Kusintha kwa Aortic Root Replacement

Yotsimikiziridwa ndi Dr Mrithyunjaya Kalmath- Lead Consultant CTVS, MICS & Heart Transplant Surgeon ku Apollo Hospitals Navi Mumbai

Opaleshoni ya mtsempha wa mtsempha wa mtsempha imayambitsa ma aneurysms mu gawo la aorta lomwe limalumikizidwa ndi mtima. Aneurysm, malo ofooka pakhoma la mitsempha ya magazi, amachititsa ngozi yaikulu chifukwa amatha kung'amba (kugawaniza) kapena kuphulika, zomwe zimayambitsa kutaya magazi mkati mwa moyo. Mwa kukonza kapena kusintha gawo lomwe lakhudzidwalo, opaleshoni imeneyi ingalepheretse masoka oterowo ndi kupulumutsa miyoyo.

Chidule cha Ndondomekoyi

Opaleshoniyo imaphatikizapo kusintha muzu wa aortic, ndipo nthawi zina, valve ya aortic. Njirayi imadalira momwe valve ikuyendera. Ngati valavu ikugwira ntchito bwino, ikhoza kusungidwa, koma ngati ikuwonetsa zizindikiro zowonongeka, monga regurgitation (kutuluka) kapena calcification (kuuma), ikhoza kusinthidwanso.

Mitundu Ya Opaleshoni Yotsitsimula Mizu Ya Aortic

• Aortic Root Replacement (ARR): Amadziwikanso kuti njira ya Bentall, opaleshoniyi imalowa m'malo mwa mizu ya aortic ndi valve ya aortic. Ndibwino kwa odwala omwe ali ndi aortic root aneurysms omwe amatsagana ndi mavuto okhudzana ndi ma valve, monga kutayikira kapena kuwerengera. Ubwino waukulu ndikuthana ndi vuto la aneurysm ndi ma valve munjira imodzi, kuchepetsa mwayi wofunikira maopaleshoni amtsogolo.
• Valve-Sparing Root Replacement (VSRR): Njirayi imateteza valavu yathanzi ya aortic pamene ikusintha mizu ya aortic. VSRR nthawi zambiri imalimbikitsidwa kwa odwala achichepere kapena omwe ali ndi chibadwa chomwe chimayambitsa aneurysms. Zimaphatikizapo njira ziwiri: 

1. Njira ya Yacoub: Imayang'ana pa kukonzanso valavu ya aortic, yoyenera kwa odwala okalamba omwe alibe ma genetic aneurysms.
2. Njira ya David: Zimaphatikizapo kubwezeretsanso valavu, yomwe imagwiritsidwa ntchito kwa achinyamata omwe ali ndi ma genetic syndromes kapena ma valve bicuspid.

Ndani Amapindula ndi Opaleshoniyi?

Kusintha kwa mizu ya aortic ndikofunikira kwa anthu omwe ali ndi aneurysms omwe ali pachiwopsezo chong'ambika kapena kupasuka. Zomwe zimayambitsa zimachokera ku kusintha kwa msinkhu kwa aorta kupita ku majini monga Marfan syndrome kapena Loeys-Dietz syndrome, yomwe imapangitsa anthu kukhala ndi mitsempha yambiri, nthawi zambiri akadakali aang'ono.

Kuzindikira koyambirira komanso kuchitidwa opaleshoni panthawi yake ndikofunikira kwambiri kuti mupewe zovuta komanso kuti mukhale ndi moyo wautali komanso wathanzi.

Lumikizanani ndi katswiri wathu, Dr Mrithyunjaya Kalmath- Lead Consultant CTVS, MICS & Heart Transplant Surgeon ku Apollo Hospitals Navi Mumbai

kuitana 022 6280 6280 pa nthawi yokumana