Peb lub siab yog ib lub twj tso kua mis zoo kawg nkaus, tsis tu ncua, puas yog? Txij hnub peb yug los txog hnub peb tuag, lub cev me me no tso cov ntshav thoob plaws peb lub cev yam tsis muaj qhov tsis ua haujlwm. Tab sis koj puas paub tias kom lub twj tso kua mis no ua haujlwm tau zoo, nws muaj nws lub tshuab hluav taws xob? Yog lawm, ib yam li lub 'xov hlau' hauv peb lub tsev. Cov teeb liab me me los ntawm lub tshuab hluav taws xob no yog cov uas qhia lub siab kom "nrov tam sim no." Txhua yam no tshwm sim hauv lub suab nrov, tsis tu ncua. Txawm li cas los xij, qee zaum, qhov yuam kev me me tuaj yeem tshwm sim hauv lub tshuab hluav taws xob no. Thaum ntawd lub plawv dhia pib dhia ntawm no thiab qhov ntawd, nrawm dua, lossis qeeb dua. Thaum lub sijhawm zoo li no, peb xav tau kev pab los ntawm ib tus neeg uas muaj kev paub tshwj xeeb hauv lub tshuab hluav taws xob no, tsis yog tus kws kho mob ib txwm muaj. Qhov ntawd yog qhov peb hu ua Electrophysiologist .
Hais yooj yim xwb, tus kws kho mob hluav taws xob no yog leej twg?
Xav txog tias muaj teeb meem loj heev nrog cov xov hluav taws xob hauv koj lub tsev, lub teeb tig thiab tua, thiab muaj luv luv circuits nyob rau hauv qee qhov chaw. Lub sijhawm ntawd, koj tsis tau tham nrog ib tug kws hluav taws xob ib txwm, tab sis nrog ib tug kws hluav taws xob txawj ntse uas paub qhov no zoo heev. Yog li ntawd nws yog. Tus kws kho hluav taws xob yog ib tug kws tshaj lij hauv lub plawv.
Lawv yog cov kws kho mob plawv, tab sis lawv txoj kev txawj ntse yog nyob rau hauv lub tshuab hluav taws xob uas tswj lub plawv lub suab. Lub tshuab hluav taws xob no yog qhov ua rau peb lub plawv dhia, tswj nws qhov ceev, thiab ua kom nws dhia tsis tu ncua. Yog tias muaj teeb meem nyob qhov twg hauv qhov no, tus kws kho mob hluav taws xob yuav nyob ntawd los nrhiav qhov tseeb tias nws nyob qhov twg, qhov teeb meem yog dab tsi, thiab kho nws.
Peb kuj hu rau cov kws kho mob hlwb menyuam yaus uas kho cov teeb meem plawv dhia hauv cov menyuam yaus thiab cov tub ntxhais hluas.
Qhov txawv ntawm tus kws kho mob plawv thiab tus kws kho mob hluav taws xob yog dab tsi?
Qhov no yog ib qho uas ntau tus neeg tsis meej pem. Yog li cia peb nkag siab qhov no yooj yim.
- Ib tug kws kho mob plawv yog ib tug kws kho mob uas tshwj xeeb hauv txhua yam kab mob ntsig txog lub plawv. Piv txwv li, nws kho ntau yam mob, xws li ntshav siab, mob plawv nres, teeb meem ntawm lub plawv valve, thiab lub plawv tsis ua haujlwm. Nws zoo li 'Kws kho mob dav dav' ntawm lub plawv.
- Ib tug kws kho mob hluav taws xob yog ib tug kws kho mob plawv, tab sis nws tau kawm tshwj xeeb tsuas yog ib feem ntawm lub plawv, uas yog lub cev hluav taws xob thiab lub plawv dhia .
Hais yooj yim xwb, txhua tus kws kho mob hluav taws xob yog kws kho mob plawv. Tab sis tsis yog txhua tus kws kho mob plawv yog kws kho mob hluav taws xob. Zoo li tsis yog txhua tus neeg uas paub txog lub tsheb yog kws tshaj lij txog lub gearbox.
Yog koj lub plawv dhia tsis xwm yeem (arrhythmia), koj tus kws kho mob plawv yuav xa koj mus rau tus kws kho mob hluav taws xob.
Tus kws kho mob electrophysiologist kho cov mob twg?
Cov kws tshwj xeeb no kho ntau yam mob uas tshwm sim los ntawm ntau yam teeb meem hauv lub plawv lub zog hluav taws xob. Txawm hais tias qee qhov ntawm cov no tsis loj heev, lwm tus tuaj yeem ua rau tuag taus. Yog li ntawd, kev txawj ntse ntawm Electrophysiologist yog qhov tseem ceeb kom paub qhov txawv ntawm cov no thiab muab kev kho mob tsim nyog.
Lub rooj hauv qab no teev qee yam mob tseem ceeb thiab lawv cov lus piav qhia yooj yim.
| Lub Npe Mob | Ib qho lus piav qhia yooj yim |
|---|---|
| Kev mob plawv dhia tsis xwm yeem (AFib) | Cov chav sab saud ntawm lub plawv (atria) dhia ceev heev thiab tsis sib xws, zoo li lawv tshee hnyo. Qhov no tuaj yeem ua rau muaj mob xws li mob hlwb. |
| Atrial Flutter | Nws zoo li AFib me ntsis, tab sis ntawm no cov chav sab saud ntawm lub plawv dhia sai dua, tab sis qee zaum ntau dua. |
| Kev mob plawv dhia ceev heev (SVT) | Lub plawv dhia ceev heev uas pib hauv sab saud ntawm lub plawv thiab dhia tam sim ntawd thiab tom qab ntawd nres sai li sai tau. |
| Lub plawv dhia ceev (VT) | Lub plawv dhia ceev heev thiab muaj peev xwm txaus ntshai uas pib hauv cov chav qis (ventricles) ntawm lub plawv. |
| Kev mob plawv dhia tsis xwm yeem (VFib) | Ib qho mob uas txaus ntshai heev rau lub neej uas ua rau cov chav hauv qab ntawm lub plawv co tsis tuaj yeem tswj tau, ua rau lub plawv nres tam sim ntawd. |
| Lub plawv thaiv | Kev thaiv lossis qeeb ntawm cov teeb liab hluav taws xob ntawm lub plawv thaum lawv mus los ntawm cov chav sab saud mus rau cov chav sab qis. Qhov no tuaj yeem ua rau lub plawv dhia qeeb heev. |
| Mob Sinus Syndrome | Kev ua haujlwm ntawm lub sinus node, uas yog lub tshuab ua pacemaker ntawm lub plawv, tsis muaj zog. Qhov no tuaj yeem ua rau lub plawv dhia sai dua lossis qeeb dua. |
Vim li cas koj thiaj raug xa mus rau tus kws kho mob Electrophysiologist?
Feem ntau, koj tus kws kho mob hauv tsev neeg lossis koj tus kws kho mob plawv yuav xa koj mus rau tus kws kho mob hluav taws xob. Muaj ntau yam ua rau qhov no.
- Yog koj pom tias koj lub plawv dhia ceev dua li qub (Tachycardia) lossis qeeb dua li qub (Bradycardia) .
- Yog tias kev kuaj ECG qhia tias koj lub plawv dhia tsis xwm yeem .
- Yog tias koj muaj lub sijhawm tsaus muag ntau zaus lossis lub cev tsis ua haujlwm zoo , xyuas seb qhov ua rau puas yog teeb meem nrog lub plawv lub zog hluav taws xob.
- Yog tias ib tug neeg hauv koj tsev neeg muaj keeb kwm ntawm kev tuag sai sai ntawm lub plawv, xyuas seb koj puas muaj kev pheej hmoo.
Xav txog seb, thaum koj mus ntsib koj tus kws kho mob, nws saib ECG thiab hais tias, "Muaj qhov tsis zoo me ntsis hauv koj lub plawv dhia, cia peb saib ntxiv thiab qhia koj rau tus kws tshwj xeeb uas paub txog qhov no." Thaum ntawd koj raug xa mus rau tus kws kho mob hluav taws xob.
Cov kws kho mob no ua cov kev kuaj mob dab tsi?
Yuav kom paub tseeb tias muaj teeb meem dab tsi nrog lub plawv lub zog hluav taws xob, tus kws kho mob hluav taws xob siv ntau yam kev kuaj. Ntau yam ntawm cov no yog kev kuaj yooj yim, tsis muaj kev phais.
| Lub Npe Xeem | Koj ua li cas rau qhov no? |
|---|---|
| Kev kuaj mob hluav taws xob (EKG/ECG) | Qhov no yog qhov kev sim yooj yim tshaj plaws. Cov sensors, zoo li cov ntawv nplaum, raug txuas rau ntawm koj lub hauv siab thiab caj npab thiab ceg, thiab cov hluav taws xob ntawm koj lub plawv raug kaw cia rau lub sijhawm ntawd. |
| Holter Saib Xyuas | Qhov no yog ib lub tshuab me me. Koj yuav raug hais kom hnav nws li ntawm 24 lossis 48 teev. Nws yuav sau koj lub plawv dhia tas li thaum koj ua koj tej haujlwm txhua hnub. |
| Saib Xyuas Kev Tshwm Sim | Nws zoo ib yam li lub Holter monitor, tab sis nws tuaj yeem hnav tau ntau hnub lossis ntau lub lis piam. Thaum koj hnov cov tsos mob, koj tuaj yeem nias lub pob thiab sau koj lub plawv dhia thaum ntawd. |
| Kev kuaj lub plawv (Echocardiogram) | Qhov no zoo li kev kuaj lub plawv los ntawm lub tshuab ultrasound. Nws tuaj yeem saib cov qauv ntawm lub plawv, cov qhov valve, thiab seb lub plawv ua haujlwm li cas. |
| Kev Ntsuas Rooj Tilt | Kev kuaj mob rau cov neeg uas feem ntau tsaus muag. Lawv muab koj tso rau saum txaj thiab koj cov ntshav siab thiab lub plawv dhia yuav raug saib xyuas thaum lub txaj maj mam tig ntsug. |
| Kev Kawm Txog Hluav Taws Xob (Kev Kawm Txog EP) | Qhov no yog qhov kev sim uas tob tshaj plaws. Cov xov hlau me me (catheters) raug xa mus rau hauv lub plawv los ntawm cov leeg ntshav hauv ceg lossis caj npab, tsim ib daim ntawv qhia ntawm lub plawv lub zog hluav taws xob kom pom qhov chaw tseeb ntawm qhov teeb meem. |
Kuv yuav tsum mus ntsib kws kho mob hluav taws xob rau cov tsos mob dab tsi?
Yog koj muaj ib lossis ntau yam tsos mob hauv qab no, nws yog ib qho tseem ceeb heev uas koj yuav tsum nrog koj tus kws kho mob tham txog lawv. Nws yuav xa koj mus rau tus kws kho mob hluav taws xob yog tias tsim nyog.
- Kev Ua Pa Ntsws:Lub plawv dhia ceev yog qhov peb hu ua qhov kev xav ntawm peb lub plawv dhia. Nws tuaj yeem zoo li peb lub plawv dhia ceev hauv peb lub hauv siab, zoo li nws dhia ceev dua thiab nres, lossis zoo li nws dhia tsis tu ncua.
- Ua tsis taus pa: Xav tias koj ua tsis taus pa txawm tias ua tej yam me me los xij.
- Mob hauv siab los yog tsis xis nyob: Muaj kev xav tias lub hauv siab nruj los yog nqaim.
- Kiv taub hau lossis Tsaus muag: Qhov mob no tuaj yeem suav nrog kev xav tias lub taub hau me me thaum koj sawv ntsug mus txog rau qhov tsis nco qab.
- Qaug zog: Xav tias qaug zog heev txhua lub sijhawm yam tsis muaj laj thawj pom tseeb.
Vim tias cov tsos mob no feem ntau zoo sib xws, kev txawj ntse ntawm tus kws kho mob electrophysiologist yog qhov tseem ceeb los txheeb xyuas qhov teeb meem tiag tiag.
Yuav kho cov teeb meem plawv dhia li cas?
Qhov zoo tshaj plaws yog tias niaj hnub no muaj cov kev kho mob zoo heev rau feem ntau cov teeb meem ntawm lub plawv dhia. Thaum tus kws kho mob electrophysiologist kuaj pom koj tus mob zoo lawm, lawv yuav pom zoo rau kev kho mob zoo tshaj plaws rau koj.
| Txoj Kev Kho Mob | Muaj dab tsi tshwm sim rau qhov no? |
|---|---|
| Tshuaj | Cov tshuaj uas tswj lub plawv dhia, ua kom qeeb qeeb, lossis tiv thaiv cov ntshav txhaws. |
| Kev rho tawm catheter | Daim ntawv tshawb fawb EP pom tias thaj chaw ntawm lub plawv uas xa cov teeb liab hluav taws xob tsis raug yog tsim los ntawm kev siv lub zog xws li radiofrequency los tsim ib qho caws pliav me me. Tom qab ntawd cov teeb liab tsis raug tsis tuaj. Qhov no yog kev kho mob uas ua tiav ntau dua 90%. |
| Lub tshuab ua pacemaker | Ib lub cuab yeej hluav taws xob me me uas pab cov neeg uas lub plawv dhia qeeb heev kom lawv lub plawv dhia li qub. Nws raug phais muab tso rau hauv qab daim tawv nqaij. |
| Lub Tshuab Defibrillator Uas Muab Tso Rau Hauv Lub Plawv (ICD) | Qhov no zoo li lub tshuab ua pacemaker, tab sis qhov tshwj xeeb txog qhov no yog tias nws tuaj yeem ntes tau lub plawv dhia ceev heev (xws li VT lossis VFib) uas tuaj yeem ua rau tuag taus, thiab xa hluav taws xob mus rau lub plawv kom rov qab zoo li qub. |
| Kev hloov pauv plawv | Thaum muaj xwm txheej ceev, kev siv hluav taws xob los pab kom lub plawv dhia ceev thiab tsis xwm yeem sai sai yog tias muab 'paddles' tso rau sab nraum lub hauv siab. |
Yog tias koj xav tau mus ntsib kws kho mob hluav taws xob (Electrophysiologist), tsis txhob ntshai. Lawv yog cov kws tshwj xeeb uas tau kawm tiav zoo hauv qhov no thiab mob siab rau kev txhim kho koj lub neej. Tham nrog lawv txog txhua lo lus nug lossis kev txhawj xeeb uas koj muaj. Nkag siab meej txog koj tus mob thiab kev kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Ib tug kws kho mob hluav taws xob yog ib tug kws kho mob plawv uas tshwj xeeb hauv kev kho lub plawv lub zog hluav taws xob thiab lub plawv dhia.
- Yog tias koj muaj cov tsos mob xws li lub plawv dhia ceev, qeeb, tsis xwm yeem, lossis tsaus muag ntau zaus, nws yuav yog ib qho cim qhia txog qhov tsis zoo ntawm lub plawv lub zog hluav taws xob.
- Tsis txhob tso tseg cov tsos mob zoo li no. Nco ntsoov nrog koj tus kws kho mob tham txog qhov no.
- Niaj hnub nim no, muaj cov kev kho mob zoo heev rau lub plawv dhia tsis xwm yeem (arrhythmias), los ntawm cov tshuaj mus rau ablation thiab pacemakers.
- Tsis txhob ntshai mus ntsib kws kho mob hlwb (electrophysiologist). Lawv yeej npaj txhij pab koj. Mloog koj cov lus nug thiab xyuas kom koj nkag siab txhua yam meej.
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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