Koj puas tau muaj ib zaug koj lub plawv dhia ceev heev thiab tsis xwm yeem? Qhov mob no, uas zoo li muaj ib yam dab tsi co hauv koj lub hauv siab, yog hu ua Atrial Fibrillation. Thaum qhov no tsis tuaj yeem tswj tau nrog tshuaj, peb tab tom tham txog ib txoj kev kho mob nyuaj me ntsis tab sis zoo heev uas siv los ua kev daws teeb meem. Ntawd yog Maze Procedure.
Cov Txheej Txheem Maze no yog dab tsi?
Hais yooj yim xwb, nws zoo li lub maze. Tej zaum koj yuav tau ua si nrog mazes thaum koj tseem yog menyuam yaus, qhov chaw uas koj nkag los ntawm ib lub qhov rooj thiab yuav tsum taug kev tsuas yog ib txoj kev kom raug xwb thiaj li tawm tau. Qhov kev phais no zoo sib xws.
Peb lub plawv dhia raug tswj los ntawm cov teeb liab hluav taws xob. Hauv atrial fibrillation, cov teeb liab hluav taws xob hauv ob lub chav sab saud ntawm lub plawv, hu ua atria, ua tsis ruaj khov thiab pib xa cov teeb liab tsis raug. Tom qab ntawd lub plawv pib dhia tsis ruaj khov.
Hauv Kev Kho Mob Maze, tus kws phais yuav tsim cov nqaij caws pliav uas zoo li tus qauv uas npaj tseg hauv lub plawv atria. Cov nqaij caws pliav no ua haujlwm zoo li ib txoj kev thaiv, tiv thaiv cov teeb liab hluav taws xob tsis raug kom tsis txhob mus ncig thoob plaws lub plawv. Txawm li cas los xij, nws tso ib txoj kev rau tsuas yog cov teeb liab raug uas xav tau rau lub plawv kom dhia zoo. Ib yam li tsuas muaj ib txoj kev raug hauv lub maze ntawd. Qhov no tso cai rau lub plawv dhia li qub dua.
Muaj ob txoj kev siv los tsim cov nqaij caws pliav no:
- Cryoablation: Kev ua kom cov nqaij tsis ua haujlwm los ntawm kev siv qhov txias heev (khov).
- Kev Siv Hluav Taws Xob Los Ntawm Xov Tooj Cua: Kev siv hluav taws xob los ua kom cov ntaub so ntswg sov.
Qhov kev phais mob no ua tau ua ib qho kev phais mob cais, lossis nws ua tau tib lub sijhawm nrog kev phais mob bypass lossis kev phais mob lub plawv.
Vim li cas thiaj ua qhov Maze Procedure no?
Tsis pom zoo kom phais mob no rau txhua tus. Muaj ntau qhov xwm txheej uas koj tus kws kho mob yuav pom zoo kom ua li no:
- Yog tias cov tshuaj uas tau sau tseg rau kev kho mob atrial fibrillation tsis ua haujlwm rau koj lossis koj muaj cov kev mob tshwm sim uas tiv thaiv koj kom tsis txhob noj lawv.
- Yog tias qhov mob no ua rau cov ntshav txhaws hauv koj lub cev thiab muaj cov mob hnyav xws li mob stroke .
- Yog tias koj tab tom phais mob plawv lwm yam (piv txwv li bypass, hloov valve) thiab koj kuj muaj atrial fibrillation.
- Yog tias cov kev kho mob yav dhau los xws li '(Catheter Ablation)' tsis tau ua tiav.
Atrial Fibrillation tsis yog ib yam yooj yim. Nws ua rau muaj kev pheej hmoo ntawm kev mob stroke txog li tsib 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 qhov no.
Muaj dab tsi tshwm sim ua ntej thiab thaum lub sijhawm phais?
Vim qhov no yog ib qho kev phais loj, koj yuav raug kuaj xyuas kom zoo ua ntej nws pib.
| Kev npaj ua ntej phais | |
|---|---|
| Kev Ntsuam Xyuas |
|
| Cov Lus Qhia | Yuav muab lus qhia txog yam yuav tsum noj thiab haus ua ntej phais thiab yam tshuaj twg yuav tsum noj/tsis txhob noj. |
| Kev teem caij mus ntsib kws kho mob | Koj yuav muaj lub sijhawm los ntsib thiab tham nrog koj tus kws phais mob, kws kho mob plawv, thiab kws kho mob siv tshuaj loog. |
Ob txoj kev phais mob
Muaj ob txoj kev phais mob tseem ceeb. Koj pab neeg kho mob yuav txiav txim siab seb txoj kev twg zoo tshaj plaws rau koj.
1. Phais Qhib (Txoj Kev Sternotomy): Hauv txoj kev no, kev phais yog ua los ntawm kev txiav 6-8 nti raws nruab nrab ntawm pob txha hauv siab.
2. Kev phais mob uas tsis tas phais ntau (Txoj Kev Thoracoscopic): Hauv txoj kev no, es tsis txhob phais loj hauv lub hauv siab, yuav muaj ntau qhov phais me me ntawm cov tav thiab lub koob yees duab thiab cov cuab yeej siv tau yooj yim raug ntxig rau hauv. Lub sijhawm rov zoo luv dua hauv txoj kev no.
Tshem Tawm Cov Qog Ntawm Sab laug Atrial
Ib feem tseem ceeb heev ntawm kev phais mob no yog kev kaw lossis tshem tawm ib feem me me hu ua Left Atrial Appendage . Qhov no yog ib lub hnab me me, zoo li pob ntseg uas txuas rau sab laug atrium ntawm lub plawv.
90% ntawm cov ntshav txhaws uas ua rau mob stroke rau cov neeg mob uas muaj atrial fibrillation tsim nyob rau hauv lub hnab me me no.Tau pom tias. Vim tias lub plawv tsis dhia zoo, cov ntshav yuav sib sau ua ke hauv thaj chaw no thiab ua rau cov ntshav txhaws. Yog tias cov ntshav txhaws no tawg thiab mus rau lub hlwb, yuav muaj mob stroke. Yog li, thaum lub sijhawm ua Maze, thaj chaw no yuav raug kaw nrog cov xov, cov staples, lossis cov cuab yeej tshwj xeeb. Qhov no tuaj yeem txo qhov kev pheej hmoo ntawm mob stroke.
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 mob me me (thoracoscopic), koj yuav tuaj yeem mus tsev li ntawm 4 hnub. Yog tias koj tau phais qhib, koj yuav nyob hauv tsev kho mob li ntawm ib lub lim tiam.
Koj tseem yuav tau noj ntau hom tshuaj rau ob peb lub hlis tom qab koj mus tsev.
- Cov tshuaj ua kom cov ntshav nyias (Anticoagulants): Koj yuav tsum tau noj cov tshuaj xws li 'Warfarin' lossis 'Apixaban' tsawg kawg yog 3 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 ntxiv.
- Tshuaj tswj lub plawv dhia: Siv los tswj lub plawv dhia tsis xwm yeem uas yuav tshwm sim thaum lub sijhawm pib kho lub plawv.
- Cov tshuaj diuretics: Txo cov kua dej tsis tsim nyog hauv lub cev.
Cov txiaj ntsig thiab kev pheej hmoo ntawm kev phais mob no yog dab tsi?
| Cov txiaj ntsig | Kev Pheej Hmoo/Teeb Meem |
|---|---|
|
Yuav siv sijhawm ntev npaum li cas thiaj kho tau thiab kuv yuav tsum mus ntsib kws kho mob dua thaum twg?
Rov qab mus ua koj tej dej num li qub.Nws yuav siv sijhawm li ntawm 3 thiab 6 lub lis piam . Yog tias qhov kev phais tau ua tiav los ntawm kev siv txoj kev phais mob tsawg kawg nkaus, lub sijhawm rov zoo yuav luv dua.
Tom qab phais tas, koj yuav tsum mus ntsib kws kho mob raws sijhawm teem tseg.
- Ib lub lim tiam tom qab tawm hauv tsev kho mob.
- Ib hlis tom qab tawm hauv tsev kho mob (kws kho mob plawv).
- Kev kuaj ECG thaum muaj hnub nyoog 3, 6, thiab 12 lub hlis.
- Ib qho kev kuaj mob 'Holter Monitor' (ib lub cuab yeej uas saib xyuas lub plawv dhia rau 24 teev) thaum muaj hnub nyoog 6 thiab 12 lub hlis.
Nws yog ib qho tseem ceeb rau koj txoj kev noj qab haus huv kom tuaj koom tag nrho cov kev kuaj mob thiab kev teem caij no.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Txoj Kev Kho Mob Maze yog ib txoj kev phais mob zoo heev rau atrial fibrillation uas tsis raug tswj los ntawm tshuaj.
- Qhov no tsim ib daim qauv ntawm cov nqaij caws pliav los thaiv lub plawv cov teeb liab hluav taws xob tsis zoo, rov qab ua kom lub plawv dhia zoo li qub.
- Muaj ob txoj kev, phais qhib thiab minimally invasive, thiab koj tus kws kho mob yuav txiav txim siab seb txoj kev twg zoo tshaj plaws rau koj.
- Kev kaw lub 'Left Atrial Appendage' uas ua thaum lub sijhawm phais mob no yuav pab txo qhov kev pheej hmoo ntawm kev mob stroke.
- Yuav siv sijhawm kom rov zoo tom qab phais, thiab nws yog ib qho tseem ceeb heev uas yuav tsum noj cov tshuaj uas tus kws kho mob tau sau tseg (tshwj xeeb yog cov tshuaj uas ua rau cov ntshav nyias) raws nraim thiab mus ntsib tus kws kho mob raws li hnub teem tseg.
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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