Chiremba wako akakuudza here kuti moyo wako hauna simba zvekuti haugone kupomba ropa nemazvo? Kana kuti pane mumwe munhu mumhuri mako ane chirwere ichi? Nhasi tiri kutaura nezvemudziyo wakakosha unoshandiswa kubatsira moyo kana paine kutadza kushanda zvakanaka kwemoyo. Izvi zvinonzi Ventricular Assist Device, kana kuti VAD muchidimbu.
Zvichitaurwa zviri nyore, chii chinonzi VAD iyi?
Funga nezvemoyo wako semota diki inopomba ropa mumuviri wako wese. Dzimwe nguva mota iyi inoshaya simba. Zvadaro haichagoni kushanda nemazvo. Panguva iyoyo, VAD chishandiso chemuchina chinobatsira moyo kupomba ropa kubva pamoyo kuenda kumuviri wese. Zvakafanana nekuwedzera imwe mota diki kuti ibatsire mota isina simba.
Kune mhando dzakasiyana dzeVAD. Ngatitarisei mhando huru.
| Rudzi rweVAD | Uri kuitei? |
|---|---|
| Chishandiso Chekubatsira Ventricular Yekuruboshwe (LVAD) | Iyi ndiyo mhando inonyanya kushandiswa. Inoshanda kuruboshwe rwemoyo (left ventricle). Inobatsira kupomba ropa rakachena, rine oxygen kubva pamoyo kuenda kumuviri wese. |
| Mudziyo wekubatsira ventricular kurudyi (RVAD) | Izvi zvinobatsira kurudyi rwemwoyo. Zvinobatsira kuchenesa ropa risina kuchena remuviri (ropa rine oxygen shoma) nekutumira kumapapu. |
| Mudziyo weBiventricular Assist | Izvi zvinobatsira mativi ese emoyo. Kureva, mativi ese ekuruboshwe nerudyi. |
| VAD dzevana | Aya maVAD madiki akagadzirirwa vana vadiki. Anogona kushandiswa kubva pamwana achangoberekwa kusvika kumwana mudiki. |
Sei ndichida VAD?
Kana mwoyo wako wava nechirwere chemwoyo chakanyanya kuoma uye mwoyo wako usingakwanise kupomba ropa rakakwana mumuviri wako wega, ungangoda VAD. Ine mashandisirwo matatu makuru.
- Bhiriji rekuisirwa moyo: Vamwe vanhu vanokodzera kuisirwa moyo. Asi vanofanira kumirira kwenguva yakati kuti mwoyo wakafanana ugone kuwanikwa. Munguva iyoyo, VAD iyi inoshandiswa kubatsira moyo wako usina simba. Zvakafanana nebhiriji .
- Zambuko rekupora: Dzimwe nguva moyo unogona kupera simba kwenguva pfupi. Nekurapwa kwakakodzera, moyo unogona kuzopora pakupedzisira. Kusvikira moyo wapora, VAD iyi inogona kushandiswa kubatsira.
- Kurapa kwekuenda kwavanoda: Vamwe varwere vangasakwanisa kuisirwa moyo nekuda kwezera kana zvimwe zvirwere. Kune varwere vakadaro, VAD iyi inogona kushandiswa semudziyo wekutsigira moyo kwehupenyu hwavo hwese. Izvi zvinovabvumira kurarama kwenguva yakareba nehupenyu huri nani.
Muchina uyu weVAD unoshanda sei?
Mudziyo uyu une zvikamu zvakawanda. Zvimwe zvakabatanidzwa pamoyo nekuvhiyiwa uye zviri mukati memuviri. Zvimwe zvikamu zviri kunze kwemuviri.
| Chikamu chemudziyo | Tsananguro iri nyore |
|---|---|
| Kanuru inobuda | Iri ichubhu diki rinobatanidza imba yemoyo. Ropa riri mumoyo rinopinda mupombi yemuchina kuburikidza nechubhu iyi. |
| Pombi yemuchina | Ichi ndicho chikamu chikuru cheVAD. Pombi iyi inoita basa rekupomba mwoyo wako. |
| Kanuru inobuda | Iyi ichubhu zvakare. Inotakura ropa kubva papombi yemuchina kuenda kutsinga huru yeropa yemuviri (aorta) kana kuenda kutsinga yeropa inoenda kumapapu (pulmonary artery). |
| Mutsetse wekutyaira | Iyi waya yakasimba inobuda muVAD mumuviri wako uye kuburikidza neganda rako. Apa ndipo panobatanidzwa VAD kune controller iri kunze. |
| Mutongi | Izvi zvakafanana nekombuta diki. Inodzora mashandiro eVAD. Iwe nachiremba wako munogona kuitarisa kuti muone kana VAD iri kushanda nemazvo. |
| Bhatiri rekunze | Iri ndiro bhatiri rinopa simba rinodiwa paVAD. Pane bhatiri guru nebhatiri rekuchengetedza. VAD yakabatana nemabhatiri aya kuburikidza necontroller. |
Chii chinoitika kuvhiyiwa kusati kwaitwa?
Havasi vese vane chirwere chemwoyo chakakomba vanogona kuva neVAD. Kuti uone kana uri munhu akakodzera, uchaongororwa zvakakwana nachiremba uye mupfungwa. Izvi zvinosanganisira kuongororwa kwakazara kwemoyo wako nedzimwe nhengo dzinokosha (dzakadai seitsvo nechiropa). Vachaongororawo zvimwe zvirwere. Mimwe yemiedzo inogona kuitwa inosanganisira:
- Kuongororwa kweElectrocardiogram (ECG)
- Echocardiogram (Echo)
- Kuongororwa kweCT nekombiyuta
- Kuedzwa kwekurovedza muviri
- Kuongororwa kwemwoyo ne catheter (kuyedzwa kunoitwa nekuisa catheter mumoyo)
Uyewo, iwe nemhuri yako muchave neruzivo rwakakwana nezvekugara neVAD uye maitirwo ekuichengeta zuva nezuva. Zvakakosha zvikuru kubatanidza mumwe munhu anogona kukutsigirai, angave ari nhengo yemhuri kana mumwe munhu ari pedyo nemi, mukuita izvi.
Chii chinoitika panguva yekuvhiyiwa?
Uku kuvhiyiwa kukuru. Muchidimbu, zvinoitika panguva iyi zvinotevera:
1. Anesthesia: Kutanga, ucharara zvachose (general anesthesia). Saka hauzonzwi chero chinhu uye hauzomboyeuki kuvhiyiwa kwawakaitwa.
2. Rubatsiro rwekufema: Mushure mekuvhiyiwa , uye mumazuva mashoma ekutanga muchikamu chevarwere vakanyanya kurwara (ICU), mudziyo wekufema uchakufemera.
3. Kuvhiyiwa:Chiremba anochera pakati pechipfuva chako obva aenda panogara moyo wako.
4. Muchina wemwoyo nemapapu: Tevere, uchabatanidzwa nemuchina wakakosha. Unonzi `Cardiopulmonary Bypass Machine`. Munguva yekuvhiyiwa, basa remwoyo nemapapu rinoitwa kwenguva pfupi nemuchina uyu. Uchapihwawo mushonga unonzi `Heparin` kudzivirira kugwinha kweropa.
5. Kuisirwa VAD: Chiremba anozobatanidza mudziyo weVAD panzvimbo dzakakodzera mumoyo. Mutsetse wemusana unozobviswa nepaganda redumbu.
6. Kubatidza muchina: Kana VAD yangobatanidzwa, inobatidzwa uye unobviswa pamuchina wacho chaiwo.
7. Kupedza kuvhiyiwa: Kana VAD yave kushanda zvakanaka, mushonga unonzi `Protamine` unopiwa kuti ropa rirambe richigwamba zvakanaka zvakare, pfupa repachipfuva rinosungirirwazve newaya, uye ronda reganda rinosungirirwa.
Ndezvipi zvakanakira kushandisa VAD?
Vanhu vazhinji vanotanga kusangana nezvinhu izvi pavanenge vachirarama neVAD:
- Kureruka kwekufema: Kuneta uye kufema zvishoma zvinoderera zvakanyanya.
- Kushanda zvakanaka kwenhengo dzemuviri: Dzimwe nhengo dzemuviri dzinowana kuyerera kweropa kuri nani, saka kushanda kwadzo kunovandudzika.
- Kuvandudzwa: Kuneta kwakanyanya kwaivapo kare kwapera, uye muviri unonzwa simba rakanaka.
Zvichitaurwa zviri nyore, VAD inogona kuvandudza hupenyu hwako zvakanyanya.
Ndezvipi njodzi dzakabatana neizvi?
Kufanana nekuvhiyiwa kupi zvako kukuru, kune njodzi dzinobatanidzwa, uye kunyangwe nekushandisa mudziyo uyu kweupenyu hwese, mamwe matambudziko anogona kuitika.
- Kurova kwemoyo kusingaenderane (Arrhythmias)
- Kubuda ropa
- Kugwamba kweropa
- Utachiona
- Kusashanda zvakanaka kwemudziyo
- Kukundikana kwemoyo kurudyi
- Njodzi yetsinga dzeropa ( stroke )
Usatya njodzi idzi. Chikwata chako chezvekurapa chinogara chichitsvaga kudzivirira njodzi idzi uye kudzigadzirisa kana dzikangoitika.
Zvinhu zvekufunga nezvazvo kana uchigara neVAD
Mushure mekuvhiyiwa, uchafanira kugara muchikamu chevarwere vane chirwere chakanyanya (ICU) kwemazuva mashoma. Wobva waendeswa kuchipatara. Paunenge uri muchipatara, uchadzidziswa kurarama nemidziyo iyi.
Paunodzokera kumba, chengeta zvinhu zvinotevera:
- Tora mushonga wacho nemazvo:Zvakakosha zvikuru kutora mishonga inobvisa ropa rakakora yakaita seWarfarin, iyo inopihwa kudzivirira kuumbwa kweropa, panguva chaiyo uye zvakanaka. Unofanirawo kutora mimwe mishonga yekuderedza BP uye kurova kwemoyo.
- Kuchengetedza Mudziyo: Uchadzidziswa maitiro ekuchengetedza mudziyo, bhatiri, uye driveline zvakachena. Tevedzera mirairo iyi nokungwarira.
- Kuchinja kwemararamiro:
- Mudziyo uyu haufanirwe kunyudzwa mumvura. Izvi zvinoreva kuti haugone kugeza kana kushambira nawo. Zvisinei, tichakuratidza mashandisirwo ekugeza mudziyo wacho wakavharwa zvakanaka.
- Mitambo yekusangana inofanira kudzivirirwa nekuti, kana uri kutora mushonga unobvisa ropa, kunyangwe kukuvara kudiki kunogona kukonzera kubuda ropa kwakanyanya.
- Unofanira kugara wakabatana nemabhatiri kana chivhariso pamadziro.
- Mararamiro ane hutano hwemwoyo: Rega kusvuta zvachose. Idya chikafu chinovaka muviri. Ita maekisesaizi akakodzera sezvawakarayirwa nachiremba wako.
Nguva yekuona chiremba
Kugara uine VAD zvinoreva kuti uchafanirwa kuenda kunoongororwa nachiremba nguva nenguva. Kunyangwe ungafanira kuenda kakawanda pakutanga, kuwanda kwechirwere kuchaderera sezvo mamiriro ako ari nani.
Kana uine chimwe chezviratidzo izvi, fonera chiremba wako nekukasika:
| Zviratidzo mumuviri | Matambudziko emidziyo |
|---|---|
| - Kurwadziwa kwechipfuva - Kubuda ropa - Weti yakasviba - Fivha kana kutonhora - Kurwadziwa kwemajoini - Kutsvuka, kuzvimba, uye kurwadziwa uko kunobuda mavanga kana kuti mutsetse wemusana - Kuwedzera uremu kamwe kamwe kana kuzvimba kwemaoko netsoka | - Kana controller, driveline, kana bhatiri zvichiita serakakuvara - Kana controller iri kuratidza mameseji ekukanganisa - Kana alarm iri kurira uye usingazive kuti ungaimisa sei |
Fungawo nezvehutano hwepfungwa
Zvakajairika kunzwa kuora mwoyo uye kuzvidya mwoyo dzimwe nguva paunenge uchirarama nekuchinja kukuru kwakadaro. Asi usavanza manzwiro iwayo. Hazvina basa rekunyara nazvo. Kana uchinzwa seizvi, taura nachiremba wako nezvazvo.
Mharidzo Yekuenda Nayo Kumba
- Mudziyo wekubatsira ventricular (VAD) mudziyo wemuchina unobatsira mwoyo usina simba zvakanyanya kupomba ropa.
- Izvi zvinogona kushandiswa serutsigiro rwehupenyu hwese kusvika waisirwa moyo, kusvika moyo wapora, kana kunyangwe kwehupenyu hwako hwese.
- Kunyangwe uku kuri kuvhiyiwa kukuru, kunogona kubatsira zvikuru kuwedzera hupenyu hwako uye kuvandudza hupenyu hwako.
- Kana uchirarama neVAD, zvakakosha zvikuru kutarisira mudziyo wacho nemazvo, kunwa mushonga nemazvo, uye kutevedzera mirairo yachiremba wako.
- Kana ukaona chimwe chinhu chisingawanzoitika mumuviri wako kana mumidziyo yako, tsvaga rubatsiro rwechiremba nekukasika. Chengetedzawo hutano hwepfungwa dzako.
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