He aha te tikanga MitraClip?
Ko te tikanga MitraClip he maimoatanga matatau iti-whakaekenga e whakamahia ana mō te whakatika i te takirere mitral me te kore he pokanga ngākau tuwhera. He mea hanga mō ngā tūroro e pāngia ana e te mitral regurgitation, he āhuatanga e kore ai te takirere mitral e kati tika, ka turuturu te toto ki roto i te ngākau.
He rerekē tēnei i te pokanga tuku iho, ka whakamahia e MitraClip he tikanga e whakamahi ana i te catheter hei whakatakoto i tētahi topenga iti ki ngā pepa o te takirere mitral. Ka āwhina tēnei ki te whakaiti i te turuturu me te whakapai ake i te rere o te toto.
E mōhiotia ana hoki tēnei tikanga ko te whakatikatika takirere mitral transcatheter, ko te whakatikatika takirere mitral taha-ki-taha rānei, ā, kua rerekē te āhua o te maimoatanga o te mate manawa hanganga puta noa i te ao.
I Apollo Hospitals Indore, ka taea e ngā tūroro te whakamahi i te whakatikatika i te takirere mitral matatau, me te kore pokanga, inā koa ko te hunga kāore pea e pai mō ngā tikanga ngākau tuwhera tikanga.
He aha koe i whiriwhiri ai i a MitraClip i Apollo Hospitals Indore?
Kei te tuku a Apollo Hospitals Indore i tētahi o ngā kaupapa mate ngakau hanganga matatau rawa atu i waenganui o Īnia mō te maimoatanga MitraClip.
Ko nga painga matua ko:
- Kāore he pokanga uma tuwhera
- Kāore e hiahiatia he mīhini karo ngākau-pūkahukahu
- He iti te mate toto
- He iti te noho ki te hohipera
- He tere ake te whakaora
- Te iti o te mōrearea mate
- He pai mō ngā tūroro kaumātua me ngā tūroro ngoikore
- Te whakatūnga taiwhanga katote ranu matatau
- He tīma hanganga ngākau motuhake mō ia tikanga
Mā te huarahi maha-mātauranga a Apollo ka whiwhi ia tūroro i te aromatawai whaiaro me te whakamahere maimoatanga.
Ngā Tohu mō te MitraClip — Ko wai e hiahia ana ki tēnei tikanga?
Te Regurgitation Mitral Tuatahi Nui
Ko ngā tūroro e pāngia ana e te mate takirere mitral e pirau ana e te turuturu nui te hunga tino pai.
Ko nga tohu noa kei roto:
- Te Kino
- Te uaua
- Tuhinga
- Kua whakaitihia te manawanui ki te mahi
Te Regurgitation Mitral Tuarua
Ka puta pinepine te Functional MR i roto i ngā tūroro e pāngia ana e te ngoikore o te ngakau nā te nui haere o ngā rūma o te ngakau.
Ka taea e MitraClip te āwhina ki te whakapai ake i ngā tohu me te kounga o te oranga.
Mitral Valve Prolapse
Mō ētahi tūroro kua tohua he nui te ruaki i te mitral valve prolapse e hua ai te regurgitation, ka taea e MitraClip te noho hei huarahi whai hua hei whakakapi i te pokanga.
Ngā Tūroro Mōrearea Pokanga Nui
Nga turoro me:
- Te pakeke ake
- Nga mate kaoa
- Mate mate
- Te whiu o mua
- Te ngoikore o te mahi a te ngākau
tērā pea ka whai hua mai i a MitraClip hei utu mō te pokanga tuwhera.
Te ngoikore o te ngākau me te MR
Ka taea e te ruaki mitral te whakararu i te ngoikore o te ngakau. Mā te rongoā ki a MitraClip ka whakaitihia te noho hōhipera me te whakapai ake i te mahi a te ngakau.
Ngā Tūroro Pokanga Ngākau o Mua
Tērā pea e tika ana kia whakamahia anōtia a MitraClip hei rongoā mō ngā tūroro kua pokangahia te ngākau i mua.
Te Tukanga MitraClip — Hipanga i te Hipanga
Aromatawai i mua i te mahi
I mua i te tukanga, ka whakahaerehia he rangahau taipitopito:
- Aro 2D
- Te Whakaata Reo Whakawhiti-Esophageal 3D (TOE)
- CT scan
- Aromātai ngakau
- Nga whakamātautau toto
Ka arotakehia e te tīma hanganga ngākau ngā kitenga katoa.
Te Werohanga Transseptal
Ka whakaurua he catheter mā roto i tētahi uaua i roto i te kopu, ā, ka arahina ki roto i te ngākau mā roto i tētahi poka iti i waenganui i ngā rūma o runga.
Aratohu Whakaahua Wā-tūturu
Ko te tukanga katoa e arahina ana e ngā tohunga matatau Whakaahuatanga ngakau 3D transoesophageal (TOE) me te fluoroscopy.
Te Tūnga me te Whakatakotoranga o te Topenga
Ka whakanohoia te topenga ki runga i te takirere mitral e turuturu ana, ā, ka tāpirihia ki ngā pepa e rua hei whakaiti i te turuturu.
Aroturuki i muri i te tukanga
I muri i te tukanga:
- Te tirotiro i te ICU mō ngā haora 24
- Whakahokia te echocardiography
- Te aro turuki i ngā huringa manawataki
- Te whakakorikori moata
Ko te nuinga o ngā tūroro ka tukuna ki te hōhipera i roto i ngā rā 2-4.
Pokanga MitraClip me te Pokanga Takirere Mitral o te Ngākau Tuwhera — Ko tēhea te mea tika māu?
tawhā | MitraClip | Pokanga Tuwhera o te Takirere Mitral o te Ngākau |
| Momo Tikanga | He mea hanga ki te kāteter | Rererangi |
| Na | kahore | Te tango i te sternotomy katoa |
| Te Arai Manawa-Pūkahukahu | Ehara i hiahiatia | hiahiatia |
| Te urutomo | Iti invasive | Tino urutomo |
| Noho Hohipera | 2-4 ra | 7-10 ra |
| Te wa whakaora | 1-2 wiki | 6-8 wiki |
| Pai rawa atu mo | Ngā tūroro mōrearea nui, kaumātua, ngoikore | Ngā tūroro taitamariki, iti te mōrearea |
Ko te MitraClip te mea e pai ake ana mō ngā tūroro he nui ake te mōrearea o te pokanga.
Te utu mō te tikanga MitraClip i Indore — Ngā mea hei tumanako atu
te Te utu mō te tikanga MitraClip i Indore ka whakawhirinaki ki etahi take:
- Momo Pūrere
- Te maha o ngā topenga e hiahiatia ana
- Nga whakamatautau i mua i te mahi
- Te noho i te ICU
- Kāwai rūma hōhipera
- Te āhua hauora whānui
Ahakoa he nui te utu tīmatanga mō te taputapu, mā te poto o te noho hōhipera me te tere o te ora ka taea te whakaiti i te taumahatanga maimoatanga whānui.
E whakarato ana a Apollo Hospitals Indore i:
- Te tohutohu utu mārama
- Tautoko inihua
- Ngā whakaurunga kore moni
- He awhina mo te whakamahere putea
Ka taea e ngā tūroro te tono i tētahi whakatau tata whaiaro i runga i tō rātou āhua.
Te Whakaora i Muri i te Tukanga MitraClip — Ngā Mea hei Tumanako
He tere ake te whakaoranga i muri i te MitraClip ki te whakaritea ki te pokanga ngākau tuwhera.
Tuatahi 24 haora
- Te aroturuki i te ICU
- Te tirotiro i te manawataki o te ngakau
- Te aro turuki toto
- Aromatawai i te echo
24–48 haora
- Ka tīmata te hikoi
- Ka tīmata anō te kai ā-waha
- Nga whakatikatika rongoa
Ko te wiki 1
He nui te whakapainga o te manawa e kitea ana e te nuinga o ngā tūroro.
wiki 2
Hoki atu ki ngā mahi māmā o ia rā.
Whai-a-roa
Kei roto i ngā mahi aroturuki auau:
- Echocardiography
- Te aroturuki i te ngoikore o te ngakau
- Te arotautanga rongoā
- Aromatawai mahi takirere
Tūtaki ki ā Mātou Tohunga MitraClip i Indore
He tino mātau te tīma o Apollo Hospitals Indore, arā,:
- Nga tohunga ngakau wawao
- Ngā taote ngakau
- Ngā tohunga hanganga ngākau
- Ngā kaiwhakamoe ngākau
- Ngā tohunga whakaahua
Ka mahi ngātahi rātou ki te whakarato i te aromatawai katoa, te whakamahere tikanga, me te manaaki whai muri i te wā roa.
Ngā Whare Hanganga Matatau mō te Ngākau me te MitraClip i ngā Hōhipera Apollo i Indore
Kei ngā Hōhipera Apollo Indore ngā taputapu e whai ake nei:
- Taiwhanga katote ranu matatau
- He kaupapa motuhake mō ngā mate ngakau hanganga
- Whakaahuatanga ngakau 3D transoesophageal (TOE)
- Whakaahua CT ngākau taumira teitei
- ICU ngākau whānui
- Pūrua ngakau ohorere katoa
Mā tēnei whakaritenga whakauru ka tino tika te mahi, ā, ka pai ake te haumaru mō ia tikanga MitraClip.
Ngā Pātai Auau — Te Tukanga MitraClip i Indore
He aha te tikanga MitraClip, ā, me pēhea te mahi?
He maimoatanga tēnei e whakamahi ana i te katitere, e whakanohoia ai he topenga ki te takirere mitral hei whakaiti i te turuturu me te kore e pokanga tuwhera.
He aha ngā tohu mō te whakamahi i a MitraClip?
E taunakitia ana mō ngā tūroro e nui ana te ruaki mitral, te MR e pā ana ki te ngoikore o te ngākau, te mitral valve prolapse, me ngā tūroro mōrearea nui ki te pokanga.
He pai ake te MitraClip i te pokanga tuwhera o te takirere mitral ngākau?
Mō ngā tūroro mōrearea nui me ngā kaumātua, he kōwhiringa haumaru ake, he iti ake te whakaekenga a MitraClip. Tērā pea he pai ake te whakatikatika pokanga mō ngā tūroro taitamariki iti te mōrearea.
Kia pēhea te roa o te mahi MitraClip?
Ko te roanga o te tukanga he 2 ki te 4 hāora te roa, kei te uauatanga.
He aha te utu mō te tikanga MitraClip i Indore?
Ka rerekē te utu i runga i te momo taputapu, te noho hōhipera, me te āhua o te tūroro. E taunakihia ana kia whai whakatau tata whaiaro.
Ka utua e te inihua te utu mō te tikanga MitraClip?
Ae, he maha ngā kaiwhakarato inihua ka hipokina pea, i runga i ngā tikanga o te kaupapa here.
He aha ngā tohu o te mitral regurgitation?
Ko ngā tohu ko te uaua o te manawa, te ngenge, te tere o te pupuhi o ngā waewae, te ngoikore o te manawa.
He aha te āhua o te whakaoranga i muri i te tikanga takirere mitral iti rawa te whakaekenga?
Ka ora ake te nuinga o ngā tūroro i roto i te 1–2 wiki, ā, ka hoki wawe atu ki ā rātou mahi o mua i te pokanga ngākau tuwhera.
Ko tēhea hōhipera i Indore e tuku ana i te tikanga MitraClip?
Ka whakaratohia e Apollo Hospitals Indore he maimoatanga MitraClip matatau me tētahi tīma hanganga ngākau motuhake.
He aha ngā mōrearea me ngā raruraru o te whakatikatika i te takirere mitral transcatheter?
Ko ngā mōrearea pea ko te toto, te mate pāwera, ngā raruraru manawataki, te turuturu toenga, ngā raruraru onge rānei o te taputapu.
Ka taea e MitraClip te rongoā i te ngoikore o te ngākau e hua mai ana i te mitral regurgitation?
Āe. Mō ētahi tūroro, ka taea e MitraClip te whakaiti i ngā tohu me te whakapai ake i te kounga o te oranga.
He rongoā tuturu a MitraClip mō te mate takirere mitral?
Ka whakaora a MitraClip i ngā tohu mō te wā roa, ka whakapai ake hoki i te mahi a te takirere, engari me aroturuki tonu.
Te Hōhipera Pai rawa atu e tata ana ki ahau i Chennai