Khawuthelekelele ukuba ukhe wenziwa utyando lokutshintshwa kwevalvu yentliziyo kwaye unethemba lokuba yonke into ihamba kakuhle. Uninzi lwexesha, yonke into ihamba kakuhle. Kodwa, ngamanye amaxesha, kubantu abambalwa kakhulu, kushiyeka umsantsa omncinci phakathi kwevalvu yokwenziwa esandul’ ukufakwa kunye nodonga lwentliziyo, kwaye igazi elincinci linokuqala ukuvuza kwakhona ngalo. Kufana naxa siqinisa umbhobho wamanzi, amanzi amancinci aphuma kwijoyinti. Kwizonyango, oku sikubiza ngokuba yi -'Paravalvular Leak' (PVL) . Ngoko ke namhlanje siza kuthetha ngonyango olulula kakhulu nolwanamhlanje olunokuvala olu hlobo lokuvuza ngaphandle kokuvula isifuba nokwenza utyando olukhulu.
Ngamafutshane, yintoni iParavalvular Leak Closure?
Oku kulula kakhulu. I-Paravalvular Leak Closure lunyango olungelulo utyando. Luyekisa ukuvuza kwegazi endikukhankanyileyo ngaphambili okwenzeka emva kokutshintsha ivalvu yentliziyo. Ngokwesiqhelo, xa kuvela ukuvuza okunje, kunokulungiswa kuphela ngokwenza olunye utyando. Kodwa cinga ngendlela ekuyingozi ngayo kumntu okhe watyandwa intliziyo kanye ukuba aphinde enze utyando olukhulu kangaka. Lo mngcipheko uphezulu ngakumbi kumntu omdala kwaye unezinye izifo.
Ngoko ke, iingcali zentliziyo ezingenelelayo zisebenzisa le ndlela yanamhlanje ukunciphisa lo mngcipheko.
Kwiimeko ezininzi, ukuba ukuvuza kuncinci, ugqirha wakho uya kukunika amayeza. Nangona kunjalo, ukuba amayeza awakulawuleli ukuvuza kwaye uvakalelwa kukuba utyando olongezelelweyo luyingozi kakhulu, ugqirha wakho unokucebisa ukuvalwa kwe-PVL. Le yinkqubo engaphantsi kakhulu enokuthi ilungise ukuvuza okujikeleze ivalvu yentliziyo kwaye inciphise kakhulu iimpawu zakho.
Ngubani ngokwenene odinga olu nyango?
Olu nyango alufuneki kuye wonke umntu. Kodwa kukho iimeko ezithile ezikhethekileyo apho olu nyango lunokuba luncedo kakhulu. Makhe sibone ukuba zeziphi.
| Imeko | Kalula nje... |
|---|---|
| Ukuba ukhe watyandwa izihlandlo ezingaphezu kwesinye | Ukuba sele wenze utyando lokutshintshwa kwevalvu yentliziyo izihlandlo ezininzi, kuyingozi ukwenza olunye utyando. Le ndlela ilungele abantu abanjalo. |
| Ukuhamba kwegazi ngasemva | Ukuba ukuvuza kubangela ukuba igazi elininzi libuyele umva (eliphakathi okanye elinzima), oko kuthetha ukuba intliziyo kufuneka isebenze nzima. Oku kungonakalisa intliziyo. |
| Ubunzima bokuphefumla (i-Dyspnea) | Ukuba unengxaki yokuphefumla nokuba umi nje okanye usenza imisebenzi emincinci, oku kuvuza kusenokuba yimbangela. Olu nyango lunokunciphisa loo ntlungu. |
| I-Hemolytic Anemia | Xa igazi livuza kuloo mngxuma mncinci ngesantya esiphezulu, iiseli ezibomvu zegazi ziqala ukuqhekeka zize zitshatyalaliswe. Oku kubangela i-anemia, okanye ukulahleka kwegazi. Oku kubizwa ngokuba yi -hemolytic anemia . |
| Iidiphozithi zecalcium ezijikeleze ivalvu (iCalcification) | Ukuba i-annulus ejikeleze ivalvu inyibilike kakhulu, kunokuba nzima ukuyithunga kwakhona emva kotyando. Le ndlela ikwaluncedo kwiimeko ezinjalo. |
| Usulelo lwentliziyo (i-Endocarditis) | Ukuba unyangwa ngenxa yosulelo olungaphakathi kwentliziyo (endocarditis), utyando olukhulu luyingozi. Le ndlela isenokuqwalaselwa kwiimeko ezinjalo. |
Kodwa kubalulekile ukukhumbula ukuba olu nyango alufanelani konke konke. Kungcono ukuthetha nogqirha wakho malunga nonyango olulungele imeko yakho, kwaye nguye oza kwenza isigqibo esifanelekileyo.
Kwenzeka ntoni ngaphambi konyango?
Ngaphambi kokuba ufumane olu hlobo lonyango, ugqirha wakho uza kukwenza uvavanyo olupheleleyo. Baza kuvavanya impilo yakho kunye nendlela esebenza ngayo intliziyo yakho. Banokwenza nothotho lwee-blood cultures ukuze baqinisekise ukuba akukho ntsholongwane yentliziyo (endocarditis).
Ukongeza, kwenziwa uvavanyo olukhethekileyo ukuze kubonwe ukuba ukuvuza kukuphi na, kungakanani na, kwaye kungafikelelwa njani kuko. Oku kuquka ukuthatha imifanekiso yentliziyo.
- I-ECG (i-Electrocardiogram): Uvavanyo olujonga umsebenzi wombane wentliziyo.
- I-Echocardiogram: Iskeni yentliziyo. Oku kukuvumela ukuba ubone ngokucacileyo amagumbi entliziyo, iivalvu, kunye nokuhamba kwegazi.
- I-Transesophageal echocardiogram (TEE): Le ikwayi-echo scan. Nangona kunjalo, ityhubhu encinci eneekhamera ifakwa ngomlomo, idluliselwe kwi-esophagus, kwaye ithathwe imifanekiso ecacileyo yomva wentliziyo. Oku kubaluleke kakhulu ekufumaneni indawo echanekileyo yokuvuza.
- I-Angiogram: Inkqubo ethatha imifanekiso ye-X-reyi yemithambo yegazi yentliziyo ngokufaka ulwelo olukhethekileyo kuyo.
- I-Cardiac CT scan kunye ne-cardiac MRI: Ezi zinokuvelisa imifanekiso yentliziyo eneenkcukacha ezininzi, enamacala amathathu (3D).
Unyango lwenziwa njani kwaye ulungiselela njani?
Olu nyango lwenziwa yingcali yentliziyo engenelelayo. Uncediswa ziingcali zokujonga intliziyo. Oku kudla ngokwenziwa kwilabhoratri ekhethekileyo esibhedlele. Siyibiza ngokuba yi -'Cardiac Catheterization Lab' .
Ukulungiselela kwakho ngaphambi konyango
Ugqirha uza kukunika imiyalelo ecacileyo malunga nento omawuyenze ngaphambi konyango.
- Ukutya nokusela: Uza kucelwa ukuba uyeke ukutya nokusela iiyure ezimbalwa ngaphambi konyango.
- Impahla: Ingcebiso malunga nento omawuyinxibe ngaloo mini.
- Amayeza: Usenokucelwa ukuba uyeke okwethutyana okanye utshintshe umthamo wamanye amayeza owasebenzisayo, ingakumbi amayeza alwa nokugabha igazi okanye amayeza alwa nokuvuvukala angengowe-steroidal (NSAIDs).
- Izinto ekufuneka uzazi: Ngokuqinisekileyo kufuneka uxelele ugqirha wakho ngazo naziphi na izinto ezibangela ukuba ungabi namdla kwizinto ezithile, amayeza okanye iivithamini ozisebenzisayo.
Indlela unyango oluqhutywa ngayo
Musa ukoyika xa usiva oku, yinkqubo elula kakhulu.
1. Okokuqala, uza kunikwa iyeza lokuthomalalisa iintlungu. Ukuze ungaziva nto, uza kukhululeka.
2. Emva koko, ugqirha ufaka ityhubhu encinci kakhulu, ebizwa ngokuba yi-catheter , kumthambo wegazi oyintloko (i-femoral artery) emlenzeni wakho ongasentla, osesinqeni sakho.
3. Okulandelayo, phantsi kwesikhokelo seeskena, ucingo olucolekileyo ngakumbi ludluliselwa kule catheter ukuya kwindawo echanekileyo yokuvuza entliziyweni.
4. Nje ukuba kufumaneke ukuvuza, isixhobo esincinci (isixhobo sokuvala) sidluliselwa ngocingo, sivale ngokupheleleyo umsantsa. Oku kufana nokuvala umngxuma ngeplagi.
5. Emva kokuskena nokuqinisekisa ukuba umsebenzi wenziwe ngokuchanekileyo, umniniyo uyayisusa ngononophelo ityhubhu.
Ngamanye amaxesha, ukuba unezivalo ezimbini zokufakelwa, endaweni yokuzifaka ngaphakathi kwesisu, kungenziwa umngxuma omncinci kakhulu ecaleni lesifuba kwaye i-catheter ingafakwa ngaloo nto. Into ebalulekileyo kukuba akufuneki uvule isifuba sakho ngokupheleleyo, njengoko ubuya kwenza xa utyando olukhulu.
Kuthatha ixesha elingakanani unyango? Kwenzeka ntoni emva koko?
Yonke le nkqubo idla ngokuthatha malunga neeyure ezimbini ukuya kwezintathu . Usenokuba uzibuza ukuba kwenzeka ntoni kweso sixhobo sincinci esifakwe entliziyweni yakho. Ekuhambeni kwexesha, izicubu zentliziyo yakho ziyakhula zijikeleze isixhobo, kwaye ziba yinxalenye yendalo yentliziyo yakho.
Emva konyango, uza kulala esibhedlele ubusuku bonke ukuze ujongwe. Ngokuqhelekileyo uza kukwazi ukuya ekhaya kusasa olulandelayo. Ugqirha wakho uza kukunika imiyalelo ecacileyo yokuba ungahlala njani ekhaya, into omawuyenze, nento ongamawuyenze. Ungambuza ugqirha wakho ukuba ungabuyela nini kwimisebenzi yakho yesiqhelo.
Ngokwesiqhelo, malunga neenyanga ezintathu emva konyango, kwenziwa iskeni kwakhona ukujonga ukuba ukuvuza kuvaliwe ngokupheleleyo na nokuba ivalvu isebenza kakuhle na.
Zithini iingenelo zale ndlela ngaphezu kotyando lwesintu?
Xa kuthelekiswa notyando oluvulekileyo, indlela yokuvala i-PVL ineenzuzo ezininzi ezicacileyo.
- Ukuchacha ngokukhawuleza: Ekubeni kungekho kusikwa okukhulu, ixesha lokuchacha lifutshane kakhulu.
- Umngcipheko ophantsi wosulelo: Ekubeni kungekho nxeba likhulu, umngcipheko wosulelo uphantsi kakhulu.
- Ukungalali esibhedlele: Ekubeni ungaya ekhaya ubusuku bonke, akufuneki uhlale esibhedlele iiveki ezininzi.
- Amanxeba amancinci kunye namanxeba: Kushiyeka inxeba elincinci kakhulu emzimbeni.
Ndifanele ndiphinde ndimbone ugqirha kwakhona?
Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo kwaye uye kwiindibano zakho ngexesha. Ukuba ufumanisa naziphi na iimpawu ezingaqhelekanga emva konyango, ezinje ngomkhuhlane ongaziwayo, iintlungu kwindawo yesinqe, okanye ukudumba , yazisa ugqirha wakho ngoko nangoko.
Ukuba ukhe wafakelwa ivalvu yentliziyo, kubalulekile ukuba uhlolwe rhoqo. Ngamanye amaxesha, nevalvu entsha inokuvuza ngokuhamba kwexesha. Ukuba oko kuyenzeka, unyango lunokubandakanya amayeza, utyando olutsha, okanye inkqubo yokuvala ukuvuza kweParavalvular esixoxe ngayo. Thetha nogqirha wakho malunga nokuba loluphi ukhetho olulungele iimfuno zakho nempilo yakho.
Umyalezo Wokuya Ekhaya
- Ukuvuza kwegazi okujikeleze ivalvu yentliziyo emva kokuba itshintshiwe, yi-PVL.
- Ukuvalwa kweParavalvular Leak lunyango lwanamhlanje, olungelulo utyando oluvala oku kuvuza ngaphandle kokuphinda kuzalise isifuba.
- Olu nyango lwenziwa kusetyenziswa ityhubhu encinci (i-catheter) efakwe kwimithambo yegazi emlenzeni ongasentla.
- Le ndlela inexesha elincinci lokuchacha, umngcipheko, kunye nokuhlala esibhedlele kunotyando olukhulu.
- Ugqirha wakho wentliziyo uza kugqiba ukuba olu nyango lukulungele na. Landela imiyalelo yakhe rhoqo.
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