Kafukufuku wa Intracardiac electrophysiology (EPS)

Kafukufuku wa Intracardiac electrophysiology (EPS) ndiyeso kuti awone momwe zikwangwani zamagetsi zamagetsi zikugwirira ntchito. Amagwiritsidwa ntchito poyang'ana kugunda kwamtima kapena zingwe za mtima.

Maelekitirodi a waya amaikidwa pamtima kuti achite izi. Maelekitirodi awa amayesa zochitika zamagetsi mumtima.

Njirayi imachitika mu labotale yachipatala. Ogwira ntchitowo adzaphatikizira katswiri wamtima, amisiri, ndi anamwino.

Kukhala ndi kafukufukuyu:

• Malo anu obowolera ndi / kapena khosi adzatsukidwa ndipo mankhwala ogwedeza thupi (opha ululu) adzagwiritsidwa ntchito pakhungu.
• Katswiri wamatendawo amayika ma IV angapo (otchedwa sheaths) m'malo opyola kapena m'khosi. Ma IV awa akakhala kuti alipo, mawaya kapena maelekitirodi amatha kupyola matumbawo mthupi lanu.
• Dotolo amagwiritsa ntchito zithunzi za x-ray kuti zitsogolere catheter mumtima ndikuyika maelekitirodi pamalo oyenera.
• Maelekitirodi amatenga zisonyezo zamagetsi zamtima.
• Zizindikiro zamagetsi zamagetsi zamagetsi zitha kugwiritsidwa ntchito kupangitsa mtima kudumpha kumenya kapena kupanga nyimbo yachilendo. Izi zitha kuthandiza adotolo kuti amvetsetse bwino zomwe zimayambitsa kusakhazikika kwamtima kapena komwe kumayambira mumtima.
• Muthanso kupatsidwa mankhwala omwe atha kugwiritsidwanso ntchito chimodzimodzi.

Njira zina zomwe zingathenso kuchitidwa poyesa:

• Kukhazikitsa kwa pacemaker kwamtima
• Ndondomeko yosinthira magawo ang'onoang'ono mumtima mwanu omwe atha kubweretsa mavuto amtima wanu (otchedwa catheter ablation)

Adzauzidwa kuti musadye kapena kumwa kwa maola 6 mpaka 8 mayeso asanayesedwe.

Mudzavala mkanjo wachipatala. Muyenera kusaina fomu yovomerezera.

Wothandizira zaumoyo wanu angakuuzeni nthawi isanakwane ngati mukufuna kusintha mankhwala omwe mumamwa pafupipafupi. Osasiya kumwa kapena kusintha mankhwala musanalankhule ndi omwe akukuthandizani.

Nthawi zambiri, mumapatsidwa mankhwala okuthandizani kuti mukhale odekha musanachitike. Phunziroli limatha kuyambira ola limodzi mpaka maola angapo. Simungathe kuyendetsa galimoto pambuyo pake, chifukwa chake muyenera kukonzekera kuti wina akuyendetseni.

Mudzakhala ogalamuka poyesedwa. Mutha kukhala osasangalala pamene IV imayikidwa m'manja mwanu. Muthanso kumva kukakamizidwa pamalopo pomwe catheter imayikidwa. Mutha kumva kuti mtima wanu ukudumpha kapena kuthamanga nthawi zina.

Wothandizira anu akhoza kuyitanitsa mayesowa ngati muli ndi zizindikilo za mtima wosazolowereka (arrhythmia).

Mungafunike kukhala ndi mayeso ena kafukufukuyu asanachitike.

EPS itha kuchitidwa kuti:

• Yesani ntchito yamagetsi amtima wanu
• Onetsani chizolowezi chodziwika bwino chamtima (arrhythmia) chomwe chikuyamba mumtima
• Sankhani chithandizo chabwino kwambiri pamtundu wa mtima wosazolowereka
• Dziwani ngati muli pachiwopsezo cha zochitika zamtsogolo, makamaka kufa kwamtima mwadzidzidzi
• Onani ngati mankhwala akuletsa kugunda kwamtima
• Onani ngati mukufuna pacemaker kapena implantable cardioverter-defibrillator (ICD)

Zotsatira zosazolowereka zitha kukhala chifukwa chakumangika kwamtima komwe kumachedwa kapena kuthamanga kwambiri. Izi zingaphatikizepo:

• Matenda a Atrial kapena flutter
• Mtima
• Matenda odwala sinus
• Supraventricular tachycardia (mndandanda wa zovuta zamtima zomwe zimayambira muzipinda zapamwamba za mtima)
• Ventricular fibrillation ndi ventricular tachycardia
• Matenda a Wolff-Parkinson-White

Pakhoza kukhala zifukwa zina zomwe sizili pamndandandawu.

Wothandizirayo ayenera kupeza komwe kuli komanso mtundu wa vuto la kuthamanga kwa mtima kuti adziwe chithandizo choyenera.

Njirayi imakhala yotetezeka nthawi zambiri. Zowopsa zomwe zingachitike ndi izi:

• Arrhythmias
• Magazi
• Magazi am'magazi omwe amatsogolera ku embolism
• Tamponade yamtima
• Matenda amtima
• Matenda
• Kuvulaza mtsempha
• Kuthamanga kwa magazi
• Sitiroko

Electrophysiology Study - intracardiac; EPS - yopanda chidwi; Nyimbo zosakhazikika pamtima - EPS; Bradycardia - EPS; Tachycardia - EPS; Fibrillation - EPS; Arrhythmia - EPS; Mtima block - EPS

• Mtima - kuwonera kutsogolo
• Kachitidwe kachitidwe ka mtima

Ferreira SW, Mehdirad AA. Ma labotale a electrophysiology ndi njira zamagetsi zamagetsi. Mu: Sorajja P, Lim MJ, Kern MJ, olemba., Eds. Buku la Kern's Cardathe Catheterization. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2020: mutu 7.

Olgin JE. Njira kwa wodwalayo amaganiziridwa arrhythmia. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 56.

Tomaselli GF, Rubart M, Zipes DP. Njira za arrhythmias yamtima. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: chaputala 34.