Dzimwe nguva mwoyo yedu inoshaya simba, handiti? Kungofanana neinjini yemotokari yave ichishanda zvakanaka kwemakore, mashandiro ayo anogona kudzikira nekufamba kwenguva. Kunyanya kana yasvika padanho rekupedzisira rekushaya simba kwemoyo, zvinova dambudziko guru kuti mwoyo upombe ropa mumuviri wese wega. Panguva dzakadaro, tiri kutaura nezvemuchina chaiwo unogona kubatsira moyo usina simba.
Zvichitaurwa zviri nyore, chii chinonzi LVAD iyi?
Zvinorehwa zvizere neLVAD zvinoreva Left Ventricular Assist Device. MuchiSinhala, zvinoreva 'mudziyo unobatsira left ventricle'. Uyu chaizvoizvo ipombi yemuchina. Uyu unoiswa mumuviri wevanhu vane chirwere chemwoyo chakakomba.
Kamuri guru rekupomba riri mumoyo medu ndiro ventricle yekuruboshwe. Izvi ndizvo zvinotumira ropa rakachena uye rakapfuma muokisijeni mumuviri wese kuburikidza neaorta. Kana moyo usina simba, basa iri harishande nemazvo. LVAD inobatsira ventricle yekuruboshwe. Kureva kuti, inotora ropa kubva muventricle yekuruboshwe, yoripomba, yoritumira kuaorta. Izvi zvakakosha zvikuru, nekuti sero rega rega mumuviri wedu harigone kurarama pasina oxygen.
Mudziyo uyu unoshanda sei? Ndezvipi zvikamu zvawo?
Mudziyo weLVAD unosungirirwa pachikamu chezasi chemoyo uye unoiswa mukati mechipfuva. Kana wagamuchira ropa, rinotumirwa nepachubhu kuenda muaorta. Sisitimu iyi yese ine zvikamu zvikuru zvakati wandei.
| Chikamu chemudziyo | Mashandiro |
|---|---|
| Pombi | Ichi ndicho chikamu chikuru. Ichi ndicho chinoiswa mumoyo. Pombi iyi inoita basa rekupomba ropa. |
| Mutsetse wekutyaira | Iyi itambo inobva papombi. Inobuda mumuviri nepaganda redumbu yobatana nechinhu chinodzora kunze. |
| Mutongi | Izvi zvakafanana nekombuta diki. Inodzora mashandiro epombi. Kana paine dambudziko, tinogona kuziva kuburikidza nemasaini (maaramu) uye mameseji ainotumira. |
| Magetsi | Inoshanda nemabhatiri anogona kuchajwazve. Kana kuti unogona kuiisa mu soketi yemagetsi. Mabhatiri anogona kupa simba rinosvika maawa gumi nemana. |
Vanhu verudzii vanoshandisa LVAD?
Izvi zvinoshandiswa kuvanhu vari padanho rekupedzisira rekushaya simba kwemoyo. Izvi zvakare nekuda kwezvinangwa zviviri zvikuru.
1. Sebhiriji rinoenda kukutapurirwa mwoyo (Bridge to Transplant - BTT)
Fungidzira kuti mumwe munhu anoda kuisirwa moyo. Asi anofanira kumirira kusvika moyo unoenderana naye wavapo. Munguva iyi, mamiriro emurwere anogona kuipa. Dzimwe nhengo dzemuviri, dzakadai seitsvo nechiropa, dzinogonawo kukuvara.
Muzviitiko zvakadaro, LVAD inobatsira kuchengetedza hupenyu hwemurwere uye kuchengetedza hupenyu hwakanaka kusvika pave nekuisirwa moyo . Zvakafanana nezambuko. Kana moyo wangovepo kuti uisirwe, mudziyo weLVAD unobviswa panguva yekuvhiyiwa.
2. Sekurapa kwehupenyu hwese (Destination Therapy - DT)
Vamwe vanhu havagone kuisirwa moyo nekuda kwezera kana zvimwe zvirwere. Kune vanhu vakadaro, iyi LVAD inoshandiswa kutsigira moyo muhupenyu hwavo hwese. Vanachiremba vanofunga nezvesarudzo iyi chete kana mamwe marapirwo ese, kusanganisira mishonga nekuchinja mararamiro, akundikana. Izvi hazvingogone kungowedzera hupenyu hwemurwere chete, asiwo kuvandudza hupenyu hwake.
Ungagadzirira sei kuvhiyiwa kweLVAD?
Vanachiremba vanoita bvunzo dzinoverengeka vasati vasarudza kana wakakodzera LVAD.
- E.C.G. (Electrocardiogram - ECG)
- X-ray yechipfuva
- Kuongororwa kweropa
- Echocardiogram
- Kuisa catheter mumoyo
Zvisinei, hazvina kukodzera munhu wese ane chirwere chemwoyo. Ungasakwanisa kuiswa LVAD implant kana uine chimwe chezvirwere zvinotevera:
- Zvirwere zvekugwamba kweropa
- Chirwere cheitsvo chisingarapiki
- Chirwere chechiropa chakakomba
- Chirwere chemapapu chakakomba
- Utachiona husingarapike nemishonga inorwisa mabhakitiriya
Kuvhiyiwa uku kunoitwa sei?
Uku kuvhiyiwa kwemoyo wese. Izvi zvinoreva kuti wava neanorexia uye warara kusvika kuvhiyiwa kwapera.
Ipai muviri wenyu okisijeni panguva yekuvhiyiwaMuchina we heart-lung bypass unoshandiswa. Uchaiswawo pamuchina wekufema kuti ukwanise kufema. Chiremba anovhiya achacheka pakati pechipfuva chako, ovhura pfupa repachipfuva, uye osvika pamoyo wako. LVAD inozoiswa uye kucheka kwacho kunovharwa zvakare. Maitiro ese anogona kutora maawa mana kusvika matanhatu.
Chii chinoitika mushure mekuvhiyiwa? Zvinhu zvekuteerera kana waenda kumba
Usati wabuda muchipatara, uchadzidziswa zvakakwana kuti ungashandisa sei michina iyi uye zvekuita kana paine emergency. Uchafanirawo kuratidza ruzivo rwako nezvazvo usati waenda kumba.
Mushure mekudzokera kumba, zvakakosha kutevera mararamiro ane hutano .
- Kurega kusvuta zvachose.
- Kujaira kudya zvine hutano.
- Rega kunwa doro.
- Kurovedza muviri sekurairwa nachiremba.
- Kutora mishonga yakanyorwa nachiremba, kusanganisira mishonga inobvisa ropa rakawanda (anticoagulants), nenguva.
Zvakakoshawo zvikuru kutora chikamu muchirongwa chekurapa mwoyo mushure mekuvhiyiwa. Zvakare, panogona kunge paine zvirambidzo pamabasa akadai sekushambira, kusimudza masimbi, uye mitambo yekubata munhu. Unofanira kukurukura zvese izvi nachiremba wako uye kuwana mazano.
Ndezvipi zvakanakira kushandisa LVAD?
Kunyange zvazvo izvi zvisingarapi chirwere chemwoyo, zvakaratidzwa kuti varwere vane LVAD vanogona kurarama kwenguva yakareba kupfuura avo vanotora mishonga vari vega.
| Zvakanakira | Tsananguro |
|---|---|
| Basa renhengo dzemuviri | Nhengo huru dzakadai seitsvo, chiropa, neuropi dzinowana kuyerera kweropa kuri nani, zvichiita kuti mashandiro adzo ave nani. |
| Kuderedzwa kwezviratidzo | Zviratidzo zvakaita sekuneta, kushaya mweya, uye kuzvimba kwemuviri zvinoderera zvikuru. |
| Simba uye mabasa | Muviri paunowana simba, unokwanisa kuita zvinhu zvakaita sekurovedza muviri, zvawaisakwanisa kuita kare. |
| Kubuda muchipatara | Hamufanirwe kugara muchipatara. Munowana mukana wekuenda kumba morarama hupenyu hwakajairika. |
Ndezvipi njodzi nematambudziko eizvi?
Sekunge kune chero kuvhiyiwa kupi zvako, kune dzimwe njodzi. Chikwata chenyu chekurapa chichakutsanangurirai njodzi idzi uye kuti mungadzideredza sei.
Njodzi huru dzinosanganisira kutapukirwa nehutachiona, kuvharika kweropa nestroke, kubuda ropa rakawanda, kutadza kushanda zvakanaka kwemoyo kurudyi, uye kusashanda zvakanaka kwemuchina. Usati wavhunduka, zvakakosha kutaura nachiremba wako pachena uye kubvunza mibvunzo yako yese.
Unofanira kuona chiremba nekukasika rini?
Kana ukaona chimwe chezviratidzo zvinotevera, zivisa timu yako yezvekurapa nekukasika.
| Zviratidzo zvekukurumidzira zvekutarisira | |
|---|---|
| Kupindwa nechando | Kutsvuka kana kuzvimba uko jira remuchina rinobuda paganda |
| Kurwadziwa kwechipfuva kana mudumbu | Kubuda ropa rakawanda |
| Kuzvimba mumakumbo kana pasi pemusana | Kuoma kufema |
| Dambudziko nechikamu chemudziyo | Kurwadziwa kwechipfuva kamwe kamwe |
LVAD nepacemaker zvinhu zvakafanana here?
Kwete. Zviviri izvi zvakasiyana zvachose. LVAD inobatsira ventricle yekuruboshwe yemoyo kupomba ropa. Muchina unodzora kurova kwemoyo zvisina kurongeka.
Kuwana LVAD kana kusaisarudza isarudzo yako wega, saka taura nachiremba wako nezvazvo nokungwarira uye uwane kunzwisisa kwakajeka kwezvakanakira, njodzi, uye zvakanakira zvauchawana kubva mairi.
Mharidzo Yekuenda Nayo Kumba
- LVAD mudziyo wemuchina unobatsira kupomba ropa kuenda kumwoyo yevarwere vane chirwere chemwoyo chakanyanya.
- Iyi haisi mushonga wakakwana wechirwere ichi, asi inobatsira zvikuru mukuwedzera hupenyu uye kuvandudza hupenyu.
- Mudziyo uyu unogona kushandiswa senzira yekubatsira munhu asati aisirwa moyo kana kuti senzira yekurapa kwehupenyu hwese.
- Usati wavhiyiwa LVAD uye mushure mekuvhiyiwa, zvakakosha kuti uchinje mararamiro ako akadai sekurega kusvuta, kudya chikafu chine hutano, uye kurovedza muviri.
- Usati waita chero sarudzo, zvakakosha kuti ukurukure pachena nachiremba wako nezvezvakanakira nenjodzi uye kuti unzwisise zvakajeka.
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