Kodi nthawi zambiri mumamva kutopa komanso kupuma movutikira? Mwina mumamva kupsinjika kwachilendo kapena kupsinjika pachifuwa chanu mukayenda mtunda waufupi kapena kukwera masitepe? Izi zitha kukhala chifukwa cha vuto la kampata kakang'ono mumtima mwanu, kotchedwa valavu. Zingakhale zovutitsa kudziwa kuti pali vuto ndi mtima wanu. Koma nkhani yabwino ndi yakuti kukonza mavalavu kapena opaleshoni yosinthira kungapangitse moyo wanu kukhala wosavuta ndikukupatsani mphamvu zochitira zinthu zomwe mumakonda.
Kodi valavu ya Tricuspid ndi chiyani?
Mwachidule, mtima wathu uli ngati nyumba yokhala ndi zipinda zinayi. Pali zitseko pakati pa zipinda izi kuti magazi aziyenda mozungulira ndi mtsogolo. Zitseko izi ndi zomwe timatcha ma valve mu zamankhwala. Valavu ya tricuspid ndi chitseko pakati pa chipinda chapamwamba (right atrium) ndi chipinda chapansi (right ventricle) kumbali yakumanja ya mtima. Ili ndi ma flaps atatu (tipepala). Ntchito yake yayikulu ndikulola magazi kuyenda mbali imodzi yokha, ndiko kuti, kuchokera pamwamba mpaka pansi, ndikuletsa kwathunthu kuti asayende mmwamba.
Ndi mitundu yanji ya matenda yomwe imafuna opaleshoni iyi?
Kukonza kapena kusintha ma valvu a tricuspid ndikofunikira pa matenda awiri akuluakulu.
| Matenda | Mwachidule... |
|---|---|
| Kubwezeretsa kwa Tricuspid | Vavu siitseka bwino, kotero magazi amabwerera m'chipinda chapamwamba. |
| Matenda a Tricuspid Stenosis | Ma valve flaps amakhuthala ndipo amamatira, zomwe zimapangitsa kuti magazi azivuta kupita patsogolo, kutanthauza kuti, kupita ku chipinda chapansi. |
Izi zikachitika, mtima wanu uyenera kugwira ntchito molimbika kuposa masiku onse kuti upope magazi omwe thupi lanu limafuna. Ichi ndi chifukwa chachikulu chomwe mumakumana ndi zizindikiro monga kutopa kosalekeza, kupuma movutikira, komanso kutupa miyendo. Ngati vutoli lipitirira, pamapeto pake lingayambitse kulephera kwa mtima.
Kodi ndi bwino kukonza valavu kapena kuisintha?
Kawirikawiri, chisankho choyamba cha madokotala ndi kukonza valavu yanu ndikusunga minofu yanu. Komabe, ngati valavu ndi minofu yozungulira yawonongeka kwambiri , valavu yatsopano ingafunike kusinthidwa.
Dokotala wanu wa opaleshoni ndi dokotala wa mtima adzasankha chomwe chili chabwino kwa inu atatha kufufuza bwino vuto lanu.
Pali mitundu iwiri ikuluikulu ya ma valve atsopano.
| Mtundu wa valavu | Kodi chinapangidwa ndi chiyani? | Mfundo zapadera |
|---|---|---|
| Valavu Yachilengedwe | Kuchokera ku minofu ya nyama (monga nkhumba, ng'ombe) kapena kuchokera kwa munthu amene wamwalira. | Nthawi zambiri zimakhala zaka 10-20. Nthawi zambiri, simuyenera kumwa mankhwala ochepetsa magazi kwa moyo wanu wonse. |
| Valavu ya Makina | Kuchokera ku zinthu zopangidwa (monga chitsulo, kaboni). | Zimakhalapo kwa moyo wonse. Komabe, chifukwa cha chiopsezo cha magazi kuundana , muyenera kumwa mankhwala oletsa magazi kuundana moyo wanu wonse. |
Kodi mumakonzekera bwanji musanachite opaleshoni?
Opaleshoni ngati iyi isanachitike, gulu lanu lachipatala lidzakukonzekeretsani bwino musanachite opaleshoni.
- Lankhulani ndi dokotala wanu mosamala za opaleshoniyi ndi zoopsa zake, ndipo funsani mafunso aliwonse omwe muli nawo.
- Yesani mayeso ofunikira kuti muwone ngati ndinu woyenera opaleshoni. Izi zingaphatikizepo kuyezetsa magazi , ECG (electrocardiogram) , echocardiogram (kujambula mtima), ndi X-ray pachifuwa .
- Saina fomu yovomereza opaleshoni.
- Ndikofunikira kwambiri kukonzekera pasadakhale kuti wina azikusamalirani komanso mankhwala ofunikira mukabwerera kunyumba mutachita opaleshoni.
Kodi opaleshoniyi imachitidwa bwanji? (Opaleshoni Yotseguka Mtima)
Kawirikawiri, opaleshoni imeneyi imachitika ngati opaleshoni yotsegula mtima.
1. Choyamba, mudzagonedwa ndi tulo tofa nato.
2. Kenako dokotalayo amadula pakati kapena mbali ya chifuwa kuti afike pamtima.
3. Mankhwala amaperekedwa kuti aletse kugwira ntchito kwa mtima kwakanthawi. Musadandaule, thupi lanu limapatsidwa magazi ndi makina apadera (makina odulira mtima ndi mapapo) panthawiyi.
4. Dokotala wa opaleshoni ndiye amakonza kapena kusintha valavu.
Kodi n'zotheka kuchita opaleshoni iyi popanda kudula pachifuwa?
Inde, ndi ukadaulo wapamwamba wamakono, nthawi zina opaleshoni iyi ikhoza kuchitidwa popanda kudula kwakukulu, kudzera m'mabala ang'onoang'ono. Timatcha njira izi kuti 'Zosavulaza Kwambiri'.
- Kuchotsa chifuwa chamanja: Kudula pang'ono kumapangidwa mbali yakumanja ya chifuwa, pakati pa nthiti ziwiri.
- Opaleshoni yothandizidwa ndi loboti: Opaleshoni yomwe dokotala wa opaleshoni amachita yekha kudzera m'mabala angapo ang'onoang'ono pogwiritsa ntchito ukadaulo wa roboti.
- Njira ya Transcatheter: Mu njira iyi, chubu (catheter) chimalowetsedwa mumtima kudzera mu mtsempha wamagazi m'mimba, nthawi zambiri popanda kudula, kuti akonze valavu kapena kuisintha ndi yatsopano. Nthawi yochira pambuyo pa njira iyi ndi yochepa kwambiri.
Kodi ubwino ndi zoopsa zomwe zingachitike chifukwa cha opaleshoniyi ndi ziti?
Monga opaleshoni iliyonse, opaleshoni iyi ili ndi ubwino komanso zoopsa zina.
| Ubwino | Zoopsa |
|---|---|
| Zizindikiro (kutopa, kupuma movutikira, kutupa kwa miyendo) zimatha. | Kutuluka magazi |
| Kukhala ndi moyo wathanzi pamene mukugwira ntchito za tsiku ndi tsiku. | Magazi amaundana |
| Kuwonjezeka kwa moyo. | Kusakhazikika kwa kugunda kwa mtima (Arrhythmia) |
| Kuletsa kufooka kwa mtima. | Matenda |
| Stroke, kulephera kwa impso. |
Ngakhale kuti pali zoopsa zimenezi, magulu azachipatala amachita zonse zomwe angathe kuti achepetse zoopsazi. Akaganizira ubwino wa opaleshoniyi, zoopsa zimenezi nthawi zambiri zimakhala zofunika kuziganizira.
Ndiyenera kuyimbira dokotala nthawi yanji?
Mukafika kunyumba mutachita opaleshoni, muyenera kusamalira bwino thupi lanu. Ndikofunikira kudziwa ngati pali vuto lililonse msanga.
| Zizindikiro zoti muzisamala nazo | |
|---|---|
| Uzani dokotala wanu ngati muli ndi zizindikiro izi mutachita opaleshoni. | |
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| Izi zitha kukhala zizindikiro za matenda: | |
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| Izi ndi zadzidzidzi! Pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) ya chipatala nthawi yomweyo! | |
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Uthenga Wopita Nawo Kunyumba
- Matenda a tricuspid valve amawonjezera kupsinjika kwa mtima, ndipo opaleshoni imatha kukonza izi ndikupangitsa moyo kukhala wosavuta.
- Nthawi zambiri, kukonza valavu yanu ndiyo njira yabwino kwambiri. Ngati sizingatheke, valavu yosinthira ndiyo njira yabwino kwambiri.
- Ngati valavu yamakina yayikidwa, muyenera kumwa mankhwala oletsa magazi kuundana kwa moyo wanu wonse kuti mupewe kuundana kwa magazi.
- Tsopano, opaleshoni iyi ikhoza kuchitika popanda kudula pachifuwa, kudzera m'mabala ang'onoang'ono, kapena kugwiritsa ntchito catheter. Funsani dokotala wanu za izi.
- Onetsetsani kuti mwadziwitsa dokotala wanu za zizindikiro zilizonse zachilendo zomwe zimachitika mutachita opaleshoni. Ngati pachitika ngozi, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) ya chipatala chapafupi.
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