Kodi nthawi zina mumamva mtima wanu ukugunda mofulumira, kapena kugunda kwa mtima kwanu kukudumphadumpha, kapena kugunda mwanjira yachilendo? Nthawi zina izi zingabwere ndi kupsinjika pachifuwa ndi chizungulire. M'mawu azachipatala, mtundu uwu wa kusokonezeka kwa kugunda kwa mtima umatchedwa 'Arrhythmia'. Ngakhale mutamwa mankhwala, vutoli nthawi zina limakhala lovuta kuliletsa. Koma musadandaule, pali mankhwala othandiza kwambiri, osavulaza. Chithandizo chimenecho, chomwe ndi Cardiac Ablation, ndicho chomwe tikambirana lero.
Mwachidule, kodi kuchotsa mtima m'thupi n'chiyani?
Tangoganizani kuti pali 'waya' yaying'ono 'yaifupi' kapena yolakwika kwinakwake mu dongosolo lamagetsi m'nyumba mwanu. Kenako kuwala sikumayaka koma 'kumawala', kapena kumazimitsa mwadzidzidzi, eti? Ndicho chimene chimachitika mumtima mwathu. Mtima wathu ukugunda ndi dongosolo lofewa la zizindikiro zamagetsi. Ngati zizindikiro zamagetsi izi ziyamba pamalo olakwika, kapena ngati zipita molakwika, kugunda kwa mtima kumakhala kosakhazikika.
Kuchotsa Mitsempha ya Mtima (komwe kumatchedwanso kuti Kuchotsa Mitsempha ya Mtima) ndi njira yochizira yomwe imapeza kachigawo kakang'ono kwambiri ka minofu mumtima komwe kamayambitsa zizindikiro zamagetsi zosazolowereka ndikuzimitsa. Iyi si njira yochizira kwambiri. Dokotala wa mtima amaika chubu chopyapyala komanso chosinthasintha (chimenechi ndi chomwe timachitcha kuti catheter ) mumtima mwanu kudzera mu mtsempha waukulu wamagazi m'mimba mwanu, m'dzanja, kapena pakhosi.
Kenako, pogwiritsa ntchito zida zomwe zili kumapeto kwa catheter iyi, dera la minofu ya mtima lomwe lili ndi vutoli limachiritsidwa. Pali njira zingapo zochitira izi:
- Kutulutsa Mafunde Ochokera Ku Radiofrequency: Mafunde ochokera ku radiofrequency (kutentha) amagwiritsidwa ntchito kutentha minofu, ndikupanga chilonda chaching'ono.
- Kuzizira: Pogwiritsa ntchito kuzizira kwambiri, minofu imazizira, zomwe zimapangitsa kuti pakhale chilonda.
- Kutulutsa kwa Mpweya Wozungulira: Izi zimagwiritsa ntchito mafunde afupiafupi a mphamvu zamagetsi kuti ziwononge minofu.
Chifukwa cha chilonda chaching'ono chomwe chimapangidwa motere, chizindikiro chamagetsi cholakwika sichingadutse pamalo amenewo. Zili ngati kuyika tepi yotetezera kutentha pa short circuit m'nyumba mwanu. Kenako kugunda kwa mtima wanu kumabwerera mwakale. Simudzamva ululu uliwonse panthawi ya chithandizochi. Mungapatsidwe mankhwala oletsa ululu kapena mankhwala oletsa ululu.
Kodi chithandizochi chimachiza matenda a mtima amtundu wanji?
Kuchotsa mtima kumagwiritsidwa ntchito makamaka pochiza matenda a mtima osakhazikika. Iyi ndi njira yabwino kwambiri yothetsera vutoli ngati silingathe kulamuliridwa ndi mankhwala kapena ngati likuika moyo pachiswe.
Onani tebulo ili m'munsimu kuti muwone matenda akuluakulu omwe mankhwalawa amagwiritsidwa ntchito.
| Mkhalidwe wa Matenda (Mtundu wa Arrhythmia) | Mwachidule, kodi chikuchitika n’chiyani? |
|---|---|
| Kusokonezeka kwa Atrial (AFib) ndi Atrial Flutter (AF) | Pamenepa, zipinda ziwiri zapamwamba za mtima (atria) zimagunda mofulumira kwambiri komanso mosakhazikika. Zimakhala ngati zikunjenjemera. Izi zimapangitsa kuti magazi azisonkhana pamalo amodzi m'malo mopopa bwino, zomwe zingayambitse kupanga magazi oundana. Ngati magazi oundanawa apita ku ubongo, angayambitse matenda oopsa monga sitiroko. |
| Supraventricular Tachycardia (SVT) | Uku ndi kugunda kwa mtima kwadzidzidzi komanso kofulumira kwambiri (mpaka kugunda 300 pamphindi). Ngakhale kuti nthawi zambiri izi zimatha pakapita nthawi, ngati zipitirira kapena zimachitika kawirikawiri, zimatha kuwononga mtima. |
| Tachycardia ya Ventricular (VT) | Imeneyi ndi vuto loopsa. Zipinda ziwiri zapansi pa mtima (ma ventricles) zimayamba kugunda mofulumira kwambiri. Izi zimalepheretsa mtima kupopa magazi moyenera. Izi zimawonjezera chiopsezo cha mtima kuima mwadzidzidzi. |
Kuphatikiza apo, chithandizochi chingalimbikitsidwe kwa anthu omwe ali pachiwopsezo chachikulu cha kulephera kwa mtima mwadzidzidzi. Nthawi zina, kuti adziwe komwe vutoli likuchokera, madokotala amachita kafukufuku wa electrophysiology (EP) asanayambe njira iyi yochotsera magazi. Izi zimaphatikizapo kugwiritsa ntchito catheter kuyeza zizindikiro zamagetsi mkati mwa mtima.
Kodi ndiyenera kukonzekera bwanji ndisanalandire chithandizo?
Dokotala wanu akasankha kuchita chithandizochi, pali zinthu zingapo zomwe muyenera kuchita. Dokotala wanu adzakufotokozerani zonsezi momveka bwino.
- Mankhwala ochepetsa magazi: Ngati mukumwa mankhwala ochepetsa magazi (monga apixaban, rivaroxaban, warfarin), dokotala wanu adzakuuzani masiku angati musanalandire chithandizo. Musasiye kumwa mankhwala awa popanda upangiri wa dokotala wanu.
- Chakudya ndi zakumwa:Mudzapemphedwa kuti musamadye kapena kumwa kwa maola angapo musanalandire chithandizo (nthawi zambiri kuyambira pakati pausiku).
- Munthu woti akutsogolereni kunyumba: Konzani pasadakhale kuti wina akutsogolereni kunyumba mutalandira chithandizo.
- Zovala ndi katundu: Valani zovala zabwino mukabwera kuchipatala. Ndi bwino kusiya zinthu zamtengo wapatali monga zodzikongoletsera ndi ndalama kunyumba.
- Mzere wa IV: Ku chipatala, chubu chaching'ono (mzere wa IV) chimayikidwa mu mtsempha womwe uli m'dzanja lanu. Apa ndi pomwe mudzapatsidwa mankhwala ofunikira, saline, ndi mankhwala oletsa ululu.
Kodi chimachitika ndi chiyani panthawi ya chithandizo?
Izi sizowopsa kwenikweni monga momwe mungaganizire. Njira yonseyi ikuyenda motere:
1. Kukonzekera: Malo omwe catheter idzalowetsedwera (nthawi zambiri m'chiuno) amametedwa, kutsukidwa, ndi kuchotsedwa dzanzi.
2. Kulowetsa chidebe: Kachubu kakang'ono (chidebe) kamalowetsedwa kudzera pakhungu kupita mumtsempha wamagazi kuti apange njira.
3. Kuika Catheter: Ma catheter abwino okhala ndi ma electrode amaikidwa kudzera munjira yokonzedwa. Izi zimatsogozedwa mosamala kupita kumtima popanda kutsogozedwa ndi X-ray.
4. Kujambula vuto: Zikalowa mumtima, zizindikiro zochokera ku catheter zimafufuzidwa kuti zipeze malo enieni a zizindikiro zamagetsi zolakwika (kujambula).
5. Chithandizo (Kuchotsa): Malo oyenera akapezeka, monga tafotokozera kale, minofuyo imachiritsidwa ndikuchotsedwa pogwiritsa ntchito kutentha, kuzizira, kapena mphamvu ina.
6. Kumaliza: Pambuyo poti chithandizo chatha, catheter ndi sheath zimachotsedwa mosamala ndipo pulagi kapena suture zimayikidwa kuti magazi asiye kutuluka.
Ntchito yonseyi nthawi zambiri imatenga pakati pa maola awiri ndi anayi, koma nthawi zina imatha kutenga nthawi yayitali.
Kodi chimachitika ndi chiyani mukalandira chithandizo?
Mukalandira chithandizo, mudzatengedwera ku chipinda chochiritsira odwala kwa maola angapo. Namwino adzapitiriza kuyang'anira matenda anu. Kutengera ndi matenda anu, mutha kupita kunyumba tsiku lomwelo, kapena mungafunike kugona m'chipatala usiku wonse.
Mukapita kunyumba, mudzapatsidwa malangizo oti mutsatire kunyumba. Mungapemphedwe kuti mutenge mankhwala ochepetsa magazi kuti mupewe kuundana kwa magazi. Kutengera ndi mbiri yanu yachipatala, mungafunike kumwa mankhwala awa kwa miyezi ingapo kapena kuposerapo.
Kumbukirani, pamene minofu ya mtima ikuchira mkati mwa miyezi itatu yoyambirira mutalandira chithandizo, zizindikiro zina zakale zingabwererenso. Izi ndi zachilendo. Koma uzani dokotala wanu za izi.
Kodi ubwino ndi zoopsa za chithandizochi ndi ziti?
Monga chithandizo chilichonse, izi zili ndi ubwino komanso zoopsa zazing'ono.
Ubwino
- IziSi opaleshoni yaikulu. Simukuyenera kumangiridwa pachifuwa. Kuti muthe kuchira mwachangu.
- Zimapereka mwayi wochiritsira matenda a mtima omwe sangathetsedwe ndi mankhwala.
- Ena angapulumutse miyoyo ku zinthu zomwe zingawopseze moyo.
- Mukhoza kuchotsa zotsatirapo zoyipa za mankhwala.
Zoopsa
Kuopsa kwa kuchotsedwa kwa mtima ndi kochepa kwambiri. Mavuto ndi osowa, makamaka kuchipatala chodziwa bwino ntchito chomwe chimachita chithandizochi pafupipafupi. Koma ndi bwino kudziwa.
- Magazi amaundana
- Kuwonongeka kwa mtsempha wamagazi komwe catheter idayikidwa
- Kuwonongeka kwa minofu ya mtima kapena ma valve
- Matenda kapena kutuluka magazi
- Stroke
- Kufunika kwa pacemaker yokhazikika (yosowa kwambiri)
Kodi ndiyenera kuyamba liti kugwira ntchito mwachizolowezi?
Kuchira kwanu kungasiyane malinga ndi munthu.
- Kubwerera kuntchito: Ngati mugwira ntchito yosatopetsa, monga kunyamula zolemera, mutha kubwerera kuntchito patatha pafupifupi sabata imodzi.
- Kukweza zolemera: Pewani kukweza chilichonse cholemera kuposa mapaundi 10 (pafupifupi makilogalamu 4.5) kwa sabata imodzi.
- Kuchita masewera olimbitsa thupi ndi kuyendetsa galimoto: Funsani dokotala wanu za nthawi yabwino yoti muyambenso kuchita masewera olimbitsa thupi ndi kuyendetsa galimoto.
Ndi zizindikiro ziti zomwe ndiyenera kuwonana ndi dokotala?
Ngati mukukumana ndi zizindikiro zilizonse zomwe zili pansipa mukapita kunyumba mutalandira chithandizo, muyenera kuyimbira dokotala nthawi yomweyo . Nthawi zina zingafunike chithandizo mwamsanga ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) ya chipatala.
| Chizindikiro | Zoyenera kuchita |
|---|---|
| Kutuluka magazi, kutupa, kupweteka, kapena kumva ngati pali ziphuphu pamalo pomwe paikidwa catheter. | Lankhulani ndi dokotala wanu. |
| Kupweteka pachifuwa, chizungulire, kapena kumva ngati mutu watha. | Lankhulani ndi dokotala wanu. |
| Kusanza kapena kusanza. | Lankhulani ndi dokotala wanu. |
| Ngati chithandizocho chinachitikira m'mimba, dzanzi, ululu, kapena kumva kuwawa mwendo. | Lankhulani ndi dokotala wanu. |
| Pitani ku Dipatimenti Yothandiza Anthu Odwala Matenda Adzidzidzi (ETU) nthawi yomweyo! (Zizindikiro za sitiroko) | |
| Mbali imodzi ya nkhope ikugwa, mkono wopanda moyo. | Izi zitha kukhala zizindikiro za sitiroko. Pitani kuchipatala nthawi yomweyo. |
| Zizindikiro zoopsa monga kugunda kwa mtima mofulumira, chizungulire, kupuma movutikira, kapena kupweteka pachifuwa zimachitika kapena zimatha kwa maola opitilira atatu. | Pitani kuchipatala nthawi yomweyo. |
Pomaliza, ndi zachilendo kumva mantha pang'ono kapena kuda nkhawa ndi opaleshoni kapena chithandizo cha mtima wanu. Komabe, Cardiac Ablation ndi njira yotetezeka komanso yotsika mtengo yomwe yagwiritsidwa ntchito bwino pochiza anthu ambiri omwe ali ndi vuto la mtima. Ngati muli ndi mafunso okhudza izi, chonde funsani dokotala wanu. Mukamvetsetsa njirayi, mantha anu adzachepa.
Uthenga Wopita Nawo Kunyumba
- Kuchepetsa kugunda kwa mtima ndi njira yochepetsera kusinthasintha kwa mtima (arrhythmias).
- Izi zikuphatikizapo kupeza gawo laling'ono la minofu ya mtima lomwe likupanga zizindikiro zamagetsi zolakwika, kulichiza, ndikuliletsa.
- Uwu ndi mankhwala opambana kwambiri komanso otetezeka, ndipo chiopsezo cha mavuto ndi chochepa kwambiri.
- Zingatenge milungu ingapo kuti mtima uchiritse bwino mutalandira chithandizo, ndipo zizindikiro zina zingabwerenso panthawiyo.
- Tsatirani malangizo a dokotala wanu mosamala mukatha kulandira chithandizo, makamaka pankhani ya mankhwala ndi kupuma.
- Ngati mukukumana ndi zizindikiro zachilendo (makamaka kupweteka pachifuwa, chizungulire chachikulu, zizindikiro za sitiroko), funsani upangiri wa dokotala nthawi yomweyo.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu