Zimene muyenera kudziwa zokhudza opaleshoni yotseka dzenje mumtima (Atrial Septal Defect - ASD)

Ndizachilendo kumva mantha komanso kudabwa dokotala wa mwana wanu akakuuzani kuti pali dzenje mumtima mwake. Mwina mukuganiza kuti, "Mulungu wanga, chachitika ndi chiyani kwa mwana wanga?" Koma musadandaule. Vutoli ndi lofala kwambiri mu zamankhwala. Lero tikambirana za dzenje ili mumtima, lomwe timalitcha `(Atrial Septal Defect - ASD)` mu zamankhwala, ndi mankhwala omwe amagwiritsidwa ntchito pochiritsa, omwe ndi `(ASD Closure)`.

Mwachidule, kodi ASD ndi chiyani?

Mtima wathu uli ndi zipinda zazikulu zinayi. Zipinda ziwiri zapamwamba zimatchedwa atria. Pali khoma (septum) pakati pa atria ziwirizi. Chilema cha Atrial Septal (ASD) ndi dzenje losazolowereka pakhoma ili.

Taganizirani izi, pafupifupi mwana aliyense amabadwa ndi dzenje laling'ono pakhoma ili. Zimenezo ndi zachilendo. Dzenje ili limatseka lokha mkati mwa milungu kapena miyezi ingapo mwana atabadwa. Koma nthawi zina, dzenje ili limatha kukula pang'ono, kapena silingathe kutseka lokha. Pamenepo ndi pamene timatcha ASD.

Kodi dzenje ili liyenera kutsekedwa? Ndani akufunika chithandizochi?

Ngati dzenjelo ndi laling'ono kwambiri , silingayambitse mavuto. Mwina palibe chithandizo chofunikira. Koma ngati dzenjelo ndi lalikulu, lingakhale vuto.

Chomwe chimachitika n'chakuti chifukwa cha dzenjeli, magazi ochokera m'chipinda chimodzi cha mtima amayamba kutuluka m'chipinda chosayenera. Kenako mtima ndi mapapo zimagwira ntchito molimbika kuposa momwe zimakhalira nthawi zonse. Pakapita nthawi, izi zingayambitse mavuto osiyanasiyana.

Mavuto akuluakulu omwe angachitike chifukwa cha vutoli ndi awa:

• Miyimbo ya mtima yosakhazikika, yomwe imadziwikanso kuti `(Arrhythmia)`. Mwachitsanzo, `(Atrial Fibrillation)` kapena `(Atrial Flutter)`.
• Kukula kwa mtima.
• Chiwopsezo cha kulephera kwa mtima.
• Kuthamanga kwa magazi m'mapapo (Pulmonary Hypertension).
• Kuvuta kupuma.
• Chiwopsezo cha sitiroko.

Ngati inu kapena mwana wanu muli pachiwopsezo cha mavuto amenewa, dokotala wanu angakulangizeni kutseka dzenjelo (ASD Closure). Komanso, ngati mukuchitidwa opaleshoni ya vuto lina la mtima, dokotala wanu angasankhe kutseka dzenjelo nthawi yomweyo. Opaleshoni imeneyi nthawi zambiri imachitidwa pa ana aang'ono kuti apewe kuwonongeka kwa mtima mtsogolo.

Kodi mungatseke bwanji dzenje? Pali njira ziwiri zazikulu!

Pali njira ziwiri zazikulu zomwe zimagwiritsidwa ntchito potseka dzenje ili: opaleshoni yotsegula mtima ndi njira zosagwiritsa ntchito opaleshoni pogwiritsa ntchito catheter. Dokotala wanu wa mtima adzasankha njira yoyenera pa vuto lanu.

Zambiri zokhudza Kutsekedwa kwa Transcatheter

Ngati dzenje lomwe lili mumtima mwanu ndi laling'ono ndipo mulibe matenda ena a mtima, njira imeneyi nthawi zambiri imasankhidwa. Mu njira iyi, wodwalayo sakugona mokwanira. Mankhwala ochepetsa ululu amagwiritsidwa ntchito. Dokotala amagwiritsa ntchito catheter yomwe imayikidwa kudzera mu kudula pang'ono m'mimba kuti itsogolere catheter kulowa mumtima pogwiritsa ntchito njira za X-ray ndi echocardiogram. Chipangizo chomwe chimatseka dzenje chimayikidwa bwino ndipo catheter imachotsedwa. Kuchira kumachitika mwachangu kwambiri ndi njira iyi.

Kodi chimachitika ndi chiyani munthu akalandira chithandizo? Zimatenga nthawi yayitali bwanji kuti achire?

Kutengera ndi chithandizo chomwe mwalandira, mungafunike kukhala m'chipatala kwa tsiku limodzi kapena kuposerapo. Gulu lachipatala lidzakuyang'anirani mosamala.

• Ngati mwachitidwa opaleshoni yotseguka , muyenera kupewa kuchita zinthu zolemetsa monga kunyamula zinthu zolemera kwa milungu ingapo.
• Ngati munachitidwa opaleshoni ya catheter , nthawi zambiri mukhoza kubwerera ku zochita zanu zachizolowezi mkati mwa sabata imodzi.

Pambuyo pa chithandizo, mankhwala oletsa magazi kuundana kwa miyezi pafupifupi 6Muyenera kumwa. Komanso, makamaka ngati mukulandira chithandizo cha mano, dokotala wanu adzakulangizani kuti mumwe mankhwala opha majeremusi kuti mupewe matenda.

Chofunika kwambiri ndikuonetsetsa kuti mwapita kwa dokotala pa masiku omwe mwakonza. Muyenera kuyesedwa kangapo, monga ``Echocardiogram'' ndi ``Electrocardiogram - ECG'', kuti muwone ngati chithandizocho chayenda bwino.

Kodi pali zoopsa zilizonse pa chithandizochi?

Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali zoopsa zina zazing'ono. Komabe, nthawi zambiri ndi chithandizo chotetezeka komanso chogwira mtima. Zoopsa zomwe zingachitike ndi izi:

• Matenda a ziwengo ku zinthu zomwe zimagwiritsidwa ntchito pochiza.
• Kusakhazikika kwa kugunda kwa mtima (arrhythmia).
• Kutuluka magazi.
• Kuwonongeka kwa minofu ya mtima kapena mitsempha yamagazi (izi sizimachitika kawirikawiri).
• Matenda ozungulira malo odulidwa kapena chipangizo chomwe chinatseka dzenjelo.
• Kuukira kwa Ischemic kapena Kusakhazikika kwa Nthawi Yaitali.

Dokotala wanu adzakudziwitsani za zoopsa izi. Palibe chodetsa nkhawa nacho, nthawi zambiri zinthuzi sizichitika.

Ndi nthawi ziti zomwe muyenera kupita kwa dokotala nthawi yomweyo?

Ngati muwona zizindikiro zilizonse zochenjeza mutalandira chithandizo, muyenera kuyimbira dokotala wanu nthawi yomweyo kapena kupita ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi.

Pomaliza, ASD Closure ndi mankhwala ofunikira kwambiri omwe amateteza thanzi la mtima ndi mapapo, zomwe zimathandiza inu kapena mwana wanu kukhala ndi moyo wautali komanso wathanzi.