Kodi mulinso ndi kugunda kwa mtima kosasinthasintha? Tiyeni tiphunzire zambiri za Njira ya Maze ya Atrial Fibrillation!

Kodi munayamba mwamvapo mtima wanu ukugunda mofulumira kwambiri komanso mosasinthasintha? Vutoli, lomwe limamveka ngati chinachake chikugwedezeka pachifuwa panu, limadziwika kuti Atrial Fibrillation. Ngati izi sizingathetsedwe ndi mankhwala, tikulankhula za njira yochizira yovuta koma yothandiza kwambiri yomwe imagwiritsidwa ntchito ngati yankho. Imeneyo ndi Njira ya Maze.

Kodi njira iyi ya Maze ndi chiyani?

Mwachidule, zili ngati maze. Mwina munkasewera ndi maze muli mwana, pomwe mumalowa pakhomo limodzi ndipo mumayenera kutenga njira imodzi yokha yolondola kuti mutuluke. Opaleshoni iyi ndi yofanana.

Kugunda kwa mtima wathu kumayendetsedwa ndi zizindikiro zamagetsi. Mu atrial fibrillation, zizindikiro zamagetsi m'zipinda ziwiri zapamwamba za mtima, zotchedwa atria, zimakhala zosakhazikika ndipo zimayamba kutumiza zizindikiro zolakwika. Kenako mtima umayamba kugunda mosakhazikika.

Mu njira ya Maze, dokotalayo amapanga minofu ya zipsera m'njira yofewa kwambiri komanso yokonzedwa bwino mu atria ya mtima. Minofu ya zipsera iyi imagwira ntchito ngati chotchinga, kuletsa zizindikiro zamagetsi zolakwika kuti zisayende mumtima. Komabe, imasiya njira yokhayo yoti zizindikiro zoyenera kuti mtima ugwire bwino. Monga momwe pali njira imodzi yokha yolondola mu mazenera amenewo. Izi zimathandiza kuti mtima ugwirenso bwino.

Njira ziwiri zimagwiritsidwa ntchito popanga minofu iyi:

• Kutsekereza: Kuletsa kugwira ntchito kwa minofu pogwiritsa ntchito kuzizira kwambiri (kuziziritsa).
• Kutulutsa kwa Ma Radiofrequency: Kutenthetsa minofu pogwiritsa ntchito kutentha kwambiri (mafunde a wailesi).

Opaleshoni iyi ingathe kuchitika ngati opaleshoni ina, kapena ingathe kuchitika nthawi imodzi ndi opaleshoni ya bypass kapena opaleshoni ya mtima.

N’chifukwa chiyani njira iyi ya Maze ikuchitidwa?

Opaleshoni iyi si yoyenera aliyense. Pali zochitika zingapo zomwe dokotala wanu angakupatseni chithandizo ichi:

• Ngati mankhwala omwe mwapatsidwa a atrial fibrillation sakugwira ntchito kwa inu kapena muli ndi zotsatirapo zina zomwe zimakulepheretsani kuwamwa.
• Ngati vutoli lachititsa kuti magazi aziundana m'thupi lanu ndipo pakhala matenda aakulu monga sitiroko .
• Ngati mukuchitidwa opaleshoni ina ya mtima (monga bypass, kusintha valve) ndipo muli ndi atrial fibrillation.
• Ngati mankhwala am'mbuyomu monga `(Catheter Ablation)` sanapambane.

Kodi chimachitika n’chiyani opaleshoni isanachitike komanso ikachitika?

Popeza opaleshoniyi ndi yaikulu, mudzayang'aniridwa mosamala isanayambe.

Njira ziwiri zochitira opaleshoni

Pali njira ziwiri zazikulu zochitira opaleshoni. Gulu lanu lachipatala lidzasankha njira yoyenera kwa inu.

1. Opaleshoni Yotseguka (Njira Yochotsera Chilonda): Mu njira iyi, opaleshoniyi imachitika kudzera mu kudula kwa mainchesi 6-8 pakati pa fupa la pachifuwa.

2. Opaleshoni yochepa kwambiri (Njira ya Thoracoscopic): Mu njira iyi, m'malo mochita kudula kwakukulu pachifuwa, kudula pang'ono pang'ono kumapangidwa pakati pa nthiti ndi kamera ndipo zida zofewa zimayikidwa. Nthawi yochira imakhala yochepa mu njira iyi.

Kuchotsa Chida Chowonjezera cha Atrial Kumanzere

Gawo lina lofunika kwambiri la opaleshoniyi ndi kutseka kapena kuchotsa gawo laling'ono lotchedwa Left Atrial Appendage . Ili ndi thumba laling'ono looneka ngati khutu lomwe limalumikizidwa ku atrium yakumanzere ya mtima.

90% ya magazi omwe amachititsa sitiroko mwa odwala matenda a atrial fibrillation amapezeka m'thumba laling'ono ili.Zapezeka kuti. Chifukwa chakuti mtima sugunda bwino, magazi amasonkhana m'derali ndipo amaundana. Ngati magazi oundanawa atuluka n'kupita ku ubongo, sitiroko imachitika. Choncho, panthawi ya Maze, derali limatsekedwa ndi stitches, staples, kapena chipangizo chapadera. Izi zitha kuchepetsa kwambiri chiopsezo cha sitiroko.

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?

Pambuyo pa opaleshoni, mudzasungidwa mu chipinda chosamalira odwala kwambiri (ICU) kuti muwonedwe kwa tsiku limodzi kapena awiri, kenako mudzasamutsidwira ku chipinda chogona. Ngati munachitidwa opaleshoni yochepa kwambiri (thoracoscopic), mudzatha kupita kunyumba patatha masiku pafupifupi 4. Ngati munachitidwa opaleshoni yotseguka, mudzakhala m'chipatala kwa pafupifupi sabata imodzi.

Mudzayenerabe kumwa mitundu yosiyanasiyana ya mankhwala kwa miyezi ingapo mutabwerera kunyumba.

• Mankhwala ochepetsa magazi (Anticoagulants): Muyenera kumwa mankhwala monga `Warfarin` kapena `Apixaban` kwa miyezi yosachepera itatu kuti mupewe magazi kuundana. Pambuyo pake, dokotala wanu adzasankha ngati muyenera kupitiriza kuwamwa.
• Mankhwala oletsa kugunda kwa mtima: Kuletsa kugunda kwa mtima kosakhazikika komwe kungachitike kumayambiriro kwa moyo wa mtima.
• Mankhwala Ochepetsa Kuchulukana kwa Madzi m'thupi: Amachepetsa kuchulukana kwa madzi m'thupi kosafunikira.

Kodi ubwino ndi zoopsa za opaleshoniyi ndi ziti?

Kodi zimatenga nthawi yayitali bwanji kuti ndichire ndipo ndiyenera kukaonananso ndi dokotala liti?

Bwererani ku zochita zanu zachizolowezi monga mwachizolowezi.Zingatenge pakati pa masabata atatu ndi asanu ndi limodzi . Ngati opaleshoniyo idachitika pogwiritsa ntchito njira yochepetsera kuvulala, nthawi yochira imakhala yochepa kwambiri.

Pambuyo pa opaleshoni, muyenera kuonana ndi dokotala pa nthawi yake.

• Patatha sabata imodzi kuchokera pamene ndinachoka kuchipatala.
• Patatha mwezi umodzi kuchokera pamene anatuluka kuchipatala (dokotala wa matenda a mtima).
• Mayeso a ECG ali ndi miyezi 3, 6, ndi 12.
• Kuyesa kwa `Holter Monitor` (chipangizo chomwe chimayang'anira kugunda kwa mtima kwa maola 24) pa miyezi 6 ndi 12.

Ndikofunikira kuti mukhale ndi thanzi labwino kuti mupite ku mayeso ndi nthawi zonse.