Cinga ngentliziyo yakho njengempompo yamanzi. Ngaphakathi kule mpompo, kukho iingcango ezincinci ezinceda ukuthumela igazi kwicala elinye kuphela. Sizibiza ngokuba "ziivalufu." Ngamanye amaxesha enye yezi ngcango isenokungavaleki kakuhle kwaye isenokuvuleka kancinci. Emva koko, elinye igazi ebelifanele ukuba liye phambili liyavuza libuya. Ngokufanayo, ucango oluphakathi kwamagumbi aphezulu nasezantsi kwicala lasekunene lentliziyo yethu, i-'Tricuspid Valve', aluvaleki kakuhle kwaye igazi liyavuza libuya, nto leyo esiyibiza ngokuba yiTricuspid Valve Regurgitation .
Ngamafutshane, kwenzeka njani oku?
Ukuze siyiqonde ngcono le meko, makhe sijonge indlela esebenza ngayo ivalvu ye-tricuspid entliziyweni yethu.
Ivalvu ye-tricuspid ilawula ukuhamba kwegazi ukusuka kwigumbi eliphezulu (Right Atrium) kwicala lasekunene lentliziyo yethu ukuya kwigumbi elisezantsi (Right Ventricle). Le valve ineeflaps ezintathu. Xa intliziyo ifinyela (systole), ezi flaps ziyavaleka kakhulu, zithintela igazi ukuba lingabuyeli kwigumbi eliphezulu. Xa intliziyo iphumla kwakhona (diastole), ezi flaps ziyavuleka, zivumela igazi ukuba lingene kwigumbi elisezantsi.
Nangona kunjalo, kumntu onevalvu ye-tricuspid evuzayo, xa intliziyo ifinyela, la ma-flaps awavali ngokupheleleyo. Kusele isithuba esincinci. Ngoko ke, elinye igazi ekufanele ukuba liye emiphungeni livuza libuyela kwigumbi eliphezulu.
Into ebalulekileyo kukuba uninzi lwabantu lunokuba nokuvuza okuncinci kakhulu (Trace/Trivial Regurgitation). Oku kuqhelekile, akubangeli monakalo, kwaye akukho zimpawu. Nangona kunjalo, ukuba oku kuvuza kuphakathi okanye kukhulu, intliziyo kufuneka isebenze nzima.
Ziziphi iintlobo eziphambili zale meko?
Ukuvuselelwa kwevalvu yeTricuspid kunokwahlulwahlulwa zibe ziintlobo ezintathu eziphambili.
| Uhlobo | Intsingiselo |
|---|---|
| Eyokuqala (Eyokuqala/Eyendalo) | Kwimeko enjalo, ingxaki ikuvalvu ngokwayo. Ivalvu ngokwayo isenokuba yonakele ngenxa yesiphene esizalwa naso (umz., i-Ebstein's anomaly), usulelo, okanye esinye isizathu. |
| Okwesibini/Okusebenza | Apha, ivalvu ikwimeko entle, kodwa ngenxa yesinye isifo sentliziyo, ivalvu ayisebenzi kakuhle. Olu lolona hlobo luxhaphakileyo. |
| Ihlukanisiwe | Oku kufana nohlobo lwesibini. Nangona kunjalo, unobangela oyintloko apha yimeko ebizwa ngokuba yi-atrial fibrillation, ebangela ukuba igumbi eliphezulu lentliziyo likhule. Ngamanye amaxesha oku kunokubangelwa kukufakwa kwe-pacemaker. |
Zithini iimpawu zale meko?
Njengoko bekutshiwo ngaphambili, ukuba unesicaphucaphu esincinci, usenokungabi nazimpawu. Nangona kunjalo, ukuba imeko iba phakathi okanye ibe mandundu, usenokuba neempawu ezithile.
Iimpawu onokuzifumana
- Ukuziva uphelelwa ngumphefumlo xa uzilolonga, uhamba, okanye usebenza.
- Ukudinwa kakhulu okanye ubuthathaka kangangeentsuku ezininzi.
- Ukudumba esiswini, emaqatheni, okanye emilenzeni (i-edema) . Oku kwenzeka xa intliziyo ingakwazi ukupompa igazi ngokufanelekileyo, nto leyo ebangela ukuba amanzi aqokeleleke emzimbeni.
Iimpawu ezinokuqondwa ngugqirha
- Ukugquma kwentliziyo sisandi esingaqhelekanga esivakalayo xa umamela intliziyo yakho nge-stethoscope.
- Ukuziva utshintsho kwindlela ukubetha kwentliziyo yakho kubetha ngayo entanyeni okanye kwisibindi sakho.
Kutheni oku kusenzeka? Zithini izizathu eziphambili?
Kwiimeko ezininzi, unobangela oyintloko wale meko kukutshintsha kwesakhiwo okwenzeka kwicala lasekunene lentliziyo. Ngamafutshane, ukuba kukho uxinzelelo oluphezulu oluqhubekayo okanye igazi elininzi elihambayo lingena kwicala lasekunene lentliziyo, amagumbi akwelo cala (i-atrium kunye ne-ventricle) aqala ukwanda.
Khawucinge ukuba ukuvulwa kocango kuya kukhulu, ucango alukwazi ukuvalwa kakuhle. Ngokufanayo, njengoko amagumbi entliziyo ekhula, i-annulus ebambe iincwadana zevalvu nayo iyanwebeka ize ikhule. Emva koko ezi ncwadana zintathu azikwazi ukuvala kakuhle. Oku sikubiza ngokuba yi-secondary regurgitation.
Izizathu zokwanda kwecala lasekunene lentliziyo:
- I-Atrial Fibrillation
- I-Cardiomyopathy - ubuthathaka bemisipha yentliziyo
- Isifo seMitha yeCoronary
- Ukubuthathaka komsebenzi wecala lasekhohlo lentliziyo (Ukusilela kweVentricle yasekhohlo)
- Uxinzelelo lwegazi oluphezulu lwemiphunga
- Iingxaki ezinzima ngeevalvu ze-mitral okanye ze-aortic zentliziyo
Kunqabile kakhulu, oku kuvuza kunokubangelwa kukonakala kwesiqu sevalvu ngokwayo. Oku sikubiza ngokuba yiUkuvuza okuphambili .
Izizathu ezinokubakho zomonakalo wesiqu sevalvu:
- Isifo sentliziyo esineRheumatic
- Usulelo lwentliziyo (i-Infective Endocarditis)
- Iziphene zokuzalwa (umz. i-Ebstein's Anomaly)
- Iingxaki zezixhobo zokufakelwa ezifana nee-pacemakers
- Unyango lwemitha esifubeni
- Ukwenzakala kakhulu esifubeni ngenxa yengozi enkulu
- Amanye amayeza
Zeziphi iingxaki ezinokubangela oku?
Ukuba le meko ayinyangwa kwaye iba nzima, inokuchaphazela amanye amalungu omzimba.
- Ukusilela Kwezintso
- Ukusilela kwesibindi
- Ukungaphumeleli kwentliziyo kwicala lasekunene
Ugqirha ufumanisa njani esi sifo kanye kanye?
Ugqirha wakho uza kuqala akuhlole. Uza kumamela intliziyo yakho nge-stethoscope aze ajonge ukubetha kwentliziyo yakho entanyeni nasesiswini.
Emva koko, uvavanyo oluphambili lokuqinisekisa isifo luvavanyo lwe-echocardiography . Oku kufana nokuskena intliziyo. Oku kunokuchonga ngokuchanekileyo izinto ezininzi, njengobungakanani bokuvuza kwevalvu, ukuba kukho utshintsho kwimo yevalvu, kunye nokuba amagumbi entliziyo akhulisiwe na.
Ukongeza, ezi mvavanyo zilandelayo zinokwenziwa ukufumana unobangela:
- Uvavanyo lwegazi
- I-X-reyi yesifuba
- Uvavanyo lwe-ECG
- I-MRI yentliziyo
Zithini iindlela zonyango zoku?
Unyango luxhomekeke kubukhulu bemeko yakho kunye nesizathu sayo. Ugqirha wakho uza kukunika isicwangciso sonyango esifanelekileyo.
1. Ukulawula iimpawu ngamayeza: Umzekelo, amayeza okukhupha ulwelo anganikwa ukunciphisa ukugcinwa kwamanzi emzimbeni.
2. Ukunyanga unobangela oyintloko: Ukuba unobangela wokuvuza luxinzelelo lwegazi oluphezulu, nyangwa, njl. Ukuba unobangela kukuhlaselwa yintliziyo, nyangwa.
3. Ukulungiswa okanye ukutshintshwa kwevalvu ngotyando: Ukuba imeko imbi kakhulu, kunokufuneka utyando ukuze kulungiswe ivalvu okanye kufakwe ivalvu entsha yokwenziwa.
4. Unyango lweTranscatheter: Ezi ziindlela zanamhlanje ezilungisa ivalvu ngaphandle kotyando, ngokungena entliziyweni ngetyhubhu efakwe ngomlenze okanye ingalo.
Singenza ntoni ukunciphisa umngcipheko?
Nangona le meko ingenakuthintelwa rhoqo, ukugcina impilo entle yentliziyo kunokunciphisa kakhulu umngcipheko.
- Ukutya okunempilo kwentliziyoLandela. (Umzekelo: Ukutya kwaseMedithera)
- Yenza umthambo ophakathi ubuncinane imizuzu eli-150 ngeveki.
- Yeka ukusebenzisa iimveliso zecuba ngokupheleleyo.
- Yeka okanye unciphise ukusetyenziswa kotywala .
- Bona ugqirha ubuncinane kanye ngonyaka ukuze uhlolwe ngugqirha .
Ufanele uye nini kugqirha?
Landela imiyalelo kagqirha wakho ngokuchanekileyo kwaye uye kwiikliniki ngexesha. Kwakhona, qaphela oku kulandelayo:
| Amathuba | Kwenziwe ntoni |
|---|---|
| Fowunela ugqirha wakho: | |
| Ukuba kuvela iimpawu ezintsha okanye iimpawu ezikhoyo ziya zisiba mandundu. | Umzekelo, ukuba unengxaki yokuphefumla okanye ukudumba kwemilenze yakho kuyakhula. |
| Ukuba iimpawu zakho ziyaphazamisana nemisebenzi yakho yemihla ngemihla. | Ukuba uziva udiniwe nasemva kokuhamba kancinci, okanye ukuba unengxaki yokunyuka izinyuko. |
| Yiya kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ngoko nangoko: | |
| Ukuba ufumana iimpawu zokuhlaselwa yintliziyo okanye isifo sohlangothi. | Oko kukuthi, iintlungu zesifuba ngequbuliso, ubunzima obukhulu bokuphefumla, kunye nokulahlekelwa zingqondo kwelinye icala lomzimba. |
| Ukuba uwe (ingakumbi ukuba ubetheke entloko) ngelixa uthatha amayeza okunciphisa igazi. | Kukho umngcipheko okhulayo wokopha ngaphakathi xa usebenzisa olu hlobo lwamayeza. |
| Emva kotyando lwentliziyo, ukuba inxeba lotyando libonisa iimpawu zosulelo. | Oko kukuthi, inxeba lisenokudumba, libe bomvu, okanye livakale lishushu xa ulichukumisa. |
Ukuqukumbela, ukubuyiselwa kwevalvu ye-tricuspid kunokuba yingxaki encinci kwabanye abantu, kwaye ibe yingozi ebomini kwabanye. Eyona nto ibalulekileyo kukufumana ingcebiso efanelekileyo yezonyango. Ugqirha wakho uza kujonga impilo yentliziyo yakho ngokusondeleyo. Ngoko ke, ukuba kukho ingxaki, inokubonwa kwaye inyangwe ngaphambi kokuba ibe nkulu.
Umyalezo Wokuya Ekhaya
- Ukubuyela kwevalvu ye-Tricuspid kuxa ucango entliziyweni lungavaleki kakuhle, nto leyo evumela igazi ukuba libuyele umva.
- Ukuvuza okuncinci (umkhondo/ukungabi nabungozi) okubangelwa ngabantu abaninzi akusoloko kuyingozi. Akudingi nyango, kodwa kubalulekile ukuba phantsi kweliso likagqirha.
- Ukuba ufumana iimpawu ezifana nobunzima bokuphefumla kunye nokudumba kwemilenze yakho, isenokuba yimeko ephakathi okanye embi kakhulu. Ngoko ke bonana nogqirha ngokukhawuleza.
- Oku kudla ngokubangelwa sisifo sentliziyo esinye, ngoko ke kubaluleke kakhulu ukunyanga eso sifo.
- Ngokuphucuka kwezonyango zanamhlanje, le meko inokulawulwa kakuhle ngamayeza, utyando, nezinye iindlela. Ngoko ke ungoyiki, landela nje icebiso elichanekileyo lezonyango.
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