Kuvhiya kweaortic vharuvhu - yakavhurika

Ropa rinoyerera richibuda mumoyo mako uye richipinda mutsinga huru yeropa inonzi aorta. Iyo aortic vharuvhu inoparadzanisa moyo uye aorta. Iyo aortic vheji inovhura kuitira kuti ropa rigone kubuda. Inobva yavhara kuchengetedza ropa kuti risadzokere pamoyo.

Ungangoda aortic vharuvhu kuvhiya kutsiva aortic vharafu mumoyo mako kana:

• Yako aortic vharuvhu haivhare nzira yese, saka ropa rinodonha richidzokera mukati memoyo. Izvi zvinonzi aortic kudzoka.
• Yako aortic vharafu haina kuvhura zvakazara, saka kuyerera kweropa kunze kwemoyo kunoderedzwa. Izvi zvinonzi aortic stenosis.

Vhura kuvhiya kweaortic vharuvhu inotsiva vharuvhu kuburikidza nekucheka kukuru mubhokisi rako.

Iyo aortic vharuvhu inogona zvakare kutsiviwa uchishandisa zvishoma zvinokanganisa aortic vharuvhu kuvhiya. Izvi zvinoitwa uchishandisa mashoma mashoma akachekwa.

Usati wavhiyiwa iwe unozogamuchira general anesthesia. Unenge warara uye kurwadziwa pasina.

• Chiremba wako achaita akacheka masendimita gumi pakati pechipfuva chako.
• Tevere, chiremba wako anovhiya achaparadzanisa chipfuva chako chechipfuva kuti akwanise kuona moyo wako uye aorta.
• Iwe ungangoda kuve unofambidzana nemoyo-wemapapu yekupfuura muchina kana yekupfuura pombi. Moyo wako unomira paunenge wakabatana nemuchina uyu. Muchina uyu unoita basa remoyo wako moyo uchinge wamiswa.

Kana yako aortic vharuvhu yakakuvara zvakanyanya, iwe uchazoda vharafu nyowani Uku ndiko kunonzi kuvhiya kutsiva. Chiremba wako anobvisa yako aortic vharuvhu uye osona nyowani munzvimbo. Kune maviri akakosha mhando evhavha nyowani:

• Mechanical, yakagadzirwa nezvinhu zvakagadzirwa nevanhu, senge titanium kana kabhoni. Aya mavhavha anogara kwenguva refu. Iwe ungangoda kutora mushonga unoonda-ropa, senge warfarin (Coumadin) kweupenyu hwako hwese kana uine rudzi urwu rwevhavha.
• Biological, yakagadzirwa nevanhu kana mhuka mhuka. Aya mavhavha anogona kutora makore gumi kusvika makumi maviri, asi iwe ungangodaro usingade kutora vanoonda ropa kweupenyu hwese.

Kamwe iyo vharuvhu nyowani iri kushanda, chiremba wako anovhiya anozo:

• Vhara moyo wako ubvise pamwoyo-mapapu muchina.
• Isa makateti (machubhu) akatenderedza moyo wako kudurura zvinwiwa zvinovaka.
• Vhara bhonzo rako rechipfuva newaya dzesimbi dzisina tsvina. Zvinotora masvondo matanhatu kusvika gumi nemaviri kuti pfupa ripore. Waya dzichagara mukati memuviri wako.

Kuvhiya uku kunogona kutora maawa matatu kusvika mashanu.

Dzimwe nguva mamwe maitiro anoitwa panguva yekuvhiya kweaortic yakavhurika. Izvi zvinosanganisira:

• Coronary inopfuura kuvhiya
• Aortic midzi kutsiva (David maitiro)
• Ross (kana chinja) maitiro

Iwe ungangoda kuvhiyiwa kana yako aortic vheji isingashande mushe. Iwe ungangoda yakavhurika-moyo vharuvhu kuvhiyiwa nekuda kwezvikonzero izvi:

• Shanduko muaortic vharuvhu yako iri kukonzera zviratidzo zvikuru zvemoyo, sekurwadziwa pachipfuva, kufema kwekufema, kupera simba, kana kukundikana kwemoyo.
• Miedzo inoratidza kuti shanduko mune yako aortic vharafu iri kutanga kukuvadza zvakanyanya kuti moyo wako unoshanda sei.
• Yako vharuvhu yemoyo yakakuvara nehutachiona hwevheji yemoyo (endocarditis).
• Iwe wakagamuchira vharuvhu nyowani yemoyo munguva yakapfuura uye haisi kushanda mushe.
• Iwe une mamwe matambudziko akadai sekugwamba kweropa, hutachiona, kana kubuda ropa.

Ngozi dzekuvhiyiwa chero ndeidzi:

• Ropa rinovhara mumakumbo ayo anogona kuenda kumapapu
• Ropa kurasikirwa
• Matambudziko ekufema
• Utachiona, kusanganisira mumapapu, itsvo, dundira, chifuva, kana mavhavha emwoyo
• Zviitiko kumishonga

Njodzi dzinogona kuitika kubva pakuvhiyiwa moyo wakavhurika ndedzekuti

• Chirwere chemwoyo kana sitiroko
• Matambudziko emoyo mutinhimira
• Incision hutachiona, iyo inowanzoitika kune vanhu vakafuta, vane chirwere cheshuga, kana vakatove nekuvhiyiwa uku
• Kubatwa kwevhavha nyowani
• Itsvo kutadza
• Kuyeuka ndangariro uye kurasikirwa kwekujekesa kwepfungwa, kana "kufunga kwakashata"
• Kupora kwakashata kweiyo incision
• Post-pericardiotomy syndrome (yakaderera-giredhi fivha uye kurwadziwa pachipfuva) inogona kupera kusvika kumwedzi mitanhatu
• Rufu

Nguva dzose udza mupi wako wehutano:

• Kana iwe uri kana uchigona kuve nepamuviri
• Ndeapi mishonga yauri kutora, kunyangwe zvinodhaka, zvinowedzera, kana mahebhu awakatenga pasina mushonga

Iwe unogona kukwanisa kuchengeta ropa mubhengi reropa kuitira kuwedzerwa mukati uye mushure mekuvhiyiwa kwako. Kumbira mupiki wako kuti iwe nenhengo dzemhuri yako mungape sei ropa.

Ukasvuta, unofanira kurega. Kumbira mupiki wako kuti akubatsire.

Kwevhiki rimwe chete usati wavhiyiwa, unogona kubvunzwa kuti usiye kutora mishonga inoita kuti ropa rako rigwinike. Izvi zvinogona kukonzera kuwedzera kubuda ropa panguva yekuvhiyiwa.

• Mimwe yemishonga iyi maaspirin, ibuprofen (Advil, Motrin), uye naproxen (Aleve, Naprosyn).
• Kana iwe uri kutora warfarin (Coumadin) kana clopidogrel (Plavix), taura nachiremba wako usati wamira kana kushandura maitiro aunotora izvi zvinodhaka.

Munguva yemazuva usati wavhiyiwa:

• Bvunza kuti ndeipi mishonga yaunofanira kutora pazuva rekuvhiyiwa kwako.
• Nguva dzose rega mupi wako azive kana iwe uine kutonhora, furuwenza, fivhiri, herpes breakout, kana chero chimwe chirwere munguva inotungamira kune yako kuvhiyiwa.

Gadzirira imba yako kuitira paunosvika kumba kubva kuchipatara.

Shamba uye geza vhudzi rako zuva risati raitwa oparesheni yako. Ungangoda kusuka muviri wako wese pazasi pemutsipa wako nesipo yakakosha. Svina chipfuva chako kaviri kana katatu nesipo iyi.

Pazuva rekuvhiyiwa kwako:

• Iwe unowanzo bvunzwa kuti usanwa kana kudya chero chinhu pakati pehusiku husiku usati waitwa oparesheni. Izvi zvinosanganisira kushandisa chingamu nemweya wekufema. Sukurudza muromo wako nemvura kana ichinzwa kuoma. Chenjera kuti usamedze.
• Tora mishonga yawakaudzwa kunwa nekamwe kamvura.
• Unozoudzwa nguva yekuuya kuchipatara.

Tarisira kuti upedze mazuva mana kusvika manomwe muchipatara mushure mekuvhiyiwa. Iwe uchapedza husiku hwekutanga muICU uye unogona kugara imomo kwemazuva 1 kusvika maviri. Pachave nemaviri kusvika matatu machubhu muchipfuva chako kuburitsa fluid kubva kwakatenderedza moyo wako. Izvi zvinowanzo bviswa 1 kusvika mazuva matatu mushure mekuvhiyiwa.

Iwe unogona kunge uine catheter (inoshanduka chubhu) mudundira rako kudhonza weti. Iwe unogona zvakare kuve nemitsinga (IV) mitsara yekuendesa zvinwiwa. Vanamukoti vanonyatso tarisa monitors anoratidza ako akakosha zviratidzo (yako kurova, tembiricha, uye kufema).

Uchaendeswa kuchipatara chenguva dzose kubva kuICU. Moyo wako uye zvakakosha zviratidzo zvicharamba zvichiongororwa kudzamara waenda kumba. Iwe unozogamuchira marwadzo ekudzora marwadzo akakomberedza ako ekuvhiya akachekwa.

Mukoti wako anokubatsira zvishoma nezvishoma kutangazve chimwe chiitiko. Unogona kutanga chirongwa chekusimbisa moyo wako nemuviri wako.

Iwe unogona kunge uine pacemaker yakaiswa mumoyo mako kana moyo wako uchinge wakanyanya kunonoka mushure mekuvhiyiwa. Zvinogona kunge zvechinguva kana zvechigarire.

Mechanical moyo mavharuvhu haakundikani kazhinji. Zvisinei, kuvhara ropa kunogona kukura pavari. Kana ropa rakagwamba rikaumbika, unogona kunge uine sitiroko. Kubuda ropa kunogona kuitika, asi izvi hazviwanzo.

Biological mavharuvhu ane mukana wakaderera wekugwamba kweropa, asi anowanzo kutadza kwenguva yakareba. Kuti uwane mhedzisiro yakanaka, sarudza kuve neako aortic vharuvhu kuvhiya pane imwe nzvimbo inoita yakawanda yemaitiro aya.

Aortic vharuvhu kutsiva; Inotapira valvuloplasty; Kugadziriswa kweaortic vharuvhu; Kutsiva - aortic vharafu; AVR

• Antiplatelet zvinodhaka - P2Y12 inhibitors
• Aspirin uye chirwere chemwoyo
• Kuvhiya kwevhavha yemoyo - kubuda
• Chiremba wemwoyo kuvhiya - kubuda
• Kutora warfarin (Coumadin)

Lindman BR, Bonow RO, Otto CM. Aortic vharafu chirwere. 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: chitsuwa 68.

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