Yini i-Transcatheter Aortic Valve Replacement (TAVR)? Injongo, Inqubo & Nemiphumela

I-Transcatheter aortic valve replacement (TAVR) iyinqubo yenhliziyo engahlaseli kakhulu eshintsha i-aortic valve elimele ngaphandle kokuhlinzwa kwenhliziyo evulekile. Esikhundleni sokwenza ukusikeka okukhulu esifubeni, udokotela wakho ufaka i-valve entsha ngomthambo omncane, ngokuvamile ngomthambo emlenzeni wakho. Le ndlela entsha isiza abantu abanezifo ezinzima ze-aortic valve ezingase zibe sengozini enkulu yokuhlinzwa kwendabuko.

Yini i-TAVR?

I-TAVR iyinqubo entsha enikeza inhliziyo yakho i-aortic valve entsha ngendlela enobumnene kakhulu kunokuhlinzwa kwendabuko. I-aortic valve yakho ilawula ukugeleza kwegazi kusuka enhliziyweni yakho kuya kuyo yonke ingxenye yomzimba wakho, futhi uma iba mncane kakhulu noma ilimele, inhliziyo yakho kufanele isebenze kanzima kakhulu.

Ngesikhathi se-TAVR, ithimba elikhethekile liqondisa i-valve yokufaka esikhundleni ewa ngemithambo yakho yegazi ukuze ifinyelele enhliziyweni yakho. Uma isendaweni, i-valve entsha iyanda futhi ithatha umsebenzi we-valve yakho elimele. Le nqubo ngokuvamile ithatha amahora angu-1-3 futhi yenziwa e-cardiac catheterization lab ekhethekile.

Ubuhle be-TAVR bulele ekuhlaseleni kwayo okuncane. Abantu abaningi balulama ngokushesha kunalokho abangakwenza ngemva kokuhlinzwa kwenhliziyo evulekile, ngokuvamile behamba ekhaya phakathi kwezinsuku ezingu-1-3. I-valve yakho yasekuqaleni ihlala endaweni, futhi i-valve entsha ibekwe ngaphakathi kuyo.

Kungani i-TAVR yenziwa?

I-TAVR yenziwa ikakhulukazi ukwelapha i-aortic stenosis enzima, isimo lapho i-aortic valve yakho iba mncane kakhulu ukuthi ingavumeli ukugeleza kwegazi okufanele. Lokhu kwenzeka lapho ama-leaflet e-valve eba makhulu, aqinile, noma a-calcified ngokuhamba kwesikhathi, okwenza kube nzima ukuthi inhliziyo yakho ipompe igazi ngempumelelo.

Udokotela wakho angase ancome i-TAVR uma unezimpawu ezinjengokuphefumula kanzima, ubuhlungu besifuba, isiyezi, noma ukuquleka okuphazamisa imisebenzi yakho yansuku zonke. Lezi zimpawu zenzeka ngoba inhliziyo yakho isebenza ngokweqile ukuze iphushe igazi nge-valve encishisiwe.

I-TAVR ilungele ikakhulukazi abantu abathathwa njengabanobungozi obukhulu noma obumaphakathi ngemisebenzi yokuhlinzwa kwenhliziyo okuvulekile okujwayelekile. Lokhu kuhlanganisa abadala, abantu abanezimo eziningi zempilo, noma labo abake bahlinzwa inhliziyo ngaphambili. Kodwa-ke, i-TAVR iyanikezwa ngokuqhubekayo nakweziguli ezinobungozi obuphansi.

Abanye abantu abanokugula okukhulu kwe-aortic regurgitation (lapho i-valve ivuza emuva) nabo bangase babe ngabazongenela i-TAVR, nakuba lokhu kungavamile. Ithimba lakho lenhliziyo lizohlola ngokucophelela isimo sakho esithile ukuze linqume ukuthi i-TAVR iyindlela efanele kuwe yini.

Yini inqubo ye-TAVR?

Inqubo ye-TAVR iqala ngokuthi wamukele ukuthuliswa kwengqondo noma i-anesthesia ejwayelekile, kuye ngesimo sakho esithile kanye nokukhetha kukadokotela wakho. Uzoqashwa ngokuqhubekayo kuyo yonke inqubo ngemishini yokucabanga ethuthukisiwe.

Nakhu okwenzekayo ngokujwayelekile ngesikhathi senqubo yakho ye-TAVR:

1. Udokotela wakho wenza umgodi omncane emthanjeni, ngokuvamile emgodini wakho, nakuba ngezinye izikhathi bengase basebenzise umthambo esifubeni sakho, engalweni, noma entanyeni
2. I-catheter encane, eguquguqukayo iqondiswa ngokucophelela ngemithambo yakho yegazi ukuze ifinyelele enhliziyweni yakho
3. I-valve yokufaka esikhundleni ewa, efakwe kubhaluni noma ohlakeni oluzikhulisayo, idlula nge-catheter
4. Ngokusebenzisa isiqondiso esiqondile sokucabanga, i-valve entsha ibekwa ngqo lapho i-valve yakho elimele ikhona
5. I-valve iyakhuliswa, ngokuvuvukisa ibhaluni noma ukuyivumela ukuthi izikhulise yona
6. Udokotela wakho uhlola indawo nokusebenza kwe-valve esebenzisa ukucabanga futhi angase enze izinguquko uma kudingeka
7. I-catheter iyasuswa, futhi indawo encane yokufinyelela ivalwa

Yonke inqubo ngokuvamile ithatha amahora angu-1-3, nakuba isikhathi sokulungiselela nokululama ekamelweni lenqubo singase sandise lokhu. Abantu abaningi bavuka ngesikhathi senqubo futhi bangakwazi ngisho nokubuka izingxenye zayo esikrinini uma benentshisekelo.

Iqembu lakho lenhliziyo ngokuvamile lihlanganisa udokotela wenhliziyo, udokotela ohlinza inhliziyo, udokotela we-anesthesiologist, nabahlengikazi abangochwepheshe abasebenzisana. Le ndlela yokusebenzisana iqinisekisa ukuthi uthola ukunakekelwa okuphephe kakhulu, okuphumelela kakhulu.

Ungalungiselela kanjani i-TAVR yakho?

Ukulungiselela i-TAVR kuhilela izinyathelo eziningana ezibalulekile ezisiza ekuqinisekiseni umphumela ongcono kakhulu. Ithimba lakho lezokwelapha lizokuqondisa kuzo zonke izinyathelo, kodwa ukuqonda okulindelekile kungakusiza ukuthi uzizwe uqiniseka futhi ulungile.

Emasontweni ngaphambi kwenqubo yakho, uzohlinzwa izivivinyo eziphelele ukuthola ukwakheka kwenhliziyo yakho futhi uqinisekise ukuthi i-TAVR ilungele wena. Lokhu ngokuvamile kufaka phakathi i-CT scan yesifuba sakho, ukufakwa kwe-catheter yenhliziyo, i-echocardiogram, nezivivinyo zegazi.

Uhlu lwakho lokulungiselela cishe luzofaka lezi zinyathelo ezibalulekile:

• Ukuyeka imithi ethile njengoba kuqondiswe udokotela wakho, ikakhulukazi ama-blood thinners
• Ukuhlela ukuthi othile akuqhubele ekhaya futhi ahlale nawe ngosuku lokuqala
• Ukulandela imiyalelo yokuzila ukudla, ngokuvamile akukho ukudla noma isiphuzo ngemuva kwamabili ngaphambi kwenqubo yakho
• Ukugeza ngensipho elwa namagciwane ngobusuku obandulela kanye nasekuseni kwenqubo yakho
• Ukugqoka izingubo ezikhululekile, ezikhululekile futhi ushiye ubucwebe ekhaya
• Ukuletha uhlu lwazo zonke izidakamizwa zakho kanye nanoma yiziphi iziqondiso zangaphambili

Unganqikazi ukubuza ithimba lakho lokunakekela nganoma yikuphi ukukhathazeka noma imibuzo onayo. Bafuna ukuthi uzizwe ulungile futhi ukhululekile ngangokunokwenzeka. Uma uba nezimpawu zokugula njengomkhuhlane, ukukhwehlela, noma izimpawu zomkhuhlane ngaphambi kwenqubo yakho, xhumana nodokotela wakho ngokushesha.

Ungawafunda kanjani imiphumela yakho ye-TAVR?

Ukuqonda imiphumela yakho ye-TAVR kugxila ekutheni ivalvu yakho entsha isebenza kahle kangakanani nokuthi inhliziyo yakho isabela kanjani ekuthuthukisweni kokugeleza kwegazi. Udokotela wakho uzosebenzisa izilinganiso eziningana ezihlukene nezivivinyo ukuhlola ukusebenza kwevalvu yakho.

Ngemva nje kwe-TAVR, ithimba lakho lezokwelapha lizohlola ukusebenza kwe-valve yakho ngokusebenzisa i-echocardiography nezinye izithombe. Bafuna ukuvuleka nokuvaleka okufanele kwe-valve, ukuvuza okuncane, kanye namaphethini amahle okuhamba kwegazi. Abantu abaningi babona ngokushesha ukuthuthuka emandleni enhliziyo yabo okuphusha igazi.

Izilinganiso ezibalulekile udokotela wakho azogada zihlanganisa:

• I-valve gradient (umehluko wengcindezi ngaphesheya kwe-valve) - kufanele ibe ngaphansi kakhulu kunangaphambili
• Indawo ye-valve - kufanele ibe nkulu kakhulu, ivumele ukuhamba kwegazi okungcono
• I-ejection fraction - ilinganisa ukuthi inhliziyo yakho iphusha igazi kahle kangakanani
• Ukuba khona nobukhulu banoma yikuphi ukuvuza kwe-valve
• Ukusebenza kwenhliziyo yonke nesigqi

Izimpawu zakho nazo ziyizinkomba ezibalulekile zempumelelo. Abantu abaningi baqaphela ukuthuthuka ekuphefumuleni, emazingeni wamandla, kanye nekhono lokuba matasa phakathi nezinsuku kuya emavikini ngemva kwenqubo. Nokho, kungathatha izinyanga eziningana ukuthi inhliziyo yakho ilulame ngokugcwele nokuthi uzwe izinzuzo eziphezulu.

Ukuqokwa okulandelayo kuvame ukwenzeka ngemva kwenyanga engu-1, izinyanga ezi-6, bese kuthi ngonyaka. Ngesikhathi salezi zivakashi, udokotela wakho uzokwenza ama-echocardiograms nezinye izivivinyo ukuze aqinisekise ukuthi i-valve yakho iyaqhubeka nokusebenza kahle nokuthi impilo yenhliziyo yakho izinzile.

Ungayithuthukisa kanjani ukululama kwakho ngemva kwe-TAVR?

Ukwelulama ngemva kwe-TAVR ngokuvamile kuyashesha futhi akunamandla kune-open-heart surgery yendabuko, kodwa ukuzinakekela kahle kusabalulekile ukuze uthole umphumela ongcono kakhulu. Abantu abaningi bangabuyela emisebenzini evamile phakathi namasonto ambalwa, nakuba isikhathi somuntu ngamunye sihlukile.

Ezinsukwini ezimbalwa zokuqala ngemva kwenqubo yakho, uzogxila ekuphumuleni nasekukhuleni kancane kancane komsebenzi. Ithimba lakho lokunakekela lizokuqondisa ukuthi kuphephile nini ukugeza, ukuqhuba, nokubuyela emsebenzini. Abantu abaningi bazizwa bengcono kakhulu phakathi nesonto lokuqala njengoba inhliziyo yabo ilungela ukuhamba kwegazi okungcono.

Izici ezibalulekile zokululama kwakho zihlanganisa:

• Ukuphuza imithi njengoba kunqunywe, okuhlanganisa nemithi yokunciphisa igazi
• Ukwandisa kancane umsebenzi womzimba njengoba kunconywe udokotela wakho
• Ukuya kuzo zonke izikhathi zokulandela ukuqapha
• Ukuqaphela izimpawu zezinkinga ezinjengomkhuhlane, ukuphuma kwegazi okungavamile, noma ukuqina kwezimpawu
• Ukugcina imikhuba yokuphila enempilo yenhliziyo njengokudla kahle nokuhlala usebenza
• Ukugwema ukuphakamisa izinto ezisindayo (ngokuvamile ezingaphezu kwamakhilogremu angu-4.5) emasontweni ambalwa okuqala

Ukuvuselelwa kwenhliziyo kuvame ukunconywa ngemuva kwe-TAVR ukukusiza ukwakha kabusha amandla akho nokukhuthazela ngokuphepha. Lolu hlelo lokuzivocavoca oluqondisiwe lungathuthukisa kakhulu ukululama kwakho nempilo yenhliziyo yesikhathi eside.

Abantu abaningi bathola ukuthi izinga lempilo yabo lithuthuka kakhulu ngemuva kwe-TAVR. Ungase uqaphele ukuthi ungakwazi ukukhuphuka izitebhisi kalula, uhambe amabanga amade, futhi uzizwe uphefumula kancane ngesikhathi semisebenzi yansuku zonke.

Yiluphi uhlobo olungcono kakhulu lwe-valve ye-TAVR?

I-valve engcono kakhulu ye-TAVR kuwe incike ekwakhekeni komzimba wakho, ezimweni zempilo, nezici zokuphila. Kunezinketho eziningi ezinhle ze-valve ezitholakalayo, futhi ithimba lakho lenhliziyo lizokhetha ngokucophelela elilungele isimo sakho.

Njengamanje, kunezinhlobo ezimbili eziyinhloko zama-valve e-TAVR: ezandiswa ngebhaluni nezizivulayo. Ama-valve andiswa ngebhaluni abekwa ngokuqondile bese enwetshwa kusetshenziswa ibhaluni, kuyilapho ama-valve azivulayo evuleka ngokuzenzakalelayo uma ekhishwe ohlelweni lwabo lokulethwa.

Izici ezithonya ukukhethwa kwe-valve zihlanganisa:

• Ukwakheka kwenhliziyo yakho ye-aortic kanye nosayizi
• Ukuma kanye nephathini yokukalishwa kwe-valve yakho
• Impilo yakho yonke nezinye izimo zezokwelapha
• Izinqubo zenhliziyo zangaphambilini noma ukuhlinzwa
• Ubudala bakho kanye nokulindelwa kwempilo
• Izici eziyingozi zezinkinga

Wonke ama-valve e-TAVR anamuhla aklanyelwe ukuhlala iminyaka eminingi, nakuba sisafunda ngokuqina kwawo kwesikhathi eside kakhulu. Ama-valve enziwa ngethisiphu yenkomo (inkomo) noma i-porcine (ingulube), efana nama-valve okuhlinzwa, futhi abekezelelwa kahle abantu abaningi.

Udokotela wakho uzoxoxa nge-valve ethile abayelulekayo futhi achaze ukuthi kungani kuyisinqumo esingcono kakhulu sesimo sakho. Into ebaluleke kakhulu ukuthi i-valve ilinganiswe kahle futhi ibekwe kahle ngokuya nge-anatomy yakho.

Ziyini izici eziyingozi zokuhlushwa kwe-TAVR?

Ngenkathi i-TAVR ngokuvamile iphephile kakhulu, ukuqonda izici eziyingozi kungakusiza wena nodokotela wakho ukuthi nenze izinqumo ezingcono kakhulu mayelana nokunakekelwa kwakho. Abantu abaningi benza kahle kakhulu nge-TAVR, kodwa izimo ezithile zingakhuphula amathuba okuba khona kwezinkinga.

Ubudala bodwa akuyona into eyingozi, kodwa ezinye izimo zempilo ezivame ukuhambisana nokuguga zingathinta umphumela wakho we-TAVR. Ithimba lakho lenhliziyo lizohlola ngokucophelela zonke lezi zici ngaphambi kokuncoma inqubo.

Izici eziyingozi ezivamile ezingakhuphula izinkinga zihlanganisa:

• Isifo sezinso esibi noma ukwehluleka kwezinso
• Ukushaywa unhlangothi kwangaphambilini noma isifo semithambo esibalulekile
• Isifo samaphaphu esibi noma izinkinga zokuphefumula
• Ukuphazamiseka kokopha noma isidingo sokunciphisa igazi
• Isifo sikashukela esinezinkinga
• Ukwenyuka kwemisipha yenhliziyo
• Ukuhlinzwa kwenhliziyo kwangaphambilini noma izinqubo
• I-anatomy ye-valve enama-calcified kakhulu noma engajwayelekile

Izici eziyingozi ezingavamile kodwa ezingathi sína zihlanganisa isifo sesibindi esibi, ukutheleleka okusebenzayo, nezinhlobo ezithile zezinkinga zesigqi senhliziyo. Udokotela wakho uzophinda acabangele ukugula kwakho konke kanye nekhono lokubekezelela inqubo.

Noma ngabe unezici eziyingozi, i-TAVR ingase isibe yindlela yakho engcono kakhulu. Ithimba lakho lenhliziyo lizosebenza nawe ukunciphisa izingozi futhi lithuthukise umphumela wakho. Bangase bancomise ukwelashwa okwengeziwe noma izinyathelo zokuphepha zokuthuthukisa ukuphepha kwakho.

Ingabe kungcono ukuba ne-TAVR noma ukushintshwa kwe-valve yokuhlinzwa?

Ukukhetha phakathi kwe-TAVR nokushintshwa kwe-aortic valve ngokuhlinzwa kuncike ezintweni eziningi zomuntu ngamunye, futhi zombili izinqubo zingaba izinketho ezinhle zokwelapha isifo esibi se-aortic valve. Ithimba lakho lenhliziyo lizokusiza ukuthi uqonde ukuthi iyiphi indlela engcono kakhulu esimweni sakho esithile.

I-TAVR inikeza izinzuzo eziningi, okuhlanganisa ukululama okusheshayo, akukho sidingo sokusika esifubeni, ukuhlala esibhedlela okufushane, kanye nezingozi eziphansi ngokushesha zenqubo ezigulini eziningi. Abantu abaningi bangabuyela emisebenzini ejwayelekile emasontweni kunangezinyanga.

Kodwa-ke, ukushintshwa kwe-valve ngokuhlinzwa kungase kube ngcono ezimweni ezithile:

• Uma usemusha futhi kungenzeka ukuthi uzodinga i-valve ukuthi ihlale amashumi eminyaka amaningi
• Uma unezinye izinkinga zenhliziyo ezidinga ukulungiswa ngokuhlinzwa ngesikhathi esifanayo
• Uma i-anatomy yakho ye-valve ingafaneleki ku-TAVR
• Uma unezinhlobo ezithile zesifo se-valve ngaphandle kwe-aortic stenosis
• Uma unokutheleleka okusebenzayo enhliziyweni yakho

Ucwaningo lwamuva lubonisa ukuthi imiphumela ye-TAVR ihle kakhulu ngisho nasezigulini ezincane, ezinengozi ephansi. Abantu abaningi ababecatshangwa ukuthi bangahlinzwa kuphela manje bangabazuzi abahle be-TAVR.

Ithimba lakho lenhliziyo lizokwethula zonke izinketho zakho futhi lichaze izinzuzo nezingozi zendlela ngayinye. Bazocabangela iminyaka yakho, impilo yonke, i-anatomy ye-valve, indlela yokuphila, nezintandokazi zomuntu siqu ukukusiza ukuthi wenze isinqumo esingcono kakhulu.

Ziyini izinkinga ezingase zibe khona ze-TAVR?

Ngenkathi i-TAVR ngokuvamile iphephile kakhulu, kubalulekile ukuqonda izinkinga ezingaba khona ukuze ukwazi ukwenza isinqumo esinolwazi futhi wazi ukuthi yini okufanele uyibheke ngemva kwenqubo yakho. Abantu abaningi abanazo izinkinga, kodwa ukwazi kukusiza ukuthi ubone ukuthi nini okufanele ufune ukwelashwa.

Izinkinga ezinzima azivamile kodwa zingenzeka. Ithimba lakho lezokwelapha lithatha izinyathelo eziningi zokuvimbela lezi zinkinga futhi lilungele ukuziphatha uma zivela.

Izinkinga ezingaba khona ngesikhathi noma ngemva nje kwe-TAVR zihlanganisa:

• Ukuphuma igazi endaweni yokufinyelela noma ngaphakathi
• Ukushaywa unhlangothi noma izimpawu zesikhashana zemizwa
• Izinkinga zesigqi senhliziyo ezidinga i-pacemaker
• Ukuvuza kwe-valve ngemuva kwe-valve entsha
• Izinkinga zezinso ezivela kumbala ohlukile
• Ukwelashwa kwemithambo yegazi noma izinkinga
• Ukuhlaselwa yinhliziyo noma ukulimala kwemisipha yenhliziyo
• Ukutheleleka endaweni yokufinyelela

Izinkinga ezingavamile kodwa ezinzima zihlanganisa ukuthuthwa kwe-valve, ukuvaleka komthambo wegazi wenhliziyo, noma isidingo sokuhlinzwa okuphuthumayo. Ingozi yakho yalezi zinkinga incike empilweni yakho kanye nokwakheka komzimba.

Izinkinga zesikhathi eside azivamile kodwa zingabandakanya ukonakala kwe-valve ngokuhamba kwesikhathi, amahlule egazi, noma ukutheleleka. Ukunakekelwa okuvamile kokulandela ngemuva kusiza ukuthola nokubhekana nanoma yiziphi izinkinga ekuqaleni.

Iqembu lakho lenhliziyo lizoxoxa ngephrofayili yakho ethile yengozi futhi lithathe izinyathelo zokunciphisa izinkinga. Bazophinda banikeze imiyalelo ecacile mayelana nezimpawu zokuxwayisa okufanele ziqashelwe nokuthi kufanele baxhumane nabo nini.

Kufanele ngibone nini udokotela ngemuva kwe-TAVR?

Ukwazi ukuthi ungaxhumana nini nodokotela wakho ngemuva kwe-TAVR kubalulekile ekuphepheni kwakho nasekuqondeni kwakho. Ngenkathi abantu abaningi belulama kahle, ezinye izimpawu zidinga ukunakekelwa kwezokwelapha ngokushesha ukuvimbela izinkinga ezinzima.

Kufanele uthinte udokotela wakho ngokushesha uma uhlangabezana nobuhlungu besifuba, ukuphefumula kanzima okukhulu, isiyezi noma ukuquleka, noma yiziphi izimpawu zokuphuma igazi. Lezi zimpawu zingabonisa izinkinga ezidinga ukwelashwa okusheshayo.

Funani ukunakekelwa kwezokwelapha eziphuthumayo ngokushesha uma uthola:

• Ubuhlungu obukhulu besifuba noma ukucindezela
• Ukuphefumula kanzima okungazelelwe, okukhulu
• Ukuquleka noma ukulahlekelwa ukwazi
• Izimpawu zokushaywa unhlangothi (ukuwa kobuso, ubuthakathaka bengalo, izinkinga zokukhuluma)
• Ukuphuma igazi okukhulu endaweni yakho yokufinyelela
• Umkhuhlane ongaphezu kuka-101°F (38.3°C)
• Ubuhlungu bomlenze obungazelelwe, ukuvuvukala, noma izinguquko zombala

Xhumana nehhovisi likadokotela wakho ngesikhathi samahora ebhizinisi ngezimpawu ezinjengokuphefumula okuncane okuba kubi, ukuvuvukala emilenzeni yakho noma ezinyaweni, ukukhathala okuqhubekayo, noma imibuzo ngemithi yakho.

Noma ngabe uzizwa kahle, gcina zonke izikhathi zakho ezihleliwe zokulandela. Lezi zivakashi zivumela udokotela wakho ukuthi aqaphe ukusebenza kwe-valve yakho nempilo yenhliziyo, alungise uhlelo lwakho lokwelashwa uma kudingeka.

Unganqikazi ukushaya ucingo ngezinkathazo noma imibuzo. Ithimba lakho lenhliziyo lifuna ukuqinisekisa ukuthi unokululama okungcono kakhulu nomphumela wesikhathi eside.

Imibuzo evame ukubuzwa nge-TAVR

Q1: Ingabe i-TAVR ilungile ekuphumeni kwe-aortic?

I-TAVR ingasetshenziselwa ukuphuma kwe-aortic okukhulu (ukuvuza kwe-valve), kodwa akwenzeki njalo njenge-aortic stenosis. Inqubo inselele kakhulu ekuphumeni kwamacala ngoba kukhona ukwakheka kwe-valve okuncane ukubamba i-valve entsha.

Udokotela wakho uzohlola ngokucophelela i-valve yakho ye-anatomy kanye nobukhulu bokuphuma ukuze anqume ukuthi i-TAVR ifanele yini. Abanye abantu abanokuphuma bangaba ngabazali abangcono bokushintshwa kwe-valve yokuhlinzwa, kanti abanye benza kahle nge-TAVR.

Q2: Ingabe i-TAVR idinga ama-blood thinners empilo yonke?

Abantu abaningi badinga ama-blood thinners okungenani izinyanga ezi-3-6 ngemuva kwe-TAVR ukuvimbela amahlule egazi ngenkathi i-valve iphilisa futhi imbozwe yizicubu zomzimba wakho zemvelo. Ngemuva kwalesi sikhathi, abantu abaningi bangayeka ama-blood thinners ngaphandle kokuthi baneminye imibandela edinga ukuthi bawasebenzise.

Udokotela wakho uzonquma ukuthi yini engcono kakhulu ye-blood thinner esekelwe ezingozini zakho ngazinye, eminye imithi, nempilo yonke. Abanye abantu bangadinga ama-blood thinners esikhathi eside ngezizathu ezingahlobene ne-TAVR yabo.

Q3: Ihlala isikhathi esingakanani i-valve ye-TAVR?

Ama-valve e-TAVR aklanyelwe ukuhlala iminyaka eminingi, futhi idatha yamanje ikhombisa ukuqina okuhle kakhulu eminyakeni engu-5-8 ngemva kokufakelwa. Njengoba i-TAVR iyinqubo entsha, sisafunda ngokuqina kwesikhathi eside ngaphezu kweminyaka eyi-10.

Ukuqina kwe-valve kuncike ezintweni ezifana nobudala bakho, impilo yonke, nokuthi uzinakekela kanjani ngemva kwale nqubo. Ukunakekelwa okuvamile kokulandela ngemuva kusiza ukuqapha ukusebenza kwe-valve nokuthola noma yiziphi izinguquko ekuqaleni.

Q4: Ngingaba ne-TAVR enye uma i-valve yami yehluleka?

Yebo, kungenzeka ukuba nenqubo yesibili ye-TAVR (ebizwa ngokuthi i-valve-in-valve TAVR) uma i-valve yakho yokuqala igcina yehlulekile. Lokhu kungenye yezinzuzo ze-TAVR - ayivimbeli izinketho zokwelapha zesikhathi esizayo.

Nokho, izinqubo eziphindwayo zingase zibe yinkimbinkimbi futhi zibe nezingozi ezihlukene. Ithimba lakho lenhliziyo lizohlola zonke izinketho zakho uma izinkinga ze-valve zivela, okuhlanganisa i-TAVR ephindwayo noma ukushintshwa ngokuhlinzwa.

Q5: Yimiphi imisebenzi engingayenza ngemva kwe-TAVR?

Abantu abaningi bangakwazi ukubuyela kuyo yonke imisebenzi yabo evamile ngemva kwe-TAVR, ngokuvamile ngokuqina kokuzivocavoca okungcono kunangaphambi kwale nqubo. Ngokuvamile uzoqala ngemisebenzi elula futhi kancane kancane ukhuphule izinga lakho lomsebenzi ngaphansi kokuqondisa kukadokotela wakho.

Abantu abaningi bangakwazi ukushayela phakathi nesonto, babuyele emsebenzini phakathi kwamasonto angu-2-4, futhi baqale kabusha ukuzivocavoca nezinto abazithandayo phakathi kwamasonto angu-4-6. Udokotela wakho angase ancome ukulungiswa kwenhliziyo ukuze akusize wakhe kabusha amandla nokukhuthazela kwakho ngokuphephile.