Mitral Valve Kutsiva kuApollo Hospitals, Lucknow

tsananguro

Kutsiva Mitral Valve (MVR) inzira yekuvhiya yakakosha yakagadzirirwa kugadzirisa kusashanda zvakanaka kwe mitral valve, izvo zvinogona kukonzera matambudziko makuru ehutano kana zvikasarapwa. KuApollo Hospitals Lucknow, tinodada nemukurumbira wedu wekubudirira mukurapa mwoyo, tichishandisa tekinoroji yepamusoro uye nzira dzekuvhiya dzagara dziripo kuti tishande kuti tiwane mhedzisiro yakanaka kune varwere vedu. Chikwata chedu chevanachiremba vemwoyo vane hunyanzvi uye vanachiremba vemwoyo vakazvipira kupa rubatsiro rwemunhu, zvichiita kuti Apollo Hospitals Lucknow ive sarudzo inoremekedzwa yeMitral Valve Replacement munharaunda iyi. Tichitarisa kuvimba nevarwere uye kugutsikana, takazvipira kukutungamira munhanho yega yega yerwendo rwako rwekurapwa.

Nei Mitral Valve Kutsiva kuchidikanwa

Iyo mitral valve inoita basa rakakosha mukudzora kuyerera kweropa pakati peatrium yemoyo yekuruboshwe uye kuruboshwe ventricle. Kana iyi valve inorwara kana kukuvadzwa nekuda kwemamiriro ezvinhu akadai semitral valve prolapse, rheumatic heart disease, kana kuchinja kunopera, zvinogona kutungamirira kumatambudziko makuru, kusanganisira mwoyo kusakundikana, arrhythmias, uye pulmonary hypertension.

Mitral Valve Replacement inodiwa kana valve isingagadziriswi uye iri kukonzera zviratidzo zvakakosha kana matambudziko. Iyo nzira inopa zvikomborero zvakawanda, kusanganisira:

• Kushanda kwemwoyo kwakavandudzwa: Nekutsiva vharuvhu yakakuvara, kufamba kweropa kunodzoserwa, izvo zvinowanzo vandudza mashandiro emoyo wese.
• Kunyaradza zviratidzo: Varwere vanowanzoona kudzikira kukuru kwezviratidzo zvakaita sekufema zvishoma, kuneta, uye kurova kwemoyo zvakanyanya.
• Hunhu hwehupenyu huri kuwedzera: Kana mwoyo ukashanda zvakanaka uye zviratidzo zvichirasika, varwere vazhinji vanogona kudzokera kumabasa avo ezuva nezuva vonakidzwa nehupenyu hwakanaka.

KuApollo Hospitals Lucknow, tinonzwisisa kukosha kwekupindira panguva uye mabatiro aanogona kuita pahutano hwako.

Ngozi dzekunonoka

Kunonoka Mitral Valve Replacement kunogona kutungamirira kumigumisiro yakaoma. Sezvo mamiriro acho achifambira mberi, varwere vanogona kuona zviratidzo zvinowedzera uye nengozi yekuwedzera yematambudziko, kusanganisira:

• Kukundikana kwemoyo: Kusashanda zvakanaka kwevharuvhu yemitral kwenguva refu kunogona kukonzera kutadza kushanda kwemoyo, uko moyo usingakwanise kupomba ropa rakakwana kuti rigutse zvinodiwa nemuviri.
• Arrhythmias: Kurova kwemwoyo kusingaenderane nepfungwa dzakadai seatrial fibrillation kunogona kuitika, zvichiwedzera njodzi yekurohwa nesitiroko nezvimwe zviitiko zvemwoyo.
• Pulmonary hypertension: Kuwedzera kwekumanikidzwa mutsinga dzemapapu kunogona kukonzera mamwe matambudziko, kusanganisira kutadza kushanda kwemoyo kurudyi.

Kurapwa nenguva kwakakosha kuderedza mikana yezvinetso izvi uye kuvandudza mhedzisiro yenguva refu. KuApollo Hospitals Lucknow, tinonyanya kusimbisa kupindira nekukurumidza uye tinopa ongororo dzakakwana kuti tione nzira yakanakisa yekurapa murwere wega wega.

Mabhenefiti eMitral Valve Replacement

Kutsiva Mitral Valve paApollo Hospitals kuLucknow kune mabhenefiti akawanda anogona kuwanikwa, anosanganisira:

• Kuvandudza mashandiro emwoyo: Chinangwa chikuru cheMVR ndechekudzorera kuyerera kweropa kwakajairika muvharuvhu, izvo zvinogona kuvandudza mashandiro emwoyo uye hutano hwese.
• Zviratidzo zviri nani: Varwere vazhinji vanotaura kuti zviratidzo zvavo zvinoderera zvakanyanya, zvichivabvumira kuita mabasa avaimboona akaoma kana kuti asingaite.
• Hutano hwenguva refu: Mushure mekubudirira kweMVR, varwere vanogona kunakidzwa nehupenyu huri nani uye mukana wekuti pave nematambudziko emwoyo, chero bedzi mazano ekutevera uye emishonga akaremekedzwa.
• Kutarisirwa kwakagadzirirwa munhu: Chikwata chedu chinopa zvirongwa zvekutarisira zvakagadzirirwa, zvichiita kuti zvinodiwa nemurwere wega wega zvizadzikiswe murwendo rwavo rwekurapwa.

Kusarudza Apollo Hospitals Lucknow kuti utsive Mitral Valve yako zvinoreva kusarudza nzira inoenda kuhupenyu hune hutano uye hunoshanda.

Kugadzirira uye Kudzorera

Kugadzirira Kutsiva Mitral Valve kunosanganisira matanho anoverengeka akakosha ekubatsira kuona kuti kuvhiyiwa kwakanaka uye kupora.

Matipi ekugadzirira

• Kubvunzurudza: Ronga kubvunzana kwakazara navanachiremba vedu vemwoyo kuti mukurukure nezvedambudziko renyu, nzira dzekurapa nadzo, uye chero zvinokunetsai.
• Kuongororwa kwemuviri usati wavhiyiwa: Pindai bvunzo dzinodiwa, dzinosanganisira echocardiography, kuongororwa ropa, uye ongororo yemifananidzo, kuti muone mamiriro emwoyo wenyu uye hutano hwese.
• Kutarisira Mishonga: Tevedzera mirairo yachiremba wako maererano nemishonga, kusanganisira chero kugadziriswa kwemishonga inobvisa ropa kana mimwe mishonga.
• Kugadzirisa mararamiro: Gadzirira kudya kunovaka muviri, ita maekisesaizi emuviri asina kunyanya kuoma sezvawarayirwa, uye usasvuta kana kunwa doro.

Mazano ekudzorera

• Kutevera kutarisira: Enda kune ese akarongwa ekutevera kugadzwa kuti utarise kupora kwako uye kugadzirisa chero zvinokunetsa.
• Kuwedzera kwekuita zvishoma nezvishoma: Tanga nemabasa akareruka uye zvishoma nezvishoma wedzera kuita kwako kwemuviri sekurairwa neboka rako rehutano.
• Kuomerera kwemishonga: Tora mishonga yakanyorerwa nachiremba sezvakataurwa kuti uderedze marwadzo, kudzivirira hutachiona, uye kutsigira hutano hwemwoyo.
• Support system: Kumbira rubatsiro kubva kumhuri neshamwari panguva yekupora kwako kuti uwane rutsigiro rwaunoda.

KuApollo Hospitals Lucknow, takazvipira kukupa rutsigiro rwakakwana pakugadzirira kwako nekupora.

Nhungamiro Dzazvino Dziri Kutungamira Sarudzo

Sarudzo pamusoro pekuvhiyiwa kwe mitral valve muIndia dzinotungamirirwa nemusanganiswa wemagwaro eIndia neepasi rose:

• Cardiological Society of India (CSI)? Chirevo cheChinzvimbo paRheumatic Heart Disease (2019) uye gwara reCSI pakurapa chirwere chemwoyo chevalvular: inosimbisa kuti chirwere cherheumatic mitral muIndia chinoratidza kuva chidiki, kazhinji kacho chine stenosis yakasanganiswa uye kudzoka kwegurgitation, uye inosimbisa kudzivirira kwechipiri kwepenicillin mushure mekuvhiyiwa.
• Sangano reIndia reVanachiremba veMwoyo neChipfuva (IACTS) inotsigira nzira yekubatsirana pakati pemwoyo uye inotungamira kugadziriswa kwemavharuvhu pane kutsiva chero kupi zvako kunobvumira muviri wevharuvhu.
• Gwaro reACC/AHA 2020 rekutarisira Varwere Vane Valvular Heart Disease (nekujekeswa kwakanangana na2021): Chinjo huru kubva pakutungamirirwa kwekare ndiyo kurudziro yakasimba, yekutanga yekupindira mune kudzorerwa kwakanyanya kwe mitral primary, kusanganisira varwere vakasarudzwa vasina zviratidzo vane chikamu chekubuda ropa chakachengetedzwa kana chaitwa munzvimbo dzine ruzivo rwakakura dzine mukana mukuru wekubudirira kugadziriswa. Inotsigirawo kugadziriswa kwevharuvhu yemitral pane kutsiva chirwere chinopera simba, uye inopa basa rakajeka rekugadzirisa transcatheter kubva kumucheto kuenda kumucheto muvarwere vari panjodzi huru yekuvhiyiwa.
• ESC/EACTS 2021 Nhungamiro dzekutarisira chirwere chemwoyo chevalvular: Nzira yakafanana yekufamba nayo, ine miganho yakaderera yekutumira kunzvimbo yekuvhara mavharuvhu emwoyo uye basa rakatsanangurwa rekuita percutaneous balloon mitral commissurotomy mu rheumatic mitral stenosis yakakodzera.

Zvinoreva kuti "mira kusvika wava nezviratidzo zvakanyanya" hazvisisiri zano renguva dzose. Kana echocardiogram ichiratidza chirwere chakakomba chemitral, pfungwa yenyanzvi inobatsira kunyangwe uchiri kunzwa zvakanaka. Humbowo huri mune mamwe mapoka, kunyanya varwere vasina zviratidzo uye avo vane secondary mitral regurgitation, hunoramba huchikakamurwa, uye timu yako ichatsanangura kuti nyaya yako inowira kupi.

Nguva Yokuvhiya uye Chikamu Chekutanga Kuvhiya

Kutsiva vharuvhu yeMitral kunowanzo kuve kuvhiyiwa kwakarongwa. Kuvhiyiwa kwekukurumidzira kunoitirwa mamiriro ezvinhu akadai se endocarditis yehutachiona ine vharuvhu isina kugadzikana, chordae yakaputika ine acute pulmonary edema, kana vharuvhu yakagadzirwa yakanamatira (yakaiswa thrombosis).

• Kushanya kwekuongorora: kuongororwa kwekiriniki, ECG, X-ray yechipfuva, transthoracic echocardiography, uye kazhinji transoesophageal echocardiography kuti uwane ruzivo rwakadzama nezvemavharuvhu.
• Kudzidzira kugwinya muviri: kuverengwa kweropa, mashandiro eitsvo nechiropa, boka reropa uye match, thyroid profile, HbA1c, zviratidzo zvehutachiona, kurimwa kweweti, uye kuyedzwa kwebasa remapapu kune vanoputa fodya kana avo vane kufema kushoma.
• Kuongororwa kwemoyo: Kuongororwa kwemoyo (coronary angiography) kunowanzo kukurudzirwa kuvarwere vane makore anopfuura makumi mana, kana vane chirwere cheshuga, nhoroondo yekusvuta fodya kana kurwadziwa kwechipfuva, kuitira kuti kuvhiyiwa kwepamuviri (bypass grafting) kurongwe mukuvhiyiwa kumwe chete kana zvichidikanwa.
• Kuchenesa mazino: Kubatwa nehutachiona hwemazino husina kurapwa ndiyo tsime rehutachiona hwevharuvhu yekugadzirwa. Kuongorora mazino uye kurapwa usati wavhiyiwa ndiyo zano rakajairika.
• Kugadzirisa: kudzora kutadza kwemoyo uchishandisa mishonga inoburitsa mvura mumuviri, kudzora kushaya simba kwemwoyo, kugadzirisa anemia (inowanzoonekwa muvarwere vemuIndia, kunyanya vakadzi), kurapwa kwehutachiona hupi zvahwo, kudzora shuga yeropa, uye kurega fodya nedoro.
• Kudzivirira ropa kuti risaungane: Kana watotora warfarin kana acitrom, chiremba wako acharonga kuti oimisa riini uye kana ichidiwa heparin cover.

Kune varwere vazhinji vane hutano hwakanaka, nguva kubva pakuongororwa kwekutanga kusvika pakuvhiyiwa inyaya yemazuva kusvika kumavhiki mashoma, zvichienderana nezvinodiwa kuti zviongororwe zvakanaka uye kuwanikwa kwemibhedha. Nguva dzekurapa dzinoenderana uye dzinosimbiswa nechikwata chinorapa.

Sarudzo dzeTekiniki neValve Zvichienzaniswa

Sarudzo yekupedzisira inoenderana nechimiro chevharuvhu chinoonekwa pa echo uye pakuvhiyiwa, zera rako, mutinhimira, mashandiro eitsvo, kugona kwako kutarisa INR, uye zvirongwa zvepamuviri. Ndapota simbisa nechikwata chevarwere vemwoyo kuti ndeapi sarudzo dzinoshanda kwauri pachipatara chino.

Maitiro Anoitwa Dzimwe Nguva

• Tricuspid valve kugadzirisa kana paine kudzoreredza kwakanyanya kwedumbu kana kuti kuvhurika kwedumbu.
• Kutsiviwa kana kugadziriswa kwevharuvhu yeAortic muchirwere cherheumatic chakabatana (kutsiva mavharuvhu maviri).
• Coronary artery bypass grafting kana angiography ichiratidza kuvharika kwakakosha.
• Kuvharwa kana kubviswa kwechidya chekuruboshwe cheatrial mu atrial fibrillation, kuderedza njodzi yekugwamba kweropa.
• Kuvhiyiwa kubvisa tsvina (maitiro emhando yemaze) kune atrial fibrillation yenguva refu muvarwere vakasarudzwa.
• Kubviswa kweropa rekuruboshwe uye zvakasiya kudzikira kweatrial muatria yakakura kwazvo.
• Kuvharwa kweatrial septal defect kana patent foramen ovale kana yakawanikwa.

Kubatanidza maitiro ekurapa kunowedzera nguva yekuvhiyiwa asi kunodzivisa kuvhiyiwa kwechipiri. Chiremba wako achatsanangura njodzi dziripo panyaya yako.

Phase-by-Phase Recovery Timeline

Kuwanda uku kwakajairika pane kuva nechokwadi. Chirwere cheshuga, kutadza kushanda zvakanaka kwemapapu, kufuta, chirwere cheitsvo uye kutadza kushanda zvakanaka kwemoyo zvinogona kunonoka kupora.

Kudzokera kuMabasa Akajairika, Basa uye Maitiro Ezuva Nezuva eIndia

Pfupa repachipfuva rakabatana uye rinoita sepfupa rinoporesa. Miganho yakawanda inowanikwa mumavhiki matanhatu kusvika masere ekutanga kuti ridzivirire.

• Kugara wakapfugama makumbo uye wakakotama: sternum haina kumanikidzwa zvakananga, asi kuedza kusimuka kubva pasi kunosunda maoko nechipfuva. Shandisa chigaro kwemavhiki matanhatu ekutanga, wozodzoka zvishoma nezvishoma, uchishandisa madziro kana fudzi remubatsiri pane kusundira kumusoro nemaoko ese ari maviri.
• Zvimbuzi zverudzi rwechiIndia (squat): dzivisa kwemavhiki matanhatu. Chigaro chekuzorora, kana chigaro chepamusoro chekuzorora pamusoro pechimbuzi cheIndia, chakachengeteka. Chigadziko chekubata kana chigaro chinoiswa pedyo chinobatsira.
• Kurara pasi: Zviri nani kuti zvimbomira kwemavhiki matanhatu kusvika masere, nekuti kukunguruka nekusimuka kubva pamubhedha wepasi zvinoremedza chipfuva nemaoko. Kugara pamubhedha wakasimba pahudyu kuri nyore.
• Kugeza: Kugeza nebhaketi wakagadzika pachituru kunonyanya kunaka pane kumira uchigeza mushawa mumavhiki ekutanga. Chengeta ronda rakaoma kusvika zvataurwa kuti zvakasiyana.
• Kusimudza: Hapana chinorema kupfuura 4.5 kg kwemavhiki matanhatu. Izvi zvinosanganisira mabhaketi emvura, masirinda egasi, vazukuru, masaga ezviyo nemabhegi anorema.
• Kutyaira: kazhinji kwete mavhiki mana kusvika matanhatu asati asvika uye chete mushure mekubviswa kwebhegi, sezvo kusvetuka kamwe kamwe kana bhegi remhepo kunogona kukuvadza sternum iri kupora. Mavhiri maviri anofanirwa kudzivirirwa kwenguva yakareba.
• Shandisa: Basa repadhesiki nerekutarisira rinowanzo tangazve panosvika mavhiki matanhatu; kurima, kuvaka, kurodha zvinhu uye mamwe mabasa anorema emaoko anowanzo da mwedzi mitatu kana kupfuura uye mvumo chaiyo.
• Kurovedza muviri nemitambo: kufamba kubva vhiki yekutanga, maekisesaizi ekugadzirisa mwoyo sezvakarairwa, wozoshambira kana kuchovha bhasikoro mushure mekuvhiyiwa nekusununguka kwemuviri. Kudzidzira uremu, cricket, kabaddi, wrestling uye contact sport zvinoda kubviswa pachena, uye varwere vari pa warfarin vanofanira kudzivisa mitambo contact nekuda kwenjodzi yekubuda ropa.
• Mabasa echitendero nemagariro evanhu: Kushanya kutemberi nemitambo zvakanaka kana wava kukwanisa kufamba zvakanaka, asi dzivisa vanhu vakawanda mumavhiki ekutanga, kugara pasi kwenguva refu, uye kufamba-famba wakakotama kusvika zvachena.
• Kutsanya: kurukurai nachiremba wenyu nezvekutsanya kwakarongwa, kusanganisira Karva Chauth, Navratri kana Ramzan, nekuti mishonga inobvisa mvura mumuviri newarfarin inokanganisa shanduko dzemvura uye kudya.

Kudzivirira Kudzoka uye Kudzivirira Valve Itsva

• Kudzivirira kwechipiri chirwere cherheumatic: Kana chirwere chako chevharuvhu chaive cherheumatic, jekiseni rebenzathine penicillin pamwedzi kana jekiseni repenicillin rinonwiwa rinowanzo enderera kwemakore, sezvinokurudzirwa neCSI neWHO. Kumisa nekukurumidza njodzi yekurwiswa kwerheumatic itsva.
• Kutarisirwa kwemazino nehutachiona: Bhurashi nefloss zuva nezuva, rapa chirwere chemazino, uye udza chiremba wemazino wese kuti une vharuvhu yekugadzirwa. Kudzivirira mavharuvhu ekugadzirwa kwemazino kunokurudzirwa usati watanga mamwe maitiro ekurapa mazino.
• Dzivisa kuboorwa kusina hutsanana, ma tattoo uye majekiseni asina utachiona, izvo zvinogona kudzvanya vharuvhu.
• Kurapa kwekudzivirira ropa kuvhara ropa: tora warfarin kana acitrom panguva imwe chete zuva nezuva, chengeta rekodhi yakanyorwa yeINR, chengeta kudya kwemiriwo yemashizha matema kwakaringana pane kungogara kwenguva refu, uye dzivisa mishonga inonyaradza marwadzo uye mishonga yemiti kana yeAyurvedic usingatarise kuti mishonga yacho inoshanda here.
• Kumanikidzwa kweropa, shuga, mafuta uye kudzora uremu, pamwe nekurega fodya zvachose.
• Usambofa wakasiya echocardiography yekutevera, kunyangwe kana uchinzwa zvakanaka.
• Huro inorwadza muvana vari kumba: kurapwa kwezvirwere zve streptococcal pahuro nemazvo, sezvo kudzivirira fivha ye rheumatic kunodzivirira mhuri yese.

Vana, Vasikana Vechidiki neVarwere Vakwegura

Vana nevechiri kuyaruka

Chirwere cherheumatic mitral chinogona kuonekwa muvana vachiri kuyaruka muIndia. Kugadziriswa kwechirwere kunonyanya kufarirwa muvana vari kukura nekuti chigadziko chemuviri chakaganhurirwa hachikure nemwana uye warfarin yakaoma kubata mumwana ari kushanda. Nyaya dzemwoyo dzevana dzinotumirwa mukati meApollo network kumakamuri ane nzvimbo dzevana dzeICU dzemwoyo; timu yeLucknow ichatungamira kuendesa varwere kana zvichidikanwa.

Vakadzi vari kuronga pamuviri

Iyi ndeimwe yehurukuro dzinonyanya kutaurwa uye dzakaoma. Warfarin inogona kukuvadza mwana ari kukura, kunyanya mumwedzi mitatu yekutanga, nepo mavharuvhu ematishu achikurumidza kupera simba mumadzimai madiki uye anogona kutadza kushanda panguva yekuzvitakura kana mushure mekuzvitakura. Kugadziriswa kwemavharuvhu, kana zvichibvira, kazhinji ndiyo sarudzo iri nyore kubata pamuviri. Chero mukadzi wezera rekubereka anofanira kukurukurwa izvi asati avhiyiwa, uye pamuviri unofanira kurongwa nachiremba wemwoyo nachiremba wezvekubereka pamwe chete, kwete kutanga pasina mazano.

Varwere vakwegura

Muvarwere vane makore ari pamusoro pe65 kusvika ku70, mavharuvhu ematishu anowanzo kufarirwa nekuti kugara kwenguva refu hakukoshi zvakanyanya uye kudzivirira warfarin kunonyanya kukosha, kunyanya kana paine kudonha, kusaona zvakanaka, matambudziko ekurangarira kana kuoma kwekufamba kunoongororwa INR. Kusasimba kwemuviri, kushanda kweitsvo, chirwere chemapapu uye kudya kunovaka muviri zvinoongororwa nokungwarira, uye muvarwere vane njodzi huru, sarudzo ye transcatheter kana kurapwa inogona kunge iri sarudzo yakavimbika.

Kana Ukasarudza Kusavhiyiwa

Kuramba kana kunonotsa kuvhiyiwa ikodzero yako, uye pane mamiriro ezvinhu apo kurapwa kwakakodzera, senge kushaya simba kwakanyanya kana chirwere chakanyanya chisingachinjiki chemapapu kana chiropa. Zvinobatsira kuziva zvinowanzoitika pasina kupindira muchirwere chakakomba chemitral:

• Kushaya mweya panguva yekushanda nesimba kunowanzoita kuti munhu asafeme kana ambozorora uye akarara pasi.
• Atrium yekuruboshwe inokura, atrial fibrillation inowedzera mukana, uye pamwe chete neizvi njodzi yekurohwa nesitiroko.
• Kumanikidzwa kwetsinga dzemapapu kunowedzera, uye kutadza kushanda kwemoyo kurudyi kunogona kutungamira nekuzvimba kwemakumbo, kuvhurika kwedumbu uye kuzara kwechiropa.
• Kugara uchipinzwa muchipatara nekuda kwekutadza kushanda zvakanaka kwemoyo kunowedzera, uye kuvhiyiwa, kana kukaedzwa gare gare, kune njodzi yakakura.
• Mishonga yakaita seye diuretics, mishonga inodzora mwero weropa uye mishonga inorwisa ropa rinogona kuderedza zviratidzo uye kuderedza njodzi yekurohwa nestroke, asi haigadzirise vharuvhu.

Kana ukasarudza kumirira, kumbira hurongwa hwakatsanangurwa hwekutevera uchishandisa echocardiography pane kungomira kurapwa.

Chii Chinochinja Mutengo Wekutsiva Mitral Valve

Hatiburitse nhamba dziri papeji rino, uye tinokukurudzira kuti usashandise mawebhusaiti ekuenzanisa mitengo evamwe vanhu. Zvinhu zviri pazasi zvinosarudza fungidziro yekupedzisira, iyo dhipatimendi rekubhadhara rechipatara rinogona kugadzirira nyaya yako chaiyo.

Kuti muwane fungidziro yakanyorwa, kupatsanurwa kwezviripo nezvisiri mupakeji, uye mitengo yemakamuri iripo, ndapota taurai nehofisi yekugamuchira vaenzi kana yekubhadharisa kuApollo Hospitals Lucknow.

Inishuwarenzi, Kurapwa Pasina Mari uye Maitiro eTPA muIndia

• Zvakarongwa kana kuti zvinoitwa panguva yekukurumidzira: Kutsiva vharafu re mitral kunowanzo rongwa, saka mvumo yekutanga inofanira kutanga mazuva matatu kusvika manomwe ekushanda usati wapinda muchipatara. Kuvhiyiwa kwevharuvhu yekukurumidzira kunorapwa kutanga uye mvumo inoteverwa panguva imwe chete.
• Nguva dzekumirira: Mazhinji emapolisi eIndia ekudzivirira chirwere anoshandisa nguva yekutanga yekumirira yemazuva makumi matatu uye nguva chaiyo yekumirira, inowanzova makore maviri kusvika mana, kune chirwere chagara chiripo uye mamwe mamiriro akanyorwa. Chirwere cherheumatic kana degenerative valve chinowanikwa mutemo usati watanga chinowanzoonekwa sechakagara chiripo. Kukuvara netsaona kunowanzo vharwa kubva pazuva rekutanga, asi chirwere chevharuvhu hachimbofi chakaitika netsaona, saka chirevo chakagara chiripo ndicho chinonyanya kukosha pano.
• Magwaro anowanzo diwa: gwaro remutemo kana remagetsi, chitupa chehurumende chine mufananidzo, manotsi ekutanga ekuonana, mushumo we echocardiography, mushumo we angiography kana waitwa, zano rachiremba ari kurapa rekuvhiyiwa, uye mishonga yekare inoratidza kuti zviratidzo zvakatanga riini.
• Nzira yekushandisa mari isina mari: Dhipatimendi reinishuwarenzi rechipatara rinotumira mvumo yekutanga kune kambani yako yeinishuwarenzi kana TPA, iyo inopa mvumo yemari yakatarwa. Kubviswa kwezvinhu zvisingabhadharwe, miganhu yekurenda imba, zvikamu zvekubviswa zvinoenderana uye kubhadhara pamwe chete zvakajairika, saka kumbira kuti uzive fungidziro yakajeka yemugove wako wemari yaungangowana usati wapinda.
• Nzira yekudzoserwa mari: Kana inishuwarenzi yako isina kupihwa mari, unobhadhara wozokumbira mari gare gare. Chengeta mabhiri ekutanga, pfupiso yekubuda muchipatara, kadhi rekuisira kana kadhi rekuzivikanwa kwevharuvhu, pamwe nemishumo yese yekuferefeta.
• Zvirongwa zvehurumende nemakambani: Kufukidzwa kwemari pasi peAyushman Bharat PM-JAY, zvirongwa zvehurumende, CGHS, ECHS, njanji kana boka remakambani zvinoenderana nekupa rubatsiro pari zvino uye kuwanikwa kwepakeji. Ndapota simbisai mamiriro ekupa rubatsiro pachipatara nedhipatimendi reinishuwarenzi musati mafamba.
• Kadhi revharuvhu: Mushure mekuvhiyiwa muchawana kadhi rekuzivikanwa reprosthesis. Richengetei zvachose; rinodiwa kune mafomu ekukumbira rubatsiro mune ramangwana, kuvhiyiwa kwemazino, mibvunzo yeMRI uye emergency.

Kuronga Kupinda uye Zvekuunza

• MaECG ese ekare, mishumo ye echo, maCD e angiography, pfupiso dzekubuda kwemushonga uye mitsetse yemishonga iripo kana runyorwa rwakanyorwa rune madosi.
• Mufananidzo ID uye humbowo hwekero yemurwere nemushandi mukuru, pamwe nekadhi reinishuwarenzi nemapepa einishuwarenzi.
• Makurt kana mahembe akavhurika pamberi asina kuvhurika, sezvo mbatya dzepamusoro dzichioma mushure mekubvisa sternotomy; shangu dzinopfekwa dzakasungirirwa kumashure.
• Bhurasho remazino, kamu, matauro, zvinhu zvehutsanana uye bhaketi diki kana mukombe kana uchida rako.
• Bhokisi rezvionioni, chinhu chinobatsira kunzwa, bhokisi remazino ekugadzira mazino uye tsvimbo yekufamba nayo kana zvikashandiswa.
• Piro yakasimba yekumbundira paunenge uchikosora, uye kabhuku kekuverenga INR uye mirairo yachiremba.
• Mushandi mumwe chete kana vaviri chete panguva yekurapwa muchipatara. Mumhuri dzakabatana, sarudzai pachine nguva kuti ndiani chete achabata vanachiremba, ndiani achabhadhara mari, uye ndiani achabata chikafu nekuzorora. Izvi zvinodzivirira kuvhiringidzika pakubvumirana uye mazano ekubuda muchipatara.
• Ronga mubhedha wakareba muchiuno kumba, chigaro chekugezera, gadziriro yezvekudya, uye mumwe munhu wekubatsira kwemavhiki mana usati waenda kuchipatara.
• Rega kusvuta nekutsenga fodya nguva isati yakwana usati wapinda muchipatara; zvinokanganisa zvakananga kupora kwemapapu uye kupora kwemaronda.
• Tevedzera mirairo yekutsanya chaiyo husiku hwakatangira kuvhiyiwa, uye tsanangura kuti ndeapi mapiritsi ako, kunyanya mishonga inobvisa ropa, mishonga yeshuga uye mishonga yeBP, inofanira kutorwa mangwanani ekuvhiyiwa.

Zviratidzo Zvinonyevera Zvinoda Kuongororwa Nokukurumidza

Bata timu yezvemwoyo kana kuzivisa dhipatimendi rezvekukurumidzira kana ukaona:

• Fivha, dzihwa, kana kutsvuka, kuzvimba, kudziya kana kubuda ropa kubva paronda repachipfuva.
• Kunzwa kudzvanya, kukwesha kana kusagadzikana mupfupa repachipfuva, kana kuwedzera kamwe kamwe kwekurwadziwa muchipfuva.
• Kushaya mweya wekuzorora, kutadza kurara pasi, kana kumuka husiku uchifema.
• Kuwedzera uremu nekukurumidza, gumbo idzva kana kuzvimba mudumbu.
• Kurova kwemoyo, kufenda, dzungu, kana kurova kwemoyo nekukurumidza kana kunonoka.
• Kushaya simba kana kuti kusanzwa zvakanaka kwerumwe rutivi, kutaura kusina kunyatsojeka, kurasikirwa nekuona kamwe kamwe kana musoro mutsva wakanyanya, izvo zvinogona kuratidza sitiroko uye zvinoda rubatsiro rwekukurumidzira.
• Kubuda ropa mumatadza, ropa muweti kana tsvina, tsvina nhema, maronda asingawanzoitiki, kana kubuda ropa rakawanda panguva yekuenda kumwedzi paunenge uchinwa warfarin.
• Kutadza kushandisa mushonga unorwisa ropa, INR iri pamusoro kana pasi pechinhu chauri kuda kushandisa, kana kuchinja ruzha rwevharuvhu yemuchina.
• Kuramba uchirutsa, manyoka kana kutadza kunwa mishonga, izvo zvinokurumidza kukanganisa INR.
• Fivha itsva kana kuti iri kuramba ichikura inokonzerwa nekudzikira kwehuremu kwemavhiki, izvo zvinogona kuratidza hutachiona hwevharuvhu.

Kubva Kunze kweLucknow

Apollo Hospitals Lucknow inogamuchira kutumirwa kwemoyo kubva nechepakati nekumabvazuva kweUttar Pradesh nenzvimbo dzakavakidzana, kusanganisira Kanpur, Unnao, Barabanki, Sitapur, Hardoi, Rae Bareli, Sultanpur, Ayodhya, Gonda, Bahraich, Balrampur, Basti, Gorakhpur, Pratapgrajpurya, Kheunkhiranasi, Pratapgrajpurya, Launkhiranasi Shahjahanpur, Bareilly, Jhansi, uye zvikamu zveBihar, Nepal muganho matunhu uye Uttarakhand.

• Kushanya pamwe chete: Tumira mishumo iripo ye echo ne angiography pachine nguva ne email kana WhatsApp kuitira kuti timu igokwanisa kukupa mazano ekuti ndeapi mabvunzo