Ungave wakambosangana nekusagadzikana uye kurwadziwa pachipfuva kunokonzerwa nekusawana ropa rakakwana mumoyo mako. Ungave wakatotya kurwara nemoyo. Chikonzero chikuru cheizvi kuvharika kwetsinga dzeropa dzinoendesa ropa kumoyo. Nerombo rakanaka, nhasi kune nzira dzekurapa dzepamusoro dzinogona kuvhurazve idzi tsinga dzeropa dzakavharika uye kubvumira ropa kuti riyerere zvakanaka mumoyo. Nhasi, tiri kutaura nezvenzira idzi dzekurapa dzinogona kumutsiridza moyo.
Chii chinonzi 'Coronary Revascularization'?
Zvichitaurwa zviri nyore, iyi imhando yemishonga inoshandiswa kudzorera kuyerera kweropa mutsandanyama yemwoyo wako kana isiri kuwana ropa rayo rinodiwa. Chirwere ichi chinonzi "Ischemia" mune zvehutano. Mishonga iyi inogona kubatsira kudzivirira kurwara kwemoyo mushure mekunge kwaitika, pamwe chete nevanhu vari panjodzi huru yekubatwa nacho.
Tiri kutaura nezvenzira mbiri dzekurapa pazasi:
- Kuvhiyiwa kwePercutaneous Coronary Intervention (PCI): Uku hakusi kuvhiyiwa. Inzira iyo chubhu yakatetepa inopinzwa mutsinga yeropa yoshandiswa kuwedzera nzvimbo yakavharika kubva mukati, ichidzorera kuyerera kweropa. Vanhu vazhinji vanoziva izvi se'spending'.
- Kuvhiyiwa kweCoronary Artery Bypass Grafting (CABG): Uku kuvhiyiwa kunogadzira nzira itsva ye 'bypass', kana kuti nzira yedivi, kuti ropa riyerere richitenderedza tsinga yakavharika mumoyo.
Sei mishonga iyi ichishandiswa?
Sezvo madhireni edu emukicheni achivharwa nemafuta netsvina nekufamba kwenguva, mafuta akaita sewakisi anotanga kuungana mutsinga dzeropa dzemwoyo yedu. Tinodana izvi kuti plaque . Iyi ndiyo mamiriro ezvinhu apo plaque inoungana mukati metsinga dzeropa yodziita kuti dzitete, iyo inonzi "Atherosclerosis." Ichi chiratidzo chikuru chechirwere chemwoyo.
Nekufamba kwenguva, zvinhu izvi zvinogona kutetepa mutsinga dzeropa. Dzimwe nguva, kana chimwe chezvinhu izvi chikatsemuka, ropa rinogona kuumbwa rovhara tsinga yacho zvachose. Izvi zvinoita kuti chikamu chemwoyo chisawane ropa, uye masero ari muchikamu ichocho anotanga kufa. Izvi zvinonzi chirwere chemwoyo .
Chinhu chakakosha ndechekuti kana masero emhasuru dzemwoyo akafa, kukuvara kwacho kunogara narini. Zvisinei, kana kuyerera kweropa kukadzoserwa nekukurumidza sezvinobvira, kukuvara uku kunogona kuderedzwa kana kutodziviswa zvachose.
Kurapwa uku kunodiwa kune chero chirwere chemwoyo chiri pasi pechikamu che "Acute Coronary Syndrome". Semuenzaniso:
- Kumira kurova kwemoyo
- Angina yakagadzikana - kurwadziwa kwechipfuva kunoderedzwa nekuzorora uye kunowedzera nekurovedza muviri
- Angina isina kugadzikana - Marwadzo asingatarisirwi epachipfuva anoitika kunyangwe pakuzorora
Chii chinoitika usati warapwa?
Vanachiremba vasati vaita rudzi urwu rwekurapwa, vanozoita bvunzo dzinoverengeka kuti vaongorore mamiriro ako nemazvo uye vasarudze kurapwa kwakakodzera iwe. Mimwe yacho inosanganisira:
- ECG (Electrocardiogram): Kuedza mashandiro emagetsi emwoyo.
- Echocardiogram: Kuongororwa kwemoyo.
- Kugadziriswa kwemoyo (Angiogram): Nzira yekuisira dhayi mutsinga dzeropa dzemwoyo uye X-ray inoshandiswa kutarisa kana paine kuvharika.
- X-ray Angiography kana CT Angiography: Kuongorora mitsipa yeropa uchishandisa computerized tomography scan.
- Kuongororwa kweropa: Kuverengwa Kweropa Rakazara, MaEnzymes Emwoyo, nezvimwewo.
Kana nzira iyi isiri yekukurumidzira, chiremba wako achakukurudzira kuti utsanye kwemaawa mashoma usati watanga nzira iyi. Uyewo, usati watanga nzira iyi, mutsetse weIV uchaiswa muruoko rwako kuti ugone kupa mishonga nezvinonwiwa zvinodiwa zviri nyore. Munguva yePCI, uchapihwa mishonga yekukurara zvishoma, nepo panguva yekuvhiyiwa kweCABG, uchapihwa mushonga weanesthesia.
Chii chinoitika panguva yekurapwa?
Kunyangwe PCI neCABG vaine chinangwa chimwe chete, maitiro azvinoitwa akasiyana zvachose. Ngationei kuti zvinoitwa sei.
| Nzira yekurapa | Zvinoitika zviri nyore. |
|---|---|
| PCI (kuiswa kwestent) | Chiremba anoisa chubhu yakatetepa (catheter) kuburikidza neruoko rwako kana dumbu rako mutsinga huru yeropa. Zvadaro, uchishandisa X-ray screen, chubhu inotungamirwa kutsinga yeropa yakavharika iri mumoyo mako. Zvadaro, bharumu diki riri kumagumo kwechubhu rinofuridzirwa (Balloon Angioplasty) kuti nzvimbo yakavharika iwedzere. Kazhinji, mudziyo wakaita semesh (stent) unoiswa zvachose mukati menzvimbo yakakurisa kuti isatsvedze zvakare. |
| CABG (Kuvhiyiwa kweBypass) | Uku kuvhiyiwa. Mukuita uku, chiremba anotanga atora chidimbu chetsinga yeropa ine hutano kubva kune imwe nhengo yemuviri wako (kazhinji kubva pagumbo rako, ruoko, kana chipfuva). Zvadaro, kungave kuburikidza nekuvhiyiwa kwakavhurika kana kuburikidza nekuchekwa kudiki (kuvhiyiwa kusingapindi zvakanyanya), chiremba anoshandisa chidimbu chetsinga yeropa kugadzira nzira itsva (bypass) yekuti ropa riyerere richitenderedza tsinga yakavharika mumoyo mako. Zvakafanana nekufamba nemugwagwa weparutivi kudzivirira traffic. |
Chii chinoitika mushure mekurapwa?
Uchada nguva yekupora mushure mekuvhiyiwa. Nguva iyi inoenderana nerudzi rwekuvhiyiwa kwawakaitwa, hutano hwako hwese, uye kana yaive emergency. Kazhinji, zvinongotora mazuva mashoma kuti upore kubva kuPCI. Zvisinei, zvinogona kutora mavhiki kana mwedzi kuti upore zvizere kubva mukuvhiyiwa kweCABG.
Chiremba wako anogona kukukurudzira kuti utore chikamu muchirongwa chekurapa mwoyo . Muzvirongwa izvi, vanachiremba, vanamukoti, varairidzi vekurovedza muviri, uye nyanzvi dzezvekudya vanoshanda pamwe chete kuti vakudzidzise maitiro ekurovedza muviri zvakakodzera, kudzora kudya kwako, uye kunwa mishonga yako nemazvo.
Zvakare, zvakakosha kushanyira chiremba zvakare panguva yakatarwa (kushanya kwekutevera) uye kuongororwa. Kutevedzera mirairo yachiremba nemazvo kuchakubatsira kukurumidzisa kupora kwako.
Ndezvipi zvakanakira kurapwa uku?
- Kudzivirira kurwiswa kwemoyo: Kana chirwere chemwoyo chikaonekwa chirwere chemwoyo chisati chaitika, kurapwa uku kunogona kuchidzivirira.
- Kuponesa hupenyu: Kurwara nemoyo chinhu chinotyisidzira hupenyu. Muzviitiko zvakadaro, kurapwa uku kunogona kuponesa hupenyu.
- Kuchengetedza mashandiro emoyo: Kurapwa nekukurumidza kunogona kudzivirira kufa kwemasero emoyo nekuda kwekushaya simba kwemoyo. Izvi zvinogona kuderedza kukuvara kwemoyo zvachose.
Pane njodzi dziripo here pakurapa uku?
Sekune chero kurapwa kupi zvako, kune njodzi dzinobatanidzwa, zvichienderana nehutano hwako uye kurapwa kuri kuitwa.
- Kune PCI: Panogona kunge paine njodzi diki yekukuvara kwetsinga dzeropa, kurova kwemoyo zvisina kurongeka (arrhythmias), kuvharika kweropa, sitiroko, kana kubuda ropa.
- Kune CABG: Kuvhiyiwa kune njodzi yekurwadziwa, kubuda ropa, uye hutachiona.
Kurukurai mibvunzo kana zvinokunetsai nezvenyaya iyi nachiremba wenyu. Iye achatsanangura zvakajeka njodzi dzingangoitika zvichienderana nemamiriro enyu ezvinhu.
Unofanira kuona chiremba zvakare rini?
Mushure mekurapwa, kana zviratidzo zvinotevera zvikadzoka , ona chiremba wako nekukasika kana kuenda kuEmergency Department (ETU) .
- Kurwadziwa kwechipfuva kana kuomarara (Angina)
- Kutadza kufema zvakanaka (Dyspnea)
- Kunzwa dzungu kana kupera simba
- Kufenda
Zvakajairika kuti unzwe kutya uye kuzvidya mwoyo paunodzidza nezvechirwere chemwoyo. Asi nekunzwisisa marapirwo epamusoro akadai, unogona kukunda kutya ikoko, kuwana kurapwa kwakakodzera, uye kurarama hupenyu hwakanaka zvakare.
Mharidzo Yekuenda Nayo Kumba
- Kudzoreredza ropa mumoyo (coronary revascularization) zvinoreva kurapwa kunovhura tsinga dzeropa dzakavharika mumoyo uye kunodzoreredza kufamba kweropa.
- Kuisa stent (PCI) uye kuvhiyiwa kwe bypass (CABG) ndidzo nzira mbiri huru dzekurapa.
- Kurapa uku kunogona kudzivirira kurwara kwemoyo uye kuponesa hupenyu kana paine chirwere chemwoyo.
- Kurapwa kwakakodzera kwauri kuchasarudzwa nachiremba wako mushure mekuongororwa kwemamiriro ako ezvinhu.
- Kuti uwane mhedzisiro yakanaka mushure mekurapwa, iva nechokwadi chekutevedzera mirairo yachiremba wako (mishonga, kudya, kurovedza muviri).
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