Cov Txheej Txheem Kev Mob Tsis Plaus

Zoo Siab

• Thaum twg koj xav tau mob ablation?
• Koj yuav npaj rau kev mob siab li cas?
• Yuav ua li cas thaum lub sij hawm mob ablation?
• Cov kev pheej hmoo dab tsi cuam tshuam nrog kev cuam tshuam kev mob hlab plawv?
• Ua li cas tom qab mob ablation?
• Outlook

Mob ablation yog dab tsi?

Mob ablation yog ib txoj kev uas ua los ntawm kev pab kho plawv tawm kev, tus kws kho mob uas paub tshwj xeeb hauv kev ua cov txheej txheem rau cov teeb meem plawv. Cov txheej txheem koom nrog cov xov txuas (lub xov hluav taws xob kom ntev ntev) los ntawm cov hlab ntsha thiab mus rau hauv koj lub siab. Tus kws kho plawv siv hluav taws xob xa cov hluav taws xob hluav taws xob mus rau thaj chaw hauv koj lub plawv los kho lub plawv dhia tsis xwm yeem.

Thaum twg koj xav tau mob ablation?

Qee lub sij hawm koj lub siab kuj yuav dhia nrawm, nrawm dhau, lossis tsis sib xws. Cov teeb meem plawv atherosclerosis hu ua arrhythmias thiab muaj peev xwm tej zaum kuj kho siv siv card ablation. Arrhythmias muaj ntau yam, tshwj xeeb ntawm cov neeg laus thiab cov neeg muaj kab mob uas cuam tshuam lawv lub plawv.

Coob leej neeg nyob nrog lub cev tsis tuaj yeem muaj cov tsos mob txaus ntshai lossis xav tau kev saib xyuas mob. Lwm tus neeg ua lub neej nyob nrog tshuaj.

Cov neeg tuaj yeem pom txhim kho los ntawm kev ua kom lub siab mob plhaw muaj xws li cov uas:

• muaj arrhythmias uas tsis teb rau cov tshuaj
• raug kev txom nyem phiv los ntawm cov tshuaj arrhythmia
• muaj ib hom mob arrhythmia uas nyhav zoo teb rau cov mob ablation
• yog qhov pheej hmoo siab ceev ceev ntawm kev raug mob plawv sai lossis lwm yam kev cuam tshuam

Mob ablation tej zaum yuav pab tau rau cov neeg uas muaj cov hom arrhythmia:

• AV nodal reentrant tachycardia (AVNRT): lub plawv dhia ceev ceev tshwm sim los ntawm lub luv luv hauv plawv
• accessory pathway: lub plawv dhia ceev vim yog qhov hluav taws xob tsis zoo ntawm lub plawv txuas ntawm lub siab sab saud thiab qis dua hauv chav
• atrial fibrillation thiab atrial flutter: ib qho plawv dhia thiab lub plawv dhia ceev uas pib hauv plawv ob chav sab saud
• ventricular tachycardia: lub suab nrawm nrawm thiab txaus ntshai pib rau hauv lub plawv ua ob chav qis

Koj yuav npaj rau kev mob siab li cas?

Koj tus kws kho mob yuav xaj kom kuaj koj lub plawv ua si hluav taws xob thiab lub suab. Koj tus kws kho mob tseem yuav nug txog lwm yam mob uas koj muaj, suav nrog mob ntshav qab zib lossis mob raum. Cov poj niam cev xeeb tub yuav tsum tsis txhob mob plawv vim tias cov txheej txheem cuam tshuam nrog hluav taws xob.

Koj tus kws kho mob yuav qhia koj kom tsis txhob noj lossis haus dab tsi tom qab ib tag hmo hmo ua ntej ntawm txoj kev. Koj yuav tsum tau tsum tsis txhob noj tshuaj uas tuaj yeem ua rau koj muaj feem ntau los ntshav ntau ntxiv, suav nrog cov tshuaj aspirin (Bufferin), warfarin (Coumadin), lossis lwm yam ntshav txawv dua, tabsis qee tus kws kho plawv xav kom koj noj cov tshuaj no ntxiv. Nco ntsoov tias koj tham nrog koj tus kws kho mob ua ntej kev phais mob.

Yuav ua li cas thaum lub sij hawm mob ablation?

Mob ablations tshwm sim nyob rau hauv chav tshwj xeeb hu ua electrophysiology laboratory. Koj pawg neeg saib xyuas kev noj qab haus huv yuav suav nrog tus kws kho plawv, tus kws kho mob, tus kws saib xyuas neeg mob, thiab tus neeg muab tshuaj loog. Cov txheej txheem yuav siv sij hawm li ntawm peb mus rau rau teev los ua kom tiav. Nws yuav ua tau raws li kev tso tshuaj kom tsaug zog lossis tshuaj loog hauv zos nrog kev ua kom loog.

Ua ntej, koj tus kws kho tshuaj loog muab tshuaj rau koj dhau ntawm txoj leeg (IV) ntawm koj sab caj npab uas yuav ua rau koj tsaug zog thiab tuaj yeem ua rau koj tsaug zog. Cov khoom siv tshuaj xyuas koj lub plawv hluav taws xob.

Koj tus kws kho mob ntxuav thiab ua kom tawv nqaij hauv koj sab caj npab, caj dab, lossis puab tais. Tom ntej no, lawv muab cov kev ntsuas qhov ntsej muag los ntawm cov hlab ntsha thiab hauv koj lub siab. Lawv txhaj hom tshuaj zas xim tshwj xeeb los pab lawv pom thaj chaw ntawm cov leeg tsis sib luag hauv koj lub siab. Tus kws kho plawv tom qab ntawd siv cov ntsuas pa hluav taws xob nrog lub ntsuas hluav taws xob ntawm qhov taub kom ncaj qha tawg ntawm hluav taws xob hluav taws xob. Cov hluav taws xob hluav taws xob no rhuav tshem cov ntu me me ntawm cov ntshav lub plawv tsis zoo los kho koj lub plawv dhia tsis xwm yeem.

Cov txheej txheem yuav mloog zoo me ntsis. Nco ntsoov nug koj tus kws kho mob kom noj tshuaj ntxiv yog tias nws mob.

Tom qab cov txheej txheem, koj pw tseem nyob hauv chav ua kom zoo rau plaub mus rau rau teev los pab koj lub cev rov zoo. Cov kws saib xyuas neeg mob saib xyuas koj lub plawv lub plawv thaum rov zoo. Koj tuaj yeem mus tsev tau tib hnub, lossis koj yuav tsum tau pw hauv tsev khomob thaum hmo ntuj.

Cov kev pheej hmoo dab tsi cuam tshuam nrog kev cuam tshuam kev mob hlab plawv?

Kev phom sij muaj xws li los ntshav, mob, thiab kis ntawm catheter qhov chaw ntxig dej. Cov teeb meem hnyav hnyav tau tsawg, tab sis yuav suav nrog:

• ntshav txhaws
• kev puas tsuaj rau koj lub plawv los yog txoj hlab ntsha
• kua buildup nyob ib ncig ntawm koj lub plawv
• plawv nres
• mob pericarditis, lossis o ntawm lub hnab uas nyob ib puag ncig lub plawv

Ua li cas tom qab mob ablation?

Koj yuav nkees thiab ntsib qee qhov tsis xis nyob hauv thawj 48 teev tom qab kuaj. Ua raws li koj tus kws kho mob cov lus qhia txog kev tu qhov mob, tshuaj noj, kev tawm dag zog, thiab rov qab teem cov sij hawm. Kev ntsuas hluav taws xob ib zaug yuav tau ua thiab cov txiaj ntsig cov lus sib dhos tau soj ntsuam los saib xyuas lub plawv atherosclerosis.

Qee tus neeg kuj tseem yuav muaj lub sijhawm luv luv ntawm lub plawv dhia tsis xwm yeem tom qab lub plawv tsis ua haujlwm. Qhov no yog ib cov tshuaj tiv thaiv li cov ntaub so ntswg kho, thiab yuav tsum ploj mus raws lub sijhawm.

Koj tus kws kho mob yuav qhia koj yog tias koj xav tau lwm cov txheej txheem, suav nrog kev cog qoob loo rau hauv lub cev, tshwj xeeb tshaj yog kho cov teeb meem plawv tom qab kev nyuaj siab.

Outlook

Outlook tom qab cov txheej txheem ua tau zoo heev tab sis nyob ntawm hom teeb meem thiab mob hnyav. Ua ntej txoj kev ua tiav ntawm cov txheej txheem tuaj yeem txiav txim tau, muaj txog peb lub hlis nyob tos tos kom kev kho kom zoo. Qhov no hu ua lub sijhawm npliag.

Thaum kho cov kab mob atrial fibrillation, qhov kev tshawb fawb thoob ntiaj teb loj pom tias catheter ablation tau zoo nyob hauv kwv yees li 80 feem pua ​​ntawm cov neeg muaj tus mob no, nrog 70 feem pua ​​tsis xav tau ntxiv cov tshuaj tiv thaiv kab mob ntxiv.

Lwm txoj kev tshawb nrhiav saib ablation feem ntau nyob rau ntau yam teeb meem supraventricular arrhythmia thiab pom tias 74.1 feem pua ​​ntawm cov neeg uas ua txoj kev kuaj pom tias ablation txoj kev kho yog ua tiav, 15.7 feem pua ​​raws li ib feem muaj kev vam meej, thiab 9.6 feem pua ​​ua tsis tiav.

Ib qho ntxiv, koj qhov ua tiav tau zoo yog nyob ntawm hom teeb meem uas ua kom muaj kev rho tawm. Piv txwv li, cov muaj teeb meem tsis tu ncua muaj tus lej qis dua li cov muaj teeb meem sib quas ntus.

Yog tias koj tab tom txiav txim siab txog kev mob plawv, txheeb xyuas qhov ua tiav ntawm qhov chaw uas koj txoj kev ua los yog ntawm koj tus kws ntsuas electrophysiologist tshwj xeeb. Koj kuj tseem yuav nug txog yuav ua li cas yog txhais tau zoo ua kom koj paub meej txog lawv ntsuas kev ua tiav tau zoo li cas.