Ngaba ukhe waba nobunzima bokuphefumla, ukudumba kwemilenze yakho, okanye ingxaki yentliziyo kwaye ugqirha wakho ekuxelele ngotyando olubizwa ngokuba yi "Pericardiectomy"? Usenokoyika kancinci xa usiva elo gama, kwaye oko kuqhelekile. Kodwa ungakhathazeki. Eyona ndlela ilungileyo yokujongana nayo nantoni na kukwazi ngokupheleleyo ngayo. Ke namhlanje, siza kuthetha ngolu tyando, isizathu sokuba lwenziwe, indlela oluqhutywa ngayo, kunye nokuba kwenzeka ntoni emva kotyando ngendlela elula kakhulu onokuyiqonda.
Okokuqala, yintoni le 'pericardium'?
Ngamafutshane, i-pericardium sisingxobo esikhuselayo esijikeleze intliziyo yakho. Ngokuchanekileyo, sisingxobo esineendonga ezimbini. Phakathi kwezi ndonga zimbini kukho ulwelo oluncinci kakhulu . Olu lwelo lunceda intliziyo ukuba ibethe kakuhle, ngaphandle kobunzima, ngaphandle kokungqubana. Ngamanye amazwi, lusebenza njengesithambisi somsebenzi wentliziyo.
Kodwa ungaphila ngaphandle kwesi sigqubuthelo?
Ewe, ngokuqinisekileyo kunokwenzeka. Le 'Pericardium' ayibalulekanga ekusebenzeni kwentliziyo ngokuqhelekileyo. Ukuba imiphunga yakho kunye nemisipha emikhulu engaphantsi kwayo ebizwa ngokuba yi-diaphragm ilungile, ukususa esi sigqubuthelo akuyi kubangela naziphi na iingxaki. Enyanisweni, ukuba unesifo esifana ne-'Pericarditis' (ukudumba kwe-pericardium), iimpawu zokuthambisa ze-'Pericardium' yakho sele zilahlekile. Ngoko ke ukuyisusa akuyi kuyenza imeko ibe mandundu.
Ngoko ke, zithini izizathu zokwenza olu tyando (i-Pericardiectomy)?
Isizathu esiphambili nesiqhelekileyo solu tyando yimeko ebizwa ngokuba yiConstrictive Pericarditis .
Khawucinge nje, bekuya kwenzeka ntoni ukuba le ngxowa igudileyo ejikeleze intliziyo yakho iba yomile, ityebile, kwaye ifana neqokobhe eliqinileyo lekhokhonathi? Ibiya kuyinciphisa indawo yokuba intliziyo yakho ibethe ngokukhululekileyo ize izaliswe ligazi, akunjalo? Yiloo nto ibizwa ngokuba yi-'Constrictive Pericarditis'.
Xa ulwelo lwentliziyo luqina luze luqine ngolu hlobo:
- Amagumbi entliziyo awazali ngegazi elaneleyo.
- Igazi elifanele ukupompa yintliziyo liqala ukubuyela emaphashini.
- Intliziyo ayikwazi ukupompa igazi ngendlela eqhelekileyo.
- Imilenze nesisu ziqala ukudumba.
- Ezi ziimpawu ezifana nokusilela kwentliziyo.
Kwimeko ye-'Constrictive Pericarditis' enzima, isisombululo esilungileyo kukususa ngotyando esi sigqubuthelo siqinileyo.
Le theyibhile ingezantsi idwelisa izinto ezininzi ezinokubangela i-'Constrictive Pericarditis'.
| Isizathu | Inkcazo |
|---|---|
| Izizathu ezingaziwayo (Idiopathic) | Amaxesha amaninzi, unobangela othile wale meko awufumaneki. |
| Utyando lwentliziyo lwangaphambili | Inokwenzeka njengesiphumo esingesihle sotyando lwentliziyo lwangaphambili. |
| Unyango lwemisebe esifubeni | Ukuba ufumene unyango lwe-radiation kwindawo yesifuba ngenxa yezifo ezinje ngomhlaza. |
| Ezinye izifo | Izifo ezifana nesifo sephepha kunye neMesothelioma. |
| Usulelo lwentsholongwane okanye iintsholongwane | Usulelo olunzima oluchaphazela intliziyo. |
Ukongeza kwesi sizathu siphambili, utyando lwePericardiectomy lwenziwa kwezinye iimeko ezininzi:
- Kwimeko ye-pericarditis ephindaphindayo.
- Ngenxa yeengxaki ezivela kwamanye amayeza.
- Amaxesha amaninzi, imeko ebizwa ngokuba yi-'Cardiac Tamponade' yenzeka xa ulwelo luqokelelana lujikeleze intliziyo luze lucinezele intliziyo.
Indlela okwenziwa ngayo utyando kunye nexesha lokuchacha
I-Pericardiectomy lutyando lwentliziyo evulekileyo. Iqela lotyando:
1. Kwenziwa utyando ecaleni kwesifuba (sternum) esifubeni sakho ukuze kufikelelwe entliziyweni. Le nkqubo ibizwa ngokuba yiMedian Sternotomy .
2. Uya kuqhagamshelwa rhoqo kumatshini owenza umsebenzi wentliziyo nemiphunga okwethutyana (cardiopulmonary bypass). Oku kuvumela oogqirha ukuba basuse ngokukhuselekileyo ulwelo olungasemva nasemacaleni entliziyo yakho.
3. Isigqubuthelo esiqinileyo nesiqinileyo esijikeleze intliziyo (`pericardium`) sisuswa ngononophelo.
4. Emva kotyando, i-sternum ibotshelelwa kwakhona ngeengcingo kwaye i-incision ivalwe ngezititshi.
Olu tyando ludla ngokuthatha malunga neeyure ezimbini ukuya kwezintathu . Emva kotyando, uza kubekwa esweni kwigumbi lokhathalelo oluphezulu kangangeentsuku ezimbalwa, kwaye ngesiqhelo uzaKuya kufuneka uhlale esibhedlele phakathi kweentsuku ezi-5 ukuya kwezi-7 .
Kuthatha iiveki ezi-6 ukuya kwezi-8 ukuba umntu aphile ngokupheleleyo. Kufuneka ukuphephe ukuphakamisa izinto ezinzima ngeli xesha, kodwa ungaqhubeka kancinci kancinci nemisebenzi eqhelekileyo yasekhaya.
Zithini iingenelo kunye neengozi zotyando?
Njengalo naluphi na utyando olukhulu, olu luneengenelo kunye neengozi. Iingozi zingancitshiswa ngokuba utyando lwenziwe ngugqirha onamava otyando lwentliziyo.
| Iingenelo | Iingozi |
|---|---|
| Phantse ukuphela kweempawu ngokupheleleyo. | Iingxaki zokopha. |
| Kunokwenzeka ukuba umntu aphile ngokupheleleyo kunokuba asebenzise amayeza. | Ukufuneka utofelwe igazi. |
| Ukuthintela umonakalo ongakumbi kwimisipha yentliziyo. | Ukuphazamiseka kwentliziyo (i-Atrial Fibrillation). |
| Umgangatho wobomi ophucukileyo. | Ukonakala kwezintso. |
| Kunqabile kakhulu ukuba kubekho umonakalo kwimithambo-luvo enceda ekuphefumleni (imithambo-luvo ye-phrenic). | |
| Incinci kakhulu, umngcipheko wokufa yi-1% - 2%. |
Ndifanele ndimbone nini ugqirha emva kotyando?
Emva kokuba ubuyele ekhaya uvela esibhedlele, kufuneka wazise ugqirha wakho ngoko nangoko ukuba kukho naziphi na iimpawu ezilumkisayo ezibonakala.
- Ukuba ufumana iintlungu eziqatha esifubeni .
- Ukuba unomkhuhlane .
- Ukuba ulwelo oluninzi kunesiqhelo luphuma kwinxeba lotyando.
Ngokwesiqhelo, uza kubona ugqirha wakho wentliziyo kwiveki okanye ezimbini emva kokuba uphumile esibhedlele. Kwakhona, kuya kwenziwa i-echocardiogram emva kweeveki ezi-6 ukujonga ukuba intliziyo yakho isebenza njani.
Umyalezo Wokuya Ekhaya
- I-Pericardiectomy lutyando olukhulu olususa isigqubuthelo sangaphandle esiqinileyo nesiqinileyo sentliziyo.
- Oku kudla ngokwenziwa njengonyango lwemeko ebizwa ngokuba yi-'Constrictive Pericarditis'.
- Nangona olu lutyando lwentliziyo evulekileyo, iziphumo eziphumelelayo zinokufumaneka xa zenziwa phantsi kweliso leqela lezonyango elinamava.
- Nangona kuthatha malunga neeveki ezi-6-8 ukuze umntu aphile ngokupheleleyo emva kotyando, uninzi lwabantu luneziphumo ezilungileyo kakhulu zexesha elide.
- Ukuba unemibuzo okanye uloyiko malunga notyando, thetha ngalo ngokukhululekileyo nogqirha wakho. Baza kukunika lonke ulwazi kunye nenkxaso oyifunayo.
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