Ho buuoa ka valve ea pelo - ho tsoa

Ho buuoa ka valve ea pelo ho sebelisetsoa ho lokisa kapa ho nka li-valve tsa pelo tse kulang. Ho ka etsahala hore opereishene ea hau e entsoe ka ho sehoa ho hoholo bohareng ba sefuba sa hao, ka ho seha hanyane lipakeng tsa likhopo tsa hao kapa ka ho fokotsa makhetlo a mabeli ho isa ho a mane.

U ile ua etsoa opereishene ho lokisa kapa ho nchafatsa e 'ngoe ea li-valve tsa pelo ea hau. Ho ka etsahala hore opereishene ea hao e entsoe ka ho sehoa ho hoholo bohareng ba sefuba, ka ho seha likhopo tse peli pakeng tsa likhopo tse peli kapa ka makhetlo a mabeli ho isa ho a mane.

Batho ba bangata ba qeta matsatsi a 3 ho isa ho a 7 sepetlele. Mohlomong u kile oa ba kamoreng ea batho ba kulang haholo ka nako e 'ngoe, u le sepetlele, mohlomong u se u qalile ho ikoetlisa ho u thusa ho fola kapele.

Ho tla nka libeke tse 4 ho isa ho tse 6 kapa ho feta ho fola ka botlalo kamora ho buuoa. Nakong ena, ho tloaelehile ho:

• E-ba le bohloko bo itseng sefubeng ha u potoloha.
• E-ba le takatso e fosahetseng ea libeke tse 2 ho isa ho tse 4.
• E-ba le maikutlo a feto-fetohang 'me u ikutloe u sithabetse.
• Ikutloe u hlohlona, ​​u koalehile, kapa u hloname ha u potoloha. Sena se ka nka likhoeli tse 6 kapa ho feta.
• Qobelloa ke meriana ea bohloko.
• E-ba le bothata bo bonolo ka mohopolo oa nakoana kapa u ikutloe u ferekane.
• Ikutloe u khathetse kapa u se na matla.
• Ho ba le bothata ba ho robala. U lokela ho robala ka tloaelo nakong ea likhoeli tse 'maloa.
• E-ba le phefumoloho e khutšoanyane.
• E-ba le bofokoli matsohong a hau khoeling ea pele.

Tse latelang ke litlhahiso tse akaretsang. U ka fumana lits'oants'o tse ikhethang ho tsoa ho sehlopha sa hau sa bongaka Etsa bonnete ba hore u latela likeletso tseo mofani oa hao oa tlhokomelo ea bophelo au fang tsona.

Ho ba le motho ea ka u thusang ho lula ka tlung ea hau bonyane libeke tse 1 ho isa ho tse 2 tsa pele.

Lula u le mafolofolo nakong ea ha u fola. Etsa bonnete ba hore o qala butle mme o eketsa ts'ebetso ea hau hanyane ka hanyane.

• O SE KE WA ema kapa oa lula sebakeng se le seng nako e telele. Tsamaea hanyane hanyane.
• Ho tsamaea ke boikoetliso bo botle bakeng sa matšoafo le pelo. E nke butle butle qalong.
• Hloa litepisi ka hloko hobane botsitso e ka ba bothata. Tšoara litšepe. Phomola ka litepisi haeba ho hlokahala. Qala ka motho ea tsamaeang le uena.
• Ho lokile ho etsa mesebetsi e bobebe ea lapeng, joalo ka ho beha tafole kapa ho mena liaparo.
• Emisa ketsahalo ea hau haeba u ikutloa u haelloa ke moea, u tsekela, kapa u na le bohloko sefubeng.
• O SE KE WA etsa ketso kapa boikoetliso bofe kapa bofe bo bakang ho hula kapa bohloko sefubeng sa hau, (joalo ka ho sebelisa mochini oa ho soka sekepe, ho sotha kapa ho phahamisa litšepe.)

U SE KE UA khanna bonyane libeke tse 4 ho isa ho tse 6 kamora 'opereishene ea hau. Metsamao e sothehang e hlokahale ho kganna lebili la setere e ka hula ha u seha.

Lebella ho nka libeke tse 6 ho isa ho tse 8 mosebetsing. Botsa mofani oa hau ha u ka khutlela mosebetsing.

U SE KE UA tsamaea bonyane libeke tse 2 ho isa ho tse 4. Botsa mofani oa hau hore na u ka etela hape neng.

Khutlela liketsong tsa thobalano butle-butle. Bua ka bolokolohi le molekane oa hau ka eona.

• Boholo ba nako, ho lokile ho qala thobalano kamora libeke tse 4, kapa ha o khona ho hloa litepisi tse peli tsa maoto kapa ho tsamaea limithara tse 800.
• Hopola hore matšoenyeho le meriana e meng e ka fetola karabelo ea thobalano ho banna le basali.
• Banna ha baa lokela ho sebelisa meriana bakeng sa ho hloka matla (Viagra, Cialis, kapa Levitra) ho fihlela mofani oa thepa a re ho lokile.

Bakeng sa libeke tse 6 tse qalang kamora ho buuoa, o tlameha ho ba hlokolosi hore na o sebelisa matsoho le mmele o kaholimo joang ha o tsamaea.

SE KE OA:

• Finyella morao.
• E-re motho e mong le e mong au hule ka lebaka lefe kapa lefe (joalo ka ho u thusa ho tsamaea kapa ho tsoha betheng).
• Phahamisa ntho efe kapa efe e boima ho feta lik'hilograma tse 2 ho isa ho tse 3 ka likhoeli tse ka bang tharo.
• Etsa lintho tse ling tse etsang hore matsoho a hau a be kaholimo ho mahetla a hau.

Etsa lintho tsena ka hloko:

• Ho hlatsoa meno.
• Ho tsoha betheng kapa setulong. Boloka matsoho a hau haufi le mahlakore a hau ha u a sebelisa ho etsa sena.
• Ho khumamela ho tlama lieta tsa hau.

Emisa ketsahalo efe kapa efe haeba u ikutloa u hula mokokotlo kapa lesapo la matsoele. Emisa hang-hang haeba u utloa kapa u utloa ho hlaha, ho sisinyeha kapa ho sisinyeha ha lesapo la hao la matsoele 'me u letsetse ofisi ea ngaka e buoang.

Sebelisa sesepa le metsi a bonolo ho hloekisa sebaka se haufi le ho kera ha hao.

• Hlapa matsoho ka sesepa le metsi.
• Mamela ka bonolo le ka tlase letlalong ka matsoho kapa ka lesela le bonolo haholo.
• Sebelisa lesela la ho hlatsoa feela ha makhala a felile mme letlalo le folile.

U ka nka lipula, empa feela metsotso e 10 ka nako. Etsa bonnete ba hore metsi a foofo. SE KE UA sebelisa litlolo, lioli, kapa setlolo se nkhang hamonate. Etsa litlolo (marikhoe) ka tsela eo mofani oa hau au bonts'itseng ka eona.

U SE KE ua sesa, ua inela ka bateng e chesang kapa u itlhatsoe ho fihlela mokhabiso oa hau o folile ka botlalo. Boloka lesela le omme.

Ithute ho lekola pelo ea hau le ho e hlahloba letsatsi le leng le le leng. Etsa boikoetliso boo u ithutileng bona sepetlele bakeng sa libeke tse 4 ho isa ho tse 6.

Latela lijo tse matlafatsang pelo.

Haeba u ikutloa u sithabetse maikutlo, bua le ba lelapa le metsoalle. Botsa mofani oa hau mabapi le ho fumana thuso ho moeletsi.

Tsoela pele ho noa meriana eohle ea pelo, lefu la tsoekere, khatello e phahameng ea mali, kapa maemo afe kapa afe ao u nang le ona. U SE KE UA emisa ho noa moriana o mong ntle le ho bua le mofani oa hau pele.

U kanna ua hloka ho noa lithibela-mafu pele ho ts'ebetso efe kapa efe ea bongaka kapa ha u ea ngakeng ea meno. Bolella bafani bohle ba hao (ngaka ea meno, lingaka, baoki, bathusi ba lingaka, kapa baoki) ka bothata ba pelo ea hau. U kanna ua batla ho roala sefaha sa sefahleho sa tlhokomeliso ea bongaka kapa sefaha.

U kanna ua hloka ho noa meriana e fokotsang mali ho thusa ho boloka mali a hau hore a se ke a etsa mahloele. Mofani oa hau a ka khothaletsa e 'ngoe ea meriana ena:

• Aspirin kapa clopidogrel (Plavix) kapa tšesaane e 'ngoe ea mali, joalo ka ticagrelor (Brilinta), prasugrel (Effient), apixaban (Eliquis), dabigatran (Xeralto), le rivaroxaban powder (Pradaxa), edoxaban (Savaysa).
• Warfarin (Coumadin). Haeba u nka warfarin, u tla hloka ho etsa liteko tsa mali khafetsa. U ka khona ho sebelisa sesebelisoa ho lekola mali a hau lapeng.

Bitsa mofani oa hau haeba:

• U na le bohloko ba sefuba kapa phefumoloho e khutšoanyane e sa foleng ha u phomola.
• U na le bohloko kahare le haufi le seo u se khethileng se sa tsoeleng pele ho ntlafala lapeng.
• Moferefere oa hau o ikutloa o sa tloaeleha, o lieha haholo (o otla ka tlase ho 60 motsotso) kapa o potlakile haholo (ho feta 100 ho isa ho 120 ho otla ka motsotso).
• U na le botsoa kapa ua akheha, kapa u khathetse haholo.
• U na le hlooho e bohloko haholo e sa foleng.
• U na le sefuba se sa foleng.
• U na le bofubelu, ho ruruha kapa bohloko namaneng ea hau.
• U khohlela mali kapa 'mala o mosehla kapa o motala.
• U na le mathata a ho noa efe kapa efe ea meriana ea pelo ea hau.
• Boima ba hau bo nyoloha ka lik'hilograma tse fetang 1 ka letsatsi matsatsi a 2 ka tatellano.
• Leqeba la hao lea fetoha. E khubelu kapa e ruruhile, e bulehile, kapa e na le draina e tsoang ho eona.
• U na le maqhubu kapa feberu e fetang 101 ° F (38.3 ° C).

Haeba u nka li-thinner tsa mali, letsetsa mofani oa thepa ea hau haeba u na le:

• Ho oela ho tebileng, kapa u otle hlooho
• Bohloko, ho se utloise bohloko, kapa ho ruruha sebakeng sa ente kapa sa kotsi
• Mathata a mangata letlalong la hao
• Ho tsoa mali a mangata, joalo ka mali a tsoa mali kapa marenene a tsoang mali
• Moroto kapa setulo se nang le madi kapa bosootho bo lefifi
• Ho opeloa ke hlooho, ho tsekela, kapa ho fokola
• Tšoaetso kapa feberu, kapa bokuli bo bakang ho hlatsa kapa letshollo
• Ua ima kapa u rerile ho ima

Phetolo ea valve ea aortic - ho tsoa; Valvuloplasty ea aortic - ho tsoa; Ho lokisa li-valve tsa aortic - ho ntša metsi; Phetolo - aortic valve - ho tsoa; Repair - aortic belofo - tjhajoloha; Ring annuloplasty - ho qhala; Percutaneous aortic valve e nchafatsa kapa e lokisa - ho ntša; Balloon valvuloplasty - ho tsoa; Mini-thoracotomy aortic valve - ho tsoa; Phetolo ea Mini-aortic kapa tokiso - ho tsoa; Ho buuoa ke pelo ea valvular - ho tsoa; Mini-sternotomy - ho tsoa; Liroboto tse thusitsoeng ka "endoscopic aortic valve" - ​​ho ntša metsi; Phetolo ea valve ea Mitral - ho bula - ho bula; Ho lokisa li-valve tsa Mitral - ho bula - ho tsoa; Ho lokisa li-valve tsa Mitral - mini-thoracotomy e nepahetseng - ho tsoa; Ho lokisa li-valve tsa Mitral - sternotomy e kaholimo ho karolo - ho tsoa; Ho lokisa li-valve tsa endoscopic tsa endoscopic - ho ntša metsi; Percutaneous mitral valvuloplasty - ho tsoa

Carabello BA. Boloetse ba pelo ba Valvular. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 75.

Nishimura RA, Otto CM, Bonow RO, le al. Tataiso ea AHA / ACC ea 2014 bakeng sa taolo ea bakuli ba nang le lefu la pelo la "valvular": kakaretso ea phethahatso: tlaleho ea American College of Cardiology / American Heart Association Task Force mabapi le Litataiso tsa Tloaelo. J Ke Coll Cardiol. 2014; 63 (22): 2438-2488. PMID: 24603192 www.ncbi.nlm.nih.gov/pubmed/24603192.

Rosengart TK, Anand J. Lefu la pelo le fumanoeng: valvular. Ka: Townsend CM JR, Beauchamp RD, Evers BM, Mattox KL, li-eds. Buka ea Sabiston ea Ngaka ea ho Buoa. 20th, ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 60.

• Ho buuoa ka sekhahla sa aortic - ho hlasela hanyane ka hanyane
• Ho buuoa ka sekhahla sa aortic - ho bulehile
• Bicuspid aortic belofo
• Endocarditis
• Ho buuoa ka valve ea pelo
• Ho phatloha ha valve ea Mitral
• Ho buuoa ka Mitral valve - e hlaselang hanyane
• Ho buuoa ka Mitral valve - ho bulehile
• Stenosis ea valve ea pulmonary
• Malebela mabapi le ho khaotsa ho tsuba

• Lithethefatsi tsa antiplatelet - P2Y12 inhibitors
• Aspirin le lefu la pelo
• Ho nka warfarin (Coumadin, Jantoven) - seo u ka se botsang ngaka ea hau
• Ho nka warfarin (Coumadin)

• Ho Buoa ka Pelo
• Maloetse a Pelo ea Pelo