So woate nka pɛn sɛ wo koma rebɔ denneennen a ntease biara nnim, te sɛ nea biribi asɛe wo moma so? Ebetumi ayɛ biribi foforo. Nanso ɛtɔ mmere bi a ebetumi ayɛ komayare bi a wɔfrɛ no atrial flutter ho sɛnkyerɛnne. Mma ɛnhaw wo, ɛnnɛ yɛbɛka tebea yi ne n’ayaresa a etu mpɔn kɛse a wɔfrɛ no ablation ho asɛm.
Dɛn ne Atrial Flutter?
Sɛ yɛbɛka no tiawa a, eyi yɛ ɔhaw a ɛfa koma no nnyigyei ho. Yɛn koma no wɔ adan abien, ɔdan a ɛwɔ soro (atria) ne nea ɛwɔ fam (ventricles). Wɔ koma a ɛte apɔw mu no, saa adan abien yi bɔ wɔ nhyehyɛe pa mu, wɔ nnyigyei koro mu.
Fa no sɛ nnwontofo kuw a wɔatete wɔn yiye a wɔbom bɔ dwom. Nanso wɔ Atrial Flutter mu no, koma no atifi adan anaa atria no fi ase bɔ ntɛmntɛm yiye na ɛnyɛ nea ɛkɔ so daa. Ɛte sɛ nnwontofo kuw bi mufo pii a wɔrebɔ sanku ahoɔhare biara a wɔpɛ. Eyi sɛe koma no dwumadi nyinaa. Sɛ eyi kɔ so kyɛ a, ɛnyɛ papa mma koma no.
Enti dɛn ne saa Ablation ayaresa yi?
Atrial Flutter Ablation yɛ adeyɛ a ɛsɛe nkwammoaa a adi mfomso a ɛma koma no bɔ ntɛmntɛm na ɛnkɔ so daa no.
Fa no sɛ kanea bi a ɛwɔ ofie bi mu redum na ɛresɔ esiane nhama a asɛe nti. Ablation yɛ ɔkwan a wɔfa so hwehwɛ nhama a asɛe no, wɔma ɛyɛ adwuma, na wodi ɔhaw no ho dwuma daa.
Wɔ eyi mu no, nnuruyɛfo taa de ɔkwan bi a wɔfrɛ no radiofrequency ablation di dwuma de ma nkwammoaa a ɛde nsɛnkyerɛnne a ɛnteɛ remena no nyɛ adwuma. Ɛtɔ mmere bi a, wɔde awɔw a ano yɛ den (cryoablation) na ɛyɛ eyi. Ɔkwan biara so no, botae no ne sɛ wobegyae nsɛnkyerɛnne a ɛnteɛ no na wɔama koma no asan ayɛ adwuma bio.
Nea ɛho hia sen biara ne sɛ, eyi nyɛ oprehyɛn a wɔde koma abue.
Dɛn nti na ɛsɛ sɛ wotwa wo ho fi nipadua no mu?
Mpɛn pii no, oduruyɛfo de saa aduru yi di dwuma sɛ wontumi mfa nnuru anaa ɔkwan bi a wɔfrɛ no cardioversion mfa nni tebea no so na ama koma no asan ayɛ adwuma bio a. Wo duruyɛfo no besi gyinae sɛ ebia saa ayaresa yi fata wo anaa.
Nneɛma a ɛsɛ sɛ wohwɛ yiye ansa na wɔasa no yare ne bere a wɔasa yare no akyi
Nneɛma pii wɔ hɔ a ɛsɛ sɛ wohwɛ yiye ansa na wɔayɛ saa ayaresa yi ne bere a woawie no.
Ahosiesie a wɔyɛ ansa na wɔasa yare
- Wo duruyɛfoɔ bɛka akyerɛ wo sɛ kwati adidi anaa anonneɛ nnɔnhwereɛ 6-8 ansa na wɔayɛ ayaresa.
- Ebia wɔbɛka akyerɛ wo sɛ gyae nnuru bi nom nna kakraa bi ansa na wɔasa wo yare.
- Nanso eyi ho hia yiye: Sɛ wonom nnuru a ekum mogya a ɛtwetwe mogya a, nnyae esiane biribiara nti gye sɛ wo koma ho ɔyaresafo ka kyerɛ wo sɛ yɛ saa. Mma nntwa dose biako pɛ so.
Sɛnea wɔyɛ ayaresa no
Eyi taa si wɔ baabi a wɔde koma mu catheterization yɛ. Wɔbɛma wo nnuru a ɛbɛma woada (twilight sedation), anaasɛ ebia wɔbɛma wo aduru a wɔde kum nipadua no nyinaa. Enneɛ:
1. Wɔde ade ketewaa bi fa honam ani wɔ asen no mu.
2. Ɛnam so de nsuo a ɛyɛ tratraa pii a wɔfrɛ no `catheters` hyɛ mogya ntini bi mu.
3. Wɔde electrode catheter bi fa saa tube yi mu kɔ wo koma mu.
4. Sɛ yɛde saa catheter yi di dwuma a, yebetumi ahu nkwammoaa a ɛwɔ koma no mu a ɛde ɔhaw no reba no.
5. Afei, wɔde radiofrequency ahoɔden di dwuma de ma saa nkwammoaa a adi mfomso no yɛ adwuma.
Saa adeyɛ yi nyinaa betumi agye bɛyɛ nnɔnhwerew abien kosi anan.
Bere a wɔasa no yare akyi
Sɛ wɔyɛ ayaresa no wie a, woyi nsukorade a wɔde hyɛɛ mu no nyinaa na wɔkyekyere baabi a wɔatow no denneennen. Ɛno akyi no, wɔbɛka akyerɛ wo sɛ ma wo nan no tẽẽ bɛyɛ nnɔnhwerew 6-8. Sɛ wokɔ fie mpo a, ɛho behia sɛ wokɔ so nom nnuru a ekum mogya a ɛtwetwe mogya no kosi sɛ wo duruyɛfo bɛka akyerɛ wo.
Ayaresa no nkonimdi, asiane ahorow, ne nneɛma a ɛsɛ sɛ wɔhwɛ yiye wɔ ho
Sɛnea ɛte wɔ aduruyɛ biara ho no, nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ wuhu fa eyi ho. Momma yɛnhwehwɛ wɔn mu yiye.
| Nsɛm a ɛfa ho no su | Nea ɛsɛ sɛ wuhu |
|---|---|
| Nkonimdi dodow | Saa ayaresa yi di nkonim bɛboro 90% . Nnipa dodow no ara san nya wɔn koma a ɛyɛ den sɛnea ɛsɛ. Nanso, ɔha biara mu kakraa bi, bɛyɛ 4%-6%, betumi anya nea ɛsan ba bio. |
| Asiane ahorow a ɛwɔ mu | Asiane a ɛwɔ nsɛnnennen mu no nnu 1%.Nanso, nsɛnnennen a ɛntaa nsi koraa no bi ne: koma a esiw, ɔyare a ɛma obi hwe ase, koma mu tokuru, ɔyare mmoawa, ne mogya a ɛtɔ dodo. |
| Bere a ɛsɛ sɛ wokɔ ETU (Emergency Treatment Unit) ntɛm ara | Sɛ kuru a wɔde nnade no guu mu no hohoro mpofirim anaasɛ wontumi nni mogya a ɛretu fi kuru no mu no so a. |
| Bere a ɛsɛ sɛ wofrɛ oduruyɛfo no ntɛm ara | Sɛ mogya tu wo dodo, woyɛ mmerɛw, wo adwene tu fra, ɛyɛ den ma wo sɛ wobɛkasa, anaasɛ wote nka sɛ woatɔ piti na woate sɛ ebia wobɛhwe ase a. |
| Nneɛma afoforo a ɛsɛ sɛ wohwɛ so yiye | Sɛ ɛyɛ den ma wo sɛ wobɛhome, wo tirim yɛ wo yaw, wo koko yɛ wo yaw, wo nan a apira no mu yɛ wo yaw, wo hohoro anaasɛ wo ho yɛ wo yaw wɔ kuru no ho, wo koma bɔ wɔ ɔkwan a ɛnteɛ so, anaa wo yafunu mu yɛ wo yaw a, ka kyerɛ wo duruyɛfo. |
Bere tenten ahe na egye ansa na asa?
Ade a eye sen biara wɔ eyi ho ne sɛ ennye bere tenten ansa na asa.
Wubetumi asan akɔ fie na woasan afi wo dwumadi ahorow a woyɛ daa no ase da a edi hɔ no. Nanso, nyansa wom sɛ wobɛkwati nneɛma a emu yɛ den te sɛ apɔw-mu-teɛteɛ ne nneɛma a emu duru so a wobɛma so bɛyɛ nnansa.
Ɛdenam wo tebea so no, ebia ebehia sɛ wonom nnuru a ɛma mogya yɛ mmerɛw, bere tiaa ne bere tenten nyinaa, sɛnea wo koma ho ɔyaresafo de afotu ma no.
Ɛyɛ ade a ɛfata sɛ obiara besuro kakra bere a ɔte koma a ɛbɔ ho haw bi no. Nanso Atrial Flutter yɛ tebea a wotumi sa. Ablation yɛ ɔkwan a etu mpɔn yiye na ahobammɔ wom a wɔfa so sa. Enti, wo ne wo duruyɛfo nka eyi ho asɛm pefee na paw ayaresa a eye sen biara ma wo.
Nkrasɛm a Wɔde Kɔ Fie
- Atrial flutter yɛ tebea a wotumi sa a efi koma no atifi adan a ɛbɔ ntɛmntɛm na ɛbɔ ntɛmntɛm no.
- Ablation ne ayaresa a edi mu sen biara (bɛboro 90%) na ahobammɔ wom sen biara ma eyi. Ɛnyɛ koma a wɔabue mu oprehyɛn.
- Ɛho hia yiye sɛ wubedi aduruyɛ mu akwankyerɛ ahorow akyi yiye ansa na wɔayɛ ayaresa ne bere a wɔawie no, titiriw nea ɛfa nnuru a ekum mogya a ɛtwetwe mogya a wɔbɛnom ho no.
- Hwɛ kɔkɔbɔ nsɛnkyerɛnne wɔ ayaresa akyi, te sɛ mogya a ɛtɔ kɛse, ɔtotɔ piti, ne kasa a ɛyɛ den. Sɛ wowɔ ɔhaw bi a, kɔ wo duruyɛfoɔ anaa ayaresabea a ɛbɛn wo no Emergency Department (ETU) nkyɛn ntɛm ara.
- Nsuro saa ayaresa yi, wo ne wo koma ho ɔyaresafo nsusuw ho pefee na si gyinae.
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