Mwoyo wedu wakaita semakamuri mana mumba. Kune magonhi ari pakati pemakamuri aya anobvumira ropa kuyerera richidzoka richidzoka. Tinodaidza aya kuti "Mavharuvhu emwoyo". Dzimwe nguva magonhi aya haavhurike zvakanaka uye anova matete. Ipapo moyo unofanirwa kushanda nesimba kuti upombe ropa. Nhasi tiri kutaura nezvenzira yekurapa inoshandisa chimwe chinhu chakaita sebharumu kuwedzera vharuvhu yakamanikana.
Chii chinonzi valvuloplasty?
Muchidimbu, Valvuloplasty inzira inokudza kana kuwedzera vharuvhu yemoyo yakatetepa. Izvi zvinoitirwa kudzivirira kuvharika kweropa kana vharuvhu yemoyo isiri kushanda zvakanaka.
Izvi zvinonziwo `Balloon Valvuloplasty`. Chikonzero cheizvi ndechekuti kana chiremba wako achirapa, anoshandisa chubhu yakatetepa kwazvo (`Catheter`) ine bharumu diki rakasungirirwa kumagumo. Chubhu iyi inopinzwa muvharuvhu yakatetepa iri mumoyo mako uye bharumu rinofuridzirwa. Ipapo vharuvhu yakatetepa inokura, zvichiita kuti ropa rifambe zviri nyore zvakare.
Vamwe vanhu vanodanawo izvi kuti 'Valvotomy'. Kurapa uku kunonziwo 'Open-heart surgery' kuwedzera vharuvhu. Asi nhasi tiri kutaura nezvenzira yekubvisa bharuvhu isina kuvhiyiwa.
Muzviitiko zvipi kurapwa uku kunodiwa?
Valvuloplasty inzira inoitirwa kuwedzera vharuvhu yemoyo kana yachekwa (stenosis). Nzira iyi inogona kuitwa pane chero mavharuvhu mana ari mumoyo medu. Zvisinei, inowanzoitwa pamavharuvhu maviri, Mitral neAortic.
Dzimwe nguva kurapwa uku kunoitwawo semhinduro yenguva pfupi. Kureva kuti, kugadzirisa mashandiro emoyo kwenguva pfupi kusvika vharuvhu itsva yaiswa mune imwe nguva. Valvuloplasty haisi nzira yekutsiva vharuvhu yemoyo , izvo zvakakosha kurangarira.
Unogadzirira sei usati warapwa?
Chiremba wako achakupa mirairo yakajeka yekuti ungagadzirira sei izvi. Kazhinji, unofanira kuita zvinotevera:
- Usadye kana kunwa chero chinhu husiku husati hwasvika (kutsanya).
- Kana uri kutora mishonga, yakaita semishonga inorwisa ropa, irege sezvakarairwa nachiremba wako.
- Siya zvishongo zvesimbi nemazino ekugadzira anogona kubviswa kumba.
Paunoenda kuchipatara, timu yezvekurapa ichakupa mushonga (`anesthesia`) kuti ikubatsire kuzorora. Kazhinji, unenge wakamuka panguva yekurapwa uku, asi vachaita zvese zvavanogona kuti uve nechokwadi chekuti haunzwi kusagadzikana.
Kushanda kwekurapa nhanho nhanho
Kurapa uku kunoitwa nachiremba wemwoyo. Kunowanzo tora awa imwe kana kupfuura. Heano zvimwe zvinhu zvinoitika panguva yekurapwa:
1. Chubhu yakatetepa kwazvo (sheath) inopinzwa nepatsinga huru yeropa iri mudumbu mako, ruoko, kana pafudzi.
2. Zvadaro, catheter ine bharumu risina kuputirwa pamucheto inopfuudzwa nepachubhu yakambopinzwa ichipinda mumoyo.
3. Catheter iyi inotungamirwa kunzvimbo chaiyo, uye mvura yakakosha (dhayi yekuenzanisa) inopinzwa ichitariswa uchishandisa tekinoroji yemifananidzo yakaita seX-rays.
4. Kana catheter yasvika pavharuvhu yakamanikana, bharumu rinozadzwa nemhepo. Vharuvhu yakamanikana inobva yakura.
5. Zvadaro, mweya uri mubharumu unodururwa uye catheter nebharumu zvinobviswa.
6. Pakupedzisira, nzvimbo yekuisa catheter inovharwa nekasonwa kadiki kana rudzi rwakakosha rweglue.
Dzimwe nguva, kana paine njodzi yekubuda ropa, sheath yakamboiswa pakutanga inogona kusiiwa panzvimbo yayo kwemaawa angangoita matanhatu.
Ndezvipi zvakanakira uye njodzi dzacho?
Sekune mamwe marapirwo ekurapa, kune zvakanakira pamwe nenjodzi. Zvakakosha kunzwisisa zvese zviri zviviri.
| Mabhenefiti | Njodzi |
|---|---|
| Kupora nekukurumidza kupfuura kuvhiyiwa kwemoyo kwakavhurika. | Kurwara nedhayi yakashandiswa. |
| Kuderedza mavanga makuru. | Zvirwere zvinotapukira. |
| Kuderedzwa kwenjodzi yematambudziko. | Kubuda ropa. |
| Kuderedza marwadzo. | Kukuvadzwa kwetsinga yeropa kana imba yemoyo. |
| Kuderera kwekurova kwemoyo. | Kubuda kwevharuvhu. |
| Kukwanisa kunonoka kana kudzivirira kuvhiyiwa kwekutsiva mavharuvhu. | Mushure mechinguva, vharuvhu inotetepa zvakare. |
| Maitiro asina kujairika emutinhimira wemwoyo (Arrhythmias). | |
| Kurwara nemoyo kana sitiroko. |
Zvinhu chaizvo zvinokanganisa njodzi yako zvinoenderana nehutano hwako, saka taura nachiremba wako nezvazvo uye bvunza chero mibvunzo yaungave nayo.
Nguva yekupora mushure mekurapwa
Mushure mekurapwa, muchaendeswa kunzvimbo yekupora. Bhandiji richaiswa pamusoro penzvimbo inopinzwa catheter.
Nguva yandakapedza ndiri muchipatara
Kana catheter yakaiswa nepaburi remudumbu, haubvumidzwe kukotama gumbo rako kwemaawa akati wandei. Uchafanira kugara pamubhedha kwemaawa maviri kusvika matanhatu. Uchafanira kunwa mvura yakawanda kuti dhayi rakashandiswa ribude mumuviri wako nekukurumidza. Kana uchida kuita weti panguva iyi, uchafanira kushandisa mudziyo wakakosha (weti/bedpan). Mushure memaawa mashoma, uchakwanisa kumuka nekufamba. Vanhu vazhinji vanogona kudzokera kumba mangwana acho.
Mushure mekuenda kumba
Nguva yekupora inoenderana nezvinhu zvakaita sehutano hwako.
- Unofanira kudzivisa kuita zvinhu zvinorema uye kushambira kwemazuva mashanu kusvika manomwe.
- Vanhu vazhinji vanogona kudzoka kubasa muvhiki imwe chete, asi kana basa rako richida kushanda nesimba, ungangoda kumirira kwenguva yakati rebei.
- Zvinogona kutora mavhiki masere kuti utangezve zvese muhupenyu hwako hwemazuva ese.
- Pachatevera mushure memwedzi 3-6 yekurapwa. Mushure meizvozvo, unofanira kuona chiremba kamwe chete pagore.
Nguva yekufonera chiremba nekukasika
Kana wadzokera kumba, kana ukaona chimwe chezviratidzo zvinotevera, unofanira kufonera chiremba wako nekukasika . Mune zvimwe zviitiko, ungangoda kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.
- Kurwadziwa kwechipfuva
- Kutonhora kana fivha
- Dzungu kana kufenda (`Syncope`)
- Kubuda ropa kana kuti mvura kubva panzvimbo inopinzwa catheter
- Kusvotwa kana kurutsa
- Kana kurwadziwa kana kuzvimba kuri kuwedzera
- Kana huremu hwemuviri wako huchiwedzera neanopfuura 1.5 kg (3 lbs) pazuva
Kana zvasvika pakuvhiyiwa kwemoyo, zvakajairika kunzwa kutya zvishoma, kunyangwe kusiri kuvhiyiwa kwepachena. Valvuloplasty inogona kukubatsira kuti umbomira kuvhiyiwa kwekuchinja mavharuvhu emwoyo. Asi haisi nzira imwe chete yekurapa. Chiremba wako achaongorora mamiriro ako uye achasarudza zvakakunakira.
Mharidzo Yekuenda Nayo Kumba
- Valvuloplasty inzira iri nyore iyo inokudza vharuvhu yemwoyo yakatetepa uchishandisa bharumu.
- Iyi inzira isinganyanyi kurwadza uye inokurumidza kupora pane kuvhiyiwa kwemoyo kwakavhurika.
- Sezvinongoita mishonga yese, kune dzimwe njodzi, saka kurukurai nachiremba wenyu zvakanaka musati matora mushonga.
- Tevedzera mirairo yachiremba wako mushure mekurapwa. Kana ukaona zviratidzo zvekunyevera, zivisa chiremba wako nekukasika.
- Iyi imhinduro yenguva refu kune mamwe mavharuvhu, uye mune dzimwe nguva, inogona kunge iri mhinduro yenguva pfupi isati yaitwa oparesheni huru mune ramangwana.
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