Ungafungidzira here kutsiva vharuvhu yemoyo usingavhure chipfuva zvachose? Ehe, zvave kuitika. Nhasi tiri kutaura nezve tekinoroji iyi yakaunza tariro itsva kuvanhu vazhinji vane matambudziko evharuvhu yemapapu nekuda kwechirwere chemwoyo chekuzvarwa nacho. Ngatitangei izvi nehurukuro iri nyore uye ine hushamwari.
Zvichitaurwa zviri nyore, chii chinonzi TPVR?
TPVR, iyo inomiririra Transcatheter Pulmonary Valve Replacement , ivhiyi inotsiva vharuvhu yemapapu iri kushanda zvisina kunaka mumoyo mako nevharuvhu itsva kuburikidza nekucheka kudiki. Kazhinji, patinofunga nezvekuvhiyiwa kwemoyo, tinofunga nezvekuvhiyiwa kunosanganisira kugadzira kucheka kukuru pakati pechipfuva nekuvhura chipfuva. Zvisinei, mukuita uku, kucheka kukuru kwakadaro hakuitwi.
Pane kudaro, vanachiremba vanochera kaburi kadiki paganda remudumbu mako voita basa racho. Vharuvhu iyi yemapapu, inoshanda segedhi rinotumira ropa kubva pamoyo wako kuenda kumapapu ako, inokosha zvikuru. Vanhu vanozvarwa vaine chirwere chemwoyo vanogona kusangana nematambudziko nevharuvhu iyi pavanokura mushure mekuvhiyiwa vachiri vana. Saka, kutsiva vharuvhu iyoyo nenzira iyi kunogona kuvandudza hupenyu hwako uye kunaka kwehupenyu hwako, uye kudzivirira kuvhiyiwa kukuru kakawanda.
Chii chaizvo chinoitika muTPVR system?
Mukuvhiyiwa kwemoyo kwakajairwa, pfupa repachipfuva rinochekwa, murwere anobatanidzwa nemuchina we heart-lung bypass, vharuvhu yekare inobviswa, uye itsva inoiswa. Izvi zvinotora nguva yakareba, zvinotora nguva yakareba kuti zvipore, uye kune vamwe vanhu, kuvhiyiwa uku kune njodzi.
Asi handizvo zvinoitika neTPVR. Chiremba wemwoyo anopinza chubhu diki (catheter) kuburikidza netsinga iri muhudyu mako uye anotungamira vharuvhu itsva kuburikidza nechubhu kuenda kumoyo wako. Izvi zvese zvinoitwa pasi pekutungamirirwa kwetekinoroji yakaita seX-rays. Kana yasvika panzvimbo chaiyo, vharuvhu itsva inozadzwa nebharumu uye inoiswa panzvimbo yayo.
Izvi zvakafanana nekuisa furemu remusuwo mutsva mufuremu remusuwo wekare usingaribvise.
Kana izvi zvaitwa, ropa rinoyerera kubva pamwoyo kuenda kumapapu rinodzorerwa zvakanaka. Basa remwoyo rinoderera, uye muviri unowana okisijeni iri nani. Kazhinji, munhu akavhiyiwa anogona kudzokera kumba zuva rimwe chete iroro .
Chii chinoitika kana vharuvhu yangu yemapapu isingashande zvakanaka?
Pane matambudziko maviri makuru anowanikwa muvharuvhu yemapapu. Ngatimboongororai izvi muchidimbu.
| Dambudziko rehutano | Zvichitaurwa zviri nyore... |
|---|---|
| Kurwara kwemapapu | Vharuvhu inova diki uye haivhurike zvakanaka, izvo zvinotadzisa kuyerera kweropa kubva pamoyo kuenda kumapapu. Izvi zvinoisa simba rakawanda kurudyi rwemoyo. Nekufamba kwenguva, atrium yekurudyi yemoyo inogona kutokundikana. |
| Kubuda kweropa kubva muvharuvhu yemapapu (pulmonary regurgitation) | Nekuti vharuvhu harivhari zvakanaka, rimwe ropa rinopombwa kuenda kumapapu rinodzokera mumoyo. Izvi zvinoderedzawo huwandu hweropa rinoenda kumoyo, zvichiwedzera kumanikidzwa kurudyi kwemoyo uye zvinogona kukonzera kutadza kushanda kwemoyo. |
Mumamiriro ese aya, unogona kuona zviratidzo zvakaita se:
- Kuoma kufema (dyspnea)
- Kuzvimba kwedumbu nemakumbo (edema)
- Kurwadziwa kwechipfuva
- Kunzwa sekuti moyo wako uri kurova nekukurumidza (kurova kwemoyo)
Zviratidzo izvi zvinokonzerwa nekukundikana kwemoyo kana kurova kwemoyo zvisina kurongeka (arrhythmias). Zviratidzo izvi zvinowanzovandudzika mushure mekuvhiyiwa kweTPVR.
Ndiani anonyanya kukodzera kuvhiyiwa uku kweTPVR?
Kana wakazvarwa uine chirwere chinokanganisa vharuvhu yemapapu yemwoyo wako, unogona kubatsirwa nekuvhiyiwa uku. Zvikuru sei,
- Vanhu vakambovhiyiwa vharuvhu yemapapu vachiri vadiki.
- Vakuru nevechidiki vakambova nevharuvhu iyoyo vanovharika kana kuti vanobuda mvura nekufamba kwenguva.
- Kazhinji, vanachiremba vanofunga nezvemaitiro eTPVR kuvanhu vakagamuchira homograft (kuisirwa vharuvhu) kubva kune mumwe munhu vachiri vadiki, kana vharuvhu iyoyo ikaneta nekufamba kwenguva.
Mamwe ematambudziko makuru anorapwa nekuvhiyiwa uku ndeaya:
- Pulmonary Atresia: Chirwere chekuti vharuvhu yemapapu haigadzike pakuzvarwa.
- Regurgitant Pulmonary Valve: Chirwere chekuti ropa rinobuda richidzokera shure kuburikidza nevharuvhu.
- Tetralogy of Fallot: Chirwere umo ropa rakanaka nerakaipa zvinosangana nekuda kwekusanganiswa kwezvirema zvina zvemwoyo.
- Truncus Arteriosus: Chirwere chekuti tsinga mbiri huru dzeropa dzinobuda mumoyo dzinobatanidzwa pamwe chete.
- Kuchinja kweTsitsi Huru: Mamiriro ezvinhu apo tsinga mbiri huru dzeropa dzemwoyo dzinochinjana uye dzakabatana.
Kuvhiyiwa kweTPVR kwakabudirira zvikuru sekurapa zvirwere zvakadaro.
Chii chinoitika usati wavhiyiwa, panguva uye mushure mekuvhiyiwa?
Kugadzirira usati wavhiyiwa
Kuti asarudze kana kuvhiyiwa uku kwakakunakira, chiremba wako anotanga akuongorora zvakanaka. Anogona kuita bvunzo dzakasiyana-siyana, dzakadai se:
- Angiogram
- Kuongororwa kweCT yemwoyo
- MRI yemoyo
- Echocardiogram
- Kuongororwa kweElectrocardiogram (ECG)
Zvichibva pamhedzisiro yebvunzo idzi, chiremba wako achakurudzira kuvhiyiwa kweTPVR kana kusarudza kutarisa mamiriro ako kwenguva yakati. Achakupawo mazano ezvekudya zvekudya uye mishonga yekurega kunwa (kunyanya mishonga inobvisa ropa) usati wavhiyiwa. Usakanganwa kuudza chiremba wako nezve allergies dzaungave uine.
Panguva yekuvhiyiwa
Usati watanga kuvhiyiwa, uchapihwa mushonga wekuti usarwadziwe. Ipapo ndipo panotanga kushanda nyanzvi.
1. Kutanga, kucheka kudiki kunoitwa mutsinga yemudumbu (femoral vein) kana pamwe mutsipa (jugular vein) uye chubhu (catheter) inopinzwa nepairi.
2. Zvadaro, uchishandisa matekinoroji akadai seX-rays, vharuvhu itsva inotungamirwa nemuchubhu uye newaya kuenda kunzvimbo chaiyo mumoyo. Vharuvhu iyi inopetwa pamusoro pebharumu.
3. Kana yasvika panzvimbo chaiyo, bharumu rinofuridzirwa. Vharuvhu itsva inokura uye inokwana zvakanaka mukati mevharuvhu yekare. Kubva panguva iyoyo zvichienda mberi, vharuvhu itsva inotanga kushanda.
4. Chekupedzisira, tarisa kuti vharuvhu iri kushanda zvakanaka uye bvisa machubhu ese akaiswa.
Maitiro ese aya anowanzo tora maawa maviri kana matatu .
Mushure mekuvhiyiwa
Mushure mekuvhiyiwa, uchachengetwa muchipatara husiku hwese kuti utariswe. Kana zvese zvikafamba zvakanaka, unokwanisa kuenda kumba mangwanani anotevera . Chiremba wako achakupa mirairo yekutevera paunodzokera kumba. Kazhinji , unokwanisa kutangazve mabasa ako emazuva ese mukati memazuva manomwe .
Ndezvipi zvakanakira nengozi dzenzira yeTPVR?
Sezvinoitwa chero nzira dzekurapa, pane zvakanakira nenjodzi diki. Ngatizivei zvese zviri zviviri.
| Zvakanakira | Njodzi/Matambudziko |
|---|---|
| Nguva yekupora ipfupi. | Marwadzo, mavanga, kana kuzvimba panzvimbo yakapinzwa chubhu. |
| Njodzi yekubatwa nechirwere ishoma. | Kugwamba kweropa. |
| Nguva yekugara muchipatara ipfupi. | Kukuvadzwa kwetsinga dzeropa. |
| Hakuna mavanga makuru, mavanga madiki chete. | Utachiona (kunyanya hutachiona hwemukati memwoyo - Endocarditis). |
| Pane njodzi shoma pane kuvhiyiwa kwemoyo kwakavhurika. | Kusashanda zvakanaka kwemoyo (Arrhythmia). |
Kashoma, matambudziko akakomba akadai sekurwadziwa kwemoyo, sitiroko, kana rufu anogona kuitika. Asi izvi hazviwanzoitiki. Chiremba wako achataura newe nezvezvose izvi zvakadzama.
Mimwe mibvunzo yaungave nayo
Vharuvhu itsva iyi ichagara kwenguva yakareba sei?
Zvinoenderana nezvinhu zvakawanda, zvakaita sehutano hwako hwese uye mashandiro emoyo. Vamwe vanhu vangangoda kuvhiyiwa rudzi urwu zvakare mushure mechinguva.
Ndinofanira kuita chero chinhu chakakosha here ndisati ndarapwa mazino?
Ehe, izvi zvakakosha zvikuru. Panguva yekurapwa kwemazino, mabhakitiriya anobva mumuromo mako anogona kupinda muropa okonzera hutachiona hwevharuvhu itsva yemwoyo (endocarditis). Saka, paunoenda kunoona chiremba wemazino, unofanira kuvaudza pachine nguva kuti wakambotsiviwa nevharuvhu yemwoyo. Ungangodawo kutora mishonga inorwisa mabhakitiriya zino risati rabviswa.
Ndingakwanisa here kuongorora kuchengetedzwa kwenzvimbo panhandare yendege?
Ehe, hapana dambudziko. X-rays uye scanner dzekuchengetedza panhandare yendege hazvikuvadze vharuvhu yako. Zvisinei, unofanira kutaura nachiremba wako usati waitwa MRI scan.
Mharidzo Yekuenda Nayo Kumba
- TPVR inzira yekuvhiya yemazuva ano inotsiva vharuvhu yemapapu emwoyo kuburikidza nekucheka kudiki muhudyu, pasina kuvhura chipfuva.
- Izvi zvinonyanya kukodzera vanhu vane matambudziko emavharuvhu emapapu nekuda kwechirwere chemwoyo chekuzvarwa nacho.
- Ine nguva pfupi yekupora, njodzi shoma, uye kugara muchipatara kwenguva pfupi pane kuvhiyiwa kwemoyo kwakavhurika.
- Unogona kudzokera kuhupenyu hwako hwemazuva ese mukati memazuva mashoma mushure mekuvhiyiwa uku.
- Kana uine dambudziko rakafanana, taura nachiremba wemwoyo nezvenzira iyi yekurapa kuti uone kana yakakunakira.
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