Mungachite mantha pang'ono dokotala wanu akakuuzani kuti muli ndi vuto la valavu mumtima mwanu ndipo ikufunika kusinthidwa. Mungakhale mukuganiza kuti, "O, kodi iyi ndi opaleshoni yayikulu yomwe ingatsegule chifuwa chanu?" N'zoona kuti opaleshoni yotereyi ndi yoopsa pang'ono ndipo imatenga nthawi yayitali kuti ichiritse. Koma lero tikambirana za ukadaulo wamakono womwe umakulolani kusintha valavu ya mtima popanda opaleshoni yayikulu yotere, koma kudzera mu kudula pang'ono chabe. Izi zimatchedwa TAVR.
Kodi TAVR ndi chiyani? Tiyeni timvetse mosavuta.
Tanthauzo lonse la TAVR ndi Transcatheter Aortic Valve Replacement . Nthawi zina imatchedwanso TAVI (Transcatheter Aortic Valve Implantation). Izi ndi zomwezi.
Mwachidule, izi zikutanthauza kusintha valavu yayikulu mumtima mwanu, valavu ya aorta, popanda kutsegula chifuwa chanu.
Ganizirani mtima wanu ngati pompu yamadzi m'nyumba. Monga momwe pompu iyi imatumizira madzi m'nyumba yonse, mtima umapompa magazi oyera, okhala ndi mpweya wambiri m'thupi lonse. Chipata chachikulu chomwe magazi awa amatuluka mumtima ndi valavu ya mtsempha wamagazi . Ichi chili ngati chitseko chomwe chimatsegula njira imodzi yokha. Chimatsegula magazi akatuluka, ndikutseka akamayesa kubwerera. Iyi ndi ntchito yofunika kwambiri.
Ndi matenda amtundu wanji omwe amafunika opaleshoni ya TAVR?
Chifukwa chachikulu chochitira TAVR ndi vuto lotchedwa Aortic Stenosis . Izi zikutanthauza kuti valavu ya Aortic yomwe takambiranayi yatsekedwa kapena yachepa . Zili ngati zitseko ziwirizi sizimatsegulidwa bwino, koma zimangotsegulidwa pang'ono.
Pali zifukwa zingapo zazikulu zomwe valve imatha kukanikira motere:
- Ukalamba: Mukakula, kupitirira zaka 70, valavu imatha kukhuthala ndikulephera kugwira ntchito bwino chifukwa cha calcium yambiri. Ichi ndiye chifukwa chofala kwambiri.
- Matenda ena: Mwa anthu ena, valavu iyi imatha kufooka mwachangu chifukwa cha matenda monga matenda a mtima obadwa nawo (monga Bicuspid Aortic Valve) kapena matenda a mtima otupa mafupa omwe amayamba ali ana.
Kodi chimachitika n’chiyani valavu ikatsekeka chonchi? Mtima uyenera kugwira ntchito molimbika kuti upompe magazi m’thupi lonse. Zili ngati kuika katundu wowonjezera pa injini kuti ipompe madzi kudzera mu chitoliro chotsekeka. Izi zikachitika kwa nthawi yayitali, minofu ya mtima imafooka, zomwe zimapangitsa kuti mtima usagwire bwino ntchito.
Kodi muyenera kuchita chiyani musanachite TAVR?
Ngati mwasankha kuchita TAVR, dokotala wanu adzayesa kangapo pasadakhale kuti aone momwe mtima wanu ulili komanso kuti adziwe mavuto omwe angabwere panthawi ya opaleshoni.
Kutengera ndi zotsatira za mayesowa, dokotalayo adzapanga chisankho chomaliza ngati opaleshoni ya TAVR kapena opaleshoni yotsegula pachifuwa ndi yabwino kwa inu.
| Dzina la mayeso | Mwachidule, kodi mumatani nacho? |
|---|---|
| Mayeso a Magazi | Zinthu monga thanzi la thupi lonse ndi ntchito ya impso zikuganiziridwa. |
| Echocardiogram (Echo Scan) | Uku ndi kusanthula mtima. Amaona momwe ma valve akugwirira ntchito komanso momwe alili olimba. |
| Electrocardiogram (EKG) | Kagwiridwe ka ntchito yamagetsi ya mtima (rhythm) kamayesedwa. |
| CT Scan kapena MRI Scan | Zithunzi za mtima ndi mitsempha yamagazi za mbali zitatu (3D) zimatengedwa kuti ziyeze bwino kukula kwa ma valve ndi malo a mitsempha yamagazi. |
| Kukonza Catheterization ya Mtima | Amafufuza ngati pali zina zomwe zatsekeka m'mitsempha ya mtima zomwe zimapatsa magazi kumtima. |
Pambuyo pa mayeso awa, dokotala adzakambirana nanu za opaleshoni, mankhwala oletsa ululu, ndikuyankha mafunso aliwonse omwe mungakhale nawo. Mudzapemphedwa kuti musiye kudya ndi kumwa maola 4-6 opaleshoni isanachitike.
Kodi opaleshoni ya TAVR imachitidwa bwanji?
Popeza iyi si opaleshoni yowonjezera mawere, simuyenera kukhala osadziwa kalikonse. Nthawi zambiri, mudzapatsidwa mankhwala omwe amakupangitsani kugona pang'ono (kugona pang'ono). Kuti musamve kupweteka kulikonse.
Opaleshoniyi imachitika pang'onopang'ono motere:
1. Dokotala wa matenda a mtima amadula pang'ono kwambiri pa ntchafu yanu yapamwamba (kapena kwina kulikonse pakhosi kapena pachifuwa).
2. Chubu chopyapyala kwambiri komanso chosinthasintha chotchedwa catheter chimadutsa mu incision, kudzera mu mtsempha waukulu wamagazi, ndikulowa mumtima.
3. Kuchokera mkati mwa chubu ichi ndi pomwe valavu yatsopano imapindidwa kukhala chidutswa chaching'ono ndikuyikidwa mumtima momwe valavu yakale, yotsekeka ili.
4. Vavu yatsopano ikangoyikidwa pamalo pake, imakulitsidwa. Kenako imalowa m'malo mwake. Vavu yakale siichotsedwa , imakankhidwira pambali ndi vavu yatsopano.
5. Yang'anani ngati valavu yatsopano ikugwira ntchito bwino komanso ngati pali kutuluka kwa magazi.
6. Pomaliza, catheter imachotsedwa, kudulako pang'ono kumatsekedwa ndi kusoka kamodzi kapena kawiri, ndipo bandeji imayikidwa.
Ntchito yonseyi nthawi zambiri imatenga ola limodzi kapena awiri .
Kodi ubwino ndi zoopsa za opaleshoni ya TAVR ndi ziti?
TAVR ili ndi ubwino wambiri kuposa opaleshoni ya mtima yachikhalidwe.
Ubwino waukulu
- Palibe kudula kwakukulu: Palibe chifukwa chodula fupa la pachifuwa kapena kuchotsa nthiti. Pali kudula pang'ono kwambiri.
- Kuchira mwachangu: Popeza palibe kuvulala kwakukulu, ululu umakhala wochepa, thupi limavutika pang'ono, komanso kuchira mwachangu.
- Kukhalitsa kwakanthawi kuchipatala: Nthawi zambiri , mutha kupita kunyumba tsiku lomwelo mutachita opaleshoni. Mungafunike kukhala masiku awiri kapena atatu.
- Yoyenera odwala omwe ali pachiwopsezo chachikulu: Njira iyi ndi njira yabwino kwambiri kwa iwo omwe ndi okalamba kwambiri, ali ndi matenda ena ambiri, ndipo sangathe kupirira opaleshoni yayikulu.
Zochitika zoopsa
Monga momwe zimakhalira ndi njira ina iliyonse yachipatala, TAVR ili ndi zoopsa zazing'ono. Komabe, chifukwa cha ukadaulo wapamwamba wamakono, mwayi woti izi zichitike ndi wochepa kwambiri .
- Mphamvu yamagetsi ya mtima yakhudzidwa, mwina ingafunike kuyika pacemaker .
- Magazi pang'ono akutuluka m'mbali mwa valavu yatsopano.
- Chiopsezo chochepa cha sitiroko.
- Kutuluka magazi kapena matenda pamalo obayidwa.
- Kuwonongeka kwa impso kapena mitsempha yamagazi.
Dokotala wanu adzakukambiranani zonsezi ndikukufotokozerani momwe zimagwirira ntchito pa vuto lanu komanso zoopsa zake.
Kuchira pambuyo pa opaleshoni ndi njira zodzitetezera
Pambuyo pa opaleshoni, mudzagonekedwa pabedi kwa maola angapo kuti mupumule. Mitsempha yamagazi yomwe idadulidwa idzamangiriridwa kuti magazi asiye kutuluka. Mudzapatsidwa mankhwala oletsa matenda komanso oletsa magazi kuundana.
Mukapita kunyumba, pewani kunyamula katundu kapena kuchita zinthu zolemetsa kwa sabata imodzi kapena ziwiri. Mutha kubwerera ku zochita zanu zachizolowezi patatha milungu iwiri. Zingatenge milungu 6 mpaka 10 kuti muchire bwino.
Kuphatikiza apo, mudzatumizidwa ku pulogalamu yochiritsira matenda a mtima , yomwe ili ngati pulogalamu yapadera yochita masewera olimbitsa thupi yomwe dokotala wakupatsani kuti mulimbitse mtima wanu.
Ngati muli ndi zizindikiro izi, imbani dokotala nthawi yomweyo!
Ngati mukumva zizindikiro zotsatirazi mutabwerera kunyumba, onetsetsani kuti mwadziwitsa dokotala wanu.
| Chizindikiro | Kufotokozera |
|---|---|
| Malungo | Kungakhale chizindikiro cha matenda m'thupi. |
| Kusintha kwa malo odulidwa | Kuwonjezeka kwa ululu, kutuluka magazi, kuvulala, kufiira, kapena kutupa. |
| Kupweteka pachifuwa | Kupweteka pachifuwa kwatsopano kapena kwachilendo. |
| Kuvuta kupuma | Kupuma movutikira ngakhale mutachita khama pang'ono. |
| Chizungulire | Kumva chizungulire kapena kukomoka. |
Uthenga Wopita Nawo Kunyumba
- TAVR ndi njira yapamwamba yachipatala yomwe imalowa m'malo mwa valavu ya aorta ya mtima kudzera mu kudula pang'ono, popanda kutsegula chifuwa.
- Izi zimapangitsa kuti ululu uchepe, munthu achire msanga, komanso kuti nthawi yake ikhale yochepa kuchipatala.
- Iyi ndi njira yabwino kwambiri, makamaka kwa okalamba komanso omwe ali ndi matenda ena ndipo sangathe kupirira zoopsa za opaleshoni yotseguka.
- TAVR si yoyenera aliyense. Ndikofunikira kulankhula ndi dokotala wanu wa mtima kuti mudziwe chithandizo chomwe chili chabwino kwa inu.
- Kutsatira malangizo a dokotala mutachita opaleshoni komanso kupita kukaonana ndi dokotala nthawi yotsatila ndikofunika kwambiri kuti munthu achire msanga.
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