Ngatidzidzei nezvekuvhiyiwa kwevharuvhu yemoyo (Surgical Mitral Commissurotomy) nenzira iri nyore.

Funga nezvemoyo wako sepombi yemvura inoshanda isingamiri. Mukati mepombi iyi, mune zvikamu zvina zvidiki zvakaita segonhi zvinobatsira kuyerera kweropa munzira imwe chete. Mukurapa, tinodana mavharuvhu emwoyo aya. Kana magonhi aya asingavhurike uye asingavharike zvakanaka, idambudziko guru, handiti? Saizvozvowo, nhasi tiri kutaura nezvekuvhiyiwa kwakakosha kunoitwa kana vharuvhu yemitral, imwe yemavharuvhu akakosha mumoyo medu, isingavhurike zvakanaka uye ikava diki.

Chii chinonzi commissurotomy?

Zvichitaurwa zviri nyore, commissurotomy inzira yekuvhiya inobvumira ropa kuti riyerere nepavharuvhu mumoyo mako. Inowanzoitwa pavharuvhu yemitral . Vharuvhu yemitral iri pakati pekamuri rekumusoro kuruboshwe (atrium yekuruboshwe) nekamuri rezasi kuruboshwe (ventricle yekuruboshwe).

Fungidzira kuti gonhi iri harisi kuvhurwa zvakanaka uye rakanamirwa uye rakamanikana. Tinowanzoti chirwere ichi chinonzi mitral valve stenosis. Chinoitika ndechekuti nzira yeropa kuti ribude kubva mukamuri repamusoro kuenda mukamuri repasi yakavharwa. Izvi zvinoita kuti ropa ridzokere shure uye zvinoisa simba guru pamoyo nemapapu. Nekufamba kwenguva, izvi zvinogona kutokonzera zvirwere zvakakomba zvakaita sekushaya simba kwemoyo.

Kuvhiyiwa uku kwe commissurotomy kunoshandiswa sekurapa matanho ekutanga e mitral valve stenosis. Asi kutaura chokwadi, hakuwanzoitwa kakawanda mazuva ano. Nekuti kazhinji kunoitwa sekuvhiyiwa kwemoyo wakavhurika . Kune dzimwe njodzi. Saka, pese pazvinogoneka, vanachiremba vanoedza kushandisa nzira dziri nyore uye dzisina njodzi. Imwe yenzira huru dzekurapa dziripo parizvino i balloon valvuloplasty . Muizvi, chubhu yakatetepa inoiswa uye chimwe chinhu chakaita sebharumu chinofuridzirwa mukati mevharuvhu yakamanikana, zvichiita kuti iwedzere.

Zvisinei, kune vamwe vanhu, nzira yekurova bharumu haigone kuitwa nekuda kwenzvimbo yemoyo yavo kana zvimwe zvikonzero. Muzviitiko zvakadaro, kuvhiyiwa kwe commissurotomy ndiyo sarudzo yakanakisa.

Ndiani anoda kuvhiyiwa uku?

Kana uine mitral stenosis uye chimwe chezvinotevera chinoshanda, chiremba wako anogona kukurudzira kuvhiyiwa uku:

• Kana usati warapwa nedzimwe nzira dzekurapa.
• Kana usingakwanise kuvhiyiwa nebharuni valvuloplasty.

Pamusoro pezvo, kana wakambovhiyiwa moyo nemamwe maoparesheni, kuvhiyiwa uku kunogona kuitwa panguva imwe chete.

Asi chinhu chimwe chete chakakosha kurangarira. Havasi vese vane mitral valve stenosis vanogona kuvhiyiwa uku. Zvinoenderana nechikonzero che valvu yako stenosis.

Pane zvikonzero zvikuru zviviri:

1. Kukuvadzwa kunokonzerwa neRheumatic Heart Disease:Chirwere cherheumatic fiver, chinoteverwa nehutachiona hwepahuro pahuduku, chinogona kukanganisa mavharuvhu emwoyo mushure memakore.

2. Degenerative Mitral Stenosis: Nekufamba kwenguva, vharuvhu inoderera zvishoma nezvishoma, inova yakatetepa, uye inofukidzwa necalcium deposits.

Kuvhiyiwa kweCommissurotomy kunobatsira zvikuru kune vanhu vane chirwere chemwoyo chinonzi rheumatic heart disease . Mumamiriro ezvinhu aya, makona maviri evharuvhu panosangana mapepa maviri aya, anonzi commissures , anokora uye dzimwe nguva anonamira pamwe chete.

Mukuvhiyiwa kwe commissurotomy, kucheka kudiki kunoitwa pamakona maviri evharuvhu uye kunoburitswa. Zvadaro vharuvhu inotanga kuvhurika zvakanaka zvakare. Zvisinei, kune vanhu vane mavharuvhu akasakara nekuda kwezera, mavharuvhu haawanzokuvara. Pane kudaro, zvimwe zvikamu zvevharuvhu zvinoda kugadziriswa. Saka, kuvhiyiwa uku hakuna kukodzera kwavari. Vachafanirwa kugadziriswa neimwe nzira kana kutsiva vharuvhu zvakakwana (mitral valve replacement).

Chii chinoitika kuvhiyiwa kusati kwaitwa?

Kugadzirira kunotanga mavhiki, dzimwe nguva mwedzi, zuva rekuvhiyiwa kwako risati rasvika. Chikwata chako chekurapa (chiremba wemhuri yako, chiremba wemwoyo, uye chiremba wemwoyo) vachaungana kuti vakuongorore zvakakwana.

Kana muine mibvunzo, kutya, kana kusava nechokwadi nezvekuvhiyiwa, taurai nachiremba wenyu nezvazvo. Musavanza chero chinhu kwamuri. Zvakakosha kuziva zvese uye kupinda mukuvhiyiwa nepfungwa dzakagadzikana.

Chiremba wako achakupa mirairo yekuti ungagadzirira sei kuvhiyiwa, kusanganisira nguva yekurega kudya nekunwa usati wavhiyiwa, uye chero shanduko pamishonga yako.

Kuvhiyiwa uku kunoitwa sei?

Mukamuri rekuvhiyira, timu yezvekurapa inotevera matanho aya:

1. Kutanga, uchapihwa mushonga wekutindivadza uye ucharara kusvika kuvhiyiwa kwapera. Hauzonzwi kurwadziwa.

2. Tevere, chiremba anochekwa pakati pechipfuva chako, pasi pepfupa rechipfuva (sternum). Izvi zvinonzi median sternotomy .

3. Uchabatanidzwa nemuchina we cardiopulmonary bypass . Muchina uyu unobata basa remoyo nemapapu kwenguva pfupi panguva yekuvhiyiwa. Izvi zvinobvumira chiremba kuti akuitire kuvhiyiwa iwe wakanyarara, pasina kurova kwemoyo wako.

4. Atrium yekuruboshwe yemoyo inovhurwa uye vharuvhu yemitral inoongororwa.

5. Zvadaro, kucheka kwakanyatsonaka kunogadzirwa pamakona maviri (commissures) evharuvhu anenge anamatira uye akobvu, zvichiaparadzanisa uye zvichiasunungura.

6. Kana basa rapera, uchabviswa pamuchina wemoyo nemapapu uye moyo wako nemapapu zvichatanga kushanda zvakare.

7. Pakupedzisira, kuongororwa kwemoyo ne transesophageal echocardiogramKuongororwa kwakakosha kunoitwa kuti kuonekwe kana vharuvhu iri kushanda nemazvo uye kana zvese zviri kushanda nemazvo.

Dzimwe nguva, mamwe maoparesheni emwoyo, akadai sekugadzirisa mamwe mavharuvhu emwoyo (vharuvhu yeaorta kana vharuvhu yetricuspid), anogona kuitwa panguva imwe chete nekuvhiyiwa uku. Kana izvi zvichidikanwa, timu yezvekurapa ichakutsanangurira izvi pachine nguva.

Chii chinoitika mushure mekuvhiyiwa?

Uchafanira kugara muchipatara kweinenge vhiki mushure mekuvhiyiwa. Kwezuva rekutanga kana maviri, uchachengetwa muchikamu chevarwere vane chirwere chakanyanya (ICU) uye uchatariswa zvakanyanya. Izvi zvinoitirwa kubatsira kuona chero matambudziko angamuka mushure mekuvhiyiwa nekukurumidza.

Usati wadzokera kumba kubva kuchipatara, chiremba wako achakupa ruzivo nezve:

• Kurapa Mwoyo: Izvi zvinobatsira zvikuru kune vanhu vari kupora mushure mekuvhiyiwa kwemoyo. Zvinokubatsira kuti uwane simba rako uye utange kuita mabasa enguva dzose.
• Maitiro ekuchengetedza ganda rakachekwa: Zvakakosha kuchengetedza ganda rakachekwa rakachena kudzivirira hutachiona uye kuporesa ronda nekukurumidza.
• Zvirambidzo: Mazano ekuti unofanira kumirira kwenguva yakareba sei usati watangazve mabasa akadai sekutyaira mota kana kuita basa rinorema.

Usati waenda kumba, usakanganwa kuronga kuti mumwe munhu akutore.

Ndezvipi zvakanakira uye njodzi dzekuvhiyiwa uku?

Zvakanakira

Kuvhiyiwa uku kunogona kuderedza zviratidzo zvakaita sekushaya mweya uye kuneta kunokonzerwa nekupfupika kwevharuvhu yemitral. Kunogonawo kukudzivirira kubva kumatambudziko akakomba angangoitika mune ramangwana. Uku kurapa kwakanaka kwazvo kune vanhu vane mamiriro asina kunaka zvakakwana ekutsiva vharuvhu zvachose uye vasina kubudirira nemamwe marapirwo.

Njodzi kana Matambudziko

Sekunge kune chero kuvhiyiwa kupi zvako, kune njodzi. Dambudziko rinowanzoitika i mitral valve regurgitation .

Njodzi dzakawanda idzi dzinogona kuderedzwa nekurapwa kuchipatara chikuru chine nzvimbo dzekurapa uye vanachiremba vane ruzivo mukuvhiya mwoyo.

Ndeipi tarisiro mushure mekuvhiyiwa?

Kuvhiyiwa uku kunowanzo gadzirisa kutetepa kwevharuvhu uye kunodzoreredza kufamba kweropa.

Chiremba wako anogona kukuudza zviri nani nezvehutano hwako hweramangwana. Munhu wese anopora zvakasiyana. Zvinhu zvakawanda zvinokanganisa izvi, kusanganisira zera rako, hutano hwako hwese, uye huwandu hwekukuvadzwa kwevharuvhu yako usati wavhiyiwa.

Unofanira kuona chiremba rini?

Kana ukaona zviratidzo zvehutachiona paunenge uchipora kumba mushure mekuvhiyiwa, fonera chiremba wako nekukasika.

• Kurwadziwa pachipfuva, kuomarara, kana kusagadzikana.
• Kupindwa nechando.
• Kutsvuka kana kuti mvura yakaita semapundu iri kubuda panzvimbo yakachekwa.

Kana ukaona chimwe chezviratidzo zvikuru zvinotevera, fonera nhamba yako yekukurumidzira kana kuenda kuchipatara chiri pedyo neEmergency Department (ETU):

• Zviratidzo zvechirwere chemwoyo (kurwadziwa kwechipfuva kwakanyanya, kunetseka kufema, kurutsa, kudikitira).
• Zviratidzo zvekuoma mitezo (kuoma kutaura, kurereka kwerutivi rumwe rwechiso, kurasikirwa nekunzwa muruoko kana gumbo).