Kodi munayamba mwamvapo ngati mtima wanu wayamba kugunda mofulumira kwambiri, kapena kuti ukugunda mopanda mphamvu? Kapena mumamva zachilendo ngati gulugufe akukupiza pachifuwa? M'mawu azachipatala, vutoli timalitcha kuti 'Arrhythmia' kapena kugunda kwa mtima kosakhazikika. Lero tikulankhula za njira yapadera, koma yapamwamba kwambiri yochiritsira yomwe madokotala amagwiritsa ntchito pamene izi sizingathe kulamulidwa ndi mankhwala.
Mwachidule, kodi kuchotsa mtima m'thupi n'chiyani?
Kuchotsa mtima (komwe kumadziwikanso kuti Catheter Ablation) ndi njira yochizira kugunda kwa mtima kosazolowereka (arrhythmias). Tangoganizani kuti mtima wathu uli ndi dongosolo lamagetsi, ndipo ndi zizindikiro zomwe umalandira zomwe zimapangitsa kuti ugwire bwino ntchito. Nthawi zina, madera ang'onoang'ono a dongosolo lamagetsili amatha kupanga ma impulses osazolowereka amagetsi. Njirayi imafufuza madera a minofu omwe akutumiza zizindikiro zosazolowerekazo ndi "kuzimitsa."
Iyi si opaleshoni yaikulu. Imachitika ndi dokotala wa mtima. Iye amaika chubu choonda kwambiri (catheter) mumtima mwanu kudzera mu mtsempha wa m'mimba mwanu, mkono, kapena khosi. Kenako, kutentha (radiofrequency ablation), kuzizira kwambiri (cryoablation), kapena mafunde afupiafupi (pulsed field ablation) amatumizidwa kudzera mu chubuchi, zomwe zimapangitsa zipsera zazing'ono m'minofu komwe zizindikiro zachilendo zimachokera. Zipsera izi zimaletsa zizindikiro zamagetsi zachilendo kuyenda, ndipo kugunda kwa mtima kumabwerera mwakale.
Pa nthawi ya chithandizochi, mutha kupatsidwa mankhwala oletsa ululu kapena kupatsidwa mankhwala oletsa ululu. Izi zidzakuthandizani kuti musamve kupweteka kulikonse. Zilonda zomwe zimachitika chifukwa cha njirayi sizikhudza momwe mtima umagwirira ntchito.
Kodi chithandizochi chimachiza matenda amtundu wanji?
Kuchotsa mtima ndi njira yochizira kugunda kwa mtima mofulumira kwambiri (tachyarrhythmias). Komabe, nthawi zambiri sikuperekedwa ngati njira yoyamba. Dokotala wanu angakulangizeni chithandizochi pokhapokha ngati arrhythmia yanu singathetsedwe ndi mankhwala. Dokotala wanu adzafufuza mtima wanu mosamala komanso thanzi lanu lonse asanasankhe ngati chithandizochi chili choyenera kwa inu.
Mankhwalawa amagwiritsidwa ntchito kwambiri pa matenda otsatirawa.
| Mkhalidwe | Kufotokozera kosavuta |
|---|---|
| Kusokonezeka kwa Atrial (Afib) ndi Atrial Flutter | Zipinda zapamwamba za mtima (atria) zimagunda mosagwirizana komanso mwachangu. Izi zitha kuwonjezera chiopsezo cha magazi kuundana ndi sitiroko. |
| Supraventricular Tachycardia (SVT) | Mtima umayamba kugunda mofulumira kwambiri (mpaka nthawi 300 pa mphindi). Ngati izi zipitirira, zingawononge mtima. |
| Tachycardia ya Ventricular (VT) | Zipinda zapansi pa mtima (ventricles) zimagunda mofulumira kwambiri. Izi zitha kukhala vuto loopsa kwambiri , chifukwa lingayambitse kulephera kwa mtima. |
Kuphatikiza apo, chithandizochi chingalimbikitsidwenso kwa iwo omwe ali pachiwopsezo chachikulu cha matenda oopsa monga kulephera kwa mtima mwadzidzidzi kapena Ventricular Fibrillation (V-Fib).
Kodi mumakonzekera bwanji musanalandire chithandizo?
Musanayambe njirayi, muyenera kuchita izi:
- Siyani kumwa mankhwala ochepetsa magazi: Ngati mukumwa mankhwala monga aspirin kapena warfarin, mungapemphedwe kuti musiye kumwa kwa masiku angapo. Koma chitani izi monga momwe dokotala wanu walangizira, komanso kuyambira tsiku limene wakuuzani. Musasiye nthawi iliyonse yomwe mukufuna.
- Pewani kudya kapena kumwa: Mudzapemphedwa kuti musiye kudya kapena kumwa kwa maola angapo musanachite opaleshoniyi, nthawi zambiri pakati pausiku. Dokotala wanu adzakupatsani malangizo enieni pankhaniyi.
- Munthu woti akuthandizeni kupita kunyumba: Konzani pasadakhale kuti wina akutengereni kunyumba mukamaliza opaleshoni.
- Mzere wa IV umayikidwa: Mzere wa IV (monga chubu chomwe chimagwiritsidwa ntchito kukupatsani saline) umayikidwa mumtsempha womwe uli m'dzanja lanu. Apa ndi pomwe mudzapatsidwa mankhwala ofunikira komanso mankhwala oletsa ululu.
- Zovala ndi katundu: Valani zovala zabwino. Ndi bwino kusiya zodzikongoletsera ndi katundu wamtengo wapatali kunyumba.
Kodi chimachitika ndi chiyani panthawi ya chithandizo?
Nayi njira yofotokozera zomwe zimachitika panthawi ya ablation:
1. Choyamba, malo omwe catheter idzalowetsedwe (nthawi zambiri m'chiuno) amatsukidwa ndipo khungu limasanduka dzanzi.
2. Kenako, chubu chaching'ono (chophimba) chimalowetsedwa mu mtsempha wamagazi, ndikupanga njira yoti catheter ilowe.
3. Ma catheter abwino okhala ndi ma electrode amadutsa m'chimake ndi m'mitsempha yamagazi kupita kumtima. Izi zimachitika motsogozedwa ndi njira yofanana ndi X-ray.
4. Akalowa mumtima, ma catheter amenewa 'amalemba' momwe magetsi a mtima amagwirira ntchito ndi kuzindikira komwe zizindikiro zolakwika zikuchokera.
5. Malo ovunda akapezeka, kutentha, kuzizira, kapena mafunde amphamvu amatumizidwa kuchokera kumapeto kwa catheter kuti akachiritse minofu ndikuletsa zizindikiro zolakwika kuti zisadutse.
6. Pomaliza, catheter ndi sheath zimachotsedwa mosamala.
Ntchito yonseyi nthawi zambiri imatenga maola awiri kapena anayi, nthawi zina nthawi yayitali.
Kodi chimachitika ndi chiyani mukalandira chithandizo?
Pambuyo pa opaleshoniyi, mudzatengedwera ku chipinda chochiritsira odwala. Muyenera kukhala kumeneko kwa maola angapo. Namwino adzapitiriza kuyang'anira momwe mulili, kugunda kwa mtima wanu, ndi kuthamanga kwa magazi. Kutengera ndi momwe mulili, mutha kupita kunyumba tsiku lomwelo, kapena mungafunike kugona m'chipatala usiku wonse.
Mukapita kunyumba, mudzapatsidwa malangizo omveka bwino oti mutsatire kunyumba. Dokotala wanu adzakupatsani aspirin kapena mankhwala ena ochepetsa magazi kuti mupewe kuundana kwa magazi. Izi zingafunike kumwedwa kwa miyezi ingapo kapena kuposerapo.
Ubwino ndi kupambana kwa chithandizo
Iyi ndi njira yochepetsera kuvutika maganizo yomwe siifuna kukhala kuchipatala kwa nthawi yayitali, ndipo ingathandize kubwezeretsa kagwiridwe ka mtima komwe sikungathe kulamulidwa ndi mankhwala. Nthawi zina, ikhoza kukhala njira yopulumutsira moyo .
Ngati zikuyenda bwino, zimatengera mtundu wa arrhythmia yomwe muli nayo.
- Mikhalidwe ngati SVT ili ndi chiwopsezo chachikulu cha 90% - 95% .
- Pa matenda monga Afib ndi VT, chiŵerengero cha kupambana chili pakati pa 60% - 80% .
Kodi zoopsa ndi zinthu zotani zomwe muyenera kudziwa?
Kuopsa kwa kuchotsedwa kwa mtima ndi kochepa kwambiri. Mavuto ndi osowa, makamaka kuchipatala komwe chithandizo chamtunduwu chimachitidwa nthawi zonse. Komabe, pali zoopsa zina zomwe muyenera kudziwa:
- Magazi amaundana
- Kuwonongeka kwa catheter ku mitsempha yamagazi kapena ma valve amtima
- Matenda kapena kutuluka magazi
- Stroke
- Kufunika kuikidwa pacemaker yokhazikika
Ngati ndinu mayi woyembekezera, lankhulani ndi dokotala wanu ngati chithandizochi chingachedwetsedwe mpaka mwana atabadwa.
Nthawi zina chithandizo chimodzi chokha cha ablation sichingathe kuchiza matendawa kwathunthu. Ngati zizindikiro zibwereranso, chithandizo china cha ablation chingafunike mtsogolo. Komanso, zotsatira za chithandizocho sizingakhalepo nthawi yomweyo. Zizindikiro zina zimatha kupitirira kwa milungu ingapo pamene minofu ya mtima ikuchira.
Kuchira ndi nthawi yoti mukaonane ndi dokotala
Zingatenge milungu ingapo kuti muchire bwino. Pewani kunyamula katundu wolemera makilogalamu opitilira 5 kapena kuchita masewera olimbitsa thupi kwa sabata imodzi mutatha opaleshoni. Funsani dokotala wanu nthawi yomwe mungabwerere kuntchito ndikuyendetsa galimoto.
Ngati mukukumana ndi zizindikiro zotsatirazi, imbani dokotala nthawi yomweyo.
| Zizindikiro zomwe zimafuna chithandizo chamankhwala mwachangu | |
|---|---|
| Kutuluka magazi kapena kutupa ngati chotupa komwe katheta inayikidwa | Kupweteka pachifuwa |
| Chizungulire kapena kukomoka | Kumva kuti mtima ukugunda mofulumira |
| Kutupa (edema) kapena kupweteka kumene catheter inayikidwa | Kusanza mwendo (ngati kumachitika kuchokera m'chiuno) |
| Zadzidzidzi! - Pitani ku ETU nthawi yomweyo: kugwada mbali imodzi ya nkhope, kufooka kwa mkono kapena mwendo, kuvutika kulankhula (izi zitha kukhala zizindikiro za sitiroko). | |
Uthenga Wopita Nawo Kunyumba
- Kuchepetsa mtima ndi njira yotetezeka komanso yosavulaza yochizira kugunda kwa mtima kosakhazikika (arrhythmias).
- Izi nthawi zambiri zimalimbikitsidwa pamene matendawa sangathe kuthetsedwa ndi mankhwala.
- Njira zofunika zidzatengedwa kuti muonetsetse kuti simukumva ululu uliwonse panthawi ya chithandizo.
- Zimatenga milungu ingapo kuti munthu achire bwino, ndipo panthawiyi, muyenera kupewa kunyamula zinthu zolemera komanso kugwira ntchito yolemetsa.
- Dziwani zizindikiro zochenjeza zomwe zingachitike mutalandira chithandizo. Ngati muli ndi nkhawa iliyonse, dziwitsani dokotala wanu nthawi yomweyo.
- Ndizachibadwa kuchita mantha mukamva za opaleshoni ya mtima. Koma iyi ndi njira yothandiza komanso yotsika mtengo. Musaope kulankhula ndi dokotala wanu za mafunso aliwonse omwe muli nawo.
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