Valvuloplasty: ihe ọ bụ, ụdị na otu esi eme ya
Ndinaya
Valvuloplasty bụ ịwa ahụ emere iji mezie ntụpọ dị na valvụ obi ka mgbasa ọbara wee pụta nke ọma. Usoro ịwa ahụ a nwere ike ịgụnye naanị ịrụzi valvụ mebiri emebi ma ọ bụ dochie ya na nke ọzọ nke e ji igwe rụọ, site na anụmanụ dịka ezì ma ọ bụ ehi ma ọ bụ n'aka onye na-enye mmadụ nwụrụ anwụ.
Tụkwasị na nke ahụ, e nwere ụdị valvuloplasty dị iche iche dịka valvụ ahụ nwere nkwarụ, ebe enwere valvụ obi 4: mitral valvụ, valvụ tricuspid, valvụ pulmonary na aortic valve.
Enwere ike igosi Valvuloplasty ma ọ bụrụ na stenosis nke ọ bụla n'ime valvụ ahụ, nke mejupụtara ma sie ike, na-eme ka o siere ọbara ike ịgafe, ma ọ bụrụ na ezughị ezu nke ọ bụla n'ime valves ahụ, nke na-eme mgbe valvụ ahụ anaghị emechi kpamkpam, na nlọghachi nke obere mpịakọta ọbara azụ ma ọ bụ ọ bụrụ na ọnya na-agba ume, dịka ọmụmaatụ.
Valdị valvuloplasty
Enwere ike ịkọwa Valvuloplasty dịka valvụ ahụ mebiri emebi, a na-akpọ ya:
- Mitral valvuloplasty, nke dọkịta na-awa ahụ na-arụzi ma ọ bụ dochie valvụ mitral, nke nwere ọrụ nke ikwe ka ọbara si na atrium aka ekpe gaa ventricle aka ekpe, na-egbochi ya ịlaghachi na akpa ume;
- Aortic valvuloplasty nwere nkwalite ugwu, nke valvụ aortic, nke na-enye ohere ka ọbara gbapụ site na ventricle aka ekpe nke obi, mebiri emebi ma, ya mere, dọkịta na-awa ahụ na-arụzi ma ọ bụ dochie valvụ ahụ na nke ọzọ;
- Akpa ume valvuloplasty, nke dọkịta na-awa ahụ na-edozi ma ọ bụ dochie valvụ pulmon, nke nwere ọrụ nke ikwe ka ọbara si n'aka nri aka nri na akpa ume;
- Tricuspid valvuloplasty, nke valvụ tricuspid, nke na-enye ohere ka ọbara si na atrium aka nri wee banye ventricle aka nri mebiri emebi, ya mere, onye dọkịta na-awa ahụ ga-arụzi ma ọ bụ dochie valvụ ahụ na nke ọzọ.
Ihe kpatara nsogbu valvụ ahụ, ogo ya na afọ onye ọrịa na-ekpebi ma ọ bụrụ na valvuloplasty ahụ emezi ma ọ bụ dochie ya.
Olee otu esi eme Valvuloplasty
A na-eme Valvuloplasty n'okpuru anesthesia izugbe na ịkpụ na obi maka dọkịta na-awa ahụ iji lelee obi niile. A na-eji usoro a eme ihe karịsịa mgbe ọ na-abịa n'ọnọdụ nnọchi, dịka ọ dị n'ihe banyere regurgitation siri ike, dịka ọmụmaatụ.
Agbanyeghị, dọkịta na-awa ahụ nwere ike ịhọrọ usoro na-adịghị emerụ ahụ, dịka:
- Balloon valvuloplasty, nke mejuputara iwebata catheter nwere balloon n’onu, na-abụkarị site n’ite, ruo n’obi. Mgbe catheter dị na obi, a gbanye ọdịiche ka dọkịta wee nwee ike ịhụ valvụ emetụtara yana balloon na-ebuwanye ibu ma na-agbapụta, iji mepee valvụ ahụ dị warara;
- Percutaneous valvuloplasty na-eme ka ọ pụta ìhè, nke etinyere obere ọkpọkọ n'ime obi kama ịme nnukwu ihe, belata ihe mgbu mgbe a wachara ya ahụ, ogologo oge ọ ga-anọ na oke ọnya ahụ.
A na-eji balloon valvuloplasty na percutaneous valvuloplasty eme ihe na ndozi, yana ịgwọ aortic stenosis, dịka ọmụmaatụ.