Unonzwawo kushaya mweya kana waneta zvishoma, kunzwa kupera simba paunokwira masitepisi, kana kunzwa kuremerwa muchipfuva chako? Dzimwe nguva chikonzero chezviratidzo izvi chingave dambudziko nepaburi diki mumoyo medu, vharuvhu. Saka nhasi tichataura nezvevharuvhu yemitral mumoyo uye kuvhiyiwa kwekugadzirisa kunogona kudiwa nekuda kwematambudziko ayo.
Chii chinonzi kugadziriswa kwe mitral valve?
Zvichitaurwa zviri nyore, kugadzirisa valvu yemitral kuvhiyiwa kwemoyo kwakavhurika kunogadzirisa matambudziko ane valvu yemitral mumoyo mako.
Funga nezvemwoyo yedu seimba ine makamuri mana. Vharuvhu yemitral igedhi riri pakati pekamuri repamusoro kuruboshwe (atrium yekuruboshwe) nekamuri repasi kuruboshwe (ventricle yekuruboshwe). Ropa rakachena, rine oxygen yakawanda kubva mumapapu edu rinotanga rapinda muatrium yekuruboshwe. Zvadaro, ropa iroro rinopinda nepagedhi rinonzi mitral valve roenda kuventricle yekuruboshwe. Kubva ipapo, ropa rinopombwa kuenda kumuviri wese.
Saka kana vharuvhu iyi, iyo mitral valve, isingashande zvakanaka, painorwara, zvinoita kuti zviomere mwoyo kushanda zvakanaka. Nekufamba kwenguva, izvi zvinogona kukonzera kukuvara kwemoyo nemapapu. Kuvhiyiwa uku kwakagadzirirwa kudzivirira kana kunonotsa kukuvara ikoko.
Kana uine chirwere chakakomba che mitral valve, chiremba wako angangokurudzira kuvhiyiwa kuti agadzirise kana kutsiva vharuvhu. Asi kazhinji, kunyanya kana vharuvhu iri kubuda ropa, vanachiremba vanoedza kugadzirisa vharuvhu pane kuitsiva. Izvi zvinodaro nekuti kune mabhenefiti akawanda uye njodzi shoma dzekuchengetedza chikamu chemuviri wako.
Kuvhiyiwa uku kunorapa zvirwere zvipi?
Kuvhiyiwa uku kunonyanya kushandiswa kurapa zvirwere zvinotevera:
| Dambudziko rehutano | Zvakatsanangurwa zviri nyore |
|---|---|
| Kudzoreredza vharuvhu yeMitral | Maburi maviri evharuvhu haavharike zvakanaka, zvichiita kuti ropa riorere munzira isiriyo, kureva kuti, kumashure. Kana kubuda uku kwakanyanya kana kukonzera zviratidzo, kuvhiyiwa kungadiwa. |
| Kuvhiyiwa kweMitral valve stenosis | Kuvhurika kwevharuvhu kunoderedzwa, zvichiita kuti ropa rirege kuyerera nepariri. Kana zviratidzo zvacho zvakanyanya kana kuti vharuvhu iri diki, kuvhiyiwa kunogona kudiwa. |
| Kupera kwevharuvhu yeMitral | Mapepa maviri evharuvhu anova asina simba uye anorembera. Mavhiyiwa matanhatu pagumi evharuvhu yemitral anoitirwa kudzivirira kubuda kweropa nekuda kwechirwere ichi. |
Kuvhiyiwa uku kungadiwa kana divi rekuruboshwe remwoyo wako risingapombi ropa rakakwana mumuviri (kusashanda kwemoyo kweruboshwe) kana kana moyo wako wakakura. Zvisinei, kana chirwere chisina kuipa, chiremba wako anogona kukupa mushonga wekudzora zviratidzo zvako. Zvisinei, unofanira kuramba uchiongororwa nguva dzose kuti utarise mamiriro evharuvhu yako. Kana chirwere chikaramba chichienderera mberi kana kuti mwoyo wako ukakuvara, kuvhiyiwa kungadiwa gare gare.
Unogadzirira sei usati wavhiyiwa?
Chiremba wako nechikwata chevanachiremba vachakubatsira kugadzirira kuvhiyiwa. Zvakakosha kuti utevedzere mirairo yavo nemazvo.
- Ungakumbirwa kuti urege kutora mimwe mishonga: Ungakumbirwa kuti urege kutora mishonga inobvisa ropa mumuviri (anticoagulants) yakadai seaspirin newarfarin mavhiki mashoma usati wavhiyiwa.
- Zvinokubatsira kurega kusvuta: Kana uri munhu anosvuta, chiremba wako anogona kukubatsira kurega.
- Shandisa sipo inouraya utachiona: Uchaudzwa kuti ugeze muviri wako nesipo inouraya utachiona husiku hwese usati wavhiyiwa.
- Mishonga yekunwa pazuva rekuvhiyiwa: Chiremba achakuudza mishonga yekunwa mangwanani ezuva iroro.
- Kutsanya: Pazuva rekuvhiyiwa, unorayirwa kuti usadye kana kunwa chero chinhu mushure menguva yakati.
Chii chinoitika panguva yekuvhiyiwa?
Munguva yekuvhiyiwa uku, chiremba anovhiya achagadzirisa dambudziko rimwe chete kana akawanda pavharuvhu yako. Aya ndiwo matanho anowanzoitika panguva yekuvhiyiwa.
1. Anesthesia: Uchapihwa mishonga inonyaradza marwadzo yekukurara hope dzakadzika, usina chaunoziva.
2. Kubatana nemuchina wemwoyo nemapapu:Munguva yekuvhiyiwa, uchabatanidzwa nemuchina wakakosha (cardiopulmonary bypass machine) uyo uchatora basa remoyo wako nemapapu.
3. Kuchekwa: Kuchekwa kwechipfuva kunogadzirwa. Hukuru hwechekwa uku hunosiyana zvichienderana nekuvhiyiwa kwacho.
4. Mhete yeAnnuloplasty: Mhete yakaita sewasher yakagadzirwa nejira inoiswa yakatenderedza vharuvhu. Izvi zvinopa rutsigiro kuvharuvhu uye zvinoibatsira kuti idzokere pachimiro chayo chenguva dzose.
5. Kugadziriswa kwevharuvhu: Vharuvhu yemitral inogadziriswa uchishandisa nzira imwe chete kana dzakawanda dzakasiyana dzekuvhiya.
6. Kuongorora: Tarisa kuti vharuvhu yagadziriswa zvakanaka uye gadzirisa zvimwe kana zvichidikanwa.
7. Kurumurwa: Mushure mekuvhiyiwa, uchabviswa pamuchina. Ipapo moyo wako nemapapu zvichatanga kushanda zvakare.
8. Kuongorora kwekupedzisira: Kuongororwa kwakakosha kwe echo (transesophageal echocardiogram) kunoitwa kusimbisa kana vharuvhu yakagadziriswa zvinobudirira.
Ndedzipi nzira dzekuvhiya dzinoshandiswa pakuvhiya uku?
Vanachiremba vanoshandisa nzira dzakasiyana pakuvhiya uku. Taura nachiremba wako nezvenzira inoshandiswa pakuvhiya kwako.
Nzira dzekucheka
- Kuvhiyiwa kwemapfupa emudumbu: Kuchekwa kwakazara kunochekwa zvakananga pakati pepfupa rechipfuva.
- Kuchekwa kwechikamu chechipfuva: Kuchekwa kwechikamu chepfupa repakati pechipfuva chete.
- Kuvhiyiwa kwechipfuva chekurudyi: Kuchekwa kudiki kunoitirwa pakati pembabvu mbiri dziri kurudyi.
- Nzira yekubatsira nerobhoti: Kuvhiyiwa kwakaitwa uchishandisa robhoti uchishandisa macheko madiki-diki akawanda pambabvu.
Dzimwe nzira dzekuvhiya
- Annuloplasty: Sezvatakambokurukura, izvi zvinosanganisira kuisa rin'i yakakomberedza vharuvhu. Izvi zvinowanzoitwa panguva imwe neimwe yekugadzirisa vharuvhu ye mitral.
- Kubviswa kwemativi matatu kana mana: Chikamu chidiki chevharuvhu yakakuvara chinochekwa chobviswa, uye zvimwe zvikamu zvakanaka zvinosonerwa pamwe chete.
- Kugadziriswa kweChordal: Kana tambo diki dzakaita setambo (chordae) dzinobata vharuvhu panzvimbo yadzo dzikakuvara, zvikamu zvakakuvara zvinobviswa zvotsiviwa nedzekugadzira (dzakagadzirwa nezvinhu zvakaita seGore-Tex®) kana netambo dzakatorwa kubva kune imwe nzvimbo yemoyo ine hutano.
Chii chinoitika mushure mekuvhiyiwa?
Mushure mekuvhiyiwa, unogona kutarisira zvinotevera:
- Uchafanira kugara muchikamu chevarwere vanorwara zvakanyanya (ICU) kwezuva rimwe kana maviri, uko timu yezvekurapa ichaongorora kurova kwemoyo wako nekufema kwako.
- Mushure meizvozvo, uchafanira kugara muwadhi yenguva dzose kwemazuva mashoma.
- Ndichakuudza nezvekurapa mwoyo .
- Kana maenda kumba, muchadzidziswa kuti mungachengeta sei ronda rekuvhiyiwa.
Vanhu vazhinji vanofanirwa kugara muchipatara kweinenge vhiki mushure mekuvhiyiwa uku.
Ndezvipi zvakanakira kuvhiyiwa uku?
Pane zvakanakira zvakawanda pakugadzirisa vharuvhu iripo pane kuitsiva neimwe itsva.
- Mikana yekurarama kwenguva yakareba: Mikana yekurarama hupenyu hurefu uye hune hutano mushure mekuvhiyiwa inowedzera.
- Kudzivirira kwakakodzera kushanda kwemoyo: Kukuvadzwa kwebasa remoyo kushoma.
- Kuderedzwa kwenjodzi yematambudziko: Pane kuderedzwa kwenjodzi yematambudziko akadai sestroke uye endocarditis (hutachiona hwemavharuvhu emwoyo).
- Hapana chikonzero chekushandisa mishonga inochengetedza ropa kwenguva refu: Kazhinji, mishonga inochengetedza ropa (anticoagulants) haifanirwe kutorwa kwenguva yakareba.
Pose pazvinogoneka, vanachiremba vanoedza kugadzirisa vharuvhu pane kuitsiva, nekuti ndiyo sarudzo yakanakira varwere vazhinji.
Kuvhiyiwa uku kwakabudirira zvakadini? Ndezvipi zvinetso zvinogona kuitika?
Kuvhiyiwa uku kwakabudirira zvikuru. Maererano nemishumo, kunyangwe makore gumi mushure mekuvhiyiwa, vanenge 94% yevarwere havana kubuda ropa zvakanyanya.
Zvisinei, sekuvhiyiwa kupi zvako, kune njodzi nematambudziko anogona kuitika.
- Kusarongeka kwekurova kwemoyo (Arrhythmias)
- Kubuda ropa
- Kuvharika kwemoyo
- Kukundikana kwemoyo
- Utachiona
- Kurohwa
Taura nachiremba wako nezvenjodzi idzi uye kuti ungadzideredza sei.
Zvinotora nguva yakareba sei kuti munhu apore?
Kazhinji zvinotora mavhiki mana kusvika masere kuti munhu apore zvakakwana kubva pakuvhiyiwa uku, kunyange hazvo vamwe vanhu vangatora nguva yakareba.
Chinhu chinonyanya kukosha ndechekuti, usaenzanise maitiro ako ekupora neavamwe. Kungoti muvakidzani wako akapora mumwedzi hazvirevi kuti unofanira kuzviita. Muviri wemunhu wese wakasiyana. Kana zvikakutorera nguva yakareba, zvakajairika. Usazvimanikidza kuti ukurumidze kupora.
Nguva yaunotora kuti upore inoenderana nezvinhu zvakati wandei:
- Kuoma kwechirwere chemwoyo wako usati wavhiyiwa: Kana kushanda kwemoyo wako kwakatokanganisika usati wavhiyiwa, zvinotora nguva kuti uwane simba zvakare.
- Hutano hwako usati wavhiyiwa: Izvi zvinoenderana nekuti waive uchishanda here kana kuti une zvimwe zvirwere zvakaita kuti zviome.
- Nzira yekuvhiya yakashandiswa:Kana kukuvara kukuru kukaitwa pakati pechipfuva (median sternotomy), zvinotora mavhiki matanhatu kusvika masere kuti pfupa ipone. Kana kuvhiyiwa kwacho kukaitwa nekucheka kudiki, maronda acho anopora nekukurumidza.
Unofanira kuona chiremba rini?
Zvakajairika kunzwa kusagadzikana mushure mekuvhiyiwa. Chiremba wako achakupa mishonga inoderedza marwadzo nekuda kweizvi. Zvisinei, kana ukaona chimwe chezviratidzo zvinotevera, usafunge kuti zvakajairika uye taura nachiremba wako nekukasika.
| Zviratidzo zvekunyevera zvekutarisira | |
|---|---|
| Fivha, kutonhora | Kukosora ropa kana madzihwa eyero/girini |
| Kurwadziwa kwechipfuva | Kuoma kufema |
| Kutsvuka, kuzvimba, hurwa, kana kurwadziwa kwakakomberedza ronda rekuvhiyiwa | Kusvotwa nekurutsa |
| Musoro wakanyanya, dzungu, kurasikirwa nepfungwa | Kutadza kutaura, kutaura zvisinganzwisisike (zviratidzo zvestroke) |
| Kurova kwemoyo kusina kurongeka (kumhanya zvakanyanya kana kunonoka zvakanyanya) | Marwadzo, kutsvuka, kana kuzvimba mugumbo rezasi |
Dzimwe nguva ungasaziva kana ichi chiri chinhu chenguva dzose chekupora kana chimwe chinhu chakakomba. Kana usina chokwadi, zvakanaka kufonera chiremba wako.
Mharidzo Yekuenda Nayo Kumba
- Kugadziriswa kweMitral valve kuvhiyiwa kwakabudirira zvikuru kwechirwere chemwoyo. Hapana chikonzero chekutya izvi.
- Kazhinji, zvinobatsira kugadzirisa vharuvhu pane kuitsiva neimwe itsva.
- Zvinotora nguva kuti upore kubva pakuvhiyiwa, saka teerera muviri wako uye iva nemoyo murefu.
- Tevedzera mirairo yachiremba wako nemazvo. Kana uine kusava nechokwadi kana ukaona zviratidzo zvisingawanzoitiki, zivisa chiremba wako nekukasika.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga