Isixhobo sokuncedisa umoya

Izixhobo zokuncedisa i-Ventricular (VADs) zinceda intliziyo yakho ipompe igazi kwelinye lamagumbi okupompa ukuya kuwo wonke umzimba wakho okanye kwelinye icala lentliziyo. Ezi mpompo zifakwe emzimbeni wakho. Kwiimeko ezininzi zidibene noomatshini ngaphandle komzimba wakho.

Isixhobo sokuncedisa i-ventricular sinamalungu ama-3:

• Impompo. Impompo inobunzima obuzi-1 ukuya kwezi-2 iiponti (i-0.5 ukuya kwi-1 yeekhilogram). Ibekwe ngaphakathi okanye ngaphandle kwesisu sakho.
• Umlawuli wekhompyuter. Isilawuli sifana nekhompyuter encinci elawula indlela esebenza ngayo impompo.
• Iibhetri okanye omnye umthombo wamandla. Iibhetri ziqhutywa ngaphandle komzimba wakho. Zidibene nempompo ngentambo engena esiswini sakho.

Ukuba une-VAD ebekiweyo, uyakufuna i-anesthesia ngokubanzi. Oku kuyakwenza ukuba ulale kwaye ungabi nazintlungu ngexesha lenkqubo.

Ngexesha lotyando:

• Ugqirha wentliziyo uvula embindini wesifuba sakho ngotyando olusulungekileyo aze ahlule amathambo ebele. Oku kuvumela ukufikelela entliziyweni yakho.
• Kuxhomekeke kwimpompo esetyenzisiweyo, ugqirha oya kwenza indawo yempompo phantsi kolusu lwakho kunye nezicubu kwinxalenye ephezulu yodonga lwesisu.
• Ugqirha uya kuthi emva koko abeke impompo kwesi sithuba.

Umbhobho uza kudibanisa impompo entliziyweni yakho. Enye ityhubhu iya kudibanisa impompo kwi-aorta yakho okanye enye yeemithambo zakho eziphambili. Enye ityhubhu iya kudluliswa kulusu lwakho ukudibanisa impompo kumlawuli nakwiibhetri.

I-VAD iyakuthatha igazi kwi-ventricle yakho (lelinye lamagumbi okuphambili wentliziyo) ngombhobho okhokelela kwimpompo. Emva koko isixhobo siya kulimpompela igazi liye kwelinye kwimithambo yakho nasemzimbeni wakho.

Ugqirha luhlala luhlala iiyure ezi-4 ukuya kwezi-6.

Kukho ezinye iintlobo ze-VADs (ezibizwa ngokuba zizixhobo ezincedisayo ze-ventricular) ezinokuthi zibekwe ngeendlela ezingafunekiyo zokunceda i-ventricle yasekhohlo okanye esekunene. Nangona kunjalo, ezi zihlala zingenakho ukubonelela ngokuhamba okuninzi (inkxaso) njengaleyo ityandiweyo.

Unokufuna i-VAD ukuba unesifo sentliziyo esomeleleyo esingalawulekiyo ngamayeza, izixhobo zokuhambahamba, okanye ezinye iindlela zonyango. Unokuyifumana le fowuni ngelixa uluhlu lokulinda ukufakelwa kwentliziyo.Abanye abantu abafumana i-VAD bagula kakhulu kwaye banokuba sele bekwimishini yokuxhasa intliziyo nemiphunga.

Ayinguye wonke umntu onesifo sentliziyo esigqibeleleyo ongumgqatswa ofanelekileyo wale nkqubo.

Iingozi zolu tyando zezi:

• Amahlwili egazi emilenzeni anokuhamba aye emiphungeni
• Amahlwili egazi enza esi sixhobo kwaye anokuhamba aye kwamanye amalungu omzimba
• Iingxaki zokuphefumla
• Ukuhlaselwa yintliziyo okanye ukubetha
• Ukunyanga komzimba kumayeza okubulala iintlungu asetyenziswa ngexesha lotyando
• Usulelo
• Ukopha
• Ukufa

Abantu abaninzi sele beza kuba sesibhedlele ukuze banyangwe ukusilela kwentliziyo yabo.

Uninzi lwabantu ababekwe kwi-VAD bachitha ukusuka kwiintsuku ezimbalwa ukuya kwiintsuku ezininzi kwiyunithi yonyango olunzulu (ICU) emva kotyando. Ungahlala esibhedlele kangangeveki okanye nangaphezulu emva kokuba ubeke impompo. Ngeli xesha uya kufunda indlela yokunyamekela impompo.

IiVADs ezincinci ezingenzelwanga izigulane ze-ambulensi kwaye ezo zigulane kufuneka zihlale kwi-ICU ngexesha lokusetyenziswa kwazo. Ngamanye amaxesha asetyenziswa njengebhulorho kwi-VAD yotyando okanye ukubuyisela kwentliziyo.

I-VAD inokunceda abantu abanesifo sentliziyo baphile ixesha elide. Inokukunceda ukuphucula umgangatho wobomi bezigulana.

VAD; RVAD; I-LVAD; IBVAD; Isixhobo sokuncedisa i-ventricular ekunene; Isixhobo sokuncedisa i-ventricular ekhohlo; Isixhobo sokuncedisa iBiventricular; Impompo yentliziyo; Inkqubo yokuncedisa i-ventricular ekhohlo; I-LVAS; Isixhobo esincedayo se-ventricular Ukungaphumeleli kwentliziyo - iVAD; Cardiomyopathy - VAD

• Angina - ukubhobhoza
• Ukuhlaselwa yintliziyo - ukukhutshwa
• Ukungaphumeleli kwentliziyo - ukukhutshwa
• Unonophelo lwenxeba lotyando - luvulekile

• Icandelo lentliziyo phakathi embindini

IAaronons KD, iPagani FD. Inkxaso yokujikeleza komatshini. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 29.

IHolman WL, iKociol RD, iPinney S.Ukulawulwa kwe-VAD: igumbi lokusebenza lokukhupha nangaphaya: uqhaqho kunye nokuqwalaselwa kwezonyango. Ku: Kirklin JK, Rogers JG, ii-eds. Ukuxhaswa kweMechanical Circulatory Support: Umhlobo kwiBraunwald's Disease Heart. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; 2020: isahl 12.

UPeura JL, uColvin-Adams M, uFrancis GS, et al. Iingcebiso ngokusetyenziswa kwenkxaso yokujikeleza kwegazi ngoomatshini: iindlela zecebo kunye nokukhethwa kwezigulana: ingxelo yezenzululwazi evela kwiAmerican Heart Association. Ukujikeleza. Ngo-2012; 126 (22): 2648-2667. IINKCUKACHA: 23109468 pubmed.ncbi.nlm.nih.gov/23109468/.

URihal CS, uNaidu SS, uGivetz MM, et al. I-SCAI / i-ACC / i-ACC / i-HFSA / i-STS yesivumelwano sengxelo yezonyango malunga nokusetyenziswa kwezixhobo ezincedisayo zokujikeleza kwegazi ekunyamekeleni kwentliziyo: kuvunywe yi-American Heart Association, i-Cardiological Society yase-India, kunye ne-Sociedad Latino Americana de CardiologiaIntervencion; Ukuqinisekiswa kwexabiso nguMbutho waseCanada woNyango lweCardiology-Umbutho Canadienne de Cardiologied'intervention. J NdinguColl Cardiol. 2015; 65 (19): e7-e26. IINKCUKACHA: 25861963 pubmed.ncbi.nlm.nih.gov/25861963/.