Une dambudziko rekufema here, kurwadziwa pachipfuva, kana kuti unonzwa kuneta nguva dzese? Pamwe chiremba wako akakuudza kuti pane dambudziko diki rine vharuvhu mumoyo mako. Zvakajairika kunzwa kutya uye kunetseka zvishoma paunonzwa nyaya iyoyo. Asi usazvidya moyo, nhasi tiri kutaura nezveizvi, kunyanya nezvekuvhiyiwa kweAortic Valve. Tichataura nezveizvi nenzira yaunonzwisisa, sekunge uri kutaura neshamwari.
Zvichitaurwa zviri nyore, chii chinonzi kuvhiyiwa kweAortic Valve?
Fungidzira kuti mwoyo wedu ndiwo mota huru inopomba ropa mumuviri wese. Gedhi guru rinoburitsa ropa kubva mumota iyi iAortic Valve . Ndiko kuburikidza negedhi iri apo ropa rakachena, rine oxygen yakawanda rinoenda kumuviri wese kuburikidza netsinga huru yeropa mumuviri (Aorta). Saka ikozvino ungangove wanzwisisa kukosha kwazvakaita kuti gedhi iri rishande nemazvo.
Dzimwe nguva vharuvhu iyi inomira kushanda zvakanaka. Izvi zvinonzi chirwere chevharuvhu yeaorta. Izvi zvinogona kuitika nenzira mbiri huru:
1. Aortic Valve Stenosis: Izvi zvinoreva kuti vharuvhu harivhurike zvakanaka uye rinovharika. Ipapo moyo unofanira kushanda nesimba kuti upombe ropa. Zvakafanana nekuvhura gonhi rine ngura nekuomerwa.
2. Kudzoreredza Vharuvhu yeAortic: Apa ndipo apo vharuvhu isingavharike zvakanaka, zvichiita kuti ropa ribude richidzokera kumashure. Izvi zvinoita kuti rimwe ropa rinopombwa ridzokere mumoyo.
Kana dambudziko rerudzi urwu rikaitika, kurapwa kunonzi Aortic Valve surgery. Mukuita izvi, vanachiremba vanogona kugadzirisa vharuvhu yakakuvara kana kuibvisa zvachose voisa vharuvhu itsva .
Kunyangwe kuvhiyiwa uku kunganzwika sedambudziko guru kana ukanzwa nezvazvo, kuchagadzirisa dambudziko remwoyo wako uye kukupa mukana wakanaka wekurarama hupenyu hwakanaka zvakare. Kuchakubatsirawo kukudzivirira kubva kunjodzi huru dzechirwere chemwoyo uye kutadza kushanda kwemoyo kunogona kuitika mune ramangwana nekuda kwechirwere ichi.
Kuvhiyiwa uku kwakakomba zvakadini?
Kutaura chokwadi, kuvhiyiwa kweAortic Valve kuvhiyiwa kwakakomba . Nekuti zvinotora mavhiki akati wandei kuti upore zvizere mushure meizvi. Zvakare, sezvatakambotaura nezvazvo, iyi Aortic Valve chikamu chakakosha chemuviri wedu kuti urarame. Saka, kuvhiyiwa uku kunoitwa nekungwarira kukuru uye nechikwata chevanachiremba vane hunyanzvi. Asi yeuka, nhasi zviuru zvevanhu pasi rese vakabudirira kuvhiyiwa uku uye vari kurarama hupenyu hwakanaka.
Ndeapi marudzi ekuvhiyiwa aripo?
Kune mhando mbiri huru dzekuvhiyiwa. Chiremba wako ndiye achasarudza kuti ndeipi yakakunakira.
| Rudzi rwekuvhiyiwa | Zvichitaurwa zviri nyore... |
|---|---|
| Kugadziriswa kweVharuvhu yeAortic | Izvi zvinosanganisira kugadzirisa kukuvara kwevharuvhu yako pasina kuibvisa. Chinangwa pano ndechekuchengetedza nyama yako yakawanda sezvinobvira. |
| Kutsiva Vharuvhu yeAortic (SAVR) | Mukuita uku, vharuvhu yakakuvara inobviswa zvachose uye vharuvhu itsva inoiswa panzvimbo payo. Uku ndiko kuvhiyiwa kunowanzoitwa. |
Kune vamwe vanhu, nzira yemazuva ano inonzi ``Transcatheter Aortic Valve Replacement - TAVR/TAVI'' inoshandiswa, umo chubhu inopfuudzwa nemutsinga yeropa iri mugumbo pasina kuvhura chipfuva. Asi hazvigoneki kune wese munhu. Chiremba wako achakutsanangurira nzira yakakunakira.
Kana uchitsiva vharuvhu, unoshandisa rudzii rwevharuvhu?
Mavharuvhu matsva anogona kuuya mumhando mbiri huru. Ose ane zvakanakira nezvakaipira.
1. Mavharuvhu eTishu: Aya anogadzirwa nenyama yemwoyo yemhuka (yemombe kana yenguruve). Chakanakira ndechekuti kana angoiswa, haufanirwe kutora mishonga inorwisa ropa kweupenyu hwako hwese. Chakashata ndechekuti anogona kupera mushure memakore angangoita gumi kusvika gumi nemashanu, uye ungangoda kuvhiyiwa zvakare.
2. Mavharuvhu eMechanical: Aya akagadzirwa nezvinhu zvinogara kwenguva refu zvakaita secarbon. Anogara kweupenyu hwese. Hapana chikonzero chekuvhiyiwa zvakare. Asi dambudziko guru nderekuti pane njodzi yekugwamba kweropa muvharuvhu iyi, saka unofanirwa kutora mishonga inorwisa ropa (senge Warfarin) zuva rega rega kwehupenyu hwako hwese . Zvakare, unofanirwa kuongororwa ropa nguva nenguva paunenge uchitora mushonga uyu.
Chiremba wako achakurukura newe kuti ndeipi vharuvhu yakakunakira zvichienderana nezera rako, mararamiro ako, uye hutano hwako.
Tinogadzirira sei tisati tavhiyiwa?
Chiremba achaita bvunzo dzinoverengeka kuti aone kuti muviri wako wagadzirira sei kuvhiyiwa.
- Echocardiogram (Echo): Izvi zvinokubatsira kuona zvakajeka mashandiro emoyo nemavharuvhu.
- Kuongororwa kwemoyo (EKG):Kushanda kwemagetsi kwemoyo kunoongororwa.
- X-ray yechipfuva: Kuongorora chipfuva neX-ray.
- Kugadziriswa kwemoyo: Muizvi, chubhu diki inopfuudzwa nemutsinga yeropa ichipinda mumoyo kuti iongorore kana paine kuvharika kwetsinga dzemwoyo.
- Kuongororwa kweropa neweti: Tarisa zvinhu zvakaita sekushanda kweitsvo.
Mushure mekuongororwa uku, chiremba achakupa mirairo. Zvakakosha kuitevedzera nemazvo .
- Uchakumbirwa kuti usadye kana kunwa mushure mehusiku husiku usati wavhiyiwa.
- Ungakumbirwa kuti urege kushandisa mimwe yemishonga yauri kutora parizvino kana kuti uchinje mwero wemushonga wacho.
- Achakuudza nguva yekuuya kuchipatara.
Kana paine chisina kujeka nezvezvinhu izvi, bvunza chiremba zvakare kuti uwane chokwadi.
Chii chinoitika panguva yekuvhiyiwa?
Zvakajairika kuti utye zvishoma paunofunga nezveizvi, asi zvese izvi zvinoitika usingazvizivi, paunenge wakarara hope huru.
1. Kutanga, uchapihwa mishonga inonyaradza marwadzo wobva warara .
2. Ipapo chiremba anovhiya anoita kucheka pachipfuva uye anosvika pamoyo.
3. Uchabatanidzwa nemuchina wemwoyo nemapapu . Muchina uyu unotora basa remwoyo nemapapu kwenguva pfupi panguva yekuvhiyiwa. Izvi zvinoreva kuti okisijeni neropa zvinopihwa mumuviri wako kuburikidza nemuchina uyu.
4. Mwoyo unozomira kwenguva pfupi kuitira kuti chiremba agone kuvhiya moyo wakanyarara.
5. Tevere, vharuvhu yeaorta inogadziriswa kana kutsiviwa.
6. Kana basa revharuvhu rapera, moyo unotangazve kushanda .
7. Uchabviswa pamuchina wemoyo nemapapu.
8. Kucheka kuchasonerwa kuvharwa uye uchaendeswa kuchipatara chekupora (ICU).
Kuvhiyiwa kunogona kutora maawa maviri kana kupfuura.
Chii chinonzi nzira yekuvhiya?
| Maitiro | Tsananguro |
|---|---|
| Kuvhiyiwa Kwemwoyo Kwechinyakare | Muizvi, kucheka kwakareba masendimita 1.5-1.5 kunochekwa pakati pechipfuva uye sternum inovhurwa kuti isvike pamoyo. |
| Kuvhiya Kusingapindi Zvishoma | Munzira iyi, kuvhiyiwa kunoitwa kuburikidza nekucheka kadiki kadiki kane 2-4 inches, pane kuvhura chipfuva chose. Nzira iyi inoita kuti ropa risabude zvakanyanya, kugara muchipatara kwenguva pfupi, uye kupora nekukurumidza. |
Chiremba wako achasarudza nzira yakakodzera iwe zvichienderana nekuoma kwechirwere chako, mamwe mamiriro ehutano, uye rudzi rwemuviri wako.
Nguva yekupora mushure mekuvhiyiwa inomira sei?
Mushure mekuvhiyiwa, muchatanga mapinda muIntensive Care Unit (ICU) . Ikoko, kurova kwemoyo wenyu neBP yenyu zvichaongororwa zvakanyanya. Mushure mezuva rimwe kana maviri, muchaendeswa kuchipatara. Kugara muchipatara kwese kunogona kutora mazuva mashanu kusvika manomwe.
Zvinogona kutora pakati pemavhiki mana kusvika masere kuti unyatsopora mushure mekudzokera kumba. Kana kuvhiyiwa kwacho kwakaitwa pasina mavanga madiki, unogona kupora nekukurumidza.
Uchanzwa kuneta zvakanyanya mumavhiki mashoma ekutanga. Izvozvo zvakajairika. Zorora muviri wako. Panguva imwe chete, zvakakoshawo kutanga kufamba uye kuita maekisesaizi madiki sezvinotaurwa nachiremba wako. Zvipatara zvakawanda zvine zvirongwa zvekuvandudza moyo . Kutora chikamu mune izvi kuchabatsira zvikuru mukupora kwako.
Chiremba achakuudza kuti uuye kuzomuona vhiki imwe chete mushure mekuvhiyiwa uye zvakare mushure memavhiki matanhatu. Iva nechokwadi chekuenda panguva iyoyo.
Vamwe vanhu vanogona kusangana nedambudziko repfungwa, kusuruvara, kana kuora mwoyo mushure mekuvhiyiwa kukuru kwakadai. Ichi chirwere chinowanzoitikawo kuvanhu vazhinji. Kana uchinzwa seizvi, taura nachiremba wako, nhengo yemhuri, kana shamwari yaunovimba nayo nezvazvo.
Ndezvipi zvakanakira uye njodzi dzekuvhiyiwa uku?
Chinhu chikuru chekuvhiyiwa uku ndechekuti kuvhiyiwa kunoponesa hupenyu . Kunorapa zvachose chirwere chemwoyo chinogona kuuraya kana chikasarapwa. Kuvhiyiwa uku hakungowedzeri hupenyu hwako chete, asiwo kunobvisa zviratidzo zvezuva nezuva zvakaita sekushaya mweya uye kuneta, zvichiita kuti hupenyu huve nyore.
Kufanana nekuvhiyiwa kwese, uku kune njodzi.
- Mishonga inorwisa marwadzo inonzi allergy
- Kubuda ropa
- Utachiona hwepaburi repaburi, mwoyo, kana mapapu
- Kugwamba kweropa uye sitiroko
- Kusarongeka kwemutinhimira wemoyo `(Arrhythmia)` (kazhinji kwenguva pfupi)
- Kudzikira kwechinguvana kwekushanda kweitsvo
Njodzi idzi dzinogona kusiyana zvichienderana nezera rako uye zvimwe zvirwere. Asi yeuka kuti timu yako yezvekurapa ichatora matanho ese anogoneka kuderedza njodzi idzi.
Ndeipi nguva dzaunofanira kutaura nachiremba?
Kana ukaona chimwe chezviratidzo zvinotevera mushure mekudzokera kumba, unofanira kufonera chiremba wako nekukasika .
| Zviratidzo zvekunyevera zvekutarisira | |
|---|---|
| - Kurwadziwa kwechipfuva kana kusimba | - Kuzvimba, kutsvuka, kana kuti urwa huri kubuda kubva pakachekwa |
| - Kunzwa fivha kana dzihwa | - Kunzwa sekuti moyo wako uri kurova nekukurumidza (Palpitations) |
| - Kuzvimba kwemakumbo kana tsoka (Edema) | - Kuwedzera huremu kunodarika 1.5 kg mukati mevhiki |
Zvakajairika kutya pfungwa yekuvhiyiwa kwemoyo. Asi taura nachiremba wako nezvazvo. Bvunza mibvunzo yese yaunayo. Taura nemhuri yako neshamwari nezvazvo wowana rutsigiro rwavo. Ichi hachisi chinhu chaunofanira kutarisana nacho uri wega. Nekurapwa kwakakodzera uye rutsigiro rwevadikanwi vako, unogona kupora nekukurumidza uye kurarama hupenyu hwakanaka zvakare.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kwevharuvhu yeropa inzira yakakomba, asi inoponesa hupenyu uye inovandudza hupenyu.
- Tevedzera mirairo yachiremba nokungwarira usati wavhiyiwa. Bvunza uye pindura mibvunzo yaungave nayo.
- Zvinotora nguva kuti upore. Ipa muviri wako zororo raunoda . Panguva imwe chete, zvishoma nezvishoma tanga kushanda nesimba zvichienderana nemirairo yachiremba wako.
- Chenjerera zviratidzo zvekunyevera mushure mekuvhiyiwa, zvakaita sekurwadziwa muchipfuva, fivha, uye kuzvimba kwemaronda. Kana ukasangana nechimwe cheizvi, taurira chiremba wako nekukasika.
- Zvakajairika kunzwa kusuruvara uye kuzvidya mwoyo mushure mekuvhiyiwa. Usatya kutaura nezvazvo uye kukumbira rubatsiro .
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