So wo koma bɔ ntɛmntɛm? Momma yɛnka Maze Procedure, Atrial Fibrillation ano aduru ho asɛm!

So woate nka pɛn sɛ wo koma rebɔ te sɛ nea wabɔ dam, ɛrebɔ ntɛmntɛm na ɛnyɛ daa, na wote nka sɛ wowɔ atenka bi a ɛyɛ nwonwa wɔ wo moma so? Eyi ne nea yɛfrɛ no Atrial Fibrillation (AFib) wɔ nnuruyɛ mu. Eyi yɛ koma mu yare a ɛtaa ba paa. Mpɛn pii no, wobetumi de nnuru adi tebea yi so. Nanso nnipa binom fam no, ɛyɛ den sɛ wɔde nnuru nkutoo bedi so. Wɔ mmere a ɛtete saa mu no, ɛnnɛ yɛrebɛka oprehyɛn bi a edi mu yiye a nnuruyɛfo kamfo kyerɛ ho asɛm. Wɔfrɛ no Maze Procedure . Ɛwom sɛ edin no yɛ nwonwa kakra de, nanso atumi asa nnipa pii a wɔwɔ AFib nkwa.

Sɛ yɛbɛka no tiawa a, dɛn ne Maze Procedure yi?

Susuw agoru bi a wɔde maze bɔ ho hwɛ. Ɔkwan biako pɛ na wɔfa so kɔ mu, ɔkwan biako pɛ na wɔfa so fi mu, na ɔkwan pa biako pɛ na ɛwɔ ntam. Nanso akwan a ɛnteɛ pii nso wɔ hɔ a ɛkɔ anim ne akyi wɔ ne mu. Saa ara na ɛba wɔ Maze Procedure no mu.

Sɛ yɛbɛka no tiawa a, wɔ saa adeyɛ yi mu no, oduruyɛfo a ɔyɛ oprehyɛn no yɛ akuru ntini a ɛyɛ mmerɛw yiye a wɔayɛ ho nhyehyɛe wɔ wo koma ntini so. Ɛte sɛ nea worebɔ maze bi wɔ koma no mu.

Afei hwɛ, nea ɛkɔ so wɔ obi a ɔwɔ Atrial Fibrillation koma mu ne sɛ anyinam ahoɔden nsɛnkyerɛnne a ɛhwɛ koma no bɔ so no fi ase wɔ basabasayɛ kwan so, efi ase wɔ baabi biako na ɛtrɛw kɔ nsa anan no nyinaa so. Eyi nti na koma no hwere ne nnyigyei na efi ase bɔ ntɛmntɛm no.

Ntini a ɛyɛ akuru a wɔayɛ wɔ Maze Procedure no mu no siw akwan a anyinam ahoɔden nsɛnkyerɛnne a ɛnteɛ a ɛnteɛ no betumi afa so akɔ anim ne akyi . Bere koro no ara mu no, wobue ɔkwan biako pɛ a anyinam ahoɔden sɛnkyerɛnne a ɛfata bɛfa so abɔ . Te sɛ ɔkwan a ɛteɛ a ɛwɔ maze mu. Eyi siw nsɛnkyerɛnne a ɛnteɛ nyinaa ano na ɛma nsɛnkyerɛnne a ɛteɛ nkutoo na etumi tu kwan. Awiei koraa no, wo koma bɔ san kɔ sɛnea ɛte na ɛyɛ apɔwmuden.

Nnuruyɛfo fa akwan abien so siesie saa akuru yi:

• Cryoablation: Ɛde awɔw a ano yɛ den (nwini) di dwuma de sɛe ntini na ɛde akuru ba.
• Radiofrequency ahoɔden: Wɔde radiofrequency ahoɔden di dwuma de ma ntini mu yɛ hyew na ɛma akuru ba.

Ɛtɔ mmere bi a wobetumi ayɛ saa adeyɛ yi bere koro no ara mu ne koma oprehyɛn afoforo (te sɛ oprehyɛn a wɔde twa ho hyia). Anaasɛ, wobetumi ayɛ no nkutoo. Ɛnnɛ, wobu oprehyɛn yi a ɛyɛ foforo na ɛkɔ akyiri sen biara, Cox-maze IV procedure , sɛ ɛyɛ "sika kɔkɔɔ gyinapɛn" ma atiridiinini a ɛyɛ den.

Nsɛm bɛn mu na wɔyɛ oprehyɛn yi?

Wɔnkamfo Maze Procedure no nkyerɛ mma AFib ayarefo nyinaa. Mpɛn pii no, wo duruyɛfo ne wo besusuw saa adeyɛ yi ho sɛ:

• Wɔahyɛ ama woSɛ nnuru ntumi nni wo koma a ɛyɛ den so, anaasɛ sɛ wuntumi mfa nnuru bi nni dwuma esiane nea efi mu ba nti.
• Sɛ wowɔ atrial fibrillation, a ama mogya ayɛ wo nipadua mu na ɛde tebea horow a ɛyɛ hu te sɛ ɔyare a ɛma obi hwe ase aba .
• Sɛ wɔayɛ nhyehyɛe sɛ wɔbɛyɛ wo oprehyɛn ama komayare foforo (e.g., koma no mu ntini a wosiesie, bypass oprehyɛn) , wobetumi de saa kwan yi asa wo atrial fibrillation bere koro no ara mu bere a wɔreyɛ oprehyɛn no.
• Sɛ woadi kan ayɛ ayaresa bi a wɔfrɛ no Catheter Ablation na antumi anyɛ yiye a.

Dɛn na ɛba ansa na wɔayɛ oprehyɛn no?

Worentumi nkɔ oprehyɛn te sɛ eyi prɛko pɛ. Ansa na ɛno bɛba no, ɛsɛ sɛ wohwehwɛ wo nipadua tebea mu yiye. Ɛhwehwɛ sɛ wɔyɛ nhwehwɛmu mpɛn pii na wɔkɔ oduruyɛfo nkyɛn.

• Transthoracic Echocardiogram: Eyi te sɛ koma no mu ultrasound scan. Ɛhwɛ sɛnea wo benkum atrium no kɛse te ne sɛ ebia koma no mu ntini ho haw bi wɔ hɔ anaa.
• Chest CT (Computed Tomography) Scan: Wɔyɛ CT scan wɔ koko mu. Ɛtɔ mmere bi a, sɛ wɔbɛyɛ wo oprehyɛn a ɛnyɛ den pii a, ebia ɛho behia nso sɛ wɔyɛ yafunu ne akyi berɛmo CT mfonini.
• Wo ne nnuruyɛfo no hyia: Wo koma ho oduruyɛfo, oprehyɛn ho oduruyɛfo, ne oduruyɛfo a ɔma obi dwensɔ ne wo behyia akyerɛkyerɛ oprehyɛn no, asiane a ɛwɔ mu, ne sɛnea wɔde aduru a wɔde kum nipadua no bɛma mu. Bisa nsɛm biara a ebia wowɔ saa bere yi.
• Akwankyerɛ a wode bɛma: Wɔbɛma wo akwankyerɛ a emu da hɔ wɔ nea ɛsɛ sɛ wudi, anom, gyae nom, ne nnuru a ɛsɛ sɛ wonom wɔ nna a edi oprehyɛn no anim no mu.

Ɔkwan bɛn so na wɔyɛ oprehyɛn no?

Wobetumi ayɛ Maze Procedure no wɔ akwan titiriw abien so. Wo duruyɛfo a ɔyɛ wo oprehyɛn no na obesi ɔkwan a eye ma wo tebea no ho gyinae.

Esiane sɛ wɔde ntwitwiridii nketenkete paa na ɛyɛ safe tokuru oprehyɛn (Thoracoscopic) nti, nsɛnnennen kakraa bi na ɛba na ayaresabea a wɔtra bere tiaa bi.

Dɛn na wɔyɛ wɔ Benkum Atrial Appendage no ho?

Eyi yɛ Maze Procedure no fã a ɛho hia yiye. Benkum Atrial Appendage yɛ ntini kotoku ketewaa bi a ɛte sɛ aso a ɛbata koma no benkum so. Eyi ne beae titiriw a mogya tu wɔ nnipa a wɔn atiridiinini mu yɛ den no mu.

Sɛ koma no nnyigyei yɛ basaa a, mogya a ɛhyɛn saa aduru yi mu no gyina hɔ, na ɛma ɛyɛ mmerɛw sɛ mogya bɛtu. Sɛ mogya a ɛtɔ wɔ saa kwan yi so no tetew na ɛnam mogya ntini no mu na ɛkyere ntini bi a ɛwɔ amemene no mu a, ebetumi ama obi anya akisikuru.

Enti, bere a wɔreyɛ Maze Procedure no, oduruyɛfo a ɔyɛ oprehyɛn no de nhama, staples, anaa afiri titiriw bi to Left Atrial Appendage yi mu, anaasɛ otwa no koraa. Eyi betumi atew asiane a ɛwɔ hɔ sɛ daakye wubenya akisikuru no so kɛse .

Dɛn na ɛba wɔ oprehyɛn no akyi?

Sɛ wɔyɛ oprehyɛn no wie a, wɔde wo bɛto baabi a wɔhwɛ wɔn a wɔyare denneennen (ICU) ma wɔahwɛ wo da koro anaa nnanu, na afei wɔde wo akɔ ayaresabea a wɔhwɛ wɔn daa. Sɛ wɔayɛ wo oprehyɛn afoforo a, ebia ayaresabea a wobɛtra no bɛkyɛ. Mpɛn pii no, obi a wɔayɛ no safe tokuru oprehyɛn betumi akɔ fie wɔ bɛyɛ nnanan mu. Sɛ wɔayɛ wo oprehyɛn a wɔabue ano a, ebia ebehia sɛ wotra hɔ bɛyɛ dapɛn biako.

Sɛ wokɔ fie mpo a, ɛsɛ sɛ wonom nnuru bi asram pii.

• Nnuru a ekum mogya (mogya a ɛma mogya tu): Anyɛ yiye koraa no, ebehia sɛ wonom saa nnuru yi (sɛ nhwɛso no, warfarin, apixaban) asram abiɛsa na amma mogya antɔ. Ɛno akyi no, wo duruyɛfo no besi gyinae sɛ ebia ɛsɛ sɛ wokɔ so nom nnuru yi anaa.
• Nnuru a wɔde siw koma bɔ: Ebia eyinom ho behia na ama wɔatumi asiw koma a ɛbɔ a ɛnteɛ a ebetumi aba bere a koma no ho atɔ no mfiase no so.
• Nnuru a ɛma nsu fi nipadua mu: Wɔde nnuru yi ma na ama nsu a ɛboaboa ano wɔ nipadua no mu a ɛho nhia no so atew.

Ɛtɔ da bi a, AFib ntumi nsiesie koraa wɔ Maze Procedure no akyi. Wɔ tebea horow a ɛtete saa mu no, ebia ɛho behia sɛ woyi catheter foforo. Enti, ɛho hia yiye sɛ wo ne wo koma ho oduruyɛfo di nkitaho bere a woayɛ oprehyɛn no awie no.

Mfaso ne asiane bɛn na ɛwɔ oprehyɛn yi so?

Bere tenten ahe na egye ansa na asa?

Mpɛn pii no, egye adapɛn abiɛsa kosi asia ansa na woasan ayɛ wo da biara da dwumadi ahorow a wotaa yɛ no. Sɛ wɔayɛ wo safe tokuru oprehyɛn a, bere a wo ho bɛtɔ wo no bɛyɛ ntɛmntɛm kɛse efisɛ ntwitwiridii kɛse biara nni wo moma so.

Bere bɛn na ɛsɛ sɛ wosan kɔ wo duruyɛfo nkyɛn bio?

Sɛ wosan nya AFib ho sɛnkyerɛnne bio wɔ oprehyɛn no akyi a, bɔ wo koma ho ɔyaresafo amanneɛ ntɛm ara. Bio nso, ɛho behia sɛ woyɛ nhyehyɛe pɔtee bi a wode bɛyɛ sɔhwɛ ne bere a wobɛkɔ akɔyɛ nhyehyɛe.

• Mifii ayaresabea kɔɔ fie wɔ dapɛn biako mu.
• Kɔ komayare ho oduruyɛfo nkyɛn wɔ bɛyɛ ɔsram biako mu.
• Electrocardiogram (EKG) nhwehwɛmu wɔ oprehyɛn no akyi asram 3, 6, ne 12, na afei pɛnkoro afe biara.
• Holter monitor (afiri a ɛhwɛ koma no dwumadi so nnɔnhwerew 24) sɔhwɛ wɔ asram 6 ne 12 wɔ oprehyɛn no akyi.

Ɛho hia yiye sɛ wobɛyɛ nhwehwɛmu ahorow yi nyinaa yiye na ama woahwɛ ahu sɛ w’akwahosan.