Intliziyo yethu ifana nobutyebi obuxabisekileyo, akunjalo? Ngoko ke indalo idale into emangalisayo yokukhusela olo butyebi. Loo ngqalutye olubhityileyo olujikeleze intliziyo. Kodwa ngamanye amaxesha olu khuselo lunokubangela ingxaki entliziyweni. Ngamaxesha anjalo, olu ngqalutye kufuneka lususwe ngotyando. Yiloo nto sithetha ngayo namhlanje.
Yintoni kanye kanye i-pericardiectomy?
Ngamafutshane, i-pericardiectomy kukususwa kwe -pericardium yonke okanye inxalenye yayo, i-membrane ejikeleze intliziyo yakho. Oku ngamanye amaxesha kubizwa ngokuba yi-"pericardial stripping".
Cinga nje, le pericardium ifana nengxowa enezikhumba ezimbini egcina intliziyo. Kukho ulwelo oluncinci kakhulu phakathi kwezi ngqalutye zimbini. Lulo lwelo olunceda intliziyo ukuba ibethe kakuhle kwaye ingabi nangxaki.
Ngaba singaphila ngaphandle kwale pericardium?
Ewe, ngokuqinisekileyo kunokwenzeka. I-pericardium ngokwayo ayibalulekanga ekusebenzeni kwentliziyo ngokuqhelekileyo. Ukuba imiphunga yakho kunye ne-diaphragm, umsipha owahlula isifuba sakho nesisu, zikwimeko entle, akuyi kubakho ngxaki yokususa i-pericardium.
Enyanisweni, xa umntu enesifo se-pericarditis, i-pericardium ilahlekelwa bubuhle bayo, nto leyo ethetha ukuba iyakwazi ukunciphisa ukungqubana. Ngoko ke ukuyisusa ayenzi imeko ibe mandundu.
Ziziphi izizathu zokwenza i-pericardiectomy?
Isizathu esiphambili nesiqhelekileyo solu tyando yimeko ebizwa ngokuba yiConstrictive Pericarditis . Oku kuxa i-membrane ejikeleze intliziyo iba nkulu, iqine, kwaye ngamanye amaxesha ine-calcium deposits ezenza ibe lukhuni njengelitye.
Khawucinge ngento eyenzekayo xa ingxowa ejikeleze intliziyo iqina ngequbuliso.
- Intliziyo itsalwa ngokuqinileyo kwaye ayikwazi ukufinyela.
- Ngenxa yoko, amagumbi entliziyo awazali ngegazi elaneleyo.
- Igazi eliza entliziyweni liphoqeleka ukuba libuyele emiphungeni.
- Intliziyo ayikwazi ukupompa igazi ngendlela eqhelekileyo.
- Oku kubangela ukuba imilenze nesisu zidumbe, nto leyo efana neempawu zokungasebenzi kakuhle kwentliziyo.
Olu tyando lolona sisombululo silungileyo kwiimeko ezinzima kakhulu zeConstrictive Pericarditis.
Izizathu ze-Constrictive Pericarditis
- Idiopathic: Kwiimeko ezininzi, akukho sizathu sithile sifumanekayo.
- Utyando lwentliziyo lwangaphambili: Lusenokuba lubangelwe lutyando lwangaphambili.
- Unyango ngemitha esifubeni: Unyango ngemitha esifubeni kwiimeko ezifana nomhlaza.
- Izifo ezifana nesifo sephepha: Oku kunokubangelwa ziimeko ezithile zempilo.
- Usulelo lwentsholongwane okanye iintsholongwane:Oku kunokwenzeka nangenxa yeemeko ezithile ezibangela usulelo.
Ukongeza, olu tyando lwenziwa kwezinye iimeko ezininzi:
- I-Pericarditis ephindaphindayo: Ukuba le meko iyaqhubeka nokuba kukho amayeza.
- Iziphumo ebezingalindelekanga zamayeza okulwa nokuvuvukala: Ukuba kuvela iingxaki ngenxa yamayeza anjengee-steroids anikwe ukulawula ukuqina kwentliziyo.
- I-Cardiac Tamponade: Oku akwenzeki rhoqo xa ulwelo luqokelelana lujikeleze intliziyo luze luyicinezele.
Kwenzeka ntoni ngaphambi nangexesha lotyando?
Ngaphambi kotyando
Iqela lakho lezonyango liza kulungiselela zonke izixhobo ezifunekayo ukuze kwenziwe utyando ngokukhuselekileyo. Rhoqo, ugqirha uza kusebenzisa umatshini we-cardiopulmonary bypass , owaziwa ngokuba ngumatshini we-heart-lung. Lo matshini uthatha okwethutyana umsebenzi wentliziyo nemiphunga ngexesha lotyando. Oku kuvumela ugqirha ukuba asuse ngokukhuselekileyo i-pericardium kumacala omabini nangasemva kwentliziyo.
Ngexesha lotyando
1. Ukwenza i-incision: Ugqirha wenza i-incision embindini wesifuba sakho, ecaleni kwethambo lesifuba (sternum), ukuze afikelele entliziyweni. Oku kubizwa ngokuba yi-Median Sternotomy .
2. Ukususwa kwe-pericardium: I-pericardial membrane isuswa ngononophelo entliziyweni.
3. Ukulungisa i-sternum: I-sternum iphinda ilungiswe kusetyenziswa iintambo.
4. Ukuthunga isiko: Ekugqibeleni, isiko livalwa ngezitishi.
I-Pericardiectomy lutyando lwentliziyo evulekileyo. Isizathu soku kukuba ukuze kususwe yonke i-pericardium, ugqirha kufuneka akwazi ukubona intliziyo ngokucacileyo. Le ndlela yeyona ifanelekileyo kuloo nto.
Olu tyando ludla ngokuthatha malunga neeyure ezimbini ukuya kwezintathu, kodwa eli xesha linokwahluka ukuba kwenziwa ezinye iinkqubo ngaxeshanye.
Kwenzeka ntoni emva kotyando?
Uza kuva iintlungu xa uvuka emva kotyando. Uza kufakwa netyhubhu enye okanye ezingaphezulu (iidrain) esifubeni sakho ukuze ukhuphe ulwelo olugqithisileyo. Uza kukwazi ukusela ulwelo ukususela ngosuku olulandela utyando uze utye ukutya kancinci kancinci. Kusenokufuneka uqhubeke nokusela amayeza okukhupha ulwelo, nangona kuphantsi kunendlela owawuwasebenzisa ngayo ngaphambi kotyando.
Ziziphi iingenelo kunye neengozi zalo tyando?
Njengakwezinye iintlobo zotyando olukhulu, kukho iingenelo kunye neengozi. Ukukhetha ugqirha wentliziyo onamava kunokunciphisa iingozi.
| Iingenelo | Iingozi |
|---|---|
| Abantu abaninzi banokuphila iminyaka bengenazo iimpawu okanye bengenazo iimpawu ezininzi. | Iingxaki zokopha kunye nesidingo sokunikela ngegazi. |
| Kunokwenzeka ukuba umntu aphile ngokupheleleyo kunokuba asebenzise amayeza. | Ukungahambi kakuhle kwesantya sentliziyo, ingakumbi i-Atrial Fibrillation . |
| Ukuthintela umonakalo kwizihlunu zentliziyo ngenxa yokuxinana kwe-pericardial. | Ukonakala kwezintso. |
| Kunqabile kakhulu ukuba kubekho umonakalo kwimithambo-luvo enceda ekuphefumleni (imithambo-luvo ye-phrenic). | |
| Kukho umngcipheko omncinci kakhulu wokufa ngexesha lotyando, phakathi kwe-1% kunye ne-2%. |
Abantu abakhe benza utyando lwentliziyo ngaphambili, abanezinye iingxaki ezinkulu zempilo, okanye abakhe bafumana unyango lwemitha basengozini enkulu kancinci yeengxaki.
Kuthatha ixesha elingakanani ukuchacha?
Ngokwesiqhelo kufuneka uhlale esibhedlele kangangeentsuku ezintlanu ukuya kwezisixhenxe . Emva kokuba ubuyele ekhaya, ungakuphepha ukuphakamisa izinto ezinzima kwaye kancinci kancinci uqhubeke neminye imisebenzi eqhelekileyo.
Kuthatha phakathi kweeveki ezi-6 nezi-8 ukuba umntu aphile ngokupheleleyo. Eli xesha linokwahluka ngokuxhomekeke ekubeni imeko yakho yayimbi kangakanani ngaphambi kotyando. Kungathatha ixesha elide kubantu abakwimeko embi kakhulu. Nangona kunjalo, uninzi lwabantu luziva lukhululekile emva kotyando.
Ufanele uphinde uye kugqirha wakho kwakhona nini?
Kuya kufuneka ubone ugqirha wakho wentliziyo kwisithuba seveki okanye ezimbini emva kokuphuma esibhedlele. Kuya kufuneka wenze i- echocardiogram (i-ultrasound scan yentliziyo) kwiiveki ezintandathu emva kotyando.
Xelela ugqirha wakho ngoko nangoko ukuba kukho ezi mpawu zilandelayo:
- Iintlungu zesifuba
- Ifiva
- Ukuba kukho ulwelo oluninzi kunesiqhelo oluphuma kwinxeba lotyando
I-Pericardiectomy, i-Pericardiocentesis kunye ne-Pericardiotomy - Yintoni umahluko?
La magama mathathu afana kancinci, ngoko ke kunokudida. Makhe sibone ukuba yintoni umahluko.
| Inkqubo | Inkcazo elula |
|---|---|
| Utyando lwentliziyo olubizwa ngokuba yiPericardiectomy | Ukususwa ngotyando kwe-membrane yonke okanye inxalenye yayo ejikeleze intliziyo (i-pericardium). |
| I-Pericardiocentesis | Ukususa ulwelo olugqithisileyo oluqokelelene kwi-pericardium usebenzisa inaliti. |
| I-Pericardiotomy | Kuphela kukusika okuncinci kwi-pericardium ukuze kususwe ulwelo. |
Umyalezo Wokuya Ekhaya
- I-Pericardiectomy iphumelele kakhulu, kodwa utyando olukhulu lwenziwa kwiimeko ezifana ne-Constrictive Pericarditis.
- Ungaphila ubomi obuqhelekileyo ngokupheleleyo ngaphandle kwe-pericardium, i-membrane ejikeleze intliziyo yakho.
- Kuthatha ixesha ukuba umntu aphile ngokupheleleyo, ngoko ke yiba nomonde kwaye ulandele imiyalelo kagqirha wakho. Kubalulekile ukuphepha imisebenzi efana nokuphakamisa izinto ezisindayo de ugqirha wakho akuxelele ukuba wenze njalo.
- Ukuba unemibuzo, uloyiko, okanye amathandabuzo malunga nolu tyando, ungaze woyike ukuthetha ngokukhululekileyo nogqirha wakho ngalo.
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