Pankhani ya opaleshoni ya mtima, imodzi mwa ntchito zodula kwambiri komanso zopulumutsa moyo ndi njira ya Bentall. Ngati inu kapena wokondedwa wanu mwauzidwa kuti akufunika opaleshoniyi, ndizomveka kuti musokonezeke. Koma osadandaula, blog iyi ikupatsani zonse zomwe muyenera kudziwa m'mawu osavuta kumva.
Kuchokera pa zomwe ndondomeko ya Bentall ili, yemwe amafunikira, ndi momwe imachitikira, kuti kuchira kumakhala bwanji pambuyo pa opaleshoni, tiyeni tiyambe.
Kodi Bentall Procedure ndi chiyani?
The Njira ya Bentall ndi njira yovuta ya mtima yomwe imagwiritsidwa ntchito pochiza matenda oopsa a muzu wa aortic ndi aortic valve. Zigawo za mtima zimenezi n’zofunika kwambiri poonetsetsa kuti magazi aziyenda bwino kuchokera mu mtima mwanu kupita ku thupi lonse. Pakakhala vuto, monga kuphulika kwa aorta (aneurysm) kapena valavu yotayira, ikhoza kuyika moyo wanu pachiswe.
Anthu omwe ali ndi matenda monga Marfan syndrome, aortic aneurysm, aortic valve matenda, kapena ngakhale kung'ambika kwa aorta (kung'ambika kwa aorta) nthawi zambiri amafunika kuchita izi.
Koma ndondomeko imeneyi ndi chiyani kwenikweni? Tiyeni tiphwanye.
Opaleshoni ya Bentall ndi mtundu wa opaleshoni yamtima yotseguka momwe valavu ya aortic, mizu ya aorta, ndi aorta yokwera imasinthidwa, zonse mwakamodzi. M'chinenero chachipatala, izi zimatchedwa "composite graft replacement." Opaleshoniyi idaperekedwa koyamba mu 1968 ndi Dr. Hugh Bentall ndi anzawo ku London. Cholinga chake chinali kupanga opaleshoni imodzi kwa odwala omwe ali ndi matenda a valve ndi aortic root root.
Ichi ndichifukwa chake zikuwonekera:
- Vavu yamakina kapena yachilengedwe imalowa m'malo mwa valavu ya aortic yomwe ili ndi matenda.
- A kumezanitsa kupanga m'malo dilated kapena matenda gawo la msempha.
- Mitsempha yapamtima imabwezeretsedwanso m'mitsemphayo, ndipo kumayenda bwino kwa mtima kumayambiranso.
Ndizofanana ndikusintha chitoliro chosweka ndi ma valve mkati mwa nyumba yanu, zonse mwakamodzi, ndi zida zatsopano.
Kodi Woyimira pa Bentall ndi ndani?
Opaleshoni ya Bentall imagwiritsidwa ntchito kwa anthu omwe ali ndi vuto lowopsa la aortic. Tiyeni tionenso zifukwa zina:
Aortic Root Aneurysm
Uku ndi kuphulika kapena kuphulika kwa aorta pafupi ndi mtima. Ngati sichimayendetsedwa, imatha kung'ambika ndikupangitsa kufa nthawi yomweyo.
Matenda Aortic Valve
Zinthu monga regurgitation (leaky valve) kapena stenosis (narrowed valve) zimasokoneza mtima kupopa magazi moyenera.
Matenda Olumikizana
Mikhalidwe monga Marfan syndrome ndi Loeys-Dietz syndrome imafooketsa msempha wa msempha ndi kung’amba kapena kuphulika.
Kutsegula kwa Mtsempha
Uwu ndi vuto loyika moyo pachiwopsezo pomwe kung'ambika kumachitika pakhoma la aorta ndipo kumafunika kuwongoleredwa ndi opaleshoni nthawi yomweyo.
Kodi Kufunika kwa Njira ya Bentall Kuzindikiridwa Bwanji?
Kuti muwone ngati mukufuna njira ya Bentall, dokotala wanu adzayesa mayeso angapo:
- Echocardiogram (Echo)
- CT kapena MRI pachifuwa
- Angiography
Izi zimayang'ana kukula kwa aneurysm yanu, thanzi la valve yanu, ndi ntchito yonse ya mtima wanu.
Kodi Mitundu Yosiyanasiyana ya Njira za Bentall ndi ziti?
Pali mitundu ingapo ya njira ya Bentall, kutengera vuto lanu:
Classic Bentall Ndondomeko
Njira yoyambirira inali yolumikizira mitsempha yam'mitsempha yolumikizira mwachindunji. Zinali zovuta kwambiri kuchita, komabe.
Njira Zosinthidwa za Bentall (Makina a Batani)
Izi tsopano zimachitidwa mobwerezabwereza, kumene mitsempha ya mitsempha imakhazikika m'malo mwake ngati "mabatani," zomwe zimapangitsa kuti kutaya ndi zovuta zikhale zochepa.
Zosankha za Vavu
Pali mitundu iwiri ya ma valve omwe amapezeka:
- Vavu Yamakina: Zokhalitsa, koma zimafunikira anticoagulation ya moyo wonse (monga ndi warfarin).
- Vavu ya Bioprosthetic (Tissue): Zopangidwa ndi minofu yanyama. Nthawi zambiri safuna mankhwala ochepetsa magazi kwa moyo wonse koma amatha kutha pakadutsa zaka 10-15.
Ma Valve-Sparing Njira Zina
Odwala osankhidwa, njira yochepetsera valve monga njira ya David ingaganizidwe. Izi zimateteza valavu yanu yachilengedwe pamene mukulowetsa msempha.
Kuunika koyambirira
Musanachite opaleshoni ya Bentall, kuunika bwino ndikofunikira. Mayeso odziwika bwino a pre-operation ndi awa:
- Mayeso a magazi
- Pesi X-ray
- CT scan kapena MRI
- Catheterization ya mtima
- Zojambulajambula
Mudzakumananso ndi a cardiologist, anesthesiologist, ndi dotolo wa opaleshoni kuti muwonetsetse kuti ndinu oyenera kuchitidwa opaleshoni. Kusankha dokotala wa opaleshoni yamtima wodziwa bwino komanso chipatala chokonzekera bwino chingakhudze zotsatira zanu.
Pang'onopang'ono mwachidule za Opaleshoni ya Bentall
Mukudabwa zomwe zimachitika panthawi ya ndondomekoyi? Nayi kalozera watsatane-tsatane:
- Anesthesia & Incision: Mudzakhala pansi pa anesthesia. Kudula koyima kumapangidwa pachifuwa (sternotomy) kuti ifike pamtima.
- Cardiopulmonary Bypass: Makina amtima-mapapo amayendetsa kupuma kwanu ndi kuzungulira panthawi ya opaleshoni.
- Kuchotsa Minofu Yodwala: Vavu yodwala matenda aorta, mizu ya aorta, ndi msempha wokwera zimachotsedwa ndi dokotala.
- Kuyika kwa Graft & Valve: Kumezanitsa kopangidwa pamodzi ndi valavu kumasokedwa m'malo mwake.
- Kusintha kwa Mitsempha Yapamtima: Mitsempha yam'mitsempha imayikidwanso kumtengowo (njira ya batani).
- Kumaliza & Kubwezeretsa: Chifuwa chimatsekedwa pambuyo poonetsetsa kuti zonse zikuyenda bwino.
Ntchito yonse ya opaleshoni nthawi zambiri imatenga maola 4 mpaka 6.
Kuchira Pambuyo pa Njira ya Bentall
Kuchira kumapita patsogolo ndipo kumatha kukhala kosiyana ndi munthu aliyense.
Kukhala Pachipatala
- ICU khalani kwa masiku 1-2 kuti muyang'ane kwambiri
- Kukhala m'chipatala kwathunthu kwa masiku 7 mpaka 10
Mankhwala
- Ma anticoagulants (ochepetsa magazi) a mavavu amakanika
- Mankhwala a magazi ndi mankhwala ochepetsa ululu
Kubwezeretsa Thupi
- Zochita zopepuka pakatha masabata 4-6
- Kuchira kwathunthu kumatha kutenga masabata 6 mpaka 12
- Mtima rehab analangiza kuti apezenso mphamvu
Londola
Kuyeza kwanthawi zonse kwa dokotala ndi kuyezetsa (monga echocardiograms ndi kuyezetsa magazi) ndikofunikira kuti muwone momwe ma valve amagwirira ntchito komanso kuchuluka kwa magazi magazi.
Kodi Zowopsa ndi Zowopsa za Njira ya Bentall ndi Chiyani?
Monga opaleshoni yayikulu, opaleshoni ya Bentall ili ndi zoopsa zina. Mwamwayi, ndi chithandizo chaluso, anthu ambiri amachira bwino. Zowopsa zomwe zingakhalepo ndi izi:
- Kusuta
- Kutenga
- Chilonda
- Kugunda kwamtima kosafunikira (arrhythmia)
- Kupatulira magazi (makamaka ndi mavavu amakanika)
Ogwiritsa ntchito ma valve pamakina ayenera kusamala kwambiri chifukwa zochepetsera magazi zimafunikira moyo wonse. Kuwadumpha kungayambitse magazi kuundana. Komabe kuzindikira msanga ndi kutsata pafupipafupi kumachepetsa kwambiri zoopsazi.
Moyo Pambuyo pa Njira ya Bentall
Anthu ambiri amakhala ndi moyo wathanzi, wathanzi pambuyo pa opaleshoni; makamaka ngati atsatira malangizo achipatala.
Kupulumuka Kwa Nthawi Yaitali
- Mitengo yabwino kwambiri yopulumuka nthawi yayitali ikazindikirika ndikuthandizidwa msanga.
- Odwala ambiri amabwerera kuntchito ndi ntchito zachizolowezi m'miyezi ingapo.
Kusintha kwa Moyo Wathu
- Idyani zakudya zopatsa thanzi (mchere wochepa, mafuta ochepa).
- Kuchita masewera olimbitsa thupi pafupipafupi (motsatira chilolezo chachipatala).
- Kusiya kusuta komanso kumwa mowa pang'ono.
- Tsatirani mankhwala monga mwalangizidwa.
Kukonzekera kwa Mtima
- Dongosolo loyang'aniridwali limaphatikizapo masewera olimbitsa thupi, maphunziro, ndi upangiri kuti achire mwachangu ndikupewa zovuta zamtima zamtsogolo.
Kodi Mtengo wa Njira ya Bentall ku India ndi Chiyani?
Mtengo wa njira ya Bentall ku India ukhoza kusiyana mosiyanasiyana malinga ndi chipatala, malo, ndi zochitika za wodwala aliyense. Nthawi zambiri, ndalama zimayambira USD 5,000 mpaka USD 10,000. Izi nthawi zambiri zimaphatikizapo ndalama zogulira m'chipatala, malipiro a dokotala wa opaleshoni ndi opaleshoni, komanso chisamaliro cha pambuyo pa opaleshoni ndi mankhwala. Mizinda monga Mumbai, Delhi, ndi Bangalore ikhoza kukhala ndi ndalama zambiri chifukwa cha zipatala zapamwamba komanso ogwira ntchito zachipatala odziwa zambiri. Ndikofunikira kuti odwala afufuze ndikufunsana ndi azaumoyo angapo kuti adziwe zomwe angasankhe zomwe zikugwirizana ndi zosowa zawo ndi bajeti.
Mtengo wa njira ya Bentall ku India ndiyotsika mtengo poyerekeza ndi mayiko ena.
| Country | Cost |
| India | USD 5,000 - USD 10,000 |
| nkhukundembo | USD 10,000 - USD 15,000 |
| UAE | USD 18,000 - USD 25,000 |
| USA | USD 70,000 - USD 120,000 |
Zolinga zambiri zamitengo ndi:
- Chipatala (ICU + chipinda chokhazikika)
- Malipiro a dokotala wa opaleshoni ndi ogonetsa
- Malipiro a Operation Theatre
- Kufufuza kusanachitike ndi pambuyo pake
- Mankhwala ndi zomangira
Kwa odwala ochokera kumayiko ena, malo okaona malo azachipatala amatha kukonza phukusi lothandizira maulendo, malo ogona, komanso chilankhulo.
Kutsiliza
Njira ya Bentall ndi chithandizo champhamvu cha opaleshoni kwa anthu omwe ali ndi matenda oopsa a aortic ndi valve. Ngakhale ndi ntchito yovuta, njira zapamwamba, ndi madokotala aluso zapangitsa kuti ikhale yotetezeka kwambiri ndi zotsatira zabwino za nthawi yayitali.
Ngati inu kapena mnzanu mwapezeka ndi vuto muzu wa aortic, musachite mantha. Funsani EdhaCare ndipo tidzakulumikizani ndi madokotala apamwamba a cardiothoracic odziwa bwino njira ya Bentall. Kuzindikira koyambirira, ogwira ntchito zachipatala oyenera, ndi chisamaliro chokwanira chapambuyo pake ndizo zonse zomwe mukufunikira.
Mafunso Ofunsidwa Kawirikawiri (FAQs)
Kodi njira ya Bentall ndi opaleshoni yowopsa kwambiri?
Ndi opaleshoni yaikulu, koma ndi madokotala aluso ndi luso lamakono, chipambano ndi chachikulu. Zowopsa zimachepetsedwa zikachitidwa m'malo odziwa zambiri.
Zimatenga nthawi yayitali bwanji kuti muchiritse njira ya Bentall?
Anthu ambiri amachira pakadutsa masabata 6 mpaka 12, koma mphamvu zonse zimatha kubwerera pang'onopang'ono pakapita miyezi ingapo.
Kodi ndingakhale ndi moyo wabwinobwino pambuyo pa opaleshoni ya Bentall?
Inde! Ndi chisamaliro choyenera, mankhwala, ndi kutsata, odwala ambiri amakhala ndi moyo wathanzi pambuyo pa opaleshoni.
Kodi pali kusiyana kotani pakati pa opaleshoni ya Bentall ndi valve-sparing?
Njira ya Bentall imalowa m'malo mwa valve ndi aorta, pamene njira zowonongeka za valve (monga ndondomeko ya David) zimasunga valavu ya wodwalayo.
Kodi ndikufunika mankhwala amoyo wonse pambuyo pa opaleshoni ya Bentall?
Ngati muli ndi valavu yamakina, ndiye inde, mudzafunika zochepetsera magazi moyo wanu wonse. Ndi valavu ya minofu, mutha kupewa anticoagulation kwa nthawi yayitali.