Zvakajairika kuti unzwe kutya zvishoma kana chiremba wako akakuudza kuti une dambudziko nevharuvhu yemoyo. Kunyanya kana akati unofanira kuvhiyiwa. Asi nzira yaRoss yatichataura nezvayo nhasi inzira yekuvhiya inobudirira zvikuru inogona kupa hupenyu hutsva kuvanhu vane zvirwere zvevharuvhu yemoyo, kunyanya vechidiki. Saka ngatitaurei nezvazvo chaizvo, zviri nyore.
Zvichitaurwa zviri nyore, chii chinonzi Ross Procedure?
Uku kuvhiyiwa kwemoyo kwakaoma asi kune hunyanzvi. Kunosanganisira kushandisa nhengo dzemuviri wako kugadzirisa vharuvhu yemwoyo ine chirwere. Kutaura chokwadi, kunosanganisira matanho maviri:
1. Vharuvhu yemwoyo ine chirwere chemwoyo wako inobviswa yotsiviwa nevharuvhu yako yemapapu ine hutano.
2. Zvadaro, vharuvhu yemapapu inobva kumupi ane hutano inoiswa panzvimbo yaive vharuvhu yemapapu yakabviswa.
Funga nezvazvo sekushandisa chikamu chemuviri wako kugadzirisa dambudziko guru. Izvi zvine zvakanakira zvakawanda pane kuisa vharuvhu yekugadzira.
Sei tichida kuvhiyiwa uku?
Vharuvhu yeaorta yakafanana negedhi rakakosha zvikuru mumoyo medu. Gedhi iri rinovhurika uye rinobvumira ropa rakachena, rakapfuma muokisijeni kuti riyerere kubva mumoyo kuenda kumuviri wese. Rinodzivirirawo ropa kuti risadzokere mumoyo pakati pekurova kwemoyo, sezvo vharuvhu iyi ichivhara.
Asi dzimwe nguva vharuvhu iyi inogona kurwara. Pane nzira mbiri huru:
- Stenosis: Apa ndipo apo vharuvhu isingavhurike zvakanaka uye inova diki. Izvi zvinodzivirira muviri kuti usawane ropa rakakwana.
- Kudzokera kumuviri: Apa ndipo apo vharuvhu haivhari zvakanaka uye inodonha, zvichiita kuti ropa riyerere richidzokera mumoyo.
Matambudziko ese aya anogona kukonzera zviratidzo zvakaita sekuneta uye kushaya mweya. Kana zvikasarapwa, zvinogona kuwedzera njodzi yekukundikana kwemoyo uye hutachiona hwakakomba. Maitiro eRoss anobvisa vharuvhu ine chirwere uye anodzoreredza mashandiro emoyo akajairwa.
Sei uchifanira kusarudza Pulmonary Valve panzvimbo peAortic Valve?
Ungave uchishamisika kuti sei shanduko yakadaro iri kuitwa, wadii kungotsvaga imwe vharuvhu yekugadzira? Pane zvikonzero zvakati wandei zveizvi.
- Kuramba Kudzvinyirirwa: Vharuvhu yeaorta ine kudzvinyirirwa kwakawanda, saka vharuvhu itsva inoiswa mairi inofanira kugara kwenguva refu uye yakasimba. Vharuvhu yako yemapapu yakakodzera izvi.
- Njodzi dzemavharuvhu ekugadzira: Pane njodzi yekugwamba kweropa kana mavharuvhu ekugadzira akaiswa. Saka, unofanirwa kutora mushonga unoomesa ropa kweupenyu hwako hwese. Asi kana uchishandisa nyama yako, njodzi iyoyo inenge isipo zvachose.
- Kuisa: Vharuvhu yemapapu yakafanana zvikuru muhukuru uye chimiro nevharuvhu yeaortic.
- Nzvimbo ine kumanikidzwa kwakaderera: Vharuvhu yemupi inoiswa paimbova nevharuvhu yemapapu. Nzvimbo iyoyo inenge iri pasi pe kumanikidzwa kwakaderera. Saka kunyangwe vharuvhu iyoyo isina kusimba, haizokanganisi zvakanyanya.
Ndiani akakodzera uye asina kukodzera kuvhiyiwa uku?
Maitiro eRoss haasi ekuvhiya kwemunhu wese. Vanachiremba vanosarudza varwere vekuita izvi zvichienderana nezvinhu zvakati wandei.
| Avo vanowanzo fanirwa kuvhiyiwa | Vanhu vasingawanzokodzera kuvhiyiwa |
|---|---|
| Vanhu vari pasi pemakore makumi matanhatu. | Vanhu vane zvirwere zve autoimmune zvakaita se lupus ne rheumatoid arthritis. |
| Vanhu vane stenosis ye aorta yekuzvarwa nayo. | Vanhu vane matambudziko ekubatanidza nhengo dzemuviri akadai seMarfan syndrome . |
| Vanhu vane zvimwe zvirwere zve aortic valve. | Vanhu vane chirwere chemwoyo, icho chinovhara tsinga dzeropa dzinopfuura nhatu mumoyo. |
| Vanhu vane chirwere chevharuvhu yeaorta (aorta valve endocarditis). | Vanhu vane chirwere chemapapu. |
Chinhu chinonyanya kukosha ndechekuti chiremba wemwoyo wako ndiye anosarudza kana kuvhiyiwa uku kwakakunakira iwe kana kwete.
Kuvhiyiwa kunoitwa sei nhanho nhanho
Uku kuvhiyiwa kwakarongwa zvikuru kunotora maawa akati wandei.
1. Anesthesia:Kutanga, uchaiswa pasi peanesthesia. Saka hauzonzwi chero chinhu uye hauzomboyeuki kuvhiyiwa kwawakaitwa.
2. Muchina wemwoyo nemapapu: Tevere, uchabatanidzwa nemuchina wemwoyo nemapapu . Muchina uyu unobata basa remwoyo nemapapu kwenguva pfupi panguva yekuvhiyiwa. Izvi zvinobvumira vanachiremba kuti vakwanise kuvhiya zvakachengeteka vasina kumisa moyo wako.
3. Kuvhura chipfuva: Vanachiremba vanochera pakati pechipfuva, vachicheka pfupa rechipfuva kumativi ese (sternotomy) kuti vasvike pamoyo.
4. Kuongororwa kwevharuvhu: Vharuvhu yemapapu inoongororwa zvakanaka kuti ione kana ine hutano hwakakwana hwekutsiva vharuvhu yeaortic.
5. Kutsiva vharuvhu: Zvadaro, vharuvhu yeaortic yakakuvara inobviswa uye vharuvhu yako yemapapu inoiswa panzvimbo yayo nokungwarira.
6. Kuisirwa vharuvhu yemupi: Tevere, vharuvhu inotorwa kubva kumupi ane hutano inoisirwa munzvimbo isina chinhu kwaive nevharuvhu yemapapu.
7. Kudzoreredza moyo: Mushure mekunge mavharuvhu ese ari maviri aiswa munzvimbo dzakakodzera, moyo wako unotangazve kushanda uye unobviswa zvishoma nezvishoma kubva mumuchina wemoyo nemapapu. Mavharuvhu ese matsva anotariswawo kuti ave nechokwadi chekuti ari kushanda nemazvo.
8. Kupedzwa kwekuvhiyiwa: Pakupedzisira, sternum inosungirirwazve uye inosungwa newaya, kucheka kunosungirirwa, uye kunofukidzwa nebhandeji rakachena.
Mabhenefiti nenjodzi dzinogona kuitika pakuvhiyiwa uku
Kufanana nekuvhiyiwa kupi zvako, nzira yeRoss Procedure ine zvakanakira uye njodzi. Njodzi dzinogona kuderedzwa nekurapwa pasi pekutarisirwa kwachiremba ane ruzivo uyo anoita maitiro aya nguva dzose.
| Mabhenefiti Makuru | Njodzi dzinogona kuitika |
|---|---|
| Unogona kurarama hupenyu hune simba, kusanganisira kurovedza muviri uye kutyaira. | Kukura kwetsinga yeropa pedyo nevharuvhu itsva (Aortic autograft dilation). |
| Kana vakadzi vachida kubata pamuviri, vanogona kuzviita zvakachengeteka. | Kusashanda zvakanaka kwemoyo (Arrhythmia) . |
| Kutenderera kweropa zvakanaka (hemodynamics) kunowanikwa mumuviri wese. | Kumira kurova kwemoyo . |
| Hamufanirwe kutora mishonga yekuderedza ropa kweupenyu hwenyu hwese. | Kubuda ropa zvakanyanya (Kubuda ropa zvakanyanya) . |
| Zviratidzo zvinopera nekukurumidza. Murwere anonzwa zviri nani nguva pfupi mushure mekuvhiyiwa. | Utachiona . |
| Vharuvhu inodonha kana kuti yakanamira. |
Nguva yekupora mushure mekuvhiyiwa uye nguva yekuona chiremba
Mushure mekuvhiyiwa, muchawanazve pfungwa muCardiac ICU . Pakutanga, munogona kunge makabatana nemuchina wekufema kuti ubatsire kufema. Muchagara muICU kwemazuva angangoita mashanu.
Zvinogona kutora mwedzi yakati wandei kuti munhu apore zvakanaka mushure mekudzokera kumba. Munguva iyi, kuzvimba, kushaya chido chekudya, kushaya hope, kusanzwa uye kuzvimba kwakatenderedza nzvimbo yakachekwa zvinhu zvakajairika.
Zvakakosha: Vharuvhu yemapapu inowanikwa kubva kune anopa mushonga haigari nekusingaperi. Inowanzo fanirwa kutsiviwa mushure memakore 15-20. Saka, kuongororwa kwechiremba kwehupenyu hwese uye kutariswa kwakakosha zvikuru.
Kana ukaona zviratidzo zvematambudziko mushure mekuvhiyiwa, unofanira kuzivisa chiremba wako nekukasika . Nyatsocherechedza zviratidzo zvinotevera:
- Kurwadziwa kwechipfuva
- Fivha kana kutonhora
- Dzungu kana kupera simba
- Kukosora ropa
- Kukuvara kana kubuda ropa kusingawanzoitiki
- Kusanzwa simba mumakumbo
- Kurutsa
- Ropa riri mutsvina (tsvuku yakajeka)
Mharidzo Yekuenda Nayo Kumba
- Maitiro eRoss ndiwo mushonga wakanakisa kune vanhu vane chirwere chakakomba che aortic valve, kunyanya vechidiki.
- Izvi zvinosanganisira kutora vharuvhu yako yemapapu ine hutano woiisa panzvimbo imwe chete kuti itsive vharuvhu yeaorta ine chirwere.
- Nekuti unoshandisa nyama yako wega, haufanirwe kutora mishonga inodzikisa ropa kweupenyu hwako hwese. Unogonawo kurarama hupenyu hune simba.
- Sekunge kune chero kuvhiyiwa kupi zvako, kune njodzi dzinobatanidzwa, asi njodzi idzi dzinogona kuderedzwa nekurapwa pasi pekutarisirwa kwachiremba ane ruzivo.
- Kana ukaona zviratidzo zvisingawanzoitiki mushure mekuvhiyiwa, taura nachiremba wako nekukasika.
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