Yog tias koj lub plawv dhia tsis zoo, uas yog Atrial Fibrillation (Afib), ib qho teeb meem plawv dhia tsis zoo, tseem muaj txawm tias noj tshuaj thiab lwm yam kev kho mob los xij, koj kuj yuav xav tias tsis muaj kev daws teeb meem mus tas li rau qhov no? Qee zaum qhov mob no kuj ua rau koj txhawj xeeb heev. Tab sis tsis txhob txhawj, nrog kev nce qib ntawm kev tshawb fawb kho mob, tam sim no muaj kev kho mob zoo heev rau cov mob no. Nws yog rau cov neeg zoo li no uas peb tab tom tham txog txoj kev kho mob tshiab no hnub no.
Cov Txheej Txheem Sib Koom Tes no yog dab tsi?
Hais yooj yim xwb, qhov no yog kev sib xyaw ua ke ntawm ob txoj kev kho mob. Uas yog, kev phais me me thiab kev kho mob hu ua catheter ablation . Peb kuj hu qhov no ua kev kho mob sib xyaw.
Xav txog nws, peb lub plawv muaj lub tshuab hluav taws xob. Qhov no yog qhov ua rau lub plawv dhia kom zoo. Hauv Afib, cov teeb liab no tau ua tsis zoo, thiab cov chav sab saud (atria) ntawm lub plawv xa tawm cov teeb liab tsis ruaj khov, ceev ceev. Hauv cov txheej txheem sib sau ua ke, cov kws phais mob thiab cov kws kho mob plawv ua haujlwm ua ke los ua cov qhov me me sab hauv thiab sab nraud koj lub plawv qhov twg cov teeb liab tsis ruaj khov no los ntawm. Cov qhov txiav no tiv thaiv cov teeb liab hluav taws xob tsis ruaj khov los ntawm kev mus ncig. Nws zoo li kaw txoj kev tsis ncaj ncees lawm thiab xa cov tsheb rov qab mus rau txoj kev yog.
Txoj kev kho mob no zoo tshaj plaws rau leej twg?
Txoj kev kho mob no tsis yog rau txhua tus. Nws yog qhov tshwj xeeb tshaj yog rau:
- Rau cov neeg uas muaj Afib tas li .
- Rau cov neeg uas rov qab muaj mob Afib dua txawm tias noj tshuaj thiab tau txais kev kho mob catheter ablation ib txwm muaj.
Yog koj muaj ib yam mob zoo sib xws, koj tuaj yeem nrog koj tus kws kho mob tham kom txiav txim siab seb qhov kev kho mob no puas yog rau koj.
Koj npaj li cas ua ntej phais?
Ib yam li lwm yam kev phais mob, muaj me ntsis kev npaj ua ntej.
- Cov tshuaj ua kom cov ntshav nyias (anticoagulants): Yog tias koj noj cov tshuaj no, koj yuav tsum tsis txhob noj ob peb hnub ua ntej phais. Koj tus kws kho mob yuav qhia koj meej tias yuav tsum noj pes tsawg hnub ua ntej thiab yuav tsum noj cov tshuaj twg. Tsis txhob tsum tsis txhob noj koj cov tshuaj yam tsis tau koj tus kws kho mob qhia.
- Kev Yoo Mov: Ua ntej phais mob, koj yuav raug hais kom tsis txhob noj thiab haus dej rau ib lub sijhawm tshwj xeeb (kev yoo mov). Koj tus kws kho mob kuj yuav qhia koj txog lub sijhawm no.
Qee zaum ob qho kev kho mob no yuav ua tiav rau tib hnub. Qee zaum lawv yuav ua tiav li plaub lub lis piam sib nrug. Koj pab neeg kho mob yuav piav qhia qhov no rau koj.
Yuav ua li cas thiaj phais tau?
Kev kho mob no muaj ob ntu tseem ceeb. Cia peb saib seb muaj dab tsi tshwm sim hauv txhua ntu.
| Ib feem ntawm kev kho mob | Qhov tshwm sim yooj yim heev. |
|---|---|
| Ntu Ib: Kev Phais Mob (Kev Kho Mob Lub Plawv Los Ntawm Sab Nraud) | Tom qab koj tau txais tshuaj loog tag, tus kws phais plawv yuav ua ib qho kev phais me me, li 3-4 centimeters hauv qab koj lub hauv siab (sternum). Tom qab ntawd, daim nyias nyias uas nyob ib puag ncig lub plawv (pericardium) raug txiav thiab muab lub koob yees duab (endoscope) ntxig rau hauv. Tom qab ntawd, ib lub raj xa hluav taws xob tshwj xeeb (catheter) raug siv los kho (rho tawm) cov cheeb tsam sab nraud ntawm lub plawv uas tsim cov teeb liab hluav taws xob tsis zoo. Qhov no siv sijhawm li ib teev thiab ib nrab. |
| Ntu Ob: Kev Siv Catheter Ablation (Kev Kho Mob Los Ntawm Sab Hauv Lub Plawv) | Feem ntau qhov no yuav ua rau ib hnub sib cais, ob peb lub lis piam tom qab. Ntawm no, tus kws kho mob plawv (electrophysiologist) ntxig ib lub catheter rau hauv koj lub plawv los ntawm cov hlab ntsha hauv koj lub qhov ncauj. Tom qab ntawd nws kho sab hauv ntawm koj lub plawv , hauv cov cheeb tsam uas nyuaj rau ncav cuag thaum lub sijhawm phais yav dhau los. Koj yuav raug muab tshuaj loog me me lossis tshuaj loog dav dav thaum lub sijhawm ua qhov no. |
Convergent Plus yog dab tsi?
Qee zaum, tib lub sijhawm phais mob no, cov kws kho mob ua lwm yam los txo qhov kev pheej hmoo ntawm kev mob stroke. Ntawd yog, lawv kaw ib feem me me ntawm sab laug atrium ntawm lub plawv (sab laug atrial appendage). Thaum ntxiv cov kauj ruam ntxiv no, peb hu nws ua "Convergent Plus".
Cov txiaj ntsig ntawm kev kho mob no yog dab tsi?
Txoj kev kho mob no muaj ntau qhov zoo tshwj xeeb:
- Tus nqi ua tiav siab: Qhov no ua tiav ntau dua li kev kho mob catheter ablation ib txwm vim nws kho ob qho tib si sab hauv thiab sab nraud ntawm lub plawv.
- Kev pheej hmoo tsawg:Thaum lub sijhawm phais mob no, cov kws kho mob tuaj yeem pom tseeb lub raj xa dej, uas nyob tom qab lub plawv, yog li qhov kev pheej hmoo ntawm kev puas tsuaj rau nws yog qhov tsawg heev.
- Tsis yog phais plawv qhib: Qhov no tsis tas yuav tsum nres koj lub plawv thiab txuas nws rau lub tshuab plawv-ntsws (cardiopulmonary bypass).
Puas muaj tej yam txaus ntshai lossis teeb meem?
Ib yam li lwm yam kev phais mob, muaj qee qhov kev pheej hmoo thiab teeb meem uas tuaj yeem tshwm sim. Txawm li cas los xij, cov no tsis tshua muaj nyob rau hauv feem ntau. Lawv suav nrog:
- Hnoos
- Kev nkees nkees
- Ua pa nyuaj
- Mob stroke
- Los ntshav
- Cov kua dej sib sau ua ke nyob ib puag ncig lub plawv (pericardial effusion)
- Kev puas tsuaj rau cov hlab ntsha
- Kev tawm tsam ischemic transient (TIA)
Tsis tas yuav txhawj txog qhov no. Koj tus kws kho mob yuav piav qhia txhua yam rau koj ua ntej phais.
Yuav siv sijhawm ntev npaum li cas thiaj kho tau?
Koj yuav tsum tau nyob hauv tsev kho mob ib lossis ob hnub tom qab thawj ntu ntawm kev phais. Yog tias ntu thib ob yuav tsum tau ua, nws yuav ua tiav li peb lub hlis.
Koj yuav tau teem sijhawm mus ntsib koj tus kws kho mob dua thaum koj rov zoo. Feem ntau qhov no yog 3 lub lis piam tom qab phais, thiab tom qab ntawd dua thaum 3, 6, thiab 12 lub hlis. Lub sijhawm ntawd, koj yuav tau txais lub tshuab me me (Holter monitor) uas hnav rau ntawm koj lub hauv siab rau ob peb hnub los saib xyuas koj lub plawv dhia.
Koj xav mus ntsib kws kho mob dua thaum twg?
Yog koj muaj cov tsos mob nram qab no, qhia rau koj tus kws kho mob tam sim ntawd.
- Yog tias cov tsos mob ntawm Afib (zoo li koj lub plawv dhia ceev, hauv siab nruj, qaug zog) rov tshwm sim.
- Yog tias muaj ntshav los yog kab mob (o, liab, kua paug) ntawm qhov chaw phais.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Txoj Kev Kho Mob Convergent yog ib txoj kev kho mob niaj hnub zoo heev rau Atrial Fibrillation (Afib) mus sij hawm ntev uas tsis raug tswj los ntawm cov tshuaj lossis cov kev kho mob ib txwm muaj.
- Qhov no yog kev sib xyaw ua ke ntawm kev phais thiab kev kho mob catheter, yog li nws tuaj yeem kho cov teeb meem sab hauv thiab sab nraud ntawm lub plawv.
- Tus nqi kho mob no ua tiav tau zoo heev, thiab lub sijhawm rov zoo kuj luv heev.
- Tus neeg zoo tshaj plaws uas yuav paub seb qhov kev kho mob no puas yog rau koj yog koj tus kws kho mob plawv. Tham nrog nws txog qhov no yam tsis ntshai, thiab txiav txim siab.
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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