Njengoko usazi, intliziyo yethu ifana nempompo esebenza ngokugqibeleleyo. Ngaphakathi kule mpompo, kukho iingcango ezincinci ezinceda ukuhamba kwegazi kwicala elinye kuphela. Sizibiza ezi valve zentliziyo. Ngamanye amaxesha ezi ngcango azikwazi ukuvala kakuhle kwaye zinokuvuleka kancinci. Emva koko, endaweni yokuya phambili, igazi liqala ukuvuza umva. Ngenxa yesi simo, ungaziva udiniwe ngokukhawuleza kwaye ube nobunzima bokuphefumla. Ngoko ke, nantsi utyando olukhethekileyo olwenziwayo ukulungisa ivalvu evuzayo, esiyibiza ngokuba yiAnnuloplasty.
Ngamafutshane, yintoni i-Annuloplasty?
I-Annuloplasty lutyando lokulungisa okanye ukuqinisa ivalvu entliziyweni. Khawuthelekelele ukuba ucango lwendlu yakho lukhululekile kancinci kwaye ucango aluvaleki kakuhle. Emva koko esikwenzayo kukubeka isakhelo esijikeleze ucango size siluqinise. Yinto efanayo nale.
Ngexesha lotyando, oogqirha babeka ibhande elikhethekileyo, okanye iringi, ejikeleze i -annulus yevalvu yentliziyo baze bayiqinise. Oku kubangela ukuba ivalvu, eyayikhululekile kwaye ivuza, ivaleke kakuhle kwakhona. Oku kuyayekisa igazi ukuba libuyele umva, kwaye ukusebenza kwentliziyo kubuyele esiqhelweni.
Injongo ephambili yolu tyando kukuyeka ukuphuma kwegazi (i-valve regurgitation) kunye nokunceda intliziyo ipompe igazi emzimbeni wonke ngaphandle kokuphazamiseka.
Injani le Ring ekuthiwa yiAnnuloplasty?
Esi sisixhobo esikhethekileyo esibekwa sijikeleze ivalvu. Singenziwa nge-mesh, isinyithi, okanye iplastiki. Le ring yenzelwe ukuhambelana nentshukumo yendalo kunye nokuguquguquka kwevalvu yentliziyo. Emva kotyando, yinto ehlala emzimbeni ubomi bonke. Ekuhambeni kwexesha, izicubu zethu zentliziyo ziyakhula zijikeleze le ring, kwaye iba yinxalenye yentliziyo ngokwayo. Oku kunika ivalvu inkxaso eninzi yokuvula nokuvala ngokufanelekileyo.
Ngubani odinga olu tyando?
Olu nyango ludla ngokucetyiswa kubantu abanemeko ebizwa ngokuba yi-valve regurgitation. Olu tyando lunokwenziwa nakweyiphi na kwiivalvu ezine eziphambili entliziyweni yethu.
- I-Mitral valve annuloplasty: Ukulungiswa kwevalvu ye-mitral.
- Ivalve ye-aortic annuloplasty: Ukulungiswa kwevalve ye-aorta.
- I-annuloplasty yevalvu yepulmonary: Ukulungiswa kwevalvu yepulmonary.
- Ivalvu yeTricuspid annuloplasty: Ukulungiswa kwevalvu yetricuspid.
Yintoni umahluko phakathi kwe-Annuloplasty kunye ne-Valvuloplasty?
Nangona zombini ezi ndlela zonyango lweevalvu zentliziyo, zombini zineenjongo ezimbini. Jonga le theyibhile, ungayiqonda ngokulula.
| Unyango | Ukwimeko enjani na? |
|---|---|
| I-Annuloplasty | Qinisa ivalvu evuzayo uze uyivale kakuhle. |
| I-Valvuloplasty | Ukwandisa ivalvu enciphileyo/eqinileyo kunye nokwenza kube lula ukuhamba kwegazi. |
I-Annuloplasty ayilonyango lodwa lokuvuza kwevalvu. Kwezinye iimeko, ikliphu, efana neMitraClip®, efakwe nge-incision encinci, ingasetyenziselwa ukuvala ivalvu. Ingcali yakho yentliziyo iya kugqiba ukuba loluphi unyango olulungele wena.
Kwenzeka ntoni ngaphambi nangexesha lotyando?
Ugqirha wakho uza kukunika yonke imiyalelo oyifunayo ngaphambi kotyando. Ngokwesiqhelo, awuyi kuvunyelwa ukuba utye okanye usele nantoni na ngobusuku obungaphambi kotyando (ukuzila ukutya). Ukuba uthatha nawaphi na amayeza akhethekileyo, anjenge-anticoagulants, kufuneka uxelele ugqirha wakho ngaloo nto. Ngokuxhomekeke kwingcebiso kagqirha wakho, kunokufuneka uyeke okwethutyana ukuthatha la mayeza kwiintsuku ezimbalwa ngaphambi kotyando.
Olu tyando lwenziwa ngoogqirha bentliziyo. Uza kunikwa i-anesthesia eqhelekileyo, ngoko awuyi kuva nto ngexesha lotyando. Kukho iindlela ezimbini eziphambili zokwenza utyando.
| Indlela yotyando | Kwenzekani? |
|---|---|
| Utyando lwentliziyo evulekileyo | Kwenziwa ukusika okukhulu kwindawo yesifuba, kufikelela ngqo entliziyweni, kwaye kufakwa iringi ye-Annuloplasty. Emva koko ukusika kuyavalwa ngezitishi. |
| Utyando olungenabungozi kangako | Kwenziwa imingxunya emininzi emincinci esifubeni. Kufakwa ityhubhu encinci enekhamera (i-endoscope) ngayo, kwaye iringi ifakwe kusetyenziswa izixhobo ezikhethekileyo ngelixa ujonge imonitha. |
Kuthatha ixesha elingakanani ukuphola emva kotyando?
Emva kotyando, uza kugcinwa kwindawo yokuchacha iiyure ezimbalwa ngaphambi kokuba udluliselwe kwigumbi lonyango. Ukuba wenze utyando oluncinci, kusenokwenzeka ukuba ukwazi ukuya ekhaya emva kosuku olunye okanye ezimbini. Nangona kunjalo, ukuba wenze utyando lwentliziyo evulekileyo, kunokufuneka uhlale esibhedlele iintsuku ezi-5-7.
Ixesha lokuchacha emva kokuba ubuyele ekhaya lixhomekeke kuhlobo lotyando olwenzileyo kunye nempilo yakho yomzimba.
- Ufanele ukuphephe ngokupheleleyo ukusebenza nzima ubuncinane iveki .
- Uza kukwazi ukubuyela emsebenzini kwiveki okanye ezimbini emva kotyando. Nangona kunjalo, ukuba unomsebenzi ofuna ukuphakamisa izinto ezinzima okanye ukuzilolonga ngokomzimba, kungathatha ixesha elide.
- Ugqirha wakho uza kukunika imiyalelo echanekileyo yokuba kufuneka uphumle ixesha elingakanani kwaye ungaphinda uqalise nini umsebenzi.
Ixesha lokubona ugqirha ngoko nangoko
Xa ubuyela ekhaya emva kotyando, kufuneka unyamekele umzimba wakho ngakumbi. Qaphela nantoni na engaqhelekanga. Ukuba ufumana naziphi na iimpawu ezilandelayo, fowunela ugqirha wakho ngoko nangoko. Ukuba iimpawu zakho zinzima, yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
| Iimpawu zesilumkiso ekufuneka uziqaphele |
|---|
| - Intlungu yesifuba okanye ukuxinana (i-angina) |
| - Ukuba nesiyezi okanye ukuphelelwa zingqondo (syncope) |
| - Ukuba nomkhuhlane okanye ukubanda |
| - Isicaphucaphu okanye ukuhlanza |
| - Ukudumba okanye intlungu engapheliyo kwindawo yotyando |
I-Annuloplasty yinkqubo ekhuselekileyo nephumelelayo kwiimeko ezininzi. Njengakwezinye iindlela zotyando, kukho iingozi ezincinci (ezifana nokosuleleka kunye nokopha). Kodwa ungakhathazeki. Ugqirha wakho uza kukuchazela ngokucacileyo iingozi ngokusekelwe kwimeko yakho ethile.
Umyalezo Wokuya Ekhaya
- I-Annuloplasty lutyando lokulungisa ivalvu yentliziyo evuzayo.
- Kule nto, kubekwa isangqa esikhethekileyo esijikeleze ivalvu, siyilungisa ukuze ivaleke kakuhle.
- Olu tyando lungenziwa njengotyando lwentliziyo evulekileyo okanye ngokusebenzisa imingxunya emincinci.
- Ixesha lokuchacha kunye nokuhlala esibhedlele kuxhomekeke kuhlobo lotyando olwenzileyo.
- Indandatho ye-annuloplasty idla ngokuhlala ubomi bonke kwaye ayidingi kutshintshwa.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga emva kotyando, ungathandabuzi ukwazisa ugqirha wakho ngoko nangoko.
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