Opaleshoni ya valve yamtima - kutulutsa

Opaleshoni yamavalo amtima imagwiritsidwa ntchito kukonza kapena kusintha mavavu amtima omwe ali ndi matenda. Kuchita opareshoni yanu mwina kumachitika kudzera pachimake (pakati) pachifuwa panu, podulira pang'ono pakati pa nthiti zanu kapena kudzera pa mabala awiri mpaka anayi.

Mudachitidwa opareshoni kuti mukonze kapena kusinthitsa imodzi mwamagetsi anu amtima. Kuchita opareshoni yanu kumatha kukhala kuti kudachitika pocheka pakati (pachifuwa) pakati pa chifuwa chanu, kudzera pakucheka pang'ono pakati pa nthiti ziwiri, kapena kudula pang'ono kapena kawiri.

Anthu ambiri amakhala masiku atatu mpaka 7 kuchipatala. Mwina nthawi zina munali m'chipinda cha anthu odwala mwakayakaya, kuchipatala, mwina mwakhala mukuyamba kuchita masewera olimbitsa thupi kuti akuthandizeni kuchira msanga.

Zimatenga masabata 4 mpaka 6 kapena kupitilira apo kuti muchiritsidwe kwathunthu atatha opaleshoni. Munthawi imeneyi, sizachilendo:

• Khalani ndi ululu pachifuwa chanu mozungulira momwe mungapangire.
• Musakhale ndi chilakolako chofuna kudya milungu iwiri kapena inayi.
• Khalani osinthasintha ndikumva kukhumudwa.
• Muzimva kuyabwa, dzanzi, kapena kung'ung'udza pozungulira zomwe mumachita. Izi zitha kukhala miyezi 6 kapena kupitilira apo.
• Kudzimbidwa ndi mankhwala opweteka.
• Khalani ndi vuto pang'ono ndikumakumbukira kwakanthawi kochepa kapena kusokonezeka.
• Kumva kutopa kapena kukhala ndi mphamvu zochepa.
• Vuto kugona. Muyenera kuti mukugona bwinobwino mkati mwa miyezi ingapo.
• Khalani ndi mpweya wochepa.
• Khalani ofooka m'manja mwanu mwezi woyamba.

Otsatirawa ndi malingaliro oyenera. Mutha kupeza mayendedwe achindunji kuchokera ku gulu lanu laopaleshoni. Onetsetsani kuti mukutsatira malangizo omwe wothandizira zaumoyo wanu amakupatsani.

Khalani ndi munthu yemwe angakuthandizeni kukhala m'nyumba mwanu kwa milungu yoyambirira kapena iwiri yoyamba.

Khalani achangu mukamachira. Onetsetsani kuti mwayamba pang'onopang'ono ndikuwonjezera zochita zanu pang'onopang'ono.

• MUSAYime kapena kukhala pamalo amodzi nthawi yayitali. Yendani mozungulira pang'ono.
• Kuyenda ndimachita zolimbitsa thupi zabwino m'mapapu ndi mumtima. Tengani pang'onopang'ono poyamba.
• Kwererani masitepe mosamala chifukwa kulingalira bwino kungakhale vuto. Gwiritsitsani njanji. Pumulani pang'ono pokwera masitepe ngati mukufuna kutero. Yambani ndi munthu amene akuyenda nanu.
• Palibe vuto kugwira ntchito zapakhomo, monga kukonza tebulo kapena kupinda zovala.
• Siyani zochita zanu ngati mukumva kupuma movutikira, chizungulire, kapena kupweteka pachifuwa.
• MUSAMachite chilichonse kapena zolimbitsa thupi zomwe zimayambitsa kukoka kapena kupweteka pachifuwa, (monga kugwiritsa ntchito makina oyendetsa, kupindika, kapena kunyamula zolemera.)

Musayendetse galimoto kwa masabata osachepera 4 mpaka 6 mutachitidwa opaleshoni. Kusuntha kokhotakhota komwe kumafunikira kuti chiwongolero chiwongolere kumatha kukuyang'anani.

Yembekezerani kutenga masabata 6 mpaka 8 osagwira ntchito. Funsani omwe akukuthandizani kuti mubwerere kuntchito.

MUSAYENDE kwa masabata osachepera 2 kapena 4. Funsani omwe akukuthandizani nthawi yoyendanso.

Bwererani ku zochitika zogonana pang'onopang'ono. Lankhulani momasuka ndi mnzanu za izi.

• Nthawi zambiri, ndibwino kuyamba kuchita zogonana patatha milungu inayi, kapena mukamatha kukwera masitepe awiri kapena kuyenda mtunda wa mamitala 800.
• Kumbukirani kuti nkhawa, ndi mankhwala ena, zimatha kusintha machitidwe ogonana amuna ndi akazi.
• Amuna sayenera kugwiritsa ntchito mankhwala osowa mphamvu (Viagra, Cialis, kapena Levitra) mpaka wothandizira atanena kuti zili bwino.

Kwa milungu 6 yoyambirira mutachitidwa opaleshoni, muyenera kukhala osamala momwe mumagwiritsira ntchito mikono yanu ndi thupi lanu lapamwamba mukamayenda.

OSA:

• Fikirani chammbuyo.
• Lolani aliyense kuti agwire mikono yanu pazifukwa zilizonse (monga kukuthandizani kuyendayenda kapena kutuluka pabedi).
• Kwezani chilichonse cholemera kuposa mapaundi 5 mpaka 7 (2 mpaka 3 kilogalamu) kwa miyezi itatu.
• Chitani zina zomwe zimapangitsa mikono yanu kukhala pamwamba pamapewa anu.

Chitani zinthu izi mosamala:

• Kutsuka mano.
• Kudzuka pabedi kapena pampando. Sungani manja anu pafupi ndi mbali yanu mukamawagwiritsa ntchito kuchita izi.
• Kuweramira patsogolo kuti umange nsapato zako.

Siyani chochita chilichonse ngati mukumverera kukoka kwanu kapena chifuwa chanu. Imani pomwepo ngati mumva kapena kumva kuphulika, kusuntha, kapena kusuntha kwa chifuwa chanu ndikuyimbira ofesi ya dokotala wanu.

Gwiritsani ntchito sopo wofatsa ndi madzi kuti muyeretsedwe mdera lanu.

• Sambani m'manja ndi sopo.
• Pewani pang'onopang'ono pakhungu lanu ndi manja anu kapena nsalu yofewa kwambiri.
• Gwiritsani ntchito nsalu yotsuka pokhapokha ngati nkhanambo zapita ndipo khungu lakuchira.

Mutha kutenga yamvumbi, koma kwa mphindi 10 zokha. Onetsetsani kuti madzi ndi ofunda. Musagwiritse ntchito mafuta, mafuta, kapena mafuta onunkhira amatsuka. Ikani mavalidwe (ma bandeji) momwe omwe amakupangirani adakuwonetsani.

Osasambira, zilowerereni mu mphika wotentha, kapena musambe mpaka mkombero wanu utachira. Sungani cheke chouma.

Phunzirani momwe mungayang'anire kugunda kwanu, ndikuwona tsiku lililonse. Chitani zolimbitsa thupi zomwe mudaphunzira kuchipatala milungu 4 mpaka 6.

Tsatirani chakudya chopatsa thanzi.

Ngati mukuvutika maganizo, kambiranani ndi achibale anu komanso anzanu. Funsani omwe amakupatsani mwayi wopeza thandizo kuchokera kwa mlangizi.

Pitirizani kumwa mankhwala anu onse a mtima, shuga, kuthamanga kwa magazi, kapena zina zilizonse zomwe mungakhale nazo. Osasiya kumwa mankhwala osalankhula ndi omwe akukuthandizani kaye.

Muyenera kumwa maantibayotiki musanalandire chithandizo chilichonse kapena mukapita kwa dokotala wa mano. Uzani onse omwe amakupatsani (wamano, madokotala, anamwino, othandizira madotolo, kapena namwino) za vuto lanu la mtima. Mungafune kuvala chibangili chachitsulo kapena mkanda.

Mungafunike kumwa mankhwala ochepetsa magazi kuti magazi anu asapangike. Wopereka chithandizo akhoza kulangiza imodzi mwa mankhwalawa:

• Aspirin kapena clopidogrel (Plavix) kapena magazi ena ochepa thupi, monga ticagrelor (Brilinta), prasugrel (Effient), apixaban (Eliquis), dabigatran (Xeralto), ndi rivaroxaban powder (Pradaxa), edoxaban (Savaysa).
• Warfarin (Coumadin). Ngati mukumwa warfarin, muyenera kuyesedwa magazi pafupipafupi. Mutha kugwiritsa ntchito kachipangizo kofufuzira magazi anu kunyumba.

Itanani omwe akukuthandizani ngati:

• Muli ndi kupweteka pachifuwa kapena kupuma movutikira komwe sikutha mukamapuma.
• Mumakhala ndi zowawa mkati mwanu komanso mozungulira zomwe simukupitilira kukhala bwino kunyumba.
• Kutentha kwanu kumamveka kosasunthika, kochedwa kwambiri (kochepera kuposa 60 kumenya mphindi) kapena mwachangu kwambiri (kupitirira 100 mpaka 120 kumenyera mphindi).
• Mukuchita chizungulire kapena kukomoka, kapena mwatopa kwambiri.
• Muli ndi mutu woyipa kwambiri womwe sutha.
• Muli ndi chifuwa chomwe sichitha.
• Muli ndi kufiira, kutupa, kapena kupweteka mu ng'ombe yanu.
• Mukutsokomola magazi kapena ntchofu zachikaso kapena zobiriwira.
• Muli ndi zovuta zakumwa mankhwala aliwonse amtima wanu.
• Kulemera kwanu kumakwera kuposa kilogalamu imodzi patsiku kwa masiku awiri motsatizana.
• Chilonda chako chimasintha. Ndi chofiira kapena chotupa, chatsegula, kapena chatuluka ngalande.
• Muli ndi kuzizira kapena malungo opitilira 101 ° F (38.3 ° C).

Ngati mukumwa mankhwala ochepetsa magazi, itanani omwe akukuthandizani ngati muli ndi:

• Kugwa kwakukulu, kapena mumagunda mutu wanu
• Ululu, kusapeza bwino, kapena kutupa pa jakisoni kapena tsamba lovulala
• Mabala ambiri pakhungu lanu
• Kutaya magazi kwambiri, monga magazi apamphuno kapena magazi m'kamwa
• Mkodzo wamagazi kapena wakuda wakuda kapena chopondapo
• Mutu, chizungulire, kapena kufooka
• Matenda kapena malungo, kapena matenda omwe akuyambitsa kusanza kapena kutsegula m'mimba
• Mumakhala ndi pakati kapena mukukonzekera kutenga pakati

Kusintha kwa valavu ya aortic - kutulutsa; Kung'ambika valvuloplasty - kumaliseche; Kukonza valavu ya aortic - kutulutsa; Kusintha - valavu ya aortic - kutulutsa; Kukonza - aortic valavu - kumaliseche; Mphete annuloplasty - kumaliseche; Percutaneous aortic valve m'malo kapena kukonza - kutulutsa; Balloon valvuloplasty - kutulutsa; Mini-thoracotomy valavu valavu - kumaliseche; Mini-kung'ambika m'malo kapena kukonza - kumaliseche; Mtima valvular opaleshoni - kumaliseche; Mini-sternotomy - kumaliseche; Kukonza ma valve a endoscopic aortic kukonza - kutulutsa; Mitral valve m'malo mwake - kutsegula - kutulutsa; Kukonza ma valve a Mitral - kutsegula - kutulutsa; Kukonza ma Mitral valve - kumanja mini-thoracotomy - kutulutsa; Kukonza kwa Mitral valve - pang'ono sternotomy - kutulutsa; Kukonza ma valve a endoscopic endralcopy - kutulutsa; Percutaneous mitral valvuloplasty - kutulutsa

Carabello BA. Matenda a mtima wa Valvular. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 75.

Nishimura RA, Otto CM, Bonow RO, ndi al. Chitsogozo cha AHA / ACC cha 2014 pakuwongolera odwala omwe ali ndi matenda amtima wa valvular: chidule chachikulu: lipoti la American College of Cardiology / American Heart Association Task Force on Practice Guidelines. J Ndine Coll Cardiol. 2014; 63 (22): 2438-2488. PMID: 24603192 www.ncbi.nlm.nih.gov/pubmed/24603192. (Adasankhidwa)

Rosengart TK, Anand J. Anapeza matenda amtima: valvular. Mu: Townsend CM JR, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: chap 60.

• Opaleshoni ya aortic valve - yowonongeka pang'ono
• Opaleshoni ya aortic valve - yotseguka
• Bicuspid aortic valve
• Endocarditis
• Opaleshoni ya valve yamtima
• Mitral valve yayenda
• Kuchita opaleshoni yamagetsi a Mitral - kovuta kwambiri
• Opral valve valve - yotseguka
• Pulmonary valve stenosis
• Malangizo a momwe mungasiyire kusuta

• Mankhwala osokoneza bongo - P2Y12 inhibitors
• Aspirin ndi matenda amtima
• Kutenga warfarin (Coumadin, Jantoven) - zomwe mungafunse dokotala wanu
• Kutenga warfarin (Coumadin)

• Opaleshoni ya Mtima
• Matenda a Valve a Mtima