Maitiro ekubvisa moyo

Cardiac ablation inzira inoshandiswa kurovera nzvimbo diki mumoyo mako iyo inogona kuve inobatanidzwa mumatambudziko emwoyo wako mutinhimira. Izvi zvinokwanisa kudzivirira zvisina kujairika magetsi emagetsi kana mutinhimira kubva mukufamba nemumoyo.

Munguva yekuita, tambo diki dzinodaidzwa kuti ma electrode dzinoiswa mukati memwoyo wako kuyera chiitiko chemagetsi emoyo wako. Kana panowanikwa dambudziko panowanikwa, nyama inokonzera dambudziko yaparara.

Pane nzira mbiri dzekuita ablation yemoyo:

• Radiofrequency ablation inoshandisa kupisa simba kubvisa nzvimbo yedambudziko.
• Cryoablation inoshandisa kutonhora kwakanyanya kutonhora.

Rudzi rwemaitiro auinaro anoenderana nerudzii rweasina kujairika moyo mutinhimira wauinayo.

Maitiro ekubvisa moyo anoitwa murabhoritari yechipatara nevashandi vakadzidziswa. Izvi zvinosanganisira cardiologists (vanachiremba vemwoyo), mahunyanzvi, uye vanamukoti. Mamiriro acho akachengeteka uye anodzorwa saka njodzi yako yakaderera zvakanyanya sezvinobvira.

Iwe unozopihwa mushonga (anonyaradza) usati waitwa maitiro ekukubatsira kuzorora.

• Ganda pamutsipa wako, ruoko, kana kugomera rinoshambidzwa mushe uye roitwa chiveve neanesthetic.
• Tevere, chiremba achaita kucheka kudiki paganda.
• Chubhu diki, inochinja-chinja (catheter) ichaiswa kuburikidza neiyi yakatemwa mune imwe yemidziyo yeropa munzvimbo. Chiremba anoshandisa mhenyu x-ray mifananidzo kunyatso tungamira iyo catheter kumusoro mumoyo mako.
• Dzimwe nguva zvinopfuura catheter imwe inodikanwa.

Kana catheter yavapo, chiremba wako anoisa maelectrode madiki munzvimbo dzakasiyana dzemoyo wako.

• Aya maelektrode akabatana nemamonitor ayo anotendera chiremba wezvemwoyo kuti ataure kuti ndeipi nzvimbo iri mumoyo mako iri kukonzera matambudziko nemoyo wako mutinhimira. Muzviitiko zvakawanda, pane imwe kana dzimwe nzvimbo dzakananga.
• Kamwe panobva dambudziko rave kuwanikwa, imwe yecatheter mitsara inoshandiswa kutumira magetsi (kana dzimwe nguva kutonhora) simba kunzvimbo yedambudziko.
• Izvi zvinogadzira vanga diki rinokonzeresa kuti mutinhimira wemoyo urambe kumira.

Catheter ablation inzira yakareba. Inogona kutora maawa mana kana anopfuura. Munguva yekuita moyo wako unozotariswa zvakanyanya.Anopa hutano anogona kukubvunza kana iwe uine zviratidzo panguva dzakasiyana panguva yekuita. Zviratidzo zvaunogona kunzwa ndezvi:

• Kupisa kupfupi kana mishonga ikabaiwa jekiseni
• Kukurumidza kana kusimba kwemwoyo
• Musoro wakareruka
• Kupisa kana simba remagetsi rashandiswa

Kubvisa moyo kunoshandiswa kurapa mamwe matambudziko emutsindo wemwoyo ayo mishonga isiri kudzora. Aya matambudziko anogona kuve nenjodzi kana akasarapwa.

Zviratidzo zvakajairika zvemwoyo mutinhimira matambudziko zvinogona kusanganisira:

• Kurwadziwa pachifuva
• Kufenda
• Inononoka kana inokurumidza kurova kwemoyo (palpitations)
• Kuchena musoro, dzungu
• Ruvara
• Kufema kwekufema
• Kusvetuka kurova - shanduko mune yemhando yekupomba
• Kudikitira

Mamwe matambudziko emwoyo mutinhimira ndeaya:

• AV nodal reentrant tachycardia (AVNRT)
• Nzira yekuwana nzira, senge Wolff-Parkinson-White syndrome
• Atrial fibrillation
• Atrial flutter
• Ventricular tachycardia

Catheter ablation inowanzo chengeteka. Taura nemupi wako nezve izvi zvisingawanzo matambudziko.

• Kubuda ropa kana kuyerera kweropa panowanikwa kateti
• Ropa rinovhara rinoenda kune tsinga mumakumbo ako, moyo, kana huropi
• Kukuvadza kune arteri uko iyo catheter inoiswa
• Kukuvadza kwemagetsi mavharuvhu
• Kukuvadza kune coronary arteri (tsinga dzeropa dzinotakura ropa kuenda pamoyo wako)
• Esophageal atrial fistula (chinongedzo chinoumba pakati pesophagus yako nechikamu chemoyo wako)
• Fluid yakatenderedza moyo (cardiac tamponade)
• Kumira kurova kwemoyo
• Vagal kana phrenic tsinga kukuvara

Nguva dzose udza mupi wako kuti ndeapi madhiragi auri kutora, kunyangwe madhiragi kana mahebhu awakatenga pasina tsamba yekunyora.

Pakati pemazuva pamberi pekuita:

• Kumbira mupi wako kuti ndeapi madhiragi aunofanirwa kutora pazuva rekuvhiyiwa.
• Udza mupiki wako kana iwe uri kutora aspirin, clopidogrel (Plavix), prasugrel (Effient), ticagrelor (Brilinta), warfarin (Coumadin), kana imwe ropa rinotetepa senge apixaban (Eliquis), rivaroxaban powder (Xarelto), dabigatran (Pradaxa) edoxaban (Savaysa).
• Ukasvuta, mira usati waitwa. Kumbira mupiki wako kuti akubatsire kana uchida.
• Udza mupi wako kana iwe uine kutonhora, dzihwa, fivha, herpes kuputika, kana chimwe chirwere.

Pazuva remaitiro:

• Iwe unowanzo bvunzwa kuti usamwe kana kudya chero chinhu pakati pehusiku husiku usati waita maitiro ako.
• Tora mishonga yaunoudzwa nemupi wako kuti utore nekamwe kapfu kemvura.
• Unozoudzwa nguva yekuuya kuchipatara.

Dzvinyiriro yekudzikisa kubuda kweropa inoiswa panharaunda pakaiswa macatheters mumuviri wako. Iwe unozochengetwa pamubhedha kweinenge 1 awa. Ungangoda kugara pamubhedha kweanosvika maawa mashanu kana matanhatu. Mwoyo wako mutinhimira uchaongororwa panguva ino.

Chiremba wako achasarudza kana iwe uchigona kuenda kumba nezuva rimwe chete, kana kana iwe uchizoda kugara muchipatara husiku husiku kuti uenderere mberi nekutarisisa kwemoyo. Iwe uchazoda mumwe munhu kuti akutyaire kumba mushure mekuita kwako.

Kwemazuva maviri kana matatu mushure mekuita kwako, unogona kuve nezviratidzo izvi:

• Kuneta
• Achy kunzwa muchipfuva chako
• Yakabvaruka kurova kwemoyo, kana nguva apo kurova kwemoyo wako kuchikurumidza kana kusajairika.

Chiremba wako anogona kukuchengetedza pamishonga yako, kana kukupa mitsva inobatsira kudzora moyo wako mutinhimira.

Matanho ekubudirira akasiyana zvichienderana nerudzii rwemoyo mutinhimira dambudziko riri kurapwa.

Catheter ablation; Radiofrequency catheter ablation; Cryoablation - kubvisa moyo; AV nodal reentrant tachycardia - kubvisa moyo; AVNRT - kubvisa moyo; Wolff-Parkinson-White Syndrome - kudzora moyo; Atrial fibrillation - kubviswa kwemoyo; Atrial flutter - moyo wekubvisa; Ventricular tachycardia - kubvisa moyo; VT - mwoyo ablation; Arrhythmia - kubvisa moyo; Abnormal moyo mutinhimira - moyo ablation

• Angina - kubuda
• Angina - kana uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchirwara pachipfuva
• Antiplatelet zvinodhaka - P2Y12 inhibitors
• Aspirin uye chirwere chemwoyo
• Atrial fibrillation - kubuda
• Butter, majarini, uye mafuta ekubikisa
• Cholesterol uye mararamiro
• Kudzora kukwira kweropa rako
• Mafuta echikafu akatsanangura
• Kurumidza kudya matipi
• Kurwadziwa kwemoyo - kubuda
• Chirwere chemwoyo - njodzi zvinhu
• Kutadza kwemoyo - kubuda
• Mwoyo pacemaker - kubuda
• Maitiro ekuverenga zvinyorwa zvekudya
• Kudya kwakaderera-munyu
• Kudya kweMediterranean

Calkins H, Hindricks G, Cappato R, et al. 2017 HRS / EHRA / ECAS / APHRS / SOLAECE nyanzvi yekubvumirana pamusoro pecatheter uye kuvhiya ablation yeatrial fibrillation. Mwoyo Rhythm. 2017; 14 (10): e275-e444. PMID: 28506916 pubmed.ncbi.nlm.nih.gov/28506916/.

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

Miller JM, Tomaselli GF, Zipes DP. Therapy yemoyo 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 36.