I-Transcatheter Aortic Valve Replacement (TAVR) - Iinkqubo, Ulungiselelo, Iindleko, kunye noBuyiselo

I-Transcatheter Aortic Valve Replacement (TAVR) yinkqubo yotyando eyingozi kancinane eyenzelwe ukunyanga i-aortic stenosis, imeko apho ivelufa ye-aortic incutheka, ithintela ukuhamba kwegazi ukusuka entliziyweni ukuya kuwo wonke umzimba. Oku kucutheka kunokukhokelela kwiingxaki ezinzulu, kubandakanywa ukungaphumeleli kwentliziyo, intlungu yesifuba, kunye nokufa ukuba akunyangwa. I-TAVR inikezela ngenye indlela engangeneleliyo kutyando lwentliziyo oluvulekileyo lwemveli, iyenza ibe lukhetho olufanelekileyo kwizigulana ezinokuba semngciphekweni omkhulu weengxaki zotyando. Nangona kunjalo, ngokophando lwangoku, i-TAVR ifanelekile kwizigulana ezithile ezineempawu ezinzima ze-aortic stenosis kumngcipheko ophezulu okanye ophakathi wotyando.

Ngexesha lenkqubo ye-TAVR, ivalve entsha ifakwa kwi-catheter, ngokuqhelekileyo ifikeleleka nge-artery ye-femoral kwi-groin. I-catheter ikhokelela ivalve entsha kwivalve ye-aorta enesifo entliziyweni. Xa sele isendaweni, i-valve entsha iyanda kwaye ithatha umsebenzi we-valve endala, ivumela ukuphuculwa kwegazi kunye nokukhululeka kwiimpawu ezinxulumene ne-aortic stenosis.

Injongo ephambili ye-TAVR kukunciphisa iimpawu ze-aortic stenosis kunye nokuphucula umgangatho wobomi kwizigulane. Iluncedo ngakumbi kubantu abadala okanye abo banezinye iimeko zempilo ezenza utyando lwesintu lube yingozi. I-TAVR ifumene ukuthandwa ngenxa yokusebenza kwayo kunye namaxesha amafutshane okubuyisela ahambelana nenkqubo.

Kutheni le nto iTranscatheter Aortic Valve Replacement (TAVR) Yenziwe?

I-TAVR idla ngokucetyiswa kwizigulana ezineempawu ze-aortic stenosis. Iimpawu zale meko zinokubandakanya:

• Ukuphefumula okufutshane, ngakumbi ngexesha lomsebenzi womzimba
• Intlungu yesifuba okanye ukuqina
• Isiyezi okanye izibilini zokuphelelwa ngamandla
• Ukudinwa okanye ubuthathaka
• Iintliziyo zentlungu

Ezi zimpawu zenzeka ngenxa yokuba intliziyo kufuneka isebenze nzima ukumpompa igazi ngevalve emxinwa, nto leyo ekhokelela ekwandeni koxinzelelo kwizihlunu zentliziyo. Njengoko imeko iqhubela phambili, abaguli banokuba neempawu ezinzima ngakumbi, ezinokuchaphazela kakhulu ubomi babo bemihla ngemihla.

I-TAVR idla ngokuqwalaselwa xa izigulane zifunyaniswa zine-aortic stenosis enzima kwaye zibonisa iimpawu ezichaphazela umgangatho wobomi babo. Kucetyiswa ngakumbi kubantu abathathwa njengabasemngciphekweni omkhulu wotyando lwentliziyo evulekileyo ngenxa yobudala, ubuthathaka, okanye eminye imiba yezempilo esisiseko. Isigqibo sokuqhubeka ne-TAVR senziwe emva kokuphononongwa ngokucokisekileyo liqela leengcali ezininzi zonyango, kubandakanywa neengcali zentliziyo kunye noogqirha bentliziyo.

Iimpawu zeTranscatheter Aortic Valve Replacement (TAVR)

Iimeko ezininzi zeklinikhi kunye neziphumo zokuxilonga zingabonisa ukuba isigulane singumviwa ofanelekileyo weTranscatheter Aortic Valve Replacement (TAVR). Ezi ziquka:

• I-Aortic Stenosis enzima kakhulu: Izigulane kufuneka zibe noxilongo oluqinisekisiweyo lwe-aortic stenosis enzima, ngokuqhelekileyo ivavanywa nge-echocardiography. Olu vavanyo lomfanekiso lulinganisa indawo yevalve ye-aorta kunye noxinzelelo lwegradient kwivalve.
• Izigulana ezineempawu: Abaviwa be-TAVR bahlala befumana iimpawu ezinxulumene ne-aortic stenosis, ezifana nezo zikhankanywe ngaphambili. Ubukho beempawu yinto ebalulekileyo ekunqumeni isidingo sokungenelela.
• UMngcipheko oPhezulu woCando: I-TAVR isoloko isinconyelwa kwizigulana ezisemngciphekweni omkhulu weengxaki zotyando lwentliziyo oluvulelekileyo lwemveli. Oku kunokubandakanya abantu abadala abadala, abo banee-comorbidities ezininzi (ezifana nesifo esingapheliyo se-pulmonary obstructive, isifo seswekile, okanye isifo sezintso), okanye abantu abanembali yotyando lwangaphambili lwentliziyo.
• Iingqwalasela ze-Anatomical: I-anatomy yentliziyo yesigulane kunye nemithambo yegazi iyavavanywa. Izinto ezifana nobukhulu kunye nokuma kwe-valve ye-aortic, ubukho be-calcium buildup, kunye nemeko yemithambo yegazi inokuchaphazela isigqibo sokuqhubeka ne-TAVR.
• Umsebenzi Wentliziyo: Izigulane ezinokunciphisa umsebenzi we-ventricular ekhohlo okanye iimpawu zokungaphumeleli kwentliziyo zingaqwalaselwa kwi-TAVR, ngakumbi ukuba zinempawu kwaye zine-aortic stenosis.
• Ukhetho lwesigulana: Kwezinye iimeko, ukhetho lwesigulane ludlala indima kwinkqubo yokwenza izigqibo. Izigulana ezinqwenela ukuphepha iingozi ezinxulumene noqhaqho lwentliziyo evulekileyo zingakhetha i-TAVR ukuba ziyahlangabezana nemigaqo efunekayo.

Inkqubo yovavanyo ye-TAVR ibandakanya uvavanyo olubanzi, kubandakanywa nembali yonyango, ukuhlolwa komzimba, izifundo ze-imaging, kwaye ngamanye amaxesha iimvavanyo ezongezelelweyo ezifana ne-catheterization yenhliziyo. Le ndlela echanekileyo iqinisekisa ukuba kuphela ezo zigulana eziza kuzuza kakhulu kwinkqubo zikhethiweyo.

Iindidi zeTranscatheter Aortic Valve Replacement (TAVR)

Nangona injongo ephambili ye-Transcatheter Aortic Valve Replacement (TAVR) ihlala ifana-ithathe indawo ye-aortic valve yesifo-kukho iindlela ezahlukeneyo zokwenza inkqubo. Obu buchule bunokwahluka ngokusekelwe kwindawo yokufikelela esetyenziselwa ukufaka i-catheter kunye nohlobo oluthile lwevalve efakelwayo. Iintlobo eziqhelekileyo zeendlela ze-TAVR ziquka:

• Transfemoral TAVR: Le yeyona ndlela iqhelekileyo, apho i-catheter ifakwe kwi-artery femoral kwi-groin. Ikhethwa kwizigulane ezininzi ngenxa yobume bayo obuncinci kunye nenkqubo yokubuyisela ngokuthe ngqo.
• I-TAVR yeTransapical: Kwiimeko apho umthambo we-femoral awufanelekanga ukufikelela, i-catheter inokufakwa nge-incision encinci kwindonga yesifuba, ngokuthe ngqo entliziyweni. Le ndlela yaziwa ngokuba yi-TAVR ye-transapical kwaye igcinelwe izigulana ezinemingeni ethile ye-anatomical.
• Transaortic TAVR: Obu buchule bubandakanya ukufikelela kwi-aorta ngokuthe ngqo ngokusikeka okuncinci esifubeni. Ayixhaphakanga kangako kodwa inokusetyenziswa kwizigulana ezithile ezingakwaziyo ukungena kwiindlela zokudluliselwa kwe-transfemoral okanye ze-transapical.
• Subclavian TAVR: Kwezinye iimeko, i-catheter inokufakwa kwi-subclavian artery, ephantsi kwe-collarbone. Le ndlela inokuqwalaselwa kwizigulane ezinomngeni we-vascular anatomy.

Nganye kwezi ndlela zobuchule zineseti yazo yeenzuzo kunye neengqwalasela, kwaye ukhetho lwendlela yokufundisa lulungelelaniswe ne-anatomy yesigulana kunye nobume bezempilo ngokubanzi. Ukuphuhliswa kweendlela ezahlukeneyo ze-TAVR kwandise ukufaneleka kwale nkqubo yokusindisa ubomi, ivumela izigulane ezininzi ukuba zizuze ukutshintshwa kwevalve ngaphandle kwesidingo sotyando oluvulekileyo lwentliziyo. I-TAVR ngoku ivunyiwe kwizigulana ezisemngciphekweni ophakathi, kwaye ubungqina obuvelayo bubonisa ukufaneleka nakwizigulana ezinomngcipheko ophantsi kwezinye iimeko.

Ngaloo ndlela, iTranscatheter Aortic Valve Replacement (TAVR) yinkqubo yenguqu eguqule unyango lwe-aortic stenosis. Ngokubonelela ngenketho encinci yokutshintshwa kwevalve, i-TAVR iye yaphucula iziphumo kunye nomgangatho wobomi kwizigulane ezininzi. Ukuqonda izibonakaliso ze-TAVR kunye neendlela ezahlukeneyo ezikhoyo kunokuxhobisa izigulane kunye neentsapho zabo ukuba zenze izigqibo ezinolwazi malunga nempilo yentliziyo yabo. Njengoko uphando kunye nobuchwepheshe buqhubeka buqhubela phambili, i-TAVR inokuthi ibe yinxalenye ebalulekileyo yokhathalelo lwentliziyo.

IiContraindications kwiTranscatheter Aortic Valve Replacement (TAVR)

I-Transcatheter Aortic Valve Replacement (TAVR) yinkqubo yotshintsho kwizigulana ezine-aortic stenosis ebukhali, ngakumbi ezo zisemngciphekweni omkhulu wotyando lwentliziyo oluvulelekileyo. Nditsho neevalvu ze-aortic ze-bicuspid ebeziyingxaki ngaphambili ngokwembali, ngoku zilawulwa kakhulu nge-TAVR. Nangona kunjalo, ayisiso sonke isigulana esingumgqatswa ofanelekileyo we-TAVR. Ukuqonda i-contraindications kubalulekile kubo bobabini abaguli kunye nababoneleli bezempilo. Nazi ezinye iimeko kunye nezinto ezinokuthi zenze isigulana singafanelanga i-TAVR:

• Isifo esiMandundu se-Peripheral Vascular: Izigulane ezinezithintelo ezibalulekileyo okanye ukucutha kwimithambo ekhokelela emilenzeni ayinakuba ngabaviwa abafanelekileyo. Le meko inokwenza kube nzima ukuhanjiswa kwevalve ngemithambo yegazi. Kufuneka uyazi ukuba isihlobo, kungekhona ngokupheleleyo, ukuchasana ngokuxhomekeke kubuchule bokufikelela kwi-vascular.
• Usulelo olusebenzayo: Ukuba isigulana sinosulelo olusebenzayo, ngakumbi i-endocarditis (usulelo lweevalvu zentliziyo), banokufuna ukulinda de kusonjululwe usulelo ngaphambi kokuba bangene kwi-TAVR.
• Isifo seMiphunga esiMandundu: Izigulana ezinesifo semiphunga esingapheliyo (COPD) okanye ezinye iimeko ezinzima zemiphunga zinokujongana nemingcipheko eyongeziweyo ngexesha nasemva kwenkqubo.
• UkungaLawulwa kweNtliziyo: Abo banesifo senhliziyo esingalawulwa kakuhle abanako ukunyamezela inkqubo kakuhle, njengoko umsebenzi wabo wentliziyo awunakuxhasa uxinzelelo lotyando.
• Iingqwalasela ze-Anatomical: Iimpawu ezithile ze-anatomical, ezifana ne-aortic annulus encinci (indawo apho i-valve ihleli) okanye i-aorta ebalwe kakhulu, inokuthintela ukubekwa ngempumelelo kwevalve entsha.
• Iimeko Zonyango Ezikhoyo: Izigulane ezinokukhubazeka okukhulu kwezintso, isifo esibalulekileyo sesibindi, okanye ezinye izinto ezinobungozi ezinokuthi zingabi ngabaviwa abafanelekileyo ngenxa yokwanda komngcipheko weengxaki.
• Ukhetho lwesigulana: Ezinye izigulana zisenokukhetha ukungayenzi i-TAVR ngenxa yeenkolelo zobuqu, ixhala malunga nenkqubo, okanye umnqweno wokufuna olunye unyango.
• Ubudala kunye nobuthathaka: Ngelixa i-TAVR isoloko isenziwa kubantu abadala, abo babuthathaka kakhulu okanye banexesha elilinganiselweyo lokuphila abanakuzuza kwinkqubo.
• Uqhaqho lwangaphambili lweValve: Izigulane eziye zafumana utyando lwangaphambili lwe-valve yentliziyo zingajamelana nemingeni kunye ne-TAVR, kuxhomekeke kwiinkcukacha zembali yabo yotyando.

Kubalulekile ukuba izigulane ziphononongwe ngokucokisekileyo liqela lezinto ezininzi, kubandakanywa iingcali zentliziyo kunye noogqirha botyando lwentliziyo, ukufumanisa ukufaneleka kwazo kwi-TAVR. Olu vavanyo luhlala lubandakanya izifundo zokucinga, uvavanyo lwegazi, kunye nophononongo olubanzi lwembali yonyango yesigulana.

ULungiselela njani uTshintsho lweValve ye-Aortic yeTranscatheter (TAVR)

Ukulungiselela i-TAVR linyathelo elibalulekileyo lokuqinisekisa isiphumo esiyimpumelelo. Izigulana kufuneka zilandele imiyalelo ethile yaphambi kwenkqubo, ziye kuvavanyo oluyimfuneko, kwaye zithathe amanyathelo okukhusela impilo yazo phambi kokuba ziqale inkqubo. Nantsi into omawuyilindele:

• Uthethwano lwaPhambi kweNkqubo: Izigulane ziya kudibana neqela labo lezempilo ukuze baxoxe ngenkqubo, izibonelelo zayo, kunye neengozi ezinokuthi zibekho. Eli ikwalithuba lokubuza imibuzo kunye nokuvakalisa nayiphi na inkxalabo.
• Uvavanyo lwezonyango: Uvavanyo olunzulu lwezonyango luya kwenziwa, kubandakanywa ukuphononongwa kwembali yonyango yesigulane, amayeza akhoyo ngoku, kunye naziphi na iimeko zempilo ezikhoyo. Oku kunokubandakanya ukubonisana nezinye iingcali, ezifana ne-pulmonologists okanye i-nephrologists.
• Uvavanyo lweempawu: Izigulana ziya kuvavanywa ngeendlela ezininzi ukuvavanya impilo yentliziyo kunye nemeko iyonke. Iimvavanyo eziqhelekileyo ziquka:
  • I-Echocardiogram: Olu vavanyo lwe-ultrasound luvavanya umsebenzi wentliziyo kunye nobukhulu be-aortic stenosis.
  • I-Cardiac Catheterization: Le nkqubo inokwenziwa ukuvavanya isifo se-coronary artery kunye nokuhamba kwegazi kwentliziyo.
  • I-CT Scan: I-CT scan yesifuba isoloko isenziwa ukuvavanya i-aorta kunye ne-anatomy yentliziyo, iqinisekisa eyona ndlela ilungileyo yokubeka ivalve.
• Ulawulo lwamayeza: Izigulane kunokufuneka zihlengahlengise amayeza azo phambi kokuba kwenziwe inkqubo. Oku kubandakanya ukumisa izinto ezinciphisa igazi okanye amanye amayeza anokonyusa ingozi yokopha. Kubalulekile ukulandela imiyalelo yomboneleli wezempilo malunga nolawulo lwamayeza.
• Ukuguqula indlela yokuphila: Izigulane ziyakhuthazwa ukuba zamkele indlela yokuphila enempilo ekhokelela kwinkqubo. Oku kuquka:
  • Ukutya ukutya okunesondlo okuneziqhamo, imifuno, ukutya okuziinkozo, kunye neeproteni ezibhityileyo.
  • Ukwenza umthambo olula njengoko kunyanyezelwe, ngaphandle kokuba kucetyiswe ngenye indlela ngumboneleli wezempilo.
  • Ukuyeka ukutshaya, ukuba kufanelekile, ukuphucula impilo yonke kunye nokubuyisela.
• Ukulungiselela iNkxaso: Ekubeni i-TAVR ngokuqhelekileyo isenziwa kwizigulane ezingalaliswayo, izigulane zifanele zilungiselele ukuba ilungu lentsapho okanye umhlobo ubakhaphe ukuya esibhedlele kwaye abancedise ngesithuthi esigodukayo emva kwenkqubo.
• Imiyalelo yokuzila ukutya: Izigulane ziya kufumana imiyalelo ethile malunga nokuzila ukutya phambi kwenkqubo. Ngokubanzi, baya kucetyiswa ukuba bangatyi okanye bangaseli nantoni na emva kobusuku obungaphambi kwenkqubo.
• UVavanyo Lwenkqubo Yangaphambili: Ngomhla wenkqubo, iimvavanyo ezongezelelweyo zinokwenziwa, njengovavanyo lwegazi okanye i-electrocardiogram (ECG), ukuqinisekisa ukuba isigulane silungele i-TAVR.

Ngokulandela la manyathelo okulungiselela, izigulane zinokunceda ekuqinisekiseni ukuba zikwimeko engcono kakhulu yenkqubo ye-TAVR, enokukhokelela kwiziphumo eziphuculweyo kunye nokubuyisela ngokukhawuleza.

I-Transcatheter Aortic Valve Replacement (TAVR): Inkqubo yeNyathelo ngeNyathelo

Ukuqonda inkqubo ye-TAVR kunokunceda ukunciphisa ixhala kunye nokulungiselela izigulane ukuba zilindele ntoni. Nantsi isishwankathelo senyathelo ngenyathelo lenkqubo:

• Ukufika esibhedlele: Izigulane ziya kufika esibhedlele ngosuku lwenkqubo. Baya kukhangela kwaye banokuthathwa kwindawo yangaphambi kotyando apho baya kutshintsha ibe yingubo yesibhedlele.
• UVavanyo lweNkqubo yaPhambi: Ngaphambi kokuba inkqubo iqale, iqela lezempilo liya kwenza uvavanyo lokugqibela, kubandakanywa ukujonga iimpawu ezibalulekileyo kunye nokuqinisekisa isazisi sesigulane kunye neenkcukacha zenkqubo.
• Ukubulawa: I-TAVR inokwenziwa phantsi kwe-anesthesia yendawo kunye ne-sedation okanye i-anesthesia jikelele, kuxhomekeke kwimeko yesigulane kunye nesincomo sikagqirha. I-anesthesiologist iya kuxoxa ngeyona ndlela ilungileyo kunye nesigulana.
• Ufikelelo kuLungiselelo lweSiza: Ugqirha uya kukhetha indawo yokufikelela, ngokuqhelekileyo kwi-groin (i-artery femoral) okanye, kwezinye iimeko, ngesifuba (i-transapical or transaortic approach). Indawo iya kuhlanjululwa kwaye ihlanjululwe nge-anesthesia yendawo.
• Ukufakwa kweCatheter: Ityhubhu ebhityileyo, ebhetyebhetye ebizwa ngokuba yicatheter iya kufakwa kwindawo yofikelelo ekhethiweyo. Ukusebenzisa isikhokelo sokucinga, i-catheter ifakwe ngononophelo kwimithambo yegazi ukuya entliziyweni.
• Ukuhanjiswa kweValve: Nje ukuba i-catheter ifikelele entliziyweni, i-valve entsha ye-aortic, exinzelelwe ngaphakathi kwenkqubo yokuhambisa, ibekwe kwindawo yevalve enesifo. Emva koko ugqirha uya kuhambisa i-valve, evumela ukuba yandise kwaye ithathe indawo ye-valve endala.
• Uvavanyo loMsebenzi weValve: Emva kokuba i-valve entsha isendaweni, ugqirha uya kuhlola umsebenzi wayo usebenzisa i-echocardiography kunye nezinye iindlela zokucinga ukuqinisekisa ukuba isebenza ngokuchanekileyo.
• Ukususwa kweCatheter: Emva kokuba inkqubo igqityiwe, i-catheter iya kususwa ngononophelo. Ukuba bekusetyenziswe umthambo we-femoral, isixhobo sokuvala singabekwa ukutywina indawo yofikelelo.
• Ukubuyisela: Izigulane ziya kusiwa kwindawo yokuchacha apho ziya kujongwa iiyure ezininzi. Iimpawu ezibalulekileyo ziya kuhlolwa rhoqo, kwaye izigulane zinokufumana ulwelo kunye namayeza njengoko kufuneka.
• Ukhathalelo lwasemva kweNkqubo: Emva kokuchacha, izigulane ziya kudluliselwa kwigumbi lasesibhedlele ukuze ziqwalaselwe ngakumbi. Uninzi lwezigulana zinokulindela ukuhlala esibhedlele usuku olunye ukuya kwezimbini, kuxhomekeke kwinkqubela phambili yokuchacha kwabo.
• Imiyalelo yokukhupha: Ngaphambi kokukhutshwa, izigulane ziya kufumana imiyalelo ecacileyo malunga nendlela yokuzinyamekela ekhaya, kubandakanywa nolawulo lwamayeza, izithintelo zomsebenzi, kunye nokuqeshwa okulandelwayo.
• Ukulandela Ukukhathalelwa: Izigulane ziya kuba nokuqeshwa okulandelelanayo kunye neqela labo lokhathalelo lwezempilo ukubeka iliso ekubuyiseleni kwabo kwaye baqinisekise ukuba i-valve entsha isebenza ngokufanelekileyo. Ii-echocardiograms eziqhelekileyo zinokucwangciswa ukuvavanya ukusebenza kwentliziyo ngexesha.

Ngokuqonda inkqubo ye-TAVR, izigulane zinokuziva zixhotyisiwe kwaye zinolwazi njengoko zihamba kuhambo lwazo lonyango.

Imingcipheko kunye neengxaki zeTranscatheter Aortic Valve Replacement (TAVR)

Njengayo nayiphi na inkqubo yonyango, i-TAVR inomngcipheko othile kunye neengxaki ezinokubakho. Ngelixa izigulana ezininzi zifumana iziphumo eziyimpumelelo, kubalulekile ukuba wazi zombini iingozi eziqhelekileyo kunye nezinqabileyo ezinxulumene nenkqubo. Nalu ulwahlulo:

Imingcipheko eqhelekileyo:

• Ukuhlamba: Ekubeni i-TAVR ibandakanya ukufikelela kwimithambo yegazi, kukho umngcipheko wokuphuma kwegazi kwindawo. Oku kudla ngokulawuleka kodwa kunokufuna unyango olongezelelweyo.
• Usulelo: Kukho umngcipheko wokusuleleka kwindawo yokufaka i-catheter okanye, kwiimeko ezinqabileyo, i-endocarditis (usulelo lwe-valve yentliziyo).
• IiArrhythmias: Ezinye izigulane zinokufumana ukubetha kwentliziyo okungaqhelekanga ngexesha okanye emva kwenkqubo. Uninzi lwee-arrhythmias zezokwexeshana kwaye zisonjululwe ngokwazo.
• Ukubetha: Kukho umngcipheko omncinci we-stroke ngexesha lenkqubo ngenxa ye-debris ekhutshwa kwi-aorta okanye intliziyo. Umngcipheko uphantsi ngokubanzi, kodwa kukuqwalaselwa.
• Ukuma kweValve: Kwezinye iimeko, isivalo esitsha sinokungabekwa kakuhle, nto leyo enokukhokelela kwiingxaki. Ukuba oku kuyenzeka, iinkqubo ezongezelelweyo zingafuneka.
• Ukwenzakala Kwezintso: Idayi eyahlukileyo esetyenziswa ngexesha lokucinga inokuchaphazela ukusebenza kwezintso, ngakumbi kwizigulana ezinemiba yezintso esele ikhona.

Imingcipheko enqabileyo:

• Ukuhlaselwa yintliziyo: Nangona kunqabile, kukho ithuba lokuhlaselwa yintliziyo ngexesha okanye kungekudala emva kwenkqubo.
• Udinga iPacemaker: Ezinye izigulana zinokufuna i-pacemaker emva kwe-TAVR ngenxa yotshintsho kwisigqi sentliziyo okanye ukuqhuba.
• Ukuqhekeka kweAorta: Le yingxaki enqabileyo kodwa enzulu apho iileya ze-aorta tear, ezinokukhokelela kwiimeko ezisongela ubomi.
• Ukufa: Ngelixa i-TAVR ikhuselekile ngokubanzi, kukho umngcipheko omncinci wokusweleka ohambelana nenkqubo, ngakumbi kwizigulana ezinezigulo ezibalulekileyo.
• Ukungasebenzi kweValve yeProsthetic: Kwiimeko ezinqabileyo, i-valve entsha ayinakusebenza njengoko ijoliswe kuyo, ekhokelela kwisidingo sokungenelela okungaphezulu.

Kubalulekile ukuba izigulana zixoxe ngezi ngozi kunye neqela lazo lokhathalelo lwempilo ukuze ziqonde iimeko zazo zomngcipheko kwaye zenze izigqibo ezinolwazi malunga nokhetho lwazo zonyango. Ngokubanzi, i-TAVR iboniswe ukuba iphucule kakhulu umgangatho wobomi kunye neziphumo kwizigulane ezininzi ezine-aortic stenosis enzima, okwenza kube yinto ebalulekileyo kwintsimi ye-cardiology.

UkuBuyisa kwakhona emva kokutshintshwa kweValve ye-Transcatheter Aortic (TAVR)

Inkqubo yokubuyisela emva kweTranscatheter Aortic Valve Replacement (TAVR) ilula xa ithelekiswa notyando lwentliziyo oluvulelekileyo. Uninzi lwezigulane zinokulindela ukuhlala esibhedlele malunga ne-1 ukuya kwiintsuku ze-3, kuxhomekeke kwimpilo yabo yonke kunye naziphi na iingxaki ezinokuvela. Ngeli xesha, ababoneleli bezempilo baya kubeka iliso kwintliziyo yakho kwaye balawule nayiphi na intlungu okanye ukungahambi kakuhle.

Ixesha elilindelekileyo lokuBuyisa kwakhona:

• IVeki yokuqala: Izigulana zidla ngokudinwa kwaye zisenokungakhululeki kwindawo yofakelo lwecatheter. Imisebenzi yokukhanya, njengokuhamba, iyakhuthazwa ukuba ikhuthaze ukujikeleza.
• Iiveki 2-4: Izigulana ezininzi ziqala ukuziva ngcono kakhulu, kunye namanqanaba amandla aphuculweyo. Uninzi lunokubuyela kwimisebenzi elula yemihla ngemihla, kodwa ukuphakamisa ubunzima kunye nomthambo onzima kufuneka kuphetshwe.
• Iinyanga ezi-1-3: Ngeli xesha, izigulane ezininzi zinokuphinda ziqalise imisebenzi eqhelekileyo, kubandakanywa ukuqhuba nokubuyela emsebenzini, kuxhomekeke ekubuyiseleni kwabo ngabanye kunye neengcebiso zogqirha.

Iingcebiso zoLondolozo lwasemva:

• Ukuqeshwa kolandelo: Ukulandelela rhoqo kunye ne-cardiologist yakho kubalulekile ukujonga impilo yentliziyo yakho kunye nokusebenza kwevalvu.
• Ulawulo lwamayeza: Ukubambelela kumayeza amiselweyo, kubandakanywa negazi elincinci, kubalulekile ukukhusela iingxaki.
• Ukutya kunye nendlela yokuphila: Ukutya okunempilo kwentliziyo okutyebileyo kwiziqhamo, imifuno, ukutya okuziinkozo, kunye neeproteni ezibhityileyo kunokunceda ukuchacha. Ukuphepha ukutshaya kunye nokunciphisa ukusela utywala kuyacetyiswa.
• Umsebenzi woMzimba: Yandisa ngokuthe ngcembe umsebenzi womzimba njengoko ucetyiswa ngumboneleli wakho wezempilo. Ukuhamba yindlela entle yokuqala.

Xa Imisebenzi Yesiqhelo Inokuqalisa kwakhona:

Uninzi lwezigulana zinokubuyela kwiinkqubo zazo zesiqhelo kwiiveki ezimbalwa, kodwa kubalulekile ukumamela umzimba wakho kwaye udibane nogqirha wakho ngaphambi kokuba uqalise kwakhona nayiphi na imisebenzi enempembelelo ephezulu okanye imidlalo.

Izibonelelo zeTranscatheter Aortic Valve Replacement (TAVR)

I-Transcatheter Aortic Valve Replacement (TAVR) ibonelela ngeenzuzo ezininzi, ngakumbi kwizigulana ezine-aortic stenosis ezinokungabi ngabagqatswa abafanelekileyo botyando lwesintu. Nalu uphuculo oluphambili lwezempilo kunye neziphumo zomgangatho wobomi ezinxulumene ne-TAVR:

• Inkqubo eHlangeneyo kancinci: I-TAVR yenziwa ngokusikwa okuncinci, ngokufuthi kwi-groin, okukhokelela kwiintlungu ezincinci kunye nokuchacha ngokukhawuleza xa kuthelekiswa notyando oluvulekileyo lwentliziyo.
• Umsebenzi weNtliziyo ophuculweyo: Izigulane zihlala zifumana ukuphuculwa okuphawulekayo ekusebenzeni kwentliziyo kunye neempawu, ezifana nokuphefumula okufutshane kunye nokukhathala, kungekudala emva kwenkqubo.
• Umgangatho woBomi owongeziweyo: Izigulana ezininzi zixela umgangatho ongcono wobomi emva kwe-TAVR, kunye nokukwazi ukwenza imisebenzi yemihla ngemihla kwaye ujabulele ubomi ngokupheleleyo.
• Umngcipheko osezantsi weengxaki: I-TAVR idibaniswe nomngcipheko ophantsi weengxaki, ezifana nokusuleleka kunye nokuhlala ixesha elide esibhedlele, xa kuthelekiswa nokhetho lwendabuko lotyando.
• Iziphumo Zexesha elide: Uphononongo lubonise ukuba i-TAVR inokubonelela ngeziphumo ezifanayo okanye ezingcono zexesha elide xa kuthelekiswa nokutshintshwa kwevalve ye-aortic yotyando, ngakumbi kwizigulana ezisengozini enkulu.

Lithini Iindleko zeTranscatheter Aortic Valve Replacement (TAVR) eIndiya?

Iindleko zeTranscatheter Aortic Valve Replacement (TAVR) eIndiya ziqhele ukusuka kwi- ₹2100,000 ukuya kwi- ₹35,00,000. Izinto ezininzi zinokuchaphazela iindleko zizonke, kuquka:

• UKhetho lwesibhedlele: Izibhedlele ezahlukeneyo zinokuba nezakhiwo zamaxabiso ezohlukeneyo ngokusekelwe kumaziko kunye nobuchule bazo.
• Indawo: Iindleko zinokwahluka kakhulu phakathi kweendawo zasezidolophini nezisemaphandleni, nezibhedlele zedolophu zidla ngokubiza kakhulu.
• Uhlobo lwegumbi: Ukukhethwa kwegumbi (labucala, elabucala, okanye eliqhelekileyo) nako kunokuchaphazela ixabiso lilonke.
• Iingxaki: Naziphi na iingxaki ezingalindelekanga ngexesha okanye emva kwenkqubo zinokunyusa iindleko zizonke.

Kwezinye iimeko, i-inshorensi okanye amacebo karhulumente anokuhlawula inxalenye yeendleko.

Izibhedlele ze-Apollo zibonelela ngeenzuzo ezininzi, kubandakanywa amaziko asemgangathweni, abaqeqeshi bezonyango abanamava, kunye nokunyamekela okubanzi, okwenza i-TAVR ibe yinto efikelelekayo xa kuthelekiswa namazwe aseNtshona, apho inkqubo inokubiza kakhulu. Ukufumana amaxabiso achanekileyo kunye nokhetho lokhathalelo lomntu, siyakukhuthaza ukuba uqhagamshelane neApollo Hospitals ngokuthe ngqo.

Imibuzo Ebuzwa Rhoqo malunga neTranscatheter Aortic Valve Replacement (TAVR)