He aha ka Therapy Ablation? Ke Kumu, ke Kaʻina Hana & Nā Hōʻikeʻike

ʻO ka therapy ablation he lapaʻau lapaʻau e hoʻohana ana i ka wela, ke anu, a i ʻole nā kumu ikehu ʻē aʻe e luku i nā ʻiʻo makemake ʻole i loko o kou kino. E noʻonoʻo iā ia he ala pololei a i manaʻo ʻia e wehe a hoʻopau paha i nā wahi pilikia me ka ʻole o ke ʻoki nui.

Kōkua kēia ala hana liʻiliʻi i nā kauka e mālama i nā maʻi like ʻole, mai nā pilikia o ka puʻuwai a hiki i kekahi mau maʻi maʻi. Hana ke kaʻina hana ma ka hāʻawi ʻana i ka ikehu i mālama ʻia pololei i ka ʻiʻo kikoʻī e pono ai ka lapaʻau, e waiho ana i nā wahi olakino a puni me ka hoʻopā ʻole ʻia.

He aha ka therapy ablation?

Hoʻopau ka therapy ablation i nā ʻiʻo i manaʻo ʻia me ka hoʻohana ʻana i nā ʻano ikehu like ʻole e like me nā nalu radiofrequency, ke anu nui, a i ʻole ke kukui laser. Hoʻokele kāu kauka i kēia mau kumu ikehu i kahi kikoʻī e pono ai ka lapaʻau me ka hoʻohana ʻana i ka ʻenehana kiʻi e like me ka ultrasound a i ʻole nā scans CT.

ʻO ka huaʻōlelo

Eia nā maʻi nui e hōʻike ana i ka maikaʻi o ka lāʻau ablation:

• ʻO ka atrial fibrillation a me nā maʻi puʻuwai ʻē aʻe
• Nā maʻi ʻaʻai liʻiliʻi o ka puʻupaʻa, ke akepaʻa, a i ʻole nā ​​māmā
• ʻEha hope mau mai nā aʻalolo i pōʻino
• Nā veins varicose e hoʻopilikia ai
• Nā nodules thyroid i hana nui
• Nā fibroids uterine e hoʻoulu ai i ke kahe nui
• Barrett's esophagus (maʻi mua)

Hiki i kāu kauka ke ʻōlelo aku i ka ablation no nā maʻi laha ʻole e like me kekahi mau maʻi ʻaʻai iwi a i ʻole nā ​​arteriovenous malformations (nā pilina koko ʻokoʻa). ʻO ka pōmaikaʻi nui, hiki i ka ablation ke hoʻoponopono i ka pilikia me ka manawa hoʻōla liʻiliʻi ma mua o ke ʻoki kuʻuna.

He aha ke kaʻina hana no ka lāʻau ablation?

ʻO ka hana ablation maʻamau e lawe i 1-4 mau hola e pili ana i ka wahi e mālama ʻia ana a me ke ʻano i hoʻohana ʻia. Hana ʻia ka hapa nui o nā ablations ma ke ʻano he kaʻina hana outpatient, ʻo ia hoʻi hiki iā ʻoe ke hele i ka home i ka lā like.

Ma mua o ka hoʻomaka ʻana, e loaʻa iā ʻoe ka anesthesia kūloko e hoʻopōʻino i ka wahi, a i kekahi manawa ka sedation ʻike e kōkua iā ʻoe e hoʻomaha. Hoʻohana kāu kauka i ke alakaʻi ʻana i ke kiʻi e like me ka ultrasound, CT, a i ʻole MRI e ʻike pono i kahi e waiho ai i ka mea hana ablation.

Eia ka mea e hana maʻamau i ka wā o ke kaʻina hana:

1. E moe ʻoe ma luna o kahi papa hoʻokolokolo i ka wā e nānā ai nā mea nānā i kāu mau hōʻailona koʻikoʻi
2. Hoʻomaʻemaʻe ʻia ka wahi lapaʻau a hoʻopōʻino ʻia me ka anesthetic kūloko
3. Hoʻokomo kāu kauka i kahi probe lahilahi a i ʻole catheter ma kahi ʻoki liʻiliʻi a i ʻole ma kahi moku koko
4. Hoʻopili ka ʻenehana kiʻi i ka probe i kahi wahi i manaʻo ʻia
5. Hāʻawi ʻia ka ikehu ma o ka probe e luku i ka ʻiʻo pilikia
6. Wehe ʻia ka probe a hoʻopaʻa ʻia ka ʻoki liʻiliʻi

I ka wā o ka hāʻawi ʻana i ka ikehu, hiki iā ʻoe ke ʻike i ke kaomi a i ʻole ka hōʻoluʻolu māmā, akā ʻike ka hapa nui o nā kānaka he mea hiki ke ʻae ʻia. Mālama pono ʻia ke kaʻina hana holoʻokoʻa e hōʻoia i kou palekana a me kou hōʻoluʻolu.

Pehea e hoʻomākaukau ai no kāu ʻano lapaʻau ablation?

Hoʻomākaukau no ka ʻano lapaʻau ablation e hilinaʻi ana i ke ʻano o ke kaʻina hana āu e hana nei a me ka wahi e mālama ʻia nei. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī e pili ana i kāu kūlana pilikino.

ʻO ka hapa nui o nā kaʻina hana ablation e koi iā ʻoe e pale i ka ʻai ʻana a i ʻole ka inu ʻana no 6-12 mau hola ma mua. Pono nō hoʻi ʻoe e hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home, no ka mea, e hiamoe paha ʻoe mai ka sedation.

E noi paha kāu hui mālama ola iā ʻoe e hana i kēia mau ʻanuʻu hoʻomākaukau:

• E hooki i kekahi mau lāʻau lapaʻau e like me nā mea lahilahi koko e like me ke kuhikuhi ʻia (maʻamau 3-7 mau lā ma mua)
• E pale i ka ʻai ʻana a i ʻole ka inu ʻana ma hope o ke aumoe ma mua o kāu kaʻina hana
• E ʻaʻahu i nā lole ʻoluʻolu a me nā lole ʻoluʻolu
• Wehe i nā mea nani, ka pena kui, a me nā aniani pili
• E hoʻonohonoho i ka halihali i ka home ma hope o ke kaʻina hana
• E hoʻopau i nā hoʻokolohua lab a i ʻole nā haʻawina kiʻi

Inā ʻoe e hana ana i ka ablation cardiac, pono paha ʻoe e hooki i nā lāʻau lapaʻau puʻuwai kikoʻī. No ka ablation ate a i ʻole ka ʻāʻī, kōkua nā hoʻokolohua koko hou e hōʻoia i ka hana maikaʻi ʻana o kou mau ʻōkana no ke kaʻina hana.

Mai kānalua e nīnau i kāu hui mālama ola e pili ana i nā hopohopo a i ʻole nā nīnau āu e pili ana i ke kaʻina hana hoʻomākaukau. Makemake lākou e hōʻoia e ʻike ʻoe a ʻoluʻolu hoʻi e komo i ke kaʻina hana.

Pehea e heluhelu ai i kāu mau hopena lapaʻau ablation?

Hoʻoholo ʻia nā hopena mai ka lāʻau lapaʻau ablation ma o nā manawa mālama a me nā haʻawina kiʻi i nā pule a i nā mahina. Ana ʻia ka holomua e ka hoʻomaikaʻi ʻana a i ʻole ka nalowale ʻana o kāu mau hōʻailona mua.

No ka ablation puʻuwai puʻuwai, ʻo ka holomua ʻo ia ka mālama ʻia a i ʻole ka hoʻopau ʻia ʻana o kou puʻuwai puʻuwai ʻole. E hoʻohana kāu kauka i ka nānā ʻana i ka EKG a hiki iā ʻoe ke ʻaʻahu i ka mea nānā puʻuwai no kekahi mau lā a i ʻole mau pule e nānā i kou puʻuwai.

Eia ke ʻano o nā hopena like ʻole no nā kūlana like ʻole:

• Hoʻopau ʻana i ka puʻuwai: He maʻamau ke ʻano o ka puʻuwai ma ka EKG, ʻaʻole nui a ʻaʻole paha he palpitations
• Hoʻopau ʻana i ka maʻi ʻaʻai: Hoʻemi a nalo paha ka nui o ka maʻi ma nā kiʻi
• Hoʻopau ʻana i ka ʻeha: Hoʻemi nui ʻia nā helu ʻeha (maʻamau 50% a ʻoi aku paha)
• Hoʻopau ʻana i nā veins varicose: Hoʻomaikaʻi ʻia ke ʻano o nā veins
• Hoʻopau ʻana i ka thyroid: Hoʻomaʻamaʻa ʻia nā pae hormone i nā hoʻokolohua koko

He ʻokoʻa nā helu holomua piha ma muli o ke kūlana a me kahi, akā ʻike ka hapa nui o nā kānaka i ka hoʻomaikaʻi nui. No ka hoʻopau ʻana i ka puʻuwai, ʻo ka maʻamau o ka holomua he 80-90% no nā arrhythmias maʻamau, ʻoiai ka hopena o ka hoʻopau ʻana i ka maʻi ʻaʻai e hilinaʻi ana i ka nui a me ke ʻano o ka maʻi.

E hoʻonohonoho kāu kauka i nā kipa maʻamau e nānā i kāu holomua a e hōʻoia i ka hana ʻana o ka lāʻau lapaʻau e like me ka mea i manaʻo ʻia. He mea nui kēia mau manawa no ka nānā ʻana i kou ola ʻana a me ka hopu ʻana i nā pilikia i ka wā mua.

He aha nā mea pilikia no nā pilikia o ka lāʻau lapaʻau ablation?

ʻOiai he palekana ka lāʻau lapaʻau ablation, hiki i kekahi mau mea ke hoʻonui i kou pilikia o nā pilikia. He liʻiliʻi ka hapa nui o nā pilikia, akā he mea nui e hoʻomaopopo iā lākou ma mua o kāu kaʻina hana.

ʻO kou kūlana olakino holoʻokoʻa ke kuleana nui i ka hoʻoholo ʻana i kou pae pilikia. Hiki i nā kānaka me nā maʻi olakino he nui a i ʻole ka maikaʻi ʻole o ka puʻuwai, nā puʻupaʻa, a i ʻole ka hana ate ke kū i nā pilikia kiʻekiʻe.

ʻO nā mea e hoʻonui ai i kou pilikia:

• ʻO ka makahiki kiʻekiʻe (ma luna o 75 mau makahiki)
• Nā maʻi olakino maʻi he nui
• Nā ʻoki i hana ʻia ma mua ma ia wahi
• Ke lawe nei i nā lāʻau lapaʻau e hoʻoheheʻe i ke koko
• Ka momona a i ʻole ka pilikia o ka moe ʻana no nā manawa lōʻihi
• Maʻi puʻupaʻa a i ʻole ka ate
• Maʻi puʻuwai koʻikoʻi

Hoʻopilikia pū ka wahi o kāu ablation i nā pae pilikia. ʻO nā kaʻina hana kokoke i nā hale koʻikoʻi e like me nā kīʻaha koko nui a i ʻole ka puʻuwai e lawe i nā pilikia kiʻekiʻe iki ma mua o nā mea i nā wahi hiki ke komo.

ʻO nā mea pilikia ʻole i loaʻa he mau ʻano ʻokoʻa o ke kino a i ʻole nā ʻiʻo ʻōpala mai nā hana i hala aku nei e hiki ke paʻakikī i ka hana ablation. E loiloi pono kāu kauka i kēia mau mea a pau ma mua o ka ʻōlelo ʻana i ke kaʻina hana.

He aha nā pilikia e hiki ke loaʻa i ka lāʻau ablation?

He mea maʻamau ka loaʻa ʻana o nā pilikia mai ka lāʻau ablation, e loaʻa ana ma lalo o 5% o nā hana. ʻO ka hapa nui o nā pilikia he mea liʻiliʻi a hoʻoponopono koke ʻia me ka mālama kūpono.

ʻO nā pilikia maʻamau e pili ana i ka hōʻoluʻolu manawa ma kahi o ke kaʻina hana, ke kahe koko liʻiliʻi, a i ʻole ka ʻeha. Hoʻoponopono maʻamau kēia mau mea i loko o kekahi mau lā a i ʻole mau pule me ka ʻole o ka lāʻau lapaʻau kūikawā.

Eia nā pilikia e hiki ke loaʻa iā ʻoe:

• Ke kahe koko a i ʻole ka ʻeha ma kahi i hoʻokomo ʻia ai
• ʻEha manawa a i ʻole ka hōʻoluʻolu ʻole ma ka wahi i mālama ʻia
• Maʻi ma kahi o ke kaʻina hana
• Poino i nā ʻiʻo olakino kokoke
• ʻO ka hopena maʻi i ka sedation a i ʻole ka wai ʻokoʻa
• Nā koko koko (ʻaʻole maʻamau akā ʻoi aku ka koʻikoʻi)

ʻAʻole maʻamau nā pilikia koʻikoʻi akā hiki ke komo i ka pōʻino i nā ʻōkana kokoke a i ʻole nā kīʻaha koko. No ka ablation cardiac, aia kahi pilikia liʻiliʻi o ka pōʻino i ka ʻōnaehana uila o ka puʻuwai a i ʻole nā ​​hale kokoke.

ʻO nā pilikia ʻole e komo pū ana me ka perforation o nā ʻōkana, ka pōʻino o ke aʻalolo, a i ʻole ka mālama ʻole ʻana e koi ana i nā hana hou. E kūkākūkā kāu kauka i nā pilikia kikoʻī no kāu ʻano ablation i ka wā o kāu kūkākūkā.

ʻO ka hapa nui o nā pilikia, ke loaʻa, hiki ke mālama ʻia me ka mālama olakino kūpono. E nānā pono kāu hui mālama ola iā ʻoe i ka wā a ma hope o ke kaʻina hana e hopu koke i nā pilikia.

I ka manawa hea wau e ʻike ai i ke kauka ma hope o ka lāʻau ablation?

Pono ʻoe e hoʻokaʻaʻike koke i kāu kauka inā loaʻa iā ʻoe ka ʻeha nui, ke kahe koko nui, nā hōʻailona o ka maʻi, a i ʻole nā ​​hōʻailona e ʻike ʻole ʻia a i ʻole e pili ana ma hope o kāu hana ablation.

ʻO ka hapa nui o nā kānaka e ʻike i kekahi ʻoluʻolu maʻalahi no kekahi mau lā ma hope o ka ablation, akā ʻaʻole maʻamau ka ʻeha nui a i ʻole ka ʻeha e hoʻonui ana. Pēlā nō, manaʻo ʻia kekahi ʻeha, akā pono ka nānā ʻana i ka lāʻau lapaʻau no ke kahe nui ʻana a i ʻole ka pehu ʻana.

E kelepona koke i kāu kauka inā ʻoe e ʻike:

• ʻEha nui ʻaʻole e hoʻomaikaʻi me ka lāʻau i kauoha ʻia
• Ke kahe nui ʻana a i ʻole ka ʻeha e hoʻonui ana ma kahi o ke kaʻina hana
• Nā hōʻailona o ka maʻi e like me ke kuni, nā anu, a i ʻole ka ʻulaʻula e hoʻonui ana
• ʻEha umauma a i ʻole ka pilikia o ka hanu (ʻoi aku ma hope o ka ablation puʻuwai)
• Nāwaliwali koke, ʻeha, a i ʻole nā loli i ka ʻike
• Nausea, luaʻi, a i ʻole hiki ʻole ke mālama i nā wai i lalo

No ka ablation cardiac, e kelepona i kāu kauka inā ʻoe e ʻike i nā puʻuwai puʻuwai ʻole, ka wili, a i ʻole nā hōʻailona fainting. Hiki i kēia mau mea ke hōʻike i ka pono o kāu puʻuwai i ka hoʻoponopono a i ʻole ka nānā ʻana.

Pono nō hoʻi ʻoe e hoʻopili inā hoʻi mai kāu mau hōʻailona mua a i ʻole e hoʻonui nui. ʻOiai e pono ana kekahi mau kaʻina hana i ka manawa e hōʻike ai i nā hopena piha, pono ka loiloi ʻana i ka hoʻonui nui ʻana o nā hōʻailona.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka lāʻau ablation

Q1: He ʻeha anei ka lāʻau ablation?

ʻO ka hapa nui o nā kānaka e ʻike i ka ʻeha liʻiliʻi i ka wā o ka lāʻau ablation mahalo i ka anesthesia kūloko a me ka sedation. Hiki paha iā ʻoe ke ʻike i kekahi kaomi a i ʻole ka ʻoluʻolu maʻalahi i ka wā o ke kaʻina hana, akā maʻamau ka ʻae ʻia.

Ma hope o ke kaʻina hana, loaʻa paha iā ʻoe kekahi ʻeha a i ʻole ka ʻeha ma kahi o ka mālama ʻana no kekahi mau lā. He mea maʻamau kēia a pane maikaʻi i nā mea hoʻomaha ʻeha ma luna o ka counter. E kauoha kāu kauka i ka lāʻau ʻeha ikaika inā pono.

Q2: Pehea ka lōʻihi o ka hoʻōla ʻana mai ka lāʻau ablation?

He ʻokoʻa ka manawa hoʻōla e pili ana i ke ʻano o ka ablation a me ka wahi i mālama ʻia. Hiki i ka hapa nui o nā kānaka ke hoʻi i nā hana maʻamau i loko o kekahi mau lā a i hoʻokahi pule, akā pono ʻoe e pale i ka hāpai ʻana i nā mea kaumaha a i ʻole ka hoʻoikaika kino ikaika no kahi pule.

Hiki i nā hopena piha mai ka lāʻau lapaʻau ablation ke lawe i kekahi mau pule a i ʻole mau mahina e ʻike ʻia. No ka laʻana, hiki ke hoʻomaikaʻi koke ʻia ka puʻuwai puʻuwai, ʻoiai e ulu mālie ana ka emi ʻana o ka maʻi a i ʻole ka hōʻoluʻolu ʻeha i ka manawa.

Q3: Hiki ke hana hou ʻia ka lāʻau lapaʻau ablation inā pono?

ʻAe, hiki ke hana hou ʻia ka lāʻau lapaʻau ablation inā ʻaʻole i loaʻa i ke kaʻina hana mua ka holomua piha a i ʻole inā hoʻi mai ke kūlana. Nui nā kauka e hoʻolālā i ka hiki ke hana hou ʻia, ʻoi aku hoʻi no nā kūlana paʻakikī.

ʻO ka hoʻoholo e hana hou i ka ablation e pili ana i nā mea e like me ka maikaʻi o kāu pane ʻana i ka lāʻau lapaʻau mua, kou olakino holoʻokoʻa, a inā paha e ʻoi aku ka maikaʻi ma mua o nā pilikia. E kūkākūkā kāu kauka i kēia hiki me ʻoe inā lilo ia i mea pili.

Q4: Aia kekahi mau koho ʻē aʻe i ka lāʻau lapaʻau ablation?

ʻAe, nā koho ʻē aʻe i ka lāʻau lapaʻau ablation e pili ana i nā lāʻau lapaʻau, ka ʻoki kuʻuna, ka lāʻau lapaʻau radiation, a i ʻole ka kali ʻana e pili ana i kāu kūlana kikoʻī. ʻO ke koho maikaʻi loa e pili ana i kāu kūlana pilikino, ke kūlana olakino, a me nā makemake.

E kūkākūkā kāu kauka i nā koho a pau i loaʻa iā ʻoe, me ko lākou mau pono a me nā pilikia. Manaʻo pinepine ʻia ka Ablation ke hāʻawi ia i nā mea maikaʻi e like me ka manawa hoʻōla pōkole a i ʻole ka haʻahaʻa haʻahaʻa i hoʻohālikelike ʻia me nā lāʻau lapaʻau ʻē aʻe.

Q5: Pono anei au e noho i ka haukapila ma hope o ka ablation?

Hana ʻia ka hapa nui o nā kaʻina hana ablation ma ke kumu outpatient, ʻo ia hoʻi hiki iā ʻoe ke hele i ka home i ka lā hoʻokahi. Eia naʻe, hiki i kekahi mau kaʻina hana paʻakikī a i ʻole nā mea maʻi pilikia kiʻekiʻe ke koi i ka noho ʻana i ka haukapila i ka pō no ka nānā ʻana.

E hōʻike kāu kauka iā ʻoe ma mua inā pono ʻoe e noho i ka pō. ʻOiai me nā kaʻina hana outpatient, e hoʻolilo ʻoe i kekahi mau hola i ka hoʻōla e hōʻoia i ka paʻa ʻana ma mua o ka hele ʻana i ka home.