Minimally Invasive Treatment for Aortic Stenosis
Aortic stenosis inowanzosangana nemoyo yemamiriro ezvinhu anowanzokura uye anowedzera nezera. The valor valve imwe yemagetsi emwoyo mana mumoyo wemunhu, uye inogona kukuvadza zvakanyanya ne calcification. Ichi ndicho chinetso chakakomba chinokanganisa zvikamu zvinofamba zvevhavha uye zvinoita kuti zvisike zvishoma.
Munguva yakapfuura, kunyanya kurapwa kweaortic aortic stenosis kwaiva kuvhura kwepfungwa yepamwoyo apo vheji yakagadziriswa kana kuti valve yakagadzirwa kubva muzvivara kana zvigadzirwa zvekugadzirira ingashandiswa kutora nzvimbo yakasvibiswa aortic valve.
Nhasi, kune imwe nzira itsva uye isingasviki iyo inonzi Transcatheter Aortic Valve Replacement (TAVR) iyo inogona kuva sarudzo kune varwere vasingakwanisi kubvumira tsika yakasununguka yemwoyo yekugadzira kana kugadzirisa vheji ye aortic.
Aortic Valve Chii?
Kuti unzwisise zvakanakisisa aortic valve replacement, zvinokosha kunzwisisa chii icho aortic valve inoita. The valor valve iri pakati pevhirigiriyamu yakasara uye aorta, uye inobatsira kudzora kubuda kweropa kubva mumoyo, kusvika kune aorta uye kune imwe muviri wose. Aortic valve ine utano inodzivirira ropa kuti usabva pamwoyo nokukurumidza, uchitanga bedzi kana yava nguva yokuti ropa ribude kubva kuruboshwe rweseriki uye kusvika kune aorta. Apo vheji yeaortic inokuvara uye inopera, mamiriro acho anonzi aortic stenosis uye inogona kuva yakakomba zvikuru, sezvo kuyerera kweropa kusisanyatsochengetedzwa kana kushanda zvakanaka.
Zviratidzo zveAortic Stenosis
Apo vheji ye aortic inowanikwa, haisisiri kushanda zvakanaka, uye mwoyo inofanira kushanda zvakaoma kupompa ropa mumuviri.
Vamwe varwere vane aortic stenosis vane syncope, kana zvikamu zvekupera simba. Vangave vane kurwadziwa kwepfuva, uye mumatambudziko akaoma, dambudziko revhavha rinogona kutungamirira kukurudzirwa kwechimwe chirwere chakanyanya, chinonzi congestive moyo kusakundikana.
Kuneta uye kusawirirana kwekurovedza muviri ndezvimwe zviratidzo zvekutanga zve aortic stenosis, asi mumamiriro ezvinhu akaoma varwere vanogona kuva vasina simba zvokuti vanoona kusakwanisa kufamba kupfuura mashoma mashoma.
Mamiriro acho anogona kuoma zvakanyanya zvokuti hupenyu hunogadzirisa kana hupenyu hunotyisidzira kana husina kutenderwa, huchitungamirira kudikanwa yekugadzirisa kana kushandiswa kwevhavha.
Ndiani Anokodzera Kuvhiya kweTVV
Kune avo vanorwara zvikuru aortic stenosis varwere - avo vanowanzova varwere vane chido chakanyanya chevheti yemwoyo inoshanda zvakanaka - nzira yakasununguka yemwoyo inogona kuonekwa isingakuvadzi. Kuvhiya kunonyanya kunetsa muviri, uye vamwe varwere havakwanisi kutsungirira iyo yepamusoro yekunetseka mupfungwa, zvichiita zvipingamupinyi zvekushanda kwepfungwa zvakasakara kupfuura zvingava nemubairo. Kune varwere vanoonekwa sevanorwara zvikuru kuti vasaregererwa kuvhiyiwa, kana avo avo vanopa dambudziko rakakura rekuvhiya, nzira ye TAVR inogona kuva imwe yakakodzera.
TAVR Nzira
Nokuda kwengozi yakakura yeaortic stenosis varwere, chirwere cheTVV chinogona kuva sarudzo inopa kugadziriswa kwevheti yeaortic pasina kushungurudzika kwepfungwa yekuvhiya kwomwoyo pachena, cardiopulmonary bypass uye general anesthesia . Nzira yacho inoshandiswa pachedu, zvichireva kuti "kuvhiyiwa" kunoitwa nokuisa zviridzwa mumusere wechikadzi kuburikidza nekwenyoro kadiki uye nekufambisa zvishoma nezvishoma mumidziyo yeropa kusvikira avharoji yeropa ichisvika. Varwere vanga vane mwoyo catheterization vachawana nzira inoshandiswa inoshandiswa inogadziriswa yevhavha yekufananidza yakafanana.
Nokuda kwenzira ye TAVR, valve yekugadzira yakaiswa mucheka kadiki kadiki kadiki kakakwana kutenderera kuburikidza neropa rekushandisa pamwe chete nemidziyo. Apo paine nzvimbo, kugadziriswa kwevhavha kunoshandiswa, kuzarura kuhuwandu hwakazara. Kamwe iyo TAVR iri panzvimbo, inotsiva zvakasvibiswa aortic valve uye inodzora kusunungurwa kweropa kubva mumoyo.
Ngozi dze TAVR
Ngozi dzekuvhiya kweTATV dzakakosha uye dzinofanira kukurukurwa nachiremba wako usati wapera. Njodzi dze TAVR dzakangofanana nezviitiko zvekuvhiya kwemoyo yakajeka kugadzirisa kana kushandura avharovha, uye inosanganisira ngozi yekurohwa, kuvhara ropa, kubuda ropa, kukuvadza pamwoyo pamwe nekudzvinyirira kweanesthesia.
Pakufananidza nevarwere vaiva nemoyo wakasununguka kugadziriswa kweaortic stenosis nevarwere vaiva netsika ye TAVR, varwere ve TAVR vane dambudziko guru rekuda pacemaker mugore raitevera nzira, asi vanewo nengozi shoma yekubuda ropa uye kufa mugore raitevera kuvhiyiwa.
Nzira ye TAVR ndiyo itsva, uye saizvozvo, kutsvakurudza kwenguva yakareba kwenguva refu hakuwaniki panguva ino muUnited States. Ndeipi tsvakurudzo inowanikwa, zvisinei, inoratidza kuti vanhu vane ngozi yakawanda vanowedzera zviri nani nekuita zvishoma nezvishoma kushandiswa pane kuzarura mwoyo kushandiswa kwevhavha.
Pashure pe TAVR
Zvakakosha kuyeuka kuti nzira ye TAVR inovandudza hupenyu, asi haibvumi kuti kuregererwa kwechirwere chepfungwa. Vakawanda vanorwara vanoona kuwedzerwa kunoshamisa kwehupenyu hwehupenyu nekugadziriswa kwevharuko ye aortic, asi kunogona kuve nekukuvara kusingaperi kumutsipa wemwoyo nekuda kwevhavha yakashata kana imwe mamiriro emwoyo.
Sources:
Transcatheter Aortic-Valve Inoshandiswa neKuzvipira Kuwedzera Kuwedzera. New England Journal of Medicine. Yakasvika muna March 2014.