Ugradnja pejsmejkera
March 20, 2009
Pejsmejker se ugrađuje u lokalnoj anesteziji u operacionoj sali koja mora imati predviđeni rentgen aparat, jer se ugrađuje pod kontrolom rentgena. Sa hiruškog aspekta reč je o manjoj intervenciji, ali sama procedura u svojim pojedinim segmentima zahteva izuzetnu veštinu operatora.
Pejsmejker se obično postavlja u regiju koja je estetski najpogodnija i gde će i pejsmejker biti najzaštićeniji od udaraca ili oštećenja.
Pejsmejker se ugrađuje preko vena ispod spoljne polovine ključne kosti. U lokalnoj anesteziji se izdvoji, a potom i otvori vena, kroz koju se plasira elektroda koja svojim prirodnim putem ide u desne srčane šupljine u desnu pretkomoru ili u vrh desne komore, u desnu pretkomoru ili u obe desne srčane šupljine. Posebnim kompjterom se izmere veličine kojima se procenjuje koliko je dobra pozicija elektrode, ukoliko nije traži se novo mesto, i elektroda se pomera, a ukoliko jeste, elektroda se fiksira i povezuje se sa aparatom. Od trenutka kada je povezana sa aparatom ili kada dotakne telo bolesnika pejsmejker počinje da vrši svoju funkciju i daje ritam pejsmejkerom.
Pejsmejker se postavlja u ”džep” ispod kože, a zatim se operativno područje zatvara.
Drugi dan posle operacije se funkcija pejsmejkera još jednom proveri posle čega pacijent odlazi iz bolnice na kućni oporavak. Osmi dan posle operacije se skidaju konci sa operativne rane.
Autor KardioNet · u Lecenje i nega
O autoru: KardioNet je prvi domaći Internet portal - servis koji pružaocima zdravstvenih usluga u domenu kardiologije, naučno-istraživačkim organizacijama, lekarima, predstavnicima farmaceutske i industrije medicinske opreme, države i fondova osiguranja, kao i pacijentima i zdravoj populaciji, omogućava pristup traženim medicinskim informacijama u bilo kom momentu, sa bilo kog mesta.
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