Iwe kana mumwe munhu waunoziva akambovhiyiwa here kana kuti akavhiyiwa kutsiva vharuvhu yemwoyo? Mushure mechinguva, nyama yakakomberedza vharuvhu itsva dzimwe nguva inogona kutanga kudonha zvishoma. Izvi ndizvo zvatinodaidza kuti 'Paravalvular Leak' kana kuti PVL mukurapa. Rudzi urwu rwekudonha runogona kukonzera zviratidzo zvakaita sekushaya mweya uye kuneta. Saka nhasi tichataura nezvekurapa kuri nyore kunogona kudzima kudonha kwakadai pasina kuvhiyiwa kukuru zvakare.
Chii chinonzi Paravalvular Leak Closure?
Zvichitaurwa zviri nyore, uku kurapwa kusiri kwekuvhiyiwa. Fungidzira kuti une vharuvhu yekugadzirwa yakaisirwa mumoyo mako, asi ikozvino vharuvhu iri kubuda mvura zvishoma. Kare, kuti ugadzirise chinhu chakadai, waizofanira kuvhura chipfuva chako zvakare wovhiyiwa mwoyo wakavhurika. Asi havasi vese vanogona kukwanisa kuvhiyiwa zvakare, zvine njodzi.
Heino mhinduro yeizvi, mushonga unonzi Paravalvular Leak (PVL) Closure wauya. Muizvi, chiremba wemwoyo anoshandisa chubhu yakatetepa inonzi catheter kuti iende panzvimbo inobuda ropa mumoyo uye ovhara gomba racho nemudziyo mudiki (mudziyo wekuvhara). Zvakafanana nekuisa 'seal' pagomba diki riri mupombi yemvura.
Sezvo uku kusiri kuvhiyiwa, nguva yekupora ipfupi, njodzi dzakaderera, uye kugara muchipatara ipfupi zvikuru.
Ndiani anoda kurapwa uku?
Havasi vese vane vharuvhu yekugadzirwa vachava nedambudziko iri, uye havasi vese vane kudonhedza ropa vachada kurapwa uku. Kazhinji inokurudzirwa kune vanhu vane kudonhedza ropa kwakanyanya kusingagone kudzorwa nemishonga. Chiremba wako ndiye achasarudza kana kurapwa uku kwakakunakira.
Kurapwa uku kunogona kukodzera munhu ane zvirwere zvinotevera:
| Mamiriro | Tsananguro iri nyore |
|---|---|
| Kubuda ropa kwakanyanya | Kana kubuda kweropa kuchikonzera kuti ropa rakawanda riyerere nenzira isiriyo. |
| Kutadza kufema zvakanaka (Dyspnea) | Kana uchinetseka kufema kunyangwe panguva yemabasa emazuva ese. |
| Kupererwa neropa kweropa | Kushaya ropa kunokonzerwa nekuputsika kwemasero matsvuku eropa apo ropa rinobuda nepaburi rinobuda ropa. |
| Vanhu vari kurapwa endocarditis | Kana uri kurapwa chirwere chemukati memwoyo. |
| Avo vari panjodzi huru yekuvhiyiwa zvakare | Kune avo vakatovhiyiwa kakawanda uye vasingakwanise kutenga imwe oparesheni. |
Chii chaunoita usati warapwa?
Chiremba wako asati aita kurapwa uku, achanyatsoongorora hutano hwako. Achaita bvunzo dzakasiyana-siyana kuti aongorore mashandiro emoyo wako.
- ECG (Electrocardiogram): Ona mashandiro emagetsi emwoyo.
- Echocardiogram: Kuongororwa kwemoyo.
- Transesophageal Echocardiogram (TEE): Iyi iongororo yakakosha. Kamera diki inopfuudzwa nepagurokuro kuti ione mavharuvhu emwoyo zvakajeka. Izvi zvakakosha zvikuru pakutsvaga nzvimbo chaiyo yekubuda kweropa.
- Cardiac CT scan kana MRI: Wana mifananidzo yakadzama yemativi matatu (3D) emoyo.
- Kuongororwa kweropa: Tarisa kana paine hutachiona.
Zvakakosha zvikuru kuudza chiremba wako nezve allergies dzaunadzo uye chero mishonga yauri kutora (kunyanya mishonga inobvisa ropa).
Chii chinoitika panguva yekurapwa?
Kurapa uku kunowanzoitwa murabhoritari yekurapa cardiac catheterization muchipatara. Uchapihwa mishonga uye anesthesia yekudzivirira marwadzo.
Mushure meizvozvo, nyanzvi inotevera matanho aya:
1. Kuiswa kwecatheter: Chubhu yakatetepa uye inochinjika (catheter) inopinzwa mutsinga huru yeropa (femoral artery) iri muhudyu mako.
2. Kuwana panobuda mvura: Uchishandisa tekinoroji yekuskena (yakadai seTEE), waya inopfuudzwa nemuchubhu yotungamirirwa kunzvimbo chaiyo inobuda mvura mumoyo.
3. Kuisa mudziyo:Kana nzvimbo chaiyo yekubuda kwemvura yaonekwa, mudziyo mudiki (mudziyo wekuvhara) unogona kuvhara gomba unopfuudzwa nemu catheter, woiswa panzvimbo yawo, wobva wavharwa.
4. Kubvisa catheter: Kana basa rapera, catheter newaya zvinobviswa nokungwarira.
Maitiro ese anowanzo tora maawa maviri kusvika matatu. Nekufamba kwenguva, nhengo dzemwoyo wako dzinokura dzakakomberedza chinhu chitsva chakaiswa, zvichiita kuti chive chikamu chemwoyo wako.
Mushure mekurapwa uye zvakanakira
Kazhinji, unongofanira kugara muchipatara kwehusiku humwe chete mushure mekurapwa uku. Unogona kuenda kumba mangwana acho. Chiremba achakupa mazano ekuti ungagara sei mushure mekuenda kumba, zvekuita uye zvekusaita. Kazhinji, uchaongororwazve mumwedzi mitatu kuti uone kana mvura yakavharwa zvakanaka uye kana vharuvhu iri kushanda zvakanaka.
Zvimwe zvakanakira nzira iyi zvichienzaniswa nekuvhiyiwa kwepachivande ndeizvi:
- Kupora nekukurumidza: Sezvo pasina kuchekwa kukuru, unogona kutangazve mabasa ako enguva dzose nekukurumidza.
- Njodzi shoma yekutapukirwa: Sezvo pasina ronda guru, njodzi yekutapukirwa yakaderera zvikuru.
- Kugara kwenguva pfupi muchipatara: Unogona kuenda kumba husiku hwese.
- Mavanga madiki: Kungova neburi diki mudumbu, pasina vanga guru pachipfuva.
Unoda kunoona chiremba zvakare riini?
Mushure mekurapwa, zvakakosha kutevedzera mirairo yachiremba wako nemazvo uye kuenda kukiriniki nemazuva akarongwa.
Kana ukatanga fivha isingatsananguriki, kurwadziwa kana kuzvimba munzvimbo yehudyu, kana zvimwe zviratidzo zvisingawanzoitiki, zivisa chiremba wako nekukasika .
Kana wakamboiswa vharuvhu yemwoyo, zvakakosha kuti ugare uchiongororwa nachiremba. Nekuti dzimwe nguva rudzi urwu rwekubuda kwemvura runogona kuitika. Asi chinhu chakanakisa ndechekuti izvi zvinogona kurapwa pasina kuvhiyiwa. Taura nachiremba wako kuti asarudze kuti ndeipi mishonga yakakunakira.
Mharidzo Yekuenda Nayo Kumba
- Paravalvular Leak (PVL) kubuda kweropa rakatenderedza vharuvhu yemwoyo yakagadzirwa mushure mekunge yaiswa.
- Kuvhara kwePVL inzira yekurapa isina kuvhiyiwa inovhara kubuda uku pasina kuvhura chipfuva, uchishandisa mudziyo mudiki unopinzwa nepacatheter.
- Nzira iyi inobatsira zvikuru kune avo vari panjodzi huru yekuvhiyiwa zvakare uye avo vane zviratidzo zvakakomba.
- Kurapa uku kune nguva pfupi yekupora, njodzi shoma, uye kugara muchipatara kwenguva pfupi.
- Iva nechokwadi chekutaura nachiremba wemwoyo wako kuti uone kana kurapwa uku kwakakunakira.
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