E aʻo kākou i nā mea āpau e pili ana i ka mālama ʻana i ka SVT Ablation, ka mea e kaohi ana i ka puʻuwai!

Ke manaʻo nei ʻoe i kekahi manawa e piʻi koke ana kou puʻuwai me ke kumu ʻole? Me he mea lā ua holo nui ʻoe? He hōʻailona paha kēia o kahi maʻi āu i lohe ai i kapa ʻia ʻo 'Supraventricular Tachycardia' a i ʻole '(SVT)'. ʻOiai he mea weliweli kēia, mai hopohopo. I kēia manawa, aia nā lāʻau lapaʻau kūpono loa no kēia. I kēia lā, ke kamaʻilio nei mākou e pili ana i kekahi lāʻau lapaʻau kūpono loa, ʻo 'SVT Ablation'.

I ka ʻōlelo maʻalahi, he aha ka SVT Ablation?

ʻO ka `SVT Ablation` kahi hana e hōʻino a hoʻopau i kekahi mau cell i loko o nā keʻena o luna o kou puʻuwai e hoʻopilikia nei i nā hōʻailona uila e pili ana i ka puʻuwai. E noʻonoʻo i ka ʻōnaehana uila o ko mākou puʻuwai e like me ka ʻōnaehana uwea i loko o kahi hale. ʻO ka maʻamau, kuʻi pono ka puʻuwai ke hele wale nā ​​​​hōʻailona uila ma ke ʻano maʻamau ma o kēia mau "uea."

Akā i kekahi poʻe, hoʻokumu ʻia kahi loop liʻiliʻi, a i ʻole kekahi mea e like me ka loop, i loko o kēia ʻōnaehana "wire". A laila lilo ia e like me ka "short circuit" , ua hoʻopilikia ʻia ke ʻano maʻamau o ka puʻuwai, a hoʻomaka koke ka puʻuwai e kuʻi wikiwiki. I ka mālama ʻana iā 'Ablation', hoʻohana ʻia kahi ʻōmole lahilahi loa i kapa ʻia he 'catheter' kūikawā e komo i loko o ka puʻuwai, e ʻimi i ka "short circuit" e hoʻouna ana i nā hōʻailona hewa, a hoʻopau iā ia.

ʻElua ala e hana ai i kēia:

• Ikehu alapine (Radiofrequency): Hoʻouna kekahi mau catheters i ka wela e luku i nā cell a hana i kahi ʻeha liʻiliʻi.
• Ke anuanu: Hoʻohana kekahi mau catheters i ke anu nui e hoʻopau i kēlā mau pūnaewele.

Ke ālai nei kēia mau ʻano ʻelua i ke ala e hoʻouna ai i nā hōʻailona uila hewa, e ʻae ana i ka puʻuwai e kuʻi hou ma ke ʻano maʻamau.

Pehea ka maʻamau o kēia lāʻau lapaʻau?

Ma ka awelika, ʻelua o kēlā me kēia 1,000 kānaka ma ka honua e loaʻa paha iā SVT. Eia nō naʻe, he nui ka poʻe, ma waena o 60% a me 80%, e loaʻa ana ka hōʻoluʻolu maikaʻi me ka lāʻau lapaʻau. No laila, ʻo kēia lāʻau `Ablation` he hopena maikaʻi loa ia no ka poʻe paʻakikī ke kāohi me ka lāʻau lapaʻau.

He aha nā mea e pono e hana ʻia ma mua o ka SVT Ablation?

ʻAʻole kēia he hana ʻoki kino nui, akā pono ia i kahi hoʻomākaukau iki.

• Pono ka lāʻau lapaʻau e hōʻole loa i ka meaʻai a me ka mea inu no 6 a 8 mau hola (hoʻokē ʻai).
• Loaʻa paha i kāu kauka kekahi o nā lāʻau lapaʻau āu e lawe nei.(ʻOi aku hoʻi nā lāʻau hoʻokahe koko) e aʻo ʻia e hoʻōki i ka lawe ʻana iā lākou no kekahi mau lā. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo maopopo no kēia.

He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?

Hana ʻia kēia lāʻau lapaʻau ma kahi kūikawā i kapa ʻia ʻo `electrophysiology lab`. E nānā kākou i kahi ʻanuʻu maʻalahi i ka mea e hana ʻia ana ma kēia.

Ua nalowale loa anei ʻoe?

ʻO ka hapa nui o ka manawa, ʻaʻole ʻoe e ala loa. E hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e hoʻohiamoe māmā ai ʻoe, a he ʻano moe iki paha. Kāhea mākou i kēia he 'hoʻomālielie hoʻomaopopo'.I kēia manawa, ʻaʻole ʻoe i ʻike nui i nā mea e hana nei a puni ʻoe, a ʻaʻole ʻoe e ʻeha. Eia naʻe, he mea kakaikahi loa, i kekahi mau hihia kūikawā, pono paha ʻoe e hāʻawi ʻia i ka anesthesia laulā. Hoʻoholo ʻia kēia e ke kauka ma muli o kou kūlana.

He mea ʻeha kēia?

ʻOiaʻiʻo, ʻaʻole ʻoe e ʻeha i ka wā e hoʻomehana ai ʻoe i kēlā mau hunaola hewa. Hoʻomānoino ke kauka i kahi i hoʻokomo ʻia ai ke catheter. No laila, ʻo ka ʻeha wale nō āu e ʻike ai he manaʻo liʻiliʻi a ʻōniʻoniʻo ke loaʻa iā ʻoe ka inikini hoʻomānoino (lidocaine).

He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?

Ma hope o ka pau ʻana o ka lāʻau lapaʻau a wehe ʻia nā catheters āpau, hoʻopaʻa ʻia kahi o ke catheter e hoʻōki i ke kahe ʻana o ke koko. I kekahi manawa hoʻohana ʻia kahi mea liʻiliʻi i kapa ʻia he mea pani vascular e pani i ka ʻeha. Ma hope o kēlā, pono ʻoe e moe ma kahi moe me kou mau wāwae e hohola ʻia no kahi o 6 a 8 mau hola . He mea ʻoluʻolu ʻole paha kēia, akā he mea nui ia e pale aku i nā pilikia e like me ke kahe ʻana o ke koko.

He aha nā pōmaikaʻi a me nā pilikia o kēia lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, aia nā pono a me nā pilikia liʻiliʻi loa.

ʻEhia ka lōʻihi e ho'ōla ai?

ʻO kekahi mea maikaʻi e pili ana i kēia, hiki iā ʻoe ke hoʻōla koke. Hiki iā ʻoe ke hoʻi i ka home a hoʻomaka i kāu mau hana maʻamau (e like me ka hana keʻena, nā hana hale) i ka lā aʻe . Eia nō naʻe, inā makemake ʻoe e hana i kahi mea e pono ai ka hoʻoikaika iki, e like me ka hāpai ʻana i nā kaumaha, a i ʻole ka hoʻoikaika kino ʻana, ʻoi aku ka maikaʻi o ke kali ʻana ma ka liʻiliʻi o ʻekolu lā .

Āhea ʻoe e ʻike ai i ke kauka?

He mea nui loa ka mālama ʻana i kou kino ma hope o ka lāʻau lapaʻau. E makaʻala i nā hōʻailona ma lalo nei.

Hiki ke hopohopo ka loaʻa ʻana o ka puʻuwai kūpono ʻole. Akā, mai hopohopo, aia nā lāʻau lapaʻau kūpono loa no ia mea. ʻO ka SVT ablation kekahi o ia mau lāʻau lapaʻau kūpono loa a haʻahaʻa ka pilikia. Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e kamaʻilio me kāu kauka e hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe.