Ngamanye amaxesha usenokuba uve ngomntwana owazalwa enengxaki ethile yentliziyo esemncinci. Mhlawumbi loo mntwana watyandwa ngelo xesha waza imeko yalungiswa. Kodwa xa umntwana onjalo ekhula kancinci, xa efikelela kwiminyaka emncinci, ingxaki yentliziyo eyayikho kuloo mntwana inokuphinda ivele ngendlela eyahlukileyo. Kwimeko enjalo, namhlanje siza kuthetha ngendlela yonyango ebaluleke kakhulu enokunika amandla amakhulu ebomini.
Ngoko ke, yintoni iTPVR?
Ngamafutshane, i-TPVR , okanye iTranscatheter Pulmonary Valve Replacement , yinkqubo ekhethekileyo ethatha indawo yevalvu yepulmonary engasebenzi kakuhle entliziyweni yakho, kodwa ngaphandle kokuvula isifuba sakho. Oku kuvakala kumangalisa, akunjalo? Ngokwesiqhelo, xa sicinga ngokutshintsha ivalvu yentliziyo, sicinga ngotyando lwentliziyo evulekileyo, olubandakanya ukwenza umsi omkhulu phakathi kwesifuba. Nangona kunjalo, kule nkqubo ye-TPVR, ugqirha wenza umsi omncinci kakhulu eluswini lwe-groin yakho aze enze yonke inkqubo ngayo.
Ivalvu yemiphunga lisango elilawula ukudlula kwegazi entliziyweni yethu ukuya emiphungeni yethu. Ukuba ayisebenzi kakuhle, ukuhamba kwegazi emzimbeni wonke kuya kuphazamiseka. Ngoko ke ngale ndlela, xa utshintsha ivalvu engasebenzi kakuhle ngentsha, ixesha lokuphila kwakho kunye nomgangatho wobomi bakho ziya kunyuka kakhulu. Kwakhona, kuya kunceda ukulibazisa okanye ukuthintela ngokupheleleyo isidingo sotyando olukhulu oluphindaphindwayo.
Kwenzeka ntoni ngokwenene ngolu nyango lwe-TPVR?
Cinga ukuba kwindlela yotyando lwentliziyo oluvulekileyo, oogqirha bayasika ithambo lesifuba baze badlulisele umsebenzi wentliziyo okwethutyana kumatshini (umatshini we-heart-lung bypass), baze basuse ivalvu endala baze bafake entsha. Oku kuthatha ixesha elide, kuthatha ixesha elide ukuphiliswa, kwaye kunokuba yingozi kakhulu kwabanye abaguli ukuba benze utyando olukhulu kangaka.
Kodwa indlela ye-TPVR yahlukile kakhulu. Yindlela engaphantsi kakhulu . Nantsi into eyenzekayo:
1. Ingcali yentliziyo engenelelayo yenza umngxuma omncinci kumthambo wegazi omkhulu kwi-groin yakho (i-femoral vein) aze afake ityhubhu encinci, eguquguqukayo, ebizwa ngokuba yi-catheter, ngayo.
2. Ngaphakathi kweli catheter kukho ivalvu entsha, ibhaluni encinci egobileyo.
3. Esebenzisa iindlela ezikhethekileyo ezifana ne-X-ray, ugqirha ukhokela ngononophelo le catheter kwimithambo yegazi ukuya kwindawo apho ivalvu yemiphunga ikhoyo entliziyweni.
4. Xa sele ifikile, ibhaluni iyavuthelwa. Ivalvu entsha, ebisongiwe, iyakhula ize itshayeke endaweni apho bekukhona ivalvu endala.
5. Ukususela ngelo xesha ukuya phambili, ivalvu entsha iqala ukusebenza. Ukuhamba kwegazi ukusuka entliziyweni ukuya emiphungeni kubuyiselwa kwimeko yesiqhelo.
Enye yezona nzuzo zinkulu zoku kukuba uninzi lwabantu abakhe bafumana olu nyango banokuya ekhaya ngoko nangoko. Ixesha lokuchacha lifutshane kakhulu.
Ngoko ke, kwenzeka ntoni ukuba le valve yemiphunga ayisebenzi kakuhle?
Kukho iingxaki ezimbini eziphambili ezinokwenzeka kwivalvu yepulmonary.
| Imeko yezonyango | Kalula nje... |
|---|---|
| I-Pulmonary Stenosis | Ngenxa yokuba ivalvu ayivuli kakuhle, inciphisa inani legazi elinokugeleza ngalo liye emiphungeni. Oku kubeka uxinzelelo olukhulu kwicala lasekunene lentliziyo, nto leyo enokubangela ukuba loo nxalenye ingasebenzi. |
| Ukubuyela kwesisu kwimiphunga | Ngenxa yokuba ivalvu ayivali kakuhle, igazi elimpontshelwa emiphungeni liphinda lingene entliziyweni. Oku kunokubangela uxinzelelo olukhulu entliziyweni kwaye kubangele ukuba icala lasekunene lingasebenzi. |
Ngenxa yezi meko zimbini, unokufumana iimpawu ezifana nokuphefumla kancinci (ukuphelelwa ngamandla) , ukudumba kwemilenze nesisu (ukudumba) , iintlungu zesifuba , kunye nokubetha kwentliziyo okungaqhelekanga . Ezi mpawu ziya kuncipha kakhulu emva konyango lwe-TPVR.
Ngubani olu nyango lufanelekileyo kuye?
Ukuba wazalwa unesifo sentliziyo waza watyandwa usengumntwana, kukho ithuba elihle lokuba olu nyango luza kukulungela. Kuba ivalvu eyafakwa ebuntwaneni (idla ngokuba yi-homograft) inokonakala ngokuhamba kwexesha. Emva koko iimeko ezikhankanyiweyo apha ngasentla, ezifana ne-stenosis okanye i-regurgitation, zinokubonakala kubantu abadala. Yiyo loo nto oogqirha becebisa indlela ye-TPVR kubantu abanjalo.
Le nkqubo isetyenziselwa ukunyanga ezi ngxaki zentliziyo zilandelayo:
- I-Tetralogy of Fallot: Indibaniselwano yeziphene ezine, kuquka imingxunya entliziyweni, ebangela ukuxubana kwegazi elihle nelibi.
- I-Pulmonary Atresia: Imeko apho ivalvu yemiphunga ingakheki xa izalwa.
- I-Truncus Arteriosus: Imithambo yegazi emibini ephambili evela entliziyweni (i-aorta kunye ne-pulmonary artery) idibene ukuze yenze enye.
- Ukutshintshwa kweMithambo Emikhulu: Imithambo yegazi emibini emikhulu itshintshiwe kwaye iqhagamshelwe kumacala angalunganga.
Eyona nto ibalulekileyo kukuba ugqirha wakho uya kugqiba ukuba olu nyango lukulungele na, ngokusekelwe kwimbali yakho yezonyango, imeko yempilo yangoku, kunye novavanyo olukhethekileyo oluninzi.
Kwenzeka ntoni ngaphambi nasemva konyango?
Ukulungiselela ngaphambi konyango
Ukuze abone ukuba ungayenza na i-TPVR, ugqirha wakho uza kukuxilonga ngononophelo aze enze uvavanyo loxinzelelo lomthambo. Ukongeza, ezi mvavanyo zilandelayo zinokwenziwa:
- I-Angiogram
- Iskeni ye-CT yentliziyo
- I-MRI yentliziyo
- I-Echocardiogram
- Uvavanyo lwe-ECG
Emva kokuqwalasela konke oku, ugqirha uya kugqiba ukuba sesiphi isisombululo esifanelekileyo kuwe.
Ngexesha lonyango
Uza kufakwa i-anesthesia ngaphambi kokuba unyango luqale, ngoko awuyi kuva ntlungu. Lonke olu nyango luthatha malunga neeyure ezimbini ukuya kwezintathu. Oogqirha baza kufaka i-catheter, babeke ivalvu, bajonge ukusebenza kwayo, baze bayisuse i-catheter.
Emva konyango
Uza kugcinwa esibhedlele ukuze ujongwe ubusuku bonke kwaye uza kuthunyelwa ekhaya ngosuku olulandelayo. Uza kukwazi ukuqhubeka nemisebenzi yakho yesiqhelo kwisithuba seveki.
Zithini iingenelo kunye neengozi?
Njengayo yonke imithi yezonyango, le ineenzuzo kunye neengozi ezithile.
| Iingenelo | Iingozi |
|---|---|
| Ixesha lokuchacha lifutshane. | Ihlwili legazi. |
| Umngcipheko wokosuleleka uphantsi. | Ukonakala kwemithambo yegazi. |
| Ixesha lokuhlala esibhedlele lifutshane. | Ukubetha kwentliziyo okungaqhelekanga (i-Arrhythmia). |
| Akuyi kubakho zizilonda zinkulu. | Usulelo lwentliziyo (i-Endocarditis). |
| Intlungu incinci. | Ukopha okungalindelekanga. |
Amaxesha amaninzi, iingxaki ezinzima ezifana nokuhlaselwa yintliziyo, isifo sohlangothi, okanye ukufa zinokwenzeka. Ke ngoko, kubalulekile ukuxoxa ngezinto ezilungileyo nezingalunganga ngolu nyango nogqirha wakho ngaphambi kokuba wenze isigqibo.
Ezinye izinto ezibalulekileyo ekufuneka uzazi
Ivalvu entsha ihlala ixesha elingakanani?
Oku kuxhomekeke kwimpilo yakho iyonke kunye nemeko yentliziyo yakho. Abanye abantu banokufuna olunye utyando emva kwexesha elithile. Kodwa iindaba ezimnandi zezokuba ukuba kuyimfuneko, ungafakelwa enye ivalvu ngenkqubo yeTPVR.
Ngaba kufuneka ulumke xa unyangwa ngamazinyo?
Ewe, oku kubaluleke kakhulu. Ngexesha lezinto ezinje ngokukhupha amazinyo kunye nokucoca amazinyo, iintsholongwane emlonyeni zinokungena egazini zize zidlule kulo zibangele imeko embi ebizwa ngokuba yi-endocarditis , usulelo lwevalvu yentliziyo esandul' ukufakwa. Ke ngoko, ngaphambi kokuba ufumane naluphi na unyango lwamazinyo, kufuneka ngokuqinisekileyo wazise ugqirha wakho wamazinyo ukuba ukhe wasebenzisa i-TPVR. Ungacelwa ukuba uthathe amayeza okubulala iintsholongwane ngaphambi konyango.
Ngaba kukho naziphi na iingxaki malunga nokhuseleko lwezikhululo zeenqwelo-moya?
Hayi. Ii-X-ray zesikhululo seenqwelo-moya kunye nokuhlolwa kokhuseleko akuyi kukwenzakalisa. Nangona kunjalo, ukuba ucinga nge-MRI scan, thetha nogqirha wakho kuqala.
Umyalezo Wokuya Ekhaya
- I-TPVR lunyango lwanamhlanje, olungenazo izithintelo ezininzi oluthatha indawo yevalvu yemiphunga yentliziyo ngomngxunya omncinci, ngaphandle kokuvula isifuba.
- Esi sisisombululo esilungileyo kwiingxaki zeevalvu ezenzeka besebancinci, ingakumbi kwabo batyandwe besebancinci ngenxa yesifo sentliziyo sokuzalwa.
- Akukho xesha lininzi lokuchacha, akukho xesha lininzi lokuhlala esibhedlele, kwaye akukho ntlungu ingako njengotyando lwentliziyo oluqhelekileyo.
- Njengakwezinye iindlela zonyango, kukho iingozi, ngoko ke kufuneka uxoxe ngale nto nogqirha wakho ngaphambi kokuba ugqibe ekubeni ikulungele na.
- Kubaluleke kakhulu kwimpilo-ntle yakho ukulandela imiyalelo kagqirha wakho kanye emva konyango kwaye ubone ugqirha wakho ngemihla emiselweyo.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho