Kung'ambika vavu m'malo: opaleshoni, zosokonezeka zotheka, ndemanga

Kuyambira minofu mtima zimadalira moyo wa munthu. Koma yachibadwa magazi akhoza anaonetsetsa pokhapokha ngati mavavu mtima ndi ukugwirira ntchito molondola. Katundu kwambiri imagwera pa vavu kung'ambika, amene, patapita matenda yapita zilekeke liziyenda bwino. Choncho kudwala matenda a mtima, imbaenda chisokonezo kwambiri kupezeka, ndipo chotero mu lake lonse.

Kung'ambika vavu m'malo tsopano n'zotheka ndithu. Nkhaniyi itithandiza tione umboni ichi, pali ikuchitika opareshoni ndipo kodi zotsatira zake.

Zimayambitsa vuto ntchito vavu

vavu ili pakati pa ventricle kumanzere ndi msempha, umene udzakwaniritsa mu magazi m'thupi mpweya. Pa kudzazidwa ndondomeko magazi a minofu mtima, vavu uyu ayenera kutsekedwa. Pamene ventricle ndi yafupika, umathandiza ndi Amathandiza magazi kuti msempha.

M'malo a vavu kung'ambika mtima n'kofunika ngati angathe silingayende bwino, chifukwa kupezeka osauka. Nthawi zina kung'ambika vavu chilema amapezeka chibadwire - chilema kubadwa. Koma pali milandu kumene zaka zambiri ntchito ngati zachilendo, kenako amayamba usanayambe ndi kutsekedwa, ndiye kulankhula za kudwala anapeza wa valavu kung'ambika. Izi zikhoza kuchitika chifukwa cha avale msinkhu, chifukwa mu kuchuluka kwa kashiamu pa vavu, ndi zimene zimatsutsana ndi ntchito yake.

Ndi kuphwanya ntchito vavu angayambitse matenda ena, iwo monga:

• Zovuta pambuyo matenda, monga matenda strep mwina kungasokoneze pa ntchito valavu.
• Endocarditis, pamene matenda amakhudza mtima ndi mavavu ake.
• Kung'ambika aneurysm.
• Magazi mpanda kung'ambika.
• Kung'ambika vavu stenosis, zimene zimakhala zovuta kuti ngakhale pansi kuthamanga magazi si wakutsegula kwathunthu.
• A chikhalidwe kumene vavu si kutseka kwathunthu pambuyo ejection magazi, ndi zina Libwerere ku ventricle lapansi.

Onse a matenda amenewa ndi zinthu zingachititse chakuti Pakufunika opaleshoni m'malo valavu kung'ambika.

Features ntchito valavu m'malo

Mtundu wa opaleshoni amaonedwa kukhala zovuta kwambiri. Kuchititsa opaleshoni yotsegula mtima simungathe iliyonse opaleshoni. Kuchita aziloŵerera chofunika zida zamakono ndi madokotala kwambiri oyenerera.

Panopa, pali zipatala zokwanira mu dziko, zida ndi luso lamakono, choncho palibe njira kuthandiza anthu onse ovutika m'njira yake ku ntchito zimenezi. M'malo a vavu kung'ambika kwa mtima - ndi anthu ambiri mwayi kokha kuti apulumutse moyo, koma, mwatsoka, si onse akuyembekeza awo.

Koma palinso yachilendo mtima malo amene ali wokonzeka kulandira odwala ena ndi kupeza thandizo zofunika, potero kupulumutsa miyoyo.

mavavu mitundu

Ngakhale mwayi wa sayansi yamakono ndi luso komabe si zotheka kuti akonze khumudwitsidwa wangwiro. Anthu mitundu imene ntchito tsopano, pali pluses ndi minuses. M'malo madokotala amagwiritsa ntchito mitundu yambiri ya ziwalo:

• Mawotchi mavavu. Pangani awo chi mkulu mphamvu kasakaniza wazitsulo. Plus ntchito zawo ndi chigulitsire awo, koma wodwala adzakhala ndi moyo kutenga anticoagulants kupewa magazi kuundana.
• Tizilombo apulasitiki mavavu anapanga nyama. Pambuyo unsembe kulandira awo magazi thinners safunika koma prosthesis kutalika kwa moyo wa zaka 10-15 yokha, ndiyeno ntchito chachiwiri chofunika.
• mavavu Wodwala kuwapeza munthu wakufa. mavavu zimenezi akhoza kosatha.

Pamene chofunika kung'ambika vavu m'malo, kusankha mitundu kumatengera zifukwa zingapo:

• Age gulu la odwala.
• General ukupeza.
• Pazifukwa zina, ndi valavu m'malo.
• Pamaso pa matenda ena okhalitsa.
• Ngati wodwalayo ali ndi mwayi kutenga anticoagulants moyo.

Pamene mtundu wa vavu anasankhidwa kukhala ntchito yovuta pa m'malo mwake.

Mitundu ya opaleshoni

Mpaka posachedwapa, opaleshoni m'malo valavu kung'ambika mu mtima kwenikweni amafuna wotseka a minofu mtima ndi kutsegula pachifuwa. Izi otchedwa opaleshoni lotseguka. Pa opaleshoni, moyo wa wodwala anakhalabe ndi makina mtima m'mapapo.

Koma tsopano mwa ena zipatala akhoza m'malo valavu kung'ambika popanda kutsegula pachifuwa. Izi opaleshoni asang'ambe, imene kulephera mtima si chofunika, komanso amacheka lalikulu.

Kumene, ayenera ananena kuti likhale ya njira zimenezi opaleshoni amafuna dokotala luso lenileni. Mwachitsanzo, chipatala Israeli anatchuka chifukwa madokotala ake mtima, kotero odwala ambiri, ngati chuma choyendetsera, upite kudziko kuti achite opareshoni zimenezi.

Kukonzekera opaleshoni

Kung'ambika vavu m'malo zimafuna kukonzekera bwino mtima. Pambuyo kupita kwa dokotala kuti wodwalayo Kwalamulidwa maphunziro ambiri a:

• Sitepe yoyamba ndi kuyendera dokotala.
• Adzakhala MAGAZI.
• Iwo anachita echocardiogram, zimene zikuoneka kayendedwe ka mtima ndi mavavu ake.
• Anachita electrocardiogram, younikira kugunda kwa mtima wanu.
• Kodi mtima catheterization - ndi kumayambiriro chubu woonda imene wothandizila kusiyana ndi wa jekeseni ndipo ndiye chithunzi anatengedwa, ndiwo kudziwa kuti kuli mavuto ndi kugwira ntchito kwa vavu kung'ambika.

A masiku angapo asanachite opareshoni, wodwala ayenera kusunga malangizo otsatirawa:

• Kusiya kumwa mankhwala odana ndi yotupa ndi aspirin.
• Musamalandire anticoagulants.
• Chadzulo opaleshoni ku chakudya okha chakudya kuyenera kukhala mbali ya.
• Pa tsiku la opaleshoni sangathe kudya konse.
• Zovala muyenera kukhala okonzeka si asagwiritse kuyenda.

Pokhapokha zokonzekera zonse zofunikira opaleshoni, dokotala adzakhala tipeze nthawi ya opaleshoni ndipo adzachitidwa kung'ambika vavu m'malo.

opareshoni

Pamene wodwala ali pa tebulo ya opareshoni, iye anapatsidwa mankhwala ochititsa ambiri, ndipo tulo. Ngati opaleshoni ikuchitika ndi kutsegula chifuwa, ndiye pakati pa dokotala amapanga ndi ang'ambe thupilo ndi amakankhira chifuwa kotero kuti kunali kotheka kuti mtima.

Amafuna mtima kumangidwa, zikanakhala zotheka kuti agwire m'malo, opirira pa chikugwirizana ndi makina mtima m'mapapo. dokotala wopanga ang'ambe thupilo mu msempha, kuchotsa ankavala kapena kuonongeka valavu ndi m'malo lokhala latsopano. Pambuyo msempha ichi ndi sutured mtima minofu kumayamba, chifuwa ndi chikugwirizana sutured.

Pambuyo pa opaleshoni m'malo valavu kung'ambika

Kamodzi ntchito ikatha, ndiye kuti wodwalayo chitumidwa kwa Komiti ya mankhwala mwakayakaya. Apa izo kuchotsedwa ochititsa dzanzi, ndi kuwunika ntchito yofunika:

• Anafunitsitsa kugunda kwa mtima.
• Kuyang'aniridwa kupuma ndi magazi.
• Kufufuzidwa mpweya okhutira m'magazi.
• Pa kamwa, ndipo n'zosavuta kumanga chubu kupereka mpweya zina.
• Kupsa kwa lililonse ngalande madzi kuchokera thorax lapansi.
• The wodwala kuika catheter mu chikhodzodzo kukhetsa mkodzo.
• Kodi kutumikiridwa mwachindunji mu mtsempha othetsa ululu, madzimadzi ndi electrolytes.

Pambuyo kung'ambika vavu m'malo mtima zambiri amathera masiku 5-7 m'chipatala, ngati palibe zosokonezeka.

Zovuta pa opaleshoni

Kugwira Ntchito alowererepo pa mtima - nthawi zonse chiopsezo chachikulu. Pamene anakonza m'malo a vavu kung'ambika, zosokonezeka ingakhale monga iyi:

• Matenda.
• N'zotheka magazi pa opaleshoni.
• Maonekedwe a kuundana, sitiroko, kapena ngati pali vuto ndi impsozo.
• Zovuta za mankhwala ochititsa dzanzi.

Pali zinthu zimene zimawonjezera chiopsezo cha matenda oyamba pa opaleshoni:

• Kupezeka kwa matenda a mtima.
• M'mapapo matenda.
• Oopsa.
• Shuga.
• Kunenepa.
• Kusuta.
• Pamaso pa matenda mu thupi.

zosokonezeka Postoperative

Kwa aliyense wa opaleshoni n'kofunika osati ndondomeko ya ntchito ndi zotsatira zake, komanso nthawi ayambe, kumene limodzi ndi mavuto aakulu:

1. Overgrowth a minofu yovulazidwa. Pali milandu kumene pambuyo opaleshoni ya mtima pa malo vavu m'malo ikukula mofulumira fibrous minofu yovulazidwa. Zimenezi si amadalira mitundu valavu ndi kungachititse kuti thrombosis. Koma ayamikike njira zamakono za opaleshoni, vuto ili ali osowa.
2. Magazi odwala kulandira anticoagulants. Ndipo angayambe osati m'dera la vavu, komanso kulikonse mu thupi, monga mmimba.
3. Thromboembolism. Iwo akhoza kuzindikira maonekedwe zotsatirazi:

• Wodwalayo kupuma movutikira.
• Chisokonezo.
• Anaiwala kumva.
• Dzanzi ndi kufooka mu thupi.
• Chizungulire.

4. Infection aziwapatsa valavu. Ngakhale valavu wosabala, kamodzi mkati, zikhoza kukhala matenda. N'chifukwa chake, pamene mwadzidzidzi kutentha thupi likutuluka, pali mavuto kupuma, m'pofunika mwachangu kudziŵitsa dokotala kuti tisanthule ziti ndiponso kuthetsa matenda valavu.

5. Hemolytic magazi m'thupi. Ngati pali kuwononga ambiri erythrocytes pa kukhudzana ndi zinthu valavu. Pali kufooka amphamvu, kutopa kuti sukupita pambuyo mpumulo.

Monga ulamuliro, pamaso pa matenda a mtima wodwala ali makamaka ndi chilema gulu. Zonsezi anatsimikiza ndi ntchito yapadera madokotala. Ngati m'malo a vavu kung'ambika, ndi chilema akhoza kuchotsedwa ngati bungwe la madokotala akukhulupirira kuti ubwino wathanzi ndi wapadera ku chikhalidwe simuyenera. Nthawi zina, kusiya 3 gulu.

Nthawi postoperative

Kwa masiku angapo wodwala pambuyo opaleshoni kuti vavu m'malo jekeseni wa mankhwala zowawa kupweteka. Koma patapita kanthawi repeal awo. Komanso wodwalayo zina amakumana ndi mavuto otsatirawa:

• kumalekezero edema.
• Ululu m'dera ang'ambe thupilo.
• The yotupa ndondomeko kumene ang'ambe thupilo anachira.
• Nseru.
• Kulumikizana matenda.

Ngati zizindikiro zonse kupitiriza kwa nthawi yaitali, muyenera auzeni adokotala. m'malo kung'ambika vavu opaleshoni (ndemanga mtima kulankhula za) kumabweretsa patsogolo yodziwika masabata. Chochititsa chidwi anasinthira zimachitika mu miyezi ingapo.

Pambuyo pa opaleshoni, madokotala amanena kuti ndi ulamuliro wa ntchito ndipo zina ndi mosamalitsa dosed katundu thupi.

Best wa onse, ngati nthawi ayambe wodwala sadzatero kunyumba ndi mabungwe, monga mu chipatala chaching'ono kapena mu cardiology Zosangalatsa Center.

Kumeneko, kuyang'aniridwa ndi madokotala ndi kubwezeretsa kwa thupi, aliyense anasankha munthu pulogalamu. Konzanso akhoza kutenga kutalika osiyana a nthawi. Zidalira pa chikhalidwe onse wodwala, n'zosatheka ntchito ndi luso regenerative wa chamoyo.

Ndithu dokotala kuti wodwalayo pambuyo opaleshoni Kwalamulidwa mankhwala. Kuwatengera muyenera kuzitsatira mosamalitsa chiwembu ndi kuletsa kudzisunga okha ayi.

Ngati mukufuna zosiyanasiyana mankhwala thupi, mankhwala alowererepo, ndiye onetsetsani kuti inu mukudziwa izo ubwino yokumba kung'ambika valavu.

Ngati pali zokhudza matenda a mtima, ndiye vavu awo m'malo si mankhwala choncho m'pofunika kukaona cardiologist ndi kukhazikitsa mankhwala oyenera.

Konzanso mankhwala kunyumba

Ngati wodwalayo zosatheka kupita achire opaleshoni ku chipatala chaching'ono ndi, m'pofunika kutsatira malangizo onse a dokotala kunyumba.

1. Ngati vavu makina, ayenera kuvomerezedwa kutenga anticoagulants, ndi kuchita izo ndi moyo.
2. Ngati muli ndi phukusi mano kapena njira zina opaleshoni, onetsetsani kuti kutenga pamaso pawo mankhwala kupewa kutupa m'dera la vavu.
3. Kwenikweni m'pofunika kulamulira bwino madzimadzi mu thupi.
4. Kuchita Zochita wapadera kwa dokotala ayamikira kuthandiza matenda ntchito kupuma.
5. Kuchititsa kupewa hardware a chibayo.

kugwilizana yekha ndi malangizo onse a dokotala moyo pambuyo kung'ambika vavu m'malo a wabwinobwino ndiponso wosangalatsa.

kusintha makhalidwe

opaleshoni iliyonse pa minofu mtima amafuna kuunikanso zenizeni za njira ya moyo. Kung'ambika vavu m'malo (ndemanga kutsimikizira ichi chokha) - yotero. Odwala pambuyo opaleshoni:

1. Kuthetsa moyo wake makhalidwe onse oipa, pokhapokha, ndithudi, msewu ndi moyo. Kusuta, madyedwe mowa, ndipo ntchito wambiri tiyi kapena khofi ndi sikugwirizana ndi valavu yokumba, ndipo ndithudi ndi kuvutika kwa mtima.
2. Kodi ndi zakudya zanu pafupifupi kuthetsa zakudya mafuta.
3. Kuchepetsa mchere wambiri patsiku si magilamu 6.
4. Chakudya ayenera kukhala anzeru ndi kuimira zambiri zipatso ndi ndiwo zamasamba.
5. Kumwa madzi okwanira wangwiro, koma palibe mpweya.
6. Pang'onopang'ono anayamba katundu, zimene zingakuthandizeni kulimbitsa minofu mtima.
7. Tsiku lililonse, chirichonse nyengo miyendo mu mpweya wabwino.
8. Kuthetsa pamoyo wawo psycho-maganizo zimamuchulukira, nkhawa.
9. Khalani pamodzi ndi ndandanda ya tsiku ndi dokotala ndi m'choonadi.
10. Kudya mavitamini kukhalabe olimba mchere.

Ngati inuyo mumaona ndemanga cha odwala amene opaleshoni kuti vavu m'malo, tikuona kuti mbali yaikulu anali wokhoza kubwerera ku moyo wabwinobwino. Atapita ndi zizindikiro opweteka sanapereke zina kugwiritsira ntchito yachibadwa mtima.

Kung'ambika vavu m'malo (ndemanga akutitsimikizira izi) si chopinga kwa mimba m'tsogolo. Akazi ambiri amene amadwala matenda a mtima komanso ngakhale ankafuna kukhala Mitembo yokhala ndi ntchito imeneyi, kumawapatsa mwayi umenewo.

Imeneyi, chinthu chachikulu - ndi kupeza katswiri woyenera, ndiye inu mukhoza kukhala wodalira zotsatira zabwino za ntchito. Modern sayansi ndi mankhwala n'zotheka osati kuika moyo wake pa mtanda, ngakhale pamene pali kuvutika kwambiri mumtima, choncho musataye mtima. Munthu ayenera nthawi zonse chiyembekezo cha zabwino, ndi chozizwitsa chinachitika - mtima wako ntchito nthawi ndi molondola. Dzisamalire mukhale ndi thanzi labwino.