Ngaba wakha weva "ngomngxuma entliziyweni"? Mhlawumbi ugqirha wakho ukuxelele ngayo. Enyanisweni, sonke sinomngxuma omncinci onje ezintliziyweni zethu xa sisesibelekweni. Yinto efunekayo ngelo xesha. Kodwa emva kokuzalwa, lo mngxuma uhlala uzivaleka wodwa. Kodwa kwabanye abantu, lo mngxuma uhlala ungavaleki ngokupheleleyo. Ngokwezonyango siwubiza ngokuba yiPatent Foramen Ovale, okanye `(PFO)` ngamafutshane. Le yimeko eqhelekileyo eba ngumntu omnye kwabane kuphela. Kubantu abaninzi, oku akubangeli ngxaki. Nangona kunjalo, kwabanye abantu, kunokubangela iingxaki. Kulapho sithetha khona ngonyango `(PFO Closure)`.
Ngamafutshane, yintoni i-PFO Closure?
Ukuvalwa kwe-PFO lutyando oluncinci lokuvala umngxuma omncinci (PFO) phakathi kwamagumbi amabini aphezulu (atria) entliziyo yakho. Nangona kunjalo, akudingi ukunqunyulwa okukhulu. Ugqirha ufaka ityhubhu encinci kakhulu, eguquguqukayo, ebizwa ngokuba yi-"catheter", entliziyweni yakho ngomthambo omkhulu wegazi kwenye indawo emzimbeni wakho.
Ngale mbhobho, kufakwa isixhobo esincinci, esenziwe ngokukodwa emngxunyeni osentliziyweni size sivalwe. Cinga ngesi sixhobo njenge-yo-yo encinci, okanye iqhosha elincinci elinezangqa ezibini macala omabini. Esinye isangqa sigubungela icala elinye lomngxuma, kwaye esinye isangqa sigubungela elinye icala.
Kwiintsuku ezimbalwa emva kokufakwa kwesi sixhobo, izicwili zomzimba wakho ziqala ukukhula zijikeleze sona. Emva kweenyanga ezintathu ukuya kwezintandathu, esi sixhobo sigqunywe ngokupheleleyo zizicwili zentliziyo, sibe yinxalenye yodonga lwentliziyo.
Nangona kunjalo, masithi i-PFO yakho inkulu kuneemilimitha ezingama-25. Kwimeko enjalo, ugqirha wakho unokugqiba ekubeni enze utyando oluvulekileyo endaweni yale ndlela `(Catheter)`. Nangona kunjalo, iimeko ezinjalo azixhaphakanga kakhulu.
Kukweziphi iimeko apho olu nyango lufunekayo?
Uninzi lwabantu abane-PFO abadingi naluphi na unyango. Nangona kunjalo, kwezinye iimeko, ingakumbi ukuba ihlwili legazi linokudlula emngxunyeni liye ebuchotsheni lize libangele iingxaki, ugqirha unokucebisa olu nyango.
| Xa unyango lokuvalwa kwe-PFO lunokucetyiswa | |
|---|---|
| I-Cryptogenic Stroke | Ingakumbi ukuba umntu oselula ukhe waba neestroke ezininzi ngolu hlobo. |
| Uhlaselo lwe-Ischemic oluThutyana (TIA) | Oku kufana ne-mini-stroke. Ukuba oku kuyenzeka kwakhona. |
| Ukuncipha kwamanqanaba eoksijini egazini | Kwezinye iimeko, i-PFO inokubangela amanqanaba aphantsi eoksijini egazini. |
| Iintloko ezibuhlungu | Kukho ubungqina bokuba i-PFO inxulunyaniswa nezinye iimeko ezibuhlungu zentloko ebuhlungu. |
| Ihlwili legazi liyahamba | Ukuba ihlwili legazi lidlule kwi-PFO laza laya kwelinye icandelo lomzimba. |
Ulungiselela njani ngaphambi konyango?
Kuya kufuneka wenze uvavanyo oluninzi ngaphambi kolu nyango.
- I-X-reyi yesifuba
- Iskeni sentliziyo (i-Echocardiogram)
- Uvavanyo lwe-ECG (i-Electrocardiogram)
- Uvavanyo lwegazi oluninzi
Ukongeza, uza kuxelelwa ukuba uqale ukuthatha amayeza anjenge -aspirin kunye ne-clopidogrel ukuthintela ukuqhekeka kwegazi. Ugqirha wakho uza kukuxelela umhla ochanekileyo omele uqale ngawo ukuthatha la mayeza. Ngexesha lonyango, uza kunikwa namanye amayeza okuthintela ukuqhekeka kwegazi.
Indlela unyango olusebenza ngayo inyathelo ngenyathelo
Olu nyango ludla ngokuthatha malunga neyure okanye ezimbini. Nantsi into eyenzekayo xa lugqityiwe:
1. Ukuba ndindisholo: Okokuqala, kunikwa i-anesthetic yendawo ukuze kuthintelwe indawo engaphakathi kwesisu apho kuza kufakwa khona i-catheter. Ngamanye amaxesha, i-anesthesia eqhelekileyo ingasetyenziswa ukuba kuyimfuneko.
2. Ukusikwa okuncinci: Kwenziwa ukusikwa okuncinci kakhulu kwindawo yempundu.
3. Ukufaka i-catheter: I-catheter ifakwa kumthambo omkhulu wegazi nge-incision.
4. Ukuya entliziyweni: Emva koko, i-catheter ifuduselwa entliziyweni ngononophelo olukhulu.
5. Imifanekiso: Idayi ekhethekileyo ifakwa entliziyweni ukuze ijongwe ngokusondeleyo kwaye kuthathwa imifanekiso ye-X-ray (i-Angiography). Kwakhona, iskena sangaphakathi kwentliziyo (i-Ultrasound) sisetyenziselwa ukulinganisa ubungakanani obuchanekileyo be-PFO.
6. Linganisa umngxuma:Kufakwa i-catheter enebhaluni ekhethekileyo, ivuthelwe umoya, kwaye ubungakanani obuchanekileyo bomngxuma buyalinganiswa.
7. Ukufakwa kwesixhobo: Ngoku isixhobo sokuvala i-PFO sidluliselwa kwi-catheter siye entliziyweni size sibotshelelwe emacaleni ukuze sivale umngxuma.
8. Ukuqinisekisa indawo: Kwenziwa olunye uphononongo (iTransthoracic Echocardiogram) ukujonga ukuba isixhobo sikhona na.
9. Ukugqitywa: Ukuba yonke into ilungile, i-catheter isuswa ngononophelo.
Kwenzeka ntoni emva konyango?
Emva konyango, kuya kufuneka uphumle ebhedini malunga neeyure ezi-6. Mhlawumbi uya kukwazi ukuya ekhaya ngokuhlwa okanye kusasa. Nazi ezinye izinto ekufuneka uzikhumbule emva kokuba ugodukile:
- Ungahamba ngenyawo, kodwa ungahambi ngokukhawuleza.
- Musa ukuqhuba iintsuku ezimbini.
- Musa ukuphakamisa ubunzima obungaphezulu kweekhilogram ezili-10 (malunga ne-4.5 kg) kangangeveki.
- Musa ukwenza umthambo onzima kangangenyanga.
- Ngokwesiqhelo ungabuyela kwimisebenzi yakho yesiqhelo kwisithuba seveki. Nangona kunjalo , kubalulekile ukuxoxa ngayo yonke le nto nogqirha wakho uze ulandele imiyalelo yakhe.
Uza kunikwa amayeza oza kuwasebenzisa ekhaya. Kuya kufuneka uthathe i-aspirin okanye ezinye izinto zokunciphisa igazi yonke imihla kangangeenyanga ezi-6 nangaphezulu. Uza kuxelelwa ukuba uthathe amayeza okubulala iintsholongwane ngaphambi kokuba kwenziwe ezinye iinkqubo zonyango, ezifana nokucoca amazinyo. Ugqirha wakho uza kukuchazela konke oku.
Zithini iingenelo kunye neengozi zoku?
Iinzuzo
- Ingathintela istroke kwixesha elizayo apho kungekho sizathu sifumanekayo.
- Awuyi kuva esi sixhobo emzimbeni wakho.
- Ayizukushiya isilonda esikhulu.
- Izinto ezenziwe ngazo esi sixhobo sele zibonakalisiwe ukuba zikhuselekile kakhulu.
Iingozi
Olu nyango lukhuselekile kakhulu xa lwenziwa ngugqirha onamava, kodwa njengakwezinye iinkqubo zonyango, kukho iingozi ezithile.
- Ukubetha kwentliziyo okungaqhelekanga (i-Atrial Fibrillation).
- Amahlwili egazi.
- Ukopha okanye usulelo kwindawo ye-catheter.
- Isixhobo siyahamba ukusuka kwindawo yaso yokufakelwa (oku kwenzeka rhoqo).
- Abantu abangaphezu kweminyaka engama-60 ubudala banamathuba amancinci okuba neengxaki.
Ukuba ufumana naziphi na iimpawu ezingaqhelekanga, ezinje ngokudumba, iintlungu ezigqithisileyo, ukopha, okanye umkhuhlane kwindawo yokufaka i-catheter, kufuneka wazise ugqirha wakho ngoko nangoko .
Umyalezo Wokuya Ekhaya
- I-PFO ngumngxuma omncinci entliziyweni abantu abaninzi abanawo kwaye idla ngokuba yingozi.
- Olu nyango lokuvalwa kwe-PFO lwenziwa kuphela ukuthintela iimeko ezithile zomngcipheko ezifana ne-stroke.
- Le yindlela yonyango ekhuselekileyo engadingi kuhlinzwa okukhulu kwaye idla ngokwenziwa nge-catheter.
- Emva konyango, kubaluleke kakhulu ukuthatha amayeza anikwe ngugqirha ngexesha, ngendlela emiselweyo, nokulandela imiyalelo yakhe.
- Ngaphambi kokuba uthathe isigqibo sokuba olu nyango lukulungele na, thetha nogqirha wakho ngononophelo, uqonde okulungileyo nokungalunganga, uze wenze isigqibo enivumelana ngaso nobabini.
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