Opaleshoni ya aortic valve - yotseguka

Magazi amatuluka mumtima mwanu ndikulowa mumtsuko waukulu wamagazi wotchedwa aorta. Valavu ya aortic imasiyanitsa mtima ndi aorta. Valavu ya aortic imatseguka kuti magazi azitha kutuluka. Kenako imatseka kuti magazi asabwerere mumtima.

Mungafunike opaleshoni yamavalo aortic kuti mutenge valavu ya aortic mumtima mwanu ngati:

• Valavu yanu ya aortic siyitsekera njira yonse, chifukwa chake magazi amabwereranso mumtima. Izi zimatchedwa kuti aortic regurgitation.
• Valavu yanu ya aortic siyitseguka kwathunthu, chifukwa chake magazi amatuluka mumtima amachepetsedwa. Izi zimatchedwa aortic stenosis.

Tsegulani ma valve aortic valve m'malo mwa valavu kudzera pakucheka kwakukulu m'chifuwa.

Valavu ya aortic imatha kupangidwanso m'malo pogwiritsa ntchito maopareshoni ochepera aortic. Izi zimachitika pogwiritsa ntchito mabala ang'onoang'ono angapo.

Musanachite opaleshoni yanu mudzalandira opaleshoni. Mudzakhala mukugona komanso kumva kupweteka.

• Dokotala wanu adzadula masentimita 25 pakati pa chifuwa chanu.
• Kenako, dotolo wanu adzagawa chifuwa chanu kuti athe kuwona mtima wanu ndi aorta.
• Mungafunike kulumikizidwa ndi makina olowera pamtima kapena mapampu olambalala. Mtima wanu waimitsidwa mukalumikizidwa ndi makina awa. Makinawa amachita ntchito yamtima wanu pomwe mtima wanu wayimitsidwa.

Ngati valavu yanu ya aortic yawonongeka kwambiri, mufunika valavu yatsopano. Izi zimatchedwa kuti opaleshoni m'malo mwake. Dokotala wanu adzachotsa valavu yanu ya aortic ndikusoka yatsopano m'malo mwake. Pali mitundu iwiri ikuluikulu yamagetsi yatsopano:

• Mawotchi, opangidwa ndi zinthu zopangidwa ndi anthu, monga titaniyamu kapena kaboni. Ma valve awa amakhala motalika kwambiri. Mungafunike kumwa mankhwala ochepetsa magazi, monga warfarin (Coumadin) kwa moyo wanu wonse ngati muli ndi valavu yamtunduwu.
• Thupi, lopangidwa ndi mnofu wa munthu kapena nyama. Ma valves awa amatha zaka 10 mpaka 20, koma mwina simuyenera kutenga otapira magazi kwa moyo wanu wonse.

Valavu yatsopano ikayamba kugwira ntchito, dokotalayo:

• Tsekani mtima wanu ndikuchotsani pamakina am'mapapu amtima.
• Ikani ma catheters (machubu) mozungulira mtima wanu kuti muthe madzi omwe amakula.
• Tsekani chifuwa chanu ndi mawaya achitsulo chosapanga dzimbiri. Zimatenga pafupifupi milungu 6 mpaka 12 kuti fupa lipole. Mawaya amakhalabe mkati mwa thupi lanu.

Kuchita opaleshoniyi kumatha kutenga maola 3 kapena 5.

Nthawi zina njira zina zimachitidwira panthawi yotseguka kwa aortic. Izi zikuphatikiza:

• Opaleshoni ya Coronary
• Kusintha kwa mizu ya aortic (njira ya David)
• Njira ya Ross (kapena kusintha)

Mungafunike kuchitidwa opaleshoni ngati valavu yanu ya aortic sigwira bwino ntchito. Mungafunike opaleshoni yamagetsi yotseguka mtima pazifukwa izi:

• Kusintha kwa valavu yanu ya aortic kumayambitsa zizindikilo zazikulu za mtima, monga kupweteka pachifuwa, kupuma pang'ono, kufooka, kapena kulephera kwa mtima.
• Mayeso akuwonetsa kuti kusintha kwa valavu yanu ya aortic ikuyamba kuwononga kwambiri momwe mtima wanu umagwirira ntchito.
• Valavu yanu yamtima yawonongeka ndi matenda a valavu yamtima (endocarditis).
• Mwalandila valavu yatsopano yamtima m'mbuyomu ndipo sikugwira ntchito bwino.
• Muli ndi mavuto ena monga kuundana kwa magazi, matenda, kapena kutuluka magazi.

Zowopsa za opaleshoni iliyonse ndi izi:

• Magazi amatundikira m'miyendo yomwe imatha kupita kumapapu
• Kutaya magazi
• Mavuto opumira
• Matenda, kuphatikiza m'mapapu, impso, chikhodzodzo, chifuwa, kapena mavavu amtima
• Zomwe zimachitika ndi mankhwala

Zowopsa zomwe zingachitike pakuchitidwa opaleshoni yamtima ndi:

• Matenda a mtima kapena sitiroko
• Mavuto amtundu wamtima
• Matenda a incision, omwe amapezeka mwa anthu onenepa kwambiri, ali ndi matenda ashuga, kapena achita kale opaleshoniyi
• Kutenga valavu yatsopano
• Impso kulephera
• Kutaya kukumbukira ndi kutaya kumvetsetsa kwamaganizidwe, kapena "kuganiza moperewera"
• Kuchira koyipa kwa cheka
• Matenda a Post-pericardiotomy (malungo ochepa komanso kupweteka pachifuwa) omwe amatha miyezi isanu ndi umodzi
• Imfa

Nthawi zonse uzani wothandizira zaumoyo wanu:

• Ngati muli ndi pakati kapena mutha kukhala ndi pakati
• Ndi mankhwala ati omwe mukumwa, ngakhale mankhwala, zowonjezera, kapena zitsamba zomwe mwagula popanda mankhwala

Mutha kusungira magazi kubanki yosungira magazi kuti muthe kumuika magazi mkati komanso mukamachita opaleshoni. Funsani omwe akukuthandizani momwe inu ndi abale anu mungaperekere magazi.

Mukasuta, muyenera kusiya. Funsani omwe akukuthandizani kuti akuthandizeni.

Kwa sabata limodzi musanachite opareshoni, mwina mungafunsidwe kuti musiye kumwa mankhwala omwe amalepheretsa magazi anu kuphimba. Izi zingayambitse magazi ochulukirapo panthawi yochita opareshoni.

• Ena mwa mankhwalawa ndi aspirin, ibuprofen (Advil, Motrin), ndi naproxen (Aleve, Naprosyn).
• Ngati mukumwa warfarin (Coumadin) kapena clopidogrel (Plavix), lankhulani ndi dotolo wanu musanayime kapena kusintha momwe mumamwa mankhwalawa.

M'masiku asanachitike opaleshoni yanu:

• Funsani mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.
• Nthawi zonse muziwuza omwe akukuthandizani ngati muli ndi chimfine, chimfine, malungo, matenda a herpes, kapena matenda ena aliwonse nthawi yomwe mungachitike opaleshoni yanu.

Konzekerani nyumba yanu mukafika kunyumba kuchokera kuchipatala.

Sambani ndi kutsuka tsitsi lanu tsiku lisanachitike opaleshoni yanu. Mungafunike kusambitsa thupi lanu lonse pansi pa khosi lanu ndi sopo wapadera. Tsukani chifuwa chanu kawiri kapena katatu ndi sopo.

Patsiku la opareshoni yanu:

• Nthawi zambiri mudzafunsidwa kuti musamwe kapena kudya kalikonse pakati pausiku usiku musanachite opareshoni. Izi zimaphatikizapo kugwiritsa ntchito chingamu komanso timbewu tomwe timapuma. Muzimutsuka m'kamwa ndi madzi ngati mukuuma. Samalani kuti musameze.
• Tengani mankhwala omwe mwauzidwa kuti mumwe ndikumwa madzi pang'ono.
• Mudzauzidwa nthawi yobwera kuchipatala.

Yembekezerani kuti mutha masiku 4 mpaka 7 muchipatala mutatha opaleshoni. Mugona usiku woyamba ku ICU ndipo mutha kukhala komweko kwa masiku 1 mpaka 2. Padzakhala machubu awiri kapena atatu m'chifuwa mwanu kuti muthe madzi mumtima mwanu. Izi nthawi zambiri zimachotsedwa 1 mpaka masiku 3 mutachitidwa opaleshoni.

Mutha kukhala ndi catheter (chubu chosinthika) mu chikhodzodzo chanu kukhetsa mkodzo. Muthanso kukhala ndi mizere yolowa (IV) yotulutsa madzi. Anamwino amayang'anitsitsa zowunikira zomwe zimawonetsa zizindikilo zanu zofunika (kutentha kwa mtima, kutentha, komanso kupuma).

Mudzasunthidwa kupita kuchipatala chanthawi zonse kuchokera ku ICU. Mtima wanu ndi zizindikilo zofunika kupitilirabe kuyang'aniridwa mpaka mutapita kwanu. Mudzalandira mankhwala opweteka kuti muchepetse ululu mozungulira momwe mumadulira.

Namwino wanu amakuthandizani kuyambiranso ntchito zina pang'onopang'ono. Mutha kuyambitsa pulogalamu yolimbitsa mtima ndi thupi lanu.

Mutha kukhala ndi pacemaker yoyikidwa mumtima mwanu ngati kugunda kwa mtima kwanu kumachedwa kwambiri mukatha kuchitidwa opaleshoni. Zitha kukhala zosakhalitsa kapena zosatha.

Mawotchi amagetsi amtima samalephera nthawi zambiri. Komabe, magazi amatha kuundana. Ngati magazi amaundana, mutha kukhala ndi stroke. Kutuluka magazi kumatha kuchitika, koma izi ndizochepa.

Mavavu azachilengedwe amakhala ndi chiopsezo chotsika kwambiri chamagazi, koma amalephera kupitilira nthawi yayitali. Kuti mupeze zotsatira zabwino, sankhani kuchitidwa opaleshoni yanu ya aortic valve pamalo omwe amathandizira kwambiri.

Kusintha kwa valavu ya aortic; Kung'ambika valvuloplasty; Kukonza ma valoza aortic; Kusintha - valavu ya aortic; Kutumiza

• Mankhwala osokoneza bongo - P2Y12 inhibitors
• Aspirin ndi matenda amtima
• Opaleshoni ya valve yamtima - kutulutsa
• Kuchita opaleshoni yamtima wa ana - kutulutsa
• Kutenga warfarin (Coumadin)

Lindman BR, Bonow RO, Otto CM. Matenda a valve aortic. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 68.

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.