Tiyeni tiphunzire za njira yosinthira mizu ya mtsempha wamagazi pogwiritsa ntchito valve.

Kodi dokotala wanu wakuuzani kuti muzu wa mtsempha wanu wa mtima wakula pang'ono ndipo mukufunika opaleshoni? Ndizachibadwa kumva mantha pang'ono komanso nkhawa mukamva zimenezo. Ndani sakonda mawu oti "opaleshoni ya mtima"? Koma musadandaule. Ukadaulo wapita patsogolo kwambiri masiku ano. Lero, tikambirana za opaleshoni yapadera komanso yopambana yomwe imathetsa vutoli popanda kuchotsa gawo lamtengo wapatali kwambiri la mtima wanu, lomwe ndi 'valavu' yanu yachilengedwe.

Kodi Kubwezeretsa Mizu ya Aortic Yoteteza Valve-Saring ndi Chiyani?

Kuti timvetse izi, choyamba tiyeni tiwone momwe mtima umagwirira ntchito. Ganizirani mtima wanu ngati pompu yamadzi m'nyumba mwanu. Pampu iyi imapopa magazi m'thupi lanu lonse.

• Mtsempha wa magazi: Uwu ndi payipi yayikulu, yayikulu kwambiri yomwe imatuluka mumtima. Imanyamula magazi kupita ku thupi lonse.
• Muzu wa mtsempha wamagazi: Iyi ndi gawo loyamba la mtsempha waukulu womwe umalumikizana ndi mtima. Zili ngati pamene mumalumikiza chubu ku mota.
• Valavu ya Mtsempha wa Mtsempha: Iyi ndi gawo lofunika kwambiri m'nkhaniyi. Pamene ikugwirizana ndi mtima, pali gawo lomwe limagwira ntchito ngati chitseko. Pamene mtima ukupompa magazi, chitseko ichi chimatseguka, kutulutsa magazi. Kenako chitseko ichi chimatsekedwa kuti magazi asabwererenso mumtima. Ichi ndi chomwe timachitcha `(Valavu ya Mtsempha wa Mtsempha)`.

Tsopano, mwa anthu ena, muzu wa mtsempha waukulu uwu womwe umalumikizana ndi mtima, `(Muzu wa Aortic),` umakhala wofooka pang'ono ndipo umayamba kuphulika ndikukula ngati baluni. Timatcha izi `(Aortic Root Aneurysm)`. Ukakula motere, chitseko chimenecho, valavu imeneyo, sichitseka bwino. Kenako magazi amayamba kutuluka m'mbuyo, `(Aortic Regurgitation)`.

Kale, pamene vuto lamtunduwu linkabuka, madokotala ankachotsa muzu wa aortic ndi valavu ya aortic, n’kuikamo muzu ndi valavu yopangira aortic. Opaleshoni imeneyi imatchedwa Bentall procedure .

Ndi matenda ati omwe amachiritsidwa ndi opaleshoni iyi?

Opaleshoni iyi imachitika makamaka pa vuto lotchedwa `(Aortic Root Aneurysm)`. Izi zikutanthauza kuti muzu wa aorta watupa ngati baluni. Izi zitha kukhala zoopsa, chifukwa ngati utakula kuposa malire enaake, ukhoza kuphulika (kusweka) kapena kung'ambika (kusweka kwa aorta).

Anthu ena ali ndi matenda a majini olumikizana ndi minofu, monga Marfan syndrome. Anthu omwe ali ndi matendawa ali pachiwopsezo chachikulu chokhala ndi aneurysm ya mizu ya aorta.

Ndani woyenera opaleshoni iyi?

Dokotala wanu adzachita mayeso osiyanasiyana kuti adziwe ngati ndinu woyenera opaleshoniyi. Kawirikawiri, mungakhale woyenera opaleshoniyi.

• Ngati Aortic Valve yanu ili ndi calcium yochepa kwambiri kapena ilibe calcium.
• Pokhapokha ngati valavu yawonongeka kwambiri.
• Ngati valavu ikugwira ntchito bwino, kapena ikhoza kukonzedwa ndi kukonzanso pang'ono.
• Opaleshoni iyi imalimbikitsidwa makamaka kwa anthu osakwana zaka 75 komanso omwe ali ndi matenda a majini.

Kodi mumakonzekera bwanji musanachite opaleshoni?

Popeza iyi ndi opaleshoni yaikulu, ndikofunikira kwambiri kukonzekera bwino. Dokotala wanu adzakupatsani malangizo omveka bwino okhudza izi.

• Mankhwala: Muyenera kuuza dokotala wanu za mankhwala aliwonse omwe mukumwa panopa. Iye angakupempheni kuti musiye kapena kusintha mankhwala ena (makamaka ochepetsa magazi) musanachite opaleshoni.
• Kusala Kudya: Mudzapemphedwa kuti musadye kapena kumwa chilichonse pakati pausiku usiku woti opaleshoni ichitike. Musamwe ngakhale madzi.
• Mayeso: Dokotala adzalamula mayeso angapo kuti akonze opaleshoniyo.
• Echocardiogram (kujambula mtima)
• Kuyezetsa magazi
• Kujambula kwa CT kotetezedwa ndi EKG
• MRI ya Mtima
• Angiogram ya Mitsempha ya Mtima
• Kusuta: Ngati ndinu wosuta fodya, ndikofunikira kuti musiye kusuta fodya mwezi umodzi musanachite opaleshoni.
• Funsani mafunso: Kambiranani momasuka ndi dokotala wanu za nkhawa kapena mantha aliwonse omwe muli nawo. Zidzakhala zosangalatsa kwambiri kudziwa chilichonse momveka bwino.

Kodi opaleshoniyi imachitidwa bwanji?

Opaleshoni imeneyi nthawi zambiri imatenga pakati pa maola 4 ndi 6. Ikachitidwa ndi dokotala wodziwa bwino ntchito, mtima umayima kwa kanthawi kochepa, pafupifupi ola limodzi. Masitepe ofunikira pakuchita izi ndi awa.

1. Mankhwala Oletsa Kupweteka: Choyamba, mudzapatsidwa mankhwala oletsa kuvutika kuti mugone tulo tofa nato. Kuti musamve kupweteka kulikonse.

2. Kutsegula chifuwa: Dokotala amadula pakati pa chifuwa (median sternotomy) kuti afike pamtima.

3. Makina ogwiritsira ntchito mtima ndi mapapo: Kenako, mudzalumikizidwa ku makina ogwiritsira ntchito mtima ndi mapapo (makina ogwiritsira ntchito mtima ndi mapapo). Makinawa adzagwira ntchito ya mtima ndi mapapo anu panthawi ya opaleshoni. Adzakupatsaninso mankhwala oletsa mtima wanu kwakanthawi.

4. Kulekanitsa ma valavu: Dokotala wa opaleshoni adzalekanitsa mosamala valavu yanu ya aortic ndi minofu yozungulira.

5. Kukonza:Ngati pali kuwonongeka pang'ono kwa ma valve flaps, amakonzedwa nthawi yomweyo.

6. Kuchotsa gawo lowonongeka: Gawo lotupa ndi lowonongeka la `(Aortic Root)` limadulidwa ndikuchotsedwa.

7. Kuika chubu chopangira: M'malo mwake, chubu chopangira ``graft`` chopangidwa ndi nsalu yapadera chimatengedwa, kupangidwa kukula koyenera kwa inu, ndikuyikidwa pamalopo.

8. Kulumikizanso valavu: Kenako , valavu yanu yachilengedwe , yomwe idachotsedwa mosamala, imayikidwa mkati mwa chubu chatsopanocho ndikusokedwa pamodzi (kubwezeretsanso).

9. Kuyang'ana: Yang'anani ngati zonse zili bwino, ngati valavu imatsegulidwa ndi kutsekedwa bwino, komanso ngati pali kutuluka kulikonse.

10. Kutseka: Mitsempha ya mtima yomwe imapereka magazi kumtima imalumikizidwa ndi graft yatsopano. Mumachotsedwa mu makina a mtima ndi mapapo ndipo mtima wanu ukayambanso kugwira ntchito, chotupa chomwe chili pachifuwa chanu chimatsekedwa.

11. Kuyezetsa komaliza: Asanatulutsidwe m'chipinda chochitira opaleshoni, ``transesophageal echocardiogram'' imachitidwa kuti itsimikizire kuti opaleshoniyo yapambana.

Kusintha kwamakono mu opaleshoni

M'kupita kwa nthawi, madokotala awonjezera njira zatsopano kuti opaleshoniyi ipambane.

• Kuchepetsa kwa annulus: Mwachidule, maziko omwe amasunga valavu (aortic annulus) amakanikizidwa kuti agwirizane ndi thupi lanu. Izi zidzateteza magazi kuti asatuluke kuchokera ku valavu mtsogolo.
• Kupanga Ma Sinuses Atsopano a Aortic (Neosinuses): Muzu wa aorta wachilengedwe uli ndi kugwedezeka pang'ono. Popeza graft yatsopanoyi ndi chubu cholunjika, imapanganso kugwedezeka pang'ono. Izi zimapangitsa kuti magazi aziyenda mwachibadwa komanso zimachepetsa kuwonongeka kwa timapepala ta valavu.

Kodi ubwino wa opaleshoniyi ndi wotani?

Opaleshoni iyi ili ndi ubwino waukulu wambiri poyerekeza ndi opaleshoni yachikhalidwe ya Bentall (yomwe imaphatikizapo kusintha valavu pamodzi ndi valavu).

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire pambuyo pa opaleshoni?

Pambuyo pa opaleshoni, mudzasungidwa m'chipinda chosamalira odwala kwambiri (ICU) kwa tsiku limodzi kapena awiri, kenako mudzasamutsidwira ku chipinda chogona. Nthawi zambiri mumatha kupita kunyumba kuchokera kuchipatala pakatha masiku 4 mpaka 7.

Panthawiyi,

• Kutenga nawo mbali mu pulogalamu yothandiza anthu odwala matenda a mtima ndi lingaliro labwino kwambiri. Kudzakuthandizani kuchira msanga komanso kukhala olimba.
• Dokotalayo akuti musachite chilichonse monga kunyamula zolemera kapena kuyendetsa galimoto kwa milungu pafupifupi 6.
• Kukumana ndi dokotala nthawi zonse: Simungaganize kuti muyenera kukaonananso ndi dokotala wanu mukachira. Koma ndikofunikira kutero . Ndikofunikira kuti matenda a mtima wanu aziyang'aniridwa nthawi zonse.

Nthawi yoti muyimbire dokotala nthawi yomweyo

Mukabwerera kunyumba, ngati mukupeza zizindikiro zotsatirazi, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala chapafupi.

Ndizachibadwa kumva mantha musanachite opaleshoni yaikulu. Koma kumbukirani, opaleshoniyi ikuchitika kuti ipulumutse moyo wanu ndikukuthandizani kukhala ndi thanzi labwino kwa nthawi yayitali. Lankhulani ndi achibale anu ndi anzanu za izi. Thandizo lawo lidzakhala mphamvu yayikulu kwa inu panthawiyi.