Nā keu pono o nā mea hana Implant no AFib

Anter

• Hoʻomaʻo no ka AFib a me nā huʻa koko
• Kanu i nā koho ʻē aʻe i nā lāʻau
• Mea kiaʻi
• Lariat
• Ka hopena o nā hāmeʻa implant
• Nā pono hou aʻe
• ʻO ka lawe ʻana: E kamaʻilio me kāu kauka e pili ana i nā implants

ʻO ka fibrillation Atrial (AFib) kahi maʻi o ka puʻuwai e pā i kekahi 2.2 miliona poʻe ma United States.

Me AFib, ua kuʻi kū ʻole nā ​​keʻena kiʻekiʻe ʻelua o kou puʻuwai, e alakaʻi ana paha i ke koko a hoʻonāwaliwali i kou puʻuwai i ka hala ʻana o ka manawa. Hiki paha iā ʻoe ke ʻike i kekahi mea mai ka liʻiliʻi o ka hanu i ka palpitations puʻuwai. A i ʻole ʻike paha ʻoe i nā ʻōuli.

Me ka mālama ʻole ʻia, hiki iā ʻoe ke hōʻeha a hōʻeha paha i ka puʻuwai.

Hoʻomaʻo no ka AFib a me nā huʻa koko

ʻO ka pahuhopu nui o ka lapaʻau ʻana no ka AFib e pili ana i ka kaohi ʻana i ka puʻuwai o kou puʻuwai a me ka pale ʻana i nā kahe koko. He mea nui ka pale ʻana i nā clots no ka mea hiki iā lākou ke haʻalele a hele i nā ʻāpana ʻē aʻe o kou kino. Ke hele a kahi koko i kou lolo, hiki i ka maʻi hahau.

Hoʻopili nā kuʻuna maʻamau i nā lāʻau lapaʻau, e like me nā mea ʻokiʻoki koko.

ʻO Warfarin (Coumadin) ka mea i hōʻike pinepine ʻia i ke koko no ka AFib. Pili paha ia me kekahi mau meaʻai a me nā lāʻau, no laila ʻaʻole ia he koho na kēlā me kēia mea. Hiki iā ia ke alakaʻi i nā pilikia e like me ke kahe nui. Inā lawe ʻoe i kēia lāʻau, pono ʻoe i ka nānā pinepine ʻana ma o nā hōʻoia koko.

ʻO nā lāʻau hou i ʻike ʻia ma ke ʻano he huaola K oral anticoagulants (NOACs) e like me ka pono me warfarin a ʻo ia ka mea i makemake ʻia i ka lahilahi koko no AFib. Hoʻokomo pū lākou me dabigatran (Pradaxa), rivaroxaban (Xarelto), a me apixaban (Eliquis).

Hiki i nā NOAC ke alakaʻi i ka kahe o ke kahe intracranial. ʻOi aku ka pōkole o kēia mau lāʻau lapaʻau ma mua o warfarin, ʻo ia hoʻi ʻaʻole pono ʻoe e nānā pono ʻia kou koko i ka wā e lawe ana iā lākou. ʻAʻole pili pū lākou me nā meaʻai a me nā lāʻau ʻē aʻe.

Me ka makaʻu o ke kahe ʻana o ke kahe a me nā launa pū ʻana, hoʻokahi manawa o ka lawe ʻana i ka lāʻau e pale aku ai i ke kahe o ke koko e lōʻihi ka lōʻihi. ʻAʻole paha ʻoe makemake e lilo i lāʻau lapaʻau no ke koena o kou ola.ʻAʻole paha ʻoe makemake e hele i kou haukapila i kēlā me kēia pule e hoʻāʻo ʻia kou koko. A i ʻole loaʻa paha iā ʻoe nā pilikia ʻē aʻe a i ʻole nā ​​kūlana e hana i ka lawe ʻana i kēia mau lāʻau no ka huki lōʻihi ʻana a i ʻole hiki ʻole.

Kanu i nā koho ʻē aʻe i nā lāʻau

Mea kiaʻi

Inā ʻoe e ʻimi nei i kahi koho ʻē aʻe i ka lawe ʻana i nā mea lahilahi o ke koko, pono paha nā mea implant e like me ka Watchman e hoʻokolokolo ai. Paʻa kēia hāmeʻa i ka appendage atrial hema (LAA) - ka wahi i kou puʻuwai kahi e kahe pinepine ai ke koko. ʻO ka ʻoiaʻiʻo, nā clots e kumu i ka hahau ʻana i ka poʻe me AFib e hoʻomohala ma kēia wahi 90 pākēneka o ka manawa, e like me a.

Ua ʻae ʻia ka Watchman e ka U.S. Food and Drug Administration (FDA) no ka poʻe i loaʻa ka AFib i pili ʻole i ka puʻuwai puʻuwai (nonvvular AFib). Hoʻohālikelike ia e like me kahi parachute liʻiliʻi a ke hoʻonui nei iā ia iho. I ka manawa ma kahi, e ulu ka mea ma luna o ka Watchman ma kahi o 45 mau lā e ālai ai i ka LAA.

I mea e kūpono ai e hoʻokomo i kēia hāmeʻa, pono ʻoe e hoʻomanawanui i nā mea lahilahi o ke koko. ʻAʻole hiki iā ʻoe ke loaʻa ke koko i loko o kou puʻuwai a i ʻole ka maʻi āpau i ka nickel, titanium, a i ʻole nā ​​mea ʻē aʻe i loko o ka hāmeʻa.

Hoʻokomo ʻia ka Watchman i ka manawa o kahi kaʻina hana maʻi ma o ka catheter i loko o kou ʻūlū a laila hānai ʻia i kou puʻuwai.

Lariat

E like me ke kiaʻi, ʻo ka Lariat kahi mea hoʻopili i kōkua i ka pale ʻana i nā kahe koko mai loko o kāu LAA. Hoʻopili nā Lariat i ka LAA e hoʻohana ana i nā sutures. ʻO ka hope, lilo ia i nāʻiʻo makaʻu no laila hiki ʻole i ke koko ke komo, ʻohiʻohi, a hoʻopili.

Hana ʻia ke kaʻina hana me ka hoʻohana ʻana i nā catheters. Hana ʻia ka Lariat e kahi pahu catheter palupalu palupalu. He mau mākēneki ka paipu a me kahi hopena loke- a ʻaole paha. ʻO kēia ka suture e hoʻopaʻa hope loa i kāu LAA. ʻO nā punctures liʻiliʻi wale nō e pono ai e kau i kēia hāmeʻa me kahi incision nui.

Ua ʻae ʻia ka Lariat no ka poʻe i loaʻa ʻole ka kūleʻa me nā lāʻau hoʻoliʻiliʻi koko a me nā mea hiki ʻole ke ʻoki ʻia no ke kumu āpau.

Ka hopena o nā hāmeʻa implant

Ma hope o 45 mau lā, hiki i kahi 92 pakeneka o ka poʻe me ka Watchman ke hele aku i nā lāʻau lapaʻau lahilahi i nā hoʻokolohua hoʻokolohua Ma ka makahiki hoʻokahi, hiki i ka 99 pākēneka o ka poʻe ke hele i nā mea lahilahi.

Hiki i ke kaʻina hana Lariat ke hōʻemi i kou maka o ka hahau ma waena o 85 a me 90 pākēneka.

Nā pono hou aʻe

Ma waho aʻe o ka maikaʻi, ʻo kekahi o nā keu pono nui a kēia mau mea implant i kaʻanalike aku ai hiki iā lākou ke kau ʻia i kou kino me ka ʻole o ke kahakaha invasive. I ka ʻoiaʻiʻo, i ka hapanui o nā hihia e hoʻi ka poʻe i ka home i ka lā o ke kaʻina hana. Ma mua o kēia mau ʻano implants, e nakinaki ʻia ka LAA ma o ka ʻoki puʻuwai puʻuwai.

ʻO ke kumu o kēia e loaʻa hou paha iā ʻoe me ka Watchman a i ʻole Lariat. ʻO kāu pae o ka ʻeha a me ka hōʻoluʻolu hoʻi e liʻiliʻi.

E ʻae kēia mau mea iā ʻoe e loaʻa ke kūʻokoʻa mai nā lāʻau lapaʻau koko. Kūpono like lākou - inā ʻaʻole ʻoi aku - e like me warfarin a me nā lāʻau ʻē aʻe. Hāʻawi lākou i ka pale me ka ʻole o ka weliweli o ke kahe ʻana a me ka paʻakikī o ka mālama ʻana i nā lāʻau lōʻihi. ʻO kēia kahi nūhou maikaʻi inā he pilikia kāu e lawe nei i nā anticoagulants a i ʻole makemake e hōʻalo i nā makaʻu o ke kahe nui ʻana o ke kahe.

ʻO ka lawe ʻana: E kamaʻilio me kāu kauka e pili ana i nā implants

Aloha ʻoluʻolu ʻole me kou lahilahi o kou koko? Aia kekahi mau koho ʻē aʻe. Inā hoihoi ʻoe i ke aʻo hou ʻana e pili ana i ke ʻano o ka hana ʻana o kēia mau polokalamu implant iā ʻoe, e kāhea i kāu kauka e hana i kahi manawa. E hōʻike lākou iā ʻoe inā he moho maikaʻi ʻoe no nā implants, a hāʻawi iā ʻoe i nā kikoʻī hou aku e pili ana i nā kaʻina hana a pane i nā nīnau kikoʻī āu.