Kodi valavu ya mtima imataya magazi? Tiyeni tiphunzire za njira yochizira popanda opaleshoni (Paravalvular Leak Closure)

Tangoganizani kuti mwachitidwa opaleshoni yosintha ma valve a mtima ndipo mukuyembekeza kuti zonse zikuyenda bwino. Nthawi zambiri, zonse zimayenda bwino. Koma, nthawi zina, mwa anthu ochepa kwambiri, pali mpata wochepa pakati pa valavu yopangidwa yatsopano ndi khoma la mtima, ndipo magazi pang'ono amatha kuyamba kutuluka kudzera mmenemo. Zili ngati tikamangirira chitoliro cha madzi, madzi pang'ono amatuluka m'malo olumikizirana. Mu zamankhwala, timatcha izi kuti 'Paravalvular Leak' (PVL) . Chifukwa chake lero tikambirana za chithandizo chosavuta komanso chamakono chomwe chingatseke mtundu uwu wa kutayikira popanda kutsegula pachifuwa ndikuchita opaleshoni yayikulu.

Mwachidule, kodi Paravalvular Leak Closure ndi chiyani?

Izi n'zosavuta. Kutseka kwa Paravalvular Leak ndi njira yopanda opaleshoni. Imaletsa kutuluka kwa magazi komwe ndidatchula kale komwe kumachitika mutasintha valavu ya mtima. Nthawi zambiri, kutuluka kwa magazi kotereku kukachitika, kumatha kukonzedwa pochita opaleshoni ina. Koma ganizirani momwe zilili zoopsa kwa munthu amene adachitidwa opaleshoni ya mtima kamodzi kuti achitenso opaleshoni yayikulu yotereyi. Chiwopsezochi chimakhala chachikulu makamaka kwa munthu wokalamba komanso wodwala matenda ena.

Choncho, madokotala a mtima omwe amagwiritsa ntchito njira zamakonozi akugwiritsa ntchito njira imeneyi kuti achepetse chiopsezochi.

Nthawi zambiri, ngati kutuluka kwa madzi kuli kochepa, dokotala wanu adzakupatsani mankhwala. Komabe, ngati mankhwalawo sakuletsa kutuluka kwa madzi ndipo mukuona kuti opaleshoni ina ndi yoopsa kwambiri, dokotala wanu angakulangizeni kutseka PVL. Iyi ndi njira yochepetsera kufalikira kwa madzi yomwe ingakonze kutuluka kwa madzi kuzungulira valavu ya mtima ndikuchepetsa kwambiri zizindikiro zanu.

Ndani kwenikweni amene akufunikira chithandizochi?

Chithandizo ichi si chofunikira kwa aliyense. Koma pali zochitika zina zapadera zomwe chithandizochi chingakhale chothandiza kwambiri. Tiyeni tiwone zomwe zili.

Kodi chimachitika ndi chiyani musanalandire chithandizo?

Dokotala wanu asanalandire chithandizo chamtunduwu, adzakuyesani mokwanira. Adzayesa thanzi lanu komanso momwe mtima wanu ukugwirira ntchito. Akhozanso kuchita kafukufuku wamagazi kuti apeze matenda a mtima (endocarditis).

Kuphatikiza apo, mayeso angapo apadera amachitidwa kuti aone komwe kutuluka kwa madzi kuli, kukula kwake, komanso momwe angafikire. Izi zikuphatikizapo kujambula zithunzi za mtima.

• ECG (Electrocardiogram): Kuyesa komwe kumayang'ana momwe magetsi amagwirira ntchito mumtima.
• Echocardiogram: Kujambula mtima. Izi zimakupatsani mwayi wowona bwino zipinda za mtima, ma valve, ndi kayendedwe ka magazi.
• Transesophageal echocardiogram (TEE): Iyi ndi njira yojambulira mawu. Komabe, chubu chaching'ono chokhala ndi kamera chimayikidwa kudzera pakamwa, chimadutsa mummero, ndikujambula zithunzi zomveka bwino zakumbuyo kwa mtima. Izi ndizofunikira kwambiri kuti tipeze malo enieni omwe kutuluka kwa magazi kumachokera.
• Angiogram: Njira yojambulira mitsempha ya mtima pogwiritsa ntchito X-ray poikamo madzi apadera.
• Kujambula kwa mtima (CT scan) ndi MRI ya mtima: Izi zimatha kupanga zithunzi za mtima zatsatanetsatane komanso zamitundu itatu (3D).

Kodi chithandizochi chimachitidwa bwanji ndipo mumakonzekera bwanji?

Chithandizochi chimachitidwa ndi dokotala wa matenda a mtima. Amathandizidwa ndi akatswiri odziwa za matenda a mtima. Izi nthawi zambiri zimachitika mu labu yapadera kuchipatala. Timachitcha kuti 'Cardiac Catheterization Lab' .

Kukonzekera kwanu musanalandire chithandizo

Dokotala adzakupatsani malangizo omveka bwino a zomwe mungachite musanalandire chithandizo.

• Kudya ndi kumwa: Mudzapemphedwa kuti musiye kudya ndi kumwa maola angapo musanalandire chithandizo.
• Zovala: Malangizo a zomwe muzivala tsiku limenelo.
• Mankhwala: Mungapemphedwe kuti musiye kwakanthawi kapena kusintha mlingo wa mankhwala ena omwe mukumwa, makamaka mankhwala oletsa magazi kuundana kapena mankhwala oletsa kutupa omwe si a steroidal (NSAIDs).
• Zinthu zoti mudziwe: Muyenera kuuza dokotala wanu za ziwengo zilizonse zomwe muli nazo, mankhwala aliwonse, kapena mavitamini omwe mukumwa.

Momwe chithandizochi chimachitikira

Musachite mantha mukamva izi, ndi njira yosavuta kwambiri.

1. Choyamba, mudzapatsidwa mankhwala ochepetsa ululu kuti muchepetse ululu. Kuti musamve chilichonse, mudzakhala omasuka.

2. Kenako, dokotalayo amaika chubu chopyapyala kwambiri, chotchedwa catheter , mu mtsempha waukulu wamagazi (femoral artery) womwe uli m'mimba mwanu, womwe uli m'mimba mwanu.

3. Kenako, motsogozedwa ndi ma scanner, waya wopyapyala kwambiri umadutsa mu catheter iyi kupita kumalo enieni omwe pali kutuluka kwa madzi mumtima.

4. Pamene malo otayikira apezeka, chipangizo chaching'ono (chipangizo chotsekera) chimadutsa pa waya, ndikutseka mpata wonse. Izi zili ngati kutseka dzenje ndi pulagi.

5. Pambuyo pofufuza ndi kutsimikizira kuti ntchitoyo yachitika bwino, mwiniwakeyo amachotsa chubu mosamala.

Nthawi zina, ngati muli ndi ma valve awiri opangira opaleshoni, m'malo mowalowetsa kudzera m'mimba, kudula pang'ono kwambiri kungapangidwe m'mbali mwa chifuwa ndipo catheter ikhoza kulowetsedwa kudzera pamenepo. Chofunika ndichakuti simuyenera kutsegula chifuwa chanu chonse, monga momwe mungachitire ndi opaleshoni yayikulu.

Kodi chithandizocho chimatenga nthawi yayitali bwanji? Nanga chimachitika ndi chiyani pambuyo pake?

Ntchito yonseyi nthawi zambiri imatenga maola awiri kapena atatu . Mwina mukudabwa kuti n’chiyani chimachitika ndi chipangizo chaching’ono chomwe chaikidwa mumtima mwanu. Pakapita nthawi, minofu ya mtima wanu imakula mozungulira chipangizocho, ndipo chimakhala gawo lachibadwa la mtima wanu.

Mukalandira chithandizo, mudzagona m'chipatala usiku wonse kuti muwonedwe. Nthawi zambiri mudzatha kupita kunyumba m'mawa wotsatira. Dokotala wanu adzakupatsani malangizo omveka bwino a momwe mungakhalire panyumba, zomwe mungachite, komanso zomwe simuyenera kuchita. Mutha kufunsa dokotala wanu nthawi yomwe mungabwerere kuntchito zanu zachizolowezi.

Kawirikawiri, patatha miyezi itatu kuchokera pamene chithandizo chachitika, scan imachitidwanso kuti ione ngati kutuluka kwa madzi kwatsekedwa bwino komanso ngati valavu ikugwira ntchito bwino.

Kodi ubwino wa njira iyi ndi wotani poyerekeza ndi opaleshoni yachikhalidwe?

Poyerekeza ndi opaleshoni yotseguka, njira ya PVL Closure ili ndi ubwino wambiri womveka bwino.

• Kuchira mwachangu: Popeza palibe kudula kwakukulu, nthawi yochira ndi yochepa kwambiri.
• Chiopsezo chochepa cha matenda: Popeza palibe bala lalikulu, chiopsezo cha matenda ndi chochepa kwambiri.
• Kuchepetsa nthawi yogona kuchipatala: Popeza mutha kupita kunyumba usiku wonse, simuyenera kukhala m'chipatala kwa milungu ingapo.
• Mabala ang'onoang'ono ndi zipsera: Mabala ang'onoang'ono okha ndi omwe amatsala pathupi.

Ndiyenera kukaonananso ndi dokotala liti?

Ndikofunikira kwambiri kutsatira malangizo a dokotala wanu molondola ndikufika pa nthawi yake. Ngati mukupeza zizindikiro zachilendo mutalandira chithandizo, monga kutentha thupi kosadziŵika bwino, kupweteka m'chiuno, kapena kutupa , dziwitsani dokotala wanu nthawi yomweyo.

Ngati mwasinthidwapo valavu ya mtima, ndikofunikira kuti muyezedwe nthawi zonse. Nthawi zina, ngakhale valavu yatsopano imatha kutuluka pakapita nthawi. Ngati zimenezo zitachitika, chithandizo chingaphatikizepo mankhwala, opaleshoni yobwerezabwereza, kapena njira yotsekera Paravalvular Leak yomwe takambirana. Lankhulani ndi dokotala wanu za njira yomwe ili yoyenera zosowa zanu komanso thanzi lanu.