Radiofrequency ablation wentliziyo: Izimo, iingxaki yakhe namaxwebhu angqina ngaye nomonde

Intliziyo yenye amalungu zibalulekileyo emzimbeni wethu. Naluphi na urhwaphilizo umsebenzi yakhe kakhulu akuphazamisi umgangatho wobomi, ukuba akubulali. Amaninzi eyenzeka izigulane ukubetha kwentliziyo kakubi - arrhythmia. Xa enjalo isifo sele isetyenziswe radiofrequency ablation intliziyo ngempumelelo.

njani intliziyo enempilo

Phantsi kweemeko eziqhelekileyo intliziyo yenza pulses ezithile, phantsi kwempembelelo nto leyo kunciphiso izihlunu zentliziyo. Kule namagumbi aphezulu kunye nezinye izicwangciso zokufihlakeleyoComment ukwazi. nempembelelo nganye elandela kwenzeka emva kwexesha elithile. Ngokuqhelekileyo, umntu esempilweni ukubala ukusuka amanxeba-60 ukuya kuma-80 ngomzuzu. Xa olungenasiphelo inani labo unciphisa, kwaye ukuba usebenzisa amava ngokweemvakalelo, strong ukunyuka. Njengoko umthetho, elungile umsebenzi intliziyo ungabonakali ebantwini.

Arrhythmia. ezahlukeneyo zalo

Ngenxa yezizathu ezahlukahlukeneyo, Nani linganisani okanye palpitation, okanye, icala, sehlise umsebenzi wayo. Ezi ndidi zilandelayo arrhythmia. Yomntanakhe - kunciphisa umzimba ngamandla. Ukuba izinga intliziyo ithande ukunciphisa, ngoko omnye uthetha bradycardia. Olunye uhlobo ezingaqhelekanga - tachycardia. Kuyinto sinus (luphawulwa into yokuba ukuncitshiswa ucingisise rhoqo) kunye paroxysmal (kokunyuka ngequbuliso kwenani imivumbo). Kwakhona bene arrhythmia (intliziyo beats ngaphambi kwexesha okanye umyalelo). Xa fibrillation atrial, isingqisho ye nokubetha kwentliziyo zingaha- kunye mdaka.

Iindlela arrhythmia okunyangayo

Emva kokuba specialist iya kuqokelela zonke iimvavanyo eziyimfuneko uxilongo, ukuba ibanike unyango olufanelekileyo. Kuqala kwinto zonke, sebenzisa amayeza. Kodwa ukuba ukuphazamiseka intliziyo isingqisho sesona soyikiso ngqo kubomi babantu, ugqirha kusenokubonisa ufakelo ipacemaker. Oku ibephakathi imisipha intliziyo ngokusebenzisa zazo ezithile icwangciselwe kwi inombolo oyifunayo zisaphila. Kananjalo kufuneka isixhobo esisa umbane. Nangona kunjalo, le ndlela yeyona mihla ukunyanga arrhythmia na radiofrequency ablation kwentliziyo. iingcali Ukubuyekezwa abonisa ukusebenza eliphezulu. Ukongeza, xa oyiphetheyo ngokupheleleyo ishenxisa unobangela ukuphazamiseka intliziyo.

Imbali ingenzeka iindlela

Radiofrequency ablation intliziyo yaba kuqala kunye kule minyaka ingama-80 zenkulungwane yamashumi amabini. Xa ukuphululwa yokuqala isiqingatha esidalwe ngumntu nge nyama engabalulekanga usebenzisa laser okanye pulses zombane. indawo yayo yakhethwa kangangokuba phezu kwayo kwakukho luvo uxanduva yokudlulisela amaza phakathi imithambo kunye ventricles. Ngoko ke, lo ukubetha ukuvimbile leyo kwenzeka ngexesha ilungu lokuphumla. Umngeni elandelayo umnqwazi ngokuvelisa indlela yokuba umntu enze umonakalo inyama ejikelezileyo, yaye iziphumo myocardium ziye imvukelo. Ngenxa yoko, radiofrequency ablation entliziyweni yaqala ukuba wenziwe usebenzisa i electrode ngongoma. Kulo mzekelo, utshintsho zange iqatshelwe esiqwini, leyo ekufuphi nalapho. ikhono layo ukuqhuba azilawule lwaqhubeka. Ukuza kuthi ga ngoku eyenziwa radiofrequency ablation yentliziyo eMoscow nakwezinye izixeko Russian, yande le ndlela aphesheya.

Iimpawu kunye Izimo for ablation

Le ndlela lisetyenziswa kwi ukubakhona kwezifo ezifana tachycardia ventricular kunye arrhythmias supraventricular, fibrillation atrial, ukusilela intliziyo, fibrillation atrial, apho benayo isingqisho, kunye nezinye ventricles. Kwakhona, radiofrequency ablation entliziyweni lwenziwa ukuncipha imveliso kwentliziyo, ukwanda entliziyweni. Sebenzisa le ndlela yokungabikho ukusebenza unyango okanye apho kukho izinto ezifika zibe yimiqobo ukusetyenziswa kwayo.

Kodwa yonke surgery Izimo yayo. Yiloo nto ngaphandle kunye radiofrequency ablation kwentliziyo. Iingcali Guest bathi ukuphunyezwa kwayo akufuneki xa imeko ngokunzulu isigulana, ubukho ukudumba entliziyweni, iingxaki kunye nezintso kunye inqanaba elisezantsi kakhulu mpilo egazini. Kwakhona Izimo ukuba umkhuhlane (umngcipheko iingxaki kwandisa imvelaphi yayo). Ukuba isigulana umntu uxinzelelo lwegazi oluphezulu, ukusilela yokuphefumla, ugqirha, kakade, udumdelise nkqubo.

Heart uqhaqho ablation. Ukulungiselela inkqubo

ungenelelo Surgical oluqhutywa ngendlela ocwangcisiweyo. Kwimikhankaso-up kufuneka isuswe iinwele kwindawo nasemiphakathweni kunye indawo subclavian. iiyure ezili-12 phambi kwexesha elimisiweyo kufuneka ayeke ukutya. Kwakhona kubalulekile isivuno purgation. Kwiintsuku ezimbalwa ngaphambi kokuba ugqirha ablation usula iziyobisi ziye zasetyenziswa ukunyusa izinga intliziyo. Phambi kokuba inkqubo, izigulane seswekile kufuneka udibane nogqirha malunga ngokuthatha insulin. Wenziwa utyando kwi yokusebenza X-ray. Okokuqala, kuyimfuneko ukuqaliswa zomzimba. Ngoko ke catheter ondliwa (i okuhlatywa efunekayo Kusenjalo femoral okanye umthambo). Zonke uyenziwa ulawulo radiology. Kuxhomekeke oonobangela arrhythmias kwentliziyo, ukhethe indawo ablation. pulses RF ngepeni izihlunu engabalulekanga lufundunyezwa 60 ° C. Oku kwenzeka nesabelo necrosis. Emva kwexesha elithile (malunga nemizuzu engama-20), ugqirha aphonononge isiphumo azuzwe ngokusebenzisa inkqubo ezifana radio-rhoqo ablation kwentliziyo. Ukuba evumelana yena, ezo catheters zisusiwe kunye nokusebenza lugqityiwe.

Radiofrequency ablation kwentliziyo. ukungaphili

Loo indlela yonyango lwe arrhythmia ikhuselekile kwaye ngaphantsi esibuhlungu. Iingxaki angenzeka ngaphantsi kwe-1% kwizigulane. Ukanti radiofrequency ablation yeengxaki kwentliziyo babe kulandelayo: tamponade kwentliziyo, iindonga umonakalo mbobo, pneumothorax, thrombosis. Kwakhona kuyenzeka kukwenzakala esophageal, yegazi. Uyakwazi ukubukela kunye amaYiputa abephathe iingono kule ndawo okuhlatywa. Olunye uhlobo iingxaki - ukusebenza komzimba ukuba umahluko iiarhente asetyenziswa ulawulo X-ray. Xa catheter buqhinga kukho ingozi yosulelo. Phezu kwayo yonke le nto, kukho intlaninge yeenzuzo wethu, nto leyo luphawulwa radiofrequency ablation kwentliziyo. Baqinisekiswa ukubonisa iinkqubo trauma ephantsi, imiqathango elifutshane ngokusebenza, ixesha ekuphulukwene encinane.

Rehabilitation emva ablation

Emva ablation wentliziyo ibhedi nomonde ukuphumla liboniswa kwixesha ukuya kwiiyure ezingama-24. Ithuba lokuqaphela esibhedlele bufutshane ngokwaneleyo. Ivuke kwegazi. Ekubeni utyando ephantsi-traumatic, le ntlungu ukuba waziva, akukho mfuneko yokuba athathe ntlungu ezizodwa, izinga intliziyo ngcembe ubuyela kwisiqhelo. Kuyinto ebalulekileyo ngokunjalo ukuba ulusu alihlali amanxeba postoperative, ngoko ke isiphumo izithambiso ukhona. Ngoko ke, eyona ndlela isebenzayo ukunyanga iingxaki intliziyo isingqisho - radiofrequency ablation kwentliziyo. Baqinisekiswa bathi le ukuphululwa iphucula ngokubonakalayo mood kwaye ikhuthaza iminyaka emininzi yobomi. Ukuphinda ukuziphatha kwayo kuyimfuneko kuphela kwiimeko ezimbalwa, kodwa kubalulekile ukunikela ingqalelo indlela yakho. Ukuyeka ukutshaya, utywala, caffeine, baya kuthwala iziqhamo. Kwakhona kubalulekile ukuba anciphise inani ityiwa. Kodwa umzimba ngokulinganisela inqweneleka.