روش ابلیشن در درمان آریتمی قلبی


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 امروزه از روش تخریب با استفاده ازکاتتر به طورگسترده‌ای برای درمان انواع تاکی‌کاردی (ضربان سریع قلب) دهلیزی، مثل فیبریلاسیون دهلیزی، فلوتردهلیزی و تاکی‌کاردی دهلیزی و برخی از انواع تاکی‌کاردی بطنی استفاده می‌شود. برای انجام تخریب با کاتتر، الکتروفیزیولوژیست (پزشک متخصص تشخیص و درمان آریتمی‌ها) یک یا چند کاتتر که در انتهای خود الکترود دارند را وارد حفرات قلب می‌کند و از نوعی انرژی (معمولا امواج رادیویی) برای نابودکردن (تخریب) بافت غیرطبیعی قلب که باعث ایجادپیام‌های الکتریکی اضافی می‌شود، استفاده می‌نماید.
مساحت ناحیه‌ای از بافت قلب که تخریب می‌شود خیلی کم است (در حدود یک پنجم اینچ) و در کارکرد کلی قلب هیچ اثری ندارد. یک اسکار (بافت ترمیمی) کوچک و بدون خطر در این ناحیه تشکیل می‌شود و ریتم طبیعی قلب باز می‌گردد.
این روش میزان موفقیت بسیار بالایی داشته و عوارض جانبی کمی دارد و به بی‌هوشی ملایم و بی‌حسی موضعی نیاز دارد. این روش درد و ناراحتی اندکی دارد و بسیاری از افراد بعد از چند روز به فعالیت معمولی خود برمی‌گردند. در بیشتر افراد تاکی‌کاردی مداوا می‌شود و این افراد دیگر نیازی به استفاده از داروهای ضدآریتمی ندارند.
منبع: بیمارستان شهید رجایی

۷۸ دیدگاه

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