Koj puas tau xav tias koj lub plawv dhia ceev heev, dhia ceev thiab tsis xwm yeem, thiab koj xav tias koj muaj ib yam dab tsi txawv txawv hauv koj lub hauv siab? Qhov no yog qhov peb hu ua Atrial Fibrillation (AFib) hauv kev kho mob. Qhov no yog ib qho teeb meem plawv dhia ceev heev. Feem ntau, qhov mob no tuaj yeem tswj tau nrog tshuaj. Tab sis rau qee tus neeg, nws nyuaj rau tswj nws nrog tshuaj ib leeg. Thaum lub sijhawm zoo li no, hnub no peb yuav tham txog kev phais mob zoo heev uas cov kws kho mob pom zoo. Nws hu ua Maze Procedure . Txawm hais tias lub npe txawv me ntsis, nws tau kho tau ntau tus neeg uas muaj AFib lub neej.
Hais yooj yim xwb, qhov Maze Procedure no yog dab tsi?
Xav txog ib qho kev ua si maze. Tsuas muaj ib txoj kev nkag, ib txoj kev tawm, thiab tsuas muaj ib txoj kev zoo nyob nruab nrab xwb. Tab sis kuj muaj ntau txoj kev tsis zoo uas coj mus thiab los hauv nws. Tib yam tshwm sim hauv Maze Procedure.
Hais yooj yim xwb, hauv txoj kev phais mob no, tus kws phais yuav tsim ib daim qauv ntawm cov nqaij caws pliav uas mos heev thiab tau npaj tseg rau ntawm koj cov nqaij plawv. Nws zoo li tsim ib lub maze hauv lub plawv.
Tam sim no saib seb, qhov uas tshwm sim hauv lub plawv ntawm ib tus neeg uas muaj Atrial Fibrillation yog tias cov teeb liab hluav taws xob uas tswj lub plawv dhia pib ua ib qho tsis sib xws, pib hauv ib qho chaw thiab kis mus rau tag nrho plaub txhais tes. Qhov no yog vim li cas lub plawv poob nws lub suab thiab pib dhia sai.
Cov qauv nqaij caws pliav uas tsim nyob rau hauv Txoj Kev Maze thaiv txoj kev rau cov teeb liab hluav taws xob tsis sib xws, tsis raug kom mus ncig thiab rov qab los . Tib lub sijhawm, tib txoj kev rau cov teeb liab hluav taws xob kom raug yuav raug qhib . Zoo li txoj kev raug hauv lub maze. Qhov no thaiv tag nrho cov teeb liab tsis raug thiab tsuas yog tso cai rau cov teeb liab kom raug mus ncig. Thaum kawg, koj lub plawv dhia rov qab mus rau lub plawv dhia ib txwm muaj.
Cov kws kho mob siv ob txoj kev los kho cov nqaij caws pliav no:
- Kev Txias Txias: Siv qhov txias heev (khov) los ua puas cov ntaub so ntswg thiab ua rau muaj qhov caws pliav.
- Lub zog Radiofrequency: Lub zog Radiofrequency yog siv los ua kom cov nqaij sov thiab ua rau muaj qhov caws pliav.
Cov txheej txheem no qee zaum tuaj yeem ua tau tib lub sijhawm nrog lwm yam kev phais plawv (xws li kev phais bypass). Los yog, nws tuaj yeem ua nws tus kheej. Niaj hnub no, daim ntawv tshiab tshaj plaws thiab qib siab tshaj plaws ntawm kev phais no, Cox-maze IV txheej txheem , suav tias yog "tus qauv kub" rau atrial fibrillation.
Yuav ua qhov kev phais no li cas rau cov xwm txheej twg?
Tsis pom zoo kom siv txoj kev Maze rau txhua tus neeg mob AFib. Koj tus kws kho mob feem ntau yuav tham txog txoj kev no nrog koj yog tias:
- Tau txiav txim rau kojYog tias cov tshuaj tsis tuaj yeem tswj koj lub plawv dhia, lossis yog tias koj siv tsis tau qee yam tshuaj vim muaj cov kev mob tshwm sim.
- Yog tias koj muaj atrial fibrillation, uas ua rau cov ntshav txhaws hauv koj lub cev thiab ua rau muaj cov mob txaus ntshai xws li mob stroke .
- Yog tias koj tau teem sijhawm yuav phais rau lwm yam mob plawv (piv txwv li, kho lub plawv valve, phais bypass) , txoj kev no tuaj yeem siv los kho koj qhov atrial fibrillation tib lub sijhawm phais.
- Yog tias koj tau ua kev kho mob hu ua Catheter Ablation yav dhau los thiab nws tsis tau zoo.
Yog tias tsis kho, tus mob hu ua atrial fibrillation tuaj yeem ua rau muaj kev pheej hmoo ntawm kev tuag ob npaug thiab ua rau muaj kev pheej hmoo ntawm kev mob stroke ntau dua tsib txog xya npaug. Nws kuj tseem tuaj yeem ua rau lub plawv tsis ua haujlwm. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tau txais kev kho mob kom zoo rau tus mob no.
Muaj dab tsi tshwm sim ua ntej phais?
Koj mus phais tsis tau ib zaug li no. Ua ntej ntawd, koj yuav tsum kuaj xyuas koj lub cev kom zoo zoo. Nws yuav tsum muaj ntau yam kev kuaj mob thiab mus ntsib kws kho mob.
- Transthoracic Echocardiogram: Qhov no zoo li kev ntsuas ultrasound ntawm lub plawv. Nws xyuas qhov loj ntawm koj lub atrium sab laug thiab seb puas muaj teeb meem dab tsi ntawm lub plawv valve.
- Kev Ntsuas CT Hauv Siab (Computed Tomography): Yuav ua kev ntsuas CT ntawm lub hauv siab. Qee zaum, yog tias koj yuav phais mob me me, koj kuj tseem yuav tsum tau ua kev ntsuas CT ntawm lub plab thiab lub duav.
- Ntsib nrog cov kws kho mob: Koj tus kws kho mob plawv, kws phais neeg, thiab kws kho mob siv tshuaj loog yuav ntsib nrog koj los piav qhia txog kev phais, nws cov kev pheej hmoo, thiab yuav siv tshuaj loog li cas. Nug cov lus nug uas koj muaj lub sijhawm no.
- Muab cov lus qhia: Koj yuav tau muab cov lus qhia meej txog yam yuav tsum noj, haus, tsum tsis txhob noj, thiab yam tshuaj twg yuav tsum noj ua ntej phais.
Yuav ua li cas thiaj phais tau?
Txoj Kev Kho Mob Maze ua tau ob txoj kev tseem ceeb. Koj tus kws phais yuav txiav txim siab seb txoj kev twg zoo tshaj plaws rau koj qhov teeb meem.
| Txoj kev phais | Txoj kev ua nws yooj yim heev. |
|---|---|
| Kev phais qhib (Txoj kev Sternotomy) |
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| Kev phais qhov tseem ceeb (Txoj kev thoracoscopic) |
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Vim tias kev phais mob qhov tseem ceeb (Thoracoscopic) yog ua nrog cov qhov me me, muaj tsawg dua qhov teeb meem thiab luv dua nyob hauv tsev kho mob.
Ua li cas rau sab laug Atrial Appendage?
Qhov no yog ib feem tseem ceeb heev ntawm Txoj Kev Kho Mob Maze. Lub Left Atrial Appendage yog ib lub hnab me me, zoo li pob ntseg uas txuas rau sab laug atrium ntawm lub plawv. Qhov no yog qhov chaw tseem ceeb ntawm kev tsim cov ntshav txhaws rau cov neeg uas muaj atrial fibrillation.
Kev tshawb fawb pom tau tias 90% ntawm cov ntshav txhaws uas ua rau mob stroke hauv cov neeg mob AFib tsim nyob rau hauv thaj chaw me me no.
Thaum lub plawv dhia tsis zoo, cov ntshav uas nkag mus rau hauv cov hlab ntsha no yuav nres nyob ntawd, ua rau nws muaj feem ntau dua rau cov ntshav txhaws. Yog tias cov ntshav txhaws uas tsim los ntawm txoj kev no tawg tawm thiab mus ncig raws cov hlab ntsha thiab daig hauv cov hlab ntsha hauv lub hlwb, nws tuaj yeem ua rau mob stroke.
Yog li ntawd, thaum lub sijhawm Maze Procedure, tus kws phais yuav kaw qhov Left Atrial Appendage no siv cov xov, cov staples, lossis ib lub cuab yeej tshwj xeeb, lossis txiav nws tawm tag. Qhov no tuaj yeem txo koj txoj kev pheej hmoo ntawm kev muaj mob stroke yav tom ntej.
Tom qab phais tas, muaj dab tsi tshwm sim?
Tom qab phais tas, koj yuav raug khaws cia rau hauv chav saib xyuas mob hnyav (ICU) rau kev soj ntsuam ib lossis ob hnub, thiab tom qab ntawd xa mus rau chav kho mob ib txwm muaj. Yog tias koj tau phais lwm yam, koj lub sijhawm nyob hauv tsev kho mob yuav ntev dua. Feem ntau, ib tus neeg uas tau phais qhov tseem ceeb tuaj yeem mus tsev li plaub hnub. Yog tias koj tau phais qhib, koj yuav tsum nyob li ib lub lim tiam.
Txawm tias tom qab koj mus tsev lawm los, koj yuav tau noj qee yam tshuaj rau ob peb lub hlis.
- Cov tshuaj tiv thaiv kev ntshav txhaws (cov tshuaj ua kom cov ntshav nyias): Koj yuav tsum tau noj cov tshuaj no (piv txwv li, warfarin, apixaban) tsawg kawg yog peb lub hlis kom tiv thaiv cov ntshav txhaws. Tom qab ntawd, koj tus kws kho mob yuav txiav txim siab seb koj puas yuav tsum tau noj cov tshuaj no ntxiv mus.
- Cov tshuaj tswj lub plawv dhia: Tej zaum yuav xav tau cov no los tswj lub plawv dhia tsis xwm yeem uas yuav tshwm sim thaum lub sijhawm pib rov zoo ntawm lub plawv.
- Cov tshuaj diuretics: Cov tshuaj no yog muab los txo cov kua dej tsis tsim nyog hauv lub cev.
Qee zaum, AFib tsis zoo tag nrho tom qab Maze Procedure. Hauv cov xwm txheej zoo li no, yuav tsum tau siv catheter ablation ntxiv. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum sib txuas lus nrog koj tus kws kho mob plawv tom qab ua tiav cov txheej txheem.
Cov txiaj ntsig thiab kev pheej hmoo ntawm kev phais mob no yog dab tsi?
| Cov txiaj ntsig | Kev Pheej Hmoo & Teeb Meem |
|---|---|
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Yuav siv sijhawm ntev npaum li cas thiaj kho tau?
Feem ntau nws yuav siv sijhawm peb txog rau lub lis piam kom rov qab mus ua koj cov dej num niaj hnub. Yog tias koj tau phais qhov keyhole, koj lub sijhawm rov zoo yuav sai dua vim tias tsis muaj qhov phais loj hauv koj lub hauv siab.
Thaum twg koj yuav tsum tau mus ntsib koj tus kws kho mob dua?
Yog tias koj rov qab muaj cov tsos mob ntawm AFib tom qab phais, qhia rau koj tus kws kho mob plawv tam sim ntawd. Tsis tas li ntawd, koj yuav tsum ua raws li lub sijhawm kuaj mob thiab teem sijhawm tshwj xeeb.
- Kuv tau mus tsev los ntawm tsev kho mob hauv ib lub lim tiam.
- Mus ntsib kws kho mob plawv li ntawm ib hlis tom ntej.
- Kev kuaj electrocardiogram (EKG) thaum 3, 6, thiab 12 lub hlis tom qab phais, thiab tom qab ntawd ib xyoos ib zaug.
- Ib qho kev kuaj mob Holter (ib lub cuab yeej uas saib xyuas kev ua haujlwm ntawm lub plawv rau 24 teev) thaum 6 thiab 12 lub hlis tom qab phais.
Nws yog ib qho tseem ceeb heev uas yuav tsum tau ua tag nrho cov kev kuaj no kom raug kom paub tseeb tias koj txoj kev noj qab haus huv.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Txoj Kev Kho Mob Maze yog ib txoj kev phais mob zoo heev rau Atrial Fibrillation (AFib), ib qho mob uas nyuaj rau tswj nrog tshuaj.
- Qhov no suav nrog kev tsim ib qho qauv 'maze' zoo li cov nqaij caws pliav los thaiv cov teeb liab hluav taws xob tsis raug hauv lub plawv.
- Qhov kev phais mob no ua rau koj lub plawv dhia zoo li qub thiab txo qhov kev pheej hmoo ntawm kev mob stroke.
- Muaj ob txoj kev: phais qhib thiab phais qhov rooj. Lub sijhawm rov zoo tom qab phais qhov rooj sai dua.
- Thov nrog koj tus kws kho mob tham seb qhov kev phais no puas yog rau koj thiab cov txiaj ntsig thiab kev pheej hmoo yog dab tsi.
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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