Izwi remagetsi remagetsi rinokosha nokuti rinodzora mwoyo rhythm uye nokuti kusakanganiswa mumagetsi ehurumende kunokonzera moyo wegurthmia . Chidzidzo che electrophysiology (EP kudzidza) chirongwa chakakosha checatheterization umo magetsi e electrode (mafashoni, masimbi akavhara nesimbi dzesimbi electrode) anoiswa mukati memoyo kuti aongorore magetsi emagetsi.
Nzira yepi EP Yokudzidza Inoitwa?
Kana chiremba wako akakutaurira iwe EP kudzidza, iwe uchaunzwa kune electrophysiology laboratory (imwe nyanzvi ye laboratory catheterization) uye urere pasi patafura yekuongorora. Iwe uchagoverwa anesthesia yemunharaunda, uye zvichida uri munyoro, uye ipapo magetsi emagetsi achaiswa mune imwe kana mimwe midziyo yeropa. (Catheters inosungirirwa kana kupfurikidza nekudhonza zviduku kana kuti netsvimbo-tsvimbo, kazhinji iri muruoko, kubereka kana mutsipa kazhinji kacho kazhinji katuti katatu inoshandiswa, uye inogona kuiswa kubva kunzvimbo imwe chete.) Kushandisa fluoroscopy (yakafanana ne x-ray), catheters inopfuurira kuburikidza nemidziyo yeropa uye yakagadzirirwa munzvimbo dzakasiyana mukati memwoyo.
Kana imwe nguva yakagadzirirwa zvakakodzera, catheter ye electrode inoshandiswa kuita mabasa maviri makuru: kunyora zviratidzo zvemagetsi zvinoumbwa nemoyo uye kutambisa mwoyo. (Pacing inogadzirwa nokutumira zviratidzo zviduku zvemagetsi kuburikidza nekateti ye electrode.) Nokunyora nekugadzirisa kubva panzvimbo dzakagadzirwa mukati memwoyo, marudzi akawanda emaridythmias emoyo anogona kudzidziswa zvizere.
Kana imwe nzira yapera, catheter (s) inobviswa. Kushambadzira kunodzorwa nekuisa kudzvinyirira panzvimbo ye catheterization kwemaminitsi makumi matatu nemakumi matanhatu.
Ndeapi Mhando dzeArrhythmias Can EP inodzidza kuongorora?
An EP yekudzidza inogona kubatsira kuongorora mabhidhicardias ose (slow slow arrhythmias) uye tachycardias (nokukurumidza mwoyo arrhythmias).
Kana imwe EP yekuongorora inoratidzira huwandu hunokosha hweBradycardia, inogara iine pacemaker inogona kudiwa.
Tachycardias inoongororwa nekushandisa nzira dzakagadzirirwa kuronga kufambisa (kureva, kutanga) tachycardia. Kana tachycardias inogona kukonzerwa panguva yechidzidzo che EP, ipapo nokudzidza zviratidzo zvemagetsi zvakanyorwa kubva kumakateti e electrode, chikonzero chaiicho che tachycardia chinowanzozivikanwa. Kana izvi zvaitika, chirwere chakakodzera che tachycardia chinowanzova chakajeka.
Nzira yeEp Yokudzidza Inobatsira Sei Kurapa KweArrhythmias?
Pane nzira shoma dzekudzidza EP dzinogona kukubatsira iwe nachiremba wako kuita sarudzo dzekurapa. Zvirongwa zvingarangarirwa zvichienderana nemigumisiro yekudzidza kwe EP zvinosanganisira:
- Kuiswa kwechigadziro chemuviri: Kana kuongorora kweEV kuchisimbisa kuvapo kwebhardycardia yakanyanya, pacemaker inogona kugara ichiiswa kamwechete, panguva imwecheteyo.
- Ablation : Kana supraventricular tachycardia (SVT) - uye mamwe maitiro e-ventricular tachycardia (VT) - anowanikwa, kupisa kwemafirimu kunowanzorapwa. Nzira yekubvumira inowanzoitwa panguva imwecheteyo, pakarepo inotevera EP kudzidza. Iwe unogona kuverenga zvakawanda pamusoro pekurapa kwekubatsira paIndaneti.
- Mishonga inogadziriswa : Kana mafunguro eV VT uye / kana ventricular fibrillation (VF) anozivikanwa munguva yeEF kudzidza, kazhinji kacho kushandiswa kunogadziriswa kunogadziriswa ndiko kurapa kwesarudzo. Ichi chigoni zvino chinowanzoiswa mu laboratori ye EP, achangotevera EP kudzidza. Mumakore apfuura, kudzidza kweP EP kwakashandiswa kuzivisa "zvakanakisisa" zvinopesana nemagadzirirwo emishonga kune vane varwere vane VT kana VF, asi nhasi inozivikanwa kuti hapana anti-arrhythmic mishonga inobudirira seyo inogadzirisa defibrillator mukudzivirira kufa kamwe kamwe kubva kune arrhythmias.
Ndezvipi Ngozi dzekuva neP EP Yokudzidza?
Izvo zvinogona kuisa njodzi dzekudzidza EP zvakafanana neyekushaya catheterization yemwoyo .
Aya maitiro haasi akachengeteka, asi nekuda kwekuvhiringidza nzira dzinosanganisira moyo, zvinetso zvakawanda zvinokwanisika. Iwe haufaniri kunge uine EP yekudzidza kunze kwekunge pane chikonzero chakanaka chokuti ruzivo rwakawanikwa kubva muhutano ruchava rwekubatsira zvikuru.
Zvinetso zviduku zvinosanganisira kubuda kweropa panzvimbo ye catheter kuisa, kushungurudzika kwepfungwa kunokonzerwa ne catheter inovhiringidza mwoyo musumbu uye zvenguva pfupi kuchinja kweropa.
Zvimwe zvinetso zvakakosha zvinosanganisira kukanganiswa kwebvako remwoyo (zvichikonzera chirwere chinopisa upenyu chinonzi "chikwata chemwoyo "), kubuda ropa kwakakura kana (nokuti zvinogona kuuraya anorhythmias zviri kukonzerwa) kusungwa kwemwoyo . Ngozi yekufa panguva yechidzidzo cheP EP haisi pasi pe1 kubva pa1 000.
Kunobva:
Rahimtoola, SH, Zipes, DP, Akhtar, M, uye al. Mushumo wekubvumirana weChinyorwa pamusoro peHurumende yeArt of Electrophysiologic Testing mu Kuziva nekurapa kwevarwere neCardiac Arrhythmias. Kurwisana 1987; 75: III3.