Transcatheter aortic vharafu kutsiva

Transcatheter aortic vheji yekutsiva (TAVR) inzira inoshandiswa kutsiva aortic vheji isina kuvhura chipfuva. Inoshandiswa kurapa vanhu vakuru vasina hutano hwakakwana kuti vagare vachivhiyiwa vharuvhu.

Iyo aorta itsinga hombe inotakura ropa kubva pamoyo wako kuenda kune iro rese muviri wako. Ropa rinoyerera richibuda mumoyo mako uye richipinda muaorta kuburikidza nevhavha. Vharafu iyi inonzi aortic vharafu. Ino vhura kuitira kuti ropa ribude. Inobva yavhara, ichichengetedza ropa kubva kuyerera richidzokera kumashure.

Iyo aortic vharafu iyo isingavhure zvakazara inodzivirira kuyerera kweropa. Izvi zvinonzi aortic stenosis. Kana paine zvakare kuburitsa, inonzi aortic regurgitation. Mazhinji mavhavha eortort anotsiviwa nekuti anotadzisa kuyerera kumberi kuburikidza neaorta kuenda kuuropi nemuviri.

Maitiro acho anozoitwa muchipatara. Zvinotora maawa maviri kusvika mana.

• Usati wavhiyiwa, unogona kugamuchira anesthesia yakajairika. Izvi zvinokuisa iwe muhope-isina kurara hope. Kazhinji kazhinji, maitiro anoitwa newe zvakanyanya kugadzikana. Hauna kunyatsorara asi haunzwi kurwadziwa. Izvi zvinonzi zvine mwero sedation.
• Kana general anesthesia ikashandiswa, iwe unenge uine chubhu inoisa pasi huro yako yakabatana nemuchina kuti ikubatsire kufema. Izvi zvinowanzo bviswa mushure mekuita. Kana sedation ine mwero ikashandiswa, hapana chubhu yekufema inodiwa.
• Chiremba achaita kucheka (incision) mune tsinga mune yako kugomera kana muchipfuva chako padhuze nepamufu pfupa rako.
• Kana usati uine pacemaker, chiremba anogona kuisa mukati. Unozopfeka kwemaawa makumi mana nemasere mushure mekuvhiyiwa. A pacemaker inobatsira moyo wako kurova mune yenguva dzose mutinhimira.
• Chiremba anonamira chubhu mutete inonzi catheter kuburikidza ne arteri kune moyo wako uye aortic vharafu.
• Bhaluni diki kumagumo kwekateti rinowedzeredzwa mune yako aortic vharafu. Iyi inonzi valvuloplasty.
• Chiremba anozotungamira vharuvhu nyowani pamusoro pekateti nebhaluni woiisa muvharuvhu yako yeaortic. Vheji yehupenyu inoshandiswa paTAVR.
• Ivhavha nyowani ichavhurwa mukati mevhavha yekare. Ichaita basa rekare vharuvhu.
• Chiremba achabvisa iyo catheter uye ovhara iyo yakatemwa nezvisungo uye kupfeka.
• Iwe haufanire kunge uri pamwoyo-mapapu muchina weiyi nzira.

TAVR inoshandiswa kune vanhu vane aortic stenosis yakaoma vasina hutano zvakakwana kuti vavhure chipfuva kuvhura kutsiva vharuvhu.

Muvanhu vakuru, aortic stenosis inowanzo kuve nekuda kwemacalcium deposits ayo anotetepa vharuvhu. Izvi zvinowanzo bata vanhu vakura.

TAVR inogona kuitwa nekuda kwezvikonzero izvi:

• Iwe uri kuve nezvakakura zvemoyo zviratidzo, sekurwadziwa pachipfuva (angina), kupfupika kwemweya wekufema, kupera simba zvitsinga (syncope), kana moyo kutadza.
• Miedzo inoratidza kuti shanduko mune yako aortic vharafu iri kutanga kukuvadza zvakanyanya kuti moyo wako unoshanda sei.
• Iwe haugone kuvhiyiwa vharuvhu yenguva dzose nekuti zvinogona kuisa hutano hwako panjodzi. (Cherekedza: Zvidzidzo zviri kuitwa kuti vaone kana vamwe varwere vangabatsirwa nekuvhiya.)

Maitiro aya ane zvikomborero zvakawanda. Iko kune marwadzo mashoma, kurasikirwa kweropa, uye njodzi yehutachiona. Iwe zvakare uchapora nekukurumidza kupfuura zvaungaita kubva kuvhurika-chipfuva kuvhiyiwa.

Njodzi dzechero anesthesia ndeidzi:

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

Dzimwe njodzi ndedze:

• Kukuvadza kumidziyo yeropa
• Iwe ungangoda kuvhurika kwemoyo kuvhiya kugadzirisa zvinetso zvinomuka panguva yekuita
• Chirwere chemwoyo kana sitiroko
• Kubatwa kwevhavha nyowani
• Itsvo kutadza
• Kusarongeka kwemoyo
• Kubuda ropa
• Kupora kwakashata kwekucheka
• Rufu

Nguva dzose udza chiremba wako kana mukoti kuti ndeapi mishonga yauri kutora, kusanganisira pamusoro-pekambani mishonga, zvinowedzera, kana mahebhu.

Iwe unofanirwa kuona chiremba wemazino wako kuti ave nechokwadi chekuti hapana hutachiona mumuromo mako. Kana ikasarapwa, hutachiona uhwu hunogona kupararira pamoyo wako kana new vharafu yemoyo.

Kwenguva yevhiki mbiri usati wavhiyiwa, unogona kukumbirwa kuti urege kutora mishonga inoita kuti ropa rako rigwinike. Izvi zvinogona kukonzera kuwedzera kubuda ropa panguva yekuvhiyiwa.

• Mamwe acho aspirin, 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.

Pakati pemazuva pamberi pekuita kwako:

• Kumbira chiremba wako kuti ndeapi mishonga yaunofanira kutora pazuva rawaita maitiro ako.
• Ukasvuta, unofanira kurega. Kumbira chiremba wako kuti akubatsire.
• Nguva dzose rega chiremba wako azive kana iwe uine kutonhora, furuwenza, fivhiri, herpes breakout, kana chero chimwe chirwere munguva inotungamira kune yako maitiro.
• Pazuva risati raitwa, shambidza uye shampoo zvakanaka. Iwe unogona kukumbirwa kushambidza muviri wako wese pazasi pemutsipa wako nesipo yakakosha. Svina chipfuva chako kaviri kana katatu nesipo iyi. Iwe zvakare unogona kukumbirwa kutora mushonga unodzivirira kudzivirira hutachiona.

Pazuva rekuvhiyiwa kwako:

• Iwe unowanzo kubvunzwa kuti usamwe kana kudya chero chinhu pakati pehusiku husiku usati waita maitiro ako. Izvi zvinosanganisira kutsenga chingamu uye kushandisa mweya mints. Sukurudza muromo wako nemvura kana ichinzwa kuoma, asi chenjera kuti usamedze.
• Tora mishonga yawakaudzwa nachiremba kuti utore nekunwa mvura shoma.
• Chiremba wako kana mukoti achakuudza nguva yekuuya kuchipatara.

Iwe unogona kutarisira kupedza 1 kusvika kumazuva mana muchipatara.

Iwe uchapedza husiku hwekutanga munzvimbo yevanotarisirwa (ICU). Vanamukoti vanozokutarisa zvakanyanya. Kazhinji mukati memaawa makumi maviri nemana, unozotamisirwa kukamuri yenguva dzose kana nzvimbo yekuchengetwa kwechipatara muchipatara.

Zuva rapashure pekuvhiyiwa, iwe unozobatsirwa kubva pamubhedha kuti iwe ugokwanisa kumuka uye kufamba famba. Unogona kutanga chirongwa chekusimbisa moyo wako nemuviri wako.

Vanokupa hutano vanokuratidza maitiro ekuzvichengeta wega kumba. Iwe uchadzidza kushamba iwe pachako uye kutarisira ronda rekuvhiya. Iwe zvakare uchapihwa mirairo yekudya uye kurovedza muviri. Ive neshuwa yekutora chero mishonga sekurairwa. Ungangoda kutora vatete veropa kwehupenyu hwako hwese.

Chiremba wako achaita kuti iwe uuye kuzoteedzana musangano kuti uone kuti vharuvhu nyowani iri kushanda mushe.

Ive neshuwa yekuudza chero wevako vanopa kuti iwe wakave nekutsiva kwevhavha. Ive neshuwa yekuita izvi usati uine chero kurapwa kana mazino maitiro.

Kuva neiyi nzira kunogona kuvandudza hunhu hwehupenyu hwako uye kukubatsira iwe kurarama kwenguva yakareba kupfuura iwe ungasaite pasina maitiro. Unogona kufema zvakareruka uye uine simba rakawanda. Iwe unogona kukwanisa kuita zvinhu zvawaisakwanisa kuita kare nekuti moyo wako unokwanisa kupomba ropa-rakapfuma reropa kune iro rese remuviri wako.

Hazvina kujeka kuti vharuvhu nyowani icharamba ichishanda kwenguva yakareba zvakadii, saka ive shuwa kuona chiremba wako kumisangano yenguva dzose.

Valvuloplasty - aortic; TAVR; Transcatheter aortic vheji yekuisa (TAVI)

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