Wakambonzwa here kuti moyo wako uri kurova nekukurumidza pasina chikonzero, sekunge pane chimwe chinhu chakanga chisina kumira zvakanaka pachipfuva chako? Chinogona kunge chiri chimwe chinhu. Asi dzimwe nguva chinogona kunge chiri chiratidzo chechirwere chemwoyo chinonzi atrial flutter. Usazvidya moyo, nhasi tichataura nezvechirwere ichi uye kurapwa kwacho kunoshanda zvikuru, kunonzi ablation.
Chii chinonzi Atrial Flutter?
Zvichitaurwa zviri nyore, dambudziko iri rine chekuita nemutinhimira wemoyo. Mwoyo wedu une makamuri maviri, makamuri epamusoro (atria) nemakamuri epasi (ventricles). Mumoyo une hutano, makamuri maviri aya anorova zvakarongeka, mutinhimira mumwe chete.
Funga nezvazvo sechikwata chemimhanzi chakadzidziswa zvakanaka chichiimba rwiyo pamwe chete. Asi muAtrial Flutter, makamuri epamusoro emoyo, kana kuti atria, anotanga kurova nekukurumidza uye zvisina kurongeka. Zvakafanana nenhengo dzinoverengeka dzechikwata chemimhanzi dzichiridza ngoma nekumhanya kwadzinoda. Izvi zvinokanganisa mashandiro emoyo. Kana izvi zvikaramba kwenguva yakareba, hazvina kunaka kumoyo.
Saka chii chinonzi kurapwa kweAblation uku?
Kubvisa ropa muAtrial Flutter inzira inoparadza masero asina kunaka anoita kuti mwoyo urove nekukurumidza uye zvisina kurongeka.
Fungidzira mwenje mumba uchidzima nekuda kwewaya dzisina kunaka. Kudzima magetsi inzira yekutsvaga waya dzisina kunaka, kudzima magetsi, uye kugadzirisa dambudziko zvachose.
Mukuita izvi, vanachiremba vanowanzo shandisa nzira inonzi radiofrequency ablation kuti vamise masero ari kutumira zviratidzo zvisiri izvo. Dzimwe nguva, izvi zvinoitwa nekushandisa dzihwa rakanyanyisa (cryoablation). Chero nzira, chinangwa ndechekumisa zviratidzo zvisiri izvo uye kudzoreredza rhythm yemoyo.
Chinhu chinonyanya kukosha ndechekuti, uku hakusi kuvhiyiwa kwemoyo.
Sei uchifanira kupiwa ablation?
Chiremba anowanzo shandisa mushonga uyu kana chirwere ichi chisingakwanise kudzorwa nemishonga kana nzira inonzi cardioversion yekudzoreredza rhythm yemoyo. Chiremba wako ndiye achasarudza kana mushonga uyu wakakunakira.
Zvinhu zvekuziva usati warapwa uye mushure mekurapwa
Pane zvinhu zvakati wandei zvaunofanira kuziva usati watanga kurapwa uye mushure mekurapwa uku.
Kugadzirira usati warapwa
- Chiremba wako achakuudza kuti usadye kana kunwa kwemaawa matanhatu kusvika masere usati watanga kurapwa.
- Ungangokumbirwa kuti urege kutora mimwe mishonga yauri kutora kwemazuva mashoma usati warapwa.
- Asi izvi zvakakosha zvikuru: Kana uri kushandisa mishonga inorwisa ropa, usairegedza chero chikonzero kunze kwekunge chiremba wemwoyo wako akuudza kuti udaro. Usadarike mushonga mumwe chete.
Kurapwa kunoitwa sei
Izvi zvinowanzoitika murabhoritari yekurapa cardiac catheterization. Uchapihwa mushonga wekurara (twilight sedation), kana pamwe mushonga weanesthesia. Zvadaro:
1. Tsono diki inopinzwa nepaganda munzvimbo yehudyu.
2. Nepairi, machubhu akati wandei matete anonzi `catheters` anoiswa mutsinga yeropa.
3. Catheter ye electrode inopfuudzwa nepachubhu iyi ichipinda mumoyo mako.
4. Tichishandisa catheter iyi, tinogona kuona masero ari mumoyo ari kukonzera dambudziko iri.
5. Zvadaro, simba rema radiofrequency rinoshandiswa kudzima masero asina kunaka.
Maitiro ese aya anogona kutora maawa maviri kusvika mana.
Mushure mekurapwa
Kana kurapwa kwapera, machubhu ese akaiswa anobviswa uye nzvimbo yakaboorwa inosimbiswa. Mushure meizvozvo, uchakumbirwa kuti gumbo rako rirambe rakatwasuka kwemaawa angangoita 6-8. Kunyangwe mushure mekudzokera kumba, uchafanirwa kuramba uchitora mishonga yako yekudzivirira ropa kusvika chiremba wako akuudza kuti uite saizvozvo.
Kubudirira pakurapwa, njodzi, uye zvinhu zvekuchenjerera
Sezvinongoita chero kurapwa kupi zvako, pane zvinhu zvishoma zvaunofanira kuziva. Ngatinyatsoongororai.
| Rudzi rwemashoko | Zvekuziva |
|---|---|
| Mwero wekubudirira | Kurapa uku kunobudirira kupfuura 90% . Vanhu vazhinji vanodzoka pakurova kwemoyo wavo kwakajairika. Zvisinei, chikamu chidiki, chinosvika 4%-6%, chinogona kudzokazve. |
| Njodzi | Njodzi yematambudziko isingasviki 1%.Zvisinei, matambudziko asingawanzoitiki anosanganisira: kuvharika kwemoyo, sitiroko, kubooka kwemoyo, hutachiona, uye kubuda ropa rakawanda. |
| Nguva yekuenda kuETU (Emergency Treatment Unit) nekukasika | Kana ronda rakapinzwa tsono rikabva razvimba kamwe kamwe kana kubuda ropa kubva paronda kusingagone kudzorwa. |
| Nguva yekufonera chiremba nekukasika | Kana uchinzwa kubuda ropa zvakanyanya, kushaya simba, kuvhiringidzika, kunetseka kutaura, kana kunzwa kupera simba uye sekunge ungangodonha. |
| Zvimwe zvinhu zvekuteerera | Udza chiremba wako kana uchinetseka kufema, uchinzwa dzungu, uchirwadziwa pachipfuva, uchishaya simba pagumbo rakakuvara, kuzvimba kana kupwanyika kwakakomberedza ronda, kurova kwemoyo kusina kujairika, kana kurwadziwa mudumbu. |
Zvinotora nguva yakareba sei kuti upore?
Chinhu chakanakisa pane izvi ndechekuti hazvitore nguva kuti kuporesa kupere.
Unogona kudzokera kumba wotangazve mabasa ako ezuva nezuva rinotevera. Zvisinei, kuchenjera kudzivisa mabasa anorema akadai sekurovedza muviri uye kusimudza zvinorema kwemazuva matatu.
Zvichienderana nemamiriro ako ezvinhu, ungangoda kutora mishonga inodzikisa ropa, yenguva pfupi uye refu, sezvakakurudzirwa nachiremba wemwoyo wako.
Zvakajairika kuti munhu wese atye zvishoma paanonzwa nezvedambudziko remwoyo. Asi Atrial Flutter chirwere chinorapika. Ablation inzira inoshanda uye yakachengeteka yekurapa. Saka, taura nachiremba wako pachena nezveizvi uye sarudza mushonga wakanakira iwe.
Mharidzo Yekuenda Nayo Kumba
- Kuputika kwemoyo (atrial flutter) chirwere chinorapika chinokonzerwa nekurova kwemoyo mumakamuri epamusoro asingawanzoitiki uye nekukurumidza.
- Kubvisa ropa kubva mudumbu (ablation) ndiyo nzira inonyanya kubudirira (inopfuura 90%) uye yakachengeteka yekurapa izvi. Haisi kuvhiyiwa kwemoyo kwakavhurika.
- Zvakakosha kutevedzera mirayiridzo yekurapa nekungwarira usati warapwa uye mushure mekurapwa, kunyanya iyo ine chekuita nekutora mishonga inorwisa ropa.
- Chenjerera zviratidzo zvekunyevera mushure mekurapwa, zvakaita sekubuda ropa rakawanda, kupera simba, uye kuoma kutaura. Kana uine matambudziko, enda kuna chiremba wako kana kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika.
- Usatya kurapwa uku, kurukura pachena nachiremba wemwoyo wako uye sarudza.
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