Kodi nthawi zina mumamva ngati kugunda kwa mtima wanu kukukwera mwadzidzidzi popanda chifukwa chomveka? Ngati kuti mwangothamanga kwambiri? Ichi chikhoza kukhala chizindikiro cha vuto lomwe mwina mudamvapo lotchedwa `Supraventricular Tachycardia` kapena `(SVT)`. Ngakhale izi zitha kukhala zowopsa, musadandaule. Tsopano pali mankhwala othandiza kwambiri pa izi. Lero tikulankhula za mankhwala othandiza kwambiri, `SVT Ablation`.
Mwachidule, kodi SVT Ablation ndi chiyani?
`SVT Ablation` ndi njira yomwe imawononga ndikuletsa maselo angapo m'zipinda zapamwamba za mtima wanu omwe amasokoneza zizindikiro zamagetsi zokhudzana ndi kugunda kwa mtima. Taganizirani za dongosolo lamagetsi la mtima wathu ngati dongosolo la mawaya m'nyumba. Nthawi zambiri, mtima umagunda bwino pokhapokha zizindikiro zamagetsi zikuyenda bwino kudzera mu "mawaya" awa.
Koma mwa anthu ena, lupu yaying'ono, kapena china chake chonga lupu, imapangidwa mu dongosolo la "waya" ili. Kenako imakhala ngati "lupu yofupika" , kamvekedwe kabwinobwino ka mtima kamasokonekera, ndipo mwadzidzidzi mtima umayamba kugunda mofulumira. Pa chithandizo cha `Ablation`, chubu chopyapyala kwambiri chotchedwa `catheter` yapadera chimagwiritsidwa ntchito kulowa mkati mwa mtima, kupeza "lupu yofupika" yomwe ikutumiza zizindikiro zolakwika, ndikuyiletsa.
Pali njira ziwiri zochitira izi:
- Mphamvu ya ma radiofrequency: Ma catheter ena amatumiza kutentha kuti awononge maselo ndikupanga chilonda chaching'ono.
- Kuzizira: Ma catheter ena amagwiritsa ntchito kuzizira kwambiri kuti athetse maselo amenewo.
Njira zonsezi zimatseka njira yomwe imatumiza zizindikiro zamagetsi zolakwika, zomwe zimathandiza kuti mtima uyambe kugunda bwino.
Madokotala nthawi zambiri amalangiza chithandizochi ngati SVT singathetsedwe ndi mankhwala, kapena ngati mankhwalawo amayambitsa zotsatirapo zoyipa. Komabe, nthawi zina, kutengera momwe wodwalayo alili, ablation ingalimbikitsidwe ngati chithandizo choyamba.
Kodi chithandizochi n'chofala bwanji?
Pa avareji, anthu awiri mwa anthu 1,000 aliwonse padziko lapansi akhoza kukhala ndi SVT. Komabe, anthu ambiri, pakati pa 60% ndi 80%, amapeza mpumulo wabwino ndi mankhwala. Chifukwa chake, chithandizo cha 'Ablation' ichi nthawi zambiri chimakhala yankho labwino kwambiri kwa iwo omwe amavutika kuwongolera ndi mankhwala.
Kodi muyenera kuchita chiyani musanagwiritse ntchito SVT Ablation?
Iyi si opaleshoni yaikulu, koma imafuna kukonzekera pang'ono.
- Chithandizo chimafuna kuti munthu asamadye chakudya ndi zakumwa kwa maola 6 mpaka 8 (kusala kudya).
- Dokotala wanu akhoza kukhala ndi mankhwala ena omwe mukumwa panopa.(Makamaka mankhwala ochepetsa magazi) angalangizidwe kuti asiye kuwamwa kwa masiku angapo. Dokotala wanu adzakupatsani malangizo omveka bwino pankhaniyi.
Kodi chimachitika ndi chiyani panthawi ya chithandizo?
Chithandizochi chimachitikira pamalo apadera otchedwa `electrophysiology lab`. Tiyeni tiwone pang'onopang'ono zomwe zimachitika pankhaniyi.
| Masitepe | Chikuchitika ndi chiyani? |
|---|---|
| 1. Kupereka mankhwala ochepetsa ululu | Mzere wa IV (mzere wa saline) umayikidwa mu mtsempha womwe uli m'dzanja lanu ndipo mankhwala amaperekedwa kudzera mu mtsemphawo kuti akuthandizeni kupumula komanso kuti musamve ululu uliwonse. |
| 2. Kuyika catheter | Khungu lomwe lili m'mimba mwanu lachita dzanzi ndipo chubu chopyapyala kwambiri (catheter) chimalowetsedwa kudzera mu mtsempha waukulu wamagazi pamenepo. |
| 3. Ulendo wopita kumtima | Katheta yokhala ndi ma electrode apadera imadutsa mu chubu ichi kupita kumtima kwanu. |
| 4. Kupeza vuto | Dokotala amatumiza zizindikiro zazing'ono zamagetsi kudzera mu catheter iyi kuti apeze malo enieni omwe ali ndi "short circuit" yomwe ikupangitsa mtima kugunda mofulumira. |
| 5. Kuchotsa | Pamene vutolo ladziwika bwino, kutentha (mphamvu ya ma radiofrequency) kapena kuzizira zimagwiritsidwa ntchito kuwononga maselo amenewo. |
Kodi mwatayika kwathunthu?
Nthawi zambiri, simudzakhala maso mokwanira. Mudzapatsidwa mankhwala oti mumve tulo tochepa, komanso kuti mukumva kutopa pang'ono. Timatcha izi kuti 'kugona tulo tosazindikira'.Pakadali pano, simukudziwa bwino zomwe zikuchitika mozungulira inu, ndipo simukumva kupweteka kulikonse. Komabe, nthawi zina, nthawi zina zapadera, mungafunike kupatsidwa mankhwala oletsa ululu. Izi zimasankhidwa ndi dokotala kutengera momwe mulili.
Kodi izi zimapweteka?
Ndipotu, simumva kupweteka kulikonse mukatentha maselo olakwikawo. Dokotala amatseka malo omwe catheter imayikidwa. Choncho ululu wokhawo womwe mumamva ndi kumva pang'ono, kobaya mukalandira jakisoni wopangitsa kuti musamve kupweteka (lidocaine).
Kodi chimachitika ndi chiyani mukalandira chithandizo?
Pambuyo poti chithandizo chatha ndipo ma catheter onse achotsedwa, malo a catheter amamangiriridwa kuti asiye kutuluka magazi. Nthawi zina chipangizo chaching'ono chotchedwa vascular closure device chimagwiritsidwa ntchito kutseka bala. Pambuyo pake, muyenera kugona pabedi ndi miyendo yanu yotambasulidwa kwa maola pafupifupi 6 mpaka 8. Izi zingakhale zovuta, koma ndikofunikira kupewa mavuto monga kutuluka magazi.
Kodi ubwino ndi zoopsa za chithandizochi ndi ziti?
Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali ubwino ndi zoopsa zazing'ono kwambiri.
| Mtundu | Kufotokozera |
|---|---|
| Ubwino | Mankhwalawa ali ndi chiwopsezo chachikulu cha pakati pa 90% ndi 95% . Izi zikutanthauza kuti anthu 95 mwa anthu 100 amachira kwathunthu. Mwayi woti vutoli libwerenso ndi wochepa kwambiri (pafupifupi 2% - 11%). |
| Zoopsa | Izi ndi zinthu zosowa kwambiri.
|
Zimatenga nthawi yayitali bwanji kuti munthu achire?
Chinthu china chabwino pa izi ndichakuti mutha kuchira mwachangu. Mutha kupita kunyumba ndikuyamba ntchito zanu zachizolowezi (monga ntchito za muofesi, ntchito zapakhomo) tsiku lotsatira . Komabe, ngati mukufuna kuchita chinthu chomwe chimafuna khama pang'ono, monga kunyamula zolemera, kapena kuchita masewera olimbitsa thupi, ndi bwino kudikira masiku osachepera atatu .
Kodi muyenera kupita kwa dokotala liti?
Ndikofunikira kwambiri kusamalira thupi lanu mukatha kulandira chithandizo. Dziwani zizindikiro zotsatirazi.
| Mwayi | Makhalidwe |
|---|---|
| Pitani ku Chipatala cha Emergency Treatment Unit (ETU) nthawi yomweyo. | |
| Zadzidzidzi |
|
| Lankhulani ndi dokotala wanu. | |
| Zinthu zofunika kuzisamala |
|
Kukhala ndi kugunda kwa mtima kosasinthasintha kungakhale koopsa. Koma musadandaule, pali njira zothandiza kwambiri zochiritsira. Kuchotsa SVT ndi njira imodzi yothandiza kwambiri komanso yochepetsera chiopsezo. Ngati muli ndi zizindikiro izi, lankhulani ndi dokotala wanu kuti mudziwe ngati chithandizochi chili choyenera kwa inu.
Uthenga Wopita Nawo Kunyumba
- SVT ndi vuto limene mtima umagunda mofulumira kwambiri chifukwa cha zizindikiro zamagetsi zolakwika kuchokera m'zipinda zapamwamba za mtima.
- SVT Ablation ndi njira yothandiza kwambiri yomwe imaletsa "short circuit" yomwe imatumiza zizindikiro zolakwika izi.
- Izi zimagwiritsidwa ntchito ngati mankhwala sangathe kulamulira vutoli, kapena nthawi zina ngati chithandizo choyamba.
- Chiwopsezo cha chithandizochi ndi choposa 90%, ndipo zoopsa zake n'zochepa kwambiri.
- Zimatenga masiku ochepa kuti munthu achire, ndipo mutha kubwerera ku moyo wanu watsiku ndi tsiku mwachangu.
- Ngati zizindikiro zachilendo zitachitika mutalandira chithandizo, dziwitsani dokotala wanu nthawi yomweyo.
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