Sɔntɛnde yu kin fil lɛk se yu at nɔ de bit insay wan ritm, sɔntɛnde yu at de bit rili fast, lɛk se i de jomp, ɔ sɔm bit dɛn de skip. Dis kayn at bit we nɔ de bit ɔltɛm nɔto sɔntin fɔ tek am layt. Dɛn kɔl dis Atrial Fibrillation (Afib) insay mɛdikal sayɛns. Tide wi go tɔk bɔt wan spɛshal we fɔ du tin we dɛn kin yuz as tritmɛnt fɔ dis sik.
Fɔ tɔk am simpul wan, wetin na Pulmonary Vein Isolation (PVI)?
Pulmonary Vein Isolation na spɛshal we we dɛn kin yuz fɔ trit wan at we nɔ de bit ɔltɛm we dɛn kɔl Atrial Fibrillation (Afib). insay simpul tεm dεm, i de "isolate" כ separet di εria dεm we di ilektrikal signal dεm we de kכntro di at in ritm de jεnarεt.
Tink bɔt am dis we. Wi at na wan wɔndaful ɔgan. Na wan rili dilik sistɛm we gɛt ilɛktrik signal dɛn de kɔntrol di bit we i de bit. bכt pan pכsin we gεt dis kכndyushכn we dεn kכl Afib, di tu כp chεmba dεm na di at (wi kכl dεn atria dεm) de bigin fכ gεt kכrekt, irεgul ilektrikal signal dεm. Dɛn sayn dɛn ya we nɔ kɔrɛkt kin mek di ɔp pat na di at bit kwik kwik wan, lɛk se i de shek shek. If dis kɔntinyu, di risk fɔ gɛt siriɔs sik lɛk strok kin rili bɔku.
So yu no usay dɛn ilɛktrik signal dɛn ya we nɔ fayn kin bigin bɔku tɛm? Fo vein dεm de we de kכri klin blכd we gεt כksijεn frכm wi lכng dεm to di lεft atrium na di at. Na dɛn tin ya wi kin kɔl di Pulmonary Veins . na arawnd dεn fכ vein dεm de di fכlt signal dεm we de mek Afib kin stat bכku tεm.
Pulmonary Vein Isolation (PVI) tritmɛnt involv fɔ no usay di abnɔmal signal dɛn de bigin ɛn mek smɔl barɛri fɔ mek dɛn nɔ rich ɔda pat dɛn na di at. dis barεri de kכmכt bay we dεn de yuz כt we rili jכnt כ kol pasmak fכ mek sכm sכm ska tisu na dεn εria dεm de. dis ska tisu de mek di abnכmal ilektrikal signal dεm nכ de travul pas da pכynt de. I tan lɛk se yu de lɔk wan rɔng rod. Dɔn di at kin bigin fɔ bit nɔmal wan bak. Dɛn kɔl dis we aw dɛn kin du am Hat Ablashɔn .
Udat rili nid dis tritmɛnt?
Dis tritmɛnt nɔto fɔ ɔlman. Yu dɔktɔ go tink bɔt sɔm tin dɛn bifo i disayd if i fayn fɔ yu. Dis tritmɛnt kin fayn fɔ dɛn pipul ya:
- Fɔ di wan dɛn we stil gɛt di sayn dɛm (at rit we de go ɔp, taya, shɔt briz) pan ɔl we dɛn de tek antiarithmic drɔgs fɔ kɔntrol dɛn Afib kɔndishɔn.
- If dɛn mɛrɛsin ya kin mek pɔsin gɛt sayd ɛfɛkt ɔ if di bɔdi nɔ ebul fɔ bia wit di mɛrɛsin.
Mɛmba se, dɔktɔ dɛn kin jɔs tink bɔt dis nɛks tin we di mɛrɛsin nɔ ebul fɔ kɔntrol di sik.
Yu tink se dɛn kin du dis tritmɛnt we dɛn nɔ yuz mɛrɛsin?
Dis na prɔblɛm we bɔku pipul dɛn gɛt. Risach pipul dɛn stil de chɛk if PVI na bɛtɛ fɔs layn tritmɛnt fɔ sɔm pasɛnt dɛn pas mɛrɛsin. Sɔm stɔdi dɔn sho se PVI kin wok fayn pas mɛrɛsin. Bɔt i nɔto standad tritmɛnt yet. So di we aw dɛn de du tin naw na fɔ tray fɔ tek mɛrɛsin fɔs ɛn afta dat yu fɔ tink bɔt PVI if dat nɔ wok.
Aw yu go no if dis tritmɛnt fayn fɔ yu?
I nɔ pɔsibul fɔ tɔk wantɛm wantɛm if yu fit fɔ dis. Yu go gɛt fɔ du wan kɔmplit mɛdikal ɛgzam. Di dɔktɔ go aks yu fɔs bɔt yu mɛdikal istri ɛn du yu bɔdi ɛgzam. Dɔn i go ɔda fɔ du sɔm tɛst dɛn we gɛt fɔ du wit di at. Sɔm pan dɛn na:
- Echocardiogram: Dis kin mek yu si klia wan aw di at de wok ɛn aw i tan.
- Ilɛktrokardiogram (EKG): Na tɛst we de rayt di ilɛktrik wok we di at de du.
- Holter Monitor: Dis na smɔl EKG mashin we de tay pan yu bɔdi fɔ 24 ɔ 48 awa. I kin wach aw yu at de chenj ɔl di de.
Di dɔktɔ go mek di las disizhɔn fɔ no if PVI tritmɛnt fayn fɔ yu ɔ nɔ fayn fɔ yu bay di rizɔlt fɔ dɛn tɛst ya.
Aw dɛn kin trit PVI? Wetin na di men we dɛn fɔ du am?
Pulmonary Vein Isolation na wan kayn tritmɛnt we dɛn kɔl Catheter Ablation . Dis min se dɛn nɔ kin du am bay we dɛn mek big say na di chɛst lɛk ɔpreshɔn. bifo dat, dεn kin du am bay we dεn de put wan tכb we rili tכn, lכng tכb (kateta) tru wan big bכdi we de na di groin כ nεk εn insay di at.
Tu men we dɛn de fɔ mek di skata we wi bin dɔn tɔk bɔt, fayn.
| Di we aw dɛn kin trit am | Tɔk bɔt |
|---|---|
| Rediofrikyuɛnsi Ablashɔn (we yu de yuz ɔt) . | Dis na di we aw dɛn kin yuz mɔ. na ya, dεn de yuz redio wev dεm na di tכp pan di kateshכn fכ mek כt, we de pwεl di tisu we de gεt di rכng signal dεm εn mek ska. |
| Cryoablation (yuz fɔ kol bad bad wan) . | Dis we ya de yuz kol pasmak fɔ friz fɔ sɔm tɛm ɛn pwɛl di tisu we dɛn de tɔk bɔt fɔ ɔltɛm. |
Uswan pan dɛn tu we ya na di bɛst?
Rili no we nɔ de fɔ se wan we fɔ du tin bɛtɛ pas di ɔda wan. Dɛn ɔl tu gɛt dɛn bɛnifit ɛn bad tin dɛn. Risach dɔn sho se no big difrɛns nɔ de pan di rizɔlt ɛn sef fɔ dɛn tu we ya. Yu dɔktɔ go ɛksplen to yu bifo yu trit yu us we fɔ du am fayn fɔ yu.
Wetin kin apin we dɛn de du di tritmɛnt? A go fil pen?
Bɔku tɛm, we dɛn de du dis tritmɛnt, dɛn kin anestez yu ɔl (General Anesthesia) . Dis min se yu go slip kpatakpata. So, yu nɔ go fil ɛni pen ɔr nɔr fil fayn we yu de du di tritmɛnt. We yu wek, ɔltin go dɔn. insay sכm spεshal kes dεm, dεn kin du dis bay we dεn de numb כnli di εria we rilevεnt (lכkal anεsthεtik). Di dɔktɔ go tɛl yu bɔt dis bifo tɛm.
Wetin kin apin stɛp bay stɛp
1. Aw fɔ pripia: Fɔs, dɛn go anestez yu. Dɔn, di say we de na yu groin ɔ nɛk usay dɛn go put di kateshɔn go klin ɛn mek i nɔ gɛt bɛtɛ trɛnk.
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3. Sayn dεtekshכn: Kateshכn de map εksakכt usay di fכlt ilektrikal signal dεm de kכmכt.
4. Ablashɔn: di ɔda kateshɔn de gi di ɔt (Radiofrequency) ɔ kol (Cryoablation) we wi bin tɔk bɔt, i de pwɛl di tisu we gɛt fɔ du wit am ɛn mek di ska.
5. Fɔ dɔn: Afta dɛn dɔn dɔn di tritmɛnt fayn fayn wan, di dɔktɔ kin tek tɛm pul ɔl tu di kateshɔn dɛn ɛn put smɔl bandej oba di say dɛn we dɛn put am.
Aw dɛn go de wach mi at we dɛn de trit mi?
Di mɛdikal tim go kɔntinyu fɔ wach aw yu at ɛn bɔdi de wok ɔl di tɛm we yu de ɔnda anestezi, ɛn dɛn go yuz bɔku tin dɛn.
| Ilɛktronik tul | Di we aw pɔsin de wok |
|---|---|
| Di pɔsin we de yuz di at | Dis kin wach yu at rit if i tu smɔl ɔ tu ay. I kɔnɛkt to tu stika dɛn we yu kin stik na yu chɛst ɛn bak. |
| Ilɛktrokardiogram (EKG) . | Yu kin kɔntinyu fɔ wach aw yu at de wok wit ilɛktrik wok wit wan monita we de yuz sɔm stika dɛn we yu kin stik na yu chɛst. |
| Blɔd Prɛshɔn Monitor | Dɛn kin kɔntinyu fɔ mɛzhɔ yu blɔd prɛshɔn tru wan kɔf we dɛn tay pan yu an. |
| Oksimita Monitor | Dɛn kin chɛk di ɔksijɛn lɛvɛl na di blɔd wit wan smɔl klip we dɛn tay pan di finga. |
| Fluoroskopi we dɛn kin du | Dis tan lɛk big mashin we dɛn kin yuz fɔ mek ɛkstrem rayt. Dis kin mek di dɔktɔ ebul fɔ wach di kateshɔn we de muv tru di at pan skrin. Sɔntɛnde, dɛn kin injɛkt wan spɛshal wata (kɔntrast day) fɔ mek di blɔd vesel dɛn si klia wan. |
| Intrakardiak Ɛkokadyografi | Wan smɔl ɔltra saund divays we dɛn kin put insay di at tru wan kateshɔn. dis de mek yu si klia wan di strכkchכ dεm we de insay di at εn usay di kateshכn de tכch di at wכl. |
Di wan ol tin kin tek ɛnisay frɔm 4 to siks awa , so i fayn fɔ mek yu famili no bifo tɛm. Yu kin gɛt bak fɔ de na ɔspitul fɔ wan nɛt afta di tritmɛnt.
Wetin kin apin afta dɛn dɔn trit am?
Afta di tritmɛnt dɔn, di dɔktɔ go tɔk to yu ɛn yu famili bɔt di rizɔlt. Yu go nid fɔ rɛst na bed fɔ lɛk 4 to et awa so. Di nɔs dɛm go wach yu at rit ɛn ritm ɔl di nɛt. Bɔku tɛm, yu go ebul fɔ go na os di nɛks mɔnin. Bifo yu go na os, di nɔs dɛn go chɛk di say dɛn we di kateshɔn de ɛn pul di bandej dɛn ɛn klin dɛn.
Wetin na di prɔblɛm dɛn we kin apin?
PVI na jɔs wan tritmɛnt we rili sef. Bɔt jɔs lɛk ɛni ɔda mɛrɛsin, smɔl risk de. Dɛn kayn tin ya nɔ kin apin so ɔltɛm.
- Wan alɛji to di kɔntrast day we dɛn kin yuz fɔ ɛkstrem rayt.
- Infεkshכn na di say we dεn put di kateshכn.
- Damej na di at wɔl (lɛk 1% risk).
- di pulmonari vein dεm we dεn dכn pwεl (bכt 1% risk).
- Strɔk (risk fɔ lɛk 0.5%).
Nɔr frayd fɔ dɛn risk ya. Yu mɛdikal tim go du dɛn bɛst fɔ mek dis nɔ apin. Yu dɔktɔ go ɛksplen ɔl dis to yu bifo di tritmɛnt.
Di tɛm fɔ wɛl ɛn fɔ fala di kia
Insay di fɔs tu dez (48 awa) afta yu dɔn trit yu, yu kin fil lɛk yu at pwɛl smɔl, yu taya, ɔ yu kin fil fayn na yu chɛst. Dis na nɔmal tin. Afta dat, yu kin bigin fɔ du yu nɔmal tin dɛn bak smɔl smɔl. Bɔt , i kin tek sɔm wiks bifo yu bigin fɔ du tin dɛn we de mek yu tranga, lɛk fɔ du ɛksɛsayz bak.
Di impɔtant tin na dat i kin tek sɔm wiks fɔ mek di ablashɔn ska fulɔp fɔ wɛl ɛn sho di rizɔlt. So yu at rit nɔ go kam bak to nɔmal wan wantɛm afta yu dɔn gɛt tritmɛnt. Yu kin stil gɛt di sayn dɛm fɔ Afib fɔ di fɔs 10 wik ɔ so. Na smɔl tɛm nɔmɔ, yu sik kin wɔs bifo i bɛtɛ. So nɔ panik.
Dɛn go gi yu sɔm mɛrɛsin fɔ sɔm mɔnt afta dɛn dɔn trit yu:
- Antiarrhythmic drugs: Kɔntrol di at ritm te di rizɔlt fɔ di ablation de.
- Anticoagulants (blood thinners): Ridyus di risk fɔ gɛt strok. Yu kin nid fɔ kɔntinyu fɔ tek dɛn mɛrɛsin ya.
Yu go gɛt yu fɔs fɔlɔp apɔntinmɛnt tri to 4 mɔnt afta dɛn dɔn trit yu, ɛn di nɛks wan lɛk wan ia afta dat. Insay dɛn apɔntinmɛnt ya, yu dɔktɔ kin ripit tɛst dɛn lɛk CT skan, ɛkokadiogram, ɔ EKG fɔ chɛk aw yu at de.
Mɛsej we dɛn kin kɛr go na os
- Pulmonary Vein Isolation (PVI) na wan fayn tritmɛnt fɔ wan sik we nɔ de bit ɔltɛm we dɛn kɔl Atrial Fibrillation (Afib).
- Dɛn kin du dis fɔ di wan dɛn we dɛn nɔ kin ebul fɔ kɔntrol dɛn sik wit mɛrɛsin.
- Dis nɔto big ɔpreshɔn. Na tritmɛnt we dɛn kin pas kateshɔn (wan tin tiub) tru wan blɔd vesel insay di at.
- I kin tek sɔm wik ɔ mɔnt fɔ mek i wɛl ɛn si di rizɔlt afta di tritmɛnt. Nɔ wɔri.
- Ivin afta yu dɔn gɛt tritmɛnt, i impɔtant fɔ tek di mɛrɛsin dɛn we di dɔktɔ tɛl yu fɔ tek (espɛshali di wan dɛn we de mek yu blɔd tan) lɛk aw dɛn tɛl yu fɔ go ɛn fɔ go na di klinik dɛn di de we dɛn dɔn sɛtul fɔ yu.
- If yu gɛt sɔm sayn dɛn lɛk we yu de fil pen na yu chɛst, yu nɔ de blo fayn, ɔ yu de tɔn diziz, tɛl yu dɔktɔ wantɛm wantɛm.
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