Koj puas tau muaj ib zaug xav tias koj lub plawv dhia ceev heev yam tsis muaj laj thawj, zoo li muaj qee yam tsis zoo rau koj lub hauv siab? Tej zaum yuav yog lwm yam. Tab sis qee zaum nws tuaj yeem yog ib qho tsos mob ntawm tus mob plawv hu ua atrial flutter. Tsis txhob txhawj, hnub no peb yuav tham txog tus mob no thiab nws txoj kev kho mob zoo heev, hu ua ablation.
Atrial Flutter yog dab tsi?
Hais yooj yim xwb, qhov no yog teeb meem nrog lub plawv dhia. Peb lub plawv muaj ob chav, chav sab saud (atria) thiab chav sab hauv qab (ventricles). Hauv lub plawv noj qab nyob zoo, ob chav no dhia zoo heev, tib lub suab.
Xav txog nws zoo li ib pab pawg neeg ua suab paj nruag uas tau kawm tiav zoo ua si ib zaj nkauj ua ke. Tab sis hauv Atrial Flutter, cov chav sab saud ntawm lub plawv, lossis atria, pib dhia ceev heev thiab tsis sib xws. Nws zoo li ob peb tug tswv cuab ntawm pab pawg neeg ua suab paj nruag ntaus nruas ntawm qhov ceev uas lawv xav tau. Qhov no cuam tshuam kev ua haujlwm ntawm lub plawv. Yog tias qhov no txuas ntxiv mus ntev, nws tsis zoo rau lub plawv.
Yog li ntawd, qhov kev kho mob Ablation no yog dab tsi?
Atrial Flutter Ablation yog ib txoj kev kho mob uas rhuav tshem cov hlwb tsis zoo uas ua rau lub plawv dhia ceev thiab tsis xwm yeem.
Xav txog lub teeb hauv tsev uas yuav ci thiab qhib vim yog cov xov hluav taws xob tsis zoo. Kev rho tawm yog tus txheej txheem ntawm kev nrhiav cov xov hluav taws xob tsis zoo, tua nws, thiab daws qhov teeb meem mus tas li.
Hauv qhov no, cov kws kho mob feem ntau siv txoj kev hu ua radiofrequency ablation los ua kom cov hlwb uas xa cov teeb liab tsis raug tsis ua haujlwm. Qee zaum, qhov no ua tiav los ntawm kev siv cua txias heev (cryoablation). Txawm li cas los xij, lub hom phiaj yog kom nres cov teeb liab tsis raug thiab rov qab ua kom lub plawv dhia zoo.
Qhov tseem ceeb tshaj plaws yog, qhov no tsis yog phais plawv qhib.
Vim li cas koj thiaj yuav tsum tau ua ablation?
Feem ntau tus kws kho mob siv txoj kev kho mob no yog tias tsis tuaj yeem tswj tau qhov mob nrog cov tshuaj lossis cov txheej txheem hu ua cardioversion los kho lub plawv dhia. Koj tus kws kho mob yuav txiav txim siab seb txoj kev kho mob no puas yog rau koj.
Tej yam yuav tsum paub ua ntej thiab tom qab kev kho mob
Muaj ob peb yam uas koj yuav tsum paub ua ntej thiab tom qab kev kho mob no.
Kev npaj ua ntej kev kho mob
- Koj tus kws kho mob yuav qhia koj kom tsis txhob noj mov lossis haus dej li 6-8 teev ua ntej kev kho mob.
- Tej zaum yuav muaj lus nug kom koj tsum tsis txhob noj qee yam tshuaj li ob peb hnub ua ntej kev kho mob.
- Tiamsis qhov no tseem ceeb heev: Yog tias koj noj tshuaj anticoagulant, tsis txhob tsum lawv rau txhua qhov laj thawj tsuas yog koj tus kws kho mob plawv hais kom koj ua. Tsis txhob hla ib koob tshuaj xwb.
Yuav ua li cas kho mob
Qhov no feem ntau tshwm sim hauv chav kuaj mob plawv uas siv txoj hlab ntaws. Koj yuav tau txais tshuaj kom koj tsaug zog (tshuaj loog thaum tsaus ntuj), lossis tej zaum yuav muab tshuaj loog rau koj lub cev. Tom qab ntawd:
1. Muab ib rab koob me me ntxig rau hauv daim tawv nqaij hauv thaj chaw qhov chaw mos.
2. Los ntawm nws, ntau lub raj nyias nyias hu ua 'catheters' raug ntxig rau hauv cov hlab ntsha.
3. Ib lub electrode catheter raug xa mus rau hauv koj lub plawv los ntawm lub raj no.
4. Siv lub catheter no, peb tuaj yeem nrhiav tau cov hlwb hauv lub plawv uas ua rau muaj teeb meem.
5. Tom qab ntawd, lub zog hluav taws xob raug siv los tua cov hlwb uas puas lawm.
Tag nrho cov txheej txheem no tuaj yeem siv sijhawm li ob mus rau plaub teev.
Tom qab kev kho mob
Thaum kho tiav lawm, tag nrho cov raj uas tau muab tso rau hauv yuav raug tshem tawm thiab qhov chaw uas raug tho yuav raug nruj. Tom qab ntawd, koj yuav raug hais kom ua kom koj ceg ncaj li 6-8 teev. Txawm tias tom qab koj mus tsev lawm los xij, koj yuav tsum tau noj koj cov tshuaj anticoagulants txuas ntxiv mus txog thaum koj tus kws kho mob hais kom koj ua.
Kev vam meej ntawm kev kho mob, kev pheej hmoo, thiab tej yam uas yuav tsum tau saib xyuas
Ib yam li kev kho mob, muaj ob peb yam uas koj yuav tsum paub txog qhov no. Cia peb saib ze zog rau lawv.
| Hom ntaub ntawv | Yuav tsum paub dab tsi |
|---|---|
| Kev Ua Tau Zoo | Txoj kev kho mob no muaj feem ua tiav ntau dua 90% . Feem ntau cov neeg rov qab tau lawv lub plawv dhia li qub. Txawm li cas los xij, muaj ib feem me me, kwv yees li 4%-6%, uas yuav rov qab muaj dua. |
| Kev Pheej Hmoo | Qhov kev pheej hmoo ntawm cov teeb meem yog tsawg dua 1%.Txawm li cas los xij, cov teeb meem tsis tshua muaj xws li: lub plawv thaiv, mob hlwb, lub plawv tawg, kev kis kab mob, thiab los ntshav ntau dhau. |
| Thaum twg yuav tsum mus rau ETU (Chav Kho Mob Thaum Muaj Xwm Ceev) tam sim ntawd | Yog tias qhov txhab uas muab koob txhaj rau hauv nws tam sim ntawd o tuaj lossis yog tias cov ntshav ntawm qhov txhab tsis tuaj yeem tswj tau. |
| Thaum twg yuav tsum hu rau kws kho mob tam sim ntawd | Yog koj los ntshav ntau dhau, qaug zog, tsis meej pem, hais lus tsis tau zoo, lossis xav tias koj yuav vau thiab zoo li koj yuav ntog. |
| Lwm yam ntxwv uas yuav tsum tau them sai sai rau | Qhia rau koj tus kws kho mob yog tias koj ua pa nyuaj, kiv taub hau, mob hauv siab, loog ntawm ceg raug mob, o lossis mob ib puag ncig qhov txhab, lub plawv dhia tsis zoo, lossis mob plab. |
Yuav siv sijhawm ntev npaum li cas thiaj kho tau?
Qhov zoo tshaj plaws txog qhov no yog tias nws tsis siv sijhawm ntev los kho.
Koj tuaj yeem rov qab mus tsev thiab rov ua koj tej dej num li qub rau hnub tom qab. Txawm li cas los xij, nws yog ib qho zoo kom tsis txhob ua tej yam hnyav xws li kev tawm dag zog thiab kev tsa cov hnyav li peb hnub.
Nyob ntawm koj tus mob, tej zaum koj yuav tau noj tshuaj uas ua rau cov ntshav nyias, ob qho tib si luv luv thiab ntev, raws li koj tus kws kho mob plawv qhia.
Nws yog ib qho ib txwm rau txhua tus neeg ntshai me ntsis thaum lawv hnov txog teeb meem plawv dhia. Tab sis Atrial Flutter yog ib qho mob uas kho tau. Ablation yog ib txoj hauv kev zoo thiab muaj kev nyab xeeb los kho nws. Yog li, tham nrog koj tus kws kho mob txog qhov no thiab xaiv qhov kev kho mob zoo tshaj plaws rau koj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob plawv dhia tsis xwm yeem yog ib yam mob uas kho tau los ntawm cov chav sab saud ntawm lub plawv dhia tsis xwm yeem thiab sai.
- Kev phais plawv yog qhov kev kho mob zoo tshaj plaws (ntau tshaj 90%) thiab muaj kev nyab xeeb tshaj plaws rau qhov no. Nws tsis yog phais plawv qhib.
- Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li cov lus qhia kho mob ua ntej thiab tom qab kev kho mob, tshwj xeeb tshaj yog cov lus qhia txog kev noj tshuaj anticoagulants.
- Saib xyuas cov cim ceeb toom tom qab kho mob, xws li los ntshav ntau, tsaus muag, thiab hais lus tsis tau zoo. Yog tias koj muaj teeb meem dab tsi, mus ntsib koj tus kws kho mob lossis chav kho mob ceev (ETU) ze tshaj plaws tam sim ntawd.
- Tsis txhob ntshai qhov kev kho mob no, tham nrog koj tus kws kho mob plawv thiab txiav txim siab.
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