If yu at ritm nɔ de wok fayn, dat na, Atrial Fibrillation (Afib), we na wan at ritm disɔda, de kɔntinyu pan ɔl we yu de tek mɛrɛsin ɛn ɔda tritmɛnt, yu kin fil bak se no sɔlv nɔ de fɔ dis fɔ ɔltɛm? Sɔmtɛm dis sik kin mek yu fil bad bak fɔ wɔri. Bɔt nɔ wɔri, wit di advans we di mɛdikal sayɛns dɔn go bifo, naw dɛn dɔn gɛt tritmɛnt dɛn we rili fayn fɔ dɛn kayn sik ya. Na fɔ dɛn kayn pipul ya nɔmɔ wi de tɔk bɔt dis nyu we fɔ trit pipul dɛn tide.
Wetin na dis Kɔnvɛrjɛnt Prɔsidyu?
Fɔ tɔk am simpul wan, dis na tu tritmɛnt dɛn we dɛn jɔyn togɛda. Dat min se, dɛn kin du smɔl ɔpreshɔn we dɛn kin kɔt di pɔsin ɛn wan tritmɛnt we dɛn kɔl kateta ablashɔn . Wi kin kɔl dis bak haybrid tritmɛnt.
Tink bɔt am, wi at gɛt ilɛktrik signal sistɛm. Dis na wetin de mek di at kɔntinyu fɔ bit fayn fayn wan. insay Afib, dεn signal dεm ya kin mεs, εn di כp chεmba dεm (atria) na di at kin sεnd signal dεm we nכ de wok fayn fayn wan. Insay di kɔnvɛrjɛnt prɔsidyu, di ɔspitul ɛn di dɔktɔ dɛn we de mɛn di at kin wok togɛda fɔ mek smɔl smɔl say dɛn insay ɛn ausayd yu at usay dɛn sayn dɛn ya we nɔ de chenj de kɔmɔt. Dɛn say dɛn ya we dɛn kɔt kin stɔp di ilɛktrik signal dɛn we nɔ de chenj fɔ travul. I tan lɛk se yu lɔk di rɔng rod ɛn sɛn di motoka dɛn bak na di rayt rod.
Udat dis tritmɛnt fayn fɔ?
Dis tritmɛnt nɔto fɔ ɔlman. Dɛn kin advays am mɔ fɔ:
- Fɔ di wan dɛn we gɛt Afib we nɔ de chenj .
- Fɔ di wan dɛn we gɛt Afib ɛpisod we kin kam bak pan ɔl we dɛn de tek mɛrɛsin ɛn we dɛn de du standad kateshɔn ablashɔn tritmɛnt.
If yu gɛt dis kayn sik, yu kin tɔk to yu dɔktɔ fɔ disayd if dis tritmɛnt fayn fɔ yu.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Lɛk ɛni ɔpreshɔn, dɛn kin pripia smɔl.
- Blɔd tin dɛn (anticoagulants): If yu de tek dɛn mɛrɛsin ya, yu go nid fɔ stɔp dɛn sɔm dez bifo dɛn du di ɔpreshɔn. Yu dɔktɔ go tɛl yu ɔmɔs dez bifo tɛm ɛn us mɛrɛsin fɔ stɔp. Nɔ ɛva stɔp fɔ tek yu mɛrɛsin dɛn if yu dɔktɔ nɔ advays yu.
- Fastin: Bifo dɛn du di ɔpreshɔn, dɛn go aks yu fɔ stɔp fɔ it ɛn drink fɔ wan patikyula tɛm (fastin). Yu dɔktɔ go tɛl yu bak bɔt dis tɛm.
Sɔntɛnde, dɛn kin du ɔl tu di pat dɛn pan dis tritmɛnt di sem de. Sɔntɛnde, dɛn kin du dɛn lɛk 4 wik so apat. Yu mɛdikal tim go ɛksplen dis to yu.
Aw dɛn kin du di ɔpreshɔn?
Dis tritmɛnt gɛt tu men pat dɛn. Lɛ wi tek tɛm luk wetin kin apin na ɛni pat.
| Pat pan di tritmɛnt | Wetin kin apin na simpul tin. |
|---|---|
| Pat Wan: Ɔpreshɔn (Trit fɔ di At frɔm Ɔdasay) . | afta yu dɔn ful-ɔp fɔ anestez, wan dɔktɔ we de mɛn yu at kin mek wan rili smɔl say, lɛk 3-4 sɛntimita dɔŋ yu brɔst bon (sternum). afta dat, dεn kin kכt di tכn mεmbran we de rawnd di at (pεrikardium) εn dεn kin put kεmεra (εndoskop) insay. afta dat, dεn de yuz spεshal tiub we de kכndukt εnεji (kateta) fכ trit (ablate) di εria dεm na di כdasay na di at we de mek ilektrikal signal dεm we nכ de nכmal. Dis pat kin tek lɛk wan ɛn af awa so. |
| Pat Tu: Kateta Ablashɔn (Tritmɛnt frɔm Insay di At) . | Bɔku tɛm, dɛn kin du dis pat pan wan sɛpret de, afta sɔm wiks. Na ya, wan dɔktɔ we de mɛn yu at (ilɛktrofysiɔlɔjis) kin put wan kateshɔn insay yu at tru wan vein we de na yu groin. Dɔn i kin trit di insay pat na yu at , na say dɛn we i nɔ bin izi fɔ rich we dɛn bin de du di ɔpreshɔn bifo. Dɛn go gi yu layt ɔ jenɛral anestezi we dɛn de du dis. |
Wetin na Kɔnvɛrjɛnt Plɔs?
Sɔntɛnde, di sem tɛm we dɛn de du dis ɔpreshɔn, dɔktɔ dɛn kin du ɔda tin fɔ mek i nɔ gɛt strok. dat min se dεn de kכloz wan sכm pat pan di lεft atria na di at (di lεft atria apεndij). We dɛn ad dɛn ɔda step ya, wi kin kɔl am "Convergent Plus" prosidur.
Wetin na di bɛnifit dɛn we dis tritmɛnt de gi?
Dis we fɔ trit pɔsin gɛt sɔm patikyula bɛnifit dɛn:
- di ay sakses rεt: Dis kin bi mכr saksesful pas di usual kateshכn ablεshכn tritmεnt biכs i de trit כl tu di insay εn כdasay na di at.
- Low risk:We dɛn de du dis ɔpreshɔn, dɔktɔ dɛn kin si klia wan di εsophagus, we de biɛn di at, so di risk fɔ pwɛl am kin rili smɔl.
- Nɔto ɔpreshɔn fɔ opin at: Dis nɔ nid fɔ stɔp yu at ɛn kɔnɛkt am to at-lɔng mashin (cardiopulmonary bypass).
Ɛni risk ɔ prɔblɛm dɛn de we kin apin?
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin ɛn sɔm prɔblɛm dɛn we kin apin. Bɔt bɔku tɛm, dɛn tin ya nɔ kin apin so ɔltɛm. Dɛn tin ya na:
- Kɔf
- We pɔsin taya
- I nɔ kin izi fɔ yu fɔ blo
- Strok
- Blɔd we de kɔmɔt
- Fluid akyumyuleshכn rawnd di at (pεrikardial efyushכn) .
- Nɛv dɛn we dɔn pwɛl
- Transiεnt ischemik atak (TIA) .
No nid fɔ wɔri bɔt dis. Yu dɔktɔ go ɛksplen ɔltin to yu gud gud wan bifo dɛn du di ɔpreshɔn.
Aw lɔng i kin tek fɔ mek i wɛl?
Yu go nid fɔ de na ɔspitul fɔ wan ɔ tu dez afta di fɔs pat pan di ɔpreshɔn. If dɛn fɔ dɔn di sɛkɔn pat, i go mɔs bi se dɛn go dɔn am insay lɛk tri mɔnt so.
Dɛn go schedul fɔ go to yu dɔktɔ bak di tɛm we yu de wɛl. Dis kin bi 3 wik afta di ɔpreshɔn, ɛn afta dat bak na 3, 6, ɛn 12 mɔnt. Da tɛm de, dɛn kin gi yu wan smɔl mashin (Holter monitor) we dɛn kin wɛr na yu chɛst fɔ sɔm dez fɔ monitar yu at ritm.
Ustɛm yu want fɔ si di dɔktɔ bak?
If yu gɛt dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm.
- If di sayn dɛm fɔ Afib (yu fil lɛk se yu at de bit fast, yu chɛst tayt, yu taya) kam bak.
- If blɔd ɔ infɛkshɔn de (swɛlin, rɛd, pus) na di say we dɛn kɔt di ɔpreshɔn.
Mɛsej we dɛn kin kɛr go na os
- Di Kɔnvɛrjɛnt Prɔsidyu na wan tritmɛnt we rili wok, we na mɔdan tritmɛnt fɔ lɔng tɛm Atrial Fibrillation (Afib) we nɔ de kɔntrol bay mɛrɛsin ɔ kɔvɛnshɔnal tritmɛnt.
- Dis na ɔpreshɔn ɛn kateshɔn tɛrapi, so i kin fix prɔblɛm dɛn we de insay ɛn ausayd di at.
- Di sakses rεt fɔ dis tritmɛnt kin rili ay, ɛn di tɛm fɔ wɛl kin shɔt.
- Di bɛst pɔsin fɔ no if dis tritmɛnt fayn fɔ yu na yu dɔktɔ we de mɛn yu at. Tɔk to am bɔt dis opin wan ɛn nɔ fred, ɛn disayd fɔ du sɔntin.
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