Ungatya zvishoma kana chiremba wako akakuudza kuti une dambudziko nevharuvhu mumoyo mako uye kuti inoda kutsiviwa. Ungave uchifunga kuti, "Oh, uku kuvhiyiwa kukuru kuchavhura chipfuva chako here?" Ichokwadi kuti kuvhiyiwa kwakadaro kwakakomba uye kunotora nguva yakareba kuti kupore. Asi nhasi tichataura nezve tekinoroji yemazuva ano inokubvumidza kutsiva vharuvhu yemoyo pasina kuvhiyiwa kukuru kwakadaro, asi kuburikidza nekuchekwa kudiki diki. Izvi zvinonzi TAVR.
Chii chinonzi TAVR? Ngatizvinzwisise zviri nyore.
Zvinorehwa zvizere neTAVR ndekuti Transcatheter Aortic Valve Replacement . Dzimwe nguva inonziwo TAVI (Transcatheter Aortic Valve Implantation). Izvi zvakafanana.
Zvichitaurwa zviri nyore, izvi zvinosanganisira kutsiva vharuvhu huru iri mumoyo mako, vharuvhu yeaorta, pasina kuvhura chipfuva chako.
Funga nezvemoyo wako sepombi yemvura iri mumba. Sezvinoita pombi iyi inotumira mvura mumba yese, moyo unopomba ropa rakachena, rakazara neokisijeni mumuviri wese. Gedhi guru iro ropa iri rinobuda naro mumoyo ivharuvhu yeaorta . Izvi zvakafanana negonhi rinongovhura nzira imwe chete. Rinovhurika kana ropa rabuda, uye rinovhara kana raedza kudzoka. Iri ibasa rakakosha zvikuru.
Ndeapi marudzi echirwere anoda kuvhiyiwa kweTAVR?
Chikonzero chikuru chekuita TAVR chirwere chinonzi Aortic Stenosis . Izvi zvinoreva kuti vharuvhu yeAortic yatataura nezvayo yakavharwa kana kuti yakamanikana . Zvakaita sekuti magonhi maviri haavhurike zvakanaka, asi anongovhurwa zvishoma chete.
Pane zvikonzero zvikuru nei vharuvhu ichigona kunamira seizvi:
- Kukwegura: Sezvaunokura, kupfuura makore makumi manomwe, vharuvhu inogona kukora uye kusashanda zvakanaka nekuda kwecalcium deposits. Ichi ndicho chikonzero chinowanzoitika.
- Zvimwe zvirwere: Mune vamwe vanhu, vharuvhu iyi inogona kukurumidza kupera simba nekuda kwezvirwere zvakaita sechirwere chemwoyo chekuzvarwa nacho (semuenzaniso, Bicuspid Aortic Valve) kana chirwere chemwoyo cherheumatic chinokura muhudiki.
Chii chinoitika kana vharuvhu yavharika seizvi? Mwoyo unofanirwa kushanda nesimba kuti upombe ropa mumuviri wese. Zvakafanana nekuisa mutoro wakawedzerwa pamota kuti upombe mvura nepaipi yakavharika. Kana izvi zvikaitika kwenguva yakareba, tsandanyama dzemwoyo dzinopera simba, zvichizopedzisira zvaita kuti mwoyo usashande zvakanaka.
Chii chinofanira kuitwa usati watora TAVR?
Kana ukasarudza kuita TAVR, chiremba wako achaita bvunzo dzinoverengeka nguva isati yasvika kuti aongorore mamiriro emwoyo wako nemazvo uye kuti awane pfungwa yezvinetso zvingangoitika panguva yekuvhiyiwa.
Zvichibva pamhedzisiro yebvunzo iyi, chiremba ndiye achaita sarudzo yekupedzisira yekuti TAVR kana kuvhiyiwa kwechipfuva kwakakunakira here.
| Zita rebvunzo | Zvichitaurwa zviri nyore, unoita sei nazvo? |
|---|---|
| Kuongororwa kweRopa | Zvinhu zvakaita sehutano hwemuviri uye mashandiro eitsvo zviri kutariswa. |
| Echocardiogram (Echo Scan) | Uku kuongorora moyo. Vanotarisa mashandiro ari kuita mavharuvhu uye kuti akasimba sei. |
| Kuongororwa kweElektrocardiogram (EKG) | Kushanda kwemagetsi kwemoyo (rhythm) kunoongororwa. |
| CT Scan kana MRI Scan | Mifananidzo yemoyo netsinga dzeropa ine mativi matatu (3D) inotorwa kuti inyatsoona saizi yemavharuvhu nenzvimbo yetsinga dzeropa. |
| Kugadziriswa kweCatheter yemwoyo | Vanotarisa kana paine zvimwe zvivhariso mutsinga dzemwoyo dzinopa ropa kumoyo. |
Mushure mekuongororwa uku, chiremba achataura newe nezvekuvhiyiwa, mushonga wekutindivadza, uye achapindura mibvunzo yako yese. Uchakumbirwa kurega kudya nekunwa maawa mana kusvika matanhatu usati wavhiyiwa.
Kuvhiyiwa kweTAVR kunoitwa sei?
Sezvo iyi isiri kuvhiyiwa kwekuwedzera mazamu, haufanirwe kunge usina chaunoziva zvachose. Kazhinji, uchapihwa mushonga unokuisa pahope shoma (sedation). Saka hauzonzwi kurwadziwa.
Kuvhiyiwa kunoitwa nhanho nhanho seizvi:
1. Chiremba wemwoyo anochekwa diki diki pachidya chako chepamusoro (kana pamwe pane imwe nzvimbo mumutsipa kana pachipfuva chako).
2. Chubhu yakatetepa, inochinjika inonzi catheter inopfuudzwa nepaburi, ichitevedza tsinga huru yeropa, uye ichipinda mumoyo.
3. Kubva mukati mechubhu iyi ndipo panopetwa vharuvhu itsva kuita chidimbu chidiki yoiswa mumoyo umo mune vharuvhu yekare, yakavharika.
4. Kana yangoiswa panzvimbo, vharuvhu itsva inowedzerwa. Yobva yapinda panzvimbo yayo. Vharuvhu yekare haibviswi , inosundirwa parutivi nevharuvhu itsva.
5. Tarisa kuti uone kana vharuvhu itsva iri kushanda nemazvo uye kana paine ropa rinobuda.
6. Pakupedzisira, catheter inobviswa, kucheka kudiki kunovharwa nekusona kamwe chete kana kaviri, uye bhandeji rinoiswa.
Maitiro ese anowanzo tora awa imwe kana maviri .
Ndezvipi zvakanakira nengozi dzekuvhiyiwa kweTAVR?
TAVR ine zvakanakira zvakawanda kupfuura kuvhiyiwa kwemoyo kwakavhurika kwechinyakare.
Zvakanakira zvikuru
- Hapana kucheka kukuru: Hapana chikonzero chekucheka pfupa repachipfuva kana kubvisa mbabvu. Pane kucheka kudiki chete.
- Kupora nekukurumidza: Sezvo pasina kukuvara kukuru, kurwadziwa kushoma, kushushikana kushoma pamuviri, uye kupora nekukurumidza.
- Kugara kwenguva pfupi muchipatara: Kazhinji , unogona kuenda kumba zuva rimwe chete mushure mekuvhiyiwa. Ungangoda kugara kwemazuva maviri kana matatu.
- Yakakodzera varwere vane njodzi huru: Nzira iyi isarudzo yakanaka kwazvo kune avo vakwegura zvikuru, vane zvimwe zvirwere zvakawanda, uye vasingakwanise kushivirira kuvhiyiwa kukuru.
Mamiriro enjodzi
Sezvinoitwa chero nzira dzekurapa, TAVR ine njodzi diki. Zvisinei, neruzivo rwemazuva ano rwekuvandudza tekinoroji, mukana wekuti izvi zviitike wakaderera zvikuru .
- Masisitimu emagetsi emwoyo anokanganiswa, zvichida zvinoda kuiswa kwepacemaker .
- Ropa diki riri kubuda kubva kumativi evharuvhu itsva.
- Njodzi diki yekubatwa nestroke.
- Kubuda ropa kana hutachiona panzvimbo yakachekwa.
- Kukuvadzwa kweitsvo kana mitsipa yeropa.
Chiremba wako achataura newe nezvese izvi uye achakutsanangurira kuti zvinoshanda sei mumamiriro ako ezvinhu uye kuti njodzi dziripo ndedzipi.
Kupora mushure mekuvhiyiwa uye matanho ekudzivirira
Mushure mekuvhiyiwa, uchagara pamubhedha kwemaawa mashoma kuti uzorore. Mitsipa yeropa yawakachekwa ichasungwa kuti ropa risabude. Uchapihwa mushonga wekudzivirira hutachiona uye wekudzivirira kuumbwa kweropa.
Kana wadzokera kumba, dzivisa kusimudza makumbo kana kuita mabasa anorema kwevhiki imwe chete kana maviri. Unogona kudzokera kumabasa ako enguva dzose mumavhiki maviri. Zvinogona kutora mavhiki matanhatu kusvika gumi kuti unyatsopora.
Pamusoro pezvo, uchatumirwa kuchirongwa chekurapa mwoyo , chakafanana nechirongwa chekurovedza muviri chakapihwa nachiremba kuti usimbise moyo wako.
Kana uine zviratidzo izvi, fonera chiremba wako nekukasika!
Kana ukaona chimwe chezviratidzo zvinotevera mushure mekudzokera kumba, iva nechokwadi chekuzivisa chiremba wako.
| Chiratidzo | Tsananguro |
|---|---|
| Kupindwa nechando | Zvingave chiratidzo chekuti muviri une hutachiona. |
| Kuchinja panzvimbo yekucheka | Kuwedzera kwekurwadziwa, kubuda ropa, mavanga, kutsvuka, kana kuzvimba. |
| Kurwadziwa kwechipfuva | Marwadzo matsva kana asina kujairika pachipfuva. |
| Kuoma kufema | Kushaya mweya wekufema kunyangwe kana ukashanda nesimba zvishoma. |
| Dzungu | Kunzwa dzungu kana kupera simba. |
Mharidzo Yekuenda Nayo Kumba
- TAVR inzira yepamusoro yekurapa inotsiva vharuvhu yemoyo kuburikidza nekucheka kudiki, pasina kuvhura chipfuva.
- Izvi zvinoita kuti kurwadziwa kushoma, kupora nekukurumidza, uye nguva shoma inopedzerwa muchipatara.
- Iyi inzira yakanaka kwazvo, kunyanya kune avo vakwegura uye vane mamwe matambudziko ehutano uye vasingakwanise kutakura njodzi dzekuvhiyiwa pachena.
- TAVR ingasave yakakodzera munhu wese. Zvakakosha kutaura nachiremba wemwoyo kuti uone kuti ndeipi mishonga yakakunakira.
- Kutevedzera mirairo yachiremba mushure mekuvhiyiwa uye kuenda kumisangano yekutevera pamazuva akarongwa kwakakosha kuti munhu apore nekukurumidza.
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