Kodi n'kovuta kulamulira kugunda kwa mtima wanu? Tiyeni tikambirane za AV Node Ablation!

Kodi mtima wanu nthawi zina umagunda mwamphamvu popanda chifukwa? Umamveka ngati ng'oma ikugunda pachifuwa panu, popanda kugunda, ndipo umamva woopsa kwambiri, sichoncho? Vutoli mwina limakupangitsani kutopa, chizungulire, komanso kupuma movutikira. Mtundu uwu wa kugunda kwa mtima kosakhazikika, makamaka vuto lomwe madokotala amatcha `Atrial Fibrillation` (AFib), nthawi zina silimayendetsedwa bwino ndi mankhwala omwe amaperekedwa kuti alilamulire. Pamenepo ndi pomwe madokotala amaganizira chithandizo chapadera chotchedwa `AV Node Ablation`.

Mwachidule, kodi AV Node Ablation ndi chiyani?

Chabwino, mawu awa angawoneke ngati ovuta, koma tiyeni tisunge mosavuta.

Choyamba, tiyeni tiwone dongosolo lamagetsi la mtima wathu. Taganizirani mtima wanu ngati nyumba yokhala ndi zipinda zinayi. Zipinda ziwiri zazing'ono pamwamba zimatchedwa atria. Zipinda ziwiri zazikulu pansi zimatchedwa ma ventricles. Kuti mtima ugwire ntchito bwino, zipindazi ziyenera kufupika mwadongosolo komanso mozungulira. Ntchitoyi imayendetsedwa ndi dongosolo lamagetsi lachilengedwe mkati mwa mtima.

Mu mkhalidwe ngati `Atrial Fibrillation` (AFib), zizindikiro zamagetsi m'zipinda ziwiri zapamwamba za mtima (atria) zimakhala zosakhazikika, zomwe zimapangitsa kuti zigunde mofulumira kwambiri komanso mosasinthasintha. Zili ngati gulu la oimba lopanda wotsogolera, aliyense akuimba nyimbo yakeyake.

Apa, zizindikiro zamagetsi zosokoneza izi zisanayende kuchokera ku zipinda zapamwamba kupita ku zipinda zazikulu (maselo), ziyenera kudutsa "chipata" chaching'ono. Chipata ichi ndi chomwe timachitcha kuti node ya AV . Node ya AV iyi ili ngati apolisi apamsewu. Amayesa kulamulira vutoli mwa kulola zizindikiro zochepa chabe zachangu komanso zosokoneza zomwe zimachokera pamwamba kudutsa.

Koma nthawi zina vutoli limakhala lalikulu kwambiri moti ngakhale AV node silingathe kulilamulira. Pamenepo madokotala amachita zomwe zimatchedwa `AV Node Ablation.'

Izi zimapangitsa kuti magetsi osokonekera m'zipinda zomwe zili pamwambapa asiye kupita kuzipinda zazikulu zopopera madzi zomwe zili pansipa.

N’chifukwa chiyani pacemaker ndi yofunika kwambiri?

Ichi ndi chinthu chofunikira kwambiri chomwe muyenera kudziwa chokhudza chithandizochi.

Tikatseka chipata chololeza zizindikiro kuchokera pamwamba kuti zidutse (AV node), zipinda ziwiri (maselo) a mtima sizilandiranso chizindikiro choti zigunde. Kodi mtima udzasiya kugunda ndiye? Ayi. Ndicho chifukwa chake madokotala amakuikani chothandizira pacemaker chokhazikika ngati yankho.

Chida ichi chothandizira pacemaker ndi chipangizo chomwe chimagwira ntchito pa batire yaying'ono.Imatumiza zizindikiro zamagetsi ku zipinda zapansi pa mtima kuti zigunde motsatira kamvekedwe kake komanso pa liwiro linalake. Mwachidule, timaletsa gawo lamagetsi lachilengedwe la mtima lomwe silikugwira ntchito bwino ndipo timalisintha ndi chowongolera magetsi chochita kupanga chomwe chimagwira ntchito bwino kwambiri.

Kodi chithandizochi chikulangizidwa kwa ndani?

Kuchotsa AV Node Ablation si mankhwala a aliyense. Pali zifukwa zingapo zazikulu zomwe dokotala angakulimbikitsireni:

• Ngati mankhwala ena onse operekedwa kuti achepetse kugunda kwa mtima kosakhazikika alephera.
• Ngati simungathe kupitiriza kugwiritsa ntchito mankhwalawa chifukwa cha zotsatirapo zake zoyipa .
• Ngati muli kale ndi pacemaker yoyikidwa pazifukwa zina.
• Ngati ntchito ya mtima wanu ikufooka chifukwa cha vuto lanu la `AFib`.

Chisankhochi chimapangidwa dokotala wanu wa mtima atakufufuzani mosamala.

Kodi mumakonzekera bwanji musanalandire chithandizo?

Ngati mulibe kale chopangira mphamvu ya mtima (pacemaker), dokotala wanu adzakuikirani chopangira mphamvu ya mtima milungu ingapo musanachite opaleshoni, nthawi yomweyo mukamaliza opaleshoniyo, kapena mukamaliza.

Kuphatikiza apo, asanachite `ablation`, madokotala amachita Kafukufuku wa EP (`Electrophysiology Study`) . Izi zimaphatikizapo kujambula njira zamagetsi za mtima kuti apeze malo enieni a node ya AV yomwe tikufuna kuichotsa.

Momwe chithandizochi chimagwirira ntchito - sitepe ndi sitepe

Musaope kunena kuti ndi opaleshoni yaikulu. AV Node Ablation ndi njira yosavulaza kwambiri yomwe nthawi zambiri imachitika kudzera m'bowo laling'ono pakhungu, popanda kudula kwakukulu. Tiyeni tiwone momwe imachitikira.

Ntchito yonseyi ingatenge kuyambira ola limodzi mpaka maola angapo.

Kodi ubwino ndi zoopsa zake ndi ziti?

Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali ubwino ndi zoopsa zazing'ono kwambiri.

Ubwino waukulu

• Simudzafunika kumwa mankhwala oletsa kugunda kwa mtima wanu (koma mungafunike kupitiriza kumwa mankhwala ochepetsa magazi).
• Zizindikiro monga chizungulire, kutopa, ndi kupuma movutikira zimachepa ndipo moyo wabwino umakula.
• Mudzatha kuchita zinthu zolimbitsa thupi zambiri kuposa kale.
• Zimachepetsa kufunika kopita kuchipatala kapena kupita ku Dipatimenti Yothandiza Pangozi (ETU) pafupipafupi chifukwa cha mavuto a mtima.
• Izi ndi zabwino kwambiri komanso chitetezoKukhala njira yochizira.

Mavuto omwe angatheke (osowa kwambiri)

Mavuto ndi osowa, koma ndikofunikira kuwadziwa.

• Kuchulukana kwa madzi mu nembanemba yozungulira mtima (pericardial effusion).
• Mtundu wina wa kugunda kwa mtima kosakhazikika.
• Kuchepa kwa ntchito ya ventricle yakumanzere ya mtima (izi zitha kukonzedwa ndi pacemaker yapadera).
• Imfa yadzidzidzi (izi n’zosowa kwambiri).

Dokotala wanu adzakufotokozerani zoopsa izi mwatsatanetsatane.

Kodi chimachitika ndi chiyani mukalandira chithandizo?

Pambuyo poti chithandizo chatha, dokotalayo adzachotsa ma catheter ndikusunga malo oikiramo kwa mphindi pafupifupi 15. Pambuyo pake, muyenera kugona pabedi kwa maola angapo.

Nthawi zambiri mumakhala m'chipatala usiku wonse kenako n'kupita kunyumba tsiku lotsatira. Ndizachibadwa kumva kutopa pang'ono komanso kupweteka kwa masiku awiri kapena atatu mutabwerera kunyumba. Koma mudzatha kuyambiranso ntchito zanu zachizolowezi pasanathe masiku angapo.

Mudzapemphedwa kuti mudzabwere kudzaonananso ndi dokotala mwezi umodzi mutagwiritsa ntchito chida chothandizira kupuma. Pambuyo pake, mudzafunika kukaonana ndi dokotala kamodzi kapena kawiri pachaka.

Nthawi yoti mukaonane ndi dokotala

Mukalandira chithandizo, ngati mukukumana ndi zizindikiro zotsatirazi, dziwitsani dokotala wanu nthawi yomweyo.

Kodi pali njira zina zochiritsira?

Inde. Chithandizo china chomwe chimaonedwa kuti ndi njira ina m'malo mwa `AV Node Ablation` ndi `Pulmonary Vein Isolation` (PVI) .

Izi zimaphatikizapo kupeza malo omwe zizindikiro zamagetsi zachilendo zomwe zimayambitsa AFib zimayambira (m'mitsempha ya m'mapapo) kenako kuzichotsa kuti zisiye. Pambuyo pa chithandizo cha PVI, nthawi zambiri sikofunikira pacemaker. Komabe, dokotala wanu adzasankha chithandizo chimodzi mwa ziwirizi chomwe chili chabwino kwa inu.

Kusankha kukhala ndi AV Node Ablation si chinthu chophweka. N'kosatheka kusintha. Ndipo anthu ena sakonda lingaliro lokhala ndi pacemaker moyo wawo wonse. Komabe, chipambano cha chithandizochi chili pafupi ndi 100%. Ndipo mpumulo ndi ubwino wa moyo wanu zomwe zimabweretsa ndi zapamwamba kwambiri.

Choncho, kambiranani momasuka mafunso anu onse ndi mantha anu ndi dokotala wanu. Iye adzakufotokozerani zonse ndikukuthandizani kupanga chisankho chabwino kwambiri pa vuto lanu.