Intracardiac electrophysiology ọmụmụ (EPS)

Intracardiac electrophysiology study (EPS) bụ ule iji lelee etu eletriki eletriki nke obi si arụ ọrụ. A na-eji ya iji chọpụta ọrịa obi na-adịghị mma ma ọ bụ ụda obi.

Eriri electrodes na-etinye na obi ime ule a. Igwe ndị a na-arụ ọrụ eletriki n'ime obi.

A na-eme usoro ahụ n'ime ụlọ nyocha ụlọ ọgwụ. Ndị ọrụ ga-agụnye ọkà mmụta banyere obi, ndị ọrụ aka, na ndị nọọsụ.

Iji nwee ọmụmụ ihe a:

• Ahịhịa gị na / ma ọ bụ n'olu gị ga-ehicha ma tinye ọgwụ na-agwụ ike (anestetiiki) na akpụkpọ ahụ.
• Onye na-ahụ maka obi ga-etinyezi IV (akpọrọ sheaths) n'ime ukwu ma ọ bụ olu. Ozugbo IV ndị a dị, wires ma ọ bụ electrodes nwere ike ịgafe n'ọbọ n'ime ahụ gị.
• Dọkịta na-eji ihe ngosi x-ray na-akpali akpali iji duzie catheter n'ime obi ma tinye electrodes na ebe kwesịrị ekwesị.
• Igwe electrodes na-eburu ihe eletriki eletriki nke obi.
• Enwere ike iji akara eletrik sitere na electrodes iji mee ka obi na-akụ ma ọ bụ mepụta ụda obi na-adịghị mma. Nke a nwere ike inyere dọkịta aka ịmatakwu banyere ihe na - akpata ụda obi na - adịghị mma ma ọ bụ ebe ọ bụ n'ime obi ọ na - amalite.
• Enwere ike inye gị ọgwụ nke enwere ike iji ya maka otu nzube ahụ.

Usoro ndị ọzọ enwere ike ịme n'oge ule ahụ:

• Mmemme nke pacemaker obi
• Usoro iji gbanwee obere mpaghara n'ime obi gị nke nwere ike ịkpata nsogbu nsogbu obi gị (akpọrọ nsị catheter)

A ga-agwa gị ka ị ghara iri nri ma ọ bụ drinkụọ maka awa 6 ruo 8 tupu ule ahụ.

Ga-eyi akwa ụlọ ọgwụ. Ga-ebinye aha nnabata maka usoro a.

Ndị na-ahụ maka ahụike gị ga-agwa gị tupu oge eruo ma ịchọrọ ịgbanwe na ọgwụ ị na-a regularlyụ. Akwụsịla ị takingụ ma ọ bụ gbanwee ọgwụ ọ bụla n'ebughị ụzọ gwa onye na-enye gị ọrụ.

N'ọtụtụ ọnọdụ, a ga-enye gị ọgwụ iji nyere gị aka inwe obi iru ala tupu usoro ahụ. Ọmụmụ ihe ahụ nwere ike ịdị site na elekere 1 ruo ọtụtụ awa. Ward gaghị enwe ike ịkwọ ụgbọala gị ma emesịa, yabụ na ị ga-eme atụmatụ ka onye ọ bụla kwọọrọ gị.

Will ga-eteta n’oge ule ahụ. May nwere ike ịnwe ahụ erughị ala mgbe etinyechara IV na ogwe aka gị. I nwekwara ike inwe nrụgide na saịtị ahụ mgbe etinyere catheter ahụ. Nwere ike ịnwe obi gị ka ị na-egwu ma ọ bụ na-agba ọsọ mgbe ụfọdụ.

Onye na-enye gị nwere ike ịtụrụ ule a ma ọ bụrụ na ị nwere akara n’abụghị ụfụ obi (arrhythmia).

Nwere ike ịnwale ule ndị ọzọ tupu emee ihe ọmụmụ a.

Enwere ike ịme EPS iji:

• Nwalee ọrụ nke sistemụ eletriki obi gị
• Nchoputa ihe amara nke oma (arrhythmia) nke na amalite na obi
• Kpebie usoro ọgwụgwọ kacha mma maka mkpụrụ obi na-adịghị mma
• Kpebisie ike ma ị nọ n'ihe ize ndụ maka ihe omume obi n'ọdịnihu, karịsịa ọnwụ mberede nke obi
• Hụ ma ọ bụ ọgwụ na-achịkwa ụda obi na-adịghị mma
• Hụ ma ị chọrọ onye na-eme ka obi gị ma ọ bụ ihe akụrụngwa-defibrillator (ICD)

Nsonaazụ na-adịghị mma nwere ike ịbụ n'ihi ụda obi na-adịghị mma nke na-adịghị nwayọ nwayọ ma ọ bụ ọsịsọ. Ndị a nwere ike ịgụnye:

• Atrial fibrillation ma ọ bụ flutter
• Ihe mgbochi obi
• Ọrịa mmehie na-arịa ọrịa
• Supachventricular tachycardia (nchikota nke rhythms na-adịghị mma nke na-amalite n'ime ụlọ elu nke obi)
• Ventricular fibrillation na ventricular tachycardia
• Wolff-Parkinson-White ọrịa

Enwere ike ịnwe ihe ndị ọzọ na-esoghị na ndepụta a.

Onye na-eweta ọrụ ahụ ghaara ịchọta ebe na ụdị nsogbu nsogbu obi iji chọpụta ọgwụgwọ kwesịrị ekwesị.

Usoro a dị oke mma n'ọtụtụ ọnọdụ. Ihe egwu nwere ike ịgụnye:

• Arrhythmias
• Ọbara ọgbụgba
• Ọbara ọbara na-eduga n'ọbara
• Gbasara obi
• Obi nkolopu
• Ofufe Ọrịa
• Mmebi ahụ
• Ọbara mgbali elu
• Ọkụ

Nchọpụta Electrophysiology - intracardiac; EPS - intracardiac; Uche ndi ozo - EPS; Bradycardia - EPS; Tachycardia - EPS; Fibrillation - EPS; Arrhythmia - EPS; Mgbochi obi - EPS

• Obi - echiche dị n'ihu
• Conduction nke obi

Ferreira SW, Mehdirad AA. Usoro nyocha electrophysiology na usoro electrophysiologic. Na: Sorajja P, Lim MJ, Kern MJ, eds. Akwụkwọ Kern’s Catheterization Handbook nke Kern. Nke 7. Philadelphia, PA: Elsevier; 2020: isi 7.

Olgin JE. Agakwuru onye ọrịa ahụ na-enyo enyo na arrhythmia. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 56.

Tomaselli GF, Rubart M, Zipes DP. Usoro nke arrhythmias obi. Na: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Ọrịa Obi Braunwald: Akwụkwọ ọgụgụ nke Ọgwụ Ọrịa Cardiovascular. Nke 11. Philadelphia, PA: Elsevier; 2019: isi 34.