Kodi munayamba mwamvapo ngati mtima wanu ukugunda mopanda nzeru, ukugunda mofulumira komanso mosakhazikika, ndipo mukumva ngati muli ndi chinthu chachilendo pachifuwa panu? Ichi ndi chomwe timachitcha Atrial Fibrillation (AFib) mu zamankhwala. Ichi ndi vuto lofala kwambiri la mtima. Nthawi zambiri, vutoli limatha kuthetsedwa ndi mankhwala. Koma kwa anthu ena, zimakhala zovuta kuliletsa ndi mankhwala okha. Nthawi ngati zimenezi, lero tikambirana za opaleshoni yopambana kwambiri yomwe madokotala amalangiza. Imatchedwa Maze Procedure . Ngakhale kuti dzinali ndi lachilendo pang'ono, latha kuchiritsa miyoyo ya anthu ambiri omwe ali ndi AFib.
Mwachidule, kodi njira ya Maze iyi ndi chiyani?
Ganizirani za masewera a maze. Pali njira imodzi yokha yolowera, njira imodzi yotulukira, ndi njira imodzi yokha yolondola pakati. Koma palinso njira zambiri zolakwika zopita mmbuyo ndi mtsogolo mkati mwake. Chinthu chomwecho chimachitika mu Maze Procedure.
Mwachidule, mu njira imeneyi, dokotala wa opaleshoni amapanga mawonekedwe osavuta komanso okonzedwa bwino a minofu ya mtima wanu. Zili ngati kupanga malo ozungulira mkati mwa mtima.
Tsopano taonani, zomwe zimachitika mumtima mwa munthu amene ali ndi Atrial Fibrillation ndikuti zizindikiro zamagetsi zomwe zimalamulira kugunda kwa mtima zimayamba mosokonezeka, kuyambira pamalo amodzi ndikufalikira ku mikono yonse inayi. Ichi ndichifukwa chake mtima umataya kamvekedwe kake ndikuyamba kugunda mofulumira.
Kapangidwe ka minofu ya zipsera komwe kamapangidwa mu Maze Procedure kamatseka njira kuti zizindikiro zamagetsi zosazolowereka komanso zolakwika ziyende mobwerezabwereza . Nthawi yomweyo, njira yokhayo yoti chizindikiro chamagetsi chizigunda imatsegulidwa . Monga njira yolondola mu maze. Izi zimatseka zizindikiro zonse zolakwika ndipo zimalola zizindikiro zolondola zokha kuyenda. Pamapeto pake, kugunda kwa mtima wanu kumabwerera ku kayimbidwe kabwinobwino komanso kathanzi.
Madokotala amagwiritsa ntchito njira ziwiri kuti akonze minofu ya chilonda ichi:
- Kuzizira: Kumagwiritsa ntchito kuzizira kwambiri (kuzizira) kuti kuwononge minofu ndikuyambitsa zipsera.
- Mphamvu ya ma radiofrequency: Mphamvu ya ma radiofrequency imagwiritsidwa ntchito kutentha minofu ndikuyambitsa zipsera.
Njira imeneyi nthawi zina ingachitike nthawi imodzi ndi opaleshoni ina ya mtima (monga opaleshoni ya bypass). Kapena, ikhoza kuchitika yokha. Masiku ano, njira yatsopano komanso yapamwamba kwambiri ya opaleshoni iyi, njira ya Cox-maze IV , imaonedwa kuti ndi "muyezo wabwino kwambiri" wa atrial fibrillation.
Ndi nthawi ziti pamene opaleshoniyi imachitidwa?
Njira ya Maze siilimbikitsidwa kwa odwala onse a AFib. Dokotala wanu nthawi zambiri amakambirana nanu za njirayi ngati:
- Yalamulidwa inuNgati mankhwala sangathe kulamulira kugunda kwa mtima wanu, kapena ngati simungathe kugwiritsa ntchito mankhwala ena chifukwa cha zotsatirapo zake.
- Ngati muli ndi vuto la atrial fibrillation, lomwe lachititsa kuti magazi aziundana m'thupi lanu komanso layambitsa matenda oopsa monga sitiroko .
- Ngati mukukonzekera kuchitidwa opaleshoni ya vuto lina la mtima (monga kukonza ma valve a mtima, opaleshoni ya bypass) , njira iyi ingagwiritsidwe ntchito pochiza matenda anu a atrial fibrillation nthawi yomweyo ndi opaleshoniyo.
- Ngati munalandirapo chithandizo chotchedwa Catheter Ablation kale ndipo sichinapambane.
Ngati sichichiritsidwa, vuto lotchedwa atrial fibrillation likhoza kuwirikiza kawiri chiopsezo cha imfa ndikuwonjezera chiopsezo cha sitiroko ndi nthawi zisanu mpaka zisanu ndi ziwiri. Lingayambitsenso kulephera kwa mtima. Chifukwa chake, ndikofunikira kwambiri kupeza chithandizo choyenera cha vutoli.
Kodi chimachitika ndi chiyani opaleshoni isanachitike?
Simungapite ku opaleshoni yotere nthawi imodzi. Musanayambe kuchita izi, muyenera kufufuza bwino momwe thupi lanu lilili. Izi zimaphatikizapo mayeso angapo komanso kupita kwa dokotala.
- Transthoracic Echocardiogram: Izi zili ngati ultrasound scan ya mtima. Imafufuza kukula kwa atrium yanu yakumanzere komanso ngati pali vuto lililonse la valavu ya mtima.
- Kujambula pachifuwa kwa CT (Computed Tomography): Kujambula pachifuwa kwa CT kumachitika. Nthawi zina, ngati mukufuna kuchitidwa opaleshoni yochepa kwambiri, mungafunikenso kujambulidwa pachifuwa ndi m'chiuno mwa CT.
- Kukumana ndi madokotala: Dokotala wanu wa mtima, dokotala wa opaleshoni, ndi dokotala wogonetsa anthu adzakumana nanu kuti akufotokozereni za opaleshoniyi, zoopsa zake, komanso momwe opaleshoni yogonetsa anthu idzaperekedwere. Funsani mafunso aliwonse omwe mungakhale nawo panthawiyi.
- Kupereka malangizo: Mudzapatsidwa malangizo omveka bwino okhudza zomwe muyenera kudya, kumwa, kusiya kumwa, ndi mankhwala omwe muyenera kumwa masiku angapo opaleshoni isanachitike.
Kodi opaleshoniyi imachitidwa bwanji?
Njira ya Maze ingagwiritsidwe ntchito m'njira ziwiri zazikulu. Dokotala wanu adzasankha njira yoyenera kwambiri pa vuto lanu.
| Njira yopangira opaleshoni | Njira yochitira izi ndi yosavuta. |
|---|---|
| Opaleshoni yotseguka (njira ya Sternotomy) |
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| Opaleshoni ya Keyboo (Njira ya Thoracoscopic) |
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Popeza opaleshoni ya keyboo (Thoracoscopic) imachitika ndi mabala ang'onoang'ono kwambiri, pali zovuta zochepa komanso kukhala m'chipatala kwa nthawi yochepa.
Kodi n’chiyani chimachitikira ku Left Atrial Appendage?
Iyi ndi gawo lofunika kwambiri pa ndondomeko ya Maze. Chidutswa cha Kumanzere cha Atrial ndi thumba laling'ono, looneka ngati khutu la minofu lomwe limalumikizidwa ku atrium yakumanzere ya mtima. Apa ndiye malo akuluakulu omwe magazi amaundana mwa anthu omwe ali ndi atrial fibrillation.
Kafukufuku wapeza kuti 90% ya magazi oundana omwe amayambitsa sitiroko mwa odwala a AFib amapangika m'dera laling'onoli.
Pamene kamvekedwe ka mtima kasokonezeka, magazi omwe amalowa mu gawo la mtsempha uwu amakhazikika pamenepo, zomwe zimapangitsa kuti magazi aziundana mosavuta. Ngati magazi oundana omwe amapangidwa mwanjira imeneyi atuluka ndikuyenda m'mitsempha yamagazi ndikukakamira mumtsempha muubongo, angayambitse sitiroko.
Choncho, panthawi ya Maze Procedure, dokotalayo amatseka Left Atrial Appendage pogwiritsa ntchito stitches, staples, kapena chipangizo chapadera, kapena kuchidula kwathunthu. Izi zitha kuchepetsa kwambiri chiopsezo chanu chokhala ndi sitiroko mtsogolo.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?
Pambuyo pa opaleshoni, mudzasungidwa mu chipinda chosamalira odwala kwambiri (ICU) kuti muyang'aniridwe kwa tsiku limodzi kapena awiri, kenako mudzasamutsidwira ku chipinda chogona. Ngati mwachitidwa opaleshoni ina, nthawi yanu yogona kuchipatala ingakhale yayitali. Nthawi zambiri, munthu amene wachitidwa opaleshoni ya keyboo amatha kupita kunyumba patatha masiku anayi. Ngati mwachitidwa opaleshoni yotseguka, mungafunike kukhala kwa sabata imodzi.
Ngakhale mutapita kunyumba, muyenera kumwa mankhwala kwa miyezi ingapo.
- Mankhwala Oletsa Kuundana kwa Magazi (ochepetsa Kuundana kwa Magazi): Muyenera kumwa mankhwala awa (monga warfarin, apixaban) kwa miyezi itatu kuti mupewe magazi kuundana. Pambuyo pake, dokotala wanu adzasankha ngati mukufunika kupitiriza kumwa mankhwala awa.
- Mankhwala oletsa kugunda kwa mtima: Izi zingafunike kuti athetse kugunda kwa mtima kosakhazikika komwe kungachitike kumayambiriro kwa moyo wa mtima.
- Mankhwala Ochepetsa Kutuluka kwa Madzi M'thupi: Mankhwalawa amaperekedwa kuti achepetse kuchulukana kosafunikira kwa madzi m'thupi.
Nthawi zina, AFib sichitha kwathunthu pambuyo pa ndondomeko ya Maze. Zikatero, kuchotsa catheter yowonjezera kungakhale kofunikira. Chifukwa chake, ndikofunikira kwambiri kulumikizana ndi dokotala wa mtima mukamaliza opaleshoni.
Kodi ubwino ndi zoopsa za opaleshoniyi ndi ziti?
| Ubwino | Zoopsa ndi Zovuta |
|---|---|
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Zimatenga nthawi yayitali bwanji kuti munthu achire?
Nthawi zambiri zimatenga milungu itatu kapena isanu ndi umodzi kuti mubwerere ku zochita zanu za tsiku ndi tsiku. Ngati mwachitidwa opaleshoni ya keyboo, nthawi yanu yochira idzakhala yachangu kwambiri chifukwa palibe ming'alu yayikulu pachifuwa chanu.
Kodi muyenera kukaonananso ndi dokotala nthawi yanji?
Ngati mukukumana ndi zizindikiro za AFib kachiwiri mutachita opaleshoni, dziwitsani dokotala wanu wa mtima nthawi yomweyo. Kuphatikiza apo, muyenera kusunga nthawi yeniyeni yoyezetsa ndi nthawi yokumana ndi dokotala.
- Ndinabwerera kunyumba kuchokera kuchipatala patatha sabata imodzi.
- Pitani kwa dokotala wa mtima pakatha pafupifupi mwezi umodzi.
- Mayeso a Electrocardiogram (EKG) patatha miyezi 3, 6, ndi 12 kuchokera pamene opaleshoni yachitika, kenako kamodzi pachaka.
- Chowunikira cha Holter (chipangizo chomwe chimayang'anira momwe mtima ukugwirira ntchito kwa maola 24) chimayesedwa miyezi 6 ndi 12 mutachita opaleshoni.
Ndikofunikira kwambiri kuti mayeso onsewa achitike bwino kuti mukhale ndi thanzi labwino.
Uthenga Wopita Nawo Kunyumba
- Njira ya Maze ndi opaleshoni yopambana kwambiri ya Atrial Fibrillation (AFib), vuto lomwe ndi lovuta kulithetsa ndi mankhwala.
- Izi zimaphatikizapo kupanga mawonekedwe ofanana ndi a 'maze' a minofu ya zipsera kuti aletse zizindikiro zamagetsi zolakwika mumtima.
- Opaleshoni iyi imapangitsa kuti mtima wanu uzigwira bwino ntchito komanso imachepetsa kwambiri chiopsezo cha sitiroko.
- Pali njira ziwiri: opaleshoni yotseguka ndi opaleshoni ya pabowo la kiyi. Nthawi yochira pambuyo pa opaleshoni ya pabowo la kiyi imakhala yachangu.
- Chonde kambiranani ndi dokotala wanu ngati opaleshoniyi ndi yoyenera kwa inu komanso ubwino ndi zoopsa zake.
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