Kugunda kwa mtima kosakhazikika? Tiyeni tikambirane za Kupatukana kwa Mitsempha ya M'mapapo (PVI)!

Kodi nthawi zina mumamva ngati mtima wanu ukugunda mofulumira kwambiri komanso mosakhazikika? Vutoli, lomwe limamveka ngati pali vuto mkati mwa chifuwa chanu, limatchedwa Atrial Fibrillation (Afib) . Ichi ndi vuto la kugunda kwa mtima. Ngati simusamalira izi, mungafunike kukumana ndi matenda aakulu monga sitiroko pakapita nthawi. Chifukwa chake, lero tikulankhula za njira yopambana komanso yamakono yochiritsira vutoli la Afib.

Kodi Kupatula Mitsempha ya M'mapapo (PVI) n'chiyani?

Mwachidule, Pulmonary Vein Isolation (PVI) ndi njira yomwe imagwiritsidwa ntchito pochiza matenda a mtima otchedwa atrial fibrillation (Afib). Ndi mtundu wa opaleshoni ya mtima, koma si opaleshoni yaikulu.

Tangoganizirani, ntchito ya mtima wathu imayang'aniridwa ndi dongosolo la zizindikiro zamagetsi. Mu Afib, zizindikiro zamagetsi izi zimasokonezeka ndipo zimapita kumtima mwanjira yosakhazikika. Nthawi zambiri, zizindikiro zolakwika izi zimayambira m'mitsempha inayi yamagazi yomwe imanyamula magazi ochulukirapo kuchokera m'mapapo kupita ku atrium yakumanzere ya mtima, yotchedwa mitsempha ya m'mapapo .

Choncho, chithandizo cha PVI ichi chimagwira ntchito pozindikira madera omwe zizindikiro zamagetsi zolakwika zimachokera ndikupanga minofu yaying'ono kwambiri ya zipsera m'madera amenewo. Izi zimatchedwa ablation ya mtima . Minofu ya zipsera iyi imagwira ntchito ngati khoma ndipo imaletsa zizindikiro zamagetsi zolakwikazo kuti zisafalikire kumadera ena a mtima. Kenako mtima umagundanso bwino.

Kodi chithandizochi n'choyenera kwa ndani?

Chithandizo ichi si cha aliyense. Dokotala wanu ndiye munthu woyenera kusankha. Chithandizochi nthawi zambiri chimalimbikitsidwa kwa anthu omwe:

• Kwa iwo omwe akadali ndi zizindikiro ngakhale akumwa mankhwala oletsa kupweteka kwa mtima kuti achepetse vuto lawo la Afib.
• Kwa iwo omwe matupi awo sangathe kupirira mankhwala amenewo kapena omwe amakumana ndi zotsatirapo zake.

Kodi mungadziwe bwanji ngati chithandizochi chili choyenera kwa inu?

Asanasankhe ngati izi zili zoyenera kwa inu, dokotala wanu adzakuyang'anirani bwino. Iye adzawunikanso mbiri yanu yachipatala komanso mayeso aliwonse omwe mudachitapo. Mayeso ena omwe nthawi zambiri amachitidwa pachifukwa ichi ndi awa:

• Echocardiogram (Echo): Iyi ndi ultrasound scan ya mtima. Imatha kuwona kapangidwe ndi ntchito ya mtima.
• Electrocardiogram (EKG): Kuyeza komwe kumalemba momwe magetsi a mtima amagwirira ntchito.
• Chowunikira cha Holter:Ichi ndi chipangizo chaching'ono chomwe mumavala m'thupi lanu chomwe chimayang'anira kugunda kwa mtima wanu kwa nthawi yayitali, monga maola 24 kapena 48.

Kodi mankhwala ake ndi otani?

Chithandizo cha PVI ichi chimachitika pogwiritsa ntchito njira yotchedwa catheter ablation . Izi zikutanthauza kuti, chithandizochi chimachitika podutsa chubu chopyapyala kwambiri chotchedwa catheter kudzera mu mtsempha wamagazi kupita kumtima. Pali njira ziwiri zazikulu zokonzera minofu ya chilonda yomwe tatchula kale.

Sizingatheke kunena kuti njira imodzi mwa ziwirizi ndi yabwino kuposa inayo. Zotsatira zake zonse ziwiri ndi zofanana, ndipo palibe kusiyana kwakukulu pankhani ya chitetezo. Dokotala wanu adzakufotokozerani njira yomwe ili yoyenera kwa inu.

Kodi chimachitika ndi chiyani panthawi ya chithandizo?

Pa nthawi ya chithandizochi, mudzapatsidwa mankhwala oletsa ululu (general anesthesia), kotero simudzamva kupweteka kulikonse, mudzakhala mukugona. Nthawi zina, mankhwala oletsa ululu okha ndi omwe angagwiritsidwe ntchito. Mudzadziwitsidwa za izi pasadakhale.

Mwachidule, izi ndi zomwe zimachitika:

1. Pambuyo pa opaleshoni yoletsa kupweteka, kudula pang'ono kwambiri kumapangidwa m'dera la chiberekero kapena pakhosi.

2. Kudzera mu mtsempha umenewo, ma catheter awiri amadutsa m'mitsempha yamagazi kupita ku atrium yakumanzere ya mtima.

3. Catheter imodzi imapeza komwe zizindikiro zamagetsi zolakwika zikuchokera.

4. Katheta ina imatulutsa kutentha kapena kuzizira kuti ipange zipsera m'malo amenewo.

5. Ntchito ikatha, ma catheter awiri amachotsedwa ndipo chocheka chaching'ono chimatsekedwa.

Kodi mtima wanu umayang'aniridwa bwanji panthawi ya chithandizo?

Pa nthawi yonse ya chithandizo, zipangizo zingapo zidzagwiritsidwa ntchito poyang'anira momwe mtima wanu umagwirira ntchito komanso ntchito zina za thupi lanu. Musadandaule, zonsezi ndi za chitetezo chanu.

Kodi chithandizocho chimatenga nthawi yayitali bwanji ndipo zoopsa zake ndi ziti?

Chithandizochi nthawi zambiri chimatenga maola 4 mpaka 6.Zingatenge nthawi. Ndibwino kuuza banja lanu kuti mudzakhala m'chipatala tsiku lonse, chifukwa zimatenga nthawi kukonzekera ndikuchira. Muyenera kukhala m'chipatala usiku wonse mutalandira chithandizo.

Monga momwe zimakhalira ndi opaleshoni ina iliyonse ya mtima, pali zoopsa zazing'ono kwambiri . Komabe, ndi njira yotetezeka kwambiri. Mavuto omwe angakhalepo ndi awa:

• Matenda opatsirana pamalo odulidwa.
• Pali mwayi wochepa wa kuwonongeka pang'ono kwa mitsempha panthawi ya cryoablation.
• Kuboola kwa mtima (chiopsezo cha 1%).
• Kuwonongeka kwa mitsempha ya m'mapapo (chiopsezo cha 1%).
• Stroke (chiopsezo cha 0.5%).
• Kuwonongeka kwa m'mero ​​(chiopsezo cha 0.25%).

Kuchira ndi chisamaliro pambuyo pake

Mungamve kusasangalala pang'ono, kutopa, kapena kupweteka pachifuwa mkati mwa maola 48 oyambirira mutatha kulandira chithandizo. Izi ndi zachilendo. Mutha kubwerera ku zochita zanu zachizolowezi patatha masiku angapo. Komabe, zimatenga milungu ingapo musanayambe kuchita zinthu zolemetsa monga kuchita masewera olimbitsa thupi.

Muyenera kumwa mankhwala angapo kwa miyezi ingapo mutalandira chithandizo.

• Mankhwala oletsa kupweteka kwa mtima: Yesetsani kugunda kwa mtima mpaka minofu yatsopano ya chilonda igwire ntchito bwino.
• Mankhwala oletsa magazi kutuluka magazi (anticoagulants): Izi ndizofunikira kwambiri kuti muchepetse chiopsezo cha sitiroko.

Muyenera kupita kukaonana ndi dokotala pakatha miyezi itatu kapena inayi ndi chaka chimodzi.