Ọrịa valvụ obi nkịtị
Ọrịa obi valvular
1. Congenital : congenital ntụpọ
2. Ndị ọzọ:
1) Ọrịa obi rheumatic
Isi ihe kpatara ya
Mitral stenosis / mitral enweghị ike
Aortic senosis / Aortic erughị eru
Mbelata nke mitral
2) Ọrịa obi na-adịghị rheumatic
Dị ka ndị agadi na-adịghị ala ala ischemia ;Coronary obi ọrịa myocardial infarction; oké trauma; nje nje bacteria nke valvụ.
Ọdịmma nke valvụ ọdịnala na-agbanwe ahịrị
- The transverse akara ike nke suture n'onwe ya na nkwa bụ isi efu.
-Nkwa ahụ nwere ntụzịaka dị mma na nke na-adịghị mma
- The suture twine mfe
-Nkwa ahụ na-atụgharị ngwa ngwa
- Nkwekọrịta ahụ dị nro, ọ dịkwa mfe ịpịkọta na deform mgbe ị na-ekekọta.Mgbe stichara na knotting, ma nsọtụ nke gasket na-elu na-enweghị ike iwusi ike
Sutures valvụ mgbochi mgbochi mgbakwụnye ụdị ọhụrụ
● Nkwa na-enweghị ntụziaka: Ọ dịghị mkpa iji dozie ntụziaka nkwa ahụ pụrụ iche
● Suture na-enweghị ejima
● Kwesịrị ekwesị maka dọkịta na-awa ahụ ka ọ nwee ahụmịhe ọrụ ka mma
● Kwesịrị ekwesị maka nnọchi valvụ obi na-adịghị emerụ ahụ
Isi ịwa ahụ nnọchi valvụ aortic aortic Usoro pụrụ iche:
1. Mbipu na nguzobe nke mgbasa ozi extracorporeal
2. Mbipu aortic.Mgbe arụ ọrụ mgbochi obi na-arụ ọrụ, mgbe okpomọkụ dara ruo 30 ℃, a na-egbochi aorta na-arị elu, a na-etinyekwa cardioplegia oyi, ebe a na-eme ka obi dị jụụ.Mgbe e jidere obi obi, a na-eme ntụgharị ma ọ bụ oblique aortic aortic, na njedebe dị ala nke mbepụ ahụ dị ihe dịka 1-1.5cm site na mmeghe nke akwara obi ziri ezi. nnọchi maka ọrịa valvụ aortic
3. A na-agbanye eriri traction na nke ọ bụla n'ime njikọ atọ nke valvụ aortic.
4. Mwepụ nke valvụ E wepụrụ lobes atọ dị iche iche, na-ahapụ 2mm na nsọtụ.Mgbe ahụ, e wepụrụ anụ ahụ calcified na mgbanaka ahụ.Ejiri mita valvụ tụọ mgbanaka ahụ iji chọpụta ọnụọgụ nke valvụ prosthetic
5.Suture A na-eji eriri dochie polyester 2-0 maka suture matraasi na-adịte aka site n'elu ruo ala.Mgbe akwachara mgbanaka ahụ, a ga-ekesa ahịrị suture nke ọma ma kesaa ya n'etiti mgbanaka na valvụ obi wuru.Ogologo agịga ahụ na-adịkarị 2mm
6. ntinye akwa akwa niile na-agbaji na valvụ artificial na-agbanye n'okpuru mgbanaka valve iji gosi na a na-etinye ya na valvụ artificial adịghị egbochi oghere akwara aka ekpe na aka nri.E wee kee eriri ahụ otu otu.Nnyocha ikpeazụ gosiri na oghere akwara ekpe na aka nri doro anya
7.Ịsacha nke ọma na-ekpochapụ aorta na ventricle aka ekpe n'elu na n'okpuru valvụ prosthetic ma jupụta aorta na ventricle aka ekpe na saline nkịtị.
8.Suturing Iji 4-0 ma ọ bụ 5-0 polypropylene iji suture, Akpụkpọ ụkwụ abụọ aortic na-agbatị n'usoro.Ekwesịrị ịme ikuku ikuku tupu emechie stitch ikpeazụ.
Aortic valvụ nnọchi suture- Polyester, Polyester nwere nkwa, Polypropylene
