Ingaba ivalvu yentliziyo eyenziweyo ibangela ukuba igazi livuza? (Ukuvuza kweParavalvular) Masifunde ngonyango olungelulo utyando loku!

Ngaba wena okanye umntu omaziyo ukhe watyandwa endaweni yevalvu yentliziyo? Emva kwexesha elithile, izicubu ezijikeleze ivalvu entsha ngamanye amaxesha zinokuqala ukuvuza kancinci. Oku sikubiza ngokuba yi-'Paravalvular Leak' okanye i-PVL ngokwezonyango. Olu hlobo lokuvuza lunokubangela iimpawu ezifana nokuphefumla kancinci kunye nokudinwa. Ngoko ke namhlanje siza kuthetha ngonyango olulula olunokuvala ukuvuza okunje ngaphandle kokuphinda kwenziwe utyando olukhulu.

Yintoni iParavalvular Leak Closure?

Ngamafutshane, olu lunyango olungelulo utyando. Khawuthelekelele ukuba unevalvu yokufakelwa efakwe entliziyweni yakho, kodwa ngoku ivalvu iyavuza kancinci. Ngaphambili, ukuze ulungise into efana nale, kuya kufuneka uvule isifuba sakho kwakhona uze wenze utyando lwentliziyo evulekileyo. Kodwa ayinguye wonke umntu onokukwazi ukuphinda enze utyando, kuyingozi.

Nantsi isisombululo sale nto, unyango olubizwa ngokuba yiParavalvular Leak (PVL) Closure luvele. Kule nto, ingcali yentliziyo engenelelayo isebenzisa ityhubhu encinci kakhulu ebizwa ngokuba yi-catheter ukuya kwindawo evuzayo entliziyweni ize ivale umngxuma ngesixhobo esincinci (isixhobo sokuvala). Kufana nokubeka 'isitywino' kumngxuma omncinci kumbhobho wamanzi.

Ngubani ofuna olu nyango?

Ayinguye wonke umntu onevalvu yokufakelwa oza kuba nale meko, kwaye ayinguye wonke umntu ovuzayo oya kuyidinga le nyango. Ihlala icetyiswa kubantu abavuza kakhulu abangenakulawulwa ngamayeza. Ugqirha wakho uya kugqiba ukuba olu nyango lukulungele na.

Olu nyango lungafaneleka kumntu onezi meko zilandelayo:

Wenza ntoni ngaphambi kokuba ufumane unyango?

Ngaphambi kokuba wenze olu nyango, ugqirha wakho uza kuhlola impilo yakho ngononophelo. Uza kwenza iimvavanyo ezahlukeneyo ukujonga ukusebenza kwentliziyo yakho.

• I-ECG (i-Electrocardiogram): Jonga umsebenzi wombane wentliziyo.
• I-Echocardiogram: Iskeni sentliziyo.
• I-Transesophageal Echocardiogram (TEE): Olu luvavanyo olukhethekileyo. Ikhamera encinci idluliselwa kwi-esophagus ukuze ibone ngokucacileyo iivalvu zentliziyo. Oku kubaluleke kakhulu ekufumaneni indawo echanekileyo yokuvuza.
• I-Cardiac CT scan okanye i-MRI: Fumana imifanekiso eneenkcukacha ezinemilinganiselo emithathu (3D) yentliziyo.
• Uvavanyo lwegazi: Jonga ukuba kukho usulelo na.

Kubaluleke kakhulu ukuxelela ugqirha wakho ngazo naziphi na izinto ezibangela ukuba umzimba wakho ungabi naso isifo sentliziyo kunye namayeza owasebenzisayo (ingakumbi amayeza okunciphisa igazi).

Kwenzeka ntoni ngexesha lonyango?

Olu nyango ludla ngokwenziwa kwilabhoratri ye-cardiac catheterization yesibhedlele. Uza kunikwa amayeza kunye ne-anesthesia ukuthintela iintlungu.

Emva koko, ingcali ilandela la manyathelo:

1. Ukufakwa kwe-catheter: Ityhubhu encinci kakhulu neguquguqukayo (i-catheter) ifakwa kumthambo omkhulu wegazi (umthambo we-femoral) emqolo wakho.

2. Ukufumanisa indawo evuzayo: Kusetyenziswa iteknoloji yokuskena (efana ne-TEE), ucingo ludluliselwa kwityhubhu luze lukhokelwe kwindawo echanekileyo apho kuvuza khona entliziyweni.

3. Ukufakela isixhobo:Nje ukuba kuchongwe indawo echanekileyo yokuvuza, isixhobo esincinci esikhethekileyo (isixhobo sokuvala) esinokuvala umngxuma sidluliselwa kwi-catheter, sibekwe endaweni yaso, size sivalwe.

4. Ukususa i-catheter: Nje ukuba umsebenzi ugqityiwe, i-catheter kunye neentambo ziyasuswa ngononophelo.

Yonke le nkqubo idla ngokuthatha malunga neeyure ezimbini ukuya kwezintathu. Ekuhambeni kwexesha, izicubu zentliziyo yakho ziyakhula zijikeleze isixhobo esitsha esifakwe kuso, nto leyo eyenza ukuba sibe yinxalenye yentliziyo yakho.

Emva konyango kunye neenzuzo zalo

Ngokwesiqhelo, kufuneka uhlale esibhedlele ubusuku obunye kuphela emva kolu nyango. Ungaya ekhaya ngosuku olulandelayo. Ugqirha uza kukunika iingcebiso malunga nendlela yokuhlala emva kokuba ubuyele ekhaya, into omawuyenze kunye nento ongamawuyenze. Ngokwesiqhelo, uza kuphinda uhlolwe kwakhona kwiinyanga ezintathu ukuze kubonwe ukuba ukuvuza kuvaliwe ngokufanelekileyo na nokuba ivalvu isebenza ngokufanelekileyo na.

Ezinye zeenzuzo zale ndlela xa zithelekiswa notyando oluvulekileyo zezi:

• Ukuchacha ngokukhawuleza: Ekubeni kungekho kusikwa okukhulu, ungaqhubeka nemisebenzi yakho yesiqhelo ngokukhawuleza.
• Umngcipheko ophantsi wosulelo: Ekubeni kungekho nxeba likhulu, umngcipheko wosulelo uphantsi kakhulu.
• Ukuhlala ixesha elifutshane esibhedlele: Ungaya ekhaya ubusuku bonke.
• Amanxeba amancinci: Umngxuma omncinci nje emqolo, akukho nxeba likhulu esifubeni.

Ufuna ukuphinda umbone ugqirha kwakhona nini?

Emva konyango, kubalulekile ukulandela imiyalelo kagqirha wakho ngokuchanekileyo kwaye uye kwiikliniki ngemihla emiselweyo.

Ukuba unesifo somkhuhlane esingaziwayo, iintlungu okanye ukudumba kwindawo yesinqe, okanye naziphi na ezinye iimpawu ezingaqhelekanga, yazisa ugqirha wakho ngoko nangoko .

Ukuba ukhe wafakelwa ivalvu yentliziyo, kubaluleke kakhulu ukuba uhlolwe rhoqo ngugqirha. Kuba ngamanye amaxesha olu hlobo lokuvuza lunokwenzeka. Kodwa eyona nto ilungileyo kukuba oku ngoku kunokunyangeka ngaphandle kotyando. Thetha nogqirha wakho ukuze agqibe ukuba loluphi unyango olulungele wena.