Zvaunofanira kuziva nezve TAVR procedure (Transcatheter Aortic Valve Replacement), iyo inotsiva vharuvhu isina kuvhura moyo

Paunonzwa izwi rekuti "kuvhiyiwa kwemoyo," chii chinouya mupfungwa dzako? Kazhinji, tinofunga nezvekuvhiyiwa kukuru kunosanganisira kuvhura chipfuva, handiti? Asi nekufambira mberi kwesainzi yezvekurapa, ikozvino kune nzira dziri nyore uye dzisina njodzi dzekurapa mamwe matambudziko emwoyo. Nhasi, tichataura nezveimwe nzira itsva uye inobudirira yekurapa.

Chii chinonzi TAVR? Ngatizvinzwisise zviri nyore.

Zvinorehwa zvizere neTAVR ndekuti Transcatheter Aortic Valve Replacement . Dzimwe nguva inonziwo TAVI (Transcatheter Aortic Valve Implantation). Mazita ese aya anoreva nzira imwe chete yekurapa.

Zvichitaurwa zviri nyore, TAVR inzira yekutsiva vharuvhu yemoyo kuburikidza nekucheka kudiki, pasina kuvhura chipfuva.

Funga nezvemwoyo wedu sepombi yemvura iri mumba. Pombi iyi inotumira ropa mumuviri wese kuburikidza nepombi huru. Pombi huru iyi inonzi aorta. Kana ropa richibva pamoyo richienda kuaorta iyi, pane chimwe chinhu chakaita segedhi rinodzora kuyerera kweropa iroro. Ndizvo zvatinodaidza kuti aortic valve. Kana vharuvhu iyi ikasavhurika kana kuvhara zvakanaka, matambudziko akakomba anomuka mukuyerera kweropa mumuviri wese. TAVR inosanganisira kutsiva vharuvhu yakakuvara uye isiri kushanda zvakanaka nevharuvhu itsva.

Ndiani anoda nzira yeTAVR?

Kurapa uku kunonyanya kudiwa kune vanhu vane chirwere chinonzi aortic stenosis . Kureva kuti, aortic valve yatakataura nezvayo kare yakamanikana. Kufanana negedhi rine ngura, vharuvhu iyi haivhurike zvachose.

Pane zvikonzero zvikuru nei vharuvhu ichitetepa nenzira iyi:

• Kukwegura: Kazhinji muvanhu vane makore anopfuura makumi manomwe, calcium yakawanda inoungana muvharuvhu, zvichiita kuti ikure uye iome.
• Zvimwe zvirwere: Vharuvhu iyi inogonawo kukuvara nekukurumidza nekuda kwezvirwere zvakaita sechirwere chemwoyo chinonzi rheumatic heart disease kana zvimwe zvirwere zvemwoyo zvekuzvarwa nazvo (semuenzaniso, bicuspid aortic valve).

Kana vharuvhu ikadzikira, mwoyo unofanirwa kushanda nesimba kupfuura kare kuti upombe ropa rinodiwa nemuviri. Zvakafanana nemota inofanira kupomba mvura yakawanda kuburikidza nepaipi yakavharika. Nekufamba kwenguva, kumanikidzwa uku kwemoyo kunogona kunetesa tsandanyama dzemwoyo, zvichizopedzisira zvaita kuti mwoyo usashande zvakanaka.

Chii chinoitika TAVR isati yasvika?

Usati waita TAVR, chiremba wako achaita bvunzo dzinoverengeka kuti aongorore mamiriro ako ezvinhu nemazvo. Kuongororwa uku kunogona kukupa mufananidzo wakajeka wekuti ropa riri kufamba sei mumoyo mako uye kana paine mamwe matambudziko.

Aya ndiwo maedzo anowanzoitwa:

• Kuongororwa kweropa
• Echocardiogram - Izvi zvakafanana nekuongororwa kwemoyo.
• Kuongororwa kweElectrocardiogram (ECG)
• CT scan kana MRI scan
• Kuisa ropa mumoyo (cardiac catheterization) - Izvi zvinoongorora kana paine kuvharika kwetsinga dzemwoyo dzinopa ropa kumoyo.

Mushure mekunge bvunzo idzi dzese dzaitwa, chiremba achataura newe otsanangura zvese nezvekurapa, zvaunofanira kutarisira mushure mezvo, uye kuti uchapihwa sei anesthesia. Unogona kubvunza chero mibvunzo yaungave nayo panguva ino.

Uchakumbirwa kuti urege kudya nekunwa maawa mana kusvika matanhatu usati watanga kurapwa. Zvakare, unofanira kubvunza chiremba wako kana uchida kurega kutora mishonga uye nguva yacho.

Kurapwa kweTAVR kunoitwa sei

Iyi nzira iri nyore kwazvo. Uchapihwa mushonga wekuti usazonzwa kurwadziwa. Uchapihwawo mushonga wekudzivirira kuvharika kweropa.

Zvadaro, chiremba wemwoyo anopindira anotevera matanho aya:

1. Kuchekwa kadiki: Kuchekwa kadiki kunoitwa, kazhinji pedyo netsinga huru yeropa (femoral artery) iri pamusoro pechidya chako, pedyo nepahudyu.

2. Kuiswa kwecatheter: Kuburikidza nekucheka, chubhu diki kwazvo, inochinjika inonzi catheter inopfuudzwa nemutsinga weropa kusvika kumoyo.

3. Kuisa vharuvhu itsva: Vharuvhu itsva inotorwa nepa catheter iyi, yoiswa mukati mevharuvhu yako yekare, yakakuvara, yobva yawedzerwa. Vharuvhu itsva inozoiswa panzvimbo iyoyo chaiyo. Vharuvhu yekare inosundirwa parutivi neiyo itsva yoramba iripo.

4. Kuedzwa: Vharuvhu itsva inotariswa kuti ione kana iri kushanda nemazvo uye kana paine kudonhedza mvura.

5. Kubviswa uye kusukwa: Kana zvese zvakanaka, catheter inobviswa nokungwarira, ganda diki rakachekwa pakutanga rinosukwa, uye plaster inoiswa.

Kazhinji, maitiro ese aya anotora awa imwe kana maviri.

Ndezvipi zvakanakira izvi?

TAVR ine zvakanakira zvakawanda kupfuura kuvhiyiwa kwemoyo kwechinyakare.

Pasinei nemabhenefiti aya, kuvhiyiwa kwemoyo wakavhurika kunogona kunge kwakakodzera kune vamwe varwere. Unofanira kukurukura nachiremba wako kana TAVR kana kuvhiyiwa kwakavhurika ndiyo nzira yakanakisa yekurapa.

Hapana migumisiro yakaipa here? Ngatitaurei nezvenjodzi dzacho zvakare

TAVR mushonga unobudirira zvikuru. Nekufambira mberi kwetekinoroji, matambudziko ava mashoma. Zvisinei, sezvinoitwa chero nzira dzekurapa, kune dzimwe njodzi diki.

• Masisitimu emagetsi emoyo anokanganiswa, zvichiita kuti pave nemuchina wekubatsira pacemaker .
• Kubuda ropa kwakatenderedza vharuvhu itsva.
• Kurohwa nechirwere.
• Kubuda ropa.
• Utachiona.
• Kukuvadzwa kweitsvo, mwoyo, kana tsinga dzeropa.

Chiremba wako achakutsanangurira njodzi idzi zvakakwana. Sezvo izvi zvichiitwa nechikwata chekurapa chine ruzivo rwakakura, njodzi dzacho dzakaderera zvikuru.

Maitiro eTAVR haana kukodzera munhu wese here?

Kunyangwe mushonga uyu uchibatsira zvikuru, haukodzeri munhu wese. Chiremba wako angasakurudzira TAVR kune munhu ane zvirwere zvinotevera:

• Kana wakamborwara nemoyo mukati memwedzi mumwe chete.
• Kana uine matambudziko emwoyo anokonzerwa nekuzvarwa nawo.
• Kana paine matambudziko nemamwe mavharuvhu emwoyo (semuenzaniso Mitral regurgitation).
• Kana wakambobatwa nestroke kana TIA (Transient ischemic attack).
• Kana uine chirwere cheitsvo chakakomba.

Chiremba wako ndiye achasarudza mushonga wakakodzera iwe zvichienderana nemamiriro ako ehutano.

Zvinotora nguva yakareba sei kuti upore?

Vanhu vazhinji vanogona kudzokera kumba kubva kuchipatara mukati mezuva rimwe kana maviri mushure mekurapwa neTAVR. Nguva inotora kuti munhu apore zvakakwana inosiyana kubva pamunhu kusvika pamunhu.

• Kazhinji unogona kutangazve mabasa ako ezuva nezuva mukati memazuva mashoma.
• Unofanira kumirira kweinenge vhiki usati waita zvinhu zvakaita sekusimudza masimbi.
• Unogona kuenda kubasa mumavhiki maviri wobva watyaira mumwedzi mumwe chete.
• Zvinogona kutora pakati pemavhiki matanhatu kusvika gumi kuti munhu apore zvakakwana.

Chiremba wako achakupa mazano ekuti unoda kuzorora zvakadii, zvekuita, uye zvekusaita. Kutevedzera zano iroro kwakakosha zvikuru kuti upore nekukurumidza.

Pamusoro pezvo, unogona kutumirwa kuchirongwa chekurapa mwoyo , icho chiri nhevedzano yezvidzidzo zvakakosha zvekusimbisa moyo wako. Izvi zvinokurumidzisa kupora kwako.

Unofanira kuona chiremba rini?

Mushure mekurapwa neTAVR, muchakumbirwa kuenda kunoongororwa, kanenge kamwe chete pamwedzi uye kamwe chete pagore. Kushanya uku kwekutevera kwakakosha zvikuru kuti muve nechokwadi chekuti vharuvhu itsva iri kushanda nemazvo. Zvisinei, kana mukaona chimwe chezviratidzo zviri pazasi, munofanira kufonera chiremba wenyu nekukasika.

Kana paine emergency yakaita sekurwadziwa kwechipfuva zvakanyanya kana kuoma kufema , enda kuEmergency Department (ETU) yechipatara chiri pedyo nekukasika.