Chiremba akakuudza here kuti une dambudziko nevharuvhu yemwoyo uye kuti ichada kutsiviwa? Zvakajairika kunzwa kutya uye kunetseka kana ukanzwa chimwe chinhu chakadai. Hazvishamisi kufunga kuti, "Oh, ndichafanira kuvhiyiwa pamoyo wangu here?" Asi kutaura chokwadi, uku kuvhiyiwa kuri kuitwa zvinobudirira kwazvo munyika nemunyika medu ikozvino, uye kunobatsira kuponesa hupenyu hwakawanda. Saka, ngatitsvagei mhinduro dzemibvunzo yese nezveizvi nhasi. Ngatitaurei nezvekuvhiyiwa uku zviri nyore, nenzira yaunogona kunzwisisa, zvakanaka here?
Sei uchifanira kutsiva vharuvhu yemoyo?
Zvichitaurwa zviri nyore, moyo wedu chidimbu chenyama chinoshamisa. Wakaita sepombi diki inopomba ropa mumuviri wedu wese. Kuti tiite basa iri, pane zvikamu zvina mukati memoyo zvinoshanda semasuo mana. Tinodaidza kuti mavharuvhu emoyo aya. Mavharuvhu aya anongovhurika uye anovhara munzira imwe chete, saka ropa rinogara richiyerera nenzira imwe chete.
Funga nezvemvura iri mumba mako sepombi. Kana pombi ikasavhara zvakanaka, mvura inobuda. Kana ikasavhura zvakanaka, mvura inoyerera. Ndizvo zvinoitika kana mavharuvhu aya achirwara.
- Stenosis: Dzimwe nguva vharuvhu haivhurike zvakanaka uye inova diki, zvichiita kuti mwoyo ushande nesimba kupomba ropa.
- Kubuda kweVharuvhu (Kudzoreredza): Dzimwe nguva vharuvhu haivhari zvakanaka uye ropa rinobuda richidzokera kumashure. Ipapo moyo unofanirwa kushanda nesimba zvakapetwa kaviri.
Kana chirwere ichi chakanyanya kuipa, unogona kuona zviratidzo zvakaita sekurwadziwa muchipfuva, kushaya mweya, uye kupera simba . Ndipo apo vanachiremba vanosarudza kubvisa vharuvhu ine chirwere, isiri kushanda zvakanaka voitsiva neimwe itsva, inoshanda. Izvi zvinonzi kutsiva vharuvhu yemoyo .
Ndeapi marudzi emavharuvhu matsva aripo?
Kune mhando mbiri huru dzemavharuvhu ekutsiva, kana kuti mavharuvhu ekugadzira. Ose ane zvakanakira nezvaakaipira. Chiremba wako achakubatsira kusarudza rudzi rwakakunakira.
| Rudzi rweVharuvhu | Zvakanakira | Zvaunofanira Kufunga Nezve |
|---|---|---|
| Mavharuvhu Ezvinhu Zvakaita Semhuka Yakagadzirwa nenyama yemhuka (mombe, nguruve) kana yemunhu. | Hamufanirwe kutora mishonga inobvisa ropa mumuviri kweupenyu hwenyu hwese (kunze kwekunge zvichidikanwa kune imwe chirwere). | Nekufamba kwenguva (kazhinji makore 10-20), mavharuvhu aya anopera, saka angangoda kutsiviwa mune ramangwana kuburikidza nekuvhiyiwa. |
| Mavharuvhu eMichina Yakagadzirwa nezvinhu zvinogara kwenguva refu zvakaita sekabhoni kana simbi. | Inogara kwenguva refu. Inogona kushandiswa kweupenyu hwese. Hapana chikonzero chekuvhiyiwa zvakare. | Uchafanira kutora mushonga wekuderedza ropa wakaita seWarfarin kweupenyu hwako hwese. Uchafanirwa kuongororwa ropa nguva nenguva (INR tests) kuti uve nechokwadi chekuti uri kutora mushonga uyu wakakodzera. Vamwe vanhu vanogona kunzwa ruzha rudiki rwekuti "ticking" sezvo vharuvhu ichivhurika nekuvharika. |
Zvino ungave uchishamisika kuti, "Ndeipi yandinofanira kusarudza?" Usazvidya moyo. Chiremba wako achafunga nezvezvinhu zvakawanda, zvinosanganisira zera rako, hutano, njodzi dzekutora mishonga yekuderedza ropa, uye kugona kwako kuvhiyiwa zvakare mune ramangwana , uye achakurukura newe kuti ndeipi vharuvhu yakakunakira. Ichi chisarudzo chauchaita iwe nachiremba wako pamwe chete.
Kuvhiyiwa kunoitwa sei? Ndedzipi nzira dzinoshandiswa?
Kune nzira mbiri huru dzekutsiva vharuvhu yemoyo. Idzi inzira yechinyakare yekuvhiya yakavhurika uye nzira yemazuva ano yekushandisa catheter. Chiremba wako achasarudza nzira yakanakisisa zvichienderana nemamiriro ako ehutano.
Kuvhiyiwa kweMwoyo Wakavhurika
Iyi ndiyo nzira yechinyakare yagara ichishandiswa kwenguva yakareba. Mukuvhiyiwa uku, kuchekwa pakati pechipfuva kunomiswa, uye kushanda kwemoyo nemapapu kunoendeswa kumuchina wemoyo nemapapu kwenguva pfupi. Mienzaniso yekuvhiyiwa kunoitwa uchishandisa nzira iyi iSAVR (Surgical Aortic Valve Replacement) .
Maitiro Akavakirwa paCatheter
Iyi ndiyo nzira yemazuva ano inonyanya kushandiswa, iyo isinganyanyi kunetsa muviri. Pano, pasina kuvhura chipfuva, kucheka kudiki kunogadzirwa panzvimbo yakaita sepadumbu, pombi diki (catheter) inopinzwa nepairi, uye vharuvhu itsva inopfuudzwa nepaipi iyoyo kuenda kumoyo yoiswa.
Chinhu chikuru chinobatsira pakuita izvi ndechekuti ronda rekuvhiyiwa diki kwazvo, kugara muchipatara kupfupi, uye kupora kunokurumidza.
Mienzaniso yekuvhiyiwa kwakaitwa uchishandisa nzira iyi ndeiyi:TAVR (Transcatheter Aortic Valve Replacement) uye TMVR (Transcatheter Mitral Valve Replacement) .
Chiremba wako achakutsanangurira nzira dzese dziri mbiri uye achaona kuti ndeipi yakachengeteka uye inoshanda zvakanyanya pamamiriro ako ezvinhu.
Unogadzirira sei usati wavhiyiwa?
Chipatara chichakupa mimwe mirairo zuva rimwe kana maviri usati wavhiyiwa.
- Vachakuudza nguva chaiyo yekurega kudya nekunwa usati wavhiyiwa.
- Vachakupa mazano ekuti unofanira kurega here kutora mishonga yaunowanzo tora (kunyanya iya yechirwere cheshuga neBP).
- Panogona kunge paine bvunzo dzakawanda dzinofanira kuitwa usati wavhiyiwa.
- Paunouya kuchipatara, pfeka mbatya dzakanaka uye dziri nyore kupfeka.
- Zvakakoshawo kuronga pachine nguva kuti mumwe munhu akuendese kuchipatara nekudzoka.
Chii chinoitika panguva yekuvhiyiwa?
Kuvhiyiwa kunowanzotora awa imwe kusvika ina. Hezvino zvinoitika panguva iyi, zvichitevedzana:
1. Anesthesia: Kutanga, unorara zvakakwana. Saka hauzonzwi kurwadziwa. Hauzoyeuki chero chinhu.
2. Kuchekwa: Zvichienderana nerudzi rwekuvhiyiwa kuri kuitwa, kuchekwa kunoitwa pachipfuva kana panzvimbo yegokora panzvimbo yakakodzera.
3. Muchina weMoyo neMapapu: Mukuvhiyiwa kwepachena, basa remoyo rinoendeswa kumuchina uyu kwenguva pfupi. Izvi hazviwanzodiwa pakushandisa catheter.
4. Kutsiva Vharuvhu: Chiremba anobvisa vharuvhu ine chirwere nokungwarira oitsiva nevharuvhu itsva yemuviri kana yemuchina. Mune mamwe maitiro emazuva ano, vharuvhu itsva inoiswa mukati mevharuvhu yekare.
5. Kuvhara Kucheka: Mushure mekuona kuti vharuvhu itsva iri kushanda nemazvo, kuchekwa kuchasonerwa kuvharwa. Uchaendeswa kuIntensive Care Unit (ICU).
Nguva yekupora mushure mekuvhiyiwa inomira sei?
Mushure mekuvhiyiwa, uchatanga waiswa muIntensive Care Unit (ICU). Ikoko, vanachiremba nevanamukoti vachanyatsoongorora mamiriro ako. Kana wangopora zvishoma, uchaendeswa kuchipatara chenguva dzose.
Nguva yekupora inosiyana kubva pamunhu nemunhu, asi kazhinji zvinotora pakati pemwedzi mumwe kusvika mitatu kuti upore zvizere. Kana kuvhiyiwa kwacho kwakaitwa kuburikidza necatheter, nguva yekupora inogona kunge iri pfupi.
- Unogona kunzwa kuneta nekukurumidza mumavhiki mashoma ekutanga. Izvozvo zvakajairika.
- Chiremba anokukurudzira kuti usatyaire mota kwemavhiki mashoma.
- Uchafanira kurega kuita zvinhu zvinorema zvakaita sekusimudza masimbi kwenguva yakati.
- Ungangoda kuzorora kwemavhiki mashoma kana mwedzi usati wadzokera kubasa.
- Unogona kutumirwa kuchirongwa chekurapa mwoyo , icho chichakubatsira kuti uwanezve simba rako.
Ndinofanira kufonera chiremba rini?
Kana waenda kumba, nyatsoteerera muviri wako. Kana ukaona chimwe chezviratidzo zvinotevera, fonera chiremba wako nekukasika.
- Kana uchinzwa fivha kana kuti uine dzihwa
- Kana kurova kwemoyo wako kusingaite zvakanaka
- Kana ronda rekuvhiyiwa rakazvimba, rakatsvuka, richirwadza, kana kuti richibuda urwa
- Kurwadziwa, kutsvuka, kana kuzvimba kwegumbo rezasi (izvi zvinogona kuva chiratidzo chekugwamba kweropa)
- Kana ukangoerekana wawedzera uremu kana makumbo ako kana zvitsitsinho zvikazvimba.
Chinonyanya kukosha: Kana uine zviratidzo zvechirwere chemwoyo kana sitiroko (semuenzaniso kurwadziwa kwakakomba kwechipfuva, kusanzwa simba muruoko, muromo wakatendeukira kudivi rimwe chete), usatambisa nguva uye enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika.
Sezvaunotanga hupenyu hwako hutsva nevharuvhu itsva, unogona kunzwa manzwiro akasiyana-siyana. Zvakajairika kusangana nekutya kwakasiyana-siyana, mufaro, uye zororo. Asi yeuka, hausi wega. Kuvhiyiwa uku kwave kubudirira zvikuru. Nekufambira mberi kwetekinoroji, kuri kuva kwakachengeteka zuva nezuva. Chikwata chako chekurapa chichakupa nhungamiro dzese dzaunoda parwendo urwu.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kwekutsiva mavharuvhu emwoyo inzira inobudirira zvikuru uye inogara kwenguva refu yekugadzirisa chirwere chakakomba. Kunogona kuvandudza hupenyu hwako zvakanyanya.
- Kune mhando mbiri dzemavharuvhu ekutsiva (ezvebhayoloji neemakanika). Imwe neimwe ine zvayakanakira nezvayakaipira. Chiremba wako achasarudza imwe yakakunakira.
- Kune nzira mbiri huru dzekuita oparesheni iyi (open surgery uye catheter method). Chiremba wako ndiye achasarudza kuti ndeipi nzira yakakunakira.
- Zvinotora nguva kuti munhu apore mushure mekuvhiyiwa. Kutevedzera mirairo yachiremba kwakakosha kuti munhu akurumidze kupora.
- Kana ukaona zviratidzo zvisingawanzoitiki panguva yekupora kwako, usazeza kutaura nachiremba wako.
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