Xa ugqirha wakho wayekuxelela nge-pacemaker, okanye xa wawujonga ingxelo ye-heart scan, ngaba wakhankanya igama elithi "Right Atrial Appendage"? Ngaba waziva usoyika okanye udidekile xa wawusiva? Ngaba wacinga, "Owu Thixo wam, yintoni le sifo sitsha?" Kuqhelekile kakhulu ukuvakalelwa ngaloo ndlela. Kuba ligama ekungekho namnye kuthi okhe waliva kakhulu. Kodwa akukho sizathu sokoyika. Kulula kakhulu. Masithethe ngale nto namhlanje, ngokungathi abahlobo ababini bathetha, ngaphandle komthwalo.
Ngamafutshane, yintoni le Right Atrial Appendage (RAA)?
Khawuthelekelele ukuba intliziyo yethu ifana nendlu encinci enamagumbi amane. Amagumbi amabini akumgangatho ophezulu wale ndlu abizwa ngokuba yi-atria, kwaye amagumbi amabini akumgangatho osezantsi abizwa ngokuba yi-ventricles. Igumbi elikwicala lasekunene lale mgangatho ophezulu, oko kukuthi , i-atrium yasekunene, yinxalenye encinci efana nengxowa ephuma kancinci kwi-atrium yasekunene, esiyibiza ngokuba yi-Right Atrial Appendage (RAA). Le yinxalenye yentliziyo ngokwayo, ayisiyonto intsha.
"Kutheni ke ngoko oogqirha bethetha ngale nto?" usenokuba uzibuza. Isizathu esiphambili kukuba xa abanye abantu befuna ukufakwa i-pacemaker, kulula kakhulu kwaye kukhuselekile ukubeka intambo encinci ebizwa ngokuba yi-lead kwi-RAA. Oku kungenxa yokuba i-RAA ikufutshane kakhulu neziko eliphambili elithumela imiqondiso yombane entliziyweni, i-SA node (i-node ye-sinoatrial) . Ke ngoko, xa intambo ye-pacemaker ibekwe apho, umsebenzi wentliziyo unokulawulwa ngempumelelo enkulu.
Kulungile, ngoko ke le nxalenye incinci ibonelela ngenkonzo enjani?
Le ngxowa incinci ebizwa ngokuba yi-RAA nayo inomsebenzi obalulekileyo emzimbeni wethu. Xa umthamo wegazi emzimbeni wethu unyuka ngequbuliso, inani legazi eliza entliziyweni nalo liyakhula. Emva koko iindonga zale RAA ziqala ukunwebeka.
Cinga ngayo njengebhaluni egcwele amanzi. Njengoko ibhaluni ikhula njengoko amanzi esanda, i-RAA nayo iyancipha kancinci njengoko igazi lisanda.
Xa iindonga zifinyela ngale ndlela, i-RAA ikhupha uhlobo oluthile lweproteni, olubizwa ngokuba yi -Natriuretic Peptides . Ezi proteni zinika imiqondiso emzimbeni wethu yokuba, "Kulungile, ngoku sinolwelo oluninzi emzimbeni wethu, kufuneka silunciphise kancinci." Ezi proteni ziyandisa imithambo yegazi yethu kancinci, kwaye zinika imiqondiso kwizintso ukuba zincede zikhuphe ityuwa namanzi amaninzi ngomchamo. Le nkqubo ibuyisela umthamo wegazi onyukileyo kunye noxinzelelo lwegazi kwisimo esiqhelekileyo. Ngamafutshane, oku kufana nomlawuli woxinzelelo lwendalo emzimbeni wethu.
Ijongeka njani kwaye ivakala njani le RAA?
Le yindawo encinci kakhulu. Malunga neesentimitha ezi-3 zesikwere, elingana kabini nobukhulu bezinzipho zethu zesithupha. Kodwa into emangalisayo kukuba, ayingomntu wonke ofanayo. Njengobuso bethu kunye neminwe yethu, inokwahluka kumntu nomntu. Kukho iimilo ezimbalwa eziphambili ezichongiweyo ngoogqirha.
- Imilo yomlomo weparrot: Le yeyona milo ibonwa kakhulu.
- Imo yentloko yehashe: I-RAA yabanye abantu imilo ngolu hlobo.
- Imilo efana ne-anvil: Ifana nemilo yetrapezoid.
- Isikhephe: Simile okwesikwere.
- Imilo engachazwanga: Ngamanye amaxesha oku kunokubekwa ngendlela engeyoyayo nayiphi na imilo.
Nokuba le milo injani na, ayidli ngokuba nampembelelo ingako. Nangona kunjalo, oogqirha baxhalabile ngale milo ngexesha lotyando lwentliziyo.
Iimeko kunye neempawu ezinokuchaphazela i-RAA
I-RAA ayisoloko iyingxaki enkulu. Nangona kunjalo, ngamanye amaxesha inokuchaphazeleka ziimeko ezithile zempilo. Kwakhona, iimpawu esizifumanayo kwezi meko zifana kakhulu nezo zifunyanwa kwezinye iingxaki zentliziyo.
| Imeko yempilo enokwenzeka | Ingcaciso elula |
|---|---|
| I-Atrial Fibrillation (i-Afib) | Kulapho amagumbi aphezulu entliziyo (i-atria) aqala ukubetha ngokukhawuleza, ngokungathi ayashukuma. Oku kunokubangela ukuhamba kwegazi okungahambelaniyo, kwaye amahlwili egazi anokwenziwa kwi-RAA. Nangona kunjalo, amahlwili egazi awafane avele apha xa kuthelekiswa ne-left atrium appendage. |
| Ukulimala ngengozi | Kwinto efana nengozi enkulu yemoto, ukubetheka kakhulu esifubeni kunokonakalisa i-RAA. |
| I-Aneurysm | Okwenzekayo koku kukuba udonga lwe-RAA luyabuthathaka kwaye luvuthuluka njengebhaluni. Oku kukwayinto engaqhelekanga kakhulu. |
Iimpawu ezinokuthi zivakale kwimeko enjalo
| Uphawu | Indlela onokuziva ngayo |
|---|---|
| Iintlungu zesifuba | Intlungu ifana nentlungu eqinayo nenciphayo esifubeni. |
| Ukudinwa | Ukuziva udiniwe kakhulu nangona ungenzanga nto. |
| Ubunzima bokuphefumla (i-Dyspnea) | Kuvakala ngathi uyafuthaniseka, kunzima ukuphefumla. |
| Isiyezi | Ukuziva unesiyezi kunye namehlo aluhlaza okwesibhakabhaka. |
Eyona nto ibalulekileyo kukuba, ukuba unayo nayiphi na kwezi mpawu, musa ukucinga nje ukuba, "Le kumele ukuba yingxaki nge-RAA." Eyona nto ingcono onokuyenza kukubona ugqirha ngokukhawuleza uze ufumane unobangela ochanekileyo.
Ugqirha uyivavanya njani i-RAA?
Ukuba ugqirha wakho urhanela i-RAA emva kokuva ngeempawu zakho, kukho iimvavanyo ezikhethekileyo ezininzi zokujonga imeko yayo.
| Igama lovavanyo | Ngamafutshane, wenza ntoni ngale nto? |
|---|---|
| I-Transesophageal Echocardiogram (TEE) | Oku kukwayi-echo scan. Kodwa oku akwenziwa esifubeni. Isixhobo esincinci esifana nekhamera sifakwa ngomlomo, sidluliselwe emqaleni, kwaye imifanekiso ithathwa kufutshane kakhulu nentliziyo. Le ndlela ingabona iindawo ezincinci ezifana ne-RAA ngokucacileyo. |
| I-CT yentliziyo (i-Computed Tomography) | Olu luvavanyo olukhethekileyo olusebenzisa ii-X-ray. Lunokuvelisa umfanekiso wentliziyo onemilinganiselo emithathu (3D). Oku kunceda kakhulu ekuboneni imo kunye nobukhulu be-RAA, kunye nokuba kukho na amahlwili egazi apho. |
| I-Transthoracic Echocardiogram (TTE) | Oku yinto esiyazi njenge-echo scan. Kwenziwa ngokubeka isixhobo phezu kwesifuba. Kunokunika umbono olungileyo wokusebenza kwentliziyo iyonke. |
Ziziphi iindlela zonyango zeengxaki ezinxulumene ne-RAA?
Iindaba ezimnandi zezokuba nokuba kukho ingxaki nge-RAA, inokunyangeka. Ugqirha wakho uya kumisela unyango olufanelekileyo ngokusekelwe kwimeko yakho.
- Ii-Anticoagulants: Ukuba kuye kwavela amahlwili egazi kwi-RAA, la mayeza anikwa ukuze anyibilikise loo mahlwili aze athintele ukwakheka kwamahlwili amatsha.
- Unyango lwe-Ablation: Ukuba unobangela we-Atrial Fibrillation (Afib) sisicwili esinxulunyaniswa ne-RAA, inkqubo ekhethekileyo inokutshabalalisa eso sicwili kwaye ibuyisele isigqi sentliziyo esiqhelekileyo.
- Utyando: Ukuba i-RAA yonakele ngenxa yengozi, kunokufuneka utyando ukuze kulungiswe inxalenye eyonakeleyo.
Ndingayigcina njani intliziyo yam kunye ne-RAA isempilweni?
Le yeyona nxalenye ibalulekileyo. Akukho nto ikhethekileyo enokuyenza kwi-RAA. Xa sinyamekela intliziyo yethu yonke, yonke inxalenye yentliziyo, kuquka ne-RAA, ihlala isempilweni. Ngoko ke simele senze ntoni?
- Zilolonge ubuncinane imizuzu eli-150 ngeveki: Yenza into oyithandayo, njengokuhamba ngokukhawuleza, ukubaleka, okanye ukudada.
- Yitya ukutya okunempilo kwentliziyo: Faka iziqhamo, imifuno, iimbotyi, iinkozo ezipheleleyo, kunye nentlanzi ekutyeni kwakho. Nciphisa ukutya okuneoyile eninzi, ityuwa, kunye neswekile kangangoko unako.
- Kuphephe ukutshaya ngokupheleleyo: Umonakalo owenziwa kukutshaya entliziyweni mkhulu kakhulu.
- Lawula uxinzelelo: Phumla ingqondo yakho ngokwenza izinto ezinje ngokucamngca, i-yoga, okanye ukuzibandakanya kwinto oyithandayo.
- Lawula ezinye izifo: Ukuba unezifo ezifana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu, landela imiyalelo kagqirha wakho kwaye uzilawule kakuhle.
Xa ukongeza ezi zinto zilula ebomini bakho, intliziyo yakho iya kukubulela.
Umyalezo Wokuya Ekhaya
- I-Right Atrial Appendage (RAA) yinxalenye eqhelekileyo nesempilweni yentliziyo yakho. Ayisosifo sitsha.
- Oku kudla ngokuxoxwa ngako kwiimeko ezikhethekileyo, njengaxa kufakelwa i-pacemaker.
- Iingxaki nge-RAA azixhaphakanga, kodwa kukho unyango olusebenzayo kuzo.
- Eyona ndlela ilungileyo yokukhusela i-RAA yakho kukugcina intliziyo yakho isempilweni. Oko kuthetha ukutya kakuhle, ukuzilolonga, nokuphepha imikhwa emibi.
- Ukuba unemibuzo, amathandabuzo, okanye uloyiko ngentliziyo yakho, musa ukucinga ngayo wedwa, thetha ngokukhululekileyo nogqirha wakho . Uza kukuchazela yonke into.
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