Valvuloplasty: chii chiri, mhando uye kuti zvinoitwa sei

Zvemukati

• Mhando dzevolvoplasty
• Maitiro aValvuloplasty anoitwa

Valvuloplasty ndiko kuvhiya kunoitwa kugadzirisa hurema muvhavha yemoyo kuitira kuti kufamba kweropa kuitike nemazvo. Kuvhiya uku kunogona kungosanganisira kugadzirisa vharuvhu yakakuvara kana kuitsiva neimwe yakaitwa nesimbi, kubva kumhuka yakadai senguruve kana mhou kana kubva kumupi wemunhu akafa.

Uye zvakare, kune mhando dzakasiyana dzevalvuloplasty zvinoenderana nevhavha ine hurema, sezvo paine mavharuvhu emoyo: iyo mitral vharuvhu, iyo tricuspid vharafu, iyo pulmonary vharafu uye aortic vharafu.

Valvuloplasty inogona kuratidzirwa kuitira stenosis yeapiwo mavhavha, ayo anosanganisira kuomesa uye kuomesa, zvichiita kuti ropa ripfuure, kana kusakwana kweimwe yemavharuvhu, kunoitika kana vharafu ikasavhara zvachose, ne kudzoka kweavo vhoriyamu reropa kumashure kana kuitira rheumatic fever, semuenzaniso.

Mhando dzevolvoplasty

Valvuloplasty inogona kusarudzwa zvichienderana nevhavha yakakuvadzwa, ichinzi:

• Mitral valvuloplasty, umo chiremba anovhiya anogadzirisa kana kutsiva mitral vharafu, ine basa rekubvumira ropa kupfuura kubva kuruboshwe atrium kuenda kuruboshwe ventricle, ichidzivirira kubva kudzoka kumapapu;
• Aortic valvuloplasty, umo aortic vharuvhu, iyo inobvumira ropa kubuda kubva kuruboshwe ventricle kunze kwemoyo, rakakuvara uye, nekudaro, chiremba anovhiya anogadzirisa kana kutsiva vharuvhu neimwe;
• Pulmonary valvuloplasty, umo chiremba anovhiya anogadzirisa kana kutsiva vharuvhu remapapu, iro rine basa rekubvumira ropa kuti ripfuure kubva pachirudyi chakarurama kuenda kumapapu;
• Tricuspid valvuloplasty, umo tricuspid vharuvhu, iyo inobvumira ropa kupfuura kubva kurudyi atrium kuenda kurudyi ventricle, rakakuvara uye, nekudaro, chiremba anovhiya anofanira kugadzirisa kana kutsiva vharuvhu neimwe.

Chikonzero chekuremara kwevhavhavha, kuomarara kwayo uye zera remurwere zvinotarisa kuti iyo valvuloplasty ichagadziriswa kana kutsiva.

Maitiro aValvuloplasty anoitwa

Valvuloplasty inowanzoitwa pasi peanesthesia uye kucheka pachifuva kuti chiremba anovhiya achengete moyo wese. Iyi nzira yakajairika inoshandiswa kunyanya kana zvasvika pakutsiviwa, senge mune yekukutu mitral kudzokazve, semuenzaniso.

Nekudaro, chiremba anovhiya anogona kusarudza mashoma mashoma maitiro, akadai se:

• Balloon valvuloplasty, iyo inosanganisira kuiswa kwekateti ine chibharumu pamucheto, kazhinji kuburikidza nekugomera, kusvika pamoyo. Mushure mekunge catheter iri mumoyo, musiyano wakaiswa jekiseni kuitira kuti chiremba aone iyo vharuvhu yakakanganiswa uye chibharumu chakafemerwa uye chadzikiswa, kuitira kuti vhure vharuvhu iyo yakadzikiswa;
• Percutaneous valvuloplasty, mune iyo chubhu diki inoiswa kuburikidza nechipfuva pachinzvimbo chekuita kucheka kukuru, kudzikamisa kurwadziwa mushure mekuvhiyiwa, kureba kwekugara uye kukura kwekavanga.

Ose mabhaluni valvuloplasty uye percutaneous valvuloplasty anoshandiswa muzviitiko zvekugadzirisa, pamwe nekurapa aortic stenosis, semuenzaniso.