So wo koma fi ase bɔ ntɛmntɛm paa mpofirim? So ɛtɔ mmere bi a wote nka sɛ biribi a ɛyɛ nwonwa rehuruhuruw wɔ wo moma so, anaasɛ wo koma mu nnyigyei nhyia? Sɛ woanya eyi mu osuahu a, ebia wowɔ tebea bi a wɔfrɛ no ‘Atrial Flutter’. Mma ɛnhaw wo, mprempren ayaresa ahorow a etu mpɔn yiye wɔ hɔ a wɔde sa eyi. Enti ɛnnɛ yɛrebɛka ayaresa biako a etu mpɔn yiye na wɔde di dwuma kɛse no ho asɛm, ‘Atrial Flutter Ablation’.
Sɛ yɛbɛka no tiawa a, dɛn ne Atrial Flutter Ablation?
Ansa na yɛbɛte eyi ase no, momma yenni kan nhwɛ nea ‘Atrial Flutter’ yɛ. Yɛn koma no atifi dan abien (atria) no ne nea ɛma anyinam ahoɔden nsɛnkyerɛnne a ɛma koma no bɔ fi ase. Mpɛn pii no, wɔde saa nsɛnkyerɛnne yi ma wɔ ɔkwan a ɛyɛ nhyehyɛe pa so, a ɛyɛ nnyigyei a ɛyɛ dɛ so. Nanso wɔ obi a ɔwɔ ‘Atrial Flutter’ mu no, nkwammoaa a ɛwɔ saa adan a ɛwɔ soro yi mu no bi fi ase ma anyinam ahoɔden nsɛnkyerɛnne a ɛnkɔ so daa, ntɛmntɛm. Ɛte sɛ nnwinnade a ɛwɔ nnwontofo kuw bi mu no biako a ɛrebɔ ntɛmntɛm na ɛnyɛ nea ɛnteɛ. Eyi ma koma no nnyigyei yɛ basabasa na koma no fi ase bɔ ntɛmntɛm paa.
Atrial Flutter Ablation yɛ ayaresa a ɛkyerɛ nkwammoaa a ɛde anyinam ahoɔden nsɛnkyerɛnne a ɛnkɔ so daa no reba no na ɛsɛe anaasɛ ɛma ɛyɛ adwuma. Eyi akyi no, nsɛnkyerɛnne a ɛnkɔ so daa no gyae na koma no bɔ sɛnea ɛsɛ bio.
Wɔde akwan titiriw abien na ɛyɛ adwuma yi:
- Radiofrequency Ablation: Eyi hwehwɛ sɛ wɔde ɔhyew di dwuma de sɛe nkwammoaa a ɔhaw wom no.
- Cryoablation: Eyi hwehwɛ sɛ wɔde awɔw a ano yɛ den (nwini) di dwuma de ma nkwammoaa no nyɛ adwuma.
Saa akwan abien yi nyinaa yɛ ade koro: esiw nsɛnkyerɛnne a efi nkwammoaa a ɛsɛe koma no nnyigyei mu no ano.
Dɛn nti na wuhia saa ayaresa yi?
Mpɛn pii no, oduruyɛfo no di kan bɔ mmɔden sɛ obesiw koma no bɔ denam nnuru a ɔde ma no so. Nanso ɛtɔ mmere bi a nnuru no ntumi nni tebea no so. Afei, ɛtɔ da bi a wɔyɛ ayaresa bi a wɔfrɛ no ``Cardioversion''. Eyi kyerɛ sɛ wobɛma koma no anyinam ahoɔden ketewaa bi de abɔ mmɔden sɛ ɔbɛma asan abɔ bio.
Enti, sɛ nnuru anaa koma a wɔde yɛ adwuma no ntumi nni wo koma bɔ so , ebia wo duruyɛfo bɛkamfo atrial flutter ablation sɛ ano aduru a edi hɔ a eye sen biara na etu mpɔn sen biara.
Wobɛyɛ dɛn asiesie wo ho ansa na woasa wo yare?
Ɛwom sɛ eyi nyɛ oprehyɛn kɛse de, nanso egye ahosiesie kakra.
- Oduruyɛfo no bɛka akyerɛ wo sɛ nnidi anaa nnom biribiara bɛyɛ nnɔnhwerew asia kosi awotwe ansa na wɔayɛ ayaresa no.
- Ebia wɔbɛka akyerɛ wo sɛ gyae nnuru bi a worenom mprempren nom nna kakraa bi ansa na wɔayɛ saa ayaresa yi. Wo duruyɛfo betu wo fo pefee wɔ eyi ho.
- Nea ɛho hia paa: Sɛ worenom nnuru a ekum mogya a ɛtwetwe mogya a, nnyae sɛ wobɛnom esiane biribiara nti gye sɛ wo duruyɛfo ka kyerɛ wo. Eyi ho hia paa.
Ɔkwan bɛn so na saa ayaresa yi yɛ adwuma?
Nnipa pii susuw sɛ eyi yɛ `koma a wɔabue mu oprehyɛn`. Nanso ɛnte saa. Wɔyɛ eyi wɔ unit titiriw bi a wɔahyira so ama komayare nkutoo (`cardiac catheterization lab`).
Sɛ yɛbɛka no tiawa a, nea ɛkɔ so anammɔn biara te sɛ nea edidi so yi:
1. Nea edi kan no, wɔbɛma wo aduru a ɛbɛma wo yaw no ayɛ mmerɛw na ama woada (`twilight sedation`). Ɛtɔ mmere bi a, wobetumi ama wo nnuru a wɔde kum nipadua no nyinaa nso.
2. Afei oduruyɛfo no de ade teateaa bi bɛhyɛ w’asen mu were mu.
3. Wɔnam so de nsukorade ahorow pii a ɛyɛ fɛ yiye na ɛyɛ mmerɛw (`(Catheters)`) hyɛ mogya ntini bi mu.
4. Wɔde afiri foforo a ɛyɛ tratraa a ɛwɔ electrode (electrode catheter) fa saa afiri yi mu kɔ koma no mu.
5. Sɛ wɔde saa electrode yi di dwuma a, wɔyɛ asase mfonini de kyerɛ baabi pɔtee a anyinam ahoɔden nsɛnkyerɛnne a ɛyɛ ɔhaw wɔ koma no mu no fi (`mapping`).
6. Sɛ wohu nkwammoaa a ɔhaw wom no wie a, wɔsɛe no denam radiofrequency ahoɔden (ɔhyew) a wɔde mena so.
Mpɛn pii no saa adeyɛ yi nyinaa betumi agye bɛyɛ nnɔnhwerew abien kosi anan .
Dɛn na ɛba wɔ ayaresa akyi?
Sɛ wɔyɛ ayaresa no wie a, wobeyi nsukorade biara a wɔde hyɛɛ mu no afi hɔ. Oduruyɛfo a ɔyɛ oprehyɛn no de nhyɛso bɛba baabi a wɔde ade no ahyɛ mu no na ama mogya no agyae. Afei wɔbɛkyerɛ wo sɛ ma wo nan ntrɛw nnɔnhwerew asia kosi awotwe .
Sɛ wokɔ fie mpo a, ɛsɛ sɛ wokɔ so nom wo nnuru a ekum mogya (mogya a ɛma mogya tu) sɛnea wo duruyɛfo akyerɛ wo no, a worenhwere dodow biako mpo. Sɛ mogya tu wo dodo a, frɛ wo duruyɛfo ntɛm ara.
Saa ayaresa yi tu mpɔn dɛn? Na asiane ahorow bɛn na ɛwɔ mu?
Eyi ne ɔhaw kɛse ma nnipa pii. Asɛmpa no ne sɛ ``(Atrial Flutter Ablation)`` yɛ ayaresa a ɛdi nkonim bɛboro 90% . Nnipa dodow no ara koma bɔ san ba sɛnea na ɛte wɔ eyi akyi. Nanso, nnipa kakraa bi pɛ (bɛyɛ 4%-6%) wɔ hokwan sɛ tebea yi bɛsan aba bio.
Sɛnea ɛte wɔ aduruyɛ biara mu no, asiane ketewaa bi na ɛwɔ mu, nanso hokwan a ɛwɔ hɔ sɛ nsɛnnennen bɛba no nnu 1%.
| Asiane/Nneɛma a Ɛyɛ Den | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Koma a Wɔde Siw Ano | Koma no anyinam ahoɔden nsɛnkyerɛnne a ɛde kɔ no a wɔsɛe no. |
| Nnwodwoɔ | Mogya a ɛtwetwe a ɛkɔ amemene no mu na esiw ano (Wɔma nnuru a ekum mogya a ɛtwetwe mogya de siw eyi ano). |
| Koma a Ɛyɛ Tokuru | Koma no fasu a ɛsɛe wɔ akwanhyia mu bere a wɔreyɛ ayaresa no (ɛho yɛ na yiye). |
| Nsaneɛ | Nyarewa a ɛwɔ baabi a wɔde ade no ahyɛ mu no. |
| Mogya a ɛretu | Mogya a ɛtɔ dodo fi baabi a wɔatow no. |
Kae sɛ eyinom yɛ nsɛm a ɛntaa nsi koraa. Wɔatete w’aduruyɛfo kuw no yiye sɛ wobedi asiane ahorow yi ho dwuma.
Bere tenten ahe na egye ansa na asa?
Ade foforo a eye wɔ eyi ho ne sɛ bere a wɔde ma obi ho tɔ no yɛ tiaa koraa.
- Wubetumi asan afi dwumadi ahorow a woyɛ daa ase bere a woadu fie ara pɛ.
- Nanso, eye sɛ wobɛtwe wo ho afi dwumadi ahorow a emu yɛ den te sɛ apɔw-mu-teɛteɛ ne nneɛma a emu yɛ duru a wɔma so ho bɛyɛ nnansa .
Ɛdenam wo komayare ho oduruyɛfo afotu so no, ebia ebehia sɛ wokɔ so nom nnuru a ɛma mogya yɛ mmerɛw, bere tiaa anaa bere tenten.
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?
Ɛho hia paa sɛ wubehu eyi ho nsɛm yiye. Hwɛ yare no ho sɛnkyerɛnne a ɛwɔ ase ha no yiye.
| Wɔ nsɛm a ɛho hia sɛ wɔyɛ ayaresa a egye ntɛmpɛ - frɛ 1990 anaa kɔ ETU ntɛm ara! | |
|---|---|
| - se kuru a efi sting no mu no hohoro mpofirim na ɛyɛ ntɛmntɛm a. | - se mogya a efiri kuru no mu no ntumi nsie a. |
| - se wo nya koko mu yaw a emu ye den a. | - se wo nya mmubuafoa ho sɛnkyerɛnne te sɛ kasa a ɛyɛ den, kasa a ɛyɛ mmerɛw, anaa mmerɛwyɛ wɔ nipadua no fã biako. |
| Bere a ɛsɛ sɛ wofrɛ wo duruyɛfo | |
| - a ɛyɛ den sɛ wobɛhome | - se wote nka se wo ho kyere wo anaase woatoto a. |
| - se wote nka se wo ho ye wo nan a woapira no mu a | - se ahonhon anaase akuru a ɛrekɔ soro wɔ kuru no ho a |
| - se wo koma bɔ te sɛ nea ɛnteɛ bio a | - yafunu mu yare anaase akisikuru |
Sɛ obi koma bɔ a ɛnteɛ a, ebetumi ayɛ abasamtu. Nanso mprempren ayaresa a eye na etu mpɔn paa wɔ hɔ ma no. Atrial Flutter Ablation yɛ ayaresa a etu mpɔn yiye a ɛte saa no mu biako. Onipa a oye sen biara a obehu sɛ saa ayaresa yi fata wo anaa ne wo duruyɛfo. Ka ho asɛm kyerɛ no yiye na bisa wo nsɛm nyinaa.
Nkrasɛm a Wɔde Kɔ Fie
- Atrial Flutter Ablation yɛ ayaresa a wɔde sa koma a ɛbɔ a ɛnteɛ a ɛboro 90% a ɛdi mu.
- Eyi nyɛ oprehyɛn a wɔde trɛw obi koko mu. Wɔnam mogya ntini bi a ɛwɔ asen no mu a wɔde fa nsukorabea teateaa bi mu so na ɛyɛ.
- Di wo duruyɛfo akwankyerɛ akyi yiye ansa na woasa wo yare ne bere a woawie no, titiriw wɔ nnuru a ɛma mogya yɛ mmerɛw ho.
- Bere a obi ho tɔ no no yɛ tiaa koraa. Wubetumi asan akɔ asetra a ɛfata mu wɔ nna kakraa bi mu.
- Hwɛ yiye wɔ sɛnkyerɛnne ahorow a egye ntɛmpɛ te sɛ mogya a ɛtɔ kɛse, koko mu yaw, ne mpofirim a ɛho ahonhon ho. Sɛ eyinom mu bi ba a, hwehwɛ aduruyɛfo afotu ntɛm ara.
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