Yu dɔn ɛva fil lɛk se yu at de bit lɛk krayzi, de bit fast ɛn nɔ de bit ɔltɛm, ɛn yu fil lɛk se yu gɛt sɔntin we strenj na yu chɛst? Dis na wetin wi kin kɔl Atrial Fibrillation (AFib) na mɛrɛsin. Dis na wan sik wae kin kam wit hat ritm disorder. Bɔrku tɛm, dɛn kin kɔntrol dis sik wit mɛrɛsin. Bɔt fɔ sɔm pipul dɛn, i nɔ kin izi fɔ kɔntrol am wit mɛrɛsin nɔmɔ. Na dɛn kayn tɛm dɛn de, tide wi go tɔk bɔt wan ɔpreshɔn we rili sakrifays we dɔktɔ dɛn kin se. Dɛn kɔl am di Maze Procedure . Pan ɔl we di nem strenj smɔl, i dɔn ebul fɔ mɛn bɔku pipul dɛn layf we gɛt AFib.
Fɔ tɔk am simpul wan, wetin na dis Maze Procedure?
Tink bɔt wan gem we dɛn kin ple wit mazi. Na wan we nɔmɔ de fɔ go insay, wan we fɔ kɔmɔt, ɛn na wan rayt rod nɔmɔ de bitwin dɛn. Bɔt bɔku rɔng rod dɛn de bak we de go bifo ɛn biɛn insay am. Di sem tin kin apin na di Maze Procedure.
Fɔ tɔk am simpul wan, insay dis prɔsidyu, di dɔktɔ we de du di ɔpreshɔn kin mek wan rili dilik, plan fɔ mek di ska tisu dɛn na yu at tisu. I tan lɛk se yu de mek wan mazi insay di at.
Naw luk, wetin kin apin na pɔsin in at we gɛt Atrial Fibrillation na dat di ilɛktrik signal dɛm we de kɔntrol di at bit kin bigin insay wan chaotic we, i kin bigin na wan ples ɛn i kin spre to ɔl di 4 an dɛm. Dis na di rizin we mek di at nɔ de rit ɛn bigin fɔ bit kwik kwik wan.
di ska tisu patεn we dεn mek na di Maze Procedure de blכk di rod dεm fכ di irεgul, kכrekt ilektrikal signal dεm fכ travul bak εn go bak . Na di sem tɛm, di wangren rod fɔ mek di kɔrɛkt ilɛktrik signal bit de opin . Lɛk di kɔrɛkt rod we de na wan mazi. Dis kin blok ɔl di kɔrɛkt signal dɛn ɛn i kin mek di kɔrɛkt signal dɛn nɔmɔ ebul fɔ travul. Afta sɔm tɛm, yu at kin rit bak to di nɔmal, wɛlbɔdi ritm.
Dɔktɔ dɛn kin yuz tu we fɔ mek dis skata fayn:
- Cryoablation: I de yuz ekstrim kol (friz) fכ damej di tisu εn mek ska.
- Rediofrikyuɛnsi ɛnaji: Dɛn kin yuz rediofrikyuɛnsi ɛnaji fɔ ɔt di tisu ɛn mek skata.
Sɔntɛnde dɛn kin du dis di sem tɛm wit ɔda ɔpreshɔn dɛn we dɛn kin du fɔ mek dɛn at pwɛl (lɛk we dɛn kin du baypas ɔpreshɔn). Ɔ, dɛn kin du am in wan. tide, di nyu εn advans fכm fכ dis כpεrayshכn, di Cox-maze IV prosidכs , dεn kכnsida am as di "gold standad" fכ atrial fibrilεshכn.
Us kes dɛn kin du dis ɔpreshɔn?
Di Maze Procedure nɔ de fɔ ɔl di AFib pasɛnt dɛn. Yu dɔktɔ go tɔk to yu bɔt dis we fɔ du tin if:
- Dɛn dɔn ɔda am fɔ yuIf mɛrɛsin nɔ ebul fɔ kɔntrol yu at ritm, ɔ if yu nɔ ebul fɔ yuz sɔm mɛrɛsin dɛn bikɔs ɔf di sayd ɛfɛkt dɛn.
- If yu gɛt atrial fibrillation, we dɔn mek blɔd klɔt na yu bɔdi ɛn mek yu gɛt prɔblɛm dɛn lɛk strok .
- If dɛn dɔn schedul fɔ du ɔpreshɔn fɔ ɔda at kɔndishɔn (e.g., fɔ ripɛnt at valv, baypas ɔpreshɔn) , dɛn kin yuz dis we fɔ trit yu atria fibrilɛshɔn di sem tɛm we dɛn du di ɔpreshɔn.
- If yu bin dɔn du tritmɛnt we dɛn kɔl Catheter Ablation bifo ɛn i nɔ bin wok fayn.
If dɛn nɔ trit wan sik we dɛn kɔl atrial fibrillation, i kin mek pɔsin day tu tɛm ɛn i kin mek pɔsin gɛt strok fayv to sɛvin tɛm. I kin mek bak di at nɔ de wok fayn. So, e fayn fɔ gɛt di rayt tritmɛnt fɔ dis sik.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Yu nɔ go ebul fɔ go ɔpreshɔn lɛk dis wan tɛm. Bifo dat, yu nid fɔ chɛk yu bɔdi gud gud wan. I gɛt fɔ du wit bɔku tɛst dɛn ɛn go to dɔktɔ.
- Transthoracic Echocardiogram: Dis tan lɛk ɔltra saund skan fɔ di at. I de chɛk di sayz fɔ yu lɛft atria ɛn if ɛni at valv prɔblɛm de.
- Chɛst CT (Computed Tomography) Scan: Dɛn kin du CT skan fɔ di chɛst. Sɔntɛnde, if yu go du ɔpreshɔn we nɔ go mek yu nɔ gɛt bɔku prɔblɛm, yu kin nid bak fɔ du CT skan fɔ yu bɛlɛ ɛn yu bɛlɛ.
- Mit wit di dɔktɔ dɛn: Yu dɔktɔ we de mɛn yu at, dɔktɔ we de du ɔpreshɔn, ɛn dɔktɔ we de mɛn yu go mit wit yu fɔ ɛksplen di ɔpreshɔn, di bad tin dɛn we go apin to yu, ɛn aw dɛn go gi yu anestezi. Aks ɛni kwɛstyɔn we yu go gɛt dis tɛm.
- Fɔ gi yu instrɔkshɔn: Dɛn go gi yu klia instrɔkshɔn bɔt wetin fɔ it, drink, stɔp fɔ tek, ɛn us mɛrɛsin fɔ tek insay di de dɛn bifo dɛn du di ɔpreshɔn.
Aw dɛn kin du di ɔpreshɔn?
Di Maze Procedure kin bi tu men we dɛn. Yu dɔktɔ we de du ɔpreshɔn go disayd us we fɔ du am fayn fɔ yu sityueshɔn.
| Di we aw dɛn kin du ɔpreshɔn | Di we aw wi fɔ du am simpul. |
|---|---|
| Opin ɔpreshɔn (Sternotomy we dɛn kin du) . |
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| Kihol ɔpreshɔn (Tɔrakɔskɔpik we) . |
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Bikɔs dɛn kin du kihol ɔpreshɔn (Toracoscopic) wit rili smɔl smɔl say dɛn we dɛn kɔt, i nɔ kin gɛt bɔku prɔblɛm dɛn ɛn dɛn kin de na ɔspitul fɔ shɔt tɛm.
Wetin dɛn kin du to di Lɛft Atrial Apɛndij?
Dis na wan rili impɔtant pat pan di Maze Procedure. di Lεft Atrial Apεndij na sכmכl sak we de shep lεk yes we de atak di lεft atria na di at. dis na di men say we di bכdi de kכlכt pan pipul dεm we gεt atrial fibrilεshכn.
Risach dɔn sho se 90% pan di blɔd klɔt we kin mek strok pan AFib pasɛnt dɛn kin fɔm na dis smɔl eria.
We di at in ritm nɔ fayn, di blɔd we de go insay dis apɛndiks kin stɔp de, we kin mek i izi fɔ mek blɔd klɔt. If blɔd we de klɔt dis we, brok fri ɛn travul along di blɔd vesel dɛn ɛn stɔp na wan vein na di bren, i kin mek pɔsin gɛt strok.
So, we dɛn de du di Maze Procedure, di dɔktɔ we de du di ɔpreshɔn kin lɔk dis Lɛft Atrial Apɛndij bay we i de yuz stich, step, ɔ spɛshal tin, ɔ kɔt am kɔmɔt kpatakpata. Dis kin rili ridyus yu risk fɔ gɛt strok tumara bambay.
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, dɛn go kip yu na di intensiv kia yunit (ICU) fɔ mek dɛn wach yu fɔ wan ɔ tu dez, dɔn dɛn go transfa yu to wan rɛgyula wɔd. If yu dɔn du ɔda ɔpreshɔn, yu go de na ɔspitul fɔ lɔng tɛm. Bɔku tɛm, pɔsin we dɛn dɔn ɔpreshɔn di kihol kin go na os insay lɛk 4 dez so. If dɛn dɔn du ɔpreshɔn pan yu opin wan, yu go nid fɔ de de fɔ lɛk wan wik so.
Ivin afta yu dɔn go na os, yu go gɛt fɔ tek sɔm mɛrɛsin fɔ sɔm mɔnt.
- Anticoagulants (blood thinners): Yu go nid fɔ tek dɛn mɛrɛsin ya (e.g., warfarin, apixaban) fɔ at le tri mɔnt fɔ mek blɔd nɔ klɔt. Afta dat, yu dɔktɔ go disayd if yu nid fɔ kɔntinyu fɔ tek dɛn mɛrɛsin ya.
- Dɛn mɛrɛsin ya fɔ kɔntrol di at rit: Dɛn kin nid dɛn tin ya fɔ kɔntrol di at bit we nɔ de bit ɔltɛm we kin apin di fɔs tɛm we di at de wɛl.
- Diuretics: Dɛn kin gi dɛn mɛrɛsin ya fɔ ridyus di wata we nɔ nid fɔ gɛda na di bɔdi.
Sɔntɛnde, AFib nɔ kin rili sɔlv afta di Maze Procedure. If na so i bi, i kin nid fɔ pul ɔda kateshɔn . So, i rili impɔtant fɔ de tɔk to yu dɔktɔ we de mɛn yu at afta di ɔpreshɔn.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
| Di bɛnifit dɛn we pɔsin kin gɛt | Risk & Kɔmplikɛshɔn dɛn |
|---|---|
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Aw lɔng i kin tek fɔ mek i wɛl?
Bɔku tɛm, i kin tek tri to siks wik fɔ mek yu go bak to yu nɔmal tin dɛn we yu kin du ɛvride. If dɛn dɔn du ɔpreshɔn pan yu kihol, di tɛm we yu go wɛl go fast pasmak bikɔs dɛn nɔ kɔt big say na yu chɛst.
Ustɛm yu nid fɔ go to yu dɔktɔ bak?
If yu gɛt AFib simptom bak afta yu dɔn ɔpreshɔn, tɛl yu dɔktɔ we de mɛn yu at wantɛm wantɛm. Apat frɔm dat, yu go nid fɔ kip wan patikyula schedule fɔ tɛst ɛn apɔntinmɛnt dɛn.
- A bin go na os frɔm di ɔspitul insay wan wik.
- Si dɔktɔ we de mɛn yu at insay lɛk wan mɔnt so.
- Ilektrokardiogram (EKG) tɛst na 3, 6, ɛn 12 mɔnt afta di ɔpreshɔn, ɛn afta dat wan tɛm insay di ia.
- wan Holter monitor (wan divais we de mכnitor di at aktiviti fכ 24 awa) tεst na 6 εn 12 mכnt afta di כpεrayshכn.
I rili impɔtant fɔ mek dɛn du ɔl dɛn tɛst ya kɔrɛkt wan fɔ mek shɔ se yu gɛt wɛlbɔdi.
Mɛsej we dɛn kin kɛr go na os
- Di Maze Procedure na wan ɔpreshɔn we rili saksesful fɔ Atrial Fibrillation (AFib), we na wan sik we at fɔ kɔntrol wit mɛrɛsin.
- dis involv fכ mek wan patεn we lεk ‘maz’ fכ ska tisu fכ blכk di kכrekt ilektrikal signal dεm na di at.
- Dis ɔpreshɔn de mek yu at ritm nɔmal ɛn i de ridyus di risk fɔ gɛt strok bad bad wan.
- Tu we dɛn de: fɔ opin ɔpreshɔn ɛn fɔ ɔpreshɔn di kihol. Di tɛm we pɔsin kin wɛl afta dɛn dɔn ɔpreshɔn di kihol kin fast fast.
- Duya tɔk to yu dɔktɔ if dis ɔpreshɔn fayn fɔ yu ɛn wetin de bɛnifit ɛn prɔblɛm dɛn.
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