Fɛɛrɛ kura min bɛ dusukun tantanni dɔ falen! (Transcatheter ka fogonfogon la wulicogo - TPVR)

Yala i bɛ se ka miiri ka dusukun tantanni dɔ falen k’a sɔrɔ i ma disi da pewu wa? Ɔwɔ, a kɛra tiɲɛ ye sisan. Bi an bɛ kuma nin fɛɛrɛ in kan min ye jigiya kura lase mɔgɔ caman ma minnu bɛ fogonfogonlabana gɛlɛyaw sɔrɔ dusukunnabana bangenenw fɛ. An k’o daminɛ ni baro nɔgɔmanba ye, min bɛ kɛ teriya siratigɛ la.

N’an y’a fɔ cogo nɔgɔman na, TPVR ye mun ye?

TPVR, n’o kɔrɔ ye ko Transcatheter Pulmonary Valve Replacement , o ye opereli ye min bɛ fogonfogonlabana min tɛ baara kɛ i dusukun na, o bila a nɔ na ni sɔgɔsɔgɔninjɛ kura ye, tigɛyɔrɔ fitininba dɔ fɛ. A ka c’a la, n’an miirila dusukun opereli la, an bɛ miiri opereli dɔ la min bɛ kɛ ni tigɛba ye disi cɛmancɛ la ka disi da wuli. Nka, o kɛcogo in na, o tigɛtigɛba sugu tɛ kɛ.

O nɔ na, ​​dɔgɔtɔrɔw bɛ dingɛ fitini dɔ kɛ i kɔkolo fari la ka baara kɛ o fɛ. Nin fogonfogonlabana in min bɛ kɛ i n’a fɔ da min bɛ joli ci ka bɔ i dusukun na ka taa i fogonfogon la, o nafa ka bon kosɛbɛ. Mɔgɔ minnu bangera ni dusukunnabana ye, olu bɛ se ka gɛlɛyaw sɔrɔ nin dawolo in na ni u bɛ kɔrɔbaya opereli kɔfɛ u denmisɛnman. O la, ni aw ye o dawolo bila nin fɛɛrɛ in nɔ na, ​​o bɛ se ka aw ka ɲɛnamaya ni aw ka ɲɛnamaya kɛcogo ɲɛ kosɛbɛ, ani ka aw tanga operelibaw kɛli ma siɲɛ caman.

Mun bɛ kɛ tiɲɛ na TPVR sitɛmu kɔnɔ?

Dusukun dafalen opereli laada la, disi kolo bɛ tigɛ, ka banabagatɔ siri dusukun ni fogonfogon lamini masin na, ka dawolo kɔrɔ bɔ, ka kura don a kɔnɔ. O bɛ waati jan ta, a bɛ waati jan ta ka kɛnɛya, wa mɔgɔ dɔw fɛ, o opereli in farati ka bon.

Nka o tɛ TPVR la. Dusukun dɔgɔtɔrɔ min bɛ a sen don a la, o bɛ tubabufura fitini dɔ don (catheter) ka tɛmɛ jolisira dɔ fɛ min bɛ i kɔkolo la, ka o dawolo kura bilasira ka tɛmɛ tubabukan na ka don i dusukun na. O bɛɛ bɛ kɛ fɛɛrɛ kuraw ɲɛminɛni kɔnɔ i n’a fɔ X-ray. Ni a sera yɔrɔ bɛnnen na, a bɛ fiɲɛ kura fiyɛ ni balon ye ka a siri a nɔ na.

O kɛlen kɔ, joli bɛ bɔ dusukun na ka taa fogonfogon la, o bɛ segin ka ɲɛ. Baara doni bɛ dɔgɔya dusukun na, wa farikolo bɛ oksizɛni ɲuman sɔrɔ. A ka ca a la, mɔgɔ min ye nin opereli in kɛ, o tigi bɛ se ka taa so o don kelen na .

Mun bɛ kɛ ni ne fogonfogon dawolo ma baara kɛ ka ɲɛ?

Gɛlɛyaba fila bɛ yen minnu bɛ ye fogonfogon la. An ka o kow lajɛ dɔɔnin.

Nin bana fila bɛɛ la, aw bɛ se ka bana taamasiɲɛw sɔrɔ i n’a fɔ:

• Ninakilidegun (ninakilidegun) .
• Kɔnɔbara ni senw fununi (edema) .
• Disi dimi
• A bɛ kɛ i n’a fɔ i dusukun bɛ ka wuli joona (palpitations) .

Nin taamasiɲɛ ninnu bɛ sɔrɔ dusukun tantanni walima dusukun tantannibaliya fɛ (arrhythmies). A ka ca a la, o taamasiɲɛw bɛ ɲɛ TPVR opereli kɔfɛ.

Nin TPVR opereli in bɛnnen don jɔn ma kosɛbɛ?

Ni bana dɔ bangera aw la min bɛ aw dusukun fogonfogon la, aw bɛ se ka nafa sɔrɔ o opereli in na. Kɛrɛnkɛrɛnnenya la, .

• Mɔgɔ minnu ye fogonfogon opereli kɛ u denmisɛnman.
• Mɔgɔkɔrɔbaw ni funankɛnin minnu ye o dawolo sɔrɔ, olu bɛ datugu walima u bɛ ji bɔ waati tɛmɛnen kɔfɛ.
• Tuma caman na, dɔgɔtɔrɔw bɛ TPVR kɛcogo jateminɛ mɔgɔw ye minnu ye homograft (valve transplantation) sɔrɔ ka bɔ dɛmɛbaga dɔ fɛ u denmisɛnman, ni o valve bɛ barika dɔgɔya waati tɛmɛnen kɔfɛ.

Bana minnu bɛ furakɛ ni nin opereli in ye, olu dɔw ye:

• Fogonfogonlabana (Pulmonary Atresia): O ye bana ye min na fogonfogonlabana tɛ dilan bange waati.
• Fogonfogonlabana min bɛ taa kɔfɛ: O ye bana ye min na joli bɛ bɔ kɔfɛ ka tɛmɛ fogonfogon fɛ.
• Tetralogy of Fallot : Joli ɲuman ni joli jugu bɛ ɲagami ɲɔgɔn na ka a sababu kɛ dusukunnabana naani faralen ye ɲɔgɔn kan.
• Truncus Arteriosus (Truncus Arteriosus): Bana min na joli siraba fila minnu bɛ bɔ dusukun na, olu bɛ fara ɲɔgɔn kan.
• Transposition of the Great Arteries: A condition in which the two main blood vessels of the heart are switched and connected.

TPVR opereli ye ɲɛtaa sɔrɔ kosɛbɛ i n’a fɔ o bana suguw furakɛli.

Mun bɛ kɛ sani opereli ka kɛ, opereli kɛtuma na ani opereli kɔfɛ?

Labɛnni sani opereli ka kɛ

Walasa k’a dɔn ni nin opereli in bɛnnen don aw ma, aw ka dɔgɔtɔrɔ bɛna aw sɛgɛsɛgɛ fɔlɔ ka ɲɛ. A bɛ se ka sɛgɛsɛgɛli caman kɛ, i n’a fɔ:

• Angiogramme (banakisɛfagalan).
• Dusukun tantanni CT scan
• Dusukun MRI
• Échocardiogramme (Echocardiogramme) ye
• Elektrokardiogramme (ECG) .

Ka da nin sɛgɛsɛgɛli ninnu jaabiw kan, aw ka dɔgɔtɔrɔ bɛna TPVR opereli fɔ aw ye walima a bɛna a latigɛ ka aw ka bana kɔlɔsi waati dɔ kɔnɔ. A bɛna aw laadi fana dumuni minnu ka kan ka dun ani fura minnu ka kan ka dabila (kɛrɛnkɛrɛnnenya la joli segin furaw) sani opereli ka kɛ. Aw kana ɲinɛ ka faritanabana fɛn o fɛn bɛ aw la, aw kana o fɔ aw ka dɔgɔtɔrɔ ye.

Opereli kɛtuma na

Sani opereli ka daminɛ, aw bɛna anestezi kɛ walasa aw kana dimi foyi sɔrɔ. O dɔrɔn de la, dɔgɔtɔrɔ kɛrɛnkɛrɛnnen bɛna baara daminɛ.

1. Fɔlɔ, tigɛ fitini dɔ bɛ kɛ aw kɔ la (senkɔni joli) walima a bɛ se ka kɛ aw kɔ la (jugular vein) ani ka tubabufura (catheter) don a kɔnɔ.

2. O kɔfɛ, ni fɛɛrɛ dɔw ye i n’a fɔ X-ray, o bɔgɔdaga kura bɛ bilasira tubabukan na ani ka tɛmɛ nɛgɛ dɔ fɛ ka taa yɔrɔ bɛnnen na dusukun na. O bɔgɔdaga in bɛ da balon dɔ kan.

3. Ni a sera a jɔyɔrɔ ɲuman na, balon bɛ fiyɛ. Valve kura bɛ bonya ka don kosɛbɛ valve kɔrɔ kɔnɔ. Kabini o waati, valve kura bɛ baara daminɛ.

4. A laban na, aw bɛ a lajɛ ni dawolo bɛ baara kɛ ka ɲɛ ani ka tubabufura dontaw bɛɛ bɔ.

a ka c' a la , o baara bɛɛ bɛ sanga fila walima sanga saba ɲɔgɔn kɛ .

Opereli kɔfɛ

Opereli kɔfɛ, aw bɛna to dɔgɔtɔrɔso la su fɛ walasa ka aw kɔlɔsi. Ni fɛn bɛɛ kɛra ka ɲɛ, i bɛ se ka taa so o dugujɛ . Aw ka dɔgɔtɔrɔ bɛna laadilikan dɔw di aw ma, aw ka kan ka minnu labato ni aw taara so. a ka c' a la , aw bɛ se ka aw ka baara kɛcogo kɔrɔw daminɛ kokura tile wolonwula ɲɔgɔn kɔnɔ .

TPVR fɛɛrɛ nafa ni farati jumɛnw bɛ a la?

I n’a fɔ a bɛ kɛ cogo min na furakɛli kɛcogo bɛɛ la, nafa ni farati misɛnninw bɛ a la. An k’an janto o fila bɛɛ la.

A man teli kosɛbɛ, gɛlɛya jugumanbaw i n’a fɔ dusukun tantanni, kirinni, walima saya bɛ se ka sɔrɔ. Nka ninnu ka dɔgɔ kosɛbɛ. Aw ka dɔgɔtɔrɔ bɛna kuma aw fɛ ninnu bɛɛ kan ka ɲɛ.

Ɲininkali wɛrɛw bɛ se ka kɛ i fɛ

Nin bɔlɔn kura in bɛna mɛn fo waati joli?

A bɛ bɔ fɛn caman na, i n’a fɔ i ka kɛnɛya bɛɛ lajɛlen ani i dusukun baarakɛcogo. A bɛ se ka kɛ ko mɔgɔ dɔw ka kan ka nin opereli suguya in kɛ tuguni waati dɔ kɔfɛ.

Yala ne ka kan ka fɛn kɛrɛnkɛrɛnnen dɔ kɛ sani ne ka ɲinw furakɛ wa?

Ɔwɔ, o nafa ka bon kosɛbɛ. Denfura kɛtuma na, banakisɛ minnu bɛ bɔ aw da la, olu bɛ se ka don joli la, ka dusukun tantanni kura (endocarditis) bana bila mɔgɔ la. O la, n’aw taara ɲinfurakɛla dɔ fɛ, aw ka kan k’a fɔ u ye ka kɔn o ɲɛ ko aw ye dusukun tantanni kɛ. Aw bɛ se ka banakisɛfagalanw ta fana sani aw ka ɲin bɔ.

Yala ne bɛ se ka tɛmɛ lakana sɛgɛsɛgɛliw fɛ awiyɔnbonda la wa?

Ɔwɔ, gɛlɛya tɛ. X-ray ni awiyɔnbonda lakanani sɛgɛsɛgɛlikɛlanw tɛna kojugu kɛ i ka valve la. Nka, aw ka kan ka kuma aw ka dɔgɔtɔrɔ fɛ sisan sani aw ka MRI sɛgɛsɛgɛli kɛ.