Dokotala wanu akakuuzani kapena munthu amene mumamudziwa kuti ali ndi chotupa cha mtima, mungamve mantha komanso kudabwa kwambiri. Ndizachilendo kukhala ndi mafunso ambirimbiri m'maganizo mwanu, monga, 'Mulungu wanga, chotupa cha mtima? Kodi ndi khansa? Ndichite chiyani tsopano?' Koma musadandaule. Ndicho chimene tikukamba lero. Tiyeni tiwone mwachidule momwe chotupa cha mtima chilili, momwe opaleshoni ilili, ndi zonse zomwe muyenera kudziwa zokhudza icho.
Kodi chotupa cha mtima kwenikweni n’chiyani?
Mwachidule, chotupa cha mtima ndi kukula kosazolowereka kwa maselo omwe amapangika mkati mwa mtima kapena pakhoma la mtima. Izi zitha kugawidwa m'mitundu iwiri ikuluikulu. Choyamba ndi chotupa chomwe chimayambira mumtima, chomwe timachitcha kuti zotupa zoyambirira. Mtundu wina ndi chotupa chomwe chimapangika kwina m'thupi (monga m'mapapo ) ndikufalikira kumtima.
Koma nkhani yabwino apa ndi yakuti zotupa zoposa 90% zomwe zimayambira mumtima si khansa. M'mawu azachipatala, timazitcha 'zoyipa'. Izi zikutanthauza kuti zotupazi sizifalikira ku ziwalo zina za thupi (metastasis). Zikachotsedwa opaleshoni, palibe chomwe chimakhudza moyo wa wodwalayo.
Kawirikawiri, zotupa zomwe si khansa monga myxoma kapena papillary fibroelastoma zimawoneka. Ngakhale kuti izi si khansa , zingayambitse mavuto.
- Zingathe kusokoneza magwiridwe antchito a ma valve a mtima.
- Komanso, ngati zidutswa zazing'ono za zotupazi zathyoka ndikuyenda m'mitsempha yamagazi , zomwe zimapangitsa magazi kuundana ndikutseka mtsempha wamagazi muubongo, matenda oopsa monga sitiroko angachitike.
Chifukwa cha chiopsezo ichi, madokotala amalimbikitsa kuti achotsedwe opaleshoni ya zotupa izi. Sarcoma ya mtima ndi yosowa kwambiri, ndipo opaleshoni siichitika kawirikawiri kwa iwo.
Ndani akufuna opaleshoni iyi?
Tsopano mwina mukudzifunsa kuti, "Kodi ndikufunikiradi opaleshoniyi?" Gulu lanu lachipatala lidzakulangizani opaleshoni pokhapokha ngati akutsimikiza kuti ubwino wa opaleshoni ndi woposa zoopsa zosachitidwa opaleshoni. Opaleshoni nthawi zambiri imaganiziridwa pazochitika zotsatirazi:
- Ngati mukukumana ndi zizindikiro monga kuvutika kupuma komanso kupweteka pachifuwa chifukwa cha chotupacho .
- Chifukwa cha chotupaNgati ntchito ya mtima yasokonekera .
- Monga tafotokozera pamwambapa, pali chiopsezo chachikulu cha mavuto aakulu monga magazi kuundana (embolism) kapena sitiroko .
- Ngati chotupacho chikukula mofulumira , monga momwe zasonyezedwera mu mayeso azachipatala.
Kodi mumachotsa bwanji chotupa cha mtima? Kodi njira zochitira opaleshoni ndi ziti?
Popeza opaleshoni yochotsa chotupa cha mtima ndi yovuta kwambiri, nthawi zambiri imachitika m'zipatala zazikulu komanso zokonzeka bwino ndi magulu a madokotala ochita opaleshoni omwe ali ndi chidziwitso chapadera komanso luso pankhaniyi. Adzafufuza momwe mulili ndikusankha njira yochitira opaleshoni yomwe ili yoyenera kwa inu. Pali njira ziwiri zazikulu zochitira opaleshoni.
| Njira yopangira opaleshoni | Momwe mungachitire |
|---|---|
| Opaleshoni Yotseguka Mtima | Iyi ndi njira yachikhalidwe. Opaleshoni iyi imachitika mwa kudula pakati pa chifuwa (Median Sternotomy) ndikutsegula thumba la chifuwa. Izi zimathandiza dokotala wa opaleshoni kuona mtima ndi minofu yozungulira bwino. Muli ndi mankhwala oletsa ululu ndipo mwalumikizidwa ndi makina oletsa kupweteka kwa mtima omwe amagwira ntchito kwakanthawi m'malo mwa mtima ndi mapapo anu. Izi zimathandiza dokotalayo kuchita opaleshoni pa mtima womwe wasiya kugunda ndipo suli bwino. Chotupacho chimachotsedwa ndipo, ngati pakufunika, ziwalo zowonongekazo zimakonzedwa. |
| Opaleshoni Yosalowerera Kwambiri | Iyi ndi njira yatsopano komanso yapamwamba. M'malo mopanga ming'alu yayikulu pakati pa chifuwa, izi zimachitika kudzera m'ming'alu ingapo yaing'ono pakati pa nthiti. Opaleshoni yothandizidwa ndi roboti ikagwiritsidwa ntchito, kamera ndi mkono wa roboti zimayikidwa kudzera m'ming'alu yaying'ono iyi, yomwe dokotalayo amawongolera mosamala akamayang'ana pazenera la kompyuta. Mu njira iyi, mankhwala oletsa ululu ndi kulumikizana ndi makina a mtima ndi mapapo amachitidwanso. |
Opaleshoni yocheperako imapangitsa kuti ululu uchepe, zipsera zazing'ono, komanso kuti munthu achire msanga komanso kuti moyo wake ubwererenso mwachangu.
Kodi chimachitika ndi chiyani opaleshoni isanachitike komanso itatha?
Kukonzekera musanachite opaleshoni
Gulu lanu lachipatala lidzakukonzekeretsani bwino musanachite opaleshoni. Ndikofunikira kwambiri kuti mutsatire malangizo awo molondola.
- Mankhwala: Mungapemphedwe kuti musiye kugwiritsa ntchito mankhwala ena omwe mukumwa (makamaka mankhwala ochepetsa magazi) masiku angapo opaleshoni isanachitike.
- Kusala Kudya: Mudzapemphedwa kuti musiye kudya ndi kumwa kuyambira pakati pausiku usiku woti opaleshoni ichitike (kusala kudya).
- Kusuta: Ngati ndinu wosuta fodya, muyenera kusiya kusuta milungu ingapo musanachite opaleshoni kuti muchepetse mavuto.
Kuphatikiza apo, mayeso angapo monga CT scan, Echocardiogram (echo test), ndi MRI scan angachitike kuti apeze chithunzi chomveka bwino cha chotupa ndi mtima.
Pambuyo pa opaleshoni
Mukachita opaleshoni, mudzasungidwa mu chipinda chosamalira odwala kwambiri (ICU) kwa tsiku limodzi kapena kuposerapo kuti muwone bwinobwino. Kenako mudzasamutsidwira ku chipinda chogona cha odwala wamba. Chiwerengero cha masiku omwe mudzakhala kuchipatala chidzasiyana malinga ndi kuchuluka kwa kuchira kwanu komanso mtundu wa opaleshoni yomwe mudachita.
Kodi ubwino ndi zoopsa zake ndi ziti?
Monga opaleshoni iliyonse, opaleshoni iyi ili ndi ubwino ndi zoopsa zake.
| Ubwino | Zoopsa |
|---|---|
|
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Chofunika kwambiri, njira zochitira opaleshoni zosawononga kwambiri zitha kuchepetsa zoopsa zambirizi. Lankhulani ndi dokotala wanu za zoopsa zomwe zingachitike chifukwa cha opaleshoni yanu.
Nthawi yoti muyimbire dokotala nthawi yomweyo
Ndi zachilendo kukhala ndi kusapeza bwino ndi kupweteka mukapita kunyumba mutachita opaleshoni. Koma ngati mukukumana ndi zizindikiro izi, imbani dokotala wanu kapena chipatala nthawi yomweyo .
- Kupweteka pachifuwa komwe sikutha pakapita nthawi komanso kumawonjezeka mphamvu.
- Malungo.
- Kusanza kosalekeza komanso kusanza.
- Kuvuta kupuma.
- Ngati chotupa cha opaleshoni chili chofiira, chotupa, kapena chotulutsa mafinya (izi ndi zizindikiro za matenda).
- Ngati mukuwonetsa zizindikiro za sitiroko, monga kulankhula mosasamala kapena kugwada mbali imodzi ya nkhope yanu, pitani ku Dipatimenti Yothandiza Pangozi (ETU) yapafupi nthawi yomweyo .
Uthenga Wopita Nawo Kunyumba
- Zotupa zambiri zomwe zimayamba mumtima si khansa (zoipa). Zingathe kuchiritsidwa kwathunthu ngati zitachotsedwa opaleshoni.
- Pali mitundu iwiri ya opaleshoni: opaleshoni yotsegula mtima ndi opaleshoni yosalowa kwambiri. Gulu lanu lachipatala lidzasankha njira yoyenera kwa inu.
- Opaleshoni ya robotic yokhala ndi mabala ochepa siipweteka kwambiri ndipo imatha kuchira mwachangu.
- Ngati muli ndi nkhawa kapena mafunso okhudza opaleshoniyi, musazisunge nokha, koma lankhulani momasuka ndi dokotala wanu. Adzakufotokozerani zonse.
- Kutsatira malangizo a dokotala pambuyo pa opaleshoni n'kofunika kwambiri kuti munthu achire msanga.
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