Ngamanye amaxesha, ngenxa yokuhlaselwa yintliziyo okukhulu, utyando lwentliziyo, okanye esinye isifo esinzima, intliziyo yethu inokuba buthathaka kakhulu. Njengomntu odiniweyo kukusebenza nzima, intliziyo ayikwazi ukupompa igazi elaneleyo emzimbeni. Kwimeko enzima kangaka, siza kuthetha ngesixhobo esikhethekileyo esisetyenziselwa ukunika intliziyo ukuphumla okuncinci nokuyinceda. Oku kubizwa ngokuba yi-Intra-Aortic Balloon Pump, okanye i-IABP ngamafutshane.
Ngamafutshane, yintoni le IABP?
I-IABP sisixhobo eside, esibhityileyo sezonyango esimile njengebhaluni. Sifakwa kumthambo wegazi oyintloko womzimba wethu kwaye senzelwe ukufutha nokuthomalalisa ngokwemisebenzi yentliziyo. Khawuthelekelele, xa intliziyo yakho isebenza nzima kakhulu kwaye ingakwazi ukupompa igazi, le bhaluni isebenza "njengomncedisi" omncinci oza kusinceda.
Eyona nto ibalulekileyo kukuba, oku kudla ngokushiywa emzimbeni iintsuku ezimbalwa kuphela. Akuhlali ixesha elide. Yinkxaso yexeshana nje de intliziyo ibuyele esiqhelweni.
Isebenza njani le nto? Iyamangalisa!
Kulula kakhulu ukuqonda indlela esebenza ngayo le nto. Intliziyo yethu inemisebenzi emibini ephambili, akunjalo? Omnye kukufinyeza (ukucinezela) nokupompa igazi emzimbeni wonke. Omnye kukuphumla (ukwandisa) nokuzalisa ngegazi.
Umbono we-IABP unceda kakhulu kule nkqubo.
- Xa intliziyo iphumle kwaye izele ligazi: Ibhaluni iyafutha . Xa oku kusenzeka, igazi elingakumbi lingena kwimithambo yentliziyo, enika igazi entliziyweni. Oku kuthetha ukuba intliziyo ifumana ioksijini kunye nezondlo ezingaphezulu.
- Xa intliziyo ifinyela ize ipompe igazi emzimbeni: Iiventricle ziyaphuma . Oku kudala i-vacuum encinci ngaphakathi kwemithambo yegazi ephambili, kunciphisa ukumelana namandla entliziyo okupompa igazi. Oku kuthetha ukuba intliziyo inokupompa igazi ngokulula ngaphandle kokusebenza nzima.
Le bhaluni ilawulwa ngokuchanekileyo yikhompyutha enamathele kuyo, ejonga isantya sentliziyo yakho kwaye ilungise ukusebenza kwebhaluni ngokufanelekileyo.
Ifuneka nini i-IABP?
Ugqirha ugqiba kwelokuba asebenzise esi sixhobo kwiimeko ezinzima apho intliziyo ingakwaziyo ukusebenza yodwa. Makhe sibone ukuba zeziphi ezo meko.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| Ukothuka kwentliziyo | Imeko embi kakhulu apho intliziyo ingakwazi ukupompa igazi elaneleyo emzimbeni ngenxa yesizathu esifana nokuhlaselwa yintliziyo. |
| Ukudumba kwemisipha yentliziyo (Myocarditis) | Ukudumba kunye nobuthathaka bemisipha yentliziyo ngenxa yesizathu esifana nosulelo lwentsholongwane. |
| Emva kotyando lwentliziyo | Emva kotyando olunzima lwentliziyo, njengenkxaso ide intliziyo iphile. |
| I-Angina engaqinisekanga | Intlungu ebuhlungu esifubeni engalawulwa ngamayeza kwaye inokuba sisifo sentliziyo nangaliphi na ixesha. |
Ngaba kukho abantu abangafanelekanga ukuba baphathwe ngolu hlobo?
Ewe. Asinguye wonke umntu onokwenza olu nyango. Alusetyenziswa kubantu abaneengxaki ezithile zempilo. Umzekelo:
- I-Aortic Aneurysm okanye i-Dissection
- Ukubuyela kwe-aorta kuxa ivalvu ye-aorta ingavali kakuhle kwaye igazi libuyela umva.
- I-sepsis engalawulwayo (usulelo olunzima olungenakulawulwa)
Oogqirha baza kukuxilonga ngononophelo ukuze babone ukuba unazo na ezi meko okanye awunazo ngaphambi kokuba bathathe isigqibo malunga nonyango lwe-IABP.
Uyifaka njani le bhaluni emzimbeni?
Oku kudla ngokwenziwa kwigumbi likaxakeka lesibhedlele (ETU), kwigumbi labagula kakhulu (ICU), okanye kwigumbi lotyando. Kwenziwa ngokukwenza ungabikho zingqondweni (ukwenza ulale ungasebenzi) okanye ngokufaka izinzwane kuphela kwindawo ekuthethwa ngayo.
1. Ukufaka i-catheter: Ugqirha ufaka ityhubhu encinci (i-catheter) kumthambo wegazi omkhulu osesiswini sakho.
2. Ukuthumela ibhaluni: Ibhaluni ecociweyo ithunyelwa kuloo mbhobho ukuya entliziyweni.
3. Indawo eyiyo: Sisebenzisa iteknoloji efana ne-X-ray, esi sixhobo sibekwe kwindawo eyiyo ngqo kumthambo oyintloko womzimba, i-aorta.
4. Ukudibanisa nomatshini: Emva koko, ityhubhu ekwelinye icala lebhaluni iqhagamshelwe kumatshini wekhompyutha esithethe ngawo ngaphambili.
Kutheni igesi ye-helium isetyenziselwa oku?
Le yingxaki ebaluleke kakhulu. I-Helium isetyenziselwa ukufutha nokuthomalalisa iibhaluni. Isizathu soku kukuba i-helium yigesi ekhaphukhaphu kakhulu, engasebenziyo. Ukuba igesi encinci evela kwibhaluni ingavuza egazini, i-helium ayizukubangela monakalo mkhulu. Kodwa ukuba sisebenzisa into efana nomoya esiwuphefumlayo, inokwenza amaqamza omoya kwaye ivale imithambo yegazi (i-Air Embolism). Oko kuyingozi kakhulu. Yiyo loo nto i-helium isetyenziselwa ukhuseleko.
Kwenzeka ntoni emva konyango? Ngaba kukho naziphi na iingozi?
Emva kokuba i-IABP ifakiwe, kuya kufuneka uhlale ebhedini. Kubaluleke kakhulu ukugcina umlenze onebhaluni uthe tye, kuba ukuba uyagoba, ibhaluni inokuhambahamba. Kwakhona, izinto zokunciphisa igazi ezifana ne -heparin zihlala zinikwa ukuthintela ukuqhekeka kwegazi.
Njengakwezinye iindlela zonyango, kukho iingozi ezibandakanyekileyo. Kodwa khumbula, oku kusetyenziswa kuphela xa kuyimfuneko ngokwenene ukusindisa ubomi.
- Iingozi: Ukopha, usulelo, umonakalo emthanjeni wegazi, ukugqabhuka kwebhaluni (kunqabile kakhulu), okanye umonakalo kwizitho ezifana nezintso ezivela kwibhaluni xa zisendaweni engafanelekanga.
- Inzuzo ephambili: Oku kungasindisa ubomi bakho. Xa uhlaselwa sisifo sentliziyo, kunceda ukugcina igazi lihamba emzimbeni wonke.
Lumka kwezi mpawu emva konyango
Ngokwesiqhelo, emva kweentsuku ezimbalwa, xa imeko yentliziyo iphucuka, oogqirha bayawunciphisa kancinci umsebenzi webhaluni baze bajonge ukuba intliziyo ingakwazi na ukusebenza yodwa. Ukuba yonke into ilungile, ibhaluni iyasuswa.
Xa ubuyela ekhaya emva konyango, kufuneka uthethe nogqirha wakho kwaye umxelele ukuba ubona naziphi na iimpawu zeengxaki. Qaphela ngakumbi ezi mpawu zilandelayo:
- Ukudumba okugqithisileyo kunye nokubomvu kwindawo efakwe kuyo ibhaluni.
- Umkhuhlane ngaphandle kwesizathu.
- Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza (ukubetha kwentliziyo).
- Ubunzima bokuphefumla obandayo (ukuphelelwa ngamandla).
- Ukudumba kwiindawo ezifana namaqatha nezandla.
- Ukunyuka kobunzima obungaphezulu kwe-2-3 kg ngeveki.
Ukuba ufumana into efana nale, yazisa ugqirha wakho ngoko nangoko.
Umyalezo Wokuya Ekhaya
- I-Intra-Aortic Balloon Pump (IABP) sisixhobo sebhaluni esisetyenziselwa okwethutyana ukuxhasa intliziyo xa ibuthathaka kakhulu.
- Oku kuyakhula kwaye kunciphe ngokuhambelana nokubetha kwentliziyo, kunciphisa umthwalo womsebenzi entliziyweni kwaye kunike igazi elingakumbi kwimisipha yentliziyo.
- Olu lunyango olusindisa ubomi kwaye ludla ngokusetyenziswa iintsuku ezimbalwa esibhedlele.
- Kubalulekile ukulandela imiyalelo kagqirha ngononophelo ngexesha nasemva kolu nyango.
- Ukuba kukho naziphi na iimpawu ezingaqhelekanga ezibonakala, yazisa ugqirha wakho ngoko nangoko.
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