Ganizirani za mtsempha waukulu wamagazi womwe umayambira pakati pa chifuwa chanu, pamtima, ndikunyamula magazi m'thupi lonse. Timatcha izi kuti aorta. Kunena zoona, gawo loyamba lomwe limatuluka mumtima limatchedwa ascensing aorta. Izi zili ngati chitoliro chachikulu cha madzi m'thupi lathu. Nthawi zina, khoma limodzi la mtsempha uwu wamagazi limakhala lofooka ndikuyamba kutupa ngati baluni. Mu zamankhwala, timatcha vutoli kuti aneurysm. Izi zitha kukhala zoopsa, chifukwa ngati kutupaku kukukulirakulira, kumatha kuphulika. Chifukwa chake lero tikambirana momwe tingakonzere kutupa komwe kukukulirakulira mu ascensing aortic aneurysm.
Ndani akufunika opaleshoni iyi?
Mwachidule, opaleshoniyi ndi yofunika pazochitika ziwiri zazikulu.
1. Ngati pali vuto ladzidzidzi: Ngati aneurysm iyi mu mtsempha wanu wamagazi yaphulika mwadzidzidzi (kusweka) kapena kung'ambika m'makoma ake (kusweka), ndi opaleshoni yadzidzidzi, yopulumutsa moyo. Iyi ndi ngozi yaikulu.
2. Monga opaleshoni yokonzedweratu: Dokotala wanu akapeza kuti muli ndi aneurysm, adzayesa chiopsezo cha kuphulika kwake, ndipo ngati chiopsezocho chili chachikulu, adzakulangizani opaleshoniyo isanaphulike. Dokotala nthawi zambiri amawunika kukula kwa aneurysm ndi momwe ikukulira mofulumira pogwiritsa ntchito ma scan (`CT` kapena `Heart MRI`) omwe nthawi zambiri amachitidwa kamodzi kapena kawiri pachaka.
Nthawi zambiri, aneurysm yomwe ikukula pang'onopang'ono kapena yaying'ono kwambiri sidzafunika chithandizo kwa nthawi ndithu. Komabe, ngati ikukula mofulumira kapena yafika pamlingo woopsa, ndi bwino kuichotsa opaleshoni isanaphulike.
Kodi nthawi yabwino yochitira opaleshoni ndi iti?
Kusankha nthawi yochitira opaleshoni kumadalira zinthu zingapo, kuphatikizapo ngati muli ndi zizindikiro, kukula kwa aneurysm, komanso momwe ikukulira mofulumira.
Zizindikiro zomwe zimafuna opaleshoni yadzidzidzi
Ngati mukukumana ndi zizindikiro izi, zingatanthauze kuti aneurysm yanu yatsala pang'ono kuphulika. Pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala nthawi yomweyo.
| Chenjerani! Izi ndi zizindikiro zoopsa zadzidzidzi! | |
|---|---|
| Kupweteka pachifuwa kapena kumbuyo chakuthwa | Kumva ululu waukulu ngati kuti chinachake chikung'ambika mkati mwa thupi. |
| Kuvuta kupuma | Kutsokomola, kutopa, kupuma movutikira. |
| Zina mwazinthu | Chizungulire , kukomoka, thukuta kwambiri, nseru ndi kusanza, kugunda kwa mtima mofulumira. |
Milandu ya opaleshoni yosankha
Ngakhale ngati simukumva zizindikiro, dokotala wanu angakulangizeni opaleshoni pazochitika zotsatirazi:
| Chinthu chomwe chimakhudza chisankhocho | Kufotokozera |
|---|---|
| Kukula kwa aneurysm |
|
| Liwiro la kukula |
|
| Zinthu zina | Zinthu monga kukula kwa thupi lanu (munthu amene ali ndi thupi laling'ono angafunike opaleshoni ngakhale litakhala laling'ono) komanso ngati munachitidwapo opaleshoni ina ya mtima. |
Kodi kukonzekera opaleshoni kuli bwanji?
Mudzakhala okonzeka opaleshoniyi milungu ingapo isanayambe.
- Mayeso azachipatala: Mayeso a magazi kuti aone momwe impso zikugwira ntchito, ma CT kapena MRI scan kuti aone mtsempha wonse wamagazi, ndi coronary angiography kuti aone mitsempha ina yamagazi mumtima.
- Kulankhula ndi dokotala wanu: Muyenera kuuza dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini ndi mankhwala achikhalidwe), komanso matenda ena aliwonse omwe muli nawo, monga kuthamanga kwa magazi ndi matenda a shuga.
- Kusuta: Ndikofunikira kwambiri kusiya kusuta kwathunthu mwezi umodzi musanachite opaleshoni.
Dokotala adzakupatsani malangizo, monga osamwa madzi pambuyo pa pakati pausiku pa tsiku la opaleshoni ndi kumwa mankhwala omwe mwapatsidwa m'mawa wokha.
Kodi opaleshoniyi imachitidwa bwanji?
Iyi ndi opaleshoni ya mtima yotseguka. Imachitika pamene mukugona mokwanira.
1. Kuduladula: Dokotala wa opaleshoni amaduladuladula pakati pa chifuwa chanu.
2. Kuyenda kwa magazi: Mudzalumikizidwa ndi makina olumikizira mtima ndi mapapo. Izi zidzapatsa thupi lanu magazi ndi mpweya womwe umafunikira panthawi ya opaleshoni.
3. Kukonza: Gawo lofooka komanso lotupa la mtsempha wamagazi limachotsedwa ndikusinthidwa ndi chubu (graft) chopangidwa ndi zinthu zopangidwa. Ichi chimagwira ntchito ngati mtsempha watsopano wamagazi.
4. Kutseka: Pambuyo poti chubu chatsopano chasokedwa ndikukonzedwa, chocheka pachifuwa chimatsekedwa ndi zosokera kapena zomangira.
Opaleshoni imeneyi nthawi zambiri imatenga maola atatu kapena anayi, koma nthawi imatha kusiyana malinga ndi zomwe ziyenera kukonzedwa.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?
Pambuyo pa opaleshoni, mudzasungidwa mu chipinda chosamalira odwala kwambiri (ICU) kwa masiku angapo ndikuyang'aniridwa mosamala. Kenako mudzasamutsidwira ku chipinda chogona chachizolowezi. Kukhala m'chipatala chonse kumatha kukhala pakati pa masiku 4 ndi 10.
Mungathe kuyembekezera zotsatirazi panthawi yochira:
- Kupereka mankhwala ochepetsa ululu.
- Kuyika katheta kuti mutulutse mkodzo.
- Kugwiritsa ntchito makina othandizira kupuma (m'maola ochepa oyamba).
- Kuvala masokosi apadera (ma sokisi opanikizika) kuti magazi asaundane m'miyendo.
Kodi zoopsa ndi ubwino wake ndi ziti?
Ubwino waukulu ndi wakuti umaletsa kuphulika, komwe kumatha kupha. Kupambana kwa opaleshoni yokonzedwa ndi kwakukulu kwambiri (pafupifupi 95%-98%). Izi zikutanthauza kuti uwu ndiye mwayi wabwino kwambiri wopulumutsa moyo.
Koma kumbukirani, ngati aneurysm yaphulika, mwayi wopulumutsa moyo wanu ndi wochepa kwambiri. Choncho ngati dokotala wanu akulangiza opaleshoni, zikutanthauza kuti chiopsezo cha opaleshoni ndi chochepa poyerekeza ndi kusakhala nayo.
Monga momwe zimakhalira ndi opaleshoni yaikulu iliyonse, pali zoopsa zina. Mavuto monga kutuluka magazi ambiri, matenda opatsirana, matenda a mtima, sitiroko, ndi kulephera kwa impso zimatha kuchitika. Komabe, gulu lachipatala limayesetsa kuchepetsa zoopsazi.
Kodi zimatenga nthawi yayitali bwanji kuti munthu achire?
Nthawi zambiri zimatenga pakati pa milungu 4 ndi 6 kuti munthu achire bwino. Kwa ena, zimatenga miyezi ingapo. Panthawi imeneyi, muyenera kutsatira malamulo enaake.
- Pewani kuyendetsa galimoto: Mpaka dokotala atakupatsani chilolezo (nthawi zambiri kwa milungu yosachepera 1-2).
- Pewani kunyamula zolemera: Musanyamule zolemera zopitirira 5 kg (kwa milungu 4-6).
- Kusamba: Musasambe mpaka bala litachira. Mutha kusamba.
- Maseŵero Olimbitsa Thupi: Pewani kuchita masewera olimbitsa thupi otopetsa kwambiri.
Kuti muchepetse ululu mukatsokomola kapena kuyetsemula , ikani pilo pamwamba pa bala ndikulifinya. Komanso, kusowa chilakolako cha chakudya ndi kutopa kwambiri ndi zachilendo m'masabata angapo oyamba. Musadandaule nazo.
Nthawi yoti mukaonane ndi dokotala
Ngati mukukumana ndi zizindikiro zotsatirazi panthawi yomwe mukuchira, dziwitsani dokotala wanu nthawi yomweyo.
| Vuto | Zinthu zofunika kuziganizira |
|---|---|
| Mavuto okhudzana ndi mabala | Chilondacho chimakhala chofiira, chotupa, chopweteka, chofunda, chotulutsa mafinya obiriwira/achikasu, ndipo m'mbali mwa chilondacho mukulekana. |
| Zizindikiro zina zazikulu | Kupweteka pachifuwa kapena kupuma movutikira ngakhale mutapuma, kutupa kwa miyendo, kukomoka, malungo, chifuwa chokhala ndi magazi kapena ziphuphu zobiriwira/zachikasu, magazi m'chimbudzi. |
Uthenga Wopita Nawo Kunyumba
- Kutupa kwa mtsempha wamagazi wokwera ndi vuto lalikulu. Opaleshoni yokonzedwa isanaphulike ingalepheretse mavuto omwe angawononge moyo.
- Ngati mukumva zizindikiro monga kupweteka pachifuwa mwadzidzidzi komanso kuvutika kupuma, ndi zadzidzidzi. Pitani ku Dipatimenti Yothandiza Pachipatala (ETU) nthawi yomweyo.
- Zimatenga nthawi kuti munthu achire bwino atachitidwa opaleshoni. Ndikofunikira kwambiri kutsatira malangizo a dokotala molondola.
- Pambuyo pochira, kudya zakudya zopatsa thanzi pamtima, kupewa kusuta fodya, komanso kuwongolera matenda monga matenda a shuga ndi kuthamanga kwa magazi ndikofunikira kwambiri pa thanzi la mtsogolo.
- Ngati muli ndi mafunso okhudza izi, musaope kulankhula ndi dokotala wanu.
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