Ngaba uziva uphelelwa ngumoya okanye uphefumla kancinci xa udiniwe, okanye xa unyuka izinyuko? Okanye ngaba imilenze yakho iyavuvuka? Usenokucinga ukuba oku kuqhelekile, into eyenzekayo njengoko ukhula. Kodwa oko akusoloko kunjalo. Ngamanye amaxesha, emva kwezi mpawu, kunokubakho ingxaki ngenxalenye encinci kodwa ebaluleke kakhulu yentliziyo yethu. Namhlanje sithetha ngenxalenye ebaluleke kangaka, ivalvu ye-tricuspid yentliziyo. Kuqhelekile ukuziva usoyika xa ugqirha ekuxelela ukuba kukho ingxaki ngevalvu entliziyweni yakho. Kodwa ungoyiki, ngesayensi yezonyango yanamhlanje ephucukileyo, kukho unyango olusebenzayo loku. Masiqonde yonke into malunga noku ngokulula.
Okokuqala, masibone, yintoni ivalvu ye-tricuspid?
Ngamafutshane, intliziyo yethu ngumatshini omangalisayo onamagumbi amane. Kukho amagumbi amabini phezulu kunye namagumbi amabini ezantsi. Igazi lomzimba elingenaoksijini liqala lingene kwigumbi eliphezulu kwicala lasekunene lentliziyo (Right Atrium). Ukusuka apho, elo gazi kufuneka liye kwigumbi elisezantsi (Right Ventricle). Ngoku, ucango oluphakathi kwelo gumbi liphezulu kunye negumbi elisezantsi yinto esiyibiza ngokuba yi-tricuspid valve .
Oku kufana nocango oluvuleka kwicala elinye kuphela. Xa igazi liphuma phezulu liye ezantsi, olu cango luyavuleka, kwaye xa igumbi elingaphantsi lizele ligazi, liyavaleka kwakhona. Emva koko igazi alibuyeli kwigumbi eliphezulu. Ngokuchanekileyo, le valve ineencwadana ezintathu. Yiyo loo nto ibizwa ngokuba yi-'tri'. Ukusebenza kakuhle kwale valve kubalulekile ukuze igazi lihambe kakuhle emzimbeni wethu.
Ngoko ke zeziphi iingxaki ezinokuvela ngale valve?
Ekuhambeni kwexesha, le valve inokuba yinto engasebenzi kakuhle ngenxa yezizathu ezahlukeneyo. Kukho iimeko ezimbini eziphambili ezibonwayo. Makhe sijonge ukuba ziyintoni na.
| Imeko | Kalula nje, kwenzeka ntoni? |
|---|---|
| Ukubuyela kwesisu esiswini | Okwenzekayo koku kukuba iivalvu azivali kakuhle. Emva koko, njengoko igumbi elisezantsi lifinyela kwaye limpompa igazi emiphungeni, elinye igazi livuza libuyele kwigumbi eliphezulu. Kufana nocango olungavali kakuhle. |
| I-tricuspid stenosis | Okwenzekayo kule meko kukuba amaphetshana evalvu aba makhulu kwaye aqine, kwaye awavuleki kakuhle. Oku kuthetha ukuba amaqhekeza anamathele ndawonye njengomhlwa. Oku ke kuthintela ukuhamba kwegazi ukusuka kwigumbi eliphezulu ukuya kwigumbi elisezantsi. |
Nokuba imeko injani na, kwenzeka into efanayo. Intliziyo yethu kufuneka isebenze nzima ukupompa inani legazi elifunekayo emzimbeni wethu. Ekuhambeni kwexesha, oku kunokukhokelela ekubeni intliziyo ibe buthathaka, nto leyo enokukhokelela kwiimeko ezifana nokusilela kwentliziyo.
Ngaba kungcono ukulungisa ivalvu okanye ukufaka entsha?
Le yingxaki ebachaphazela abantu abaninzi. Ngokwesiqhelo, oogqirha basoloko bezama ukulungisa ivalvu yakho. Kuba akukho nto ingcono kunelungu lomzimba wethu.
Nangona kunjalo, ngamanye amaxesha, ukuba umonakalo kwivalvu unzima kangangokuba awunakulungiswa, unokufuna ukususwa kwaye kusenokufuneka kufakwe ivalvu entsha (ukutshintshwa). Kukho iintlobo ezimbini zezi valve zintsha.
Khumbula, ugqirha wakho wentliziyo uza kugqiba ukuba loluphi unyango olukulungeleyo. Uza kwenza eso sigqibo emva kokuhlola imeko yakho ngononophelo.
| Uhlobo lweValve | Inkcazo kunye neempawu ezikhethekileyo |
|---|---|
| Ivalvu yebhayoloji | Ezi zenziwe ngezicubu zezilwanyana (umz. kwihagu okanye kwinkomo) okanye ngezicubu ezivela kumntu oswelekileyo. Inzuzo yoku kukuba akufuneki usele amayeza okunciphisa igazi ixesha elide emva kotyando. Nangona kunjalo, ezi zihlala iminyaka eli-10 ukuya kwengama-20 kuphela. Emva koko, unokufuna olunye utyando. |
| Ivalvu yoomatshini | Ezi zenziwe ngezinto ezihlala ixesha elide ezifana nekhabhoni. Zihlala ubomi bonke. Kodwa ngenxa yokuba kukho umngcipheko wokuqhekeka kwegazi kwezi valve, kufuneka uthathe amayeza okunciphisa igazi ubomi bakho bonke. Kubaluleke kakhulu ukuthatha loo mayeza njengoko kumiselwe. |
Uzilungiselela njani ngaphambi kotyando?
Kulungile, masithi ugqirha ugqiba kwelokuba kufuneka utyando. Ngaphambi koko, uza kube ulungele kakuhle.
- Ukwazisa: Iqela lezonyango liza kukuchazela ngokweenkcukacha ukuba kuza kwenzeka ntoni ngaphambi, ngexesha, nasemva kotyando.
- Ukubuza imibuzo: Thetha nogqirha wakho ngayo nayiphi na imibuzo okanye izinto ezikuxhalabisayo. Musa ukufihlwa nantoni na.
- Ukuthetha ngeengozi: Njengazo zonke iintlobo zotyando, kukho iingozi ezincinci. Uza kwaziswa ngazo.
- Iifomu zemvume zokusayina: Kuya kufuneka utyikitye amaxwebhu ukuze unike imvume yakho yotyando.
- Uvavanyo: Uza kudlula kwiimvavanyo ezininzi ukuze ubone ukuba ufanelekile na utyando.
- Uvavanyo lwegazi
- I-ECG (i-Electrocardiogram)
- Uvavanyo lwe-X-ray yesifuba
- I-echocardiogram (oku kufana nokuskena kwentliziyo. Ingajonga ngokusondeleyo ukusebenza kweevalvu)
- Ukulungiselela ekhaya: Uza kufuna umntu oza kukunceda xa ufika ekhaya emva kotyando. Ufanele ucwangcise ezi zinto kwangaphambili.
Lwenziwa njani utyando?
Kukho iindlela ezininzi eziphambili zokwenza utyando lwevalvu ye-tricuspid.
Utyando lweNtliziyo oluVulekileyo lweSintu
Le yeyona ndlela ixhaphakileyo. Kule ndlela, intliziyo ifikelelwa ngokusikwa esifubeni. Ngexesha lotyando,
1. Uza kulaliswa ngokupheleleyo.
2. Ukusebenza kwentliziyo kuyekile okwethutyana.
3. Ngelo xesha, uza kuqhagamshelwa kumatshini okhethekileyo owenza umsebenzi wentliziyo nemiphunga yakho (umatshini we-heart-lung bypass).
4. Ugqirha uyayilungisa okanye ayitshintshe ivalvu.
5. Emva koko intliziyo iyaqaliswa kwakhona, isuswe kumatshini, kwaye inxeba liyavalwa.
Iinketho Ezingenabungozi Kancinci
Ekubeni ubuchwepheshe buphucukile, akusoloko kuyimfuneko ukwenza umsikelo omkhulu. Kukho iindlela zokwenza olu tyando ngokusebenzisa imisikelo emincinci.
- Utyando lwesifuba sasekunene: Oku kuquka ukwenza umngxuma omncinci phakathi kweembambo ezimbini kwicala lasekunene.
- Utyando oluncediswa yirobhothi: Kule nto, ugqirha ulawula iingalo zomatshini werobhothi aze enze utyando ngokusika kancinci esifubeni.
- Indlela ye-Transcatheter:Le yindlela entsha nengangenisi gazi. Kule nkqubo, ityhubhu encinci (i-catheter) idluliselwa ngomthambo omkhulu emlenzeni okanye engalweni ukuya entliziyweni, apho ivalvu ilungiswa okanye itshintshwa khona. Ixesha lokubuyela esimeni emva kwale nkqubo lifutshane kakhulu.
Kwenzeka ntoni emva kotyando? Kuthatha ixesha elingakanani ukuze umntu aphile?
Emva kotyando, uza kuhlala kwicandelo labagula kakhulu esibhedlele kangangeentsuku ezimbalwa. Emva koko uza kudluliselwa kwigumbi eliqhelekileyo. Ixesha eliza kuhlala esibhedlele liya kwahluka ngokuxhomekeke kwimeko yakho kunye nohlobo lotyando olwenziweyo.
Kunjalo ke ngexesha lokuphiliswa.
- Kungathatha iinyanga ezininzi ukuba umntu aphile ngokupheleleyo emva kotyando lwentliziyo oluvulekileyo .
- Emva kwenkqubo efana ne -transcatheter , ungaqhubeka nemisebenzi yakho yesiqhelo kwiiveki ezimbalwa.
Emva kokuba ubuyele ekhaya, kubaluleke kakhulu ukusela amayeza achazwe ngugqirha wakho ngexesha, uphumle, kwaye kancinci kancinci uqale ukuzilolonga.
Ziziphi iimpawu ezifuna ukutyelela ugqirha?
Emva kokuba ufikile ekhaya, kufuneka unikele ingqalelo engakumbi emzimbeni wakho. Ukuba kukho into engaqhelekanga, ungayinaki.
| Uphawu | Inkcazo |
|---|---|
| Ukuba unale mpawu, fowunela ugqirha wakho ngokukhawuleza. | |
| Ukudinwa /ukuquleka | Ukuba uziva unesiyezi xa usukuma okanye ngamaxesha aqhelekileyo. |
| Ukudinwa kakhulu | Ukuba uziva udiniwe kakhulu ukuba ungenza nantoni na. |
| Ukunyuka kwesisindo ngequbuliso | Ukuba ngequbuliso utyeba rhoqo emva kweentsuku ezimbini. |
| Ukudumba kwemilenze okanye amaqatha | Ukuba ukudumba kwemilenze kuyanda. |
| Iimpawu zosulelo ezinxulumene nenxeba lotyando - xelela ugqirha ngoko nangoko | |
| Umkhuhlane/ukugodola | Ukuba ubushushu bomzimba buyanyuka. |
| Ukukhupha ubofu enxebeni | Ukuba kukho ulwelo oluphuma kwindawo yokusikwa. |
| Ubomvu obujikeleze inxeba, intlungu eyongezelelekileyo | Ukuba inxeba libomvu kwaye intlungu iyanda imihla ngemihla. |
| Ukuba unale mpawu, yiya kwiSebe leeNgxamiseko (ETU) ngoko nangoko! | |
| Iintlungu zesifuba | Kuvakala ngathi isifuba sam siyacinezelwa, ngathi siyacinezelwa. |
| Ubunzima bokuphefumla ngequbuliso, obunzima | Ukuba ngequbuliso awukwazi ukuphefumla. |
| Ukuquleka | Ukuba ngequbuliso ulahlekelwa ziingqondo uze uwe. |
Ukuphila nengxaki yevalvu yentliziyo kunokuba nzima. Kodwa olu tyando lunokunciphisa iimpawu zakho kwaye lukuvumele ukuba uphile ubomi obuqhelekileyo kwakhona, wenze izinto ozithandayo. Ngoko ke ungoyiki, thetha nogqirha wakho, kwaye ukhethe unyango olulungele wena.
Umyalezo Wokuya Ekhaya
- Isifo se-Tricuspid valve sisifo esinokunyangwa. Ukusityeshela kunokubangela umonakalo entliziyweni.
- Nangona ukulungisa ivalvu kudla ngokuba lukhetho lokuqala, kusenokufuneka ukuyitshintsha ngentsha ukuba umonakalo mkhulu.
- Iindlela zanamhlanje zotyando ezingangenisi mandla kangako, ezinje ngotyando lwentliziyo evulekileyo, ziyafumaneka ngoku. Thetha nogqirha wakho ngendlela efanelekileyo kuwe.
- Ukuba ufumanisa naziphi na iimpawu ezingaqhelekanga (ingakumbi iintlungu zesifuba, ukuphefumla kancinci, ukulahlekelwa zingqondo) emva kotyando, funa ingcebiso kagqirha ngoko nangoko. Yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele.
- Ungakhathazeki. Olu tyando lunokuphucula kakhulu umgangatho wobomi bakho kunye nobomi bakho bonke.
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