Tiyeni tiphunzire za Kusintha Ma Valuvu a Mtima mwachidule.

Kodi dokotala wakuuzani kuti muli ndi vuto la valavu ya mtima ndipo iyenera kusinthidwa? Ndizachilendo kumva mantha pang'ono komanso nkhawa mukamva chinthu chonga ichi. Sizodabwitsa kuganiza kuti, "O, kodi ndiyenera kuchitidwa opaleshoni ya mtima wanga?" Koma kwenikweni, iyi ndi opaleshoni yomwe ikuchitika bwino kwambiri padziko lonse lapansi komanso m'dziko lathu tsopano, ndipo ikuthandiza kupulumutsa miyoyo yambiri. Chifukwa chake, tiyeni tipeze mayankho a mafunso onse okhudza izi lero. Tiyeni tikambirane za opaleshoni iyi mosavuta, mwanjira yomwe mungamvetse, chabwino?

N’chifukwa chiyani muyenera kusintha valavu ya mtima?

Mwachidule, mtima wathu ndi nyama yodabwitsa. Uli ngati kamphindi kakang'ono komwe kamapopa magazi m'thupi lathu lonse. Kuti tichite izi, pali magawo anayi mkati mwa mtima omwe amagwira ntchito ngati zitseko zinayi. Timatcha ma valve a mtima awa. Ma valve awa amatseguka ndi kutsekedwa mbali imodzi yokha, kotero magazi nthawi zonse amayenda mbali imodzi.

Ganizirani madzi m'nyumba mwanu ngati pompo. Ngati pompo siitseka bwino, madzi amatuluka. Ngati siitsegulidwa bwino, madzi amatsekeka. Umu ndi momwe zimakhalira ma valve awa akadwala.

• Stenosis: Nthawi zina valavu siitseguka bwino ndipo imachepa, zomwe zimapangitsa kuti mtima ugwire ntchito molimbika kuti upompe magazi.
• Kutuluka kwa Valuvu (Kubwezeretsa magazi m'thupi): Nthawi zina valuvu siitseka bwino ndipo magazi amatuluka m'mbuyo. Kenako mtima umayenera kugwira ntchito molimbika kawiri.

Matendawa akakula kwambiri, mungakumane ndi zizindikiro monga kupweteka pachifuwa, kupuma movutikira, komanso kukomoka . Pamenepo madokotala amasankha kuchotsa valavu yodwala komanso yosagwira ntchito bwino ndikuyiyika yatsopano, yogwira ntchito. Izi zimatchedwa kusintha valavu ya mtima .

Kodi pali mitundu iti ya ma valve atsopano?

Pali mitundu iwiri ikuluikulu ya ma valve osinthira, kapena ma valve opangidwa. Onse ali ndi ubwino ndi kuipa. Dokotala wanu adzakuthandizani kusankha mtundu womwe ukukuyenererani.

Tsopano mwina mukudabwa kuti, "Ndisankhe iti?" Musadandaule. Dokotala wanu adzaganizira zinthu zambiri, kuphatikizapo zaka zanu, thanzi lanu, zoopsa zogwiritsa ntchito mankhwala ochepetsa magazi, komanso kuthekera kwanu kuchitidwa opaleshoni ina mtsogolo , ndipo adzakambirana nanu za valavu yoyenera kwa inu. Ichi ndi chisankho chomwe inu ndi dokotala wanu mudzapanga pamodzi.

Kodi opaleshoniyi imachitika bwanji? Kodi njira zake ndi ziti?

Pali njira ziwiri zazikulu zosinthira valavu ya mtima. Izi ndi njira yachikhalidwe yotsegulira opaleshoni ndi njira yamakono yogwiritsira ntchito catheter. Dokotala wanu adzasankha njira yabwino kwambiri kutengera matenda anu.

Opaleshoni Yotseguka Mtima

Iyi ndi njira yachikhalidwe yomwe yakhala ikugwiritsidwa ntchito kwa nthawi yayitali. Pa opaleshoni iyi, kudula pakati pa chifuwa kumapangidwa, mtima umayimitsidwa, ndipo ntchito ya mtima ndi mapapo imasamutsidwira kwakanthawi ku makina a mtima ndi mapapo . Zitsanzo za opaleshoni zomwe zimachitika pogwiritsa ntchito njira iyi ndi SAVR (Surgical Aortic Valve Replacement) .

Njira Zogwiritsira Ntchito Catheter

Iyi ndi njira yamakono yomwe imagwiritsidwa ntchito kwambiri, yomwe siivuta kwambiri pa thupi. Apa, popanda kutsegula chifuwa, kudula pang'ono kumapangidwa pamalo monga m'chiuno, chubu chopyapyala (catheter) chimalowetsedwamo, ndipo valavu yatsopano imadutsa mu chubucho kupita kumtima ndikuyikidwa.

Zitsanzo za opaleshoni yochitidwa pogwiritsa ntchito njira iyi ndi izi:TAVR (Transcatheter Aortic Valve Replacement) ndi TMVR (Transcatheter Mitral Valve Replacement) .

Dokotala wanu adzakufotokozerani njira zonse ziwiri ndipo adzasankha njira yotetezeka komanso yothandiza kwambiri pa vuto lanu.

Kodi mumakonzekera bwanji musanachite opaleshoni?

Chipatala chidzakupatsani malangizo tsiku limodzi kapena awiri opaleshoni isanachitike.

• Adzakuuzani nthawi yeniyeni yoti musiye kudya ndi kumwa musanachite opaleshoni.
• Adzakulangizani ngati muyenera kusiya kumwa mankhwala aliwonse omwe mumamwa nthawi zonse (makamaka a matenda a shuga ndi kuthamanga kwa magazi).
• Pakhoza kukhala mayeso angapo omwe ayenera kuchitidwa opaleshoni isanachitike.
• Mukabwera kuchipatala, valani zovala zabwino komanso zosavuta kuvala.
• Ndikofunikanso kukonzekera pasadakhale kuti wina akutengereni kuchipatala ndi kubwera nacho.

Kodi kwenikweni chimachitika n’chiyani pa opaleshoni?

Opaleshoni nthawi zambiri imatenga ola limodzi kapena anayi. Izi ndi zomwe zimachitika panthawiyi, motsatira ndondomeko iyi:

1. Kuletsa kupweteka: Choyamba, umagonekedwa tulo tofa nato. Choncho simudzamva kupweteka kulikonse. Simudzakumbukira chilichonse.

2. Kuduladula: Kutengera mtundu wa opaleshoni yomwe ikuchitidwa, kuduladuladula kumachitika pachifuwa kapena m'mimba pamalo oyenera.

3. Makina Ogwiritsira Ntchito Mtima ndi Mapapo: Pa opaleshoni yotseguka, ntchito ya mtima imasamutsidwira ku makina awa kwakanthawi. Izi nthawi zambiri sizimafunikira pa njira ya catheter.

4. Kusintha Vavu: Dokotala amachotsa mosamala vavu yodwalayo ndikuyiyikanso ndi vavu yatsopano yachilengedwe kapena yamakina. Mu njira zina zamakono, vavu yatsopanoyo imayikidwa mkati mwa vavu yakale.

5. Kutseka Chotupa: Mukatsimikiza kuti valavu yatsopano ikugwira ntchito bwino, chotupacho chidzasokedwa. Kenako mudzatengedwa kupita ku Intensive Care Unit (ICU).

Kodi nthawi yochira imakhala bwanji pambuyo pa opaleshoni?

Mukachita opaleshoni, choyamba mudzaikidwa mu chipinda chosamalira odwala kwambiri (ICU). Kumeneko, madokotala ndi anamwino adzayang'anira thanzi lanu mosamala. Mukachira pang'ono, mudzasamutsidwira ku chipinda chogona chachizolowezi.

Nthawi yochira imasiyana malinga ndi munthu, koma nthawi zambiri zimatenga pakati pa mwezi umodzi ndi itatu kuti munthu achire bwino. Ngati opaleshoniyo idachitidwa kudzera mu catheter, nthawi yochira ingakhale yochepa.

• Mungamve kutopa msanga m'masabata oyamba. Zimenezo n'zachibadwa.
• Dokotala akulangizani kuti musayendetse galimoto kwa milungu ingapo.
• Muyenera kupewa kuchita zinthu zolemetsa monga kunyamula zolemera kwa kanthawi.
• Mungafunike kupuma kwa milungu ingapo kapena miyezi ingapo musanabwerere kuntchito.
• Mungatumizidwe ku pulogalamu yothandiza anthu odwala matenda a mtima , yomwe ingakuthandizeni kupezanso mphamvu.

Kodi ndiyenera kuyimbira dokotala liti?

Mukapita kunyumba, samalani kwambiri thupi lanu. Ngati mukukumana ndi zizindikiro zotsatirazi, imbani dokotala wanu nthawi yomweyo.

• Ngati mukumva kutentha thupi kapena muli ndi chimfine
• Ngati kugunda kwa mtima kwanu kukuwoneka kosasinthasintha
• Ngati bala la opaleshoni latupa, lofiira, lopweteka, kapena lotulutsa mafinya
• Ululu, kufiira, kapena kutupa m'munsi mwa mwendo (izi zitha kukhala chizindikiro cha magazi kuundana)
• Ngati mwadzidzidzi mwalemera kapena miyendo kapena akakolo anu atupa.

Pamene mukuyamba moyo wanu watsopano ndi valve yatsopano, mutha kukhala ndi malingaliro osiyanasiyana. Ndizachibadwa kukhala ndi mantha osiyanasiyana, chisangalalo, ndi mpumulo. Koma kumbukirani, simuli nokha. Maopaleshoni awa tsopano akuyenda bwino kwambiri. Ndi kupita patsogolo kwa ukadaulo, akukhala otetezeka tsiku lililonse. Gulu lanu lachipatala lidzakupatsani malangizo onse omwe mukufuna paulendowu.