Ngaba singathetha nje ngotyando lokusilela kwentliziyo?

Intliziyo yethu ngumatshini omangalisayo opompa igazi elinika ioksijini kunye nezondlo kuyo yonke iseli kunye namalungu omzimba wakho. Ifana nomatshini onika amanzi endlwini. Kodwa ngamanye amaxesha lo matshini ubizwa ngokuba yintliziyo uba buthathaka kancinci. Emva koko awukwazi ukupompa igazi elaneleyo emzimbeni. Kwizonyango, siwubiza lo mbandela ngokuba yiHeart Failure , okanye njengoko abanye bewubiza, yiCongestive Heart Failure (CHF) . Ukuva eli gama kunokoyikisa kancinci, kodwa ngokwenene akoyiki njengoko unokucinga. Kuba kukho unyango oluhle kakhulu loku.

Yintoni kanye kanye iHeart Failure?

Ngamafutshane, intliziyo yimpompo enamandla eyenziwe ngezihlunu zemisipha. Xa le mpompo iba buthathaka, ayikwazi ukupompa igazi ngokukhawuleza okanye ngamandla aneleyo ukuhlangabezana neemfuno zomzimba. Khawuthelekelele ukuba ipompo yakho yamanzi indala kwaye ibuthathaka. Kuthatha ixesha elide ukupompa amanzi etankini, kwaye isenokungakwazi nokuwazalisa ngokupheleleyo. Kwenzeka into efanayo nakwentliziyo.

Oogqirha badla ngokunyanga le meko ngokutshintsha indlela yokuphila (njengokunciphisa ityuwa kunye nokuzilolonga) kunye namayeza. Abantu abaninzi bayachacha ngolu hlobo lonyango. Kodwa kwabanye, oku kuphela akwanelanga. Kulapho ke utyando lunokucingelwa khona. Utyando lunokuphucula ukusebenza kwentliziyo yakho, lunciphise iimpawu, kwaye lukuncede uphile ixesha elide.

Kukweziphi iimeko apho kufuneka utyando?

Kukho izizathu ezahlukeneyo zokuba ugqirha wakho angacebisa utyando lokusilela kwentliziyo.

• Nyanga unobangela oyintloko wokusilela kwentliziyo yakho: Ukusilela kwentliziyo yakho kunokubangelwa yingxaki yevalvu yentliziyo okanye ukuvaleka komthambo wegazi. Xa unobangela oyintloko ususiwe ngotyando, intliziyo yakho iya kuqala ukuchacha.
• Phucula amandla okumpompa kwentliziyo: Kukho utyando olunceda intliziyo ngokuthe ngqo. Umzekelo, ukufaka isixhobo esifana nepompo enceda intliziyo.
• Gcina ubomi: Xa intliziyo iba buthathaka kakhulu ukuba ingalawulwa ngamayeza kunye nolunye unyango, utyando lusenokuba lolona khetho lokugqibela lokusindisa ubomi.

Ziziphi iintlobo zotyando ezenziwayo xa kukho ukusilela kwentliziyo?

Kukho iintlobo ezahlukeneyo zotyando lwale meko. Ezinye zilula kakhulu, zenziwa ngokusikwa okuncinci. Ezinye zifikelela kwinqanaba lotyando lwentliziyo evulekileyo kunye nokufakelwa kwentliziyo. Masithethe ngayo nganye nganye.

Unyango lwe-Arrhythmia

I-ArrhythmiaKuthetha ukuba intliziyo ayibethi kakuhle ngenxa yengxaki encinci kwinkqubo yombane yentliziyo. Oku kungaba ngunobangela wokungasebenzi kakuhle kwentliziyo, kunye nophawu.

• Ukususwa kweCatheter: Le yinkqubo encinci kakhulu. Ugqirha wakho uza kufaka umbhobho omncinci kakhulu (i-catheter) ngomthambo osemlenzeni okanye engalweni yakho entliziyweni yakho. Emva koko, baza kufumana indawo echanekileyo entliziyweni yakho ebangela imiqondiso yombane engaqhelekanga baze bayicime ngokufaka ubushushu obuncinci okanye ubanda obugqithisileyo kuloo ndawo. Emva koko, intliziyo yakho iya kuqala ukubetha ngokwesiqhelo kwakhona.
• Izixhobo Ezifakelweyo: Kukho iintlobo ezimbini zeemashini ezincinci ezifakelwe emzimbeni ukulawula isigqi sentliziyo. Ezi zifana nabagcini bobomi abagcina iliso kwisigqi sentliziyo.

Utyando kwimithambo yegazi ehambisa igazi entliziyweni

• Utyando lweCoronary Artery Bypass Graft (CABG): Ekuhambeni kwexesha, amafutha afakwa kwimithambo emincinci ehambisa igazi kwimisipha yentliziyo, nto leyo ebangela ukuba ivaleke. Oku kunokubangela ukuba intliziyo ibe buthathaka kwaye ingakwazi ukufumana ioksijini eyidingayo. Utyando lwe-bypass lufana nokudala indlela entsha (i-bypass) ejikeleze umthambo ovalekileyo. Ugqirha usebenzisa iqhekeza lomthambo elithathwe kwenye inxalenye yomzimba wakho (njengomlenze okanye isifuba) ukudala indlela entsha yokuba igazi lijikeleze umthambo ovalekileyo.
• I-Coronary Angioplasty kunye ne-Stent: Olu lunyango lokuvula umthambo ovalekileyo, kodwa kulula kunotyando lwe-bypass. Apha, uza kwenza oku:

1. I-catheter encinci ifakwa kwimithambo yegazi esihlahleni okanye emqolo wakho.

2. I-catheter idluliselwa kufutshane nomthambo ovalekileyo entliziyweni.

3. Xa ibhaluni encinci ekupheleni kwe-catheter ivuthelwe umoya, ioyile evalelweyo ityhalelwa emacaleni kwaye umthambo uyavuleka.

4. Emva koko, ityhubhu encinci efana ne-mesh (i-stent) ifakwa kuloo mthambo ukuze ingavaleki kwakhona.

Utyando lweValve yeNtliziyo

Iivalvu zentliziyo ziindawo ezifana nomnyango phakathi kwamagumbi entliziyo ezivumela igazi ukuba lihambe kwicala elinye kuphela kwaye lithintele ukuba libuye umva. Ezi valve zinokuba neentlobo ezimbini zesifo. Enye kuxa ivalvu ingavali kakuhle kwaye igazi livuza umva (regurgitation). Enye kuxa ivalvu iqina kwaye ingavuli kakuhle (stenosis). Kuzo zombini iimeko, intliziyo kufuneka isebenze nzima kunesiqhelo ukupompa igazi. Ekuhambeni kwexesha, oku kuyenza buthathaka intliziyo.

Ezi valves zingalungiswa ngotyando, okanye ukuba oko akunakwenzeka, ivalve entsha ingafakwa (ukutshintshwa) .

Unyango lweentliziyo ezibuthathaka kakhulu

• Isixhobo Sokuncedisa Imithambo Yasekhohlo (LVAD): Iintliziyo zabanye abantu ziba buthathaka kangangokuba abakwazi ukupompa igazi emzimbeni ngokwazo. I-LVAD yimpompo encinci efakwa kwi-ventricle yasekhohlo (inxalenye ephambili yentliziyo epompa igazi) ukubanceda. Ingasetyenziswa njengonyango lwexesha elide, okanye ingasetyenziswa okwethutyana de kubekho ukufakelwa kwentliziyo.
• Ukufakelwa Intliziyo: Olu lolona khetho lokugqibela kwisigulana esinentliziyo engasebenzi kakuhle kwinqanaba lokugqibela. Kule meko, intliziyo ebuthathaka yesigulana iyasuswa kwaye intliziyo ephilileyo evela kumntu oswelekileyo ityalwe kwenye. Nangona kunjalo, ngenxa yokunqongophala kweentliziyo zabantu abanikelayo, kufuneka kuhlangatyezwane nemigaqo engqongqo ukuze kulungelwe olu tyando.

Kwenzeka ntoni ngaphambi, ngexesha nasemva kotyando?

Ukulungiselela utyando yinto enkulu. Ugqirha wakho uza kukuchazela yonke into.

• Ngaphambi kotyando: Uza kunikwa imiyalelo malunga nokuba uyeke nini ukutya nokusela, amayeza omawuqhubeke uwathatha kunye nento omawuyeke, kunye nento omawuyise esibhedlele. Xa ungeniswe esibhedlele, umongikazi uza kufaka i-cannula engalweni yakho ukuze akunike ityuwa. Indawo apho utyando luza kwenziwa khona iya kuchetywa kwaye icocwe. Ngokwesiqhelo uza kulaliswa ngokupheleleyo ngexesha lotyando.
• Ngexesha lotyando: Okwenzekayo kuyahluka ngokuxhomekeke kuhlobo lotyando olwenziwayo. Utyando lwentliziyo evulekileyo lubandakanya ukusikwa okukhulu phakathi kwesifuba. Nangona kunjalo, utyando oluncinci, olufana nokufakwa kwe-catheter, lubandakanya ukusikwa okuncinci engalweni okanye emlenzeni. Utyando oluncinci lunokugqitywa kwiyure enye okanye ezimbini.
• Emva kotyando:Emva kotyando, uza kudluliselwa kwigumbi lokhathalelo oluphezulu (ICU) okanye ngqo kwigumbi lokuphumla. Ubude bexesha oza kuhlala kulo esibhedlele buya kwahluka ngokuxhomekeke kuhlobo lotyando kunye nempilo yakho. Abanye abantu banokuya ekhaya kungekapheli usuku, ngelixa abanye banokufuna ukuhlala iiveki. Ngaphambi kokuba ugoduke, ugqirha wakho kunye nabasebenzi bakho bonyango baza kukunika isicwangciso esicacileyo malunga nendlela yokuzinyamekela ekhaya, indlela yokusela amayeza akho, kunye nexesha oza kubuya ngalo.

Zithini iingozi zotyando?

Njengalo naluphi na utyando, utyando lwentliziyo lunemingcipheko ethile. Iingozi eziphambili kukufa, isifo sohlangothi, ukopha kakhulu, kunye nosulelo. Ezi ngozi zinokwahluka ngokuxhomekeke kwiminyaka yakho kunye nezinye iimeko zempilo.

Buza kuba njani ubomi emva kotyando?

Ukusilela kwentliziyo yimeko apho iimpawu ziba mandundu kancinci kancinci ngokuhamba kwexesha. Kunokwenza kube nzima nokwenza imisebenzi yemihla ngemihla. Nangona kunjalo, emva kotyando, iimpawu zabantu abaninzi ziyancipha kakhulu, kwaye umgangatho wobomi babo kunye nobomi babo buyakhula.

Indlela iziphumo zakho eziya kuba yiyo ixhomekeke kwizinto ezininzi:

• Ukusebenza kwentliziyo yakho kunye neempawu zayo ngaphambi kotyando.
• Impumelelo yotyando.
• Indlela ozinyamekela ngayo emva kotyando kwaye ulandele imiyalelo kagqirha.

Udinga nini ukubona ugqirha wakho?

Ukusilela kwentliziyo yimeko ehlala ixesha elide, ngoko ke kubalulekile ukuhlala unxibelelana nogqirha wakho. Xelela ugqirha wakho ngoko nangoko ukuba iimpawu zakho ziya zisiba mandundu okanye ukuba ubonakalisa iimpawu ezintsha.

Emva kotyando, landela imiyalelo kagqirha ngokuchanekileyo. Yiya kwiikliniki ngeentsuku ezicwangcisiweyo. Ukuba uneengxaki okanye ukungakhululeki ngexesha lokuchacha, ungoyiki ukuthetha nogqirha ngayo.