Dzimwe nguva unonzwa kufema kushoma here kana kunzwa kuremerwa muchipfuva chako paunenge wakaneta zvishoma, kana paunokwira masitepisi? Pamwe chiremba wako akakuudza nezvedambudziko rine vharuvhu mumoyo mako. Kana vharuvhu yemoyo isingavhurike zvakanaka uye ikavharika, tinoidaidza kuti 'stenosis'. Nhasi tichataura nezvekuvhiyiwa kwakakosha kunoitwa sekurapa chirwere chakadaro. Sezvo iri nyaya yakakosha zvikuru, ngatinzwisisei zvese zviri nyore.
Zvichitaurwa zviri nyore, chii chinonzi 'commissurotomy'?
Zvakanaka, ngatitangei tanzwisisa izvi zviri nyore. Mwoyo wako une makamuri makuru mana. Funga nezvawo semakamuri mana. Kuti ropa riyerere kubva mukamuri imwe kuenda kune imwe, masuo ari pakati pawo anofanira kuvhurwa nekuvharwa zvakanaka. Masuo iwayo ndiwo atinodaidza kuti mavharuvhu emwoyo .
Kuvhiyiwa kwe commissurotomy inzira inoshandiswa pakubvisa valvu ye mitral mumoyo mako. Iri pakati pemakamuri maviri emoyo, atrium yekuruboshwe neventricle yekuruboshwe. Iri ndiro gonhi riri pakati pemakamuri maviri. Gonhi iri rine maburi maviri.
Nekuda kwemamwe mamiriro ehutano, kunyanya chirwere chinonzi 'Mitral Valve Stenosis' , magonhi maviri aya haavhurike zvakanaka. Zvakaita segonhi rakanamira. Chii chinoitika ipapo? Kuyerera kweropa kubva mukamuri repamusoro kuenda mukamuri repasi kunodzikira. Izvi zvinoita kuti ropa ridzokere shure, zvichiisa simba guru pamoyo nemapapu. Nekufamba kwenguva, izvi zvinogona kutungamira kumatambudziko akakomba akadai sekushaya simba kwemoyo .
'Commissurotomy' inzira yekuvhiya inosanganisira kugadzira kucheka kudiki uye kupatsanura nzvimbo (commissures) apo mapepa evharuvhu yakavharika akabatanidzwa, zvichiita kuti vharuvhu ivhurike zvakanaka zvakare. Izvi zvinoita kuti ropa rifambe nemoyo zviri nyore zvakare.
Ndiani anoda kuvhiyiwa uku?
Kuvhiyiwa uku hakusi kwemunhu wese. Pane zvikonzero zvikuru nei chiremba wako angakurudzira kuvhiyiwa uku:
- Kana mamwe marapirwo (akadai semishonga) awakapihwa asina kubudirira.
- Kana usingakodzeri kuvhiyiwa kunonzi 'Balloon Valvuloplasty', uko kunosanganisira kuwedzera vharuvhu nebharumu.
- Kana ukavhiyiwazve kwemoyo, unogona kuvhiyiwa uku panguva imwe chete.
Asi chinonyanya kukosha ndechekuti kubudirira kwekuvhiyiwa uku kunoenderana nechikonzero che mitral valve stenosis yako. Ngatitarisei zvikonzero zvikuru zviviri.
| Chii chinokonzera mitral valve prolapse? | Tsananguro uye kukodzera kwekuvhiyiwa kwe 'commissarotomy' |
|---|---|
| Chirwere cheRheumatic Heart | Kukuvadzwa kwemavharuvhu emwoyo nekuda kwefivha yerheumatic muhudiki. Kukuvadzwa uku kunoitika makore akawanda gare gare. Apa ndipo panobatanidzwa mapepa emavharuvhu (fused commissures). Kuvhiyiwa kwe 'commissarotomy' kunobudirira zvikuru mumamiriro ezvinhu aya. |
| Kuchembera kweMitral Stenosis (Kukwegura) | Vanhu pavanenge vachikura, zvikamu zvevharuvhu zvinopera. Panyaya iyi, zvimwe zvikamu zvevharuvhu zvinokuvara pane kuti mapepa evharuvhu arambe akabatana. Saka, kuvhiyiwa kwecommissurotomy hakuwanzo kukodzera vanhu ava. Vanoda kugadziriswa kwemamwe mavharuvhu kana kutsiviwa zvachose kwevharuvhu (Mitral Valve Replacement) . |
Zvinorevei kana zvivharo zvevharuvhu zvikanamatira?
Izvi zviri nyore kunzwisisa. Fungidzira uchinyemwerera pamberi pegirazi wakavhara miromo yako. Tarisa makona emiromo yako yepamusoro nepazasi. Ndipo panosangana mativi maviri evharuvhu yemitral (commissures). Zvino fungidzira kuti mumwe munhu akabata makona emiromo yako neminwe miviri. Unogona kuvhura muromo wako zvakanaka here? Kwete, haugone? Ndizvo zvinoitika kana vharuvhu yemitral yavharwa. 'Commissurotomy' inzira yekuvhiya inosunungura makona maviri iwayo.
Unogadzirira sei usati wavhiyiwa?
Sezvo uku kuri kuvhiyiwa kukuru, kugadzirira kunotanga mavhiki mashoma pachine nguva. Chikwata chako chekurapa (chiremba wemwoyo, chiremba wemwoyo) chichakuongorora zvakakwana.
- Kuongororwa kwemuviri kwakakwana
- Kuongororwa kweropa
- Kutaura kwenguva refu nezvezviratidzo zvako uye nhoroondo yezvekurapa kwako
Uchaongororwawo kuti uone kana paine zvivhariso mu mitral valve yako nedzimwe tsinga dzemwoyo wako, zvakaita se:
- Echocardiography - Iyi iongororo yemoyo.
- Kuongororwa kweCT
- Angiography yeCoronary
Kana muine mibvunzo kana zvinokunetsai nezvekuvhiyiwa uku, taurai nachiremba uye gadzirisai pfungwa dzenyu.Kana uri munhu anosvuta fodya, zvakakosha kuti urege zvachose usati wavhiyiwa. Izvi zvinogona kuderedza zvikuru njodzi dzekuvhiyiwa.
Kuvhiyiwa uku kunoitwa sei?
Uku kuvhiyiwa kwemoyo wese. Heino kurongeka kwezviitiko zvinoitika muimba yekuvhiyira:
1. Uchapihwa mushonga wekuti urarame zvakakwana.
2. Kuchekwa kunoitwa pakati pepfupa rechipfuva (sternum).
3. Uchabatanidzwa nemuchina we cardiopulmonary bypass . Izvi zvinoitirwa kupa muviri wako ropa neokisijeni yaunoda panguva iyo moyo wako wakamira panguva yekuvhiyiwa.
4. Chiremba anovhura atrium yekuruboshwe yemoyo uye anoongorora vharuvhu yemitral.
5. Kuchekwa kudiki kunoitwa muzvikamu zvevharuvhu kuti zvisunungurwe.
6. Zvadaro uchabviswa pamuchina wemoyo nemapapu uye moyo wako uchatangazve kushanda.
7. Pakupedzisira, transesophageal echocardiogram inoitwa kuratidza kuti vharuvhu iri kushanda nemazvo.
Chii chinoitika mushure mekuvhiyiwa?
Mushure mekuvhiyiwa, muchafanira kugara muchipatara kweinenge vhiki. Kwezuva rekutanga kana maviri, muchachengetwa muchikamu chevarwere vanorwara zvakanyanya (ICU) uye muchatariswa zvakanyanya.
Usati wabuda muchipatara, chiremba wako achakupa mazano pane zvinotevera:
- Kurapa Mwoyo: Izvi zvinobatsira zvikuru pakuwana simba uye kujaira hupenyu hwemazuva ese mushure mekuvhiyiwa.
- Maitiro ekutarisira kukuvara: Izvi zvakakosha kudzivirira hutachiona uye kuporesa ronda nekukurumidza.
- Nezvenguva yaunogona kutanga kutyaira nekushanda zvakare .
Mhedzisiro, njodzi, uye nguva yekuona chiremba
Kuvhiyiwa kwe mitral commissurotomy kunobudirira zvikuru. Kunovandudza kufamba kweropa uye kunoderedza zviratidzo zvikuru. Zvisinei, haisi mhinduro inogara iripo. Vanhu vazhinji vanoita izvi vangada kuvhiyiwa kwe valvu pane imwe nguva mune ramangwana.
Sekunge nekuvhiyiwa kwese, kune dzimwe njodzi.
- Kudzokerazve kweMitral
- Kubuda ropa rakawanda
- Utachiona
- Kusarongeka kwekurova kwemoyo (Arrhythmia)
- Kurohwa
Zvisinei, njodzi idzi dzinodzikira muchipatara chikuru chine vanachiremba vane ruzivo. Kana uine zvirwere zvakaita sechirwere cheshuga, chirwere cheitsvo, kana kufuta, njodzi yacho inogona kunge yakakwira zvishoma. Taura nachiremba wako nezvenyaya iyi.
Kana ukaona zviratidzo izvi, udza chiremba wako nekukasika:
- Kupindwa nechando
- Kutsvuka, kuzvimba, kana kuti urwa pedyo nepaburi
- Kurwadziwa kwechipfuva kana kumanikidzwa kunowanzoitika
Kana ukaona zviratidzo zvekurwara nemoyo kamwe kamwe (kurwadziwa kwechipfuva kwakanyanya, kunetseka kufema) kana zviratidzo zvestroke (kutaura kusina kunyatsojeka, kurereka kwerutivi rumwe rwechiso), fonera 1990 nekukasika woenda kuEmergency Treatment Unit (ETU) yechipatara.
Mharidzo Yekuenda Nayo Kumba
- 'Commissarotomy' kuvhiyiwa kwemoyo kwakavhurika kunoitwa kuti valvu yemitral ishande zvakanaka.
- Chikonzero chikuru chechirwere ichi kukuvara kwemavharuvhu emwoyo nekuda kwefivha yerheumatic pahudiki.
- Kunyangwe uku kuri kuvhiyiwa kwakabudirira zvikuru, kazhinji mhinduro yenguva pfupi uye vharuvhu ingangoda kutsiviwa mune ramangwana.
- Zvirongwa zvekugadzirisa mwoyo zvakakosha zvikuru kuti munhu apore zvakakwana mushure mekuvhiyiwa.
- Zvakakosha kubvunza chiremba wako chero mibvunzo yaungave nayo nezvechirwere chako, kuvhiyiwa kwacho, uye njodzi dzacho.
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