Ngaba ngamanye amaxesha uziva uphelelwa ngumphefumlo, uxinezelekile esifubeni sakho, okanye udiniwe nje xa udiniwe kancinci? Zininzi izizathu zezi mpawu. Kodwa ngamanye amaxesha unobangela yingxaki yentliziyo. Namhlanje sithetha ngonyango olukhethekileyo lwezi meko zentliziyo olungafuni utyando olukhulu.
Ngamafutshane, yintoni i-Alcohol Septal Ablation (ASA)?
Eli gama lisenokuvakala liyinkimbinkimbi kancinci, kodwa masiligcine lilula. I-Alcohol Septal Ablation (ASA) lunyango olungenabungozi kangako olwenziwa ngoogqirha bentliziyo.
Olu nyango lolwabantu abaneengxaki zentliziyo ezibizwa ngokuba yiHypertrophic Cardiomyopathy (HCM) . Eli gama liyadida kancinci, akunjalo? Ngamafutshane, esi sifo sibangela ukuba izihlunu zentliziyo zijiye kakhulu. Ngokukodwa, udonga olwahlula amagumbi amabini entliziyo, olubizwa ngokuba yi-septum , luyaqina.
Khawuthelekelele intliziyo yakho iyimpompo yamanzi. Le mpompo yiyo ethumela igazi emzimbeni wonke. Ngoku, ukuba udonga lwale mpompo luba lukhuni kakhulu, indawo yokuphuma kwegazi iba mxinwa, akunjalo? Yiloo nto eyenzekayo kwi-HCM. Xa udonga lwentliziyo luqina, igazi aliphumi kakuhle. Yiyo loo nto iimpawu esizikhankanyileyo ngaphambili, ezinje ngokuphefumla kancinci nokudinwa, zisenzeka.
Ngoko ke, kolu nyango lwe-ASA, kusetyenziswa ityhubhu encinci kakhulu neguquguqukayo (i-catheter) ukufumana umthambo wegazi ohambisa igazi kuloo nxalenye yemisipha yentliziyo etyebileyo. Emva koko, kufakwa utywala obuncinci obukhethekileyo ngaloo tyhubhu kuloo nxalenye yemisipha etyebileyo. Olu tywala lubangela ukuba iiseli ezikhule ngokungeyomfuneko zife, kwaye loo nxalenye iyancipha kwaye inciphe. Emva koko indlela yegazi eliphuma entliziyweni iba banzi kwakhona, kwaye ukuhamba kwegazi kuyabuyiselwa.
Ngubani olu nyango lufanelekileyo kuye?
Olu nyango lolwabantu abanesi sifo esikhankanyiweyo ngaphambili esibizwa ngokuba yiHypertrophic Cardiomyopathy (HCM). Esi sisifo esizuzwe njengelifa . Oku kuthetha ukuba ukuba kukho umntu kusapho lwakho onaso, nawe unethuba lokuba naso.
Ngokwesiqhelo, abantu abaneHCM banikwa amayeza kuqala. Nangona kunjalo, kwabanye abantu, nokuba banikwa amayeza, iimpawu (ezifana nokuphefumla kancinci kunye nokudinwa) azilawuleki. Yiyo loo nto oogqirha becinga ngonyango lwe-ASA kwaba bantu.
Kukho enye indlela yokwenza oku. Olu lutyando lwentliziyo oluvulekileyo olubizwa ngokuba yiSeptal Myectomy . Kule meko, isifuba siyavulwa kwaye izihlunu eziqinileyo ziyasikwa zisuswe. Nangona kunjalo, ekubeni lutyando olukhulu, kuthatha ixesha elide ukuphola kwaye iingozi ziphezulu.
Olu nyango, olubizwa ngokuba yi-Alcohol Septal Ablation (ASA), lukhetho oluhle kakhulu, ingakumbi kwabo baneminyaka engaphezu kwama-65 ubudala, abo banezinye iingxaki zempilo, kunye nabo bangenakukwazi ukuthwala iingozi zotyando olukhulu.
Ngamafutshane, olu lolunye unyango oluphumelelayo kwabo bangenako utyando olukhulu.
Ulungiselela njani ngaphambi konyango?
Nje ukuba ugqirha wakho agqibe kwelokuba olu nyango lukulungele, kukho izinto ezimbalwa ekufuneka uzenze kwangaphambili. Ugqirha wakho uza kukunika imiyalelo ecacileyo ngale nto.
| Ukulungiselela | Kutheni kunjalo? |
|---|---|
| Ukuyeka amanye amayeza | Ukuze uphephe iingxaki ezinokubakho ngexesha lonyango. Ugqirha wakho uza kukuxelela ngqo ngale nto. |
| Ukuzila ukutya | Uza kucelwa ukuba uyeke ukutya nokusela iiyure ezimbalwa ngaphambi konyango. Oku kwenzelwa ukuthintela iingxaki ezinxulumene ne-anesthesia. |
| Uvavanyo lwegazi | Izinto ezifana nokubalwa kwegazi okupheleleyo (i-CBC) zenziwa ukujonga impilo yakho ngokubanzi kunye nokukwazi kwakho ukujiya kwegazi. |
| Uvavanyo lwentliziyo | Umsebenzi kunye nolwakhiwo lwentliziyo kufundwa ngcono kusetyenziswa iimvavanyo ezifana ne -echocardiogram (i-scan yentliziyo), i-electrocardiogram (EKG) , kunye ne -X-ray yesifuba. |
Kwenzeka ntoni ngexesha lonyango?
Olu nyango lwenziwa kwigumbi elikhethekileyo (iCath Lab) kwicandelo lezifo zentliziyo lesibhedlele. Ngokuqhelekileyo kuthatha malunga neyure okanye ezimbini.
- Unengqiqo:Kule nto, awuphelelwa yi-anesthesia ngokupheleleyo. Oku kuthetha ukuba unengqondo. Kodwa unikwa amayeza okuthomalalisa ukuze uhlale ukhululekile kwaye ungoyiki.
- I-anesthesia yenaliti: Inaliti isetyenziselwa ukuvala indawo apho i-catheter ifakwe khona, njengakufutshane nesandla sakho okanye i-groin.
- Ukufaka i-catheter: Emva koko ugqirha udlulisa ityhubhu encinci ngemithambo yegazi esuka kwindawo engenanto ukuya entliziyweni.
- Ukujonga i-X-reyi: Oogqirha basebenzisa imifanekiso ye-X-reyi ukujonga indlela yetyhubhu kunye nokuba iya kwindawo efanelekileyo na entliziyweni.
- Inaliti yotywala: Nje ukuba kufunyenwe umthambo wegazi ochanekileyo, kufakwa incindi encinci yotywala obukhethekileyo obubizwa ngokuba yi -isopropyl alcohol ngetyhubhu iye kwimisipha etyebileyo. Usenokuziva ungakhululekanga okanye uneentlungu esifubeni sakho ngeli xesha. Oku kuqhelekile.
- I-pacemaker yexeshana: Ngexesha lonyango, ucingo oluvela kwi- pacemaker yexeshana lufakwa kumthambo osentanyeni yakho. Olu cingo lushiywa endaweni yalo kangangeentsuku ezimbini ukuya kwezintathu emva konyango ukuze kujongwe isingqisho sentliziyo yakho.
- Isiphelo: Xa umsebenzi ugqityiwe, ityhubhu iyasuswa kwaye indawo ivalwe ngezitishi okanye ngebhandishi yokucinezela eqinileyo.
Kwenzeka ntoni emva konyango?
Emva konyango, kuya kufuneka uhlale esibhedlele iintsuku ezimbini okanye ezintathu (iiyure ezingama-48-72). Eli xesha libaluleke kakhulu.
- Ukujonga izinga lentliziyo: Ngezi ntsuku, iqela lezonyango liza kuqhubeka nokujonga isigqi sentliziyo yakho. Oku kungenxa yokuba, njengesiphumo esincinci solu nyango, abanye abantu banokufumana impembelelo kwimiqondiso yombane entliziyweni yabo. Oku kubizwa ngokuba yiHeart Block . Ukuba oku kuyenzeka, izinga lentliziyo yakho lisenokucotha kakhulu . Yiyo loo nto uza kuhlolwa ngokusondeleyo.
- Ukuphumla ebhedini: Ukuba ityhubhu ifakwe nge-groin yakho, uya kucelwa ukuba uhlale ebhedini imilenze yakho ithe tye kangangeeyure ezimbalwa ukuthintela ukopha. Ukuba ifakwe ngesaphetha sakho, akunyanzelekanga ukuba uhlale unjalo.
- Iipilisi zokunciphisa iintlungu: Uza kunikwa iipilisi zokunciphisa iintlungu ukuba kuyimfuneko.
- Ukuhlolwa kwakhona: Ngaphambi kokuba uphume esibhedlele, ungenza olunye uvavanyo, olufana ne- echocardiogram , ukuze ubone ukuba unyango luphumelele kangakanani.
Ziziphi iingenelo kunye neengozi zale ndlela yonyango?
Njengakwezinye iindlela zonyango, kukho iingenelo kunye neengozi ezincinci.
Zithini iingenelo?
Eyona nzuzo iphambili kukuba ayifuni utyando lwentliziyo evulekileyo. Ke ngoko:
- Ixesha lokuchacha lifutshane kakhulu.
- Iingxaki ezinxulumene notyando zimbalwa.
- Ayizukushiya isilonda esikhulu.
- Olu lolona khetho lufanelekileyo kwabo bangenamali yokuhlawula utyando olukhulu.
Zithini iingozi?
Iingxaki azixhaphakanga, kodwa kubalulekile ukuba uzazi. Ugqirha wakho uza kukuxelela okungakumbi ngale nto.
| Umngcipheko | Icacisiwe ngokulula |
|---|---|
| Ukopha okanye usulelo | Ukopha okanye usulelo lunokwenzeka kwindawo efakwe kuyo ityhubhu. |
| Amahlwili egazi | Amahlwili egazi anokwenzeka kwimithambo yegazi. |
| Umonakalo wentliziyo | Kunqabile kakhulu ukuba iindonga zentliziyo zonakale, nto leyo enokufuna utyando. |
| Ibloko lentliziyo | Le yeyona ngozi iphambili. Imiqondiso yombane yentliziyo inokuphazamiseka, nto leyo ebangela ukuba intliziyo ibethe ngendlela engaqhelekanga okanye kancinci kakhulu. Kwimeko enjalo, kusenokufuneka kufakwe isixhobo esihlala sisebenza njenge-pacemaker. |
| Ukuphuma kwentliziyo | Ukuqokelelana kolwelo kwi-membrane encinci ejikeleze intliziyo. |
Kuthatha ixesha elingakanani ukuphiliswa?
Oku kuyahluka kumntu nomntu. Ixesha lakho lokuchacha lixhomekeke kwimpilo yakho iyonke. Uninzi lwabantu lunokubuyela kwimisebenzi eqhelekileyo kwisithuba seveki okanye ngaphezulu . Nangona kunjalo, kufuneka uhlale ujongana nogqirha wakho ngaphambi kokuba uqale nantoni na efana nokuzilolonga okunzima.
Abantu abaninzi baqala ukuziva bekhululekile kwiimpawu zabo emva nje konyango.
Ukuba unale mpawu, bonana nogqirha ngokukhawuleza!
Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kokubuya ekhaya emva konyango, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane.
- Ukubetha kwentliziyo okungaqhelekanga okanye ukuziva ngathi isifuba sakho siyabetha ngamandla (ii-palpitations).
- Iintlungu zesifuba.
- Ubunzima bokuphefumla, ukuphefumla ngokukhawuleza (ukuphelelwa ngamandla) .
- Isiyezi okanye amehlo aluhlaza okwesibhakabhaka.
- Sindwe kakhulu.
- Ububomvu, ukudumba, ukopha, okanye umkhuhlane apho ityhubhu ifakwe khona (ezi ziimpawu zosulelo).
- Isicaphucaphu nokuhlanza.
I-Alcohol Septal Ablation lunyango olusebenzayo kakhulu kwi-Hypertrophic Cardiomyopathy. Ingalawula iimpawu ngomngcipheko omncinci kunye nokuchacha ngokukhawuleza kunotyando. Ukuba unemibuzo malunga noku, ungathandabuzi ukuthetha nogqirha wakho wentliziyo ukuze ufumane ulwazi oluthe kratya.
Umyalezo Wokuya Ekhaya
- I-Alcohol Septal Ablation (ASA) lunyango olungelulo utyando lwe- Hypertrophic Cardiomyopathy (HCM) , isifo apho izihlunu zentliziyo ziqina khona.
- Oku kuquka ukufaka utywala kwizicubu zemisipha eziqinileyo, nto leyo ebangela ukuba zinciphe, nto leyo eyenza kube lula ukuba igazi lihambe entliziyweni.
- Ixesha lokuchacha lifutshane kwaye iingxaki zincinci kunezo zotyando lwentliziyo evulekileyo.
- Ingxaki ephambili enokwenzeka apha kukubetha kwentliziyo kancinci (Heart Block) , okunokufuna ukufakwa kwe- pacemaker esisigxina .
- Ukuba kukho naziphi na iimpawu ezilumkisayo emva konyango, kubaluleke kakhulu ukufuna ingcebiso kagqirha ngokukhawuleza.
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