Monga mukudziwira, mtima wathu uli ngati pampu yomwe imagwira ntchito bwino kwambiri. Mkati mwa pampu iyi, muli zitseko zazing'ono zomwe zimathandiza kuti magazi aziyenda mbali imodzi yokha. Timatcha ma valve a mtima awa. Nthawi zina zitseko izi sizingatseke bwino ndipo zimatha kutseguka pang'ono. Kenako, m'malo mopita patsogolo, magazi amayamba kutuluka m'mbuyo. Chifukwa cha vutoli, mutha kumva kutopa mwachangu ndikuvutika kupuma. Chifukwa chake, apa pali opaleshoni yapadera yomwe imachitika kuti ikonze valavu yotuluka, yomwe timayitcha kuti Annuloplasty.
Mwachidule, kodi Annuloplasty ndi chiyani?
Kutsegula chitseko cha mtima (Annuloplasty) ndi opaleshoni yokonza kapena kulimbitsa valavu mumtima. Tangoganizirani kuti chitseko cha nyumba yanu chatseguka pang'ono ndipo chitseko sichikutsekedwa bwino. Kenako chomwe timachita ndikuyika chimango kuzungulira chitseko ndikuchilimbitsa. Ndicho chinthu chomwecho ndi ichi.
Pa opaleshoni, madokotala amaika mphete yapadera, kapena mphete, kuzungulira valavu ya mtima ndikuyilimbitsa. Izi zimapangitsa kuti valavu, yomwe inali yomasuka komanso yotuluka madzi, itseke bwino kachiwiri. Izi zimaletsa magazi kuyenda m'mbuyo, ndipo ntchito ya mtima imabwerera mwakale.
Cholinga chachikulu cha opaleshoniyi ndikuletsa kubwerera kwa magazi (valve regurgitation) ndikuthandiza mtima kupopa magazi m'thupi lonse popanda chopinga chilichonse.
Kodi mphete yotchedwa Annuloplasty iyi imawoneka bwanji?
Ichi ndi chipangizo chapadera chomwe chimayikidwa mozungulira valavu. Chingapangidwe ndi mauna, chitsulo, kapena pulasitiki. Mphete iyi idapangidwa kuti igwirizane ndi kayendedwe kachilengedwe komanso kusinthasintha kwa valavu ya mtima. Pambuyo pa opaleshoni, ndi chinthu chomwe chimakhalabe m'thupi kwa moyo wonse. Pakapita nthawi, minofu ya mtima wathu imakula mozungulira mphete iyi, ndipo imakhala gawo la mtima womwewo. Izi zimapatsa valavu chithandizo chambiri kuti itsegule ndikutseka bwino.
Ndani akufunika opaleshoni iyi?
Chithandizochi nthawi zambiri chimalimbikitsidwa kwa anthu omwe ali ndi vuto lotchedwa valve regurgitation. Opaleshoni iyi ikhoza kuchitidwa pa valve iliyonse yayikulu mumtima mwathu.
- Kukonza valve ya mitral: Kukonza valve ya mitral.
- Aortic valve annuloplasty: Kukonza valavu ya aortic.
- Kukonza valve ya m'mapapo: Kukonza valve ya m'mapapo.
- Kukonza valavu ya tricuspid: Kukonza valavu ya tricuspid.
Kodi kusiyana pakati pa Valvuloplasty ndi Annuloplasty ndi kotani?
Ngakhale zonsezi ndi mankhwala a ma valve a mtima, zonse ziwiri zili ndi zolinga ziwiri. Taonani tebulo ili, mutha kumvetsa mosavuta.
| Chithandizo | Kodi muli mu mkhalidwe wanji? |
|---|---|
| Kutsegula m'mimba | Mangani valavu yotuluka madzi ndipo itseke bwino. |
| Kutsegula m'mimba (valvuloplasty) | Kukulitsa valavu yopapatiza/yotsika komanso kuthandiza kuyenda kwa magazi. |
Kutsegula ma valve si njira yokhayo yochizira kutuluka kwa magazi. Nthawi zina, chogwirira, monga MitraClip®, chomwe chimayikidwa kudzera mu kabowo kakang'ono, chingagwiritsidwe ntchito kutseka valve. Dokotala wanu wa mtima adzasankha chithandizo chomwe chili chabwino kwa inu.
Kodi chimachitika n’chiyani opaleshoni isanachitike komanso ikachitika?
Dokotala wanu adzakupatsani malangizo onse omwe mukufuna musanachite opaleshoni. Nthawi zambiri, simudzaloledwa kudya kapena kumwa chilichonse usiku woti opaleshoni ichitike (kusala kudya). Ngati mukumwa mankhwala apadera, monga mankhwala oletsa magazi kuundana, muyenera kuuza dokotala wanu za izi. Kutengera ndi upangiri wa dokotala wanu, mungafunike kusiya kumwa mankhwalawa kwakanthawi masiku angapo opaleshoni isanachitike.
Opaleshoniyi imachitidwa ndi madokotala a opaleshoni ya mtima. Mudzapatsidwa mankhwala oletsa ululu, kotero simudzamva chilichonse panthawi ya opaleshoniyi. Pali njira ziwiri zazikulu zochitira opaleshoniyi.
| Njira yopangira opaleshoni | Chikuchitika ndi chiyani? |
|---|---|
| Opaleshoni ya mtima wotseguka | Kuduladula kwakukulu kamodzi kumapangidwa m'dera la chifuwa, ndikufikira mtima mwachindunji, ndipo mphete ya Annuloplasty imayikidwa. Kenako kudulako kumatsekedwa ndi kusoka. |
| Opaleshoni yochepa kwambiri | Mabala angapo ang'onoang'ono amapangidwa pachifuwa. Chitoliro chaching'ono chokhala ndi kamera (endoscope) chimalowetsedwa kudzera mwa iwo, ndipo mpheteyo imalowetsedwa pogwiritsa ntchito zida zapadera pamene akuyang'ana chowunikira. |
Kodi zimatenga nthawi yayitali bwanji kuti munthu achire pambuyo pa opaleshoni?
Pambuyo pa opaleshoni, mudzasungidwa m'malo ochiritsira kwa maola angapo musanasamutsidwe ku ward. Ngati munachitidwa opaleshoni yaying'ono, mwina mudzatha kupita kunyumba patatha tsiku limodzi kapena awiri. Komabe, ngati munachitidwa opaleshoni ya mtima, mungafunike kukhala m'chipatala kwa masiku 5-7.
Nthawi yochira mukabwerera kunyumba imadalira mtundu wa opaleshoni yomwe mudachita komanso thanzi lanu.
- Muyenera kupewa kugwira ntchito yolemetsa kwa sabata imodzi kapena kuposerapo .
- Mudzatha kubwerera kuntchito pasanathe sabata imodzi kapena ziwiri mutachita opaleshoni. Komabe, ngati ntchito yanu ikuphatikizapo kunyamula zinthu zolemera kapena kuchita masewera olimbitsa thupi, zingatenge nthawi yayitali.
- Dokotala wanu adzakupatsani malangizo olondola okhudza nthawi yomwe muyenera kupuma komanso nthawi yomwe mungayambirenso kugwira ntchito.
Nthawi yoti mukaonane ndi dokotala nthawi yomweyo
Mukapita kunyumba mutachita opaleshoni, muyenera kusamalira thupi lanu kwambiri. Samalani ndi chilichonse chachilendo. Ngati mukukumana ndi zizindikiro zotsatirazi, imbani dokotala nthawi yomweyo. Ngati zizindikiro zanu zili zazikulu, pitani ku Dipatimenti Yothandiza Anthu Odwala (ETU) ya chipatala chapafupi.
| Zizindikiro zochenjeza zoyenera kuziganizira |
|---|
| - Kupweteka pachifuwa kapena kufinya (angina) |
| - Chizungulire kapena kutaya chidziwitso (syncope) |
| - Kukhala ndi malungo kapena kuzizira |
| - Kusanza kapena kusanza |
| - Kutupa kapena kupweteka kosalekeza pamalo ochitira opaleshoni |
Kutsegula mapaipi ndi njira yotetezeka komanso yopambana nthawi zambiri. Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa zazing'ono (monga matenda ndi kutuluka magazi). Koma musadandaule. Dokotala wanu adzakufotokozerani momveka bwino zoopsazo kutengera momwe zinthu zilili.
Uthenga Wopita Nawo Kunyumba
- Annuloplasty ndi opaleshoni yokonza valavu ya mtima yomwe imatuluka madzi.
- Mu izi, mphete yapadera imayikidwa mozungulira valavu, ndikuikonza kuti itseke bwino.
- Opaleshoni iyi ingathe kuchitidwa ngati opaleshoni yotsegula mtima kapena pogwiritsa ntchito mabala ang'onoang'ono.
- Nthawi yochira komanso kukhala kuchipatala zimadalira mtundu wa opaleshoni yomwe mudachita.
- Mphete ya annuloplasty nthawi zambiri imakhalapo moyo wonse ndipo siifunika kusinthidwa.
- Ngati mukumva zizindikiro zachilendo mutachita opaleshoni, musazengereze kuuza dokotala wanu nthawi yomweyo.











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