Kuqhelekile ukuba uzive uloyiko olukhulu kunye nexhala xa usiva ngesifo sentliziyo, nokuba sesakho okanye somntwana wakho. Ingakumbi xa usiva igama elifana ne-Eisenmenger Syndrome, usenokuba uzibuza, "Yintoni le?" Kodwa ungakhathazeki. Siza kuthetha ngesi sifo, iimpawu zaso, kunye nonyango lwaso ngendlela elula onokuyiqonda.
Ivela njani le meko?
Ngamafutshane, i-Eisenmenger syndrome sisiphumo sexesha elide sokukhubazeka kwentliziyo yokuzalwa . Ukuze siqonde oku, masiqale sijonge indlela esebenza ngayo intliziyo yethu.
Cinga ngentliziyo yethu njengepompo encinci kodwa enamandla kakhulu enamagumbi amane. Kukho iindawo ezine: amagumbi amabini aphezulu (atria) kunye namagumbi amabini asezantsi (ventricles). Ngokwesiqhelo, le yindlela esebenza ngayo:
1. Igazi elingenaoksijini, elihamba emzimbeni wonke, lingena kwigumbi eliphezulu kwicala lasekunene.
2. Ukusuka apho, igazi liya kwigumbi elisezantsi kwicala lasekunene lize liphampelwe emiphungeni.
3. Emiphungeni, eli gazi ligcwele ioksijini.
4. Eli gazi licocekileyo, lineoksijini libuyela kwigumbi eliphezulu kwicala lasekhohlo lentliziyo.
5. Ukusuka apho, yiya kwigumbi elisezantsi ngasekhohlo uze upompe umzimba wakho wonke.
Nangona kunjalo, kwabanye abantu abaneengxaki zentliziyo abazalwa nazo, kunokubakho umngxuma omncinci phakathi kwala magumbi entliziyo, ingakumbi phakathi kwamagumbi amabini asezantsi (ii-ventricles) . Nantsi into eyenzekayo:
- Elinye igazi elicocekileyo neligcwele ioksijini kwicala lasekhohlo lidlula kuloo mngxuma liye kwicala lasekunene lize libuyele emiphungeni.
- Xa olu hambo lwegazi olungeyomfuneko luqhubeka lusiya emiphungeni, uxinzelelo lwegazi emiphungeni luba phezulu kakhulu . Oku sikubiza ngokuba yi-"pulmonary hypertension".
- Ekuhambeni kwexesha, ngenxa yolu xinzelelo luphezulu emiphungeni, ukuhamba kwegazi kuyatshintsha. Oko kukuthi, igazi elingcolileyo nelingenawo umoya-mpilo kwicala lasekunene lihamba ngaloo mngxuma liye kwicala lasekhohlo lize liqale ukujikeleza emzimbeni wonke.
Le yingxaki ye-Eisenmenger syndrome. Oko kukuthi, umzimba awufumani ioksijini efunekayo. Le meko yenzeka ukuba isiphene sentliziyo esikhoyo ekuzalweni asibonwanga kwaye sinyangwa kwangethuba.
Ziziphi iimpawu eziphambili zoku?
Uninzi lwexesha, ezi mpawu ziqala ukubonakala ngaphambi kokuba umntwana afikise ebusheni. Ngamanye amaxesha, zinokubonakala nasebuntwaneni. Nazi ezinye zeempawu ezibonakala lula.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukutshintsha kombala oluhlaza okwesibhakabhaka kolusu (iCyanosis) | Imilebe, iinzipho, kunye nolusu zibonakala ziluhlaza okwesibhakabhaka/mfusa ngenxa yokunqongophala kweoksijini emzimbeni. |
| Ukuzilolonga kwiKlabhu | Iincam zeminwe neenzwane zibonakala zingqukuva kwaye iinzipho zibonakala zidumbile. |
| Ubunzima bokuphefumla | Ukudinwa nokudinwa, ingakumbi xa uzama kancinci. |
| Ukudumba komzimba (i-Edema) | Ukudumba, ingakumbi kwiindawo ezifana nemilenze, amaqatha, nesisu. |
| Ukubetha kwentliziyo okungaqhelekanga | Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza okanye ukubetha kwentliziyo yakho akulunganga. |
| Isiyezi kunye nentloko ebuhlungu | Imeko enokubangelwa kukunqongophala kweoksijini. |
| Iintlungu zesifuba | Ukuqina kwesifuba okanye intlungu ngenxa yoxinzelelo entliziyweni. |
Ukongeza, le meko inokuchaphazela ukuveliswa kweeseli ezibomvu zegazi emzimbeni, ukujiya kwegazi, okanye ukopha kakhulu.
Ugqirha uyifumanisa njani le nto? (Ukuxilongwa)
Ukuba umntwana wakho unezi mpawu, ugqirha wakho uza kuqala akuthumele kwingcali yentliziyo yabantwana. Usenokwenza uvavanyo oluninzi ukuqinisekisa imeko.
- Uvavanyo lomzimba: Into yokuqala ekufuneka uyijonge kumbala oluhlaza okwesibhakabhaka wesikhumba, utshintsho kwiminwe, kunye nokumamela intliziyo.
- Uvavanyo olukhethekileyo: Olu vavanyo lwenziwa ukuqinisekisa ukuxilongwa ngokuchanekileyo.
| Uvavanyo | Ubona ntoni kule nto? |
|---|---|
| I-Echo Scan (i-Echocardiogram) | Olu luvavanyo lwentliziyo. Lunokuyibona ngokucacileyo indlela emile ngayo intliziyo, nokuba kukho imingxunya phakathi kwamagumbi, kunye nendlela igazi elihamba ngayo. |
| I-ECG (i-Electrocardiogram) | Oku kunceda ekuboneni umsebenzi wombane wentliziyo, oko kukuthi, isingqisho sentliziyo. |
| Uvavanyo lwegazi | Inani leeseli ezibomvu zegazi emzimbeni (elinokunyuka ngenxa yokunqongophala kweoksijini) kunye nezinye izinto ziyajongwa. |
| Ukucoca Intliziyo | Olu luvavanyo olukhethekileyo. Ityhubhu encinci (i-catheter) idluliselwa ngemithambo yegazi iye entliziyweni, nto leyo evumela ukuba uxinzelelo olungaphakathi kwamagumbi entliziyo kunye nemithambo yegazi ekhokelela emiphungeni lulinganiswe ngokuthe ngqo. |
Iphathwa njani?
Xa i-Eisenmenger syndrome ivele, umngxuma entliziyweni oyibangeleyo awunakuvalwa ngotyando kuba uxinzelelo olukwimiphunga sele lunyukile kakhulu. Ke ngoko, injongo ephambili yonyango kukulawula iimpawu kunye nokuphucula umgangatho wobomi.
Isicwangciso sonyango singabandakanya:
- Iintlobo zamayeza:
- Amayeza andisa imithambo yegazi emiphungeni aze anciphise uxinzelelo lwegazi.
- Amayeza okugcina isigqi esichanekileyo sentliziyo.
- Amayeza athintela ukujiya kwegazi (izinto ezinciphisa igazi).
- Ukuthintela usulelo (ii-antibiotics).
- Ngamanye amaxesha iipilisi ezine-iron.
- Ukususwa kwegazi: Ukuba inani leeseli zakho ezibomvu zegazi liphezulu kakhulu kwaye igazi lakho lijiyile, ngamanye amaxesha kusenokufuneka ukuba kususwe igazi elithile emzimbeni wakho (phlebotomy).
- Ukufakelwa kwentliziyo nemiphunga:Oku kwenziwa kuphela kwiimeko ezinzima kakhulu, xa intliziyo nemiphunga zingasebenzi kakuhle. Olu lutyando olunzima kakhulu nolunzima.
Ndingaphila njani nale meko?
Liyinyaniso elokuba le yimeko yobomi bonke, kodwa ngokuphathwa ngokufanelekileyo nangokulandela iingcebiso zonyango, abantu abaninzi banokuphila ubomi obufana nobesiqhelo.
Eyona nto ibalulekileyo kukuhlala unxibelelana rhoqo nogqirha wakho kwaye ulandele imiyalelo yakhe ngokuchanekileyo.
Eminye imikhwa ebalulekileyo ekufuneka uyifake ebomini bakho:
- Kuphephe ukuya kwiindawo eziphakamileyo uze uphelelwe ngamanzi emzimbeni.
- Akukhuthazwa ukuzilolonga okunzima kunye nemidlalo, kodwa buza ugqirha wakho ukuba loluphi uhlobo lomthambo onokulwenza.
- Yitya ukutya okungenatyuwa ingako . Kuphephe ukutshaya ngokupheleleyo.
- Musa ukuthatha amayeza athengiswa ngaphandle kwemvume kagqirha, nokuba uwasebenzisa xa unesifo sentloko, ngaphandle kokubonisana nogqirha wakho kuqala.
- Fumana imigonyo yakho ngexesha. Coca kakuhle namanxeba amancinci ukuze uzikhusele kwizifo.
- Musa ukusebenzisa iibhafu ezishushu okanye ii-sauna. Zinokubangela ukwehla ngequbuliso koxinzelelo lwegazi.
- Ukuba ujongene nolunye utyando okanye into efana nokukhupha amazinyo, qiniseka ukuba ubuza ugqirha wakho wentliziyo ukuba kufuneka uthathe amayeza okubulala iintsholongwane kwangaphambili.
Ukwaziswa okukhethekileyo malunga nokukhulelwa
Ukuba ungumfazi onesi sifo, ukukhulelwa kuyingozi kakhulu ebomini bakho nakobomntwana wakho . Ngenxa yokuba ukukhulelwa kubeka uxinzelelo olukhulu entliziyweni, oogqirha abasoloko bekucebisa. Kubalulekile ukuthetha ngokukhululekileyo nogqirha wakho ngale nto.
Ukuphila nale meko kunokuba nzima ngokweemvakalelo. Buza ugqirha wakho malunga neenkonzo zokunika iingcebiso okanye amaqela enkxaso anokukunceda wena nosapho lwakho.
Umyalezo Wokuya Ekhaya
- I-Eisenmenger syndrome yimeko embi kakhulu ebangelwa sisiphene sentliziyo esizalwa naso, kodwa sinokulawulwa ngendlela efanelekileyo.
- Le meko inokuthintelwa ngokuchonga nokunyanga isiphene sentliziyo esisisiseko kwasebuntwaneni.
- Kubalulekile ukulandela isicwangciso sonyango esinikwe ngugqirha wakho ngqo. Musa ukuqala okanye ukuyeka naluphi na unyango ngokwakho.
- Utshintsho kwindlela yokuphila (ukutya okungenatyuwa ingako, ukuyeka ukutshaya, ukwenza umthambo ofanelekileyo) luncedo kakhulu ekulawuleni iimpawu.
- Ukukhulelwa kuyingozi kakhulu kumfazi onesi sifo, ngoko ke kubalulekile ukuthetha ngokukhululekileyo ngaso nogqirha wakho.
- Awuwedwa kolu hambo. Ungoyiki ukucela uncedo koogqirha, kusapho, kwaye, ukuba kuyimfuneko, kumcebisi.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho