Kutsemuka vharafu yokutsiva: pokuvhiyiwa, zvinobvira matambudziko, wongororo

Kubva pomwoyo kunotsamira upenyu hwomunhu. Asi zvinoitika kweropa zvinogona nechokwadi chete kana mwoyo mavharuvhu vari kushanda nemazvo. The mutoro mukuru weveta kutsemuka vharuvhu, izvo, pashure zvirwere yaivapo zvigume ishande zvakanaka. Saka kutanga mwoyo chirwere, iyo inotungamirira kuupenyu zvakakomba vachivavhiringidza riparadzirwe, uye naizvozvo yose muviri.

zvino kutsemuka vharafu yokutsiva ingangodaro. Nyaya ino vachatarira dzimwe uchapupu ichi, pane rinoitwa kuvhiyiwa uye chii vari nemigumisiro yayo.

Zvinokonzera dambudziko iri vharuvhu basa

vharafu ichi riri pakati ventricle rworuboshwe uye yeropa, achazadzisa yose muviri oxygenated ropa. Munguva zvinodiwa rikurumidze ropa pomwoyo, vharafu ichi anofanira kuvharwa. Kana ventricle ipfupi, izvozvo anovhura uye rinobvumira ropa kusvikira yeropa.

Replacement of kutsemuka mwoyo vharuvhu chinodiwa kana hachigoni kushanda zvakanaka, zvichiguma murombo wechiGeorgian. Dzimwe nguva kutsemuka vharuvhu wakarebesa kunoitika kubva pakuberekwa - kuberekwa urema. Asi pane zviitiko apo kwemakore akawanda vakashanda sezvo kuipa, uye anotanga kuti kwete zvakazara nokupfigwa, ipapo kutaura pamusoro akawana zvokurwara ari kutsemuka vharuvhu. Izvi zvinogona kuitika nokuda vapfeke nezera, zvichiguma nokuwedzera calcium pamusoro vharuvhu, uye kuti anoputsa basa rake.

By zvaipesana vharafu kushanda zvingasafadza zvirwere, zvinosanganisira:

• Matambudziko pashure chirwere, akadai strep chirwere kunogona kuva inokanganisa kushanda vharuvhu.
• Endocarditis, kana utachiona kunokanganisa mwoyo wayo mavharuvhu.
• Kutsemuka aneurysm.
• Ropa iri kutsemuka pamadziro.
• Kutsemuka vharafu stenosis, umo zvakaoma kuti kunyange pasi aomerwa ropa haisi kukwanisa kurivhura zvachose.
• A ezvinhu apo vharuvhu haasi kukwanisa kuvhara zvachose mushure ejection ropa, uye dzimwe anodzokera ventricle.

All zvirwere izvi uye zvinhu kungaita kuti chokwadi kuti zvinoda kuvhiyiwa kutsiva kutsemuka vharuvhu.

Zvinoumba nokushanda vharafu yokutsiva

Izvi mhando wokuvhiya vanoonekwa kuti chinonetsa. Muperekedzei Kuvhiya mwoyo asingagoni ose chiremba. Kuti aite kupindira kwakadaro kunodiwa ano michina uye vanachiremba zvikuru vanokwanisa.

Pari, havasi makiriniki zvakakwana munyika, vakagadzirira pamwe noungwaru zvigadzirwa, saka hapana nzira yokubatsira vose avo vanoshayiwa vari nenguva tsika kwacho. Replacement of kutsemuka vharuvhu mwoyo - nokuda zhinji chete mukana kuponesa upenyu, asi zvinosuwisa kwete kumirira zvose nokuda jana ravo.

Asi panewo emwoyo dzimwe nzvimbo vari rakatogadzirira varwere vatorwa uye dzinovapa anodiwa rubatsiro, nokudaro rinoraramisa.

mhando mavharuvhu

Kunyange mikana nesayenzi yemazuva uye ruzivo rwokugadzira ichiri zvisingaiti kusika munhu kurova-rova akakwana. Miti avo kuti anoshandiswa ikozvino, pane pluses uye minuses. Yokutsiva vanachiremba vanovhiya vanoshandisa mhando anoverengeka prostheses:

• Mechanical mavharuvhu. Sikai zvavo panguva dzakakwirira simba alloys. Plus kushanda kwavo zvachose yavo, asi murwere achava kwoupenyu kutora anticoagulants kudzivirira ropa.
• Biological prosthetic mavharuvhu akaita mhuka. Pashure kugadzwa kugamuchira ropa thinners havadikanwi, asi prosthesis lifespan makore 10-15 chete, uye zvino oparesheni yechipiri kunodiwa.
• Anenge apa wacho anoderedzerwa mavharuvhu vakawana kubva Munhu akafa. mavharuvhu yakadaro havagoni nokusingaperi.

Kana zvaida kutsemuka vharafu yokutsiva, pakusarudza kwemarudzi kunoenderana zvinoverengeka on:

• boka Age wevarwere.
• General mamiriro utano.
• Nokuda kwechimwewo chikonzero, mumwe vharafu kutsiviwa.
• Kuvapo kwevamwe chisingaperi zvirwere.
• Kana murwere ane mukana kutora anticoagulants upenyu.

Kamwe rudzi vharuvhu akasarudzwa kuva yakaoma kushanda musi aizovatsiva.

Types Kuvhiya

Kutozosvikira munguva ichangopfuura, kuvhiya kutsiva kutsemuka vharuvhu mumwoyo hazvo zvinoda zvokurega mwoyo tsandanyama uye kuvhura chipfuva. Izvi anonzi rakavhurika kuvhiyiwa. Pakuvhiya, upenyu murwere anodzokororwa pedyo mwoyo-zvemapapu muchina.

Asi ikozvino mune dzimwe makiriniki anogona kutsiva kutsemuka vharuvhu pasina kuzarura pachipfuva. Izvi zvishoma invasive kuvhiyiwa, umo mwoyo kutadza haina zvaida, uyewo cheka guru.

Ichokwadi, zvinofanira kutaurwa kuti kunhaka vakadaro maoparesheni zvinoda chiremba unyanzvi chaihwo. Somuenzaniso, veIsrael kiriniki iri inozivikanwa mwoyo wayo vanachiremba vanovhiya, saka varwere vakawanda, kana zvinhu achitendera, uende kunyika kuita kuvhiyiwa yakadaro.

Preparation kunorapwa

Kutsemuka vharafu yokutsiva zvinoda kunyatsogadzirira murwere. Pashure kuenda kwachiremba kuti murwere ushandiswe nhamba yezvidzidzo:

• Danho rokutanga kuti aongorore chiremba wako.
• Vachava miedzo ropa.
• It vaiita echocardiogram, umo zvinoratidzika kufamba mwoyo wayo mavharuvhu.
• Akaita unonzi, electrocardiograph, kuti chamber mwoyo wako unodiwa.
• Ita cardiac catheterization - ndiko kutanga nhete chubhu kuburikidza iyo musiyano mumiriri iri jekiseni, uye ipapo mufananidzo rakundwa, ndiko kuona kuvapo nezvinetso kushanda kutsemuka vharuvhu.

Mazuva mashoma asati avhiyiwa, murwere vanofanira kuchengeta zvinotevera:

• Kurega kutora Anti-anogumbura zvinodhaka uye asipurini.
• Musatora anticoagulants.
• Zuva risati kuvhiya ari kudya chete zvokudya chiedza chinofanira kuva chikamu.
• Pazuva pakuvhiya haagoni kudya zvachose.
• Clothing anofanira kugadzirira asingadi kuita kufamba.

Chete pashure ose anodiwa achigadzirira oparesheni, chiremba anofanira kuziva nguva wokuvhiya, uye vachaitwa akaita kutsemuka vharafu kutsiviwa.

The oparesheni

Kana murwere ari patafura anodawo, iye anopiwa vakawanda rufimbi, uye iye arara. Kana oparesheni rinoitwa pamwe Panovhurwa mubhokisi, zvino pakati chiremba inoita incision uye achisunda chipfuva kuitira kuti zvaigoneka kuti mwoyo.

Anodei cardiac kusungwa, zvaibvira aite yokutsiva, saka murwere zvakabatana mwoyo-zvemapapu muchina. Chiremba anoita incision mu yeropa, kubvisa Worn kana kukuvaradzwa vharafu uye atsive nezvinoitika zvitsva. Pashure yeropa iyi iri sutured, mwoyo tsandanyama kunotangira, chipfuva uye zvine sutured.

Pashure pokuvhiyiwa kutsiva kutsemuka vharuvhu

Kamwe pokuvhiyiwa kwapera, murwere rwunotumirwa Chamber of ndichibvunza mishonga. Pano yabviswa kubva yokutindivadza, uye kuongorora anokosha:

• Atsunga kwemwoyo.
• Kuongororwa kufema uye BP.
• Akaongorora okisijeni tigutsikane muropa.
• Mumuromo, uye zviri nyore kuti dzinoisa kuti chubhu kupa mamwe kufefetedza.
• Zvinonyatsoenderana nokuti zvaikosha abudise mvura kubva thorax.
• The murwere akaisa anobudisa mushonga zvishoma nezvishoma kunyika dundira kubudisa weti.
• Vari kutarisirwa zvakananga kupinda tsinga inonyaradza marwadzo omusoro, Urume uye electrolytes.

Pashure kutsemuka vharafu yokutsiva murwere kazhinji anopedza mazuva 5-7 muchipatara, kana kusina matambudziko.

Matambudziko pakuvhiya

Kushanda Kupindira mwoyo - nguva dzose mukana mukuru. Apo vakaronga Kutsiviwa kwemari kutsemuka vharuvhu, nemamwe matambudziko zvingasanganisira:

• Of chirwere.
• Possible ropa pakuvhiya.
• Chimiro clots, sitiroko, kana paiva dambudziko pamwechete netsvo.
• Matambudziko yokutindivadza.

Pane zvinhu zvinowedzera mikana yematambudziko pakuvhiya:

• Kuvapo mwoyo chirwere.
• Lung chirwere.
• BP.
• Diabetes mellitus.
• Kufutisa.
• Kusvuta.
• Kuvapo chirwere pamuviri.

Postoperative yematambudziko

Nokuti mumwe chiremba kunokosha kwete chete kune muitiro kushanda uye inoguma, asiwo pakupora nguva, izvo angaperekedzwa zvakakomba yematambudziko:

1. Overgrowth kuti vanga tishu. Pane zviitiko apo avhiyiwa murwere pa nzvimbo yepasi yokutsiva iri kukura nokukurumidza fibrous vanga tishu. Izvi hakutsamiri vharuvhu mhando uye kunogona thrombosis. Asi nemhaka unyanzvi ano Kuvhiya, kuomesa ichi kwava kushoma.
2. Ropa Varwere pakugamuchira anticoagulants. Zvino unogona kuitika kwete chete munzvimbo vharuvhu, asiwo pose muviri, dzakadai mudumbu.
3. Thromboembolism. Inogona kucherechedza zvinotevera zvinoratidza:

• Murwere ane kupfupika mweya.
• Vhiringidziko.
• Kurasika kuona uye kunzwa.
• Chiveve uye kushaya simba mumuviri.
• Dzungu.

4. Infection yawapihwa vharafu. Kunyange asingabereki vharuvhu, kamwe mukati, zvingava pasi chirwere. Ndokusaka, kana pakarepo tembiricha muviri rinobuda, pane matambudziko kufema, zvakakodzera kukurumidza kuudza chiremba kuongorora uye kubvisa vharafu hweHIV.

5. Hemolytic kupererwa neropa. Kana paine kukuvadzwa vakawanda erythrocytes panguva kuonana vharuvhu zvinhu. Pane simba simba, kurukutika usingabereki kutevera vamwe.

Kazhinji, pamberi mwoyo chirwere murwere ane imwe urema boka. Zvose izvi ndezvipi basa raikosha vanachiremba. Kana Kutsiviwa kwemari kutsemuka vharuvhu, urema anogona kubviswa kana dare kuvarapi anodavira kuti uri mutano uye anokosha kubatsira hurumende haudi. Mune zvimwe zviitiko, siya 3 boka.

The postoperative kumwedzi

Kwemazuva akawanda murwere mushure kuvhiyiwa vharafu yokutsiva majekiseni mishonga marwadzo kuderedza marwadzo. Asi pashure kwechinguva bvisa yavo. Mukuwedzera, murwere anogona vachiri nevanhu zvinotevera matambudziko:

• kumugumo edema.
• Kurwadziwa incision nzvimbo.
• Kushoma munzvimbo yacho incision chakaitwa.
• Svoto.
• Ndakabatana chirwere.

Kana zviratidzo izvi zvose mberi yakarebesa, unofanira kuudza chiremba wako. kutsiva kutsemuka Kuvhiya vharuvhu (murefu wongororo nezvazvo) kunounza chinozikamwa kuvandudzwa vaviri vhiki. Kuchinja akanaka anowanikwa mune mwedzi mishomanana.

Ndavhiyiwa, vanachiremba vanoti kuti hurumende basa uye zororo uye zvachose dosed chaiko mutoro.

Kupfuura zvose, kana kupora nguva murwere havazodyari pamba uye zviri masangano akadai ari pachipatara pacho kana iri cardiology Recreation Center.

Ikoko, pasi pokudzora vanachiremba ndiko kudzorerwa mumuviri, mumwe vakasarudzwa nomumwe chirongwa. Rehabilitation anogona kutora akasiyana kureba kwenguva. All zvinoenderana mukuru ezvinhu omurwere, kunzwisisa kwakaita kushanda nemano rokuzvivandudza rakaita kuti irambe kunoitwa muviri.

Chokwadi chiremba kuti murwere mushure pakuvhiya waakaudzwa zvinodhaka. Kutora navo vanofanira kushandisa zvakasimba zano uye kukanzura avo asingagoni.

Kana uchida zvakasiyana mumuviri kurapa, zvokurapa kupindira, ipapo kuva nechokwadi kuti unoziva kuti zviripo hazvizivi kutsemuka vharuvhu.

Kana paine ukama mwoyo chirwere, ipapo avo yokutsiva vharafu hakusi mushonga, saka zvinokosha kushanyira cardiologist nekuita zvakakodzera kurapa.

Rehabilitation kurapa pamba

Kana murwere asina nzira kuenda wokugadzirisa kuvhiyiwa ari pachipatara pacho, zvakakodzera mukanyatsochengeta kutevedza mazano ose chiremba kumba.

1. Kana zvokuimba vharafu, chinofanira kuva fanira kutora anticoagulants, uye kuita izvozvo vachava noupenyu.
2. Kana uine kune mazino kupindira kana zvimwe maoparesheni, iva nechokwadi iwe tora pamberi pavo mishonga kudzivisa kuzvimba munzvimbo vharuvhu.
3. Hazvo zvakafanira kudzora mvura zvakanakanaka mumuviri.
4. Kuita chaiwo muviri kuti chiremba vanorumbidza kubatsira normalize kufema ushande.
5. Muperekedzei Kudzivirira Hardware nemabayo.

Chete zvaidiwa vanorumbidza dzose chiremba achaita upenyu pashure kutsemuka vharafu yaitsiva kwomuzvarirwo uye rinogutsa.

kuchinja mararamiro

Chero Kuvhiya pamusoro pomwoyo kunoda chikuru Shanduro nzira youpenyu. Kutsemuka vharafu yokutsiva (wongororo chete vachisimbisa ichi) - hapana anosara. Varwere vane pashure kuvhiyiwa:

1. Kubvisa kubva hwake netsika dzose dzakaipa, kana, Chokwadi, mugwagwa ndihwo upenyu. Kusvuta, doro yaunodya, uye kushandisa yakawanda zvine caffeine haienderani ane hazvizivi vharafu, uye zvirokwazvo vane abnormalities mwoyo.
2. Vachava kubva zvaunodya rakada kubvisa mafuta zvokudya.
3. Kuderedza munyu yaunodya pazuva haasi kupfuura 6 magiramu.
4. Meals vanofanira kuva pakati nepakati uye zvinosanganisira michero yakawanda nemiriwo.
5. Imwa mvura yakakwana yakachena, asi hapana gasi.
6. Zvishoma nezvishoma mutoro, izvo zvichakubatsira kusimbisa mwoyo tsandanyama.
7. Zuva nezuva, chero ekunze kufamba munzvimbo yakachena mhepo.
8. Kubvisa kubva psycho-mupfungwa zadzisa, kushushikana hwavo.
9. Iva pamwe purogiramu yezuva chiremba uye omerera pairi.
10. Idya vhitamini zvokuwedzera kuramba chicherwa mwero.

Kana kuona wongororo wevarwere uyo akavhiyiwa kuti vharafu yokutsiva, tinogona kuona kuti hombe chikamu akakwanisa kudzokera hwandaiva mararamiro. Gone ndivo zvisingafadzi zviratidzo kuti haana kupa zororo kuna kwomuzvarirwo mwoyo ushande.

Kutsemuka vharafu yokutsiva (wongororo zvinoratidza ichi) haisi chipingamupinyi kuti pamuviri ramangwana. Vakadzi vakawanda vanotambudzika mwoyo chirwere, uye kunyange vaitarisira kuva mummies, uye kuvhiyiwa ichi anovapa kuti mukana.

Pakadaro, chinhu chikuru - nderokuwana akwanise nyanzvi, ipapo unogona kuva nechivimbo nemigumisiro hwokushanda. Modern sayenzi mushonga zvigoneke kwete kuisa upenyu hwake pamuchinjikwa, kunyange kana paine zvakakomba abnormalities mumoyo, saka hatiregi. Munhu anofanira kugara tariro zvakanakisisa, uye chishamiso chakaitika - moyo wako vanoshanda uye yakavimbika. Zvichengetedze uye uri mutano.