Koj lub plawv puas pib dhia ceev heev? Tej zaum koj puas hnov ib qho kev co txawv txawv hauv koj lub hauv siab, lossis koj lub plawv dhia tsis sib xws? Yog tias koj tau ntsib qhov no, tej zaum koj muaj tus mob hu ua 'Atrial Flutter'. Tsis txhob txhawj, tam sim no muaj cov kev kho mob zoo heev rau qhov no. Yog li hnub no peb yuav tham txog ib qho kev kho mob zoo heev thiab siv dav, 'Atrial Flutter Ablation'.
Hauv lwm lo lus, Atrial Flutter Ablation yog dab tsi?
Ua ntej peb nkag siab qhov no, cia peb xub saib seb 'Atrial Flutter' yog dab tsi. Ob lub chav sab saud ntawm peb lub plawv (atria) yog cov uas tso tawm cov teeb liab hluav taws xob uas pib lub plawv dhia. Feem ntau, cov teeb liab no raug tso tawm hauv txoj kev zoo thiab rhythmic. Tab sis rau ib tus neeg uas muaj 'Atrial Flutter', qee lub hlwb hauv cov chav sab saud no pib tso tawm cov teeb liab hluav taws xob tsis tu ncua, sai. Nws zoo li ib qho ntawm cov twj paj nruag hauv pab pawg ntaus nkauj ua si sai heev thiab tsis sib haum. Qhov no ua rau lub plawv lub suab nrov dhau los ua chaotic thiab lub plawv pib dhia sai heev.
Kev kho mob plawv dhia tsis zoo (Atrial Flutter Ablation) yog ib txoj kev kho mob uas nrhiav thiab rhuav tshem lossis ua kom cov hlwb uas ua rau muaj cov teeb liab hluav taws xob tsis sib xws tsis ua haujlwm. Tom qab qhov no, cov teeb liab tsis sib xws yuav nres thiab lub plawv dhia li qub dua.
Ob txoj kev tseem ceeb siv rau txoj haujlwm no:
- Kev Tshem Tawm Radiofrequency: Qhov no cuam tshuam nrog kev siv cua sov los rhuav tshem cov cell uas muaj teeb meem.
- Kev siv cua txias heev (cryoablation): Qhov no suav nrog kev siv cua txias heev (khov) kom cov cell tsis ua haujlwm.
Ob txoj kev no ua tib yam: lawv nres cov teeb liab los ntawm cov hlwb uas cuam tshuam lub plawv dhia.
Vim li cas koj thiaj xav tau kev kho mob no?
Feem ntau, tus kws kho mob yuav sim tswj lub plawv dhia ua ntej los ntawm kev muab tshuaj. Tab sis qee zaum cov tshuaj tsis tuaj yeem tswj tau qhov mob. Tom qab ntawd, qee zaum yuav kho mob hu ua "Cardioversion". Qhov no txhais tau tias muab lub plawv me me hluav taws xob los sim ua kom nws rov dhia dua.
Yog li, yog tias tsis muaj tshuaj lossis cardioversion tuaj yeem tswj koj lub plawv dhia , koj tus kws kho mob yuav pom zoo kom siv atrial flutter ablation ua qhov kev daws teeb meem zoo tshaj plaws thiab zoo tshaj plaws.
Koj npaj li cas ua ntej kev kho mob?
Txawm hais tias qhov no tsis yog kev phais loj, nws yuav tsum tau npaj me ntsis.
- Tus kws kho mob yuav qhia koj kom tsis txhob noj lossis haus dab tsi li rau txog rau yim teev ua ntej kev kho mob.
- Tej zaum yuav muaj lus nug kom koj tsum tsis txhob noj qee yam tshuaj uas koj tab tom noj ob peb hnub ua ntej kev kho mob no. Koj tus kws kho mob yuav qhia koj txog qhov no.
- Tseem Ceeb Heev: Yog tias koj noj tshuaj anticoagulants, tsis txhob tsum noj lawv txawm yog vim li cas los xij tsuas yog koj tus kws kho mob hais kom koj ua. Qhov no tseem ceeb heev.
Kev kho mob no ua haujlwm li cas?
Muaj coob tus neeg xav tias qhov no yog 'kev phais plawv qhib'. Tiamsis nws tsis yog. Qhov no ua nyob rau hauv ib chav tshwj xeeb uas mob siab rau kab mob plawv ('cardiac catheterization lab').
Hauv cov lus yooj yim, qhov tshwm sim ib kauj ruam zuj zus yog raws li nram no:
1. Ua ntej, koj yuav tau txais tshuaj kom loog koj qhov mob thiab ua rau koj tsaug zog ('tshuaj loog thaum tsaus ntuj'). Qee zaum, koj kuj tseem yuav tau txais tshuaj loog dav dav.
2. Tus kws kho mob mam li ntxig ib rab koob nyias nyias rau hauv daim tawv nqaij ntawm koj lub qhov ncauj.
3. Los ntawm nws, ntau lub raj me me, yoog tau ('(Catheters)') raug ntxig rau hauv cov hlab ntsha.
4. Ib lub raj nyias nyias uas muaj lub electrode (electrode catheter) raug xa mus rau lub plawv los ntawm lub raj no.
5. Siv lub electrode no, daim ntawv qhia raug tsim los txiav txim siab qhov twg cov teeb meem hluav taws xob hauv lub plawv los ntawm ('mapping').
6. Thaum cov cell uas muaj teeb meem raug txheeb xyuas lawm, lawv raug rhuav tshem los ntawm kev xa lub zog hluav taws xob (kub).
Tag nrho cov txheej txheem no feem ntau yuav siv sijhawm li ob mus rau plaub teev .
Tom qab kho mob tas lawm, muaj dab tsi tshwm sim?
Tom qab kev kho mob tiav lawm, cov raj uas tau muab ntxig rau hauv yuav raug tshem tawm. Tus kws phais yuav nias rau ntawm qhov chaw uas muab koob txhaj rau hauv kom tsis txhob los ntshav. Tom qab ntawd koj yuav raug qhia kom ncab koj txhais ceg rau rau txog yim teev .
Txawm tias koj mus tsev lawm los, koj yuav tsum noj tshuaj anticoagulants (tshuaj thinning ntshav) raws li koj tus kws kho mob tau hais, tsis txhob ncua ib zaug li. Yog tias koj los ntshav ntau dhau, hu rau koj tus kws kho mob tam sim ntawd.
Kev kho mob no zoo npaum li cas? Thiab muaj kev pheej hmoo dab tsi?
Qhov no yog qhov teeb meem loj tshaj plaws rau ntau tus neeg. Cov xov xwm zoo yog tias "(Atrial Flutter Ablation)" yog ib txoj kev kho mob uas muaj kev vam meej ntau dua 90% . Feem ntau ntawm cov neeg lub plawv dhia rov qab mus rau qhov qub tom qab qhov no. Txawm li cas los xij, muaj cov neeg tsawg heev (kwv yees li 4% -6%) muaj feem yuav rov qab mob dua.
Ib yam li lwm yam kev kho mob, muaj kev pheej hmoo me me xwb, tab sis qhov muaj feem yuav muaj teeb meem tsawg dua 1%.
| Kev Pheej Hmoo/Kev Nyuaj Siab | Piav qhia yooj yim |
|---|---|
| Lub plawv thaiv | Kev cuam tshuam ntawm lub plawv txoj kev xa hluav taws xob. |
| Mob stroke | Ib qho ntshav txhaws uas mus rau lub hlwb thiab thaiv nws (Muab cov tshuaj Anticoagulants los tiv thaiv qhov no). |
| Kev Txhaws Lub Plawv | Kev puas tsuaj rau phab ntsa plawv thaum lub sijhawm kho mob (tsis tshua muaj). |
| Kev kis kab mob | Kev kis kab mob ntawm qhov chaw ntxig koob. |
| Los ntshav | Los ntshav ntau dhau ntawm qhov chaw puncture. |
Nco ntsoov, cov no yog cov xwm txheej tsis tshua muaj. Koj pab neeg kho mob tau kawm zoo los tswj cov kev pheej hmoo no.
Yuav siv sijhawm ntev npaum li cas thiaj kho tau?
Lwm qhov zoo txog qhov no yog tias lub sijhawm rov zoo yog luv heev.
- Koj tuaj yeem rov ua tej yam li qub sai li sai tau thaum koj mus txog tsev.
- Txawm li cas los xij, nws yog qhov zoo tshaj plaws kom tsis txhob ua tej yam hnyav xws li kev kawm lub cev thiab tsa cov hnyav li peb hnub .
Nyob ntawm koj tus kws kho mob plawv cov lus qhia, koj yuav tsum tau noj cov tshuaj uas ua rau cov ntshav nyias zuj zus, txawm tias yog luv luv lossis ntev.
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Nws yog ib qho tseem ceeb heev uas koj yuav tsum paub zoo txog qhov no. Yuav tsum paub txog cov tsos mob hauv qab no.
| Yog tias xav tau kev kho mob thaum muaj xwm txheej ceev - hu rau 1990 lossis mus rau ETU tam sim ntawd! | |
|---|---|
| - Yog tias qhov txhab los ntawm qhov raug tom ntawd o thiab sai sai. | - Yog tias cov ntshav ntawm qhov txhab tsis tuaj yeem nres. |
| - Yog tias koj mob hauv siab heev. | - Yog tias koj muaj cov tsos mob ntawm kev tuag tes tuag taw xws li hais lus tsis meej, hais lus tsis meej, lossis tsis muaj zog ntawm ib sab ntawm lub cev. |
| Thaum twg yuav tsum hu rau koj tus kws kho mob | |
| - Ua pa nyuaj | - Yog tias koj xav tias kiv taub hau los yog tsaus muag. |
| - Yog tias koj xav tias loog ntawm ceg raug mob | - Yog tias muaj kev o lossis mob nqaij nyob ib puag ncig qhov txhab |
| - Yog tias koj lub plawv dhia tsis zoo li qub dua | - Mob plab los yog xeev siab |
Muaj lub plawv dhia tsis xwm yeem ua rau koj chim siab. Tab sis tam sim no muaj cov kev kho mob zoo thiab siv tau zoo heev rau qhov no. Atrial Flutter Ablation yog ib qho kev kho mob zoo heev. Tus neeg zoo tshaj plaws los paub yog tias qhov kev kho mob no puas yog rau koj yog koj tus kws kho mob. Tham nrog nws txog nws kom meej thiab nug tag nrho koj cov lus nug.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Atrial Flutter Ablation yog kev kho mob rau lub plawv dhia tsis xwm yeem uas muaj txiaj ntsig zoo tshaj 90%.
- Qhov no tsis yog phais kom lub hauv siab loj. Nws yog ua los ntawm kev ntxig ib lub raj nyias nyias hla ib txoj hlab ntshav hauv qhov chaw mos.
- Ua raws li koj tus kws kho mob cov lus qhia ua tib zoo ua ntej thiab tom qab kho mob, tshwj xeeb tshaj yog hais txog cov tshuaj ua kom cov ntshav nyias.
- Lub sijhawm rov zoo yog luv heev. Koj tuaj yeem rov qab mus rau lub neej ib txwm li qub hauv ob peb hnub.
- Yuav tsum paub txog cov tsos mob thaum muaj xwm txheej ceev xws li los ntshav ntau, mob hauv siab, thiab o sai sai. Yog tias muaj ib qho ntawm cov no tshwm sim, nrhiav kev pab kho mob tam sim ntawd.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus