Wakambosangana nematambudziko ekufema here, kuzvimba mumakumbo ako, kana dambudziko remwoyo uye chiremba wako akakuudza nezvekuvhiyiwa kunonzi "Pericardiectomy"? Ungatya zvishoma paunonzwa zita iroro, uye izvozvo zvakajairika. Asi usazvidya mwoyo. Nzira yakanakisisa yekugadzirisa chero chinhu ndeyekuziva zvizere nezvazvo. Saka nhasi, tichataura nezvekuvhiyiwa uku, kuti kwakaitwa sei, uye zvinoitika mushure mekuvhiyiwa nenzira iri nyore yaunogona kunzwisisa.
Kutanga, chii chinonzi 'pericardium' iyi?
Zvichitaurwa zviri nyore, pericardium ibhegi rinodzivirira mwoyo wako. Kutaura chokwadi, ibhegi rine madziro maviri. Pakati pemadziro maviri aya pane mvura shoma kwazvo . Mvura iyi inobatsira mwoyo kurova zvakanaka, pasina dambudziko, pasina kukweshana. Nemamwe mashoko, inoshanda semafuta ekushandisa mwoyo.
Asi unogona kurarama usina chifukidziro ichi here?
Ehe, zvinogoneka zvechokwadi. Iyi 'Pericardium' haina kukosha pakushanda zvakanaka kwemoyo. Kana mapapu ako netsandanyama hombe dziri pasi pawo dzinonzi diaphragm zvakanaka, kubvisa chifukidziro ichi hakuzokonzere matambudziko. Kutaura zvazviri, kana uine chirwere chakadai se'Pericarditis' (kuzvimba kwepericardium), mafuta e'Pericardium' yako atove akarasika. Saka kuibvisa hakuzoiti kuti mamiriro acho awedzere kuipa.
Saka, zvikonzero zvipi zvekuvhiyiwa uku (Pericardiectomy)?
Chikonzero chikuru uye chinowanzo shandiswa pakuvhiyiwa uku chirwere chinonzi Constrictive Pericarditis .
Fungidzira, chii chingaitika kana saga iri rinochinjika rakakomberedza moyo wako rikaoma, gobvu, uye rakaita seganda rakaoma rekokonati? Ringaderedza nzvimbo yekuti mwoyo wako urove zvakasununguka uye uzare neropa, handiti? Ndizvo zvinonzi `Constrictive Pericarditis`.
Kana jira remoyo rakomba uye raoma seizvi:
- Makamuri emoyo haasi kuzadzwa neropa rakakwana.
- Ropa rinofanira kupombwa nemoyo rinotanga kudzokera kumapapu.
- Moyo haugone kupomba ropa zvakanaka.
- Makumbo nedumbu zvinotanga kuzvimba.
- Izvi zviratidzo zvakafanana nekushaya simba kwemoyo.
Kana paine `Constrictive Pericarditis` yakanyanya, mhinduro yakanakisisa ndeyekubvisa chifukidziro ichi chakakora nekuvhiyiwa.
Tafura iri pazasi inoratidza zvinhu zvakasiyana-siyana zvinogona kukonzera `Constrictive Pericarditis`.
| Chikonzero | Tsananguro |
|---|---|
| Zvikonzero Zvisingazivikanwe (Idiopathic) | Kazhinji, chikonzero chaicho chechirwere ichi hachiwanikwe. |
| Kuvhiyiwa kwemoyo kwakapfuura | Zvinogona kuitika semhedzisiro yekuvhiyiwa kwemoyo kwakamboitwa. |
| Kurapa nemwaranzi pachipfuva | Kana wakamborapwa nemwaranzi panzvimbo yechipfuva nekuda kwezvirwere zvakaita sekenza. |
| Zvimwe zvirwere | Zvirwere zvakaita seTiberculosis neMesothelioma. |
| Utachiona hwemavhairasi kana hwebhakitiriya | Utachiona hwakanyanya hunokanganisa mwoyo. |
Kuwedzera kune chikonzero chikuru ichi, kuvhiyiwa kwePericardiectomy kunoitwa mune dzimwe nyaya dzinoverengeka:
- Muzviitiko zve pericarditis inodzokororwa.
- Nekuda kwematambudziko anobva kune mimwe mishonga.
- Kashoma, chirwere chinonzi `Cardiac Tamponade` chinoitika kana mvura yaungana yakakomberedza moyo yodzvanya pamoyo.
Kuvhiyiwa kunoitwa sei uye nguva yekupora
Kuvhiyiwa kwemoyo nePericardiectomy kuvhiyiwa kwemoyo wakavhurika. Chikwata chekuvhiya:
1. Kuchekwa kunoitirwa papfupa rechipfuva (sternum) riri pakati pechipfuva chako kuti usvike pamoyo. Maitiro aya anonzi Median Sternotomy .
2. Kazhinji unobatanidzwa nemuchina unoita basa remwoyo nemapapu kwenguva pfupi (cardiopulmonary bypass). Izvi zvinobvumira vanachiremba kubvisa zvakachengeteka jira riri kumusana nepamativi emwoyo wako.
3. Chifukidziro chakakora uye chakasimba chakakomberedza mwoyo (`pericardium`) chinobviswa nokungwarira.
4. Mushure mekuvhiyiwa, sternum inosungirirwazve newaya uye kucheka kunovharwa nemasitichi.
Kuvhiyiwa uku kunowanzotora maawa maviri kusvika matatu . Mushure mekuvhiyiwa, muchatariswa muchikamu chevarwere vanorwara zvakanyanya kwemazuva mashoma, uye kazhinjiUchafanira kugara muchipatara kwemazuva ari pakati pe5 ne7 .
Zvinotora pakati pemavhiki matanhatu nemasere kuti unyatsopora. Unofanira kudzivisa kusimudza zvinhu zvinorema panguva iyi, asi unogona kutangazve kuita mabasa epamba zvishoma nezvishoma.
Ndezvipi zvakanakira uye njodzi dzekuvhiyiwa uku?
Kufanana nekuvhiyiwa kupi zvako kukuru, uku kune zvakanakira uye njodzi. Njodzi dzinogona kuderedzwa nekuvhiyiwa kwacho nachiremba ane ruzivo rwekuvhiya mwoyo.
| Zvakanakira | Njodzi |
|---|---|
| Zviratidzo zvinenge zvanyangarika zvachose. | Matambudziko ekubuda ropa. |
| Pane mukana mukuru wekupora zvakakwana pane kushandisa mishonga. | Kufanirwa kuwedzerwa ropa. |
| Kudzivirira kukuvara kwetsandanyama yemwoyo. | Kusashanda zvakanaka kwemoyo (Atrial Fibrillation). |
| Hunhu hwehupenyu hunowedzera. | Kukuvara kweitsvo. |
| Kashoma, kukuvara kwetsinga inobatsira kufema (phrenic nerve) kunoitika. | |
| Kashoma kwazvo, 1% - 2% mukana wekufa. |
Ndinofanira kuona chiremba rini mushure mekuvhiyiwa?
Mushure mekunge madzoka kumba kubva kuchipatara, munofanira kuzivisa chiremba wenyu nekukasika kana paine zviratidzo zvekunyevera zvikaonekwa.
- Kana uchinzwa kurwadziwa kwakanyanya pachipfuva .
- Kana uine fivha .
- Kana mvura yakawanda kupfuura yakajairika ichibuda kubva paronda rekuvhiyiwa.
Kazhinji, muchaona chiremba wemwoyo mukati mevhiki imwe chete kana maviri mushure mekunge mabuda muchipatara. Zvakare, echocardiogram ichaitwa mushure memavhiki matanhatu kuti muone kuti mwoyo wenyu uri kushanda sei.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kwePericardiectomy inzira huru yekubvisa chifukidziro chekunze chakakora uye chakasimba chemoyo.
- Izvi zvinowanzoitwa sekurapa chirwere chinonzi `Constrictive Pericarditis`.
- Kunyange zvazvo uku kuri kuvhiyiwa kwemoyo wese, mhedzisiro inobudirira inogona kuwanikwa kana ikaitwa pasi pekutarisirwa kwechikwata chevanachiremba vane ruzivo.
- Kunyangwe zvichitora mavhiki matanhatu kusvika masere kuti munhu apore zvizere mushure mekuvhiyiwa, vanhu vazhinji vane mhedzisiro yakanaka kwenguva refu.
- Kana muine zvaunotya kana mibvunzo nezve kuvhiyiwa uku, kurukurai pachena nachiremba wenyu. Vachakupai ruzivo rwese nerutsigiro rwamunoda.
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