Kodi mtima wanu umayamba kugunda mofulumira kwambiri mwadzidzidzi? Kodi nthawi zina mumamva kugwedezeka kwachilendo pachifuwa panu, kapena kayimbidwe ka mtima wanu kakusokonekera? Ngati mwakumanapo ndi izi, mwina muli ndi vuto lotchedwa 'Atrial Flutter'. Musadandaule, tsopano pali mankhwala othandiza kwambiri pa izi. Chifukwa chake lero tikambirana za mankhwala othandiza kwambiri komanso ogwiritsidwa ntchito kwambiri, 'Atrial Flutter Ablation'.
Mwachidule, kodi Atrial Flutter Ablation ndi chiyani?
Tisanamvetse izi, choyamba tiyeni tiwone tanthauzo la 'Atrial Flutter'. Zipinda ziwiri zapamwamba za mtima wathu (atria) ndi zomwe zimatulutsa zizindikiro zamagetsi zomwe zimayambitsa kugunda kwa mtima. Nthawi zambiri, zizindikirozi zimatulutsidwa mwadongosolo komanso motsatizana. Koma mwa munthu amene ali ndi 'Atrial Flutter', maselo ena m'zipinda zapamwambazi amayamba kutulutsa zizindikiro zamagetsi zosasinthasintha komanso mwachangu. Zili ngati chimodzi mwa zida mu gulu la okestra lomwe limasewera mofulumira kwambiri komanso mopanda nyimbo. Izi zimapangitsa kuti kayimbidwe ka mtima kakhale kosokonezeka ndipo mtima umayamba kugunda mofulumira kwambiri.
Kuchotsa mpweya woipa m'thupi (Atrial Flutter Ablation) ndi njira yodziwira ndikuwononga kapena kuletsa maselo omwe amayambitsa zizindikiro zamagetsi zosakhazikika. Pambuyo pake, zizindikiro zosakhazikika zimayima ndipo mtima umagundanso bwino.
Njira ziwiri zazikulu zimagwiritsidwa ntchito pa ntchitoyi:
- Kutulutsa kwa Ma Radiofrequency: Izi zimaphatikizapo kugwiritsa ntchito kutentha kuwononga maselo omwe ali ndi vuto.
- Kuzizira: Izi zimaphatikizapo kugwiritsa ntchito kuzizira kwambiri (kuzizira) kuti maselo azitha kugwira ntchito.
Njira zonsezi zimachita chimodzimodzi: zimaletsa zizindikiro zochokera ku maselo zomwe zimasokoneza kayendedwe ka mtima.
N’chifukwa chiyani mukufunikira chithandizochi?
Kawirikawiri, dokotala amayamba wayesa kulamulira kugunda kwa mtima popereka mankhwala. Koma nthawi zina mankhwalawo satha kulamulira vutoli. Kenako, nthawi zina amapatsidwa chithandizo chotchedwa ``Cardioversion''. Izi zikutanthauza kupatsa mtima mphamvu yamagetsi pang'ono kuti uyambenso kugunda.
Choncho, ngati mankhwala kapena matenda a mtima sizingathetse kugunda kwa mtima wanu , dokotala wanu angakulangizeni kuti mugwiritse ntchito njira ina yabwino komanso yothandiza kwambiri yothetsera vuto la mtima.
Kodi mumakonzekera bwanji musanalandire chithandizo?
Ngakhale kuti iyi si opaleshoni yaikulu, imafuna kukonzekera pang'ono.
- Dokotala adzakuuzani kuti musadye kapena kumwa chilichonse kwa maola pafupifupi asanu ndi limodzi mpaka asanu ndi atatu musanalandire chithandizo.
- Mungapemphedwe kuti musiye kumwa mankhwala ena omwe mukumwa masiku angapo chithandizochi chisanachitike. Dokotala wanu adzakulangizani momveka bwino za izi.
- Chofunika Kwambiri: Ngati mukumwa mankhwala oletsa magazi kutuluka magazi, musasiye kumwa mankhwalawo pazifukwa zilizonse pokhapokha ngati dokotala wanu wakuuzani. Izi ndizofunikira kwambiri.
Kodi chithandizochi chimagwira ntchito bwanji?
Anthu ambiri amaganiza kuti izi ndi 'opaleshoni yotsegula mtima'. Koma sichoncho. Izi zimachitika mu chipinda chapadera choperekedwa ku matenda a mtima (`labu ya catheterization ya mtima`).
Mwachidule, zomwe zimachitika pang'onopang'ono ndi izi:
1. Choyamba, mudzapatsidwa mankhwala ochepetsa ululu wanu ndikukugonetsani tulo (`twilight sedation`). Nthawi zina, mungapatsidwenso mankhwala oletsa ululu.
2. Kenako dokotala amaika singano yopyapyala pakhungu la bere lanu.
3. Kudzera mmenemo, machubu angapo opyapyala komanso osinthasintha (`(Catheters)`) amalowetsedwa mu mtsempha wamagazi.
4. Kudzera mu chubu ichi, chubu china chopyapyala chokhala ndi electrode (`electrode catheter`) chimaperekedwa kumtima.
5. Pogwiritsa ntchito elekitirodi iyi, mapu amapangidwa kuti adziwe komwe zizindikiro zamagetsi zovuta mumtima zikuchokera (`mapping`).
6. Maselo omwe ali ndi vuto akapezeka, amawonongeka potumiza mphamvu ya radiofrequency (kutentha).
Njira yonseyi nthawi zambiri imatenga maola awiri kapena anayi .
Kodi chimachitika ndi chiyani mukalandira chithandizo?
Pambuyo poti chithandizo chatha, machubu aliwonse omwe adayikidwa adzachotsedwa. Dokotala wochita opaleshoni adzaika mphamvu pamalo omwe adayikira singano kuti magazi asiye kutuluka. Kenako mudzalangizidwa kuti mupitirize kuyenda kwa maola asanu ndi limodzi mpaka asanu ndi atatu .
Ngakhale mutapita kunyumba, muyenera kupitiriza kumwa mankhwala oletsa magazi (mankhwala ochepetsa magazi) monga momwe dokotala wanu wanenera, osaphonya mlingo umodzi. Ngati mutuluka magazi ambiri, imbani dokotala nthawi yomweyo.
Kodi chithandizochi ndi chothandiza bwanji? Ndipo zoopsa zake ndi ziti?
Ili ndiye vuto lalikulu kwa anthu ambiri. Nkhani yabwino ndi yakuti ``(Atrial Flutter Ablation)`` ndi mankhwala omwe ali ndi chiwopsezo choposa 90% . Kugunda kwa mtima kwa anthu ambiri kumabwerera mwakale pambuyo pa izi. Komabe, anthu ochepa kwambiri (pafupifupi 4%-6%) ali ndi mwayi woti vutoli libwerenso.
Monga momwe zimakhalira ndi njira ina iliyonse yachipatala, pali chiopsezo chochepa kwambiri, koma mwayi wa zovuta ndi wochepera 1%.
| Chiwopsezo/Kuvuta | Kufotokozera kosavuta |
|---|---|
| Kutseka Mtima | Kusokonezeka kwa kutumiza kwa ma signal amagetsi a mtima. |
| Stroke | Magazi oundana omwe amapita ku ubongo n’kutseka (Ma anticoagulants amaperekedwa kuti apewe izi). |
| Kuboola kwa Mtima | Kuwonongeka mwangozi kwa khoma la mtima panthawi ya chithandizo (kawirikawiri). |
| Matenda | Matenda pamalo pomwe singano inalowetsedwa. |
| Kutuluka magazi | Kutuluka magazi ambiri kuchokera pamalo obowoledwa. |
Kumbukirani, izi ndi zochitika zachilendo kwambiri. Gulu lanu lachipatala laphunzitsidwa bwino kuthana ndi zoopsazi.
Zimatenga nthawi yayitali bwanji kuti munthu achire?
Chinanso chabwino pa izi ndichakuti nthawi yochira ndi yochepa kwambiri.
- Mukhoza kuyambiranso ntchito zanu zachizolowezi mukangofika kunyumba.
- Komabe, ndi bwino kupewa kuchita zinthu zolimbitsa thupi monga kuchita masewera olimbitsa thupi komanso kunyamula zolemera kwa masiku atatu .
Kutengera ndi upangiri wa dokotala wanu wa mtima, mungafunike kupitiriza kumwa mankhwala ochepetsa magazi, kaya a nthawi yochepa kapena a nthawi yayitali.
Kodi muyenera kupita kwa dokotala liti?
Ndikofunikira kwambiri kuti mudziwe bwino za izi. Dziwani zizindikiro zomwe zili pansipa.
| Ngati pakufunika thandizo lachipatala ladzidzidzi - imbani 1990 kapena pitani ku ETU nthawi yomweyo! | |
|---|---|
| - Ngati bala lochokera ku ululu likutumphuka mwadzidzidzi komanso mofulumira. | - Ngati kutuluka magazi kuchokera pabala sikungatheke. |
| - Ngati mukumva kupweteka kwambiri pachifuwa. | - Ngati mukumva zizindikiro za kufooka monga kuvutika kulankhula, kulankhula movutikira, kapena kufooka mbali imodzi ya thupi. |
| Nthawi yoti muyimbire dokotala wanu | |
| - Kuvuta kupuma | - Ngati mukumva chizungulire kapena kukomoka. |
| - Ngati mukumva dzanzi mwendo wovulala | - Ngati pali kutupa kapena mabala ozungulira bala |
| - Ngati kugunda kwa mtima kwanu kukumva kosazolowereka kachiwiri | - Kusanza m'mimba kapena nseru |
Kukhala ndi kugunda kwa mtima kosakhazikika kungakhale kokhumudwitsa. Koma tsopano pali njira zabwino komanso zothandiza zochiritsira izi. Kuchotsa mpweya mu mtima ndi njira imodzi yothandiza kwambiri. Munthu wabwino kwambiri wodziwa ngati chithandizochi chili choyenera kwa inu ndi dokotala wanu. Lankhulani naye bwino za izi ndipo mufunseni mafunso anu onse.
Uthenga Wopita Nawo Kunyumba
- Kuchepetsa kugunda kwa mtima kwa Atrial Flutter ndi njira yochizira kugunda kwa mtima kosakhazikika komwe kumapambana ndi 90%.
- Opaleshoni iyi si yokulitsa chifuwa. Imachitika poika chubu chopyapyala kudzera m'mitsempha yamagazi m'chifuwa.
- Tsatirani malangizo a dokotala wanu mosamala musanayambe komanso mutalandira chithandizo, makamaka pankhani ya mankhwala ochepetsa magazi.
- Nthawi yochira ndi yochepa kwambiri. Mutha kubwerera ku moyo wabwinobwino m'masiku ochepa.
- Dziwani zizindikiro zadzidzidzi monga kutuluka magazi ambiri, kupweteka pachifuwa, ndi kutupa mwadzidzidzi. Ngati chilichonse mwa izi chichitika, funsani upangiri wa dokotala nthawi yomweyo.
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