Kodi inuyo kapena munthu wina amene mumamudziwa anachitidwa opaleshoni yosintha valavu ya mtima? Patapita kanthawi, minofu yozungulira valavu yatsopano nthawi zina imayamba kutuluka pang'ono. Izi ndi zomwe timatcha 'Paravalvular Leak' kapena PVL m'mawu azachipatala. Mtundu uwu wa kutuluka ukhoza kuyambitsa zizindikiro monga kupuma movutikira komanso kutopa. Chifukwa chake lero tikambirana za chithandizo chosavuta chomwe chingatseke kutuluka ngati kumeneku popanda kuchitidwa opaleshoni yayikulu kachiwiri.
Kodi Paravalvular Leak Closure ndi chiyani?
Mwachidule, iyi ndi njira yochizira popanda opaleshoni. Tangoganizani kuti muli ndi valavu yopangira yomwe yaikidwa mumtima mwanu, koma tsopano valavuyo ikutuluka pang'ono. Kale, kuti mukonze chinthu chonga ichi, mumayenera kutsegulanso chifuwa chanu ndikuchitidwa opaleshoni yotsegula mtima. Koma si aliyense amene angakwanitse kuchitidwa opaleshoni kachiwiri, ndizoopsa.
Nayi njira yothetsera vutoli, chithandizo chotchedwa Paravalvular Leak (PVL) Closure chabwera. Pachifukwa ichi, dokotala wa mtima wolowererapo amagwiritsa ntchito chubu chopyapyala kwambiri chotchedwa catheter kuti apite ku malo otayikira mumtima ndikutseka dzenjelo ndi chipangizo chaching'ono (chipangizo chotseka). Zili ngati kuyika 'seal' pa dzenje laling'ono mu chitoliro cha madzi.
Popeza iyi si opaleshoni, nthawi yochira ndi yochepa, zoopsa zake ndi zochepa, ndipo nthawi yoti munthu agone kuchipatala ndi yochepa kwambiri.
Ndani akufunikira chithandizo ichi?
Si aliyense amene ali ndi valavu yopangira opaleshoni amene angapeze vutoli, ndipo si aliyense amene ali ndi vuto lotaya madzi amene angafunike chithandizochi. Nthawi zambiri amalimbikitsidwa kwa anthu amene ali ndi vuto lotaya madzi kwambiri lomwe silingathe kuthetsedwa ndi mankhwala. Dokotala wanu adzasankha ngati chithandizochi chili choyenera kwa inu.
Chithandizochi chingakhale choyenera kwa munthu amene ali ndi matenda awa:
| Mkhalidwe | Kufotokozera kosavuta |
|---|---|
| Kutuluka magazi kwambiri | Ngati kutuluka kwa magazi kukupangitsa kuti magazi ambiri ayende molakwika. |
| Kuvuta kupuma (Dyspnea) | Ngati mukuvutika kupuma ngakhale mukuchita zinthu zachizolowezi. |
| Kuchepa kwa magazi m'thupi | Kuchepa kwa magazi m'thupi kumachitika chifukwa cha kusweka kwa maselo ofiira a magazi pamene magazi akudutsa m'malo otuluka magazi. |
| Anthu omwe akulandira chithandizo cha endocarditis | Ngati mukulandira chithandizo cha matenda a mkati mwa mtima. |
| Omwe ali pachiwopsezo chachikulu chochitidwa opaleshoni yobwerezabwereza | Kwa iwo omwe adachitidwa kale opaleshoni zingapo ndipo sangathe kulipira opaleshoni ina. |
Kodi mumatani musanalandire chithandizo?
Dokotala wanu asanachite chithandizochi, adzafufuza thanzi lanu mosamala. Adzayesa mayeso osiyanasiyana kuti aone momwe mtima wanu umagwirira ntchito.
- ECG (Electrocardiogram): Onani momwe magetsi a mtima amagwirira ntchito.
- Echocardiogram: Kujambula mtima.
- Transesophageal Echocardiogram (TEE): Iyi ndi njira yapadera yojambulira. Kamera yaying'ono imadutsa mu mkodzo kuti ione bwino ma valve a mtima. Izi ndizofunikira kwambiri kuti mudziwe komwe kutuluka kwa magazi kumachokera.
- Kujambula kwa mtima (CT scan) kapena MRI: Pezani zithunzi za mtima za magawo atatu (3D).
- Kuyezetsa magazi: Kufufuza ngati muli ndi matenda.
Ndikofunikira kwambiri kuuza dokotala wanu za ziwengo zilizonse zomwe muli nazo komanso mankhwala aliwonse omwe mukumwa (makamaka mankhwala ochepetsa magazi).
Kodi chimachitika ndi chiyani panthawi ya chithandizo?
Chithandizochi nthawi zambiri chimachitikira m'chipatala cha catheterization lab. Mudzapatsidwa mankhwala ndi mankhwala oletsa ululu kuti mupewe kupweteka.
Pambuyo pake, katswiriyo amatsatira njira izi:
1. Kuika catheter: Chubu chopyapyala kwambiri komanso chosinthasintha (catheter) chimayikidwa mu mtsempha waukulu wamagazi (femoral artery) m'mimba mwanu.
2. Kupeza komwe kutayikira: Pogwiritsa ntchito ukadaulo wowunikira (monga TEE), waya umadutsa mu chubu ndikutsogoleredwa komwe kutayikira mumtima.
3. Kuyika chipangizochi:Akangodziwa bwino malo enieni omwe madzi atuluka, chipangizo chapadera chaching'ono (chipangizo chotseka) chomwe chingatseke dzenje chimadutsa mu catheter, chimayikidwa pamalo ake, ndikutsekedwa.
4. Kuchotsa catheter: Ntchito ikatha, catheter ndi mawaya amachotsedwa mosamala.
Nthawi zambiri ntchito yonseyi imatenga maola awiri kapena atatu. Pakapita nthawi, minofu ya mtima wanu imakula mozungulira chipangizo chatsopano chomwe chayikidwa, zomwe zimapangitsa kuti chikhale gawo la mtima wanu.
Pambuyo pa chithandizo ndi ubwino wake
Kawirikawiri, mumangofunika kukhala m'chipatala usiku umodzi wokha mutalandira chithandizochi. Mutha kupita kunyumba tsiku lotsatira. Dokotala adzakupatsani malangizo a momwe mungakhalire mukapita kunyumba, zomwe mungachite komanso zomwe simuyenera kuchita. Kawirikawiri, mudzayang'aniridwanso pakatha miyezi itatu kuti muwone ngati kutuluka kwa madzi kwatsekedwa bwino komanso ngati valavu ikugwira ntchito bwino.
Ubwino wina wa njira iyi poyerekeza ndi opaleshoni yotseguka ndi:
- Kuchira mwachangu: Popeza palibe kudula kwakukulu, mutha kuyambiranso ntchito zanu zachizolowezi mwachangu.
- Chiopsezo chochepa cha matenda: Popeza palibe bala lalikulu, chiopsezo cha matenda ndi chochepa kwambiri.
- Kugona kwakanthawi kuchipatala: Mutha kupita kunyumba usiku wonse.
- Zilonda zazing'ono: Kungokhala kabowo kakang'ono m'mimba, palibe chilonda chachikulu pachifuwa.
Kodi mukufuna kukaonananso ndi dokotala liti?
Pambuyo pa chithandizo, ndikofunikira kutsatira malangizo a dokotala wanu molondola ndikupita kuzipatala pa masiku omwe akonzedwa.
Ngati mukumva malungo osadziwika bwino, kupweteka kapena kutupa m'mimba, kapena zizindikiro zina zachilendo, dziwitsani dokotala wanu nthawi yomweyo .
Ngati mwasinthidwapo valavu ya mtima, ndikofunikira kwambiri kuti muyezedwe nthawi zonse ndi dokotala. Chifukwa nthawi zina kutayikira kwamtunduwu kumatha kuchitika. Koma chabwino ndichakuti tsopano izi zitha kuchiritsidwa popanda opaleshoni. Lankhulani ndi dokotala wanu kuti mudziwe chithandizo chomwe chili chabwino kwa inu.
Uthenga Wopita Nawo Kunyumba
- Kutuluka kwa magazi m'magazi mozungulira valavu ya mtima yopangidwa pambuyo poti yaikidwa m'thupi.
- Kutseka kwa PVL ndi njira yochiritsira yopanda opaleshoni yomwe imatseka kutuluka kumeneku popanda kutsegula pachifuwa, pogwiritsa ntchito chipangizo chaching'ono chomwe chimayikidwa kudzera mu catheter.
- Njira iyi ndi yothandiza kwambiri kwa iwo omwe ali pachiwopsezo chachikulu chochitidwa opaleshoni yobwerezabwereza komanso omwe ali ndi zizindikiro zazikulu.
- Chithandizochi chili ndi nthawi yochepa yochira, zoopsa zochepa, komanso kukhala m'chipatala kwa nthawi yochepa kwambiri.
- Onetsetsani kuti mwalankhula ndi dokotala wanu wa mtima kuti mudziwe ngati chithandizochi chili choyenera kwa inu.
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