Mwoyo wako unotanga kurova nekukurumidza here? Dzimwe nguva unonzwa kusvetuka-svetuka kusinganzwisisike muchipfuva chako, kana kuti kurova kwemoyo wako kwava kusingaenderane? Kana wakambosangana neizvi, ungave uine chirwere chinonzi 'Atrial Flutter'. Usazvidya moyo, ikozvino kune mishonga inoshanda zvikuru yeizvi. Saka nhasi tichataura nezveimwe nzira yekurapa inoshanda uye inoshandiswa zvakanyanya, 'Atrial Flutter Ablation'.
Zvichitaurwa zviri nyore, chii chinonzi Atrial Flutter Ablation?
Tisati tanzwisisa izvi, ngatitangei tatarisa kuti chii chinonzi 'Atrial Flutter'. Makamuri maviri epamusoro emwoyo wedu (atria) ndiwo anoburitsa masaini emagetsi anotanga kurova kwemoyo. Kazhinji, masaini aya anoburitswa nenzira yakarongeka uye ine mutinhimira. Asi mumunhu ane 'Atrial Flutter', mamwe masero ari mumakamuri aya epamusoro anotanga kuburitsa masaini emagetsi asingawanzoitiki, anokurumidza. Zvakafanana nechimwe chezviridzwa muchikwata chemimhanzi chinoridza nekukurumidza uye chisina kunaka. Izvi zvinoita kuti mutinhimira wemoyo uve usina kurongeka uye mwoyo unotanga kurova nekukurumidza.
Kubviswa kweAtrial Flutter inzira yekurapa inoziva nekuparadza kana kudzima masero ari kukonzera zviratidzo zvemagetsi zvisina kurongeka. Mushure meizvi, zviratidzo zvisina kurongeka zvinomira uye moyo unorova zvakajairika zvakare.
Nzira mbiri huru dzinoshandiswa pabasa iri:
- Kubviswa kwemaRadiofrequency: Izvi zvinosanganisira kushandisa kupisa kuparadza masero ane dambudziko.
- Kucheneswa kwemasero: Izvi zvinosanganisira kushandisa kutonhora kwakanyanya (kuomesa nechando) kuti masero arege kushanda.
Nzira idzi dzese dzinoita chinhu chimwe chete: dzinomisa zviratidzo zvinobva mumasero zvinokanganisa rhythm yemoyo.
Sei uchida kurapwa uku?
Kazhinji, chiremba anotanga aedza kudzora kurova kwemoyo nekupa mishonga. Asi dzimwe nguva mishonga haikwanise kudzora mamiriro acho. Zvadaro, kurapwa kunonzi "Cardioversion" dzimwe nguva kunoitwa. Izvi zvinoreva kupa moyo kurohwa nemagetsi kuti uedze kurova zvakare.
Saka, kana mishonga kana chirwere chemwoyo zvisingagoni kudzora kurova kwemoyo wako , chiremba wako anogona kukurudzira atrial flutter ablation senzira inotevera yakanakisisa uye inoshanda.
Unogadzirira sei usati warapwa?
Kunyange zvazvo iyi isiri kuvhiyiwa kukuru, inoda kugadzirira zvishoma.
- Chiremba achakuudza kuti usadye kana kunwa chero chinhu kwemaawa angangoita matanhatu kusvika masere usati watanga kurapwa.
- Ungakumbirwa kuti urege kutora mimwe mishonga yauri kutora mazuva mashoma usati watora mushonga uyu. Chiremba wako achakuudza zvakajeka nezveizvi.
- Zvakakosha: Kana uri kutora mishonga inorwisa ropa, usarega kuitora chero chikonzero kunze kwekunge chiremba wako akuudza kuti udaro. Izvi zvakakosha zvikuru.
Kurapa uku kunoshanda sei?
Vanhu vazhinji vanofunga kuti izvi 'kuvhiyiwa kwemoyo kwakavhurika'. Asi hazvisizvo. Izvi zvinoitwa muchikamu chakakosha chakatsaurirwa kuzvirwere zvemwoyo ('cardiac catheterization lab').
Muchidimbu, zvinoitika nhanho nhanho ndeizvi:
1. Kutanga, uchapihwa mushonga wekuderedza marwadzo ako uye wekurara (`twilight sedation`). Dzimwe nguva, unogona zvakare kupihwa mushonga weanesthesia.
2. Chiremba anoisa tsono diki nepaganda repahudyu mako.
3. Nepairi, machubhu akati wandei akapfava, anochinjika (`(Catheters)`) anopinzwa mutsinga yeropa.
4. Kuburikidza nechubhu iyi, imwe chubhu yakatetepa ine electrode (`electrode catheter`) inopfuudzwa kumoyo.
5. Uchishandisa electrode iyi, mepu inogadzirwa kuti ione kuti zviratidzo zvemagetsi zvine dambudziko mumoyo zviri kubva kupi (`mapping`).
6. Kana masero ane dambudziko angoonekwa, anoparadzwa nekutumira simba remagetsi (kupisa).
Maitiro ese aya anogona kutora maawa maviri kusvika mana .
Chii chinoitika mushure mekurapwa?
Kana kurapwa kwapera, machubhu ese akaiswa achabviswa. Chiremba anovhiya achaisa simba panzvimbo yakapinzwa tsono kuti amise kubuda ropa. Uchaudzwa kuti urambe wakatambanudzwa kweawa nhanhatu kusvika masere .
Kunyangwe mushure mekunge maenda kumba, munofanira kuramba muchinwa mishonga inorwisa ropa (mishonga inodzikisa ropa) sezvamakarairwa nachiremba wenyu, pasina kupotsa kana dose imwe chete. Kana mukabuda ropa rakawanda, fonerai chiremba wenyu nekukasika.
Kurapa uku kunoshanda sei? Uye njodzi dziripo ndedzipi?
Iri ndiro dambudziko guru kune vanhu vazhinji. Mashoko akanaka ndeekuti ``(Atrial Flutter Ablation)`` mushonga une mwero wekubudirira unopfuura 90% . Kurova kwemoyo kwevanhu vazhinji kunodzokera kune zvakajairika mushure meizvi. Zvisinei, vanhu vashoma kwazvo (vanenge 4%-6%) vane mukana wekuti chirwere ichi chidzokezve.
Sezvinoitwa chero nzira dzekurapa, pane njodzi diki kwazvo, asi mukana wekuti pave nematambudziko uri pasi pe1%.
| Njodzi/Kuoma Kwazvo | Tsananguro iri nyore |
|---|---|
| Kuvharika kweMwoyo | Kukanganiswa kwekutumira masaini emagetsi emoyo. |
| Kurohwa | Kugwamba kweropa kunofamba kuenda kuuropi uye kunohuvhara (Mishonga inorwisa ropa inopihwa kudzivirira izvi). |
| Kuboorwa kwemwoyo | Kukuvara kwemadziro emwoyo netsaona panguva yekurapwa (kashoma). |
| Utachiona | Utachiona panzvimbo yakapinzwa tsono. |
| Kubuda ropa | Kubuda ropa rakawanda kubva panzvimbo yakaboorwa. |
Rangarirai kuti izvi hazviwanzoitiki. Chikwata chenyu chezvekurapa chakadzidziswa zvakanaka kugadzirisa njodzi idzi.
Zvinotora nguva yakareba sei kuti upore?
Chimwe chinhu chakanaka nezveizvi ndechekuti nguva yekupora ipfupi kwazvo.
- Unogona kutangazve mabasa ako enguva dzose kana wangosvika kumba.
- Zvisinei, zvakanaka kusaita mabasa anorema akadai sekurovedza muviri uye kusimudza masimbi kwemazuva matatu .
Zvichienderana nezano rachiremba wemwoyo wako, ungangoda kuramba uchitora mishonga inobvisa ropa, ingave yenguva pfupi kana kuti refu.
Unofanira kuona chiremba rini?
Zvakakosha kuti uve neruzivo rwakakwana nezveizvi. Ziva zviratidzo zviri pazasi.
| Kana paine chikonzero chekukurumidzira chekurapa - fonera 1990 kana kuti enda kuETU nekukasika! | |
|---|---|
| - Kana ronda richibva pakuruma rikakurumidza kuzvimba. | - Kana ropa richibva paronda risingakwanise kumiswa. |
| - Kana uchinzwa kurwadziwa kwakanyanya pachipfuva. | - Kana ukaona zviratidzo zvekuoma mitezo zvakaita sekuoma kutaura, kutaura kusina kunyatsojeka, kana kushaya simba kune rumwe rutivi rwemuviri. |
| Nguva yekufonera chiremba wako | |
| - Kuomerwa nekufema | - Kana uchinzwa dzungu kana kupera simba. |
| - Kana uchinzwa kusanzwa zvakanaka pagumbo rakakuvara | - Kana paine kuzvimba kuri kuwedzera kana mavanga akakomberedza ronda |
| - Kana kurova kwemoyo wako kuchinzwa kusina kujairika zvakare | - Kushungurudzika mudumbu kana kuda kurutsa |
Kuva nekurova kwemoyo kusina kurongeka kunogona kuva chiitiko chinoshungurudza. Asi ikozvino kune nzira dzakanaka uye dzinoshanda dzekurapa. Kubvisa kurova kwemoyo mudumbu (Atrial Flutter Ablation) ndeimwe yenzira dzinoshanda zvikuru dzekurapa. Munhu akanakisa wekuziva kana kurapwa uku kwakakunakira ndichiremba wako. Taura naye nezvazvo zvizere uye mubvunze mibvunzo yenyu yese.
Mharidzo Yekuenda Nayo Kumba
- Kurovedza muviri kweAtrial Flutter inzira yekurapa kurova kwemoyo kusina kurongeka iyo inobudirira neanopfuura 90%.
- Uku hakusi kuvhiyiwa kwekuwedzera chipfuva. Kunoitwa nekuisa chubhu diki nepatsinga yeropa iri muhudyu.
- Tevedzera mirairo yachiremba wako nokungwarira usati warapwa uye mushure mekurapwa, kunyanya nezvemishonga inobvisa ropa rakawanda.
- Nguva yekupora ipfupi kwazvo. Unogona kudzokera kuhupenyu hwakajairika mumazuva mashoma.
- Ziva zviratidzo zvekukurumidzira zvakaita sekubuda ropa rakawanda, kurwadziwa muchipfuva, uye kuzvimba kamwe kamwe. Kana chimwe cheizvi chikaitika, tsvaga rubatsiro rwechiremba nekukasika.
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