Yu dɔn ɛva fil se yu at de bit kwik kwik wan ɛn i nɔ de bit ɔltɛm? Dis sik wae kin fil lɛk se sɔmtin de flɔt na yu chɛst, na in dɔktɔ kɔl Atrial Fibrillation. We dɛn nɔ kin ebul fɔ kɔntrol dis wit mɛrɛsin, wi de tɔk bɔt wan tritmɛnt we kɔmplikt bɔt we rili fayn we dɛn kin yuz as sɔlv. Dat na di Maze Procedure.
Wetin na dis Maze Procedure?
Fɔ tɔk am simpul wan, i tan lɛk mazi. Sɔntɛm yu bin de ple wit mazi we yu bin smɔl, usay yu kin go insay wan domɔt ɛn na wan kɔrɛkt rod nɔmɔ yu fɔ tek fɔ kɔmɔt. Dis ɔpreshɔn na di sem tin.
Na ilɛktrik signal dɛn de kɔntrol di we aw wi at de bit. insay atria fibrilashכn, di ilektrikal signal dεm we de na di tu כp chεmba dεm na di at we dεn kכl atria, kin bi εratik εn bigin fכ sεnd di kכrekt signal dεm. Dɔn di at kin bigin fɔ bit di rayt we.
insay di Maze Procedure, di sajin de mek ska tisu insay wan rili dilik, plan pat na di atria na di at. dis ska tisu de wok lεk barεri, we de stכp di rכng ilektrikal signal dεm fכ travul כlsay na di at. Bɔt i kin lɛf wan rod fɔ di kɔrɛkt sayn dɛn nɔmɔ we i nid fɔ mek di at bit fayn. Jɔs lɛk aw na wan kɔrɛkt rod nɔmɔ de na da mazi de. Dis kin mek di at bit nɔmal wan bak.
Dɛn kin yuz tu we dɛn fɔ mek dis ska tisu:
- Cryoablation: Inaktivashכn fכ di tisu we de yuz ekstrim kol (frizin).
- Radiofrequency Ablation: Fɔ ɔt di tisu we yu de yuz ay ɔt (redio wev).
Dɛn kin du dis ɔpreshɔn as sɛpret ɔpreshɔn, ɔ dɛn kin du am di sem tɛm we dɛn kin du baypas ɔpreshɔn ɔ at valv ɔpreshɔn.
Wetin mek dɛn de du dis Maze Procedure?
Dis ɔpreshɔn nɔ kin fayn fɔ ɔlman. Bɔku tin dɛn de we yu dɔktɔ kin tɛl yu fɔ du dis tritmɛnt:
- If di mɛrɛsin dɛm wae dɛn gi yu fɔ atrial fibrillation nɔr de woke fɔ yu ɔr yu gɛt sayd ɛfɛkt dɛm wae de mek yu nɔr de tek dɛm.
- If dis sik dɔn mek blɔd klɔt na yu bɔdi ɛn siriɔs tin dɛn lɛk strok dɔn apin .
- If yu de du ɔda ɔpreshɔn pan yu at (e.g. baypas, valv riplesmɛnt) ɛn yu gɛt atrial fibrilɛshɔn bak.
- If di tritmɛnt dɛn we dɛn bin dɔn du bifo lɛk `(Catheter Ablation)` nɔ bin dɔn wok fayn.
Atrial Fibrillation nɔto simpul tin. I kin mek di risk fɔ gɛt strok bay lɛk fayv tɛm so. I kin mek bak in at nɔ de wok fayn. So, i rili impɔtant fɔ gɛt di rayt tritmɛnt fɔ dis.
Wetin kin apin bifo dɛn du di ɔpreshɔn ɛn we dɛn de du di ɔpreshɔn?
Bikɔs dis na big ɔpreshɔn, dɛn go tek tɛm chɛk yu bifo i bigin.
| Fɔ pripia bifo dɛn du di ɔpreshɔn | |
|---|---|
| Test dɛn we dɛn kin du |
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| Advays dɛn | Dɛn go gi advays bɔt wetin fɔ it ɛn drink bifo dɛn du di ɔpreshɔn ɛn us mɛrɛsin fɔ tek/stɔp fɔ tek. |
| Dɔktɔ in apɔntinmɛnt | Yu go gɛt di chans fɔ mit ɛn tɔk to yu dɔktɔ we de mɛn yu bɔdi, dɔktɔ we de mɛn yu at, ɛn dɔktɔ we de mɛn yu anestezi. |
Tu we dɛn fɔ du ɔpreshɔn
Tu men we dɛn de fɔ ɔpreshɔn. Yu mɛdikal tim go disayd us we fɔ du am bɛtɛ fɔ yu.
1. Open Surgery (Sternotomy Method): Insay dis mεtכd, dεn kin du di כpεrayshכn tru 6-8 inch insayshכn along di midul pan di chεst bon.
2. Minimally invasive surgery (Toracoscopic Method): Insay dis mεtכd, insted fכ big insay di chεst, dεn kin mek sכm sכm sכm sכm pat dεm bitwin di rib dεm εn kεmεra εn dεn kin put dilik instrכmεnt dεm. Di tɛm fɔ wɛl kin shɔt pan dis we.
Rimoval fɔ di Lɛft Atrial Apɛndij
Wan ɔda tin we rili impɔtant pan dis ɔpreshɔn na fɔ lɔk ɔ pul wan smɔl pat we dɛn kɔl di Lɛft Atrial Apɛndij . Dis na smɔl paus we tan lɛk yes we de tay na di lɛft atria na di at.
90% pan di bכdi kכlכt dεm we de mek strכk pan di sik pipul dεm we gεt atrial fibrilεshכn de fכm insay dis sכmכl sak.Dɛn dɔn si se na dat. Bikɔs di at nɔ de bit fayn, blɔd kin gɛda na dis say ɛn klot. If dis blɔd klɔt brok fri ɛn travul go na di bren, strok kin apin. So, we dɛn de du di Maze prosidur, dɛn kin lɔk dis eria wit stich, step, ɔ spɛshal divays. Dis kin ridyus di risk fɔ gɛt strok bad bad wan.
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 bin gɛt minimal invasive ɔpreshɔn (thoracoscopic), yu go ebul fɔ go na os insay lɛk 4 dez. If dɛn bin dɔn ɔpreshɔn yu opin, yu go de na ɔspitul fɔ lɛk wan wik so.
Yu go stil gɛt fɔ tek sɔm kayn mɛrɛsin fɔ sɔm mɔnt afta yu dɔn go na os.
- Blɔd tin dɛn (Anticoagulants): Yu go nid fɔ tek mɛrɛsin lɛk `Warfarin` ɔ `Apixaban` fɔ at le 3 mɔnt fɔ mek blɔd nɔ klɔt. Afta dat, yu dɔktɔ go disayd if yu nid fɔ kɔntinyu fɔ tek dɛn.
- Hat rit kɔntrol mɛrɛsin: Fɔ kɔntrol di at bit we nɔ de bit ɔltɛm we kin apin di fɔs tɛm we di at de wɛl.
- Diuretics: Ridyus di wata we nɔ nid fɔ gɛda na di bɔdi.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
| Di bɛnifit dɛn we pɔsin kin gɛt | Risk/Kɔmplikeshɔn dɛn |
|---|---|
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Aw lɔŋ i kin tek fɔ wɛl ɛn ustɛm a fɔ si di dɔktɔ bak?
Go bak to yu nɔmal tin dɛn lɛk aw yu kin du.I kin tek bitwin 3 ɛn 6 wiks . If dɛn du di ɔpreshɔn bay we dɛn yuz wan we we nɔ de tek bɔku pipul dɛn, di tɛm we dɛn kin gɛt fɔ wɛl kin shɔt pasmak.
Afta dɛn dɔn du di ɔpreshɔn, yu go nid fɔ go to di dɔktɔ di tɛm we dɛn dɔn plan fɔ du am.
- Wan wik afta i kɔmɔt na di ɔspitul.
- Wan mɔnt afta i kɔmɔt na di ɔspitul (cardiologist).
- ECG tεst dεm na 3, 6, εn 12 mכnt.
- wan `Holter Monitor` (divais we de mכnitor di hat rεt fכ 24 awa) tεst na 6 εn 12 mכnt.
I impɔtant fɔ mek yu gɛt wɛlbɔdi fɔ atɛnd ɔl dɛn tɛst ɛn apɔntinmɛnt ya.
Mɛsej we dɛn kin kɛr go na os
- Di Maze Procedure na wan ɔpreshɔn we rili saksesful fɔ atrial fibrillation we dɛn nɔ kin kɔntrol wit mɛrɛsin.
- dis de mek wan patεn fכ ska tisu fכ blכk di at in fכlt ilektrikal signal dεm, we de mek di at bit bak nכmal.
- Tu we dɛn de, ɔpreshɔn we dɛn kin du opin wan ɛn we nɔ kin tek bɔku tɛm, ɛn yu dɔktɔ go disayd us we fɔ du am fayn fɔ yu.
- fכ klos di `Left Atrial Appendage` we dεn du we dεn de du dis כpεrayshכn de εp fכ ridyus di risk fכ strok bכku bכku wan.
- I kin tek tɛm fɔ mek i wɛl afta dɛn dɔn du di ɔpreshɔn, ɛn i rili impɔtant fɔ tek di mɛrɛsin dɛn we di dɔktɔ tɛl yu fɔ tek (espɛshali di wan dɛn we de mek yu blɔd tan) ɛksaktɔli ɛn fɔ go to di dɔktɔ di de dɛn we yu dɔn sɛtul.
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