Kodi minofu ya mtima ikukulirakulira? Tiyeni tikambirane za chithandizo cha Alcohol Septal Ablation (ASA)!

Kodi nthawi zina mumamva kupuma movutikira, kupsinjika pachifuwa panu, kapena kungotopa mukatopa pang'ono? Pakhoza kukhala zifukwa zambiri za zizindikirozi. Koma nthawi zina chifukwa chake chimakhala vuto la mtima. Lero tikulankhula za chithandizo chapadera cha matenda a mtima omwe safuna opaleshoni yayikulu.

Mwachidule, kodi Alcohol Septal Ablation (ASA) ndi chiyani?

Dzinali lingamveke ngati lovuta pang'ono, koma tiyeni tipitirize kulimvetsa mosavuta. Mowa Septal Ablation (ASA) ndi mankhwala osapweteka kwambiri omwe amachitidwa ndi akatswiri a mtima.

Chithandizochi ndi cha anthu omwe ali ndi vuto la mtima lotchedwa Hypertrophic Cardiomyopathy (HCM) . Dzinali ndi losokoneza pang'ono, sichoncho? Mwachidule, matendawa amachititsa kuti minofu ya mtima ikule kwambiri. Makamaka, khoma lomwe limalekanitsa zipinda ziwiri za mtima, lotchedwa septum , limakula kwambiri.

Tangoganizani mtima wanu uli ngati pampu yamadzi. Pampu iyi ndi yomwe imatumiza magazi ku thupi lonse. Tsopano, ngati khoma la pampu iyi lakula kwambiri, malo oti magazi atuluke amakhala ochepa, sichoncho? Ndicho chimene chimachitika mu HCM. Khoma la mtima likakula, magazi satuluka bwino. Ichi ndichifukwa chake zizindikiro zomwe tatchula kale, monga kupuma movutikira komanso kutopa, zimachitika.

Kotero, mu chithandizo cha ASA ichi, chubu chopyapyala kwambiri komanso chosinthasintha (catheter) chimagwiritsidwa ntchito kupeza mtsempha wamagazi womwe umapatsa magazi ku gawo la minofu yokhuthala ya mtima. Kenako, mowa wapadera pang'ono umalowetsedwa kudzera mu chubucho kupita ku gawo la minofu yokhuthala. Mowa uwu umapangitsa maselo omwe akukula mosafunikira kufa, ndipo gawolo limachepa ndikuchepa. Kenako njira yoti magazi atuluke mumtima imakulanso, ndipo magazi amabwerera m'mbuyo.

Kodi chithandizochi ndi choyenera kwa ndani?

Chithandizochi ndi cha anthu omwe ali ndi vuto lomwe talitchula kale lotchedwa Hypertrophic Cardiomyopathy (HCM). Ili ndi matenda obadwa nawo . Izi zikutanthauza kuti ngati wina m'banja mwanu ali nalo, inunso muli ndi mwayi woti mudwale nalo.

Kawirikawiri, anthu omwe ali ndi HCM amapatsidwa mankhwala koyamba. Komabe, kwa anthu ena, ngakhale atalandira mankhwala, zizindikiro (monga kupuma movutikira komanso kutopa) sizimawongoleredwa. Ichi ndichifukwa chake madokotala amaganizira za chithandizo cha ASA kwa anthu awa.

Pali njira ina yochitira izi. Imeneyi ndi opaleshoni yotsegula mtima yotchedwa Septal Myectomy . Pa opaleshoniyi, chifuwa chimatsegulidwa ndipo minofu yokhuthala imadulidwa ndikuchotsedwa. Komabe, popeza ndi opaleshoni yayikulu, zimatenga nthawi yayitali kuti ichiritse ndipo zoopsa zake zimakhala zambiri.

Mwachidule, iyi ndi njira ina yothandiza kwa iwo omwe sangathe kuchitidwa opaleshoni yayikulu.

Kodi mumakonzekera bwanji musanalandire chithandizo?

Dokotala wanu akangoona kuti chithandizochi ndi choyenera kwa inu, pali zinthu zingapo zomwe muyenera kuchita pasadakhale. Dokotala wanu adzakupatsani malangizo omveka bwino pankhaniyi.

Kodi chimachitika ndi chiyani panthawi ya chithandizo?

Chithandizochi chimachitikira m'chipinda chapadera (Cath Lab) m'chipinda cha odwala matenda a mtima cha chipatalacho. Nthawi zambiri chimatenga pafupifupi ola limodzi kapena awiri.

• Muli ndi chidziwitso:Mu izi, simukupatsidwa mankhwala oletsa ululu kwathunthu. Izi zikutanthauza kuti mumakhala ozindikira. Koma mumapatsidwa mankhwala ochepetsa ululu kuti mukhale omasuka komanso opanda mantha.
• Mankhwala oletsa kupweteka a singano: Singano imagwiritsidwa ntchito kupangitsa dzanzi pamalo pomwe catheter imayikidwa, monga pafupi ndi dzanja lanu kapena khosi lanu.
• Kuyika catheter: Kenako dokotalayo amadutsa chubu choondacho kudzera mu mtsempha wamagazi kuchokera pamalo opanda dzanzi kupita kumtima.
• Kuwunika X-ray: Madokotala amagwiritsa ntchito zithunzi za X-ray kuti awone njira ya chubucho komanso ngati chikupita pamalo oyenera mumtima.
• Kubayidwa kwa mowa: Mukapeza mtsempha wolondola wa magazi, mowa wapadera wotchedwa isopropyl alcohol umabayidwa kudzera mu chubu kupita ku minofu yokhuthala. Mutha kumva kusasangalala kapena kupweteka pachifuwa panu panthawiyi. Izi ndi zachilendo.
• Chothandizira pacemaker kwakanthawi: Pa chithandizo, waya wochokera ku chothandizira pacemaker kwakanthawi umayikidwa mu mtsempha womwe uli m'khosi mwanu. Izi zimasiyidwa pamalopo kwa masiku awiri kapena atatu mutalandira chithandizo kuti muwone momwe mtima wanu umagwirira ntchito.
• Mapeto: Ntchito ikatha, chubucho chimachotsedwa ndipo malowo amatsekedwa ndi zosokera kapena bandeji yolimba yokanikiza.

Kodi chimachitika ndi chiyani mukalandira chithandizo?

Mukalandira chithandizo, muyenera kukhala m'chipatala kwa masiku awiri kapena atatu (maola 48-72). Nthawi imeneyi ndi yofunika kwambiri.

• Kuwunika kugunda kwa mtima: Masiku ano, gulu lachipatala lidzapitiriza kuyang'anira kugunda kwa mtima wanu. Izi zili choncho chifukwa, monga zotsatira zochepa za chithandizochi, anthu ena angakhudzidwe ndi zizindikiro zamagetsi mumtima mwawo. Izi zimatchedwa Heart Block . Ngati izi zitachitika, kugunda kwa mtima wanu kungachedwe kwambiri. Ndicho chifukwa chake mudzayang'aniridwa mosamala.
• Kugona pabedi: Ngati chubucho chinalowetsedwa kudzera m'mimba mwanu, mudzapemphedwa kuti mukhale pabedi ndi miyendo yanu yowongoka kwa maola angapo kuti mupewe kutuluka magazi. Ngati chinalowetsedwa kudzera m'dzanja lanu, nthawi zambiri simuyenera kukhala choncho.
• Mankhwala Ochepetsa Ululu: Mudzapatsidwa mankhwala ochepetsa ululu ngati pakufunika kutero.
• Kuwunikanso: Musanachoke kuchipatala, mungayesedwenso, monga echocardiogram , kuti muwone ngati chithandizocho chayenda bwino.

Kodi ubwino ndi zoopsa za chithandizochi ndi ziti?

Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, palinso ubwino komanso zoopsa zina zazing'ono.

Kodi ubwino wake ndi wotani?

Ubwino waukulu ndi wakuti sikutanthauza opaleshoni ya mtima. Chifukwa chake:

• Nthawi yochira ndi yochepa kwambiri.
• Mavuto okhudzana ndi opaleshoni ndi ochepa.
• Sizidzasiya chilonda chachikulu.
• Iyi ndi njira yabwino kwambiri kwa iwo omwe sangakwanitse kulipira opaleshoni yayikulu.

Kodi zoopsa zake ndi ziti?

Mavuto ndi osowa, koma ndikofunikira kuwadziwa. Dokotala wanu adzakuuzani zambiri za izi.

Zimatenga nthawi yayitali bwanji kuti munthu achire?

Izi zimasiyana malinga ndi munthu. Nthawi yanu yochira imadalira thanzi lanu. Anthu ambiri amatha kubwerera ku zochita zawo zachizolowezi mkati mwa sabata imodzi kapena kuposerapo . Komabe, nthawi zonse muyenera kufunsa dokotala wanu musanayambe kuchita masewera olimbitsa thupi okhwima.

Anthu ambiri amayamba kumva mpumulo waukulu ku zizindikiro zawo nthawi yomweyo atalandira chithandizo.

Ngati muli ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo!

Ngati mukukumana ndi zizindikiro zotsatirazi mutabwerera kunyumba kuchokera ku chithandizo, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) ya chipatala chapafupi.

• Kugunda kwa mtima kosazolowereka kapena kumva ngati chifuwa chanu chikugunda (kugunda kwa mtima).
• Kupweteka pachifuwa.
• Kuvuta kupuma, kupuma mofulumira (dyspnea) .
• Chizungulire kapena maso abuluu.
• Ndatopa kwambiri.
• Kufiira, kutupa, kutuluka magazi, kapena malungo kumene chubucho chinayikidwa (izi ndi zizindikiro za matenda).
• Kusanza ndi kusanza.

Kuchotsa Mowa mu Septal ndi mankhwala othandiza kwambiri a Hypertrophic Cardiomyopathy. Kumatha kuwongolera zizindikiro ndi chiopsezo chochepa komanso kuchira mwachangu kuposa opaleshoni. Ngati muli ndi mafunso okhudza izi, musazengereze kulankhula ndi dokotala wanu wa mtima kuti mudziwe zambiri.