Kodi nthawi zina mumamva ngati muli ndi kulemera pachifuwa panu, ngati muli ndi chifuwa cholimba, kapena ngati mukufooka mukakwera masitepe, kuthamanga basi, kapena ngati mukumva ngati mukufooka? Mungaganize kuti uku ndi kutopa kwachibadwa, koma nthawi zina kungakhale vuto la mtima lotchedwa Hypertrophic Cardiomyopathy . Musadandaule, lero tikulankhula za opaleshoni yopambana kwambiri yotchedwa Septal Myectomy , yomwe imachitika ngati chithandizo cha vutoli. Monga momwe mungafotokozere mnzanu, tiyeni tikambirane chilichonse mwachidule.
Choyamba, tiyeni tiwone chomwe chimatchedwa Hypertrophic Cardiomyopathy ndi chiyani?
Kuti timvetse bwino izi, tiyeni tiyerekeze mtima wathu ndi pampu yamadzi. Ntchito ya pampu ndi kutulutsa madzi m'mapaipi ndikutumiza m'nyumba yonse. Mtima wathu uli choncho, ntchito yake yayikulu ndi kupompa magazi m'thupi lathu lonse.
Pali zipinda zazikulu zinayi mumtima mwathu.
- Tikutcha zipinda ziwiri zapamwamba kuti atria (kumanja ndi kumanzere).
- Timatcha zipinda ziwiri zomwe zili pansi pa mtima kuti ndi ma ventricle (kumanja ndi kumanzere).
Kunena zoona, pali khoma la minofu lomwe limalekanitsa zipinda zakumanzere ndi zakumanja pansipa. Timatcha izi septum . Mu hypertrophic cardiomyopathy, septum iyi, ndiko kuti, khoma ili pakati pa mtima, imakhala yolimba kwambiri kuposa yachibadwa.
Tangoganizirani zomwe zingachitike ngati chitoliro chomwe chili mu pampu yamadzi chitsekeka? Malo oti madzi aziyenda amachepa, ndipo pampuyo imayenera kugwira ntchito molimbika kuti ikankhire madziwo kunja. Ndicho chimene chimachitikanso apa. Septum iyi imakhuthala ndikutuluka mu ventricle yakumanzere. Kenako njira yoti magazi aziyenda kuchokera mu ventricle yakumanzere, chipinda chachikulu chomwe chimapopera magazi kuchokera pamtima kupita ku thupi, imatsekedwa. Chifukwa cha izi, mtima uyenera kugwira ntchito molimbika kwambiri (kugwira ntchito mopitirira muyeso) kuposa masiku onse kuti upompe kuchuluka kwa magazi komwe thupi lonse limafuna.
Matendawa akhoza kukhala matenda a mtima obadwa nawo kwa anthu ena. Izi zikutanthauza kuti amabadwa ndi vutoli. Kwa ena, limatha kukulirakulira m'moyo wawo.
Ndiye opaleshoni iyi yotchedwa Septal Myectomy ndi chiyani?
Mwachidule, Septal Myectomy ndi opaleshoni yotsegula mtima yomwe dokotala wa opaleshoni ya mtima amadula ndikuchotsa gawo lolimba kwambiri la khoma la mtima (septum).
Monga momwe zimakhalira pochotsa chotseka cha paipi yamadzi, pambuyo pa opaleshoni iyi, chotseka cha kuyenda kwa magazi mumtima chimachotsedwa. Kenako mtima ukhoza kupopa magazi mosavuta m'thupi lonse popanda choletsa chilichonse. Ichi ndiye cholinga chachikulu cha opaleshoni iyi.
Kodi opaleshoni iyi ikulangizidwa kwa ndani?
Kawirikawiri, dokotala salimbikitsa opaleshoniyi nthawi yomweyo. Choyamba amayesa kuwongolera zizindikiro mwa kupereka mankhwala. Komabe,
- Kwa iwo omwe zizindikiro zawo (monga kupuma movutikira, kupweteka pachifuwa) sizingathe kuthetsedwa ndi mankhwala.
- Kwa iwo omwe ali ndi khoma lolimba kwambiri kumbali yakumanzere ya mtima, zomwe zimapangitsa kuti magazi aziyenda movutikira kwambiri .
- Azimayi omwe ali ndi Hypertrophic Cardiomyopathy omwe akukonzekera kutenga pakati (ngakhale zizindikiro sizili zazikulu, opaleshoniyi ingalimbikitsidwe ngati njira yodzitetezera chifukwa mtima umapanikizika kwambiri panthawi ya mimba).
Ndi pazochitika ngati izi pamene dokotala adzalankhula nanu ndipo adzasankha kuti opaleshoni iyi ndiyo njira yabwino kwambiri.
Kodi muyenera kuchita chiyani musanachite opaleshoni?
Dokotala wanu adzakupatsani malangizo onse omwe mukufunikira musanachite opaleshoni. Palibe chofunika kwambiri choti muchite, koma pali zinthu zina zomwe muyenera kudziwa.
- Ngati mukumwa mankhwala aliwonse, monga mankhwala ochepetsa magazi , mungapemphedwe kuti musiye kuwamwa masiku angapo opaleshoni isanachitike.
- Ngati ndinu wosuta fodya , ndikofunikira kwambiri kuyesa kusiya musanachite opaleshoni, chifukwa kusuta fodya kumasokoneza njira yochiritsira.
Kuphatikiza apo, mayeso angapo adzachitidwa kuti aone momwe mtima wanu ulili molondola. Izi zimachitika kuti aone momwe mtima wanu ulili wokonzeka musanachite opaleshoni.
| Mayeso | Mwachidule, kodi mumatani nacho? |
|---|---|
| Mayeso a Magazi | Zinthu monga thanzi lanu lonse, impso ndi chiwindi zimayesedwa. |
| X-ray pachifuwa | Yang'anani mawonekedwe ndi kukula kwa mtima ndi mapapo. |
| Kadiyogramu ya Kadiyo (ECG) | Ntchito yamagetsi ya mtima, ndiko kuti, kayendedwe ka kugunda kwa mtima, imayesedwa. |
| Echocardiogram (Echo) | Izi zili ngati kusanthula mtima. Kungathe kuona bwino momwe zipinda, makoma, ndi ma valve a mtima akugwirira ntchito, kuchuluka kwa makomawo, komanso ngati pali zolepheretsa kuyenda kwa magazi. |
| MRI ya mtima | Mayesowa amachitika kuti apeze zithunzi zomveka bwino komanso zatsatanetsatane za minofu ya mtima. |
| Kukonza Catheterization ya Mtima | Kuyezetsa komwe chubu chaching'ono chimadutsa m'mitsempha ya m'dzanja kapena mwendo kupita kumtima kuti aone ngati mitsempha ya magazi ya mtima yatsekeka komanso ngati pali kuthamanga kwa magazi mkati mwa mtima. |
Momwe opaleshoni imachitikira sitepe ndi sitepe
Popeza opaleshoni iyi ndi yotsegula mtima, mudzapatsidwa mankhwala oletsa ululu. Izi zikutanthauza kuti simudzamva kupweteka kulikonse, mudzakhala mu tulo tofa nato. Simudzamva chilichonse kuyambira pachiyambi cha opaleshoni mpaka kumapeto.
Mukagona, gulu la opaleshoni lidzatsatira izi:
1. Kulowa mumtima: Dokotala wa opaleshoni amaduladula pakati pa chifuwa chanu, ndikulekanitsa mosamala fupa la pachifuwa (sternum) pakati kuti alowe mumtima.
2. Kulumikizana ndi Makina Ogwiritsa Ntchito Mtima ndi Mapapo: Kenako, mudzalumikizidwa ndi makina ogwiritsira ntchito mtima ndi mapapo . Iyi ndi makina odabwitsa. Pa opaleshoni, ntchito ya mtima ndi mapapo anu, yomwe imatulutsa magazi m'thupi lonse ndikuwonjezera mpweya m'magazi, imachitika kwakanthawi ndi makinawa. Izi zimathandiza dokotala wa opaleshoni kuyimitsa mtima ndikuchita opaleshoniyo pamalo abata komanso opanda magazi.
3. Kuchotsa gawo lokhuthala: Tsopano pakubwera gawo lalikulu. Dokotala wochita opaleshoni adzadula mosamala kwambiri gawo la minofu yowonjezera ya khoma lokhuthala (septum) la mtima. Izi zimachitika pokhapokha ngati pakufunika kutero kuti achotse choletsa kuyenda kwa magazi.
4. Kusiya kuyamwa: Opaleshoni ikatha, mudzachotsedwa mu makina olumikizirana mtima ndi mapapo, ndipo mtima wanu udzayambanso kugwira ntchito wokha.
5. Kutseka chochekacho:Pomaliza, sternum imalumikizidwanso ndipo chotupa cha pachifuwa chimatsekedwa ndi ma stitches osungunuka.
Opaleshoni yonse nthawi zambiri imatenga pafupifupi maola atatu kapena anayi .
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?
Mukatha opaleshoni, mudzalowetsedwa mwachindunji ku Intensive Care Unit (ICU) , komwe kugunda kwa mtima wanu ndi kuthamanga kwa magazi zidzayang'aniridwa mosamala.
- Kwa maola 24-48 oyambirira, mungakhale ndi catheter ya mkodzo ndi chubu chotulutsira madzi pachifuwa kuti mutulutse madzi ochulukirapo. Musadandaule ndi izi, ndi zakanthawi kochepa.
- Pambuyo pa maola pafupifupi 48, mudzayamba kuyenda pang'onopang'ono mothandizidwa ndi katswiri wodziwa bwino ntchito za thupi.
- Anthu ambiri amakhala m'chipatala kwa masiku osakwana asanu, kenako amatha kupita kunyumba.
Kodi ubwino ndi zoopsa za opaleshoniyi ndi ziti?
Monga opaleshoni iliyonse, pali ubwino ndi zoopsa zazing'ono. Komabe, Septal Myectomy ndi opaleshoni yopambana kwambiri komanso yopanda chiopsezo chachikulu.
| Ubwino waukulu wa opaleshoniyi | |
|---|---|
| Kutha kwa zizindikiro | Pambuyo pa opaleshoni, zizindikiro monga kupuma movutikira (dyspnea), kupweteka pachifuwa (angina), ndi kukomoka (syncope) zidzatha pafupifupi kwathunthu. Mudzatha kukhalanso ndi moyo wokangalika. |
| Kukhala ndi chipambano chachikulu | Opaleshoni iyi yapambana kwambiri. Malinga ndi kafukufuku wina, 94% ya anthu omwe adachitidwa opaleshoniyi adachira ku zizindikiro zawo. |
| Zotsatira za nthawi yayitali | Zotsatira za opaleshoniyi zimakhala zokhalitsa. Pambuyo pa opaleshoniyi, moyo wa wodwalayo wapezeka kuti ndi wofanana ndi wa munthu wathanzi labwinobwino. |
| Mavuto omwe angakhalepo (Zoopsa) - (Izi sizofala) | |
|---|---|
| Madzi ozungulira mtima kapena mapapo | Nthawi zina madzi amatha kusonkhana mozungulira mtima kapena mapapo. Izi nthawi zambiri zimatha kuchiritsidwa ndi mankhwala. |
| Kusokonezeka kwa Atrial | Kugunda kwa mtima kosasinthasintha. Izi nthawi zambiri zimatha kuthetsedwa ndi mankhwala. |
| Kutseka Mtima | Kusokonezeka kwa zizindikiro zamagetsi za mtima. Izi zingayambitse kugunda kwa mtima kosasinthasintha (arrhythmias). Nthawi zina, pacemaker ingafunike kuikidwa ngati chithandizo. |
Kumbukirani, chiopsezo cha mavutowa chimawonjezeka mwa anthu omwe ali ndi matenda ena a mtima, osuta fodya, komanso omwe ali ndi zaka zoposa 65. Mwa munthu wathanzi, chiopsezochi chimakhala chochepa kwambiri.
Kodi mudzamva bwanji mukadzachira?
Mudzayamba kumva bwino kwambiri patatha masiku kapena milungu ingapo mutachita opaleshoni. Mudzaona kusiyana kwake pamene zinthu monga kupuma movutikira zimatha.
- Poyamba, mungamve kupweteka pang'ono kapena kupsinjika pachifuwa chanu, koma sikuyenera kukhala kosapiririka.
- Ndi zachilendo kumva kutopa pang'ono komanso mphamvu zochepa mukatha opaleshoni, koma mphamvu zanu zidzabwerera mwakale mkati mwa milungu ingapo.
Kodi muyenera kupita kwa dokotala liti?
Ndikofunikira kwambiri kuyang'anira kuchira kwanu mukapita kunyumba. Ngati mukukumana ndi zizindikiro zotsatirazi, muyenera kulankhulana ndi dokotala nthawi yomweyo .
| Zizindikiro zoti muzisamala nazo | |
|---|---|
| Mavuto okhudzana ndi kudula | Ngati pali kufiira kosazolowereka, kutupa, kapena kutentha pafupi ndi malo ochitira opaleshoni (kuduladula). |
| Malungo | Ngati kutentha kwa thupi kukwera pamwamba pa 100.4 Fahrenheit (38 Celsius) . |
| Kulemera | Ngati mwadzidzidzi mwawonjezera kulemera kopitilira 2.5 kg (mapaundi 5) pa sabata imodzi (izi zitha kukhala chizindikiro cha kusunga madzi m'thupi). |
| Kuvuta kupuma | Ngati mwadzidzidzi mukuvutika kupuma kapena kupweteka pachifuwa. |
Septal Myectomy ndi opaleshoni yaikulu. Koma ndi njira yopambana kwambiri komanso yosinthira moyo wa Hypertrophic Cardiomyopathy. Pambuyo pa opaleshoni iyi, mudzatha kukhala moyo wabwinobwino popanda mantha, popanda kutopa, kachiwiri. Ngati muli ndi zizindikiro izi, musazengereze kulankhula ndi dokotala wanu, pitani mayeso ofunikira, ndikufunsani zambiri za izi.
Uthenga Wopita Nawo Kunyumba
- Septal Myectomy ndi opaleshoni yotsegula mtima yomwe imachitidwa pa matenda a Hypertrophic Cardiomyopathy , pomwe khoma la mtima limakhala lolimba kwambiri.
- Opaleshoni iyi ikuphatikizapo kudula gawo lina la khoma la mtima lokhuthala, kuchotsa cholepheretsa kuyenda kwa magazi mumtima.
- Opaleshoni imeneyi nthawi zambiri imalimbikitsidwa kwa anthu omwe zizindikiro zawo sizingathe kuthetsedwa ndi mankhwala.
- Iyi ndi njira yopambana kwambiri komanso yotsika mtengo. Anthu ambiri amapeza mpumulo wonse ku zizindikiro pambuyo pa opaleshoni.
- Kuchira pambuyo pa opaleshoni kumatenga milungu ingapo, ndipo ndikofunikira kwambiri kutsatira malangizo a dokotala panthawiyo.
- Ngati mukupeza zizindikiro zachilendo, monga kutupa kwa chotupacho, kutentha thupi, kapena kunenepa mwadzidzidzi, dziwitsani dokotala wanu nthawi yomweyo.
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