Kuvhiya kwevhavha yemoyo - kubuda

Kuvhiya kwevhavha yemoyo kunoshandiswa kugadzirisa kana kutsiva mavharuvhu emwoyo anorwara. Kuvhiya kwako kunogona kunge kwakaitwa kuburikidza neakakura kucheka (kucheka) pakati pechipfuva chako, kuburikidza nekucheka kudiki pakati pembabvu dzako kana nepakati pe2 kusvika ku4 zvidiki zvidiki

Iwe wakave nekuvhiyiwa kugadzirisa kana kutsiva imwe yemoyo mavhavha emoyo wako. Kuvhiyiwa kwako kunogona kunge kwakaitwa kuburikidza nekucheka kukuru (kucheka) pakati pechipfuva chako, kuburikidza nekucheka kudiki pakati pembabvu dzako mbiri, kana kuburikidza nekaviri kusvika kumana akacheka.

Vanhu vazhinji vanopedza mazuva matatu kusvika manomwe muchipatara. Iwe unogona kunge wanga uri muchipatara chevanonyanya kutarisirwa dzimwe nguva, muchipatara, unogona kunge watanga kurovedza muviri kuti ikubatsire kupora nekukurumidza.

Zvinotora mavhiki mana kusvika matanhatu kana kudarika kuti upore zvachose mushure mekuvhiyiwa. Munguva ino, zvakajairika ku:

• Iva nekumwe kurwadziwa muchipfuva chako kutenderedza yako incision.
• Iva nehurombo hwekudya kwemavhiki maviri kusvika mana.
• Iva nemafungiro uye unonzwa kuora mwoyo.
• Inzwa kunhuwa, kushaya simba, kana kushushikana uchitenderedza zvaunofunga. Izvi zvinogona kutora mwedzi mitanhatu kana kudarika.
• Kuzvimbirwa kubva kumishonga yekurwadziwa.
• Iva nedambudziko rakapfava nekurangarira kwenguva pfupi kana kunzwa kunetseka.
• Inzwa kuneta kana kuva nesimba shoma.
• Une dambudziko pakurara. Iwe unofanirwa kunge wakarara zvakajairika mukati memwedzi mishoma.
• Iva nekufema kwekufema.
• Iva neutera mumaoko ako kwemwedzi wekutanga.

Izvi zvinotevera kurudziro yakajairwa. Unogona kuwana madhairekisheni kubva kuchikwata chako chekuvhiya. Ive neshuwa yekutevera kuraira kwaunopihwa nehutano hwako.

Iva nemunhu anogona kukubatsira kuti ugare mumba mako kweinenge yekutanga 1 kusvika 2 mavhiki.

Ramba uchishanda panguva yako yekupora. Ive neshuwa yekutanga zvishoma nezvishoma uye wedzera chiitiko chako zvishoma nezvishoma.

• Usamira kana kugara panzvimbo imwechete kwenguva refu. Famba-famba zvishoma.
• Kufamba chiitiko chakanakira mapapu nemoyo. Tora zvishoma nezvishoma pakutanga.
• Kwira masitepisi nokungwarira nekuti mwero unogona kunge uri dambudziko. Batisisa panjanji. Zorora chikamu kukwira masitepisi kana uchida. Tanga nemumwe munhu anofamba newe.
• Zvakanaka kuita mabasa epamba akareruka, sekumisa tafura kana kupeta mbatya.
• Misa chiitiko chako kana iwe uchinzwa kushoma mweya, dzungu, kana uine chero kurwadziwa muchipfuva chako.
• Usaite chero chiitiko kana kurovedza muviri kunokonzera kudhonza kana kurwadziwa pachipfuva chako, (sekushandisa muchina wekukwasva, kumonyanisa, kana kusimudza masimbi.)

Usatyaire kweanosvika mavhiki mana kusvika matanhatu mushure mekuvhiyiwa kwako. Iko kufamba kunokamhina kunoda kutenderedza vhiri rinogona kukweva pane yako incision.

Tarisira kutora mavhiki matanhatu kusvika masere usingaende kubasa. Kumbira mupiki wako paunogona kudzokera kubasa.

Usatenderera kwemasvondo maviri kusvika mana. Kumbira mupiki wako kana iwe uchigona kufamba zvakare.

Dzokera kune zvekuita zvepabonde zvishoma nezvishoma. Taura pachena nemumwe wako nezvazvo.

• Kazhinji yenguva, zvakanaka kutanga kuita bonde mushure memasvondo mana, kana kana iwe uchikwanisa kukwira zviri nyore nhanho mbiri dzemasitepisi kana kufamba hafu-mamaira (800 metres).
• Ramba uchifunga kuti kushushikana, uye mimwe mishonga, inogona kuchinja kuita zvepabonde kune vese varume nevakadzi.
• Varume havafanirwe kushandisa mishonga kushaya simba (Viagra, Cialis, kana Levitra) kudzamara mupi ati zvanaka.

Kwemavhiki matanhatu ekutanga mushure mekuvhiyiwa kwako, unofanirwa kungwarira mashandisiro aunoita maoko ako nemuviri wepamusoro kana uchifamba.

USA:

• Svika kumashure.
• Rega chero munhu adhonze pamaoko ako chero chikonzero (sekubatsira iwe kufamba famba kana kubuda pamubhedha).
• Simudza chero chinhu chinorema kupfuura mapaundi mashanu kusvika ku7 (maviri kusvika matatu makirogiramu) kwemwedzi mitatu.
• Ita zvimwe zviitiko zvinochengeta maoko ako pamusoro pemapfudzi ako.

Ita zvinhu izvi nokungwarira:

• Kukwesha mazino.
• Kusimuka pamubhedha kana pachigaro. Chengetedza maoko ako padyo nemativi ako kana iwe uchiashandisa kuita izvi.
• Kukotama kumberi kuti usunge shangu dzako.

Misa chero chiitiko kana iwe uchinzwa uchidhonza pane yako incision kana chipfuva. Mira ipapo ipapo kana iwe uchinzwa kana kunzwa chero kuputika, kufamba, kana kuchinjisa kwepfupa rako rechipfuva uye kufonera hofisi yechiremba wako.

Shandisa sipo yakapfava nemvura kuchenesa nzvimbo yakatenderedza incision yako.

• Geza maoko nesipo nemvura.
• Zvinyoro nyorovera kumusoro uye pasi paganda nemaoko ako kana jira rakanyorovera.
• Shandisa jira rekuwachisa chete kana iwo mapara aenda uye ganda rapora.

Unogona kutora mashawa, asi kwemaminetsi gumi chete panguva. Ita shuwa kuti mvura inodziya. Usashandise chero mafuta, mafuta, kana muviri unonhuhwirira unoshamba. Nyorera kupfeka (mabhandeji) nenzira yaakakuratidzwa nemupi wako.

Usashambira, nyura mutabhu inopisa, kana kugeza kusvikira incision yako yapora zvachose. Chengeta incision yakaoma.

Dzidza maitiro ekutarisa yako kurova, uye woitarisa mazuva ese. Ita zvekufema zvawadzidza muchipatara kwe4 kusvika kumavhiki matanhatu.

Tevera kudya kunovaka moyo.

Kana iwe uchinzwa kushushikana, taura nemhuri yako neshamwari. Kumbira mupiki wako nezve kuwana rubatsiro kubva kumupi wezano.

Ramba uchitora mishonga yako yese yemoyo wako, chirwere cheshuga, kuwedzerwa kweropa, kana chero mamwe mamiriro auinawo. Usarega kutora chero mushonga usati wataura nemupi wako kutanga.

Ungangoda kutora mushonga unorwisa mabhakitiriya usati waitwa chero nzira yekurapwa kana paunoenda kwachiremba wemazino. Udza vese vanokupa (chiremba wemazino, vanachiremba, vanamukoti, vabatsiri vezvechiremba, kana vanachiremba) nezvedambudziko remwoyo wako. Iwe ungangoda kupfeka yekurapa yambiro bracelet kana chishongo.

Iwe ungangoda kutora mishonga-yekuonda-ropa mishonga kuti ubatsire kuchengetedza ropa rako kubva pakugadzira kuumbana. Mubatsiri wako anogona kukurudzira mumwe wemishonga iyi:

• Aspirin kana clopidogrel (Plavix) kana imwe ropa rakatetepa, senge ticagrelor (Brilinta), prasugrel (Effient), apixaban (Eliquis), dabigatran (Xeralto), uye rivaroxaban powder (Pradaxa), edoxaban (Savaysa).
• Warfarin (Coumadin). Kana iwe uri kutora warfarin, iwe unozofanirwa kugara uchiita kuongororwa ropa. Unogona kukwanisa kushandisa chishandiso kutarisa ropa rako kumba.

Fonera mupiki wako kana:

• Iwe une kurwadziwa kwepachipfuva kana kufema kwekufema kusingaendi kana uchizorora.
• Iwe une kurwadziwa mukati nekukomberedza yako incision iyo isingarambe ichiita zvirinani kumba.
• Kupomba kwako kunonzwa kusinganzwisisike, kunonoka (kushoma pane makumi matanhatu kurova paminiti) kana kukurumidza kwazvo (pamusoro pezana kusvika zana nemakumi maviri kurova paminiti).
• Une dzungu kana kupera simba, kana kuti wakaneta zvakanyanya.
• Iwe une musoro wakaipa kwazvo usingaregi.
• Une chikosoro chisingapere.
• Une kutsvuka, kuzvimba, kana kurwadziwa mumhuru yako.
• Uri kukosora ropa kana yero kana girini mamota.
• Une matambudziko ekutora chero emoyo wako mishonga.
• Kurema kwako kunokwira neanopfuura mapaundi maviri (kilogiramu imwe) pazuva kwemazuva maviri akateedzana.
• Ronda rako rinochinja. Iro rakatsvuka kana kuzvimba, rakavhura, kana kuti riine drainage rinobva kwariri.
• Iwe une kutonhora kana fivha inopfuura 101 ° F (38.3 ° C).

Kana iwe uri kutora vatete veropa, fonera mupi wako kana iwe uine:

• Kudonha kwakakomba, kana iwe kurova musoro wako
• Marwadzo, kusagadzikana, kana kuzvimba pane jekiseni kana nzvimbo yekukuvara
• Kupwanya kwakawanda paganda rako
• Kubuda kweropa kwakawanda, senge kubuda ropa mumhino kana kubuda ropa mazino
• Ropa kana rakasviba weti kana chigaro
• Kutemwa nemusoro, dzungu, kana kushaya simba
• Utachiona kana fivhiri, kana chirwere chiri kukonzera kurutsa kana manyoka
• Iwe unova nepamuviri kana kuti uri kuronga kuve nepamuviri

Aortic vharuvhu kutsiva - buditsa; Aortic valvuloplasty - kubuda; Kugadziriswa kweaortic vharuvhu - kubuda; Kutsiva - aortic vharafu - kubuda; Kugadzirisa - aortic vharafu - kubuda; Mhete annuloplasty - kubuda; Percutaneous aortic vharafu kutsiva kana kugadzirisa - kubuda; Balloon valvuloplasty - kubuda; Mini-thoracotomy aortic vharafu - kubuda; Mini-aortic kutsiva kana kugadzirisa - kubuda; Cardiac valvular kuvhiya - buditsa; Mini-sternotomy - kubuda; Robotically-inobatsira endoscopic aortic vharafu kugadzirisa - kuburitsa; Mitral vharafu kutsiva - kuvhura - kuburitsa; Mitral valve kugadzirisa - kuvhura - kubuda; Mitral valve kugadzirisa - kurudyi mini-thoracotomy - kubuda; Mitral valve kugadzirisa - chikamu chepamusoro sternotomy - kubuda; Robotically-inobatsira endoscopic mitral vharuvhu kugadzirisa - kuburitsa; Percutaneous mitral valvuloplasty - kubuda

Carabello BA. Valvular chirwere chemoyo. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 75.

Nishimura RA, Otto CM, Bonow RO, et al. 2014 AHA / ACC nhungamiro yevatungamiriri vevarwere vane valvular moyo chirwere J Ndiri Coll Cardiol. 2014; 63 (22): 2438-2488. PMID: 24603192 www.ncbi.nlm.nih.gov/pubmed/24603192.

Rosengart TK, Anand J. Yakawana chirwere chemwoyo: valvular. Mune: Townsend CM JR, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 60.

• Kuvhiya kweaortic vharuvhu - kushomeka zvishoma
• Kuvhiya kweaortic vharuvhu - yakavhurika
• Bicuspid aortic vharafu
• Endocarditis
• Kuvhiya kwevhavha yemoyo
• Mitral vharuvhu inowedzera
• Kuvhiyiwa kweMitral vharuvhu - zvishoma zvinokanganisa
• Mitral valve kuvhiyiwa - kuvhura
• Pulmonary vharafu stenosis
• Matipi ekusiya kusvuta

• Antiplatelet zvinodhaka - P2Y12 inhibitors
• Aspirin uye chirwere chemwoyo
• Kutora warfarin (Coumadin, Jantoven) - chii chekubvunza chiremba wako
• Kutora warfarin (Coumadin)

• Kuvhiya Kwemwoyo
• Zvirwere zveMoyo Valve