Kodi mukumva kutopa kwambiri komanso kupuma movutikira ngakhale mukuyenda mtunda waufupi? Nthawi zambiri zizindikirozi zimachitika pamene ntchito ya mtima ili yofooka kwambiri, kutanthauza kuti, mumtima muli ndi vuto lalikulu. Mtima umataya mphamvu zomwe umafunika kuti upompe magazi m'thupi lonse. Chifukwa chake nthawi zina ngati izi, ndi kupita patsogolo kodabwitsa kwa sayansi ya zamankhwala, pali chipangizo chapadera chomwe chingathandize mtima wanu. Tikambirana za izi lero. Ichi ndi chipangizo chotchedwa LVAD (Chida Chothandizira Kumanzere kwa Ventricular).
Mwachidule, kodi LVAD iyi ndi chiyani?
LVAD ndi pampu yamakina yomwe imayikidwa m'thupi la odwala omwe ali ndi vuto la mtima lomwe silikugwira ntchito bwino. Mwa kuyankhula kwina, ili ngati 'wothandizira' yemwe amathandiza mtima wanu.
Mtima wathu uli ndi zipinda zinayi zazikulu. Chimene chili pansi kumanzere chimatchedwa Left Ventricle . Ndi chomwe chimagwira ntchito yayikulu yopopera magazi okhala ndi mpweya kupita ku thupi lonse. Chifukwa chake, pakakhala vuto la mtima, ventricle yakumanzere iyi imakhala yofooka. Chomwe LVAD imachita ndikuthandizira ventricle yakumanzere yofookayo. Ichi ndichifukwa chake imatchedwa Left Ventricular Assist Device.
Pampu iyi imalumikizidwa ku gawo la pansi la mtima, imatenga magazi kuchokera pamenepo, ndikutumiza kudzera mu chubu kupita ku aorta . Aorta ndiye mtsempha waukulu kwambiri wamagazi m'thupi lathu. Kuchokera pamenepo, magazi okhala ndi mpweya wambiri amafalikira m'thupi lonse. Chifukwa chake LVAD imathandiza kuchita ntchito yofunikayi.
Chofunika kwambiri ndichakuti LVAD si mtima wochita kupanga. Si chinthu chomwe mumachotsa ndikuchiyika mumtima mwanu. M'malo mwake, ndi chipangizo chomwe chimagwira ntchito limodzi ndi mtima wanu ndikuchichirikiza.
Kodi zigawo zazikulu za LVAD ndi ziti?
Dongosolo la LVAD lili ndi zigawo zazikulu zingapo. Zigawo zonsezi zimagwirira ntchito limodzi kuti chipangizo chodabwitsachi chigwire ntchito. Tiyeni tiwone zomwe zigawozo zili.
| Gawo la chipangizocho | Kufotokozera kosavuta |
|---|---|
| Pampu | Ichi ndi gawo lalikulu. Pampu iyi imayikidwa m'chifuwa mwa opaleshoni ndipo ndi yomwe imatenga magazi kuchokera ku ventricle yakumanzere ya mtima ndikuyipompa kupita ku aorta. |
| Mzere woyendetsera galimoto | Ichi ndi chingwe chapadera. Chimachoka pa pampu mkati mwa thupi, chimatuluka kudzera pakhungu pamimba, ndikulumikizana ndi chowongolera chakunja. Ndikofunikira kwambiri kuchisamalira bwino ndikuchisunga choyera. |
| Wowongolera | Izi zili ngati kompyuta yaying'ono. Ndi chipangizo chomwe chimasungidwa kunja kwa thupi. Chimayang'anira momwe pampu imagwirira ntchito, chimasintha liwiro lake, ndipo chimapereka ma alarm ngati pali vuto. |
| Magetsi | LVAD imafuna magetsi kuti igwire ntchito. Imagwiritsa ntchito mabatire otha kubwezeretsedwanso. Mabatire awa amatha kupereka mphamvu kwa maola pafupifupi 14. Batire ikachepa mphamvu, muyenera kuisintha ndi mabatire atsopano. Muthanso kuilumikiza mwachindunji mu soketi yamagetsi kunyumba. |
Ndani akufunika LVAD iyi?
LVAD nthawi zambiri imagwiritsidwa ntchito pazochitika ziwiri zazikulu. Dokotala wanu adzayang'ana mosamala vuto lanu ndikusankha njira yomwe ili yoyenera kwa inu.
1. Monga mlatho wopita ku kusamutsa mtima (Mlatho wopita ku kusamutsa mtima - BTT)
Odwala ena amafunika kuikidwa mtima. Koma amafunika kudikira kwakanthawi mpaka mtima wofanana ndi wopereka upezeka. Panthawiyi, vuto la wodwalayo likhoza kuipiraipira. Ziwalo zina, monga impso ndi chiwindi, zitha kuonongekanso.
Zikatero, LVAD imagwira ntchito ngati "mlatho" woti wodwalayo akhale wathanzi komanso wamphamvu mpaka mtima utakhalapo . Izi zimawongolera moyo wa wodwalayo, zimachepetsa zizindikiro, komanso zimamupatsa mphamvu kuti achite opaleshoni yopatsirana mtima. Chipangizo cha LVAD chimachotsedwa panthawi yopatsirana mtima.
2. Monga njira yomaliza (Destination Therapy - DT)
Odwala ena saloledwa kuikidwa mtima chifukwa cha ukalamba kapena mavuto ena azaumoyo. Ngati ntchito ya mtima wawo ikadali yoipa ngakhale kuti pali mankhwala ena onse, kuphatikizapo mankhwala ndi kusintha kwa moyo wawo, angafunike chithandizo cha moyo wawo wonse.LVAD ikuyikidwa.
Izi zimatchedwa Destination Therapy. Apa, LVAD imathandizira mtima kwa moyo wonse wa wodwalayo, zomwe zimamulola kukhala ndi moyo wabwino komanso wotanganidwa.
Kodi mungakonzekere bwanji musanachite opaleshoni ya LVAD?
Chisankho choika LVAD sichichitika mwadzidzidzi. Gulu la madokotala lidzakuyang'anirani bwino. Pachifukwa ichi, mayeso angapo adzachitika, kuphatikizapo:
- ECG (Electrocardiogram): Kuyang'ana momwe magetsi a mtima amagwirira ntchito.
- X-ray ya pachifuwa: Kuona momwe mtima ndi mapapo zilili.
- Kuyezetsa magazi: Kuyeza thanzi lonse la thupi, impso ndi chiwindi.
- Echocardiogram: Kujambula momwe zipinda ndi ma valve a mtima akugwirira ntchito komanso momwe amapopera magazi.
- Kuyesa kupsinjika kwa kagayidwe kachakudya: Kuti muwone momwe mtima umayankhira masewera olimbitsa thupi.
- Kutsegula m'mimba mwa mtima: Kuyang'ana ngati pali kutsekeka ndi kuthamanga kwa magazi m'mitsempha ya mtima.
Komanso, pali matenda ena omwe amachititsa kuti choyika cha LVAD chisayenerere. Mwachitsanzo:
- Matenda otsekeka magazi
- Kulephera kwa impso kumapeto kwa gawo
- Matenda aakulu a chiwindi
- Matenda aakulu a m'mapapo
- Matenda omwe sangathetsedwe ndi maantibayotiki
Momwe opaleshoni imachitikira komanso nthawi yomwe imachitika pambuyo pake
Kuika LVAD mu opaleshoni ya mtima ndi opaleshoni yotseguka. Imatenga maola 4 mpaka 6. Mumakhala pansi pa mankhwala oletsa ululu, zomwe zikutanthauza kuti mumakhala tulo tofa nato, panthawi yonse ya opaleshoni.
Pambuyo pa opaleshoni, muyenera kukhala m'chipatala kwa milungu iwiri kapena itatu. Panthawiyi, madokotala, anamwino, ndi magulu apadera adzakuphunzitsani momwe mungakhalire ndi chipangizo cha LVAD.
- Momwe chipangizochi chimagwirira ntchito
- Momwe mungasinthire batri
- Momwe mungasungire bala loyera pomwe chingwe choyendetsera galimoto chimatulukira
- Zoyenera kuchita pakagwa ngozi
Mukangotsimikizira kuti muli ndi mphamvu zokwanira kuchita zonsezi, mudzaloledwa kupita kunyumba.
Moyo ndi LVAD
Moyo wanu udzasintha pang'ono mukabwerera kunyumba, koma mutha kukhala bwino ndi kusinthako.
- Kusamba: Simungathe kusamba, kusambira, kapena kumiza chipangizochi m'madzi ndi LVAD. Komabe, pali zida zapadera zomwe zingakuthandizeni kusamba.
- Mankhwala: Muyenera kumwa mankhwala oletsa magazi kutuluka magazi kwa moyo wanu wonse. Izi ndizofunikira kwambiri.
- Zakudya: Ndikofunikira kwambiri kutsatira zakudya zabwino.
- Kuchita masewera olimbitsa thupi:Mukhoza kutenga nawo mbali mu mapulogalamu obwezeretsa mtima ndikuchita masewera olimbitsa thupi oyenera, monga momwe dokotala wanu walangizira.
- Moyo Wathanzi: Kusuta fodya ndi kumwa mowa kuyenera kuthetsedwa kotheratu.
Kodi ubwino ndi zoopsa za LVAD ndi ziti?
Monga opaleshoni iliyonse, kuyika LVAD kuli ndi ubwino komanso zoopsa zina.
Ubwino waukulu
- Kuchepa kwakukulu kwa zizindikiro monga kupuma movutikira komanso kutopa.
- Kupereka magazi abwino ku ziwalo zina monga impso, chiwindi, ndi ubongo.
- Kutha kutuluka kuchipatala, kupita kunyumba, ndikukhala ndi banja langa.
- Kuwonjezeka kwa luso lochita masewera olimbitsa thupi komanso kuchita zinthu za tsiku ndi tsiku.
- Ponseponse, moyo wa anthu wakwera kwambiri .
- Anthu omwe ali ndi chipangizo cha LVAD amakhala ndi moyo wautali kuposa omwe amalandira chithandizo cha mankhwala okha.
Zoopsa zomwe zingachitike
Opaleshoni iliyonse imakhala ndi zoopsa. Dokotala wanu adzakulangizani momwe mungachepetsere zoopsazi komanso momwe zimakukhudzirani.
| Mkhalidwe wa chiopsezo | Kufotokozera |
|---|---|
| Matenda | Matenda amatha kuchitika, makamaka pamene mzere wolowera umatuluka pakhungu. Chifukwa chake, ndikofunikira kusunga malowo kukhala aukhondo kwambiri. |
| Kutsekeka kwa Magazi ndi Stroke | Pali chiopsezo chakuti magazi amaundana mkati mwa chipangizocho. Ngati izi zipita ku ubongo, sitiroko ikhoza kuchitika. Mankhwala oletsa magazi kuundana amaperekedwa kuti apewe izi. |
| Kutuluka magazi | Popeza mukumwa mankhwala ochepetsa magazi, ngakhale kuvulala pang'ono kungayambitse kutuluka magazi kwambiri. |
| Kulephera kwa Mtima Koyenera | Pamene LVAD ithandiza mbali yakumanzere ya mtima, nthawi zina mbali yakumanja singathe kuthana ndi kupanikizika. |
| Kulephera kwa Chipangizo | Popeza izi ndi zida zamakanika, zolakwika sizingachitike kawirikawiri. Komabe, wowongolera amakudziwitsani za zinthu zotere pasadakhale. |
Kodi muyenera kupita kwa dokotala liti?
Mukalandira LVAD, ndikofunikira kukhala ndi ubale wapamtima ndi gulu lanu lachipatala. Muyenera kuyesedwa sabata iliyonse, kenako mwezi uliwonse. Ngati mukukumana ndi zizindikiro zotsatirazi, uzani dokotala wanu kapena chipatala nthawi yomweyo .
- Malungo.
- Kufiira, kutupa, kapena mafinya omwe akutuluka kumene mzere wolowera umatuluka pakhungu.
- Kupweteka pachifuwa kapena m'mimba.
- Kutuluka magazi kosadziwika bwino.
- Kutupa kwa miyendo ndi msana.
- Kuvuta kupuma.
- Vuto ndi gawo lina la chipangizo cha LVAD kapena chizindikiro chosazolowereka (alamu) chimatulutsidwa.
Kusankha ngati mutenge LVAD kapena ayi ndi chisankho chachikulu komanso chaumwini. Lankhulani ndi dokotala wanu ndi banja lanu mosamala za izi. Funsani mafunso anu onse ndikuchotsa kukayikira kulikonse. Chifukwa cha ukadaulo uwu, anthu zikwizikwi omwe ali ndi matenda amtima ovuta tsopano akukhala moyo wabwino komanso wachimwemwe.
Uthenga Wopita Nawo Kunyumba
- LVAD si mtima wochita kupanga. Ndi pampu yothandizira yamakina yomwe imathandiza mtima wanu kupompa magazi ngati mtima wanu walephera kugwira ntchito bwino.
- Izi zimagwiritsidwa ntchito makamaka ngati "mlatho" kwa iwo omwe akuyembekezera kusamutsidwa mtima kapena ngati "chithandizo cha moyo wawo wonse" kwa iwo omwe sangathe kusamutsidwa mtima.
- Ngakhale kuti moyo wabwino pambuyo pa opaleshoni ya LVAD umakula bwino, ndikofunikira kusamalira bwino chipangizocho, kumwa mankhwala, komanso kukhala ndi moyo wathanzi.
- Ngati mukukumana ndi vuto lililonse ndi chipangizochi kapena vuto lanu la thanzi, ndikofunikira kwambiri kudziwitsa gulu lanu lachipatala mwamsanga.
- Ichi ndi chisankho chachikulu. Kambiranani momasuka ndi dokotala wanu za ubwino ndi zoopsa zonse ndipo pangani chisankho chomwe chili chabwino kwa inu.
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