Ngaba uyazi ngale nxalenye incinci yentliziyo yakho? – I-Right Atrial Appendage

Sonke siyazi ukuba intliziyo yethu sisitho esimangalisayo kakhulu. Kodwa kusenokwenzeka ukuba awuzange uve okuninzi ngezinye zeendawo ezincinci zale ntliziyo. Ngoko ke, namhlanje siza kuthetha ngenxalenye encinci yentliziyo engenabantu abaninzi abathetha ngayo, kodwa idlala indima ebaluleke kakhulu. Elo lilungu elifanelekileyo le-atrial , okanye ngesiNgesi elithi `(Right Atrial Appendage)`, okanye `(RAA)` ngamafutshane. Mhlawumbi uliva eli gama okokuqala. Kodwa ungakhathazeki, masithethe ngalo ngokulula.

Yintoni i-Right Atrial Appendage?

Ngamafutshane, i-"Right Atrial Appendage" okanye i-"RAA" yinxalenye encinci yentliziyo yakho efana nengxowa ephuma kancinci kwigumbi eliphezulu lentliziyo yakho, ebizwa ngokuba yi-right atrium. Usenokuba ukhe weva ngale nto ngaphambili, ingakumbi ukuba ugqirha ukuxelela ukuba ufake i-"pacemaker lead", ucingo oluncinci oluqhagamshela kwi-pacemaker, kwi-atrium yakho yasekunene.

Cinga ngale `(RAA)` njengepokotho encinci kwihempe yethu. Isithuba esincinci ngaphandle kwehempe ephambili. Kukho isizathu esithile sokuba oogqirha bathande ukufaka iingcingo ze-pacemaker kule `(RAA)`. Esinye kukuba le `(RAA)` kulula kakhulu ukuyifikelela. Enye into kukuba le `(RAA)` ikufutshane kakhulu ne `(SA node)`, okanye `(sinoatrial node)`, ethumela imiqondiso yombane eyenza intliziyo yethu ibethe. Ngoko ke kubaluleke kakhulu ekusebenzeni kakuhle kwe-pacemaker.

Le nxalenye yentliziyo ingaqhelekanga ngamanye amaxesha inokukubangela iingxaki. Kodwa iindaba ezimnandi zezokuba, kukho unyango lwale `(RAA)`, njengokuba kunjalo nakwezinye iindawo zentliziyo.

Kwenzeka ntoni ngale RAA? (Umsebenzi we-RAA)

Ngoku masibone ukuba le `(RAA)` incinci yenza ntoni ngokwenene. Omnye wemisebenzi yayo ephambili kukuba xa umthamo wegazi lethu unyuka, oko kukuthi, xa ubungakanani begazi emzimbeni bunyuka ngaphezu kokufunekayo, iindonga zale `(RAA)` ziqala ukunwebeka. Emva koko, le `(RAA)` ikhupha uhlobo oluthile lweproteni ebizwa ngokuba yi `natriuretic peptides` .

Ezi khemikhali zibizwa ngokuba yi-"natriuretic peptides" zenza izinto ezibaluleke kakhulu:

• Imithambo yakho yegazi iyavuleka kancinci.
• Inceda ekususeni ityuwa namanzi agqithisileyo emzimbeni wakho ngomchamo.

Le nkqubo inceda ekunciphiseni umthamo wegazi lakho kunye noxinzelelo lwegazi. Yicinge njengombhobho omncinci okhupha amanzi angaphezulu xa itanki yamanzi ekhayeni lakho igcwele.

Iphi i-RAA? (Indawo ye-RAA)

``I-Right Atrial Appendage`` yakho ikwindawo ephezulu ye-atrium yasekunene yentliziyo yakho. Ngokuchanekileyo, ikwindawo ekufutshane ne -``superior vena cava`` yakho, umthambo wegazi omkhulu. Le ``(RAA)`` yinxalenye efana nomjelo eyolulela phezulu phakathi kwe-atrium yasekunene kunye ne-ventricle yasekunene.

Zithini iindawo ze-RAA? Ijongeka njani ? (I-RAA Anatomy kunye neNkangeleko)

Ukuba ujonga ulwakhiwo lwangaphakathi lwale `(RAA)`, ifana nebhegi enomngxuma ovumela igazi ukuba lingene liphume. Umphezulu wangaphakathi we `(RAA)` urhabaxa kancinci. Isizathu soku kukuba kukho imiqolo yemisipha ebizwa ngokuba yi `terminal crest` kunye ne `musculi pectinati` . Ezi zifana nemiqolo emincinci kumphezulu.

Ngokuphathelele ubungakanani, abaphandi bathi indawo yale `(RAA)` imalunga neesentimitha ezi-3 zesikwere (oko kukuthi malunga nesiqingatha sesentimitha yesikwere). Ukuvulwa kwe`(RAA)` kumalunga neesentimitha ezi-2 ububanzi (ngaphantsi kancinci kune-intshi enye).

Okumangalisayo kukuba le `(RAA)` inokuba ne-płatka enye (lobe) okanye ii-płatki ezininzi, ngamanye amaxesha zide zibe zintandathu. Oko kuthetha ukuba ayingomntu wonke ofana ne-`(RAA)`.

Zeziphi iimilo ezinokubonwa kwi-RAA? (IiMilo ze-RAA)

Abaphandi bafumanise iintlobo ezahlukeneyo ze-`(RAA)`. Nazi ezinye zazo:

• Imilo yesikwere (imilo yomlomo weparrot): Le yeyona milo ixhaphakileyo. Ifana nomlomo weparrot.
• Imilo yecala elinamacala amane: Ifana nemilo yentloko yehashe.
• Imilo yeTrapezoid: Ifana nemilo ye-anvil.
• Imilo enxantathu: Njengeseyile ekwisikhephe esihamba ngesikhephe.
• Imilo engachazwanga: Ezinye zazo kunzima ukuzichaza ngendlela echanekileyo.

Ukongeza kwezi ntlobo ziphambili, abaphandi bafumanise ezi ntlobo zincinci. Akumangalisi na ukuba le nxalenye incinci yentliziyo yethu inokwahluka kangaka?

Ziziphi iimeko kunye neengxaki eziqhelekileyo ezichaphazela i-RAA?

Njengakwezinye iindawo zentliziyo, kukho iimeko ezininzi zempilo ezinokuchaphazela i-RAA. Ezinye zazo zezi:

• I-Atrial Fibrillation (Afib): Le yintliziyo engaqhelekanga. Le meko inokubangela ukuba kubekho amahlwili egazi kwi-RAA. Nangona kunjalo, oku akuvamile kakhulu kwicala lasekunene xa kuthelekiswa ne-atrial appendage yasekhohlo.
• Ukwenzakala ngenxa yengozi yemoto: Kwingozi enkulu, i-RAA inokonakala ngenxa yokuchaphazeleka esifubeni.
• I-Aneurysm: Le yimeko apho umthambo ukhula kakhulu kwaye uvuthuluka njengebhaluni. I-RAA inokuba nolu hlobo lwe-aneurysm.

Kubalulekile: Ukufunyanwa kwangethuba kunye nonyango olufanelekileyo lwezi meko kubaluleke kakhulu.

Zithini iimpawu zeemeko ze-RAA?

Iimeko ezichaphazela i-appendage ye-atrial efanelekileyo (i-RAA) zinokubangela ukuba ube neempawu ezifana nezi:

• Iintlungu zesifuba
• Ukudinwa
• Ukuphefumla nzima okanye 'ukuphelelwa ngamandla'
• Isiyezi

Ukuba nje unale mpawu akuthethi ukuba unengxaki nge-RAA yakho. Zinokubangelwa nazezinye izifo zentliziyo kunye neengxaki zempilo ngokubanzi. Ke ngoko, ukuba unale mpawu, kungcono ukufuna ingcebiso kagqirha.

Ungayijonga njani imeko yempilo ye-RAA? (Uvavanyo oluQhelekileyo lwezeMpilo ye-RAA)

Kukho iimvavanyo ezininzi ezisetyenziswa ngoogqirha ukujonga impilo ye-atrial appendage yakho yasekunene (RAA):

• I-Transesophageal Echocardiogram (TEE): Olu luhlobo olukhethekileyo lwe-echocardiogram. Kolu vavanyo, ityhubhu encinci enekhamera (i-transducer probe) ifakwa emqaleni wakho iye kwi-esophagus yakho ukuze ithathe imifanekiso ecacileyo yentliziyo yakho. Oku kuvumela umbono omhle kakhulu we-RAA.
• I-Cardiac CT (Cardiac Computed Tomography) scan: Oku kusebenzisa ii-X-ray kunye netekhnoloji yekhompyutha ukuvelisa imifanekiso yentliziyo enqamlezileyo.
• I-Transthoracic Echocardiogram (TTE): Olu lolona hlobo luqhelekileyo lwe-echocardiogram. Apha, i-transducer ibekwa esifubeni sakho ukuze ithathe imifanekiso yentliziyo yakho.

Ugqirha uza kugqiba ngento omawuyenze ngezi mvavanyo ngokusekelwe kwimeko yakho.

Ziziphi iindlela zonyango zoku? (Unyango oluQhelekileyo)

Ukuba kukho ingxaki ngesixhobo esifanelekileyo se-atrial (RAA), kukho iindlela ezahlukeneyo zonyango ezinokwenzeka:

• Ii-Anticoagulants: Ukuba i-RAA yakho inokuba namahlwili egazi, uza kunikwa la mayeza okuthintela ukujiya kwegazi.
• Unyango lwe-Ablation: Ukuba ukubetha kwentliziyo okungahambelaniyo, okufana ne-atrial fibrillation, kuqala nge-RAA, unyango olubizwa ngokuba yi-ablation lunokwenziwa ukutshabalalisa izicubu ezingaqhelekanga.
• Utyando: Ukuba izicubu ze-RAA zonakele kwingozi, kunokufuneka utyando ukuze kulungiswe okanye kususwe iindawo ezonakeleyo.

Ukugqiba ukuba loluphi unyango olufanelekileyo kuwe kuxhomekeke kwizinto ezininzi, kuquka imeko yakho yempilo, ubudala, kunye nempilo iyonke.

Ndingawugcina njani umzimba wam wasekunene (RAA) usempilweni? (Ungayinyamekela njani i-RAA yakho)

Akukho nto unokuyenza ngokukodwa kwi-`(Right Atrial Appendage)` yakho. Izinto ezifanayo ozenzayo ukugcina intliziyo yakho iphilile zikwalungile kwi-`(RAA)` yakho. Ukuze intliziyo yakho ihlale iphilile, nyamekela ezi zinto:

• Zilolonge umzimba ubuncinane imizuzu eli-150 ngeveki: yenza umthambo ofana nokuhamba, ukubaleka, okanye ukudada.
• Yitya ukutya okunempilo nentliziyo: Yitya imifuno emininzi, iziqhamo, iimbotyi, iinkozo ezipheleleyo, inyama engenamafutha, kunye nentlanzi. Nciphisa ioyile, ityuwa, kunye neswekile.
• Kuphephe ukusebenzisa iimveliso zecuba: Ukutshaya kuyingozi kakhulu entliziyweni.
• Lawula uxinezeleko lwakho:Yenza izinto ezifana neyoga, ukucamngca, njl. Phumla.
• Lawula iimeko zonyango ezifana noxinzelelo lwegazi oluphezulu kunye nesifo seswekile: Sela amayeza njengoko ugqirha wakho ekuyalele.

Ngokulandela la manyathelo alula, unokugcina yonke inkqubo yakho yentliziyo isempilweni.

Okokugqibela, eyona nto ibalulekileyo (Umyalezo Wokuya Ekhaya)

Abantu abaninzi abazange beve ngegama elithi ``Right Atrial Appendage'' okanye ``RAA'' ngaphambili. Abo bane ``Afib'' basenokuba beve ngeLeft Atrial Appendage, kodwa elo likwicala lasekunene akuthethwa kakhulu ngalo.

Ukuba ufunda eli nqaku kuba uza kufakelwa i-pacemaker, into enye ekufuneka uyazi kukuba oogqirha bakhetha i-RAA njengendawo efanelekileyo yokubeka i-pacemaker. Sele sixoxe ngezizathu zoku.

Ngoko ke, ukuba uneminye imibuzo malunga nale `(RAA)`, ungathandabuzi ukuthetha nogqirha wakho. Angakunika iimpendulo ezicacileyo kuyo yonke imibuzo yakho. Khumbula, lonke ilungu elincinci lomzimba wethu linendima ebalulekileyo ekufuneka liyidlale, ngoko ke kubalulekile ukuliqaphela.

Intliziyo , i-Atrial Appendage yasekunene, i-RAA, isifo sentliziyo, i-Pacemaker, i-Atrial Fibrillation, impilo yentliziyo, i-Atrial Appendage yasekunene