Thandizo la mtima: Kodi LVAD (Chida Chothandizira Kumanzere kwa Ventricular) ndi chiyani?

Nthawi zina mitima yathu imafooka pang'ono, sichoncho? Monga injini ya galimoto yomwe yakhala ikugwira ntchito bwino kwa zaka zambiri, magwiridwe ake amatha kuchepa pakapita nthawi. Makamaka ikafika pachimake cha kulephera kwa mtima, zimakhala zovuta kwambiri kuti mtima upompe magazi kupita ku thupi lonse lokha. Nthawi ngati zimenezi, tikulankhula za chipangizo chapadera chomwe chingathandize mtima wofooka.

Mwachidule, kodi LVAD iyi ndi chiyani?

Tanthauzo lonse la LVAD ndi Chipangizo Chothandizira Kumanzere kwa Ventricular. Mu Chisinhala, limatanthauza 'chipangizo chomwe chimathandiza ventricle yakumanzere'. Ichi kwenikweni ndi pampu yamakina. Ichi chimayikidwa m'thupi la anthu omwe ali ndi vuto lalikulu la mtima.

Chipinda chachikulu chopopera mpweya mumtima mwathu ndi ventricle yakumanzere. Ichi ndi chomwe chimatumiza magazi oyera komanso odzaza ndi mpweya kupita ku thupi lonse kudzera mu aorta. Mtima ukakhala wofooka, ntchitoyi sigwira ntchito bwino. LVAD imathandiza ventricle yakumanzere. Izi zikutanthauza kuti, imatenga magazi kuchokera ku ventricle yakumanzere, kuwapompa, ndikutumiza ku aorta. Izi ndizofunikira kwambiri, chifukwa selo lililonse m'thupi lathu silingakhale ndi moyo popanda mpweya.

Kodi chipangizochi chimagwira ntchito bwanji? Kodi ziwalo zake ndi ziti?

Chipangizo cha LVAD chimalumikizidwa ku gawo la pansi la mtima ndipo chimayikidwa mkati mwa chifuwa. Chikalandira magazi, chimatumizidwa kudzera mu chubu kupita mu aorta. Dongosolo lonseli lili ndi zigawo zingapo zazikulu.

Ndi anthu amtundu wanji omwe amagwiritsa ntchito LVAD?

Izi zimagwiritsidwa ntchito kwa anthu omwe ali mu gawo lomaliza la kulephera kwa mtima. Izi zimagwiritsidwanso ntchito pazifukwa ziwiri zazikulu.

1. Monga mlatho wopita ku kusamutsira mtima (Bridge to Transplant - BTT)

Tangoganizani kuti wina akufunika kuikidwa mtima wina. Koma ayenera kudikira mpaka mtima wogwirizana upezeke. Panthawiyi, matenda a wodwalayo amatha kuipiraipira. Ziwalo zina, monga impso ndi chiwindi, zimathanso kuwonongeka.

2. Monga chithandizo cha moyo wonse (Destination Therapy - DT)

Anthu ena sangathe kuikidwa mtima chifukwa cha ukalamba kapena matenda ena. Kwa anthu otere, LVAD iyi imagwiritsidwa ntchito pothandizira mtima pa moyo wawo wonse. Madokotala amaganizira izi pokhapokha ngati njira zina zonse zothandizira, kuphatikizapo mankhwala ndi kusintha kwa moyo, zalephera. Izi sizingowonjezera moyo wa wodwalayo, komanso zimawonjezera moyo wabwino.

Kodi mungakonzekere bwanji opaleshoni ya LVAD?

Madokotala amachita mayeso angapo asanasankhe ngati ndinu woyenera kulandira LVAD.

• E.C.G. (Electrocardiogram - ECG)
• X-ray pachifuwa
• Kuyezetsa magazi
• Echocardiogram
• Kutsegula mtima (catheterization)

Komabe, sikoyenera aliyense amene ali ndi vuto la mtima. Simungathe kupatsidwa LVAD implant ngati muli ndi vuto lililonse mwa izi:

• Matenda otsekeka magazi
• Matenda a impso osachiritsika
• Matenda aakulu a chiwindi
• Matenda aakulu a m'mapapo
• Matenda omwe sangachiritsidwe ndi maantibayotiki

Kodi opaleshoniyi imachitidwa bwanji?

Iyi ndi opaleshoni ya mtima. Izi zikutanthauza kuti mwapatsidwa mankhwala oletsa ululu ndipo mwagona mpaka opaleshoniyo itatha.

Perekani mpweya m'thupi lanu panthawi ya opaleshoniMakina odulira mtima ndi mapapo amagwiritsidwa ntchito. Mudzayikidwanso pa chopumira mpweya kuti mupume. Dokotala wa opaleshoni adzadula pakati pa chifuwa chanu, kutsegula fupa la pachifuwa, ndikufikira mtima wanu. Kenako LVAD imayikidwa ndipo kudulako kumatsekedwanso. Njira yonseyi ingatenge maola anayi mpaka asanu ndi limodzi.

Kodi chimachitika ndi chiyani mukachita opaleshoni? Zinthu zoyenera kuziganizira mukapita kunyumba

Musanachoke kuchipatala, mudzaphunzitsidwa bwino momwe mungasamalire zidazi komanso zomwe mungachite pakagwa ngozi. Muyeneranso kusonyeza kuti mukudziwa izi musanapite kunyumba.

Mukabwerera kunyumba, ndikofunikira kutsatira moyo wathanzi .

• Kusiya kusuta fodya kotheratu.
• Kuzolowera kudya zakudya zopatsa thanzi.
• Siyani kumwa mowa.
• Kuchita masewera olimbitsa thupi motsatira malangizo a dokotala.
• Kumwa mankhwala olembedwa ndi dokotala, kuphatikizapo mankhwala ochepetsa magazi (anticoagulants), pa nthawi yake.

Ndikofunikanso kwambiri kutenga nawo mbali mu pulogalamu yobwezeretsa mtima pambuyo pa opaleshoni. Komanso, pakhoza kukhala zoletsa pa zochita monga kusambira, kunyamula zolemera, ndi masewera olimbitsa thupi. Muyenera kukambirana zonsezi ndi dokotala wanu ndikupeza upangiri.

Kodi ubwino wogwiritsa ntchito LVAD ndi wotani?

Ngakhale izi sizichiritsa matenda a mtima, zawonetsedwa kuti odwala omwe ali ndi LVAD amatha kukhala ndi moyo wautali kuposa omwe akumwa mankhwala okha.

Kodi zoopsa ndi zovuta zake ndi ziti?

Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa zina. Gulu lanu lachipatala lidzakufotokozerani zoopsazi ndi momwe mungachepetsere.

Kodi muyenera kupita kwa dokotala nthawi yomweyo liti?

Ngati mukukumana ndi zizindikiro zotsatirazi, dziwitsani gulu lanu lachipatala nthawi yomweyo.

Kodi LVAD ndi pacemaker ndi chinthu chimodzi?

Ayi. Zonsezi ndi zosiyana kwambiri. LVAD imathandiza ventricle yakumanzere ya mtima kupopa magazi. Chothandizira pacemaker chimawongolera kugunda kwa mtima kosakhazikika.

Kusankha kulandira LVAD kapena ayi ndi chisankho chaumwini, choncho lankhulani ndi dokotala wanu mosamala za izi ndipo mumvetse bwino ubwino, zoopsa, ndi zabwino zomwe mungapeze kuchokera ku izi.