Txoj kev tshawb no mob electrophysiology (EPS)

Txoj kev kawm txog mob electrophysiology (EPS) yog ib txoj kev ntsuas kom xyuas seb lub plawv lub teeb ua haujlwm zoo npaum li cas. Nws yog siv los kuaj xyuas lub plawv dhia tsis zoo lossis lub plawv dhia.

Cov tshuab hluav taws xob hlau tau muab tso rau hauv lub siab los ntsuas qhov ntsuas no. Cov hluav taws xob no ntsuas qhov ntsuas hluav taws xob hauv plawv.

Cov txheej txheem tau ua nyob rau hauv tsev kho mob chav kuaj ntshav. Cov neeg ua haujlwm no yuav suav nrog kws kho plawv, thev naus laus zis, thiab kws tu neeg mob.

Yuav kom muaj txoj kev tshawb no:

• Koj lub puab tais thiab / lossis cheeb tsam caj dab yuav muab ntxuav thiab laim pob tshuaj (tshuaj loog) yuav siv rau ntawm daim tawv nqaij.
• Tus kws kho plawv yuav tom qab ntawv tso ntau txoj IV (hu ua sheaths) rau hauv thaj chaw puab tais lossis caj dab. Thaum cov IV no tso rau hauv qhov chaw, cov xov hlau lossis hluav taws xob tuaj yeem txuas los ntawm cov hnab riam nkag rau hauv koj lub cev.
• Tus kws kho mob siv cov duab xoo hluav taws xob txav mus los coj cov catheter mus rau hauv lub plawv thiab tso cov electrodes hauv qhov chaw zoo.
• Cov xaim hluav taws xob khaws lub plawv hluav taws xob.
• Cov cim hluav taws xob los ntawm cov xaim hluav taws xob yuav raug siv los ua kom lub plawv hla cov suab nrov lossis tsim lub plawv tsis zoo. Qhov no tuaj yeem pab kws kho mob nkag siab ntau dua txog dab tsi ua rau lub plawv txawv txav ntawm lub plawv lossis qhov twg hauv lub siab nws pib.
• Koj tseem yuav tau muab cov tshuaj uas tej zaum yuav siv rau tib lub hom phiaj.

Lwm cov txheej txheem uas tseem yuav ua thaum lub sijhawm kuaj:

• Tso ntawm lub plawv pacemaker
• Tus txheej txheem hloov kho thaj chaw me me hauv koj lub siab uas yuav ua rau koj cov teeb meem plawv tsis txaus siab (hu ua catheter ablation)

Luag yuav kom koj tsis txhob noj lossis haus rau 6 rau 8 teev ua ntej qhov kev kuaj ntawd.

Koj yuav hnav ib lub tsho tshaj sab hauv tsev kho mob. Koj yuav tsum kos npe rau daim ntawv pom zoo rau cov txheej txheem.

Koj tus kws kho mob yuav qhia koj ua ntej yog tias koj xav hloov pauv cov tshuaj koj noj tsis tu ncua. TSIS TXHOB noj lossis hloov cov tshuaj yam tsis tau tham nrog koj tus kws khomob.

Feem ntau, koj yuav tau muab tshuaj kom pab koj nyob ntsiag to ua ntej ntawm txoj kev. Txoj kev tshawb no tuaj yeem ntev txog 1 teev txog ntau teev. Koj tuaj yeem tsis tuaj yeem tsav tsheb mus tsev tom qab, yog li koj yuav tsum npaj rau qee tus neeg yuav tsav koj.

Koj yuav tsaug zog thaum qhov kev kuaj mob. Koj tuaj yeem hnov ​​zoo li tsis xis nyob thaum IV tso rau hauv koj txhais caj npab. Koj tuaj yeem hnov ​​zoo qee qhov siab nias ntawm lub vev xaib thaum lub catheter tau tso. Koj tuaj yeem xav tias koj lub siab hla kev muaj siab lossis sib tw ntawm lub sijhawm.

Koj tus kws kho mob yuav xaj kom kuaj xyuas no yog tias koj muaj cov cim qhia ntawm lub plawv tsis txaus (txav tsis ua haujlwm).

Koj yuav tsum muaj lwm yam kev sim ua ntej ua qhov kev kawm no.

EPS yuav raug ua kom:

• Ntsuam xyuas txoj haujlwm ntawm koj lub plawv hluav taws xob
• Piav qhia qhov tsis paub lub plawv txawv (plawv nres) uas yog pib hauv lub plawv
• Txiav txim siab qhov kev kho mob zoo tshaj plaws rau kev mob plawv tsis meej
• Txiav txim siab saib koj puas yuav muaj feem ntsib teeb meem plawv tom ntej, tshwj xeeb yog tuag sai sai
• Kuaj tshuaj yog tswj tau lub plawv tsis kho mob lub siab
• Saib seb koj puas yuav tsum tau ua maus taus lossis qog ua kom tsis taus plawv-defibrillator (ICD)

Cov kev ntsuas txawv txav yuav yog los ntawm qhov kev xav hauv lub plawv uas qeeb dhau los yog nrawm dhau. Cov no suav nrog:

• Atrial fibrillation lossis plhws
• Lub plawv thaiv
• Mob sinus syndrome
• Supraventricular tachycardia (ib phau ntawm cov kev txawv txav ntawm lub plawv uas tau pib hauv cov chav sab saud hauv lub siab)
• Ventricular fibrillation thiab ventricular tachycardia
• Wolff-Parkinson-Dawb syndrome

Tej zaum yuav muaj lwm qhov laj thawj uas tsis nyob hauv cov npe no.

Tus kws kho mob yuav tsum nrhiav qhov chaw nyob thiab hom teeb meem mob plawv hauv lub siab txhawm rau txhawm rau txiav txim siab kho tus mob kom raug.

Cov txheej txheem muaj kev nyab xeeb feem ntau. Cov kev pheej hmoo txaus ntshai muaj xws li:

• Arrhythmias
• Ntshav
• Cov ntshav txhaws uas ua rau mob embolism
• Mob Lub Hlwb
• Plawv nres
• Kab mob
• Kev raug mob rau txoj leeg ntshav
• Cov ntshav siab qis
• Mob stroke

Kev tshawb nrhiav electrophysiology - intracardiac; EPS - intracardiac; Kev mob plawv tsis zoo - EPS; Bradycardia - EPS; Tachycardia - EPS; Fibrillation - EPS; Arrhythmia - EPS; Lub plawv thaiv - EPS

• Plawv - saib ua ntej
• Kev ua tiav ntawm lub siab

Ferreira SW, Mehdirad AA. Kev kuaj ntshav hluav taws xob thiab cov txheej txheem electrophysiologic. Hauv: Sorajja P, Lim MJ, Kern MJ, eds. Kern's Cardhe Catheterization Phau Ntawv QhiaCov. 7 tus ed. Philadelphia, PA: Elsevier; 2020: chap 7.

Olgin JE. Txoj kev rau tus neeg mob uas xav tias tuaj yeem ua tsis tau. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 56.

Tomaselli GF, Rubart M, Zipes DP. Cov qauv ntawm cov plawv dhia tsis xwm yeem. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 34.