Ndondomeko Zotsitsimula Mtima

Zamkati

• Kodi ndi liti pamene mukufunika kuchotsa mtima?
• Kodi mumakonzekera bwanji kuchotsa mtima?
• Kodi chimachitika ndi chiyani pakutha kwamtima?
• Ndi zoopsa ziti zomwe zimakhudzidwa ndikuchotsa mtima?
• Kodi chimachitika ndi chiyani atachotsa mtima?
• Chiwonetsero

Kodi kuchotsa mtima ndi chiyani?

Kuchotsa matenda amtima ndi njira yochitidwa ndi katswiri wazachipatala, dokotala yemwe amachita bwino njira zothetsera mavuto amtima. Njirayi imaphatikizapo kulumikiza ma catheters (zingwe zazitali zosinthika) kudzera mumitsempha yamagazi komanso mumtima mwanu. Katswiri wa zamagetsi amagwiritsa ntchito ma elekitirodi kuti apereke magetsi abwino kumadera amtima wanu kuti athane ndi kugunda kwamtima kosafunikira.

Kodi ndi liti pamene mukufunika kuchotsa mtima?

Nthawi zina mtima wanu ukhoza kugunda mofulumira kwambiri, pang'onopang'ono, kapena mosagwirizana. Mavuto amtundu wamtima amatchedwa arrhythmias ndipo nthawi zina amatha kuchiritsidwa pogwiritsa ntchito kuchotsa mtima. Arrhythmias ndiofala kwambiri, makamaka pakati pa okalamba komanso mwa anthu omwe ali ndi matenda omwe amakhudza mitima yawo.

Anthu ambiri omwe amakhala ndi arrhythmias alibe zizindikiro zowopsa kapena amafunikira chithandizo chamankhwala. Anthu ena amakhala moyo wabwinobwino ndi mankhwala.

Anthu omwe amatha kuwona kusintha kuchokera pakachotsa mtima ndi omwe:

• khalani ndi arrhythmias omwe samayankha mankhwala
• amadwala mavuto obwera chifukwa cha mankhwala osokoneza bongo
• khalani ndi mtundu wina wamanjenje womwe umakonda kuyankha bwino pakutha kwamtima
• ali pachiwopsezo chachikulu chomangidwa kwamtima mwadzidzidzi kapena zovuta zina

Kuchotsa kwa mtima kumatha kukhala kothandiza kwa anthu omwe ali ndi mitundu iyi ya arrhythmia:

• AV nodal reentrant tachycardia (AVNRT): kugunda kwamtima kofulumira komwe kumayambitsidwa ndi dera lalifupi mumtima
• njira yothandizira: kugunda kwamtima mwachangu chifukwa cha njira yamagetsi yachilendo yolumikiza zipinda zam'mwamba ndi zapansi za mtima
• fibrillation ya atrial ndi flutter atrial: kugunda kwamtima kosazolowereka komanso kofulumira komwe kumayambira muzipinda ziwiri zakumtima
• ventricular tachycardia: kuthamanga kothamanga kwambiri komanso kowopsa koyambira muzipinda ziwiri zapansi zamtima

Kodi mumakonzekera bwanji kuchotsa mtima?

Dokotala wanu akhoza kuyitanitsa mayesero kuti alembe zochitika zamagetsi pamtima panu ndi mungoli. Dokotala wanu amathanso kufunsa zamavuto ena aliwonse omwe muli nawo, kuphatikiza matenda ashuga kapena matenda a impso. Amayi omwe ali ndi pakati sayenera kuchotsa mtima chifukwa njirayi imakhudzana ndi radiation.

Dokotala wanu angakuwuzeni kuti musadye kapena kumwa chilichonse pakati pausiku usiku usanachitike. Mungafunike kusiya kumwa mankhwala omwe angapangitse kuti mukhale ndi magazi ochulukirapo, kuphatikizapo aspirin (Bufferin), warfarin (Coumadin), kapena mitundu ina ya opopera magazi, koma akatswiri ena amtima akufuna kuti mupitilize mankhwalawa. Onetsetsani kuti mumakambirana ndi dokotala musanachite opaleshoni.

Kodi chimachitika ndi chiyani pakutha kwamtima?

Zomatira zamtima zimachitika mchipinda chapadera chotchedwa labotale yamagetsi. Gulu lanu lazachipatala lingaphatikizepo katswiri wa zamatenda, wothandizira, namwino, komanso wopereka mankhwala ochititsa dzanzi. Njirayi imatenga pakati pa maola atatu mpaka sikisi kuti amalize. Zitha kuchitidwa pansi pa anesthesia wamba kapena anesthesia yapafupi ndi sedation.

Choyamba, omwe amakupatsani dzanzi amakupatsani mankhwala kudzera mu mzere wamitsempha (IV) womwe uli mmanja mwanu womwe ungapangitse kuti mugone komanso kuti mugone. Zida zimayang'anira zochitika zamagetsi pamtima panu.

Dokotala wanu amatsuka ndikumasalaza khungu khungu lanu, khosi, kapena kubuula kwanu. Kenako, amalumikiza ma catheters angapo kudzera mumitsempha yamagazi ndikulowa mumtima mwanu. Amabaya utoto wosiyanitsa kuti awathandize kuwona magawo amtundu wosalimba mumtima mwanu. Katswiri wa zamankhwala amagwiritsira ntchito catheter yokhala ndi ma elekitirodi kumapeto kwa kuwongolera kuphulika kwa mphamvu ya radiofrequency. Kugunda kwa magetsi kumeneku kumawononga zigawo zing'onozing'ono zamatenda osakhazikika pamtima kuti zikonze kugunda kwamtima kwanu.

Njirayi imatha kukhala yovuta. Onetsetsani kuti mwafunsa dokotala kuti akupatseni mankhwala ena ngati zingakuvuteni.

Pambuyo pochita izi, mumangogona mchipinda chobwezeretsa kwa maola anayi mpaka asanu kuti muthandizire kuti thupi lanu lipezenso bwino. Anamwino amayang'anira kayendedwe ka mtima wanu mukamachira. Mutha kupita kwanu tsiku lomwelo, kapena mungafunike kugona mchipatala usiku wonse.

Ndi zoopsa ziti zomwe zimakhudzidwa ndikuchotsa mtima?

Zowopsa zimaphatikizapo kutuluka magazi, kupweteka, ndi matenda pamalo opangira catheter. Zovuta zina ndizosowa, koma zimatha kuphatikiza:

• kuundana kwamagazi
• kuwonongeka kwa mavavu amtima kapena mitsempha yanu
• madzimadzi ozungulira mtima wako
• matenda amtima
• pericarditis, kapena kutupa kwa thumba lozungulira mtima

Kodi chimachitika ndi chiyani atachotsa mtima?

Mutha kukhala otopa ndikumva kuwawa mkati mwa maola 48 oyamba mutayesedwa. Tsatirani malangizo a dokotala wanu za chisamaliro cha zilonda, mankhwala, zolimbitsa thupi, ndi maimidwe otsatila. Ma electrocardiograms amakono adzachitika ndipo zotsatira zake zimakhala zowunikiridwa kuti ziwone kugunda kwamtima.

Anthu ena atha kukhalabe ndi magawo amfupi amgwirizano wamtima pambuyo pothana ndi mtima. Izi ndizomwe zimachitika ngati minofu imachiritsa, ndipo imayenera kutha pakapita nthawi.

Dokotala wanu angakuuzeni ngati mukufuna njira zina zilizonse, kuphatikiza kupangika kwa pacemaker, makamaka kuti muthane ndi zovuta zamagwirizano amtima.

Chiwonetsero

Maonekedwe pambuyo pa njirayi ndiabwino koma zimadalira mtundu wamavuto komanso kuuma kwake. Kusanachitike bwino kwa njirayi, pali pafupifupi miyezi itatu yoyembekezera yolola kuti achire. Iyi imatchedwa nthawi yopanda kanthu.

Pochiza matenda a atrial, kafukufuku wamkulu wapadziko lonse lapansi anapeza kuti kuchotsedwa kwa catheter kunali kothandiza kwa pafupifupi 80 peresenti ya anthu omwe ali ndi vutoli, pomwe 70% safuna mankhwala ena owonjezera.

Kafukufuku wina adayang'ana kuchuluka kwa mitengo ya ablation pamavuto osiyanasiyana opitilira muyeso ndipo adapeza kuti 74.1 peresenti ya omwe adachita izi adazindikira kuti chithandizo chobwezeretsa ndalama chimayenda bwino, 15.7% ndiopambana pang'ono, ndipo 9.6% sanapambane.

Kuphatikiza apo, kupambana kwanu kudzadalira mtundu wa nkhani yomwe ikufuna kuchotsedwa. Mwachitsanzo, iwo omwe ali ndi mavuto osalekeza amapambana poyerekeza ndi omwe ali ndi mavuto apakatikati.

Ngati mukuganiza zochotsa mtima, yang'anani mitengo yomwe ikuyendere bwino pamalo omwe mungachitire kapena kwa electrophysiologist wanu. Muthanso kufunsa momwe kupambana kumatanthauziridwa kuti muwonetsetse kuti mukudziwa bwino momwe amaonera kupambana.