Kuongorora kwekunze kana kuvhara

Paunenge uine kuvhiyiwa kwemoyo wakashama, chiremba anovhiya anoita kucheka (incision) iyo inomhanya ichidzika nepakati pechipfuva chako pfupa (sternum). Iyo incision inowanzo poresa yega. Asi dzimwe nguva, pane zvinetswa zvinoda kurapwa.

Matambudziko maviri evanga anogona kuitika mukati memazuva makumi matatu ekuvhiyiwa kwemoyo wakashama ndeaya:

• Utachiona muronda kana chipfuva pfupa. Zviratidzo zvinogona kuve pus pane iyo incision, fivha, kana kunzwa kuneta uye kurwara.
• Iyo sternum inopatsanuka kuita maviri. Iyo sternum uye chipfuva kusagadzikana. Iwe unogona kunzwa kurira kurira mu sternum kana uchifema, kukosora, kana kufamba-famba.

Kuti arape kuomarara, chiremba anovhiya anovhurazve nzvimbo yakavhiyiwa. Maitiro acho anoitwa mukamuri yekuvhiya. Chiremba anovhiya:

• Inobvisa tambo dzakabata iyo sternum pamwechete.
• Inoita here kuyedzwa kweganda uye munyama muronda kutarisa zviratidzo zvehutachiona.
• Inobvisa dzakafa kana hutachiona hutachiona muronda (debride ronda).
• Rinses ronda nemvura yemunyu (saline).

Mushure mokunge ronda racheneswa kunze, chiremba anovhiya anogona kana kusavhara ronda. Ronda rakazara nehembe. Iyo yekupfeka inozo shandurwa kazhinji.

Kana chiremba wako anovhiya anogona kushandisa VAC (yekuvhara-yakabatsira kuvhara) kupfeka. Iko kusagadzikana kwekumanikidza kupfeka. Inowedzera kuyerera kweropa kutenderedza sternum uye inovandudza kupora.

Izvo zvikamu zveVAC kupfeka ndezvi:

• Pombi yemhepo
• Furo chidimbu chakatemwa kuti chikwane ronda
• Vacuum chubhu
• Bvisa madhirezi akaiswa pamusoro

Iyo furo chidimbu chinoshandurwa mazuva ese maviri kusvika matatu.

Chiremba wako anogona kuisa chipfuva pauri. Izvi zvichaita kuti mapfupa emapfupa anyatsogadzikana.

Zvinogona kutora mazuva, mavhiki, kana mwedzi kuti ronda racho rive rakachena, risina hutachiona, uye pakupedzisira ripore.

Kana izvi zvangoitika, chiremba anovhiya anogona kushandisa mhasuru kurovera nekuvhara ronda. Iyo mbama inogona kutorwa kubva kumagaro ako, bendekete, kana chifuva chepamusoro.

Iwe unogona kunge wave kutogamuchira kutarisirwa kweronda kana kurapwa uye maantibayoti.

Pane zvikonzero zviviri zvakakosha zvekutsvaga nekuvhara maitiro echipfuva ronda mushure mekuvhiyiwa kwemoyo:

• Bvisa hutachiona
• Simbisa iyo sternum uye chipfuva

Kana chiremba anovhiya achifunga kuti une hutachiona muchipfuva chako incision, zvinotevera zvinowanzoitwa:

• Samples anotorwa kubva kuidrainage, ganda, uye tishu
• Muenzaniso webhonzo rechipfuva unotorwa kuitira biopsy
• Kuongororwa kweropa kunoitwa
• Unozotariswa kuti uri kudya zvakanaka sei uye kuwana zvinovaka muviri
• Unozopihwa maantibayoti

Iwe ungangopedza kanenge mazuva mashoma muchipatara. Mushure meizvozvo, unogona kuenda:

• Kumba uye kuteedzera nachiremba wako wechiremba. Vanamukoti vanogona kuuya kumba kwako kuzobatsira kutarisira.
• Kune imwe nzvimbo yekuyamwisa kune rumwe rubatsiro kupora.

Panzvimbo ipi neipi, unogona kugamuchira mishonga inorwisa mabhakitiriya kwemavhiki akati wandei mutsinga dzako (IV) kana nemuromo.

Aya matambudziko anogona kukonzera matambudziko akadai se:

• Rusvingo rwechipfuva chisina kusimba
• Yenguva refu (isingaperi) kurwadziwa
• Kupera kwemapapu basa
• Kuwedzera njodzi yekufa
• Humwe hutachiona
• Unoda kudzokorora kana kudzokorora maitiro

VAC - kuvhara-kubatsira kuvharwa - ronda rekumusoro; Dhivhisheni yekunze; Utachiona hwekunze

Kulaylat MN, Dayton MT. Matambudziko ekuvhiya. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 12.

Lazar HL, Salm TV, Engelman R, Orgill D, Gordon S. Kudzivirira uye manejimendi ehutachiona hwehutachiona hwehutachiona. J Thorac Cardiovasc Kuvhiya. 2016; 152 (4): 962-972. PMID: 27555340 pubmed.ncbi.nlm.nih.gov/27555340/.