Masifunde yonke into malunga ne-Atrial Septal Defect - ASD Closure ngendlela elula.

Kuqhelekile ukuba umama okanye utata akhathazeke xa ugqirha esithi, "Usana lunomngxuma entliziyweni yalo." Ukuva la mazwi kuzisa iingcinga ezininzi. Kodwa ukuba uyayiqonda ngokwenene, akukho nto yokoyika. Namhlanje sithetha ngonyango lokuvala umngxuma entliziyweni abantu abaninzi abaye beva ngawo kodwa abawazi ngokwenene, olubizwa ngokuba yi-ASD Closure. Masithethe ngale nto ngokulula, ngendlela onokuyiqonda.

Okokuqala, masibone, yintoni le mngxuma entliziyweni (ASD)?

Kulungile, ukuyibeka ngokulula, lo ngumngxuma wokuzalwa eludongeni (obizwa ngokuba yi-'septum') phakathi kwamagumbi amabini aphezulu entliziyo yethu (esiwubiza ngokuba yi-'atria'). Ngokwezonyango, esi simo sisibiza ngokuba yi- (Atrial Septal Defect) , okanye (ASD) ngamafutshane.

Ngoku unokucinga ukuba esi sisifo. Into emangalisayo kukuba, sonke sizalwa sinalo mngxuma mncinci entliziyweni yethu. Kuqhelekile. Ngokwesiqhelo, lo mngxuma uzivalela ngokwawo kwiiveki okanye kwiinyanga ezimbalwa emva kokuba umntwana ezelwe. Kodwa ngamanye amaxesha, abanye abantwana banomngxuma omkhulu kancinci osenokungavaleli ngokwawo. Kulapho ke iingxaki ziqala khona.

Kutheni kufuneka uvale lo mngxuma?

Ukuba umngxuma mncinane, usenokungabangeli ngxaki inkulu. Mhlawumbi akufuneki unyango. Kodwa ukuba le (ASD) inkulu, inokubangela iingxaki ezininzi.

Khawuthelekelele, xa kukho umngxuma omkhulu phakathi kwamagumbi amabini aphezulu entliziyo, igazi kwelinye igumbi livuza liye kwelinye. Lifana nomngxuma phakathi kwamatanki amanzi amabini. Oku kubangela ukuba intliziyo nemiphunga isebenze nzima kunesiqhelo. Xa oku kusenzeka ngokuhamba kwexesha, iingxaki ezahlukeneyo zinokwenzeka.

Jonga itafile engezantsi ukuze ufumane iingxaki eziphambili ezinokuvela koku.

Kungenxa yezi ngozi ukuba ugqirha wakho angacebisa ukuba uvalwe yi-ASD, utyando lokuvala le mngxuma. Olu tyando ludla ngokwenziwa kubantwana abancinci ukuthintela lo monakalo unokubakho kwixesha elizayo.

Olu tyando lwenziwa njani? Zimbini iindlela!

Kukho iindlela ezimbini eziphambili zokuvala umngxuma entliziyweni. Enye lutyando lwentliziyo evulekileyo , olubandakanya ukwenza i-incision esifubeni. Enye yinkqubo engaphantsi kakhulu , ebandakanya ukufaka umbhobho omncinci ngaphakathi kwesisu.

Ugqirha wakho wentliziyo uza kugqiba ukuba yeyiphi indlela efanelekileyo kuwe okanye kumntwana wakho. Oku kuya kuxhomekeka kwizinto ezininzi:

• Ubungakanani bomngxuma kunye nendawo okhoyo entliziyweni.
• Ezinye iingxaki zentliziyo onazo.
• Impilo yakho iyonke.

Ngoku makhe sijonge ezi ndlela zimbini ngokwahlukeneyo.

1. Utyando lwentliziyo oluvulekileyo (Ukuvalwa kwe-ASD yotyando)

Le yindlela yendabuko. Kule ndlela, ulala ubuthongo obupheleleyo kangangokuba awuva nto.

• Ngexesha lotyando:Uza kuqhagamshelwa kumatshini okhethekileyo (umatshini wentliziyo-imiphunga) ukuze wenze umsebenzi wentliziyo nemiphunga yakho okwethutyana. Ugqirha uza kwenza umngxuma omncinci kumbindi okanye kwicala lasekunene lesifuba sakho ukuze afikelele entliziyweni yakho. Emva koko, kuza kusetyenziswa ityhubhu encinci enekhamera (endoscope) ukufumana indawo echanekileyo yomngxuma.
• Indlela yokuvala umngxuma: Kukho iindlela ezahlukeneyo zokuvala umngxuma.
• Igqunywe ngesiqwenga esenziwe ngezinto ezenziwe ngokwenziwa.
• Okanye ungayigquma ngeqhekeza lethishu elithathwe kwenye inxalenye yentliziyo yakho.
• Isenokuba ivaliwe ngee -sutures .

Nangona olu lutyando olukhulu, lunokwenziwa ngempumelelo nangokukhuselekileyo ngetekhnoloji yanamhlanje.

2. Ukuvalwa kwe-ASD ye-Transcatheter

Le yindlela entsha nethandwa ngabantu abaninzi. Kuba ayibandakanyi ukunqunyulwa okukhulu esifubeni. Ngenxa yoko, ixesha lokuphiliswa lifutshane kakhulu. Nangona kunjalo, le ndlela ingenziwa kuphela ukuba umngxuma mncinane kwaye ubekwe kwindawo efanelekileyo entliziyweni.

• Indlela ekwenziwa ngayo oku: Awuyi kufakwa i-anesthesia ngokupheleleyo, kodwa uza kunikwa amayeza okukunceda ulale. Emva koko, ugqirha wenza umngxuma omncinci kumthambo omkhulu kwi-groin yakho (i-femoral vein) aze afake ityhubhu encinci ebizwa ngokuba yi-catheter kuyo.
• Isixhobo esiya entliziyweni: Ekupheleni kwale tube kukho isixhobo esincinci (isixhobo sokuvala) esivala umngxuma. Ugqirha ukhokela le tube ngononophelo ngemithambo yegazi ukuya entliziyweni ngelixa ejonga ubuchwepheshe obufana ne-X-ray kunye ne-echocardiogram.
• Ukuvala umngxuma: Wakuba umngxuma usentliziyweni, isixhobo esincinci siyavuleka njengesambrela size sivale umngxuma. Emva koko ugqirha ukhupha i-catheter. Yiyo leyo!

Kwenzeka ntoni emva kotyando? Linjani ixesha lokuchacha?

Ixesha lokuphiliswa liya kwahluka ngokuxhomekeke kwinkqubo oyenzileyo.

• Ukuba wenze utyando oluvulekileyo , kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa. Emva kokuba ubuyele ekhaya, kuya kufuneka uphephe ukwenza umsebenzi onzima kangangeeveki ezimbalwa.
• Ukuba ubukhe watyandwa nge-catheter , ungaya ekhaya emva kosuku olunye okanye ezimbini uze uqhubeke nemisebenzi yakho yesiqhelo kwiveki enye.

Kwiinyanga ezi-6 zokuqala emva kotyando, kuya kufuneka uthathe amayeza okuthintela ukujiya kwegazi lakho. Kwakhona, ukuba wenza umsebenzi wamazinyo, ugqirha wakho uya kucebisa amayeza okubulala iintsholongwane ukuthintela usulelo.

Eyona nto ibalulekileyo kukuya ekliniki yonke imihla xa ugqirha esithi yiza (ii-aphoyintimenti ezilandelayo) . Emva koko singajonga ukuba umngxuma uvaliwe kakuhle na kwaye nokuba intliziyo isebenza kakuhle na.

Ngaba kukho naziphi na iingozi? Ufanele uye nini kugqirha ngoko nangoko?

Njengakwezinye iintlobo zotyando, kukho iingozi ezithile ezibandakanyekileyo. Ezi azixhaphakanga kakhulu, kodwa kulungile ukuzazi.

• Ukunganyamezelani nezinto ezisetyenzisiweyo kutyando.
• Ukubetha kwentliziyo okungaqhelekanga (i-Arrhythmia).
• Ukopha.
• Usulelo.
• Ukonakala kwezintso.
• Uhlaselo lwe-stroke okanye i-ischemic oludlulayo.

Ungakhathazeki ngezi zinto. Iqela lakho lezonyango lenza konke okusemandleni alo ukuthintela ezi zinto ukuba zenzeke.

Nangona kunjalo, ukuba ufumana naziphi na iimpawu ezingezantsi xa ubuyela ekhaya emva kotyando, kufuneka uye esibhedlele okanye ufowunele ugqirha wakho ngokukhawuleza.

Buza kuba njani ubomi emva kotyando?

Le yeyona nxalenye ilungileyo. Uphando lubonise ukuba ukuba umntu ongaphantsi kweminyaka engama-25 ubudala wenza olu tyando, ubomi bakhe bufana nomntu ongazange abe ne-ASD. Oko kuthetha ukuba ungaphila ubomi obusempilweni nobuqhelekileyo .

Into ebalulekileyo kukuba ukuvala umngxuma kukuvumela ukuba uphile ubomi obude nobunempilo kunokuba ne-(ASD) ngaphandle konyango.

Ngoko ke, ukuba ugqirha uthi wena okanye umntwana wakho une-ASD, ungakhathazeki ngayo. Thetha nogqirha wakho ngayo. Uza kukunceda ukhethe unyango olulungele wena.