Kodi pali vuto ndi dongosolo lamagetsi la mtima wanu? Tiyeni tiphunzire zambiri za Kafukufuku wa EP! (Kafukufuku wa Electrophysiology)

Kodi nthawi zina mumamva ngati mtima wanu ukugunda, chifuwa chanu chikugunda, kapena mukumva kukomoka kapena chizungulire? Zinthu izi zitha kuchitika chifukwa cha vuto laling'ono lamagetsi mumtima mwanu. Apa ndi pomwe dokotala wanu angakuuzeni kuti muchite kafukufuku wa EP. Tiyeni tikambirane izi mwachidule lero.

Mwachidule, kodi Kafukufuku wa EP ndi chiyani?

Kafukufuku wa EP, kapena Kafukufuku wa Electrophysiology, ndi kufufuza mozama kwambiri momwe magetsi amagwirira ntchito mumtima mwanu. Mtima wathu uli ngati pampu yokhala ndi makina ang'onoang'ono amagetsi. Mtima umagunda bwino pokhapokha ngati zizindikiro zamagetsi izi zikuyenda bwino komanso mwadongosolo.

Tangoganizirani, tili ndi makina olumikizira mawaya m'nyumba mwathu. Kuti babu liziyaka pamene switch yayatsidwa, mawaya ayenera kulumikizidwa bwino. Izi ndi zomwe zimachitikanso ndi mtima. Nthawi zina pamakhala vuto laling'ono panjira ya zizindikiro zamagetsi izi, kapena chizindikiro chatsopano chingayambe pamalo olakwika, kapena chizindikirocho chingayende mofulumira kapena pang'onopang'ono kuposa momwe chiyenera kukhalira. Timatcha izi kukhala kugunda kwa mtima kosakhazikika (arrhythmia).

Kafukufuku wa EP umaphatikizapo kuyika machubu owonda kwambiri komanso ofewa (catheters) mumtima kuti mudziwe komwe zizindikiro zamagetsi izi zikuchokera, komwe zikupita, komanso komwe vuto lili. Zili ngati katswiri wamagetsi waluso akupeza cholakwika mu mawaya m'nyumba mwanu. Mwanjira imeneyi, mutha kupeza zambiri kuchokera mkati mwa mtima kuposa ECG, yomwe ndi chomata chomwe mumayika pachifuwa panu.

N’chifukwa chiyani mumachita kafukufuku wa EP? Kodi mupeza chiyani?

Dokotala wanu akamaganiza kuti muli ndi vuto la kugunda kwa mtima kosakhazikika (arrhythmia), amakutumizani ku mayesowa kuti akafufuze zambiri. Kafukufuku wa EP angakuuzeni zambiri zomwe sizimapezeka kawirikawiri mu mayeso monga ECG, Holter monitor, kapena stress test.

Kodi mumakonzekera bwanji Phunziro la EP?

Dokotala wanu adzakupatsani malangizo a momwe mungakonzekerere mayesowa, koma nthawi zambiri, kumbukirani mfundo izi.

Kukonzekera konse

• Kuyendetsa Galimoto: Simungathe kuyendetsa galimoto kwa maola 24 mutatha mayeso, choncho konzani kuti wina akutengeni ndikukutengerani kunyumba.
• Zovala: Valani zovala zopepuka komanso zomasuka mukabwera kuchipatala.
• Zodzikongoletsera ndi zinthu zamtengo wapatali: Chotsani zodzikongoletsera zonse, monga mphete, mikanda, ndi mawotchi, ndipo muzisiye kunyumba.
• Kupaka misomali: Chotsani utoto wonse wa misomali ndi zodzoladzola.
• Matenda a ziwengo: Ngati muli ndi ziwengo ndi zinthu monga latex, kapena ngati muli ndi vuto la mankhwala oletsa ululu, uzani dokotala wanu pasadakhale.

Malangizo okhudza mankhwala ndi zakudya

• Mankhwala omwe mumamwa: Uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini ndi mankhwala azitsamba). Mungapemphedwe kuti musiye kumwa mankhwala ena masiku angapo mayeso asanachitike.Musasiye kumwa mankhwala popanda kufunsa dokotala wanu.
• Matenda a shuga: Ngati muli ndi matenda a shuga, funsani dokotala wanu momwe mungamwere mankhwala anu tsiku loyesedwa.
• Chakudya ndi Chakumwa: Idyani bwino usiku usanachitike mayeso. Komabe, musadye, kumwa, kapena kutafuna chingamu pakati pausiku. Izi ndizofunikira kwambiri kuti mukhale otetezeka. Imwani mankhwala ndi madzi pang'ono ngati pakufunika kutero, ndipo chitani izi pokhapokha ngati dokotala wanu wakuuzani.

Kodi chimachitika ndi chiyani pa tsiku la mayeso?

Kuyesa kumeneku kumachitika m'chipinda chapadera, chotchedwa labu ya EP kapena labu yoyezera catheter.

Mukagona pabedi,

1. Kuyika mzere wa IV: Kansalu kakang'ono (mzere wa IV) kadzalowetsedwa mu mtsempha womwe uli m'dzanja lanu. Apa ndi pomwe mankhwala ndi madzi ofunikira adzaperekedwa panthawi yoyezetsa.

2. Kuyeretsa: Malo omwe amaikamo ma catheter (nthawi zambiri malo a m'chiuno) amametedwa, ngati kuli kofunikira, ndikutsukidwa bwino ndi mankhwala opha tizilombo toyambitsa matenda.

3. Kuthira Majeremusi: Mudzaphimbidwa ndi nsalu yoyera. Manja anu adzamangidwa ndi lamba kuti asakhudze malo oyera.

Pa nthawi ya mayeso

Dokotala adzabaya mankhwala opangitsa kuti munthu asamve kupweteka m'malo omwe catheter idzayikidwemo. Kenako, machubu angapo owonda kwambiri komanso osinthasintha (catheters) adzalowetsedwa mumtsempha kupita mumtima. Simudzamva kupweteka kulikonse mukachita izi. Dokotalayo adzagwiritsa ntchito X-ray monitor (fluoroscopy) kuti atsogolere ma catheter amenewa m'zipinda za mtima.

Masensa pa ma catheter awa amalemba zizindikiro zamagetsi za mtima. Kenako,

• Kuyenda Pang'onopang'ono: Chizindikiro chamagetsi chaching'ono chimatumizidwa kudzera mu catheter kuti mtima wanu ugwire mofulumira pang'ono. Mungamve chifuwa chanu chikugunda panthawiyi. Musadandaule, zonsezi zimachitika molamulidwa kwambiri.
• Kuzindikira vuto: Mwanjira imeneyi, mutha kusintha kugunda kwa mtima, kupanga kusakhazikika komwe muli nako, ndikuyesera kupeza komwe kumayambira.
• Chithandizo: Ngati kuli kofunikira komanso koyenera, vutoli likadziwika, catheter ablation , chithandizo chomwe chimawononga maselo omwe akutumiza zizindikiro zamagetsi zolakwika, chikhoza kuchitidwa nthawi yomweyo.

Kodi chimachitika ndi chiyani pambuyo pa mayeso?

Pambuyo poti mayesowo, omwe amatenga ola limodzi mpaka anayi, atha, dokotalayo amachotsa catheter, amaigwira pamalo pake kwa kanthawi kuti magazi asiye kutuluka, kenako amaika pulasitala yaying'ono.

• Ngati catheter inalowetsedwa kudzera m'mimba, muyenera kupuma pabedi ndi miyendo yanu yolunjika kwa maola angapo.
• Kawirikawiri, mutha kupita kunyumba madzulo omwewo. Komabe, nthawi zina mungafunike kukhala m'chipatala kwa tsiku limodzi kutengera zotsatira zake.
• Mukhoza kuyambiranso kuchita zinthu zachizolowezi tsiku lotsatira, koma pewani kunyamula zinthu zolemera kwa pafupifupi sabata imodzi.
• Sungani malo operekera catheter oyera komanso ouma.

Kodi pali zoopsa zilizonse ndi mayesowa?

Monga momwe zimakhalira ndi mayeso ena aliwonse azachipatala, pali zoopsa zazing'ono kwambiri. Komabe, mayesowa amaonedwa kuti ndi otetezeka kwambiri . Kuthekera kwa mavuto ndi kochepa kwambiri.

• Kutuluka magazi kapena matenda pamalo oikira catheter.
• Kuwonongeka pang'ono kwa mtsempha wamagazi kapena mtima.
• Kupangidwa kwa magazi kuundana.
• Matenda a mtima.

Dokotala ndi gulu la madokotala akusamala kwambiri kuti achepetse zoopsa zonsezi. Choncho palibe chifukwa chodera nkhawa kwambiri ndi izi.

Nthawi yoti mukaonane ndi dokotala

Ngati mukupeza zizindikiro zilizonse zomwe zili pansipa mutabwerera kunyumba, imbani dokotala nthawi yomweyo.

• Kutupa, kufiira, kapena madzi otuluka ngati mafinya kuchokera pamalo a catheter.
• Kusanza m'dzanja kapena mwendo umenewo.
• Kumva kuzizira kapena kusintha mtundu m'dzanja kapena mwendo.
• Kupweteka pachifuwa.
• Kusanza.