Ngaba wena okanye umntu omthandayo wakha waxelelwa ngugqirha ukuba kufuneka benze utyando lwevalvu yentliziyo? Kuqhelekile ukuba uzive usoyika kwaye unexhala xa usiva loo mazwi. Ngubani ongalithandiyo igama elithi "utyando lwentliziyo," akunjalo? Kodwa wakuba wazi kakuhle ukuba luyintoni olu tyando, uloyiko lwakho luya kuphela. Ngoko ke, namhlanje siza kuthetha ngotyando lwevalvu yentliziyo ngamagama alula, ngolwimi onokuluqonda.
Yintoni kanye kanye utyando lwevalvu yentliziyo?
Ngamafutshane, utyando lwevalvu yentliziyo lutyando lokulungisa (ukulungisa) okanye ukutshintsha ivalvu enye okanye ezingaphezulu entliziyweni yakho.
Cinga ngentliziyo yakho njengendlu enamagumbi amane. Phakathi kwala magumbi mane kukho iindawo ezifana neengcango ezivumela igazi ukuba lihambe kwicala elinye kuphela. Yiloo nto siyibiza ngokuba ziivalvu . Ngalo lonke ixesha intliziyo ibetha, ezi valve ziyavuleka kwaye zivaleke, zigcina igazi lihamba ngendlela ehlelekileyo, ehamba calanye.
Kodwa ngamanye amaxesha ezi valve ziyagula. Nokuba azivaleki kakuhle kwaye igazi liqale ukuvuza ngasemva . Okanye ivalvu iyaqina kwaye inciphe, ivale indlela yokuba igazi lihambe phambili . Nokuba kwenzeka ntoni na, intliziyo ayikwazi ukusebenza kakuhle. Oko kuthetha ukuba intliziyo kufuneka isebenze nzima kunokuba kufanele ukupompa igazi. Kulapho oogqirha bacinga khona ngotyando.
Kukho iintlobo ezine eziphambili zeevalvu entliziyweni yethu.
| Igama leValve | Indawo |
|---|---|
| Ivalvu yeTricuspid | Phakathi kwamagumbi aphezulu nangaphantsi kwicala lasekunene lentliziyo |
| Ivalvu yePulmonary | Phakathi kwe-ventricle yasekunene kunye nomthambo we-pulmonary |
| Ivalvu yeMitral | Phakathi kwamagumbi aphezulu nangaphantsi kwicala lasekhohlo lentliziyo |
| Ivalvu ye-Aortic | Phakathi kwe-ventricle yasekhohlo kunye nomthambo oyintloko othwala igazi emzimbeni (i-Aorta) |
Ziziphi iintlobo zotyando?
Zininzi izinto eziya kumisela uhlobo lotyando oza kulwenza. Umzekelo, ubudala bakho, imeko yentliziyo yakho, kunye nezinye iimeko zempilo onokuba nazo. Ugqirha uza kwenza uvavanyo ukuze afumanise ukuba yeyiphi ingxaki onayo ngevalvu yakho kunye nokuba inzima kangakanani. Kulapho kuphela apho aza kugqiba khona ngotyando olulungele wena.
Kukho iintlobo ezimbini eziphambili zotyando.
Utyando lokulungisa iivalvu
Oku kubandakanya ukugcina ivalvu yakho kangangoko kunokwenzeka kwaye kulungiswe kuphela isiphene. Olu lukhetho lokuqala olukhethwa ngoogqirha kuba lithuba elihle lokukwazi ukugcina izicubu zakho.
Utyando Lokutshintsha Iivalvu
Ngamanye amaxesha ivalvu isenokuba yonakele kakhulu ukuba ingalungiswa. Kwimeko enjalo, ivalvu enesiphene isuswa ngokupheleleyo kwaye kufakwa ivalvu entsha endaweni yayo. Le valve intsha inokuba yeyebhayoloji (yenziwe ngehagu, inkomo, okanye izicubu zomntu) okanye yeyomatshini (yenziwe ngesinyithi okanye ikhabhoni). Ezi zenzelwe ukulingana nomzimba, ngoko ke umzimba wakho awuyi kuzilahla.
Ngaba ivalvu yentliziyo ingaziphilisa ngokwayo?
Hayi. Akusoze kwenzeke. Le yeyona nto ibalulekileyo sonke ekufuneka siyiqonde. Isifo sevalvu yentliziyo yimeko eba mandundu ngokuhamba kwexesha. Nangona amayeza enokulawula iimpawu okwethutyana, awanyangi isifo. Isisombululo esihlala sihleli kuphela kukuhlinzwa. Ngoko ke ukuba ugqirha wakho ugqiba kwelokuba utyando luyimfuneko, ayilocebo lilungileyo ukulihlehlisa.
Utyando ludla ngokuqwalaselwa xa iimpawu ezifana neentlungu zesifuba, ukuphefumla kancinci, kunye nesiyezi ziba nzima kakhulu ukuba zingalawulwa ngamayeza. Ngamanye amaxesha kukhuselekile ukwenza utyando ngaphambi kokuba iimpawu zivele.
Uzilungiselela njani ngaphambi kotyando?
Kuya kufuneka wenze uvavanyo oluninzi malunga nosuku olunye ngaphambi kotyando.
- I-X-reyi yesifuba
- Iskeni sentliziyo (i-Echocardiogram)
- Uvavanyo lwe-ECG (i-Electrocardiogram)
- Iskeni ye-CT
- Uvavanyo olufana nokuxinwa kwentliziyo
- Uvavanyo lwegazi
Uya kucetyiswa ukuba ungatyi okanye ungaseli nto emva kobusuku obungaphambi kotyando. Kwakhona, thetha nogqirha wakho malunga namayeza owasebenzisayo uze ufumane ukuba zeziphi kanye kanye amayeza ekufuneka uyeke ukuwasebenzisa ngaphambi kotyando kwaye zeziphi ekufuneka uqhubeke uzisebenzisa.
Kwenzeka ntoni ngexesha lotyando?
Uza kuba phantsi kwe-anesthesia kwaye ulele ubuthongo obunzulu kulo lonke utyando, ngoko awuyi kuva ntlungu. Ugqirha uza kwenza utyando oluncinci esifubeni sakho ukuze afikelele entliziyweni yakho. Ngexesha lotyando, kuya kusetyenziswa umatshini okhethekileyo (umatshini wentliziyo-imiphunga) ukwenza umsebenzi wentliziyo nemiphunga yakho. Iqela lezonyango liza kulungisa okanye litshintshe ivalvu. Xa utyando lugqityiwe, intliziyo iya kuqaliswa kwakhona kwaye utyando luza kuvalwa.
| Indlela yotyando | Inkcazo |
|---|---|
| Utyando lwentliziyo oluvulekileyo lwendabuko | Kwenziwa ukusika okumalunga neesentimitha ezi-6-8 esifubeni. |
| Utyando olungenabungozi kangako | Kusetyenziswa i-incision eyi-3-4 intshi okanye encinci. Iteknoloji encediswa yirobhothi nayo ingasetyenziswa. |
| Indlela ye-Transcatheter | Olu tyando lwenziwa ngaphandle kokuvula isifuba, ngokufaka ityhubhu encinci (i-catheter) ngemithambo yegazi ekwindawo engaphakathi. I-TAVR yindlela eyaziwayo yolu hlobo. |
Kuthatha ixesha elingakanani ukuchacha?
Kudla ngokuthatha malunga neeveki ezi-4 ukuya kwezi-8 ukuze uphile ngokupheleleyo. Nangona kunjalo, ukuba utyando lwakho lwalungenalo utyando, ixesha lakho lokuchacha linokuba lifutshane.
Emva kotyando, uza kugcinwa kwigumbi labagula kakhulu (ICU) usuku olunye okanye ezimbini, uze udluliselwe kwigumbi eliqhelekileyo. Uza kuhlala esibhedlele malunga neentsuku ezi-5-7. Kuqhelekile ukuba uzive udiniwe ekuqaleni kwaye uve iintlungu kwindawo yokusika.
Khumbula ezi zinto xa ubuyela esiqhelweni:
- Ungalibali ukuya nakweyiphi na intlanganiso yokulandelela enikwe ngugqirha.
- Musa ukuphakamisa izinto ezisindayo (ezingaphezu kwe-7 kg) kwiiveki zokuqala ezi-6-8.
- Musa ukuqhuba imoto ngaphandle kokubonisana nogqirha wakho.
- Qala ukuhamba ngokukhawuleza. Okokuqala, ngaphakathi endlwini, uze unyuke kancinci kancinci umgama.
- Usenokukwazi ukubuyela emsebenzini emva kweeveki ezi-6 ukuya kwezi-12. Thetha nogqirha wakho ngale nto.
Ufanele ubize nini ugqirha wakho?
Kubaluleke kakhulu ukwazisa ugqirha wakho ngokukhawuleza ukuba kukho naziphi na iingxaki eziphakamayo ngexesha lokuchacha kwakho.
| Uphawu ekufuneka luqwalaselwe | Kwenziwe ntoni |
|---|---|
| Intlungu, ukubomvu, ukudumba, okanye ubomvu obujikeleze inxeba. | Xelela ugqirha wakho ngoko nangoko. Oku kungaba luphawu losulelo. |
| Ifiva. | Olunye uphawu losulelo. Funa ingcebiso kagqirha ngoko nangoko. |
| Ukunyuka kobunzima ngequbuliso (umz. ngaphezulu kwe-2 kg). | Oku kungaba luphawu lokugcinwa kolwelo emzimbeni. Xelela ugqirha wakho. |
| Intlungu ebuhlungu esifubeni okanye ubunzima bokuphefumla. | Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko. |
Eminye imibuzo onokuba nayo engqondweni
Ngaba kuya kufuneka ndithathe amayeza okunciphisa igazi ubomi bam bonke?
Oku kuxhomekeke kuhlobo lwevalvu onayo.
- Ukuba unevalvu yoomatshini , ewe. Kuya kufuneka uthathe amayeza okunciphisa igazi ubomi bakho bonke. Athintela ukwakheka kwamahlwili egazi kwivalvu.
- Ubulungisiwe ivalvu , akunjalo? Kufakwe ivalvu yendalo .Ukuba kunjalo, ungadinga ukulithatha eli yeza iiveki ezimbalwa emva kotyando. Usenokungalidingi konke konke. Ugqirha wakho uza kukuxelela into omawuyenze.
Ndingaphila ubomi obuqhelekileyo emva kotyando?
Ewe, uninzi lwabantu lunako. Ungaqhubeka nemisebenzi yakho yangaphambi kotyando, ukuzilolonga, njl. Kodwa khumbula, ayinguye wonke umntu ofanayo. Ukuchacha kwakho kunokwahluka kokwabanye abantu. Ngoko zinike ixesha lokuphumla kwaye umamele umzimba wakho.
Umyalezo Wokuya Ekhaya
- Utyando lwevalvu yentliziyo aluyonto yokoyika. Ngoku lutyando oluphumelele kakhulu, olusindisa ubomi, noluphucula umgangatho wobomi.
- Ivalvu enesifo ayizukuphola ngokwayo. Imeko iya kuba mandundu ngokuhamba kwexesha, ngoko ke kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho.
- Uhlobo lotyando olwenzayo (ukulungiswa, ukwakhiwa ngokutsha, utyando oluvulekileyo, okanye olungenalo utyando) luya kuxhomekeka kwimeko yakho yempilo.
- Yiba nomonde ngexesha lokuchacha kwakho. Nika umzimba wakho ixesha olidingayo ukuze uphile.
- Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo, uloyiko, okanye amathandabuzo onokuba nawo. Bakho ukuze bakuncede.
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