Kodi munayamba mwamvapo ngati mtima wanu ukugunda mofulumira kwambiri popanda chifukwa, ngati kuti pali vuto pachifuwa panu? Zingakhale zina. Koma nthawi zina zimatha kukhala chizindikiro cha matenda a mtima otchedwa atrial flutter. Musadandaule, lero tikambirana za vutoli ndi chithandizo chake chothandiza kwambiri, chotchedwa ablation.
Kodi Atrial Flutter ndi chiyani?
Mwachidule, ili ndi vuto ndi kayimbidwe ka mtima. Mtima wathu uli ndi zipinda ziwiri, zipinda zapamwamba (atria) ndi zipinda zapansi (ventricles). Mu mtima wathanzi, zipinda ziwirizi zimagunda mwadongosolo kwambiri, mu kayimbidwe komweko.
Taganizirani ngati gulu la oimba lophunzitsidwa bwino lomwe likuyimba nyimbo mogwirizana. Koma mu Atrial Flutter, zipinda zapamwamba za mtima, kapena atria, zimayamba kugunda mofulumira kwambiri komanso mosasinthasintha. Zili ngati mamembala angapo a gulu la oimba akuimba ng'oma pa liwiro lililonse lomwe akufuna. Izi zimasokoneza magwiridwe antchito onse a mtima. Ngati izi zikupitirira kwa nthawi yayitali, sizili bwino pamtima.
Ndiye kodi chithandizo cha Ablation ichi ndi chiyani?
Kuchotsa mpweya m'thupi (Atrial Flutter Ablation) ndi njira yowononga maselo olakwika omwe amachititsa kuti mtima ugwire mofulumira komanso mosagwirizana.
Tangoganizirani kuwala m'nyumba kukuzima chifukwa cha mawaya olakwika. Kuchotsa magetsi ndi njira yopezera mawaya olakwika, kuwazimitsa, ndikuthetsa vutoli kwamuyaya.
Pa izi, madokotala nthawi zambiri amagwiritsa ntchito njira yotchedwa radiofrequency ablation kuti aletse maselo omwe akutumiza zizindikiro zolakwika. Nthawi zina, izi zimachitika pogwiritsa ntchito kuzizira kwambiri (cryoablation). Mulimonsemo, cholinga chake ndikuletsa zizindikiro zolakwika ndikubwezeretsa kamvekedwe ka mtima.
Chofunika kwambiri ndichakuti, iyi si opaleshoni yotsegula mtima.
Nchifukwa chiyani muyenera kupatsidwa chilolezo chochita opaleshoni?
Dokotala nthawi zambiri amagwiritsa ntchito chithandizochi ngati vutoli silingathe kuthetsedwa ndi mankhwala kapena njira yotchedwa cardioversion kuti abwezeretse kamvekedwe ka mtima. Dokotala wanu adzasankha ngati chithandizochi chili choyenera kwa inu.
Zinthu zofunika kuzidziwa musanalandire chithandizo komanso mutalandira chithandizo
Pali zinthu zingapo zomwe muyenera kudziwa musanalandire chithandizochi komanso mutalandira chithandizochi.
Kukonzekera musanalandire chithandizo
- Dokotala wanu adzakuuzani kuti musadye kapena kumwa kwa maola 6-8 musanayambe kulandira chithandizo.
- Mungapemphedwe kuti musiye kumwa mankhwala ena omwe mukumwa kwa masiku angapo musanalandire chithandizo.
- Koma izi ndizofunikira kwambiri: Ngati mukumwa mankhwala oletsa magazi kuundana, musawaletse pazifukwa zilizonse pokhapokha ngati dokotala wanu wa mtima wakuuzani kuti muchite zimenezo. Musadumphe mlingo umodzi.
Momwe chithandizochi chimachitikira
Izi nthawi zambiri zimachitika mu labu yoperekera chithandizo cha mtima. Mudzapatsidwa mankhwala oti akugonetseni (twilight sedation), kapena mwina mankhwala oletsa ululu. Kenako:
1. Singano yaying'ono imalowetsedwa kudzera pakhungu m'dera la chiberekero.
2. Kudzera mmenemo, machubu angapo opyapyala otchedwa `catheters` amalowetsedwa mu mtsempha wamagazi.
3. Katheta ya electrode imadutsa mu chubu ichi kupita mumtima mwanu.
4. Pogwiritsa ntchito katheta iyi, titha kuzindikira maselo omwe ali mumtima omwe akuyambitsa vutoli.
5. Kenako, mphamvu ya radiofrequency imagwiritsidwa ntchito kuletsa maselo olakwika.
Ntchito yonseyi ingatenge maola awiri kapena anayi.
Pambuyo pa chithandizo
Mankhwala akatha, machubu onse omwe adayikidwa amachotsedwa ndipo malo obowoledwawo amamangiriridwa. Pambuyo pake, mudzapemphedwa kuti mwendo wanu ukhale wowongoka kwa maola pafupifupi 6-8. Ngakhale mutapita kunyumba, muyenera kupitiriza kumwa mankhwala oletsa magazi kutuluka magazi mpaka dokotala wanu atakuuzani kuti muchite zimenezo.
Kupambana kwa chithandizo, zoopsa, ndi zinthu zoti muzisamala nazo
Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali zinthu zingapo zomwe muyenera kudziwa. Tiyeni tiwone bwino.
| Mtundu wa chidziwitso | Zoyenera kudziwa |
|---|---|
| Chiwongola dzanja | Chithandizochi chili ndi chiwopsezo chopambana cha 90% . Anthu ambiri amabwerera ku kugunda kwa mtima kwawo kwabwinobwino. Komabe, ochepa, pafupifupi 4%-6%, amatha kubwereranso. |
| Zoopsa | Chiwopsezo cha mavuto ndi chochepera 1%.Komabe, mavuto osowa kwambiri ndi awa: kutsekeka kwa mtima, sitiroko, kubowoka kwa mtima, matenda, komanso kutuluka magazi ambiri. |
| Nthawi yoti mupite ku ETU (Emergency Treatment Unit) nthawi yomweyo | Ngati bala lomwe singano inalowetsedwamo latupa mwadzidzidzi kapena ngati kutuluka magazi kuchokera pabala sikungathe kulamuliridwa. |
| Nthawi yoti muyimbire dokotala nthawi yomweyo | Ngati mukumva kutuluka magazi kwambiri, kufooka, kusokonezeka, kuvutika kulankhula, kapena kumva kukomoka komanso ngati mungagwe. |
| Zina zomwe muyenera kuziganizira | Uzani dokotala wanu ngati mukuvutika kupuma, chizungulire, kupweteka pachifuwa, dzanzi mwendo wovulala, kutupa kapena kuvulala mozungulira bala, kugunda kwa mtima kosazolowereka, kapena kupweteka m'mimba. |
Zimatenga nthawi yayitali bwanji kuti munthu achire?
Chabwino kwambiri pa izi ndichakuti sizitenga nthawi yayitali kuti zichiritsidwe.
Mukhoza kubwerera kunyumba ndikuyambanso ntchito zanu za tsiku ndi tsiku tsiku lotsatira. Komabe, ndi bwino kupewa kuchita zinthu zolemetsa monga kuchita masewera olimbitsa thupi ndi kunyamula zolemera kwa masiku atatu.
Kutengera ndi matenda anu, mungafunike kumwa mankhwala ochepetsa magazi, a nthawi yochepa komanso a nthawi yayitali, monga momwe dokotala wanu wa mtima walangizira.
Ndizachilendo kuti aliyense achite mantha pang'ono akamva za vuto la mtima. Koma Atrial Flutter ndi vuto lochiritsika. Kuchotsa mpweya m'thupi ndi njira yothandiza komanso yotetezeka yochiritsira. Chifukwa chake, lankhulani momasuka ndi dokotala wanu za izi ndikusankha chithandizo chabwino kwambiri kwa inu.
Uthenga Wopita Nawo Kunyumba
- Kugunda kwa mtima ndi vuto lochiritsika lomwe limayamba chifukwa cha kugunda kwa mtima m'zipinda zapamwamba komanso mosinthasintha komanso mwachangu.
- Kuchotsa mimba ndi njira yopambana kwambiri (yoposa 90%) komanso yotetezeka kwambiri pa izi. Si opaleshoni ya mtima yotseguka.
- Ndikofunikira kwambiri kutsatira malangizo a dokotala mosamala musanayambe komanso mutalandira chithandizo, makamaka okhudza kumwa mankhwala oletsa magazi kuundana.
- Samalani zizindikiro zochenjeza mutalandira chithandizo, monga kutuluka magazi ambiri, kukomoka, komanso kuvutika kulankhula. Ngati muli ndi vuto lililonse, pitani kwa dokotala wanu kapena ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) ya chipatala chapafupi nthawi yomweyo.
- Musaope chithandizochi, kambiranani momasuka ndi dokotala wanu wa mtima ndipo pangani chisankho.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment