Imali yokuthengisa ye TAVR

Inhliziyo inamavalvu amane, futhi igazi ligeleza kulelo nalelo ngokulandelana. Esokugcina yilesi i-valve ye-aortic, lapho inhliziyo iphampa igazi liphumele kuwo wonke umzimba. Uma i-valve ye-aorta noma indawo ezungezile incipha, umuntu angase adinge ukwenza i-TAVR ngaphandle kokuhlinzwa okukhulu. Ukuncipha kwenzeka ikakhulukazi ngenxa yokwakheka kwe-calcium ku-valve noma ukuguga okuhlobene nobudala. Futhi, kungenzeka ngenxa yezinye izimo zezempilo. Inqubo isiphenduke indlela evamile yokuhlinza yokushintsha i-valve ye-aortic. Nokho, kubalulekile ukuqonda izindleko ezihilelekile ekuhlinzeni.

Iyini i-TAVR (I-Transcatheter Aortic Valve Replacement)? 

I-TAVR kuyinqubo ehlasela kancane ehilela ukufaka esikhundleni se-valve ye-aortic enhliziyweni kusuka ngaphakathi emzimbeni. Ngakho, isidingo sokuhlinzwa kwenhliziyo evulekile siyasuswa. I Inqubo ye-TAVR kuyindlela evame kakhulu futhi ephephe kunazo zonke yokushintsha i-valve ye-aortic. Futhi, ingenye yezinqubo zenhliziyo eziphephe kakhulu.

Ziyini Izindleko ze-TAVR eNdiya?

Izindleko ze-Transcatheter Aortic Valve Replacement (TAVR) zincike ezintweni ezimbalwa. Lezi zici zinganyusa kakhulu noma zehlise izindleko ze-TAVR, ikakhulukazi kuye ngendawo. E-Hyderabad, izindleko ze-TAVR zisebangeni lama-INR Rs. 3,00,000/- - Rs. 5,00,000/-.

Nalu uhlu lwedolobha elinezindleko ezimaphakathi zokuhlinzwa kwe-TAVR:

Yiziphi izici ezithinta Izindleko ze-TAVR?

Ngezansi uhlu lwezinto ezithinta izindleko ze-TAVR:

• Isibhedlela:

Uhlobo lwesibhedlela lungathinta izindleko zokuhlinzwa.

• Umuzwa Kadokotela:

Ulwazi lukadokotela kanye nesizinda semfundo nakho kuthinta izindleko ze-TAVR. Udokotela onolwazi olunzulu uyohlale ekhokhisa imali encane ngezindleko zokubonisana.

• Ukuxilongwa: 

Ngaphambi kokuhlinzwa, udokotela uzo-oda ukuhlolwa kwegazi okuthile, ama-X-ray, i-MRI, i-EKG, njll., ukuze ahlole ubucayi besimo. Uma ukuhlolwa kuyanda, izindleko zizoba phezulu. Futhi, ukuhlolwa okufana ne-MRI ne-EKG kuzobiza ngaphezu kwama-X-ray. Futhi, ubunzima besimo buzonquma izindleko zokuhlinzwa. 

• Izindleko zokulaliswa esibhedlela:

Umuntu uzokhokha ezinye izindleko zokungena. Ngokuhambisana nalokho, ezinye izindleko zokulaliswa esibhedlela zizobandakanyeka, njengerenti yegumbi, izindleko zabahlengikazi, izindleko ze-OT, izindleko zokubulala izinzwa, njll. 

• Izindleko Zomuthi:

Ngemva kokuhlinzwa, odokotela bazonikeza imithi ethile ukuze ibe ngcono ngokushesha. Ukululama kuzoncika ekutheni umuntu oyedwa uyinakekela kahle kangakanani impilo. Imithi yezimo zenhliziyo iyabiza futhi ingase yenyuse izindleko zizonke.

• Izindleko Ngemva Kokuhlinzwa:

Izindleko zangemuva kokuhlinzwa zazihlanganisa izindleko zokulandelela zodokotela kanye nezindleko zokugqoka. Umuntu kufanele avakashele udokotela ngisho nangemva kokuhlinzwa ukuze aqinisekise ukuthi azikho izinkinga endaweni yokusikwa. 

Yiziphi Izinyathelo Ezifakiwe ku-TAVR?

Ngaphambi kokuhlinzwa, umuntu uzonikezwa i-anesthesia ejwayelekile noma i-sedative emnene. Ngesikhathi sokuhlinzwa, udokotela uzokwenza imbobo encane kunoma iyiphi yezindlela ezisetshenziswa kakhulu zokufinyelela - igroin, intamo, noma isikhala phakathi kwezimbambo. Khona-ke, ithubhu elincanyana, eliguquguqukayo lizoqondiswa emthonjeni wegazi kanye ne-valve egulayo. Udokotela uzobuka yonke inqubo kukhompuyutha. Khona-ke, i-valve yokwenziwa izofakwa esikhundleni se-valve yesifo. Uma isibekiwe, udokotela uzokhipha ithubhu futhi avale ukusikwa nge-suture. 

Yiziphi Izinzuzo ze-TAVR?

I-TAVR ithathwa njengenqubo yenhliziyo ephephe kunazo zonke. Ezinye zezinzuzo ze-TAVR zimi kanje:

• Inketho engcono kakhulu yabantu abanengozi enkulu yokuhlinzwa kwenhliziyo.
• Ithuthukisa impilo kanye nekhwalithi yokuphila. 
• Ihlasela kancane, edinga ukusika okuncane
• Idinga ukuhlala esibhedlela isikhathi esifushane
• Inesikhathi sokululama esisheshayo

Ukuhlinzwa kwe-TAVR ukuhlinzwa okungavamisile okuncane okwenziwa ngaphansi kwe-anesthesia jikelele. Nokho, izindleko zokuhlinzwa ziyahlukahluka kuye ngokuthi isibhedlela sinjani njengoba kuhilela izici eziningana, njengoba kushiwo ngenhla.

CARE Izibhedlela ikunikeza ukwelashwa okungcono kakhulu ngenqwaba yodokotela abangochwepheshe abazonakekela isimo sakho ngokucophelela okukhulu. Xhumana nathi futhi nixoxisane uma ungumuntu olungele le nqubo yokuhlinzwa nochwepheshe bethu benhliziyo.

Disclaimer

Imininingwane yezindleko nezilinganiso ezinikezwe kule webhusayithi ezezinjongo zokwaziswa kuphela futhi zisekelwe ezimweni ezimaphakathi. Azihlanganisi isilinganiso esinqunyiwe noma isiqinisekiso sezindleko zokugcina.

Izibhedlela ze-CARE azimeli noma azikukhuthazi ukuqiniseka kwalezi zibalo zezindleko. Izindleko zakho zangempela zizohluka ngokuya ngohlobo lokwelashwa, izinsiza ezikhethiwe noma izinsizakalo, indawo yesibhedlela, impilo yesiguli, ukuhlinzekwa komshwalense, kanye nezidingo zezokwelapha ezinqunywe udokotela wakho. Ukusebenzisa kwakho okuqukethwe kwale webhusayithi kusho ukuthi uyakwamukela futhi wamukele lokhu kuhlukahluka nokuthi noma yikuphi ukuthembela ezindlekweni ezilinganiselwe kuzifaka engozini ngokwakho. Ukuze uthole ulwazi lwezindleko lwamanje kakhulu nolwenzelwe wena siqu, sicela usithinte ngokuqondile noma usishayele.

Imibuzo Evame Ukubuzwa

1. Iyini izindleko ezimaphakathi zokuhlinzwa kwe-TAVR eNdiya?

Izindleko zokuhlinzwa kwe-Transcatheter Aortic Valve Replacement (TAVR) e-India zingahluka ngokusekelwe ezicini ezifana nesibhedlela, indawo, uhlobo oluthile lwenqubo ye-TAVR, nokukhetha kwe-valve esetshenzisiwe. Ngokwesilinganiso, izindleko zingasukela ku-INR 15 lakhs kuye ku-25 lakhs noma ngaphezulu. Kubalulekile ukuthintana nabahlinzeki bezempilo ukuze uthole amanani anembile futhi asesikhathini samanje.

2. Uyini umkhawulo weminyaka ye-TAVR?

I-TAVR ivamise ukunconywa ezigulini esezikhulile ezisengozini enkulu yokuhlinzwa kwenhliziyo okuvulekile okungokwesiko. Nakuba ungekho umkhawulo weminyaka eqinile, i-TAVR ivame ukucatshangelwa ezigulini ezineminyaka engama-70 nangaphezulu. Nokho, isinqumo sisekelwe empilweni yomuntu iyonke, umlando wezokwelapha, kanye nokuqina kwe-aortic valve stenosis.

3. Ubani ongafanelekile ukuthi ahlinzwe nge-TAVR?

I-TAVR ingase ingafaneli wonke umuntu, futhi indlela yokufaneleka ingase ihluke. Iziguli ezinezinkinga ezithile ze-anatomical, i-aorta regurgitation eqinile, noma lezo ezingahlinzwa okuvamile ngaphandle kobungozi obukhulu zingase zingabi abantu abafanelekile be-TAVR. Ukuhlolwa okuphelele nguchwepheshe wenhliziyo kubalulekile ukuze kunqunywe ukufaneleka.

4. Hlobo luni lukadokotela ohlinzayo owenza i-TAVR?

I-TAVR ngokuvamile yenziwa udokotela wenhliziyo ongenele noma udokotela ohlinza inhliziyo ochwepheshe bezinqubo ezihlasela kancane. Le nqubo ihilela ukuxhuma i-catheter emithanjeni yegazi iye enhliziyweni, okuyenza ingahlaseli kakhulu kunokuhlinzwa okuvamile kwenhliziyo. Ithimba lezinhlaka eziningi, okuhlanganisa odokotela benhliziyo nodokotela abahlinza inhliziyo, lingase lihlanganyele ukuze linikeze ukunakekelwa okuphelele.

5. Kungani Khetha Izibhedlela Ze-CARE Ukuze Uhlinzwe Nge-TAVR?

Izibhedlela ze-CARE yaziwa ngobungcweti bazo ekunakekelweni kwenhliziyo, okuhlanganisa nezinqubo ze-TAVR. Izici eziningana zenza izibhedlela ze-CARE zibe yisinqumo esikhethwayo, njengeqembu lodokotela abahlinzayo benhliziyo abanamakhono kanye nodokotela benhliziyo abangenelelayo, ingqalasizinda ethuthukisiwe, nokuzibophezela enhlalakahleni yesiguli.