Ventricular anobatsira mudziyo

Ventricular assist zvishandiso (VADs) zvinobatsira moyo wako kupomba ropa kubva kune imwe yemakamuri makuru ekupomba kuenda kune imwe muviri wako kana kune rimwe divi remoyo. Pombi idzi dzinoiswa mumuviri wako. Muzviitiko zvakawanda zvakabatana nemichina iri kunze kwemuviri wako.

Chigadzirwa chekubatsira ventricular chine zvikamu zvitatu:

• Pombi. Iyo pombi inorema 1 kusvika ku2 mapaundi (0.5 kusvika 1 kilogram). Inoiswa mukati kana kunze kwedumbu rako.
• Anogadzira magetsi. Mutungamiriri akafanana nekomputa diki inodzora mashandisiro anoita pombi.
• Mabhatiri kana imwe sosi yemagetsi. Mabhatiri anotakurwa kunze kwemuviri wako. Iwo akabatana nepombi netambo inopinda mudumbu rako.

Kana iwe uine iyo yakaiswa VAD yakaiswa, iwe uchazoda general anesthesia. Izvi zvinokuita iwe kurara uye usarwadziwa-pasina panguva yekuita.

Panguva yekuvhiyiwa:

• Chiremba wemoyo anovhura pakati pechipfuva chako nekucheka kwekuvhiya obva apatsanura pfupa rako repazamu. Izvi zvinobvumira kupinda pamoyo wako.
• Zvichienderana nepombi yakashandiswa, chiremba anovhiya anozoita nzvimbo yepombi pasi peganda rako uye munyama muchikamu chepamusoro chedumbu rako rusvingo.
• Chiremba anovhiya anozoisa pombi munzvimbo ino.

Chubhu ichabatanidza pombi kumoyo wako. Imwe chubhu inobatanidza pombi kune yako aorta kana imwe yeako makuru mamwe maarteri. Imwe chubhu ichapfuudzwa kuburikidza neganda rako kuti ubatanidze pombi kune mutungamiriri nemabhatiri.

Iyo VAD inotora ropa kubva kune yako ventricle (imwe yemakamuri makuru ekupomba emoyo) kuburikidza nehubhu inotungamira kupombi. Ipapo mudziyo unodhonza ropa rodzokera kune imwe yetsinga dzako uye nemumuviri wako wese.

Kuvhiya kazhinji kunotora maawa mana kusvika matanhatu.

Kune mamwe marudzi eVADs (anonzi percutaneous ventricular assist zvishandiso) ayo anogona kuiswa nemaitiro mashoma ekupinza kubatsira kuruboshwe kana kurudyi ventricle. Nekudaro, izvi kazhinji hazvigone kupa kuyerera kwakawanda (rutsigiro) sevanovhiya vakavhiya.

Iwe unogona kuda VAD kana iwe uine kukundikana kwakanyanya kwemoyo kusingakwanise kudzorwa nemushonga, zvishandiso zvekufamba, kana zvimwe zvekurapa. Iwe unogona kuwana ichi chishandiso iwe uchinge uri pane yekumirira rondedzero yemoyo kupinza.Vamwe vanhu vanowana VAD vanorwara zvakanyanya uye vanogona kunge vatove pamushini wemwoyo-wemapapu wekutsigira.

Haasi munhu wese ane kusasimba kwemoyo kukundikana mukwikwidzi wakanaka weiyi nzira

Ngozi dzekuvhiya uku ndedzekuti:

• Ropa rinovhara mumakumbo ayo anogona kuenda kumapapu
• Ropa rinovhara iro rinogadzira muchigadzirwa uye rinogona kufamba kuenda kune dzimwe nhengo dzemuviri
• Matambudziko ekufema
• Chirwere chemwoyo kana sitiroko
• Allergic reaction kune iyo anesthesia mishonga inoshandiswa panguva yekuvhiya
• Zvirwere
• Kubuda ropa
• Rufu

Vanhu vazhinji vanenge vatove muchipatara kurapwa kwekushaya kwemoyo wavo.

Vanhu vazhinji vanoiswa paVAD vanopedza kubva pamazuva mashoma kusvika kumazuva akati wandei munzvimbo yevanotarisirwa zvakanyanya (ICU) mushure mekuvhiyiwa. Unogona kugara muchipatara kwevhiki kana kupfuura mushure mekunge waiswa pombi. Panguva ino iwe unodzidza machengeterwo epombi.

Zvishoma zvinopinda maVAD hazvina kugadzirirwa varwere vekuvhiya uye avo varwere vanofanirwa kugara muICU kwenguva yekushandisa kwavo. Ivo dzimwe nguva anoshandiswa sebhiriji kune yekuvhiya VAD kana moyo kupora.

VAD inogona kubatsira vanhu vane moyo kutadza kurarama kwenguva refu. Zvinogona zvakare kubatsira kusimudzira hupenyu hwevarwere.

VAD; RVAD; LVAD; BVAD; Right ventricular assist mudziyo; Kuruboshwe ventricular assist mudziyo; Biventricular kubatsira mudziyo; Pombi yemwoyo; Kuruboshwe ventricular assist system; LVAS; Implantable ventricular assist mudziyo; Kutadza kwemoyo - VAD; Cardiomyopathy - VAD

• Angina - kubuda
• Kurwadziwa kwemoyo - kubuda
• Kutadza kwemoyo - kubuda
• Kuchengeta ronda rekuvhiya - rakavhurika

• Mwoyo - chikamu kuburikidza nepakati

Aaronson KD, Pagani FD. Mechanical circulatory tsigiro. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 29.

Holman WL, Kociol RD, Pinney S. Postoperative VAD manejimendi: Kamuri yekushandisa kuburitsa uye kupfuura: kuvhiya uye kurapa kufunga. Mune: Kirklin JK, Rogers JG, eds. Mechanical Circulatory Tsigiro: A Shamwari kuBraunwald's Mwoyo Chirwere. 2nd ed. Philadelphia, PA: Elsevier; 2020: chits. 12.

Peura JL, Colvin-Adams M, Francis GS, et al. Kurudziro yekushandiswa kwechimakanika kutenderera rutsigiro: matekiniki ekushandisa uye kusarudzwa kwevarwere: chirevo chesainzi kubva kuAmerican Heart Association Kutenderera. 2012; 126 (22): 2648-2667. PMID: 23109468 pubmed.ncbi.nlm.nih.gov/23109468/.

Rihal CS, Naidu SS, Givetz MM, et al. 2015 SCAI / ACC / HFSA / STS kiriniki nyanzvi yekubvumirana chirevo pamusoro pekushandiswa kwezvimisikidzo zvemuchina zvekutenderera zvekutsigira michina muhutano hwemwoyo: yakagamuchirwa neAmerican Heart Association, iyo Cardiological Society yeIndia, uye Sociedad Latino Americana de CardiologiaIntervencion; kusimbiswa kwekukosha neCanada Association of Interventional Cardiology-Association Canadienne de Cardiologied'intervention. J Ndiri Coll Cardiol. 2015; 65 (19): e7-e26. PMID: 25861963 pubmed.ncbi.nlm.nih.gov/25861963/.