Xa ugqirha wakho ekuxelela okanye umntu omaziyo ukuba unethumba lentliziyo, ungaziva uloyiko olukhulu kunye nokothuka. Kuqhelekile ukuba nemibuzo eliwaka engqondweni yakho, efana nokuthi, 'Owu Thixo wam, ithumba lentliziyo? Ingaba ngumhlaza? Ndenze ntoni ngoku?' Kodwa ungakhathazeki. Yiloo nto sithetha ngayo namhlanje. Makhe sijonge ngokulula ukuba ithumba lentliziyo liyintoni kanye kanye, ukuba lunjani utyando, kunye nayo yonke into ekufuneka uyazi ngayo.
Yintoni kanye kanye ithumba lentliziyo?
Ngamafutshane, ithumba lentliziyo kukukhula okungaqhelekanga kweeseli ezakha ngaphakathi kwentliziyo okanye eludongeni lwentliziyo. Ezi zinokwahlulwa zibe ziintlobo ezimbini eziphambili. Enye yithumba eliqala entliziyweni ngokwayo, esilibiza ngokuba ziithumba zokuqala. Olunye uhlobo yithumba elenzeka kwenye indawo emzimbeni (umzekelo, emiphungeni ) lize lisasazeke entliziyweni.
Kodwa iindaba ezimnandi apha zezokuba ngaphezulu kwe-90% yeethumba eziqala entliziyweni azinawo umhlaza. Ngokwezonyango, sizibiza ngokuba 'ziingxaki'. Oku kuthetha ukuba ezi thumba azisasazeki kwezinye iindawo zomzimba (i-metastasis). Nje ukuba zisuswe ngotyando, akukho mpembelelo kubomi bomguli.
Amaxesha amaninzi, izimila ezingezizo ezomhlaza ezifana ne -myxoma okanye i-papillary fibroelastoma ziyabonakala. Nangona ezi zingezizo ezomhlaza , zinokubangela iingxaki.
- Zinokuphazamisana nokusebenza kweevalvu zentliziyo.
- Kwakhona, ukuba iziqwenga ezincinci zezi thumba ziyaqhekeka zize zihambe ngemithambo yegazi , zenze ihlwili legazi lize livale umthambo wegazi engqondweni, imeko enzima efana nestroke inokwenzeka.
Ngenxa yale ngozi, oogqirha bacebisa ukuba kususwe la mathumba ngotyando. Ii-Sarcomas zentliziyo azixhaphakanga kakhulu, kwaye utyando aluxhaphakanga kubo.
Ngubani ofuna ukwenza olu tyando?
Ngoku usenokuba uzibuza, "Ngaba ndiyaludinga ngokwenene olu tyando?" Iqela lakho lezonyango liza kucebisa utyando kuphela ukuba liqinisekile ukuba iingenelo zotyando zingaphezulu kweengozi zokungatyandwa. Utyando luhlala luqwalaselwa kwezi meko zilandelayo:
- Ukuba ufumana iimpawu ezifana nobunzima bokuphefumla kunye nentlungu yesifuba ngenxa yesi sifo .
- Ngenxa yesimilaUkuba ukusebenza kwentliziyo okuqhelekileyo kuyaphazamiseka .
- Njengoko kukhankanyiwe apha ngasentla, kukho umngcipheko omkhulu weengxaki ezinkulu ezifana nokuqhekeka kwegazi (i-embolism) okanye i-stroke .
- Ukuba ithumba likhula ngokukhawuleza , njengoko kubonwa kuvavanyo lwezonyango.
Ungayisusa njani ithumba lentliziyo? Ziziphi iindlela zotyando?
Ngenxa yokuba utyando lokususa ithumba entliziyweni lunzima kakhulu, ludla ngokwenziwa kwizibhedlele ezinkulu nezixhotyiswe kakuhle ngamaqela oogqirha abanolwazi olukhethekileyo namava kweli candelo. Baza kuhlola imeko yakho baze bagqibe ukuba loluphi utyando olukulungeleyo. Kukho iindlela ezimbini eziphambili zotyando.
| Indlela yotyando | Indlela yokwenza oko |
|---|---|
| Utyando lweNtliziyo evulekileyo | Le yindlela yendabuko. Olu tyando lwenziwa ngokwenza utyando olude oluthe nkqo phakathi kwesifuba (Median Sternotomy) kunye nokuvula umngxuma wesifuba. Oku kuvumela ugqirha ukuba abone intliziyo kunye nezicubu ezingqongileyo ngokucacileyo. Ufakwe i-anesthesia ngokupheleleyo kwaye uqhagamshelwe kumatshini we-cardiopulmonary bypass osebenza okwethutyana endaweni yentliziyo kunye nemiphunga yakho. Oku kuvumela ugqirha ukuba atyande intliziyo eyekile ukubetha kwaye imile. Ithumba liyasuswa kwaye, ukuba kuyimfuneko, iindawo ezonakeleyo ziyalungiswa. |
| Utyando Olungena Ngobuninzi | Le yindlela entsha nephucukileyo. Endaweni yokwenza umngxuma omkhulu phakathi kwesifuba, oku kwenziwa ngokusika okuncinci okuliqela phakathi kweembambo. Xa kusetyenziswa utyando oluncediswa yirobhothi , kufakwa ikhamera kunye nengalo yerobhothi ngezi zigcawu zincinci, ezilawulwa ngononophelo ngugqirha xa ejonge isikrini sekhompyutha. Kule ndlela, kwenziwa i-anesthesia kunye noqhagamshelo kumatshini wentliziyo nemiphunga. |
Utyando olungenabungozi kangako lubangela ukuba iintlungu zingabi ninzi, amanxeba amancinci, kunye nokuchacha ngokukhawuleza kunye nokubuyela ngokukhawuleza kubomi obuqhelekileyo.
Kwenzeka ntoni ngaphambi nasemva kotyando?
Ukulungiselela ngaphambi kotyando
Iqela lakho lezonyango liza kukulungiselela kakuhle ngaphambi kotyando. Kubaluleke kakhulu ukuba ulandele imiyalelo yabo ngokuchanekileyo.
- Amayeza: Usenokucelwa ukuba uyeke amanye amayeza owasebenzisayo ngoku (ingakumbi amayeza okunciphisa igazi) kwiintsuku ezimbalwa ngaphambi kotyando.
- Ukuzila Ukutya: Uza kucelwa ukuba uyeke ngokupheleleyo ukutya nokusela ukususela ezinzulwini zobusuku ngaphambi kotyando (ukuzila ukutya).
- Ukutshaya: Ukuba ungumntu otshayayo, ngokuqinisekileyo kufuneka uyeke ukutshaya kwiiveki ezimbalwa ngaphambi kotyando ukuze unciphise iingxaki.
Ukongeza, iimvavanyo ezininzi ezifana ne-CT scan, i-Echocardiogram (uvavanyo lwe-echo), kunye ne-MRI scan zinokwenziwa ukuze kufunyanwe umfanekiso ocacileyo wethumba kunye nentliziyo.
Emva kotyando
Emva kotyando, uza kugcinwa kwigumbi lokhathalelo olunzulu (ICU) usuku olunye okanye ngaphezulu ukuze ujongwe ngokusondeleyo. Emva koko uza kudluliselwa kwigumbi eliqhelekileyo. Inani leentsuku oza kuhlala kuzo esibhedlele liya kwahluka ngokuxhomekeke kwinqanaba lokuchacha kwakho kunye nohlobo lotyando olwenzileyo.
Zithini iingenelo kunye neengozi?
Njengalo naluphi na utyando, olu lunezibonelelo kunye neengozi.
| Iinzuzo | Iingozi |
|---|---|
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Okubaluleke kakhulu, iindlela zotyando ezingangenisi kakhulu zinokunciphisa uninzi lwale mingcipheko. Thetha nogqirha wakho malunga neengozi ezithile ezinxulumene notyando lwakho.
Ufanele ubize ugqirha nini ngoko nangoko
Kuqhelekile ukuba ube nokungonwabi kunye nentlungu xa ubuyela ekhaya emva kotyando. Kodwa ukuba ufumana naziphi na kwezi mpawu, fowunela ugqirha wakho okanye isibhedlele ngoko nangoko .
- Intlungu yesifuba engapheziyo ngokuhamba kwexesha kwaye iyanda ngamandla.
- Ifiva.
- Ukucaphuka nokuhlanza okungapheliyo.
- Ubunzima bokuphefumla.
- Ukuba utyando lubomvu, ludumbile, okanye lukhupha ubovu (ezi ziimpawu zosulelo).
- Ukuba ubonisa iimpawu zestroke, ezifana nokuthetha okungacacanga okanye ukugoba kwelinye icala lobuso bakho, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko .
Umyalezo Wokuya Ekhaya
- Uninzi lweethumba ezikhula entliziyweni azinawo umhlaza (azinabungozi). Zinganyangeka ngokupheleleyo ukuba zisuswe ngotyando.
- Kukho iintlobo ezimbini zotyando: utyando lwentliziyo evulekileyo kunye notyando olungenabungozi kangako. Iqela lakho lezonyango liya kugqiba ukuba loluphi uhlobo olulungele wena.
- Utyando lwerobhothi olungenamikrwelo mininzi alunabuhlungu kangako kwaye lunokuphola ngokukhawuleza.
- Ukuba unemibuzo okanye izinto ezikuxhalabisayo malunga notyando, musa ukuzigcina kuwe, kodwa thetha ngokukhululekileyo nogqirha wakho. Baza kukuchazela yonke into.
- Ukulandela imiyalelo yezonyango kanye emva kotyando kubalulekile ukuze uphile ngokukhawuleza.
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