Idivayisi yokusiza i-ventricular (VAD)

Idivayisi yokusiza i-ventricular (VAD) iyidivayisi esiza ukupompa igazi emakhameni angaphansi e-heart kuye emzimbeni wonke. Yilona lokwelapha inhliziyo ebuthakathaka noma ukuhluleka kwenhliziyo. I-VAD ingasetshenziswa ukusiza inhliziyo ukuba isebenze ngesikhathi ilinde ezinye izindlela zokwelapha, njengokufakelwa kwenhliziyo entsha. Ngezinye izikhathi i-VAD isebenza njengokusiza inhliziyo ukuba iqhubeke iphompa igazi.

Udokotela wakho angase akukhuthazele ukusebenzisa idivayisi yokusiza i-ventricular ehlangothini lobunxele (LVAD) uma: Ulindwe ukufakelwa kwenhliziyo entsha. I-LVAD ingase isetshenziswe okwesikhashana ngenkathi ulinda inhliziyo yomnikelo ukuze itholakale. Lolu hlobo lokwelashwa kubizwa ngokuthi i-bridge to transplant. I-LVAD ingagcina igazi liqhuma emzimbeni wakho naphezu kwenhliziyo eyonakele. Izosuswa uma uthola inhliziyo yakho entsha. I-LVAD ingase futhi isize ezinye izitho emzimbeni ukuba zisebenze kangcono ngenkathi ulinda ukufakelwa kwenhliziyo entsha. Ama-LVAD ngezinye izikhathi anganciphisa ukucindezeleka emaphashini. Ukucindezeleka okuphezulu kwamaphaphu kungavimbela umuntu ekufakelweni kwenhliziyo entsha. Awukwazi ukufakelwa kwenhliziyo ngenxa yokuguga noma ezinye izinto. Ngezinye izikhathi akunakwenzeka ukufakelwa kwenhliziyo. Ngakho-ke i-LVAD ingase isetshenziswe njengokwelashwa okuhlala njalo. Lokhu kusetshenziswa kwe-ventricular assist device kubizwa ngokuthi i-destination therapy. Uma unehluleko lenhliziyo, kungathuthukisa ikhwalithi yokuphila kwakho. Unehluleko lenhliziyo lesikhashana. Uma ihluleko lenhliziyo liyisikhashana, udokotela wakho wenhliziyo angase akukhuthazele ukusebenzisa i-LVAD kuze kube yilapho inhliziyo yakho ikwazi ukupompa igazi yodwa. Lolu hlobo lokwelashwa kubizwa ngokuthi i-bridge to recovery. Ukuze unqume ukuthi i-LVAD iyindlela efanele yokwelapha isimo sakho, nokuthi ikuphi idivayisi efanele kuwe, udokotela wakho wenhliziyo ucabangela: Ukubaluleka kwehluleko lenhliziyo yakho. Ezinye izimo zezokwelapha ezinzima onazo. Indlela amakhamera apompa amakhulu enhliziyo asebenza ngayo. Ukwelashwa kwakho ngokuphepha izinto ezinciphisa igazi. Inani lokusekelwa komphakathi oluvela emindenini yakho nabangane bakho. Impilo yakho yengqondo nokwelashwa kwe-VAD.

Izingozi kanye nezinhlungu ezingase zenzeke ngenxa yedivayisi yokusiza i-ventricular (VAD) zihlanganisa: Ukopha. Noma iyiphi i-opereysheni ingandisa ingozi yokopha. Izikhuthuli zegazi. Njengoba igazi lihamba ngedivayisi, kungenzeka kube khona izikhuthuli zegazi. Isikhuthuli segazi singanciphisa noma sivale ukugeleza kwegazi. Lokhu kungenza izinkinga ngedivayisi noma isiguli sibe nokushaya. Ukutheleleka. Umthombo wamandla kanye ne-controller ye-LVAD zitholakala ngaphandle komzimba futhi zixhunyiwe ngentambo ngesikhala esincane esikhunwini sakho. Ama-germs angatheleleka kule ndawo. Lokhu kungenza ukutheleleka endaweni noma egazini lakho. Izinkinga zedivayisi. Ngezinye izikhathi i-LVAD ingase iyeke ukusebenza kahle ngemuva kokufakwa. Isibonelo, uma kunokulimaza ezintweni, idivayisi ingase ingapompi igazi kahle. Le nkinga idinga ukunakekelwa kwangaphambi kwesikhathi. Iphampu ingase idinge ukushintshwa. Ukwehluleka kwentliziyo yasekunene. Uma une-LVAD, igumbi elingaphansi kwesobunxele lentliziyo lizo pompa igazi elingaphezu kwalokho ebelilipompa. Igumbi elingaphansi kwesokudla lingase libe buthakathaka kakhulu ukuphatha inani elikhulayo legazi. Ngezinye izikhathi lokhu kudinga iphampu yesikhashana. Imithi noma ezinye izindlela zokwelapha zingasiza igumbi elingaphansi kwesokudla ukuba lipompe kangcono esikhathini eside.

Uma uthola i-LVAD, uzodinga ukuhlinzwa ukuze ufake idivayisi. Ngaphambi kokuhlinzwa, iqembu lakho lokunakekelwa kwezempilo lizokwenza okulandelayo: Likutshele ukuthi yini okulindelekile ngaphambi, phakathi nangemva kokuhlinzwa. Lichaze izingozi ezingaba khona zokuhlinzwa kwe-VAD. Luxoxe nganoma yiziphi izinkathazo ozinazo. Buze uma une-advance directive. Likunikeze imiyalo ekhethekile yokulandela ngesikhathi sokuphulukiswa kwakho ekhaya. Ungazilungiselela ukuhlinzwa kwe-LVAD ngokukhuluma nomndeni wakho ngokuhlala kwakho esibhedlela esizayo. Khuluma futhi ngohlobo losizo oluzodinga ekhaya njengoba uphulukana.