Rashin zuciya - tiyata da na'urori

Manyan jiyya don gazawar zuciya suna yin canje-canje na rayuwa da shan magungunan ku. Koyaya, akwai hanyoyi da tiyata waɗanda zasu iya taimakawa.

Maganin bugun zuciya ƙaramin abu ne, mai aikin batir wanda ke aika sigina zuwa zuciyar ka. Siginar tana sa zuciyarka ta bugu a daidai hanzari.

Ana iya amfani da masu ɗaukar kaya:

• Don gyara bugun zuciya mara kyau. Zuciya na iya bugawa a hankali, da sauri, ko kuma ta hanyar da ba ta dace ba.
• Don inganta yanayin bugun zuciya a cikin mutane tare da gazawar zuciya. Waɗannan ana kiran su bugun bugun zuciya.

Lokacin da zuciyarka ta yi rauni, ta yi girma sosai, kuma ba ta fitar da jini sosai, kana cikin haɗari ga bugun zuciya mara kyau wanda zai iya haifar da mutuwar zuciya ta kwatsam.

• Abun da za'a iya dasawa a zuciya-defibrillator (ICD) shine na'urar da take gano motsin zuciya. Yana hanzarta tura turaran lantarki zuwa zuciya don canza yanayin zuwa yadda yake.
• Yawancin masu bugun zuciya suna iya aiki azaman dasasshen zuciya-defibrillators (ICD).

Babban abin da ke haddasa gazawar zuciya shi ne cututtukan jijiyoyin jijiyoyin jini (CAD), wanda ke takaita ƙananan jijiyoyin jini da ke ba da jini da iskar oxygen cikin zuciya. CAD na iya zama mafi muni kuma ya sanya shi wahalar sarrafa alamun ka.

Bayan yin wasu gwaje-gwaje likitocin ku na iya jin cewa buɗe ƙuntataccen ko toshe magudanar jini zai inganta alamun rashin nasarar zuciyar ku. Hanyoyin da aka ba da shawara na iya haɗawa da:

• Angioplasty da stent sanyawa
• Yin aikin tiyata na zuciya

Jinin da ke gudana tsakanin ɗakunan zuciyarka, ko daga zuciyarka zuwa cikin aorta, dole ne ya ratsa cikin bawul na zuciya. Waɗannan bawuloli suna buɗe isa don ba da damar jini ya ratsa ta ciki. Daga nan sai su rufe, kiyaye jini daga gudana baya.

Lokacin da waɗannan bawul ɗin ba sa aiki da kyau (sun zama masu zurfin ciki ko matsera), jini ba ya gudana daidai cikin zuciya zuwa jiki. Wannan matsalar na iya haifar da gazawar zuciya ko kuma sanya gazawar zuciya mafi muni.

Ana iya buƙatar tiyata bawul na zuciya don gyara ko sauya ɗayan bawuloli.

Wasu nau'ikan tiyata ana yin su ne don gazawar zuciya yayin da sauran jiyya ba su aiki. Ana amfani da waɗannan hanyoyin sau da yawa idan mutum yana jiran dashewar zuciya. Hakanan wasu lokuta ana amfani dasu na dogon lokaci a lokuta idan ba'a shirya dasawa ba ko zai yiwu.

Misalan wasu daga cikin wadannan na'urori sun hada da na'urar taimakawa mai kwakwalwa ta hagu (LVAD), na’urar taimaka ma’adinan dama na dama (RVAD) ko kuma zuciyar zuci. Ana la'akari da su don amfani idan kuna da raunin zuciya mai tsanani wanda ba za a iya sarrafa shi da magani ko na'urar bugun zuciya ta musamman ba.

• Na'urorin taimaka na Ventricular (VAD) suna taimaka wa zuciyarka ta harba jini daga dakunan famfo na zuciyarka zuwa ko huhu ko zuwa sauran jikinka
• Kuna iya kasancewa cikin jerin jira don dashen zuciya. Wasu marasa lafiya da suka sami VAD suna rashin lafiya sosai kuma wataƙila suna kan mashin kewaya-zuciya.
• Gabaɗaya zukatan keɓaɓɓu ana haɓaka, amma har yanzu ba a amfani da su sosai.

Na'urorin da aka saka ta hanyar catheter kamar famfunan balan-balan na cikin gida (IABP) ana amfani dasu a wasu lokuta.

• IABP wata siririyar balan-balan ce wacce aka saka ta a cikin jijiya (galibi a kafa) sannan a liƙa shi a cikin jijiyoyin da ke fita daga zuciya (aorta).
• Waɗannan na'urori na iya taimakawa wajen kula da aikin zuciya a cikin gajeren lokaci. Saboda ana iya sanya su da sauri, suna da amfani ga marasa lafiya waɗanda kwatsam da tsananin raunin aikin zuciya
• Ana amfani da su a cikin mutanen da ke jiran murmurewa ko don ƙarin na'urori masu taimako na ci gaba.

CHF - tiyata; Ciwon zuciya mai narkewa - tiyata; Cardiomyopathy - tiyata; HF - tiyata; Fitar famfo na balan-balan na ciki - gazawar zuciya; IABP - ciwon zuciya; Abubuwan da ke taimakawa Catheter na tushen Catheter - ciwon zuciya

• Mai daukar ciki

Aaronson KD, Pagani FD. Taimakon injin jini. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: babi na 29.

Allen LA, Stevenson LW. Gudanar da marasa lafiya tare da cututtukan zuciya na gab da ƙarshen rayuwa. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: babi na 31.

Ewald GA, Milano CA, Rogers JG. Circulates taimaka na'urori a cikin rashin cin nasara zuciya. A cikin: Felker GM, Mann DL, eds. Rashin Ciwon Zuciya: Abokin Cutar Braunwald na Cutar Zuciya. 4th ed. Philadelphia, PA: Elsevier, 2020: babi na 45.

Mann DL. Gudanar da marasa lafiya marasa ƙarfin zuciya tare da rage ɓangaren fitarwa. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: sura 25.

Otto CM, Bonow RO. Kusanci ga mai haƙuri tare da cututtukan zuciya na zuciya. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: sura 67.

Rihal CS, Naidu SS, Givertz MM, et al; Forungiyar don Tsarin Zuciya da Magunguna (SCAI); Faungiyar Rashin Ciwon Zuciya ta Amurka (HFSA); Ofungiyar Likitocin Thoracic (STS); Heartungiyar Zuciya ta Amurka (AHA), da Kwalejin Kasuwancin Amurka (ACC). 2015 SCAI / ACC / HFSA / STS sanarwa na ƙwararriyar masaniyar asibiti game da yin amfani da na'urorin tallafi na keɓaɓɓiyar ƙwayoyin cuta a cikin kulawar jijiyoyin zuciya (wanda Heartungiyar Zuciya ta Amurka, Cibiyar Lafiya ta ofasar Indiya, da Sociedad Latino Americana de Cardiología Intervencionista; suka amince da ita; Canadianungiyar Kanada ta Interungiyar ofwararren Associationwararren Cardwararren Associationwararren Associationungiyar Canadienne de Cardiologie d'intervention). J Am Coll Cardiol. 2015; 65 (19): e7-26. PMID: 25861963 www.ncbi.nlm.nih.gov/pubmed/25861963.

Yancy CW, Jessup M, Bozkurt B, et al. 2013 ACCF / AHA jagora don gudanar da gazawar zuciya: rahoto na Kwalejin Kwalejin Kwakwar Kwakwar Baƙin Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka kan jagororin aiki. Kewaya. 2013; 128 (16): e240-e327. PMID: 23741058 www.ncbi.nlm.nih.gov/pubmed/23741058.

• Rushewar Zuciya
• Emauka masu ɗaukar hoto da Gyara Defibrillators