Kodi mtima wanu ndi wofooka? Tiyeni tiphunzire za makina omwe amathandiza mtima wanu? (Ventricular Assist Device - VAD)

Kodi dokotala wanu wakuuzani kuti mtima wanu ndi wofooka kwambiri moti sungapope magazi moyenera? Kapena pali wina m'banja mwanu amene ali ndi vutoli? Lero tikulankhula za chipangizo chapadera chomwe chimagwiritsidwa ntchito kuthandiza mtima ngati mtima walephera kugwira ntchito bwino. Ichi chimatchedwa Ventricular Assist Device, kapena VAD mwachidule.

Mwachidule, kodi VAD iyi ndi chiyani?

Ganizirani mtima wanu ngati injini yaying'ono yomwe imapopa magazi m'thupi lanu lonse. Nthawi zina injini iyi imakhala yofooka. Kenako siigwira ntchito bwino. Panthawiyo, VAD ndi chipangizo chamakina chomwe chimathandiza mtima kupopa magazi kuchokera mumtima kupita ku thupi lonse. Zili ngati kuwonjezera injini ina yaying'ono kuti ithandize injini yofooka.

Pali mitundu ingapo ya ma VAD. Tiyeni tiwone mitundu ikuluikulu.

Nchifukwa chiyani ndikufunika VAD?

Ngati mtima wanu walephera kugwira ntchito bwino ndipo mtima wanu sungathe kupopera magazi okwanira m'thupi lanu wokha, mungafunike VAD. Ili ndi ntchito zitatu zazikulu.

• Mlatho woti muike mtima: Anthu ena ali oyenerera kuike mtima. Koma amafunika kudikira kwakanthawi kuti mtima wofanana upezeke. Panthawi imeneyo, VAD iyi imagwiritsidwa ntchito kuthandiza mtima wanu wofooka. Ili ngati mlatho.
• Mlatho wopita kuchireni: Nthawi zina mtima ukhoza kufooka kwakanthawi. Ndi chithandizo choyenera, mtima ukhoza kuchira. Mpaka mtimawo utachira, VAD iyi ingagwiritsidwe ntchito kuthandiza.
• Chithandizo cha komwe munthu akupita: Odwala ena sangathe kuikidwa mtima chifukwa cha ukalamba kapena matenda ena. Kwa odwala otere, VAD iyi ingagwiritsidwe ntchito ngati chipangizo chothandizira mtima kwa moyo wawo wonse. Izi zimawathandiza kukhala ndi moyo wautali ndi moyo wabwino.

Kodi makina a VAD awa amagwira ntchito bwanji?

Chipangizochi chili ndi ziwalo zingapo. Zina zimalumikizidwa ndi mtima ndipo zili mkati mwa thupi. Zina zili kunja kwa thupi.

Kodi chimachitika ndi chiyani opaleshoni isanachitike?

Si aliyense amene ali ndi vuto lalikulu la mtima amene angakhale ndi VAD. Kuti mudziwe ngati ndinu woyenera, mudzayesedwa bwino ndi dokotala komanso maganizo. Izi zikuphatikizapo kuyesedwa bwino kwa mtima wanu ndi ziwalo zina zofunika (monga impso zanu ndi chiwindi). Adzafufuzanso matenda ena. Mayeso ena omwe angachitike ndi awa:

• Kadiyogramu ya Kadiyo (ECG)
• Echocardiogram (Echo)
• Kujambula kwa CT (computed tomography)
• Kuyesa masewera olimbitsa thupi
• Kuyeza kwa mtima (kuyesa komwe kumachitika poika catheter mumtima)

Komanso, inu ndi banja lanu mudzadziwa bwino za kukhala ndi VAD komanso momwe mungasamalire tsiku ndi tsiku. Ndikofunikira kwambiri kuphatikiza munthu amene angakuthandizeni, kaya ndi wachibale wanu kapena munthu wapafupi nanu, mu ndondomekoyi.

Kodi chimachitika ndi chiyani panthawi ya opaleshoni?

Uwu ndi opaleshoni yaikulu. Mwachidule, zomwe zimachitika panthawiyi ndi izi:

1. Mankhwala Oletsa Kupweteka: Choyamba, mudzagonekedwa tulo tofa nato (mankhwala oletsa kupweteka). Choncho simudzamva chilichonse ndipo simudzakumbukira opaleshoniyo.

2. Chithandizo cha kupuma: Pambuyo pa opaleshoni , komanso masiku oyamba mu chipinda chosamalira odwala kwambiri (ICU), makina opumira mpweya adzakupumirani.

3. Opaleshoni:Dokotala wa opaleshoni amadula pakati pa chifuwa chanu ndipo amapita komwe kuli mtima wanu.

4. Makina odutsa mtima ndi mapapo: Kenako, mudzalumikizidwa ku makina apadera. Amatchedwa `Cardiopulmonary Bypass Machine`. Pa opaleshoni, ntchito ya mtima ndi mapapo imachitika kwakanthawi ndi makina awa. Mudzapatsidwanso mankhwala otchedwa `Heparin` kuti magazi asaundane.

5. Kuika VAD: Dokotala wa opaleshoni amalumikiza chipangizo cha VAD pamalo oyenera mumtima. Kenako chingwe choyendetsera chimachotsedwa kudzera pakhungu la mimba.

6. Kuyatsa makina: VAD ikangolumikizidwa, imayatsidwa ndipo mumachotsedwa mu makina apadera.

7. Kumaliza opaleshoni: VAD ikagwira ntchito bwino, mankhwala otchedwa `Protamine` amaperekedwa kuti athandize magazi kuundana bwino, fupa la pachifuwa limalumikizidwanso ndi waya, ndipo bala la pakhungu limakulungidwa.

Kodi ubwino wogwiritsa ntchito VAD ndi wotani?

Anthu ambiri amayamba kukumana ndi zinthu izi akakhala ndi VAD:

• Kupuma mosavuta: Kutopa ndi kupuma movutikira zimachepa kwambiri.
• Kugwira bwino ntchito kwa ziwalo: Ziwalo zina m'thupi zimalandira magazi abwino, motero ntchito yawo imakula.
• Kubwezeretsa mphamvu: Kutopa kwambiri komwe kunalipo kale kwatha, ndipo thupi likumva mphamvu zabwino.

Kodi zoopsa zomwe zimabwera chifukwa cha izi ndi ziti?

Monga opaleshoni iliyonse yaikulu, pali zoopsa zomwe zingachitike, ndipo ngakhale mutagwiritsa ntchito chipangizochi moyo wanu wonse, mavuto ena angachitike.

• Kugunda kwa mtima kosakhazikika (Arrhythmias)
• Kutuluka magazi
• Magazi amaundana
• Matenda
• Kulephera kwa chipangizo
• Kulephera kwa mtima kumbali yakumanja
• Ngozi ya mitsempha ya ubongo ( stroke )

Musaope zoopsa izi. Gulu lanu lachipatala nthawi zonse limayang'anitsitsa kuti liziteteze ndikuzithetsa ngati zitachitika.

Zinthu Zofunika Kuziganizira Mukakhala ndi VAD

Pambuyo pa opaleshoni, muyenera kukhala mu chipinda cha odwala odwala kwambiri (ICU) kwa masiku angapo. Kenako mudzasamutsidwira ku chipinda chogona anthu odwala nthawi zonse. Mukakhala kuchipatala, mudzaphunzitsidwa kukhala ndi zidazi.

Mukapita kunyumba, samalirani zinthu izi:

• Imwani mankhwalawo molondola:Ndikofunikira kwambiri kumwa mankhwala ochepetsa magazi monga Warfarin, omwe amaperekedwa kuti magazi asaundane, nthawi yake komanso moyenera. Muyeneranso kumwa mankhwala ena ochepetsa kuthamanga kwa magazi komanso kugunda kwa mtima moyenera.
• Kusamalira Chipangizo: Mudzalangizidwa momwe mungasungire chipangizocho, batire, ndi chingwe choyendetsera galimoto kukhala zoyera. Tsatirani malangizo awa mosamala.
• Kusintha kwa moyo:
• Chipangizochi sichiyenera kumizidwa m'madzi. Izi zikutanthauza kuti simungasambe kapena kusambira nacho. Komabe, tikukuwonetsani momwe mungasambire ndi chipangizocho chophimbidwa bwino.
• Masewera olimbitsa thupi ayenera kupewedwa chifukwa, ngati mukumwa mankhwala ochepetsa magazi, ngakhale kuvulala pang'ono kungayambitse kutuluka magazi kwambiri.
• Nthawi zonse muyenera kulumikizidwa ndi mabatire kapena pulagi pakhoma.
• Moyo wathanzi: Pewani kusuta fodya kotheratu. Idyani zakudya zopatsa thanzi. Chitani masewera olimbitsa thupi oyenera monga momwe dokotala wanu walangizira.

Nthawi yoti mukaonane ndi dokotala

Kukhala ndi VAD kumatanthauza kuti muyenera kupita kukayezetsa kuchipatala nthawi zonse. Ngakhale kuti poyamba mungafunike kupitako pafupipafupi, kuchuluka kwa matendawa kudzachepa pamene thanzi lanu likukula.

Ngati muli ndi zizindikiro izi, imbani dokotala nthawi yomweyo:

Ganiziraninso za thanzi la maganizo

Ndizachibadwa kumva kupsinjika maganizo ndi nkhawa nthawi zina pamene mukukhala ndi kusintha kwakukulu kotereku. Koma musabise malingaliro amenewo. Si chinthu chochititsa manyazi. Ngati mukumva choncho, lankhulani ndi dokotala wanu za vutoli.