Ubani uDokotela Wezinhliziyo Zezingane?
Kalula nje, udokotela wezifo zenhliziyo zezingane ungudokotela othole ukuqeqeshwa okukhethekile kokuxilonga nokwelapha izifo zenhliziyo nezinkinga ezihlobene nenhliziyo ezinganeni ezincane, ezinganeni, futhi ngezinye izikhathi kubantu abadala abasebasha. Bayazi kahle ukuthi inhliziyo yengane isebenza kanjani, yiziphi izinguquko ezingase zenzeke, nokuthi bangaziphatha kanjani. Cabanga ngakho, ezinye izingane zizalwa zinesifo senhliziyo, esisibiza ngokuthi isifo senhliziyo esizalwa naso . Yilapho laba ochwepheshe bengena khona. Hhayi lokho kuphela, kodwa ngezinye izikhathi laba odokotela belapha nabantu abadala abaneminyaka engaphezu kwengu-18 ubudala kodwa abazalwa benesifo senhliziyo esizalwa naso futhi abadinga ukunakekelwa kwesikhathi eside. Laba odokotela bayazi ukuthi inkinga ngenhliziyo yengane ingathinta kanjani ezinye izici zempilo yengane. Bayaqonda nokuthi isifo senhliziyo singavela nangenxa yezinkinga kwenye indawo emzimbeni wengane, noma ngenxa yezifo ezithile zofuzo . Isibonelo, ingane enesifo esifana ne-Turner syndrome inamathuba amaningi okuba nezinkinga zenhliziyo nemithambo yegazi. Ngakho-ke, uma ingane yakho inezimpawu ezihlobene nenhliziyo yayo, laba ochwepheshe bakulungele ukukusiza ukuthola imbangela, bathuthukise uhlelo lokwelashwa olukusebenzelayo, futhi babe nawe zonke izinyathelo zendlela. Laba odokotela bazibophezele ekusekeleni impilo yengane yakho njengoba ikhula.Uyini umehluko phakathi kukadokotela wenhliziyo wezingane nodokotela wenhliziyo ojwayelekile?
Lona umbuzo abantu abaningi abanawo. Odokotela benhliziyo bezingane bagxila kakhulu ezimweni zenhliziyo ezithinta izingane lapho zizalwa noma zisencane . Ubuchwepheshe babo buhlukile kodokotela benhliziyo , abavame ukwelapha izifo zenhliziyo kubantu abadala abaneminyaka engaphezu kwengu-18. Isibonelo, odokotela benhliziyo belapha izifo eziningi ezikhula kamuva ekuphileni. Isibonelo isifo semithambo yegazi yenhliziyo (CAD) . Kodwa-ke, odokotela benhliziyo bezingane belapha izinkinga ezikhona lapho zizalwa. Isibonelo , izimbobo ezindongeni eziphakathi kwe-atria noma ama-ventricle (i-Atrial and Ventricular Septal Defects) , noma i-hypoplastic left heart syndrome (HLHS).Bavame ukubona izimo ezinjengalezi. Baphinde belaphe izinkinga zesigqi senhliziyo (`(Arrhythmias)`) noma izinkinga zemisipha yenhliziyo (`(Cardiomyopathy)`) ezingase zenzeke ezinganeni ngemva kokuzalwa kwazo.Yini eyenziwa yi-cardiologist yezingane?
Laba odokotela badlala indima ebaluleke kakhulu. Ngokuyinhloko baxilonga futhi belapha izifo zenhliziyo:- Ngesikhathi sesigaba sokukhulelwa (ngaphambi kokuba umntwana azalwe): Ngezinye izikhathi ukuhlolwa okwenziwa ngesikhathi umntwana esesesibelethweni kungabona inkinga yenhliziyo.
- Izinsana (ngemva kokuzalwa): Isifo senhliziyo ezinsaneni ezisanda kuzalwa.
- Izingane ezincane: Isifo senhliziyo ezinganeni ezindala kancane .
- Izingane ezincane kanye nabantu abadala abasebasha: Isifo senhliziyo kubantu abasebasha kanye nabantu abadala abasebasha.
- Abantu abadala abangaphezu kweminyaka eyi-18 ubudala (kwezinye izimo): Labo abanesifo senhliziyo abazalwa naso abadinga ukwelashwa okuqhubekayo.
Yini ongayilindela kubo?
Uma uyisa ingane yakho kudokotela wezifo zenhliziyo wezingane, ungalindela izinto ezifana nalezi:- Ukusebenzisa imishini yokuxilonga ehlukahlukene kanye nokuhlolwa ukuze kutholakale inkinga eqondile ngenhliziyo yengane.
- Ukwenza izinhlelo zokwelapha. Ngezinye izikhathi lezi zinhlelo zingenziwa ngisho nangaphambi kokuba umntwana azalwe.
- Ukuhlola njalo nomntwana wakho (ama-aphoyintimenti).
- Uku-oda izivivinyo ezidingekayo zengane yakho nokukuchazela leyo mibiko yokuhlolwa.
- Ukudluliselwa kwabanye ochwepheshe (njengodokotela abahlinzayo) ukuze bathole ukwelashwa okuthile, njengokuhlinzwa.
- Iseluleko sokuthi ingane yakho kufanele iphinde ibone udokotela kangaki nokuthi ungayinakekela kanjani.
- Ukukufundisa ngesimo sengane kanye namaqiniso ezokwelapha angemuva kwaso.
- Ukufundisa indlela yokunakekela ingane yakho ekhaya.
Khumbula, yize lo dokotela enguchwepheshe enhliziyweni yengane yakho, bayazi nokuthi izinkinga zenhliziyo zingathinta izici eziningi zokuphila kwengane. Yingakho besebenzisana nabanye ochwepheshe.
Obani abanye ochwepheshe abasebenza nabo?
Udokotela wenhliziyo wengane yakho angasebenza njengeqembu, abelane ngolwazi kanye nezinsiza nabanye ochwepheshe abafana nalaba:- Odokotela bezingane : Udokotela jikelele wengane yakho.
- Odokotela Bezingane Ezisanda Kuzalwa: Odokotela abangochwepheshe ezifweni zezingane ezisanda kuzalwa.
- Odokotela Bezinhliziyo Zezingane: Odokotela abenza ukuhlinzwa kwenhliziyo ezinganeni.
- Odokotela Ababulala Izinzwa: Odokotela abanikeza i-anesthesia ngesikhathi sokuhlinzwa.
- Odokotela bemisebe: Odokotela abenza izinto ezifana ne-X-ray kanye nokuskena futhi babukeze imibiko yabo.
- Abahlengikazi Bezingane: Abahlengikazi abanakekela izingane.
- Izazi Zezifo Zolimi Lwenkulumo (SLPs): Abantu abasiza ngezinkinga zokukhuluma nolimi.
- Odokotela Bezokwelapha Emsebenzini: Abantu abasiza ngemisebenzi yansuku zonke.
Basebenza kuphi odokotela benhliziyo bezingane?
Laba ochwepheshe basebenza ezindaweni ezahlukene. Isibonelo:- Ezibhedlela: Izibhedlela ezinkulu zingase zibe nezikhungo ezikhethekile zezifo zenhliziyo zezingane.
- Imitholampilo yeziguli zangaphandle: Izindawo lapho ungabonana khona nodokotela, uthole imithi, bese uya ekhaya.
- Emalabhorethri ocwaningo: Izindawo lapho kucwaningwa khona imithi emisha kanye nokwelashwa.
- Emanyuvesi nasezikoleni zezokwelapha: izindawo lapho odokotela besikhathi esizayo befundiswa khona.
Yiziphi izifo eziyinhloko abazelaphayo?
Odokotela benhliziyo bezingane bakulungele ukuxilonga nokwelapha izinkinga ezahlukahlukene ezingathinta inhliziyo yengane yakho. Nazi ezinye zazo:- Isifo Senhliziyo Esizalwa Naso: Lesi yisigaba esikhulu. Sihlanganisa izinkinga zenhliziyo ezahlukahlukene izingane ezinazo lapho zizalwa. Ezinye zincane futhi zingelashwa kalula. Kodwa ezinye ziyinkimbinkimbi kakhulu futhi zingadinga ukwelashwa okuphuthumayo. Ngokukhethekile, lezi zifaka phakathi izimbobo ezindongeni zenhliziyo, izinkinga zamavalvu, kanye nezingxenye zenhliziyo ezingakhuli kahle.
- Ukuphazamiseka kwesigqi senhliziyo (i-Arrhythmias): Lokhu kuyizigqi zenhliziyo ezingavamile ezenzeka lapho uhlelo lukagesi lwenhliziyo yengane yakho lungasebenzi kahle. Inhliziyo yengane yakho ingase ishaye ngokushesha kakhulu, ihambe kancane, yeqe ukushaya, noma ibe nokushaya okwengeziwe. Esikhathini esiningi, lezi zingcindezi zesigqi ezinganeni aziyona inkinga enkulu. Kodwa ngezinye izikhathi zidinga ukwelashwa ukuze kuvinjelwe izinkinga ezinkulu.
- I-Cardiomyopathy: Leli yiqembu lezifo ezithinta imisipha yenhliziyo yengane yakho. Imisipha ingase iqine, ikhule, noma ijiye. Lokhu kungenza kube nzima ngenhliziyo yengane yakho ukupompa igazi ngendlela efanele, okwenza kube nzima ngomzimba ukuthola igazi elanele.
- Umfutho wegazi ophakeme : Lokhu kwenzeka lapho umfutho wegazi ogeleza emithanjeni yengane yakho uphezulu kakhulu. Lesi simo singathinta umzimba wonke (`Umfutho wegazi ophakeme`) noma izindawo ezithile nje, njengamaphaphu (` Umfutho wegazi ophakeme` ).
Yiziphi izimpawu ezivamile odokotela benhliziyo bezingane abazibonayo ezinganeni?
Izingane zivame ukulethwa ukuzobona odokotela benhliziyo bezingane abanezimpawu ezingase zihlobane nenhliziyo, njenge:- Ukububula Kwenhliziyo: Imisindo eyengeziwe udokotela ayizwayo lapho elalele inhliziyo nge-stethoscope. Lokhu ngokuvamile akunangozi, kodwa ngezinye izikhathi kungabonisa inkinga eyisisekelo.
- Ubuhlungu Besifuba: Ubuhlungu besifuba ezinganeni ezincane abuvame ukubangelwa yisifo senhliziyo, kodwa kuyinto okufanele uyiqaphele.
- Ukushaya Kwenhliziyo Okubuhlungu: Ingane izwa inhliziyo ishaya.
- Ukuquleka: Ukulahlekelwa ingqondo ngokuzumayo.
Uba kanjani udokotela wenhliziyo wezingane?
Mhlawumbe ufunda lesi sihloko ucabanga ngokuba udokotela wenhliziyo yezingane. Noma mhlawumbe okuhlangenwe nakho okuthile empilweni yakho kukuholele kulesi siqondiso. Mhlawumbe unesithakazelo kule sayensi. Kungakhathaliseki ukuthi yisiphi isizathu, ukuba udokotela wenhliziyo yezingane kuwumgomo wokuphila ofanele kakhulu. Ungasiza izingane eziningi, imindeni yazo, futhi uzinike ithemba. Kodwa-ke, kudinga iminyaka yokufunda nokuqeqeshwa okuqinile. Ngokuvamile, lolu hambo ludinga ukuqeda okulandelayo:- Iziqu ze-bachelor's (ngokuvamile iminyaka emine).
- Isikole sezokwelapha (okungenani iminyaka emine).
- Ukuqeqeshwa kokuhlala kwezingane (iminyaka emithathu).
- Ukubambisana kwi-Cardiology yezingane (ubuncane beminyaka emithathu).
- Ngemva kwalokho, udinga ukuthola izitifiketi emabhodini afanele.
- Ukuhlola isifo senhliziyo embungwini kanye nokuhlela ukwelashwa ngemva kokuzalwa (i-Fetal Cardiology).
- Ukwenza izinqubo zokufaka i-catheter yenhliziyo.
- Ukwelashwa kwezingane e-ICU yenhliziyo.
- Ukuxilonga nokwelapha izinkinga zesigqi senhliziyo.
- Ukuxilonga nokuphatha izifo zenhliziyo kusetshenziswa ubuchwepheshe obuthuthukisiwe njenge-MRI (Magnetic Resonance Imaging) kanye ne-CT (Computed Tomography).
- Ukuphathwa Kokwehluleka Kwenhliziyo Nokufakelwa Inhliziyo.
- Ukuphathwa Kwesifo Senhliziyo Sokuzalwa Kwabantu Abadala, esithinta abantu abadala.
Uma ingane yakho inesifo senhliziyo, kungazwakala sengathi ubhekene nemizwa ehlukahlukene. Udokotela wakho wenhliziyo wezingane uzobe ekhona ukuze akusize kuzo zonke izimo ezinhle nezimbi. Bazosebenzisa ulwazi lwabo nolwazi lwabo ukuze banikeze ingane yakho ukunakekelwa okungcono kakhulu, futhi bakusize uqonde ukuthi yini ezayo ngokulandelayo.
Okokugcina, khumbula lokhu (Umyalezo Wokuya Ekhaya)
Ngakho-ke, uma unemibuzo noma ukukhathazeka ngenhliziyo yengane yakho, kubalulekile ukufuna iseluleko sezokwelapha ngaphandle kokwesaba. Odokotela Benhliziyo Bezingane bayiqembu elizinikele lochwepheshe abalapha ukuzokusiza wena nengane yakho kulolu hambo. Bazokwenza konke okusemandleni abo ukuqinisekisa impilo yenhliziyo yengane yakho. Khumbula, awuwedwa! Ukuthola ulwazi olufanele nokuthola ukwelashwa ngesikhathi kuyinto ebaluleke kakhulu.I - cardiology yezingane, isazi senhliziyo, izinhliziyo zezinsana, izifo zenhliziyo zezingane, izifo zenhliziyo ezizalwa nazo, ukushaya kwenhliziyo, ukuhlinzwa kwenhliziyo











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