Intliziyo yethu ngumatshini omangalisayo ngokwenene, akunjalo? Iivalvu ezine ezikuyo zisebenza njengeengcango ezivulekela kwicala elinye kuphela. Enye yezi ngcango zibalulekileyo yiMitral Valve. Yile valve evumela igazi elicocekileyo, elineoksijini ukuba lidlule ukusuka kwelinye igumbi lentliziyo liye kwelinye. Kodwa khawucinge ukuba kwenzeka ntoni ukuba kukho into engahambi kakuhle ngale valve? Oko kukuthi, ukuba igazi alivali kakuhle kwaye livuza umva, okanye ukuba alivuli kakuhle kwaye livalekile, intliziyo iziva ixinezelekile kakhulu. Kulapho oogqirha bagqiba kwelokuba bayisuse le valve baze bayitshintshe, ukuba ayinakulungiswa.
Ngamafutshane, yintoni ukutshintshwa kwevalvu ye-mitral?
Ukutshintshwa kwevalvu yeMitral lutyando lwentliziyo oluvulekileyo . Lubandakanya ukususa ivalvu yakho yemitral egulayo nengasebenzi kakuhle uze uyitshintshe ngevalvu entsha kraca. Le valve intsha inokuza ngeentlobo ezimbini.
- Iivalvu zoomatshini: Ezi ziivalvu zokwenziwa ezenziwe ngeentsimbi ezifana nekhabhoni kunye nentsimbi.
- Iivalvu zebhayoloji/ze-Bioprosthetic: Ezi ziivalvu ezenziwe ngezicubu zentliziyo zeehagu, iinkomo, kwaye ngamanye amaxesha (kunqabile kakhulu) izicubu zabantu.
Nangona olu tyando luyinkqubo enkulu, ukuba ugqirha wakho uyayicebisa, oko kuthetha ukuba ivalvu yakho iya isiba mandundu kwaye inokubangela iingxaki ezinkulu ukuba awulwenzi olu tyando. Oku kuthetha nokuba alunakulungiswa.
Kutheni udinga olu tyando?
Igazi elinomoya-mpilo omninzi elivela emiphungeni yethu lingena kwi-atrium yasekhohlo yentliziyo, kwaye ukusuka apho lidlula kwi-valve ye-mitral ukuya kwi-ventricle yasekhohlo. Le ventricle yasekhohlo inoxanduva lokupompa igazi kuwo wonke umzimba. Ngoku, ukuba unesifo se-mitral valve, le valve ayivuli okanye ayivali kakuhle. Oku kunokubangela iingxaki ezimbini ezinkulu.
1. Ukulungiswa kweValve yeMitral: Igazi livuza umva kuba ivalve ayivali kakuhle.
2. I-Mitral Valve Stenosis: Ivalvu ayivuli kakuhle, nto leyo ethintela ukuhamba kwegazi.
Zombini ezi zinto zibeka uxinzelelo olukhulu kwicala lasekhohlo lentliziyo. Ekuhambeni kwexesha, oku kungonakalisa intliziyo nemiphunga.
Oogqirha badla ngokuzama ukulungisa ivalvu nanini na xa kunokwenzeka, endaweni yokuyitshintsha. Nangona kunjalo, kwezinye iimeko, oku akunakwenzeka.
Kunokubakho izizathu ezahlukeneyo zokuba kutheni kungenziwa ukulungiswa:
- I-Endocarditis okanye isifo sentliziyo esibangelwa yi-rheumatic) yabangela umonakalo omkhulu kwivalvu.
- Ukufakwa kwe-calcium eninzi okanye amanxeba kwivalvu.
- Umonakalo omkhulu kwimisipha ye-papillary okanye i-chordae exhasa ivalvu.
Kungoko ke, kubaluleke kakhulu ukuxoxa ngemeko yakho nogqirha wakho uze ufunde ngeendlela onokukhetha kuzo.
Luhlobo luni lwevalvu esilukhethayo?
Ubudala bakho, indlela ophila ngayo, kunye nezinye iimeko zempilo ziya kudlala indima ekukhetheni uhlobo lwevalvu ekufuneka uyifake. Makhe sijonge umahluko phakathi kwezi ntlobo zimbini.
| Uhlobo lwevalvu | Inkcazo kunye neenzuzo/iingxaki |
|---|---|
| Iivalvu zoomatshini |
|
| Iivalvu zebhayoloji |
Ukuba uneminyaka ephakathi kwama-50 nama-65 ubudala, ugqirha wakho uza kucebisa enye yezi ntlobo zimbini kuxhomekeke kwimeko yakho. Eyona nto ibalulekileyo kukuthetha ngayo kakuhle uze ukhethe leyo ikufaneleyo.
Sizilungiselela njani ngaphambi kotyando?
Iqela lakho lezonyango liza kukunika imiyalelo ecacileyo malunga nendlela yokulungiselela utyando. Ngokubanzi, kuya kufuneka ulungele ezi zinto.
- Amanye amayeza (ingakumbi amayeza okunciphisa igazi) anikwa ngugqirha wakho anokufuneka amiswe kwiiveki ezimbalwa ngaphambi kotyando.
- Ukutshaya nokusebenzisa icuba kufuneka kuyekwe ngokupheleleyo.
- Ngobusuku bangaphambi kotyando, uza kuyalelwa ukuba uhlambe umzimba wakho ngesepha yokubulala iintsholongwane .
- Ngobusuku bangaphambi kotyando, kuya kufuneka uyeke ngokupheleleyo ukutya nokusela, ngesiqhelo emva kwentsimbi ye-12 ezinzulwini zobusuku .
- Sela amayeza amiselwe kusasa lotyando kuphela.
Kubalulekile nokulungisa imeko-bume yekhaya lakho ukuze uzive ukhululekile xa ubuyela ekhaya emva kotyando. Umzekelo, licebo elihle ukucwangcisa kwangaphambili, njengokugcina izinto oza kuzifuna zikufutshane nokulungiselela umntu oza kukuyisa ekhaya esibhedlele.
Kwenzeka ntoni ngexesha lotyando?
Olu tyando luyinkqubo enzima edla ngokuthatha malunga neeyure ezimbini ukuya kwezine. Kodwa akukho nto umele uyixhalabele. Iqela lezonyango elinamava liza kukunyamekela kakuhle. Nantsi isikhokelo senyathelo ngenyathelo sokuba kwenzeka ntoni ngexesha lotyando.
1. I-Anesthesia: Okokuqala, uza kulaliswa ngokupheleleyo. Ngoko awuyi kuva nto ngotyando kwaye awuyi kuyikhumbula xa uvuka.
2. Uqhagamshelwano: Uza kuqhagamshelwa kwiimonitha ukuze zijonge izinga lentliziyo yakho kunye nokuphefumla kwakho. Uza kunikwa amayeza okubulala iintsholongwane ngomthambo ukuze uthintele usulelo.
3. Umatshini Wokudlula Intliziyo: Okulandelayo, uza kuqhagamshelwa kumatshini okhethekileyo. Lo matshini uthatha okwethutyana umsebenzi wentliziyo yakho kunye nemiphunga ngexesha lotyando. Intliziyo yakho ayizukubetha ngeli xesha.
4. Ukusikwa: Ugqirha uza kukwenza utyando esifubeni sakho ukuze afikelele entliziyweni yakho. Oku kudla ngokwenziwa nge -sternotomy (ukusikwa embindini wethambo lesifuba sakho).
5. Ukutshintshwa kwevalvu: Kwenziwa ukusika kwi-atrium yasekhohlo yentliziyo ukuze kufikelelwe kwivalvu ye-mitral. Emva koko, iindawo ezonakeleyo zevalvu ziyasuswa ngononophelo, kwaye ivalvu entsha ibekwa endaweni yayo ize ithungwe kakuhle.
6. Uvavanyo: Jonga ukuba ivalvu entsha isebenza kakuhle na kwaye iingcango zayo zivuleka kwaye zivaleka kakuhle na.
7. Ukuphela kotyando: Nje ukuba yonke into ilungile, isilonda esisentliziyweni yakho siya kuvalwa kwaye uza kususwa kancinci kancinci kumatshini wentliziyo nemiphunga.
Ziziphi iingenelo kunye neengozi zalo tyando?
Njengalo naluphi na utyando, kukho iingenelo kunye neengozi, kwaye kubalulekile ukuzazi ezi zinto.
| Iinzuzo | Iingozi/Iingxaki |
|---|---|
|
Musa ukoyika ezi ngozi. Iqela lakho lezonyango liqeqeshwe kakhulu ukunciphisa amathuba okuba ezi meko zenzeke kwaye lizilawule ukuba ziyenzeka.
Kwenzeka ntoni emva kotyando? Kuthatha ixesha elingakanani ukuze umntu aphile?
Emva kotyando, kuya kufuneka uhlale esibhedlele kangangeveki.
- Ngosuku lokuqala okanye ezimbini, uza kugcinwa kwigumbi lokhathalelo olunzulu (ICU) kwaye imeko yakho iya kuhlolwa ngononophelo olukhulu.
- Emva koko uza kudluliselwa kwigumbi eliqhelekileyo.
- Kuqhelekile ukuba nentliziyo ebetha ngokungangqalanga emva kotyando, kwaye unokufuna amayeza okanye i- pacemaker yexeshana ukuze oku kwenzeke.
- Kuza kuqaliswa izinto zokunciphisa igazi ukuze kuncitshiswe umngcipheko wokuqhekeka kwegazi.
- Uza kwaziswa ngenkqubo yokulungisa intliziyo eya kukunceda uphile ngokukhawuleza.
Ngokwesiqhelo kuthatha iiveki ezi-4 ukuya kwezi-8 ukuze umntu aphile ngokupheleleyo. Nangona kunjalo, eli xesha liyahluka kumntu nomntu. Oku kuchaphazela izinto ezifana nempilo yakho yangaphambi kotyando kunye nobunzima bemeko yakho.
Eyona nto ibalulekileyo kukungakhawulezi ukuchacha kwakho. Asingomntu wonke ofanayo. Nika umzimba wakho ixesha olidingayo ukuze uphile, kwaye wamkele uncedo oluvela kwabanye.
Ugqirha wakho uza kukuxelela ukuba ungaqhubeka nini nemisebenzi efana nokuqhuba nokuphakamisa iintsimbi. Kubalulekile kwakhona ukwenza ukutya kube kukutya okunempilo okunempilo, ukuphepha ukutshaya notywala, ukugcina ubunzima obusempilweni, kunye nokuqhubeka nokuzilolonga yinxalenye yendlela yakho yokuphila.
Ziziphi iimpawu ezifuna ingqalelo ekhawulezileyo?
Kubaluleke kakhulu ukunyamekela umzimba wakho ngexesha lokuchacha kwakho. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane nawe.
| Iimpawu eziyingozi - funa ingcebiso kagqirha ngoko nangoko! | |
|---|---|
| - Iintlungu zesifuba | - Intloko ebuhlungu kakhulu |
| - Iimpawu zosulelo ezifana nomkhuhlane, ukugodola, kunye nokuphuma kobovu kwinxeba | - Ukubetha kwentliziyo okungaqhelekanga (okukhawulezayo kakhulu okanye okucothayo kakhulu) |
| - Ukukhwehlela okune-mucus etyheli okanye eluhlaza | - Intlungu, ukubomvu, okanye ukudumba emlenzeni ongezantsi |
| - Ukuba nesiyezi okanye ukuba nentloko ebuhlungu | - Ubunzima bokuphefumla |
| - Iimpawu zestroke ezifana nobunzima bokuthetha, intetho engacacanga | - Isicaphucaphu nokuhlanza |
Musa ukuyityeshela, ucinge, "Oku kusenokuba yinto encinci." Nokuba uphawu olubonakala luncinci lunokuba luphawu lwento enzulu. Ngoko ke ukuba unamathandabuzo, ungathandabuzi ukuthetha nogqirha wakho.
Umyalezo Wokuya Ekhaya
- Utyando lokutshintshwa kwevalvu yeMitral lutyando olukhulu olusindisa ubomi oluqhutywa ngokubanzi ngoku, ngoko ke musa ukuloyika ngokungeyomfuneko.
- Ukukhetha uhlobo olufanelekileyo lwevalvu kuwe, nokuba lolwe-mechanical okanye ololwebhayoloji, kuxhomekeke kwiminyaka yakho nendlela ophila ngayo. Xoxa ngale nto nogqirha wakho ngaphambi kokuba wenze isigqibo.
- Kuthatha ixesha ukuchacha ngokupheleleyo emva kotyando. Mamela umzimba wakho kwaye ube nomonde.
- Ukusela amayeza kagqirha wakho (ingakumbi amayeza okunciphisa igazi) ngexesha elifanelekileyo kunye nendlela yokuphila esempilweni kubalulekile kwimpilo-ntle yakho yexesha elide.
- Hlala uqaphela iimpawu eziyingozi. Ukuba unamathandabuzo, funa ingcebiso kagqirha ngokukhawuleza.
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