Njira zochotsera mtima

Kuchotsa kwamtima ndi njira yomwe imagwiritsidwa ntchito kuwononga malo ang'onoang'ono mumtima mwanu omwe atha kukhala nawo pamavuto anu amtima. Izi zitha kuletsa zizolowezi zamagetsi zamagetsi kapena mayimbidwe kuti asadutse pamtima.

Pogwiritsa ntchito njirayi, mawaya ang'onoang'ono otchedwa maelekitirodi amaikidwa mkati mwa mtima wanu kuti muyese zamagetsi zamagetsi mumtima mwanu. Gwero lavuto likapezeka, minofu yomwe imayambitsa vutoli imawonongeka.

Pali njira ziwiri zochotsera mtima:

• Kuchotsa ma radiofrequency kumagwiritsa ntchito mphamvu ya kutentha kuti athetse vutoli.
• Cryoablation imagwiritsa ntchito kutentha kozizira kwambiri.

Mtundu wa njira zomwe muli nazo zimadalira mtundu wamtundu wamtima womwe muli nawo.

Njira zochotsera mtima zimachitika mu labotale yapa chipatala ndi ogwira ntchito ophunzitsidwa bwino. Izi zikuphatikiza ma cardiologist (madotolo amtima), akatswiri, ndi anamwino. Makhalidwewa ndi otetezeka komanso owongoleredwa kotero kuti chiopsezo chanu ndi chochepa kwambiri momwe mungathere.

Mupatsidwa mankhwala (ogonetsa) musanachitike kuti akuthandizeni kupumula.

• Khungu lomwe lili pakhosi panu, mkono, kapena kubuula kwanu lidzatsukidwa bwino ndikumachita dzanzi ndi mankhwala oletsa kupweteka.
• Kenako, adotolo adula pang'ono pakhungu.
• Thupi laling'ono, losinthasintha (catheter) lidzaikidwa kudzera podulidwa mu umodzi mwamitsempha yamderali. Dokotala adzagwiritsa ntchito zithunzi za x-ray kuti awongolere catheter mosamala mumtima mwanu.
• Nthawi zina pamafunika catheter yopitilira umodzi.

Catheter ikakhala, dokotala wanu adzaika maelekitirodi ang'onoang'ono m'malo osiyanasiyana amtima wanu.

• Maelekitirodi awa amalumikizidwa ndi owunikira omwe amalola katswiri wamtima kudziwa malo omwe ali mumtima mwanu omwe akuyambitsa mavuto ndi mtima wanu. Nthawi zambiri, pamakhala gawo limodzi kapena angapo.
• Gwero lavuto likapezeka, imodzi mwa mizere ya catheter imagwiritsidwa ntchito kutumiza mphamvu zamagetsi (kapena nthawi zina kuzizira) kudera lamavuto.
• Izi zimapanga chilonda chaching'ono chomwe chimayambitsa vuto la kugunda kwa mtima.

Kuchotsa kabati ndi njira yayitali. Itha kutenga maola anayi kapena kupitilira apo. Pomwe mukuchita izi mtima wanu uyang'aniridwa bwino.Wothandizira zaumoyo akhoza kukufunsani ngati mukukumana ndi zizindikilo munthawi zosiyanasiyana munthawi imeneyi. Zizindikiro zomwe mungamve ndi:

• Kuwotcha kwakanthawi pomwe mankhwala amabayidwa
• Kugunda kwamtima mwachangu kapena mwamphamvu
• Mitu yopepuka
• Kuwotcha pamene magetsi agwiritsidwa ntchito

Kuchotsa kwa mtima kumagwiritsidwa ntchito kuthana ndi mavuto amtundu wina wamtima omwe mankhwala sakuwongolera. Mavutowa akhoza kukhala owopsa ngati sakuchiritsidwa.

Zizindikiro zofala zamatenda amtima zingaphatikizepo:

• Kupweteka pachifuwa
• Kukomoka
• Kugunda kwapang'onopang'ono kapena kofulumira (palpitations)
• Kupepuka, chizungulire
• Khungu
• Kupuma pang'ono
• Kudumphira kumenya - kusintha kwamachitidwe
• Kutuluka thukuta

Mavuto ena amtundu wamtima ndi awa:

• AV nodal reentrant tachycardia (AVNRT)
• Njira yothandizira, monga matenda a Wolff-Parkinson-White
• Matenda a Atrial
• Flutter yamatenda
• Ventricular tachycardia

Kuchotsa patheter nthawi zambiri kumakhala kotetezeka. Lankhulani ndi omwe amakupatsani zomwe zili zovuta izi:

• Kuthira magazi kapena kuphatikizira magazi pomwe catheter imayikidwa
• Magazi omwe amapita kumitsempha mwendo, mtima, kapena ubongo wanu
• Kuwonongeka kwa mtsempha wamagazi komwe kumayikidwa catheter
• Kuwonongeka kwa mavavu amtima
• Kuwonongeka kwa mitsempha yamitsempha yamagazi (mitsempha yamagazi yomwe imanyamula magazi kumtima kwanu)
• Esophageal atrial fistula (kulumikizana komwe kumachitika pakati pam'mero ​​ndi gawo la mtima wanu)
• Madzi ozungulira mtima (mtima tamponade)
• Matenda amtima
• Vagal kapena phrenic mitsempha kuwonongeka

Nthawi zonse muuzeni omwe akukuthandizani mankhwala omwe mukumwa, ngakhale mankhwala osokoneza bongo kapena zitsamba zomwe mwagula popanda mankhwala.

M'masiku asanachitike ndondomekoyi:

• Funsani omwe akukuthandizani mankhwala omwe mukuyenera kumwa patsiku la opareshoni.
• Uzani omwe akukuthandizani ngati mukumwa aspirin, clopidogrel (Plavix), prasugrel (Effient), ticagrelor (Brilinta), warfarin (Coumadin), kapena wowonda magazi ena monga apixaban (Eliquis), rivaroxaban powder (Xarelto), dabigatran (Pradaxa) ndi edoxaban (Savaysa).
• Mukasuta, siyani musanachitike. Funsani wothandizira wanu ngati mukufuna.
• Uzani wothandizira wanu ngati mukudwala chimfine, malungo, malungo, kapena matenda ena.

Patsiku la njirayi:

• Nthawi zambiri mudzafunsidwa kuti musamwe kapena kudya kalikonse pakati pausiku usiku musanachite.
• Tengani mankhwala omwe wothandizirayo wakuuzani kuti mumamwe pang'ono.
• Mudzauzidwa nthawi yobwera kuchipatala.

Kupanikizika kochepetsa magazi kumayikidwa mdera lomwe ma katheta adayikidwira mthupi lanu. Mudzagona pabedi kwa ola limodzi. Mungafunike kugona pabedi mpaka maola 5 kapena 6. Nyimbo yanu yamtima idzawunikidwa panthawiyi.

Dokotala wanu adzasankha ngati mungathe kupita kunyumba tsiku lomwelo, kapena ngati mukufuna kukhala m'chipatala usiku wonse kuti muwone momwe mtima ulili. Mufunika wina woti akuyendetseni kunyumba mukamaliza.

Kwa masiku awiri kapena atatu mutatha kuchita izi, mutha kukhala ndi izi:

• Kutopa
• Achy akumva m'chifuwa mwako
• Kudumphadumpha mtima, kapena nthawi yomwe kugunda kwanu kwamtima kumakhala kothamanga kwambiri kapena kosasintha.

Dokotala wanu akhoza kukupatsani mankhwala, kapena kukupatsirani ena atsopano omwe amakuthandizani kuwongolera mtima wanu.

Mitundu yopambana ndiyosiyana kutengera mtundu wamatenda amtima omwe akuchiritsidwa.

Kuchotsa pamitengo; Kuchotsa kwapafupipafupi; Cryoablation - kuchotsa mtima; AV nodal reentrant tachycardia - kuchotsa mtima; AVNRT - kuchotsa mtima; Wolff-Parkinson-White Syndrome - kuchotsa mtima; Matenda a atrial - kuchotsa mtima kwa mtima; Flutter atrial - kuchotsedwa kwa mtima; Ventricular tachycardia - kuchotsa mtima; VT - kuchotsa mtima; Arrhythmia - kuchotsa mtima kwamtima; Nyimbo yachilendo - kuchotsa mtima

• Angina - kumaliseche
• Angina - mukakhala ndi ululu pachifuwa
• Mankhwala osokoneza bongo - P2Y12 inhibitors
• Aspirin ndi matenda amtima
• Matenda a atrial - kutulutsa
• Batala, majarini, ndi mafuta ophikira
• Cholesterol ndi moyo
• Kulamulira kuthamanga kwa magazi
• Mafuta azakudya anafotokoza
• Malangizo achangu
• Matenda a mtima - kutulutsa
• Matenda a mtima - zoopsa
• Kulephera kwa mtima - kutulutsa
• Mtima pacemaker - kutulutsa
• Momwe mungawerenge zolemba za chakudya
• Zakudya zamcherecherere
• Zakudya zaku Mediterranean

Calkins H, Hindricks G, Cappato R, ndi al. 2017 mgwirizano wa akatswiri a HRS / EHRA / ECAS / APHRS / SOLAECE pa catheter ndikuchotsa opaleshoni ya fibrillation ya atrial. Mtima Nyimbo. 2017; 14 (10): e275-e444. PMID: 28506916 pubed.ncbi.nlm.nih.gov/28506916/.

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

Miller JM, Tomaselli GF, Zipes DP. Thandizo la 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: mutu 36.