Tsarin cirewar zuciya

Cushewar zuciya yana aiki ne wanda ake amfani dashi don lalata ƙananan yankuna a cikin zuciyarku wanda zai iya shiga cikin matsalolin zafin zuciyar ku. Wannan na iya hana alamun sigina na lantarki ko rhythms motsawa ta cikin zuciya.

Yayin aikin, ana sanya kananan wayoyi da ake kira wayoyi a cikin zuciyarka don auna aikin lantarki na zuciyarka. Lokacin da aka samo tushen matsalar, naman da ke haifar da matsalar ya lalace.

Akwai hanyoyi guda biyu don yin zubewar zuciya:

• Rushewar radiyo yana amfani da makamashin zafi don kawar da yankin matsalar.
• Kirkirar amfani da yanayin sanyi mai matukar sanyi.

Nau'in aikin da zaku yi ya ta'allaka ne da irin yanayin larurar zuciya da kuke samu.

Ana yin hanyoyin cirewar zuciya a cikin dakin gwaje-gwaje na asibiti ta kwararrun ma'aikata. Wannan ya hada da likitocin zuciya (likitocin zuciya), masu fasaha, da masu jinya. Saitin yana da aminci kuma ana sarrafa shi don haka haɗarin ku yayi ƙasa-sosai.

Za a ba ku magani (mai kwantar da hankali) kafin aikin da zai taimake ku shakatawa.

• Fatar da ke wuyanka, hannu, ko makwancin gwaika za a tsabtace da kyau kuma a sanya ta suma tare da maganin sa maye.
• Na gaba, likita zai yi karamin yanka a fata.
• Za a saka ƙaramin bututu mai sassauƙa (catheter) ta wannan yankan cikin ɗayan jijiyoyin jini a yankin. Dikita zaiyi amfani da hotunan x-ray kai tsaye don jagorantar catheter har cikin zuciyar ka.
• Wani lokaci ana buƙatar catheter sama da ɗaya.

Da zarar catheter ya kasance a wurin, likitanka zai sanya ƙananan wayoyi a wurare daban-daban na zuciyar ka.

• Wadannan wayoyin suna hade ne da masu sanya idanu wadanda zasu baiwa likitan zuciyar damar fadin wane yanki a zuciyar ka yake haifar da matsaloli game da motsin zuciyar ka. A mafi yawan lokuta, akwai wasu takamaiman yankuna.
• Da zarar an samo asalin matsalar, ana amfani da ɗayan layukan catheter don aika makamashin lantarki (ko wani lokacin sanyi) zuwa yankin matsalar.
• Wannan yana haifar da karamin tabo wanda ke haifar da matsalar bugawar zuciya.

Kashe catheter hanya ce mai tsayi. Zai iya wuce awa 4 ko sama da haka. Yayin aikin zuciyarka za a sanya ido sosai. Mai ba da sabis na kiwon lafiya na iya tambayar ku idan kuna da alamun bayyanar a lokuta daban-daban yayin aikin. Kwayar cututtukan da zaka iya ji sune:

• Briefan gajeruwa lokacin da ake allurar magunguna
• Fasterarfin bugun sauri ko ƙarfi
• Haskewar kai
• Ingonewa lokacin da ake amfani da makamashin lantarki

Ana amfani da cirewar zuciya don magance wasu matsalolin bugun zuciya waɗanda magunguna ba sa sarrafawa. Wadannan matsalolin na iya zama da haɗari idan ba a magance su ba.

Alamun yau da kullun na matsalolin bugun zuciya na iya haɗawa da:

• Ciwon kirji
• Sumewa
• Bugun zuciya mai sauri ko sauri (bugun zuciya)
• Haskewar kai, jiri
• Launi
• Rashin numfashi
• Wasan tsallake - canje-canje a cikin tsarin bugun jini
• Gumi

Wasu matsalolin lamuran zuciya sune:

• AV nodal sake shigar tachycardia (AVNRT)
• Hanyar kayan haɗi, kamar su Wolff-Parkinson-White ciwo
• Atrial fibrillation
• Jirgin atrial
• Achananan tachycardia

Kashe catheter yana da lafiya. Yi magana da mai baka game da waɗannan rikitattun matsalolin:

• Jinni ko tarawar jini a inda aka saka catheter
• Jigon jini wanda ke zuwa jijiyoyin kafa, zuciya, ko kwakwalwa
• Lalacewa a jijiyar inda aka saka catheter
• Lalacewa ga bawul na zuciya
• Lalacewa ga jijiyoyin jijiyoyin jini (jijiyoyin jini da ke daukar jini zuwa zuciyar ku)
• Cutar fasola ta jiki (alaƙar da ke tsakanin esophagus da wani ɓangare na zuciyar ku)
• Ruwa a kusa da zuciya (bugun zuciya)
• Ciwon zuciya
• Vagal ko cututtukan jijiyoyin phrenic

Koyaushe gaya wa mai ba ku magungunan da kuke sha, har ma da ƙwayoyi ko ganye da kuka saya ba tare da takardar sayan magani ba.

A lokacin kwanakin kafin aikin:

• Tambayi mai ba ku magani wadanne kwayoyi ne ya kamata ku sha a ranar tiyatar.
• Faɗa wa mai ba ka sabis in kana shan asfirin, clopidogrel (Plavix), prasugrel (Effient), ticagrelor (Brilinta), warfarin (Coumadin), ko wani mai ƙwanƙwasa jini kamar apixaban (Eliquis), rivaroxaban (Xarelto), dabigatran (Pradaxa) da edoxaban (Savaysa).
• Idan ka sha taba, sai a dakata kafin a fara aikin. Tambayi mai ba ku taimako idan kuna bukata.
• Faɗa wa mai ba ku sabis idan kuna da mura, mura, zazzaɓi, ɓarkewar ƙwayoyin cuta, ko wata cuta.

A ranar aikin:

• Sau da yawa za a tambaye ku kada ku sha ko ku ci komai bayan tsakar dare daren aikinku.
• Theauki magungunan da mai ba ku ya gaya muku ku sha da ɗan ƙaramin shan ruwa.
• Za a gaya muku lokacin da za ku isa asibiti.

An matsa lamba don rage zuban jini a wurin da aka saka catheters a jikinku. Za a bar ku a gado na aƙalla awa 1. Kila iya buƙatar zama a kan gado har zuwa awanni 5 ko 6. Za a binciki yanayin bugun zuciyar ku a wannan lokacin.

Likitanku zai yanke shawara ko za ku iya komawa gida a rana ɗaya, ko kuma idan kuna buƙatar zama a cikin asibiti na dare don ci gaba da kula da zuciya. Kuna buƙatar wani ya fitar da ku gida bayan aikinku.

Don kwanaki 2 ko 3 bayan aikinka, zaka iya samun waɗannan alamun:

• Gajiya
• Jin zafi a kirjin ka
• Tsallakar bugun zuciya, ko lokutan da bugun zuciyarka yake da sauri ko mara tsari.

Likitanku na iya kiyaye ku kan magungunan ku, ko ba ku sababbi waɗanda ke taimakawa wajen sarrafa zafin zuciyar ku.

Adadin nasara ya bambanta dangane da wane nau'in matsalar larurar zuciya da ake kula da ita.

Kashe catheter; Rushewar katakon rediyo; Cryoablation - cirewar zuciya; AV nodal reentrant tachycardia - cirewar zuciya; AVNRT - cirewar zuciya; Wolff-Parkinson-White Syndrome - cirewar zuciya; Atrial fibrillation - cirewar zuciya; Atrial flutter - cirewar zuciya; Achananan tachycardia - cirewar zuciya; VT - cirewar zuciya; Arrhythmia - cirewar zuciya; Heartarfin zuciya mara kyau - cirewar zuciya

• Angina - fitarwa
• Angina - lokacin da kake da ciwon kirji
• Magungunan Antiplatelet - Masu hanawa P2Y12
• Asfirin da cututtukan zuciya
• Atrial fibrillation - fitarwa
• Butter, margarine, da man girki
• Cholesterol da rayuwa
• Kula da hawan jini
• An bayyana kitsen abincin
• Abincin abinci mai sauri
• Ciwon zuciya - fitarwa
• Ciwon zuciya - abubuwan haɗari
• Rashin zuciya - fitarwa
• Mai bugun zuciya - fitarwa
• Yadda ake karanta alamun abinci
• Cincin gishiri mara nauyi
• Rum abinci

Calkins H, Hindrick G, Cappato R, et al. 2017 HRS / EHRA / ECAS / APHRS / SOLAECE ƙwararriyar sanarwa game da catheter da kuma cirewar tiyata na fibrillation. Bugun Zuciya. 2017; 14 (10): e275-e444. PMID: 28506916 pubmed.ncbi.nlm.nih.gov/28506916/.

Ferreira SW, Mehdirad AA. Hanyar ilimin kimiyya ta lantarki da kuma aikin ilimin kimiyyar 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.

Miller JM, Tomaselli GF, Zipes DP. Far don cututtukan zuciya na 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 36.