Nhengo inoshamisa kwazvo mumuviri wedu mwoyo. Inoshanda isina zororo, kubva pazuva ratinozvarwa. Asi dzimwe nguva, kungave nekuda kwechirwere chemwoyo chakakomba, mushure mekuvhiyiwa kukuru, kana nekuda kwechimwe chirwere chemwoyo chakakomba, mwoyo yedu inogona kushaya simba. Panguva dzakadaro, moyo haugone kupomba ropa rakakwana mumuviri. Ichi chirwere chakakomba zvikuru, chinotouraya. Saka, panguva dzakadai, tichataura nezvemuchina wakakosha unoshandiswa navanachiremba kupa moyo "zororo" uye kuubatsira kuita basa rawo.
Zvichitaurwa zviri nyore, chii chinonzi Intra-Aortic Balloon Pump (IABP) iyi?
Kunyange zvazvo zita racho richinzwika serakaoma, pfungwa yaro iri nyore kwazvo. Pumpu yeBharuni yemukati memoyo (IABP) chinhu chakareba, chitete chakaita sebharuni. Chinopinzwa mutsinga yeropa yakakura kwazvo mumuviri wedu, inotakura ropa kubva pamoyo kuenda kumuviri wese. Funga nezvayo sebharuni refu rakaita sechubhu.
Bharuni iri harisipo chete. Rakabatana nemuchina wakakosha. Muchina iwoyo wakangwara kwazvo. Rinofembedza uye rinobvisa mweya mubharuni iri kuti rienderane nerwiyo rwemwoyo wedu. Maitiro aya anoita kuti zvive nyore kuti mwoyo usina simba upombe ropa. Kazhinji, mudziyo uyu unosara mumuviri kwemazuva mashoma chete. Kureva kuti, sechitsigiro chenguva pfupi kusvika moyo wasimba zvakakwana kuti ushande wega zvakare.
Ngatinyatsoongorora mashandiro anoita pombi iyi yemabharumu.
Kuti unzwisise izvi, unofanira kunge uine pfungwa diki yekuti moyo unoshanda sei. Mwoyo wedu wakaita sepombi ine makamuri maviri.
1. Kana moyo wagundika (Contraction/Systole): Kana moyo wagundika, ropa riri mukati mawo rinopombwa mumuviri wese kuburikidza neaorta.
2. Kana moyo wasununguka (Relaxation/Diastole): Kana moyo wasununguka zvakare, unozadzwa neropa zvakare. Pomba kuti upedze chikamu chinotevera.
Zvino tarisa kuti IABP inobatsira sei pane izvi. Inoshanda zvakasiyana chaizvo nemaitiro emoyo.
- Kana moyo wagumburwa woburitsa ropa, bharumu rinobuda pakarepo. Funga nezvazvo sekubvisa chivharo chiri mupombi hombe. Ipapo moyo usina simba unogona kuburitsa ropa zviri nyore, pasina kushanda nesimba.
- Kana moyo wako wakura wozara neropa, bharumu rinozvimba pakarepo. Izvi zvinosundidzira ropa kudzokera muaorta. Izvi zvine mabhenefiti maviri. Chimwe ndechekuti ropa rakawanda rinoyerera kuenda kutsinga dzemwoyo, dzinopa ropa kutsandanyama dzemwoyo, uye mwoyo unowana kudya kunovaka muviri kuri nani. Chimwe ndechekuti kutenderera kweropa kune dzimwe nhengo dzemuviri, kunyanya maoko nemakumbo, kunovandudzika.
Maitiro aya ekuwedzera nekudzika kwemoyo anodzorwa nemazvo nekombiyuta zvichienderana nemoyo (ECG). Saka, basa remoyo rinobatsirwa zvikuru pasina kukanganiswa.
IABP inodiwa rini?
Chiremba achasarudza kushandisa mudziyo uyu kana moyo wemurwere wava usina simba zvekuti hauchakwanisi kupa ropa rakakwana kunhengo dzemuviri. Mukurapa, chirwere ichi chinonzi "cardiogenic shock." Ichi chirwere chinokurumidzira uye chakakomba.
Tafura iri pazasi inoratidza zvinhu zvakawanda zvinogona kukonzera kuvhunduka kwemwoyo.
| Dambudziko rehutano | Tsananguro iri nyore |
|---|---|
| Kurwara Kwemwoyo Zvakakomba | Kana tsinga yeropa inotakura ropa kuenda kutsandanyama yemoyo yavharika zvachose, zvichikonzera kukuvara kwakanyanya kwetsandanyama yemoyo. |
| Kukundikana Kwemwoyo Kwakanyanya | Mamiriro ezvinhu apo moyo unoerekana usingachakwanisi kupomba huwandu hweropa hunodiwa nemuviri. |
| Arrhythmias | Kurova kwemoyo kusina kurongeka. Dzimwe nguva moyo unorova nekukurumidza kana kuti unononoka zvakanyanya uye haupombi ropa nemazvo. |
| Myocarditis | Kuzvimba kwetsandanyama yemwoyo, kunokonzerwa nechirwere chakadai sehutachiona. Izvi zvinogona kukonzera kuti mwoyo ushaye simba. |
| Chirwere chetsinga yeropa | Kutetepa kwetsinga dzeropa dzinoendesa ropa kumoyo. Mune zvimwe zviitiko, kana izvi zvikanyanya, mwoyo unoshaya simba. |
Pamusoro pezvo, iyi IABP inoshandiswa kana moyo uchida rutsigiro mushure mekuvhiyiwa kukuru kwemoyo, kana mushure mekurapwa kwakadai se angioplasty (Percutaneous Coronary Intervention), iyo inovhura tsinga yeropa yakavharika.
Munhu wese anogona kushandisa izvi here?
Kwete. Mudziyo uyu haufanirwe kushandiswa nevanhu vane mamwe matambudziko ehutano nekuti unogona kukuvadza kupfuura kubatsira.
- Aneurysm yeAorta: Kana madziro eaorta asina simba uye akaputira sebharumu.
- Kubviswa kweAorta: Kana ropa rabuda pakati pemadziro eaorta uye rakabvaruka.
- Kudzoreredza tsinga dzeropa: Kana vharuvhu yetsinga iri mumoyo isingavharike zvakanaka, zvichiita kuti ropa ribude richidzokera kumashure.
- Chirwere Chetsinga Dzemudumbu Chakanyanya: Kana tsinga dzinotakura ropa kuenda kumakumbo dzakavharwa zvakanyanya, zvingave zvakaoma kuisa mudziyo uyu.
- Sepsis isingadzoreki: Kana paine hutachiona hwakakomba hwapararira mumuviri wese.
Maitiro ekuisa mudziyo uyu mumuviri anoitwa sei?
Izvi zvinowanzoitwa navanachiremba vemwoyo nechikwata chavo, muchikamu chevarwere vanorwara zvakanyanya (ICU) chechipatara kana mukamuri rekuvhiyiwa.
Maitiro acho asati aitwa
Kana murwere ari kutovhiyiwa mwoyo, anenge ari pasi peanesthesia uye haazonzwi chero chinhu. Kana zvisina kudaro, kana izvi zvikaitwa zvakasiyana, anesthesia yemunzvimbo ichapihwa kuti ibvise marwadzo panzvimbo yegumbo pachaiswa mudziyo wacho. Saka havazonzwi kurwadziwa.
Munguva yekuita izvi
Chiremba anotevera matanho aya:
1. Kutanga, chubhu diki, isina chinhu inonzi catheter inopinzwa mutsinga huru iri muhudyu yegumbo.
2. Tevere, kuburikidza nekatheta iyi, bharumu rakabviswa mvura rinopfuudzwa nokungwarira muaorta.
3. Izvi zvinoitwa nekushandisa tekinoroji yeX-ray kuti utarise panonyanya kuoneka, kureva kuti, aorta iri pasi pemoyo.
4. Kana bharumu rasvika panzvimbo chaiyo, chikamu chekunze chebharumu chinobatanidzwa nekombuta yakakosha. Muchina wacho unobva watanga kudzora bharumu zvichienderana nekurova kwemoyo.
Mushure mekuita izvi
Mushure mekunge mudziyo wacho waiswa, murwere anofanira kuramba ari pasi pekutariswa kwakakosha muchikamu chevarwere vakanyanya.
- Chero bedzi mudziyo wacho uripo, unofanira kuramba wakarara. Ramba wakasimudza musoro wako zvishoma.
- Gumbo rine catheter rinofanira kugara rakatwasuka . Kana ukarikotamisa, catheter inogona kufamba-famba.
- Kudzivirira kuumbwa kweropa, mushonga wekuderedza ropa wakadai seheparin unotangwa kupinda mutsinga.
Ndezvipi zvakanakira uye njodzi dzacho?
Kufanana nechero nzira yekurapa, iyi ine zvakanakira uye njodzi.
Chinhu chikuru ndechekuti ichi chishandiso chinoponesa hupenyu. Mumamiriro ezvinhu akadai sekuvhunduka kwemwoyo, apo mwoyo usingakwanise kushanda wega, chishandiso ichi chinogona kubatsira zvikuru mukuponesa hupenyu nekupa ropa rinodiwa kunhengo dzinokosha dzakadai seuropi neitsvo.
Zvisinei, kune dzimwe njodzi dzinogona kuitika. Zvinoenderana nezvinhu zvakaita sezera remurwere uye hutano hwake. Chikwata chekurapa chinogara chichiziva nezvenjodzi idzi.
| Njodzi inogona kuitika | Tsananguro |
|---|---|
| Kubuda ropa | Kubuda ropa kunogona kuitika kubva panzvimbo inopinzwa catheter. |
| Kukuvara kwetsinga | Pane mukana mudiki wekuti tsinga yeropa inogona kukuvara kana mudziyo wacho ukaiswa kana kuti uri panzvimbo yawo. |
| Utachiona | Utachiona hunogona kupinda mumuviri kuburikidza nenzvimbo inopinzwa catheter. |
| Mavharo Eropa | Magwamba eropa anogona kuumbwa akakomberedza mudziyo, ndosaka mishonga inobvisa ropa ichipihwa. |
| Nzvimbo Isina Kurongeka yeBharuni | Kana ziso richifamba, rinogona kuvharira kufamba kweropa munhengo dzakadai seitsvo. |
| Kuparara kweBharuni | Izvi hazviwanzoitika. Gasi reHelium rinoshandiswa kuputira bharumu. Nekuti harikuvadzi muviri, kunyangwe rikapinda muropa netsaona, harizokonzere dambudziko guru. |
Kudzoreredza uye kubviswa kwemudziyo
IABP inowanzosiyiwa panzvimbo yayo kwemazuva mashoma chete. Vanachiremba pavanofunga kuti moyo uri kuita zviri nani, vanomisa pombi kwenguva yakati voona. Zvadaro, kana moyo uri kushanda zvakanaka wega, chiremba anosarudza kubvisa mudziyo wacho.
Zvisinei, mune dzimwe nguva dzakakomba, kana mwoyo usina simba, mudziyo uyu ungangoda kusiiwa uripo kwemavhiki senzira yekubatsira pakurapa kumwe, kwakadai sekuisirwa moyo.
Nguva yekufonera chiremba wako
Kana iwe kana mumwe munhu ari pedyo newe akapihwa rudzi urwu rwekurapwa uye akaonekwa nezviratidzo zvematambudziko mushure mekudzokera kumba kubva kuchipatara, zvakakosha zvikuru kuzivisa chiremba wako nekukasika.
| Zviratidzo zvinoda kurapwa nekukurumidza | |
|---|---|
| Kuchinja kwenzira yekucheka | Kutsvuka kwakanyanya, kuzvimba, kurwadziwa, kana kubuda kwehurwa kubva panzvimbo inopinzwa catheter. |
| Kupindwa nechando | Zvingave chiratidzo chekuti pane hutachiona mumuviri. |
| Kuchinja kwekurova kwemoyo | Kunzwa sekuti moyo wako uri kurova nekukurumidza (kurova kwemoyo). |
| Kutadza kufema zvakanaka (Dyspnea) | Kana kufema kuchiwedzera kuoma. |
| Kuzvimba kwemuviri | Kuzvimba kwezvitsitsinho, maoko, kana kumeso. |
| Kuwedzera huremu | Kana ukangoerekana wawedzera huremu hunopfuura makirogiramu maviri kusvika matatu mukati mevhiki (izvi zvinogona kuva chiratidzo chekuchengetwa kwemvura mumuviri). |
Mharidzo Yekuenda Nayo Kumba
- Pumpu yebharumu yemukati memoyo (IABP) chishandiso chenguva pfupi, chinoponesa hupenyu chinobatsira mwoyo kupomba ropa kana risina simba.
- Izvi zvinoshanda nekudzora kurova kwemoyo, kuderedza basa remwoyo, uye kuvandudza kuendeswa kweropa mumuviri netsandanyama yemwoyo pachayo.
- Izvi zvinowanzopinzwa kuburikidza netsinga yegumbo, uye murwere anochengetwa ari pasi pekutariswa muchikamu chevarwere vakanyanya.
- Sekune mamwe marapirwo ekurapa, kune dzimwe njodzi, asi dzinotarisirwa nechikwata chekurapa nekutarisa murwere zvakanyanya.
- Kana paine zviratidzo zvisingawanzoitika mushure mekurapwa uku, zvakakosha zvikuru kuzivisa chiremba wako nekukasika.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga