Kodi kugunda kwa mtima wanu sikuli bwino? Mutha kulandira chithandizo cha AV Node Ablation (AV Node Ablation).

Kodi munayamba mwamvapo ngati mtima wanu ukugunda mofulumira kwambiri, wosalamulirika? Zili ngati ng'oma ikugunda mofulumira koma yopanda kamvekedwe kalikonse. Mu zamankhwala, timatcha vutoli Atrial Fibrillation . Nthawi zambiri, izi zimatha kulamulidwa ndi mankhwala. Komabe, ngati sizingalamuliridwe ndi mankhwala, lero tikulankhula za njira yapadera yothandizira yomwe madokotala amagwiritsa ntchito.

Mwachidule, kodi AV Node Ablation ndi chiyani?

Chabwino, dzinali likumveka lovuta pang'ono, koma njira yake ndi yosavuta. Mwachidule, AV Node Ablation ndi njira yosavulaza kwambiri yomwe imaphatikizapo kuwononga gawo laling'ono la minofu mumtima mwanu lotchedwa AV node (Atrioventricular node) ndi kutentha kapena kuzizira kwambiri, zomwe zimailetsa kugwira ntchito.

Tsopano mwina mukuganiza kuti, "O, kodi mukutanthauza kuletsa gawo la mtima?" Musadandaule, tiyeni timvetse bwino za zimenezo.

Ganizirani za AV node iyi ngati malo olumikizirana magetsi a mtima. Zizindikiro zamagetsi zimatumizidwa kuchokera ku zipinda zapamwamba (atria) za mtima kupita ku zipinda zapansi (ventricles) kudzera mu malo olumikizirana awa. Mu atrial fibrillation, zizindikiro zamagetsi zochokera ku zipinda zapamwamba zimakhala zosokoneza kwambiri komanso zachangu. Chifukwa chake, kuti tiletse zizindikiro zosokoneza izi kupita ku zipinda zapansi, timatseka malo olumikizirana awa (AV node).

Ndani kwenikweni amene akufunikira chithandizochi?

Matenda a Atrial Fibrillation ndi matenda omwe ayenera kuchiritsidwa. Komabe, AV Node Ablation si yoyenera aliyense. Dokotala wanu angakulangizeni chithandizochi ngati muli m'gulu limodzi mwa magulu awa:

• Ngati mankhwala sakugwira ntchito: Ngati mankhwala operekedwa kuti achepetse kuthamanga kwa magazi m'thupi sangathe kulamulira kugunda kwa mtima wanu.
• Ngati simungathe kulekerera mankhwala: Anthu ena amavutika kupitiriza kugwiritsa ntchito mankhwalawo chifukwa cha zotsatirapo zake.
• Ngati njira zina zothandizira zalephera: Ngati njira zina zothandizira, monga kuimitsa mitsempha ya m'mapapo, zalephera kulamulira kugunda kwa mtima.
• Ngati muli kale ndi pacemaker: Nthawi zina chithandizochi chingalandiridwenso kwa anthu omwe amagwiritsa kale pacemaker pazifukwa zina.

Kuchotsa kwa AV Node sikuchiza Atrial Fibrillation yokha, komanso kugunda kwa mtima kwina kosakhazikika komwe kumachitika m'zipinda zapamwamba za mtima. Mwachitsanzo:

• Kuthamanga kwa Atrial
• Kuthamanga kwa magazi m'thupi (Supraventricular Arrhythmias)

Momwe chithandizochi chimagwirira ntchito, sitepe ndi sitepe

Ngakhale kuti iyi si opaleshoni yaikulu, ndi chinthu chomwe chimachitidwa mosamala kwambiri.

Kodi chimachitika ndi chiyani musanalandire chithandizo?

Ngati mulibe kale chothandizira pacemaker, mudzaikidwa chothandizira pacemaker chokhazikika milungu ingapo chithandizochi chisanachitike, kapena nthawi zina patsiku la chithandizocho. Kuphatikiza apo, dokotala wanu adzachita kafukufuku wa electrophysiology wa mtima wanu kuti adziwe komwe kuli node ya AV.

Mukayamba chithandizo:

1. Katemera kakang'ono (IV) kadzaikidwa mumtsempha wa m'dzanja lanu ndipo mudzapatsidwa mankhwala oti akupatseni tulo tochepa (kupumula).

2. Kumva kuwawa pakhungu pamalo monga m'chiuno, pakhosi, kapena padzanja.

3. Kudzera mmenemo, machubu aatali kwambiri (catheters) amalowetsedwa mumtima mwanu kudzera mu imodzi mwa mitsempha yanu.

Kodi chimachitika ndi chiyani panthawi ya chithandizo?

Pambuyo poika catheter, gulu lachipatala:

• Zizindikiro zanu zofunika pa moyo ndi kayimbidwe ka mtima wanu zidzapitirira kuonedwa.
• Pogwiritsa ntchito ukadaulo wa X-ray, catheter imatsogozedwa ku node ya AV.
• Pogwiritsa ntchito nsonga ya catheter yapadera, node ya AV imachotsedwa ndi kutentha (Radiofrequency ablation) kapena kuzizira kwambiri (Cryoablation) .

Pambuyo pa chithandizo?

Akamaliza opaleshoni, dokotalayo adzachotsa ma catheter ndikuwasunga pamalo pake kwa mphindi pafupifupi 15. Kenako adzakupemphani kuti mugone pabedi kwa maola angapo. Nthawi zambiri mudzakhala m'chipatala usiku wonse ndikupita kunyumba tsiku lotsatira.

Kusiyana pakati pa AV Node Ablation ndi PVI

Anthu ena amasankha chithandizo chotchedwa Pulmonary Vein Isolation (PVI) m'malo mwa AV Node Ablation. Ngakhale kuti zonsezi cholinga chake ndi kuchepetsa Atrial Fibrillation, pali kusiyana pang'ono pa njira ndi zotsatira zake. Tiyeni tiwone motere.

Kodi ubwino ndi zoopsa zake ndi ziti?

Ubwino wa izi

• Kugunda kwa mtima kwabwino: N'zotheka kulamulira kugunda kwa mtima popanda mankhwala (komabe, mungafunike kupitiriza kumwa mankhwala ochepetsa magazi).
• Moyo wabwino: Zizindikiro zimachepa, moyo umakhala wabwino.
• Kuchita masewera olimbitsa thupi: Mphamvu ya thupi yogwira ntchito molimbika imawonjezeka.
• Kuchepa kwa anthu ogonekedwa m'chipatala: Chiwerengero cha anthu ogonekedwa m'chipatala mwadzidzidzi kapena kupita ku Chipinda Chothandizira Padzidzidzi (ETU) chimachepa.

Kodi pali zoopsa zilizonse?

Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali zoopsa zazing'ono kwambiri, koma izi zimachitika kawirikawiri.

• Mavuto ndi pacemaker yoyikidwa.
• Kugunda kwa mtima kosakhazikika (kugunda kwa mtima kosasinthasintha m'zipinda zapansi pa mtima).
• Kuchepa kwa ntchito ya ventricle yakumanzere ya mtima (izi zitha kukonzedwanso poika pacemaker lead yowonjezera (Biventricular pacing).

Kodi muyenera kukaonana ndi dokotala liti?

Mukatha kugwiritsa ntchito pacemaker, muyenera kupita kwa dokotala nthawi zonse. Nthawi zambiri mukatha mwezi woyamba, kenako kamodzi kapena kawiri pachaka. Komabe, ngati mukukumana ndi zizindikiro zotsatirazi, pitani kwa dokotala nthawi yomweyo.

Kusankha kukhala ndi AV Node Ablation sikophweka. Chifukwa sichingasinthe ndipo muyenera kukhala ndi pacemaker moyo wanu wonse. Komabe, kupambana kwanu n'kwapamwamba kwambiri. Chifukwa chake, kambiranani mafunso anu onse ndi mantha anu ndi dokotala wanu. Chofunika kwambiri ndikudziwa chilichonse ndikupanga chisankho choyenera kwa inu.