Ngaba ngamanye amaxesha uziva ngathi unengxaki yokuphefumla, uzive ngathi isifuba sakho siyaxina, okanye uzive ubuthathaka xa unyuka izinyuko okanye usenza into enzima kancinci? Zininzi izizathu zezi mpawu. Esinye sezizathu eziphambili kukuqina kwemisipha yentliziyo. Ngokwezonyango, oku sikubiza ngokuba yi-'Hypertrophic Cardiomyopathy'. Ngoko ke, xa le meko kunzima ukuyilawula ngamayeza, kukho utyando olukhethekileyo olucetyiswa ngoogqirha. Namhlanje sithetha ngotyando olubizwa ngokuba yi-'Septal Myectomy'.
Ngamafutshane, kuthetha ukuthini oku kuqina kodonga lwentliziyo?
Intliziyo yethu sisitho esimangalisayo kakhulu. Ifana nendlu encinci enamagumbi amane. Kukho amagumbi amabini aphezulu (i-atria) kunye namagumbi amabini asezantsi (amagumbi). Amagumbi amabini aphambili angaphantsi kwala, oko kukuthi, amagumbi asekunene nasekhohlo, ahlulwe ludonga olukhulu embindini. Olu donga lwenziwe ngemisipha yinto esiyibiza ngokuba yi-'septum' .
Kwimeko ebizwa ngokuba yi-'Hypertrophic Cardiomyopathy', umsipha okule septum utyeba kakhulu. Khawucinge ngento enokwenzeka ukuba udonga olwahlula amagumbi amabini endlwini yakho ludumba ngequbuliso luze lutyhale elinye igumbi ngaphakathi. Yiloo nto eyenzekayo apha. Olu donga lutyebe lutyhala ngaphakathi, ingakumbi kwi- ventricle yasekhohlo, igumbi eliphambili elipompa igazi emzimbeni.
Emva koko, indlela yegazi eliphuma entliziyweni iyavalwa. Ngenxa yesi sizathu, intliziyo kufuneka isebenze nzima kunesiqhelo, phantsi koxinzelelo olukhulu, ukupompa igazi liye kuwo wonke umzimba. Yiyo loo nto iimpawu esithethe ngazo ngaphambili, ezinje ngokuphefumla kancinci kunye nentlungu yesifuba, ziqala ukubonakala. Le meko inokuba yinto yokuzalwa kwabanye abantu, okanye inokuvela kamva ebomini.
Ngubani ofuna utyando lweSeptal Myectomy?
Asinguye wonke umntu onesi sifo odinga utyando. Ugqirha wakho uza kuqala azame ukulawula iimpawu ngamayeza. Nangona kunjalo, kwezinye iimeko, utyando lolona sisombululo silungileyo.
- Kwabo bangakwaziyo ukulawula iimpawu ngamayeza: Ukuba iimpawu ezifana neentlungu zesifuba, ubunzima bokuphefumla, kunye nesiyezi azinakulawulwa ngamayeza, ugqirha wakho unokuqwalasela olu tyando.
- Kwabo banodonga lwentliziyo oluqinileyo kakhulu (i-septum): Nangona abanye abantu bengenazo iimpawu ezininzi, olu tyando luyacetyiswa ukuba i-septum ityebile kakhulu kwaye ibangela ukuvaleka okukhulu kokuhamba kwegazi.
- Kwabasetyhini abanethemba lokukhulelwa:Ukuba umfazi onesi sifo unethemba lokukhulelwa, nokuba iimpawu azikho qatha kakhulu, olu tyando ngamanye amaxesha luyacetyiswa. Ngenxa yokuba uxinzelelo entliziyweni luyanda ngexesha lokukhulelwa, kukhuselekile ukususa olu thintelo kwangethuba.
Yintoni omele uyenze ngaphambi kotyando?
Ngaphambi kotyando, ugqirha uza kwenza uvavanyo oluninzi ukuze ahlolisise kakuhle imeko yentliziyo yakho. Akukho nto inokubangela uxhalabo. Oku kwenziwa ukuze kufunyanwe lonke ulwazi olufunekayo ukuze kwenziwe utyando ngokukhuselekileyo nangempumelelo kangangoko.
| Uvavanyo | Ngamafutshane, kutheni usenza njalo? |
|---|---|
| Uvavanyo lwegazi | Jonga impilo yomzimba ngokubanzi kwaye nokuba kukho naziphi na ezinye iingxaki. |
| I-ECG (i-Electrocardiogram) | Jonga umsebenzi wombane wentliziyo uze ufunde ngesingqisho sentliziyo. |
| I-Echocardiogram (I-Echo) | Thatha ividiyo yentliziyo uze ulinganise ngokuchanekileyo ubukhulu bamagumbi entliziyo, iivalvu kunye neendonga zayo. |
| I-MRI yentliziyo | Thatha imifanekiso ecacileyo neneenkcukacha zentliziyo uze uchonge indawo yemisipha etyebileyo. |
| Ukucoca Intliziyo | Ityhubhu encinci idluliselwa ngemithambo yegazi iye entliziyweni ukujonga uxinzelelo ngaphakathi entliziyweni kunye nokuba kukho naziphi na izithintelo kwimithambo yegazi. |
Ukongeza, ukuba uthatha nawaphi na amayeza, afana ne -blood thinners, ugqirha wakho uya kukuxelela ukuba uyeke ukuwasebenzisa kwiintsuku ezimbalwa ngaphambi kotyando.Ukuba ungumntu otshayayo, ukuyeka ngaphambi kotyando kuya kukunceda kakhulu ukuba uphile.
Lwenziwa njani utyando?
Olu lutyando lwentliziyo evulekileyo. Kodwa ngobuchwepheshe banamhlanje, olu tyando lwenziwa ngempumelelo nangokukhuselekileyo.
1. I-Anesthesia: Okokuqala, uza kufakwa i-anesthesia ngokupheleleyo. Oku kuthetha ukuba awuyi kuva ntlungu ngexesha lotyando, kwaye uza kuba sebuthongweni obunzulu.
2. Utyando: Ugqirha wenza utyando phakathi kwesifuba, ngethambo lesifuba (sternum) macala omabini, ukuze afikelele entliziyweni.
3. Umatshini wentliziyo nemiphunga: Emva koko, uza kuqhagamshelwa 'kumatshini wentliziyo nemiphunga'. Lo matshini uza kwenza umsebenzi wentliziyo nemiphunga yakho ngexesha lotyando.
4. Ukususwa kwemisipha: Emva koko, ugqirha otyandayo usika aze asuse inxalenye yemisipha ye-septum etyebileyo ngokungeyomfuneko. Oku kuvula kwakhona ukuhamba kwegazi okuvalekileyo.
5. Isiphelo: Emva koko ukhutshiwe kumatshini wentliziyo nemiphunga, i-sternum yakho ibekwe endaweni yayo, kwaye ukusika kwesifuba kuvalwa ngezitishi ezinyibilikayo.
Olu tyando lonke ludla ngokuthatha malunga neeyure ezintathu ukuya kwezine .
Kwenzeka ntoni emva kotyando?
Emva kotyando, uza kungeniswa ngqo kwiYunithi yoKhathalelo oluPhezulu (ICU). Apho, oogqirha kunye nabongikazi baza kujonga imeko yakho ngokusondeleyo. Usenokuba ne-catheter yomchamo okanye i-drain yesifuba endaweni yayo usuku olunye okanye ezimbini, kodwa ungakhathazeki ngazo.
Kwisithuba seentsuku ezimbini, ngoncedo logqirha wezonyango, kufuneka ukwazi ukuvuka ebhedini uze uqale ukuhambahamba kancinci. Uninzi lwabantu luhlala esibhedlele ngaphantsi kweentsuku ezintlanu . Kuqhelekile ukuziva udiniwe okwethutyana emva kokuba ubuyele ekhaya. Uza kuphinda ufumane amandla akho aqhelekileyo kwiiveki ezimbalwa.
Ziziphi iingenelo kunye neengozi zalo tyando?
Njengalo naluphi na utyando, olu luneengenelo kunye neengozi ezincinci kakhulu.
| Iingenelo eziphambili | Iingozi ezinokubakho |
|---|---|
| Iimpawu ezifana neentlungu zesifuba (i-Angina) kunye nokuphefumla okukhawulezileyo (i-Dyspnea) ziyaphela phantse ngokupheleleyo. | Ukuqokelelana kolwelo olujikeleze intliziyo okanye imiphunga. |
| Ukukwazi ukusebenza ngaphandle kokudinisa intliziyo. | I-Atrial fibrillation (ukuphazamiseka kwesigqi sentliziyo). |
| Ukukwazi ukuphila njengomntu oqhelekileyo nosempilweni ubomi bonke. | Ukuphazamiseka kwemiqondiso yombane yentliziyo (ukuvimba kwentliziyo). |
Ezi ngozi azisebenzi kuwo wonke umntu. Ngokukodwa, umngcipheko unokwanda kancinci kubantu abanezinye iingxaki zentliziyo, abantu abatshayayo, kunye nabo baneminyaka engaphezu kwama-65 ubudala. Kodwa ngokubanzi, iSeptal Myectomy lutyando olunezinga eliphezulu lempumelelo (ngaphezulu kwama-94%).
Ndifanele ndimbone nini ugqirha emva kotyando?
Emva kokuba ubuyele ekhaya, kubaluleke kakhulu ukufowunela ugqirha wakho ngokukhawuleza ukuba kukho naziphi na iimpawu zeengxaki.
- Iingxaki ezinxulumene namanxeba: Ukuba indawo ejikeleze inxeba lotyando ibomvu kakhulu, idumbile, okanye ivakalelwa kukufudumala.
- Umkhuhlane: Ukuba unomkhuhlane ongaphezulu kwama-38 Celsius (100.4 Fahrenheit) kwi-thermometer.
- Ukwanda kobunzima: Ukuba ubunzima bakho bunyuka ngequbuliso ngaphezu kwe-2.5 kg (5 lbs) kwisithuba seveki (oku kungaba luphawu lokugcinwa kolwelo).
Ukuba ufumana into efana nale, musa ukoyika, kodwa yazisa ugqirha wakho ngoko nangoko.
Umyalezo Wokuya Ekhaya
- 'I-Septal Myectomy' lutyando lwentliziyo oluvulekileyo olwenzelwa 'i-Hypertrophic Cardiomyopathy', isifo apho izihlunu zentliziyo ziqina khona.
- Olu tyando ludla ngokwenziwa kubantu abaneempawu ezingenakulawuleka ngamayeza.
- Olu tyando lubandakanya ukususa izicubu zemisipha eziqinileyo ezithintela ukuhamba kwegazi entliziyweni.
- Olu lutyando oluphumelele kakhulu, kwaye kukho isiqabu esikhulu kwiimpawu emva kotyando.
- Nangona olu lutyando olukhulu, iziphumo zilungile kakhulu. Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngononophelo ngaphambi nasemva kotyando.
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