Kodi nthawi zina zimakuvutani kupuma mukatopa pang'ono, kapena mukakwera masitepe? Kodi mumamva kulemera pachifuwa panu, ngati kupuma movutikira? Ngakhale pali zifukwa zambiri za zizindikirozi, pakhoza kukhala chifukwa chomwe simuganizira. Imeneyo ndi kukhuthala kosafunikira kwa gawo la minofu ya mtima. Lero tikulankhula za Alcohol Septal Ablation, mankhwala othandiza kwambiri omwe si opaleshoni yayikulu yotseguka ndipo amagwiritsidwa ntchito pochiza vutoli.
Kodi Mowa Septal Ablation ndi Chiyani?
Mwachidule, iyi ndi njira yosalowerera kwambiri yomwe imagwiritsidwa ntchito pochiza matenda a mtima otchedwa Hypertrophic Cardiomyopathy (HCM) . Tangoganizirani, pali khoma mumtima mwathu lomwe limalekanitsa zipinda ziwiri. Timatcha izi kuti septum. Mwa munthu yemwe ali ndi HCM, khoma ili limakhala lolimba komanso lokhuthala mosafunikira.
Khoma likakula motere, njira yomwe magazi amapopedwa kuchokera pamtima kupita ku thupi imatsekedwa. Monga momwe galimoto yayikulu imakhalira mumsewu wopapatiza imapangitsa magalimoto kuyenda. Izi zimalepheretsa mtima kupopa magazi moyenera. Pamenepo ndi pomwe zizindikiro monga kupuma movutikira ndi kutopa zimawonekera.
Kuletsa Mowa mu Septal Ablation (ASA) kumaphatikizapo kulowetsa chubu chopyapyala komanso chosinthasintha, chotchedwa catheter , mu mtsempha wamagazi waung'ono womwe umapatsa magazi ku minofu yokhuthala. Kenako, mowa wochepa kwambiri umalowetsedwa kudzera mumtsemphawo. Mowawo umawononga maselo omwe akhuthala mosafunikira ndipo umapangitsa kuti malowo achepe. Kenako magazi otsekeka amatsegulidwanso, ndipo magazi amabwerera m'mbuyo.
N’chifukwa chiyani chithandizochi chimachitika ndipo n’ndani amene chili chabwino kwa iye?
Mankhwalawa amagwiritsidwa ntchito makamaka pa matenda omwe takambirana kale , hypertrophic cardiomyopathy (HCM) . Nthawi zambiri awa ndi matenda a majini omwe amapatsiridwa kuchokera ku mibadwomibadwo.
Akatswiri a mtima amalimbikitsa chithandizochi kwa anthu omwe ali ndi zizindikiro monga kupuma movutikira komanso kutopa zomwe sizingathe kuthetsedwa ndi mankhwala.
Chithandizo china chachikulu cha HCM ndi opaleshoni yotsegula mtima yotchedwa septal myectomy . Pachifukwa ichi, chifuwa chimatsegulidwa ndipo minofu yokhuthala imadulidwa ndikuchotsedwa. Komabe, si aliyense amene angapatsidwe opaleshoni yayikulu. Kuopsa kwa opaleshoni yotseguka ndi kwakukulu makamaka kwa okalamba kapena omwe ali ndi matenda ena.
Kwa iwo omwe sangalole opaleshoni yotseguka ya mtima yotereyi, Alcohol Septal Ablation (ASA) ndi njira ina yabwino kwambiri komanso yotetezeka.
| Mbali | Kuletsa Mowa kwa Septal (ASA) | Septal myectomy (opaleshoni yotseguka) |
|---|---|---|
| Njira yochizira | Kusalowa m'thupi mwachangu (kudzera mu catheter) | Opaleshoni ya mtima yotseguka (kutsegula chifuwa) |
| Nthawi yochira | Kwa kanthawi kochepa (pafupifupi sabata imodzi) | Kwa nthawi yayitali (masabata angapo kapena miyezi ingapo) |
| Ndani amene ali woyenera kwambiri? | Kwa iwo omwe sangathe kupirira opaleshoni yotseguka, okalamba, kapena omwe ali ndi matenda ena | Kwa achinyamata athanzi omwe angathe kupirira opaleshoni |
Kodi ndiyenera kuchita chiyani ndisanalandire chithandizo?
Dokotala wanu adzakupatsani malangizo onse omwe mukufunikira musanalandire chithandizochi.
- Mungapemphedwe kuti musiye kumwa mankhwala ena masiku angapo musanalandire chithandizo.
- Muyenera kusala kudya (kusiya kudya ndi kumwa) kwa maola angapo musanalandire chithandizo.
- Mukhozanso kuyesedwa kangapo kuti muwone ngati thanzi lanu lili bwino:
- Echocardiogram: Kujambula komwe kumayang'ana ntchito ndi kapangidwe ka mtima.
- Electrocardiogram (EKG): Kuyeza komwe kumayang'ana momwe magetsi amagwirira ntchito mumtima.
- Kuchuluka kwa Magazi Okwanira (CBC): Kuchuluka kwa Magazi Okwanira.
- X-ray ya pachifuwa: Kuwunika pachifuwa ndi X-ray.
Kodi chimachitika ndi chiyani panthawi ya chithandizo?
Iyi ndi njira yochitira kuchipatala ndipo imatenga pafupifupi ola limodzi kapena awiri. Mudzakhala mutachira, koma gulu lachipatala lidzakupatsani mankhwala kuti mukhale bata komanso omasuka.
1. Kusanza: Choyamba, malo omwe catheter idzalowetsedwera (nthawi zambiri mkono wapamwamba kapena dzanja) amakhala opanda mano.
2. Kuyika katheta:Kenako, chubu choonda (catheter) chimayikidwa mu mtsempha wamagazi ndikutsogoleredwa kumalo oyenera mumtima pogwiritsa ntchito zithunzi za X-ray.
3. Kuikamo mowa: Mukazindikira mtsempha woyenera wamagazi, muikamo mowa wochepa woyeretsedwa kwambiri (`isopropyl alcohol`). Mutha kumva kusasangalala pang'ono pachifuwa panu panthawiyi.
4. Wothandizira Pacemaker Wakanthawi: Pa nthawiyi, waya wa pacemaker wakanthawi umalowetsedwa mumtima mwanu kudzera mumtsempha wa pakhosi. Izi zimachitika kuti muwone kugunda kwa mtima wanu kwa masiku awiri kapena atatu mutalandira chithandizo.
5. Kumaliza: Ntchito ikatha, catheter imachotsedwa ndipo bandeji imayikidwa pamalo olowetsera.
Kodi chimachitika ndi chiyani mukalandira chithandizo?
Mukamaliza kulandira chithandizo, muyenera kukhala m'chipatala kwa masiku awiri kapena atatu. Panthawiyi, gulu lachipatala lidzapitiriza kuyang'anira thanzi lanu komanso kugunda kwa mtima wanu. Ngati mukumva ululu, mudzapatsidwa mankhwala ochepetsa ululu.
Ndikofunikira kupitiriza kuyang'anira kugunda kwa mtima wanu panthawi yomwe muli kuchipatala mutalandira chithandizo, chifukwa anthu ochepa kwambiri angayambitse kugunda kwa mtima kosakhazikika chifukwa cha chithandizochi ndipo angafunike kuikidwa pacemaker yokhazikika.
Ngati chithandizocho chachitika kudzera m'mitsempha, mudzapemphedwa kuti mugone pabedi ndi miyendo yanu itatambasulidwa kwa maola angapo kuti mupewe kutuluka magazi. Ngati chachitika kudzera mu chogwirira cha dzanja, nthawi zambiri simuyenera kugona pabedi choncho.
Kodi zoopsa za chithandizochi ndi ziti?
Monga momwe zimakhalira ndi njira ina iliyonse yachipatala, pali zoopsa zazing'ono, koma zovuta zake zimakhala zochepa kwambiri.
- Kutuluka magazi kapena matenda pamalo oikira catheter.
- Kupangika kwa magazi m'mitsempha yamagazi.
- Kuwonongeka pang'ono kwa makoma a mtima (kungafunike kukonzedwa ndi opaleshoni).
- Kutsekeka kwa Mtima: Kusokonezeka kwa zizindikiro zamagetsi za mtima. Izi zingayambitse mtima kugunda pang'onopang'ono kwambiri kapena mofulumira kwambiri. Ngati izi zitachitika, pacemaker yokhazikika ingafunike.
- Kutuluka kwa madzi m'thupi: Kusonkhana kwa madzi m'thumba lozungulira mtima.
Musadandaule ndi izi. Dokotala wanu adzakufotokozerani bwino za zoopsa izi.
| Ngati muli ndi zizindikiro izi mutalandira chithandizo, pitani kwa dokotala nthawi yomweyo! | |
|---|---|
| * Kupweteka pachifuwa | * Kuvuta kupuma kapena kupuma movutikira (dyspnea) |
| * Chizungulire kapena kumva kukomoka | * Kugunda kwa mtima kosazolowereka kapena kulimba kwa chifuwa |
| * Kutopa kwambiri | * Kufiira, kutupa, kutuluka magazi, kapena malungo kumene catheter inayikidwa |
| * Kusanza ndi kusanza | |
Anthu ambiri amatha kubwerera ku zochita zawo zachizolowezi mkati mwa sabata imodzi kuchokera pamene adalandira chithandizo, ndipo zizindikiro nthawi zambiri zimachepa msanga.
Uthenga Wopita Nawo Kunyumba
- Kuchotsa Mowa mu Mtima (ASA) ndi njira yothandiza kwambiri yopanda opaleshoni ya HCM, vuto lomwe minofu ya mtima imakula.
- Iyi ndi njira yabwino kwambiri, makamaka kwa okalamba kapena omwe ali ndi matenda ena omwe angavutike kupirira opaleshoni yotseguka ya mtima.
- Ngakhale kuti chithandizochi chimapangitsa kuti munthu achire msanga, pali zoopsa zazing'ono, monga kutsekeka kwa mtima, zomwe zingafunike pacemaker yokhazikika.
- Kambiranani ndi kumvetsetsa zonse ndi dokotala wanu wa mtima musanalandire chithandizo komanso mutalandira chithandizo.
- Ngati zizindikiro zachilendo zachitika mutalandira chithandizo, funsani upangiri wa dokotala nthawi yomweyo.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi kupuma movutikira/mphumu ndi matenda a m'mapapo okha? Kodi kupuma movutikira kungachitike ndi mtima wokulirapo?
Anthu ambiri amaganiza kuti kupuma movutikira kumachitika kokha mu 'Asthma'. Koma zimenezo n'zolakwika kwambiri! 'Cardiomyopathy / Heart Failure' Mtima ukalephera, mapapo amadzaza ndi madzi (magazi), zomwe zimapangitsa kuti wodwalayo azivutika kupuma ndipo 'kupuma movutikira' kumatha kuchitika. Izi zimatchedwa 'Cardiac Asthma' mu sayansi ya zamankhwala. Pankhaniyi, chifuwa sichimatseguka ngakhale mutagwiritsa ntchito inhalers!
💬 Ndingadziwe bwanji ngati kupuma kwanga ndi mphumu wamba kapena kulephera kwa mtima?
Kuukira kwabwinobwino kwa mphumu kumachitika pamene pali dothi/fumbi, kapena pamene pali chimfine. Koma pankhani ya 'mavuto a mtima', 1) Mukagona/kugona pabedi usiku ndikuyesera kugona, mwadzidzidzi mumamva kusowa mpweya ndipo mumadzuka mukulira (Orthopnea). 2) Pamodzi ndi zimenezo, miyendo/akakolo anu amatupa modabwitsa (Edema). 3) Ngati chifuwa chanu chimamva cholimba kuposa masiku onse mukakwera masitepe, ndithudi ndi matenda a mtima!
💬 Mukagwidwa ndi sitiroko, muyenera kuyimbira ambulansi nthawi yomweyo, osangokhala kunyumba, pogwiritsa ntchito chopumira. Kodi ndi zinthu ziti zomwe zimapha/zadzidzidzi zomwe zingachitike?
Choopsa chachikulu ndi kulephera kwa mtima! Ngati, pamodzi ndi matenda a mtima, 1) pali ululu wosapiririka pakati pa chifuwa, ngati kuti pali mwala (Kupweteka pachifuwa / Kuukira kwa mtima), 2) ngati ululuwo ukufalikira pansi pa mkono wakumanzere mpaka pansi pa nsagwada, 3) ngati wodwalayo atuluka thukuta kwambiri ngati kuti akusamba, nkhope yake imasintha kukhala yakuda/buluu, ndipo akumva chizungulire ndikutaya chikumbumtima, wodwalayo akhoza kufa mumphindi zochepa! Muyenera kupita ku dipatimenti yothandiza anthu odwala mwadzidzidzi kuchipatala nthawi yomweyo!
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