Ngamanye amaxesha iintliziyo zethu ziba buthathaka kancinci, akunjalo? Njengenjini yemoto esebenza kakuhle kangangeminyaka, ukusebenza kwayo kunokuncipha ngokuhamba kwexesha. Ingakumbi xa ifikelela kwinqanaba lokugqibela lokusilela kwentliziyo, kuba nzima kakhulu entliziyweni ukupompa igazi emzimbeni wonke. Ngamaxesha anjalo, sithetha ngesixhobo esikhethekileyo soomatshini esinokunceda intliziyo ebuthathaka.
Kalula nje, yintoni le LVAD?
Intsingiselo epheleleyo ye-LVAD yiLeft Ventricular Assist Device. NgesiSinhala, ithetha 'isixhobo esinceda i-ventricle yasekhohlo'. Le yipompo yoomatshini. Le ifakwa emzimbeni wabantu abanesifo sentliziyo esinzima.
Igumbi eliphambili lokumpompa entliziyweni yethu yi-ventricle yasekhohlo. Yile nto ithumela igazi elicocekileyo nelicebileyo ngeoksijini emzimbeni wonke nge-aorta. Xa intliziyo ibuthathaka, lo msebenzi awusebenzi kakuhle. I-LVAD inceda loo ventricle yasekhohlo. Oko kukuthi, ithatha igazi kwi-ventricle yasekhohlo, ilipompe, ize ilithumele kwi-aorta. Oku kubaluleke kakhulu, kuba yonke iseli emzimbeni wethu ayinakuphila ngaphandle kweoksijini.
Isebenza njani le sixhobo? Zithini iindawo zaso?
Isixhobo se-LVAD sinamathele kwinxalenye esezantsi yentliziyo kwaye sifakwe ngaphakathi esifubeni. Xa sifumana igazi, lithunyelwa ngetyhubhu ukuya kwi-aorta. Le nkqubo yonke inamacandelo aliqela aphambili.
| Inxalenye yesixhobo | Ukusebenza kakuhle |
|---|---|
| Impompo | Le yeyona nto iphambili. Le yileyo ifakelweyo entliziyweni. Le mpompo yenza umsebenzi wokupompa igazi. |
| Umgca wokuqhuba | Le yintambo evela kwipompo. Iphuma emzimbeni ngesikhumba sesisu ize iqhagamshele kwisilawuli esingaphandle. |
| Umlawuli | Oku kufana nekhompyutha encinci. Ilawula ukusebenza kwepompo. Ukuba kukho ingxaki, singayazi ngokusebenzisa imiqondiso (ii-alamu) kunye nemiyalezo eyithumelayo. |
| Ukunikezwa Amandla | Isebenza ngeebhetri ezinokutshajwa kwakhona. Okanye ungayixhuma kwiplagi yombane. Iibhetri zingabonelela ngamandla amalunga neeyure ezili-14. |
Ngabantu abanjani abasebenzisa i-LVAD?
Oku kusetyenziswa kubantu abakwinqanaba lokugqibela lokusilela kwentliziyo. Oko kukwasetyenziswa ngeenjongo ezimbini eziphambili.
1. Njengebhulorho eya kufakelo lwentliziyo (Ibhulorho eya kufakelo lwentliziyo - BTT)
Khawuthelekelele ukuba umntu ufuna ukufakelwa intliziyo. Kodwa kufuneka alinde de kubekho intliziyo ehambelanayo. Ngeli xesha, imeko yesigulana inokuba mandundu. Amanye amalungu omzimba, njengezintso nesibindi, nawo anokonakala.
Kwiimeko ezinjalo, i-LVAD inceda ukugcina ubomi besigulana kunye nokugcina umgangatho wobomi ulungile de kubekho ukufakelwa intliziyo . Ifana nebhulorho. Nje ukuba intliziyo ifumaneke ukuze ifakelwe, isixhobo se-LVAD siyasuswa ngexesha lotyando.
2. Njengonyango lobomi bonke (Destination Therapy - DT)
Abanye abantu abanakukwazi ukufakelwa intliziyo ngenxa yobudala okanye ezinye iimeko zonyango. Kwabo bantu, le LVAD isetyenziselwa ukuxhasa intliziyo ubomi babo bonke. Oogqirha bacinga ngolu khetho kuphela xa zonke ezinye iindlela zonyango, kuquka amayeza kunye notshintsho kwindlela yokuphila, zingaphumelelanga. Oku akunakwandisa ubomi besigulana kuphela, kodwa kukwaphucula nomgangatho wobomi.
Ungayilungiselela njani utyando lwe-LVAD?
Oogqirha benza uvavanyo oluninzi ngaphambi kokuba bagqibe ekubeni ufanelekile na kwi-LVAD.
- I-E.C.G. (I-Electrocardiogram - ECG)
- I-X-reyi yesifuba
- Uvavanyo lwegazi
- I-Echocardiogram
- Ukufakwa kwe-catheter kwintliziyo
Nangona kunjalo, ayifanelekanga kubo bonke abantu abaneengxaki zentliziyo. Usenokungakwazi ukufaka i-LVAD implant ukuba unenye yezi meko zilandelayo:
- Izifo zokuqunjelwa kwegazi
- Isifo sezintso esinganyangekiyo
- Isifo sesibindi esibi kakhulu
- Isifo esibi semiphunga
- Iintsholongwane ezinganyangekiyo ngamayeza okubulala iintsholongwane
Lwenziwa njani utyando?
Olu lutyando lwentliziyo evulekileyo. Oko kuthetha ukuba ulala ubuthongo ngokupheleleyo de utyando lugqitywe.
Nika umzimba wakho ioksijini ngexesha lotyandoKusetyenziswa umatshini wokuvala intliziyo nemiphunga. Uza kufakwa nakwi -ventilator ukuze uphefumle. Ugqirha uza kwenza utyando phakathi kwesifuba sakho, avule ithambo lesifuba, aze afikelele entliziyweni yakho. Emva koko i-LVAD iyafakwa kwaye utyando luvalwe kwakhona. Lonke eli nyathelo lingathatha iiyure ezine ukuya kwezintandathu.
Kwenzeka ntoni emva kotyando? Izinto ekufuneka uziqwalasele xa ubuyela ekhaya
Ngaphambi kokuba uphume esibhedlele, uza kunikwa uqeqesho olupheleleyo malunga nendlela yokulawula ezi zixhobo kunye nento omawuyenze xa kukho imeko engxamisekileyo. Kuya kufuneka ubonise ulwazi lwakho ngale nto ngaphambi kokuba ugoduke.
Emva kokubuyela ekhaya, kubalulekile ukulandela indlela yokuphila esempilweni .
- Ukuyeka ukutshaya ngokupheleleyo.
- Ukuqhela ukutya okunempilo.
- Yeka ukusela utywala.
- Ukuzilolonga ngokwemiyalelo kagqirha.
- Ukuthatha amayeza amiselweyo, kuquka amayeza okunciphisa igazi (i-anticoagulants), ngexesha elifanelekileyo.
Kubaluleke kakhulu nokuba nenxaxheba kwinkqubo yokuvuselela intliziyo emva kotyando. Kwakhona, kunokubakho imiqathango kwimisebenzi efana nokudada, ukuphakamisa iintsimbi, kunye nemidlalo yokudibanisa umzimba. Kufuneka uxoxe ngazo zonke ezi zinto nogqirha wakho kwaye ufumane ingcebiso.
Zithini iingenelo zokusebenzisa i-LVAD?
Nangona oku kunganyangi isifo sentliziyo, kubonisiwe ukuba izigulana ezine-LVAD zinokuphila ixesha elide kunabo basebenzisa amayeza bodwa.
| Inzuzo | Inkcazo |
|---|---|
| Umsebenzi wezitho zomzimba | Amalungu amakhulu anjengezintso, isibindi, kunye nengqondo afumana ukuhamba kwegazi okungcono, nto leyo ephucula ukusebenza kwawo. |
| Ukunciphisa iimpawu | Iimpawu ezinje ngokudinwa, ukuphefumla kancinci, kunye nokudumba komzimba ziyancipha kakhulu. |
| Amandla kunye nomsebenzi | Njengoko umzimba ufumana amandla, uyakwazi ukwenza izinto, ezinje ngokuzilolonga, ezazingakwazi ukuzenza ngaphambili. |
| Ukuphuma esibhedlele | Akunyanzelekanga ukuba uhlale esibhedlele. Ufumana ithuba lokuya ekhaya uphile ubomi obuqhelekileyo. |
Zithini iingozi kunye neengxaki zoku?
Njengakwezinye iindlela zotyando, kukho iingozi ezithile. Iqela lakho lezonyango liza kukuchazela ezi ngozi kunye nendlela ongazinciphisa ngayo.
Iingozi eziphambili kusulelo, ukuqhekeka kwegazi kunye nestroke, ukopha kakhulu, ukusilela kwentliziyo ngasekunene, kunye nokungasebenzi kakuhle kwesixhobo. Ngaphambi kokuba woyike, kubalulekile ukuthetha ngokukhululekileyo nogqirha wakho kwaye ubuze yonke imibuzo yakho.
Ufanele uye nini kugqirha ngoko nangoko?
Ukuba ufumana naziphi na iimpawu ezilandelayo, yazisa iqela lakho lezonyango ngoko nangoko.
| Iimpawu zengxamiseko ekufuneka uziqaphele | |
|---|---|
| Ifiva | Ububomvu okanye ukudumba apho i-driveline yesixhobo iphuma khona kulusu |
| Intlungu yesifuba okanye yesisu | Ukopha kakhulu |
| Ukudumba emilenzeni okanye emqolo ongezantsi | Ubunzima bokuphefumla |
| Ingxaki ngenxalenye ethile yesixhobo | Intlungu yesifuba ngequbuliso |
Ngaba i-LVAD kunye ne-pacemaker ziyafana?
Hayi. Ezi zimbini zahluke ngokupheleleyo. I-LVAD inceda i-ventricle yasekhohlo yentliziyo ukuba ipompe igazi. I-pacemaker ilawula ukubetha kwentliziyo okungaqhelekanga.
Ukuba ufumana okanye awufumani i-LVAD sisigqibo somntu siqu, ngoko ke thetha nogqirha wakho ngayo ngononophelo uze ufumane ukuqonda okucacileyo ngeenzuzo, iingozi kunye neenzuzo oza kuzifumana kuyo.
Umyalezo Wokuya Ekhaya
- I-LVAD sisixhobo esisetyenziswa ngoomatshini esinceda ukupompa igazi liye entliziyweni yezigulana ezinesifo sentliziyo esinzima.
- Oku akuyondlela ipheleleyo yokunyanga esi sifo, kodwa luncedo kakhulu ekwandiseni ubomi kunye nokuphucula umgangatho wobomi.
- Esi sixhobo singasetyenziswa njengebhulorho ngaphambi kokufakelwa intliziyo okanye njengonyango lobomi bonke.
- Ngaphambi nasemva kotyando lwe-LVAD, kubalulekile ukwenza utshintsho kwindlela yokuphila efana nokuyeka ukutshaya, ukutya ukutya okunempilo, kunye nokuzilolonga.
- Ngaphambi kokuba wenze nasiphi na isigqibo, kubalulekile ukuba nengxoxo evulekileyo nogqirha wakho malunga neenzuzo kunye neengozi kwaye ufumane ukuqonda okucacileyo.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho