Ke aʻo electrophysiological: he aha ia, he aha ia a pehea e hana ai

Anter
ʻO ke aʻo electrophysiological kahi hana e manaʻo e hoʻomaopopo a hoʻopaʻa i ka hana uila o ka puʻuwai i mea e hōʻoia ai i nā loli i ka puʻuwai puʻuwai. No laila, hōʻike pinepine ʻia kēia aʻo ʻana e ka mea kālaiʻike manawa ke hōʻike ke kanaka i nā hōʻailona a me nā ʻōuli o nā loli i ka puʻuwai e pili paha i kā lākou pane i nā mea uila uila.
ʻO ke aʻo electrophysiological kahi hana maʻalahi a mau ma kahi o 1 mau hola, akā hana ʻia ia i loko o ka lumi hana a koi ʻia i ke kanaka i lalo o ka anesthesia laulaha, ʻoiai ka hoʻokomo ʻia ʻana o nā catheters ma o ka aa i loaʻa i ka ʻeha a loaʻa ke kuhikuhi pololei i ka puʻuwai, e ʻae i ka hoʻopaʻa ʻana i waho.

No ke aha ia
Hōʻike pinepine ʻia ke aʻo electrophysiological e ka cardiologist i mea e hōʻoia ai ke kumu o nā hōʻailona a me nā ʻōuli i hōʻike ʻia e ke kanaka e pili ana i nā loli i nā mea uila i hiki i ka puʻuwai a me / a pehea e pane ai kēia mea i nā impulses uila. No laila, hiki ke hōʻike ʻia kēia kaʻina hana no:
- Nānā i ke kumu o ka maʻule, poni a me ka wikiwiki o ka puʻuwai;
- Nānā i ka loli o nā mele puʻuwai puʻuwai, i ʻike ʻia ʻo arrhythmia;
- Nānā iā Brugada Syndrome;
- Kōkua i ka hōʻoia o ka palaka atrioventricular;
- E hōʻoia i ka hana o ka implibrable defibrillator, kahi mea like me ka pacemaker.
No laila, mai ka hopena i loaʻa ma o ka electrophysiological study, hiki i ka cardiologist ke hōʻike i ka hana o nā hoʻokolohua ʻē aʻe a i ʻole ka hoʻomaka ʻana o ka lāʻau i kuhikuhi ʻia i ka hopena o ka hoʻololi ʻana o ka naʻau.
Pehea e hana ai
No ka hoʻopaʻa ʻana i ka electrophysiological study, paipai ʻia e hoʻokē ʻai ke kanaka no 6 mau hola, a he mea hoʻohui i nā hoʻokolohua koko maʻamau a me ka electrocardiogram. Ma mua o ke kaʻina hana, hana pū ʻia ka epilation o ka ʻāina kahi e hoʻokomo ʻia ai ka catheter, ʻo ia hoʻi, ka femoral region, i kūlike i ka ʻāpana ʻūhā. Kū ke kaʻina hana ma kahi o 45 mau minuke i 1 hola a ua hana ʻia i loko o ka lumi lumi, no ka mea he mea pono e hana i kahi ʻokiʻoki e hoʻonoho i ka catheter e hana i ka electrophysiological study.
Hiki i ke kaʻina hana ke kumu i ka ʻeha a me ka hōʻoluʻolu ʻole, hana pinepine ʻia ia ma lalo o ka anesthesia kūloko a me ka laulā. Hana ʻia ka noiʻi electrophysiological mai ka hoʻolauna ʻana o kekahi mau catheters ma o ka aa wahine, ʻo ia ke aa i loko o ke aʻa, i hoʻonohonoho ʻia, me ke kōkua o kahi microcamera, ma nā wahi i ka puʻuwai e pili ana i nā impulses uila i hiki ka ʻōpala.
Mai ka manawa o ka catheters i nā wahi kūpono e hana ai i ka hoʻokolohua, hana ʻia nā impulses uila, i hoʻopaʻa inoa ʻia e nā pono hana i hoʻopili ʻia ai nā catheters. No laila, hiki i ke kauka ke loiloi i ka hana o ka puʻuwai a nānā i nā loli.
He aha ka haʻawina electrophysiological me ka hoʻopau ʻana?
ʻO ke aʻo electrophysiological me ka hoʻopau ʻana e kūlike i nā kaʻina hana i ka manawa like e like me ka hoʻopaʻa ʻana o ka hoʻopaʻa ʻana, lawe ʻia ka lāʻau no ka hoʻololi, ʻo ia hoʻi ka ablation. Kūlike ʻo Ablasi i ke kaʻina hana i mea e luku a hemo paha i kahi ala hōʻailona uila i hewa a pili i ka loli puʻuwai.
No laila, hana koke ʻia ka hoʻopau ʻana ma hope o ke aʻo ʻana o ka electrophysiological a komo pū me ka hoʻolauna ʻana o kahi catheter, e ke ala like o ke komo ʻana i loko o ke kino o nā catheters i hoʻohana ʻia i ka wā o ke aʻo ʻana, a hiki i ka puʻuwai. ʻO ka hopena o kēia catheter he mea hao a ke hiki mai i ka pilina me ka puʻuwai puʻuwai, hoʻomehana ʻia a hoʻomaka i nā wela liʻiliʻi i ka wahi i hiki ke hemo i ke ala uila uila.
Ma hope o ka hana ʻana i ka hoʻopau ʻana, hana pinepine ʻia kahi noiʻi electrophysiological hou i mea e hōʻoia ai i ka wā o ka hoʻopau ʻana he loli paha i kekahi ala uila hōʻailona uila ʻē aʻe.