Yu dɔn ɛva fil lɛk se yu at de bit fast fast, we yu nɔ ebul fɔ kɔntrol? I tan lɛk drɔm we de bit fast bɔt we nɔ gɛt ɛni ritm. Insay mɛrɛsin, wi kin kɔl dis sik Atrial Fibrillation . Bɔrku tɛm, dɛn kin kɔntrol dis wit mɛrɛsin. Bɔt if dɛn nɔ ebul fɔ kɔntrol am wit mɛrɛsin, tide wi de tɔk bɔt wan spɛshal tritmɛnt we dɔktɔ dɛn kin yuz.
Fɔ tɔk am simpul wan, wetin na AV Node Ablation?
Okay, di nem soun likli komplikayt, bot di proses na rili simpul. Fɔ tɔk am simpul wan, AV Node Ablation na wan we we nɔ kin tek bɔku tin we kin mek yu pwɛl wan smɔl eria pan di tisu na yu at we dɛn kɔl di AV node (Atrioventricular node) wit ɔt ɔ kol pasmak, we kin mek i nɔ wok.
Naw yu go mɔs de tink se, "O, yu bin min fɔ disable pat pan di at?" Nɔ wɔri, lɛ wi tɔk klia wan bɔt dat.
Tink bɔt dis AV node as wan big jɔnkshɔn na di at in ilɛktrik sistɛm. ilektrikal signal dεm de sεnd frכm di כp chεmba dεm (atria) na di at to di lכw chεmba dεm (vεntrikul dεm) tru dis jכnkshכn. insay atrial fibrilashכn, di ilektrikal signal dεm we de kכmכt frכm di כp chεmba dεm de rili chaotic εn fast. so, fכ stכp dεn chaotic signal dεm ya fכ go na di lכw chεmba dεm, wi de kכloz dis jכnkshכn (di AV node).
Dɔn, fɔ kɔntrol yu at rit, dɛn go put yu permanent pesmɛka bifo ɔ di tɛm we dɛn de du dis tritmɛnt. dis min se di peshכn go tek ova di wok dεm we di AV node de du. Dis go ɛp fɔ mek di at rit kɔntinyu fɔ de di rayt we.
Udat rili nid dis tritmɛnt?
Atrial Fibrillation na wan sik we dɛn fɔ trit. Bɔt, AV Node Ablation nɔ fayn fɔ ɔlman. Yu dɔktɔ kin tɛl yu fɔ du dis tritmɛnt if yu de pan wan pan dɛn kayn tin ya:
- If di mɛrɛsin dɛn nɔ de wok: If di mɛrɛsin dɛn we dɛn gi fɔ kɔntrol atrial fibrillation nɔ ebul fɔ kɔntrol yu at bit.
- If yu nɔ ebul fɔ bia wit di mɛrɛsin: Sɔm pipul dɛn kin si am se i nɔ kin izi fɔ kɔntinyu fɔ yuz di mɛrɛsin bikɔs ɔf di sayd ɛfɛkt dɛn.
- If ɔda tritmɛnt dɛn nɔ wok: If ɔda tritmɛnt dɛn lɛk fɔ ayd di pulmonary vein, nɔ ebul fɔ kɔntrol di at rit.
- If yu dɔn ɔlrɛdi gɛt pesmɛka: Sɔntɛnde dɛn kin gi dis tritmɛnt bak to pipul dɛn we dɔn ɔlrɛdi yuz pesmɛka fɔ ɔda rizin dɛn.
AV Node Ablation nכ de trit כnli Atrial Fibrillation, bכt i de trit sεvεra כda hat bit dεm we nכ de rεgεl we de apin na di כp chεmba dεm na di at. Fɔ ɛgzampul:
- Atrial Flutter we de flɔt
- Supraventrikular Aritmia dɛn we de mek pɔsin gɛt
Aw di tritmɛnt de wok, stɛp bay stɛp
Pan ɔl we dis nɔto big ɔpreshɔn, na sɔntin we dɛn kin tek tɛm du.
Wetin kin apin bifo dɛn trit am?
If yu nɔ gɛt pesmɛka yet, yu go gɛt pɔrmɛnt pesmɛka we dɛn put yu fɔ sɔm wiks bifo dis tritmɛnt, ɔ sɔmtɛm di de we dɛn go gi yu di tritmɛnt. pan tap dat, yu dכkta go du wan εlektrofysioloji stכdi pan yu at fכ no usay di AV node de.
We yu bigin fɔ trit yu:
1. Dɛn go put smɔl kanula (IV) na wan vein na yu an ɛn dɛn go gi yu mɛrɛsin fɔ put yu na layt slip (sedation).
2. Tingling pan di skin safa na ples lεk di groin, nεk, כ an.
3. Tru am, dεn de put rili fayn, lכng tכb dεm (kateta) insay yu at tru wan pan yu vein dεm.
Wetin kin apin we dɛn de trit am?
Afta dɛn dɔn put di kateshɔn, di mɛdikal tim:
- Dɛn go kɔntinyu fɔ wach yu impɔtant sayn dɛn ɛn aw yu at de rit.
- we dεn de yuz εks-ray tεknכlכji, dεn de gayd di kateshכn to di AV node.
- we yu yuz di tip fכ wan spεshal kateshכn, di AV node de dεaktiv bay hεt (Radiofrequency ablation) כ ekstrim kol (Cryoablation) .
Afta tritmɛnt?
We dɛn dɔn fɔ du di wok, di dɔktɔ go pul di kateshɔn dɛn ɛn ol dɛn na dɛn ples fɔ lɛk 15 minit so. Dɔn dɛn go aks yu fɔ ledɔm na bed fɔ sɔm awa. Yu go de na ɔspitul fɔ wan nɛt ɛn go na os di nɛks de.
Difrɛns bitwin AV Node Ablashɔn ɛn PVI
Sɔm pipul dɛn kin pik wan tritmɛnt we dɛn kɔl Pulmonary Vein Isolation (PVI) instead of AV Node Ablation. Pan ɔl we dɛn ɔl tu de aim fɔ kɔntrol Atrial Fibrillation, smɔl difrɛns de pan di we aw dɛn de du am ɛn di rizɔlt. Mek wi luk am dis we.
| Tin | AV Node Ablashɔn | Pulmonari Vein Isolashɔn (PVI) . |
|---|---|---|
| Di men tin we dɛn want fɔ du | Fɔ stɔp di chaotic ilɛktrik signal dɛm fɔ go na di ɔda pat na di at. | fכmeshכn fכ wan barεri rawnd di pכynt usay di chaotic ilektrikal signal dεm de kכmכt (pulmonary veins). |
| Pacemaker we dɛn nid | I rili nid am fɔ layf. | Bɔku tɛm, i nɔ nid fɔ de. |
| Sakses rεt | Rili ay (mɔ pas 90%). | Kwik lכw (bitwin 60% - 80%). |
Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin?
Di bɛnifit dɛn we dis kin gɛt
- Wan gud at rit: I pɔsibul fɔ kɔntrol di at ritm we yu nɔ tek mɛrɛsin (bɔt yu go nid fɔ kɔntinyu fɔ tek blɔd tin dɛn we de mek yu blɔd tan).
- Gud kwaliti layf: Di sayn dɛm kin ridyus, layf kin kam fayn fayn wan.
- Ɛksesaiz kin: Di bɔdi in ebul fɔ wok tranga wan kin bɔku.
- Ridyus ɔspitul: Di nɔmba fɔ di imejensi ɔspitul ɔ visit to di Imejɛnsi Tritmɛnt Yunit (ETU) de ridyus.
Ɛni risk dɛn de we kin apin?
Jɔs lɛk ɛni ɔda tritmɛnt, smɔl smɔl prɔblɛm dɛn de, bɔt dɛn tin ya nɔ kin apin so ɔltɛm.
- Prɔblɛm dɛn we de wit di pesmɛka we dɛn put insay.
- vεntrikulכr aritmia (di at bit we nכ de bit rεgulεr na di lכw chεmba dεm na di at).
- di dכn fכnshכn fכ di lεft vεntrikl na di at (dεn kin kכrekt dis bak bay we dεn put כda peshכn lid (biventricular pacing).
di mכst imכtant tin na dat AV Node Ablation na pεrmanεnt tritmεnt we dεn nכ kin rivεs (irreversible) . Na dat mek dɛn nid pɔsin we de mek pɔsin in peshɛnt fɔ layf. Dis na sɔntin we yu fɔ tink gud wan bɔt bifo yu disayd fɔ du dis.
Ustɛm yu nid fɔ go to dɔktɔ?
Afta yu dɔn gɛt pesmɛka, yu go nid fɔ go to yu dɔktɔ ɔltɛm. Bɔku tɛm afta di fɔs mɔnt, dɔn wan ɔ tu tɛm insay di ia. Bɔt if yu si ɛni wan pan dɛn sik ya, go to yu dɔktɔ wantɛm wantɛm.
| Chans | Simptom dɛm fɔ luk fɔ |
|---|---|
| If yu sɔspɛkt se infɛkshɔn de na di say we dɛn de mek di peshɛnt: | |
| Sayn dɛn we de sho se pɔsin gɛt di sik | Fiva |
| Shivering bikɔs ɔf kol | |
| Pen, rɛd, ɔ swel usay di pesmɛka de | |
| If yu tink se yu peshɛnt mɛka nɔ de wok fayn: | |
| Di tin dɛn we gɛt fɔ du wit di we aw pɔsin de du di wok | Diziz (vɛrtigo) . |
| Go we yu nɔ gɛt wach (ol ej) . | |
| I nɔ kin izi fɔ yu fɔ blo | |
Fɔ disayd fɔ gɛt AV Node Ablation nɔ izi. Bikɔs i nɔ go ebul fɔ chenj ɛn yu go gɛt fɔ liv wit peshɛnt fɔ di res ɔf yu layf. Bɔt di sakrifays rɛt rili ay. So, tɔk to yu dɔktɔ bɔt ɔl yu kwɛstyɔn ɛn tin dɛn we yu de fred. Di tin we impɔtant pas ɔl na fɔ no ɔltin ɛn disayd fɔ du di rayt tin fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- AV Node Ablation na wan tritmɛnt we rili fayn fɔ siriɔs atrial fibrilɛshɔn we ɔda tritmɛnt dɛn nɔ bin dɔn kɔntrol.
- Dis na tritmɛnt we go de sote go, we nɔ go ebul fɔ chenj, ɛn afta tritmɛnt yu go nid fɔ gɛt peshɛnt mɛka fɔ yu layf.
- Dis tritmɛnt gɛt sakrifays rɛt we pas 90% ɛn i kin rili ɛp fɔ mek yu kwaliti layf bɛtɛ.
- Dis na big tin fɔ disayd. So, disayd fɔ du sɔntin bay we yu tɔk to yu dɔktɔ opin wan bɔt di gud tin dɛn, di bad tin dɛn, ɛn ɛnitin we de mɔna yu.
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