Aortic valve replacement: ngokusebenza, iingxaki kunokwenzeka, ncomo

Ukususela imisipha intliziyo ixhomekeke ebomini bomntu. Kodwa kwegazi yesiqhelo ukwamkhulu kuphela xa kwemithambo intliziyo abasebenza ngokuchanekileyo. Umthwalo omkhulu iwela ivalve aortic, leyo, emva zizifo ezithile abufuneki kuyeka ukusebenza ngokuqhelekileyo. Ngoko nesifo sentliziyo, nto leyo ekhokelela ukuphazamiseka kakhulu kwi kwegazi, yaye ngoko yonke eziphilayo.

Aortic valve replacement ngoku kakhulu kunokwenzeka. Eli nqaku liza kukhangela ubungqina kulo, akukho ikhutshwa phandle umsebenzi yaye ziziphi iziphumo zawo.

Izinto ezibangela le ngxaki kumsebenzi ivalve

Le valve ibekwe phakathi ventricle yasekhohlo kunye aorta, nto leyo iza kwenza lonke igazi nomoya emzimbeni. Ngexesha lenkqubo kuzaliswa igazi imisipha kwentliziyo, le umba kufuneka zivalwe. Xa ventricle lifinyele, kuvula kwaye ivumela igazi ukuya aorta.

Ukufakwa kwe aortic yentliziyo nokufakelwa kuyimfuneko ukuba ayikwazi ukusebenza kakuhle, nto leyo kwegazi. Ngamanye amaxesha ivelufa ukukhubazeka aortic lwenzeka kwasekuzalweni - ozalwe. Kodwa ke kukho iimeko apho iminyaka emininzi wasebenza nje eqhelekileyo, kwaye uqalisa aliyi kuvulwa ngokupheleleyo kwaye ivaliwe, uze uthethe ngezifo ezifunyenwe ka vana aortic. Oku kwenzeka ngenxa yokonakala kunye ubudala, oko kukhokelele ekwandeni ikhalsiyam phezu ivalve, yaye ophula umsebenzi wakhe.

Ngu waphula yokusebenza vana kunokubangela ezinye izifo, zibandakanya:

• Iingxaki emva ukugula, ezifana usuleleko throat kungenzeka kakuhle nefuthe elibi ukusebenza vana.
• Endocarditis, xa usuleleko ichaphazela intliziyo bevala, zayo.
• kwemithambo Aortic.
• Ukopha eludongeni aortic.
• Aortic valve stenosis, apho kunzima kangangokuba phantsi koxinzelelo yegazi lingenako ukuyivula ngokupheleleyo.
• Yimeko apho vana lingenako ukuvala ngokupheleleyo emva kokuba ejection igazi, yaye eminye yayo ubuyela ventricle.

Zonke ezi zifo neemeko kungakhokelela ekubeni into eza kufuna utyando endaweni vana aortic.

Iimpawu yokusebenza ye valve replacement

Olu hlobo lotyando zithathwa ukuba kuba nzima kakhulu. Ukuqhuba utyando open-intliziyo akakwazi yonke gqirha. Ukuze aphumeze ungenelelo olo kufuneka izixhobo zale mihla kunye noogqirha abafanelekayo kakhulu.

Okwangoku, akukho iikliniki ngokwaneleyo kweli lizwe, nezixhotyiswe ngeteknoloji entsha, ngoko akukho ndlela ukunceda bonke abo basweleyo ngendlela ngexesha kwimisebenzi enjalo. Ukufakwa ivalve aortic bentliziyo - kungenxa abaninzi ithuba kuphela ukusindisa ubomi, kodwa, ngelishwa, asingabo bonke belindele ithuba labo.

Kodwa kukho amaziko cardiological amazwe Abaxhobele ukwamkela izigulane zangaphandle uze ubanike ngoncedo olufunekayo, ngaloo ndlela yokusindisa ubomi.

kwemithambo imihlobo

Nkqu amathuba bezenzululwazi kunye nobugcisa nangoku akunakwenzeka ukwakha caba ogqibeleleyo. Abo zezinto ezisetyenziswa ngoku, kukho pluses kunye minuses. Ukuze endaweni oogqirha basebenzisa iintlobo ezininzi zitho:

• valve Mechanical. Yenza aluminiyamu zabo usebenzo amandla aphezulu. Plus umsebenzi wabo, libhange zabo, kodwa uza kuba ubomi ukuthatha anticoagulants ukuthintela egazi.
• valve zokufakelwa eziphilayo ezenziwe kwizilwanyana. Emva kofakelo abafumana ithinasi zabo igazi kungekho mfuneko, kodwa ke umsebenzi yesibini iyafuneka kuphela umjikelo afakelweyo leminyaka 10-15 kuphela, kanye.
• kwemithambo kubalizi efunyenwe kumntu ongasekhoyo. valve ezinjalo kwakhona akakwazi kuhlala ngonaphakade.

Xa kufuneka aortic valve replacement, ukhetho kweentlobo kuxhomekeke kwizinto ezininzi:

• Ubudala beqela kwizigulane.
• nesimo sempilo.
• Ngenxa yesizathu esithile, isivingco replacement.
• Ubukho ezinye izifo ezingapheliyo.
• Ukuba ngaba isigulane unalo ithuba lokuba athathe anticoagulants ubomi.

Xa uhlobo vana bakhethwa ukuba babe umsebenzi oluntsonkothileyo nokutshintshwa yakhe.

Types of zotyando

Kude kube kamva nje, utyando endaweni ivalve aortic entliziyweni akudingi ukuyeka lo izihlunu zentliziyo kukwavulwa nesifuba. Oku njalo-ebizwa ngokuba utyando evulekileyo. Ngexesha kotyando, ubomi yomguli egcinwa yi a umatshini intliziyo-lung.

Kodwa ngoku kwezinye iikliniki buyisela vana aortic ngaphandle kokuvula i esifubeni. Olu tyando kancinane yeli lizwe, apho ukusilela intliziyo asifuneki, kwakunye ukusikwa kakhulu.

Kakade ke, kufuneka wathi Ukubanjwa kweenkqubo ezinjalo zotyando zifuna ugqirha lwezakhono lokwenene. Umzekelo, ikliniki Israeli idume oogqirha yayo intliziyo, ngoko izigulane ezininzi, ukuba mvume izibonelelo, yiya ilizwe ukwenza umsebenzi onjalo.

Ukulungiselela utyando

Aortic valve replacement ifuna ukulungiswa ngononophelo isigulane. Emva kokuya ugqirha ukuba isigulane emiselweyo inani lezifundo:

• Inyathelo lokuqala kukuhlola kugqirha wakho.
• Iya kuba iimvavanyo zegazi.
• It benza echocardiogram, apho kubonakala intshukumo intliziyo bevala, zayo.
• Benza electrocardiogram, ukuba ukulandelela izinga intliziyo yakho.
• Yenza catheterization wentliziyo - kukwaziswa kwe ityhubhu ezingcakacileyo apho i-arhente umehluko lesitofu, kwaye ngoko ke umfanekiso sithathwa, nto leyo eya kuqinisekisa ubukho iingxaki kunye nokusebenza ivalve aortic.

Kwiintsuku ezimbalwa ngaphambi kotyando, isigulane kufuneka baqaphele ezi zikhokelo zilandelayo:

• Ukuba ziyeke ukuthatha amachiza-ukudumba kunye aspirin.
• Musa ukuthatha anticoagulants.
• Ngosuku phambi utyando kwi ekutyeni kuphela ukutya ukukhanya kufuneka sibe yinxalenye.
• Ngosuku kotyando akakwazi ukutya maxa onke.
• Clothing kufuneka ilungiswe njani agcine intshukumo.

Kuphela emva kokuba onke amalungiselelo ayimfuneko ukwenzela ukusebenza, ugqirha uya kumisela ixesha kotyando, yaye iya kwenziwa aortic valve replacement.

Lomsebenzi

Xa isigulane phezu kwetafile yokusebenza, yena unikwa kumzimba jikelele, awe ubuthongo. Ukuba umsebenzi lwenziwa emva kokuvulwa esifubeni, ngoko phakathi ugqirha yenza imbobo kunyusa ityesi ukwenzela ukuba sikwazi ukukhupa intliziyo.

Funa zokuma, kwaba lula ukuphumeza lo replacement, ngoko isigulane oludityaniswe umatshini intliziyo-lung. Ugqirha yenza imbobo kwi aorta, susa ivalve ezindala okanye ezonakeleyo azise isethi entsha. Emva kwale aorta nto sutured, iqalisa intliziyo kwezihlunu, esifubeni kunye enxulumene sutured.

Emva kotyando endaweni ivalve aortic

Xa umsebenzi igqityiwe, isigulane sithunyelwa kwi Chamber of unyango olunzulu. Apha liyasuswa zomzimba, iliso imisebenzi ebalulekileyo:

• izinga intliziyo Wazimisela.
• ukuphefumla esweni kunye noxinzelelo lwegazi.
• Kuhlolwe umxholo ioksijini egazini.
• Emlonyeni, yaye kulula ukufaka ityhubhu ukunika umoya olongezelelweyo.
• Siyavumelana ngokuchitha ulwelo emvula isifuba.
• Le isigulane ubeke catheter kwi esinyini some ukuchama.
• Ngaba ezilawulwa ngqo emthanjeni ntlungu, ulwelo kunye electrolytes.

Emva aortic valve replacement isigulane ngokuqhelekileyo echitha iintsuku 5-7 esibhedlele, ukuba akukho zingxaki.

Neengxaki ngethuba utyando

ungenelelo lwentsebenziswano entliziyweni - kuba usoloko unomngcipheko enkulu. Xa ilalela okucwangcisiweyo vana aortic, ezinobuzaza ukuze ziquka:

• Of usulelo.
• ukopha kunokwenzeka ngexesha utyando.
• Imbonakalo egazi, ukufa kwamalungu omzimba, okanye xa kukho ingxaki kunye nezintso.
• Iingxaki zomzimba.

Kukho izinto ezandisa umngcipheko neengxaki ngethuba utyando:

• Ubukho nesifo sentliziyo.
• isifo semiphunga.
• Kwegazi.
• Diabetes osegazini.
• Ukutyeba.
• Ukutshaya.
• Ubukho zokugula emzimbeni.

iingxaki Postoperative

Ukuba ufuna nayiphi na ugqirha kubalulekile nje kuphela kwinkqubo ukusebenza kunye nomphumela wayo; kodwa ixesha ekuphulukenwe nalo, enokuthi sikhatshwe iingxaki ezinkulu:

1. Imithana amabala kwithishyu. Kukho iimeko apho emva kotyando umguli kwisiza ivelufa lokutshintshwa ikhula ngokukhawuleza ezinezikhondo amabala kwithishyu. Le nkqubo ayikho kuxhomekeke iintlobo nokufakelwa kunokukhokelela thrombosis. Kodwa iindlela zale mihla zotyando, le ingxaki kunqabile.
2. Ukopha izigulane abafumana anticoagulants. Kwaye oko kunokuthi kwenzeke nje kuphela kummandla ka vana, kodwa naphi na emzimbeni, ezifana esiswini.
3. Thromboembolism. Kunokuba ingqalelo izinto ezilandelayo:

• Ogulayo uphelelwa ngumphefumlo.
• Ukudideka.
• Lost emehlweni kunye nokuva.
• Imilenze ubuthathaka emzimbeni.
• Nesiyezi.

4. Usulelo anikezelweyo vana. Nditsho ivalve okungenazintsholongwane, kanye ngaphakathi, kusenokubakho kusuleleko. Kungenxa yoko le nto, xa ngequbuliso ubushushu umzimba liphuma, kukho iingxaki zokuphefumla, kuyimfuneko ukuba ngokungxamisekileyo ukwazisa ugqirha ukuba ukuhlalutya ukuphelisa usulelo vana.

5. igazi Hemolytic. Ukuba kukho umonakalo inani elikhulu erythrocytes ngexesha zoqhagamshelwano kunye nezinto vana. Kukho ubuthathaka eyomeleleyo, ukudinwa loo nto angalandeli abanye.

Njengoko umthetho, phambi nesifo sentliziyo isiguli iqela yokukhubazeka elithile. Konke oku kumiselwa yikomishoni ezikhethekileyo oogqirha. Ukuba indawo ye vana aortic, yobulwelwe isuswe ukuba ibhunga kumagqirha ukholelwa ukuba iinzuzo okunempilo ekhethekileyo evela kurhulumente ongazifuniyo. Kwezinye iimeko, shiya 3 iqela.

Ithuba postoperative

Kuba iintsuku eziliqela isigulana emva kotyando ukuze inaliti vana replacement amayeza eentlungu kuphele iintlungu. Kodwa emva komzuzwana kokuchithwa zabo. Ukongeza, isiguli udibana ezi ngxaki zilandelayo:

• ingxenye nokudumba.
• Intlungu kule ndawo liqatywe.
• Inkqubo kwiintetho ezikralayo, kuloo ndawo apho liqatywe senziwa.
• Isicaphucaphu.
• Ukujoyina usulelo.

Ukuba zonke ezi mpawu kuqhubeka ixesha elide kakhulu, kufuneka uxelele ugqirha wakho. endaweni ivelufa utyando aortic (iirivyu isigulane ukuthetha ngayo) kuzisa ukuphuculwa ubonakala isibini iiveki. utshintsho ebonakalayo HIV kwenzeka kwiinyanga ezimbalwa.

Emva kotyando, oogqirha bacebisa ukuba kubekho ulawulo lomsebenzi kunye lokuphumla ngokungqongqo imvukelo umthwalo emzimbeni.

Best zonke, ukuba sokubuyisa ixesha ekuphulukenwe nalo isiguli ngeke ekhaya kumaziko, okufana ne kwisibhedlele okanye zentliziyo Centre noLonwabo.

Apho, phantsi kweliso oogqirha kubuyiselwa emzimbeni, ngalinye ekhethiweyo inkqubo ngamnye. Rehabilitation ingathatha ubude eyahlukileyo ixesha. Konke kuxhomekeke kwimeko yomguli, ukuntsonkotha ukusebenza kunye nobuchule okungenisa ephilayo.

Nakanjani ugqirha kwisigulana emva iziyobisi utyando emiselweyo. Ukuthatha ukuba kufuneka ukuphumeza ngokungqongqo lo scheme kwaye urhoxisele yabo yethu.

Ukuba ufuna iintlobo unyango ngokwasemzimbeni, ungenelelo lonyango, ngoko qiniseka ukuba uyazi kuluncedo vana yokufakelwa aortic.

Ukuba kukho ezinxulumene nesifo sentliziyo, ngoko vana lwabo replacement Ayilochiza, ngoko kuyimfuneko ukuba utyelele i cardiologist nokuzalisekisa unyango olufanelekileyo.

therapy Rehabilitation ekhaya

Ukuba isigulana ayikho indlela ukuya ukuchacha utyando kwindawo kwisibhedlele, kuyimfuneko ukuba zilandele ngqo zonke iingcebiso ugqirha ekhaya.

1. Ukuba isivingco ngomatshini, kufuneka ibe inyanzelekile ukuba anticoagulants, kwaye ukwenza oko kuya babe nobomi.
2. Ukuba kufuneka ungenelelo yamazinyo okanye ezinye iinkqubo zotyando, qiniseka ukuba uthathe phambi kwabo antibiotics ukuthintela ukudumba kwingingqi vana.
3. Ukuba kuyimfuneko ukulawula imali eseleyo fluid emzimbeni.
4. Ukuze wenze umthambo ezizodwa izindululo ugqirha ukunceda ukubuyisela umsebenzi sokuphefumla.
5. Ukuqhuba uthintelo hardware yinyumoniya.

ukuthotyelwa kuphela zonke iingcebiso ugqirha uza kwenza ubomi emva aortic valve replacement oluqhelekileyo nobanelisayo.

Ukutshintsha iindlela zokuphila

Nayiphi ukuhlinza imisipha intliziyo ifuna nokuhlaziywa angundoqo indlela yobomi. Aortic valve replacement (reviews ukuqinisekisa kuphela oku) - Akukho ngaphandle. Izigulana kufuneka emva kotyando:

1. Ukuphungula ubomi bakhe bonke imikhwa emibi, ngaphandle kokuba, kakade, indlela ubomi. Ukutshaya, ukusebenzisa utywala, kunye nokusetyenziswa izixa ezikhulu caffeine ayi hambelani kwivelufa ngumntu, yaye okunene abanala makhwiniba zentliziyo.
2. Uya kusuka otya ngayo phantse ukuphelisa ukutya okunamafutha.
3. Ukunciphisa ukusebenzisa ityuwa ngosuku ayikho ngaphezu kwe-6 grams.
4. Ukutya kufuneka kube elungeleleneyo yaye zibandakanya iziqhamo nemifuno.
5. Sela amanzi ngokwaneleyo ecocekileyo, kodwa akukho igesi.
6. Fundisa ngcembe umthwalo, nto leyo eya kunceda ukomeleza izihlunu intliziyo.
7. Yonke imihla, nantoni na imozulu hamba-hamba apha ngumoya.
8. Ukuphungula ezimpilweni zabo ukucima kombane ngokwasengqondweni iimvakalelo, uxinezeleko.
9. Yiba kunye neshedyuli logqirha imini yaye unamathele kuso.
10. Yitya mzimba ukugcina balance bezimbiwa.

Ukuba ukujonga ncomo ezigulane owayefumene utyando ukuze valve replacement, siyakwazi ukubona ukuba inxalenye enkulu wakwazi ukubuyela ukuphila ubomi obuqhelekileyo. Zazingekho ezi mpawu ezibi akazange phumzani umsebenzi intliziyo yesiqhelo.

Aortic valve replacement (reviews ukuqinisekisa oku) asinto umqobo ukuba ukukhulelwa elizayo. abafazi abaninzi abaphethwe isifo sentliziyo, yaye wayethembe ukuba mummies, yaye lo msebenzi ubanika elo thuba.

Kulo meko, into engundoqo - kukufumana yingcali abanobuchule, ngoko unokuqiniseka ukuba umphumo ube mhle ngayo lo msebenzi. inzululwazi Modern namayeza kwenza kube lula ukuba abeke ubomi bakhe emnqamlezweni, nokuba xa kukho ukungaqheleki kakhulu entliziyweni, ngoko musa ukunikezela. Omnye kufuneka ithemba ilungileyo, kunye ummangaliso kwathi - Intliziyo yakho iya kusebenza ixesha elide ngokuthembekileyo. Thatha nokuzikhathalela wena uze uhlale usempilweni.