Ithumba lentliziyo? Ngaba lingasuswa ngotyando? (Utyando lokususa ithumba lentliziyo) Masiqaphele

Nabani na ova igama elithi "ithumba lentliziyo" uyoyika kancinci, akunjalo? Kuqhelekile ukuba noloyiko kwaye ukhathazeke xa usiva loo mazwi. Kodwa ungakhathazeki. Eyona nto ibalulekileyo kukuba uninzi lwala mathumba akhula entliziyweni awanawo umhlaza. Namhlanje, kweli nqaku, siza kuthetha ngamathumba entliziyo, utyando oluwasusayo, kwaye sizame ukufumana iimpendulo kwimibuzo emininzi onokuba nayo.

Yintoni utyando lokususa umhlaza wentliziyo?

Ngamafutshane, le yinkqubo yezonyango eyinkimbinkimbi kakhulu. Ibandakanya ukususwa kwethumba entliziyweni yakho ngotyando. Olu tyando lubaluleke kakhulu ukuba kukho umngcipheko weengxaki ezibangelwa yithumba elingelona umhlaza (elingengomhlaza).

Ngamanye amaxesha, kuxhomekeke kuhlobo lwethumba onalo, unokufuna utyando lokulungisa umonakalo entliziyweni yakho okanye kwenye yeevalvu zayo. Ugqirha wakho uza kukuchazela oku.

Yintoni kanye kanye ithumba lentliziyo?

Ithumba lentliziyo likhula ngaphakathi entliziyweni yakho. Ezi zinokuba ziithumba zentliziyo eziphambili. Oku kuthetha ukuba ezi thumba zivela entliziyweni ngokwayo kwaye azisasazekanga kwenye indawo emzimbeni.

Iintlobo ezimbini zeentlobo ze-tumor zentliziyo eziphambili yi -myxoma kunye ne-papillary fibroelastoma . Nangona ezi zi-growths ezingezizo umhlaza, zinokuchaphazela ukusebenza kweevalvu zentliziyo. Ngaphezu koko, zonyusa umngcipheko wokuba igazi liqhekeke kwaye lihambe ngemithambo yegazi, nto leyo ebangela i-embolism okanye i-stroke. Ke ngoko, ugqirha wakho unokucebisa ukuba kususwe i-tumor ngotyando.

Iithumba zentliziyo ezinomhlaza, ezibizwa ngokuba zii-sarcomas , azixhaphakanga kakhulu, kwaye utyando alusetyenziswa rhoqo njengonyango.

Ngaba ithumba lingasuswa ngokwenene entliziyweni?

Ewe, kwiimeko ezininzi, oogqirha botyando banokususa ngokupheleleyo ithumba entliziyweni. Utyando lokususa ithumba elingengomhlaza, njenge-myxoma kunye ne-papillary fibroelastoma, luphumelele kakhulu .

Nangona kunjalo, ezinye izimila ezingengomhlaza kunye nezimila ezinomhlaza zinokuba nzima ukuzisusa. Kwiimeko ezinjalo, oogqirha botyando basusa uninzi lwezimila kangangoko kunokwenzeka (ukususwa kwenxalenye). Oku kunokunceda ekunciphiseni iimpawu zakho kwaye kuphucule umgangatho wobomi bakho. Kwezinye iimeko, utyando lusenokungenzeki. Kwimeko enjalo, ugqirha wakho unokucebisa ezinye iindlela zonyango okanye unyango lokudambisa iintlungu.

Ngubani odinga olu tyando?

Ungadinga utyando ukuba ugqirha wakho ucinga ukuba iingenelo zotyando zingaphezulu kweengozi. Ugqirha wakho unokuthi akucebise ukuba:

• Ukuba ithumba libangela iimpawu .
• Ukuba iphazamisana nokusebenza kwentliziyo ngokuqhelekileyo .
• Ukuba ubeka umngcipheko wakho weengxaki ezinje ngokuqhekeka kwegazi okanye isifo sohlangothi.
• Ukuba ithumba likhula ngokukhawuleza .

Oogqirha basusa njani ithumba entliziyweni?

Indlela yesintu yokususa iithumba zentliziyo kukutyanda ngentliziyo evulekileyo. Nangona kunjalo, ngenxa yenkqubela phambili kwisayensi yezonyango, iindlela ezingafunekiyo ngoku ziyafumaneka ezifuna ixesha elincinci lokuchacha.

Iithumba zentliziyo azixhaphakanga kakhulu. Ngenxa yoko, utyando lokususa ezo thumba aluxhaphakanga njengezinye iintlobo zotyando lwentliziyo. Yiyo loo nto kubaluleke kakhulu ukufuna unyango kwisibhedlele esikhulu esinamava kwezi ntlobo zotyando. Iqela loogqirha botyando liza kuhlola imeko yakho kwaye ligqibe ngohlobo lotyando olulungele wena.

Utyando lwentliziyo oluvulekileyo lwendabuko

Le ndlela ivumela ugqirha ukuba abone intliziyo yakho kunye namalungu angqongileyo ngokuthe ngqo ngelixa esenza utyando. Oku kuquka ukwenza utyando olude phakathi kwesifuba sakho. Oku kubizwa ngokuba yi-median sternotomy ngokwezonyango.

Uza kulaliswa ubuthongo obunzulu phantsi kwe-anesthesia ukuze ungaziva nto ngexesha lotyando. Uza kuqhagamshelwa nomatshini we-cardiopulmonary bypass . Lo matshini uthatha okwethutyana umsebenzi wentliziyo yakho kunye nemiphunga ngexesha lotyando. Oku kuvumela ugqirha ukuba atyande intliziyo engashayiyo, engashukumiyo.

Ugqirha wotyando uyayisusa ithumba aze, ukuba kuyimfuneko, aphinde akhe iindawo ezonakeleyo zentliziyo. Ngokuxhomekeke kubungakanani bempembelelo yethumba entliziyweni, olu lwakhiwo lungabandakanya ukulungiswa kwevalvu okanye ukutshintshwa kwevalvu.

Utyando lwentliziyo olungenabungozi kangako

Kwenziwa imingxunya emincinci kakhulu , endaweni yokusikwa okude phakathi kwesifuba njengakwinkqubo yotyando lwentliziyo evulekileyo.Le ndlela ibandakanya ukusebenzisa imingxunya emininzi ukufikelela entliziyweni nokususa ithumba. Nangona kunjalo, le ndlela ikwafuna i-anesthesia kunye nomatshini wentliziyo nemiphunga.

Utyando lwentliziyo oluncediswa yirobhothi

Olu lukwaluhlobo lotyando olungenabungozi kangako. Oogqirha benza olu tyando besebenzisa ubuchwepheshe be-endoscopic kwaye abavuli isifuba.

Kule nkqubo, ugqirha wenza imingxunya emincinci emininzi kwiimbambo zakho. Ngala mingxunya, kufakwa izixhobo ezinamathele kwiingalo zerobhothi. Iintshukumo zezi ngalo zerobhothi zilawulwa zizandla zogqirha. Ubuchwepheshe obukhethekileyo bekhamera buvumela ugqirha ukuba abone ngaphakathi kwentliziyo ngokucacileyo kulo lonke utyando.

Kwenzeka ntoni ngaphambi kotyando?

Iqela lakho lezonyango liza kukunika imiyalelo yendlela yokulungiselela utyando, kwaye kubaluleke kakhulu ukulandela loo miyalelo ngokuchanekileyo.

• Nokuba kufuneka wenze naluphi na utshintsho kumayeza owasebenzisayo.
• Kufuneka uzile ukutya (ungatyi okanye usele) ukususela ngobusuku bangaphambi kotyando.
• Ukuba uyatshaya, kufuneka uyeke ukutshaya kwiiveki ezimbalwa ngaphambi kotyando. Oku kubalulekile ukunciphisa umngcipheko weengxaki.

Kwakhona, iqela lezonyango liza kwenza uvavanyo olunye okanye ngaphezulu ukuze lifumane umfanekiso ocacileyo wethumba kunye nentliziyo yakho. Iindidi zovavanyo onokufuna ukuzenza zezi:

• I-CT scan (i-computed tomography - i-CT scan)
• I-angiogram yeCoronary
• I-Echocardiogram
• Iskeni ye-MRI (Umfanekiso we-Magnetic resonance - Iskeni ye-MRI)

Kwenzeka ntoni emva kotyando?

Emva kotyando, uza kugcinwa kwigumbi labagula kakhulu (ICU) usuku olunye okanye ngaphezulu, apho uza kubekwa esweni ngokusondeleyo. Emva koko, uza kudluliselwa kwigumbi eliqhelekileyo. Inani leentsuku oza kuhlala esibhedlele liza kuxhomekeka kuhlobo lotyando olwenzileyo kunye nokuba ululame ngokukhawuleza kangakanani. Kuya kwahluka kumntu nomntu. Iqela lezonyango liza kukwazisa ngemeko yakho kwaye likuxelele ukuba ungaya nini ekhaya.

Ziziphi iingenelo kunye neengozi zalo tyando?

Njengakwezinye iindlela zotyando, kukho iingenelo neengozi. Kubalulekile ukuxoxa ngale nto ngokukhululekileyo nogqirha wakho.

Linjani ixesha lokuchacha?

Ixesha lakho lokuchacha lixhomekeke kwizinto ezifana nohlobo lotyando olwenzileyo kunye nempilo yakho iyonke. Ugqirha wakho uza kukunika imiyalelo ethile aze akuxelele into omawuyilindele. Ngokubanzi, ungachacha ngokukhawuleza emva kotyando lwerobhothi kunasemva kotyando lwentliziyo oluvulekileyo. Uninzi lwabantu lunokubuyela kwimisebenzi eqhelekileyo kwaye lusebenze ngokukhawuleza nje ukuba luzive lunamandla.

Emva kotyando, kubalulekile ukulandela imiyalelo kagqirha wakho ngokungqongqo malunga noko umele ukwenze noko ungamele ukwenze ngexesha lokuchacha.

Ndifanele ndiphinde ndimbone ugqirha kwakhona?

Ugqirha wakho uza kukuxelela ukuba zeziphi iimpawu ekufuneka uziqaphele xa ululama. Nangona kuqhelekile ukuba uzive ungakhululekanga, kubalulekile ukuba uqaphele iimpawu ezinokubonisa ingxaki, njengosulelo.

Ukuba uza kutyandwa ukuze kususwe ithumba lentliziyo, usenokuba nemibuzo emininzi engqondweni yakho. Usenokuzibuza ukuba kuza kwenzeka ntoni emva kotyando, amathuba akho okusinda ixesha elide, njl. Khumbula, uhambo lomntu wonke lwezonyango lwahlukile. Izibalo zibonisa icala elinye kuphela lebali. Musa ukuthandabuza ukuthetha nogqirha wakho okanye nabani na kwiqela lakho lezonyango malunga nemibuzo okanye iinkxalabo onokuba nazo.