Yala dusukun tantanni tɛ kɛ tuma bɛɛ fana wa? An ka kunnafoni wɛrɛw sɔrɔ Labyrinthe Procédure pour la Fibrillation atriale kan!

Yala i delila k’a ye ko i dusukun bɛ ka teliya kosɛbɛ ani ka kɛ cogo la min tɛ bɛn wa? Nin bana in, n’a bɛ kɛ i n’a fɔ fɛn dɔ bɛ ka wuli i disi la, furakɛli siratigɛ la, o bɛ wele ko Atrial Fibrillation. Ni o tɛ se ka kunbɛn ni fura ye, an bɛ kuma furakɛli fɛɛrɛ dɔ kan min ka gɛlɛn dɔɔni nka a bɛ nɔ bɔ kosɛbɛ, min bɛ kɛ fura ye. O de ye Maze Procedure ye.

Nin Labyrinthe Procédure ye mun ye?

N’an y’a fɔ cogo nɔgɔman na, a bɛ iko maze. N’a sɔrɔ i ye tulon kɛ ni maze ye i denmisɛnman, i bɛ don da kelen fɛ yɔrɔ min na, i ka kan ka sira ɲuman kelen dɔrɔn de ta walasa ka bɔ. Nin opereli in fana bɛ o cogo kelen na.

An dusukun tantanni bɛ mara ni kuran taamasiɲɛw ye. Dusukun tantanni na, kuran taamasiɲɛ minnu bɛ dusukun sanfɛla fila la, n’olu bɛ wele ko atiriyali, olu bɛ kɛ fɛn ye min tɛ wuli ka bɔ a nɔ na, ​​wa u bɛ daminɛ ka taamasiɲɛ juguw ci. O kɔfɛ, dusukun bɛ daminɛ ka bugɔ cogo la min tɛ bɛn.

Maze Procedure kɔnɔ, operelikɛla bɛ joginda dilan cogo la min ka nɔgɔn kosɛbɛ, min labɛnna dusukun tantanni yɔrɔw la. O sɔgɔsɔgɔninjɛ bɛ kɛ i n’a fɔ barikalan, ka kuran taamasiɲɛ juguw bali ka taa dusukun fan bɛɛ la. Nka, a bɛ sira to taamasiyɛn ɲumanw dɔrɔn de kama minnu ka kan ka kɛ walasa dusukun ka se ka bugɔ ka ɲɛ. I n’a fɔ sira ɲuman kelen dɔrɔn de bɛ o maze kɔnɔ cogo min na. O bɛ a to dusukun bɛ se ka bugɔ a cogo kɔrɔ la tuguni.

Fɛɛrɛ fila bɛ kɛ ka nin sɔgɔsɔgɔninjɛ in dilan:

• Cryoablation : Farikolo yɔrɔw baarakɛbaliya ni nɛnɛ jugumanba ye (nɛnɛ).
• Radiofrequence Ablation : Ka farikolo yɔrɔw sumaya ni funteni caman ye (radio waves).

O opereli bɛ se ka kɛ i n’a fɔ opereli danfaralen, walima a bɛ se ka kɛ waati kelen na ni bypass opereli walima dusukun tantanni opereli ye.

Mun na nin Maze Procedure in bɛ ka kɛ?

Nin opereli in man ɲi bɛɛ ma. Ko damadɔ bɛ yen dɔgɔtɔrɔ bɛ se ka nin furakɛli in fɔ minnu na:

• Ni fura minnu sɛbɛnnen don ɲɛda tɔntɔnni na, olu tɛ baara kɛ aw ye walima ni kɔlɔlɔw bɛ aw la minnu bɛ aw bali ka u ta.
• ni nin bana in kɛra sababu ye ka joli kurulenw kɛ aw fari la ani ni bana jugumanw i n' a fɔ sɔgɔsɔgɔninjɛ kɛra .
• Ni aw bɛ dusukun opereli wɛrɛw kɛ (misali la, bypass, valve replacement) ani ni aw fana bɛ ni dusukun tantanni ye.
• Ni furakɛli tɛmɛnenw i n’a fɔ `(Catheter Ablation)` ma ɲɛ.

Mun bɛ kɛ sani opereli ka kɛ ani opereli kɛtuma na?

Ikomi nin ye opereliba ye, aw bɛna sɛgɛsɛgɛli kɛ ka ɲɛ sani a ka daminɛ.

Opereli kɛcogo fila

Opereli kɛcogo kunba fila bɛ yen. Aw ka dɔgɔtɔrɔso jɛkulu bɛna a latigɛ fɛɛrɛ min ka fisa aw ma.

1. Opereli dafalen (Sternotomy Method): Nin fɛɛrɛ in na, opereli bɛ kɛ ni tigɛda ye min janya ye santimɛtɛrɛ 6-8 ye disi kolo cɛmancɛ la.

2. Opereli min tɛ fɛn caman kɛ (Thoracoscopic Method): Nin fɛɛrɛ in na, sanni ka tigɛba kɛ disi la, tigɛ misɛnnin caman bɛ kɛ kɔkiliw ni kamera cɛ ani ka minɛn nɔgɔlenw don a kɔnɔ. A kɛnɛyali waati ka surun o fɛɛrɛ in na.

Atiriyali kiniyanfan ka farankanw bɔli

opereli in yɔrɔ wɛrɛ min nafa ka bon kosɛbɛ , o ye yɔrɔ fitinin dɔ datuguli walima a bɔli ye min bɛ wele ko « Appendage de la vitesse gauche . Nin ye foroko fitinin ye min bɛ i n’a fɔ tulo, a bɛ nɔrɔ dusukun kininbolo fan fɛ.

Joli kurukuru minnu bɛ kɛ sababu ye ka kirinni bila banabagatɔw la minnu ɲɛnamini bɛ u la, olu 90% bɛ sɔrɔ o foroko fitinin in kɔnɔ.A Sɔrɔla ko. Ikomi dusukun tɛ gosi ka ɲɛ, joli bɛ dalajɛ o yɔrɔ la ka kurukuru. Ni o joli kurulen in bɔra ka taa kunsɛmɛ na, kirinni bɛ kɛ. O la, Maze kɛcogo senfɛ, o yɔrɔ bɛ datugu ni sɔgɔlilanw ye, ni sɔgɔlilanw ye, walima ni minɛn kɛrɛnkɛrɛnnen dɔ ye. O bɛ se ka dɔ bɔ kosɛbɛ kirinni farati la.

Mun bɛ kɛ opereli kɔfɛ?

Opereli kɔfɛ, aw bɛna to furakɛli gɛlɛnw yɔrɔ la (ICU) walasa ka aw kɔlɔsi tile kelen walima tile fila kɔnɔ, ka tila ka taa dɔgɔtɔrɔso la min bɛ kɛ tuma bɛɛ. Ni aw ye opereli kɛ min tɛ fɛn caman kɛ (barakoskɔpi), aw bɛ se ka taa so tile 4 ɲɔgɔn kɔnɔ. Ni aw ye opereli dafalen kɛ, aw bɛna kɛ dɔgɔtɔrɔso la dɔgɔkun kelen ɲɔgɔn.

Aw bɛna fura suguya caman ta hali bi kalo damadɔ kɔnɔ aw seginnen kɔ so.

• Jolifagalanw (Anticoagulants): Aw ka kan ka furaw ta i n’a fɔ `Warfarin` walima `Apixaban` kalo 3 ni kɔ walasa ka joli kurulenw bali. O kɔfɛ, aw ka dɔgɔtɔrɔ bɛna a latigɛ ni aw ka kan ka taa a fɛ u tali la.
• Dusukun tantanni fura : Walasa ka dusukun tantanni jugumanw kunbɛn minnu bɛ se ka kɛ dusukun kɛnɛyali daminɛ na.
• Sugunɛbilenni furaw : Aw bɛ dɔ bɔ jimafɛnw dalajɛli la farikolo la kunntanw.

O opereli in nafa ni farati jumɛnw bɛ a la?

A bɛ waati joli ta ka kɛnɛya ani ne ka kan ka taa dɔgɔtɔrɔso la tuguni tuma jumɛn?

Aw bɛ segin aw ka baara kɛcogo kɔrɔw kan i n’a fɔ a delila ka kɛ cogo min na.a bɛ se ka dɔgɔkun 3 ni dɔgɔkun 6 cɛ . Ni opereli kɛra ni fɛɛrɛ ye min tɛ fɛn caman kɛ, a kɛnɛyali waati bɛ surunya kosɛbɛ.

Opereli kɔfɛ, aw bɛna a ɲini ka taa dɔgɔtɔrɔso la waati bolodalen dɔ kɔnɔ.

• Dɔgɔkun kelen bɔlen kɔ dɔgɔtɔrɔso la.
• Kalo kelen bɔlen kɔ dɔgɔtɔrɔso la (dusukun dɔnbaga).
• EKG sɛgɛsɛgɛliw bɛ kɛ kalo 3, 6 ani 12 kɔnɔ.
• `Holter Monitor` (minɛn min bɛ dusukun tantanni kɔlɔsi sanga 24 kɔnɔ) sɛgɛsɛgɛli kalo 6 ni kalo 12 kɔnɔ.

A nafa ka bon i ka kɛnɛya la ka taa nin sɛgɛsɛgɛliw ni lajɛw bɛɛ la.