Obi obi - ịwa ahụ na ngwaọrụ

Isi ọgwụgwọ maka nkụda obi na-eme mgbanwe ndụ na ị takingụ ọgwụ gị. Otú ọ dị, enwere usoro na ịwa ahụ nwere ike inye aka.

Onye na-eme ka obi gị rụ ọrụ bụ obere ihe a na-eji batrị arụ nke na-ezigara gị ihe mgbaàmà. Ihe mgbama ahụ na-eme ka obi gị daa ụda na nkenke ziri ezi.

Enwere ike iji ndị na-eme ihe:

• Idozi ndi n’adighi nma obi rhythms. Esịt ekeme ndimia sụn̄sụn̄, akaha, m̀m or ke usụn̄ oro m irredaha.
• Iji mee ka ịhazi obi nke ndị mmadụ nwee nkụda mmụọ ka mma. A na-akpọ ndị a biventricular pacemakers.

Mgbe obi gị dara mba, buru oke ibu, ma ghara ịgbanye ọbara nke ọma, ị nọ n’ọnọdụ dị elu maka obi mgbawa na-adịghị ahụkebe nke nwere ike ibute ọnwụ obi obi na mberede.

• Ihe akwara akwara-defibrillator (ICD) bụ ngwaọrụ nke na-achọpụta etu esemokwu obi dị. Ọ na - eziga ngwa ngwa eletriki obi na - agbanwe ngwa ngwa ka ọ daa.
• Imirikiti ndị na-eme njem biventricular nwekwara ike ịrụ ọrụ dị ka cardio-defibrillators implantable (ICD).

Ihe na-akpatakarị nkụda mmụọ bụ ọrịa akwara obi (CAD), nke na-eme ka obere arịa ọbara na-erugharị na-ewebata ọbara na ikuku oxygen na obi. CAD nwere ike ịka njọ ma mee ka ọ sie ike ijikwa mgbaàmà gị.

Mgbe ị gụsịrị ule ụfọdụ, onye nlekọta ahụike gị nwere ike iche na ịmepe oghere dị warara ma ọ bụ nke egbochiri ga-eme ka mgbaàmà nke ọdịda obi gị ka mma. Usoro ndị a tụrụ aro nwere ike ịgụnye:

• Angioplasty na stent pụrụ isi chọta
• Surgerywa ahụ nke obi

Ọbara na-aga n’etiti ime ụlọ nke obi gị, ma ọ bụ site na obi gị banye na aorta, ga-agabiga na valvụ obi. Ihe ndị a na-emeghe iji mee ka ọbara na-agafe. Ha na-emechizi, na-eme ka ọbara ghara ịlaghachi azụ.

Mgbe valvụ ndị a anaghị arụ ọrụ nke ọma (na-adị oke mmiri ara ehi ma ọ bụ dịkwa warara), ọbara anaghị asọpụta n'ụzọ ziri ezi n'ime obi rue n'ahụ. Nsogbu a nwere ike ime ka obi daa mba ma ọ bụ mee ka obi daa mba mbà.

Enwere ike ịwa ahụ ịwa ahụ obi iji rụkwaa ma ọ bụ dochie otu n'ime valves.

A na-eme ụfọdụ ụdị ịwa ahụ maka oke nkụda mmụọ mgbe ọgwụgwọ ndị ọzọ anaghịzi arụ ọrụ. A na-ejikarị usoro ndị a eme ihe mgbe mmadụ na-eche ka ejipu obi ya. A na-ejikwa ha ogologo oge mgbe ikpe gachara ma ọ bụ kwe omume.

Ihe atụ nke ụfọdụ n'ime ngwaọrụ ndị a gụnyere ngwaọrụ aka aka ekpe aka ekpe (LVAD), ngwaọrụ aka aka aka nri (RVAD) ma ọ bụ obi zuru ezu. A na-atụle ha maka ojiji ma ọ bụrụ na ị nwere nkụda mmụọ siri ike nke enweghị ike ijikwa ọgwụ ma ọ bụ pacemaker pụrụ iche.

• Ngwaọrụ na-enyere aka ikuku (VAD) na-enyere obi gị aka iwepụta ọbara site na ngalaba mgbapụta nke obi gị gaa n'akụkụ ma ọ bụ ngụgụ ma ọ bụ n'akụkụ ahụ gị niile nfuli ndị a nwere ike ịkụnye n'ime ahụ gị ma ọ bụ jikọọ na mgbapụta na mpụga ahụ gị.
• Nwere ike ịnọ na ndepụta ndị echere maka transplant obi. Fọdụ ndị ọrịa na-enweta VAD na-arịa ọrịa nke ukwuu ma nwee ike ịnọrịrị na igwe mgbagharị obi.
• A na-etolite obi zuru ezu nke artificial, mana ejibeghị ya eme ihe.

Ngwaọrụ etinyere na catheter dị ka nfuli balloon intra-aortic (IABP) ka a na-eji mgbe ụfọdụ.

• IABP bụ obere balloon nke etinyere n'ime akwara (ọtụtụ mgbe n'ụkwụ) wee banye n'ime akwara bụ isi na-apụ n'obi (aorta).
• Ngwaọrụ ndị a nwere ike inye aka jigide ọrụ obi na obere oge. N'ihi na enwere ike itinye ha ngwa ngwa, ha bara uru maka ndị ọrịa nwere ndalata na mberede na ọrụ obi
• A na-eji ha na ndị mmadụ na-eche mgbake ma ọ bụ maka ngwaọrụ enyemaka dị elu.

CHF - ịwa ahụ; Ọrịa obi na - egbochi - ịwa ahụ; Cardiomyopathy - ịwa ahụ; HF - ịwa ahụ; Nfuli balloon Intra-aortic - nkụda obi; IABP - nkụda obi; Katọlik dabere na ngwaọrụ enyemaka - nkụda obi

• Onye mmebe

Aaronson KD, Pagani FD. Nkwado usoro mgbasa na-arụ ọrụ. Na: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Ọrịa Obi Braunwald: Akwụkwọ ọgụgụ nke Ọgwụ Ọrịa Cardiovascular. Nke 11. Philadelphia, PA: Elsevier; 2019: isi 29.

Allen LA, Stevenson LW. Nchịkwa nke ndị ọrịa nwere ọrịa obi na-eru nso na njedebe nke ndụ. Na: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Ọrịa Obi Braunwald: Akwụkwọ ọgụgụ nke Ọgwụ Ọrịa Cardiovascular. Nke 11. Philadelphia, PA: Elsevier; 2019: isi 31.

Ewald GA, Milano CA, Rogers JG. Circula na-enyere ngwaọrụ aka na nkụda obi. Na: Felker GM, Mann DL, eds. Mmebi Obi: Otu Onye Ibe na Braunwald Ọrịa Obi. Agba nke anọ. Philadelphia, PA: Elsevier, 2020: isi 45.

Nwoke DL. Nchịkwa nke ndị ọrịa obi na-ebelata nkewa m. Na: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Ọrịa Obi Braunwald: Akwụkwọ ọgụgụ nke Ọgwụ Ọrịa Cardiovascular. Nke 11. Philadelphia, PA: Elsevier; 2019: isi 25.

Otto CM, Bonow RO. Ọbịakwute onye ọrịa nwere ọrịa obi valvular. Na: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Ọrịa Obi Braunwald: Akwụkwọ ọgụgụ nke Ọgwụ Ọrịa Cardiovascular. Nke 11. Philadelphia, PA: Elsevier; 2019: isi 67.

Rihal CS, Naidu SS, Givertz MM, et al; Society maka Cardiovascular Angiography na Ntughari (SCAI); Society Heart Failure Society of America (HFSA); Society nke Thoracic Surgeons (STS); American Heart Association (AHA), na American College of Cardiology (ACC). 2015 SCAI / ACC / HFSA / STS nkwupụta ọkachamara ọkachamara na-ahụ maka iji usoro nkwado usoro mgbasa ozi na-arụ ọrụ na nlekọta obi (nke American Heart Association, Cardiological Society of India, na Sociedad Latino Americana de Cardiología Intervencionista kwadoro; nkwenye nke uru site na ndị Canadian Association of Interventional Cardiology-Association 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. Ntuziaka 2013 ACCF / AHA maka njikwa nke ọdịda obi: akụkọ nke American College of Cardiology Foundation / American Heart Association Task Force na ụkpụrụ nduzi. Mgbaghari. Ọrịa. 2013; 128 (16): e240-e327. PMID: 23741058 www.ncbi.nlm.nih.gov/pubmed/23741058.

• Mmebi nke Obi
• Ndị na-eme mkpọtụ na ndị na-arụ ọrụ na Defibrillators