Puas muaj teeb meem nrog koj lub plawv dhia? Yog li ntawd, mus ntsib kws kho mob hluav taws xob!

Puas muaj tej lub sij hawm koj xav tias koj lub plawv dhia nrawm dua lossis ua lwm yam? Tej yam no tuaj yeem tshwm sim los ntawm kev hloov pauv hauv lub plawv lub zog hluav taws xob. Thaum ntawd peb yuav tsum mus ntsib kws kho mob hluav taws xob , tus kws kho mob uas tshwj xeeb hauv kev ua haujlwm hluav taws xob ntawm lub plawv. Peb puas yuav tham txog qhov no kom ntxaws ntxiv?

Yog li ntawd, tus no (Electrophysiologist) yog leej twg? Nws ua haujlwm dab tsi?

Hais yooj yim xwb, tus "Electrophysiologist" yog tus kws kho mob plawv uas nkag siab tob txog "lub zog hluav taws xob" ntawm koj lub plawv. Koj paub, peb lub plawv dhia thiab tso ntshav thoob plaws lub cev vim yog lub zog hluav taws xob no. Nws zoo li "tam sim no" hauv tsev. Lub plawv ua haujlwm zoo tsuas yog thaum cov teeb liab hluav taws xob "cov teeb liab hluav taws xob" no mus ncig lub plawv kom raug thiab raws li txoj cai.

Txawm li cas los xij, qee zaum yog tias muaj teeb meem nrog cov teeb liab hluav taws xob no, xws li lub plawv dhia tsis xwm yeem (arrhythmia) , koj yuav tsum mus ntsib kws kho mob hluav taws xob. Tom qab ntawd nws tuaj yeem kuaj xyuas seb muaj dab tsi tshwm sim hauv koj lub plawv thiab kho nws. Cov kws tshwj xeeb uas kho cov teeb meem plawv dhia hauv cov menyuam yaus, xws li cov menyuam mos thiab cov menyuam yaus, hu ua kws kho mob hluav taws xob rau menyuam yaus.

Yog li ntawd, qhov uas tus kws kho mob '(Electrophysiologist)' no ua feem ntau yog kuaj mob thiab kho cov teeb meem nrog '(conduction system)' ntawm koj lub plawv. Ntawd yog, nws nrhiav seb vim li cas koj lub plawv dhia tsis xwm yeem, vim li cas cov teeb liab hluav taws xob hauv koj lub plawv tsis mus raws txoj kev ib txwm muaj. Muaj qee hom '(Arrhythmia)', uas tsis txaus ntshai heev, tsuas yog kev ntxhov siab me ntsis xwb. Tab sis qee qhov ntawm lawv tuaj yeem ua rau tuag taus . Tus '(Cardiac Electrophysiologist)' tuaj yeem qhia qhov txawv ntawm ob qho no.

Lawv yuav nrhiav seb dab tsi ua rau koj qhov teeb meem hluav taws xob thiab nws pib qhov twg. Thaum lawv paub qhov ua rau tseeb, lawv tuaj yeem kho nws. Piv txwv li, nrog kev kho mob zoo li '(Catheter Ablation)', kev kho mob ntau dua 90% ua tiav . Vim li no, cov kws kho mob '(Electrophysiologist)' tau txhim kho lub neej zoo ntawm ntau tus neeg uas lawv kho.

Qhov txawv ntawm tus kws kho mob plawv thiab tus kws kho mob hluav taws xob yog dab tsi?

Qhov no kuj yog ib qho teeb meem uas ntau tus neeg muaj. Ib tug "Electrophysiologist" yog ib tug kws kho mob plawv uas tau kawm tshwj xeeb . Ib tug kws kho mob plawv dav dav kho ntau yam kab mob uas tshwm sim hauv lub plawv. Tab sis ib tug "Electrophysiologist" muaj kev txawj ntse tshwj xeeb hauv lub plawv lub zog hluav taws xob, uas tswj lub suab ntawm koj lub plawv.Qhov no txhais tau tias nws tau mus tob dua me ntsis rau sab hluav taws xob no thiab tau txais kev txawj ntse.

Tus kws kho mob electrophysiologist kho cov kab mob zoo li cas?

Tus kws kho mob electrophysiologist kho ntau yam mob plawv uas cuam tshuam nrog lub plawv dhia. Ntau yam mob no suav nrog lub plawv dhia tsis xwm yeem lossis lub plawv dhia ceev . Qee yam mob tuaj yeem txaus ntshai dua li lwm yam. Nov yog qee yam mob plawv dhia:

• Atrial Fibrillation : Hauv qhov mob no, cov chav sab saud ntawm lub plawv (atria) zoo li tshee hnyo es tsis yog ntaus kom raug.
• Atrial Flutter : Qhov no kuj yog lub plawv dhia ceev ceev, tsis sib xws hauv lub atria.
• Atrial Tachycardia : Lub plawv dhia ceev ceev uas pib hauv lub atria.
• Lub Plawv Thaiv : Lub plawv dhia ceev heev vim tias cov teeb liab hluav taws xob hauv lub plawv tsis mus ncig zoo.
• Wolff-Parkinson-White Syndrome : Qhov no yog ib qho mob uas lub plawv muaj ib txoj kev hluav taws xob ntxiv, uas tuaj yeem ua rau lub plawv dhia sai dua.
• Kab mob plawv dhia tsis zoo : Qhov no yog ib qho mob txaus ntshai heev. Cov chav qis (cov hlwb) ntawm lub plawv co tsis dhia zoo. Yuav tsum tau kho tam sim ntawd.
• Lub plawv dhia ceev ceev hauv lub plawv (ventricular tachycardia) : Lub plawv dhia ceev ceev uas pib hauv lub plawv ventricles. Qhov no kuj tuaj yeem ua rau muaj kev phom sij.
• Supraventricular Tachycardia (SVT) : Ib pawg ntawm cov plawv dhia ceev ceev uas pib saum cov ventricles.
• Kev Sib Tsoo Atrial Ua Ntej (PACs) : Ib qho ntxiv, lub plawv dhia thaum ntxov ntawm lub atria.
• Kev Mob Plawv Ua Ntej (PVCs) : Ib qho kev dhia ntxiv, thaum ntxov ntawm cov ventricles.
• Kab mob Sinus Syndrome : Kev ua haujlwm ntawm lub plawv lub pacemaker tsis zoo.
• Kab Mob QT Ntev : Cov teeb meem txaus ntshai tuaj yeem tshwm sim vim tias lub plawv lub zog hluav taws xob siv sijhawm ntev dhau los rov qab mus rau qhov qub.

Vim li cas kuv thiaj raug xa mus rau tus kws kho mob hluav taws xob?

Yog koj tus kws kho mob xav tias muaj teeb meem nrog koj lub plawv lub zog hluav taws xob, nws yuav xa koj mus rau tus kws kho mob hluav taws xob. Piv txwv li, yog tias koj lub plawv dhia ceev dua li qub, lossis ceev heev, lossis yog tias nws dhia tsis xwm yeem.Tej zaum koj yuav mus ntsib kws kho mob "Cardiac Electrophysiologist". Xav txog nws, qee zaum koj tsuas xav tias koj lub hauv siab dhia, lossis koj kiv taub hau, lossis koj xav tias koj tsis nco qab lawm. Tej yam no kuj tuaj yeem tshwm sim los ntawm teeb meem nrog koj lub plawv dhia.

Tus kws kho mob electrophysiologist ua cov kev ntsuam xyuas dab tsi?

Ib tug kws kho mob hluav taws xob tuaj yeem ua ntau yam kev kuaj mob los pab txiav txim seb qhov ua rau koj muaj teeb meem yog dab tsi. Qee qhov kev kuaj mob no suav nrog kev kaw suab paj nruag, thiab lwm qhov suav nrog kev thaij duab lub plawv. Feem ntau ntawm cov kev kuaj mob no tsis yog kev phais . Qee qhov yuav xav tau ib lub cannula me me (IV) kom ntxig rau hauv cov leeg ntshav hauv koj txhais caj npab. Qee qhov kev kuaj mob no suav nrog:

• Kev Kawm Txog Hluav Taws Xob (Electrophysiology Study - EPS) : Qhov no suav nrog kev muab cov xov hlau nyias nyias (catheters) rau hauv lub plawv kom kuaj xyuas qhov ua haujlwm hluav taws xob ntawm lub plawv.
• Kev Ntsuas Rooj Tilt : Qhov no yog ua los saib seb koj puas hnov ​​​​​​mob thaum koj sawv ntsug.
• Electrocardiogram (ECG/EKG) : Ib qho kev kuaj yooj yim uas sau cov haujlwm hluav taws xob ntawm lub plawv.
• Holter Monitor : Ib lub cuab yeej me me uas tuaj yeem sau koj lub plawv dhia tas li rau 24 lossis 48 teev.
• Saib Xyuas Kev Tshwm Sim : Ib lub cuab yeej uas cia koj sau thaum koj muaj cov tsos mob. Qhov no yuav tsum siv rau ob peb hnub lossis ob peb lub lis piam.
• Transthoracic Echocardiogram (TTE) : Kev kuaj mob plawv los ntawm kev siv ultrasound.
• Transesophageal Echocardiogram (TEE) : Qhov no kuj yog kev kuaj echo, tab sis hauv qhov kev kuaj no, ib lub raj me me raug xa mus rau hauv txoj hlab pas kom tau txais cov duab meej ntawm lub plawv.
• Kev Siv Computer Tomography (CT) : Kev siv CT scan tuaj yeem tsim cov duab ntxaws ntxaws ntawm lub plawv.
• MRI ntawm lub plawv : Tau txais cov duab ntawm lub plawv siv Magnetic Resonance Imaging.

Thaum twg kuv yuav tsum mus ntsib kws kho mob electrophysiologist?

Nws yog qhov zoo tshaj plaws mus ntsib kws kho mob plawv (Cardiac Electrophysiologist) yog tias koj muaj cov tsos mob hauv qab no:

• Ua tsis taus pa
• Mob hauv siab
• Lub plawv dhia tsis tu ncua - Qhov no txhais tau tias koj tuaj yeem hnov ​​​​​​koj lub hauv siab dhia, qee zaum tsis xwm yeem.

Xav txog seb, txawm tias koj sawv ntsug xwb los, koj xav tias koj ua tsis taus pa, koj lub hauv siab nruj, lossis koj lub plawv dhia ceev heev. Thaum lub sijhawm zoo li no, koj yuav tsum nrhiav kev pab kho mob.

Muaj ntau yam teeb meem ntawm lub plawv dhia muaj cov tsos mob zoo sib xws, yog li ntawd, tus kws kho mob electrophysiologist thiaj li paub tseeb tias koj lub plawv dhia tsis zoo li cas.

Koj puas xav tau kev xa mus ntsib kws kho mob hluav taws xob?

Feem ntau yuav yog. Tej zaum koj yuav xav tau kev xa mus ntsib kws kho mob hluav taws xob. Txawm hais tias koj lub tuam txhab pov hwm tsis tas yuav xa mus, koj tus kws kho mob tsev neeg lossis lwm tus kws tshwj xeeb feem ntau yuav xa koj mus rau kws kho mob hluav taws xob yog tias lawv xav tias koj muaj teeb meem plawv dhia.

Thaum koj mus ntsib kws kho mob electrophysiologist, koj yuav tsum xav li cas?

Ua ntej, tus kws kho mob hlwb yuav nug txog koj keeb kwm kev kho mob thiab tham txog koj cov tsos mob tam sim no. Lawv yuav xav tau daim ntawv teev cov tshuaj uas koj noj, suav nrog cov tshuaj uas yuav tsis tas yuav muaj ntawv yuav tshuaj. Tus kws kho mob hlwb yuav ua tau qhov kev kuaj sai, xws li ECG, tam sim ntawd, lossis xa koj mus tsev nrog lub cuab yeej, xws li lub cuab yeej saib xyuas kev tshwm sim, uas sau koj lub plawv dhia rau ob peb hnub.

Yog tias koj twb tau kuaj cov no lawm, tus kws kho mob electrophysiologist yuav ua lwm yam kev kuaj ntxiv los pab koj kuaj mob. Tom qab kuaj mob tiav lawm, tus kws kho mob electrophysiologist tuaj yeem pib kho mob. Qee zaum, kev kho mob tuaj yeem muab rau tib lub sijhawm teem tseg. Kev kho mob yuav suav nrog kev siv tshuaj lossis kev cog cov khoom siv.

Cov kws kho mob kho cov teeb meem plawv dhia li cas?

Tus kws kho mob hluav taws xob tuaj yeem kuaj xyuas koj qhov teeb meem thiab txiav txim siab qhov kev kho mob zoo tshaj plaws rau koj. Tej zaum yuav yooj yim li pib noj tshuaj tshiab. Lwm tus yuav xav tau lub cuab yeej los pab kom lawv lub plawv dhia li qub. Nov yog qee qhov kev kho mob tseem ceeb:

• Cov Tshuaj : Cov no tuaj yeem muab rau koj txhua hnub, lossis muab rau hauv cov hlab ntsha (IV) thaum muaj xwm txheej ceev.
• Cov tshuab pacemakers : Cov no siv cov hluav taws xob los kho qhov teeb meem hauv lub plawv lub zog hluav taws xob. Lawv feem ntau siv rau cov neeg uas muaj lub plawv dhia tsis xwm yeem.
• Cov Tshuab Hluav Taws Xob Rau Lub Plawv (ICDs) : Cov no pab tiv thaiv cov teeb meem plawv dhia tsis xwm yeem los ntawm kev xa hluav taws xob mus rau koj lub plawv thaum koj xav tau.
• Kev Kho Mob Plawv (Cardioversion) : Qhov no suav nrog kev siv hluav taws xob los tsoo koj lub plawv los ntawm kev siv ib lub cuab yeej sab nraud los kho koj lub plawv dhia kom rov qab zoo li qub.
• Kev rho tawm catheterHauv qhov no, tus kws kho mob tsim cov qhov txhab me me hauv txoj kev uas cov teeb liab hluav taws xob tsis sib xws mus rau hauv lub plawv. Qhov no tiv thaiv cov teeb liab tsis sib xws los ntawm kev mus ncig thiab nres lub plawv dhia tsis sib xws. Qhov no yog kev kho mob zoo heev.

Tus kws kho mob electrophysiologist muaj kev cob qhia dab tsi?

Qhov no kuj zoo kom paub. Ib tug "Electrophysiologist" yog ib tug kws tshwj xeeb uas tau kawm tiav qib siab . Tom qab kawm tiav hauv tsev kho mob, lawv ua ib qho kev cob qhia hauv "General Internal Medicine." Tom qab ntawd lawv ua ib qho kev kawm txog "Cardiovascular Disease", thiab tom qab ntawd ib xyoos lossis ob xyoos ntawm kev cob qhia tshwj xeeb hauv "Clinical Cardiac Electrophysiology." Yog li koj tuaj yeem pom tias lawv mob siab npaum li cas los ua cov kws tshaj lij hauv daim teb no? Yog li koj tuaj yeem ntseeg lawv.

Cov kws kho mob electrophysiologist ua haujlwm qhov twg?

Cov kws kho mob hluav taws xob feem ntau ua haujlwm nrog lwm tus kws kho mob plawv. Lawv kuj ua haujlwm hauv tsev kho mob. Lub chaw kuaj mob tshwj xeeb uas lawv ua kev kuaj mob hu ua electrophysiology lab lossis EP lab. Qee zaum nws hu ua catheterization lab lossis Cath lab.

Thaum kawg, ob peb yam rau koj nco ntsoov

Yog tias koj muaj qhov tsaus muag ntau zaus, mob hauv siab, lossis ua tsis taus pa, tej zaum koj yuav xav mus ntsib kws kho mob electrophysiologist kom paub seb yog dab tsi ua rau nws. Yog tias koj tsis paub meej txog kev kuaj lossis kev kho mob uas lawv yuav ua rau koj, tsis txhob ntshai nug cov lus nug . Tus kws kho mob yuav piav qhia txhua yam rau koj.

Nco ntsoov tias, kev mus ntsib kws kho mob tshwj xeeb tej zaum yuav yog ib qho kev paub tshiab rau koj. Tab sis cov kws kho mob "Electrophysiologist" yog cov kws tshaj lij hauv kev nkag siab thiab kho cov teeb meem plawv dhia. Yog li koj tuaj yeem ntseeg siab rau lawv los saib xyuas koj lub plawv kom zoo. Tsis txhob txhawj, ntau yam mob no tuaj yeem tswj tau nrog kev kho mob kom zoo.

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