uyezve sekuru vane 68. Ndine 67???
Chinondinetsa iruzivo kubva kune vatakuri nezve "matambudziko" neICD nePacemaker muThailand. Pamusoro pezvo, zano kana gwara rechipatara chepamusoro. uye mugadziri upi.
Medtronic inosarudzwa kuCatherina neMMC.
Muchipatara chemauto uttaradit kuBiotronics uye chipatara chePhitsanuvej kuAbbott.
Kana ndiri panzvimbo http://www.stin.nl tarisa uye ipapo. kuICD nePacemaker pazororo, kuunza maguta akadai seUttaradit, Bangkok, Jomtien, Hua Hin, Cha-am, Udon Ratchatani uye Chiang Mai.
Pamusoro peKuching (Mh) uye Manila neLaoag zvinotengeswa kunze kwenyika, ini ndinouya kune chokwadi chekuti Abbott ine yakanyanya kupinda.
Ndiri kungoona Medtronic yataurwa kusvika zvino? Saka izvi zvinomutsa mibvunzo???
Kunetseka kwangu kunyunyuta kune mumwe mugadziri kana mumwe. Ndezvipi zviitiko zvevashandisi. Kusvika parizvino ndanga ndichirapwa kana kutonga muBelgium, Germany neNetherlands. Sezvo zvakare muThailand.
Iye zvino muThailand ini ndingangove ndine pacemaker yakaiswa muPhitsanulok kana Bangkok. Kana uye izvo zvakare kufunga muNetherlands.
Mari dzisina kukosha dzichadzorerwa.
Saka mibvunzo inonyanya kujeka:
1. Matambudziko ekuti hongu kana kwete.
2. ICD kana Pacemaker -> kwandiri iyo chaiyo pacemaker, nepo zano riri ICD (OWN sarudzo).
3. Mucherechedzo upi???? Pane nyaya dzakawanda here kana kuti shoma neimwe kana imwe?
4. Chipatara chipi chinokurudzirwa? MY facade Bangkok heart hospital?? ASI??
Kune zvakare CRT-D, musanganiswa wepacemaker uye ICD. Akambopindira munyaya yangu zvakanaka. Hapana matambudziko akapihwa. Iva neSt. Jude, inoverengwa kure, zvakare kubva kuE'hoven.
Ndakavhiyiwa pacemaker muBangkok hospital Pattaya muna 1991. Dr Manoon vakanaka, enda ikoko kuti uwane mazano uye kuvhiyiwa kuchave kwakanaka, simba uye ugare uine hutano.
Dai ndaive nesarudzo, ndaizosarudza ICD. Ndingada Medtronic, sezvo kwave nezviitiko zvakanaka kwazvo nazvo muNetherlands. Uyezve, Daily Blind ine ICD uye kana iwe uri kutaura nezvekunakidzwa kwehupenyu, saka zvinoita. Ichiri kugadzirwa. Asi handidi kukufananidza nazvo nekuti panogona kunge paine zvimwe zvisizvo pauri. Khon Kean ane nzvimbo yakanaka yemoyo. Zvikasadaro, bvunza Dr. Maarte zvakare.
Beats. Hongu muNetherlands. Chigadzirwa cheGerman. Zvisinei, ndinodawo kukwanisa kuita zvakanaka mukati, pakati pezvimwe zvinhu. Uttaradit, Phitsanulok uye Jmatien (Thailand), Malaysia uye Philippines. NaThailand naKuching vachitungamira paSarawak.
Khon Kaen ati abuda munzira ASI ndinokutendai zvikuru
Ndakagamuchira ICD muna 2013 nekuti ndaive nechikamu che19% mumhepo yangu yekuruboshwe.
The 60% inoreva kupomba ropa kubva pamoyo richienda kumuviri.
Mushure mekuiswa kweBoston Scientific, ndadzoka zvachose ku59% uye ndinoramba ndichirarama hupenyu hwakajairika.
Iyo ICD ndeyechokwadi yakachengeteka nekuti waya yechitatu iripo kugogodza uye inogona kukupa kuvhunduka kana wakamira, izvo zvinondipa kunzwa kwakachengeteka.
Ndeupi musiyano uripo pakati pe pacemaker neICD?
pacemaker
Pacemaker chinhu chidiki chinoiswa pasi peganda rako. Iyo pacemaker inodzivirira kurova kwemoyo kwakaderera zvakanyanya. Kana zvichidikanwa, pacemaker inomhanyisa moyo wako mutinhimira. Izvi zvingave zvakafanira dzimwe nguva, semuenzaniso paunenge uchishanda nesimba.
Implantable cardioverter defibrillator (ICD)
ICD yakakura zvishoma kudarika pacemaker uye inogona kuita zvose zvinogona kuitwa ne pacemaker. ICD inogonawo kupindira muhupenyu-inotyisidzira cardiac arrhythmias. Izvi zvinoitwa uchishandisa mapurusi emagetsi kana kuendesa kuvhunduka kwemagetsi (defibrillation).
Kusimwa zvakare chidimbu chekeke (4 maawa) uye iwe hausi kuzoiswa pasi peanesthesia.
Iyo Boston chigadzirwa chine mukurumbira pasi rose uye inozivikanwawo muzvipatara muThailand.
Kuverengera kunze kwava kuitwawo ndiri kure nokuda kwangu kuburikidza nebhokisi rakabatanidzwa nerunhare.Pakutanga aiverenga vhiki yoga yoga uye zvino kamwe chete mwedzi mitanhatu yoga yoga nokurongana.
Zvese mune zvese, zvichibva pane zvakaitika kwandiri, ndinogona kukurudzira Boston.
Ndanga ndichiuya kuThailand kwemakore gumi nemashanu uye izvi zvese hazvisi zvipingamupinyi kwandiri nekuti kana paine emergency, kupindira kunogona kuitwawo muchipatara muThailand nekuti ndinotakura kadhi rine data muchikwama changu.
Handinzwisise kuti nei ICD ichizodzikamisa hupenyu hwako hwese.
Kana mune chero mibvunzo, ndinoda kunzwa kubva kwamuri.
Ona tsananguro yangu yapfuura.
Ziva basa racho.
Nekudaro, ndingadai ndakada kudzokera kuNetherlands muna Kubvumbi 2020.
Ndakagara pano panguva yekuvhara kwekutanga uye handina matambudziko evisa. iro harisi dambudziko nebhangi, mari, zera uye mukadzi.
Kutya foni kubva kuNetherlands yeKisimusi. Miyero yakashata zvikuru. Saka zvino chii chekuita uye sei?
Cheki pano haipe 100% zororo. Eya, chimwe chinhu chachinja.
ChiDutch cardiologist (handizivi zviri nani) anoti ndiri nani muNetherlands uye ndinoziva kuti HAZVISI izvo.
Ini zvakare ndine ICD mushure mekuonekwa kuti ndine moyo kukundikana, kupomba simba 25 kusvika 30 muzana pane 60% yakajairika. Mhedziso ndeye dzakasiyana siyana mishonga yemwoyo yakadai seAce inhibitors, beta blockers uye vatete veropa, asiwo kuiswa kweICD. Ndakagamuchira yekutanga muna 2011 paAMC muAmsterdam. Ini ipapo ndakanga ndiri pasi peanesthesia uye ndakaramba ndichitariswa kwerimwe zuva 1. Enda kumba uye usageze kwemazuva mashoma nekuda kwekupora kweronda kana plaster. Wapedza wakasiirwa kavanga kadiki kakanaka, but otherwise hazvina kumbokunetsa, pane imwe nguva hauchaziva kuti unaro. Neraki, mamiriro angu haana kuipa mukati memakore 9 iwayo, asi akavandudzwa zvishoma uye ICD haina kumbotanga kushanda. Nekuda kweizvi, ndave nayo kwemakore 9 uye iyo nyowani yakaiswa munaNovember 2020, ikozvino ine anesthesia yemuno. Mangwanani kupinda uye manheru dzokera kumba. Nei AMC, nekuti ini ndichiri kushanda uye ndakanyoreswa muEurope, ndine imba nemukadzi muIsaan, asi ndichiri kufara nehutano hweDutch, iri mupamusoro 3 muEurope, hapana chinokuvadza hutano hweThai, neniwo. funga kuti izvi zvakanaka.Iwe chete ndiwe unofanirwa kuenda wega une inshuwarisi yakanaka, zvinoreva kuti bhiri rinosvika kusvika € 19.000 kuti uise zvachose. Yakagamuchirawo modem ine ICD itsva, iyo inobatana neICD manheru ega ega uye inoendesa mberi data kuburikidza nenharembozha kune AMC. Yakabvunzwa uye izvi zvinoshandawo muThailand. Zvangu zvinobvawo kuMedtronics uye iwe unogona kuwana ruzivo rwakawanda pane yavo saiti. Chero zvazvingava, rombo rakanaka uye usazvidya mwoyo zvakanyanya nezvazvo.
Iwe haudi kufuratira runyorwa rweMMC uye zvakare chipatara cheCatherina muNetherlands.
Yese yemazuva gumi nemana (MUST) ingangoita mazana maviri ezviuru emaEuro.
MuAachen 150.000 Euro.
MuPhitsanulok 12.000 Euro. Pacemaker
Anodiwa Pacemaker murwere,
Ndanga ndichimhanya neMedtronic kubvira 2011. Chiitiko changu neizvi chakanaka uye muThailand zvipatara zvehurumende zvinozivikanwawo kuita ongororo zvakanaka
Kunyangwe zvichisiyana pachipatara maererano nenguva iri pakati pekuongororwa kamwe chete pagore pane imwe uye kaviri pagore pane imwe.
Kuvandudza bhatiri kunodhura zvishoma kuchipatara chehurumende pane kuzvipatara zvehurumende.Kana uine inishuwarenzi, kambani yeinishuwarenzi ine kodzero yekukuendesa kune yakachipa.
Zvakaitika nema cardiologists zvese zvakanaka. Ndinogara pedyo nePattaya.
Waita rombo rakanaka Josh