Dzimwe nguva ungave wakanzwa nezvemwana akaberekwa aine dambudziko remwoyo achiri mudiki. Pamwe mwana iyeye akavhiyiwa panguva iyoyo uye dambudziko racho rakagadziriswa. Asi kana mwana akadaro akakura zvishoma, paanosvika pazera diki, dambudziko remwoyo raivapo muhudiki ihwohwo rinogona kumukazve neimwe nzira. Muchiitiko chakadaro, nhasi tichataura nezvenzira yakakosha yekurapa inogona kupa simba guru kuhupenyu.
Saka, chii chinonzi TPVR?
Zvichitaurwa zviri nyore, TPVR , kana kuti Transcatheter Pulmonary Valve Replacement , inzira yakakosha inotsiva vharuvhu yemapapu iri kushanda zvisina kunaka mumoyo mako, asi pasina kuvhura chipfuva chako. Izvi zvinonzwika zvinoshamisa, handiti? Kazhinji, patinofunga nezvekutsiva vharuvhu yemoyo, tinofunga nezvekuvhiyiwa kwemoyo wakavhurika, uko kunosanganisira kugadzira kucheka kukuru pakati pechipfuva. Zvisinei, mukuita uku kweTPVR, chiremba anovhiya anoita kucheka kudiki paganda remudumbu mako uye anoita maitiro ese kuburikidza nako.
Vharuvhu yemapapu ndiyo gedhi rinodzora kufamba kweropa kubva pamwoyo wedu kuenda kumapapu edu. Kana rikasashanda zvakanaka, kufamba kweropa mumuviri wese kuchakanganiswa. Saka kuburikidza nenzira iyi, kana ukatsiva vharuvhu isina kushanda zvakanaka neimwe itsva, hupenyu hwako hucharamba huchikura zvakanyanya. Zvakare, zvichabatsira kunonotsa kana kudzivirira zvachose kudiwa kwekuvhiyiwa kukuru kunodzokororwa.
Chii chaizvo chinoitika nekurapwa uku kweTPVR?
Funga kuti mukuvhiyiwa kwemoyo kwechinyakare, vanachiremba vanocheka pfupa rechipfuva vobva vatamisa basa remoyo kumuchina (heart-lung bypass machine), vobva vabvisa vharuvhu yekare voisa imwe itsva. Izvi zvinotora nguva yakareba, zvinotora nguva yakareba kuti zvipore, uye zvinogona kuva nengozi zvakanyanya kune vamwe varwere kuti vakwanise kuvhiyiwa zvakanyanya kudaro.
Asi nzira yeTPVR yakasiyana zvikuru. Inzira isinganyanyi kupindira . Hezvino zvinoitika:
1. Chiremba wemwoyo anochekwa diki mutsinga huru yeropa iri mudumbu mako (femoral vein) obva aisa chubhu yakatetepa, inochinjika, inonzi catheter, nepairi.
2. Mukati me catheter iyi mune vharuvhu itsva, bharumu diki rakapetwa.
3. Achishandisa nzira dzakasiyana dzakadai seX-rays, chiremba anonyatso tungamira catheter iyi kuburikidza netsinga yeropa kusvika panowanikwa vharuvhu yemapapu mumoyo.
4. Kana yangoiswa panzvimbo, bharumu rinofuridzirwa. Vharuvhu itsva, iyo yakapetwa, inokura uye inobondera panzvimbo paiva nevharuvhu yekare.
5. Kubva panguva iyoyo zvichienda mberi, vharuvhu itsva inotanga kushanda. Kuyerera kweropa kubva pamoyo kuenda kumapapu kunodzoserwa pakare.
Chimwe chezvakanakira zvikuru zveizvi ndechekuti vanhu vazhinji vakamborapwa vanogona kudzokera kumba nekukasika. Nguva yekupora ipfupi kwazvo.
Saka, chii chinoitika kana vharuvhu iyi yemapapu isingashande nemazvo?
Pane matambudziko maviri makuru anogona kuitika nevharuvhu yemapapu.
| Dambudziko rehutano | Zvichitaurwa zviri nyore... |
|---|---|
| Kurwara kwemapapu | Nekuti vharuvhu harivhurike zvakanaka, rinoderedza huwandu hweropa rinogona kuyerera naro kuenda kumapapu. Izvi zvinoisa simba rakawanda kurudyi rwemoyo, izvo zvinogona kukonzera kuti chikamu ichocho chisashande zvakanaka. |
| Kudzokera kwemapapu | Nekuti vharuvhu harivhari zvakanaka, ropa rinopombwa kuenda kumapapu rinodzokera mumoyo. Izvi zvinogona kuwedzera kuomesa moyo uye kukonzera kuti divi rekurudyi risashande zvakanaka. |
Nekuda kwezvirwere izvi zviviri, unogona kuona zviratidzo zvakaita sekupererwa nemhepo (dyspnea) , kuzvimba kwemakumbo nedumbu (edema) , kurwadziwa kwechipfuva , uye kurova kwemoyo kusina kurongeka . Zviratidzo izvi zvichadzikira zvakanyanya mushure mekurapwa neTPVR.
Ndiani mushonga uyu wakakodzera zvikuru?
Kana wakazvarwa uine chirwere chemwoyo chawakazvarwa nacho uye wakavhiyiwa uri mwana, pane mukana mukuru wekuti kurapwa uku kuchakunakira. Nekuti vharuvhu yakaisirwa muhudiki (kazhinji homograft) inogona kuipa nekufamba kwenguva. Zvadaro mamiriro ataurwa pamusoro apa, akadai se stenosis kana regurgitation, anogona kuonekwa muhudiki. Ndosaka vanachiremba vachikurudzira nzira yeTPVR kuvanhu vakadaro.
Nzira iyi inoshandiswa kurapa zvirwere zvemwoyo zvinotevera:
- Tetralogy of Fallot: Musanganiswa wezvikanganiso zvina, kusanganisira maburi ari mumoyo, zvichikonzera kusanganiswa kweropa rakanaka nerakaipa.
- Pulmonary Atresia: Chirwere chekuti vharuvhu yemapapu haigadzike pakuzvarwa.
- Truncus Arteriosus: Mitsipa miviri mikuru yeropa inobva mumoyo (aorta nepulmonary artery) yakabatana kuti iite imwe chete.
- Kuchinja kweTsitsi Huru: Mitsipa miviri mikuru yeropa inoshandurwa uye yakabatana kumativi asina kunaka.
Chinhu chinonyanya kukosha ndechekuti chiremba wako ndiye achaona kana kurapwa uku kwakakunakira, zvichibva pane zvakaitika kwauri panyaya dzehutano, mamiriro ehutano hwako, uye bvunzo dzakasiyana-siyana dzawakaitwa.
Chii chinoitika usati warapwa uye mushure mekurapwa?
Kugadzirira usati warapwa
Kuti aone kana uchikwanisa kuita TPVR, chiremba wako achakuongorora nokungwarira uye anogona kuita bvunzo yekumanikidzwa kwemuviri. Pamusoro pezvo, bvunzo dzinotevera dzinogona kuitwa:
- Angiogram
- Kuongororwa kweCT yemwoyo
- MRI yemoyo
- Echocardiogram
- Kuongororwa kweECG
Mushure mekufunga zvese izvi, chiremba ndiye achasarudza kuti ndeipi mhinduro yakanakira iwe.
Panguva yekurapwa
Uchapihwa mushonga wekuti usanzwa kurwadziwa usati watanga kurapwa, saka hauzonzwi kurwadziwa. Maitiro ese anotora maawa maviri kusvika matatu. Vanachiremba vachaisa catheter, voisa vharuvhu, voongorora mashandiro ayo, vozobvisa catheter.
Mushure mekurapwa
Uchachengetwa muchipatara kuti uongororwe husiku hwese uye kazhinji uchadzoserwa kumba mangwana acho. Uchakwanisa kutangazve mabasa ako enguva dzose mukati mevhiki imwe chete.
Ndezvipi zvakanakira uye njodzi dzacho?
Kufanana nekurapa kwese kwese, uku kune zvakanakira uye njodzi.
| Zvakanakira | Njodzi |
|---|---|
| Nguva yekupora ipfupi. | Kugwamba kweropa. |
| Njodzi yekubatwa nechirwere ishoma. | Kukuvadzwa kwetsinga dzeropa. |
| Nguva yekugara muchipatara ipfupi. | Kurova kwemoyo kusina kurongeka (Arrhythmia). |
| Hapazovi nemavanga makuru. | Utachiona hwemwoyo (Endocarditis). |
| Marwadzo acho mashoma. | Kubuda ropa risingatarisirwi. |
Kashoma kuti pave nematambudziko akakomba akadai sekurwadziwa kwemoyo, sitiroko, kana rufu. Saka, zvakakosha kuti ukurukure zvakanakira nekuipira kwekurapwa uku nachiremba wako usati wasarudza.
Zvimwe zvinhu zvakakosha zvekuziva
Valve itsva inogara kwenguva yakareba sei?
Izvi zvinoenderana nehutano hwako hwese uye mamiriro emwoyo wako. Vamwe vanhu vangangoda kuvhiyiwa zvakare mushure mechinguva. Asi mashoko akanaka ndeekuti kana zvichidikanwa, unogona kutsiviwa neimwe vharuvhu neTPVR procedure.
Unofanira kungwarira here panguva yekurapwa kwemazino?
Ehe, izvi zvakakosha zvikuru. Panguva yekubvisa mazino nekuchenesa mazino, mabhakitiriya ari mumuromo anogona kupinda muropa ofamba nepakati pawo zvichikonzera chirwere chakakomba chinonzi endocarditis , hutachiona hwevharuvhu yemwoyo ichangobva kuiswa. Saka, usati watanga kurapwa mazino, unofanira kuzivisa chiremba wako wemazino kuti wakamboshandisa TPVR. Unogona kukumbirwa kuti utore mishonga inorwisa mabhakitiriya usati watanga kurapwa.
Pane matambudziko here nekuchengetedzwa kwenhandare yendege?
Kwete. Kuongororwa kweX-rays nekuchengetedzwa kwemuviri hazvizokukuvadzi. Zvisinei, kana uri kufunga nezveMRI scan, taura nachiremba wako kutanga.
Mharidzo Yekuenda Nayo Kumba
- TPVR mushonga wemazuva ano, usinganyanyi kupindira unotsiva vharuvhu yemapapu emwoyo kuburikidza nekucheka kudiki, pasina kuvhura chipfuva.
- Iyi inzira yakanaka yekugadzirisa matambudziko evharuvhu anoitika vachiri vadiki, kunyanya kune avo vakavhiyiwa vachiri vana nekuda kwechirwere chemwoyo chekuzvarwa nacho.
- Nguva yekupora shoma, kugara muchipatara kushoma, uye kurwadziwa kushoma pane kuvhiyiwa kwemoyo kwechinyakare.
- Sezvinongoita mishonga yese, kune njodzi, saka unofanira kukurukura izvi nachiremba wako usati wasarudza kana zvakakunakira.
- Zvakakosha kuti hutano hwako hutevedzere mirairo yachiremba wako mushure mekurapwa uye kuona chiremba wako pamazuva akarongwa.
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