Xa ugqirha ekuxelela ukuba unemingxuma entliziyweni yakho, umele ukuba waziva usoyika kakhulu kwaye wothukile. Umele ukuba wacinga, "Owu Thixo wam, kukho umngxuma entliziyweni yam?" Kodwa ungakhathazeki. Oku akuyongozi njengoko sicinga, kwaye ngoku kukho unyango oluphambili noluphumelelayo loku. Ukudinwa okuvayo, ubunzima bokuphefumla xa uzibhokoxa kancinci, kusenokuba kungenxa yale meko. Ngoko ke namhlanje siza kuthetha ngale mingxuma entliziyweni, kunye 'nesixhobo sokuVala iCardiac', isixhobo esincinci esisetyenziselwa ukuyivala.
Masiqale sibone, yintoni le mngxuma entliziyweni?
Ngamafutshane, intliziyo yethu ifana nendlu enamagumbi amane. Amagumbi amabini aphezulu namagumbi amabini asezantsi. La magumbi mabini aphezulu siwabiza ngokuba yi-Atria. I-atrium yasekunene kunye ne-atrium yasekhohlo. Kukho udonga phakathi kwala magumbi mabini. Olu donga silubiza ngokuba yi-'Interatrial Septum'. Ngamanye amaxesha, umngxuma unokwenziwa kolu donga xa umntu ezalwa. Oku sikubiza ngokwezonyango ngokuba yi-Atrial Septal Defect (ASD) .
Khawucinge nje, xa usakha indlu, indawo encinci ishiywa ingafakwanga iplasta xa kwakhiwa udonga phakathi kwamagumbi amabini. Le yimeko yokuzalwa.
Kukho enye imeko efana nale, kodwa yahlukile kancinci. Ibizwa ngokuba yiPatent Foramen Ovale (PFO) . Lo asingomngxuma wokwenene njenge-ASD. Xa sonke sisesibelekweni, kukho umngxuma omncinci phakathi kwezi atria zimbini. Ngenxa yokuba imiphunga yethu ayisebenzi ngelo xesha, lo mngxuma ubalulekile ekujikelezeni kwegazi. Emva kokuba sizelwe, xa siqala ukuphefumla, lo mngxuma uvala ngokuzenzekelayo. Kodwa kwabanye abantu, lo mngxuma awuvali ngokupheleleyo, kodwa uhlala ufana nesiciko esincinci. Ungavuleka xa kufuneka. Oku kubizwa ngokuba yi-PFO.
I-ASD ngumngxuma wokwenene eludongeni. I-PFO ifana nomngxuma omncinci ongavaleki kakuhle. Zombini ziphakathi kwamagumbi amabini aphezulu entliziyo.
Kutheni le nto kuyingxaki ukuba nale mingxunya?
Kulungile, ngoku usenokuba ubuza, "Ngoko ke kwenzeka ntoni xa kukho loo mngxuma?" Nantsi into eyenzekayo.
Icala lasekhohlo lentliziyo yethu liqulathe igazi elicocekileyo nelicebileyo ngeoksijini. Eli gazi limpontshwa kuwo wonke umzimba. Icala lasekunene liqulathe igazi elisetyenzisiweyo, elingenaoksijini, nelingcolileyo. Eli gazi lithunyelwa emiphungeni ukuze liphinde lifakwe ioksijini.
Khawucinge nje, bekuya kwenzeka ntoni ukuba bekukho umngxuma eludongeni phakathi kwala macala mabini? Kufana nomngxuma phakathi kwetanki yamanzi acocekileyo ehluziweyo kakuhle kunye netanki yamanzi asetyenzisiweyo. Elinye igazi elihle elineoksijini lixubana negazi elingenaoksijini. Emva koko inani legazi elineoksijini ekufuneka liye emzimbeni liyancipha.
Ngenxa yoku, uza ku:
- Ndiziva ndidiniwe kwaye ndidiniwe .
- Kuvela ubunzima bokuphefumla .
- Ukubetha kwentliziyo kuqala ukuziva ngathi kukubetha kwentliziyo okungaqhelekanga.
Kwimeko ye-PFO, inokuba yingozi nangakumbi. Amahlwili egazi amancinci ayenzeka emizimbeni yethu, ingakumbi emilenzeni yethu, ngamanye amaxesha aya entliziyweni. Ngokwesiqhelo, aya emiphungeni aze asuswe apho. Kodwa kumntu onemingxuma ye-PFO, eli hlwili legazi linokuxhuma ukusuka kwicala lasekunene ukuya kwicala lasekhohlo lize liye ngqo kwimithambo yegazi eya ebuchotsheni. Ukuba oko kuyenzeka, umngcipheko westroke uphezulu.
Uyivala njani le mngxuma? - Umsebenzi weSixhobo sokuVala iNtliziyo
Ngaphambili, ukuze uvale umngxuma onje, bekufuneka wenze utyando olukhulu lwentliziyo evulekileyo. Kodwa ngoku, ngenxa yeteknoloji ephucukileyo, oku kwenziwa ngendlela elula kakhulu kwiimeko ezingaphezu kwama-80%. Yiyo loo nto kusetyenziswa esi sixhobo sincinci esibizwa ngokuba yiCardiac Closure Device .
Ifana neeambrela ezimbini ezincinci ezidityanisiweyo, okanye isixhobo esifana namaqhosha. Yenziwe nge-wire mesh eyenziwe ngentsimbi exutyiweyo ebizwa ngokuba yiNitinol, kwaye igqunywe ngelaphu le-polyester.
Indlela yonyango ilula kakhulu.
Oku kwenziwa yingcali yentliziyo.
1. Okokuqala, uza kunikwa amayeza okukwenza ungabikho zingqondweni okanye unxile.
2. Emva koko, ityhubhu encinci ebizwa ngokuba yi-catheter ifakwa kumthambo omkhulu osemlenzeni wakho.
3. Le catheter idluliselwa ngemithambo yegazi ukuya entliziyweni. Konke oku kwenziwa phantsi kolwalathiso lwetekhnoloji efana ne-X-ray kunye ne-ultrasound.
4. Xa i-catheter isondela emngxunyeni osentliziyweni, baqala ngokufaka into efana nebhaluni encinci ukuze balinganise ubungakanani obuchanekileyo bomngxunya.
5. Emva koko, isixhobo sokuvala, esinobukhulu obufanelekileyo, sidluliselwa kwi-catheter kwindawo egobileyo ukuya kwindawo yomngxuma.
6. Xa ikwindawo efanelekileyo, i-catheter iyasuswa. Emva koko iindawo ezimbini ezigobileyo ezifana nesambrela ziyavuleka kumacala omabini omngxuma, ziwuvale ngokupheleleyo umngxuma. Unamathela eludongeni kumacala omabini, njengesandwich.
7. Emva kokuqinisekisa ukuba isixhobo sikwindawo eqinileyo, i-catheter iyasuswa.
Yiyo leyo. Akukho mfuneko yokugquma isifuba sakho. Akukho zilonda zinkulu.
| Indlela yonyango | Inkcazo |
|---|---|
| Ukuvalwa kweTranscatheter | Ityhubhu encinci ifakwa ngomthambo osemlenzeni kwaye isixhobo sidluliselwa kuyo siye entliziyweni ukuze kuvalwe umngxuma. Le yindlela esetyenziswa kakhulu, elula, kwaye ekhawulezayo yokuphilisa. |
| Utyando lweNtliziyo evulekileyo | Ukuba umngxuma mkhulu kakhulu okanye kukho ezinye iingxaki, isifuba sinokuvulwa kwaye umngxuma uthungwe okanye uvalwe. Oku akuxhaphakanga ngoku. |
Zithini iingenelo kunye nemiphumo emibi enokubakho yolu nyango?
Njengakwezinye iindlela zonyango, kukho iingenelo kunye neengozi ezingaqhelekanga.
Iingenelo eziphambili
- Izinga lempumelelo ephezulu: Izifundo zifumanise ukuba olu nyango luphumelele ngaphezu kwe-93%.
- Ukuchacha ngokukhawuleza: Ngotyando olusebenzisa i-catheter, kufuneka uhlale esibhedlele ubusuku obunye kuphela. Ungabuyela kubomi bakho obuqhelekileyo kwiiveki ezimbini. Uchacha ngokukhawuleza kakhulu kunotyando oluvulekileyo.
- Iintlungu ezincinci: Iintlungu zincinci kakhulu kuba akukho nxeba likhulu.
- Ukunciphisa umngcipheko westroke: Ingakumbi kubantu abane-PFO, le ndlela inokunciphisa umngcipheko westroke ngaphezu kokusela amayeza.
Iziphumo ebezingalindelekanga ezinokubakho (ezi azixhaphakanga kakhulu)
- Amahlwili egazi: Amahlwili egazi angase ajikeleze isixhobo.
- Ukushukuma kwesixhobo: Kunqabile kakhulu, isixhobo sinokuhamba kancinci ukusuka apho besifakwe khona.
- Izingqisho zentliziyo ezingaqhelekanga: Isingqisho sentliziyo sinokutshintsha okwethutyana.
- Umngcipheko we-Endocarditis: Olu lusulelo lwebhaktiriya olungaphakathi kwentliziyo.
- Ukubola kwesixhobo: Oku kunqabile kakhulu (malunga ne-0.04% - 0.3%). Esi sixhobo sinokunamathela eludongeni lwentliziyo size sonakalise udonga ngokuhamba kwexesha.
Ungakhathazeki! Ugqirha wakho uyazazi zonke ezi ngozi kwaye uza kuthatha onke amanyathelo afunekayo ukuthintela ezi ngxaki.
Yintoni esifanele siyenze ukuze siphephe iziphumo ebezingalindelekanga?
Emva konyango, kukho izinto ezimbalwa ekufuneka uzenze. Ngokulandela ezi zinto kanye, unokuthintela kwanezo ziphumo zingalindelekanga.
1. Ukuthintela ukuqhekeka kwegazi
Ugqirha wakho uza kukuxelela ukuba uthathe amayeza okunciphisa igazi okanye amayeza okunciphisa iiplatelet, njenge-aspirin, yonke imihla kangangeenyanga ezi-6 emva konyango lwakho. Kubaluleke kakhulu ukuthatha la mayeza ngexesha kwaye ungalibali ukuwathatha .
2. Ukuthintela usulelo lwe-endocarditis (oku kubaluleke kakhulu!)
Emva kokuba isixhobo sifakiwe, kuthatha malunga neenyanga ezi-6 ukuba izicubu zomzimba wakho zikhule kwaye zisigqume ngokupheleleyo. Ngeli xesha, ukuba iintsholongwane ezivela kwenye indawo emzimbeni wakho zingena egazini lakho, zinokuhamba ziye kweso sixhobo zibangele usulelo. Ukuthintela oku:
- Gcina amazinyo neentsini zakho zicocekile kakhulu. Hlamba amazinyo akho kakuhle yonke imihla.
- Ngaphambi kokuba unyango lwamazinyo (njengokukhupha amazinyo, ukucoca, ukugcwalisa), kufuneka uxelele ugqirha wamazinyo ukuba unesixhobo esinjalo entliziyweni yakho.
- Ngaphambi kokuba uvavanye okanye wenze utyando olunokubangela ukopha , kuya kufuneka uthathe amayeza okubulala iintsholongwane . Oku kukukhusela kwizifo.
- Ukuba ubonakalisa iimpawu zosulelo, ezinje ngomkhuhlane, iintlungu zomzimba, okanye umphimbo obuhlungu, tsalela umnxeba ugqirha wakho ngoko nangoko.
Ugqirha uza kukunika ikhadi elineenkcukacha malunga noku. Ligcine kuwe ngamaxesha onke.
Ukubuyela kubomi obuqhelekileyo emva konyango...
Ukuba ufumene unyango nge-catheter, uya kukwazi ukuhlala esibhedlele ubusuku bonke uze ugoduke ngosuku olulandelayo. Nangona uza kukwazi ukubuyela kwimisebenzi eqhelekileyo kwiintsuku ezimbini ukuya kwezintathu, kungcono ukuphepha ukuphakamisa izinto ezinzima okanye imisebenzi enzima kangangeeveki ezimbini.
Ekuhambeni kwexesha, izicubu zentliziyo yakho ziya kukhula zize zigubungele esi sixhobo ngokupheleleyo. Emva koko siba yinxalenye yentliziyo yakho. Awuyi kuze uve nokuba ikhona. Uya kuba nenkululeko epheleleyo yokuphila ubomi obuqhelekileyo, ukuzilolonga, nokwenza nantoni na oyifunayo.
Ukuba kufuneka wenze i-MRI scan, kunokubakho imiqathango ethile. Ngoko ke, ngaphambi kokuba wenze nantoni na, kungcono ukuthetha nogqirha wakho wentliziyo uze ufumane ingcebiso.
Umyalezo Wokuya Ekhaya
- Umngxuma entliziyweni (i-ASD okanye i-PFO) yimeko yokuzalwa enokunciphisa ubungakanani beoksijini efunyanwa ngumzimba kwaye yonyuse umngcipheko westroke.
- Isixhobo Sokuvala Intliziyo sisixhobo esisebenzayo nesikhuselekileyo esisetyenziselwa ukuvala umngxuma entliziyweni sisebenzisa i-catheter, ngaphandle kokufaka inaliti esifubeni.
- Le ndlela yonyango ilula kakhulu, ayibuhlungu kakhulu, kwaye ithatha ixesha elifutshane kakhulu ukuphola.
- Emva konyango, kubalulekile ukuthatha amayeza okunciphisa igazi anikwe ngugqirha kanye ngexesha elimiselweyo.
- Ngaphambi kokuba unyango lwamazinyo okanye olunye utyando kwiinyanga ezi-6 zokuqala, thetha nogqirha wakho malunga nokuthatha amayeza okubulala iintsholongwane ukuthintela usulelo.
- Ukuba ufumana iimpawu ezifana neentlungu zesifuba okanye ukuphelelwa zingqondo, qhagamshelana nogqirha wakho ngoko nangoko. Kubaluleke kakhulu ukwenza uvavanyo lwezonyango oluyimfuneko .
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