Dzimwe nguva unonzwa kuremerwa muchipfuva chako kana kunetseka kufema paunenge wakaneta zvishoma here? Kana kuti chiremba wako akakuudza here kuti une dambudziko nevharuvhu mumoyo mako uye kuti unofanira kuitsiva nekuvhiyiwa? Zvakajairika kunzwa kutya uye kunetseka zvishoma paunonzwa chimwe chinhu chakadai. Asi usazvidya mwoyo. Nhasi tiri kutaura nezvekuvhiyiwa uku, kunonzi 'Surgical Aortic Valve Replacement' (SAVR). Ngatitaurei nezvazvo zviri nyore uye nenzira yaunogona kunzwisisa.
Measure kidney function based on creatinine value
Chii chaizvo chinorehwa nekutsiviwa kwevharuvhu yeaorta?
Funga nezvemwoyo wedu sepombi yemvura. Mutsinga mukuru weropa unopomba ropa kubva pamwoyo uyu kuenda kumuviri wese unonzi 'Aorta'. Saka, 'gedhi' riri pakati pemwoyo netsinga huru yeropa iyi rinonzi Aortic valve . Nguva dzese mwoyo paunorova, gedhi iri rinovhurika ropa rinobuda, rozovharika zvakare.
Dzimwe nguva, nekukura kana nekuda kwezvimwe zvirwere, gonhi iri rinomira kushanda zvakanaka.
- Musuwo hauvhurike zvakanaka: Izvi zvinonzi Aortic Stenosis . Zvakafanana nesuo risingavhurike zvachose, saka hapana nzvimbo yakakwana yekuti ropa ribude mumoyo.
- Gonhi harivharike zvakanaka: Izvi zvinonzi Aortic Regurgitation . Kufanana negonhi rekare, kana risivharike zvakanaka, rimwe ropa rakabuda rinodonhera kumashure.
Muzviitiko zvese izvi, moyo unofanirwa kushanda nesimba kupfuura zvawagara uchiita. Zvakafanana nekuedza kuvhura gonhi rakanamirwa. Nekufamba kwenguva, kushanda zvakanyanya uku kunogona kukuvadza moyo. Kunogonawo kukonzera zviratidzo zvakaita sekurwadziwa muchipfuva uye kuoma kufema. Kana zvikasarapwa, chirwere ichi chinogona kuisa hupenyu panjodzi.
Saka, tinodana kuvhiyiwa uku kuti, SAVR, kwatinobvisa vharuvhu iyi yakakuvara toitsiva neimwe itsva. Izvi zvinoderedza zviratidzo zvechirwere, zvinodzivirira moyo wako, uye zvinokupa mukana wekurarama hupenyu hune hutano kwenguva yakareba.
Chii chinoitika kuvhiyiwa kusati kwaitwa?
Nekuti uku kuvhiyiwa kukuru, muchaongororwa zvakanaka musati matanga. Miedzo iyi ichatibatsira kusarudza marapirwo anonyatsokodzera hutano hwenyu.
Kuongororwa nguva dzose usati wavhiyiwa
Kazhinji uchafanirwa kuita bvunzo dzakati wandei dzakadai.
| Zita reMuedzo | Ingoita izvi chete... |
|---|---|
| Echocardiogram (Echo) | Kuongororwa kwemoyo nemavharuvhu awo kuti aone kana mwoyo uchishanda zvakanaka. |
| Electrocardiogram (ECG/EKG) | Kuedza mashandiro emagetsi emwoyo. |
| X-ray yechipfuva | X-ray yechipfuva yekutarisa mamiriro emwoyo nemapapu. |
| Kugadziriswa kweCatheter yemwoyo | Chubhu diki inopfuudzwa nepatsinga yeropa ichipinda mumoyo kuti iongorore kumanikidzwa kuri mukati memoyo netsinga dzeropa. |
| Kuongororwa kweropa neweti | Kuongorora hutano hwemuviri wese, zvakaita sekushanda kweitsvo. |
Pamusoro pezvo, timu yezvekurapa ichakupa mazano ekugadzirira kuvhiyiwa.
- Unofanira kutsanya kwenguva yakareba sei (usina kudya kana kunwa) usati wavhiyiwa?
- Kana uchida kurega kutora mishonga yauri kutora parizvino kwenguva pfupi .
- Yasvika nguva yekuuya kuchipatara.
- Zvinhu zvekuuya nazvo kuchipatara nezvinhu zvisingafanirwe kuuya nazvo.
Chinonyanya kukosha: Usatya kubvunza chiremba wako nezvechero chausinganzwisisi kana chero mibvunzo yaunayo. Kana ukasvuta, kurega kusvuta nekukurumidza usati wavhiyiwa kunogona kuderedza zvakanyanya njodzi yematambudziko.
Ngatisarudzei bvudzi idzva rinokunakirai.
Sarudzo inonyanya kukosha yauchaita usati wavhiyiwa ndeyerudzi rwevharuvhu itsva yauchagamuchira. Kune mhando mbiri huru.
| Rudzi rweVharuvhu | Tsananguro uye zvakanakira/zvakaipa |
|---|---|
| Vharuvhu yeBiological / Bioprosthetic | Izvi zvinogadzirwa nenyama yenguruve, yemombe, kana (kashoma) yemunhu. Zvakanakira: Haufanire kunwa mishonga inorwisa ropa kweupenyu hwako hwese. Dambudziko: Izvi hazvisi zvechigarire. Zvinowanzo fanirwa kutsiviwa mushure memakore gumi kusvika makumi maviri. |
| Vharuvhu yeMichina | Izvi zvinogadzirwa nezvinhu zvinogara kwenguva refu zvakaita sekabhoni nesimbi. Zvakanakira: Izvi zvinogara kwenguva refu. Haufanire kuzvitsiva zvakare. Dambudziko: Uchafanira kutora mushonga wekuderedza ropa wakaita seWarfarin kweupenyu hwako hwese kuti udzivise njodzi yekugwamba kweropa. |
Chiremba wako achakurukura newe kuti ndeipi vharuvhu yakakunakira zvichienderana nezera rako, hutano hwako, uye mararamiro ako. Kazhinji, mavharuvhu emakanika anokurudzirwa kuvanhu vari pasi pemakore makumi mashanu, uye mavharuvhu ebhayoloji anokurudzirwa kuvanhu vane makore anopfuura makumi matanhatu nemashanu.
Kuvhiyiwa kunoitwa sei nhanho nhanho
Kuvhiyiwa uku kunowanzotora maawa maviri kusvika mana, panguva iyo unenge wakarara hope huru uye usinganzwe chero chinhu.
1. Kutanga, unenge wava nepfungwa dzisina kana nemusoro (Anesthesia) .
2. Tevere, uchabatanidzwa nemuchina wemoyo nemapapu . Muchina uyu uchatora basa remoyo nemapapu kwenguva pfupi panguva yekuvhiyiwa. Uchashandiswawo kumisa moyo wako kwenguva pfupi (cardioplegia). Izvi zvichabvumira chiremba wekuvhiya kuti akuvhiye zvakachengeteka pasina kurova kwemoyo wako.
3. Chiremba anochekwa chipfuva akareba masendimita matanhatu pakati pechipfuva chako kuti avhure pfupa repachipfuva (Sternum) uye asvike pamoyo. Izvi zvinonzi Sternotomy.
4. Vharuvhu yekare, yakakuvara yeaortic inobviswa yotsiviwa nevharuvhu itsva inosonerwa panzvimbo yayo.
5. Zvadaro, sternum yakavhurwa inosungirirwazve uchishandisa waya. Waya idzi dzinowanzosiyiwa mumuviri kweupenyu hwese.
6. Pakupedzisira, ganda rinochekwa rinosonerwa rakavharwa.
Nguva yekupora mushure mekuvhiyiwa
Mushure mekuvhiyiwa, uchafanira kugara muchipatara kwemazuva angangoita mashanu. Munguva iyi, timu yezvekurapa ichagara ichitarisa mamiriro ako. Vachakubatsira kufamba zvishoma nezvishoma uye kuita mabasa akajairika.
Zvinowanzotora mavhiki mana kusvika masere kuti munhu apore zvakakwana.Zvinotora kusvika gore. Zvakajairika kunzwa kuneta panguva iyi. Izvi zvinodaro nekuti muviri wako uri kupora. Mushure mekudzokera kumba, chiremba wako anogona kukukurudzira kuti uende kuchirongwa chekurapa mwoyo. Izvi zvichakubatsira kudzidza zvinhu zvakawanda, zvakaita sekujaira kurovedza muviri uye kudya chikafu chine hutano.
Ndezvipi zvakanakira uye njodzi dzekuvhiyiwa uku?
Chinhu chikuru chakanakira kuvhiyiwa uku ndechekuti kunogona kuponesa hupenyu . Chirwere cheAortic valve chinogona kuuraya kana chikasarapwa. Kubudirira kwacho kwakanyanya. Kune vanhu vazhinji, njodzi yekufa kana matambudziko akakomba akadai sestroke yakaderera zvikuru, inenge 1% - 2%.
Asi sezvimwe zvekuvhiyiwa, kune dzimwe njodzi.
- Kusashanda zvakanaka kwemoyo (Arrhythmia)
- Kudiwa kwemuchina wekubatsira pacemaker unogara kwenguva refu
- Kubuda ropa
- Utachiona
- Kurohwa
- Rufu
Njodzi iyi haina kufanana kune wese munhu. Inosiyana zvichienderana nezvinhu zvakaita sezera rako nezvimwe zvirwere. Chiremba wako achakutsanangurira njodzi yako.
| Kana zviratidzo izvi zvikaonekwa panguva yekupora kwako, fonera chiremba wako nekukasika! |
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Pane imwe nzira yekuvhiya panzvimbo peSAVR here?
Ehe, kune vamwe varwere, kunyanya avo vakwegura kana kuti vari panjodzi huru yekuvhiyiwa kukuru nekuda kwezvimwe zvirwere, nzira inonzi Transcatheter Aortic Valve Replacement (TAVR) ingave yakakodzera. Izvi zvinosanganisira kuisa vharuvhu itsva muvharuvhu yekare kuburikidza nekakuvara kadiki muchipfuva, pasina kuivhura. Iyi inzira iri nyore uye inoda nguva shoma yekupora. Chikwata chenyu chekurapa chichasarudza kana SAVR kana TAVR yakakunakirai.
Mharidzo Yekuenda Nayo Kumba
- Kutsiva Vharuvhu yeAortic (SAVR) kuvhiya kunobudirira zvikuru uye kunowanzoitwa pavharuvhu yeaortic yakakuvara.
- Chiremba wako achakubatsira kusarudza vharuvhu yemuviri kana yemakanika zvichienderana nezera rako uye mamiriro ehutano hwako.
- Zvinotora mavhiki angangoita mana kusvika masere kuti munhu apore zvizere, uye zvakakosha kuti utevedzere mazano echiremba panguva iyi.
- Kana ukaona zviratidzo zvekunyevera panguva yekupora kwako, zvakaita sefivha, kurwadziwa pachipfuva, kana shanduko paronda rako rekuvhiyiwa, zivisa chiremba wako nekukasika.
- Taura pachena nachiremba wako nezvemibvunzo kana kutya kwauinako nezvenyaya iyi.
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