Asazi malunga namalungu onke emzimbeni wethu, akunjalo? Nentliziyo injalo. Ngaba wakha weva nge-'Left Atrial Appendage'? Mhlawumbi wawungazi ngayo de ugqirha wakho wakuchazela ngayo. Ingakumbi kumntu onentliziyo engaqhelekanga efana ne-Atrial Fibrillation (Afib), ukwazi ngale nxalenye incinci yentliziyo kunokuba yinto ebaluleke kakhulu.
Yintoni iLeft Atrial Appendage (LAA)?
Ngamafutshane, esi sisiqwenga esincinci, esifana nengxowa esiphuma kwi-atrium yasekhohlo phezulu kwentliziyo yakho. Kudla ngokuxoxwa ngaso xa ugqirha efuna ukusivala.
Ngoku usenokuba ucinga, "Kutheni bengayivala?" Isizathu kukuba uninzi lwamahlwili egazi abangela isifo sohlangothi kubantu abaneengxaki zentliziyo ezibizwa ngokuba yi -Atrial Fibrillation (Afib) ayenzeka kwi-LAA. Kodwa ungakhathazeki, intliziyo yakho isakwazi ukusebenza ngokuqhelekileyo ngaphandle kwale nxalenye incinci.
Ngoko ke kwenzeka ntoni nge-LAA?
Umsebenzi wayo ophambili kukunceda ukulawula ubungakanani begazi entliziyweni. Khawuthelekelele, xa ubungakanani begazi elingena entliziyweni busanda kwaye iindonga ze-LAA zinwebeka, ikhupha iproteni ebizwa ngokuba yi-natriuretic peptides egazini.
Ezi peptides zenza izinto ezimangalisayo emizimbeni yethu:
- Zibonisa izintso zethu ukuba zikhuphe ityuwa namanzi amaninzi ngomchamo.
- Ikwakhulula imithambo yegazi yethu kancinci.
Le nkqubo inceda ekunciphiseni uxinzelelo lwethu lwegazi.
Ngoku usenokuba uzibuza ukuba kwenzeka ntoni kwezi peptides xa i-LAA isuswa ngotyando. Into emangalisayo kukuba malunga neenyanga ezintathu emva kotyando, umzimba uyalungisa kwaye amanqanaba e-peptide abuyela kwisiqhelo.
Injani imilo kunye nenkangeleko ye-LAA?
Idla ngokuba malunga ne-intshi ezi-2 ubude, malunga nobukhulu bekhadi letyala. Ingathwala malunga neetisipuni ezimbini zegazi (malunga neemililitha ezi-9).
Kodwa ayingomntu wonke ofana nowe-LAA. Kukho iimilo ezahlukeneyo. Ngokuxhomekeke kule milo, umngcipheko we-stroke unokwahluka. Makhe sibone ukuba zeziphi iintlobo eziphambili zemilo.
| Igama lemilo | Inkcazo kunye nomngcipheko |
|---|---|
| Iphiko lenkukhu (elimile okwephiko lenkukhu) | Olu lolona hlobo luqhelekileyo. Kukho ukugoba okuncinci embindini. Olu luthathwa njengoluhlobo olunengozi encinci yestroke. |
| I-Cactus (emile okwe-cactus) | Kukho inxalenye ephambili embindini, kunye nezinye iindawo ezibonakala ngathi ziphuma kuyo. |
| I-Windsock (emile okwengxowa yomoya) | Oku kunenxalenye enye ende, ephambili. |
| Ikholifulawa (imilo yekholifulawa) | Oku kuyinkimbinkimbi kakhulu, kunezinto ezininzi ezinobukhulu obufanayo. Oku kunqabile kakhulu. Olu luthathwa njengolona hlobo lunobungozi obukhulu bokuhlaselwa sisifo sohlangothi . |
Zeziphi iimeko ezichaphazela i-LAA?
Kukho imiba emininzi ephambili echaphazela i-LAA:
- Iingozi: Izinto ezifana neengozi zeemoto zingonakalisa okanye zikrazule i-LAA.
- I-Mitral valve stenosis: Ukuncitshiswa kwevalvu ye-mitral entliziyweni kuyacothisa ukuhamba kwegazi kwi-LAA. Oku kunokunyusa umngcipheko wokuqhekeka kwegazi.
- I-Atrial fibrillation (Afib): Le yeyona nto kufuneka siyinike ingqalelo ekhethekileyo. Nge-Afib, i-atria yentliziyo ayifinyeleli kakuhle, kodwa endaweni yoko iyaqhaqhazela. Oku kunokubangela ukuba igazi lihlangane kwi-LAA kwaye kwandise umngcipheko wokwakheka kwamahlwili egazi.
Eyona nto ibangela isifo sohlangothi kumntu one-atrial fibrillation (Afib) kukuqhekeka kwegazi okwenzeka kwi-LAA. Isifo sohlangothi senzeka xa la mahlwili ephuma aze ahlale kumthambo osebuchotsheni.
Ungayijonga njani impilo ye-LAA?
Ukuba ugqirha wakho ufuna ukujonga imeko ye-LAA, kukho iimvavanyo ezikhethekileyo ezahlukeneyo zaloo nto.
- I-Transesophageal echo (TEE): Le yinkqubo esebenzisa umbhobho omncinci ofakwe emqaleni ukuze kuthathwe imifanekiso ecacileyo yentliziyo. Le yindlela eqhelekileyo esetyenziswayo ukujonga i-LAA.
- I-MRI (Magnetic Resonance Imaging) kunye ne-Cardiac CT (Computed Tomography) scans zentliziyo:Ezi zinokubonelela ngemifanekiso eneenkcukacha ze-3D yentliziyo kunye ne-LAA.
Ziziphi iindlela zonyango ze-LAA?
Unyango lwe-LAA luxhomekeke kwimeko yesigulana.
- Ukuba kukho ukwenzakala, kuyalungiswa ngotyando .
- Ukuba kukho ingxaki yevalvu, efana ne-'mitral valve stenosis', iyanyangwa .
- Ukuba kukho umngcipheko westroke ngenxa ye-Afib, i-LAA iyavalwa, isuswe, okanye ivalwe ukuthintela ukwakheka kwamahlwili egazi. Olu ngoku lunyango oluphumelele kakhulu. Oku kunokunciphisa umngcipheko westroke.
Ndingayinyamekela njani intliziyo yam kakuhle?
Kubalulekile ukugcina intliziyo yakho isempilweni yonke, kungekuphela nje i-LAA yakho. Ukuze wenze oko, yongeza ezi zinto zilula ebomini bakho.
- Zilolonge ubuncinane imizuzu eli-150 ngeveki. Nokuba uhamba ngokukhawuleza kwanele.
- Yitya ukutya okunempilo nentliziyo. Faka iziqhamo, imifuno, imifuno eluhlaza, kunye nenyama engenamafutha kunye nentlanzi ekutyeni kwakho.
- Ziphephe ngokupheleleyo iimveliso zecuba .
- Fumana iindlela zokulawula uxinzelelo ebomini bakho bemihla ngemihla. Nokuba yinto efana nokucamngca, ukumamela umculo, okanye ukuthetha nomhlobo inokunceda.
- Ukuba uneemeko ezifana noxinzelelo lwegazi oluphezulu okanye isifo seswekile , landela imiyalelo kagqirha wakho kwaye uyilawule kakuhle.
Nangona abantu abaninzi bengazange beve ngayo, i-LAA inendima encinci emizimbeni yethu. Nangona kunjalo, ukuba ikubeka emngciphekweni westroke, kukhuselekile ukuphila ngaphandle kwayo. Kuqhelekile ukuziva usoyika kancinci xa ucinga ngotyando lwentliziyo. Kodwa kumntu one-Afib, ukuvimba i-LAA, ukuzikhulula kumayeza okunciphisa igazi ubomi bakhe bonke, nokuphila ngaphandle komngcipheko westroke yindlela entle yokuphila. Kungcono ukuthetha nogqirha wakho malunga nokuba yintoni ekulungeleyo.
Umyalezo Wokuya Ekhaya
- I-Left Atrial Appendage (LAA) yinxalenye encinci yentliziyo efana nengxowa enamathele kwi-atrium yasekhohlo. Ayibalulekanga ekusebenzeni kwentliziyo.
- Eyona ngxaki inkulu yoku kukuba kubantu abane-Atrial Fibrillation (Afib), amahlwili egazi anokwakheka entliziyweni aze aye engqondweni, nto leyo ebangela isifo sohlangothi.
- Umngcipheko westroke uyahluka ngokuxhomekeke kwimo ye-LAA. Imilo 'yekholifulawa' yeyona inengozi enkulu.
- Ukuvala, ukususa, okanye ukuvala i-LAA lunyango olusebenzayo lokunciphisa umngcipheko westroke.
- Ukuba une-Afib, thetha ngokukhululekileyo nogqirha wakho ngale nto kunye nonyango olulungele wena.
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