Ngatizivei chaizvo nezve mashandiro emagetsi emwoyo wako? (Chidzidzo cheElectrophysiology - Chidzidzo cheEP)

Unonzwa chimwe chinhu chisinganzwisisike mumoyo mako here, sekunge kusvetuka-svetuka? Dzimwe nguva vanachiremba vanoti vanofanirwa kuita bvunzo kuti vanyatsoongorora mashandiro emagetsi emwoyo wako. Ndipo patinotaura nezve "Chidzidzo cheElectrophysiology" ichi, kana kuti sezvatinochidana muchidimbu, "Chidzidzo cheEP". Usatya, ngatitaurei nezvazvo zviri nyore.

Chii chinonzi chidzidzo cheEP?

Zvichitaurwa zviri nyore, chidzidzo cheEP bvunzo inoongorora nemazvo mashandiro emagetsi ari mumoyo mako. Fungidzira, mwoyo wedu unoda chiratidzo chidiki chemagetsi kuti urove. Kana zviratidzo izvi zvichishanda zvakanaka, moyo unorova zvakarongeka. Dzimwe nguva panenge paine chisina kumira zvakanaka nezviratidzo izvi zvemagetsi, zvinoreva kurova kwemoyo kusina kurongeka ( arrhythmia ) . Ndipo panoshandiswa chidzidzo cheEP kuti uone kuti dambudziko nderei uye kuti dambudziko riri kupi.

Vanachiremba vanoshandisa macatheter emwoyo (machubhu madiki, matete) nemakombiyuta kuti vaite izvi. Machubhu aya anoiswa mumoyo mako uye anoyera mashandiro emagetsi emwoyo wako kubva ipapo. Zvakafanana neEKG , asi ma sensor aya, ayo anoiswa mukati memoyo wako, anogona kupa ruzivo rwakadzama uye rwakarurama kupfuura ma sensor anoiswa kunze kwechipfuva chako.

Fungidzira nezvazvo sebhazi riri kufamba nenzira yaro yenguva dzose, panguva yakakodzera, uye nenzira yakarongeka. Asi kurova kwemoyo kusina kurongeka (arrhythmia) kwakafanana nebhazi risingafambi nenzira yaro yenguva dzose, pamwe richitanga panzvimbo isiriyo, richisvetuka kumira, kana kusafamba nenzira yese. Kana kuti rinogona kufamba nekukurumidza, kana kuti rinogona kufamba zvishoma nezvishoma. Idzo ndidzo mhando dzezviratidzo zvisingatarisirwi izvo vanachiremba vanofanira kutsvaga. Ndipo chete pavanogona kusarudza kana chirwere ichi chine njodzi uye kuti vangachirapa sei.

Unoona sei kushanda kwemoyo uku kwemagetsi?

Rabhoritari inoitirwa `(EP Study)` yakaita sehofisi yemupurisa. Chiremba ane hunyanzvi anoita izvi i`( Electrophysiologist )` uyo anoziva maitiro emoyo. Anogona kuona kuti zvikamu zvakasiyana zvemoyo zviri kushanda sei kubva pamagadzirirwo akasiyana emafungu ari patepi ye`(EKG)`.

Vanachiremba ava vakadzidza mafungu eEKG, kuti anofanira kutaridzika sei, uye zvinorevei kana mafungu akaita seakasiyana. Vanonyatsoteerera panotanga kurova kwemoyo kusina kurongeka uye panopera EKG.

Zvadaro, vanofunga kuti, "Zvakanaka, ndizvo zvazvingava." Ipapo vanoedza muEP Lab.Vanopa mishonga (yakaita seAdenosine, Isoproterenol) kuti ikurumidze uye ideredze kumhanya kwemoyo , uye vobva vaona kuti mashandiro emagetsi emwoyo anochinja sei panguva iyoyo. Izvi zvinoitwa zvichienderana nehurongwa hwakatarwa, kwete kungofungidzira chete. Zvichibva paruzivo rwakawanikwa, vanofunga nezvezvikonzero zvakawanda zvinogona kukonzera, vobva vaita bvunzo kusvika vaona kuti dambudziko racho nderei chaizvo .

Sei uri kuita chidzidzo ichi cheEP?

Chidzidzo cheEP chinogona kuudza chiremba wako zvakawanda nezvekurova kwemoyo wako kusina kurongeka . Semuenzaniso:

• Une chirwere chemwoyo chinonzi arrhythmia (chirwere chemwoyo) cherudzii ?
• Chii chiri kukonzera kusarongeka uku?
• Dambudziko iri rinotangira papi chaizvo mumoyo?
• Chii chinoita kuti unzwe dzungu uye uchinetseka kurota ?
• Sarudza kuti ndeipi nzira yakanakisisa yekurapa izvi.
• Tarisa kana mushonga wauri kutora uri kushanda nemazvo .
• Tsvaga kana uri panjodzi yekufa kamwe kamwe nemwoyo .

Chiremba anosarudza kuita EP Study kana vasingakwanisi kuwana ruzivo rwakakwana kubva muongororo dzakadai seECG, Holter monitor (mudziyo unotarisa rhythm yemwoyo paunenge uri pamubhedha kwezuva rimwe kana maviri), event recorder , stress test (inotarisa mwoyo panguva yekurovedza muviri), echocardiogram (ultrasound scan yemoyo), kana angiogram (inotarisa tsinga dziri mumoyo).

Dzimwe nguva, zvichienderana nemamiriro ako ezvinhu uye ruzivo rwakawanikwa kubva kuEP Study, kurapwa kunonzi Catheter Ablation kunogona kuitwa panguva imwe chete . Izvi zvinoreva kuti nzvimbo diki mumoyo dziri kukonzera masaini emagetsi asina kurongeka dzinodzimwa kuburikidza necatheter (chubhu) inopinzwa mumoyo.

Unofanira kugadzirira sei kudzidza EP?

Pane gadziriro diki shoma dzaunofanira kuita usati waita bvunzo iyi. Usazvidya moyo, izvi zvinhu zvakajairika.

• Ronga kuti mumwe munhu akuperekedze kuenda nekudzoka kuchipatara. Hauzokwanisi kutyaira kwemaawa makumi maviri nemana mushure mekuongororwa.
• Kana muine mibvunzo kana zvinokunetsai nezvebvunzo iyi, ndapota kurukurai nachiremba.
• Tiudzei kana muine allergy ne latex kana kuti makambosangana nematambudziko e anesthesia .
• Mbatya dzakanakaUyai makapfeka.
• Bvisa makeup yese nependi yenzara usati wasvika kuchipatara.
• Siya zvishongo zvinokosha zvakaita semhete, mitsipa yemuhuro, uye mawachi kumba. Uyai nemagirazi enyu nezvinhu zvinobatsira kunzwa, kana muinazvo.

Ngatitariseiwo mishonga nechikafu:

• Udza chiremba wako nezvemishonga yese yaunotora (yakanyorwa nachiremba, isingatengeswi nechiremba, mishonga yemishonga, mavitamini) .
• Uyai nemishonga yakakwana kwezuva rimwe chete. Asi musaitora kusvika mataura nachiremba wenyu.
• Bvunza chiremba wako kuti mishonga ipi yaunofanira kunwa usati waongororwa, mishonga ipi yaunofanira kurega, nguva yekurega, uye nguva yekutangazve . Usarega chero mishonga usina kurayirwa nachiremba wako.
• Kana uine chirwere cheshuga, bvunza kuti unofanira kugadzirisa sei mishonga yako yechirwere cheshuga .
• Idya zvakanaka husiku husati hwaitwa bvunzo.
• Usadye, kunwa, kana kutsenga chero chinhu mushure mehusiku husiku husati hwaitwa bvunzo. Usatombo chewing gum, mints, kana mvura. Izvi zvakakosha zvikuru kuti uchengetedzeke.
• Kana uchifanira kunwa mushonga, nwa nemvura shoma kana mbiri chete.
• Usamedze mvura paunenge uchikwesha mazino ako.

Chii chekutarisira pazuva rekudzidza kweEP?

Bvunzo yenyu ichaitirwa mukamuri rakakosha rinonzi Electrophysiology Lab (EP Lab) kana Catheterization Lab .

Kana warara pamubhedha, chiremba nechikwata chiripo vachaita zvinotevera:

• Mutsetse wemutsinga (IV) (wakafanana nemutsetse wemunyu) uchaiswa muruoko rwako kana muruoko. Apa ndipo paunopihwa mishonga nemvura panguva yekuongororwa.
• Kana zvichidikanwa, makwapa ako, maoko, kana mutsipa wako zvichagerwa uye zvichacheneswa nemushonga wekuuraya utachiona.
• Uchaputirwa kubva pamutsipa kusvika kutsoka nejira risina utachiona.
• Kuti maoko ako asabata nzvimbo dzine utachiona, bhandi rinosungirirwa muchiuno mako uye maoko ako anosimudzwa.

Chii chinoitika panguva yekudzidza kweEP?

Ino ndiyo nguva inonyanya kukosha. Heano zvinhu zvichaitwa nachiremba:

• Hudyu mako, mutsipa, kana ruoko (panopinzwa catheter) zvichava nehasha nemushonga wakakosha.
• Zvadaro, akati wandei emacatheter aya (machubhu matete) anoiswa mutsinga huru iri muhudyu mako, mutsipa, kana ruoko.
• Uchishandisa `Fluoroscopy` (izvi zvakafanana nevhidhiyo ye`X-ray`) nemuchina we`Ultrasound`, macatheter aya anotungamirwa zvakananga mumoyo mako, mumakamuri awo. Macatheter aya anoshandiswa kuona nekunyora mashandiro emagetsi emoyo. Izvi zvinokutendera kuti unzwisise zviri nani `Conduction System`, sisitimu iyo masaini emagetsi anofamba nayo mumoyo mako.
• Kuburikidza nekatheta imwe chete,Mudziyo unonzi pacemaker unotumira masaini madiki emagetsi kuti ukurumidze kurova kwemoyo wako. Panguva ino, unogona kunzwa moyo wako uchirova nekukurumidza uye zvakanyanya.
• Zvichienderana nemamiriro ako ezvinhu, kana paine zvikanganiso zviri kukonzera masaini emagetsi asina kurongeka, zvinogona kudzimwa uchishandisa nzira inonzi `Catheter Ablation` .

Chinhu chinonyanya kukosha ndechekuti kana ukanzwa chimwe chinhu chisina kunaka kana chinoshamisa panguva yeEP Study, taurira chiremba kana mukoti aripo.

Kana kurova kwemoyo kusina kurongeka, chiremba wako achakupa mishonga kuburikidza netsinga yako yeropa kuti aone kuti vanoidzora sei. Kana zvichidikanwa, vanogonawo kukupa simba diki remagetsi kuburikidza nepatch iri pachipfuva chako kuti vabatsire kudzoreredza kumhanya kwemoyo wako.

Munguva yese yekuongororwa uku, timu yenyu yezvekurapa ichashandisa zvishandiso zvakasiyana-siyana:

• Fluoroscopy: Muchina mukuru weX-ray uri pamusoro pako. Izvi zvinoita kuti chiremba agare achitarisa catheter iri mumoyo mako achishandisa X-ray screen.
• `Defibrillator / Pacemaker / Cardioverter`: Izvi zvakabatana nepatch iri kumusana wako nepatch iri pachipfuva chako. Inogona kupa magetsi ekufambisa kuti kukurumidze kurova kwemoyo kunononoka kana kumisa rhythm ine njodzi.
• Electrocardiogram (EKG): Izvi zvakabatana nezvidimbu zvakawanda zvinonamira pachipfuva chako, pamwe chete necatheters dziri mumoyo mako. Zvinoburitsa mufananidzo wezviratidzo zvemagetsi zvichipfuura nemumoyo mako.
• Intracardiac Echocardiogram: Iyi iultrasound diki. Inobatsira kutungamira catheter nemazvo panguva yekuedzwa.
• Chinoongorora kumanikidzwa kweropa: Ichi chinosungirirwa paruoko rwako uye chinoongorora kumanikidzwa kweropa rako panguva yese yekuedzwa.
• Oximeter Monitor: Ichi chigunwe chidiki chaunoisa pamunwe wako. Chinoyera huwandu hweokisijeni muropa rako.

Chii chekutarisira mushure mekuongororwa?

Mushure mekunge Chidzidzo cheEP chapera, chiremba achabvisa catheter kubva muhudyu mako, ruoko, kana mutsipa uye oisa kumanikidza panzvimbo yacho kwenguva pfupi kuti ropa rimire kubuda. Zvadaro:

• Uchafanira kugara pamubhedha kweinenge awa imwe kusvika ina . Kana catheter yakaiswa nepaburi, unofanira kuchengetedza gumbo rako rakatwasuka sezvinobvira uye usingarifambise.
• Zvichienderana nemhedzisiro yekutanga yekuongororwa kwako, ungangoda kugara muchipatara kana zvichidikanwa .
• Bhandiji diki risina utachiona (dressing) rinoiswa pamusoro pecatheter. Rinogona kubviswa mangwana acho. Kazhinji, hazvidiwi kusonwa.
• Nzvimbo yakakuvara inofanira kuchengetwa yakachena uye yakaoma .
• Mushure mekuongororwa, unogona kudya uye kunwa mushonga.
• Unogona kutangazve mabasa ako ezuva nezuva mushure mekuongororwa.Asi uchafanira kuderedza zvinhu zvakaita sekusimudza masimbi kweinenge vhiki.

Pane njodzi here mune izvi?

Chidzidzo cheEP chinowanzo kuve bvunzo yakachengeteka zvikuru. Zvisinei, semamwe maitiro ekurapa, kune dzimwe njodzi. Izvi zvinosanganisira:

• Kutapukirwa kana kubuda ropa panzvimbo yakaisirwa catheter.
• Kurova kwemoyo kusina kurongeka (Arrhythmia) .
• Kugwamba kweropa kunoumbwa pacatheter uye kunonamira mutsinga yeropa.
• Kukuvara kwetsinga yeropa, vharuvhu yemoyo, kana imba yemoyo.
• Kurwara nemoyo.
• Kurohwa nechirwere.

Asi musazvidya moyo, vanachiremba venyu vari kuita EP Study iyi munzvimbo inodzorwa zvakanaka. Uye vari kutora matanho akakosha ekuderedza njodzi kwauri. Kana muine mibvunzo nezvenjodzi nemabhenefiti ebvunzo iyi, taurai nachiremba wenyu.

Ndezvipi zvakanakira kudzidza EP?

Unogona kuwana mabhenefiti anotevera kubva ku `(EP Study)`:

• Uchawana mhinduro dzemibvunzo yako pamusoro pekuti chii chiri kunetsa pakurova kwemoyo wako.
• Pamwe kana dambudziko racho rikagona kugadziriswa nekushandisa "Catheter Ablation", tingasafanira kuramba tichitora mimwe mishonga.
• Hupenyu hwako huchawedzera kunaka.
• Kune mamwe matambudziko emwoyo, kurapa ne "Catheter Ablation" kungave sarudzo isingadhuri pane kuvhiyiwa kwe "Arrhythmia".

Chidzidzo cheEP chinowanzo chengetedzwa. Njodzi yekufa nekuda kweizvi yakaderera zvikuru, inenge munhu mumwe chete pavanhu 5,000.

Ndingawana sei mhedzisiro yacho? Ndoita sei zvinotevera?

Mushure mekuongororwa, chiremba achakuudza zvabuda pakutanga . Zvichibva pane zvabuda, vachasarudza kana uchikwanisa kuenda kumba kana kuti uchida kugara muchipatara. Chiremba anogona kukukumbira kuti udzoke pane rimwe zuva kuti mukurukure zvabuda muEP Study pamwe nekurapwa kwako.

Kana mhedzisiro yacho ikaratidza chimwe chinhu chisina kujairika, chiremba wako anogona kukwanisa kurapa nekukasika ne "Catheter Ablation". Kana zvisina kudaro, vangangoda kuronga mamwe marapirwo kana kunyora mishonga kwauri. Vamwe vanhu vangangoda mamwe marapirwo, akadai se "Pacemaker" , kunyangwe mushure me "Catheter Ablation".

Inguvai yaunofanira kuona chiremba?

Paunodzokera kumba mushure mekuongororwa, unofanira kufonera chiremba wako kana ukaona chimwe chezviratidzo izvi:

• Kana nzvimbo yecatheter yakatsvuka, yakazvimba, kana kuti ine mvura inobuda mairi.
• Kana ukanzwa kusanzwa kana kunzwa kusinganzwisisike paruoko kana gumbo pakaiswa catheter.
• Kungave muruoko kana gumbo kwaiiswa catheterKana minwe yako ikatonhora, ikarasikirwa nemanzwiro, kana kuchinja ruvara.
• Kana uchizorutsa.
• Kana uine kurwadziwa muchipfuva .

Fonera 1990 kuti uwane rubatsiro rwekukurumidzira, kana kuti enda kuchipatara chiri pedyo, kana ukasangana nechimwe chezvinotevera:

• Kana kubuda ropa kusingamire kunyangwe mushure mekudzvanya uye kubata nzvimbo yecatheter.
• Kana kuzvimba kwakakomberedza ronda kunowedzera kamwe kamwe.

Mibvunzo mishomanana kwauri.

Tinomuka here patinodzidza nezveEP?

Ehe. Uri kupihwa mushonga kuburikidza neIV kuti udzikame uye kuti unzwe hope. Asi hausi kurara zvachose.

Chidzidzo cheEP chinotora nguva yakareba sei?

Zvinowanzotora awa imwe kusvika ina .

Chidzidzo cheEP chinorwadza here?

Uchapihwa mushonga wekunyaradza saka haufanirwe kunzwa kurwadziwa. Zvisinei, unogona kunzwa kudzvanya zvishoma paganda pakaiswa catheter.

Zvinhu zvinonyanya kukosha kuti urangarire

Kana ukakumbirwa kuti uite EP study, zvingaita sezviri nani kupfuura chero imwe test yemoyo yawakamboita kare. Asi chiremba wako ari kuiraira nechikonzero. Ari kuzviita kuti azive zviri kuitika mumoyo mako uye kuti akubatsire . EP study inosanganisira kuisa zvishandiso mumoyo mako, asi bvunzo iyi yakachengeteka. Inopa chiremba wako ruzivo rwaanoda kuti arape kurova kwemoyo wako kusina kurongeka.

Yeukai kuti timu yezvekurapa ichaita zvese zvavanogona kuti mugadzikane panguva yekuongororwa. Taurai navo nezvemibvunzo kana zvinokunetsai. Izvi zvichakubatsirai kuti munzwe makasununguka.

` Kurova kwemoyo, chidzidzo cheEP, chirwere chemwoyo, catheter, kushanda kwemagetsi emwoyo, kusagadzikana kwemoyo, bvunzo dzemwoyo