Nazarin ilimin electrophysiology na intracardiac (EPS)

Intracardiac electrophysiology study (EPS) gwaji ne don a duba yadda siginar lantarki na zuciya ke aiki. Ana amfani dashi don bincika bugun zuciya mara kyau ko kuma bugun zuciya.

Ana sanya wayoyin waya a cikin zuciya don yin wannan gwajin. Wadannan wayoyin suna auna aikin lantarki a cikin zuciya.

Ana yin aikin a cikin dakin gwaje-gwaje na asibiti. Ma’aikatan za su hada da likitan zuciya, da masu fasaha, da kuma ma’aikatan jinya.

Don samun wannan binciken:

• Za a tsabtace duwawunku da / ko wuyanku kuma za a shafa magani mai sanya numfashi (anestical) a fata.
• Daga nan likitan zuciyar zai sanya IVs da yawa (wanda ake kira kwasfa) a cikin makwancin wuya ko yankin wuya. Da zarar waɗannan thesean wutan lantarki sun kasance a wuri, ana iya wucewa da wayoyi ko wayoyi ta cikin butun ɗin zuwa cikin jikinka.
• Dikita yayi amfani da hotuna masu daukar hoto don ya jagoranci catheter din a cikin zuciya sannan ya sanya wayoyin a wuraren da suka dace.
• Wutan lantarki suna ɗaukar siginonin lantarki na zuciya.
• Ana iya amfani da sigina na lantarki daga wayoyin don sanya bugun zuciya tsallakewa ko kuma haifar da wani abu mara kyau na zuciya. Wannan na iya taimakawa likita fahimtar ƙarin bayani game da abin da ke haifar da larurar bugun zuciya ko kuma inda yake farawa.
• Hakanan za'a iya ba ku magunguna waɗanda za a iya amfani da su don wannan manufa.

Sauran hanyoyin da za'a iya yi yayin gwajin:

• Sanya na'urar bugun zuciya
• Hanya don gyara ƙananan yankuna a cikin zuciyarku wanda zai iya haifar da matsalolin larurar zuciyarku (wanda ake kira zubar da catheter)

Za a gaya maka kada ka ci ko sha na awanni 6 zuwa 8 kafin gwajin.

Za ku sa rigar asibiti. Dole ne ku sanya hannu a takardar izini don aikin.

Mai ba ku kiwon lafiya zai gaya muku tun da wuri idan kuna buƙatar yin canje-canje ga magungunan da kuke sha koyaushe. KADA KA daina shan ko canza wasu magunguna ba tare da fara magana da mai baka ba.

A mafi yawan lokuta, za a ba ka magani don taimaka maka ka sami nutsuwa kafin aikin. Nazarin na iya wucewa daga awa 1 har zuwa awowi da yawa. Wataƙila ba za ku iya tuƙa gida daga baya ba, don haka ya kamata ku shirya don wani ya tuƙa ku.

Za ku kasance a farke yayin gwajin. Kuna iya jin wani rashin jin daɗi lokacin da aka saka huɗu a cikin hannunku. Hakanan zaka iya jin ɗan matsi a wurin lokacin da aka saka catheter. Kuna iya jin zuciyarku tana tsalle-tsalle ko tsere a wasu lokuta.

Mai ba da sabis ɗinku na iya yin odar wannan gwajin idan kuna da alamun bugun zuciya mara kyau (arrhythmia).

Kuna iya buƙatar yin wasu gwaje-gwaje kafin a yi wannan binciken.

Ana iya yin EPS don:

• Gwada aikin tsarin lantarki na zuciyarka
• Nuna sananniyar bugun zuciya (arrhythmia) wanda ke farawa a cikin zuciya
• Yanke shawara mafi kyaun magani don saurin bugun zuciya
• Ayyade ko kuna cikin haɗari don abubuwan da ke faruwa a zuciya nan gaba, musamman mutuwar zuciya ta kwatsam
• Duba idan magani yana sarrafa ƙwayar zuciya mara kyau
• Duba ko kuna buƙatar na'urar bugun zuciya ko tsire-tsire masu juyawa-defibrillator (ICD)

Sakamako na yau da kullun na iya zama saboda rashin motsawar zuciya da ba ta dace ba wanda ke da sauri ko sauri. Waɗannan na iya haɗawa da:

• Atrial fibrillation ko motsi
• Toshewar zuciya
• Ciwon sinus na rashin lafiya
• Supachventricular tachycardia (tarin rikice-rikicen zuciya wanda ke farawa a cikin manyan ɗakunan zuciya)
• Rananan fibrillation da ventricular tachycardia
• Wolff-Parkinson-White ciwo

Wataƙila akwai wasu dalilan da ba sa cikin wannan jeri.

Dole ne mai ba da sabis ya nemo wuri da nau'in matsalar bugawar zuciya don ƙayyade maganin da ya dace.

Hanyar tana da aminci sosai a mafi yawan lokuta. Matsaloli masu yuwuwa sun haɗa da:

• Arrhythmias
• Zuban jini
• Jinin jini wanda ke haifar da embolism
• Diacarfafa zuciya
• Ciwon zuciya
• Kamuwa da cuta
• Rauni ga jijiya
• Pressureananan hawan jini
• Buguwa

Nazarin ilimin ilimin lissafi - intracardiac; EPS - intracardiac; Heartwayar zuciya mara kyau - EPS; Bradycardia - EPS; Tachycardia - EPS; Fibrillation - EPS; Arrhythmia - EPS; Zuciyar zuciya - EPS

• Zuciya - gaban gani
• Gudanar da tsarin zuciya

Ferreira SW, Mehdirad AA. Hanyoyin ilimin kimiyya na lantarki da hanyoyin ilimin lantarki. A cikin: Sorajja P, Lim MJ, Kern MJ, eds. Littafin Kern's Cardiac Catheterization Handbook. 7th ed. Philadelphia, PA: Elsevier; 2020: babi na 7.

Olgin JE. Gabatarwa ga mai haƙuri tare da wanda ake zargi da arrhythmia. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 56.

Tomaselli GF, Rubart M, Zipes DP. Hanyoyin cututtukan zuciya. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: babi na 34.