Ajụjụ: Olee Uru Aortic Valvulotomy Maka Aortic Stenosis?
Nne m meworo okenye na-ata ahụhụ nke mmiri na-egbu, ọ na-egbusi ume. Onye ọkà mmụta obi ya chere na ọ bụ agadi ma na-arịa ọrịa maka ịwa ahụ n'obi, ma na-atụ aro usoro a na-akpọ valvulotomy aortic. Kedu ihe ị nwere ike ịgwa m gbasara usoro a?
Azịza: Astic stenosis bụ ọnọdụ nke valvụ aortic (valvụ nke na-echekwa oghere n'etiti ventricle aka ekpe na eriri) na-ejikọta ya na nchịkwa calcium, ọ gaghịkwa enwe ike imeghe kpamkpam.
N'ihi mmechi a, obi obi ga-arụ ọrụ siri ike ịmịpụ ọbara site n'obi, ọ na-esitekwa n'obi mgbe mgbe. Nanị ọgwụgwọ dị irè maka stenosis bụ iji belata nkwụsịtụ na valvụ, ọ bụ site na iji ọgwụgwọ dochie valvụ aortic. Ọ bụ ezie na mgbanwe nke valvụ aortic dị nnọọ irè n'ịgwọ ọrịa nke aortic, ọ na-achọ ịwa ịwa obi nke ukwuu, ọ dịkwa ize ndụ na ndị agadi.
- Na-aguta gbasara stenosis na ọgwụgwọ ya.
Avalic valvulotomy bụ ihe na-esighi ike ịgwọ ọrịa stingosis. Na valvulotomy, a na-agafe ihe nkedo balloon gafee eriri mmiri aortic, a na-agbanyekwa ya n'ike. N'ịkọ balloon bụ iji gbajie ụfọdụ n'ime calcium na valvụ ahụ, si otú a mee ka valvụ ahụ meghee kpamkpam, ma wepụ akụkụ nke igbochi.
N'ebe ndị na-eto eto nwere ụdị nkwonkwo nke aortic, valvulotomy bụ ihe dị mma.
O bu ihe nwute, na ndi okenye ndi jiri otutu valv aortic calculated, ihe di na valvulotomy adighi nma. Nke a bụ ihe UpToDate , akwụkwọ edemede kọmputa maka ndị dọkịta na ndị ọrịa, ga - ekwu banyere valvulotomy nke ndị agadi:
"N'ime usoro akụkọ ihe mere eme, nnukwu nsogbu (strok, regurgitation aortic, infarction myocardial, nsogbu ndị metụtara isi na-emetụta) dịka pasent 10 ruo 20 nke ndị ọrịa. Ọnụ ọgụgụ nke ụlọ ọgwụ na-anwụ anwụ dịkwa ihe dị ka pasent 10 ruo 20.Akwụsịgwụ na nhụjuanya nke ọrịa na-eme n'ọtụtụ ọnọdụ n'ime ọnwa 6 ruo ọnwa 12, ihe ga-adịte aka yiri nke akụkọ ihe mere eme nke emeghị ka ụbụrụ na-adịghị mma. "
Ihe nke a pụtara ihe abụọ. Nke mbụ, na ndị agadi, ọnụego nke nsogbu dị oké njọ site na valvulotomy (karịsịa ọrịa strok, ọgụ obi, na regurgitation aortic ) dị elu. N'eziokwu, ihe ruru pasent 20 n'ime ndị ọrịa a nwụrụ tupu ha ahapụ ụlọ ọgwụ. Ọnụ ọgụgụ mgbagwoju anya a dị elu karịa ka a na-ekwukarị banyere ndị agadi nwere ngbanwe nke valvụ.
Nke abụọ, ụbụrụ na-adịghị arụ ọrụ nke ọma, ihe ga-esi na ya pụta bụ otu ihe ahụ maka ndị ọrịa na-enweghị ọgwụgwọ ọ bụla.
N'agbanyeghị nsonaazụ ndị a, a na-ejikwa valvulotomy mgbe ụfọdụ. Dị ka ọmụmaatụ, a pụrụ iji valvulotomy rụọ ọrụ dịka "akwa" maka ịwa ahụ valve. Nke ahụ bụ, enwere ike iji ya iji mee ka ọrụ obi gị dịkwuo mma ruo nwa oge iji mee ka ịwa ahụ ịwaghe ka ị gafee n'ihu.
Otú ọ dị, na-atụle ihe ọjọọ na-apụta na valvulotomy na ndị agadi, ị kwesịrị ijide n'aka na ị ga-agwa nne gị ọkachamara banyere nhọrọ ndị ọzọ. Na mgbakwunye na mgbanaka valve na-agbanwe, nhọrọ ndị a nwere ike ịgụnye ụdị ọgwụgwọ dị iche iche maka ọrịa stortosis, nke a na-akpọ transpasheter aortic valve implantation (TAVI) .
Chọrọ ịmatakwu ihe? Hụ isiokwu TopToDate, "Ọrịa Ọkụ" maka ịmatakwu ihe ọmụma ahụ ike.
Isi mmalite:
Gaasch WH, Brecker SJD, Aldea GS. Avic valvulotomy na transcatheter aortic valvụ awụlitere. Kwalitere ruo ugbu a. Nweta: April, 2012.