I-Transcatheter Aortic Valve Replacement (TAVR) - Izinkomba Nezinzuzo

I-TAVR (I-Transcatheter Aortic Valve Replacement) noma I-Transcatheter Aortic Valve Implantation (TAVI) iwukwelashwa kokuhlinzwa okungavamisile okuncane okubandakanya ukushintshwa kwevalve ye-aortic eshubile futhi esebenza kancane emithanjeni yegazi yenhliziyo.

Inqubo yenziwa ukunciphisa izimpawu ezigulini ezihlushwa i-aortic valve stenosis. Iwuhlobo lwesifo se-valve yenhliziyo lapho ivalvu ephakathi kwegumbi lenhliziyo eliphansi kwesokunxele kanye ne-aorta iba mncane kakhulu ngenxa yokwakheka kwe-calcium.

I-TAVR ingase ingabi inketho yawo wonke umuntu. Ezinye iziguli zingadinga ukuhlinzwa kwenhliziyo evulekile ukwelapha i-aortic valve stenosis. Kodwa-ke, ezinye iziguli zingase zibe sengozini yezinkinga zokuhlinzwa kwenhliziyo evulekile, ngakho-ke i-TAVR ingaba inketho engcono kuzo. Isinqumo sokwelapha i-aorta valve stenosis ngokuhlinza i-aorta valve esikhundleni (ukuhlinzwa kwenhliziyo evulekile) noma i-TAVR sithathwa odokotela ngemva kokuhlola okuphelele kwesimo sesiguli. 

Izinkomba Zokushintshwa Kwevalve ye-Transcatheter Aortic (TAVR).

Njengoba kushiwo ngaphambili, i-TAVR ayiboniswa kuzo zonke iziguli. Inqubo yenziwa odokotela kuphela ngemva kokuhlolwa okuphelele nokuhlaziywa kwezici zobungozi. Nazi izinkomba ezimbalwa ze-TAVR:

• Iziguli ezine-aortic stenosis enzima futhi ezisengozini enkulu yokushintshwa kweValve ye-Aortic (SAVR) noma ukuhlinzwa kwenhliziyo evulekile.
• Iziguli ezine-aortic stenosis eqinile enesikhathi sokuphila esingaphansi konyaka. Kwenziwa ukuze kuthuthukiswe izinga lempilo yabo futhi kwandise isikhathi sabo sokuphila ngemva kokucutshungulwa ngokucophelela ukugula kwabo yiqembu lenhliziyo lemikhakha eminingi.
• Iziguli ezine-symptomatic aortic stenosis okungenzeka zifanelekele ukuhlinzwa kodwa kuzo i-TAVR ethandwa ithimba lenhliziyo njengendlela yokuhlinzwa ehlukile enengqondo ngenxa yendlela yayo ehlasela kancane. 

Inqubo izokwenziwa kuphela esibhedlela esinomnyango wokuhlinza inhliziyo esizeni esinethimba lenhliziyo elihlukahlukene elitholakalayo. 

Izinzuzo Zokushintshwa Kwevalve ye-Transcatheter Aortic (TAVR).

I-TAVR ukuhlinzwa okungavamisile kancane futhi izinzuzo zako zifaka:

Ukuhlinzwa kwenhliziyo okuvulekile okungaphansi kwe-SAVR:

Ukuhlinza okuncane kakhulu kuvame ukuthandwa ezimweni eziningi njengoba kubangela ukuhlukumezeka okuncane emzimbeni wesiguli. Ukuhlinzwa kwenhliziyo evulekile kudinga udokotela ohlinzayo wenhliziyo ukuthi asike amaintshi ayishumi ubude kulo lonke udonga lwesifuba. Ngokuphambene, inqubo ye-TAVR ihlanganisa i-catheter ende okufanele iqondiswe emithanjeni ngokusebenzisa izimbobo ezimbanjeni noma eduze kwe-groin.

I-Scar Encane uma iqhathaniswa ne-Surgical Aortic Valve Replacement (SAVR) noma ukuhlinzwa kwenhliziyo okuvulekile:

Njengoba kushiwo ngaphambili, i-TAVR ibangela ukuhlukumezeka okuncane emisipha. Njengoba i-catheter ifakwe emzimbeni, kuphela ukusika okuncane kakhulu okwenziwe uma kuqhathaniswa nokusikwa okude okungama-intshi angu-10 uma kwenzeka ukuhlinzwa kwenhliziyo evulekile. Lokhu kubangela isibazi esincane ngemva kokuhlinzwa futhi kwenza ukuphefumula kukhululeke kakhudlwana ngemva kwenqubo uma kuqhathaniswa nokuhlinzwa kwenhliziyo evulekile.

Isikhathi Sokuthola Ngokushesha:

Ukunciphisa ukuhlukumezeka kwemisipha, isikhathi sokululama sishesha. Iziguli futhi zizwa ubuhlungu obuncane ngemva kwenqubo uma kuqhathaniswa ne-SAVR ngenxa yokusikeka okuncane. Lokhu kusho ukuthi abayidingi imithi yezinhlungu isikhathi eside futhi bangalulama ngokushesha futhi baqale futhi imisebenzi yansuku zonke kusenesikhathi uma kuqhathaniswa ne-SAVR.

Izindawo zokuhlala ezifushane zesibhedlela:

Ukululama ngokushesha kusho ukuhlala isikhashana esibhedlela. Lokhu kuyinzuzo enkulu ezigulini eziningi, njengoba ukuhlala isikhathi eside esibhedlela kungabakhandla futhi kukhungathekise abantu nabathandekayo babo.

Ingozi Ephansi Yezinkinga:

Nakuba i-TAVR ingeyona inqubo engenabungozi ngokuphelele, inengozi ephansi yokopha kanye nokutheleleka uma iqhathaniswa ne-SAVR. Ngaphezu kwalokho, i-TAVR ayidingi ukuba inhliziyo yesiguli imiswe futhi ifakwe emshinini we-cardiopulmonary bypass ngesikhathi sokuhlinzwa okungaba yingozi.

Thuthukisa Ikhwalithi Yempilo:

I-TAVR ingasiza iziguli ezine-aortic stenosis ukuthi zinwebe iminyaka yazo yokuphila futhi zithuthukise izinga lempilo yazo ngaphandle kokuhlinzwa kwenhliziyo evulekile.

Nakuba i-TAVR ithathwa njengenketho ephephile kunokuhlinzwa kwenhliziyo evulekile, ithwala izingozi, futhi akuwona wonke umuntu ongaba ikhandidethi le-TAVR.

Ngakho-ke, ithimba lenhliziyo lezinhlaka eziningi lihlola ngokucophelela abantu ngabanye ngaphambi kokuncoma i-TAVR njengokwelashwa kwe-aortic stenosis enzima neyizimpawu. Kufanele njalo uthintane ne odokotela abahlinza inhliziyo abaphezulu futhi uvakashele isibhedlela senhliziyo esingcono kakhulu