Ngaba unotshintsho oluncinci olunje entliziyweni yakho? Masithethe nge (Atrial Septal Aneurysm)!

Ngamanye amaxesha siphila notshintsho oluncinci emizimbeni yethu singazi, akunjalo? Ngamanye amaxesha ezi zinto zifunyanwa ngengozi xa ugqirha esenza into efana ne-'scan' yento ethile. Kulungile, le 'Atrial Septal Aneurysm' yimeko yentliziyo encinci ezalwa nayo edla ngokungabonisi zimpawu zinkulu. Ngoko masithethe ngale nto ngeenkcukacha ezithe vetshe namhlanje, akunjalo?

Yintoni i-'Atrial Septal Aneurysm'? Ngamafutshane...

Ngamafutshane, oku kukungaqheleki kwentliziyo yakho . Udonga olwahlula amagumbi amabini aphezulu entliziyo yethu, i-atria (ekwabizwa ngokuba yi-atria), lunezinye izicwili ezingaphezulu kulo. Ngokuchanekileyo, inxalenye yolo donga ibuthathaka kwaye iyavuthuluka. Ngamanye amaxesha oogqirha banokukubona oku ngexesha le-echocardiogram, iskeni yentliziyo. Oogqirha bakwabiza oku ngokuba yi-intertrial septal aneurysm.

Uninzi lwabantu lune-atrial septal aneurysm, kodwa ayiphazamisi ukuhamba kwegazi entliziyweni kwaye ayifuni naluphi na unyango olukhethekileyo. Nangona kungekho zibalo zichanekileyo malunga nokuba bangaphi abantu abanale meko, kuthiwa ayiqhelekanga .

Ngaba kukho iintlobo zezi?

Ewe, kukho iintlobo ezintlanu eziphambili ze-'Atrial Septal Aneurysm'. Ezi zahlulwe ngokwecala lentliziyo apho izicubu ezongezelelweyo, okanye iprotrusion, ziphuma khona ngakumbi. Cinga ngako, icala lasekunene lentliziyo, icala lasekhohlo, okanye amacala omabini.

• Uhlobo lwe-1R: Kule meko, ukuvela kujonge kwi-atrium yakho yasekunene.
• Uhlobo lwe-2L: Apha ukuvela kujonge kwi-atrium yasekhohlo.
• Uhlobo lwe-3RL: I-protrusion ikwicala lasekunene le-atrium, kodwa kukwakho nenani elincinci kwicala lasekhohlo le-atrium.
• Uhlobo lwe-4LR: Kule meko, ukuvela ikakhulu kwicala lasekhohlo le-atrium, kunye necala lasekunene le-atrium.
• Uhlobo 5: Apha ukuvela kufana kakhulu kwi-atrium yasekunene neyasekhohlo.

Nangona olu hlobo lolwahlulo lubalulekile koogqirha, asinto ekufuneka uyixhalabele. Okubalulekileyo yindlela olukuchaphazela ngayo.

Zithini iimpawu ze-'Atrial Septal Aneurysm'?

Iindaba ezimnandi zezokuba uninzi lwabantu abane-atrial septal aneurysm abanazo iimpawu . Ugqirha wakho unokukufumanisa ngengozi xa usenza i-echocardiogram ngesinye isizathu.

Nangona kunjalo, le meko ngamanye amaxesha inokuhambisana nezinye iimeko zentliziyo, ezifana nokubetha kwentliziyo okungahambelaniyo (i-arrhythmias), amahlwili egazi, okanye i-patent foramen ovales (PFOs). Ukuba oku kuyenzeka, unokufumana iimpawu ezifana nezi:

• Intlungu yesifuba okanye ukungakhululeki.
• Ukuziva utshintsho kwisantya okanye isingqisho sentliziyo yakho, esaziwa ngokuba yi-'palpitations'.
• Isiyezi.

Kutheni le nto i-'Atrial Septal Aneurysm' isenzeka? Yintoni unobangela?

Abaphandi abakayazi kakuhle into ebangela i-intertrial septal aneurysm. Abanye oogqirha nabaphandi bakholelwa ukuba isenokuba ibangelwa yimfuza okanye ubuthathaka kwizicubu ezidityanisiweyo emizimbeni yethu. Nangona kunjalo, oku kusaphandwa.

Ngaba oku kungabangela ezinye iingxaki?

Ukuba une-atrial septal aneurysm enye kuphela, ayiyongxaki inkulu. Nangona kunjalo, ngamanye amaxesha le meko inokunyusa umngcipheko wezinye iingxaki zempilo. Ezi ziquka:

• Ezinye iingxaki zentliziyo zokuzalwa.
• Istroke yimeko apho igazi liphuma liye engqondweni.
• Ukungahambi kakuhle kwesingqisho sentliziyo (arrhythmias).
• Amahlwili egazi.
• Imeko ebizwa ngokuba yi-'Patent foramen ovale (PFO)' (le ikwangumngxuma omncinci phakathi kwe-atria yentliziyo).
• Imeko ebizwa ngokuba yi-'Atrial septal defect (ASD)` (le ikwangumngxuma eludongeni phakathi kwe-atria).

Kubalulekile: Ezi ngxaki azenzeki kuwo wonke umntu, kodwa kungenxa yale ngozi ukuba oogqirha baxhalabile ngayo.

Ufumanisa njani ukuba une-'Atrial Septal Aneurysm'?

Ngokwesiqhelo, ugqirha angenza i-'echocardiogram' ukuze abone ukuba oku kunjalo na. Njengoko benditshilo ngaphambili, ukuba izicubu ezongezelelweyo ziphuma eludongeni oluphakathi kwe-atria yentliziyo ngaphezulu kweemilimitha ezili-10 (abanye oogqirha bathi ziimilimitha ezili-15), oogqirha baya kuyixilonga njenge-'Atrial Septal Aneurysm'.

Ngamanye amaxesha, ukuba ugqirha wakho ufuna ukukubona ngcono oku, unokucebisa ukuba kwenziwe i-scan ekhethekileyo ebizwa ngokuba yi-transesophageal echocardiogram (TEE). Oku kuquka ukudlulisa isixhobo esincinci esifana nekhamera kwi-esophagus yakho (umbhobho wokutya) ukuze ufumane umbono opheleleyo wodonga oluphakathi kwe-atria yentliziyo yakho. Oku kunokunceda ekufumaneni i-atrial septal aneurysm enokuthi iphoswe yi-echocardiogram eqhelekileyo (i-transthoracic echocardiogram - TTE - oku kwenziwa ngesifuba).

Ixesha elininzi, abantu abazi nokuba bane-intertrial septal aneurysm. Idla ngokufunyanwa ngengozi ngexesha lovavanyo lwentliziyo ngesinye isizathu. Ezi mvavanyo ziquka:

• `I-CT scan` yentliziyo (`I-Cardiac computed tomography (CT)`).
• I-MRI scan yentliziyo (i-Heart MRI).
• Uvavanyo lwe-Angiogram.

Ukuba ugqirha ukuxilonga ukuba une-atrial septal aneurysm, kusenokwenzeka ukuba uya kujonga nezinye izifo zentliziyo ezinxulumene nayo, kuba, njengoko benditshilo ngaphambili, abanye abantu abanale meko banokuba nezinye izifo zentliziyo.

Zithini iindlela zonyango zoku?

Ukuba une-atrial septal aneurysm, kodwa awunazo ezinye iingxaki zentliziyo okanye izinto ezinokubangela ukuqhekeka kwegazi kunye nesifo sohlangothi, mhlawumbi akuyi kuyidinga naluphi na unyango . Oku kuyinyani kubantu abaninzi.

Nangona kunjalo, kwabanye abantu, oogqirha banokunika amayeza. Unyango lwe-intertrial septal aneurysm lungabandakanya izinto ezinciphisa igazi (ezifana ne-anticoagulants okanye i-antiplatelet). La mayeza anikwa ukuthintela ukuqhekeka kwegazi, njengoko abanye abantu abanale meko besengozini encinci yokuba namahlwili egazi.

Kwabanye abantu, ingakumbi abo bane-patent foramen ovale (PFO) kunye ne-aneurysm, inkqubo encinci kakhulu ebizwa ngokuba yi-patent foramen ovale (PFO) closure inokunceda ukunciphisa umngcipheko we-stroke. Emva kwale nkqubo, kunokufuneka uthathe amayeza okunciphisa igazi abizwa ngokuba yi-antiplatelets kangangeenyanga eziliqela, okanye ubomi bakho bonke (ingakumbi ukuba ukhe waba ne-stroke ngaphambili).

Kunqabile kakhulu, oko kukuthi, kwiimeko ezimbalwa kakhulu, apho le `Atrial Septal Aneurysm` kufuneka isuswe ngotyando.

Ingakanani ingozi ye-'Atrial Septal Aneurysm'?

Ukuba ne-atrial septal aneurysm akukuphela kwesizathu sokukhathazeka . Akusoloko kubangela ingxaki enkulu ngokwayo. Nangona kunjalo, ukuba unezinye izinto ezinokubangela isifo sohlangothi (ezifana noxinzelelo lwegazi oluphezulu, isifo seswekile, ukutshaya, okanye ukuba ne-PFO), kufuneka ukhathazeke nge-atrial septal aneurysm. Oku kunokunyusa umngcipheko wakho wesifo sohlangothi nangakumbi.

Ngaba sifanele soyike ubomi bethu ngenxa yale meko?

Ngokubanzi, ixesha lokuphila kwabantu abane-`Atrial Septal Aneurysm` lifana nelabanye abantu abaphilileyo . Oku kuthetha ukuba akukho mfuneko yokukhathazeka ukuba oku kuya kufinyeza ubomi bakho. Ayingomntu wonke ofana naye. Imeko yakho inokwahluka ngokuxhomekeke kwezinye izifo okanye iimeko zempilo onazo. Ke ngoko, kungcono ukuthetha nogqirha wakho ngale nto.

Yintoni onokuyenza ukuze uzinyamekele?

Ukuba ugqirha wakho unika amayeza okunceda ukuthintela isifo sohlangothi (njenge-blood thinner), kubaluleke kakhulu ukuwathatha kanye njengoko kumiselweyo, kwidosi emiselweyo, nangexesha elimiselweyo . Ungaze uyeke ukuthatha amayeza akho okanye utshintshe idosi ngaphandle kokuthetha nogqirha wakho.

Ukuba unenkqubo encinci okanye utyando olukhulu, ugqirha wakho uza kukusa kwiindibano zokulandelela ngamaxesha athile . Qiniseka ukuba uyazigcina ezi ndibano. Kusenokufuneka wenze uvavanyo lwemifanekiso okanye iiskeni.

Kufuneka uye nini esibhedlele xa kukho imeko engxamisekileyo?

Oku kubaluleke kakhulu. Ukuba wena okanye umntu omaziyo unestroke , kufuneka uye esibhedlele ngokukhawuleza ngaphandle kokulibazisa . Ukufumana unyango kwangethuba kunokunceda ukuthintela umonakalo omkhulu ovela kwistroke. Gcina ezi mpawu engqondweni:

• Kuba nzima ukuthetha, amagama ayaxanana.
• Icala elinye lomzimba (ingalo, umlenze, icala lobuso) ngequbuliso livakala lindindisholo, lirhawuzelela, okanye libuthathaka.
• Ngequbuliso, kuvela isiyezi esinzima.
• Umbono uphela ngequbuliso, okanye umbono uphela kwelinye okanye omabini amehlo.
• Ngequbuliso, enye okanye ezingaphezulu kwezimvo zethu ziyayeka ukusebenza (umz., ukuva, ukuvumba).
• Ngequbuliso, uziva udidekile kakhulu kwaye ngathi uyalibala apho ukhoyo.
• Intloko ebuhlungu kakhulu, ebuhlungu ngequbuliso.

Yeyiphi imibuzo omele uyibuze ugqirha wakho?

Xa ufumanisa ukuba une-'Atrial Septal Aneurysm', kuyinto eqhelekileyo ukuba nemibuzo emininzi engqondweni yakho. Musa ukoyika ukubuza ugqirha wakho ngezi zinto:

• "Gqirha, ngaba ndifuna unyango lwale `Atrial Septal Aneurysm`?"
• "Ndiza kumbona ugqirha kwakhona nini (`ixesha lokulandela`)?"
• "Ngaba ndinazo ezinye iingxaki zentliziyo ezinxulumene nale `Atrial Septal Aneurysm`?"
• "Njengoko ndikwimeko endikuyo ngoku, ugqirha ucinga ntoni ngempilo yam yexesha elizayo?"

Okokugqibela, yintoni ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Usenokumangaliswa kancinci xa ugqirha ekuxelela ukuba une-'Atrial Septal Aneurysm', ingakumbi ukuba awuzange ube nazo naziphi na iimpawu ngaphambili. Nangona kunjalo, kwiimeko ezininzi, oku akuyonto yokukhathazeka . Uninzi lwabantu luphila ubomi obuqhelekileyo benesi simo ngaphandle kweengxaki.

Nangona kunjalo, ukuba ugqirha wakho uthi usemngciphekweni wokuba nestroke ngenxa yale aneurysm, thetha naye ngononophelo kwaye wenze isicwangciso esicacileyo malunga namanyathelo ekufuneka uwathathe ukuze uzikhusele. Kubalulekile ukuthetha nosapho lwakho, abahlobo emsebenzini, kunye nabanye malunga neempawu ezilumkisayo zestroke ukunceda ekunciphiseni uloyiko lwakho. Ukuqaphela ezi mpawu kunokuba luncedo olukhulu kuwe okanye kumntu omaziyo kwixesha elizayo. Landela imiyalelo kagqirha wakho rhoqo. Emva koko unokuhlala usempilweni!

i- atrial septal aneurysm, isifo sentliziyo, intliziyo, i-echocardiogram, i-echocardiogram, istroke, i-PFO, impilo yentliziyo