Nthawi zina, chifukwa cha matenda aakulu a mtima, opaleshoni ya mtima, kapena matenda ena aakulu, mtima wathu ukhoza kufooka kwambiri. Monga momwe munthu watopa chifukwa chogwira ntchito molimbika, mtima sungapope magazi okwanira m'thupi. Mu mkhalidwe wovuta chonchi, tikambirana za chipangizo chapadera chomwe chimagwiritsidwa ntchito kupumitsa mtima pang'ono ndikuthandiza. Ichi chimatchedwa Intra-Aortic Balloon Pump, kapena IABP mwachidule.
Mwachidule, kodi IABP iyi ndi chiyani?
IABP ndi chipangizo chachitali, chopyapyala chopangidwa ngati baluni. Chimayikidwa mu mtsempha waukulu wamagazi m'thupi lathu ndipo chimapangidwa kuti chizitulutsa mpweya ndi kutulutsa madzi molingana ndi momwe mtima umagwira ntchito. Tangoganizirani, pamene mtima wanu ukugwira ntchito molimbika kwambiri ndipo sungathe kupopa magazi, baluni iyi imagwira ntchito ngati "wothandizira" wamng'ono amene amabwera kudzathandiza.
Chofunika ndichakuti, izi nthawi zambiri zimangotsala m'thupi kwa masiku ochepa okha. Sizokhalitsa. Ndi chithandizo cha kanthawi kochepa mpaka mtima utabwerera mwakale.
Kodi izi zimagwira ntchito bwanji? Ndi zodabwitsa!
N'zosavuta kumvetsa momwe izi zimagwirira ntchito. Mtima wathu uli ndi ntchito ziwiri zazikulu, sichoncho? Choyamba ndi kufinya (kufinya) ndikupopera magazi m'thupi lonse. China ndi kupumula (kukula) ndikudzaza ndi magazi.
Mawonekedwe a IABP amathandiza kwambiri njirayi.
- Mtima ukapuma ndikudzaza ndi magazi: Baluni imadzaza . Izi zikachitika, magazi ambiri amalowa m'mitsempha ya mtima, yomwe imapereka magazi kumtima. Izi zikutanthauza kuti mtima umalandira mpweya ndi zakudya zambiri.
- Mtima ukakoka ndikupompa magazi kupita ku thupi: Ma ventricle amatuluka . Izi zimapangitsa kuti pakhale mpweya wochepa mkati mwa mtsempha waukulu wamagazi, zomwe zimachepetsa kukana kwa mtima kupompa magazi. Izi zikutanthauza kuti mtima ukhoza kupompa magazi mosavuta popanda kugwira ntchito molimbika.
Baluni iyi imayendetsedwa bwino ndi kompyuta yomwe imalumikizidwa nayo, yomwe imayang'anira kugunda kwa mtima wanu ndikusintha momwe baluniyo imagwirira ntchito moyenera.
Kodi IABP imafunika liti?
Dokotala wasankha kugwiritsa ntchito chipangizochi pazochitika zazikulu zomwe mtima sungagwire ntchito wokha. Tiyeni tiwone zomwe zili m'zipatalazo.
| Matenda | Kufotokozera kosavuta |
|---|---|
| Kusokonezeka kwa Mtima | Matenda oopsa kwambiri omwe mtima umalephera kupopera magazi okwanira m'thupi chifukwa cha vuto monga matenda a mtima. |
| Matenda a mtima (Myocarditis) | Kutupa ndi kufooka kwa minofu ya mtima chifukwa cha matenda monga kachilombo. |
| Pambuyo pa opaleshoni ya mtima | Pambuyo pa opaleshoni yovuta ya mtima, ngati chithandizo mpaka mtima utachira. |
| Angina yosakhazikika | Kupweteka kwambiri pachifuwa komwe sikungalamuliridwe ndi mankhwala ndipo kumatha kukhala matenda a mtima nthawi iliyonse. |
Kodi pali anthu omwe chithandizochi sichili choyenera kwa iwo?
Inde. Si aliyense amene angachite chithandizochi. Sichigwiritsidwa ntchito kwa anthu omwe ali ndi matenda enaake. Mwachitsanzo:
- Aneurysm ya mtsempha wamagazi kapena kugawanika kwa magazi
- Kubwerera kwa mtsempha wamagazi kumachitika pamene valavu ya mtsempha wamagazi siitseka bwino ndipo magazi amabwerera m'mbuyo.
- Matenda oopsa omwe sangalamuliridwe (sepsis yosalamulirika)
Madokotala adzakuyang'anirani mosamala kuti adziwe ngati muli ndi matenda amenewa kapena ayi musanasankhe chithandizo cha IABP.
Kodi mungayike bwanji buluni iyi m'thupi?
Izi nthawi zambiri zimachitika m'chipinda chadzidzidzi cha chipatala (ETU), chipinda chosamalira odwala kwambiri (ICU), kapena m'chipinda chochitira opaleshoni. Izi zimachitika mwa kukupangitsani kukomoka (kukupatsani mankhwala oletsa ululu) kapena kungochotsa dzanzi pamalo omwe mukukhudzidwawo.
1. Kuika catheter: Dokotala amaika chubu chaching'ono (catheter) mu mtsempha waukulu wamagazi m'mimba mwanu.
2. Kutumiza buluni: buluni yotuluka madzi imatumizidwa kudzera mu chubu chimenecho kupita kumtima.
3. Kuika malo oyenera: Pogwiritsa ntchito ukadaulo wofanana ndi X-ray, chipangizochi chimayikidwa pamalo oyenera pa mtsempha waukulu wa thupi, womwe ndi aorta.
4. Kulumikiza ku makina: Kenako, chubu chomwe chili kumapeto kwa buluni chimalumikizidwa ku makina a kompyuta omwe tidakambirana kale.
N’chifukwa chiyani mpweya wa helium umagwiritsidwa ntchito pa izi?
Iyi ndi nkhani yofunika kwambiri. Helium imagwiritsidwa ntchito kudzaza ndi kusungunula mabaluni. Chifukwa cha izi ndi chakuti helium ndi mpweya wopepuka komanso wopanda mpweya. Ngati mpweya wochepa wochokera ku baluni ungatuluke m'magazi, helium siingavulaze kwambiri. Koma ngati tigwiritsa ntchito chinthu chonga mpweya womwe timapuma, ukhoza kupanga thovu la mpweya ndikutseka mitsempha yamagazi (Air Embolism). Izi ndi zoopsa kwambiri. Ichi ndichifukwa chake helium imagwiritsidwa ntchito ngati chitetezo.
Kodi chimachitika ndi chiyani mukalandira chithandizo? Kodi pali zoopsa zilizonse?
Mukayika IABP, muyenera kukhala pabedi. Ndikofunikira kwambiri kusunga mwendo womwe uli ndi baluni wowongoka, chifukwa ngati mupinda, baluniyo ikhoza kuyendayenda. Komanso, mankhwala ochepetsa magazi monga heparin nthawi zambiri amaperekedwa kuti ateteze magazi kuundana.
Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali zoopsa zomwe zingachitike. Koma kumbukirani, izi zimagwiritsidwa ntchito pokhapokha ngati pakufunika kutero kuti munthu apulumuke.
- Zoopsa: Kutuluka magazi, matenda, kuwonongeka kwa mtsempha wamagazi, kuphulika kwa baluni (kosachitika kawirikawiri), kapena kuwonongeka kwa ziwalo monga impso kuchokera ku baluni kukhala pamalo olakwika.
- Phindu lalikulu: Izi zingapulumutse moyo wanu. Ngati mtima wanu wadwala, zimathandiza kuti magazi aziyenda bwino m'thupi lonse.
Samalani ndi zizindikiro izi mukatha kulandira chithandizo
Kawirikawiri, patatha masiku angapo, mtima ukayamba kusintha, madokotala amachepetsa pang'onopang'ono ntchito ya baluni ndikuwona ngati mtima ungagwire ntchito wokha. Ngati zonse zili bwino, baluniyo imachotsedwa.
Mukapita kunyumba mukatha kulandira chithandizo, muyenera kulankhula ndi dokotala wanu ndikuwadziwitsa ngati muwona zizindikiro zilizonse za mavuto. Dziwani bwino zizindikiro zotsatirazi:
- Kutupa kwambiri ndi kufiira pamalo pomwe baluniyo inayikidwa.
- Malungo popanda chifukwa.
- Kumva ngati mtima wako ukugunda mofulumira (kugunda kwa mtima).
- Kuvuta kupuma movutikira (dyspnea).
- Kutupa m'malo monga akakolo ndi manja.
- Kulemera kumawonjezeka ndi makilogalamu oposa 2-3 mkati mwa sabata.
Ngati mukukumana ndi vuto lotere, dziwitsani dokotala wanu nthawi yomweyo.
Uthenga Wopita Nawo Kunyumba
- Pumpu ya Baluni ya Mkati mwa Mtsempha wa Aortic (IABP) ndi chipangizo chogwiritsira ntchito baluni chomwe chimagwiritsidwa ntchito kwakanthawi kuti chithandizire mtima ukafooka kwambiri.
- Izi zimakula ndi kufupika mogwirizana ndi kugunda kwa mtima, kuchepetsa ntchito pa mtima ndikupereka magazi ambiri ku minofu ya mtima.
- Uwu ndi mankhwala opulumutsa moyo ndipo nthawi zambiri amagwiritsidwa ntchito kwa masiku ochepa okha kuchipatala.
- Ndikofunikira kutsatira malangizo a dokotala mosamala panthawi ya chithandizochi komanso pambuyo pake.
- Ngati pali zizindikiro zachilendo, dziwitsani dokotala wanu nthawi yomweyo.
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