Mwina mukudziwa kuti mtima wanu umagwira ntchito ngati pampu yogwira ntchito bwino kwambiri. Mkati mwa pampu iyi muli "zipata" zazing'ono zotchedwa ma valve a mtima, zomwe zimaonetsetsa kuti magazi akuyenda mbali imodzi yokha. Nthawi zina, ma valve awa sangatsekeke bwino, zomwe zimapangitsa kuti magazi atuluke m'mbuyo m'malo mopita patsogolo. Vutoli lingayambitse zizindikiro monga kutopa kosalekeza kapena kupuma movutikira. Annuloplasty ndi njira yapadera yomwe akatswiri a ku Nirogi Lanka amachita kuti akonze ma valve amenewa.
Kodi Annuloplasty ndi chiyani?
Kutsegula chitseko cha mtima (annuloplasty) ndi opaleshoni yopangidwira kukonza kapena kulimbitsa valavu ya mtima. Taganizirani izi ngati kulimbitsa chimango cha chitseko chosasunthika kunyumba kuti chitseko chitseke bwino. Timagwiranso ntchito yomweyo pamtima panu.
Pa opaleshoniyi, dokotala wanu amaika chingwe chapadera kapena "mphete" mozungulira annulus (pansi pa valavu yonga mphete) kuti ayimange. Izi zimatsimikizira kuti valavu yomwe inali itatuluka kale imatsekedwa bwino. Mwa kuletsa magazi kubwerera m'mbuyo, mtima wanu umayambiranso kugwira ntchito bwino.
Cholinga chachikulu cha opaleshoniyi ndikuchotsa kutayikira kwa valavu (kutuluka kwa madzi) ndikuwonetsetsa kuti mtima wanu ukhoza kupopa magazi m'thupi lanu lonse popanda chopinga.
Kodi mphete ya Annuloplasty ndi chiyani?
Mpheteyi ndi chipangizo chapadera chachipatala, chomwe nthawi zambiri chimapangidwa ndi maukonde, chitsulo, kapena pulasitiki yolimba. Yapangidwa kuti itsanzire kayendedwe kachilengedwe ndi kusinthasintha kwa mtima wanu. Mpheteyo ikayikidwa, imakhalabe m'thupi lanu kwamuyaya. Pakapita nthawi, minofu ya mtima wanu imakula mozungulira, ndikulumikiza chipangizocho m'thupi lanu, zomwe zimapereka chithandizo chofunikira kuti valavu yanu igwire ntchito bwino.
Ndani akufunika opaleshoni iyi?
Chithandizochi nthawi zambiri chimalimbikitsidwa kwa odwala omwe ali ndi vuto la kubwezeretsedwa kwa ma valve. Chingachitike pa ma valve anayi oyambira a mtima.
- Kukonza valve yanu ya mitral: Kukonza valve yanu ya mitral.
- Kukonza valve ya aortic: Kukonza valve yanu ya aortic.
- Kukonza valve yanu ya m'mapapo.
- Kukonza valavu ya tricuspid: Kukonza valavu yanu ya tricuspid.
Kodi kusiyana pakati pa Valvuloplasty ndi Annuloplasty ndi kotani?
Ngakhale njira zonsezi zimathandiza ma valve a mtima, zimakwaniritsa zolinga zosiyanasiyana. Chonde onaninso tebulo ili m'munsimu kuti mumvetse kusiyana kwawo.
| Ndondomeko | Kodi imachitika liti? |
|---|---|
| Kutsegula m'mimba | Kulimbitsa valavu yotuluka madzi (yobwerezabwereza) kuti itseke bwino. |
| Kutsegula m'mimba (valvuloplasty) | Kukulitsa valavu yopapatiza (stenotic) kuti magazi ayende bwino. |
Kutsegula mapaipi si njira yokhayo yochizira valavu yotuluka madzi. Nthawi zina, chogwirira chaching'ono (monga `MitraClip®`) chingaikidwe kudzera mu chocheka chaching'ono kuti chiteteze valavuyo. Dokotala wanu wa mtima adzasankha njira yoyenera kwambiri yothandizira zosowa zanu.
Kodi chimachitika ndi chiyani musanachite opaleshoni yanu komanso nthawi ya opaleshoni yanu?
Dokotala wanu asanachite opaleshoni, adzakupatsani malangizo onse ofunikira. Nthawi zambiri, muyenera kusala kudya (osadya kapena kumwa) kuyambira usiku wotsatira. Ngati mukumwa mankhwala monga mankhwala ochepetsa magazi (anticoagulants)`, muyenera kudziwitsa dokotala wanu.Kutengera ndi upangiri wa dokotala, mungafunike kusiya kumwa mankhwalawa kwakanthawi masiku angapo musanachite opaleshoni.
Opaleshoniyi imachitidwa ndi madokotala apadera a opaleshoni ya mtima. Mudzapatsidwa mankhwala oletsa ululu, kuonetsetsa kuti simukumva kupweteka panthawi ya opaleshoni. Pali njira ziwiri zazikulu.
| Njira Yopangira Opaleshoni | Tsatanetsatane wa Ndondomeko |
|---|---|
| Opaleshoni ya mtima wotseguka | Kudula kwakukulu kumapangidwa pachifuwa kuti mtima ufike mwachindunji ndikuyika mphete ya annuloplasty. Kenako pachifuwacho chimatsekedwa ndi ma spatula. |
| Opaleshoni yochepa kwambiri | Mabala ang'onoang'ono amapangidwa pachifuwa. Chitoliro chokhala ndi kamera yolumikizidwa (endoscope) chimayikidwa, zomwe zimathandiza dokotalayo kutsogolera mpheteyo pamalo ake pamene akuyang'ana chowunikira. |
Kodi nthawi yochira ndi yayitali bwanji?
Mukachita opaleshoni, mudzakhala maola angapo pamalo ochiritsira musanasamutsidwe kuchipinda chanu. Ngati munachitidwa opaleshoni yochepa kwambiri, mutha kutulutsidwa mkati mwa masiku 1-2. Opaleshoni ya mtima nthawi zambiri imafuna kukhala kuchipatala kwa masiku 5-7.
Nthawi yochira kunyumba imadalira mtundu wa opaleshoni yomwe yachitika komanso thanzi lanu lonse.
- Pewani kuchita zinthu zolimbitsa thupi kwa sabata imodzi kapena kuposerapo .
- Mungathe kubwerera kuntchito mkati mwa milungu 1-2; komabe, ngati ntchito yanu ikuphatikizapo kunyamula katundu wolemera kapena ntchito zakuthupi, nthawi yayitali yochira imafunika.
- Dokotala wanu adzakupatsani malangizo enieni okhudza kupuma komanso nthawi yomwe kuli kotetezeka kuyambiranso ntchito zanu za tsiku ndi tsiku.
Nthawi yoti mupeze chithandizo chamankhwala nthawi yomweyo
Mukabwerera kunyumba, samalani ndi thupi lanu. Ngati muwona zizindikiro zachilendo, chonde samalani kwambiri. Ngati zizindikiro zotsatirazi zikukuchenjezani, funsani dokotala wanu nthawi yomweyo. Ngati zizindikirozo zili zazikulu, pitani ku Dipatimenti Yoona za Zadzidzidzi yapafupi.
| Zizindikiro zochenjeza zomwe zimafuna chisamaliro chachangu |
|---|
| - Kupweteka pachifuwa kapena kufinya `(angina)` |
| - Chizungulire kapena kukomoka `(syncope)` |
| - Malungo kapena kuzizira |
| - Kusanza kapena nseru |
| - Kutupa kapena kupweteka kosalekeza pamalo obayidwa |
Kutsegula m'mimba nthawi zambiri ndi njira yopambana kwambiri komanso yotetezeka. Monga maopaleshoni onse, pakhoza kukhala zoopsa zazing'ono monga matenda kapena kutuluka magazi, koma chonde musadandaule mopanda chifukwa. Dokotala wanu adzakambirana nanu za zoopsa zonse zokhudzana ndi vuto lanu.
Mfundo Zofunika Kwambiri Zokhudza Kuchira Kwanu
- Annuloplasty ndi opaleshoni yopangidwa kuti ikonze valavu ya mtima yomwe yatuluka madzi, ndikubwezeretsa ntchito yake yoyenera.
- Pa nthawi ya opaleshoniyi, dokotala wanu amamanga mphete yapadera kuzungulira valavu, zomwe zimathandiza kuti itseke bwino ndikuletsa kuti magazi abwerere m'mbuyo.
- Opaleshoni iyi ingathe kuchitidwa ngati njira yotsegula mtima kapena kudzera mu njira zosavulaza kwambiri, kutengera zosowa zanu.
- Nthawi yanu yochira komanso nthawi yomwe mudzakhala kuchipatala zidzadalira njira yeniyeni yochitira opaleshoni yomwe gulu la odwala matenda a mtima la Nirogi Lanka limagwiritsa ntchito.
- Nthawi zambiri, mphete ya annuloplasty imapangidwa kuti ikhalepo kwa moyo wonse ndipo sifunikira kusinthidwa.
- Ngati mukukumana ndi zizindikiro kapena nkhawa zachilendo mutachita opaleshoni yanu, chonde funsani dokotala wanu nthawi yomweyo kapena funsani ogwira ntchito zadzidzidzi ngati vutoli likufulumira.
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