Tiyeni tiphunzire za opaleshoni yokonza valavu ya mtima wanu (Kukonza Aortic Valve)?

Nthawi zina dokotala wanu angakuuzeni kuti muli ndi kutuluka pang'ono kwa magazi mu imodzi mwa ma valve a mtima wanu. Ndizachibadwa kumva mantha pang'ono komanso nkhawa mukamva chinthu chonga ichi. Koma musadandaule, lero tikambirana za vutoli ndi opaleshoni yapadera yomwe imachitidwa, Aortic Valve Repair. Kodi izi ndi chiyani kwenikweni? Zimachitika bwanji? Kodi zabwino ndi zoyipa zake ndi ziti? Tikambirana zonsezi mosavuta, m'njira yomwe mungamvetse.

Kodi Kukonza Valavu ya Aortic ndi Chiyani?

Mwachidule, uwu ndi mtundu wa opaleshoni ya mtima. Opaleshoni iyi imachitika kuti "chitseko" pakati pa mtsempha waukulu wamagazi (aorta) womwe umanyamula magazi kuchokera mumtima mwathu kupita ku thupi lonse ndipo mtima ugwire ntchito bwino. Chitseko ichi timachitcha valavu ya aorta. Kunena zoona, iyi ndi valavu. Vavu iyi imatsegula ndi kutseka nthawi iliyonse mtima ukagunda, kulamulira kuyenda kwa magazi.

Tangoganizirani zomwe zimachitika ngati simungathe kutseka chitseko m'nyumba mwanu bwino? Mofananamo, valavu iyi ikawonongeka, siitseguka kapena kutsekedwa bwino. Kwa anthu ena, valavu iyi imayamba kutuluka madzi. Malinga ndi zamankhwala, timatcha izi kuti aortic regurgitation . Chomwe chimachitika pankhaniyi ndichakuti chifukwa valavuyo siitseka kwathunthu, magazi ena omwe ayenera kupita ku thupi amatulukanso mumtima. Kenako chimachitika nchiyani? Mtima uyenera kugwira ntchito molimbika kuti upompe kuchuluka kwa magazi omwe thupi likufuna. Izi zikachitika pakapita nthawi, mtima ukhoza kuwonongeka.

Nthawi zambiri, valavu imasinthidwa ndi yatsopano. Komabe, odwala ena angapindule kwambiri akakonzedwa valavu yawo. Madokotala opanga opaleshoni amapanga chisankho ichi pa nkhani iliyonse. Dokotala wanu adzaganizira zinthu zambiri, kuphatikizapo mawonekedwe a valavu yanu ndi kuchuluka kwa kuwonongeka, kuti adziwe ngati kukonza kapena kusintha valavu ndikoyenera kwa inu.

Kodi chimachitika ndi chiyani opaleshoni isanachitike?

Chofunika kwambiri pokonzekera opaleshoni ndi mayeso omwe amachitidwa pasadakhale. Dokotala wa opaleshoni amafuna kuonetsetsa kuti valavu yanu ili pamalo pomwe ingakonzedwe. Ngati ziwalo zina zawonongeka kwambiri, kungakhale bwino kusintha valavuyo ndi yatsopano m'malo moikonza. Pali mayeso angapo ofunikira omwe muyenera kuchita kuti akuthandizeni pa izi.

Dokotala wanu adzakupatsani malangizo omveka bwino a momwe mungakonzekere opaleshoni. Ndikofunikira kwambiri kutsatira malangizo amenewo molondola. Ngati pali china chake chomwe simukumvetsa, funsaninso. Malangizo awa angaphatikizepo zinthu monga:

• Nthawi yoti musiye kudya ndi kumwa musanachite opaleshoni.
• Ndi mankhwala ati omwe nthawi zambiri mumafunika kuti musiye kumwa kwakanthawi?
• Nthawi yoti tibwere kuchipatala kuti tikachite opaleshoni yatha.
• Zinthu zoti mubweretse kuchipatala ndi zinthu zoti musiye kunyumba.

Kodi opaleshoniyi imachitidwa bwanji?

Opaleshoni iyi nthawi zambiri imachitika ngati opaleshoni yotsegula mtima , zomwe zikutanthauza kuti kudula kamodzi kwakutali kumapangidwa pakati pa chifuwa. Komabe, nthawi zina, kungathenso kuchitika ngati opaleshoni yochepa kwambiri , yomwe imaphatikizapo kudula pang'ono pang'ono pachifuwa. Dokotala wanu adzakufotokozerani njira yomwe ili yoyenera kwa inu.

Nazi njira zomwe opaleshoniyi imachitikira nthawi zambiri:

1. Choyamba, mudzapatsidwa mankhwala oletsa ululu kuti mugone tulo tofa nato kuti musamve ululu uliwonse panthawi ya opaleshoni.

2. Kenako, dokotalayo amaduladula kapena kuduladula kangapo pachifuwa kuti afike pamtima. Uku kungakhale kuduladula kwa mainchesi asanu ndi limodzi (sternum) pakati pa fupa la pachifuwa (sternum). Kapena kungakhale kuduladula kwa mainchesi awiri mpaka anayi komwe kumachitika popanda kutsegula pachifuwa chonse.

3. Kenako mudzalumikizidwa ku makina a mtima ndi mapapo (`(makina a mtima ndi mapapo)`) . Makina awa adzagwira ntchito ya mtima ndi mapapo anu panthawi ya opaleshoni.

4. Tsopano pakubwera gawo lofunika. Dokotala wochita opaleshoni adzakonza valavu malinga ndi zosowa zanu. Izi zitha kuchitika pogwiritsa ntchito njira zosiyanasiyana. Mwachitsanzo, amatha kuchita annuloplasty, yomwe imalimbitsa mphete yozungulira valavu ndikupangitsa kuti ikhale yotseka bwino. Kapena amatha kusintha mawonekedwe a timapepala ta valavu, kapena minofu yolumikizidwa kuti ilowe m'malo mwa malo osweka kapena mabowo.

5. Pamene valavu ikukonzedwa, ngati pali mavuto ena, monga kutupa kwa makoma a mtsempha waukulu wamagazi, amakonzedwanso panthawi ya opaleshoniyi.

6. Dokotala wochita opaleshoni akamaliza kukonza zonse zofunika, adzatseka mabalawo. Kenako mudzasamutsidwira ku chipinda chapadera kuti mukachiritsidwe.

Kodi ubwino ndi zoopsa za opaleshoniyi ndi ziti?

Monga momwe zimakhalira ndi opaleshoni iliyonse, pali ubwino ndi zoopsa zake. Ndikofunikira kukambirana izi momasuka ndi dokotala wanu.

Si aliyense amene ali pachiwopsezo chofanana. Anthu omwe ali ndi mavuto ena azaumoyo, monga matenda oopsa a mtima, akhoza kukhala pachiwopsezo chachikulu pang'ono musanachite opaleshoni. Choncho lankhulani ndi dokotala wanu za zoopsa zomwe muli nazo ndipo muwamvetse.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire?

Mudzafunika kukhala m'chipatala kwa masiku atatu mpaka asanu ndi awiri mutachita opaleshoni. Zingatenge milungu inayi mpaka isanu ndi itatu kuti muchire bwino ndikubwerera ku zochita zanu zachizolowezi. Ngati munachitidwa opaleshoni yochepa kwambiri, nthawi yanu yochira ingakhale yochepa.

Ndi zachilendo kumva kutopa kwa milungu ingapo. Choncho mverani thupi lanu pang'onopang'ono. Musayese kuchita zinthu zambiri nthawi imodzi. Dokotala wanu adzakuuzani nthawi yomwe mungathe kuyendetsa galimoto kapena kupita kuntchito. Kuchita nawo pulogalamu yothandizira odwala matenda a mtima (`(Cardiac Rehab)`) kungakuthandizeni kuchira bwino ndikuzolowera moyo wathanzi.

Nthawi yoti mukaonane ndi dokotala nthawi yomweyo

Mukapita kunyumba mutachita opaleshoni, muyenera kufunsa upangiri wa dokotala nthawi yomweyo ngati mukupeza zizindikiro zilizonse za vuto linalake. Samalani ndi zizindikiro izi:

• Kupweteka pachifuwa kapena kulimba.
• Mafinya kapena madzi akutuluka kuchokera ku opaleshoni yodulidwa, kutupa, kapena kufiira.
• Malungo kapena kumva kuzizira.
• Kumva ngati mtima wanu ukugunda mofulumira (`(Mtima ukugunda kwambiri)`).
• Kutupa kwa miyendo kapena mapazi (edema).
• Kulemera kumawonjezeka ndi makilogalamu oposa 1.5 mkati mwa sabata imodzi.

Ngati muli ndi zizindikiro izi, imbani dokotala wanu nthawi yomweyo. Ngati kuli kofunikira, pitani ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi.