Dr Tirumala Naresh Arava

Dr. Tirumala Naresh Arava waa mid si heer sare ah loo soo qabtay Dhakhtarka Wadnaha at Isbitaalada Qaaradaha, Gachibowli, Hyderabad, oo leh in ka badan toban sano oo waayo-aragnimo ah daaweynta xaaladaha adag ee wadnaha. Caanka ku ah saxnaanta iyo khibradiisa caafimaad, Dr. Arava waxa uu qabtay wax ka badan 5,000 oo angiogram-ka wadnaha ah iyo ka weyn 1,000 angioplasties adag, oo ay ku jiraan hababka ku lug leh cudurada kala duwan, xidhidhnimo joogto ah, Iyo nabarrada laba-jibbaaran.

Meelaha uu ku takhasusay waxaa ka mid ah maaraynta horumarsan ee wadnaha, wadne garaacid, Iyo daawaynta qalabka ku salaysan, sida CRT (Daawaynta Dib-u-habaynta Wadnaha) iyo ICD (Cardioverter-Defibrillator la qabadsi karo) tallaalid. Waxa si gaar ah loogu xusey sida uu ugu wanagsan yahay maaraynta bukaanka shaqo la'aan daran oo hawo-mareenka bidix ah, oo uu kaalin hormuudnimo ka qaatay is-dhexgalka bukaan-socodka ee daawaynta unugyada stem ee dib u soo kabashada wadnaha.

Marka laga soo tago shaybaadhka cath, Dr. Arava waa aqoonyahan iyo cilmi-baare la ixtiraamo. Waxa lagu casuumay sida macalimiinta hogaaminaya shirarka wadnaha ee qaranka iyo kuwa caalamiga ah, halkaas oo uu la wadaago fikradaha ku saabsan waxqabadyada qalafsan iyo horumarinta daawaynta wadne xanuunka. Waxbarashadiisa caafimaad iyo Daabacadaha asaaga- dib loo eegay ee joornaalada caafimaadka ee sumcadda leh ka tarjumaysa u heellanaanta daawada caddaynta ku salaysan iyo hal-abuurka wadnaha.

Haddii aad raadinayso qof khibrad leh dhakhtarka wadnaha ee Hyderabad kuwaas oo isku dara daawaynta jeexan iyo daryeelka naxariista leh, Dr. Tirumala Naresh Arava u taagan sida magaca lagu kalsoon yahay ee duurka ku ah daaweynta wadnaha.

• MBBS, Guntur Medical college, NTR UHS, Andhra Pradesh, India
• MD, Guntur Medical college, NTR UHS, Andhra Pradesh, India
• DM, SVIMS Tirupati, Andhra Pradesh, India

Dr. Tirumala Naresh Arava wuxuu keenaa waayo-aragnimo caafimaad oo ballaaran iyo heer sare tacliimeed doorkiisa sida dhakhtarka wadnaha ee dhexdhexaadinta sare. Waxa uu si gaar ah caan ugu yahay aqoontiisa angioplasties adag, isagoo si guul leh u sameeyay in ka badan 1,000 waxqabadyo hallis oo halis ah. Khibraddiisa waxa kale oo ka mid ah kuwa horumarsan wadne garaacid farsamooyinka iyo qalabaynta wadnaha loogu talagalay bukaanka qaba cilladaha laxanka.

Meesha diirada muhiimka ah ee Dr. Arava waa daawaynta wadna xanuunka, halkaas oo uu qaato hab dhamaystiran oo ku lug leh Daaweynta Dib-u-habaynta Wadnaha (CRT), Wadnaha-Defibrillators (ICD-yada) La-ma-dhala karo, iyo hal-abuurka socda ee cilmi-baarista daaweynta unugyada stem. Waxa kale oo uu xirfad u leeyahay bandhigga xiritaanka aaladaha cilladaha wadnaha ee lagu dhasho sida ASD (Atrial Sebtal cillad), VSD, Iyo PDA (Patent Ductus Arteriosus).

Dr. Arava waxa uu aad u yaqaanaa farsamooyinka sawir-qaadista ee horumarsan oo ay ka mid yihiin 2D-Echocardiography iyo Echocardiography transesophageal (TEE), kaas oo door muhiim ah ka ciyaara ogaanshaha xaaladaha adag ee wadnaha. Waxa kale oo uu horseeday faragelinta bukaannada khatarta ugu jira geeri degdeg ah oo wadnaha ah, hubinta daawaynta wakhtiga iyo nolosha badbaadinta.

Marka lagu daro dhaqankiisa caafimaad, Dr. Arava ayaa si firfircoon uga qaybqaata cilmi baaris iyo daabacaadyo ku saabsan wadnaha, oo si joogta ah u soo bandhiga shirarka caafimaadka qaranka iyo kuwa caalamiga ah. Meelaha uu daabaco waxaa ka mid ah wadnaha oo aan shaqeynin, farsamooyinka faragelinta, iyo daawaynta cusub ee sii wada qaabaynta mustaqbalka daawada wadnaha iyo xididada.

Dr. Tirumala Naresh Arava waxay bixisaa adeegyo fara badan oo horu-marineed oo wax ka qabad iyo ogaanshaha wadnaha oo loogu talagalay in lagu haqabtiro baahiyaha bukaanada qaba xaaladaha wadnaha ee adag. Dhaqankiisu wuxuu isku daraa daawada caddaynta ku salaysan ee tignoolajiyada casriga ah si loo bixiyo daryeelka wadnaha ee ugu fiican. Adeegyada muhiimka ah waxaa ka mid ah:

• Angioplasty wadnaha iyo stenting halbowlayaasha halbowlayaasha wadnaha ee xiran ama cidhiidhi ah

• Daaweynta Dib-u-habaynta Wadnaha (CRT) loogu talagalay bukaannada qaba wadne-gabka sare

• Qalitaanka Wadnaha-Defibrillator (ICD) ee la-ma-guursan karo si looga hortago xirid degdeg ah oo wadnaha ah

• Qalabaynta wadnaha ee joogtada ah loogu talagalay bradycardia iyo khalkhalka wadnaha

• Waxqabadyo Kakan, oo ay ku jiraan maraakiibta badan iyo angioplasties-ka khatarta sare leh

• Xiritaanka Aaladda ASD, VSD, iyo PDA in lagu daweeyo cilladaha wadnaha ee lagu dhasho si aan qaliin ahayn

• 2D-Echocardiography iyo Transesophageal Echocardiography (TEE) si aad u faahfaahsan sawir wadnaha iyo ogaanshaha

• Ogaanshaha iyo Maareynta Wadna xanuunka iyadoo la adeegsanayo daawaynta caafimaadka, daawaynta aaladaha, iyo borotokool sare

• Sawirka Wadnaha ee Sare farsamooyinka qiimaynta saxda ah iyo qorsheynta daawaynta

Daaweyn kasta waxaa loo habeeyey baahida bukaanka iyadoo diiradda la saarayo badbaadada bukaan-socodka, soo kabashada shaqada, iyo caafimaadka wadnaha ee muddada dheer.

Waxa la sameeyay in ka badan 1,000 Angioplasties Complex iyo 5,000+
Dr. Tirumala Naresh Arava ayaa si guul leh u qabtay tiro balaadhan oo ah faragelinta wadnaha ee adag, oo ay ku jiraan maraakiibta badan iyo angioplasties-ka khatarta sare leh, taas oo xoojinaysa sumcaddiisa xirfadle dhaqtarka wadnaha faragelinta magaalada Hyderabad.

Hormuud ka ah Daawaynta Aaladaha Wadnaha ee Horumarsan
Waxa uu khibrad dheer u leeyahay beerista Daaweynta Dib-u-habaynta Wadnaha (CRT) iyo Wadnaha-Defibrillator-ka la-ma-malaaci karo (ICD) Aaladaha, oo siinaya xalal naf-badbaadin ah bukaannada qaba wadne-gabka sareeyo iyo arrhythmias.

Kulliyada La aqoonsan yahay ee Shirarka Wadnaha ee Qaranka iyo Caalamiga ah
Dr. Arava ayaa si joogto ah loogu martiqaaday a hadalka martida iyo macalimiinta ee golayaasha wadnaha ee caanka ah, halkaas oo uu kula wadaago aragtiyo caafimaad oo ku saabsan farsamooyinka faragelinta iyo maaraynta wadne xanuunka.

Ka qaybqaata Cilmi-baarista Unugyada Stem ee Wadnaha
Si firfircoon ugu lug leh cilmi-baarista kiliinikada, wuxuu ka qayb qaatay daraasadaha sahaminta doorka daaweynta unugyada stem ee dib u soo kabashada wadnaha, isagoo muujinaya sida ay uga go'an tahay hal-abuurka iyo daryeelka caddaynta ku salaysan.

Qoraa lagu daabacay Joornaalada Caafimaadka ee Peer-Reviewed
Dr. Arava waxa uu qoray dhowr maqaallada cilmi-baarista asalka ah joornaalada caafimaadka ee sumcadda leh, oo ka tarjumaysa heerkiisa tacliineed iyo hoggaaminta fikirka ee dhinaca wadnaha.