Patinofunga nezvekuvhiyiwa kwemoyo, vazhinji vedu tinofunga nezvekuvhiyiwa kunosanganisira kuchekwa kukuru pakati pechipfuva. Zvinotyisa kufunga nezvazvo, handiti? Asi waiziva here kuti ikozvino kune nzira dzakasiyana-siyana, itsva dzinoitwa nekucheka kudiki? Imwe tekinoroji itsva, yepamusoro-soro ndeyekuvhiyiwa kwemoyo kwemarobhoti. Paunonzwa izvi, vamwe vanhu vangafunga kuti robhoti riri kuita oparesheni yacho roga. Handizvo zvazviri. Ngationei kuti izvi chii chaizvo.
Chii chinonzi kuvhiyiwa kwemwoyo kwemarobhoti?
Zvichitaurwa zviri nyore, uku kuvhiyiwa kwemoyo kusinganyanyi kupindira zvakanyanya . Kureva kuti, kuvhiyiwa kunoitwa nekucheka kudiki-diki, pane kucheka kukuru muchipfuva sekuvhiyiwa kwemoyo kwakavhurika nguva dzose. Pano, chiremba anovhiya anodzora maoko erobhoti akapfava akabatana nerobhoti kuti avhiye.
Fungidzira, kune system yerobhoti inogona kushanda zvinyoro nyoro uye munzvimbo diki pane maoko maviri achiremba. Chiremba anodzora ruoko urwu rwerobhoti kuti ruite kuvhiyiwa. Nekuda kwetekinoroji iyi, kunyangwe kuvhiyiwa kwemoyo kwakaoma kwazvo ikozvino kunogona kuitwa zviri nyore uye zvakachengeteka.
Tekinoroji yerobhoti inowanzoshandiswa pakuvhiya kwakadai:
- Kugadziriswa kwevharuvhu yeMitral.
- Vhara mamwe marudzi emaburi ari mumoyo.
- Bvisai mabundu asiri ekenza anoumba mumoyo.
Zvinhu zvakakosha zverobhoti iyi ndeizvi:
- Chiratidzo chemativi matatu (3D): Chiremba anogona kuona nzvimbo iri kuvhiyiwa zvakajeka, yakakura, uye mumativi matatu. Zvakafanana nekutarisa mukati.
- Kunyatsoshanda: Maoko erobhoti anogona kuita mafambiro akafanana nemaoko emunhu, ruoko, neminwe, asi anogonawo kufamba nemazvo uye nemazvo.
- Kudzora nemazvo: Ruoko rwerobhoti runotevera mafambiro emaoko achiremba sezvaari chaizvo, pasina kudedera, uye nemazvo.
Kuvhiyiwa uku kunoitika sei chaizvo?
Izvi hazvina kuoma sezvaungafunga. Mukamuri rekuvhiyira rauri, mamita mashoma kubva kwauri, chiremba akagara pamberi pekombuta hombe. Zvinoita semutambo wevhidhiyo. Chiremba anoona kubva kukombuta iyoyo chiitiko chimwe chete nekamera yakaiswa mumuviri wako.
Kunyange zvazvo maoko erobhoti ari pamusoro uye ari padyo nemuviri wako, chiremba haasi padivi pako zvakananga. Anodzora maoko erobhoti ari pakombiyuta iyoyo. Vamwe vese vari muchikwata chekuvhiya (vakadai sevanamukoti nevanotindivadza) vari padivi pako chaipo.
Chinhu chinonyanya kukosha ndechekuti chiremba wezvekuvhiya ave nekutonga kwakazara panguva yese yekuvhiya.Maoko erobhoti haagone kuita chero chinhu ega. Kufamba kwese kunoitwa nachiremba kunoitwa nemaoko erobhoti.
Heino tsananguro nhanho nhanho yezvinoitika panguva yekuvhiyiwa:
1. Kutanga, chiremba achaita kucheka kadiki kane pakati pembabvu dzako. Izvi zvinonzi maports. Kucheka kukuru pane uku kunoshandiswa se "working port".
2. Zvadaro, zvishandiso zvekuvhiya nekamera zvakabatanidzwa pamaoko erobhoti zvinoiswa kuburikidza nekucheka kudiki uku.
3. Iye zvino chiremba akagara pakombuta, achidzora michina nemaoko ake. Ane mapedali etsoka aanoshandisa kudhonza nekuburitsa kamera.
4. Kana kuvhiyiwa kwapera, zvishandiso zvese zvinobviswa uye maburi madiki anovharwa.
Ndezvipi zvirwere zvemwoyo zvinorapwa nekuvhiyiwa kwemarobhoti?
Tekinoroji iyi yepamusoro inoshandiswa kurapa zvirwere zvakasiyana-siyana zvemwoyo. Ngatinyatsoiongorora.
| Rudzi rweKuvhiya | Tsananguro Iri Nyore |
|---|---|
| Kugadziriswa kwevharuvhu yeMitral | Kugadzirisa vharuvhu yemitral inobuda kana kuti yakavharika, vharuvhu inokosha mumoyo. |
| Kutsiva vharuvhu yeMitral | Kubvisa vharuvhu yemitral yakakuvara zvakanyanya zvekuti haigone kugadziriswa uye kuisa vharuvhu yekugadzira. |
| Kugadziriswa kweburi remoyo (kugadzirisa ASD/PFO) | Kuvharwa kweburi rekuzvarwa naro pakati pemakamuri emwoyo (Atrial Septal Defect/Patent Foramen Ovale). |
| Kubviswa kwebundu remwoyo | Kubviswa kwebundu risiri rekenza (semuenzaniso myxoma) mumoyo. |
| Kubatanidza Mitsipa yeCoronary (CABG) | Kuiswa kweropa mutsinga dzemwoyo (coronary artery bypass grafting) kunoitwa kudzivirira kuvharika kwetsinga dzinoendesa ropa kumoyo. Izvi zvinoitirwa varwere vakasarudzwa. |
Ndingavhiyiwawo here nerobhoti?
Uyu mubvunzo unobvunzwa nevanhu vazhinji. Asi kuvhiyiwa kwemarobhoti hakusi kwemunhu wese. Chiremba wako ndiye achasarudza kana wakakodzera kuita izvi. Uchafanirwa kuongororwa zvakasiyana-siyana.
Miedzo inowanzoitwa ndeiyi:
- Kuisa catheter mumoyo: Kuongororwa kwekuongorora kana paine kuvharika uye kumanikidzwa mutsinga dzemwoyo.
- X-ray yechipfuva: Tarisa mamiriro emwoyo nemapapu.
- Echocardiogram: Kuongororwa kwemoyo kunoongorora mashandiro emwoyo, mamiriro emavharuvhu, uye chimiro chayo.
- Kuongororwa kweCT (Computed Tomography - CT scan): Kunowana mifananidzo yakadzama yemoyo netsinga dzeropa dzakapoteredza.
Chiremba wako ndiye achasarudza kurapwa kwakakodzera iwe zvichienderana nemhedzisiro yebvunzo idzi, pamwe nezvimwe zvinhu zvakawanda, zvakaita serudzi uye kuoma kwechirwere chemwoyo wako, mamwe matambudziko ako ehutano, uye hutano hwako hwese.
Ndinofanira kugadzirira sei ndisati ndavhiyiwa?
Kana ukasarudza kuvhiyiwa kwemarobhoti, pane zvinhu zvakati wandei zvaunofanira kugadzirira usati waita.
- Mumwe munhu anokuendesa kumba nemotokari: Ronga pachine nguva kuti mumwe munhu akutore uende newe kumba pazuva raunobuda muchipatara.
- Taura nezvemishonga: Udza chiremba wako nezvemishonga yauri kutora parizvino. Ungangokumbirwa kuti urege kutora mimwe mishonga usati wavhiyiwa. Usarega kutora mimwe mishonga usina kurayirwa nachiremba wako.
- Rega kusvuta: Rega kusvuta zvachose mavhiki mashoma usati wavhiyiwa. Kana wangorega kusvuta, okisijeni inotenderera zviri nani mumuviri wako, izvo zvinobatsira kuti maronda ako apore nekukurumidza.
- Kutsanya: Unofanira kurega kudya nekunwa zvachose mushure mehusiku husiku hwakatangira kuvhiyiwa, kana kusvika chiremba wako akuudza kuti uite saizvozvo.
Ndezvipi zvakanakira uye zvakaipira kuvhiyiwa kwemarobhoti?
Kufanana nedzimwe nzira dzekurapa, kuvhiyiwa kwemwoyo kwemarobhoti kune zvakanakira nezvakaipira. Ngatinyatsoongororai zvese zviri zviviri.
| Mabhenefiti ekuvhiyiwa kwemwoyo nemarobhoti | |
|---|---|
| Mavanga madiki, mavanga mashoma | Sezvo mazamu asingakure zvakanyanya, mavanga anosara mushure mekupora madiki zvikuru. |
| Kurwadziwa kushoma | Nekuti mavanga acho madiki, kurwadziwa mushure mekuvhiyiwa kushoma kwazvo. |
| Kugara kwenguva pfupi muchipatara | Kazhinji unogona kudzokera kumba mumazuva matatu kusvika mana. |
| Kubuda ropa kushoma | Sezvo ropa rinorasika panguva yekuvhiyiwa riri shoma, pane zviitiko zvishoma zvekuwedzerwa ropa kunze. |
| Njodzi shoma yekutapukirwa | Sezvo maronda ari madiki, njodzi yekutapukirwa inoderedzwawo. |
| Kurumidza kupora | Uchakwanisa kudzokera kumabasa ako enguva dzose uye kushanda nekukurumidza. |
| Zvakashata & Zvaunofanira Kufunga | |
|---|---|
| Kuvhiya kunotora nguva yakareba | Dzimwe nguva kuvhiyiwa kwemarobhoti kunogona kutora nguva yakareba kupfuura kuvhiyiwa kwepachivande nguva dzose. |
| Mikana yekuchinja kuenda kuvhiyiwa yakavhurika | Kashoma (pasi pe5% yezviitiko), kana paine kusagadzikana kunoitika, chiremba angafanira kuchinja oparesheni yemahara kuti murwere agare akachengeteka. |
Chii chinoitika mushure mekuvhiyiwa? Zvinotora nguva yakareba sei kuti munhu apore?
Mushure mekuvhiyiwa, uchaendeswa kuchipatara chevarwere vane chirwere chemwoyo (ICU) . Ikoko, mamiriro ako achatariswa zvakanyanya. Zvichienderana nerudzi rwekuvhiyiwa kwawakaitwa, ungangoda kugara muchipatara kwemazuva mashoma. Usati waenda kumba, unogona kupihwa imwe echocardiogram (transthoracic echocardiogram - TTE) kuti utarise mashandiro emoyo wako.
Zvinogona kutora mavhiki maviri kana kupfuura kuti munhu apore zvizere. Vanhu vazhinji vanogona kudzokera kumabasa avo enguva dzose, akadai sekutyaira mota nekuenda kubasa, mukati memavhiki maviri kusvika mana . Zvisinei, izvi zvinogona kusiyana zvichienderana nekuoma kwekushanda kwawakaita.
Chinhu chinonyanya kukosha kuchengetedza hutano hwemwoyo wako mushure mekuvhiyiwa. Kuti uite izvi, unofanirwa kutevedzera mirairo yachiremba nemazvo.
Kuti uite izvozvo, unofanira kuita zvinhu zvinotevera:
- Rega kusvuta fodya nefodya zvachose.
- Dzora huwandu hwecholesterol yakakwira.
- Dzora BP yakakwira uye chirwere cheshuga zvakanaka.
- Rovedza muviri nguva dzose.
- Ramba uine huremu hwakanaka hunokunakira.
- Idya chikafu chine hutano pamoyo.
- Tora chikamu muchirongwa chekurapa mwoyo sezvakarairwa nachiremba wako.
- Endai kuna chiremba pamazuva akarongwa mozoongororwa.
Ndinofanira kuona chiremba rini?
Kana ukaona chimwe chezviratidzo izvi mushure mekudzokera kumba, unofanira kuzivisa chiremba wako nekukasika .
- Kurwadziwa kwechipfuva
- Kuoma kufema
- Kuchinja-chinja
- Kubuda ropa kubva pamaronda
- Kutsvuka kana kuzvimba kwakakomberedza mavanga
- Kupindwa nechando
- Kurutsa kana kuda kurutsa
Kana uine chimwe chezviratidzo izvi, iva nechokwadi chekuzivisa chiremba wako nekukurumidza. Ungangoda kuongororwa nekukurumidza.
Chekupedzisira, chinhu chakakosha kutaura ndechekuti kuvhiyiwa uku kunoda ruzivo rwakawanda nehunyanzvi. Saka, zvakakosha kusarudza chipatara nachiremba anovhiya anoita rudzi urwu rwekuvhiya nguva dzose uye ane ruzivo rwakanaka.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kwemoyo nerobhoti inzira yekuvhiya yemazuva ano uye yepamusoro-soro inoitwa nekucheka zvidimbu zvidiki pasina kucheka kukuru pachipfuva.
- Izvi zvinopa mabhenefiti akawanda, akadai sekuderedza marwadzo, kupora nekukurumidza, uye kuderedza nguva inopedzerwa muchipatara.
- Chiremba ane hunyanzvi uye ane ruzivo ndiye anodzora robhoti panguva yese yekuvhiyiwa. Robhoti harigone kushanda riri roga.
- Kuvhiyiwa uku hakukodzeri munhu wese. Chiremba wako ndiye achasarudza kana kwakakukodzera mushure mekuongororwa kwechiremba.
- Kunyangwe mushure mekuvhiyiwa, zvakakosha zvikuru kuchinja mararamiro akanaka uye kutevedzera mazano echiremba kuti urambe uine hutano hwemwoyo.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment