Ngaba uphelelwa ngumoya, uneentlungu esifubeni, okanye uziva udiniwe lula? Ugqirha wakho usenokuba ukuxelele ukuba unobuthathaka obuncinci kwenye yeevalvu zentliziyo yakho. Abantu abaninzi bayoyika utyando lwentliziyo. Kodwa namhlanje siza kuthetha ngotyando lwanamhlanje olulungisa ivalvu yentliziyo ngomsikelo omncinci kakhulu , ngaphandle kokwenza umsikelo omkhulu phakathi kwesifuba.
Okokuqala, masibone, yintoni iMitral Valve?
Kulungile, cinga nje ngale ndlela: intliziyo yethu ifana nendlu encinci enamagumbi amane. Phakathi kwala magumbi kukho amasango amane anceda igazi ukuba lihambe kwicala elinye kuphela. Lawa ngalawo siwabiza ngokuba ziivalvu zentliziyo.
Ivalvu ye-mitral yenye yesango elikhethekileyo. Ifumaneka phakathi kwegumbi eliphezulu (i-atrium yasekhohlo) kunye negumbi elisezantsi (i-ventricle yasekhohlo) kwicala lasekhohlo lentliziyo yakho. Umsebenzi wayo ophambili kukuvumela igazi ukuba liphume kwigumbi eliphezulu liye kwigumbi elingezantsi kwaye lithintele ukuba libuyele phezulu. Lifana nocango oluvula indlela enye kuphela.
Ngoko ke zeziphi izifo eziphambili ezinokuchaphazela le valve?
Kukho iindlela ezimbini eziphambili apho ivalvu ye-mitral inokungasebenzi kakuhle. Ukuqonda ezi ndlela kuya kukunceda uqonde ngcono olu tyando.
| Imeko | Kalula nje, kwenzeka ntoni? |
|---|---|
| Ukuhlaziywa kweValve yeMitral | Okwenzekayo koku kukuba xa intliziyo ibetha, iiflephu ezimbini zevalvu azivaleki kakuhle. Kufana nocango olungavaleki kakuhle. Emva koko igazi elithile livuza libuyele kwigumbi eliphezulu. Oku kubangela ukuba intliziyo isebenze nzima. |
| I-Mitral Valve Stenosis | Okwenzekayo apha kukuba iivalvu ziyaqina, ziqine , kwaye azivuleki kakuhle. Oku kunciphisa indlela yokuba igazi lidlule kuyo. Oku kwenza kube nzima entliziyweni ukupompa igazi elaneleyo emzimbeni. |
Yintoni umahluko phakathi 'kokulungisa' kunye 'nokutshintsha'?
Lo ngumcimbi obaluleke kakhulu.
- Ukulungiswa: Oku kuquka ukugcina ivalvu yakho nokulungisa isiphene. Kufana nokulungisa isitulo esaphukileyo. Oogqirha bazama ukusebenzisa le ndlela nanini na xa kunokwenzeka.
- Ukutshintshwa: Kule nkqubo, ivalvu yakho ebuthathaka isuswa ngokupheleleyo kwaye ithathelwe indawo yivalvu entsha (nokuba yeyokwenziwa okanye eyenziwe ngezicubu zesilwanyana).
Kungcono ukuba umzimba ulungise kwaye usebenzise ivalvu yakho yendalo nanini na xa kunokwenzeka, yiyo loo nto olu tyando 'lokulungisa' luthandwa kangaka ngoku.
Yintoni utyando olungenabungozi kangako?
Utyando lwentliziyo oluvulekileyo lwesintu lubandakanya ukwenza umngxuma omkhulu ongamasentimitha ambalwa ubude phakathi kwesifuba, usika ithambo lesifuba ukuze ufikelele entliziyweni. Olu lutyando olukhulu kakhulu.
Kodwa kule ndlela yanamhlanje ebizwa ngokuba lutyando oluncinci olungena emzimbeni, ukusika okukhulu okunjalo akwenziwa. Endaweni yoko, kwenziwa ukusika okuncinci kwicala lasekunene lesifuba sakho, phakathi kweembambo, malunga neesentimitha ezi-4-6 . Emva koko, kufakwa ityhubhu encinci enekhamera eqhotyoshelweyo (`(endoscope)`) kunye nezixhobo zotyando ezincinci kakhulu kuloo tyando, kwaye phantsi kweliso lemonitha, ivalvu ilungiswa ngononophelo olukhulu. Ngamanye amaxesha kusetyenziswa ubuchwepheshe berobhothi koku.
Ziziphi izinto ezilungiswayo ngexesha lotyando?
Ugqirha angenza izinto ezahlukeneyo ngokuxhomekeke kwingxaki yevalvu yakho.
- Isakhiwo esifana nesangqa sibekwe sijikeleze ivalvu ukuthintela ukuvuza kwegazi (i-Annuloplasty).
- Ukuba ii-flaps zevalvu ziqhagamshelwe, ziyahlulwa.
- Ukuba kukho umngxuma kwivalvu, ivaliwe.
- Izicubu ezingafunekiyo ezithintela ivalvu ukuba ingavaleki kakuhle ziyasuswa.
Ziziphi iingenelo kunye neengozi zalo tyando?
Njengalo naluphi na utyando, kukho iingenelo kunye neengozi, kwaye kubalulekile ukuba uzazi.
| 👍 Iingenelo | 👎 Iingozi |
|---|---|
| Ixesha lokuchacha lifutshane. | Ukopha kunye nokugabha kwegazi. |
| Intlungu incinci. | Usulelo. |
| Inani leentsuku ozihlala esibhedlele lifutshane (malunga neentsuku ezi-5). | Ukubetha kwentliziyo okungaqhelekanga (`(Arrhythmias)`). |
| Isilonda sincinci kakhulu. | Amathuba amancinci okuhlaselwa sisifo sohlangothi. |
| Umngcipheko wokosuleleka nokopha uphantsi. |
Kwenzeka ntoni emva kotyando?
Utyando ludla ngokuthatha malunga neeyure ezimbini ukuya kwezine. Emva koko, uza kugcinwa phantsi kweliso kwigumbi lokhathalelo olunzulu (ICU) usuku olunye okanye ezimbini. Emva koko, uza kudluliselwa kwigumbi eliqhelekileyo.
- Iintsuku zokuqala: Oogqirha kunye nabahlengikazi baya kukunceda uvuke uhambe. Ukuba kukho i-mucus emiphungeni yakho, baya kukuxelela ukuba wenze umthambo wokuphefumla okhethekileyo ukuze uyisuse.
- Emva kokuba ubuyele ekhaya: Uza kuziva udiniwe kancinci kangangeeveki ezimbalwa. Kuphephe ukuphakamisa izinto ezinzima. Zilolonge njengoko ugqirha wakho ekuxelele.
- Ukuvuselelwa kwentliziyo: Kwiimeko ezininzi, uya kuthunyelwa kwinkqubo yokuvuselelwa kwentliziyo. Oku kuya kukunceda ukuba ufumane amandla kwakhona kancinci kancinci kwaye uqhele indlela yokuphila enempilo.
Ixesha lokubona ugqirha ngoko nangoko!
Ukuba ufumana naziphi na kwezi mpawu emva kokuba ubuyile ekhaya, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane.
- Ukuba ulwelo olufana nobovu luphuma kwindawo yotyando.
- Ukuba kukho ukudumba okugqithisileyo kunye nokubomvu okujikeleze indawo etyumkileyo.
- Ukuba unomkhuhlane kunye nokubanda.
- Ukuba uziva intliziyo yakho ibetha ngokukhawuleza (ukubetha kwentliziyo).
- Ukuba imilenze idumba ngendlela engaqhelekanga (`(Edema)`).
- Ukuba ubunzima bakho bungaphezulu kwe-1.5 kg (iikhilogram ezi-3) ngeveki.
Khumbula, ayinguye wonke umntu onokwenza olu tyando. Ugqirha wakho wentliziyo uya kugqiba ukuba ungumntu ofanelekileyo na kolu tyando ngokusekelwe kwimeko yakho yentliziyo, ezinye iimeko zempilo, ubudala, kunye nendlela ophila ngayo (njengokutshaya).
Umyalezo Wokuya Ekhaya
- Ukulungiswa kweMitral Valve eNcinci lutyando lwentliziyo lwanamhlanje olwenziwa ngokusikwa okuncinci, ngaphandle kokuvula isifuba ngokupheleleyo.
- Iingenelo eziphambili zoku kukuncipha kwentlungu, ukuchacha ngokukhawuleza, kunye nexesha elincitshisiweyo lokuchitha esibhedlele.
- Oku kunokunceda ukulungisa nokukhusela ivalvu yakho yendalo.
- Olu tyando alufanelekanga kuye wonke umntu. Ugqirha wakho wentliziyo ngumntu ofanelekileyo ukwenza isigqibo ngalo.
- Ukuba kuvela naziphi na iimpawu zomngcipheko emva kotyando, kubalulekile ukufuna ingcebiso kagqirha ngokukhawuleza.
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