Chithandizo cha dzenje mumtima - Tiyeni tiphunzire za Chipangizo Chotsekera Mtima mwachidule

Dokotala atakuuzani kuti muli ndi dzenje mumtima mwanu, muyenera kuti munachita mantha kwambiri komanso munadabwa. Muyenera kuti munaganiza kuti, "Mulungu wanga, pali dzenje mumtima mwanga?" Koma musadandaule. Izi sizowopsa monga momwe timaganizira, ndipo tsopano pali njira zamakono komanso zopambana zochizira izi. Kutopa komwe mumamva, kuvutika kupuma mukamachita khama pang'ono, mwina chifukwa cha vutoli. Lero tikambirana za mabowo awa mumtima, komanso za 'Cardiac Closure Device', chipangizo chaching'ono chomwe chimagwiritsidwa ntchito kuwatseka.

Tiyeni tione kaye, kodi dzenje ili mumtima ndi chiyani?

Mwachidule, mtima wathu uli ngati nyumba yokhala ndi zipinda zinayi. Zipinda ziwiri pamwamba ndi zipinda ziwiri pansi. Zipinda ziwirizi timazitcha kuti Atria pamwamba. Atrium yakumanja ndi atrium yakumanzere. Pali khoma pakati pa zipinda ziwirizi. Khoma ili timalitcha kuti 'Interatrial Septum'. Nthawi zina, dzenje lingapangidwe pakhoma ili pobadwa. Ichi ndi chomwe timachitcha kuti Atrial Septal Defect (ASD) mwachipatala.

Tangoganizirani, pomanga nyumba, khoma limamangidwa pakati pa zipinda ziwiri, ndipo malo ochepa amasiyidwa opanda pulasitala. Ichi ndi chikhalidwe chomwe chimachitika nthawi zonse.

Pali vuto lina lomwe lili lofanana ndi ili, koma losiyana pang'ono. Limatchedwa Patent Foramen Ovale (PFO) . Ili si dzenje lenileni ngati ASD. Tonsefe tili m'mimba, pali kampata kakang'ono pakati pa atria ziwirizi. Chifukwa mapapu athu sakugwira ntchito panthawiyo, kampata aka ndi kofunikira kuti magazi aziyenda bwino. Tikabadwa, tikayamba kupuma, kampata aka kamatseka kokha. Koma mwa anthu ena, kampata aka sikatseka kwathunthu, koma kamangotsala ngati chivindikiro chaching'ono. Kangatseguke pakafunika kutero. Kampata aka kamatchedwa PFO.

N’chifukwa chiyani kuli kovuta kukhala ndi mabowo awa?

Chabwino, tsopano mwina mukufunsa kuti, "Ndiye chimachitika ndi chiyani pamene pali dzenje limenelo?" Izi ndi zomwe zimachitika.

Mbali yakumanzere ya mtima wathu ili ndi magazi oyera komanso odzaza ndi mpweya. Magazi amenewa amapopedwa m'thupi lonse. Mbali yakumanja ili ndi magazi ogwiritsidwa ntchito, opanda mpweya, komanso odetsedwa. Magaziwa amatumizidwa ku mapapo kuti akabwezeretsedwe mpweya.

Tangoganizirani, kodi chingachitike n’chiyani ngati pangakhale dzenje pakhoma pakati pa mbali ziwirizi? Lili ngati dzenje pakati pa thanki yamadzi oyera yosefedwa bwino ndi thanki yamadzi ogwiritsidwa ntchito kale. Magazi ena abwino okhala ndi mpweya amasakanikirana ndi magazi opanda mpweya. Kenako kuchuluka kwa magazi okhala ndi mpweya komwe kumafunika kupita m’thupi kumachepa.

Chifukwa cha izi, mudzachita izi:

• Kumva kutopa komanso kutopa .
• Kupuma movutikira kumachitika.
• Kugunda kwa mtima kumayamba kumveka ngati kugunda kwa mtima kosazolowereka.

Pankhani ya PFO, zingakhale zoopsa kwambiri. Magazi ang'onoang'ono omwe amaundana m'thupi lathu, makamaka m'miyendo yathu, nthawi zina amapita kumtima. Nthawi zambiri, amapita ku mapapo ndipo amachotsedwa pamenepo. Koma mwa munthu amene ali ndi dzenje la PFO, magazi amenewa amatha kudumpha kuchokera kumanja kupita kumanzere ndikupita molunjika ku mitsempha yamagazi yomwe imapita ku ubongo. Ngati zimenezo zitachitika, chiopsezo cha sitiroko chimakhala chachikulu.

Kodi mumatseka bwanji dzenje ili? - Ntchito ya Chipangizo Chotsekera Mtima

Kale, kuti mutseke dzenje ngati ili, munkayenera kuchita opaleshoni yayikulu ya mtima. Koma tsopano, chifukwa cha ukadaulo wapamwamba, izi zimachitika mosavuta m'matenda opitilira 80%. Ichi ndichifukwa chake chipangizo chaching'ono ichi chotchedwa Cardiac Closure Device chimagwiritsidwa ntchito.

Ili ngati maambulera awiri ang'onoang'ono olumikizidwa pamodzi, kapena chipangizo chonga mabatani. Yapangidwa ndi waya wopangidwa ndi aloyi yachitsulo yotchedwa Nitinol, ndipo imakutidwa ndi nsalu ya polyester.

Njira yochizira ndi yosavuta kwambiri.

Izi zimachitika ndi dokotala wa matenda a mtima.

1. Choyamba, mudzapatsidwa mankhwala oti akupangitseni kukomoka kapena kuledzera.

2. Kenako, chubu chaching'ono chotchedwa catheter chimayikidwa mu mtsempha waukulu womwe uli m'mwendo wanu.

3. Katheta iyi imadutsa m'mitsempha yamagazi mpaka kufika pamtima. Zonsezi zimachitika motsogozedwa ndi ukadaulo monga X-ray ndi ultrasound.

4. Pamene catheter ikuyandikira dzenje lomwe lili mumtima, choyamba amaika chinthu chonga baluni kakang'ono kuti ayesere kukula kwenikweni kwa dzenjelo.

5. Kenako, chipangizo chotseka, chomwe chili ndi kukula koyenera, chimadutsa mu catheter pamalo opindika kupita pamalo pomwe pali dzenje.

6. Ikafika pamalo oyenera, catheter imachotsedwa. Kenako ziwalo ziwiri zopindika ngati ambulera zimatseguka mbali zonse ziwiri za dzenje, ndikutseka dzenje lonse. Limamatira kukhoma mbali zonse ziwiri, ngati sangweji.

7. Pambuyo potsimikizira kuti chipangizocho chili pamalo ake, catheter imachotsedwa.

Ndi zimenezo. Palibe chifukwa chophimbira chifuwa chanu. Palibe mabala akuluakulu.

Kodi ubwino ndi zotsatirapo zake zingakhale zotani chifukwa cha chithandizochi?

Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali zabwino komanso zoopsa zina zomwe sizichitika kawirikawiri.

Ubwino waukulu

• Kupambana kwakukulu: Kafukufuku wapeza kuti chithandizochi chapambana ndi 93%.
• Kuchira mwachangu: Mukachitidwa opaleshoni yogwiritsa ntchito catheter, mumakhala m'chipatala usiku umodzi wokha. Mutha kubwerera ku moyo wanu wamba pakatha milungu iwiri. Mumachira mwachangu kwambiri kuposa mukachitidwa opaleshoni yotseguka.
• Kupweteka kochepa: Kupweteka kochepa kwambiri chifukwa palibe kudula kwakukulu.
• Kuchepetsa chiopsezo cha sitiroko: Makamaka kwa anthu omwe ali ndi PFO, njira iyi ingachepetse chiopsezo cha sitiroko kuposa kumwa mankhwala.

Zotsatirapo zomwe zingatheke (izi sizimachitika kawirikawiri)

• Magazi amaundana: Magazi amaundana angapangike mozungulira chipangizocho.
• Kugwedezeka kwa chipangizo: Nthawi zambiri, chipangizocho chimatha kusuntha pang'ono kuchokera pomwe chidayikidwa.
• Miyimbo ya mtima yosazolowereka: Miyimbo ya mtima ingasinthe kwa kanthawi kochepa.
• Chiwopsezo cha matenda a mtima: Ichi ndi matenda a bakiteriya omwe amapezeka mkati mwa mtima.
• Kuwonongeka kwa chipangizo: Izi zimachitika kawirikawiri (pafupifupi 0.04% - 0.3%). Chipangizochi chikhoza kumamatira kukhoma la mtima ndikuwononga khoma pakapita nthawi.

Kodi tiyenera kuchita chiyani kuti tipewe zotsatirapo zake?

Pambuyo pa chithandizo, pali zinthu zingapo zomwe muyenera kuchita. Mukatsatira izi, mutha kupewa ngakhale zotsatirapo zoyipa zomwe sizichitika kawirikawiri.

1. Kuletsa magazi kuundana

Dokotala wanu adzakuuzani kuti mumwe mankhwala oletsa magazi kuundana kapena oletsa magazi kuundana, monga aspirin, tsiku lililonse kwa miyezi pafupifupi 6 mutalandira chithandizo. Ndikofunikira kwambiri kumwa mankhwalawa pa nthawi yake ndipo musaiwale kumwa .

2. Kupewa matenda a endocarditis (izi ndizofunikira kwambiri!)

Chipangizocho chikayikidwa, zimatenga pafupifupi miyezi 6 kuti minofu ya thupi lanu ikule ndikuphimba kwathunthu. Panthawiyi, ngati mabakiteriya ochokera kwina m'thupi lanu alowa m'magazi mwanu, amatha kupita ku chipangizocho ndikuyambitsa matenda. Pofuna kupewa izi:

• Sungani mano ndi nkhama zanu kukhala zoyera kwambiri. Tsukani mano anu bwino tsiku lililonse.
• Musanalandire chithandizo chilichonse cha mano (monga kuchotsa mano, kutsuka, kudzaza mano), muyenera kuuza dokotala wa mano kuti muli ndi chipangizo choterocho mumtima mwanu.
• Musanayambe kuyezetsa kapena opaleshoni iliyonse yomwe ingayambitse kutuluka magazi , muyenera kumwa mankhwala opha tizilombo toyambitsa matenda . Izi ndi kuteteza matenda.
• Ngati mukupeza zizindikiro za matenda monga kutentha thupi, kupweteka kwa thupi, kapena kupweteka pakhosi, imbani dokotala nthawi yomweyo.

Dokotala adzakupatsani khadi lokhala ndi chidziwitso chokhudza izi. Khalani nalo nthawi zonse.

Kubwerera ku moyo wabwinobwino mutalandira chithandizo...

Ngati mwalandira chithandizo kudzera mu catheter, mudzatha kukhala m'chipatala usiku wonse ndikupita kunyumba tsiku lotsatira. Ngakhale mudzatha kubwerera ku zochita zanu zachizolowezi patatha masiku awiri kapena atatu, ndi bwino kupewa kunyamula zinthu zolemera kapena zochita zolemetsa kwa milungu iwiri.

Pakapita nthawi, minofu ya mtima wanu idzakula ndikuphimba chipangizochi kwathunthu. Kenako chimakhala gawo la mtima wanu. Simudzamva ngakhale kuti chilipo. Mudzakhala ndi ufulu wonse wokhala moyo wabwinobwino, kuchita masewera olimbitsa thupi, komanso kuchita chilichonse chomwe mukufuna.

Ngati muyenera kujambulidwa ndi MRI, pakhoza kukhala zoletsa zina. Choncho, musanachite chilichonse, ndi bwino kulankhula ndi dokotala wanu wa mtima kuti akupatseni upangiri.