Ingaba intliziyo yakho ikwicala elifanelekileyo? Masithethe nge-(Dextrocardia)!

Ngaba wakha wazibuza ukuba intliziyo yakho ikwicala lasekunene lomzimba wakho, hayi ekhohlo? Hayi, kuyamangalisa, akunjalo? Kodwa kusenokwenzeka. Oku sikubiza ngokuba yi-`(Dextrocardia)`. Kalula nje, intliziyo yakho ikwicala lasekunene lesifuba sakho, ijonge ngasekunene. Ifana nomfanekiso wesipili sentliziyo ekhohlo. Ngokwesiqhelo, intliziyo yethu ikwicala lasekhohlo lesifuba sakho, ijonge ngasekhohlo. Le meko ebizwa ngokuba yi-`(Dextrocardia)` ithathwa njengesiphene sentliziyo esizalwa naso . Oko kukuthi, uzalwa unalo mahluko.

Ngoku usenokuba ucinga, "Owu Thixo wam, ingaba loo nto inkulu?" Enyanisweni, ukuba une-`(Dextrocardia)` kuphela, oko kuthetha ukuba intliziyo ikwicala elifanelekileyo, uninzi lwexesha ayibangeli ngxaki kangako . Ayibangeli zimpawu, ayibangeli ngxaki, kwaye ayifuni unyango. Nangona kunjalo, ngamanye amaxesha abantu abane-`(Dextrocardia)` banokuzalwa benezinye iimeko zempilo. Ezo meko zinokubangela iingxaki kwaye zifune unyango.

Esi sisifo esingaqhelekanga kakhulu, esisenzeka kumntu omnye kwabayi-12,000 abakhulelweyo.

Ziziphi iintlobo eziphambili ze-`(Dextrocardia)`? Ngaba intliziyo isekunene kuphela?

Ewe, le `(Dextrocardia)` inokuza ngeendlela ezahlukeneyo. Mhlawumbi yintliziyo kuphela ekwicala lasekunene, okanye inokuza notshintsho kwindawo yezinye izitho zangaphakathi. Makhe sibone ukuba zeziphi iintlobo eziphambili:

• I-Dextrocardia Ezimeleyo: Oku kwenzeka xa intliziyo yakho isuswa kwicala lasekhohlo iye kwicala lasekunene. Nangona kunjalo, zonke ezinye izitho zakho zikwimeko eqhelekileyo. Ukuba azikho ezinye iimeko zentliziyo, intliziyo isebenza ngokuqhelekileyo. Oku akubonisi zimpawu .
• `I-Situs Inversus` ene `(Dextrocardia)`: Kule meko, intliziyo yakho ikwicala lasekunene, njengomfanekiso wesipili, kwaye ezinye izitho esifubeni sakho nasesiswini nazo zikwicala elichaseneyo. Cinga ngayo njengesibindi sikwicala lasekhohlo kwaye ipleyini ikwicala lasekunene. Le meko `(I-Situs Inversu)` ngamanye amaxesha inokuba luphawu lwesifo semfuza esibizwa ngokuba yi `(Primary Ciliary Dyskinesia)`. Esi sifo sinokubangela iimpawu ezahlukeneyo ukususela ekuzalweni.
• I-Dextrocardia enezinye iziphene zentliziyo zokuzalwa: Abantu abaninzi abane-dextrocardia banezinye iingxaki zentliziyo ezichaphazela indlela esebenza ngayo intliziyo. Ezi meko zentliziyo zinokubangela iimpawu, iingxaki, kwaye zifuna unyango.
• `Heterotaxy Syndrome` ene `(Dextrocardia)`: Kule meko, intliziyo ikwicala lasekunene, njengomfanekiso wesipili. Kwakhona, amanye amalungu akwiindawo ezingaqhelekanga, kungekhona apho kufanele ukuba abe khona. Le `(Heterotaxy Syndrome)` inokubangela iingxaki ezinkulu ekusebenzeni kwamalungu.

Ziziphi iimpawu ezinokubakho ngenxa ye-`(Dextrocardia)`?

Njengoko besitshilo ngaphambili, ukuba ufumene i-`(Dextrocardia)` ethetha ukuba intliziyo ikwicala lasekunene kuphela, akuyi kubakho zimpawu . Usenokungazi nokuba intliziyo yakho ikwicala lasekunene, kwaye ifunyanwa ngengozi ngexesha le-`(Imaging Test)` eyenziwe ngesizathu esithile.

Nangona kunjalo, ukuba imeko `(Dextrocardia)` idibene nezinye iziphene zentliziyo okanye izifo zemfuza, iimpawu ezithile zinokuvela. Ezi zihlala zibonakala kwasebuntwaneni. Khangela ezi mpawu:

• Ndiziva ndidiniwe kakhulu.
• Usulelo oluqhelekileyo lwemiphunga okanye usulelo lwe-sinus.
• Ukudinwa kakhulu kwaye kunzima ukuphefumla xa usenza umthambo.
• Ukubetha kwentliziyo okungaqhelekanga.
• Ulusu lubonakala luluhlaza okwesibhakabhaka (oku kubizwa ngokuba yi-"Cyanosis", oko kuthetha ukuba kukho ioksijini ephantsi egazini).
• Ulusu lubonakala lumhlophe.
• Ukutyheli kolusu namehlo (njenge-jaundice).
• Ubunzima bokuphefumla okanye ukuphefumla ngokukhawuleza.
• Iingxaki zokukhula kunye nokunyuka kobunzima (ingakumbi kubantwana abancinci).
• Ukukhohlela okune-mucus.

Kubalulekile: Ukuba umntwana wakho unezi mpawu, kubalulekile ukubona ugqirha ngokukhawuleza ukuze kufunyaniswe unobangela. Nangona ezi mpawu zingabangelwa yi-`(Dextrocardia)` ngokwayo, uvavanyo lunokuchonga imeko `(Dextrocardia).`

Kutheni le nto `(Dextrocardia)` isenzeka? Zithini izizathu?

Eyona nto ibangela le `(Dextrocardia)` lutshintsho lwemfuza olwenzeka ngexesha lokukhulelwa . Iijini ezingaphezu kwama-60 zinegalelo ekumiseleni indlela amalungu omzimba wethu afanele abekwe ngayo. Abaphandi basakhangela eyona jini ichaphazela `(Dextrocardia)`.

Malunga nomntu omnye kwabane abane-`(Dextrocardia)` nabo banemeko yemfuza ebizwa ngokuba yi-`(Primary Ciliary Dyskinesia)`. Le meko yemfuza inokubangelwa kukuguquka kwezakhi zofuzo ezingaphezu kwama-30, njenge-`DNAI1` kunye ne-`DNAH5`. Abanye abantu banokuba nokuguquka kwezi zakhi zofuzo kodwa bangabonakalisi zimpawu kwaye 'zii-'Carriers'`.

Oogqirha bayixilonga njani le meko?

Ngamanye amaxesha, oogqirha banokubona `(Dextrocardia)` njengoko umntwana ekhula . Basebenzisa uvavanyo `(Prenatal Ultrasound)` ukwenza oku. Oku kunokujonga indlela intliziyo yomntwana kunye nezinye izitho ezikhula ngayo. Olu `(Imifanekiso yoVavanyo)` lunokubonisa `(Dextrocardia)` okanye ezinye iingxaki kwi-fetus. Uvavanyo olubizwa ngokuba yi `(Fetal Echocardiogram)` lwenziwa ukujonga intliziyo ngokweenkcukacha.

Nangona kunjalo, ukuba uvavanyo olwenziwe ngexesha lokukhulelwa alubonisi ngxaki, ukuxilongwa kunokwenziwa emva kokuzalwa. Abanye abantwana babonisa iimpawu zesifo sentliziyo emva nje kokuzalwa. Oogqirha emva koko benza uvavanyo ukuze bafumane ingxaki.

Nangona kunjalo, ukuba kukho `(Dextrocardia)` kuphela, akukho zimpawu, ngoko ke abantwana abangenazo iingxaki ezinkulu zentliziyo okanye izifo zemfuza basenokungazi ngayo iminyaka.

Oogqirha benza uvavanyo lomzimba kunye nezinye iimvavanyo zokuxilonga i-dextrocardia kwiintsana, abantwana, kunye nabantu abadala. Ngexesha lovavanyo lomzimba, ugqirha uza kumamela intliziyo yakho nge-stethoscope. Ukuba ukubetha kwentliziyo kuvakala ngokucacileyo kwicala lasekunene lesifuba sakho, kunokuba luphawu lwe-dextrocardia.

Ukuba kurhanelwa ukuba i-dextrocardia ibangela isifo, oogqirha banokwenza ezinye iimvavanyo, ezifana nezi:

• I-X -ray yesifuba
• Iskeni ye-CT
• I-Echocardiogram (Echo) (Oku kuthatha umfanekiso wentliziyo)
• Uvavanyo lwe-Electrocardiogram (ECG/EKG) (Olu lulinganisa umsebenzi wombane wentliziyo)
• Uvavanyo lweMfuzo
• I-MRI yentliziyo

I-`(Dextrocardia)` ehlukanisiweyo inokufunyanwa ngengozi kwezi mvavanyo, ingakumbi kwi-`(ECG/EKG)`. Oko kukuthi, idla ngokufunyanwa xa ugqirha efuna enye into.

Zeziphi ezinye izifo zentliziyo ezinokunxulunyaniswa ne-`(Dextrocardia)`?

Abantu abafunyaniswe bene-"Dextrocardia" badla ngokufunyaniswa benezinye iingxaki zentliziyo abazalwa nazo. Ezinye zezi ziquka:

• `I-Double Inlet Left Ventricle` (ineendlela ezimbini zokungena kwegazi kwi-ventricle yasekhohlo yentliziyo)
• `I-Double Outlet Right Ventricle` (zombini imithambo yegazi ephambili iqala kwi-ventricle yasekunene yentliziyo)
• "Umngxuma entliziyweni" (`I-Atrial Septal Defect`, `I-Ventricular Septal Defect` okanye `I-Atrioventricular Septal Defect`)
• I-Pulmonary Atresia (ivalvu yemithambo ye-pulmonary ayiphuhli kakuhle okanye ivalwe ngokupheleleyo)
• I-Pulmonary Stenosis (ukuncitshiswa kwevalvu yomthambo we-pulmonary)
• I-Tetralogy of Fallot (indibaniselwano yeziphene ezine zentliziyo)
• Ukutshintshwa kweMitha eMikhulu
• `I-Tricuspid Atresia` (ukungaphumeleli kwevalvu ye-tricuspid ukuphuhlisa ngokufanelekileyo)

Ezi zisenokuvakala zinzima kancinci, kodwa oogqirha baza kukuchazela zona.

Iphathwa njani i-`(Dextrocardia)`?

Ngamafutshane, i-isolated dextrocardia ayifuni naluphi na unyango . Nangona kunjalo, kubalulekile ukwazisa nawuphi na ugqirha okunyangayo ukuba unale meko. Oku kungenxa yokuba kuyanceda ukuba baqaphele olu tshintsho lolwakhiwo emzimbeni wakho xa besenza uvavanyo oluthile okanye besenza izinto ezifana notyando.

Nangona kunjalo, ukuba unezinye izifo zentliziyo okanye isifo semfuza kunye ne-``(Dextrocardia)``, ugqirha wakho uya kugqiba unyango olufunekayo kwezo meko. Kwezo zonyangoOku kungabandakanya amayeza, iinkqubo, okanye utyando.

Ingakumbi iingxaki zentliziyo ezinzima zihlala zinyangwa ebuntwaneni. Ndiyaqonda ukuba ukuba umntwana wakho ufuna into efana nale, inokuba ngamava anzima kakhulu kuwe. Nangona kunjalo, iqela lezonyango elinyanga umntwana wakho liza kukunika inkxaso kunye nolwalathiso olufunayo. Baza kukuchazela yonke into, kuquka oko umntwana wakho akudingayo kunye nendlela yokumnyamekela ekhaya.

Ndifanele ndimbone nini ugqirha?

Ukuba umntwana wakho une-`(Dextrocardia)` thetha nogqirha wakhe malunga noko unokukulindela kwixesha elizayo kunye neempawu ekufuneka uzijonge (ingakumbi ezo zinxulumene nezinye iimeko zentliziyo okanye izifo).

Ukuba une-`(Dextrocardia)` thetha nogqirha wakho ukuze ufunde indlela ezinye iimeko zempilo ezinokuwuchaphazela ngayo umzimba wakho, zeziphi iimpawu ekufuneka uziqaphele, kunye nendlela yokuzilawula.

Umntu one-`(Dextrocardia)` angaphila ixesha elingakanani?

Umntu one-`(Dextrocardia)` unokuphila ubomi obude . Nangona kunjalo, kuxhomekeke kwezinye izifo. Iintsana ezizelwe zine-`(Dextrocardia)` ezizimeleyo (oko kukuthi, ezingenazo ezinye izifo zentliziyo okanye ii-syndromes) ziphila ubomi obuqhelekileyo. Nangona kunjalo, iintsana ezizelwe zinezifo zentliziyo okanye ii-syndromes zemfuza zinokufuna unyango okanye utyando ukulawula ezo meko. Ke ngoko, kungcono ukuthetha nogqirha wakho malunga nento omawuyilindele kunye nembono yexesha elide.

I-Dextrocardia yimeko engaqhelekanga, kodwa sifunde lukhulu ngayo kule minyaka idlulileyo. Cinga ngayo, izazinzulu beziyazi ngayo ukususela ngeminyaka yoo-1600! Oko kuthetha ukuba yayiyenye yeziphene zokuqala zentliziyo ezazalwa nazo ukuchongwa. Namhlanje, siyazi ukuba inokwenzeka yodwa okanye njengophawu lwezifo ezithile zemfuza. Kuqhelekile nokuba iintsana ezine-dextrocardia zibe nezinye iziphene zentliziyo ezazalwa nazo.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuba wena okanye umntwana wakho une-`(Dextrocardia)`, musani ukoyika . Fumana ulwalathiso olufunekayo kugqirha wakho. Baza kukuchazela ukuba kukho naziphi na ezinye iingxaki ezifuna unyango.

Eyona nto ibalulekileyo kukwazisa ugqirha okanye ingcali yezempilo ekuphatha ngale ndawo ithile entliziyweni yakho. Kungabalulekanga kakhulu ukuba bayazi le ngcaciso xa bekukhathalela.

Ndiyathemba ukuba olu lwazi luluncedo kuwe. Hlala usempilweni!

I- Dextrocardia, intliziyo kwicala lasekunene, i-Situs Inversus, i-Congenital Heart Defect, isifo sentliziyo, isifo semfuza, isifo sokuzalwa