Udokotela uyincoma nini i-TAVR?

Uma uneminye yale mibandela elandelayo, udokotela angase acabangele i-TAVR; I-aortic stenosis enezimpawu ezinzima nezimpawu. I-valve ye-aortic yezicubu zebhayoloji engasebenzi kahle. Esinye isimo sezempilo esenza ukuhlinzwa esikhundleni se-valve yenhliziyo evulekile kube yingozi kakhulu, njengesifo samaphaphu noma sezinso.

Yiziphi izingozi ezihilelekile ku-TAVR?

Konke ukuhlinzwa nezinqubo zezokwelapha zinezinga elithile lobungozi. Okulandelayo ezinye zezingozi ezingase zibe khona zokushintsha i-transcatheter aortic valve replacement (TAVR) Ukopha Izinkinga zemithambo yegazi Izinkinga ngokushintshwa kwevalvu I-Stroke Kidney Disease

Yini okudingeka uyiphathe ngesikhathi senqubo?

Ithimba lezokwelapha ezibhedlela ze-CARE lingase likweluleke ukuba ulethe izinto ezilandelayo ngaphambi kwenqubo: Uhlu lwayo yonke imithi yakho, kuhlanganise naleyo ethengwe ngaphandle kwencwadi kadokotela Amazinyo okufakelwa, izinsiza-kuzwa, noma izibuko Amabhulashi, amakamu, izixubho, namathuluzi okushefa kuyizibonelo zezimpahla zokunakekela umuntu. Izingubo ezingalingani futhi ezinethezekile Izidlali zomculo eziphathwayo nezincwadi ziyizibonelo zezinto ezingakusiza ukhululeke.

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Kufanele uzilungiselele kanjani ngaphambi kwenqubo?

I-IV ingase ifakwe engalweni yakho noma esandleni udokotela ochwepheshe benhliziyo, futhi ungase unikezwe umuthi wokulalisa ukuze ukusize uphumule. I-IV ingasetshenziswa futhi ukuhlinzeka ngemithi ye-anticoagulant ukugwema amahlule egazi. Ungase unikezwe nemithi ezokusiza ugweme ukungenwa igciwane. Izinwele zingase zigundwe endaweni yomzimba wakho lapho ukwelashwa kungenziwa khona. Thina ezibhedlela ze-CARE sihlinzeka ngokunakekelwa okukhulu ezigulini.

TAVR/TAVI | Ukwelashwa Kwezibhedlela Zokunakekelwa

TAVR/TAVI

I-Transcatheter Aortic Valve Replacement/ Implantation (TAVR/ TAVI)

I-Transcatheter aortic valve replacement (TAVR), eyaziwa nangokuthi i-transcatheter aortic valve implantation (TAVI) iyinqubo ehlasela kancane yokwelapha i-aortic valve stenosis. Inqubo ihilela ukushintshwa kwevalve ye-aorta ejiyile engakwazi ukuvuleka ngokugcwele (i-aortic valve stenosis) ngevalvu entsha.

I-aorta valve ikhona phakathi kwegumbi lenhliziyo eliphansi kwesokunxele (i-ventricle kwesokunxele) kanye nomthambo omkhulu womzimba (i-aorta) futhi ukugeleza kwegazi kusuka enhliziyweni kuya emzimbeni kuyancipha uma ivalve ingavuleki kahle. I-aortic valve stenosis, eyaziwa nangokuthi i-aortic stenosis, kwenzeka lapho i-valve ye-aorta yenhliziyo ishuba futhi iqina (ibala). Ngenxa yalokho, i-valve ayikwazi ukuvula ngokugcwele, ikhawulela ukugeleza kwegazi emzimbeni. I-aortic valve stenosis ingabangela ubuhlungu besifuba, ukuphefumula, ukuquleka, nokukhathala. I-TAVR ingasiza ukubuyisela ukugeleza kwegazi futhi inciphise izimpawu nezimpawu ze-aortic valve stenosis.

Inqubo ye-transcatheter aortic valve replacement (TAVR) iyindlela yokuhlinzwa yokubuyisela i-aorta yenhliziyo evulekile. Abantu abasengozini yokushintshwa kwevalvu ye-aortic (ukuhlinzwa kwenhliziyo evulekile) bangazuza ku-TAVR. Iziguli ze-TAVR zivame ukuchitha isikhathi esincane esibhedlela kunalezo ezithola ukushintshwa kwevalvu ye-aorta njengoba i-TAVR iyinqubo ehlasela kancane.

Inqubo ye-TAVR

Ivalve ye-aortic engasebenzi ithathelwa indawo eyodwa eyenziwe ngezicubu zenhliziyo yenkomo noma yengulube kule nqubo. Ivalvu yethishu yebhayoloji (ivalve entsha) kwesinye isikhathi ifakwa kuvalvu engasasebenzi.
I-TAVR isebenzisa izimbobo ezimbalwa kanye neshubhu elincanyana, eliguquguqukayo (i-catheter) ukuze ifinyelele inhliziyo, ngokungafani nokushintshwa kwevalvu ye-aorta, edinga ukusika isikhathi eside esifubeni (ukuhlinzwa kwenhliziyo evulekile).
Udokotela ufaka i-catheter emithanjeni yegazi endaweni ye-groyne noma esifubeni futhi awuqondise enhliziyweni ukuze enze i-TAVR. Izithombe ze-X-ray ezihambayo noma izithombe ze-echocardiography zisiza umtholampilo ekubekeni kahle i-catheter.
Ivalvu yokushintsha ehlanganisa inkomo noma izicubu zengulube ifakwa ku-aortic valve kusetshenziswa i-catheter engenalutho. Ukuphoqa i-valve entsha endaweni, ibhaluni ephondweni le-catheter liyakhukhumala. Amanye ama-valve awadingi ukusetshenziswa kwebhaluni ukuze ande.
Uma i-valve entsha isisendaweni ephephile, udokotela ukhipha i-catheter.
Phakathi nenqubo ye-TAVR, izimpawu zakho ezibalulekile, okuhlanganisa umfutho wegazi, ukushaya kwenhliziyo nesigqi, nokuphefumula, zingase ziqashwe eduze ithimba lokwelapha.

Ngemva kwenqubo yakho, ungase unconywe ukuthi uhlale ubusuku egunjini labagula kakhulu (ICU) ukuze uqashwe.
Ubude besikhathi okufanele usichithe esibhedlela ngemva kwe-TAVR sinqunywa izici ezihlukahlukene.
Abanye abantu abane-TAVR bayakwazi ukubuyela ekhaya ngalo lolo suku.
Ithimba lakho lezokwelapha lingase lihlole ukuthi unakekela kanjani noma yikuphi ukusika nokuthi ungazibheka kanjani izimpawu nezimpawu zokutheleleka ngaphambi kokuba uphume esibhedlela.

Imithi enconywa odokotela e-CARE Hospitals imi kanje:

Izidakamizwa ezinciphisa igazi ziyizidakamizwa ezisetshenziswa njengama-anticoagulants. Ukuze uvimbele amahlule egazi, kunconywa umuthi wokunciphisa igazi. Udokotela wakho angase akutshele ukuthi kufanele uwuphuze isikhathi esingakanani lo muthi. Umuntu kufanele abe nemithi ngokwencwadi kadokotela.
Ama-antibiotics- Ukutheleleka kwamagciwane kungenzeka kuma-valve enhliziyo yokwenziwa. Iningi lamagciwane adala izifo zevalvu yenhliziyo aphuma emlonyeni. Ukuhlanza amazinyo okuvamile, kanye nenhlanzeko yomlomo, kungasiza ekugwemeni lezi zifo. Ama-antibiotics avame ukutuswa ngaphambi kokuhlinzwa kwamazinyo.

Izinkinga/ ubungozi obuhambisana ne-TAVR

Kunezingozi eziningi ezihlobene ne-TAVR. Okulandelayo ezinye zezingozi ezingaba khona zokushintshwa kwe-transcatheter aortic valve replacement (TAVR):

ukopha
Izinkinga zemithambo yegazi
Izinkinga ngokushintshwa kwe-valve. Ibizwa ngokuthi i-valve esuka endaweni noma evuzayo.
Stroke
Izinkinga zesigqi senhliziyo (arrhythmias)
Isifo sezinso
pacemaker
Isifo senhliziyo
Ukutheleleka
Ukufa

Kungani Khetha Izibhedlela ze-CARE ze-TAVR

Izibhedlela ze-CARE yisibhedlela sikaNdunankulu saseNdiya Sezimo Zenhliziyo ngenxa yabasebenzi baso bodokotela abahlinzayo abasezingeni lomhlaba, odokotela, abahlengikazi, nabanye ochwepheshe bezempilo. Odokotela bethu baqeqeshwe kahle futhi banolwazi oluningi. Silwela ukunikeza iziguli zethu izinqubo ezihlasela kancane eziholela ezikhathini ezifushane zokululama nokuhlala esibhedlela, kanye nokunakekelwa nokusekelwa kokugcina.

Ukuze uthole imininingwane eyengeziwe ngalezi zindleko zokwelashwa, Chofoza lapha.