Wakambonzwa moyo wako uchirova nekukurumidza uye zvisina kurongeka here? Chirwere ichi, chinonzwa sekunge chimwe chinhu chiri kubhururuka muchipfuva chako, chinozivikanwa seAtrial Fibrillation. Kana izvi zvisingagoni kudzorwa nemishonga, tiri kutaura nezvenzira yekurapa yakaoma asi inoshanda zvikuru inoshandiswa semhinduro. Ndiyo nzira yeMaze.
Chii chinonzi nzira iyi yeMaze?
Zvichitaurwa zviri nyore, zvakafanana nemaze. Ungave wakambotamba nemaze pawaiva mwana, kwaunopinda nepamusuwo mumwe chete wobva watora nzira imwe chete chaiyo kuti ubude. Kuvhiyiwa uku kwakafanana.
Kurova kwemoyo wedu kunodzorwa nemagetsi. Mu atrial fibrillation, magetsi ari mumakamuri maviri epamusoro emoyo, anonzi atria, anochinja-chinja uye anotanga kutumira zviratidzo zvisiri izvo. Mwoyo unobva watanga kurova zvisina kurongeka.
MuMaze Procedure, chiremba anovhiya anogadzira mavanga nenzira yakapfava, yakarongwa mu atria yemoyo. Mavanga aya anoshanda sechidziviriro, achimisa masaini emagetsi asina kunaka kuti asafambe mumoyo. Zvisinei, anosiya nzira yezviratidzo zvakakodzera chete zvinodiwa kuti moyo urove zvakanaka. Sekunge paine nzira imwe chete chaiyo mumaze iyoyo. Izvi zvinobvumira moyo kurova zvakajairika zvakare.
Nzira mbiri dzinoshandiswa kugadzira ganda iri:
- Kucheneswa kwenyama: Kusashanda kwenyama uchishandisa kutonhora kwakanyanya (kuomesa nechando).
- Kudziisa kweRadiofrequency: Kudziisa kwenyama uchishandisa kupisa kwakanyanya (mafungu eredhiyo).
Kuvhiyiwa uku kunogona kuitwa senzira yakasiyana, kana kuti kunogona kuitwa panguva imwe chete nekuvhiyiwa kwe bypass kana kuvhiyiwa kwe heart valve.
Sei nzira iyi yeMaze Procedure iri kuitwa?
Kuvhiyiwa uku hakukurudzirwi kune wese munhu. Pane mamiriro akati wandei apo chiremba wako angakurudzira kurapwa uku:
- Kana mishonga yawakanyorerwa ye atrial fibrillation isiri kushanda kwauri kana kuti une migumisiro inokutadzisa kuitora.
- Kana chirwere ichi chakonzera kuumbwa kweropa mumuviri wako uye pakaitika zvirwere zvakakomba zvakaita sestroke .
- Kana uri kuvhiyiwa kwemoyo (semuenzaniso, bypass, kutsiva vharuvhu) uye uine atrial fibrillation.
- Kana kurapwa kwakaitwa kare kwakadai sekuti `(Catheter Ablation)` kusina kubudirira.
Kuora mwoyo mumoyo (Atrial Fibrillation) hakusi nyore. Kunowedzera njodzi yekurohwa nestroke kanenge kashanu. Kunogonawo kukonzera kutadza kushanda kwemoyo. Saka, zvakakosha kuti uwane kurapwa kwakakodzera kweizvi.
Chii chinoitika usati wavhiyiwa uye panguva yekuvhiyiwa?
Sezvo uku kuri kuvhiyiwa kukuru, uchaongororwa zvakanaka usati watanga.
| Kugadzirira usati wavhiyiwa | |
|---|---|
| Miedzo |
|
| Mirayiridzo | Mazano achapihwa pamusoro pezvekudya nekunwa usati wavhiyiwa uye mishonga yekunwa/kurega kunwa. |
| Kugadzwa kwachiremba | Uchawana mukana wekusangana nekukurukura nachiremba wako wekuvhiya, chiremba wemwoyo, uye chiremba weanotindivadza. |
Nzira mbiri dzekuvhiya
Kune nzira mbiri huru dzekuvhiya. Chikwata chenyu chezvekurapa ndicho chichasarudza kuti ndeipi nzira yakakunakirai.
1. Kuvhiyiwa Kwakavhurika (Sternotomy Method): Munzira iyi, kuvhiyiwa kunoitwa kuburikidza nekucheka 6-8 inch pakati pebhonzo rechipfuva.
2. Kuvhiyiwa kusingapindi zvakanyanya (Thoracoscopic Method): Munzira iyi, pachinzvimbo chekucheka kukuru pachipfuva, kucheka kudiki kunoitwa pakati pembabvu nekamera uye zvishandiso zvinopfava zvinoiswa. Nguva yekupora ipfupi munzira iyi.
Kubviswa kweAtrial Appendage yekuruboshwe
Chimwe chikamu chakakosha chekuvhiyiwa uku kuvhara kana kubvisa chikamu chidiki chinonzi Left Atrial Appendage . Ichi chikwama chidiki, chakaita senzeve chakabatanidzwa paatrium yekuruboshwe yemoyo.
90% yeropa rinogwamba rinokonzeresa sitiroko muvarwere vane atrial fibrillation rinoitika mubhegi diki iri.Zvakaonekwa kuti. Nekuti moyo haurove zvakanaka, ropa rinoungana munzvimbo iyi uye rinogwamba. Kana gwamba iri reropa rikabuda roenda kuuropi, chirwere chestroke chinoitika. Saka, panguva yeMaze, nzvimbo iyi inovharwa nemastitches, staples, kana mudziyo wakakosha. Izvi zvinogona kuderedza zvakanyanya njodzi yestroke.
Chii chinoitika mushure mekuvhiyiwa?
Mushure mekuvhiyiwa, uchachengetwa mukamuri rekutarisirwa zvakanyanya (ICU) kuti utariswe kwezuva rimwe kana maviri, wozoendeswa kuchipatara chenguva dzose. Kana wakavhiyiwa zvishoma (thoracoscopic), unokwanisa kudzokera kumba mumazuva angangoita mana. Kana wakavhiyiwa pachena, uchava muchipatara kweinenge vhiki.
Uchafanira kunwa mishonga yakasiyana-siyana kwemwedzi yakati wandei mushure mekunge waenda kumba.
- Mishonga inoomesa ropa (Anticoagulants): Uchafanira kutora mishonga yakaita se'Warfarin' kana 'Apixaban' kwemwedzi mitatu kuti ropa risagwambe. Mushure meizvozvo, chiremba wako ndiye achasarudza kana uchida kuramba uchiitora.
- Mishonga yekudzora kurova kwemoyo: Kudzora kurova kwemoyo kusina kurongeka kunogona kuitika pakutanga kwemoyo.
- Mishonga inobvisa mvura mumuviri: Deredza kuungana kwemvura mumuviri zvisina kufanira.
Ndezvipi zvakanakira uye njodzi dzekuvhiyiwa uku?
| Zvakanakira | Njodzi/Matambudziko |
|---|---|
|
Zvinotora nguva yakareba sei kuti ndipore uye ndinofanira kuona chiremba zvakare riini?
Dzokerai kumabasa enyu enguva dzose semazuva ese.Zvinogona kutora pakati pemavhiki matatu kusvika matanhatu . Kana kuvhiyiwa kwacho kwakaitwa nenzira isinganyanyi kukuvadza, nguva yekupora ipfupi zvikuru.
Mushure mekuvhiyiwa, muchafanira kuona chiremba nenguva yakatarwa.
- Vhiki imwe chete mushure mekubuda muchipatara.
- Mwedzi mumwe chete mushure mekubuda muchipatara (chiremba wemwoyo).
- Kuongororwa kweECG pamwedzi mitatu, mitanhatu, uye gumi nemiviri.
- Kuedza kwe `Holter Monitor` (mudziyo unotarisa kurova kwemoyo kwemaawa makumi maviri nemana) pamwedzi mitanhatu negumi nemiviri.
Zvakakosha kuti ugare zvakanaka kuti upinde bvunzo idzi dzese uye nguva dzekuonana nadzo.
Mharidzo Yekuenda Nayo Kumba
- Maitiro eMaze kuvhiya kwakabudirira zvikuru kweatrial fibrillation isingadzorwe nemishonga.
- Izvi zvinogadzira mavanga anovhara masaini emagetsi emwoyo asina kunaka, zvichidzorera kurova kwemoyo kwakajairika.
- Kune nzira mbiri, kuvhiyiwa pachena uye kuvhiyiwa kusingakuvadzi zvakanyanya, uye chiremba wako ndiye achasarudza kuti ndeipi nzira yakakunakira.
- Kuvhara `Left Atrial Appendage` kwakaitwa panguva yekuvhiyiwa uku kunobatsira zvikuru kuderedza njodzi yekurohwa nesitiroko.
- Zvinotora nguva kuti munhu apore mushure mekuvhiyiwa, uye zvakakosha kuti munhu atore mishonga yaakanyorerwa nachiremba (kunyanya mishonga inobvisa ropa) uye kuti aone chiremba pamazuva akarongwa.
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