Ngaba ngamanye amaxesha ukufumanisa kunzima ukuphefumla xa udiniwe kancinci, okanye xa unyuka izinyuko? Ngaba uziva ubunzima esifubeni sakho, njengokufuthaniseka? Nangona zininzi izizathu zezi mpawu, kunokubakho isizathu ongacingi ngaso. Oko kukutyeba okungeyomfuneko kwenxalenye yemisipha yentliziyo. Namhlanje sithetha nge-Alcohol Septal Ablation, unyango olusebenzayo kakhulu olungelulo utyando olukhulu oluvulekileyo kwaye olusetyenziselwa ukunyanga le meko.
Yintoni i-Alcohol Septal Ablation?
Ngamafutshane, le yinkqubo engangenisi kakhulu esetyenziselwa ukunyanga isifo sentliziyo esibizwa ngokuba yiHypertrophic Cardiomyopathy (HCM) . Khawuthelekelele, kukho udonga entliziyweni yethu olwahlula amagumbi amabini. Oku sikubiza ngokuba yi-septum. Kumntu one-HCM, olu donga luba lukhuni kwaye luqine ngokungeyomfuneko.
Xa udonga lukhula ngolu hlobo, indlela empontshwa ngayo igazi isuka entliziyweni iye emzimbeni iyavalwa. Kanye njengokuba imoto enkulu ibambeke kwindlela emxinwa idala iimoto. Oku kuthintela intliziyo ekumpompeni igazi ngokufanelekileyo. Kulapho kuvela khona iimpawu ezifana nokuphefumla okuncinci kunye nokudinwa.
I-Alcohol Septal Ablation (ASA) ibandakanya ukufaka ityhubhu encinci neguquguqukayo, ebizwa ngokuba yi-catheter , kumthambo wegazi omncinci ohambisa igazi kwizihlunu ezityebileyo. Emva koko, kufakwa utywala obuncinci kakhulu kuwo. Utywala butshabalalisa iiseli ezityebileyo ngokungeyomfuneko kwaye bubangele ukuba indawo inciphe. Ukuhamba kwegazi okuvaliweyo emva koko kuvulwe kwakhona, kwaye ukuhamba kwegazi kuyabuyiselwa.
Kutheni le nto kwenziwa olu nyango kwaye lulungele bani?
Olu nyango lusetyenziswa kakhulu kwimeko esithethe ngayo ngaphambili , i-hypertrophic cardiomyopathy (HCM) . Le yimeko yemfuza edluliselwa kwizizukulwana ngezizukulwana.
Iingcali zentliziyo zicebisa olu nyango kubantu abaneempawu ezifana nokuphefumla nzima kunye nokudinwa okungenakulawulwa ngamayeza.
Olunye unyango oluphambili lwe-HCM lutyando lwentliziyo oluvulekileyo olubizwa ngokuba yi-septal myectomy . Kule meko, isifuba siyavulwa kwaye izihlunu eziqinileyo ziyasikwa zisuswe. Nangona kunjalo, ayinguye wonke umntu onokutyandwa kakhulu. Iingozi zotyando oluvulekileyo ziphezulu ngakumbi kubantu abadala okanye abo banezinye izifo.
Kwabo bangenakukwazi ukunyamezela olu tyando lwentliziyo luvulekileyo, i-Alcohol Septal Ablation (ASA) yindlela elungileyo nekhuselekileyo.
| Uphawu | Utywala lweSeptal Ablation (ASA) | I-Septal myectomy (utyando oluvulekileyo) |
|---|---|---|
| Indlela yonyango | Ayingeni kakhulu (nge-catheter) | Utyando lwentliziyo oluvulekileyo (ukuvula isifuba) |
| Ixesha lokuchacha | Ixesha elifutshane (malunga neveki) | Ixesha elide (iiveki okanye iinyanga ezimbalwa) |
| Ngubani ofanelekileyo kakhulu? | Kwabo bangakwaziyo ukunyamezela utyando oluvulekileyo, abalupheleyo, okanye abanezinye izifo | Kubantu abasempilweni ngokubanzi, abaselula abanokunyamezela utyando |
Ndingenza ntoni ngaphambi kokuba ndifumane unyango?
Ugqirha wakho uza kukunika lonke icebiso olifunayo ngaphambi kolu nyango.
- Usenokucelwa ukuba uyeke ukusebenzisa amayeza athile kwiintsuku ezimbalwa ngaphambi konyango.
- Kuya kufuneka uzile ukutya (ungatyi kwaye ungaseli) iiyure ezininzi ngaphambi konyango.
- Ungenza uvavanyo oluninzi ukujonga impilo yakho:
- I-Echocardiogram: Iskeni ejonga umsebenzi kunye nolwakhiwo lwentliziyo.
- I-Electrocardiogram (EKG): Uvavanyo olujonga umsebenzi wombane wentliziyo.
- Inani elipheleleyo legazi (CBC): Inani elipheleleyo legazi.
- I-X-ray yesifuba: Uvavanyo lwe-X-ray yesifuba.
Kwenzeka ntoni ngexesha lonyango?
Le yinkqubo eyenziwa esibhedlele kwaye ithatha malunga neyure okanye ezimbini. Uza kuba uphilile engqondweni, kodwa iqela lezonyango liza kukunika amayeza okukugcina uzolile kwaye uphumle.
1. Ukuba ndindisholo: Okokuqala, indawo apho i-catheter iza kufakwa khona (ngesiqhelo ingalo engentla okanye esihlahleni) ayibonakali.
2. Ukufaka i-catheter:Emva koko, ityhubhu encinci (i-catheter) ifakwa kwimithambo yegazi ize ikhokelwe kwindawo efanelekileyo entliziyweni kusetyenziswa imifanekiso ye-X-ray.
3. Inaliti yotywala: Nje ukuba umthambo wegazi ofanelekileyo uchongiwe, kufakwa utywala obuncinci obucociweyo (`isopropyl alcohol`) ngawo. Ungaziva ungakhululekanga esifubeni sakho ngeli xesha.
4. Isixhobo sokuncedisa intliziyo esifutshane: Ngexesha lale nkqubo, ucingo lwesixhobo sokuncedisa intliziyo olufakwe entliziyweni yakho ngomthambo osentanyeni yakho. Oku kwenzelwa ukujonga izinga lentliziyo yakho kangangeentsuku ezi-2-3 emva konyango.
5. Ukugqiba: Xa umsebenzi ugqityiwe, i-catheter iyasuswa kwaye ibhandeji libekwe phezu kwendawo yokufaka.
Kwenzeka ntoni emva konyango?
Emva konyango, kuya kufuneka uhlale esibhedlele iintsuku ezimbini okanye ezintathu. Ngeli xesha, iqela lezonyango liza kuqhubeka nokujonga impilo yakho kunye nokubetha kwentliziyo yakho. Ukuba uneentlungu, uza kunikwa amayeza okudambisa iintlungu.
Kubalulekile ukuqhubeka nokujonga izinga lentliziyo yakho ngexesha lokuhlala kwakho esibhedlele emva konyango, njengoko inani elincinci kakhulu labantu linokuba nentliziyo engaqhelekanga njengesiphumo esingesihle solu nyango kwaye kunokufuneka ukuba ufakelwe i-pacemaker esisigxina.
Ukuba unyango lwenziwe ngomthambo, uza kucelwa ukuba ulale ebhedini imilenze yakho isasazeke iiyure ezimbalwa ukuthintela ukopha. Ukuba lwenziwe ngomsonto oqhoboshelwe esihlahleni, akunyanzelekanga ukuba ulale ebhedini ngolo hlobo.
Zithini iingozi zolu nyango?
Njengakwezinye iinkqubo zonyango, kukho iingozi ezincinci, kodwa iingxaki azixhaphakanga.
- Ukopha okanye usulelo kwindawo yokufaka i-catheter.
- Ukwakheka kwamahlwili egazi kwimithambo yegazi.
- Umonakalo omncinci kwiindonga zentliziyo (kunokufuneka ulungiswe ngotyando).
- Ukuvimba kwentliziyo: Ukuphazamiseka kwemiqondiso yombane yentliziyo. Oku kunokubangela ukuba intliziyo ibethe kancinci kakhulu okanye ngokukhawuleza kakhulu. Ukuba oku kuyenzeka, kunokufuneka i-pacemaker esisigxina.
- Ukuphuma kwegazi kwintliziyo: Ukuqokelelana kolwelo kwingxowa ejikeleze intliziyo.
Ungakhathazeki ngale nto. Ugqirha wakho uza kukuchazela kakuhle ezi ngozi.
| Ukuba unale mpawu emva konyango, bonana nogqirha ngokukhawuleza! | |
|---|---|
| * Iintlungu zesifuba | * Ubunzima bokuphefumla okanye ukuphefumla kancinci (ukuphelelwa ngamandla) |
| * Ukudinwa okanye ukuziva utyhafile | * Ukubetha kwentliziyo okungaqhelekanga okanye ukuqina kwesifuba |
| * Ukudinwa okugqithisileyo | * Ububomvu, ukudumba, ukopha, okanye umkhuhlane apho kufakwe khona i-catheter |
| * Isicaphucaphu nokuhlanza | |
Uninzi lwabantu lunokubuyela kwimisebenzi eqhelekileyo kwiveki emva konyango, kwaye iimpawu zihlala ziphucuka ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- I-Alcohol Septal Ablation (ASA) lunyango oluphumelele kakhulu olungenalo utyando lwe-HCM, imeko apho izihlunu zentliziyo ziqina khona.
- Olu khetho luhle kakhulu, ingakumbi kubantu abadala okanye abo banezinye izifo abanokufumana kunzima ukunyamezela utyando lwentliziyo oluvulekileyo.
- Nangona olu nyango lukhokelela ekupholeni ngokukhawuleza, kukho iingozi ezincinci, ezifana nokuvaleka kwentliziyo, ezinokufuna i-pacemaker esisigxina.
- Xoxa kwaye uqonde zonke iinkcukacha nogqirha wakho wentliziyo ngaphambi nasemva konyango.
- Ukuba kukho naziphi na iimpawu ezingaqhelekanga ezenzekayo emva konyango, funa ingcebiso kagqirha ngoko nangoko.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Ingaba ukuphefumla/isifuba sisifo nje semiphunga? Ngaba ukuphefumla kungenzeka xa intliziyo ikhulu?
Abantu abaninzi bacinga ukuba ukuphefumla kwenzeka kuphela kwi-'Asthma'. Kodwa oko akulunganga kwaphela! 'I-Cardiomyopathy / Ukusilela kwentliziyo' Xa intliziyo ingaphumeleli, imiphunga izaliswa lulwelo (igazi), nto leyo eyenza kube nzima ukuba isigulana siphefumle kwaye 'ukuphefumla' kunokwenzeka. Oku kubizwa ngokuba yi-'Cardiac Asthma' kwisayensi yezonyango. Kwimeko enjalo, isifuba asivuli nokuba sisebenzisa ii-inhalers!
💬 Ndingazi njani ukuba ukuphefumla kwam kukugula okuqhelekileyo kwesifuba okanye ukungasebenzi kakuhle kwentliziyo?
Uhlaselo oluqhelekileyo lwesifuba luyenzeka xa kukho uthuli/uthuli, okanye xa kukho umkhuhlane. Kodwa xa kufikwa 'kwiingxaki zentliziyo', 1) Xa ulala/ulala ebhedini ebusuku uze uzame ukulala, ngequbuliso uziva uphelelwa ngumphefumlo uze uvuke ukhwaza (Orthopnea). 2) Kunye noko, imilenze/amaqatha akho avuvuka ngendlela engaqhelekanga (Edema). 3) Ukuba isifuba sakho sivakala siqinile kunesiqhelo xa unyuka izinyuko, ngokuqinisekileyo sisifo sentliziyo!
💬 Xa unestroke, kufuneka ufowunele i-ambulensi ngoko nangoko, ungahlali ekhaya, usebenzisa i-inhaler. Zithini iimeko ezibulalayo/ezingxamisekileyo?
Eyona ngozi inkulu kukuma ngokupheleleyo kwentliziyo! Ukuba, kunye nohlaselo lwentliziyo, 1) kukho intlungu enganyamezelekiyo embindini wesifuba, ngokungathi kukho ilitye (Intlungu Yesifuba / Uhlaselo Lwentliziyo), 2) ukuba intlungu isasazeka ingalo yasekhohlo iye phantsi komhlathi, 3) ukuba isigulane sibila kakhulu ngokungathi sihlamba, ubuso baso bujika bube mnyama/buluhlaza okwesibhakabhaka, size sibe nesiyezi size siphelelwe zingqondo, isigulane singafa ngemizuzwana! Kuya kufuneka uye kwicandelo likaxakeka lesibhedlele ngoko nangoko!
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