Sɔntɛnde yu kin fil lɛk se yu at de bit tumɔs ɛn nɔ de bit ɔltɛm? Dis sik we yu kin fil lɛk se sɔntin nɔ rayt insay yu chɛst, dɛn kɔl am Atrial Fibrillation (Afib) . Dis na abnɔmal tin na di at ritm. If yu nɔr tek kia ɔf dis, yu kin gɛt fɔ gɛt siriɔs tin lɛk strok fɔ lɔng tɛm. So, tide wi de tɔk bɔt wan rili saksesful ɛn mɔdan we fɔ trit dis Afib kɔndishɔn.
Wetin na Pulmonary Vein Isolation (PVI)?
Fɔ tɔk am simpul wan, Pulmonary Vein Isolation (PVI) na wan we we dɛn kin yuz fɔ trit atrial fibrillation (Afib). Na wan kayn ɔpreshɔn we dɛn kin du to pɔsin in at, bɔt nɔto big ɔpreshɔn.
Imajin, na wan sistem we gɛt ilɛktrik signal dɛn de kɔntrol di wok we wi at de du. insay Afib, dεn ilektrikal signal dεm ya kin kכnfyus εn de travul go na di at insay wan we we nכ de rεgulεr. Bɔku tɛm, dɛn sayn dɛn ya we nɔ fayn kin bigin na di 4 blɔd vesel dɛn we de kɛr blɔd we gɛt ɔksijɛn frɔm di lɔng dɛn to di lɛft atria na di at, we dɛn kɔl di pulmonary veins .
So, wetin dis PVI tritmεnt de du na fכ no di εria dεm we dεn fכlt ilektrikal signal dεm de kכmכt εn mek wan rili sכm sכm ska tisu na dεn εria dεm de. Dɛn kɔl dis at ablation . dis ska tisu de wok lεk wכl εn i de stכp dεn fכlt ilektrikal signal dεm fכ spre to כda pat dεm na di at. Dɔn di at kin bit nɔmal wan bak.
Udat dis tritmɛnt fayn fɔ?
Dis tritmɛnt nɔto fɔ ɔlman. Yu dɔktɔ na di bɛst pɔsin fɔ disayd. Dɛn kin advays dis tritmɛnt fɔ pipul dɛm wae:
- Fɔ di wan dɛn we stil gɛt di sik pan ɔl we dɛn de tek antiarithmic drɔgs fɔ kɔntrol dɛn Afib kɔndishɔn.
- Fɔ di wan dɛn we dɛn bɔdi nɔ kin ebul fɔ bia wit dɛn mɛrɛsin dɛn de ɔ we kin gɛt sayd ɛfɛkt frɔm dɛn.
Sɔm stɔdi dɔn sho naw se sɔm sik pipul dɛn kin gɛt bɛtɛ rizɔlt we dɛn yuz PVI as di fɔs tritmɛnt, bifo dɛn bigin fɔ tek mɛrɛsin. Bɔt dis nɔto standad tritmɛnt yet ɛn dɛn stil de du risach pan am.
Aw yu go no if dis tritmɛnt fayn fɔ yu?
Bifo yu disayd if dis fayn fɔ yu, yu dɔktɔ go chɛk yu gud gud wan. I go rivyu yu mɛdikal istri ɛn ɛni tɛst we yu dɔn du. Sɔm pan di tɛst dɛm we dɛn kin du fɔ dis na:
- Echocardiogram (Echo): Dis na ɔltra saund skan fɔ di at. I kin luk aw di at de mek ɛn aw i de wok.
- Ilɛktrokardiogram (EKG): Na tɛst we de rayt di ilɛktrik wok we di at de du.
- Holter monita:Dis na smɔl tin we yu kin wɛr na yu bɔdi we de wach yu at rit fɔ lɔng tɛm, lɛk 24 ɔ 48 awa.
Wetin na di tritmɛnt dɛn?
dis PVI tritmεnt de yuz wan mεtכd we dεn kכl kateshכn ablεshכn . Dat min se dɛn kin du dis tritmɛnt bay we dɛn pas wan tiub we rili tan ɛn we kin chenj we dɛn kɔl kateta tru wan blɔd vesel to di at. Tu men we dɛn de fɔ mek di ska tisu fayn we wi bin dɔn tɔk bɔt.
| Di we aw dɛn kin trit (Ablation Method) . | Aw i de wok |
|---|---|
| Rediofrikyuɛnsi Ablashɔn | Dis na di we aw dɛn kin yuz mɔ. I de yuz ɔt we de kɔmɔt na redio wev fɔ pwɛl di tisu we dɛn want fɔ du. |
| Krayoablashɔn | Na ya, dɛn kin yuz kol we pasmak fɔ friz fɔ sɔm tɛm ɛn fɔ pwɛl di tisu we dɛn want fɔ no fɔ ɔltɛm. |
I nɔ pɔsibul fɔ se wan pan dɛn tu we ya bɛtɛ pas di ɔda wan. Di tin dɛn we kin apin to dɛn ɔl tu kin tan lɛk di sem, ɛn no big difrɛns nɔ de pan sef. Yu dɔktɔ go ɛksplen to yu us we go fayn fɔ yu.
Wetin kin apin we dɛn de trit am?
We dɛn de du dis tritmɛnt, dɛn go anestez yu ɔl (jenɛral anestezi), so yu nɔ go fil ɛni pen, yu go de slip. Sɔntɛnde, na lokal anestetik nɔmɔ dɛn kin yuz. Dɛn go tɛl yu bɔt dis bifo tɛm.
Fɔ tɔk am simpul wan, na dis kin apin:
1. Afta dɛn dɔn anestez, dɛn kin kɔt wan rili smɔl pat na di groin eria ɔ di nɛk.
2. tru da insishכn de, tu kateshכn dεm de pas along wan bכdi vεsεl insay di lεft atrium na di at.
3. Wan kateshɔn de fɛn di rayt say we di ilɛktrik signal dɛn we nɔ fayn de kɔmɔt.
4. Di ɔda kateshɔn de gi ɔt ɔ kol fɔ mek skata na dɛn say dɛn de.
5. We di wok dɔn, dɛn kin pul di tu kateshɔn dɛn ɛn lɔk di smɔl say we dɛn kɔt.
Aw dɛn kin wach yu at we dɛn de du tritmɛnt?
Tru di tritmɛnt, dɛn go yuz sɔm tin dɛn fɔ wach aw yu at de wok ɛn ɔda tin dɛn we yu bɔdi de du. Nɔ wɔri, dis na ɔl fɔ yu sef.
| Wach | Aw fɔ yuz am |
|---|---|
| Di pɔsin we de yuz di at | Dɛn kin yuse am fɔ kɔntrol di at rit if i de dɔŋ ɔ i de go ɔp. |
| Ilɛktrokardiogram (EKG) . | di at in ilektrikal aktiviti dεn de mכnitor pan wan skrin tru sεvεra stika dεm we dεn tay na di chεst. |
| Monitor fɔ di Blɔd Prɛshɔn | Dɛn kin kɔntinyu fɔ mɛzhɔ blɔd prɛshɔn bay we dɛn de yuz kɔf we dɛn tay na di an. |
| Oksimita Monitor | Wan klip we dɛn tay pan di finga de mɛzhɔ di ɔksijɛn lɛvɛl na di blɔd. |
| Fluoroskopi we dɛn kin du | Dɛn kin yuz sɔntin lɛk ɛkstrem rayt mashin fɔ chɛk usay di kateshɔn de na di at. |
| Intrakardiak Ɛkokadyografi | Wan smɔl ɔltra saund divays we dɛn pas na di kateshɔn kin si klia wan insay di at. |
Aw lɔng de tritmɛnt kin tek ɛn wetin na de risk dɛm?
Dis tritmɛnt kin tek 4 to 6 awa.I kin tek sɔm tɛm. I fayn fɔ mek yu famili no se yu go de na ɔspitul ɔl di de, bikɔs i go tek tɛm fɔ rɛdi ɛn wɛl. Yu go nid fɔ de na ɔspitul fɔ wan nɛt afta di tritmɛnt.
Jɔs lɛk ɛni ɔda tin we dɛn kin du fɔ mek dɛn at pwɛl, smɔl smɔl prɔblɛm dɛn de we kin apin . Bɔt, na tin we rili sef fɔ du am. Di prɔblɛm dɛn we kin apin na:
- Infεkshכn dεm na di say we dεn kכl am.
- sכm chans de fכ sכm sכm nεv dεm we dεn de krayoablεshכn.
- Pεrforeshכn na di at (1% risk).
- Damej to di pulmonary vessels (1% risk).
- Strɔk (0.5% risk).
- Damej to di εsophagus (0.25% risk).
Rikɔvayshɔn ɛn afta kia
Yu kin fil smɔl nɔr kin fil fayn, yu kin taya, ɔr yu kin fil pen na yu chɛst insay di fɔs 48 awa afta yu dɔn gɛt tritmɛnt. Dis na nɔmal tin. Yu kin go bak to nɔmal tin dɛn afta tu-tri dez. Bɔt i go tek sɔm wiks bifo yu bigin fɔ du tin dɛn we de mek yu tranga lɛk fɔ du ɛksɛsayz.
Di tin we impɔtant pas ɔl na dat afta dɛn dɔn trit am, di ska tisu go fɔm ɛn i go tek sɔm wiks fɔ mek dɛn si di ful rizɔlt. Insay da tɛm de, yu kin gɛt at bit we nɔ de bit ɔltɛm. Sɔmtɛm, yu kin fil lɛk yu sik dɛn kin wɔs bifo dɛn bɛtɛ. Dis na nɔmal tin, so nɔ wɔri bɔt am.
Yu go nid fɔ tek sɔm mɛrɛsin fɔ sɔm mɔnt afta yu dɔn gɛt tritmɛnt.
- Antiarrhythmic drugs: Kɔntrol di at rit te di nyu ska tisu ful-ɔp fɔ wok.
- Anticoagulants (blood thinners): Dɛn tin ya impɔtant fɔ mek yu nɔ gɛt strok.
Yu go nid fɔ go fɔ fɔlɔp apɔntinmɛnt insay 3-4 mɔnt ɛn wan ia.
Mɛsej we dɛn kin kɛr go na os
- Pulmonary Vein Isolation (PVI) na wan tritmɛnt we rili sef ɛn we go wok fɔ Atrial Fibrillation (Afib), mɔ fɔ di wan dɛn we gɛt prɔblɛm fɔ kɔntrol dɛn kɔndishɔn wit mɛrɛsin.
- Dis involv fɔ mek smɔl smɔl skata dɛn na di at fɔ blok di rod dɛn we di ilɛktrik signal dɛn we nɔ fayn kin kam tru.
- Dis na tritmɛnt we dɛn kin du tru kateshɔn we nɔ gɛt big say we dɛn kɔt am.
- I kin tek sɔm wiks fɔ mek dɛn si ful wɛlbɔdi ɛn di rizɔlt. Na kɔmɔn fɔ mek di sayn dɛm wae de kam bak insay da tɛm de.
- Pan ɔl we dis kin kɔntrol di sayn dɛm, i nɔto mɛrɛsin. I rili impɔtant fɔ kɔntinyu fɔ tek di blɔd tin dɛn we yu dɔktɔ tɛl yu fɔ mek yu nɔ gɛt strok.
- If yu gɛt ɛni prɔblɛm, yu chɛst de pen, ɔ yu nɔ ebul fɔ blo, go to yu dɔktɔ wantɛm wantɛm.
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