Patinonzwa izwi rekuti chirwere chemwoyo kana kuti heart block, vazhinji vedu tinobva tanzwa kutya. Chinhu chinotevera chatinofunga nezvacho kuvhiyiwa kukuru kwakafanana nekuvhiyiwa kwe bypass. Pfungwa yekupedza mazuva muchipatara, nguva yekupora, uye kurwadziwa zvinoita kuti tidedere, handiti? Asi waiziva here kuti nekuda kwesainzi yekurapa yepamusoro nhasi, zvirwere zvakawanda zvemoyo zvinogona kurapwa pasina kuchekwa kukuru, nekuisa chubhu diki (catheter) nepaburi diki muruoko kana pahudyu? Maitiro iwayo ekurapa anoshamisa uye akachengeteka ndiwo atinodaidza kuti Interventional Cardiology . Nhasi, tichataura nezveizvi zviri nyore, kuti munzwisise.
Zvichitaurwa zviri nyore, chii chinonzi Interventional Cardiology?
Fungidzira kuti pombi yemvura mumba mako yakavharwa nevhu. Iye zvino mvura iri kuyerera zvishoma nezvishoma. Pane nzira mbiri dzekugadzirisa izvi. Imwe ndeyekuputsa madziro, kubvisa pombi, uye kuisa pombi itsva. Iri ibasa rakawanda, rine guruva, rine ruzha, rinotora nguva, uye rinodhura. Imwe nzira ndeyekuti, usingaputse madziro, unoisa mudziyo mutete wakaita sewaya mune rimwe divi repombi, wobvisa tsvina yakavharika, wobva wachenesa nzira. Izvi zviri nyore sei? Ndizvo zvinoitika muInterventional Cardiology.
Kuvhiya kwemoyo kwechinyakare kuvhiya kukuru kunosanganisira kupwanya madziro. Kuvhiya kwemoyo kwepakati inzira yekuvhiya inosanganisira kuchenesa moyo nechishandiso chisina kusimba pasina kupwanya madziro.
Iri ibazi rezvekurapa rakanyanya kufambira mberi rinonzi Cardiology. Pano, vanachiremba, vanonzi Interventional Cardiologists , vanoshandisa machubhu matete, anochinjika anonzi catheters kuongorora nekurapa zvirwere zvakasiyana-siyana zvemwoyo netsinga dzeropa. Izvi hazvidi kuchekwa kukuru. Catheter iyi inopinzwa mumuviri kuburikidza netsono diki inopinzwa mutsinga yeropa muruoko kana muhudyu. Saka, izvi zvinonziwo kurapwa kwe "Minimally Invasive" .
Ndezvipi zvakanakira nzira iyi kupfuura kuvhiyiwa kukuru kwemoyo?
Nzira iyi ine zvakanakira zvakawanda kupfuura kuvhiyiwa kwekuwedzera mazamu. Zvakakosha kuti uzive izvi.
| Kubatsirwa | Zvinoreva... (Zvinorevei...) |
|---|---|
| Kuchekwa kudiki kwazvo (Kucheka kudiki) | Panzvimbo pekucheka kukuru, pane kuboorwa kwetsono chete. Izvozvo zvinopora zvachose mumazuva mashoma. Hapazodiwi kusonwa. |
| Njodzi shoma yekubuda ropa (Njodzi shoma yekurasikirwa neropa) | Sezvo pasina kuchekwa kukuru, hapana ropa rakawanda rinobuda mumuviri. Saka, kudiwa kweropa rekunze kwemuviri hakuwanzoitiki. |
| Kurumidza kupora (Nguva yekupora nekukurumidza) | Zvinogona kutora mavhiki, kunyange mwedzi, kuti udzokere pazvakajairika mushure mekuvhiyiwa kukuru. Asi nenzira iyi, unogona kutangazve mabasa ako enguva dzose mukati memazuva mashoma. |
| Nguva inopedzerwa muchipatara ipfupi. (Nguva pfupi yekugara muchipatara) | Kazhinji, unongofanira kugara muchipatara kwezuva rimwe chete kana maviri mushure mekurapwa kwakadai, uye ungatokwanisa kuenda kumba zuva rimwe chete. |
Chii chaizvo chinoitwa nachiremba wemwoyo anopindira?
Chinangwa chikuru chevanachiremba ava ndechekuona kuti mitsipa yeropa iri mumuviri wako, kunyanya iyo inosangana nemoyo wako, iri kushanda zvakanaka. Kufanana nemapurisa emumugwagwa, vanowana mavharidziro mumitsipa yeropa, votsvaga chikonzero, vozobvisa kuti ropa ridzokere zvakanaka.
Chinonyanya kukosha ndechekuti vanachiremba ava havaiti maoparesheni emwoyo sevanachiremba vemwoyo. Basa ravo rese rinoitwa necatheter.
Kurapa kunonyanya kushandiswa ndeye angioplasty uye stenting.
Uku ndiko kurapwa kunonyanya kushandiswa munharaunda iyi. Kurapa kwekukurumidzira kunoitwa kuponesa hupenyu, kunyanya kana paine chirwere chemwoyo. Ngationei kuti izvi zvinoitika sei.
1. Kuziva kuvharika: Kutanga, kuongororwa kweX-ray kunonzi angiogram kunoitwa kuti kuonekwe kana paine kuvharika mune imwe yetsinga dzemwoyo dzinopa ropa kumoyo wako.
2. Kuisa katheta:Zvadaro, catheter yakatetepa inopfuudzwa nemutsinga iri muruoko rwako kana muhudyu wopinda mutsinga yeropa iri mumoyo mako. Hauzomboinzwi.
3. Angioplasty: Pane bharumu diki riri kumagumo kwecatheter. Kana chiremba asvika panzvimbo yakavharika, bharumu rinozadzwa nemhepo. Chidimbu checholesterol chakavharika chinonamatira kumadziro etsinga, zvichivhura nzira yekuti ropa riyerere zvakare.
4. Kusvina stent kuti nzira irambe yakavhurika: Sezvo nzira inovhurwa nebharumu ichigona kuvharika zvakare, chubhu diki inonzi stent inoiswa panzvimbo yacho kudzivirira. Izvi zvakafanana nekutsigira mugero wava kuda kudonha. Stent iyi inochengetedza tsinga yeropa yakavhurika.
Maitiro aya anogona kuitwa ipapo ipapo pamunhu ari kurwara nemoyo, zvichideredza kukuvara kwemoyo uye zvichiponesa hupenyu.
Ndezvipi zvimwe zviedzo nekurapwa zvinoitwa nenzira iyi?
Pamusoro pe angioplasty uye stent placement, nzira iyi inoshandiswa kune mamwe mamiriro ezvinhu akati wandei. Heano mamwe acho.
| Zita rekurapwa/bvunzo | Chii chinoitika neizvi? |
|---|---|
| Kugadziriswa kweCatheter yemwoyo | Iyi ndiyo bvunzo iri nyore. Catheter inoiswa mumakamuri emwoyo netsinga dzeropa kuti ione zvinhu zvakaita sekumanikidzwa, kuyerera kweropa, uye mwero weokisijeni. |
| Kuvhiyiwa kweAtherectomy | Dzimwe nguva, kana cholesterol layer yakanyanya kukora, zvinonetsa kuisunga nebharumu. Panguva iyoyo, layer yacho inokweshwa nechinhu chidiki chakaita sebanga chinopfuudzwa nemu catheter. |
| Kuvharwa kweAtrial Septal Defect (ASD) | Buri riri mumoyo rinovapo pakuzvarwa (chirwere chemwoyo chekuzvarwa nacho) haridi chubhu yechipfuva. Chinhu chidiki chakaita se "amburera" chinogona kupfuudzwa nepacatheter kuti chivhare buri racho. |
| Kutsiva uye Kugadzirisa Mavharuvhu Emwoyo | Maitiro aya anoshandiswa kugadzirisa kana kutsiva mavharuvhu emwoyo akatetepa kana kuti anobuda. TAVI/TAVR inzira inozivikanwa yekurapa chirwere ichi. |
| Kugadziriswa kweThrombolysis | Kana ropa rakagwamba mutsinga yeropa, catheter inogona kushandiswa kuenda panzvimbo yakagwamba uye kubaya mushonga unoinyungudutsa. |
Mumamiriro ezvinhu api aungatumirwa kuna Interventional Cardiologist?
Kana chiremba wemhuri yako kana chiremba wemwoyo achifungidzira kuti une dambudziko remwoyo wako kana tsinga dzeropa, vanogona kukutumira kuna chiremba wemwoyo kuti azive kuti chii chaizvo kana kuti arirape.
Rubatsiro rwavo runowanzo diwa mune zvinotevera zvirwere:
- Atherosclerosis: Sezvatakambokurukura, izvi zvinoreva kuti cholesterol inoungana mukati metsinga dzeropa, zvichiita kuti nzira yacho iite diki.
- Chirwere chemwoyo: Kuvharika kwetsinga dzinoendesa ropa kumoyo. Izvi zvinokonzera kurwadziwa pachipfuva (angina).
- Chirwere cheVharuvhu yeMoyo: Vharuvhu yemoyo haisi kushanda zvakanaka.
- Matambudziko emwoyo anokonzerwa nekuzvarwa nawo: Zvirwere zvemwoyo zvinowanikwa pakuzvarwa (sekunge maburi ari mumoyo).
- Chirwere chePeripheral Artery: Kuvharika kwetsinga dzinotakura ropa kuenda mumaoko nemakumbo.
- Aneurysms: Kuzvimba kwakaita sebharumu mutsinga yeropa.
- Magumbeze eropa: Magumbeze eropa.
Asi yeuka, nzira iyi haikodzeri murwere wese. Zvichienderana nemamiriro ako ezvinhu, kuvhiyiwa kukuru kungave ndiyo mhinduro yakanakisisa. Sarudzo iyoyo ichaitwa nachiremba anokuongorora.
Uyewo, kana uine chimwe chinhu chakaita sechirwere chemwoyo chinoerekana chaitika, unogona kugamuchirwa zvakananga kuEmergency Treatment Unit (ETU) yechipatara, kwaunogona kurapwa naInterventional Cardiologist.
Chii chaunofanira kutarisira paunoenda kunoona chiremba?
Zvakajairika kuti unzwe kutya uye kutya zvishoma kana uchienda kunoona nyanzvi yakaita seiyi. Asi usazvitya.
Kutanga, chiremba achakubvunza nezvezviratidzo zvako. Marwadzo epachipfuva akatanga riini, anonzwa sei, uye ave nenguva yakareba sei achiitika? Zvadaro, vachakubvunza kana paine munhu mumhuri mako ane chirwere chemwoyo.
Chinhu chinonyanya kukosha ndechekuudza chiremba wako nezvemishonga yese yauri kutora.Izvi zvinoreva kwete kungotora mishonga yakanyorerwa nachiremba chete, asiwo mishonga inonyaradza marwadzo inotengeswa kunze kwemutero, mavitamini, nemishonga yechivanhu (mushonga wechiSinhala) yaunoshandisa kupharmacy, uye unofanira kuvaudza zvese. Chinhu chakanakisa chekuita kuinyora pasi.
Chiremba achakuongorora. Achaita bvunzo dziri nyore dzakadai sekuteerera mwoyo wako ne stethoscope uye kuyera BP yako.
Kana uchida kuisirwa catheterization kana kurapwa, zvichaitwa pazuva rakasiyana (kunze kwekunge paine emergency). Chiremba wako asati aita izvozvo, achakutsanangurira maitiro acho, kusanganisira mabhenefiti nenjodzi diki diki, uye maitiro ekugadzirira izvozvo.
Mharidzo Yekuenda Nayo Kumba
- Kurapa kwemwoyo nenzira yeInterventional inzira yepamusoro yekurapa chirwere chemwoyo. Panzvimbo pekuvhiyiwa kukuru kwemoyo, kurapwa kunoitwa uchishandisa chubhu yakapfava (catheter).
- Zvakanakira nzira iyi marwadzo mashoma, kupora nekukurumidza, kugara muchipatara kushoma, uye kusava nemavanga makuru.
- Zvirwere zvakawanda, zvakaita sekurwadziwa kwemoyo, kuvharika kwetsinga dzeropa, matambudziko emavharuvhu emwoyo, uye zvikanganiso zvemwoyo zvekuzvarwa nazvo, zvinogona kurapwa zvinobudirira nenzira iyi.
- Kana uine chirwere chemwoyo, taura nachiremba wako kana mushonga uyu wakakunakira. Usatya kubvunza chero mibvunzo yaunayo.
- Pane kutya kana ukanzwa nezvechirwere chemwoyo, kuziva nezvekurapa kwepamusoro-soro kuripo nhasi kuchakupa simba guru repfungwa.
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