Tiyeni tidziwe bwino momwe magetsi amagwirira ntchito mumtima mwanu? (Kafukufuku wa Electrophysiology - Kafukufuku wa EP)

Kodi mukumva chinthu chachilendo mumtima mwanu, monga kugwedezeka? Nthawi zina madokotala amati amafunika kuchita mayeso kuti aone bwino momwe magetsi a mtima wanu amagwirira ntchito. Pamenepo ndi pamene timalankhula za "kafukufuku wa Electrophysiology" uyu, kapena monga momwe timatchulira mwachidule, "kafukufuku wa EP". Musaope, tiyeni tikambirane za izi mosavuta.

Kodi kafukufuku wa EP ndi chiyani?

Mwachidule, kafukufuku wa EP ndi mayeso omwe amafufuza molondola momwe magetsi amagwirira ntchito mumtima mwanu. Tangoganizirani, mtima wathu umafunika chizindikiro chaching'ono chamagetsi kuti ugwire. Zizindikiro izi zikagwira ntchito bwino, mtima umagunda mwadongosolo. Nthawi zina pamakhala cholakwika ndi zizindikiro zamagetsi izi, zomwe zikutanthauza kugunda kwa mtima kosakhazikika ( arrhythmia ) . Pamenepo ndi pomwe kafukufuku wa EP amagwiritsidwa ntchito kuti adziwe vuto ndi komwe vuto lili.

Madokotala amagwiritsa ntchito ma catheter a mtima (machubu ang'onoang'ono kwambiri) ndi makompyuta kuti achite izi. Machubu awa amaikidwa mumtima mwanu ndipo amayesa ntchito yamagetsi ya mtima wanu kuchokera pamenepo. Zili ngati EKG , koma masensa awa, omwe amaikidwa mkati mwa mtima wanu, amatha kupereka zambiri mwatsatanetsatane komanso molondola kuposa masensa omwe amaikidwa kunja kwa chifuwa chanu.

Taganizirani izi ngati basi yomwe ikuyenda panjira yake yanthawi zonse, panthawi yoyenera, komanso mwadongosolo. Koma kugunda kwa mtima kosakhazikika (arrhythmia) kuli ngati basi yomwe sikuyenda panjira yake yanthawi zonse, mwina ikuyamba pamalo olakwika, kulumpha malo oimikapo galimoto, kapena kusayenda njira yonse. Kapena ingayende mwachangu kwambiri, kapena ingayende pang'onopang'ono kwambiri. Imeneyo ndi mitundu ya zizindikiro zosakhazikika zomwe madokotala ayenera kuyang'ana. Pamenepo pokhapo ndi pomwe angasankhe ngati vutoli ndi loopsa komanso momwe angachiritsire.

Kodi mumazindikira bwanji ntchito yamagetsi ya mtima?

Labu komwe `(Kafukufuku wa EP)` ukuchitikira kuli ngati ofesi ya ofufuza. Dokotala wapadera amene amachita izi ndi `( katswiri wa zamagetsi )` yemwe amadziwa bwino momwe mtima umagwirira ntchito. Amatha kudziwa momwe ziwalo zosiyanasiyana za mtima zimagwirira ntchito kuchokera ku mawonekedwe osiyanasiyana a mafunde pa tepi ya `(EKG)`.

Madokotala awa aphunzira mafunde a EKG, momwe ayenera kuonekera nthawi zonse, ndi tanthauzo lake ngati mafunde akuwoneka mosiyana. Amasamala kwambiri komwe kugunda kwa mtima kosasinthasintha kumayambira ndikutha pa EKG.

Kenako, amaganiza kuti, "Chabwino, izi ndi zomwe zingakhale." Kenako amayesa mu EP Lab. EnaAmapereka mankhwala (monga Adenosine, Isoproterenol) kuti afulumizitse ndikuchepetsa liwiro la mtima , kenako amawona momwe magetsi a mtima amasinthira panthawiyo. Izi zimachitika motsatira dongosolo linalake, osati kungoganizira chabe. Kutengera ndi zomwe asonkhanitsa, amaganizira zifukwa zingapo zomwe zingachitike, kenako amachita mayeso mpaka atadziwa vuto lenilenilo .

N’chifukwa chiyani mukuchita kafukufuku wa EP uyu?

Kafukufuku wa EP angauze dokotala wanu zambiri zokhudza kugunda kwa mtima kwanu kosakhazikika . Mwachitsanzo:

• Kodi muli ndi vuto la mtima lotani (arrhythmia) ?
• Kodi chifukwa cha kusakhazikika kumeneku n'chiyani ?
• Kodi vuto ili limayambira kuti mumtima?
• Kodi n’chifukwa chiyani nthawi zambiri mumakhala ndi chizungulire komanso mavuto olota ?
• Sankhani chithandizo chabwino kwambiri pa izi.
• Onani ngati mankhwala omwe mukumwa panopa akugwira ntchito bwino .
• Dziwani ngati muli pachiwopsezo cha imfa yadzidzidzi ya mtima .

Dokotala amasankha kuchita EP Study akalephera kupeza chidziwitso chokwanira kuchokera ku mayeso monga ECG, Holter monitor (chipangizo chomwe chimayang'anira kugunda kwa mtima pamene muli pabedi kwa tsiku limodzi kapena awiri), chojambulira zochitika , mayeso opsinjika maganizo (omwe amayang'anira mtima panthawi yochita masewera olimbitsa thupi), echocardiogram (ultrasound scan ya mtima), kapena angiogram (yomwe imayang'anira mitsempha ya mtima).

Nthawi zina, kutengera matenda anu ndi zomwe mwapeza kuchokera ku EP Study, chithandizo chotchedwa Catheter Ablation chingachitike nthawi imodzi . Izi zikutanthauza kuti madera ang'onoang'ono mumtima omwe amayambitsa zizindikiro zamagetsi zosakhazikika amatsekedwa kudzera mu catheter (chubu) yomwe imayikidwa mumtima.

Kodi muyenera kukonzekera bwanji maphunziro a EP?

Pali zinthu zingapo zomwe muyenera kukonzekera musanayese mayesowa. Musadandaule, izi ndi zinthu zachibadwa.

• Konzani kuti wina akuperekezeni kupita ndi kubwera kuchipatala. Simudzatha kuyendetsa galimoto kwa maola 24 mutamaliza mayeso.
• Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi mayesowa, chonde kambiranani ndi dokotala.
• Tiuzeni ngati muli ndi vuto la latex kapena munakhalapo ndi vuto la mankhwala oletsa ululu .
• Zovala zabwinoBwerani mutavala.
• Chotsani zodzoladzola zonse ndi utoto wa misomali musanapite kuchipatala.
• Siyani zodzikongoletsera zonse zamtengo wapatali monga mphete, mikanda, ndi mawotchi kunyumba. Bweretsani magalasi anu ndi zothandizira kumva, ngati muli nazo.

Tiyeni tionenso mankhwala ndi chakudya:

• Uzani dokotala wanu za mankhwala onse omwe mumamwa (omwe amalembedwa ndi dokotala, omwe amaperekedwa popanda chilolezo cha dokotala, mankhwala azitsamba, mavitamini) .
• Bweretsani mankhwala anu okwanira tsiku limodzi. Koma musamwe mpaka mutalankhula ndi dokotala wanu.
• Funsani dokotala wanu mankhwala omwe muyenera kumwa musanayesedwe, mankhwala omwe muyenera kusiya, nthawi yoti musiye, komanso nthawi yoti muyambenso . Musasiye mankhwala aliwonse popanda upangiri wa dokotala.
• Ngati muli ndi matenda a shuga, funsani momwe mungasinthire mankhwala anu a shuga .
• Idyani bwino usiku usanachitike mayeso.
• Musadye, kumwa, kapena kutafuna chilichonse pambuyo pa pakati pausiku usiku usanachitike mayeso. Musamatafune chingamu, mints, kapena madzi. Izi ndizofunikira kwambiri kuti mukhale otetezeka.
• Ngati muyenera kumwa mankhwala, imwani ndi madzi pang'ono kapena awiri okha.
• Musameze madzi mukamatsuka mano anu.

Kodi mungayembekezere chiyani patsiku la kafukufuku wa EP?

Mayeso anu adzachitikira m'chipinda chapadera chotchedwa Electrophysiology Lab (EP Lab) kapena Catheterization Lab .

Mukagona pabedi, dokotala ndi gulu la anthu omwe ali pamenepo adzachita izi:

• Mzere wothira mtsempha (IV) (wofanana ndi mzere wa saline) udzaikidwa m'dzanja lanu kapena m'dzanja lanu. Apa ndi pomwe mudzapatsidwa mankhwala ndi madzi panthawi yoyezetsa.
• Ngati pakufunika kutero, m'khwapa, m'manja, kapena m'khosi mwanu mudzametedwa ndikutsukidwa ndi mankhwala ophera tizilombo toyambitsa matenda.
• Udzaphimbidwa kuyambira khosi mpaka kumapazi ndi nsalu yoyera.
• Kuti manja anu asakhudze malo ophera tizilombo toyambitsa matenda, lamba amamangiriridwa m'chiuno mwanu ndipo manja anu amakwezedwa.

Kodi chimachitika ndi chiyani panthawi ya kafukufuku wa EP?

Ino ndi nthawi yofunika kwambiri. Nazi zinthu zomwe dokotala angachite:

• M'mimba mwanu, pakhosi, kapena m'dzanja (komwe katheta imayikidwa) mudzaphwanyidwa ndi mankhwala apadera.
• Kenako, ma catheter angapo (machubu opyapyala) amaikidwa mu mtsempha waukulu m'mimba mwanu, pakhosi, kapena m'dzanja.
• Pogwiritsa ntchito `Fluoroscopy` (izi zili ngati kanema wa `X-ray`) ndi makina a `Ultrasound`, ma catheter awa amatsogoleredwa bwino mumtima mwanu, m'zipinda zake. Ma catheter awa amagwiritsidwa ntchito kuzindikira ndikulemba momwe magetsi a mtima amagwirira ntchito. Izi zimakupatsani mwayi womvetsetsa bwino `Conduction System`, njira yomwe zizindikiro zamagetsi zimayendera mumtima mwanu.
• Kudzera mu catheter imodzi,Chipangizo chotchedwa pacemaker chimatumiza zizindikiro zamagetsi zazing'ono kuti mtima wanu ugwire mofulumira. Panthawiyi, mungamve mtima wanu ukugunda mofulumira komanso molimbika.
• Kutengera ndi vuto lanu, ngati pali kulumikizana kolakwika komwe kumayambitsa zizindikiro zamagetsi zosakhazikika, kumatha kuzimitsidwa pogwiritsa ntchito njira yotchedwa `Catheter Ablation` .

Chofunika kwambiri ndichakuti ngati mukumva chilichonse chosasangalatsa kapena chachilendo panthawi ya EP Study, uzani dokotala kapena namwino pamenepo.

Ngati muli ndi vuto la kugunda kwa mtima kosakhazikika, dokotala wanu adzakupatsani mankhwala kudzera mu IV yanu kuti awone momwe akulamulira bwino. Ngati pakufunika, angakupatseninso mphamvu yamagetsi kudzera mu chigamba pachifuwa chanu kuti mubwezeretse kugunda kwa mtima wanu.

Mu kafukufukuyu, gulu lanu lachipatala lidzagwiritsa ntchito zida zosiyanasiyana:

• Fluoroscopy: Makina akuluakulu a X-ray pamwamba panu. Izi zimathandiza dokotala kuti aziona catheter mkati mwa mtima wanu nthawi zonse pogwiritsa ntchito X-ray screen.
• `Defibrillator / Pacemaker / Cardioverter`: Izi zimalumikizidwa ndi chigamba kumbuyo kwanu ndi chigamba pachifuwa chanu. Zingapereke mphamvu zamagetsi kuti zifulumizitse kugunda kwa mtima pang'onopang'ono kapena kuletsa kayimbidwe koopsa.
• Electrocardiogram (EKG): Izi zimalumikizidwa ndi mabala angapo omata pachifuwa panu, komanso ma catheter mkati mwa mtima wanu. Zimapanga chithunzi cha zizindikiro zamagetsi zomwe zimadutsa mumtima mwanu.
• Intracardiac Echocardiogram: Iyi ndi ultrasound yaying'ono. Imathandiza kutsogolera bwino catheter panthawi yoyezetsa.
• Chowunikira Kuthamanga kwa Magazi: Ichi chimamangiriridwa ku cuff pa mkono wanu ndipo chimayang'anira kuthamanga kwa magazi anu panthawi yonse yoyezetsa.
• Chowunikira cha Oximeter: Ichi ndi kachidutswa kakang'ono komwe mumayika pa chala chanu. Chimayesa kuchuluka kwa mpweya m'magazi anu.

Kodi mungayembekezere chiyani pambuyo pa mayeso?

Pambuyo poti kafukufuku wa EP watha, dokotalayo adzachotsa catheter m'mimba mwanu, m'dzanja, kapena m'khosi mwanu ndikuyika mphamvu pamalopo kwa kanthawi kuti magazi asiye kutuluka.

• Muyenera kukhala pabedi kwa ola limodzi kapena anayi . Ngati catheter idalowetsedwa kudzera m'chiuno, muyenera kusunga mwendo wanu molunjika momwe mungathere komanso osasuntha.
• Kutengera ndi zotsatira zoyambirira za mayeso anu, mungafunike kukhalabe kuchipatala ngati pakufunika kutero .
• Bandeji yaying'ono yoyera imayikidwa pamwamba pa catheter. Ikhoza kuchotsedwa tsiku lotsatira. Nthawi zambiri, kusoka sikufunika.
• Malo ovulala ayenera kukhala oyera komanso ouma .
• Mukamaliza mayeso, mutha kudya ndikumwa mankhwala.
• Mukhoza kuyambiranso ntchito zanu zachizolowezi tsiku lotsatira mayeso.Koma muyenera kuchepetsa zinthu monga kunyamula zolemera kwa pafupifupi sabata imodzi.

Kodi pali zoopsa zilizonse pa izi?

Kafukufuku wa EP nthawi zambiri ndi mayeso otetezeka kwambiri. Komabe, monga njira ina iliyonse yachipatala, pali zoopsa zina. Izi zikuphatikizapo:

• Kutuluka magazi kapena matenda pamalo pomwe panayikidwa catheter.
• Kusakhazikika kwa mtima (Arrhythmia) .
• Magazi oundana amapangika pa catheter ndipo amamatira mu mtsempha wamagazi.
• Kuvulala kwa mtsempha wamagazi, valavu yamtima, kapena chipinda chamtima.
• Matenda a mtima.
• Stroke.

Koma musadandaule, madokotala anu akuchita kafukufuku wa EP uyu pamalo olamulidwa bwino. Ndipo akutenga njira zapadera kuti achepetse zoopsa zomwe zingakuchitikireni. Ngati muli ndi mafunso okhudza zoopsa ndi ubwino wa mayesowa, lankhulani ndi dokotala wanu.

Kodi ubwino wa kafukufuku wa EP ndi wotani?

Mungapeze maubwino otsatirawa kuchokera ku `(EP Study)`:

• Mudzapeza mayankho a mafunso anu okhudza vuto la mtima wanu.
• Mwina ngati vutoli lingathetsedwe ndi ``Catheter Ablation'', tikhoza kukhala omasuka kupitiriza kumwa mankhwala enaake.
• Moyo wanu udzakhala wabwino.
• Kwa matenda ena a mtima, kuwachiza ndi ``Catheter Ablation'' kungakhale njira yotsika mtengo kuposa opaleshoni ya ``Arrhythmia''.

Kafukufuku wa EP nthawi zambiri amakhala wotetezeka. Chiwopsezo cha imfa chifukwa cha izi n'chochepa kwambiri, pafupifupi munthu m'modzi pa anthu 5,000 aliwonse.

Kodi ndingapeze bwanji zotsatira zake? Kenako ndichite chiyani?

Pambuyo pa mayeso, dokotala adzakuuzani zotsatira zoyambirira . Kutengera ndi zotsatira zimenezo, adzasankha ngati mungapite kunyumba kapena ngati muyenera kukhala kuchipatala. Dokotala angakupempheni kuti mubwererenso tsiku lina kuti mukakambirane zotsatira za EP Study ndi chithandizo chanu.

Ngati zotsatira zake zikusonyeza zachilendo, dokotala wanu atha kuchiza nthawi yomweyo ndi ``Catheter Ablation''. Ngati sichoncho, angafunike kukonzekera njira zina zochiritsira kapena kukupatsani mankhwala. Anthu ena angafunike njira zina zochiritsira, monga ``Pacemaker' ', ngakhale atatha ``Catheter Ablation''.

Kodi muyenera kupita kwa dokotala nthawi yanji?

Mukapita kunyumba mutatha kuyezetsa, muyenera kuyimbira dokotala wanu ngati mukukumana ndi zizindikiro izi:

• Ngati malo a catheter ndi ofiira, otupa, kapena ali ndi madzimadzi omwe akutuluka.
• Ngati mukumva dzanzi kapena kumva zachilendo m'dzanja kapena mwendo kumene catheter inayikidwa.
• Kaya m'dzanja kapena mwendo komwe catheter inayikidwaNgati zala zanu zazizira, zataya kumva, kapena zasintha mtundu.
• Ngati mukufuna kusanza.
• Ngati muli ndi ululu pachifuwa .

Imbani 1990 kuti mupeze chithandizo chadzidzidzi, kapena pitani kuchipatala chapafupi, ngati mukukumana ndi chilichonse mwa izi:

• Ngati kutuluka magazi sikutha ngakhale mutakanikiza ndi kugwira malo a catheter.
• Ngati kutupa kozungulira bala kumawonjezeka mwadzidzidzi.

Mafunso ena angapo kwa inu.

Kodi timakhala maso tikamachita kafukufuku wa EP?

Inde. Mumapatsidwa mankhwala kudzera mu IV kuti muchepetse nkhawa zanu ndikupangitsani kumva tulo pang'ono. Koma simunagone mokwanira.

Kodi kuphunzira EP kumatenga nthawi yayitali bwanji?

Nthawi zambiri zimatenga ola limodzi kapena anayi .

Kodi kafukufuku wa EP ndi wopweteka?

Mudzapatsidwa mankhwala ochepetsa ululu kotero simuyenera kumva kupweteka kulikonse. Komabe, mungamve kupsinjika pang'ono pakhungu pomwe catheter idayikidwa.

Zinthu zofunika kwambiri zomwe muyenera kukumbukira

Mukapemphedwa kuti muchite kafukufuku wa EP, zingawoneke ngati nkhani yaikulu kuposa mayeso ena aliwonse a mtima omwe mudachitapo kale. Koma dokotala wanu akulamula izi pazifukwa zina. Iye akuchita izi kuti adziwe zomwe zikuchitika mumtima mwanu ndikukuthandizani . Kafukufuku wa EP umaphatikizapo kuyika zida mumtima mwanu, koma ndi mayeso otetezeka. Amapatsa dokotala wanu chidziwitso chomwe amafunikira kuti achiritse kugunda kwa mtima kwanu kosakhazikika.

Kumbukirani, gulu lachipatala lidzachita zonse zomwe lingathe kuti mukhale omasuka panthawi yoyezetsa. Lankhulani nawo za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo. Izi zikuthandizani kuti mukhale omasuka.

Kuthamanga kwa mtima , kafukufuku wa EP, matenda a mtima, catheter, ntchito yamagetsi ya mtima, arrhythmia, mayeso a mtima