Cinga ngentliziyo yakho njengendlu enamagumbi amane. Kukho iingcango phakathi kwala magumbi ezivumela igazi ukuba liphume liye phambili nangasemva. Omnye 'umnyango' obalulekileyo entliziyweni yiAortic Valve. Eli lisango elilawula ukuhamba kwegazi ukusuka entliziyweni ukuya kumthambo oyintloko (iAorta) othwala igazi liye emzimbeni wonke. Eli sango liyavuleka kwaye livaleke rhoqo xa kubetha intliziyo. Khawucinge nje, kwenzeka ntoni ukuba kukho into eyonakeleyo kweli sango? Kulapho ke iingxaki ziqala khona.
Ngamafutshane, yintoni ukulungiswa kweValve yeAortic?
Ukulungiswa kwevalvu ye-Aortic luhlobo lotyando lwentliziyo olubandakanya ukulungisa isiphene esangweni eliphambili lentliziyo, ivalvu ye-aortic, esixoxe ngayo ngasentla, kunye nokuyibuyisela ekusebenzeni kakuhle.
Khawucinge ukuba ubungenakukwazi ukuvala ucango endlwini yakho ngokufanelekileyo. Ngendlela efanayo, ivalvu ye-aortic yabanye abantu ayivali ngokufanelekileyo kwaye igazi liqala ukuvuza (i-aortic regurgitation) . Oku kubizwa ngokuba yi -aortic regurgitation kwisayensi yezonyango. Xa oku kusenzeka, elinye igazi elifanele liphume entliziyweni liye emzimbeni libuyela entliziyweni. Emva koko intliziyo kufuneka isebenze nzima ukupompa inani legazi elifunekayo kumzimba wonke. Xa oku kusenzeka ngokuhamba kwexesha, intliziyo inokonakala. Yiyo loo nto abantu abane-aortic regurgitation enzima kunye nabo baneempawu kufuneka benze utyando lokulungisa okanye ukutshintsha le valve.
Ngokwesiqhelo, oogqirha batshintsha le valve ngentsha ngokupheleleyo. Nangona kunjalo, abanye abaguli banokuzilungisa nokusebenzisa ivalvu yabo. Oku akunakwenzeka kuye wonke umntu. Oogqirha botyando baqwalasela izinto ezininzi xa bekhetha umntu oza kujongana nalo tyando. Ugqirha uya kugqiba ukuba kulungile na ukuba uyilungise okanye ufake entsha, ngokusekelwe kwizinto ezininzi, ezifana nokuma kwevalvu yakho kunye nobungakanani bomonakalo.
Yintoni omele uyenze ngaphambi kotyando?
Xa ulungiselela utyando, eyona nto ibalulekileyo kukwenza uvavanyo kwangaphambili. Ugqirha kufuneka azi ngokuqinisekileyo ukuba ivalvu yakho ye-aortic ingalungiswa na. Ukuba iindawo zevalvu zonakele kakhulu, kungcono ufake ivalvu entsha endaweni yokuyilungisa.
Uvavanyo oluphambili lwale nto yi -Transesophageal Echocardiogram (TEE) . Oku kuquka ukufaka ityhubhu encinci efakwe ikhamera emqaleni wakho ukuze uthathe imifanekiso ecacileyo nesondeleyo yentliziyo yakho. Oku kuvumela ugqirha wakho ukuba ajonge kakuhle imeko yevalvu kunye nezinye iindawo zentliziyo yakho.
Khumbula, zonke ezi mvavanyo zenzelwe ukukunika unyango olukhuselekileyo nolusebenzayo kangangoko, ngoko ungoyiki.
Ukongeza kolu vavanyo lwe-TEE, kuya kufuneka wenze ezinye iimvavanyo ezininzi.
| Igama lovavanyo | Ubona ntoni kuloo nto? |
|---|---|
| Ukucoca Intliziyo | Jonga ukuba akukho zithintelo kwimithambo yegazi ehambisa igazi entliziyweni (imithambo yentliziyo). |
| I-X-reyi yesifuba | Jonga imeko yentliziyo nemiphunga ngokubanzi. |
| Iskeni yeComputed Tomography (CT) | Fumana imifanekiso eneenkcukacha ze-3D yentliziyo kunye ne-aorta. |
| I-Electrocardiogram (ECG) | Jonga ukusebenza kombane kwentliziyo kunye nendlela ebetha ngayo intliziyo. |
| Uvavanyo lwegazi nomchamo | Jonga impilo yakho ngokubanzi kunye nokusebenza kwezintso. |
Ugqirha wakho uza kukunika imiyalelo ecacileyo malunga nendlela yokulungiselela utyando. Kubaluleke kakhulu ukulandela loo miyalelo ngokuchanekileyo. Ukuba kukho into ongayiqondiyo, qiniseka ukuba uyibuza ugqirha wakho okanye umongikazi. Loo miyalelo ingabandakanya izinto ezifana nezi:
- Ixesha lokuyeka ukutya nokusela ngaphambi kotyando.
- Nokuba kufuneka uyeke okwethutyana ukuthatha nawaphi na amayeza oqhele ukuwasebenzisa.
- Lifikile ixesha lokuba ndize esibhedlele ukuze ndityandwe.
- Izinto omawuzise esibhedlele nezinto omawuzishiye ekhaya.
Lwenziwa njani utyando?
Utyando lokulungisa ivalvu ye-aorta ludla ngokwenziwa njengotyando lwentliziyo evulekileyo . Oko kukuthi, utyando lwenziwa ngokusikwa okukhulu phakathi kwesifuba. Nangona kunjalo, kwezinye iimeko, utyando lwenziwa ngokusikwa okuncinci (utyando olungena ngaphakathi).Oku kungenziwa ngendlela eyahlukileyo. Olu tyando lwenziwa ngokwenza imingxunya embalwa emincinci esifubeni. Ugqirha uza kukuxelela ukuba yeyiphi indlela efanelekileyo kuwe.
La ngamanyathelo apho utyando ludla ngokwenzeka khona:
1. I-Anesthesia: Okokuqala, uza kunikwa amayeza okukwenza ulale ngokupheleleyo. Ngoko awuyi kuva nto okanye nayiphi na intlungu ngexesha lotyando.
2. Ukwenza i-incision: Okulandelayo, ugqirha wenza i-incision enye okanye ngaphezulu esifubeni ukuze afikelele entliziyweni. Kutyando oluvulekileyo, i-incision yenziwa malunga ne-intshi ezi-1.2 ubude phakathi kwethambo lesifuba ( sternum ).
3. Uqhagamshelo kumatshini wentliziyo nemiphunga: Ngexesha lotyando, uza kuqhagamshelwa kumatshini wentliziyo nemiphunga ukuze wenze umsebenzi wentliziyo nemiphunga yakho. Lo matshini ujikeleza igazi emzimbeni wakho wonke kwaye wongeza ioksijini egazini.
4. Ukulungiswa kwevalvu: Ugqirha uza kulungisa ivalvu yakho ye-aorta. Indlela okwenziwa ngayo oku iya kwahluka kumntu nomntu. Kuya kuxhomekeka kwimo yevalvu yakho kunye nomonakalo wayo. Umzekelo, i-annuloplasty yinkqubo eqinisa isiseko sevalvu (isangqa) kwaye ivumela ivalvu ukuba ivale kakuhle. Ikwasebenzisa iindlela ezahlukeneyo, ezinje ngokutshintsha imo yamaphecana evalvu kunye nokuncamathisela iziqwenga zezicubu kwimingxunya okanye ukukrazuka kuzo.
5. Ukulungisa ezinye iingxaki: Ukuba kukho ezinye iingxaki ngentliziyo okanye kwi-aorta ngeli xesha, umzekelo, i- aneurysm , nazo ziya kulungiswa ngeli xesha lotyando.
6. Ukugqiba utyando: Nje ukuba zonke izinto ezifunekayo zilungiswe, ugqirha uza kuvala aze athunge amanxeba. Iqela lezonyango liza kukusa kwigumbi lokuchacha.
Kwenzeka ntoni emva kotyando?
Emva kotyando, uza kuhlala esibhedlele kangangeentsuku ezintathu ukuya kwezisixhenxe. Ngeli xesha, amaqela ezonyango kunye nabongikazi aza kukujonga ngokusondeleyo . Aza kukujonga ukuba uphilile na. Aza kukunceda uhambe kancinci kancinci kwaye uhambehamba.
Ngaphambi kokuba ugoduke, uza kuxelelwa ngeenkqubo zokulungisa imeko yentliziyo . Ezi ziya kukunceda kakhulu kwinkqubo yakho yokuchacha.
Zithini iingenelo zolu tyando?
Eyona nzuzo iphambili yotyando lokulungisa ivalvu ye-aorta kukuba ufumana ivalvu yakho yendalo. Oku kunokukunceda uphephe ezinye zeengozi ezinxulumene nokuba nevalvu entsha. Ngokukodwa, kunokukunceda uphephe isidingo sokuthatha amayeza okunciphisa igazi ubomi bakho bonke. Ugqirha wakho uza kukuxelela okungakumbi malunga neenzuzo zolu tyando, kuxhomekeke kwimeko yakho.
Zithini iingozi zotyando?
Ukulungiswa kwevalvu ye-aorta lutyando olukhulu. Ke ngoko, lunemingcipheko ethile. Kodwa ungakhathazeki, le mingcipheko ingancitshiswa phantsi kweliso leqela lezonyango elinamava.
Eyona ngxaki iphambili enokubakho kukufuna utyando olongezelelweyo . Kukho izizathu ezahlukeneyo zokuba oku kwenzeke:
- Igazi eliphuma kwivalvu nasemva kotyando ( ukubuyela kwe-aorta rhoqo ).
- Usulelo lwevalvu ( endocarditis ).
- Iindawo ezithile zevalvu elungisiweyo azisebenzi njengoko bekulindelwe.
Ukongeza kwezi, kukho iingozi ezininzi eziqhelekileyo ezinokuvela ngexesha lotyando lwe-aortic valve:
- Isingqisho sentliziyo esingaqhelekanga ( i-arrhythmia )
- Ukunganyamezelani namayeza okubulala iintlungu
- Ukopha kakhulu
- Ukuhlaselwa yintliziyo
- Ukumelwa yintliziyo
- Istroke
Inqanaba lomngcipheko lomntu wonke lahlukile. Ugqirha wakho uza kuthetha nawe ngemingcipheko yakho ngaphambi kotyando. Kubalulekile ukuba uqonde kakuhle zonke iingxaki ezinokubakho kunye nendlela ezinokukuchaphazela ngayo. Qiniseka ukuba ubuza ukuba kukho into ongayiqondiyo na. Abantu abaneengxaki zempilo ezinzulu ngaphambi kotyando (umzekelo, ukusilela okukhulu kwentliziyo) banokuba neengozi eziphezulu kancinci.
Kuthatha ixesha elingakanani ukuchacha?
Kuza kuthatha malunga neeveki ezine ukuya kwezisibhozo ukuba uphile ngokupheleleyo emva kotyando. Ukuba wenze utyando olungenabungozi kangako, ixesha lakho lokuchacha linokuba lifutshane.
Kuqhelekile ukuziva udiniwe iiveki ezimbalwa emva kotyando. Kubalulekile ukuphumla . Musa ukwenza umsebenzi omninzi ngaxeshanye. Ugqirha wakho uza kukuxelela ukuba kukhuselekile nini ukuba uqalise imisebenzi eqhelekileyo (njengokuqhuba imoto okanye ukuya emsebenzini). Ukuthatha inxaxheba kwiinkqubo zokuvuselela intliziyo kunokukunceda ukuba uqhele indlela yokuphila enempilo kwaye uphinde usebenze ngokukhuselekileyo.
Ukuba unale mpawu, fowunela ugqirha wakho ngokukhawuleza!
Kubaluleke kakhulu ukwazisa ugqirha wakho ngokukhawuleza ukuba ufumanisa naziphi na iimpawu zeengxaki emva kokuba ubuyele ekhaya uvela kutyando. Qaphela ngakumbi ezi mpawu zilandelayo:
| Uphawu | Yintoni ekufuneka uyiqwalasele |
|---|---|
| Intlungu yesifuba okanye ukuxinana | Intlungu yesifuba ekhawulezileyo okanye eyandayo. |
| Ukukhupha ubofu kwindawo enqunyulweyo | Ulwelo olumthubi, oluluhlaza, okanye olunevumba elibi oluphuma kwindawo yokusikwa. |
| Umkhuhlane okanye ukubanda | Umkhuhlane okanye ukubanda ngaphandle kwesizathu kunokuba luphawu losulelo. |
| Ukubetha kwentliziyo | Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza okanye ngendlela engaqhelekanga. |
| Intlungu/ubomvu/ukudumba okujikeleze inxeba | Ukuba intlungu, ubomvu, okanye ukudumba okujikeleze inxeba kuya kusiba mandundu. |
| Ukudumba kwemilenze okanye iinyawo (i-Edema) | Ukudumba ngequbuliso kwemilenze, amaqatha, okanye iinyawo. |
| Ukunyuka kwesisindo ngequbuliso | Ukunyuka kobunzima obungaphezulu kwe-1.5 kg ngeveki (uphawu lokugcinwa kolwelo emzimbeni). |
Ezinye izinto ezibalulekileyo ekufuneka uzazi
Utyando lokulungisa ivalvu ye-aorta lwenziwa kancinci kakhulu kunotyando lokutshintsha ivalvu ye-aorta. Enyanisweni, ngaphantsi kwe-5% yotyando lwevalvu ye-aorta lutyando lokulungisa. Isizathu esiphambili soku kukuba lutyando olukhethekileyo nolunzima kakhulu. Ke ngoko, olu tyando alwenziwa kuzo zonke izibhedlele okanye ngoogqirha bonke.
Olu tyando lunyanga imeko ebizwa ngokuba yi -aortic regurgitation (ivalvu evuzayo) . Ngamanye amaxesha, ukutshintshwa kweengcambu ze-aortic ezigcina ivalvuOlu lungiso lweevalvu lwenziwa njengenxalenye yotyando olubizwa ngokuba yi-aortic aneurysm repair. Oku kubandakanya ukulungisa nokugcina ivalvu yakho ngelixa unyanga ukudumba (i-aneurysm) kwinxalenye ephambili ye-aorta edibana nentliziyo yakho.
Kuqhelekile ukuziva usoyika kwaye unexhala kuba olu lutyando olukhulu. Kodwa khumbula, xa olu tyando lwenziwa ngugqirha onamava, intliziyo yakho iya kufumana unyango oluyidingayo ukuze isebenze ngcono kwaye ibe namandla kwixesha elide. Njengoko ulungiselela utyando, xoxa ngayo nayiphi na imibuzo kunye neenkxalabo onokuba nazo neqela lakho lezonyango. Baza kukuchazela yonke into.
Umyalezo Wokuya Ekhaya
- Ukulungiswa kwevalvu ye-Aortic lutyando lwentliziyo olulungisa kwaye lubuyisele ivalvu yakho yentliziyo, endaweni yokuyitshintsha ngentsha.
- Eyona nzuzo iphambili yoku kukuba ufumana indlela yokugcina ivalvu yakho yendalo, nto leyo ephelisa isidingo sokuthatha amayeza okunqanda igazi ubomi bakho bonke.
- Olu tyando alulungelanga wonke umntu. Ugqirha wakho uza kugqiba ukuba olu tyando lukulungele na, kuxhomekeke kwimeko yevalvu yakho.
- Kungathatha malunga neeveki ezi-4-8 ukuze umntu aphile ngokupheleleyo emva kotyando. Ngeli xesha, kubaluleke kakhulu ukulandela imiyalelo kagqirha ngokuchanekileyo.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga emva kokuba ubuyele ekhaya, ezinje ngeentlungu zesifuba, umkhuhlane, okanye ukudumba kwesilonda, yazisa ugqirha wakho ngoko nangoko.
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