Chii chinonzi Atrial Fibrillation Ablation? Chinangwa, Maitiro & Mhedzisiro

Atrial fibrillation ablation inzira yekurapa inoshandisa kupisa kana simba rinotonhora kugadzira mavanga madiki mumakamuri epamusoro emoyo wako. Mavanga aya anovharisa zviratidzo zvemagetsi zvisina kurongeka zvinokonzera kuti moyo wako urove zvisina kurongeka, zvichibatsira kudzorera rhythm yakajairika, yakagadzikana.

Funga nezvazvo sekugadzirisa sisitimu yemagetsi mumoyo wako. Paunenge uine atrial fibrillation (AFib), pacemaker yako yechisikigo inokundwa nezviratidzo zvemagetsi zvisina kurongeka. Maitiro e ablation anonyatso gadzira zvipingamupinyi zvinomisa zviratidzo izvi zvisina kurongeka kubva pakupararira mumoyo wako.

Chii chinonzi atrial fibrillation ablation?

Atrial fibrillation ablation inzira yemoyo isingapindi zvakanyanya inorapa kurova kwemoyo kusina kurongeka. Munguva yemaitiro, chiremba wako anoshandisa chubhu yakatetepa, inochinjika inonzi catheter kuti ape simba zvakananga kunzvimbo dzakatarwa dzemumuviri wemoyo wako.

Simba rinogadzira mavanga madiki, anodzorwa anoita semigwagwa yezviratidzo zvemagetsi zvinokonzera AFib yako. Mavanga aya anogara uye anobatsira moyo wako kuchengetedza rhythm yakajairika. Maitiro acho anowanzo tarisa pamitsipa yepulmonary, iyo inowanzoitika sosi yebasa remagetsi risina kurongeka.

Kune mhando mbiri huru dzesimba re ablation rinoshandiswa. Radiofrequency ablation inoshandisa simba rekupisa, nepo cryoablation ichishandisa kutonhora kwakanyanya. Nzira dzese dzinoita chinangwa chimwe chekugadzira tishu remavanga rinovharisa nzira dzemagetsi dzisina kujairika.

Nei atrial fibrillation ablation ichiitwa?

Chiremba wako angakurudzira AFib ablation kana mishonga isina kubudirira mukudzora kurova kwemoyo wako kusina kurongeka. Maitiro acho anova sarudzo kana uchiri kusangana nezviratidzo zvakaita sekurova kwemoyo, kufema kwemhepo, kana kuneta kunyangwe uchitora mishonga yerhythm yemoyo.

Ablation inowanzofungwa nezvayo kune vanhu vanoda kuderedza kuvimba kwavo nemishonga yenguva refu. Vamwe varwere vanowana matambudziko kubva kumishonga yeAFib, nepo vamwe vachida nzira yekurapa yakajeka. Maitiro acho anogona kuvandudza zvakanyanya hupenyu hwako nekuderedza kana kubvisa zviitiko zveAFib.

Nguva ye ablation inokoshawo. Tsvakurudzo inoratidza kuti kupindira kare, kunyanya muvarwere vadiki vane mamiriro emoyo mashoma, kazhinji vane mibairo iri nani. Chiremba wako achaongorora mamiriro ako chaiwo, kusanganisira kuti wava nenguva yakareba sei uine AFib uye hutano hwemoyo wako hwese.

Mhando dzeAFib dzinopindura zviri nani ku ablation pane dzimwe. Paroxysmal AFib, iyo inouya ichienda yega, inowanzoita mibairo yakakwira kupfuura persistent AFib, iyo inogara kwenguva refu kupfuura mazuva manomwe. Zvisinei, ablation inogona kuramba ichishanda ye persistent AFib muzviitiko zvakawanda.

Ndeapi maitiro e atrial fibrillation ablation?

Maitiro e ablation anowanzo tora maawa matatu kusvika ku6 uye anoitwa mune specialized cardiac electrophysiology lab. Iwe uchagamuchira conscious sedation kana general anesthesia kuti ikuchengetedze uchinzwa zvakanaka panguva yemaitiro.

Chiremba wako achaisa macatheter akati wandei matete kuburikidza nemaburi madiki munzvimbo yako yegroin. Aya macatheter anotungamirirwa zvakanyatsonaka kuburikidza nemidzi yeropa yako kusvika kumoyo wako uchishandisa X-ray gwara. Imwe catheter inogadzira mepu yakadzama ye3D yemabasa emagetsi emoyo wako, nepo mamwe achipa simba re ablation.

Maitiro ekuongorora akakosha uye anotora nguva. Chiremba wako anodzidza maitiro emagetsi emoyo wako kuti azive chaizvo kwainobva zviratidzo zvisina kujairika. Iyi precision inovimbisa kuti nzvimbo dzine dambudziko chete ndidzo dzinorapwa, dzichisiya tishu yemoyo ine hutano isingabatwi.

Panguva yekupisa chaiko, unogona kunzwa kusagadzikana kana kumanikidzwa muchipfuva chako. Kuendeswa kwesimba kunowanzoita masekondi mashoma panzvimbo imwe neimwe. Chiremba wako achayedza nzvimbo dzakabatwa kuti ave nechokwadi chekuti nzira dzisina kujairika dzemagetsi dzakavharwa zvakabudirira.

Mushure mekuvhiyiwa, uchaongororwa munzvimbo yekupora kwemaawa akati wandei. Nzvimbo dzekuisa catheter dzichamanikidzwa zvakasimba kana kuvharwa nechishandiso chekuvhara kudzivirira kubuda ropa. Vanhu vazhinji vanogona kuenda kumba zuva rimwe chetero kana mushure mekurara husiku humwe.

Maitiro ekugadzirira ablation yako yeatrial fibrillation?

Kugadzirira AFib ablation kunotanga mavhiki akati wandei isati yaitwa. Chiremba wako anogona kuita mamwe maedzo, kusanganisira basa reropa, echocardiogram, uye pamwe CT scan kana MRI yemoyo wako. Miedzo iyi inobatsira kugadzira mepu yakadzama yekuita kwako.

Uchada kukurukura mishonga yako iripo nechikwata chako chehutano. Mamwe mishonga yekutapudza ropa inogona kugadziriswa kana kumiswa kwenguva pfupi, nepo mamwe achifanira kuenderera mberi. Usambomira kutora mishonga yakarairwa usina mirairo chaiyo kubva kuna chiremba wako.

Zuva risati raitwa, uchagamuchira mirairo chaiyo yekudya nekumwa. Kazhinji, uchada kudzivisa chikafu nemvura kwemaawa 8 kusvika ku12 usati waitwa. Iyi nguva yekutsanya yakakosha kuchengeteka kwako panguva yekuzorodzwa.

Ronga nguva yako yekupora pamberi. Ronga kuti mumwe munhu akutyairire kumba uye agare newe kwemaawa makumi maviri nemana ekutanga. Uchada kudzivisa kusimudza zvinhu zvinorema uye mabasa akaoma kwevhiki rimwe mushure mekuvhiyiwa.

Paka mbatya dzakasununguka, dzakakodzera dzekupfeka paunenge uri muchipatara. Uya nemishonga ipi neipi yaunowanzo tora, pamwe chete nerondedzero yemishonga yako yese nemadosi. Kuva neruzivo urwu rwuripo kunobatsira timu yako yezvokurapa kupa kutarisirwa kwakanakisisa.

Maitiro ekuverenga mhedzisiro yako yeatrial fibrillation ablation?

Kubudirira mushure meAFib ablation hakusi nguva dzose ipapo, uye moyo wako unoda nguva yekupora. Mwedzi mishoma yekutanga mushure mekuvhiyiwa inonzi "blanking period," panguva iyo mamwe marhythm asina kujairika akajairika sezvo moyo wako uchichinja kuchinja.

Chiremba wako achatarisa rhythm yemoyo wako nemaitiro akasiyana. Unogona kupfeka heart monitor kwemazuva akati wandei kana mavhiki kuti utarise mabasa emagetsi emoyo wako. Vamwe varwere vanogamuchira implantable loop recorders inoramba ichitarisa rhythm yemoyo kwemakore matatu.

Mabasa ekubudirira anosiyana zvichienderana nerudzi rweAFib yako nezvimwe zvinhu. Kune paroxysmal AFib, mabasa ekubudirira anowanzoita 70-85% mushure mekuvhiyiwa kamwe chete. Persistent AFib ine zvishoma zvishoma mabasa ekubudirira, anenge 60-70%. Vamwe varwere vanogona kuda imwe ablation procedure kuti vawane mhedzisiro yakanaka.

Uchava nekugara uchitevera-up appointments kuti uongorore kufambira mberi kwako. Kushanya uku kunowanzo sanganisira electrocardiograms (ECGs) uye hurukuro pamusoro pezviratidzo zvauri kusangana nazvo. Chiremba wako achatarisawo kana iwe uchikwanisa kuderedza zvakachengeteka kana kumisa mishonga yakati wandei.

Ramba uchifunga kuti matambudziko asingawanzoitiki anogona kuitika, kunyangwe asina kujairika. Izvi zvinogona kusanganisira kubuda ropa, hutachiona, kukuvadza zvivakwa zviri pedyo, kana mumamiriro ezvinhu asingawanzoitiki, sitiroko. Chikwata chako chekurapa chichatarisa zvingaitika izvi uye chichazvigadzirisa nekukurumidza kana zvikamuka.

Maitiro ekuchengetedza hutano hwemoyo mushure me atrial fibrillation ablation?

Mushure mekubudirira ablation, kuchengetedza hutano hwemoyo kunova hukama pakati pako nechikwata chako chehutano. Kunyange zvazvo maitiro acho achigadzirisa dambudziko remagetsi, kutarisira hutano hwako hwese hwemwoyo kunobatsira kuona kubudirira kwenguva refu.

Kugadziridzwa kwehupenyu kunoita basa rakakosha mukudzivirira AFib recurrence. Kujimara nguva dzose, sezvakatenderwa nachiremba wako, kunobatsira kusimbisa moyo wako uye kuvandudza hutano hwese. Tanga zvishoma nezvishoma uye zvishoma nezvishoma wedzera mazinga ebasa zvichienderana nezvirevo zvechiremba wako.

Kutarisira mamwe mamiriro ehutano kwakakoshawo. High blood pressure, chirwere cheshuga, uye sleep apnea zvinogona kubatsira pakudzoka kweAFib. Kushanda nechikwata chako chehutano kuti uvandudze kurapwa kwemamiriro aya kunotsigira hutano hwemoyo wako kwenguva refu.

Kudya uye kutarisira uremu zvinogona kukanganisa zvakanyanya mhedzisiro yako. Kuchengetedza uremu hune hutano kunoderedza kushushikana pamoyo wako, nepo kuderedza doro nekofi kunogona kubatsira kudzivirira AFib triggers. Vamwe varwere vanowana kuti zvimwe zvekudya kana zvinwiwa zvinogona kukonzera zviitiko, saka kuchengeta diary yezviratidzo kunogona kubatsira.

Nzira dzekutarisira kushushikana senge kufungisisa, yoga, kana kudzidzira kufema kwakadzama kunogonawo kutsigira hutano hwemoyo. Kushushikana kusingaperi kunogona kukonzera AFib episodes kune vamwe vanhu, saka kuwana nzira dzine hutano dzekutarisira kushushikana kunova chikamu chechirongwa chako chekuchengetedza chinoramba chiripo.

Ndeipi mhedzisiro yakanakisa yeatrial fibrillation ablation?

Mhedzisiro yakanakisa kubva kuAFib ablation ndeyekusununguka zvachose kubva kumoyo usingaite zvakanaka pasina kudiwa kwemishonga inoramba ichiitwa. Varwere vazhinji vanozadzisa chinangwa ichi uye vanowana kuvandudzwa kukuru muhupenyu hwavo, mazinga esimba, uye hutano hwavo hwese.

Kubudirira ablation zvinowanzoita kuti iwe udzokere kuzviitwa zvaungave wakadzivisa nekuda kweAFib zviratidzo. Kushivirira kwekurovedza muviri kunowanzoita nani, uye varwere vazhinji vanoshuma kunzwa vakavimba zvakanyanya uye vasina kushushikana nezvemamiriro emoyo wavo.

Zvisinei, kubudirira kunotaridzika zvakasiyana kune munhu mumwe nemumwe. Vamwe varwere vangangoda mishonga asi pamadosi akaderera, nepo vamwe vangave vaine AFib episodes shoma zvakanyanya kunyangwe vasina kubviswa zvachose. Chero kuderedzwa kweAFib mutoro kunowanzoonekwa sechakanaka.

Kubudirira kwekuvhiyiwa kunogonawo kuderedza njodzi yako yekurohwa uye zvimwe zvinetso zvine chekuita neAFib. Varwere vazhinji vanogona kumisa zvakachengeteka mishonga yekutapudza ropa mushure mekubudirira ablation, kunyangwe chisarudzo ichi chinoenderana nenjodzi yako yega yega yekurohwa.

Mhedzisiro yenguva refu inoramba ichivandudzika sezvo nzira dzekubvisa dzichifambira mberi. Vazhinji varwere vanobudirira vanochengeta mhedzisiro yavo kwemakore mazhinji, kunyangwe vamwe vangazoda mamwe maitiro kana mishonga sezvavanokwegura.

Ndezvipi zvinhu zvinoisa njodzi yekukanganiswa kweatrial fibrillation ablation?

Nepo AFib ablation iri yakachengeteka, zvinhu zvakati wandei zvinogona kuwedzera njodzi yako yekukanganiswa. Zera ndechimwe chinhu chekufunga, sezvo varwere vakuru vangave nenjodzi yakakwira yekukanganiswa, kunyangwe zera rega harina kukodzera munhu kubva kune maitiro.

Mamiriro ako ehutano anokanganisa njodzi yako. Mamiriro akadai sechirwere chemoyo chakakomba, matambudziko eitsvo, kana matambudziko ekubuda ropa anogona kuwedzera kuomarara kwemaitiro. Chikwata chako chekurapa chichanyatsoongorora izvi zvinhu kana chichifunga kana ablation yakakunakira.

Rudzi uye nguva yeAFib yako inokanganisawo njodzi. Persistent AFib iyo yanga iripo kwemakore mazhinji inogona kuda ablation yakawanda, zvichikwanisa kuwedzera njodzi yekukanganiswa. Zvisinei, electrophysiologists vane ruzivo vanogona kazhinji kuita izvi maitiro zvakachengeteka.

Maitiro emoyo apfuura kana kuvhiyiwa kunogona kuita kuti ablation ive yakaoma. Nyama ine mavanga kubva kumabasa apfuura inogona kukanganisa nzira iyo macatheter anoitwa kana kuti simba rinopihwa sei. Chiremba wako achanyatsoongorora nhoroondo yako yekurapa kuronga nzira yakachengeteka.

Mishonga yakati wandei, kunyanya zvinoderedza ropa, zvinoda kutarisirwa zvakanyanya pamaitiro. Chikwata chako chekurapa chichagadzira chirongwa chakakosha chekugadzirisa mishonga iyi kuderedza njodzi dzekubuda ropa nekugwamba.

Zviri nani kuva nekuvhiyiwa kweatrial fibrillation ablation kare kana kunonoka here?

Tsvagiridzo ichangoburwa inoratidza kuti ablation yekutanga, kunyanya muvarwere vadiki vane mamiriro emoyo mashoma, kazhinji inotungamira kumhedzisiro iri nani. Kupindira kwekutanga kunogona kudzivirira shanduko dzemagetsi uye dzemaitiro dzinowedzera kuoma kurapa AFib nekufamba kwenguva.

Asi, nguva inoenderana nemamiriro ako. Kana AFib yako ichitongwa zvakanaka nemishonga uye usiri kusangana nezviratidzo zvakakosha, chiremba wako angakurudzira kuenderera mberi nekutarisirwa kwekurapa. Sarudzo iyi inosanganisira kuyera mabhenefiti ekuvhiya achipesana nenjodzi diki asi chaiyo dzekuvhiya.

Kune varwere vane symptomatic AFib kunyangwe vachitora mishonga, ablation yekutanga inogona kudzivirira mamiriro acho kuti asaite persistent. Paroxysmal AFib (zvikamu zvinouya nekupfuura) kazhinji ine mitengo yakakwira yekubudirira kupfuura persistent AFib, zvichiita kuti kupindira kwekutanga kuve kunobatsira.

Zera rako uye hutano hwese zvinokanganisawo sarudzo dzenguva. Varwere vadiki vane matambudziko mashoma ehutano vanowanzoita mhedzisiro yakanaka nekuvhiya kwekutanga. Varwere vakuru kana avo vane mamiriro akawanda ekurapa vanogona kubatsirwa nekufamba zvishoma nezvishoma.

Chinhu chakakosha ndeyekukurukura pachena neelectrophysiologist yako nezve mamiriro ako chaiwo. Vanogona kukubatsira kunzwisisa mabhenefiti anogona kuitika nenjodzi dzekuvhiya pamatanho akasiyana eAFib yako.

Ndezvipi zvipingamupinyi zvinogona kuitika zveatrial fibrillation ablation?

Mazhinji eAFib ablations anopedzwa pasina matambudziko, asi zvakakosha kunzwisisa njodzi dzinogona kuitika. Matambudziko madiki anowanzoitika anosanganisira kupwanya kana kurwadziwa panzvimbo dzekuisa catheter, izvo zvinowanzoenda mukati memazuva mashoma.

Matambudziko akakomba asi asingawanzoitiki anogona kuitika. Izvi zvinogona kusanganisira kubuda ropa kunoda kutarisirwa kwekurapa, hutachiona panzvimbo dzekuisa, kana kukuvadza midzi yeropa. Chikwata chako chekurapa chinotarisa nyaya idzi uye chinogona kudzibata nekukurumidza kana dzikamuka.

Matambudziko asingawanzoitiki asi akakomba anofanira kutaurwa, kunyangwe achiitika muvashoma vanopfuura 1% yezvinhu zvinoitwa. Izvi zvinogona kusanganisira sitiroko, kukuvadzwa kweesophagus (iyo iri kuseri kwemoyo), kana kukuvadzwa kwetsinga yephrenic, iyo inodzora diaphragm yako. Pulmonary vein stenosis, uko tsinga dzakabatwa dzichidzikira, ndechimwe chinhu chisingawanzoitiki.

Atrial-esophageal fistula idambudziko risingawanzoitiki asi rakakomba uko hukama husina kujairika hunogadzirwa pakati pemoyo neesophagus. Izvi zvinoitika muvashoma vanopfuura 1 muna 1,000 maitiro asi zvinoda kutarisirwa kwekurapa nekukurumidza kana zvichikura.

Chikwata chako chekurapa chinotora matanho mazhinji kuderedza njodzi idzi. Vanoshandisa kuongorora tembiricha, vanogadzirisa mazinga esimba zvakanyatsonaka, uye vanoshandisa gwara remifananidzo kuti vave nechokwadi chekuti catheter inoiswa zvakanaka. Ruzivo rwe electrophysiologist yako uye chirongwa chekubvisa chechipatara zvinokanganisawo kuchengeteka kwese.

Ndinofanira kuona chiremba rini mushure me atrial fibrillation ablation?

Unofanira kubata chiremba wako nekukurumidza kana uine kurwadziwa muchipfuva, kufema kwakanyanya, kana zviratidzo zve sitiroko zvakadai sekusimba kamwe kamwe, matambudziko ekutaura, kana kudonha kwechiso. Zviratidzo izvi zvinoda kuongororwa kwekurapa nekukurumidza.

Kubuda ropa kwakanyanya kubva panzvimbo dzekuisa catheter ndechimwe chikonzero chekutsvaga kutarisirwa nekukurumidza. Kunyange zvazvo mamwe mabruising akajairika, kubuda ropa kunoshanda kusingamire nekumanikidza kana kubuda ropa kunopfuura nemabhandeji akawanda kunoda kutarisirwa kwekurapa.

Fivha, kunyanya kana ichiperekedzwa nekutonhora kana kuwedzera kurwadziwa panzvimbo dzekuisa, inogona kuratidza hutachiona. Usamirira kuti uone kana zviratidzo zvichivandudza zvoga - kurapwa kwekutanga kwezvirwere kwakakosha kuti uwane mhedzisiro yakanaka.

Kuti utarise nguva dzose, iwe unowanzoona chiremba wako mukati memavhiki mashoma ekuita. Kushanya uku kunobvumira chikwata chako chekurapa kuti chiongorore kupora kwako, ongorora chero zviratidzo, uye kuronga kuenderera mberi kwekuongorora kwemoyo wako.

Vamwe varwere vanonzwa moyo uchirova nekukurumidza kana zvisina kufanira mumwedzi mishoma yekutanga mushure mekubviswa. Kunyange zvazvo zvichiwanzova zvakajairika panguva yekupora, zvakakosha kuzivisa zviratidzo izvi kuna chiremba wako kuti vagone kuona kana kuongororwa kwakawedzerwa kuchidiwa.

Mibvunzo inowanzo bvunzwa pamusoro pekubviswa kweatrial fibrillation

Mubvunzo 1. Kubviswa kweatrial fibrillation kwakanaka here kudzivirira sitiroko?

Kubviswa kweAFib kunogona kuderedza zvakanyanya njodzi yako yesitiroko nekubvisa kana kuderedza zvakanyanya rhythm yemoyo isina kufanira. Kana moyo wako uchirova zvisina kufanira, ropa rinogona kuungana mumakamuri epamusoro uye kuumba magwamba anogona kufamba kuenda kuuropi hwako, zvichikonzera sitiroko.

Zvisinei, chiremba wako achafunga nezve njodzi yako yesitiroko yese paachifunga nezve mishonga yekutapudza ropa. Vamwe varwere vanogona kumisa mishonga iyi zvakachengeteka mushure mekubviswa kwakabudirira, nepo vamwe vachigona kuida kuenderera mberi vachibva pazera, BP, chirwere cheshuga, kana mamwe mamiriro.

Mubvunzo 2. Kubviswa kweatrial fibrillation kunokonzera kukuvadzwa kwemoyo here?

Maitiro ekubvisa anogadzira kukuvadzwa kunoitirwa, kunodzorwa muchimiro chemavanga madiki anovhara nzira dzemagetsi dzisina kujairika. Kukuvadzwa uku kwekurapa kwakarurama uye kwakanangana, kwakagadzirirwa kuvandudza basa remoyo wako panzvimbo yekukuvadza.

Kuumbwa kwetishu remavanga chikamu chekupora uye kazhinji hakuite basa remoyo wako. Varwere vazhinji vanonzwa kuvandudzwa kwebasa remoyo mushure mekubviswa kwakabudirira sezvo rhythm yemoyo wavo inova yakajairika uye inoshanda.

Mubvunzo 3. Atrial fibrillation inogona kudzoka mushure mekubviswa here?

AFib inogona kudzoka mushure mekubviswa, kunyange zvazvo mitengo yekubudirira ichiwanzova yakakwirira. Vanenge 70-85% yevarwere vane paroxysmal AFib vanoramba vasina rhythm isina kufanira mushure mekuita kumwe chete. Vamwe varwere vangada kubviswa kwechipiri kuti vawane mhedzisiro yakanaka.

Zvinhu zvinokanganisa kudzoka zvinosanganisira rudzi rweAFib yaunayo, kuti wava nayo kwenguva yakareba sei, uye hutano hwemoyo wako. Chiremba wako achakurukura mukana wako wekubudirira zvichienderana nezvinhu izvi.

Mubvunzo 4. Kupora kunotora nguva yakareba sei mushure mekuvhiyiwa kweatrial fibrillation?

Kupora kwekutanga kubva mukuvhiyiwa kunowanzo tora mazuva 3-7, panguva iyo uchafanirwa kudzivisa kusimudza zvinhu zvinorema uye mabasa akaoma. Vanhu vazhinji vanogona kudzokera kubasa mukati memazuva mashoma kusvika vhiki, zvichienderana nezvavanoda kubasa.

Kupora kwakakwana kunotora mwedzi 2-3, panguva iyo moyo wako unojairana nekuchinja kwakaitwa panguva yekuvhiyiwa. Unogona kusangana nemimwe mitinhimira isina kujairika panguva ino ye "blanking period," izvo zvakajairika sezvo moyo wako uchipora.

Mubvunzo 5. Ndeipi chiyero chekubudirira cheatrial fibrillation ablation?

Miyero yekubudirira inoenderana nezvinhu zvakati wandei, kusanganisira rudzi rweAFib yaunayo uye hutano hwako hwese. Kune paroxysmal AFib, chiyero chekubudirira chekuvhiyiwa kamwe chete chinowanzoita 70-85%. Persistent AFib ine miyero yekubudirira ye60-70% mushure mekuvhiyiwa kumwe chete.

Vamwe varwere vangangoda kuvhiyiwa kechipiri kuti vawane mhedzisiro yakanaka. Kana tichifunga zvese zvekutanga uye zvechipiri kuvhiyiwa, miyero yekubudirira yese inogona kusvika 85-90% muvanhu vakakodzera. Electrophysiologist yako inogona kupa fungidziro chaiyo zvichienderana nemamiriro ako ega.