Radiofrequency ablation na zuciya: contraindications, da rikitarwa da kuma haƙuri shedu

The zuciya ne daya daga cikin mafi muhimmanci gabobin a jikin mu. Duk wani magudi a cikin aikinsa iya muhimmanci rage ingancin rayuwa, idan ba m. Sau da yawa yakan faru a cikin marasa lafiya sababbu bugun zuciya - arrhythmia. A irin wannan cuta da aka samu nasarar amfani da radiofrequency ablation na zuciya.

Ta yaya lafiya zuciya

Karkashin al'ada yanayi da zuciya haifar takamaiman hatsaisai, a ƙarƙashin rinjayar da shi ne a rage daga cikin zuciya tsoka. A wannan matsa manya da ƙananan bẽnãye. Kowane m tasiri auku bayan wani lokaci. Yadda aka saba, da lafiya da mutum zai iya ƙidaya daga 60 zuwa 80 cuts da minti. A natsuwã su yawan rage-rage, da kuma idan ka motsa jiki, da karfi tunanin irin abubuwan da ƙaruwa. Matsayin mai mulkin, daidai aikin zuciya ne ganuwa da mutane.

Arrhythmia. ta bambance-bambancen karatu

Domin daban-daban dalilai, za ka iya duba ko palpitation, ko, conversely, inda hakan ta aiki. Wadannan iri arrhythmia. Bugun zuciya - yayin da rage jiki karfi. Idan zuciya rate o ƙarin tabbatar da rage, to, wanda yayi magana akan bradycardia. Wani irin munanan - tachycardia. Shi ne sinus (halin da cewa akan rage m m) da kuma paroxysmal (kwatsam karuwa a yawan shanyewar jiki). Har ila yau, kamu arrhythmia (zuciya beats prematurely ko daga oda). A atrial fibrillation, da kari na bugun zuciya ne m, kuma m.

Hanyar zalunta arrhythmia

Bayan da gwani zai tattara dukan zama dole gwaje-gwaje domin ganewar asali, shi sanya dace far. Da farko, tambaya magani. Amma idan zuciya kari cuta ne mai kai tsaye barazana ga rayuwar mutum, likita zai iya bayar da shawarar da shigarwa na na'urar bugun zuciya. Yana da aka saka a cikin zuciya tsoka, kuma ta hanyar wasu jan kaddara to lambar da ake so na balli. Yana kuma iya zama cardioverter defibrillator. Duk da haka, mafi zamani Hanyar magani daga arrhythmia ne radiofrequency ablation na zuciya. Reviews kwararru nuna wani high dace. Bugu da kari, a lokacin da dauke shi gaba daya gusar da yi wa zuciya cuta.

A tarihin abin da ya faru na hanyoyin

Radiofrequency ablation na zuciya da aka farko cika a cikin shekaru 80 na karni na ashirin. Lokacin da na farko magudi irin wannan tsari na wucin gadi rabo tare da matattu tsokar nama yin amfani da wata na'ura ko lantarki hatsaisai. Its wuri da aka zaba don haka cewa a kan shi su jijiyoyi alhakin yada sakonni tsakanin atria da ventricles. Saboda haka, da An katange bugun jini wanda ya auku a lokacin Gabar shakatawa. A gaba kalubale da aka sabuwar dabara na da irin wannan hanya da cewa ba sa lalacewar da kewaye nama, da effects a kan myocardium an dosed. Saboda haka, radiofrequency ablation na zuciya ya fara a da za'ayi amfani da aya lantarki. A wannan yanayin, da canji da aka ba lura a cikin nama, wanda aka located kusa da nan. Its ikon gudanar da hasken dake fitowa ta nace. Don kwanan yi radiofrequency ablation na zuciya a Moscow da wasu birane Rasha, tartsatsi wannan Hanyar kasashen waje.

Alamomi da kuma contraindications for ablation

Wannan hanya da aka yi amfani da ko'ina a gaban cututtuka irin na ramin zuciya tachycardia da supraventricular arrhythmias, atrial fibrillation, zuciya rashin cin nasara, atrial fibrillation, a cikin abin da suka yi da kari, da kuma sauran ventricles. Har ila yau, radiofrequency ablation na zuciya ne da za'ayi tare da wani karu a cardiac fitarwa, da karuwa a zuciyata. Aiwatar da wannan hanya ta rashin tasiri na magani ko inda akwai gazawa ga da amfani.

Amma kowane tiyata na da contraindications. Shi ne ba togiya da radiofrequency ablation na zuciya. Guest masana sun ce ta aiwatar ba kyawawa a lokacin da wani tsanani yanayin haƙuri, gaban kumburi a cikin zuciya, da matsaloli tare da kodan da kuma gwada da low matakin na haemoglobin a cikin jini. Har ila yau contraindications ne zazzabi (hadarin rikitarwa qara ta baya). Idan haƙuri yana da hawan jini, na numfashi gazawar, likita, ba shakka, to fasa irin wannan hanya.

Zuciya tiyata ablation. Shiri kuma hanya

M baki ne da za'ayi a cikin wani shirin kaiwa hanya. A cikin gudu-up ya kamata a cire gashi a cikin makwancin gwaiwa yankin da kuma subclavian yankin. 12 hours kafin nada lokaci ya kamata a daina cin abinci. Har ila yau daraja amfanin purgation. A 'yan kwanaki kafin ablation likita soke da kwayoyi da aka yi amfani da ƙara da zuciya rate. Kafin hanya, marasa lafiya da ciwon sukari kamata tuntubar likita game da shan insulin. Yi tiyata a cikin aiki da X-ray. Da farko, wajibi ne gabatarwar maganin sa barci. Sa'an nan da catheter an ciyar (da ake bukata huda da femoral jijiya ko jijiya). Duk da ake da za'ayi radiological iko. Dangane da abin da Sanadin cardiac arrhythmias, zaba wuri domin ablation. Penciled RF hatsaisai tsokar nama ne mai tsanani zuwa 60 ° C. Yana auku rabo necrosis. Bayan wani lokaci (game da minti 20), da likita bincika sakamakon cimma by yin amfani da wata hanya kamar rediyo-mita ablation na zuciya. Idan shi ya fi dacewa da shi, da catheters an cire da kuma aiki da aka kammala.

Radiofrequency ablation na zuciya. rikitarwa

Irin wannan hanya na lura da arrhythmia ne in mun gwada lafiya da kuma kasa daga hankali. Matsaloli na iya faruwa a kasa da 1% da marasa lafiya. Amma duk da haka radiofrequency ablation na cardiac rikitarwa iya samun wadannan: cardiac tamponade, lalacewar ganuwar ko bawuloli, pneumothorax, thrombosis. Shi ne kuma zai yiwu esophageal rauni, jijiyoyi. Za ka iya duba da kuma bruising a yankin na huda. Wani irin rikitarwa - da rashin lafiyan dauki ga bambanci jamiái wanda ake amfani a X-ray iko. Lokacin da catheter magudi akwai hadarin kamuwa da cuta. Duk da wannan, akwai wani yawan undoubted abũbuwan amfãni, wanda aka halin radiofrequency ablation na zuciya. Shedu nuna low rauni hanyoyin, short sharuddan da aiki, karamin dawo da lokaci.

Fi bayan ablation

Bayan cardiac ablation haƙuri gado sauran da aka nuna don lokaci har zuwa 24 hours. A lokacin da lura a asibiti ne short isa. Ba lalace jijiyoyi. Tun low-traumatic tiyata, da zafi ba ji, babu bukatar ya dauki musamman maganin ciwo, zuciya rate hankali ya kõmo zuwa al'ada. Yana da muhimmanci cewa fata ba ya zama postoperative scars, don haka da kwaskwarima sakamako ne ma yanzu. Saboda haka, mafi tasiri hanyar yi wa zuciya kari cuta - radiofrequency ablation na zuciya. Shedu ce cewa wannan magudi muhimmanci inganta yanayi da kuma inganta dogon shekaru na rayuwa. Maimaita ta hali wajibi ne kawai a cikin 'yan lokuta, amma har yanzu daraja da biyan hankali ga salon. Quitting shan taba, barasa, maganin kafeyin, zai ba da 'ya'ya. Shi ne ma daraja rage gishiri ci. Amma matsakaici motsa jiki ne kyawawa.