Puas muaj tej lub sij hawm koj lub plawv dhia ceev dua, lossis koj lub plawv dhia dhia qeeb, lossis koj lub plawv dhia tsis txav, lossis koj lub plawv dhia txawv txawv? Tej lub sij hawm qhov no tuaj yeem ua rau koj lub hauv siab nruj thiab kiv taub hau. Hauv kev kho mob, hom kev cuam tshuam ntawm lub plawv dhia no hu ua 'Arrhythmia'. Txawm tias siv tshuaj los xij, qhov mob no qee zaum kuj nyuaj rau tswj. Tab sis tsis txhob txhawj, muaj ib txoj kev kho mob zoo heev, tsis tas yuav phais. Kev kho mob ntawd, uas yog, Cardiac Ablation, yog qhov peb yuav tham txog hnub no.
Hais yooj yim xwb, kev phais plawv yog dab tsi?
Xav txog tias muaj ib txoj hlua me me uas luv lossis tsis zoo nyob rau hauv lub tshuab hluav taws xob ntawm koj lub tsev. Ces lub teeb tsis nyob twj ywm tab sis 'ntsiag to', lossis nws cia li ploj mus, puas yog? Qhov ntawd yog qhov tshwm sim hauv peb lub siab. Peb lub siab dhia nrog lub tshuab hluav taws xob uas yooj yim. Yog tias cov teeb liab hluav taws xob no pib tsis raug, lossis yog tias lawv mus tsis raug, lub plawv dhia tsis xwm yeem.
Kev phais plawv (tseem hu ua Catheter Ablation) yog ib txoj kev kho mob uas nrhiav tau ib thaj chaw me me ntawm cov nqaij hauv lub plawv uas ua rau muaj cov teeb liab hluav taws xob tsis zoo thiab tua nws. Qhov no tsis yog kev phais loj. Tus kws kho mob plawv ntxig ib lub raj nyias nyias, yoog tau (qhov no yog qhov peb hu ua catheter ) rau hauv koj lub plawv los ntawm ib txoj hlab ntshav loj hauv koj lub qhov ncauj, caj npab, lossis caj dab.
Tom qab ntawd, siv cov cuab yeej ntawm qhov kawg ntawm lub catheter no, thaj chaw ntawm cov nqaij plawv uas muaj teeb meem raug kho. Muaj ntau txoj hauv kev los ua qhov no:
- Kev Siv Hluav Taws Xob Los Ntawm Xov Tooj Cua: Cov hluav taws xob los ntawm xov tooj cua (kub) yog siv los ua kom cov nqaij sov, tsim ib qho caws pliav me me.
- Cryoablation: Siv qhov txias heev, cov ntaub so ntswg yuav khov, ua rau muaj qhov caws pliav.
- Pulsed Field Ablation: Qhov no siv cov nthwv dej luv luv ntawm lub zog hluav taws xob los rhuav tshem cov ntaub so ntswg.
Vim yog qhov caws pliav me me uas tsim los ntawm txoj kev no, lub teeb liab hluav taws xob tsis zoo tsis tuaj yeem mus dhau qhov ntawd. Nws zoo li muab daim kab xev rwb thaiv tsev tso rau ntawm qhov luv luv hauv koj lub tsev. Tom qab ntawd koj lub plawv dhia rov qab mus rau qhov qub. Koj yuav tsis hnov mob thaum lub sijhawm kho mob no. Koj yuav raug muab tshuaj loog lossis tshuaj loog dav dav.
Kev kho mob no kho tau hom mob plawv twg?
Kev phais plawv feem ntau yog siv los kho cov teeb meem plawv dhia ceev. Qhov no yog qhov kev daws teeb meem zoo tshaj plaws thaum cov tshuaj tsis tuaj yeem tswj tau lossis muaj kev phom sij rau lub neej.
Saib daim ntawv teev lus hauv qab no kom pom cov mob tseem ceeb uas siv rau kev kho mob no.
| Xwm Txheej Kab Mob (Hom Mob Plawv Tsis Ua Haujlwm) | Hais yooj yim xwb, muaj dab tsi tshwm sim? |
|---|---|
| Atrial Fibrillation (AFib) thiab Atrial Flutter (AF) | Hauv qhov no, ob lub chav sab saud ntawm lub plawv (atria) dhia ceev heev thiab tsis sib xws. Zoo li lawv tshee hnyo. Qhov no ua rau cov ntshav sib sau ua ke rau hauv ib qho chaw es tsis yog nqus tau zoo, uas tuaj yeem ua rau muaj cov ntshav txhaws. Yog tias cov ntshav txhaws no mus rau lub hlwb, lawv tuaj yeem ua rau muaj mob hnyav xws li mob stroke. |
| Kev mob plawv dhia ceev heev (SVT) | Qhov no yog lub plawv dhia ceev heev (txog li 300 lub plawv dhia ib feeb). Txawm hais tias qhov no feem ntau yuav ploj mus tom qab ib pliag, yog tias nws tseem muaj lossis tshwm sim ntau zaus, nws tuaj yeem ua rau lub plawv puas tsuaj. |
| Lub plawv dhia ceev (VT) | Qhov no yog ib qho mob txaus ntshai. Ob lub plawv hauv qab (ventricles) pib dhia ceev dhau. Qhov no ua rau lub plawv tsis tuaj yeem tso ntshav tau zoo. Qhov no ua rau muaj kev pheej hmoo ntawm kev nres plawv tam sim ntawd. |
Tsis tas li ntawd xwb, kev kho mob no yuav raug pom zoo rau cov neeg uas muaj feem yuav mob plawv nres tam sim ntawd. Qee zaum, txhawm rau nrhiav seb qhov teeb meem los qhov twg, cov kws kho mob ua kev tshawb fawb txog electrophysiology (kev tshawb fawb EP) ua ntej txoj kev phais mob no. Qhov no suav nrog kev siv catheter los ntsuas cov teeb liab hluav taws xob hauv lub plawv.
Kuv yuav tsum npaj li cas ua ntej kho mob?
Thaum koj tus kws kho mob tau txiav txim siab ua qhov kev kho mob no lawm, muaj ob peb yam uas koj yuav tsum ua. Koj tus kws kho mob yuav piav qhia txhua yam no rau koj kom meej meej.
- Cov Tshuaj Ua Kom Ntshav Tsis Txhob Ntsws: Yog tias koj noj cov tshuaj ua kom ntshav tsis txhob ntsws (piv txwv li, apixaban, rivaroxaban, warfarin), koj tus kws kho mob yuav qhia koj tias koj yuav tsum tsis txhob noj pes tsawg hnub ua ntej kev kho mob. Tsis txhob tsum tsis txhob noj cov tshuaj no yam tsis tau koj tus kws kho mob qhia.
- Khoom noj thiab dej haus:Koj yuav raug hais kom tsis txhob noj mov lossis haus dej li ob peb teev ua ntej kev kho mob (feem ntau yog txij ib tag hmo).
- Ib tug neeg tsav koj mus tsev: Npaj ua ntej kom muaj ib tug neeg tsav koj mus tsev tom qab kho mob tas.
- Khaub Ncaws thiab Khoom: Hnav khaub ncaws xis nyob thaum koj tuaj rau tsev kho mob. Nws yog qhov zoo tshaj plaws kom tso cov khoom muaj nqis xws li cov hniav nyiaj hniav kub thiab nyiaj txiag hauv tsev.
- Txoj kab IV: Hauv tsev kho mob, ib lub raj me me (txoj kab IV) raug ntxig rau hauv cov leeg ntshav hauv koj txhais caj npab. Qhov no yog qhov chaw uas koj yuav tau txais cov tshuaj tsim nyog, saline, thiab anesthetics.
Muaj dab tsi tshwm sim thaum lub sijhawm kho mob?
Qhov no yeej tsis txaus ntshai li koj xav. Tag nrho cov txheej txheem mus li no:
1. Kev Npaj: Yuav tsum txiav, ntxuav, thiab ua kom loog rau thaj chaw uas yuav muab lub catheter ntxig rau hauv (feem ntau yog qhov chaw mos).
2. Ntxig lub hnab looj tes: Ib lub raj me me (lub hnab looj tes) raug ntxig los ntawm daim tawv nqaij mus rau hauv cov hlab ntsha kom tsim ib txoj kev hla.
3. Kev ntxig catheter: Cov catheter me me nrog cov electrodes raug ntxig los ntawm txoj kev uas tau npaj tseg. Cov no raug coj mus rau lub plawv yam tsis muaj kev coj X-ray.
4. Kev kos duab qhia qhov teeb meem: Thaum nkag mus rau hauv lub plawv lawm, cov teeb liab los ntawm lub catheter yuav raug saib kom pom qhov chaw tseeb ntawm cov teeb liab hluav taws xob uas tsis zoo (kev kos duab qhia).
5. Kev Kho Mob (Ablation): Thaum pom qhov chaw zoo lawm, raws li tau hais ua ntej lawm, cov nqaij yuav raug kho thiab ua kom tsis txhob ua haujlwm siv cua sov, txias, lossis lwm yam zog.
6. Ua tiav: Tom qab kev kho mob tiav lawm, lub catheter thiab lub sheath raug tshem tawm kom zoo thiab muab lub plug lossis suture tso rau kom tsis txhob los ntshav.
Feem ntau cov txheej txheem yuav siv sijhawm li ntawm 2 thiab 4 teev, tab sis qee zaum nws yuav siv sijhawm ntev dua.
Tom qab kho mob tas lawm, muaj dab tsi tshwm sim?
Tom qab kho mob tas, koj yuav raug coj mus rau chav kho mob kom rov zoo li qub ob peb teev. Tus kws tu mob yuav saib xyuas koj tus mob ntxiv mus. Nyob ntawm koj tus mob, tej zaum koj yuav mus tsev tau tib hnub ntawd, lossis koj yuav tsum nyob hauv tsev kho mob ib hmos.
Thaum koj mus tsev, lawv yuav muab qee cov lus qhia rau koj ua raws li thaum koj nyob hauv tsev. Tej zaum lawv yuav hais kom koj noj cov tshuaj uas ua rau cov ntshav nyias kom tiv thaiv cov ntshav txhaws. Nyob ntawm koj keeb kwm kev mob nkeeg, tej zaum koj yuav tau noj cov tshuaj no ob peb lub hlis lossis ntev dua.
Nco ntsoov tias, thaum cov nqaij ntawm lub plawv kho tau zoo thaum 3 lub hlis tom qab kev kho mob, qee cov tsos mob qub ntawm koj yuav rov qab los. Qhov no yog ib txwm muaj. Tab sis qhia rau koj tus kws kho mob paub txog qhov no.
Cov txiaj ntsig thiab kev pheej hmoo ntawm kev kho mob no yog dab tsi?
Ib yam li kev kho mob twg los xij, qhov no muaj ob qho txiaj ntsig thiab me me kev pheej hmoo.
Cov txiaj ntsig
- Qhov noNws tsis yog ib qho kev phais loj. Koj tsis tas yuav muab koj lub hauv siab qhwv. Yog li koj tuaj yeem rov zoo sai.
- Nws muab lub sijhawm los kho cov teeb meem plawv dhia uas tsis tuaj yeem tswj tau nrog tshuaj mus tas li .
- Ib txhia tuaj yeem cawm tau txoj sia ntawm cov xwm txheej txaus ntshai rau lub neej.
- Koj tuaj yeem tshem tawm cov kev mob tshwm sim ntawm cov tshuaj.
Kev Pheej Hmoo
Cov kev pheej hmoo ntawm kev phais plawv tsis tshua muaj. Cov teeb meem tsis tshua muaj, tshwj xeeb tshaj yog nyob rau hauv tsev kho mob uas muaj kev paub dhau los uas ua qhov kev kho mob no ntau zaus. Tab sis nws yog qhov zoo kom paub.
- Cov ntshav txhaws
- Kev puas tsuaj rau cov hlab ntsha uas tau ntxig rau hauv lub catheter
- Kev puas tsuaj rau cov nqaij ntawm lub plawv lossis cov li qub
- Kev kis kab mob los yog los ntshav
- Mob stroke
- Xav tau lub tshuab ua pacemaker tas mus li (tsis tshua muaj)
Kuv yuav tsum pib ua haujlwm li qub dua thaum twg?
Koj txoj kev kho mob yuav txawv ntawm ib tus neeg mus rau ib tus neeg.
- Rov qab mus ua haujlwm: Yog tias koj ua haujlwm tsis hnyav, xws li tsa cov hnyav, koj tuaj yeem rov qab mus ua haujlwm li ib lub lim tiam.
- Nqa Hnyav: Tsis txhob nqa ib yam dab tsi hnyav dua 10 phaus (kwv yees li 4.5 kg) rau tsawg kawg ib lub lim tiam.
- Kev tawm dag zog thiab kev tsav tsheb: Nug koj tus kws kho mob txog lub sijhawm zoo tshaj plaws los rov pib tawm dag zog thiab kev tsav tsheb.
Kuv yuav tsum mus ntsib kws kho mob yog tias muaj cov tsos mob dab tsi?
Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no thaum koj mus tsev tom qab kho mob, koj yuav tsum hu rau koj tus kws kho mob tam sim ntawd . Qee kis yuav xav tau kev kho mob tam sim ntawd ntawm chav kho mob ceev (ETU) ntawm tsev kho mob.
| Cov tsos mob | Yuav ua li cas |
|---|---|
| Los ntshav, o, mob, lossis zoo li pob ntawm qhov chaw ntxig catheter. | Tham nrog koj tus kws kho mob. |
| Mob hauv siab, kiv taub hau, lossis xav tias lub taub hau me. | Tham nrog koj tus kws kho mob. |
| Xeev siab los yog ntuav. | Tham nrog koj tus kws kho mob. |
| Yog tias kev kho mob tau ua rau hauv qhov chaw mos, loog, mob, lossis tingling hauv ceg. | Tham nrog koj tus kws kho mob. |
| Mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) tam sim ntawd! (Cov tsos mob ntawm tus mob stroke) | |
| Ib sab ntawm lub ntsej muag poob qis, ib sab caj npab tsis muaj sia. | Tej zaum cov no yuav yog cov cim qhia tias koj muaj mob stroke. Mus rau tsev kho mob tam sim ntawd. |
| Cov tsos mob hnyav xws li lub plawv dhia ceev ceev, kiv taub hau, ua tsis taus pa, lossis mob hauv siab tshwm sim lossis kav ntev tshaj 3 teev. | Mus rau tsev kho mob tam sim ntawd. |
Thaum kawg, nws yog ib qho ib txwm muaj uas yuav xav tias me ntsis ntxhov siab lossis ntxhov siab txog kev phais lossis kev kho mob rau koj lub plawv. Txawm li cas los xij, Cardiac Ablation yog ib qho kev phais mob uas muaj kev nyab xeeb, tsis muaj kev pheej hmoo uas tau siv tau zoo los kho ntau tus neeg uas muaj teeb meem plawv dhia. Yog tias koj muaj lus nug txog qhov no, thov nug koj tus kws kho mob. Thaum koj nkag siab txog cov txheej txheem, koj qhov kev ntshai yuav raug txo qis.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev phais plawv (Cardiac Ablation) yog ib txoj kev kho mob uas siv tshuaj tsawg heev los kho cov plawv dhia tsis xwm yeem (arrhythmias).
- Qhov no suav nrog kev nrhiav ib thaj chaw me me ntawm cov nqaij ntshiv plawv uas tsim cov teeb liab hluav taws xob tsis zoo, kho nws, thiab ua rau nws tsis ua haujlwm.
- Qhov no yog ib txoj kev kho mob uas ua tau zoo thiab muaj kev nyab xeeb heev, thiab qhov kev pheej hmoo ntawm cov teeb meem kuj tsawg heev.
- Nws yuav siv sijhawm ob peb lub lis piam rau lub plawv kom zoo tom qab kev kho mob, thiab qee cov tsos mob yuav rov tshwm sim dua thaum lub sijhawm ntawd.
- Ua raws li koj tus kws kho mob cov lus qhia kom zoo tom qab kho mob, tshwj xeeb tshaj yog hais txog kev noj tshuaj thiab kev so.
- Yog koj muaj tej yam tsos mob txawv txawv (tshwj xeeb tshaj yog mob hauv siab, kiv taub hau heev, cov tsos mob ntawm tus mob stroke), 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