Radiofrequency ablation za mtima: contraindications, zosokonezeka ndi umboni mtima

Mtima ndi chimodzi cha ziwalo zofunika kwambiri m'thupi mwathu. monyanyira aliyense mu ntchito yake akhoza kwambiri kusokoneza khalidwe la moyo, ngati si chakupha. Nthawi zambiri amapezeka mu odwala osasamba kugunda - arrhythmia. Chonchi matenda wakhala bwinobwino ntchito radiofrequency ablation za mtima.

Kodi mtima wathanzi

M'mikhalidwe yachibadwa mtima amapanga nyemba yeniyeni, muulamuliro amene ndi kuchepetsa minofu mtima. Mu wothinikizidwa zipinda izi chapamwamba ndipo m'munsi. Lililonse zimakhudza wotsatira zikadzatha nthawi zina za nthawi. Mwachibadwa, munthu wathanzi yembekezerani pa 60 ndi 80 mabala pa mphindi. Mu wogoneka chiwerengero chawo amachepetsa, ndipo ngati muzichita, wamphamvu zokumana maganizo ukuwonjezeka. Monga ulamuliro, olondola ntchito za mtima ndi kosaoneka ndi anthu.

Arrhythmia. mitundu yake

Pazifukwa zosiyanasiyana, inu mukhoza kuona kapena palpitation, kapena, Tikawonetsetsa liwiro ntchito yake. Zotsatirazi mitundu ya arrhythmia. Kugunda - pamene kuchepetsa thupi wamphamvu. Ngati kugunda kwa mtima amamuchititsa ndichepe, ndiye mmodzi ayankhula wa bradycardia. mtundu wina wa kuvutika - tachycardia. Ndi nkusani (yodziwika ndi chakuti kuchepetsa kulimbikira kawirikawiri) ndi paroxysmal (kuwonjezeka mwadzidzidzi chiwerengero cha mkwapulo). Komanso matenda arrhythmia (mtima ukugunda asanakalambe kapena kunja kwa dongosolo). Mu fibrillation matenda, kayendedwe ka kugunda ndi wachisokonezo ndi chosokonekera.

Njira amachitira arrhythmia

Pambuyo katswiri adzasonkhanitsa mayesero zonse zofunikira matenda, izo anapereka mankhwala oyenera. Choyamba, muyenera kugwiritsa ntchito mankhwala. Koma ngati matenda mtima mungoli ndi kuopseza mwachindunji kwa moyo wa munthu, adokotala akhoza amati unsembe wa pacemaker a. Iwo ophatikizidwa mu mnofu mtima ndipo mwa mwai zina analinganiza kuti nambala Napempha kwa heartbeats. Angagwiritsidwenso anapatsa cardioverter Makina amenewa. Komabe, njira zamakono kwambiri ya chithandizo cha arrhythmia ndi radiofrequency ablation za mtima. Reviews akatswiri zikuonetsa Mwachangu mkulu. Komanso, pamene tikugwira kwathunthu kumatha chifukwa mtima matenda.

Mbiri ya yatsoka njira

Radiofrequency ablation za mtima koyamba tachitira limodzi kwa zaka 80 zaka mazana makumi awiri. Pamene mpheto yoyamba chongopeka analenga gawo ndi akufa m'mnyewa wamtima minofu ntchito laser kapena nyemba magetsi. malo ake anasankhidwa kuti pa izo zinali misempha udindo kupatsira chizindikiro pakati pa atria ndi ventricles. Choncho, oletsedwa zimachitika zomwe zidzachitika zosangalatsa limba. The yovuta yotsatira inali Kutulukira njira yakuti sayambitsa kuwonongeka kwa minofu yoyandikana ndi zotsatira pa myocardium akhala dosed. Choncho, radiofrequency ablation mtima anayamba kuchitidwa ntchito mfundo elekitirodi. Pankhaniyi, kusintha silinkachitidwa minofu, yomwe inali pafupi. umatha kuchita zikhumbo analimbikira. Chibwenzi anachita radiofrequency ablation wa mumtima Moscow ndiponso mizinda ina Russian lofala njira imeneyi kunja.

Zizindikiro ndi contraindications kwa ablation

Njira chimagwiritsidwa ntchito mu kukhalapo kwa matenda monga tachycardia yamitsempha yamagazi ndi arrhythmias supraventricular, matenda fibrillation, matenda a mtima, matenda fibrillation, imene ndi kayimbidwe kotani, ndipo ventricles ena. Komanso, radiofrequency ablation za mtima ikuchitika ndi kuchepa linanena bungwe mtima, kuchuluka kwa mtima. Ikani njira imeneyi kusowa mphamvu ya mankhwala kapena pamene pali zofooka ntchito zake.

Koma aliyense opaleshoni ali contraindications ake. Ndi nazonso ndi radiofrequency ablation za mtima. Akatswiri Mlendo kuti kukhazikitsa si zofunika pamene chikhalidwe kwambiri wodwala, pamaso kutupa mu mtima, mavuto ndi impso ndi mlingo wotsika wa hemoglobin m'magazi. Komanso contraindications ndi malungo (chiopsezo cha matenda oyamba kumawonjezera maziko ake). Ngati wodwalayo kuthamanga kwa magazi, kulephera kupuma, dokotala, ndithudi, kusiya kaye ndondomeko zimenezi.

opaleshoni ya mtima ablation. Kukonzekera ndi ndondomeko

Opaleshoni alowererepo ikuchitika m'njira makonzedwe. Mu mothamanga-mmwamba ayenera kuchotsedwa tsitsi m'dera groin ndi malo subclavian. maola 12 nthawi yoikidwiratu isanakwane ayenera kusiya kudya. Komanso mtengo zokolola purgation. Ndipo kutatsala masiku ochepa ablation dokotala amapha mankhwala zagwiritsidwa ntchito mlingo mtima. Pamaso ndondomeko, odwala matenda a shuga ayenera kuonana ndi dokotala zokhudza kutenga insulin. Opaleshoni mu zikugwira ntchito X-ray. Choyamba, m'pofunika kumayambiriro ochititsa dzanzi. Ndiye catheter akudyetsedwa (chofunika puncture m'mitsempha femoral kapena mtsempha wamagazi). Onse ikuchitika ulamuliro radiological. Malinga ndi zimene zimayambitsa arrhythmias mtima, osankhidwa malo ablation. Pensulo m'danga RF nyemba m'mnyewa wamtima minofu ndi mkangano 60 ° C. Zimachitika gawo necrosis. Patapita nthawi (mphindi 20), dokotala amayankha zotsatira zimatheka ndi ntchito ndondomeko monga wailesi-pafupipafupi ablation za mtima. Ngati akufuna iye, catheters ndi kuchotsedwa ndi ntchito amaliza.

Radiofrequency ablation za mtima. zosokonezeka

Njira imeneyi imagwira ya chithandizo cha arrhythmia zimakhalanso otetezedwa ndi zochepa zoopsa. Mavuto angayambe pasanathe 1% odwala. Koma radiofrequency ablation matendawo mtima mwina zotsatirazi: mtima tamponade, kuwonongeka makoma kapena zingwe, pneumothorax, thrombosis. N'zothekanso esophageal choipa, mitsempha. Inu mukhoza kuona ndi nuchoka m'dera la puncture lapansi. mtundu wina wa mavuto - ndi matupi awo sagwirizana anachita tisiyanitse wothandizira amene ntchito mu ulamuliro X-ray. Pamene catheter mpheto pali matenda. Ngakhale izi, pali ubwino undoubted, amene amakhala ndi radiofrequency ablation za mtima. Umboni kusonyeza njira otsika zoopsa, mawu yochepa opareshoni, nthawi kuchira yaing'ono.

Konzanso pambuyo ablation

Pambuyo mtima ablation mtima bedi zina likuwonetsedwa nthawi maola 24. Nthawi chidwi kuchipatala ndi lalifupi zokwanira. Osati akusokoneza mitsempha ya magazi. Popeza opaleshoni otsika-zoopsa, ululu si anamva, palibe kutenga mankhwala othetsa ululu wapadera, kugunda kwa mtima pang'onopang'ono akubwerera mwakale. N'kofunikanso kuti khungu sakhala zipsera postoperative, kotero zotsatira zodzikongoletsera ndi pano. Choncho njira yabwino kwambiri chithandizo cha matenda a mtima mungoli - radiofrequency ablation za mtima. Umboni kuti mpheto ichi kwambiri bwino maganizo ndi kulimbikitsa kwa zaka zambiri moyo. Mobwerezabwereza makhalidwe ake Ndikofunikira mu zochepa zokha, koma mtengo powasamalira moyo wanu. Kusiya kusuta, kumwa mowa, tiyi kapena khofi, misapu. Ndi ofunika pofuna kuchepetsa mchere wambiri. Koma zolimbitsa thupi ndi zofunika.