Munhu wese anogona kutya zvishoma paanonzwa izwi rekuti kuvhiyiwa kwemoyo, handiti? Kunyanya kana kuri kuvhiyiwa kunosanganisira kutsiva chikamu chemoyo chakaita sevharuvhu. Asi usatya. Uku kuvhiyiwa kwakaitwa nezviuru zvevanhu zvinobudirira. Nhasi, ngatitaurei nezve uku kunonzi kuvhiyiwa kweAortic Valve, zvakunoita chaizvo, uye nei kuchikosha kwauri.
Zvichitaurwa zviri nyore, chii chinonzi Aortic Valve iyi?
Fungidzira mwoyo wako seimba diki, asi ine simba guru ine makamuri mana. Gedhi guru rinopomba ropa rakachena, rine oxygen kubva mumba umu kuenda kumuviri wese iAortic Valve . Kutaura chokwadi, 'gedhi' iri riri pakati pekamuri guru rekupomba remwoyo (Left Ventricle) netsinga huru yeropa (Aorta) inotakura ropa kuenda kumuviri wese. Saka ikozvino ungangove wanzwisisa kukosha kwazvakaita kuti gedhi iri rishande zvakanaka kumuviri wese.
Sei vharuvhu iyi ichida kuvhiyiwa?
Nekufamba kwenguva, uye dzimwe nguva kubva pakuzvarwa, vharuvhu iyi inogona kusashanda zvakanaka. Matambudziko maviri makuru anogona kuitika.
| Dambudziko rehutano | Zvichitaurwa zviri nyore... |
|---|---|
| Kutetepa kwevharuvhu yeAortic (kutetepa kwevharuvhu) | Chinoitika muchiitiko ichi ndechekuti mavharuvhu anokora uye haavhurike zvakanaka. Izvi zvinoisa kumanikidzwa kwakanyanya pamoyo, zvichiita kuti unzwe sekunge wabatwa uye unofanira kusunda ropa kuti ribude. |
| Kudzoreredza Vharuvhu yeAortic (vharuvhu inobuda) | Chinoitika apa ndechekuti mavharuvhu haavharike zvakanaka. Nekuda kweizvozvo, rimwe ropa rakaburitswa rinodonhera mumoyo. |
Matambudziko maviri aya anowedzera kuomesa moyo. Nekufamba kwenguva, chirwere ichi chinogona kuipa kusvika pakukundikana kwemoyo kana kumira kwemoyo kamwe kamwe. Ndosaka zvichikosha kugadzirisa vharuvhu iyi nekuvhiyiwa.
Ndeapi marudzi ekuvhiyiwa aripo?
Kune mhando mbiri huru dzekuvhiya.
- Kugadziriswa kweAortic Valve: Pose pazvinogoneka, vanachiremba vanoedza kugadzirisa dambudziko riri muvharuvhu yako yechisikigo vorichengetedza. Izvi zvinosanganisira kuchengetedza nyama yako yakawanda sezvinobvira.
- Kutsiva Vharuvhu yeAortic yeKuvhiyiwa (SAVR): Dzimwe nguva, kana vharuvhu yakakuvara zvekuti haigone kugadziriswa, inobviswa zvachose uye vharuvhu itsva yekugadzira inoiswa.
Vharuvhu itsva yakaita sei?
Kana uchizochinjwa vharuvhu, chiremba wako achataura newe nezvesarudzo dzakasiyana-siyana. Dzimwe dzacho dzakagadzirwa nenyama yemhuka (semuenzaniso, nguruve, mombe), nepo dzimwe dzakagadzirwa nenyama yevanhu. Pamusoro pezvo, kune rudzi runonzi vharuvhu yemagetsi , iyo yakagadzirwa nesimbi yakasimba. Rudzi rumwe nerumwe rune zvarwakanakira nezvarwakaipira. Semuenzaniso, kana uine vharuvhu yemagetsi, uchafanira kutora mushonga unoomesa ropa kweupenyu hwako hwese. Zvakakosha kukurukura izvi nachiremba wako uye kusarudza wakakunakira.
Ngatidzidzeiwo nezveTAVR/TAVI: Neruzivo rwepamusoro rwuripo nhasi, kune nzira iyo chubhu inopfuudzwa neropa mutsinga iri mudumbu kana muruoko kuenda kumoyo uye inotsiva vharuvhu isina kuvhura chipfuva zvachose. Izvi zvinonzi Transcatheter Aortic Valve Replacement (TAVR/TAVI) . Asi izvi hazvigone kuitwa nemunhu wese. Chiremba wako ndiye achasarudza kuti ndeipi nzira yakanakira mamiriro ako ezvinhu.
Unogadzirira sei usati wavhiyiwa?
Chiremba wako achakuongorora uye achakuraira bvunzo dzinoverengeka dzinodiwa usati wavhiyiwa.
- Kuongororwa kwemoyo (Echocardiogram - Echo)
- Kuongororwa kweX-ray pachipfuva
- Kuongororwa kweEKG (Electrocardiogram)
- Kuongororwa kweCT
- Kugadziriswa kwemoyo (kuyedzwa uko kamera inopfuudzwa nemutsinga dzeropa)
- Kuongororwa kweropa neweti
Mushure mezvose izvi, chiremba achakupa mirairo yezvaunofanira kuita zuva risati rasvika rekuvhiyiwa. Semuenzaniso, kusadya kana kunwa chero chinhu mushure mehusiku husiku husati hwasvika pakuvhiyiwa, kana uchifanira kurega kutora mishonga, uye kuti unofanira kuuya kuchipatara nguvai. Zvakakosha kutevedzera mirairo iyi nemazvo.
Kuvhiyiwa kunoitwa sei uye nzira dzacho
Panguva yekuvhiyiwa, ucharapwa zvachose saka hauzonzwi kurwadziwa. Chiremba anogona kushandisa nzira mbiri huru kuti asvike pamoyo.
| Nzira yekuvhiya | Tsananguro |
|---|---|
| Kuvhiyiwa Kwemwoyo Kwechinyakare | Pano, kucheka kwe 1.5-1.5 cm kunochekwa pakati pechipfuva kuti sternum ivhurwe uye isvike pamoyo. |
| Kuvhiyiwa kweMwoyo Kusingapindi Zvishoma | Izvi zvinoitwa kuburikidza nekucheka kadiki kadiki kane masendimita 2-4, pasina kuvhura chipfuva chose. Izvi zvinoita kuti ropa risabude zvakanyanya, kugara muchipatara kwenguva pfupi, uye kupora kukuru. |
Munguva yekuvhiyiwa, uchabatanidzwa nemuchina wakakosha (Heart-Lung Machine) kuti uite mabasa emwoyo nemapapu kwenguva pfupi. Chiremba anozomisa moyo wako uye ogadzirisa kana kutsiva vharuvhu nokungwarira. Kana basa rapera, moyo uchatangazve, wobviswa pamuchina, uye mavanga acho achavharwa. Kuvhiyiwa kwese kunowanzoita maawa maviri.
Mushure mekuvhiyiwa ... nguva yekupora
Mushure mekuvhiyiwa, unotanga wapinda muchikamu chevarwere vane chirwere chakanyanya (ICU) wobva waendeswa kuchipatara chemazuva ese. Unowanzo fanira kugara muchipatara kwemazuva mashanu kusvika manomwe. Kana waenda kumba, zvakajairika kunzwa wakaneta kwemavhiki mashoma. Saka teerera muviri wako wozorora zvakakwana.
Chiremba wako anogona kukurudzira chirongwa chekugadzirisa mwoyo . Izvi zvinosanganisira kuwedzera simba rako zvishoma nezvishoma kuburikidza nekurovedza muviri uchitungamirirwa nachiremba. Chiremba wako achakuudza kuti ungatangazve riini mabasa akadai sekusimudza masimbi nekutyaira. Zvinowanzo tora mavhiki mana kusvika masere kuti unyatsopora.
Vamwe vanhu vanogona kunzwa kuora mwoyo kushoma, kusuruvara, kana kushaya tariro mushure mekuvhiyiwa kwemoyo. Izvi zvakajairika uye zvinogona kurapwa. Kana zvikaitika izvi, taura nachiremba wako nezvazvo.
Zviratidzo zvinoda kurapwa nekukurumidza
Mushure mekudzokera kumba, kana ukaona chimwe chezviratidzo zvinotevera, fonera chiremba wako nekukasika kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.
- Kurwadziwa kwechipfuva kana kuomarara
- Fivha kana kunzwa kutonhora
- Pane hurwa, kuzvimba, kana kutsvuka kubva pakuchekwa kwakaitwa pakuvhiyiwa.
- Kurova kwemoyo
- Kuzvimba kwemakumbo (Edema)
- Kuwedzera huremu kunodarika 1.5 kg (mapaundi matatu) pavhiki
Mharidzo Yekuenda Nayo Kumba
- Kunyange zvazvo kuvhiyiwa kwevharuvhu yeaorta iri nzira yakakomba, kurapwa kunogona kuponesa hupenyu hwako uye kunobudirira.
- Kune nzira dzakasiyana, dzakadai sekugadzirisa mavharuvhu, kutsiva, kuvhiyiwa kwakavhurika, kana kuvhiyiwa kusingapindi zvakanyanya. Chiremba wako ndiye achasarudza kuti ndeipi nzira yakakunakira.
- Zvakajairika kunzwa kuneta mushure mekuvhiyiwa. Ipa muviri wako nguva yekupora. Tevedzera mirairo yachiremba wako nemazvo.
- Taura pachena nachiremba wako nezvekutya kana kunetseka kwauinako nezvekuvhiyiwa kana nguva yekupora.
- Rutsigiro rwemhuri yako neshamwari ruchakusimbisa zvikuru parwendo urwu, saka ita kuti vazivewo nezvazvo.
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