Ngaba ngamanye amaxesha uziva ngathi unesiva sokuba unzima esifubeni sakho, uziva ngathi uxinezelekile esifubeni sakho, okanye uzive ngathi utyhafile xa unyuka izinyuko, ubaleka ibhasi, okanye uziva ngathi uza kuphelelwa ngamandla? Usenokucinga ukuba oku kukudinwa okuqhelekileyo, kodwa ngamanye amaxesha kunokuba yingxaki yentliziyo ebizwa ngokuba yiHypertrophic Cardiomyopathy . Ungakhathazeki, namhlanje sithetha ngotyando oluphumelele kakhulu olubizwa ngokuba yiSeptal Myectomy , olwenziwa njengonyango lwale meko. Njengokuchazela umhlobo, masithethe ngayo yonke into ngokulula.
Okokuqala, masibone ukuba yintoni le nto kuthiwa yiHypertrophic Cardiomyopathy?
Ukuze sikuqonde oku ngokulula, masithelekise intliziyo yethu nempompo yamanzi. Umsebenzi wempompo kukutsala amanzi ngemibhobho size siwathumele kuyo yonke indlu. Intliziyo yethu injalo, owona msebenzi wayo uphambili kukupompa igazi emzimbeni wethu.
Kukho amagumbi amane aphambili entliziyweni yethu.
- Sibiza amagumbi amabini aphezulu ngokuthi yi-atria (ekunene nasekhohlo).
- Sibiza amagumbi amabini angaphantsi kwentliziyo ngokuthi zii-ventricles (ekunene nasekhohlo).
Ukuchaneka, kukho udonga lwemisipha olwahlula amagumbi asekhohlo nasekunene ngezantsi. Oku sikubiza ngokuba yi-septum . Kwi-hypertrophic cardiomyopathy, olu donga luphakathi kwentliziyo, luba lukhuni ngendlela engaqhelekanga kunesiqhelo.
Khawucinge ukuba kuya kwenzeka ntoni ukuba umbhobho okwimpompo yamanzi uvalekile? Indawo yokuba amanzi ahambe iyancipha, kwaye ipompo kufuneka isebenze nzima kakhulu ukutyhala amanzi aphume. Yiloo nto eyenzekayo nalapha. Le septum iyaqina ize iphume iye kwi-ventricle yasekhohlo. Emva koko indlela yokuba igazi liphume kwi-ventricle yasekhohlo, igumbi eliphambili elimpompa igazi lisuka entliziyweni liye emzimbeni, iyavalwa. Ngenxa yoku, intliziyo kufuneka isebenze nzima kakhulu (isebenze kakhulu) kunesiqhelo ukupompa inani legazi elifunekayo emzimbeni wonke.
Le meko inokuba sisifo sentliziyo sokuzalwa kwabanye abantu. Oku kuthetha ukuba bazalwa benale ngxaki. Kwabanye, inokuvela kamva ebomini.
Ngoko ke yintoni le tyando ibizwa ngokuba yiSeptal Myectomy?
Ngamafutshane, iSeptal Myectomy lutyando lwentliziyo oluvulekileyo apho ugqirha wentliziyo ekhupha aze asuse inxalenye etyebileyo engaqhelekanga yodonga lwentliziyo (septum).
Njengokucoca indlela ngokususa ukuvaleka kombhobho wamanzi, emva kolu tyando, ukuvaleka kokuhamba kwegazi entliziyweni kuyasuswa. Emva koko intliziyo inokupompa igazi ngokulula emzimbeni wonke ngaphandle kokuvaleka. Le yeyona njongo iphambili yolu tyando.
Ngubani ocebisa olu tyando?
Ngokwesiqhelo, ugqirha akalucebisi olu tyando ngoko nangoko. Baqala bazama ukulawula iimpawu ngokunika amayeza. Nangona kunjalo,
- Kwabo baneempawu (ezifana nokuphefumla kancinci, iintlungu zesifuba) ezingenakulawulwa ngamayeza.
- Kwabo banodonga oluqinileyo kwicala lasekhohlo lentliziyo, nto leyo ebangela ukuvaleka okukhulu kwegazi .
- Abafazi abane-Hypertrophic Cardiomyopathy abaceba ukukhulelwa (nokuba iimpawu azikho qatha, olu tyando lunokucetyiswa njengenyathelo lokuthintela njengoko intliziyo ifakwa phantsi koxinzelelo olongezelelekileyo ngexesha lokukhulelwa).
Kukwimeko ezinje apho ugqirha aza kuthetha nawe aze agqibe kwelokuba olu tyando lolona khetho lufanelekileyo.
Yintoni omele uyenze ngaphambi kotyando?
Ugqirha wakho uza kukunika yonke imiyalelo oyifunayo ngaphambi kotyando. Akukho nto ibalulekileyo onokuyenza, kodwa kukho izinto ezithile ekufuneka uzazi.
- Ukuba uthatha nawaphi na amayeza, afana ne -blood thinners , ungacelwa ukuba uyeke ukuwasebenzisa kwiintsuku ezimbalwa ngaphambi kotyando.
- Ukuba ungumntu otshayayo , kubaluleke kakhulu ukuzama ukuyeka ngaphambi kotyando, kuba ukutshaya kuphazamisa inkqubo yokuphiliswa.
Ukongeza, kuza kwenziwa uvavanyo oluninzi ukuze kuhlolwe ngokuchanekileyo imeko yentliziyo yakho. Olu vavanyo lwenziwa ukuze kubonwe ukuba intliziyo yakho ikulungele kangakanani na ngaphambi kotyando.
| Uvavanyo | Ngamafutshane, wenza ntoni ngayo? |
|---|---|
| Uvavanyo lwegazi | Izinto ezifana nempilo yakho ngokubanzi, ukusebenza kwezintso kunye nesibindi ziyajongwa. |
| I-X-reyi yesifuba | Jonga imo kunye nobukhulu bentliziyo kunye nemiphunga. |
| I-Electrocardiogram (ECG) | Umsebenzi wombane wentliziyo, oko kukuthi, isingqisho sentliziyo, siyajongwa. |
| I-Echocardiogram (I-Echo) | Oku kufana nokuskena kwentliziyo. Kungabona ngokucacileyo indlela amagumbi entliziyo, iindonga, kunye neevalvu ezisebenza ngayo, ukuba iindonga zinobukhulu kangakanani, nokuba kukho naziphi na izithintelo ekuhambeni kwegazi. |
| I-MRI yentliziyo | Olu vavanyo lwenziwa ukuze kufunyanwe imifanekiso ecacileyo neneenkcukacha zemisipha yentliziyo. |
| Ukucoca Intliziyo | Uvavanyo apho ityhubhu encinci idluliselwa ngemithambo engalweni okanye emlenzeni ukuya entliziyweni ukujonga ukuvaleka kwemithambo yegazi yentliziyo kunye noxinzelelo ngaphakathi entliziyweni. |
Indlela olu tyando lwenziwa ngayo inyathelo ngenyathelo
Ekubeni olu lutyando lwentliziyo evulekileyo, uza kunikwa i-anesthesia jikelele. Oku kuthetha ukuba awuyi kuva ntlungu, uza kuba sebuthongweni obunzulu. Awuyi kuva nto ukususela ekuqaleni kotyando kude kube sekupheleni.
Emva kokuba ulele, iqela lotyando liza kulandela la manyathelo:
1. Ukufikelela entliziyweni: Ugqirha wenza utyando oluthe nkqo embindini wesifuba sakho, wahlula ngononophelo isifuba (sternum) kubini ukuze afikelele entliziyweni.
2. Ukudibanisa nomatshini wentliziyo nemiphunga: Okulandelayo, uza kudityaniswa nomatshini wentliziyo nemiphunga . Lo matshini uyamangalisa. Ngexesha lotyando, umsebenzi wentliziyo nemiphunga yakho, ohambisa igazi emzimbeni wonke kwaye wongeza ioksijini egazini, wenziwa okwethutyana ngulo matshini. Oku kuvumela ugqirha ukuba amise intliziyo aze enze utyando kwindawo ezolileyo, engenagazi.
3. Ukususa inxalenye etyebileyo: Ngoku kuza inxalenye ephambili. Ugqirha uza kuyinqumla ngononophelo inxalenye engaphezulu yemisipha yodonga olutyebileyo (septum) yentliziyo. Oku kwenziwa kuphela ngokomlinganiselo ofunekayo ukususa uthintelo lokuhamba kwegazi.
4. Ukulumla: Emva kokuba utyando luphelile, uza kukhutshelwa ngaphandle komatshini wentliziyo nemiphunga, kwaye intliziyo yakho iza kuqala ukusebenza yodwa kwakhona.
5. Ukuvala isikhewu:Ekugqibeleni, i-sternum ibotshelelwe kwakhona kwaye i-incision yesifuba ivalwe ngezititshi ezinyibilikayo.
Lonke utyando ludla ngokuthatha malunga neeyure ezintathu okanye ezine .
Kwenzeka ntoni emva kotyando?
Emva kotyando, uza kungeniswa ngqo kwiYunithi yoKhathalelo oluNzulu (ICU) , apho izinga lentliziyo yakho kunye noxinzelelo lwegazi ziya kuhlolwa ngokusondeleyo.
- Kwiiyure zokuqala ezingama-24-48, usenokuba ne-catheter yomchamo kunye netyhubhu yokukhupha amanzi esifubeni ukuze ukhuphe ulwelo olugqithisileyo. Ungakhathazeki ngezi zinto, zezokwexeshana.
- Emva kweeyure ezingama-48, uza kuqala ukuhamba kancinci ngoncedo logqirha wezonyango.
- Uninzi lwabantu luhlala esibhedlele ngaphantsi kweentsuku ezintlanu, emva koko banokugoduka.
Ziziphi iingenelo kunye neengozi zalo tyando?
Njengakwezinye iindlela zotyando, kukho iingenelo kunye neengozi ezincinci. Nangona kunjalo, iSeptal Myectomy lutyando oluphumelele kakhulu nolungenamngcipheko uphezulu.
| Iingenelo eziphambili zotyando | |
|---|---|
| Ukunyamalala kweempawu | Emva kotyando, iimpawu ezifana nokuphefumla kancinci (ukuphelelwa ngamandla), iintlungu zesifuba (i-angina), kunye nokuquleka (i-syncope) ziya kuphela phantse ngokupheleleyo. Uya kukwazi ukuphila ubomi obusebenzayo kwakhona. |
| Ukuba nempumelelo ephezulu | Olu tyando luphumelele kakhulu. Ngokutsho kolunye uphando, ama-94% abantu abaye benza utyando baye bafumana isiqabu kwiimpawu zabo. |
| Iziphumo zexesha elide | Iziphumo zolu tyando zihlala ixesha elide. Emva kotyando, ubomi besigulane bufunyenwe bufana nobomntu ophilileyo oqhelekileyo. |
| Iingxaki ezinokwenzeka (Iingozi) - (Ezi aziqhelekanga) | |
|---|---|
| Ukwakheka kolwelo olujikeleze intliziyo okanye imiphunga | Ngamanye amaxesha ulwelo lunokuqokelelwa lujikeleze intliziyo okanye imiphunga. Oku kunganyangwa ngamayeza. |
| I-Atrial Fibrillation | Ukubetha kwentliziyo ngendlela engacwangciswanga. Oku kunokulawulwa rhoqo ngamayeza. |
| Ibloko lentliziyo | Ukuphazamiseka kwemiqondiso yombane yentliziyo. Oku kunokubangela ukubetha kwentliziyo okungahambelaniyo (i-arrhythmias). Kwezinye iimeko ezingaqhelekanga, i-pacemaker inokufuneka ifakwe njengonyango. |
Khumbula, umngcipheko wezi ngxaki uyanda kubantu abanezinye iingxaki zentliziyo, abantu abatshayayo, kunye nabo baneminyaka engaphezu kwama-65 ubudala. Kumntu ophilileyo, lo mngcipheko uphantsi kakhulu.
Uza kuziva njani ngexesha lokuchacha?
Uza kuqala ukuziva ungcono kakhulu kwiintsuku okanye iiveki ezimbalwa emva kotyando. Uza kubona umahluko njengoko izinto ezifana nokuphefumla kancinci ziphela.
- Ekuqaleni, usenokuva intlungu encinci okanye ukuxinana esifubeni sakho, kodwa akufuneki kube nzima ukuyinyamezela.
- Kuqhelekile ukuziva udiniwe kancinci kwaye ungenawo amandla emva kotyando, kodwa amandla akho aza kubuyela esiqhelweni kwiiveki ezimbalwa.
Ufanele uye nini kugqirha?
Kubaluleke kakhulu ukujonga ukuba uphilile na emva kokuba ubuyele ekhaya. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, kufuneka uqhagamshelane nogqirha wakho ngoko nangoko .
| Iimpawu ekufuneka uziqaphele | |
|---|---|
| Iingxaki ezinxulumene nokusika | Ukuba kukho ukubomvu okungaqhelekanga, ukudumba, okanye ubushushu obujikeleze indawo yotyando (incision). |
| Ifiva | Ukuba ubushushu bomzimba bunyuka ngaphezu kwe -100.4 Fahrenheit (38 Celsius) . |
| Ukutyeba kwakho | Ukuba ngequbuliso unyuka ngaphezu kwe-2.5 kg (iikhilogram ezi-5) zobunzima ngeveki (oku kungaba luphawu lokugcinwa kolwelo). |
| Ubunzima bokuphefumla | Ukuba ngequbuliso ufumana ubunzima bokuphefumla okanye iintlungu esifubeni. |
I-Septal Myectomy lutyando olukhulu. Kodwa lunyango oluphumelele kakhulu nolutshintsha ubomi be-Hypertrophic Cardiomyopathy. Emva kolu tyando, uya kukwazi ukuphila ubomi obuqhelekileyo ngaphandle koloyiko, ngaphandle kokudinwa, kwakhona. Ukuba unezi mpawu, ungathandabuzi ukuthetha nogqirha wakho, wenze uvavanyo olufunekayo, kwaye ubuze okungakumbi ngale nto.
Umyalezo Wokuya Ekhaya
- I-Septal Myectomy lutyando lwentliziyo oluvulekileyo olwenzelwa imeko ye -Hypertrophic Cardiomyopathy , apho udonga lwentliziyo lujiyile ngendlela engaqhelekanga.
- Olu tyando lubandakanya ukusika inxalenye eyongezelelweyo yodonga lwentliziyo olujiyileyo, ukususa umqobo wokuhamba kwegazi entliziyweni.
- Olu tyando ludla ngokucetyiswa kwabo baneempawu ezingenakulawuleka ngamayeza.
- Le yinkqubo ephumelele kakhulu, engenamngcipheko mkhulu. Uninzi lwabantu lufumana ukukhululeka ngokupheleleyo kwiimpawu emva kwenkqubo.
- Ukuchacha emva kotyando kuthatha iiveki ezininzi, kwaye kubaluleke kakhulu ukulandela imiyalelo yezonyango ngelo xesha.
- Ukuba ufumanisa naziphi na iimpawu ezingaqhelekanga, ezinje ngokudumba kwesilonda, umkhuhlane, okanye ukunyuka kobunzima ngequbuliso, yazisa ugqirha wakho ngoko nangoko.
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