Puas muaj tej lub sij hawm koj xav tias koj lub plawv dhia ceev zuj zus yam tsis muaj laj thawj? Zoo li koj nyuam qhuav khiav ntau xwb? Qhov no yuav yog ib qho tsos mob ntawm ib yam mob uas koj yuav tau hnov txog hu ua 'Supraventricular Tachycardia' lossis '(SVT)'. Txawm hais tias qhov no tuaj yeem yog ib qho kev paub txaus ntshai, tsis txhob txhawj. Tam sim no muaj cov kev kho mob zoo heev rau qhov no. Niaj hnub no peb tab tom tham txog ib qho kev kho mob zoo heev, 'SVT Ablation'.
Hauv lwm lo lus, SVT Ablation yog dab tsi?
'SVT Ablation' yog ib txoj kev kho mob uas ua rau puas thiab ua kom ob peb lub hlwb hauv cov chav sab saud ntawm koj lub plawv uas cuam tshuam rau cov teeb liab hluav taws xob ntsig txog lub plawv dhia. Xav txog peb lub plawv lub zog hluav taws xob zoo li cov xov hlau hauv tsev. Feem ntau, lub plawv dhia zoo tsuas yog thaum cov teeb liab hluav taws xob mus ncig raws li txoj cai los ntawm cov "xov hlau" no.
Tiamsis rau qee tus neeg, ib lub voj me me, lossis ib yam dab tsi zoo li lub voj, tsim nyob rau hauv lub kaw lus "xov hlau". Tom qab ntawd nws zoo li "luv luv" , lub plawv dhia ib txwm raug cuam tshuam, thiab lub plawv mam li pib dhia sai dua. Hauv kev kho mob 'Ablation', ib lub raj nyias heev hu ua 'catheter' tshwj xeeb yog siv los nkag mus rau hauv lub plawv, nrhiav qhov "luv luv" uas xa cov cim tsis raug, thiab tua nws.
Muaj ob txoj hauv kev los ua qhov no:
- Lub zog hluav taws xob Radiofrequency: Qee cov catheter xa cua sov los rhuav tshem cov cell thiab tsim ib qho caws pliav me me.
- Khov: Qee cov catheters siv qhov txias heev kom tua cov cell ntawd.
Ob txoj kev no thaiv txoj kev uas xa cov teeb liab hluav taws xob tsis raug, ua rau lub plawv dhia li qub dua.
Feem ntau cov kws kho mob pom zoo kom siv txoj kev kho no yog tias tshuaj tsis tuaj yeem tswj tau SVT, lossis yog tias tshuaj ua rau muaj kev phiv. Txawm li cas los xij, qee zaum, nyob ntawm tus neeg mob tus mob, kev phais yuav raug pom zoo ua thawj txoj kev kho mob.
Kev kho mob no siv tau ntau npaum li cas?
Qhov nruab nrab, kwv yees li ob ntawm txhua 1,000 tus neeg hauv ntiaj teb no yuav muaj SVT. Txawm li cas los xij, muaj coob tus neeg, ntawm 60% thiab 80%, tau txais kev pab zoo los ntawm kev siv tshuaj. Yog li, kev kho mob 'Ablation' no feem ntau yog ib qho kev daws teeb meem zoo heev rau cov neeg uas nyuaj rau tswj nrog tshuaj.
Yuav tsum ua dab tsi ua ntej SVT Ablation?
Qhov no tsis yog kev phais loj, tab sis nws yuav tsum tau npaj me ntsis.
- Kev kho mob yuav tsum tsis txhob noj thiab haus kiag li rau 6 txog 8 teev (yoo mov).
- Tej zaum koj tus kws kho mob yuav muaj qee cov tshuaj uas koj tab tom noj tam sim no.(Tshwj xeeb tshaj yog cov tshuaj uas ua rau cov ntshav nyias) yuav raug qhia kom tsum tsis txhob noj lawv li ob peb hnub. Koj tus kws kho mob yuav muab cov lus qhia meej rau koj txog qhov no.
Muaj dab tsi tshwm sim thaum lub sijhawm kho mob?
Kev kho mob no ua tiav hauv ib qho chaw tshwj xeeb hu ua 'electrophysiology lab.' Cia peb saib ib kauj ruam zuj zus seb muaj dab tsi tshwm sim hauv qhov no.
| Cov kauj ruam | Muaj dab tsi tshwm sim? |
|---|---|
| 1. Muab cov tshuaj tua kab mob | Yuav muab ib txoj kab IV (kab ntsev) ntxig rau hauv cov leeg ntshav hauv koj txhais caj npab thiab muab tshuaj los ntawm nws kom pab koj so thiab tsis hnov mob. |
| 2. Kev ntxig catheter | Daim tawv nqaij hauv koj thaj chaw qhov chaw mos yuav loog thiab ib lub raj nyias nyias (catheter) raug ntxig los ntawm ib txoj hlab ntshav loj nyob ntawd. |
| 3. Kev mus rau lub siab | Ib lub catheter nrog cov electrodes tshwj xeeb raug xa mus rau koj lub plawv los ntawm lub raj no. |
| 4. Nrhiav qhov teeb meem | Tus kws kho mob xa cov teeb liab hluav taws xob me me los ntawm lub catheter no kom nrhiav tau qhov chaw tseeb ntawm "short circuit" uas ua rau lub plawv dhia ceev ceev. |
| 5. Kev rho tawm | Thaum paub qhov chaw tseeb ntawm qhov teeb meem lawm, cua sov (lub zog zaus xov tooj cua) lossis txias yuav siv los rhuav tshem cov hlwb ntawd. |
Koj puas ploj tag lawm?
Feem ntau, koj yuav tsis tsaug zog kiag li. Koj yuav tau txais tshuaj kom koj tsaug zog me ntsis, qaug cawv me ntsis. Peb hu qhov no ua "kev tsaug zog kom nco qab."Lub sijhawm no, koj tsis paub txog yam uas tshwm sim nyob ib puag ncig koj, thiab koj tsis hnov mob dab tsi. Txawm li cas los xij, tsis tshua muaj, qee zaum tshwj xeeb, koj yuav tsum tau muab tshuaj loog rau koj lub cev. Qhov no yog txiav txim siab los ntawm tus kws kho mob raws li koj tus mob.
Qhov no puas mob?
Qhov tseeb, koj tsis hnov mob thaum koj ua kom cov hlwb tsis raug ntawd kub. Tus kws kho mob yuav ua rau thaj chaw uas ntxig lub catheter loog. Yog li qhov mob tsuas yog koj hnov me ntsis xwb thaum koj txhaj tshuaj loog (lidocaine).
Tom qab kho mob tas lawm, muaj dab tsi tshwm sim?
Tom qab kev kho mob tiav lawm thiab tshem tag nrho cov catheter tawm lawm, qhov chaw ntawm catheter raug clamped kom tsis txhob los ntshav. Qee zaum ib lub cuab yeej me me hu ua vascular closure device siv los kaw qhov txhab. Tom qab ntawd, koj yuav tsum pw hauv txaj nrog koj ob txhais ceg ntev li 6 txog 8 teev . Qhov no yuav tsis xis nyob, tab sis nws yog ib qho tseem ceeb kom tiv thaiv cov teeb meem xws li los ntshav.
Cov txiaj ntsig thiab kev pheej hmoo ntawm kev kho mob no yog dab tsi?
Ib yam li kev kho mob, muaj cov txiaj ntsig thiab muaj kev pheej hmoo me me.
| Hom | Kev piav qhia |
|---|---|
| Cov txiaj ntsig | Kev kho mob no muaj feem ua tiav zoo heev ntawm 90% thiab 95% . Qhov no txhais tau tias 95 ntawm 100 tus neeg tau txais kev kho mob tag nrho. Lub caij nyoog uas tus mob no rov tshwm sim yog tsawg heev (kwv yees li 2% - 11%). |
| Kev Pheej Hmoo | Cov no yog cov khoom tsis tshua muaj.
|
Yuav siv sijhawm ntev npaum li cas thiaj kho tau?
Lwm yam zoo txog qhov no yog tias koj tuaj yeem rov zoo sai. Koj tuaj yeem mus tsev thiab pib koj cov dej num ib txwm (xws li ua haujlwm hauv chaw ua haujlwm, ua haujlwm hauv tsev) hnub tom qab . Txawm li cas los xij, yog tias koj xav ua qee yam uas yuav tsum tau siv zog me ntsis, xws li tsa cov hnyav, lossis tawm dag zog, nws yog qhov zoo tshaj plaws tos tsawg kawg peb hnub .
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Nws yog ib qho tseem ceeb heev uas yuav tsum tau saib xyuas koj lub cev tom qab kev kho mob. Yuav tsum paub txog cov tsos mob hauv qab no.
| Lub cib fim | Cov yam ntxwv |
|---|---|
| Mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd. | |
| Xwm txheej ceev |
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| Tham nrog koj tus kws kho mob. | |
| Cov yam ntxwv uas yuav tsum tau saib xyuas |
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Muaj lub plawv dhia tsis xwm yeem ua rau ntshai heev. Tab sis tsis txhob txhawj, muaj cov kev kho mob zoo heev rau nws. SVT ablation yog ib qho kev kho mob zoo heev, tsis muaj kev pheej hmoo. Yog tias koj muaj cov tsos mob no, nrog koj tus kws kho mob tham kom txiav txim siab seb qhov kev kho mob no puas yog rau koj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- SVT yog ib qho mob uas lub plawv dhia ceev dhau vim muaj teeb liab hluav taws xob tsis zoo los ntawm cov chav sab saud ntawm lub plawv.
- SVT Ablation yog ib txoj kev kho mob zoo heev uas ua rau lub "luv luv" uas xa cov teeb liab tsis raug no tsis ua haujlwm.
- Qhov no yog siv rau hauv cov rooj plaub uas tshuaj tsis tuaj yeem tswj tau qhov mob, lossis qee zaum ua thawj kab kev kho mob.
- Tus nqi ua tiav ntawm kev kho mob no yog tshaj 90%, thiab cov kev pheej hmoo tsawg heev.
- Tsuas yog siv ob peb hnub xwb los kho kom zoo, thiab koj tuaj yeem rov qab mus rau koj lub neej ib txwm sai sai.
- Yog tias muaj cov tsos mob txawv txawv tshwm sim tom qab kho mob, qhia rau koj tus kws kho mob tam sim ntawd.
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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