Phunziro la Electrophysiological: ndi chiyani, ndi chiyani komanso momwe zimachitikira

Zamkati

• Ndi chiyani
• Zatheka bwanji
• Kodi kafukufuku wamagetsi wamagetsi ndi chiyani?

Kafukufuku wamagetsi ndi njira yomwe cholinga chake ndi kuzindikira ndi kujambula zochitika zamagetsi pamtima kuti zitsimikizire kusintha kwa kamvekedwe ka mtima. Chifukwa chake, kafukufukuyu nthawi zambiri amawonetsedwa ndi katswiri wamatenda akakhala kuti munthuyo akuwonetsa zizindikilo zosintha mumtima zomwe zimatha kukhala zokhudzana ndi kuyankha kwawo pamagetsi.

Kafukufuku wamagetsi ndi njira yosavuta ndipo imatenga pafupifupi ola limodzi, komabe imachitikira mchipinda chogwirira ntchito ndipo imafuna kuti munthuyo akhale pansi pa anesthesia, popeza imakhala ndi kukhazikitsidwa kwa ziphuphu kudzera mumitsempha yomwe ili m'chiuno ndipo zomwe kufikira kwa mtima, kulola kuti phunzirolo lichitike.

Ndi chiyani

Kafukufuku wamagetsi wamagetsi nthawi zambiri amawonetsedwa ndi katswiri wamatenda a mtima kuti atsimikizire ngati zomwe zimayambitsa zizindikilo zomwe zimafotokozedwa ndi munthuyo ndizokhudzana ndi kusiyanasiyana kwamagetsi komwe kumafika pamtima komanso / kapena momwe gululi limayankhira pamaganizidwe amagetsi. Chifukwa chake, njirayi imatha kuwonetsedwa kuti:

• Fufuzani zomwe zimayambitsa kukomoka, chizungulire komanso kuthamanga kwa mtima;
• Fufuzani kusintha kwa kayendedwe ka mtima, kotchedwanso arrhythmia;
• Fufuzani Brugada Syndrome;
• Thandizani kupeza matenda a atrioventricular block;
• Chongani magwiridwe antchito a implantable defibrillator, chomwe ndi chida chofanana ndi pacemaker.

Chifukwa chake, kuchokera pazotsatira zomwe zimapezeka kudzera mu kafukufuku wamagetsi, katswiri wamatenda amatha kuwonetsa kuyeserera kwa mayesero ena kapena kuyamba kwa chithandizo cholozera kwambiri yankho la kusintha kwamtima.

Zatheka bwanji

Kuti muchite kafukufuku wamagetsi, tikulimbikitsidwa kuti munthuyo azisala kudya kwa maola osachepera 6, kuphatikiza pakuyesa magazi pafupipafupi ndi electrocardiogram. Asanachitike, kupangidwanso kwa dera lomwe catheter idzaikidwenso kumachitika, ndiye kuti dera lachikazi, lomwe limafanana ndi dera lakubu. Njirayi imatenga pafupifupi mphindi 45 mpaka ola limodzi ndipo imachitikira m'chipinda chogwirira ntchito, chifukwa ndikofunikira kupanga katemera kuti apange catheter kuti apange kafukufuku wamagetsi.

Popeza njirayi imatha kupweteketsa komanso kusokoneza, nthawi zambiri imachitika pansi pa oesthesia wamba. Kafukufuku wamagetsi amachitika kuyambira kukhazikitsidwa kwa ma catheters ena kudzera mumtsempha wachikazi, womwe ndi mitsempha yomwe ili m'mimba, yomwe imayikidwa, mothandizidwa ndi maikolofoni, m'malo omwe ali mumtima omwe amakhudzana ndi zikhumbo zamagetsi zomwe zimafikira chiwalo.

Kuyambira pomwe ma catheters ali m'malo oyenerera kukayezetsa mayeso, zikhumbo zamagetsi zimapangidwa, zomwe zimalembetsedwa ndi zida zomwe mahatchi amamangiriridwa. Chifukwa chake, adotolo amatha kuwunika momwe mtima ukugwirira ntchito ndikuwunika zosintha.

Kodi kafukufuku wamagetsi wamagetsi ndi chiyani?

Kafukufuku wamagetsi ndi kuchotsedwa kwa zinthu amafanana ndi momwe, panthawi yomwe kafukufukuyu amachitikira, chithandizo cha kusinthaku, chomwe chimapangidwa ndikuchotsa, chimachitika. Ablation ikufanana ndi njira yomwe cholinga chake ndi kuwononga kapena kuchotsa njira yamagetsi yamagetsi yomwe ili yolakwika komanso yokhudzana ndi kusintha kwamtima.

Chifukwa chake, kuchotsedwako kumachitika nthawi yomweyo kafukufuku wamagetsi ndikupanga kukhazikitsidwa kwa catheter, mwa njira yomweyo yolowera mthupi la ma catheters omwe amagwiritsidwa ntchito nthawi ya kafukufukuyu, omwe amafika pamtima. Mapeto a catheter iyi ndi chitsulo ndipo ikagwirizana ndi minofu ya mtima, imatenthedwa ndipo imayambitsa zilonda zazing'ono mderalo zomwe zimatha kuchotsa njira yamagetsi yamagetsi.

Pambuyo pochita izi, kafukufuku wamagetsi watsopano amachitidwa nthawi zambiri kuti atsimikizire ngati panthawi yoperekera panali kusintha kulikonse munjira ina yamagetsi yamagetsi.