Uri kunzwa kuneta zvakanyanya uye kushaya mweya kunyangwe uchifamba chinhambwe chipfupi here? Zvinowanzoitika kuti zviratidzo izvi zviitike kana mashandiro emoyo asina simba, kureva kuti, mukushaya simba kwakanyanya kwemoyo. Mwoyo unorasikirwa nesimba raunoda kuti upombe ropa mumuviri wese. Saka panguva dzakadai, nekufambira mberi kunoshamisa mune zvekurapa, kune mudziyo wakakosha unogona kubatsira moyo wako. Tichataura nezvazvo nhasi. Uyu mudziyo unonzi LVAD (Left Ventricular Assist Device).
Zvichitaurwa zviri nyore, chii chinonzi LVAD iyi?
LVAD pombi inoiswa mumuviri wevarwere vane chirwere chemwoyo chinopera. Nemamwe mashoko, yakaita se'mubatsiri' anobatsira moyo wako.
Mwoyo wedu une makamuri mana makuru. Iri pasi kuruboshwe inonzi Left Ventricle . Ndiyo inoita basa guru rekupomba ropa rine oxygen mumuviri wese. Saka, kana munhu arwara nemoyo, ventricle iyi yekuruboshwe inoshaya simba. Zvinoitwa neLVAD kubatsira ventricle yekuruboshwe isina simba. Ndosaka ichinzi Left Ventricular Assist Device.
Pombi iyi yakabatana nechikamu chezasi chemwoyo, inotora ropa kubva ipapo, yoritumira nepachubhu kuenda kuaorta . Aorta ndiyo tsinga yeropa yakakura kwazvo mumuviri wedu. Kubva ipapo, ropa rine oxygen yakawanda rinopararira mumuviri wese. Saka LVAD inobatsira kuita basa iri rinokosha chaizvo.
Chinhu chakakosha ndechekuti LVAD haisi moyo wekugadzira. Haisi chinhu chaunobvisa woisa mumoyo mako. Asi, chishandiso chinoshanda pamwe chete nemoyo wako uye chinoutsigira.
Ndezvipi zvikamu zvikuru zveLVAD?
Sisitimu yeLVAD ine zvikamu zvikuru zvakati wandei. Zvikamu izvi zvese zvinoshanda pamwe chete kuti mudziyo uyu unoshamisa ushande. Ngationei kuti zvikamu izvozvo chii.
| Chikamu chemudziyo | Tsananguro iri nyore |
|---|---|
| Pombi | Ichi ndicho chikamu chikuru. Pombi iyi inoiswa muchipfuva nekuvhiyiwa uye ndiyo inotora ropa kubva mu ventricle yekuruboshwe yemoyo yoripomba mu aorta. |
| Mutsetse wekutyaira | Iyi itambo yakakosha. Inobva papombi iri mukati memuviri, inobuda nepaganda riri padumbu, uye inobatana nechinhu chinodzora kunze. Zvakakosha kuitarisira zvakanaka uye kuichengeta yakachena. |
| Mutongi | Izvi zvakafanana nekombuta diki. Chishandiso chinochengetwa kunze kwemuviri. Chinodzora mashandiro epombi, chinochinja kumhanya kwayo, uye chinoburitsa maalamu kana paine dambudziko. |
| Magetsi | LVAD inoda magetsi kuti ishande. Inoshandisa mabhatiri anogona kuchajwazve. Mabhatiri aya anogona kupa simba kwemaawa angangoita gumi nemana. Kana chaji yebhatiri yaderera, unofanira kuitsiva nemabhatiri matsva. Unogona zvakare kuibatanidza zvakananga mugomba remagetsi kumba. |
Ndiani anoda LVAD iyi?
LVAD inowanzo shandiswa mumamiriro maviri makuru. Chiremba wako achanyatsoongorora mamiriro ako ezvinhu uye achasarudza kuti ndeipi nzira yakakunakira.
1. Sebhiriji rekuisa mwoyo muchikamu (Bridge to Transplant - BTT)
Vamwe varwere vanoda kuisirwa moyo. Asi vanofanira kumirira kwenguva yakati kusvika mwoyo wemupi akakodzera wavapo. Munguva iyi, mamiriro emurwere anogona kuipa. Dzimwe nhengo dzemuviri, dzakadai seitsvo nechiropa, dzinogonawo kukuvara.
Muzviitiko zvakadaro, LVAD inoshanda se "bhiriji" rekuchengetedza murwere aine hutano uye akasimba kusvika moyo wavapo . Izvi zvinovandudza hupenyu hwemurwere, zvinoderedza zviratidzo, uye zvinomupa simba rekubudirira kuvhiyiwa kwemoyo. Mudziyo weLVAD unobviswa panguva yekuisirwa moyo.
2. Senzira yekupedzisira (Destination Therapy - DT)
Vamwe varwere havakodzeri kuisirwa moyo nekuda kwezera kana mamwe matambudziko ehutano. Kana kushanda kwemoyo wavo kukaramba kwakaoma pasinei nedzimwe nzira dzekurapa, kusanganisira mishonga nekuchinja mararamiro, vangangoda rutsigiro rwehupenyu hwavo hwese.LVAD iri kuiswa.
Izvi zvinonzi Destination Therapy. Pano, LVAD inotsigira moyo kwehupenyu hwese hwemurwere, zvichimubvumira kurarama hupenyu huri nani uye hune simba.
Ungagadzirira sei usati wavhiyiwa LVAD?
Sarudzo yekuisa LVAD haiitwe neusiku humwe chete. Chikwata chevanachiremba chichakuongorora zvakakwana. Pakuita izvi, bvunzo dzakati wandei dzichaitwa, dzinosanganisira:
- ECG (Electrocardiogram): Kuongorora mashandiro emagetsi emwoyo.
- X-ray yechipfuva: Kuona mamiriro emwoyo nemapapu.
- Kuongororwa kweropa: Kuyera hutano hwemuviri, itsvo nechiropa.
- Echocardiogram: Kuongororwa kwemoyo kuti uone mashandiro ari kuita makamuri emoyo nemavharuvhu uye kuti anopomba sei ropa.
- Kuongororwa kwekushushikana kwemuviri: Kuti uone kuti mwoyo unoita sei kana munhu achiita maekisesaizi.
- Kuisa catheter mumoyo: Kutarisa kana paine kuvharika uye kumanikidzwa mutsinga dzeropa dzemwoyo.
Uyewo, kune mamwe mamiriro ezvinhu ehutano anoita kuti LVAD implant isakodzere. Semuenzaniso:
- Zvirwere zvekugwamba kweropa
- Kukundikana kweitsvo padanho rekupedzisira
- Chirwere chechiropa chakakomba
- Chirwere chemapapu chakakomba
- Utachiona husingakwanise kudzorwa nemishonga inorwisa mabhakitiriya
Kuvhiyiwa kunoitwa sei uye nguva inotevera
Kuisirwa kweLVAD kuvhiyiwa kwemoyo kwakavhurika. Zvinotora maawa ari pakati pe4 ne6. Unenge wakarara pasi peanesthesia, zvinoreva kuti wakarara zvachose, panguva yese yekuvhiyiwa.
Mushure mekuvhiyiwa, uchafanira kugara muchipatara kwemavhiki angangoita maviri kusvika matatu. Munguva iyi, vanachiremba, vanamukoti, nemapoka enyanzvi vachakudzidzisa maitiro ekurarama nemudziyo weLVAD.
- Mashandiro anoita mudziyo uyu
- Maitiro ekuchinja bhatiri
- Maitiro ekuchengetedza ronda rakachena panobva tambo yekufambisa
- Zvekuita kana paine emergency
Kana zvangosimbiswa kuti wava kukwanisa kuita zvese izvi ndipo paunozobvumirwa kudzokera kumba.
Hupenyu neLVAD
Hupenyu hwako huchachinja zvishoma mushure mekunge wadzokera kumba, asi unogona kurarama zvinobudirira nekuchinja ikoko.
- Kugeza: Haugone kugeza, kushambira, kana kunyudza mudziyo mumvura uchishandisa LVAD. Zvisinei, kune michina yakakosha iripo yekukubatsira kugeza.
- Mishonga: Uchafanira kunwa mishonga inorwisa ropa kupwanya ropa kweupenyu hwako hwese. Izvi zvakakosha zvikuru.
- Kudya: Zvakakosha zvikuru kutevera kudya kune hutano.
- Kurovedza muviri:Unogona kutora chikamu muzvirongwa zvekurapa mwoyo uye kuita maekisesaizi akakodzera, sezvakarairwa nachiremba wako.
- Mararamiro ane hutano: Kusvuta nekunwa doro zvinofanirwa kuregwa zvachose.
Ndezvipi zvakanakira nengozi dzeLVAD?
Kufanana nekuvhiyiwa kupi zvako, kuiswa kweLVAD kune zvakanakira pamwe nenjodzi.
Zvakanakira zvikuru
- Kuderera kukuru kwezviratidzo zvakaita sekushaya mweya uye kuneta.
- Kuwanikwa kweropa kune dzimwe nhengo dzakadai seitsvo, chiropa, neuropi kwakavandudzika.
- Kukwanisa kubuda muchipatara, kuenda kumba, uye kupedza nguva nemhuri yangu.
- Kukwanisa kuwedzera kurovedza muviri uye kuita mabasa ezuva nezuva.
- Kazhinji, mararamiro evanhu achinja zvakanyanya .
- Hupenyu hwevaya vanorarama nemudziyo weLVAD hunowedzerwa kana tichienzanisa neavo vanorapwa nemishonga chete.
Njodzi dzinogona kuitika
Kuvhiyiwa kwese kune njodzi. Chiremba wako achataura newe nezvekuti ungaderedza sei njodzi idzi uye kuti dzinokanganisa sei iwe.
| Mamiriro enjodzi | Tsananguro |
|---|---|
| Utachiona | Utachiona hunogona kuitika, kunyanya kana tambo yekudzivirira ichibuda paganda. Saka, zvakakosha kuchengetedza nzvimbo iyoyo yakachena. |
| Kuvhara Maropa uye Kurohwa | Pane njodzi yekuti ropa riungane mukati memudziyo. Kana izvi zvikaenda kuuropi, chirwere chestroke chinogona kuitika. Mishonga inorwisa ropa inopiwa kudzivirira izvi. |
| Kubuda ropa | Nekuti uri kutora mishonga inobvisa ropa, kunyangwe kukuvara kudiki kunogona kukonzera kubuda ropa rakawanda. |
| Kukundikana kweMwoyo Wakarurama | Kana LVAD ichibatsira divi rekuruboshwe remoyo, dzimwe nguva divi rekurudyi ringasakwanise kubata kumanikidzwa. |
| Kusashanda zvakanaka kwemudziyo | Sezvo izvi zviri zvishandiso zvemakanika, zvikanganiso zvinogona kuitika kashoma. Zvisinei, controller inokuzivisa nezvezvinhu zvakadaro pachine nguva. |
Unofanira kuona chiremba rini?
Kana wangowana LVAD, zvakakosha kuva nehukama hwepedyo nechikwata chako chekurapa. Uchafanirwa kuongororwa vhiki nevhiki pakutanga, uye wozoongororwa mwedzi wega wega. Kana ukaona chimwe chezviratidzo zvinotevera, taurira chiremba wako kana chipatara nekukasika .
- Kupindwa nechando.
- Kutsvuka, kuzvimba, kana kuti urwa hunobuda apo ganda rinobuda.
- Kurwadziwa muchipfuva kana mudumbu.
- Kubuda ropa zvisina kujairika.
- Kuzvimba kwemakumbo nemusana.
- Kutadza kufema zvakanaka.
- Dambudziko nechikamu chemudziyo weLVAD kana chiratidzo chisina kujairika (alarm) chinoburitswa.
Kusarudza kana uchida LVAD kana kwete chisarudzo chikuru uye chinotora iwe pachako. Taura nachiremba wako nemhuri yako nezvazvo nokungwarira. Bvunza mibvunzo yako yese uye gadzirisa chero kusava nechokwadi. Nekuda kwetekinoroji iyi, zviuru zvevanhu vane matambudziko emwoyo zvakanyanya vava kurarama hupenyu huri nani uye hunofadza.
Mharidzo Yekuenda Nayo Kumba
- LVAD haisi mwoyo wekugadzira. Ipombi yekubatsira inobatsira moyo wako kupomba ropa kana mwoyo wako ukatadza kushanda zvakanaka.
- Izvi zvinonyanya kushandiswa se "zambuko" kune avo vakamirira kuisirwa moyo kana se "kurapwa kweupenyu hwese" kune avo vasingakwanisi kuisirwa moyo.
- Kunyangwe hupenyu hwemunhu mushure mekuvhiyiwa kweLVAD hwakavandudzika zvikuru, zvakakosha kushandisa mudziyo nemazvo, kutora mishonga, uye kutevedzera mararamiro ane hutano.
- Kana ukasangana nematambudziko nemudziyo kana mamiriro ehutano hwako, zvakakosha zvikuru kuzivisa timu yako yezvekurapa nekukurumidza.
- Ichi chisarudzo chikuru. Taura pachena nachiremba wako nezvemabhenefiti nenjodzi dzese uye ita sarudzo yakakunakira.
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