Opaleshoni ya valavu ya mtima wanu? Tiyeni tikambirane za izi (Opaleshoni ya Aortic Valve)

Aliyense angachite mantha pang'ono akamva mawu akuti opaleshoni ya mtima, sichoncho? Makamaka ngati ndi opaleshoni yomwe imaphatikizapo kusintha gawo la mtima lomwe lili ngati valavu. Koma musachite mantha. Iyi ndi opaleshoni yomwe anthu zikwizikwi achita bwino. Lero, tiyeni tikambirane za opaleshoni yotchedwa Aortic Valve Surgery, zomwe imachita, komanso chifukwa chake ndi yofunika kwa inu.

Mwachidule, kodi Aortic Valve iyi ndi chiyani?

Taganizirani mtima wanu ngati nyumba yaying'ono, koma yamphamvu kwambiri yokhala ndi zipinda zinayi. Chipata chachikulu chomwe chimapopera magazi oyera, okhala ndi mpweya kuchokera m'nyumba muno kupita ku thupi lonse ndi Aortic Valve . Kunena zoona, 'chipata' ichi chili pakati pa chipinda chachikulu chopopera cha mtima (Left Ventricle) ndi mtsempha waukulu wamagazi (Aorta) womwe umanyamula magazi kupita ku thupi lonse. Kotero tsopano mwina mukumvetsa kufunika koti chipata ichi chigwire ntchito bwino thupi lonse.

N’chifukwa chiyani valavu iyi ikufunika opaleshoni?

Pakapita nthawi, ndipo nthawi zina kuyambira kubadwa, valavu iyi imatha kusagwira ntchito bwino. Mavuto awiri akuluakulu angachitike.

Mavuto awiriwa amawonjezera kupsinjika kwa mtima. Pakapita nthawi, vutoli likhoza kuipiraipira mpaka kufika polephera kugwira ntchito kwa mtima kapena kulephera kugwira ntchito kwa mtima mwadzidzidzi. Ichi ndichifukwa chake ndikofunikira kukonza valavu iyi mwa opaleshoni.

Ndi mitundu iti ya opaleshoni yomwe ilipo?

Pali mitundu iwiri ikuluikulu ya opaleshoni.

• Kukonza Valavu ya Mtsempha Wamtsempha: Nthawi iliyonse ikatheka, madokotala amayesa kukonza vuto lomwe lili mu valavu yanu yachilengedwe ndikulisunga. Izi zimaphatikizapo kusunga minofu yanu yambiri momwe mungathere.
• Kusintha Valavu ya Aortic ya Opaleshoni (SAVR): Nthawi zina, ngati valavu yawonongeka kwambiri moti singathe kukonzedwa, imachotsedwa kwathunthu ndipo valavu yatsopano yopangira imayikidwa.

Kodi valavu yatsopanoyi ili bwanji?

Ngati mukusinthidwa valavu, dokotala wanu adzakulangizani za njira zingapo. Zina zimapangidwa kuchokera ku minofu ya nyama (monga nkhumba, ng'ombe), pomwe zina zimapangidwa kuchokera ku minofu ya anthu. Kuphatikiza apo, pali mtundu wotchedwa valavu yamakina , yomwe imapangidwa ndi chitsulo cholimba. Mtundu uliwonse uli ndi zabwino ndi zoyipa zake. Mwachitsanzo, ngati muli ndi valavu yamakina, muyenera kumwa mankhwala ochepetsa magazi kwa moyo wanu wonse. Ndikofunikira kukambirana izi ndi dokotala wanu ndikusankha yomwe ili yoyenera kwa inu.

Kodi mumakonzekera bwanji musanachite opaleshoni?

Dokotala wanu asanachite opaleshoni, adzakuyang'anirani ndikuyitanitsa mayeso angapo ofunikira.

• Kujambula mtima (Echocardiogram - Echo)
• Kuyezetsa X-ray pachifuwa
• Kuyesa kwa EKG (Electrocardiogram)
• Kujambula kwa CT
• Kuyeza kwa mtima (Catheterization) (kuyesa komwe kamera imadutsa m'mitsempha yamagazi)
• Kuyezetsa magazi ndi mkodzo

Pambuyo pa zonsezi, dokotala adzakupatsani malangizo a zomwe mungachite tsiku lisanafike opaleshoni. Mwachitsanzo, kusadya kapena kumwa chilichonse pambuyo pa pakati pausiku usiku usanachitike opaleshoni, ngati muyenera kusiya kumwa mankhwala aliwonse, komanso nthawi yomwe muyenera kubwera kuchipatala. Ndikofunikira kwambiri kutsatira malangizo awa molondola.

Momwe opaleshoni imachitikira ndi njira zomwe zimachitikira

Pa opaleshoniyi, mudzapatsidwa mankhwala oletsa ululu kuti musamve kupweteka kulikonse. Dokotala wa opaleshoniyo angagwiritse ntchito njira ziwiri zazikulu kuti afikire mtima.

Pa opaleshoniyi, mudzalumikizidwa ku makina apadera (Heart-Lung Machine) kuti agwire ntchito za mtima ndi mapapo anu kwakanthawi. Dokotala wa opaleshoniyo adzayimitsa mtima wanu ndikukonza kapena kusintha valavu mosamala. Ntchito ikatha, mtima udzayambiranso, kuchotsedwa pamakina, ndipo mabala adzatsekedwa. Opaleshoni yonse nthawi zambiri imatenga pafupifupi maola awiri.

Pambuyo pa opaleshoni ... nthawi yochira

Pambuyo pa opaleshoni, choyamba mudzalowetsedwa mu chipinda chosamalira odwala kwambiri (ICU) kenako mudzasamutsidwira ku chipinda chogona anthu odwala nthawi zonse. Nthawi zambiri mudzakhala m'chipatala kwa masiku 5 mpaka 7. Mukapita kunyumba, ndi zachilendo kumva kutopa kwambiri kwa milungu ingapo. Choncho mvetserani thupi lanu ndi kupuma mokwanira.

Dokotala wanu angakulangizeni pulogalamu yokonzanso mtima . Izi zimaphatikizapo kulimbitsa mphamvu zanu pang'onopang'ono kudzera mu masewera olimbitsa thupi motsogozedwa ndi katswiri. Dokotala wanu adzakuuzani nthawi yomwe mungayambirenso kuchita zinthu monga kunyamula zolemera ndi kuyendetsa galimoto. Nthawi zambiri zimatenga milungu 4 mpaka 8 kuti muchiritse bwino.

Zizindikiro zomwe zimafuna chithandizo chamankhwala mwachangu

Mukabwerera kunyumba, ngati mukupeza zizindikiro zotsatirazi, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala chapafupi.

• Kupweteka pachifuwa kapena kulimba
• Malungo kapena kumva kuzizira
• Pali mafinya, kutupa, kapena kufiira chifukwa cha opaleshoni yocheka.
• Kugunda kwa mtima
• Kutupa kwa miyendo (Edema)
• Kulemera kumawonjezeka ndi makilogalamu oposa 1.5 (mapaundi atatu) pa sabata