Koj puas tau muaj lub siab dhia ceev thiab tsis paub tias yog vim li cas thaum koj poob siab? Nws yog ib qho ib txwm muaj uas koj yuav ntshai thiab ntxhov siab me ntsis thaum lub sijhawm zoo li no. Ib qho ntawm cov laj thawj rau qhov kev dhia ceev no yog SVT, uas sawv cev rau Supraventricular Tachycardia. Yog li hnub no peb yuav tham txog kev kho mob zoo heev rau qhov no. Ntawd yog SVT Ablation.
Tsuas yog hais tias, SVT thiab Ablation yog dab tsi?
Cia peb xub saib seb SVT yog dab tsi. Peb lub plawv yog ib lub cev zoo kawg nkaus. Nws muaj ib lub tshuab hluav taws xob rau nws txoj haujlwm. Ib yam li lub tshuab hluav taws xob hauv tsev. Thaum cov tshuab hluav taws xob no mus raws li qhov xav tau thiab raws li txoj cai, peb lub plawv dhia raws li lub sijhawm.
Tiamsis rau qee tus neeg, muaj ib qho "luv luv" me me uas tshwm sim hauv lub tshuab hluav taws xob hauv cov chav sab saud ntawm lub plawv. Xav txog nws zoo li ib lub voj hlau. Tom qab ntawd cov teeb liab hluav taws xob uas yuav tsum mus raws li qhov kev txiav txim tau tawg vim yog qhov luv luv no, thiab lub plawv mam li pib dhia ceev heev. Qhov no yog qhov peb hu ua SVT (Supraventricular Tachycardia) .
Tam sim no cia peb saib seb Ablation yog dab tsi. Qhov no yog kev kho mob uas "ua rau" cov hlwb tsis zoo uas ua rau lub voj voog luv luv ntawd tsis ua haujlwm. Cov kws kho mob siv cov catheter tshwj xeeb, cov raj nyias heev, mus tob rau hauv lub plawv thiab nrhiav qhov chaw uas cov teeb liab hluav taws xob tsis zoo los. Tom qab ntawd, lawv ua rau me ntsis kev puas tsuaj rau qhov chaw ntawd.
- Lub zog hluav taws xob Radiofrequency: Hauv txoj kev no, cov cell raug cua sov thiab tsim ib qho caws pliav me me.
- Kev Kho Mob Nkeeg: Hauv txoj kev no, qhov txias heev (nitric oxide) yog siv los khov cov hlwb, tsim kom muaj qhov caws pliav.
Thaum ib qho caws pliav raug tsim los ntawm txoj kev no, lub teeb liab hluav taws xob tsis zoo yuav tsis tuaj yeem hla dhau. Qhov ntawd txhais tau tias lub voj voog luv luv raug tawg. Tom qab ntawd lub plawv pib dhia hauv lub suab ib txwm dua.
Feem ntau cov kws kho mob siv txoj kev kho mob no yog tias tshuaj tsis tuaj yeem tswj tau qhov mob, lossis yog tias tshuaj ua rau muaj kev phiv. Txawm li cas los xij, qee zaum nws raug pom zoo ua thawj txoj kev xaiv.
Ua ntej thiab thaum lub sijhawm kho mob muaj dab tsi tshwm sim?
Tom qab koj txiav txim siab hnub twg los kho qhov teeb meem no, tus kws kho mob yuav muab qee cov lus qhia tshwj xeeb rau koj.
- Koj yuav raug hais kom tsis txhob noj lossis haus dab tsi li 6 txog 8 teev ua ntej kev kho mob (yoo mov) .
- Tej zaum yuav muaj ib hnub koj yuav raug hais kom tsum tsis txhob noj cov tshuaj uas koj tab tom noj. Koj yuav tsum tham txog qhov no nrog koj tus kws kho mob kom paub meej.
Kev kho mob no ua nyob rau hauv ib lub chaw kuaj mob electrophysiology uas muaj cov cuab yeej tshwj xeeb. Cia peb saib ib kauj ruam zuj zus seb muaj dab tsi tshwm sim nyob ntawd:
1. Ua ntej, koj yuav tau txais tshuaj los ntawm txoj hlab ntshav (IV) los pab koj so thiab tsis hnov mob. Feem ntau, koj yuav tau txais yam uas hu ua kev tsaug zog . Qhov no txhais tau tias koj yuav tsis tsaug zog tag, tab sis koj yuav so thiab me ntsis qaug zog.
2. Tom qab ntawd, daim tawv nqaij hauv koj qhov chaw mos yuav raug muab tshuaj loog (tshuaj loog hauv zos), thiab muab ib lub catheter nyias nyias ntxig rau hauv cov hlab ntsha. Koj yuav tsis hnov mob ntau vim yog qhov tshuaj loog.
3. Lub catheter no raug coj mus raws cov hlab ntsha mus txog rau lub plawv.
4. Tom qab ntawd, cov teeb liab hluav taws xob raug xa mus los ntawm lub catheter no kom nrhiav tau qhov chaw tseeb ntawm cov cell uas ua rau muaj teeb meem.
5. Thaum qhov chaw raug lawm, lub zog hluav taws xob uas peb tau tham txog ua ntej yuav raug siv los ua kom cov hlwb ntawd tsis ua haujlwm. Koj yuav tsis hnov mob dab tsi lub sijhawm no.
Tom qab kho mob tas lawm, yuav muaj dab tsi tshwm sim? Thiab thaum koj mus tsev, koj ua dab tsi?
Tom qab kev kho mob tiav lawm, qhov chaw catheter yuav raug clamped ib pliag kom tsis txhob los ntshav. Qee zaum yuav siv ib lub cuab yeej tshwj xeeb (vascular closure device). Tom qab ntawd, koj yuav raug qhia kom ncab koj txhais ceg li 6 txog 8 teev.
Tom qab koj mus tsev lawm, koj mam li pib ua tej yam li qub rau hnub tom qab . Txawm li cas los xij, nws yog ib qho tseem ceeb heev uas yuav tsum tsis txhob ua tej yam hnyav xws li khiav, dhia, lossis tsa hnyav li peb hnub.
Cov txiaj ntsig thiab kev pheej hmoo ntawm kev kho mob no yog dab tsi?
Qhov zoo tshaj plaws ntawm qhov no yog tias tus nqi ua tiav siab heev . Rau feem ntau hom SVT, kev kho mob no yog 90% - 95% ua tiav . Qhov no txhais tau tias yog koj ua qhov no rau kaum tus neeg, cuaj tus yuav kho tau zoo tag nrho. Txawm li cas los xij, muaj tsawg tus (2% - 11%) uas tus mob no yuav rov tshwm sim dua.
Ib yam li kev kho mob, muaj tej yam txaus ntshai me me xwb. Cia peb kawm seb lawv yog dab tsi.
| Kev Pheej Hmoo/Cov Teeb Meem Sab Nraud | Piav qhia yooj yim |
|---|---|
| Kev los ntshav los yog kev kis kab mob | Ib qho mob uas tshwm sim tau ntawm qhov chaw ntxig catheter. Qhov no tsis tshua muaj. |
| Cov ntshav tawm | Ntshav sib sau ua ke hauv qab daim tawv nqaij qhov chaw uas tau ntxig lub catheter. |
| Cov ntshav txhaws | Muaj kev pheej hmoo me me ntawm cov ntshav txhaws hauv cov hlab ntsha. |
| Kev Kho Mob Plawv | Ib lub qhov nyob ib puag ncig lub plawv uas puv nrog cov ntshav lossis cov kua dej. Qhov no yog ib qho xwm txheej ceev uas tsis tshua muaj. |
| Qhov xav tau lub tshuab pacemaker | Tsis tshua muaj, yog tias lub plawv lub zog hluav taws xob ib txwm puas lawm, yuav tsum tau muab lub tshuab pacemaker tso rau hauv kom tswj tau lub plawv ua haujlwm. |
Qhov tseem ceeb tshaj plaws: Koj yuav tsum nco ntsoov tias feem ntau ntawm cov kev pheej hmoo no tsis tshua muaj , thiab cov kws kho mob uas kho koj yuav ceev faj heev txog qhov no.
Thaum twg koj yuav tsum nrhiav kev kho mob tam sim ntawd?
Peb kuj yuav tsum paub tias yuav ua li cas yog tias muaj teeb meem tshwm sim tom qab peb mus txog tsev.
| Xwm txheej ceev! Mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd. | |
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| Yog koj muaj cov tsos mob no, nrog koj tus kws kho mob tham. | |
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Nws yuav ua rau koj ntshai me ntsis thaum koj paub tias koj muaj teeb meem plawv dhia tsis zoo. Tab sis koj yuav xav tias koj zoo siab heev thaum koj paub tias muaj cov kev kho mob zoo heev rau nws. SVT Ablation yog ib qho kev kho mob zoo heev. Yog tias koj muaj lus nug ntxiv txog qhov no, tsis txhob yig tham nrog koj tus kws kho mob thiab piav qhia txhua yam.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- SVT (Supraventricular Tachycardia) yog ib qho mob uas lub plawv dhia ceev ceev vim muaj qhov "luv luv" zoo li qhov tsis zoo hauv lub plawv lub zog hluav taws xob.
- SVT Ablation yog ib txoj kev kho mob zoo heev uas siv cov catheter tshwj xeeb los nkag mus rau hauv lub plawv thiab ua kom cov hlwb puas tsuaj tsis ua haujlwm los ntawm kev ua kom sov lossis khov lawv, rov qab kho lub plawv dhia.
- Tus nqi ua tiav ntawm kev kho mob no yog siab txog 90% - 95% .
- Kev kho mob sai sai tom qab kho, thiab koj tuaj yeem rov qab mus rau lub neej ib txwm li qub hauv ob peb hnub.
- Yog tias qhov txhab o tuaj ntau dhau los yog los ntshav tas li, koj yuav tsum mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd. Yog tias koj muaj lwm yam tsos mob txawv txawv, qhia rau koj tus kws kho mob paub.
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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