Kodi ma valve a mtima wanu ndi ochepa? Tiyeni tikambirane za valvuloplasty!

Mtima wathu uli ngati zipinda zinayi m'nyumba. Pali zitseko pakati pa zipindazi zomwe zimalola magazi kuyenda mozungulira. Timazitcha "Ma Valuvu a Mtima". Nthawi zina zitseko izi sizimatsegulidwa bwino ndipo zimakhala zopapatiza. Kenako mtima umayenera kugwira ntchito molimbika kuti upompe magazi. Lero tikulankhula za njira yochizira yomwe imagwiritsa ntchito chinthu ngati baluni kuti ikule valavu yopapatiza.

Kodi valvuloplasty kwenikweni ndi chiyani?

Mwachidule, Valvuloplasty ndi njira yokulitsa kapena kukulitsa valavu ya mtima yopapatiza. Izi zimachitika kuti magazi asatsekeke pamene valavu ya mtima sikugwira ntchito bwino.

Izi zimatchedwanso `Balloon Valvuloplasty`. Chifukwa chake n'chakuti dokotala wanu akamachita chithandizochi, amagwiritsa ntchito chubu choonda kwambiri (`Catheter`) chokhala ndi buluni kakang'ono komwe kamalumikizidwa kumapeto. Chubuchi chimalowetsedwa mu valavu yopapatiza mumtima mwanu ndipo buluniyo imadzaza. Kenako valavu yopapatiza imakula, zomwe zimathandiza kuti magazi ayende mosavuta kachiwiri.

Anthu ena amatchanso izi kuti `Valvotomy`. Chithandizo cha balunichi chimatchedwanso `Open-heart surgery` kuti chikulitse valavu. Koma lero tikulankhula za njira yopanda opaleshoni ya baluni.

Ndi nthawi ziti pamene chithandizochi chimafunika?

Valvuloplasty ndi njira yomwe imachitika kuti iwonjezere valavu ya mtima ikachepa (stenosis). Njirayi ikhoza kuchitika pa valavu iliyonse inayi yomwe ili mumtima mwathu. Komabe, nthawi zambiri imachitidwa pa valavu ziwiri, Mitral ndi Aortic.

Kodi mumakonzekera bwanji musanalandire chithandizo?

Dokotala wanu adzakupatsani malangizo omveka bwino a momwe mungakonzekerere izi. Nthawi zambiri, muyenera kuchita izi:

• Musadye kapena kumwa chilichonse usiku usanafike chithandizo (kusala kudya).
• Ngati mukumwa mankhwala aliwonse, monga mankhwala oletsa magazi kutuluka magazi, asiyeni monga momwe dokotala wanu wanenera.
• Siyani zodzikongoletsera zachitsulo ndi mano opangidwa ndi chitsulo ochotsedwa kunyumba.

Mukapita kuchipatala, gulu lachipatala lidzakupatsani mankhwala (`anesthesia`) kuti akuthandizeni kupumula. Nthawi zambiri, mudzakhala maso panthawi ya chithandizochi, koma adzachita zonse zomwe angathe kuti musamve kupweteka kulikonse.

Momwe chithandizochi chimagwirira ntchito pang'onopang'ono

Chithandizochi chimachitidwa ndi dokotala wa mtima. Nthawi zambiri chimatenga ola limodzi kapena kuposerapo. Nazi zina zomwe zimachitika panthawi ya chithandizo:

1. Chubu choonda kwambiri (chophimba) chimalowetsedwa kudzera mu mtsempha waukulu wamagazi m'mimba mwanu, mkono, kapena phewa.

2. Kenako, catheter yokhala ndi baluni yosapsa kumapeto imadutsa mu chubu chomwe chinayikidwa kale kupita mumtima.

3. Katheta iyi imatsogozedwa kumalo oyenera, ndipo madzi apadera (utoto wosiyana) amabayidwa pamene akuonedwa pogwiritsa ntchito ukadaulo wojambulira zithunzi monga X-ray.

4. Pamene katheta ifika pa valavu yopapatiza, baluni imadzazidwa ndi mpweya. Vavu yopapatiza imakula.

5. Kenako, mpweya womwe uli mu baluni umatuluka ndipo catheter ndi baluni zimachotsedwa.

6. Pomaliza, malo oikirapo catheter amatsekedwa ndi ulusi waung'ono kapena mtundu wapadera wa guluu.

Nthawi zina, ngati pali chiopsezo chotuluka magazi, chidebe chomwe chinayikidwa poyamba chingasiyidwe pamalo pake kwa maola pafupifupi asanu ndi limodzi.

Kodi ubwino ndi zoopsa zake ndi ziti?

Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali ubwino komanso zoopsa zake. Ndikofunikira kumvetsetsa bwino zonse ziwiri.

Zinthu zomwe zimakukhudzani zimadalira thanzi lanu lonse, choncho lankhulani ndi dokotala wanu za izi ndipo funsani mafunso aliwonse omwe mungakhale nawo.

Nthawi yochira pambuyo pa chithandizo

Mukamaliza kulandira chithandizo, mudzatengedwera kumalo ochiritsira. Bandeji idzaikidwa pamalo olowetsa catheter.

Nthawi yomwe ndakhala kuchipatala

Ngati catheter idayikidwa kudzera m'mimba, simudzaloledwa kupinda mwendo wanu kwa maola angapo. Muyenera kukhala pabedi kwa maola awiri mpaka asanu ndi limodzi. Muyenera kumwa madzi ambiri kuti utoto womwe udagwiritsidwa ntchito utuluke m'thupi lanu mwachangu. Ngati mukufuna kukodza panthawiyi, muyenera kugwiritsa ntchito chipangizo chapadera (mkodzo/bedi). Pambuyo pa maola ochepa, mudzatha kudzuka ndikuyenda. Anthu ambiri amatha kupita kunyumba tsiku lotsatira.

Atapita kunyumba

Nthawi yochira imadalira zinthu monga thanzi lanu lonse.

• Muyenera kupewa kuchita zinthu zolimbitsa thupi komanso kusambira kwa masiku asanu mpaka asanu ndi awiri.
• Anthu ambiri amatha kubwerera kuntchito pakatha pafupifupi sabata imodzi, koma ngati ntchito yanu ikufuna kuchita masewera olimbitsa thupi, mungafunike kudikira pang'ono.
• Zingatenge milungu pafupifupi 8 kuti mubwerere ku moyo wanu watsiku ndi tsiku.
• Padzakhala zotsatira pambuyo pa miyezi 3-6 kuchokera pamene chithandizo chachitika. Pambuyo pake, muyenera kuonana ndi dokotala kamodzi pachaka.

Nthawi yoti muyimbire dokotala nthawi yomweyo

Mukabwerera kunyumba, ngati mutakhala ndi zizindikiro zotsatirazi, muyenera kuyimbira dokotala nthawi yomweyo . Nthawi zina, mungafunike kupita ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi.

• Kupweteka pachifuwa
• Kuzizira kapena malungo
• Chizungulire kapena kukomoka (`Syncope`)
• Madzi kapena kutuluka magazi kuchokera pamalo oikira catheter
• Kusanza kapena kusanza
• Ngati ululu kapena kutupa kukukulirakulira
• Ngati kulemera kwa thupi lanu kukukwera ndi makilogalamu oposa 1.5 (mapaundi atatu) patsiku

Ponena za opaleshoni ya mtima, ndi zachilendo kumva mantha pang'ono, ngakhale si opaleshoni yotseguka. Valvuloplasty ingakuthandizeni kuchedwetsa opaleshoni yosintha ma valve a mtima. Koma si njira imodzi yokha yochitira opaleshoni yonse. Dokotala wanu adzawunika vuto lanu ndikusankha chomwe chili chabwino kwa inu.