Wakambonzwa here kuti moyo wako uri kurova nekukurumidza, usingadzoreki? Zvakafanana nengoma ichirova nekukurumidza asi isina mutinhimira. Mukurapa, tinodana chirwere ichi kuti Atrial Fibrillation . Kazhinji, izvi zvinogona kudzorwa nemishonga. Zvisinei, kana zvisingadzoreki nemishonga, nhasi tiri kutaura nezvenzira yakakosha yekurapa inoshandiswa navanachiremba.
Zvichitaurwa zviri nyore, chii chinonzi AV Node Ablation?
Zita racho rinonzwika serakaoma, asi maitiro acho ari nyore. Zvichitaurwa zviri nyore, AV Node Ablation inzira isinganyanyi kukuvadza chidimbu chidiki chenyama mumoyo wako chinonzi AV node (Atrioventricular node) nekupisa kana kutonhora zvakanyanya, zvichiita kuti isashande.
Zvino pamwe uri kufunga kuti, "Ah, waireva kuremadza chikamu chemoyo here?" Usazvidya moyo, ngative pachena nezvazvo.
Funga nezve AV node iyi sechinhu chikuru chinosangana muhurongwa hwemagetsi hwemoyo. Masaini emagetsi anotumirwa kubva kumakamuri epamusoro (atria) emoyo kuenda kumakamuri epasi (ventricles) kuburikidza neiyi junction. Mu atrial fibrillation, masaini emagetsi anobva kumakamuri epamusoro anovhiringika uye anokurumidza. Saka, kuti tidzivise masaini aya asingavhiringike kuenda kumakamuri epasi, tinovhara junction iyi (AV node).
Zvadaro, kuti udzore kurova kwemoyo wako, uchaiswa muchina wekubatsira kurova kwemoyo unogarisa usati watanga kana kuti panguva yekurapwa uku. Izvi zvinoreva kuti muchina wekubatsira kurova kwemoyo uchatora mabasa eAV node. Izvi zvichabatsira kuchengetedza kurova kwemoyo uri munzira kwayo.
Ndiani anoda kurapwa uku?
Atrial Fibrillation chirwere chinofanira kurapwa. Zvisinei, AV Node Ablation haikodzeri munhu wese. Chiremba wako anogona kukukurudzira kurapwa uku kana ukawira mune chimwe chezvikamu zvinotevera:
- Kana mishonga isiri kushanda: Kana mishonga inopiwa kudzora atrial fibrillation isingakwanise kudzora kurova kwemoyo wako.
- Kana usingakwanise kutsungirira mushonga: Vamwe vanhu vanoomerwa nekuramba vachishandisa mushonga uyu nekuda kwemigumisiro yakaipa.
- Kana mamwe marapirwo akundikana: Kana mamwe marapirwo, akadai sekupatsanurwa kwetsinga dzemapapu, akatadza kudzora kurova kwemoyo.
- Kana uchitova ne pacemaker: Dzimwe nguva kurapwa uku kunogonawo kukurudzirwa kuvanhu vatove vachishandisa pacemaker nekuda kwezvimwe zvikonzero.
Kubviswa kweAV Node hakungorapi Atrial Fibrillation chete, asiwo kumwe kurova kwemoyo kusina kurongeka kunoitika mumakamuri epamusoro emoyo. Semuenzaniso:
- Kufamba-famba kweAtrial
- Kusagadzikana kwemwoyo (Supraventricular Arrhythmias)
Kushanda kwekurapa, nhanho nenhanho
Kunyangwe uku kusiri kuvhiyiwa kukuru, chinhu chinoitwa nokungwarira zvikuru.
Chii chinoitika usati warapwa?
Kana usati watova ne pacemaker, uchaisirwa pacemaker mavhiki mashoma usati watanga kurapwa, kana dzimwe nguva pazuva rekurapwa. Pamusoro pezvo, chiremba wako achaita ongororo ye electrophysiology yemoyo wako kuti aone nzvimbo chaiyo yeAV node.
Paunotanga kurapwa:
1. Kannula kadiki (IV) kanoiswa mutsinga iri muruoko rwako uye uchapihwa mushonga wekurara zvishoma (kunyaradza).
2. Kurwadziwa pamusoro peganda panzvimbo yakaita sepahuro, pamutsipa, kana paruoko.
3. Kuburikidza nayo, machubhu marefu (catheters) akanaka kwazvo anopinzwa mumoyo mako kuburikidza neimwe yetsinga dzako.
Chii chinoitika panguva yekurapwa?
Mushure mekuiswa catheter, timu yezvekurapa:
- Zviratidzo zvako zvehupenyu uye kurova kwemoyo zvicharamba zvichiongororwa.
- Uchishandisa tekinoroji yeX-ray, catheter inotungamirwa kuAV node.
- Uchishandisa muromo we catheter yakakosha, AV node inodzimwa nekupisa (Radiofrequency ablation) kana kutonhora kwakanyanya (Cryoablation) .
Mushure mekurapwa?
Kana nzira yacho yapera, chiremba achabvisa macatheter acho oabata panzvimbo yawo kwemaminitsi angangoita gumi nemashanu. Uchakumbirwa kuti urarare pamubhedha kwemaawa mashoma. Kazhinji ucharara muchipatara wozodzokera kumba mangwana acho.
Musiyano pakati peAV Node Ablation nePVI
Vamwe vanhu vanosarudza kurapwa kunonzi Pulmonary Vein Isolation (PVI) pachinzvimbo cheAV Node Ablation. Kunyangwe zvese zvichivavarira kudzora Atrial Fibrillation, pane musiyano mudiki mumaitiro uye mhedzisiro. Ngatizvitarisei nenzira iyi.
| Chinhu | Kubviswa kweAV Node | Kubviswa kweTsitsi reMapupa (PVI) |
|---|---|---|
| Chinangwa chikuru | Kumisa masaini emagetsi asingadzoreki kuti aende pasi pemoyo. | Kuumbwa kwechidziviriro chakakomberedza nzvimbo inotangira zviratidzo zvemagetsi zvisina kurongeka (tsinga dzemapapu). |
| Chinodiwa chemugadziri wekurwadziwa kwemoyo | Zvinodiwa zvechokwadi kuti munhu ararame. | Hazviwanzodiwi. |
| Mwero wekubudirira | Yakakwira zvikuru (inopfuura 90%). | Zvakaderera zvikuru (pakati pe60% - 80%). |
Ndezvipi zvakanakira uye njodzi dzacho?
Mabhenefiti eizvi
- Kurova kwemoyo kwakanaka: Zvinokwanisika kudzora kumhanya kwemoyo pasina mushonga (zvisinei, ungangoda kuramba uchitora mishonga inobvisa ropa).
- Hupenyu hwakanaka: Zviratidzo zvinodzikira, hupenyu hunova nyore.
- Kurovedza muviri kunogona: Kukwanisa kwemuviri kushanda nesimba kunowedzera.
- Kuderedzwa kwekugara muchipatara: Huwandu hwevanhu vanopinda muchipatara kana kushanya kuEmergency Treatment Unit (ETU) hunoderera.
Pane njodzi here?
Sezvinongoita chero kurapwa kupi zvako, kune njodzi diki kwazvo, asi idzi hadziwanzoitiki.
- Matambudziko nepacemaker yakaiswa.
- Kurova kwemwoyo kusingawanzoitiki mumakamuri epasi emwoyo.
- Kudzikira kwebasa re ventricle yekuruboshwe yemoyo (izvi zvinogona kugadziriswawo nekuisa imwe pacemaker lead (Biventricular pacing).
Chinhu chinonyanya kukosha ndechekuti AV Node Ablation mushonga wechigarire usingadzoreki (usingadzoreki) . Ndosaka pacemaker ichidiwa kwehupenyu hwese. Ichi chinhu chaunofanira kufunga nezvacho nokungwarira usati waita sarudzo iyi.
Unofanira kuona chiremba rini?
Mushure mekubatsirwa ne pacemaker, unofanira kuona chiremba wako nguva nenguva. Kazhinji mushure memwedzi wekutanga, uye kamwe chete kana kaviri pagore. Zvisinei, kana ukaona chimwe chezviratidzo zvinotevera, enda kuna chiremba wako nekukasika.
| Mukana | Zviratidzo zvekutsvaga |
|---|---|
| Kana uchifungidzira kuti pane hutachiona panzvimbo ye pacemaker: | |
| Zviratidzo zvehutachiona | Kupindwa nechando |
| Kudedera nekuda kwechando | |
| Marwadzo, kutsvuka, kana kuzvimba panzvimbo ine pacemaker | |
| Kana uchifunga kuti pacemaker yako haisi kushanda nemazvo: | |
| Matambudziko ekushanda zvakanaka | Dzungu (vertigo) |
| Kuenda usina wachi (kukwegura) | |
| Kuoma kufema | |
Kusarudza kuva neAV Node Ablation hakusi nyore. Nekuti hazvichinjiki uye uchafanira kugara nepacemaker kweupenyu hwako hwese. Zvisinei, mwero wekubudirira wakakwira zvikuru. Saka, kurukura mibvunzo yako yese nezvaunotya nachiremba wako. Chinhu chakakosha kuziva zvese uye kuita sarudzo yakakunakira.
Mharidzo Yekuenda Nayo Kumba
- AV Node Ablation mushonga unoshanda zvikuru we atrial fibrillation yakanyanya iyo isina kudzorwa nedzimwe nzira dzekurapa.
- Uku kurapwa kunogara kwenguva refu, kusingadzoreki, uye mushure mekurapwa muchada pacemaker kweupenyu hwese.
- Kurapa uku kunobudirira ne90% uye kunogona kuvandudza hupenyu hwako zvakanyanya.
- Ichi chisarudzo chikuru. Saka, ita sarudzo yakavakirwa paruzivo nekukurukura pachena zvakanakira, zvakaipira, uye chero zvinokunetsa zvaungave nazvo nachiremba wako.
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