Tambaya: Ta Yaya Amfani Da Yarda Da Aortic Valvulotomy Don Aortic Stenosis?
Mahaifiyata tsofaffi yana fama da lalacewa, kuma ba shi da numfashi. Kwararren likitanta yana zaton yana da tsufa kuma mara lafiya ga tiyata, kuma yana bada shawara akan hanyar da ake kira aortic valvulotomy. Me zaka iya fada mani game da wannan hanya?
Amsa: Tsutsarar ƙwayar cuta ta jiki shine yanayin da kwarjin ruwa (kwamin da ke kula da budewa a tsakanin ventricle na hagu da kuma aorta) ya zama mai zurfi tare da adiyo na alli, kuma ba zai iya buɗewa gaba daya ba.
Saboda wannan rikici, ƙwayar zuciya zata yi aiki mai wuyar gaske don zubar da jini daga zuciya, kuma saukin zuciya sau da yawa. Abin sani kawai magani mai mahimmanci don ƙwaƙwalwar ƙwayar cuta shine don taimakawa cikin ɓoye a cikin bawul din, yawanci ta hanyar kwakwalwa ta maye gurbin kwaston mai kwakwalwa. Yayinda maye gurbin kwastar yana da matukar tasiri a zalunta da ƙwayar cuta, yana buƙatar magungunan zuciya mai karfi, kuma yana da matukar damuwa a cikin marasa lafiya.
- Karanta game da cututtukan daji da magani.
Aortic valvulotomy ne mai mahimmanci tsarin kulawa don zalunta ƙwayar cuta. A cikin valvulotomy, an yi amfani da catheter na ballo a fadin furotin na ruwa, kuma an rushe shi a matsin lamba. Yin amfani da balloon yana nufin rarraba wasu daga cikin adiyo a kan bawul din, don haka damar bashi ya bude gaba ɗaya, da kuma sauya wani ɓangare na ƙyama.
A cikin marasa lafiya wadanda ke da nau'i na ƙwayoyin cuta na jiki, valvulotomy yana da kyau mai kyau.
Abin takaici, a cikin tsofaffi da ƙididdigar kwastar ruwa, sakamakon da valvulotomy ba su da kyau. A nan ne abin da UpToDate , na lantarki ne don likitocin da marasa lafiya, ya ce game da valvulotomy a cikin tsofaffi:
"A cikin tarihin tarihi, rikitarwa mai tsanani (cututtuka, gyare-gyare mai kwakwalwa, ƙananan haɗari maras kyau, manyan matsalolin da ake fuskanta) ya faru a kimanin kashi 10 zuwa 20 cikin dari na marasa lafiya.Tsarin sakewa da kuma cututtuka na asibiti ya faru a mafi yawan lokuta a cikin watanni 6 zuwa 12, kuma lokaci mai tsawo ya kasance daidai da tarihin halitta wanda ba a hana shi ba. "
Abin da wannan yake nufi abu biyu ne. Na farko, a cikin tsofaffi, yawan matsaloli mai tsanani daga valvulotomy (musamman bugun jini, ƙwayar zuciya, da kuma tsararraki mai kwakwalwa ) yana da yawa. A gaskiya, har zuwa kashi 20 cikin dari na marasa lafiya sun mutu kafin su bar asibiti. Wannan haɗin ƙimar ya fi girma fiye da yawancin marasa lafiya marasa lafiya wanda ke da sauyawa na sauyawa.
Na biyu, sau da yawa sau da yawa, sau da yawa ba a yi aiki sosai ba, kuma lokaci mai tsawo yana daidai da marasa lafiya marasa karbar magani.
Duk da wadannan sakamakon, ana amfani da valvulotomy wani lokaci. Alal misali, za a iya amfani da valvulotomy a matsayin "gada" don baftin gyaran valve. Wato, ana iya amfani da shi a ƙoƙari don inganta aikin kwakwalwa na dan lokaci don ya ba da damar budewa na zuciya don farawa mafi aminci.
Duk da haka, idan akai la'akari da sakamako mara kyau da aka gani sau da yawa tare da valvulotomy a cikin marasa lafiya tsofaffi, ya kamata ka tabbatar da magana da likitan zuciyar mahaifiyarka game da sauran zaɓuɓɓuka. Bugu da ƙari ga maye gurbin valve, waɗannan zaɓuɓɓuka na iya haɗa da nau'in maganin maganin ƙwaƙwalwar ƙwayar cuta don maganin ƙwayar cuta, wanda ake kira transcotter aortic valve implantation (TAVI) .
Kuna son ƙarin koyo? Dubi UpToDate labarin, "Ciwon Zuciya" don ƙarin bayani mai zurfin bayani na likita.
Sources:
Gaasch WH, Brecker SJD, Aldea GS. Hanyar dajin daji da ƙwayar daji mai kwakwalwa. Na zamani. An shiga: Afrilu, 2012.