Chithandizo cha Aortic Stenosis

Ndani Akufunika Chithandizo cha Aortic Stenosis?

Pali magawo osiyanasiyana a anthu omwe amapezeka ndi aortic stenosis omwe amafunikira chithandizochi. 

Odwala Symptomatic ndi Kwambiri Matenda a Stenosis

Munthu amene ali ndi zizindikiro zotsatirazi amafuna chithandizo mwamsanga kuti apewe kulephera kwa mtima kapena kufa mwadzidzidzi kwa mtima:

• Ululu pachifuwa 
• Kupuma pang'ono 
• Mutu wa kuwala
• kutopa 
• Palpitations mu mtima

Odwala Asymptomatic Omwe Ali ndi Severe Aortic stenosis

Matendawa amathanso kuchitika mwa anthu opanda kusonyeza aliyense zofunikira zizindikiro, ndi mu izi, mankhwala akulimbikitsidwa. Odwala asymptomatic amapezeka ndi zotsatirazi:

• Kufooka kwa ventricle yakumanzere 
• Gawo la ejection likugwa, zomwe zikutanthauza kuti mtima ukupopa ntchito 
• Umboni wa valavu yotsika kwambiri kapena kuthamanga kwambiri pa valve

Mitundu ya Chithandizo cha Aortic Stenosis

Chithandizo cha aortic stenosis amadalira pa kusalekerera za chikhalidwe, kukhalapo kwa zizindikiro, ndi thanzi lonse mkhalidwe wa wodwalayo. 

Kusintha kwa Vavu ya Aortic (Kuchiza Kwambiri)

Chithandizo cha Opaleshoni ya Aortic Valve (SAVR)

Chithandizochi chimaphatikizapo kuchotsa valavu yowonongeka ya aortic ndikusintha ndi valve prosthetic. Ndi njira yodziwika bwino yomwe imagwiritsidwa ntchito pamene valavu yafupikitsidwa ndipo kutuluka kwa magazi kuchokera pamtima kumakhala koletsedwa. Chithandizochi chimagwiranso ntchito pamene valavu ikukumana ndi zovuta zowonongeka ndipo magazi amayenda cham'mbuyo mu mtima. Ndi bwino odwala kwambiri zizindikiro za kungʻambika stenosis. 

Transcatheter Aortic Valve Replacement (TAVR)

Ndi njira yochepetsera pang'ono yomwe imayendetsedwa kudzera mu catheter yomwe imalowetsedwa kudzera mu groin. Ndikwabwino kwa odwala okalamba omwe ali pachiwopsezo chachikulu chochitidwa opaleshoni kapenanso odwala omwe ali pachiwopsezo chochepa, chifukwa izi zikuchulukirachulukira. Ili ndi kuchira msanga poyerekeza ku SAVR. 

Balloon Valvuloplasty

Pachithandizochi, pali kutsika kwamitengo koyenera ndikuyika Balloon Catheter kuti ikulitse valavu yocheperako. Nthawi zambiri amakonzedwa ngati njira yosakhalitsa kapena amagwiritsidwa ntchito pazinthu zina, monga ana ndi achinyamata omwe akudwala congenital aortic stenosis. Zilinso kugwiritsidwa ntchito ku odwala kwambiri ngati sing'anga ndi m'malo za ma valve. Odwala akuluakulu omwe ali ndi vuto la AS sakuyenera. 

Medical Management 

Ndi njira yopanda opaleshoni kumene mankhwala amagwiritsidwa ntchito. Palibe mankhwala omwe angathe kuchiza aortic stenosis; amatha kuthana ndi zizindikiro kapena zovuta zazikulu monga kulephera kwa mtima, arrhythmias, ndi matenda oopsa. Amagwiritsidwanso ntchito kwa odwala omwe samasuka kupitiliza opaleshoni kapena TAVR. Ndi mankhwalawa, kuyang'anira mosamala ndikofunikira.

Kuunikira ndi Kuzindikira Musanayambe Chithandizo cha Aortic Stenosis

Musanapange zisankho zilizonse pa chithandizo cha aortic stenosis, ndikofunikira kudziwa bwino. izi Kumathandiza za kutsimikiza kwa kuopsa kwa matendawa, ndi kukhalako of zizindikiro, ndi magwiridwe antchito wa moyo, pamodzi ndi njira yabwino yothandizira yomwe ilipo pochiza aortic stenosis. Zowunika zachipatala, a kuunikanso kwazizindikiro, mbiri yachipatala, ndi momwe zimagwirira ntchito ndizofunikira. 

Kukonzekera ndondomeko 

• Kwa TAVR, njira yolowera ndiyofunikira, komanso kukula kwa ma valve kutengera miyeso of CT scan. 
• Kuphatikiza apo, njira ya anesthesia imayendetsedwanso limodzi ndi dongosolo la anticoagulation ndi antibiotic prophylaxis.
• Kwa SAVR, ndi Njira yopangira opaleshoni imaganiziridwanso pamodzi ndi kusankha valavu, kukonzekera kupyola kwa cardiopulmonary, ndi anesthesia wamba Kukonzekera. 

Kuunika Pamaso pa Aortic Stenosis Chithandizo

Kuwunika kwa ndi Chiwopsezo cha opaleshoni chimapangidwa ndikuwongolera mkhalidwe wa thoracic, kuchuluka kwa maopaleshoni, EuroSCORE II, chidziwitso, kufooka, komanso kutalika kwa moyo.

Mbiri Yachipatala ndi Kuwunika Kwathupi 

Zizindikiro zotsatirazi za classical ziyenera kuyesedwa:

• Ululu pachifuwa 
• Kupuma pang'ono 
• chizungulire 
• Kung'ung'udza kwa mtima 

Kuyeza Matenda

• Echocardiogram 
• Transthoracic echocardiography
• Electrocardiogram 
• CT scan kapena MRI 

Kukonzekera Ndondomeko

Itha kukhala m'malo mwa opaleshoni ya aortic valve kapena kusintha kwa valve ya transcatheter kuti amafuna mwadongosolo njira zosiyanasiyana kuti kukutetezani zotsatira zabwino kwambiri.

Multidisciplinary mtima timu kutengapo mbali

Gulu la akatswiri odziwa bwino za mtima komanso odzipereka limaphatikizapo: 

• Katswiri wa zamoyo 
• Dokotala wa opaleshoni ya Cardiothoracic 
• Wothandizira cardiologist 
• Katswiri wa opaleshoni ya mtima 
• Katswiri wazojambula 
• Geriatrician kwa odwala okalamba

Gulu ili ligwira ntchito mogwirizana komanso mogwirizana ndicholinga choti kutsimikizira matenda ndi matenda kuonetsetsa za matenda. Adzawunikanso kuopsa kwa ndondomeko ndikusankha njira yofunikira kwambiri yothandizira. 

Zowopsa ndi Zovuta Zomwe Zingatheke za Chithandizo cha Aortic Stenosis

Zowopsa ndi zovuta zomwe zimaphatikizidwa ndikusintha ma valve aortic

• Kutuluka magazi panthawi ya opaleshoni kapena pambuyo pake 
• Matenda pa malo ocheka kapena pachifuwa 
• Kuchitika kwa sitiroko 
• Mavuto mu rhythm ya mtima 
• Kusagwira ntchito kwa impso 
• Zovuta mu ntchito za mitsempha 
• Kutayikira m'dera la paravalvular  

Zowopsa ndi zovuta zomwe zikuphatikizidwa muzachipatala

Anthu omwe akudwala opaleshoni mukhoza ndi Zowopsa ndi zolepheretsa pakuwongolera zamankhwala. Izi zikuphatikizapo kuyandikira kwakukulu kwa kulephera kwa mtima, imfa yadzidzidzi ya mtima, moyo wosakhala bwino, komanso kukhala ndi moyo wautali wautali. 

Kuchira Pambuyo pa Chithandizo cha Aortic Stenosis ndi Kusamalira Kwanthawi yayitali

Kuchira Pambuyo pa SAVR

• Pambuyo pa opaleshoni yotsegula mtima osachepera kwa masiku 5 mpaka 10 akuyang'anitsitsa m'chipatala amafunikira kutengera zovuta. 
• Pamafunika pafupi masabata 6 mpaka 12 kuti achire koyamba. 
• Zizindikiro zodziwika bwino zimawonedwa pambuyo pochira ndi wofatsa kusapeza bwino mkati mwa chifuwa, kutopa, kusinthasintha maganizo, ndi chisokonezo mu kugona. 
• Odwala omwe adachitidwa opaleshoni yachangu sayenera kunyamula zinthu zolemetsa kwa miyezi iwiri, komanso osayendetsa kwa masabata 2 mpaka 4. 

Kuchira Pambuyo pa TAVR 

Ochepera masiku 1 mpaka 5 m'chipatala, masabata 1 mpaka 4 kuchira koyambaizo amachira mwachangu kuposa SAVR, makamaka pakati pa okalamba komanso apamwamba kupuma. 

Kusamalira Kwanthawi yayitali Pambuyo pa Chithandizo cha Aortic Stenosis

Kutsata kwa moyo wonse komanso kuyendera dokotala nthawi zonse ndikofunikira kuti awone zizindikiro za kulephera kwa valve, komanso kuthekera kwa kulephera kwa mtima. Mankhwala oyenerera amafunikira pambuyo pa opaleshoni, kuphatikizapo omwe ali ndi anticoagulant katundu, komanso anthu omwe amayang'anira kuthamanga kwa magazi. 

Kuphatikiza pa izi, moyo limasinthira ndiyenera kukhala anapanga. Izi zikuphatikizapo kusintha kwa zakudya zopatsa thanzi, kuchita masewera olimbitsa thupi nthawi zonse, kukhala ndi thupi labwino, ndi kusiya kusuta ndizofunikira.

Kupambana Kwambiri kwa Aortic Stenosis Chithandizo ku India

onse wa mankhwala ali nawo wapindula kupambana kwakukulu ndi zotsatira zabwino zomwe amaloledwa ndi International miyezo. Kwa TAVR, kuzungulira 97% umboni zotsatira zabwino. pakuti SAVR, kupulumuka kwa zaka 10 imaima mozungulira 84%. 

Mtengo wa Chithandizo cha Aortic Stenosis ku India

Ku India, mtengo wa chithandizo cha aortic stenosis ukhoza kusiyana kwambiri malinga ndi mtundu wa ndondomeko yofunikira. Njira zopangira opaleshoni, monga kusintha kwa valve ya aortic, zimatha kuchokera USD 6,500 ku USD 10,000, malingana ndi chipatala ndi zovuta za mlanduwo. Kuwunika kusanachitike opaleshoni, kugonekedwa m'chipatala, ndi chisamaliro chapambuyo pa opaleshoni kumawonjezeranso ndalama zonse, zomwe zimapangitsa kuti odwala aganizire mozama zomwe angasankhe.

Chifukwa Chiyani Musankhire India Chithandizo cha Aortic Stenosis?

• India ndi amodzi mwa madera omwe akulonjeza chithandizochi chifukwa amapereka moyo wapadziko lonse lapansi akatswiri ophunzitsidwa ku Germany, a USA, ndi UK.
• Kuphatikiza apo, ali ndi njira zambiri zamachitidwe, zida zapamwamba, komanso ukadaulo ngati Kujambula kwa 3D, maopaleshoni opangidwa ndi robotic, ndi ma hybrid cath lab. 
• Ndi ma valve ovomerezeka a FDA komanso ovomerezeka ndi CE, pamodzi ndi malingaliro kuchokera kwa akatswiri azipatala zodziwika bwino omwe amasunga Global makhalidwe abwino ndi chitetezo miyezo.
• India imaperekanso nthawi yochepa yodikira, kutanthauza zimalola odwala ku kulandira mokwanira zikunena. 
• Kuphatikiza pa izi, ntchito zothandizira alendo azachipatala monga thandizo la visa, kuthandizira maulendo, ndi omasulira zilankhulo zimapangitsa kuti chidziwitsocho chikhale chosavuta kwa odwala padziko lonse lapansi.
• Chisamaliro cha postoperative ku India chimaphatikizapo uphungu wa zakudya, kukonzanso mtima, uphungu wa moyo wa physiotherapy, kuwonjezera kuchira kosatha komanso mofulumira.

Chifukwa chake, ku India, zipatala zimapereka kuphatikiza kwabwino kwachipatala, kukwanitsa, komanso chisamaliro chachifundo. 

Zolemba Zofunikira kwa Odwala Opita ku India ku Chithandizo cha Aortic Stenosis

Kwa odwala apadziko lonse omwe akukonzekera kulandira chithandizo cha aortic stenosis ku India, zolemba zina zimafunika kuonetsetsa kuti ulendo wachipatala wopanda zovuta. Izi zikuphatikizapo:

• Pasipoti Yovomerezeka: Iyenera kukhala yovomerezeka kwa miyezi isanu ndi umodzi kuyambira tsiku laulendo.
• Medical Visa (M Visa): Zaperekedwa ndi ofesi ya kazembe waku India/kazembe kutengera zofunikira zachipatala.
• Kalata Yoyitanira kuchokera ku Chipatala cha India: Chitsimikizo chochokera kuchipatala chofotokoza ndondomeko ya chithandizo ndi nthawi yake.
• Zolemba Zaposachedwa Zachipatala: Kuphatikizapo ma X-ray, ma MRIs, malipoti a magazi, ndi kutumiza kwa dokotala kuchokera kudziko lakwawo.
• Fomu Yofunsira Visa Yomalizidwa: Pamodzi ndi zithunzi za kukula kwa pasipoti monga momwe zimatchulidwira.
• Umboni wa Njira Zachuma: Malipoti aposachedwa aku banki kapena inshuwaransi yazaumoyo.
• Visa Wachipatala: Zofunikira kwa mnzake kapena wosamalira woyenda ndi wodwalayo.

Ndibwino kuti mufunsane ndi kazembe waku India kapena wotsogolera wanu zachipatala kuti akupatseni malangizo osinthidwa ndi kuthandizidwa ndi zolemba.

Madokotala Apamwamba ku India a Chithandizo cha Aortic Stenosis

Ena mwa madotolo apamwamba ku India, odziwika bwino ndi chithandizo cha aortic stenosis, ndi awa:

1. Dr. Naresh Trehan, Chipatala cha Medanta, Gurgaon
2. Dr. Upendra Kaul, Chipatala cha Batra ndi Medical Research Center, Delhi 
3. Dr. Asim Kumar Bardhan, Apollo Gleneagles Hospital, Kolkata
4. Dr. Cyrus B Wadia, Jaslok Hospital, Mumbai 
5. Dr. Tripti Deb, Apollo Health City Hospital, Hyderabad

Zipatala Zabwino Kwambiri Zochizira Aortic Stenosis ku India

Zina mwa zipatala zabwino kwambiri ku India za Chithandizo cha Aortic Stenosis ndi:

1. Chipatala cha Medanta, Gurgaon
2. Chipatala cha Batra ndi Medical Research Center, Delhi 
3. Chipatala cha Apollo Gleneagles, Kolkata
4. Jaslok Hospital, Mumbai 
5. Apollo Health City Hospital, Hyderabad 

Mafunso Ofunsidwa Kawirikawiri (FAQs)

Kodi zimayambitsa aortic stenosis ndi chiyani?

Zomwe zimayambitsa matenda a aortic stenosis ndi matenda a mtima wobadwa nawo, matenda a nyamakazi, kuchepa kwa zaka, cholesterol, ndi kuthamanga kwa magazi. 

Ndi nthawi yanji yochira pambuyo pa kusintha kwa Aortic Valve?

Kwa SAVR, nthawi yochira kwa odwala imakhala kuyambira masabata 6 mpaka 12. Kwa TAVR, nthawi yochira kwa odwala imachokera ku 1 mpaka milungu iwiri 

Ndi mitundu yanji yamankhwala yomwe ilipo? 

Mitundu ya chithandizo cha aortic stenosis ndi SAVR, TAVR, ndi balloon valvuloplasty.

Kodi pali kusiyana kotani pakati pa chithandizo cha SAVR ndi TAVR?

TAVR ndiyosautsa pang'ono, ndipo kuchira kumathamanga, pomwe SAVR ndi otsegula mtima opaleshoni, ndipo mlingo wochira ndi wautali. Kwa TAVR, ofuna ndi kawirikawiri odwala okalamba kapena omwe ali pachiwopsezo chachikulu, ndi kwa SAVR, ofuna kukhala achichepere kapena odwala omwe ali pachiwopsezo chochepa. Ma valve a bioprosthetic amagwiritsidwa ntchito pa TAVR, pomwe valavu zamakina, limodzi mavavu a bioprosthetic, ndi amagwiritsidwanso ntchito mu SAVR. 

Kodi aortic stenosis ndi yobadwa nayo?

Osati mwachindunji, koma mikhalidwe ngati mavavu a bicuspid aortic akhoza kukhala cholowa.