Mwoyo wedu inhengo inoshamisa. Wakafanana nekapombi kadiki kanoshanda kasingaperi. Pombi iyi ine zvikamu zvina zvinobatsira kutumira ropa munzira imwe chete, iyo yatinoti mavharuvhu emwoyo mukurapa. Fungidzira zvaizoitika kana rimwe remasuo aya rakatyoka, dai risina kuvhurwa kana kuvharwa zvakanaka. Kuyerera kweropa mumuviri wese kwaizokanganiswa, handiti? Nhasi, tiri kutaura nezvekuvhiyiwa kwakaoma asi kunobudirira zvikuru kunoitwa kana vharuvhu yeaortic, imwe yemavharuvhu makuru mumoyo, ikabatwa nechirwere.
Zvichitaurwa zviri nyore, chii chinonzi Ross Procedure?
Uku kuvhiyiwa kwakakosha zvikuru. Vanachiremba vanoti kuvhiyiwa kwe pulmonary autograft. Ichi chinhu chakakosha zvikuru chinoitika pano. Kuvhiyiwa uku kunoitwa uchishandisa chikamu chemuviri wako.
Zvichitaurwa zviri nyore, matanho maviri makuru anoitika pano ndeaya:
1. Vharuvhu yako yeaortic isina kushanda zvakanaka inobviswa yotsiviwa nevharuvhu yako yemapapu ine hutano.
2. Zvadaro, vharuvhu yemapapu ine hutano (vharuvhu yemupi) inotorwa kubva kumunhu akafa inoiswa munzvimbo isina chinhu kwaive nevharuvhu yemapapu.
Zvino ungave uchifunga kuti, "Sei uchidaro? Kubvisa rimwe woisa rimwe, woisa rimwe pamusoro paro, izvozvo zvinonzwika zvakaoma, handiti?" Ehe, ichokwadi. Asi pane chikonzero chakanaka kwazvo cheizvozvo. Ngatizvitarisei.
Sei kuvhiyiwa uku kuchikosha? Sei uchishandisa vharuvhu yako yemapapu?
Mwoyo wedu unopomba ropa rakachena, rine okisijeni mumuviri wese kuburikidza nevharuvhu inonzi aortic valve. Iri ndiro vharuvhu guru. Ndiwo vharuvhu inomisa ropa kuti risayerere kumashure uku moyo uchirova.
Asi dzimwe nguva vharuvhu iyi inogona kuvharika isina kuvhurwa zvakanaka, yatinodaidza kuti stenosis . Kana kuti haikwanise kuvharika zvakanaka uye ropa rinogona kudonha richidzokera shure, yatinodaidza kuti regurgitation . Kana mamiriro aya akaramba aripo, mikana yekushaya simba kwemoyo nehutachiona yakanyanya.
Saka kana zvinhu zvaoma seizvi, vharuvhu yakakuvara inofanira kubviswa yoiswa imwe itsva.
Saka, sei uchitsiva vharuvhu yako yemapapu nevharuvhu yekugadzira?
Pane zvikonzero zvinoverengeka zveizvi:
- Kutsungirira kumanikidzwa: Vharuvhu yeaorta iri pasi peBP yakakwira. Saka vharuvhu inoiswa ipapo inofanira kunge yakasimba kwazvo. Nekuti vharuvhu yako yemapapu itsipa mhenyu, inogona kutsungirira kumanikidzwa uku kwakanyanya uye inogara kwenguva yakareba kupfuura mavharuvhu ekugadzira.
- Njodzi shoma yekugwamba kweropa: Kana mavharuvhu ekugadzira akaiswa, pane njodzi yakakura yekugwamba kweropa. Saka, vanofanirwa kutora mishonga inodzikisa ropa kweupenyu hwavo hwese. Asi kana vachishandisa nyama yavo, njodzi iyoyo inenge isipo zvachose.
- Nzvimbo yevharuvhu yemapapu:Vharuvhu yemapapu inenge iri pasi pekumanikidzwa kwakaderera, saka vharuvhu yemupi weropa kubva kumunhu akafa haizokurumidzi kupera. Uyewo, vharuvhu yeaortic nevharuvhu yemapapu zvakafanana zvikuru muhukuru nechimiro.
Zvichitaurwa zviri nyore, zvinoitwa navanachiremba vemaoparesheni kuisa vharuvhu yako "yepakutanga" yakasimba muchikamu chakakosha chemoyo, painotakura huremu hwakawanda, uye kuisa vharuvhu "yemupi" muchikamu chine huremu hushoma.
Kuvhiyiwa uku kwakakodzera ani, uye hakuna kukodzera ani?
Kuvhiyiwa uku hakuna kukodzera munhu wese. Vanachiremba vanoongorora mamiriro emurwere nokungwarira vosarudza kana vakakodzera izvi kana kwete. Ngatinyatsoongorora tafura iri pazasi.
| Ndiani akakodzera kuvhiyiwa uku? | Vanhu vasina kukodzera kuvhiyiwa uku |
|---|---|
| Kazhinji kune vechidiki nevezera repakati nepakati vari pasi pemakore makumi matanhatu ekuberekwa . | Vanhu vane zvirwere zve autoimmune zvakaita se lupus ne rheumatoid arthritis. |
| Kune avo vanotambura nechirwere chekuberekwa nacho chinonzi aortic stenosis. | Vanhu vane matambudziko ekubatanidza nhengo dzemuviri akadai seMarfan syndrome. |
| Kune avo vanotambura nedzimwe mhando dzechirwere che aortic valve. | Vanhu vane tsinga huru nhatu kana kupfuura dzakavharika dzinoendesa ropa kumoyo (chirwere checoronary artery). |
| Kune avo vane aortic valve endocarditis. | Kune avo vane dambudziko remavharuvhu emapapu. |
Chii chinoitika panguva yekuvhiyiwa?
Maitiro eRoss inzira yakaoma uye inongwarira inotora maawa akati wandei. Inoitwa nechikwata chevanachiremba vane hunyanzvi hwekuvhiya mwoyo. Ngationei zvinoitika panguva yekuvhiyiwa.
1. Anesthesia: Kutanga, uchaiswa pasi peanesthesia. Izvi zvinoreva kuti ucharara hope dzakadzika kusvika kuvhiyiwa kwapera, saka hauzonzwi kurwadziwa. Hauzoyeuki chero chinhu nezvekuvhiyiwa kwacho.
2. Kubatanidza nemuchina wemwoyo nemapapu: Tevere, vanachiremba vachakubatanidza nemuchina unonzi cardiopulmonary bypass machine. Muchina uyu unotora basa remwoyo nemapapu kwenguva pfupi panguva yekuvhiyiwa. Izvi zvinobvumira vanachiremba kuti vakwanise kuvhiya zvakachengeteka vasina kumisa moyo wako.
3. Kuvhura chipfuva: Vanachiremba vanochekwa pakati pechipfuva chako, vachiparadzanisa pfupa rechipfuva (sternum) nepakati kuti vasvike pamoyo. Maitiro aya anonzi sternotomy .
4. Kuongororwa kwevharuvhu: Zvadaro, vharuvhu yemapapu inoongororwa nokungwarira kuti ione kana iri muhutano hwakanaka uye yakakodzera kuiswa panzvimbo yevharuvhu yeaortic.
5. Kutsiva mavharuvhu: Kana zvese zvikafamba zvakanaka, vanachiremba vanobvisa vharuvhu yeaortic yakakuvara voitsiva nevharuvhu yako yemapapu. Zvadaro, vharuvhu yemapapu ine hutano inobva kumunhu akafa inoiswa munzvimbo isina chinhu kwaive nevharuvhu yemapapu yekare.
6. Kudzorera moyo kumurwere: Kana mavharuvhu matsva ese aiswa zvakanaka, vanachiremba vanotangazve moyo wako. Zvadaro uchabviswa zvishoma nezvishoma kubva muchina wemoyo nemapapu.
7. Kuongorora nekuvhara kwekupedzisira: Mavharuvhu matsva anoongororwa zvakare kuti ave nechokwadi chekuti ari kushanda nemazvo. Kana zvese zvikabudirira, sternum inosungirirwazve newaya, uye chest incision inosonerwa yakavharwa.
Ndezvipi zvakanakira uye njodzi dzinogona kuitika nekuda kwekuvhiyiwa uku?
Kufanana nekuvhiyiwa kupi zvako, kuvhiyiwa kwaRoss kune zvakunobatsira uye njodzi dzakwo. Njodzi dzinogona kuderedzwa zvakanyanya nekurapwa nachiremba ane hunyanzvi ane ruzivo rwakakura mukuvhiyiwa uku uye anoita izvi nguva dzose.
| Mabhenefiti | Njodzi |
|---|---|
| Hamufanirwe kutora mishonga yekuderedza ropa kweupenyu hwenyu hwese. | Kukura kweAortic autograft (kuwedzera kweaorta pedyo nevharuvhu ichangobva kuiswa). |
| Unogona kurarama hupenyu hune simba pasina zvirambidzo, uchiita zvinhu zvakaita sekurovedza muviri uye kutyaira. | Kusashanda zvakanaka kwemoyo (Arrhythmia). |
| Vakadzi vari kuronga kubata pamuviri vanogona kubereka mwana zvakachengeteka. | Kumira kurova kwemoyo. |
| Kuyerera kweropa mumuviri wese kuri padanho rakanaka kwazvo (Excellent hemodynamics). | Kubuda ropa zvakanyanya (Kubuda ropa zvakanyanya). |
| Nguva pfupi mushure mekuvhiyiwa, zviratidzo zvinopera uye unotanga kunzwa kupora nekukurumidza . | Utachiona. |
| Nekuti inhengo yayo pachayo, kugara kwayo kwenguva refu kwakanyanya. | Vharuvhu yemwoyo inobuda. |
Nguva yekupora mushure mekuvhiyiwa inomira sei?
Mushure mekuvhiyiwa, uchamuka uri muCardiac ICU. Mumaawa mashoma ekutanga, unogona kunge wakabatana nemuchina wekufema kuti ukubatsire kufema. Kushanda kwemoyo wako kuchagara kuchiongororwa. Unogara muICU kwemazuva angangoita mashanu.
Zvinogona kutora mwedzi yakati wandei kuti unyatsopora mushure mekunge wadzokera kumba. Munguva iyi, zvakajairika kusangana nezvinhu zvakaita se:
- Kuzvimba
- Zvinetso zvepfungwa zvakaita sekuora mwoyo
- Kushaya hope
- Kuda kudya
- Kuveveva uye kuzvimba kwakakomberedza kuchekwa kwepakuvhiyiwa
Munguva iyi, zvakakosha zvikuru kutevedzera mirairo yachiremba wako nemazvo uye kuenda kumakiriniki pamazuva akarongwa.
Kurapwa kwehupenyu hwese kuchadiwa here?
Ehe. Mushure mekuvhiyiwa kwaRoss, uchafanirwa kugara uchitariswa nachiremba kweupenyu hwako hwese. Uchafanirwa kuongororwa nguva nenguva kuti uone kana mavharuvhu maviri akaiswa muchibereko ari kushanda nemazvo.
Yeukai, kuisirwa vharuvhu yemapapu inopihwa neanopa hakugari hupenyu hwese. Inogona kuda kutsiviwa zvakare, kazhinji mushure memakore 15-20. Asi musazvidya mwoyo. Muzviitiko zvakadaro, vanachiremba vanowanzo tsiva vharuvhu vachishandisa nzira dzisinganyanyi kukuvadza, pasina kuita kucheka kukuru. Nokudaro, nguva yekupora ipfupi zvikuru.
Unofanira kuona chiremba rini?
Zvakakosha kuziva zviratidzo zvematambudziko kana wadzokera kumba mushure mekuvhiyiwa. Kana ukaona chimwe chezviratidzo zvinotevera, fonera chiremba wako nekukasika.
- Kurwadziwa kwechipfuva
- Kana uchinzwa fivha kana kuti uine dzihwa
- Kana uchinzwa dzungu kana kuti maziso ako ari kuita bhuruu
- Kana ukakosora ropa
- Kana uine maronda kana kubuda ropa kusingawanzoitiki
- Kana kurutsa kukaitika
- Kana makumbo ako asina simba
- Kana chitsiko chiri chitsvuku chakajeka
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kwaRoss inzira yekurapa inobudirira zvikuru kune vanhu vane chirwere chakakomba cheaortic valve.
- Nekuti vharuvhu yako yemapapu inoshandiswa pano, mhedzisiro yacho yakanaka kwazvo uye inogara kwenguva refu.
- Chimwe chezvakanakira zvikuru zvekuvhiyiwa uku ndechekuti haufanirwe kutora mishonga inobvisa ropa mumuviri wako wese.
- Mushure mekuvhiyiwa, uchakwanisa kurarama hupenyu hune simba pasina zvipingamupinyi.
- Nekuti uku kuvhiyiwa kwakaoma zvikuru, zvakakosha zvikuru kutsvaga kurapwa kubva kuna chiremba ane ruzivo rwakakura mubasa iri.
- Kuongororwa kwehupenyu hwese kwechiremba nekuongororwa kunodiwa mushure mekuvhiyiwa.
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