Dashen zuciya

Dasawar zuciya tiyata ce don cire zuciya mai rauni ko cuta kuma maye gurbinsa da lafiyayyen mai bayarwa.

Neman zuciyar mai bayarwa na iya zama da wahala. Dole ne wanda ya mutu ya ba da gudummawar zuciya amma har yanzu yana kan tallafi na rayuwa. Dole ne zuciyar mai bayarwa ta kasance cikin yanayi na yau da kullun ba tare da cuta ba kuma dole ne a daidaita shi sosai-zuwa ga jininka da / ko nau'in nama don rage damar da jikinka zai ƙi shi.

An saka ku cikin barci mai nauyi tare da maganin sa rigakafin cutar, kuma ana yin yanki ta cikin ƙashin ƙirji.

• Jinin ku yana gudana ta cikin na'ura mai kewaye zuciya yayin da likitan yayi aiki a zuciyar ku. Wannan inji yana aikin zuciyarka da huhunka yayin da aka tsayar dasu, kuma yana wadatar da jikinka jini da oxygen.
• An cire zuciyar zuciyarka mai cuta kuma an dinka zuciyar mai bayarwa a wuri. Hakanan an katse na'urar mai huhu. Jini yana gudana ta cikin zuciyar da aka dasa, wanda ke daukar nauyin wadata jikinka da jini da oxygen.
• Ana saka bututu don fitar da iska, ruwa, da jini daga kirji na wasu kwanaki, kuma don bawa huhu damar sake faɗaɗa gaba ɗaya.

Za'a iya yin dashen zuciya don magance:

• Lalacewar zuciya mai tsanani bayan bugun zuciya
• Tsananin ciwon zuciya, lokacin da magunguna, sauran magunguna, da tiyata suka daina taimako
• Tsanani lahani na zuciya waɗanda suka kasance a lokacin haihuwa kuma ba za a iya gyara su da tiyata ba
• Bearfin zuciya mai haɗari na barazanar rai wanda ba ya amsa wasu jiyya

Ba za a iya amfani da tiyata dashen zuciya ga mutanen da suka:

• Ba su da abinci mai gina jiki
• Sun girmi shekaru 65 zuwa 70
• An sami mummunan bugun jini ko rashin hankali
• Yayi ciwon daji kasa da shekaru 2 da suka gabata
• Samun kamuwa da cutar HIV
• Yi kamuwa da cuta, kamar su ciwon hanta, waɗanda ke aiki
• Samun ciwon sukari mai dogaro da insulin da sauran gabobi, kamar kodan, waɗanda basa aiki daidai
• Yi koda, huhu, jijiya, ko cutar hanta
• Ba ku da tallafi na iyali kuma kada ku bi maganin su
• Samun wasu cututtukan da suka shafi jijiyoyin jini na wuya da ƙafa
• Yi hauhawar jini na huhu (kaurin jijiyoyin cikin huhu)
• Shan taba ko mashaya giya ko kwayoyi, ko samun wasu halaye na rayuwa wadanda zasu iya lalata sabuwar zuciya
• Ba su da abin dogaro da za su iya shan magungunan su, ko kuma idan mutumin ba zai iya ci gaba da zuwa yawan asibitoci da ziyarar ofisoshin likita da gwaje-gwaje ba

Hadarin daga duk wani maganin sa barci shine:

• Amsawa ga magunguna
• Matsalar numfashi

Hadarin daga kowane tiyata shine:

• Zuban jini
• Kamuwa da cuta

Hadarin dashi ya hada da:

• Cutar jini (thrombosis mai zurfin jini)
• Lalacewa ga kodan, hanta, ko wasu gabobin daga magungunan kin amincewa
• Ci gaban cutar kansa daga ƙwayoyin da ake amfani dasu don hana ƙin yarda
• Ciwon zuciya ko bugun jini
• Matsalar bugun zuciya
• Yawan matakan cholesterol, ciwon suga, da rage kashin jiki daga amfani da magungunan kin ji
• Riskarin haɗari ga cututtuka saboda magunguna masu ƙin yarda
• Huhu da ciwon koda
• Kin zuciya
• Ciwon jijiyoyin jini mai tsanani
• Ciwon cututtuka
• Sabuwar zuciya bazaiyi aiki ba kwata-kwata

Da zarar an tura ka cibiyar dasawa, za a kimanta ka daga kungiyar dashen. Zasu so tabbatar da cewa kai dan takarar kirki ne don dasawa. Za ku ziyarci sau da yawa a cikin makonni da yawa ko ma watanni. Kuna buƙatar ɗaukar jini da ɗaukar hoto. Hakanan za'a iya yin mai zuwa:

• Gwajin jini ko na fata don bincika kamuwa da cuta
• Gwajin koda da hanta
• Gwaji don kimanta zuciyar ka, kamar ECG, echocardiogram, da carheterheterization
• Gwaji don neman cutar kansa
• Nama da buga jini, don taimakawa tabbatar cewa jikinka ba zai ƙi zuciyar da aka ba da gudummawar ba
• Duban dan tayi da wuyanka

Kuna so ku kalli ɗayan ko fiye ɗakunan dasawa don ganin wanne zai fi muku kyau:

• Tambaye su yawan dasawa da suke yi a kowace shekara da kuma yadda rayuwarsu take. Kwatanta waɗannan lambobin tare da lambobin daga wasu cibiyoyin. Duk waɗannan ana samunsu ta intanet a unos.org.
• Tambayi kungiyoyin tallafi da suke da shi da kuma irin taimakon da suke bayarwa game da tafiye-tafiye da gidaje.
• Tambayi game da farashin magunguna da zaku buƙaci daga baya kuma idan akwai taimakon kuɗi don samun magungunan.

Idan ƙungiyar dasawa tayi imanin kai ɗan takara ne na ƙwarai, za a sanya ka cikin jerin jiran yanki don zuciya:

• Matsayinku akan jerin ya dogara da dalilai da yawa. Mahimman dalilai sun haɗa da nau'in cuta da cututtukan zuciya, da kuma yadda kake rashin lafiya a lokacin da aka lissafa ka.
• Yawan lokacin da kuka bata a jerin jirage yawanci BA wani dalili bane game da yadda da sannu zaku samu zuciya, banda batun yara.

Mafi yawa, amma ba duka ba, mutanen da suke jiran dasawar zuciya suna rashin lafiya sosai kuma suna buƙatar kasancewa a asibiti. Dayawa zasu bukaci wani nau'in na'u'ri dan taimakawa zuciyarsu ta harba jini sosai a jiki. Mafi sau da yawa, wannan na'urar taimakawa kwakwalwa ce (VAD).

Ya kamata kuyi tsammanin kasancewa a asibiti na tsawon kwanaki 7 zuwa 21 bayan dasawar zuciya. Na farko 24 zuwa 48 hours zai iya kasancewa a cikin sashin kulawa mai tsanani (ICU). A cikin fewan kwanakin farko bayan dasawa, zaku buƙaci bin diddigi don tabbatar da cewa baku kamu da cuta ba kuma zuciyarku tana aiki sosai.

Lokacin dawowa shine kusan watanni 3 kuma sau da yawa, ƙungiyar ku ta dasawa zata nemi ku zauna kusa da asibiti a lokacin. Kuna buƙatar yin bincike na yau da kullun tare da gwajin jini, x-ray, da echocardiogram har tsawon shekaru.

Yaki kin amincewa abu ne mai gudana. Tsarin garkuwar jiki yana ɗaukar abin da aka dasa a jikin baƙon kuma yana yaƙi da shi. Saboda wannan dalili, dole ne marasa lafiya masu dasa sassan jiki su sha kwayoyi wadanda suke danne karfin garkuwar jiki. Don hana ƙin yarda, yana da matukar mahimmanci a sha waɗannan magungunan kuma a bi umarnin kula da kai.

Kwayar halittar tsokar zuciya galibi ana yin ta ne a kowane wata a tsawon watanni 6 zuwa 12 na farko bayan dasawa, sannan kuma sau da yawa kadan bayan hakan. Wannan yana taimakawa wajen tantancewa idan jikinku yana ƙin sabuwar zuciya, tun ma kafin ku sami alamomi.

Dole ne ku sha ƙwayoyi waɗanda ke hana ƙin dasawa tsawon rayuwar ku. Kuna buƙatar fahimtar yadda ake shan waɗannan magunguna, kuma ku san tasirin su.

Kuna iya komawa zuwa ayyukanku na yau da kullun watanni 3 bayan dasawar da zarar kun sami ƙoshin lafiya, kuma bayan magana da mai kula da lafiyarku. Tuntuɓi mai ba ku sabis idan kuna shirin shiga cikin motsa jiki mai ƙarfi.

Idan ka kamu da cututtukan jijiyoyin jini bayan dasawa da aka yi, za ka iya samun ciwan zuciya a kowace shekara.

Yin dashen zuciya yana tsawanta rayuwar mutanen da in ba haka ba zasu mutu. Kimanin kashi 80% na marasa lafiyar dasawar zuciya suna raye shekaru 2 bayan aikin. A shekaru 5, kashi 70% na marasa lafiya zasu kasance da rai bayan dashen zuciya.

Babbar matsalar, kamar sauran abubuwan dashewa, ita ce kin amincewa. Idan ana iya sarrafa ƙin yarda, rayuwa tana ƙaruwa zuwa shekaru 10.

Dashen zuciya; Dasawa - zuciya; Dasawa - zuciya

• Zuciya - sashi ta tsakiya
• Zuciya - gaban gani
• Anatwayar al'ada ta zuciya
• Dashen zuciya - jerin

Chiu P, Robbins RC, Ha R. Tsarin zuciya. A cikin: Sellke FW, del Nido PJ, Swanson SJ, eds. Sabiston da Spencer Tiyata na Kirji. 9th ed. Philadelphia, PA: Elsevier; 2016: babi na 98.

Jessup M, Atluri P, Acker MA. Gudanar da tiyata na gazawar 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: babi na 28.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Yarinyar yara da dashen zuciya-huhu. A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 470.

Mancini D, Naka Y. Tsarin zuciya. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 82.

Yancy CW, Jessup M, Bozkurt B, et al. 2017 ACC / AHA / HFSA Mai Dauke da Updateaukakawa game da jagorancin 2013 ACCF / AHA don gudanar da rashin nasarar zuciya: rahoto na Kwalejin Kwalejin Zuciya ta Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka kan Sharuɗɗan Ayyukan Clinical da Faungiyar Rashin Ciwon Zuciya ta Amurka. J Katin Ya Kasa. 2017; 23 (8): 628-651. PMID: 28461259 www.ncbi.nlm.nih.gov/pubmed/28461259.