Ventricular assist chida

Zipangizo zothandizira ma Ventricular assist (VADs) zimathandiza mtima wanu kupopa magazi kuchokera kuzipinda zazikulu zopopera mpaka thupi lanu lonse kapena mbali ina ya mtima. Mapampu awa amaikidwa mthupi lanu. Nthawi zambiri amalumikizidwa ndi makina kunja kwa thupi lanu.

Chida chothandizira ma ventricular chili ndi magawo atatu:

• Pampu. Pampu imalemera mapaundi 1 mpaka 2 (0,5 mpaka 1 kilogalamu). Imaikidwa mkati kapena kunja kwa mimba yanu.
• Woyang'anira zamagetsi. Woyang'anira amakhala ngati kompyuta yaying'ono yomwe imayang'anira momwe mpope imagwirira ntchito.
• Mabatire kapena magetsi ena. Mabatire amatengedwa kunja kwa thupi lanu. Amalumikizidwa ndi pampu ndi chingwe chomwe chimalowa m'mimba mwanu.

Ngati muli ndi VAD yoyikidwa, mufunika anesthesia wamba. Izi zidzakupangitsani kuti mugone komanso musamve kupweteka panthawi yomwe mukuchita.

Pa opaleshoni:

• Dokotala wochita opaleshoni ya mtima amatsegula pakatikati pa chifuwa panu ndi chodulira chochita ndikulekanitsa chifuwa chanu. Izi zimalola kufikira mtima wanu.
• Kutengera mpope womwe wagwiritsidwa ntchito, dokotalayo amapanga malo opopera pansi pa khungu lanu ndi minofu yanu kumtunda kwa khoma lanu lamimba.
• Dokotalayo adzaika mpope m'malo amenewa.

Chubu chingalumikizire pampuwo pamtima pako. Chubu china chimalumikiza pampuyo ku aorta yanu kapena imodzi mwamitsempha yanu ina yayikulu. Chubu china chidzadutsa pakhungu lanu kuti mugwirizanitse pampu ndi wowongolera ndi mabatire.

VAD idzatenga magazi kuchokera mu ventricle yanu (imodzi mwazipinda zazikulu zamkati zamkati zamkati) kudzera mu chubu chomwe chimatsogolera ku pampu. Kenako chipangizocho chimapopa magazi kubwerera kumodzi mwamitsempha yanu komanso mthupi lanu lonse.

Opaleshoni nthawi zambiri imatenga maola 4 mpaka 6.

Palinso mitundu ina ya ma VAD (otchedwa percutaneous ventricular assist devices) omwe amatha kuyikidwa ndi njira zochepa zowathandizira kumanzere kwamanzere kapena kumanja. Komabe, izi nthawi zambiri sizimatha kupereka chithandizo (chithandizo) chokwanira ngati choyika cha opaleshoni.

Mungafunike VAD ngati muli ndi vuto la mtima lomwe silingathe kuwongoleredwa ndi mankhwala, zida zoyendera, kapena chithandizo china. Mutha kupeza chipangizochi muli pamndandanda wodikirira kuti muike mtima.Anthu ena omwe amatenga VAD amadwala kwambiri ndipo atha kukhala kuti ali pamakina othandizira mtima-mapapo.

Sikuti aliyense amene walephera mtima kwambiri ndi amene amayenera kutsatira njirayi.

Zowopsa za opaleshoniyi ndi izi:

• Magazi amatundikira m'miyendo yomwe imatha kupita kumapapu
• Magazi amaundana omwe amapanga chipangizocho ndipo amatha kupita mbali zina za thupi
• Mavuto opumira
• Matenda a mtima kapena sitiroko
• Thupi lawo siligwirizana mankhwala ochititsa dzanzi ntchito pa opaleshoni
• Matenda
• Magazi
• Imfa

Anthu ambiri adzakhala ali kale mchipatala kuti akachiritsidwe mtima wawo.

Anthu ambiri omwe amaikidwa pa VAD amakhala masiku ochepa mpaka angapo kuchipatala cha ICU atachita opaleshoni. Mutha kukhala mchipatala kwa sabata imodzi kapena kupitilira apo atayika pampu. Munthawi imeneyi muphunzira momwe mungasamalire pampu.

Ma VAD ochepa omwe amapangidwira sanapangidwe odwala odwala ndipo odwalawo amafunika kukhala ku ICU nthawi yonse yomwe akugwiritsa ntchito. Nthawi zina amagwiritsidwa ntchito ngati mlatho wopita kuchipatala cha VAD kapena kuchira kwa mtima.

VAD itha kuthandiza anthu omwe ali ndi vuto la mtima kukhala ndi moyo wautali. Zingathandizenso kukonza moyo wa odwala.

VAD; ZOKHUDZA; LVAD; BVAD; Chida chothandizira kumanja kwamanja; Chida chothandizira chamanzere kumanzere; Chipangizo chothandizira; Pampu yamtima; Njira yothandizira yamanzere kumanzere; LVAS; Chida chothandizira chamagetsi chothandizira; Mtima kulephera - VAD; Matenda a mtima - VAD

• Angina - kumaliseche
• Matenda a mtima - kutulutsa
• Kulephera kwa mtima - kutulutsa
• Chisamaliro cha bala la opaleshoni - chotseguka

• Mtima - gawo kupyola pakati

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