Chii chinonzi Ablation Therapy? Chinangwa, Maitiro & Mhedzisiro

Ablation therapy imishonga inoshandisa kupisa, kutonhora, kana mamwe masimba kuparadza nyama isingadiwi mumuviri wako. Fungidzira se nzira yakarurama, yakatarwa yekubvisa kana kudzima nzvimbo dzine matambudziko pasina kuvhiyiwa kukuru.

Nzira iyi isingapindi zvakanyanya inobatsira vanachiremba kurapa mamiriro akasiyana-siyana, kubva kumatambudziko emoyo kusvika kune mamwe marudzi ekenza. Maitiro acho anoshanda nekupa simba rinodzorwa zvakananga kunyama chaiyo inoda kurapwa, ichisiya nzvimbo dzakakomberedza dzine hutano dzisingabatwi zvakanyanya.

Chii chinonzi ablation therapy?

Ablation therapy inoparadza nyama yakatarwa ichishandisa mhando dzakasiyana dzesimba senge radiofrequency waves, kutonhora kwakanyanya, kana mwenje we laser. Chiremba wako anotungamira masimba aya kunzvimbo chaiyo inoda kurapwa achishandisa tekinoroji yekufungidzira senge ultrasound kana CT scans.

Izwi rekuti "ablation" rinongoreva "kubviswa" mumashoko echiremba. Zvisinei, nyama haina kubviswa nguva dzose - dzimwe nguva inongodzimwa kana kuvadzwa kuitira kuti isashande zvakajairika.

Mhando dzakasiyana dze ablation dzinoshandisa masimba akasiyana. Radiofrequency ablation inoshandisa kupisa, cryoablation inoshandisa kutonhora kwakanyanya, uye laser ablation inoshandisa simba remwenje rakatarwa. Chiremba wako anosarudza mhando yakanakisa zvichienderana nemamiriro ako chaiwo uye nzvimbo yenyama ine dambudziko.

Nei ablation therapy ichiitwa?

Ablation therapy inorapa mamiriro apo nyama chaiyo iri kukonzera matambudziko uye inoda kubviswa kana kudzimwa. Inowanzo kurairwa kana mishonga isingashande zvakanaka kana kana kuvhiyiwa kuchizova kwakanyanya njodzi.

Zvikonzero zvakajairika zvikuru zvinoita kuti vanachiremba varayire ablation zvinosanganisira kurapa kusagadzikana kwemoyo (arrhythmias), mamwe marudzi etumors, uye mamiriro ekurwadziwa kwenguva refu. Zvinobatsira zvikuru kune vanhu vasina kukodzera kuvhiyiwa kukuru nekuda kwezera kana mamwe mamiriro ehutano.

Hezvino mamiriro makuru uko kurapa kwe ablation kunoratidza kuve kunonyanya kubatsira:

• Atrial fibrillation uye zvimwe zvirwere zvemoyo rhythm
• Tumors diki dzeitsvo, chiropa, kana mapapu
• Kurwadziwa kwemuzongoza kusingaperi kubva mumitsipa yakakuvadzwa
• Tsinga dzeropa dzakakuvadzwa dzinokonzera kusagadzikana
• Thyroid nodules dzakanyanya kushanda
• Uterine fibroids inokonzera kubuda ropa kwakanyanya
• Barrett's esophagus (mamiriro ekutanga-cancer)

Chiremba wako anogona zvakare kukurudzira ablation kune mamiriro asingawanzoitika senge mamwe matumors emapfupa kana arteriovenous malformations (kusagadzikana kwekubatana kwetsinga dzeropa). Mukana mukuru ndewekuti ablation inogona kugadzirisa dambudziko nekukurumidza kupora kupfuura kuvhiyiwa kwechinyakare.

Ndeipi nzira yekurapa ye ablation?

Maitiro e ablation anowanzo tora 1-4 maawa zvichienderana nenzvimbo iri kurapwa uye nzira inoshandiswa. Mazhinji ma ablations anoitwa senzira dzekunze, zvinoreva kuti unogona kuenda kumba zuva rimwe chete.

Usati watanga, iwe uchagamuchira anesthesia yemuno kuti inyaradze nzvimbo yacho, uye dzimwe nguva kuziva sedation kukubatsira kuzorora. Chiremba wako anoshandisa imaging gwara senge ultrasound, CT, kana MRI kuti aone chaizvo kwaungaisa mudziyo we ablation.

Hezvino zvinoitika panguva yekuvhiya:

1. Ucharara patafura yekuvhenekera apo ma monitor anoteedzera zviratidzo zvako zvakakosha
2. Nzvimbo yekurapa inocheneswa uye inonyaradzwa neanesthetic yemuno
3. Chiremba wako anopinza probe yakatetepa kana catheter kuburikidza nekucheka kudiki kana kuburikidza netsinga dzeropa
4. Tekinoroji yekufungidzira inotungamira probe kunzvimbo chaiyo yechinangwa
5. Simba rinoendeswa kuburikidza neprobe kuti riparadze tishu yedambudziko
6. Iyo probe inobviswa uye kucheka kudiki kunobviswa

Panguva yekutumirwa kwesimba, unogona kunzwa kumwe kumanikidzwa kana kusagadzikana kudiki, asi vanhu vazhinji vanozviwana zvichishiviririka zvakanyanya. Maitiro ese anonyatso tariswa kuti ave nechokwadi chekuchengeteka kwako uye kunyaradzwa kwese.

Maitiro ekugadzirira kurapwa kwako kwe ablation?

Kugadzirira kurapwa kwe ablation kunoenderana nerudzi rwekuvhiyiwa kwauri kuita uye nzvimbo iri kurapwa. Chiremba wako achakupa mirairo yakatarwa zvichienderana nemamiriro ako ega.

Maitiro mazhinji e ablation anoda kuti usadya kana kunwa kwemaawa 6-12 usati waita. Iwe unozofanirwa kuronga kuti mumwe munhu akutyaira kumba, sezvo unogona kunzwa uchinetseka nekuda kwe sedation.

Chikwata chako chehutano chinogona kukukumbira kuti utore matanho aya ekugadzirira:

• Mira mishonga yakati wandei senge inoderedza ropa sezvakarairwa (kazhinji mazuva 3-7 asati aitwa)
• Dzivisa kudya kana kunwa mushure mepakati peusiku usati waita kuvhiyiwa kwako
• Pfeka mbatya dzakasununguka, dzakakodzera
• Bvisa zvishongo, polish yezvipikiri, uye makontakiti lens
• Ronga zvekutakurwa kumba mushure mekuvhiyiwa
• Pedzisa chero bvunzo dzemurabhoritari kana zvidzidzo zve imaging zvinodiwa

Kana uri kuita cardiac ablation, unogona kuda kumisa mishonga yemoyo yakati wandei. Kune chiropa kana itsvo ablation, mamwe bvunzo dzeropa dzinobatsira kuona kuti nhengo dzako dziri kushanda zvakanaka zvakakwana kuti zvigadziriswe.

Usazeza kubvunza chikwata chako chehutano nezve chero zvaunonetseka kana mibvunzo yaunayo nezve maitiro ekugadzirira. Vanoda kuona kuti unonzwa wakaziviswa uye wakasununguka uchienda mukuvhiyiwa.

Maitiro ekuverenga mhedzisiro yako yekurapa kwe ablation?

Mhedzisiro kubva mukurapa kwe ablation inowanzoongororwa kuburikidza nekutevera-kumusoro kusangana uye zvidzidzo zve imaging pamusoro pemavhiki akati wandei kusvika kumwedzi. Kubudirira kunoyerwa nekuti zviratidzo zvako zvepakutanga zvinovandudza kana kunyangarika.

Kune moyo rhythm ablation, kubudirira zvinoreva kuti kurova kwemoyo kwako kusingaite kunodzorwa kana kubviswa. Chiremba wako achashandisa EKG yekutarisa uye anogona kukumbira kuti upfeke monitor yemoyo kwemazuva mashoma kana mavhiki kuti utarise kurova kwemoyo wako.

Hezvino zvinoreva mhedzisiro dzakasiyana dzemamiriro akasiyana:

• Kubviswa kwemoyo: Rhythm yakajairika pa EKG, kushoma kana kusava nekurova kwemoyo
• Kubviswa kweTumor: Kudzikira kana kunyangarika kwegomarara pamufananidzo
• Kubviswa kwemarwadzo: Kuderedzwa kukuru mumapoinzi emarwadzo (kazhinji 50% kana kupfuura)
• Kubviswa kwetsinga dzekufamba: Kuvandudzwa kunooneka mukutaridzika kwetsinga
• Kubviswa kwethyroid: Mazinga emahormone akajairika mumiedzo yeropa

Mazinga ekubudirira akazara anosiyana zvichienderana nemamiriro ezvinhu nenzvimbo, asi vanhu vazhinji vanowana kuvandudzwa kukuru. Kune cardiac ablation, mazinga ekubudirira anowanzoita 80-90% ye arrhythmias yakajairika, nepo kubudirira kwe tumor ablation kunoenderana nehukuru nerudzi rwegomarara.

Chiremba wako achaita zvirongwa zvekushanya kwenguva dzose kuti aongorore kufambira mberi kwako uye ave nechokwadi chekuti kurapwa kuri kushanda sezvaitarisirwa. Misangano iyi yakakosha pakutevera kupora kwako uye kubata chero nyaya dzinogona kuitika kare.

Ndezvipi zvinhu zvine njodzi yekukomberedzwa kwekurapa kweablation?

Nepo ablation therapy ichiwanzoita yakachengeteka, zvimwe zvinhu zvinogona kuwedzera njodzi yako yezvinetso. Njodzi zhinji diki, asi zvakakosha kuzvinzwisisa usati waita maitiro ako.

Mamiriro ako ehutano hwese anotamba basa guru mukusarudza nhanho yako yenjodzi. Vanhu vane mamiriro akawanda ekurapa kana moyo usina kunaka, itsvo, kana chiropa vanogona kutarisana nenjodzi dzakakwirira.

Zvikonzero zvinogona kuwedzera njodzi yako zvinosanganisira:

• Zera repamusoro (anopfuura makore 75)
• Mamiriro akawanda ekurapa asingaperi
• Mavhiyo ekare munzvimbo imwechete
• Kutora mishonga inoderedza ropa
• Kufutisa kana kuoma kurara pasi kwenguva yakareba
• Itsvo kana chiropa chirwere
• Chirwere chemoyo chakakomba

Nzvimbo yeablation yako inokanganisawo mazinga enjodzi. Maitiro ari pedyo nezvivakwa zvakakosha semidziyo mikuru yeropa kana moyo anotakura njodzi dzakakwirira zvishoma pane avo vari munzvimbo dziri nyore kuwana.

Zvinogona kuva nengozi shoma zvinosanganisira kuva nemuviri usingaite zvakanaka kana nyama ine mavanga kubva kumaitiro akamboitwa ayo anogona kuita kuti ablation ive yakaoma. Chiremba wako achanyatsoongorora zvese izvi asati akurudzira maitiro acho.

Ndezvipi zvingaitika kana uchiitwa ablation therapy?

Zvingaitika kana uchiitwa ablation therapy kazhinji kazhinji hazviwanzowanikwi, zvichiitika mune vashoma vanopfuura 5% yemaitiro. Zvizhinji zvezvinhu zvinogona kuitika zvishoma uye zvinogadziriswa nekukurumidza nekutarisirwa kwakakodzera.

Zvinowanzoitika zvinosanganisira kusagadzikana kwenguva pfupi panzvimbo yacho, kubuda ropa zvishoma, kana kuita mavanga. Izvi zvinowanzoitika mukati memazuva mashoma kusvika kumavhiki pasina kurapwa kwakakosha.

Heano zvingaitika zvaunofanira kuziva nezvazvo:

• Kubuda ropa kana kuita mavanga panzvimbo yekuisa
• Kurwadziwa kwenguva pfupi kana kusagadzikana munzvimbo yakarapiwa
• Kutapukirwa panzvimbo yacho
• Kukuvadza nyama iri pedyo ine hutano
• Kuita allergic reaction kune sedation kana contrast dye
• Blood clots (kazhinji asi akakomba)

Zvinogona kuitika zvakanyanya hazviwanzowanikwi asi zvinogona kusanganisira kukuvadza nhengo dziri pedyo kana midzi yeropa. Kune cardiac ablation, pane njodzi shoma yekukuvadza sisitimu yemagetsi yemoyo kana zvivakwa zviri pedyo.

Zvinogona kuitika zvisingawanzoitiki zvinogona kusanganisira kupera kwenhengo, kukuvadzwa kwetsinga, kana kurapwa kusina kukwana kunoda maitiro ekudzokorora. Chiremba wako achakurukura njodzi dzakakosha dzemhando yako yeablation panguva yekubvunzana kwako.

Zvizhinji zvezvinhu zvinogona kuitika, kana zvichiitika, zvinogona kutariswa nekutarisirwa kwakakodzera kwekurapa. Chikwata chako chehutano chinokutarisa zvakanyanya panguva uye mushure memaitiro ekubata chero matambudziko ekutanga.

Ndinofanira kuona chiremba rini mushure me ablation therapy?

Unofanira kubata chiremba wako nekukurumidza kana ukaona kurwadziwa kwakanyanya, kubuda ropa zvakanyanya, zviratidzo zvehutachiona, kana chero zviratidzo zvinoita sezvisingawanzoitiki kana zvinonetsa mushure memaitiro ako eablation.

Vanhu vazhinji vanonzwa kusagadzikana kudiki kwemazuva mashoma mushure mekubviswa, asi kurwadziwa kwakanyanya kana kuwedzera hakusi kwakajairika. Saizvozvowo, kumwe kuputika kunotarisirwa, asi kubuda ropa kwakanyanya kana kuzvimba kunoda kutariswa kwechiremba.

Fonera chiremba wako nekukasira kana ukaona:

• Kurwadziwa kwakanyanya kusingavandudzi nemishonga yakarairwa
• Kubuda ropa kwakanyanya kana kuwedzera kuputika panzvimbo yekuvhiyiwa
• Zviratidzo zvehutachiona senge fivha, kutonhora, kana kuwedzera kutsvuka
• Kurwadziwa muchipfuva kana kuoma kufema (kunyanya mushure mekubviswa kwemoyo)
• Kusimba kamwe kamwe, kupera nhengo, kana shanduko mukuona
• Nyara, kurutsa, kana kusakwanisa kuchengeta mvura pasi

Kune cardiac ablation kunyanya, taura nachiremba wako kana ukaona kurova kwemoyo kusina kujairika, dzungu, kana kupfeka. Izvi zvinogona kuratidza kuti rhythm yemoyo wako inoda kugadziriswa kana kuongororwa.

Unofanirwawo kusvika kana zviratidzo zvako zvepakutanga zvadzoka kana kuwedzera zvakanyanya. Kunyange zvimwe zviitiko zvingangoda nguva kuti zviratidze mhedzisiro yakazara, kuwedzera kukuru kwezviratidzo kunovimbisa kuongororwa.

Mibvunzo inowanzo bvunzwa nezve ablation therapy

Q1: Ablation therapy inorwadza here?

Vanhu vazhinji vanonzwa kurwadziwa kudiki panguva ye ablation therapy nekuda kweanesthesia yenzvimbo uye sedation. Unogona kunzwa kumwe kumanikidzwa kana kusagadzikana kudiki panguva yekuita, asi kazhinji kunotsungirirwa zvakanaka.

Mushure mekuita, unogona kuva nekumwe kurwadziwa kana kurwadziwa panzvimbo yekurapa kwemazuva mashoma. Izvi zvakajairika uye zvinowanzoita zvakanaka kumishonga yekurwadziwa inopfuura-the-counter. Chiremba wako achanyora mishonga yekurwadziwa yakasimba kana zvichidikanwa.

Q2: Zvinotora nguva yakareba sei kupora kubva ku ablation therapy?

Nguva yekupora inosiyana zvichienderana nerudzi rwe ablation uye nzvimbo inobatwa. Vanhu vazhinji vanogona kudzokera kuzviitiko zvakajairika mukati memazuva mashoma kusvika vhiki, kunyangwe iwe uchifanira kudzivisa kusimudza zvakanyanya kana kurovedza muviri kwakasimba kwevhiki.

Mhedzisiro yakazara kubva kurapwa kwe ablation inogona kutora mavhiki akati wandei kusvika kumwedzi kuti ioneke. Semuenzaniso, kuvandudzwa kwemoyo rhythm kunogona kuitika nekukasira, nepo kudzikira kwe tumor kana kubatsirwa kurwadziwa kunogona kukura zvishoma nezvishoma nekufamba kwenguva.

Q3: Kurapwa kwe ablation kunogona kudzokororwa here kana zvichidikanwa?

Hongu, kurapwa kwe ablation kazhinji kunogona kudzokororwa kana maitiro ekutanga asina kubudirira zvakakwana kana kana mamiriro acho achidzoka. Vanachiremba vazhinji vanoronga mukana wekudzokorora maitiro, kunyanya kune mamiriro akaoma.

Sarudzo yekudzokorora ablation inoenderana nezvinhu zvakaita sekuti wakapindura sei kurapwa kwekutanga, hutano hwako hwese, uye kana mabhenefiti achipfuura njodzi. Chiremba wako achakurukura mukana uyu newe kana zvichikosha.

Q4: Pane dzimwe nzira dzekurapa ablation here?

Hongu, dzimwe nzira dzekurapa ablation dzinosanganisira mishonga, kuvhiyiwa kwechinyakare, kurapwa kwemwaranzi, kana kumirira nekuchenjerera zvichienderana nemamiriro ako chaiwo. Sarudzo yakanakisa inoenderana nemamiriro ako ega, hutano, uye zvaunofarira.

Chiremba wako achakurukura zvese zviripo zvingasarudzwa newe, kusanganisira mabhenefiti avo nenjodzi. Ablation inowanzo kurudzirwa kana ichipa zvakanakira sekupora kwenguva pfupi kana njodzi yakaderera ichienzaniswa nemamwe marapirwo.

Q5: Ndichada kugara muchipatara mushure me ablation?

Maitiro mazhinji e ablation anoitwa pane outpatient basis, zvinoreva kuti unogona kuenda kumba zuva rimwe chete. Zvisinei, mamwe maitiro akaoma kana avo vane varwere vane njodzi huru vanogona kuda kugara muchipatara husiku hwese kuti vatariswe.

Chiremba wako achakuzivisa pamberi kana uchida kugara husiku hwese. Kunyangwe nemaitiro e outpatient, iwe uchapedza maawa akati wandei mukupora kuti uve nechokwadi chekuti wakagadzikana usati waenda kumba.