Ngati mtima wanu wasokonezeka, kutanthauza Atrial Fibrillation (Afib), matenda a mtima, akupitirirabe ngakhale mutamwa mankhwala ndi mankhwala ena, mungamvenso kuti palibe yankho lokhazikika la izi? Nthawi zina vutoli lingakupangitseninso kuda nkhawa kwambiri. Koma musadandaule, chifukwa cha kupita patsogolo kwa sayansi ya zamankhwala, tsopano pali mankhwala othandiza kwambiri pa matenda otere. Ndi anthu otere omwe tikulankhula za njira yatsopano yochiritsira lero.
Kodi njira iyi yosinthira zinthu ndi iti?
Mwachidule, izi ndi kuphatikiza kwa njira ziwiri zothandizira. Izi zikutanthauza opaleshoni yaying'ono yodulira ndi chithandizo chotchedwa catheter ablation . Timachitchanso kuti chithandizo chosakanikirana.
Taganizirani izi, mtima wathu uli ndi njira yolumikizira magetsi. Izi ndi zomwe zimapangitsa kuti mtima ugwire bwino. Mu Afib, zizindikirozi zimasokonekera, ndipo zipinda zapamwamba (atria) za mtima zimatumiza zizindikiro zosakhazikika komanso zachangu. Mu njira yolumikizirana, madokotala ochita opaleshoni ndi akatswiri a mtima amagwira ntchito limodzi kuti apange mabala ang'onoang'ono kwambiri mkati ndi kunja kwa mtima wanu komwe zizindikiro zosakhazikikazi zimachokera. Mabala awa amaletsa zizindikiro zosakhazikika zamagetsi kuyenda. Zili ngati kutseka msewu wolakwika ndikutumiza magalimoto kubwerera pamsewu woyenera.
Kodi chithandizochi ndi choyenera kwa ndani?
Mankhwalawa si a aliyense. Amalimbikitsidwa makamaka pa:
- Kwa iwo omwe ali ndi Afib yosalekeza .
- Kwa iwo omwe amadwala matenda a Afib mobwerezabwereza ngakhale akumwa mankhwala komanso akulandira chithandizo cha catheter ablation.
Ngati muli ndi vuto lofananalo, mutha kulankhula ndi dokotala wanu kuti mudziwe ngati chithandizochi chili choyenera kwa inu.
Kodi mumakonzekera bwanji musanachite opaleshoni?
Monga opaleshoni iliyonse, pamafunika kukonzekera pang'ono.
- Mankhwala ochepetsa magazi (anticoagulants): Ngati mukumwa mankhwala awa, muyenera kuwasiya masiku angapo opaleshoni isanachitike. Dokotala wanu adzakuuzani masiku angati pasadakhale komanso mankhwala oti musiye. Musasiye kumwa mankhwala anu popanda upangiri wa dokotala.
- Kusala Kudya: Musanachite opaleshoni, mudzapemphedwa kuti musiye kudya ndi kumwa kwa nthawi inayake (kusala kudya). Dokotala wanu adzakudziwitsaninso za nthawi imeneyi.
Nthawi zina magawo onse awiri a chithandizochi amachitidwa tsiku limodzi. Nthawi zina amachitidwa motalikirana ndi milungu inayi. Gulu lanu lachipatala lidzakufotokozerani izi.
Kodi opaleshoniyi imachitidwa bwanji?
Chithandizochi chili ndi magawo awiri akuluakulu. Tiyeni tiwone zomwe zimachitika pa gawo lililonse.
| Gawo la chithandizo | Zimene zimachitika n’zosavuta. |
|---|---|
| Gawo Loyamba: Opaleshoni (Kuchiza Mtima Kuchokera Kunja) | Mukamaliza kupatsidwa mankhwala oletsa ululu, dokotala wa opaleshoni ya mtima amadula pang'ono kwambiri, pafupifupi masentimita 3-4 pansi pa fupa la pachifuwa (sternum). Kenako, nembanemba yopyapyala yozungulira mtima (pericardium) imadulidwa ndipo kamera (endoscope) imayikidwa. Kenako, chubu chapadera choyendetsa mphamvu (catheter) chimagwiritsidwa ntchito pochiza (kuchotsa) madera omwe ali kunja kwa mtima omwe akupanga zizindikiro zamagetsi zosazolowereka. Gawoli limatenga pafupifupi ola limodzi ndi theka. |
| Gawo Lachiwiri: Kuchotsa Catheter (Chithandizo Chochokera M'kati mwa Mtima) | Gawoli nthawi zambiri limachitika tsiku lina, milungu ingapo pambuyo pake. Pano, katswiri wa mtima (electrophysiologist) amaika catheter mumtima mwanu kudzera mumtsempha womwe uli m'mimba mwanu. Kenako amachiritsa mkati mwa mtima wanu , m'malo omwe anali ovuta kufikako panthawi ya opaleshoni yapitayi. Mudzapatsidwa mankhwala oletsa ululu pang'ono kapena oletsa ululu panthawiyi. |
Kodi Convergent Plus ndi chiyani?
Nthawi zina, panthawi yomweyi ya opaleshoniyi, madokotala amachita zina kuti achepetse chiopsezo cha sitiroko. Izi zikutanthauza kuti, amatseka gawo laling'ono la atrium yakumanzere ya mtima (gawo la atrium yakumanzere). Pamene njira zowonjezerazi ziwonjezeredwa, timazitcha njira ya "Convergent Plus".
Kodi ubwino wa chithandizochi ndi wotani?
Pali ubwino wambiri wotsatira njira iyi yochizira:
- Kupambana kwakukulu: Izi zimapambana kwambiri kuposa chithandizo chachizolowezi cha catheter ablation chifukwa chimachiza mkati ndi kunja kwa mtima.
- Chiwopsezo chochepa:Pa opaleshoni iyi, madokotala amatha kuona bwino m'mero, womwe uli kumbuyo kwa mtima, kotero chiopsezo chowonongeka ndi chochepa kwambiri.
- Osati opaleshoni yotsegula mtima: Izi sizikutanthauza kuyimitsa mtima wanu ndikuulumikiza ku makina a mtima ndi mapapo (cardiopulmonary bypass).
Kodi pali zoopsa kapena zovuta zilizonse?
Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa ndi zovuta zina zomwe zingachitike. Komabe, izi nthawi zambiri zimakhala zosowa. Izi zikuphatikizapo:
- Chifuwa
- Kutopa
- Kuvuta kupuma
- Stroke
- Kutuluka magazi
- Kuchulukana kwa madzi m'thupi mozungulira mtima (pericardial effusion)
- Kuwonongeka kwa mitsempha
- Kuukira kwa ischemic kwa kanthawi kochepa (TIA)
Palibe chifukwa chodera nkhawa ndi izi. Dokotala wanu adzakufotokozerani zonse bwino musanachite opaleshoni.
Zimatenga nthawi yayitali bwanji kuti munthu achire?
Pambuyo pa gawo loyamba la opaleshoni, muyenera kukhala m'chipatala kwa tsiku limodzi kapena awiri. Ngati gawo lachiwiri liyenera kuchitidwa, mwina lidzachitika patatha miyezi itatu.
Mudzakonzedwa kuti mudzaonanenso ndi dokotala wanu mukadzachira. Izi nthawi zambiri zimachitika patatha milungu itatu mutachitidwa opaleshoni, kenako patatha miyezi 3, 6, ndi 12. Panthawiyo, mungapatsidwe makina ang'onoang'ono (Holter monitor) omwe amavalidwa pachifuwa panu kwa masiku angapo kuti aziyang'anira kugunda kwa mtima wanu.
Kodi mukufuna kukaonananso ndi dokotala liti?
Ngati mukukumana ndi zizindikiro zotsatirazi, dziwitsani dokotala wanu nthawi yomweyo.
- Ngati zizindikiro za Afib (kumva ngati mtima wanu ukugunda mofulumira, chifuwa chanu chikulimba, kutopa) zikubwereranso.
- Ngati pali kutuluka magazi kapena matenda (kutupa, kufiira, mafinya) pamalo obayidwa opaleshoni.
Uthenga Wopita Nawo Kunyumba
- Njira Yogwirizanitsa ndi njira yothandiza kwambiri komanso yamakono yochizira matenda a Atrial Fibrillation (Afib) omwe sangalamuliridwe ndi mankhwala kapena mankhwala wamba.
- Izi ndi kuphatikiza kwa opaleshoni ndi chithandizo cha catheter, kotero zimatha kuthetsa mavuto mkati ndi kunja kwa mtima.
- Kupambana kwa chithandizochi n’kwapamwamba kwambiri, ndipo nthawi yochira ndi yochepa.
- Munthu wabwino kwambiri wodziwa ngati chithandizochi chili choyenera kwa inu ndi dokotala wanu wa mtima. Kambiranani naye za izi momasuka komanso mopanda mantha, ndipo pangani chisankho.
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