Ngaba uhlala uziva udiniwe kwaye uphelelwa ngumphefumlo? Mhlawumbi uziva uxinezelekile okanye uxinezelekile esifubeni sakho xa uhamba umgama omfutshane okanye unyuka izinyuko? Oku kusenokuba ngenxa yengxaki enomgodi omncinci entliziyweni yakho, obizwa ngokuba yivalvu. Kunokuba buhlungu ukwazi ukuba kukho ingxaki entliziyweni yakho. Kodwa iindaba ezimnandi zezokuba ukulungiswa kweevalvu okanye utyando lokutshintsha kunokwenza ubomi bakho bube lula kwaye kukunike amandla okwenza izinto ozithandayo.
Yintoni iValve yeTricuspid?
Ngamafutshane, intliziyo yethu ifana nendlu enamagumbi amane. Kukho iingcango phakathi kwala magumbi ukuze igazi lihambe liye phambili nangasemva. Ezi ngcango zezo sizibiza ngokuba ziivalvu kwezonyango. Ivalvu ye-tricuspid ngumnyango ophakathi kwegumbi eliphezulu (i-atrium yasekunene) kunye negumbi elisezantsi (i-ventricle yasekunene) kwicala lasekunene lentliziyo. Ineeflaps ezintathu (amaphecana). Umsebenzi wayo ophambili kukuvumela igazi ukuba lihambe kwicala elinye kuphela, oko kukuthi, ukusuka phezulu ukuya ezantsi, kwaye liyithintele ngokupheleleyo ukuba libuye libuyele phezulu.
Ziziphi iintlobo zeemeko ezifuna olu tyando?
Ukulungiswa okanye ukutshintshwa kwevalvu ye-tricuspid kuyimfuneko kwiimeko ezimbini eziphambili zonyango.
| Imeko yezonyango | Kalula nje... |
|---|---|
| Ukuhlaziya iTricuspid | Ivalvu ayivaleki kakuhle, ngoko ke igazi liphinda livuze kwigumbi eliphezulu. |
| I-Tricuspid Stenosis | Iiflaphu zevalvu zijiyile kwaye zinamathele, nto leyo eyenza kube nzima ukuba igazi lihambe phambili, oko kukuthi, liye kwigumbi elingaphantsi. |
Xa oku kusenzeka, intliziyo yakho kufuneka isebenze nzima kunesiqhelo ukupompa inani legazi elifunekayo emzimbeni wakho. Esi sesona sizathu siphambili sokuba ufumane iimpawu ezifana nokudinwa rhoqo, ukuphefumla kancinci, kunye nokudumba kwemilenze. Ukuba le meko iyaqhubeka, ekugqibeleni inokukhokelela ekusileleni kwentliziyo.
Kungcono ukulungisa ivalvu okanye ukuyitshintsha?
Amaxesha amaninzi, ukhetho lokuqala loogqirha kukulungisa ivalvu yakho nokugcina izicwili zakho. Nangona kunjalo, ukuba umonakalo kwivalvu nakwizicwili ezingqongileyo unzima kakhulu , ivalvu entsha inokufuneka itshintshwe.
Ugqirha wakho kunye nogqirha wentliziyo baya kugqiba ukuba yintoni ekulungeleyo emva kokuhlola imeko yakho ngononophelo.
Kukho iintlobo ezimbini eziphambili zeevalvu ezintsha.
| Uhlobo lwevalvu | Yayiyenziwe ngantoni? | Amanqaku akhethekileyo |
|---|---|---|
| Ivalvu Yebhayoloji | Kwizicubu zesilwanyana (umz., kwihagu, kwinkomo) okanye kumntu oswelekelweyo onikelayo. | Ihlala iminyaka eli-10 ukuya kwengama-20. Kwiimeko ezininzi, akuyi kufuneka usele amayeza okunciphisa igazi ubomi bakho bonke. |
| Ivalvu yoomatshini | Ukususela kwizinto ezenziwe ngokwenziwa (ezifana nesinyithi, ikhabhoni). | Ihlala ubomi bonke. Nangona kunjalo, ngenxa yomngcipheko wokuqhekeka kwegazi , kuya kufuneka usele amayeza okunciphisa ukugabha kwegazi ubomi bakho bonke. |
Uzilungiselela njani ngaphambi kotyando?
Ngaphambi kotyando olunje, iqela lakho lezonyango liza kukulungiselela kakuhle.
- Thetha nogqirha wakho ngononophelo malunga notyando kunye neengozi zalo, kwaye ubuze nayiphi na imibuzo onayo.
- Yenza uvavanyo olufunekayo ukuze ubone ukuba ungumntu ofanelekileyo na utyando. Oku kungabandakanya uvavanyo lwegazi , i-ECG (i-electrocardiogram) , i-echocardiogram (ukuskena kwentliziyo), kunye ne -X-ray yesifuba .
- Sayina ifomu yemvume yotyando.
- Kubaluleke kakhulu ukuceba kwangaphambili ukuba umntu aza kukunyamekela kunye namayeza afunekayo xa ubuyela ekhaya emva kotyando.
Lwenziwa njani olu tyando? (Utyando lwentliziyo evulekileyo)
Izihlandlo ezininzi, olu tyando lwenziwa njengotyando lwentliziyo evulekileyo.
1. Okokuqala, uza kulaliswa ngokupheleleyo.
2. Emva koko ugqirha wenza utyando embindini okanye ecaleni kwesifuba ukuze afikelele entliziyweni.
3. Kunikwa amayeza okuthintela ukusebenza kwentliziyo okwethutyana. Ungakhathazeki, umzimba wakho unikwa igazi ngumatshini okhethekileyo (umatshini we-heart-lung bypass) ngeli xesha.
4. Emva koko ugqirha uyayilungisa okanye ayitshintshe ivalvu.
Ngaba kunokwenzeka ukwenza olu tyando ngaphandle kokusikwa isifuba?
Ewe, ngenxa yobuchwepheshe obuphambili bale mihla, kwezinye iimeko olu tyando lunokwenziwa ngaphandle kokusika okukhulu, ngokusebenzisa imingxunya emincinci. Oku sikubiza ngokuba ziindlela 'ezingena kakhulu'.
- Utyando lweSitho sasekunene: Kwenziwa umngxuma omncinci kwicala lasekunene lesifuba, phakathi kweembambo ezimbini.
- Utyando oluncediswa yirobhothi: Utyando olwenziwa ngugqirha ngokwakhe ngokusebenzisa imingxunya emininzi emincinci esebenzisa ubuchwepheshe berobhothi.
- Indlela ye-Transcatheter: Kule ndlela, ityhubhu (i-catheter) ifakwa entliziyweni ngomthambo wegazi osesinqeni, rhoqo ngaphandle kokusikwa, ukuze kulungiswe ivalvu okanye kufakwe entsha. Ixesha lokuchacha emva kwale ndlela lifutshane kakhulu.
Ziziphi iingenelo kunye neengozi ezinokubakho zolu tyando?
Njengalo naluphi na utyando, olu luneengenelo kunye neengozi ezithile.
| Iinzuzo | Iingozi |
|---|---|
| Iimpawu (ukudinwa, ukuphefumla kancinci, ukudumba kwemilenze) ziyanyamalala. | Ukopha |
| Ukukwazi ukuphila ubomi obusempilweni ngelixa usenza imisebenzi yemihla ngemihla. | Amahlwili egazi |
| Ukwanda kwexesha lokuphila. | Ukungahambi kakuhle kwentliziyo (i-Arrhythmia) |
| Ukuthintela ukuba buthathaka kwentliziyo. | Usulelo |
| Istroke, ukungasebenzi kakuhle kwezintso. |
Nangona ezi ngozi zikhona, amaqela ezonyango enza konke okusemandleni awo ukuzinciphisa. Xa kuthelekiswa neenzuzo zotyando, ezi ngozi zidla ngokuba luncedo ukuzithatha.
Ndifanele ndimfowunele nini ugqirha?
Xa ufika ekhaya emva kotyando, kufuneka ukhathalele umzimba wakho kakuhle. Kubalulekile ukwazi ukuba kukho naziphi na iingxaki ngokukhawuleza.
| Iimpawu ekufuneka uziqaphele | |
|---|---|
| Xelela ugqirha wakho ukuba unale mpawu emva kotyando. | |
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| Ezi zisenokuba ziimpawu zosulelo: | |
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| Ezi ziimeko ezingxamisekileyo! Yiya kwiCandelo leeNgxamiseko (ETU) lesibhedlele ngoko nangoko! | |
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Umyalezo Wokuya Ekhaya
- Isifo se-Tricuspid valve sibeka uxinzelelo olongezelelekileyo entliziyweni, kwaye utyando lunokulungisa oku kwaye lwenze ubomi bube lula.
- Kwiimeko ezininzi, ukulungisa ivalvu yakho yeyona ndlela ilungileyo. Ukuba oko akunakwenzeka, ivalvu entsha yeyona ndlela ilungileyo.
- Ukuba ufake ivalvu yomatshini, kuya kufuneka uthathe amayeza okuthintela ukugabha kwegazi ubomi bakho bonke ukuze uthintele ukugabha kwegazi.
- Ngoku, olu tyando lunokwenziwa ngaphandle kokusikwa kwesifuba, ngokusebenzisa imingxunya emincinci, okanye ukusebenzisa i-catheter. Buza ugqirha wakho ngaloo nto.
- Qiniseka ukuba uyamazisa ugqirha wakho ngazo naziphi na iimpawu ezingaqhelekanga ezenzekayo emva kotyando. Kwimeko yongxamiseko, yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
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