Kodi munayamba mwamvapo mtima wanu ukugunda ndi kuthamanga popanda chifukwa chomveka pamene munali osowa chochita? Ndizachibadwa kumva mantha pang'ono komanso kuda nkhawa nthawi ngati izi. Chimodzi mwa zifukwa zomwe zimapangitsa kuti mtima ugwire mofulumira ndi SVT, yomwe imayimira Supraventricular Tachycardia. Lero tikambirana za chithandizo chopambana kwambiri cha izi. Ndicho SVT Ablation.
Mwachidule, kodi SVT ndi Ablation ndi chiyani?
Choyamba tiyeni tiwone kuti SVT ndi chiyani. Mtima wathu ndi chiwalo chodabwitsa. Uli ndi dongosolo la zizindikiro zamagetsi kuti ugwire ntchito. Monga momwe zimakhalira ndi makina olumikizira mawaya m'nyumba. Zizindikiro zamagetsi izi zikayenda bwino komanso mwadongosolo, mtima wathu umagunda bwino.
Koma mwa anthu ena, "short circuit" yaying'ono ingachitike mu dongosolo lamagetsi lolumikizirana m'zipinda zapamwamba za mtima. Taganizirani ngati chingwe cha waya. Kenako zizindikiro zamagetsi zomwe ziyenera kuyenda bwino zimasokonekera chifukwa cha short circuit iyi, ndipo mwadzidzidzi mtima umayamba kugunda mofulumira kwambiri. Ichi ndi chomwe timachitcha SVT (Supraventricular Tachycardia) .
Tsopano tiyeni tiwone tanthauzo la Ablation . Iyi ndi njira yothandizira "yoletsa" maselo olakwika omwe akupanga short circuit. Madokotala amagwiritsa ntchito ma catheter apadera, machubu opyapyala kwambiri, kuti alowe mkati mwa mtima ndikupeza komwe zizindikiro zamagetsi zolakwika zikuchokera. Kenako, amawononga pang'ono pamalopo.
- Mphamvu ya ma radiofrequency: Mu njira iyi, maselo amatenthedwa ndipo chilonda chaching'ono chimapangidwa.
- Kuzizira: Mu njira iyi, kuzizira kwambiri (nitric oxide) kumagwiritsidwa ntchito kuziziritsa maselo, zomwe zimapangitsa kuti pakhale chilonda.
Chilonda chikapangidwa motere, chizindikiro chamagetsi cholakwika sichingadutse. Izi zikutanthauza kuti njira yofupikira yasweka. Kenako mtima umayambanso kugunda mofanana.
Madokotala nthawi zambiri amagwiritsa ntchito njira imeneyi ngati vutoli silingathe kuthetsedwa ndi mankhwala, kapena ngati mankhwalawo ayambitsa zotsatirapo zake. Komabe, nthawi zina amalimbikitsidwa ngati njira yoyamba.
Kodi chimachitika ndi chiyani musanalandire chithandizo komanso mukalandira chithandizo?
Pambuyo posankha tsiku loti mulandire chithandizochi, dokotalayo adzakupatsani malangizo apadera.
- Mudzapemphedwa kuti musadye kapena kumwa chilichonse kwa maola 6 mpaka 8 musanalandire chithandizo (kusala kudya) .
- Mungapemphedwenso kuti musiye kumwa mankhwala ena omwe mukumwa kwakanthawi. Muyenera kukambirana zonsezi ndi dokotala wanu kuti mutsimikizire.
Chithandizochi chimachitikira mu labu yamagetsi yokhala ndi zida zapadera. Tiyeni tiwone zomwe zimachitika pamenepo pang'onopang'ono:
1. Choyamba, mudzapatsidwa mankhwala kudzera mu mtsempha (IV) kuti akuthandizeni kupumula komanso kuti musamve ululu uliwonse. Nthawi zambiri, mudzapatsidwa chomwe chimatchedwa kuti conscious sedation . Izi zikutanthauza kuti simudzagona mokwanira, koma mudzakhala omasuka komanso ogona pang'ono.
2. Kenako, khungu la m'mimba mwanu limasanduka dzanzi (mankhwala oletsa ululu), ndipo katheta woonda amaikidwa mu mtsempha wamagazi. Simudzamva kupweteka kwambiri chifukwa cha dzanzi.
3. Katheta iyi imayendetsedwa kudzera mu mtsempha wamagazi mpaka kumtima.
4. Kenako, zizindikiro zamagetsi zimatumizidwa kudzera mu catheter iyi kuti zipeze malo enieni a maselo omwe akuyambitsa vutoli.
5. Pamene malo ali bwino, mphamvu ya ma radiofrequency yomwe tinakambirana kale imagwiritsidwa ntchito kutseka maselo amenewo. Simudzamva kupweteka kulikonse panthawiyi.
Kodi chimachitika ndi chiyani mukalandira chithandizo? Ndipo mumatani mukapita kunyumba?
Pambuyo pa chithandizo, malo olumikizirana ndi catheter amamangiriridwa kwakanthawi kuti magazi asiye kutuluka. Nthawi zina chipangizo chapadera (chotseka mitsempha yamagazi) chimagwiritsidwa ntchito. Pambuyo pake, mudzalangizidwa kuti mupitirize mwendo wanu kwa maola pafupifupi 6 mpaka 8.
Mukabwerera kunyumba, mutha kuyamba kuchita zinthu zachizolowezi tsiku lotsatira . Komabe, ndikofunikira kwambiri kupewa kuchita zinthu zolemetsa monga kuthamanga, kulumpha, kapena kunyamula zolemera kwa masiku pafupifupi atatu.
Kodi ubwino ndi zoopsa za chithandizochi ndi ziti?
Ubwino waukulu wa izi ndikuti chiŵerengero cha kupambana chili chokwera kwambiri . Kwa mitundu yambiri ya SVT, chithandizochi chimakhala chopambana ndi 90% - 95% . Izi zikutanthauza kuti ngati muchita izi kwa anthu khumi, asanu ndi anayi adzachira kwathunthu. Komabe, chiwerengero chochepa kwambiri (2% - 11%) chikhoza kukhala ndi vutoli kachiwiri.
Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali zoopsa zazing'ono kwambiri. Tiyeni tidziwe zomwe zili.
| Zoopsa/zotsatira zake | Kufotokozera kosavuta |
|---|---|
| Kutuluka magazi kapena matenda | Vuto lomwe lingachitike pamalo oikira catheter. Izi zimachitika kawirikawiri. |
| Hematoma | Magazi akusonkhana pansi pa khungu pomwe panayikidwa katheta. |
| Magazi amaundana | Pali chiopsezo chochepa kwambiri cha magazi kuundana m'mitsempha yamagazi. |
| Tamponade ya Mtima | Mpata wozungulira mtima womwe umadzaza ndi magazi kapena madzi. Izi ndi zadzidzidzi zomwe zimachitika kawirikawiri. |
| Kufunika kwa pacemaker | Kawirikawiri, ngati magetsi a mtima awonongeka, pacemaker ingafunike kuikidwa kuti ilamulire ntchito ya mtima. |
Chofunika kwambiri: Muyenera kukumbukira kuti zoopsa zambirizi sizichitika kawirikawiri , ndipo madokotala omwe amakuthandizani adzasamala kwambiri pa izi.
Kodi muyenera kufunafuna upangiri wa dokotala nthawi yomweyo liti?
Tiyeneranso kudziwa chochita ngati vuto labwera titafika kunyumba.
| Zadzidzidzi! Pitani ku Chipatala cha Emergency Treatment Unit (ETU) nthawi yomweyo. | |
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| Ngati muli ndi zizindikiro izi, lankhulani ndi dokotala wanu. | |
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Zingakhale zoopsa pang'ono kudziwa kuti muli ndi vuto la mtima. Koma mudzamva bwino kwambiri mukadziwa kuti pali mankhwala othandiza kwambiri. SVT Ablation ndi imodzi mwa mankhwala othandiza kwambiri. Ngati muli ndi mafunso ena okhudza izi, musazengereze kulankhula ndi dokotala wanu kuti akufotokozereni zonse.
Uthenga Wopita Nawo Kunyumba
- SVT (Supraventricular Tachycardia) ndi vuto lomwe mtima umagunda mofulumira chifukwa cha vuto la "short circuit" lomwe lili ngati vuto la magetsi a mtima.
- SVT Ablation ndi njira yothandiza kwambiri yochizira matenda yomwe imagwiritsa ntchito ma catheter apadera kuti alowe mumtima ndikuletsa maselo olakwika mwa kuwatentha kapena kuwaziziritsa, ndikubwezeretsa kamvekedwe ka mtima.
- Chiwongola dzanja cha chithandizochi ndi chapamwamba kwambiri mpaka 90% - 95% .
- Kuchira kumachitika mwachangu mutatha kulandira chithandizo, ndipo mutha kubwerera ku moyo wabwinobwino mkati mwa masiku ochepa.
- Ngati chilondacho chatupa kwambiri kapena kutuluka magazi nthawi zonse, muyenera kupita ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) ya chipatala nthawi yomweyo. Ngati mukumana ndi zizindikiro zina zachilendo, dziwitsani dokotala wanu.
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