Koj puas tau muaj ib zaug uas koj lub plawv dhia ceev heev, lossis nws dhia tsis zoo li qub? Los yog koj puas tau hnov qhov txawv txawv zoo li npauj npaim ya hauv koj lub hauv siab? Hauv kev kho mob, peb hu qhov mob no ua 'Arrhythmia' lossis lub plawv dhia tsis xwm yeem. Niaj hnub no peb tab tom tham txog ib txoj kev kho mob tshwj xeeb, tab sis siab heev uas cov kws kho mob siv thaum qhov no tsis tuaj yeem tswj tau nrog tshuaj.
Hais yooj yim xwb, kev phais plawv yog dab tsi?
Kev Tshem Tawm Lub Plawv (tseem hu ua Catheter Ablation) yog ib txoj kev kho mob plawv dhia tsis zoo (arrhythmias). Xav txog tias peb lub plawv muaj lub zog hluav taws xob, thiab nws yog cov teeb liab uas nws tau txais uas ua rau nws dhia zoo. Qee zaum, cov cheeb tsam me me ntawm lub zog hluav taws xob no tuaj yeem tsim cov hluav taws xob tsis zoo. Cov txheej txheem no nrhiav cov nqaij uas xa cov teeb liab tsis zoo thiab "tua lawv."
Qhov no tsis yog ib qho kev phais loj. Nws yog ua los ntawm tus kws kho mob plawv. Nws yuav muab ib lub raj nyias nyias (catheter) ntxig rau hauv koj lub plawv los ntawm cov leeg ntshav hauv koj lub qhov ncauj, caj npab, lossis caj dab. Tom qab ntawd, cua sov (radiofrequency ablation), txias heev (cryoablation), lossis cov nthwv dej luv luv (pulsed field ablation) raug xa mus los ntawm lub raj no, tsim cov qhov txhab me me hauv cov nqaij uas cov teeb liab tsis zoo los. Cov qhov txhab no tiv thaiv cov teeb liab hluav taws xob tsis zoo los ntawm kev mus ncig, thiab lub plawv dhia rov qab mus rau qhov qub.
Thaum lub sijhawm kho mob no, koj yuav raug tshuaj loog lossis muab tshuaj loog rau koj. Qhov no yuav ua kom koj tsis hnov mob dab tsi. Cov qhov txhab uas tshwm sim los ntawm txoj kev kho mob no tsis cuam tshuam rau kev ua haujlwm ntawm lub plawv.
Kev kho mob no kho tau hom mob dab tsi?
Kev phais plawv yog kev kho mob rau lub plawv dhia ceev heev (tachyarrhythmias). Txawm li cas los xij, feem ntau nws tsis yog kev kho mob thawj zaug. Koj tus kws kho mob yuav tsuas yog qhia koj txog kev kho mob no yog tias koj lub plawv dhia tsis tuaj yeem tswj tau nrog tshuaj. Koj tus kws kho mob yuav ua tib zoo tshuaj xyuas koj lub plawv thiab kev noj qab haus huv tag nrho ua ntej txiav txim siab seb qhov kev kho mob no puas yog rau koj.
Kev kho mob no feem ntau yog siv rau cov mob hauv qab no.
| Mob | Ib qho lus piav qhia yooj yim |
|---|---|
| Atrial Fibrillation (Afib) thiab Atrial Flutter | Cov chav sab saud ntawm lub plawv (atria) dhia tsis tu ncua thiab sai. Qhov no tuaj yeem ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws thiab mob hlwb. |
| Kev mob plawv dhia ceev heev (SVT) | Lub plawv mam li pib dhia ceev heev (txog li 300 zaug hauv ib feeb). Yog qhov no txuas ntxiv mus, nws tuaj yeem ua rau lub plawv puas tsuaj. |
| Lub plawv dhia ceev (VT) | Cov chav qis ntawm lub plawv (ventricles) dhia ceev dhau. Qhov no tuaj yeem yog ib qho mob txaus ntshai heev , vim nws tuaj yeem ua rau lub plawv nres. |
Tsis tas li ntawd xwb, kev kho mob no kuj tseem yuav raug pom zoo rau cov neeg uas muaj kev pheej hmoo siab ntawm cov mob uas ua rau tuag taus xws li lub plawv nres tam sim ntawd lossis Ventricular Fibrillation (V-Fib).
Koj npaj li cas ua ntej kev kho mob?
Ua ntej txoj kev ua no, koj yuav tsum ua cov hauv qab no:
- Tsum tsis txhob noj cov tshuaj ua kom cov ntshav nyias: Yog tias koj noj cov tshuaj xws li aspirin lossis warfarin, lawv yuav hais kom koj tsum tsis txhob noj lawv li ob peb hnub. Tab sis ua qhov no raws li koj tus kws kho mob hais, thiab tsuas yog txij hnub uas nws hais kom koj ua xwb. Tsis txhob tsum thaum twg koj xav ua.
- Tsis txhob noj mov los yog haus dej: Koj yuav raug hais kom tsum tsis txhob noj mov los yog haus dej li ob peb teev ua ntej txoj kev kho mob, feem ntau yog tom qab ib tag hmo. Koj tus kws kho mob yuav muab cov lus qhia tshwj xeeb rau koj txog qhov no.
- Ib tug neeg los pab koj mus tsev: Npaj ua ntej kom muaj ib tug neeg coj koj mus tsev tom qab ua tiav cov txheej txheem.
- Ib txoj kab IV raug muab tso rau hauv: Ib txoj kab IV (zoo li ib lub raj siv los muab cov tshuaj saline rau koj) raug muab tso rau hauv cov leeg ntshav hauv koj txhais caj npab. Qhov no yog qhov chaw uas koj yuav tau txais cov tshuaj thiab tshuaj loog tsim nyog.
- Khaub Ncaws thiab Khoom Siv: Hnav khaub ncaws xis nyob. Zoo tshaj plaws yog tso cov hniav nyiaj hniav kub thiab khoom siv tseem ceeb tseg hauv tsev.
Muaj dab tsi tshwm sim thaum lub sijhawm kho mob?
Nov yog cov kauj ruam-rau-kauj ruam ntawm qhov tshwm sim thaum lub sijhawm ablation:
1. Ua ntej, ntxuav qhov chaw uas yuav muab lub catheter ntxig rau hauv (feem ntau yog qhov chaw mos) thiab ua kom daim tawv nqaij loog.
2. Tom qab ntawd, muab ib lub raj me me (sheath) ntxig rau hauv cov hlab ntsha, tsim ib txoj kev rau catheter nkag mus.
3. Cov catheter me me uas muaj cov electrodes raug xa mus rau hauv lub hnab thiab raws cov hlab ntsha mus rau lub plawv. Qhov no ua tiav raws li kev taw qhia ntawm cov txheej txheem zoo li X-ray.
4. Thaum twg nyob hauv lub plawv lawm, cov catheter no 'map' qhia txog lub plawv txoj kev ua haujlwm hluav taws xob thiab qhia qhov chaw uas cov teeb liab tsis zoo los.
5. Thaum pom qhov teeb meem lawm, cua sov, txias, lossis lub zog yuav raug xa los ntawm lub hau ntawm lub catheter los kho cov nqaij thiab tiv thaiv cov cim tsis raug kom tsis txhob los txog.
6. Thaum kawg, lub catheter thiab lub sheath raug tshem tawm kom zoo.
Tag nrho cov txheej txheem no feem ntau yuav siv sijhawm ob mus rau plaub teev, qee zaum ntev dua.
Tom qab kho mob tas lawm, muaj dab tsi tshwm sim?
Tom qab ua tiav cov txheej txheem, koj yuav raug coj mus rau chav kho mob rov zoo. Koj yuav tsum nyob ntawd ob peb teev. Tus kws tu mob yuav txuas ntxiv saib xyuas koj tus mob, lub plawv dhia, thiab ntshav siab. 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, koj yuav tau txais cov lus qhia meej meej kom ua raws li hauv tsev. Koj tus kws kho mob yuav sau ntawv kom noj tshuaj aspirin lossis lwm yam tshuaj uas ua rau cov ntshav nyias kom tiv thaiv cov ntshav txhaws. Qhov no yuav tsum tau noj rau ob peb lub hlis lossis ntev dua.
Cov txiaj ntsig thiab kev vam meej ntawm kev kho mob
Qhov no yog ib txoj kev kho mob uas tsis tas yuav phais ntau thiab tsis tas yuav nyob hauv tsev kho mob ntev, thiab nws tuaj yeem pab kho lub plawv dhia li qub uas tshuaj kho tsis tau. Qee zaum, nws tuaj yeem yog kev kho mob cawm txoj sia .
Yog tias ua tiav, nws nyob ntawm hom arrhythmia uas koj muaj.
- Cov mob zoo li SVT muaj feem pua ntawm kev vam meej siab ntawm 90% - 95% .
- Rau cov mob zoo li Afib thiab VT, qhov feem pua ntawm kev vam meej yog ntawm 60% - 80% .
Cov kev pheej hmoo thiab tej yam uas yuav tsum paub yog dab tsi?
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 hom kev kho mob no tau ua tas li. Txawm li cas los xij, muaj qee qhov kev pheej hmoo uas yuav tsum paub txog:
- Cov ntshav txhaws
- Kev puas tsuaj rau cov hlab ntsha lossis cov qhov plawv ntawm lub catheter
- Kev kis kab mob los yog los ntshav
- Mob stroke
- Yuav tsum tau muaj lub tshuab pacemaker ruaj khov
Yog koj yog ib leej niam cev xeeb tub, nrog koj tus kws kho mob tham txog seb qhov kev kho mob no puas tuaj yeem ncua mus txog thaum tus menyuam yug los.
Qee zaum kev kho mob ib zaug xwb yuav tsis kho tau qhov mob tag nrho. Yog tias cov tsos mob rov qab los, tej zaum yuav xav tau kev kho mob ntxiv yav tom ntej. Tsis tas li ntawd, cov txiaj ntsig ntawm kev kho mob yuav tsis pom tam sim ntawd. Qee cov tsos mob yuav nyob ntev li ob peb lub lis piam thaum cov nqaij ntawm lub plawv kho.
Kev rov zoo thiab thaum twg yuav tsum mus ntsib kws kho mob
Tej zaum yuav siv sijhawm ob peb lub lis piam kom zoo tag nrho. Tsis txhob tsa ntau tshaj 5 kg lossis ua kev tawm dag zog hnyav tsawg kawg ib lub lis piam tom qab kev phais mob. Nug koj tus kws kho mob thaum twg koj rov qab mus ua haujlwm thiab tsav tsheb tau.
Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, hu rau koj tus kws kho mob tam sim ntawd.
| Cov tsos mob uas xav tau kev kho mob tam sim ntawd | |
|---|---|
| Los ntshav los yog o zoo li pob qhov twg catheter tau ntxig | Mob hauv siab |
| Kiv taub hau los yog tsaus muag | Xav tias lub plawv dhia ceev |
| O (edema) lossis mob qhov twg catheter tau ntxig | Mob loog hauv ceg (yog tias ua los ntawm qhov chaw mos) |
| Xwm txheej ceev! - Mus rau ETU tam sim ntawd: ib sab ntawm lub ntsej muag poob qis, tsis muaj zog ntawm caj npab lossis ceg, nyuaj hais lus (cov no yuav yog cov cim qhia tias muaj mob stroke). | |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev phais plawv (Cardiac Ablation) yog ib txoj kev kho mob uas muaj kev nyab xeeb, tsis mob rau cov plawv dhia tsis xwm yeem (arrhythmias).
- Feem ntau qhov no raug pom zoo thaum tsis tuaj yeem tswj tau tus kab mob nrog tshuaj.
- Yuav muaj cov kauj ruam tsim nyog los xyuas kom meej tias koj tsis hnov mob thaum lub sijhawm kho mob.
- Yuav siv sijhawm ob peb lub lis piam kom zoo, thiab thaum lub sijhawm ntawd, koj yuav tsum tsis txhob nqa khoom hnyav thiab ua haujlwm hnyav.
- Nco ntsoov txog cov cim ceeb toom uas yuav tshwm sim tom qab kho mob. Yog tias koj muaj kev txhawj xeeb, qhia rau koj tus kws kho mob paub tam sim ntawd.
- Nws yog ib qho ib txwm muaj uas yuav ntshai thaum koj hnov txog kev kho mob plawv. Tab sis qhov no yog kev kho mob uas tsis muaj kev pheej hmoo thiab ua tau zoo. Tsis txhob ntshai tham nrog koj tus kws kho mob txog tej lus nug uas koj muaj.
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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