Shin kana da bugun zuciya mara tsari? Bari mu ƙara koyo game da Tsarin Maze don Atrial Fibrillation!

, ? ‍ ‍ Atrial Fibrillation (‍ ‍) . , , ‍ ‍ . Maze Procedure ( ‍) .

Menene wannan Tsarin Maze?

A taƙaice dai, kamar wani irin dawaki ne. Wataƙila ka taɓa yin wasa da dawaki lokacin da kake yaro, inda kake shiga ta ƙofa ɗaya kuma dole ne ka bi hanya ɗaya tilo da ta dace don fita. Wannan tiyatar iri ɗaya ce.

Ana sarrafa bugun zuciyarmu ta hanyar siginar lantarki. A cikin bugun atrial fibrillation, siginar lantarki a cikin ɗakunan sama biyu na zuciya, wanda ake kira atria, suna zama marasa tsari kuma suna fara aika siginar da ba daidai ba. Daga nan sai zuciya ta fara bugawa ba tare da tsari ba.

A cikin Tsarin Maze, likitan fiɗa yana ƙirƙirar tabo a cikin tsari mai laushi da aka tsara a cikin atria na zuciya. Wannan tabo yana aiki kamar shinge, yana hana siginar lantarki mara kyau tafiya a cikin zuciya. Duk da haka, yana barin hanya don siginar da ta dace kawai da ake buƙata don zuciya ta buga yadda ya kamata. Kamar yadda akwai hanya ɗaya kawai madaidaiciya a cikin wannan maze. Wannan yana ba da damar zuciya ta sake bugawa yadda ya kamata.

Ana amfani da hanyoyi guda biyu don ƙirƙirar wannan kyallen tabo:

• Cryoablation: Rashin kunna nama ta amfani da sanyi mai tsanani (daskarewa).
• Rage yawan rediyo: Dumama nama ta amfani da zafi mai yawa (radiyo).

Ana iya yin wannan tiyatar a matsayin tiyata daban, ko kuma a yi ta a lokaci guda da tiyatar bypass ko tiyatar bawul ɗin zuciya.

Me yasa ake yin wannan Tsarin Maze?

Ba a ba da shawarar yin wannan tiyata ga kowa ba. Akwai yanayi da dama da likitanka zai iya ba da shawarar wannan maganin:

• Idan magungunan da aka rubuta don atrial fibrillation ba su yi maka aiki ba ko kuma kana da wasu illoli da ke hana ka shan su.
• Idan wannan yanayin ya haifar da toshewar jini a jikinka kuma aka sami wasu manyan cututtuka kamar bugun jini .
• Idan kana yin wasu tiyatar zuciya (misali, ta hanyar wucewa, maye gurbin bawul) kuma kana da matsalar atrial fibrillation.
• Idan magungunan da aka yi a baya kamar su '(Abokin Catheter Ablation)' ba su yi nasara ba.

Me ke faruwa kafin da kuma lokacin tiyatar?

Tunda wannan babban tiyata ne, za a duba ku sosai kafin a fara.

Hanyoyi biyu na tiyata

Akwai manyan hanyoyi guda biyu na tiyata. Ƙungiyar likitocinku za ta yanke shawara kan wace hanya ce ta fi dacewa da ku.

1. Tiyatar Buɗaɗɗiya (Hanyar Sternotomy): A wannan hanyar, ana yin tiyatar ta hanyar yankewa mai tsawon inci 6-8 a tsakiyar ƙashin ƙirji.

2. Tiyatar da ba ta da tasiri sosai (Hanyar Thoracoscopic): A wannan hanyar, maimakon babban yankewa a ƙirji, ana yin ƙananan yankewa da yawa tsakanin haƙarƙari kuma a saka kyamara kuma a saka kayan aiki masu laushi. Lokacin murmurewa ya fi guntu a wannan hanyar.

Cire Ƙarin Atrial na Hagu

Wani muhimmin ɓangare na wannan tiyatar shine rufewa ko cire wani ƙaramin ɓangare da ake kira Left Atrial Appendage . Wannan ƙaramin jaka ne mai siffar kunne wanda aka haɗa shi da atrium na hagu na zuciya.

Kashi 90% na gudan jini da ke haifar da bugun jini ga marasa lafiya da ke da nau'in atrial fibrillation a cikin wannan ƙaramin jakar.An gano cewa. Saboda zuciya ba ta bugawa yadda ya kamata, jini yana taruwa a wannan yanki kuma yana toshewa. Idan wannan gudan jini ya fashe ya tafi kwakwalwa, bugun jini yana faruwa. Don haka, a lokacin aikin Maze, ana rufe wannan yanki da dinki, maƙallan ƙarfe, ko wata na'ura ta musamman. Wannan na iya rage haɗarin bugun jini sosai.

Me ke faruwa bayan tiyatar?

Bayan tiyatar, za a ajiye ku a sashin kulawa mai zurfi (ICU) don kulawa na kwana ɗaya ko biyu, sannan a mayar da ku zuwa wani sashe na yau da kullun. Idan an yi muku tiyatar da ba ta da tasiri sosai (thoracoscopic), za ku iya komawa gida cikin kimanin kwanaki 4. Idan an yi muku tiyata a buɗe, za ku kasance a asibiti na kimanin mako guda.

Za ku ci gaba da shan nau'ikan magunguna da dama na tsawon watanni da dama bayan kun koma gida.

• Magungunan rage radadi a jini (Anticoagulants): Za ku buƙaci shan magunguna kamar "Warfarin" ko "Apixaban" na tsawon akalla watanni 3 don hana gudawa a jini. Bayan haka, likitanku zai yanke shawara ko kuna buƙatar ci gaba da shan su.
• Maganin rage bugun zuciya: Don rage bugun zuciya mara tsari wanda ka iya faruwa a farkon matakan murmurewa na zuciya.
• Magungunan rage kiba: Rage taruwar ruwa mara amfani a jiki.

Menene fa'idodi da haɗarin wannan tiyatar?

Tsawon wane lokaci ake ɗauka kafin a warke kuma yaushe ya kamata in sake ganin likita?

Koma ayyukanka na yau da kullun kamar yadda ka saba.Zai iya ɗaukar tsakanin makonni 3 zuwa 6. Idan an yi tiyatar ta amfani da hanyar da ba ta da tasiri sosai, lokacin murmurewa ya fi guntu.

Bayan tiyata, za ku buƙaci ganin likita a kan jadawalin da aka tsara.

• Mako guda bayan barin asibiti.
• Wata guda bayan barin asibiti (likitan zuciya).
• Gwajin ECG a watanni 3, 6, da 12.
• Gwajin `Holter Monitor` (na'urar da ke sa ido kan bugun zuciya na tsawon awanni 24) a watanni 6 da 12.

Yana da matuƙar muhimmanci ga lafiyarka ka halarci duk waɗannan gwaje-gwaje da alƙawura.