Intracardiac electrophysiology kudzidza (EPS)

Intracardiac electrophysiology kudzidza (EPS) bvunzo yekutarisa mashandiro emoyo magetsi emagetsi. Iyo inoshandiswa kutarisa kusagadzikana kwemoyo kana kurovera kwemoyo.

Waya emagetsi akaiswa mumoyo kuita iyi bvunzo. Aya ma electrode anoyera chiitiko chemagetsi mumoyo.

Maitiro acho anoitwa murabhoritari yechipatara. Vashandi vacho vanosanganisira chiremba wezvemwoyo, matekinoroji, uye manesi.

Kuti uve nechidzidzo ichi:

• Iyo yako yekugomera uye / kana yemutsipa nzvimbo ichave yakacheneswa uye chiveve mushonga (anesthetic) inozoiswa kune iro ganda.
• Nyanzvi yemoyo inozoisa ma IV mazhinji (anonzi sheaths) munzvimbo yekugomera kana yemutsipa. Kana aya maIV avepo, waya kana maelectrode anokwanisa kupfuudzwa nepakati pemisidhari mumuviri wako.
• Chiremba anoshandisa inofamba x-ray mifananidzo kutungamira iyo catheter mumoyo uye nekuisa ma electrode munzvimbo chaidzo.
• Ma electrode anotora emoyo zviratidzo zvemagetsi.
• Masaini emagetsi kubva kuma electrode anokwanisa kushandiswa kuita kuti moyo usvetuke kurova kana kuburitsa irimbo yemoyo isinganzwisisike. Izvi zvinogona kubatsira chiremba kuti anzwisise zvakanyanya nezve chii chiri kukonzeresa chisina kujairika moyo mutinhimira kana kuti kupi mumoyo kwairi kutanga.
• Iwe unogona zvakare kupihwa mishonga iyo inogona zvakare kushandiswa nechinangwa chimwe chete.

Dzimwe nzira dzingaitwewo panguva yekuyedzwa:

• Kuiswa kwemoyo pacemaker
• Maitiro ekugadzirisa nzvimbo diki mumoyo mako izvo zvinogona kunge zvichikonzera yako mwoyo rhythm matambudziko (anonzi catheter ablation)

Unozoudzwa kuti usadya kana kunwa kwemaawa matanhatu kusvika masere muedzo usati waitwa.

Uchapfeka hanzu yechipatara. Iwe unofanirwa kusaina fomu yemvumo yekutora nzira.

Anokuchengetedza hutano anokuudza pamberi penguva kana iwe uchida kuita shanduko kumishonga yaunogara uchitora. Usarega kutora kana kushandura chero mishonga usati watanga kutaura kune wako anokupa.

Muzviitiko zvakawanda, iwe unozopihwa mushonga wekukubatsira iwe kuti unzwe kudzikama pamberi pekuita. Chidzidzo chinogona kupera kubva pa1 awa kusvika kumaawa akati wandei. Unogona kusakwanisa kutyaira kumba mushure, saka unofanirwa kuronga kuti mumwe munhu akutyaire.

Unenge wakamuka panguva yekuyedzwa. Unogona kunzwa kusagadzikana kana IV ikaiswa muruoko rwako. Iwe unogona zvakare kunzwa kumwe kumanikidzwa panzvimbo iyi kana iyo catheter ichiiswa. Iwe unogona kunzwa moyo wako uchisvetuka kurova kana kumhanya pane dzimwe nguva.

Wako mupi anogona kuraira iyi bvunzo kana iwe uine zviratidzo zveasina kujairika moyo mutinhimira (arrhythmia).

Ungangoda kuve nemimwe bvunzo chidzidzo ichi chisati chaitwa.

EPS inogona kuitwa ku:

• Edza mashandiro emagetsi emoyo wako
• Nongedzera inozivikanwa isingazivikanwe yemoyo rhythm (arrhythmia) iri kutanga mumoyo
• Sarudza yakanakisa kurapwa kweasina kujairika moyo mutinhimira
• Sarudza kana iwe uri panjodzi yezveramangwana zviitiko zvemoyo, kunyanya kufa kamwe kamwe kwemoyo
• Tarisa uone kana mushonga uri kudzora isina kujairika moyo mutinhimira
• Ona kana iwe uchida pacemaker kana implantable cardioverter-defibrillator (ICD)

Mhedzisiro isina kujairika inogona kunge iri nekuda kweasina kujairika mwoyo mutinhimira unononoka kana kukurumidza. Izvi zvinogona kusanganisira:

• Atrial fibrillation kana flutter
• Mwoyo block
• Kurwara sinus syndrome
• Supraventricular tachycardia (muunganidzwa weasina kujairika moyo mutinhimira unotanga mumakamuri epamusoro emoyo
• Ventricular fibrillation uye ventricular tachycardia
• Wolff-Parkinson-White chirwere

Panogona kuve nezvimwe zvikonzero zvisipo pane izvi zvinyorwa.

Iye mupi anofanira kutsvaga nzvimbo uye mhando yemoyo mutinhimira dambudziko kuti aone kurapwa kwakakodzera.

Maitiro acho akachengeteka kwazvo muzviitiko zvakawanda. Njodzi dzinogona kuitika dzinosanganisira:

• Arrhythmias
• Kubuda ropa
• Ropa clots rinotungamira kune embolism
• Cardiac tamponade
• Kumira kurova kwemoyo
• Utachiona
• Kukuvadza kune tsinga
• Kuderera kweropa
• Kurohwa

Electrophysiology kudzidza - intracardiac; EPS - isinganzwisisike; Abnormal moyo mutinhimira - EPS; Bradycardia - EPS; Tachycardia - EPS; Fibrillation - EPS; Arrhythmia - EPS; Mwoyo block - EPS

• Moyo - pamberi pekutarisa
• Kuitisa system yemoyo

Ferreira SW, Mehdirad AA. Iyo electrophysiology laboratory uye electrophysiologic maitiro. Mune: Sorajja P, Lim MJ, Kern MJ, eds. Kern's Cardiac Catheterization Handbook. 7th ed. Philadelphia, PA: Elsevier; 2020: chits.

Olgin JE. Kusvika kumurwere nekufungidzirwa arrhythmia. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 56.

Tomaselli GF, Rubart M, Zipes DP. Maitiro emoyo arrhythmias. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 34.