Ingabe ngezinye izikhathi uzizwa uphelelwa umoya, ukuqina esifubeni sakho, noma ukhathele nje uma ukhathele kancane? Kungaba nezizathu eziningi zalezi zimpawu. Kodwa ngezinye izikhathi imbangela iba yinkinga yenhliziyo. Namuhla sikhuluma ngokwelashwa okukhethekile kwezimo ezinjalo zenhliziyo okungadingi ukuhlinzwa okukhulu.
Kalula nje, iyini i-Alcohol Septal Ablation (ASA)?
Leli gama lingase lizwakale liyinkimbinkimbi kancane, kodwa masiligcine lilula. I-Alcohol Septal Ablation (ASA) iyindlela yokwelapha engavamile eyenziwa odokotela benhliziyo.
Lokhu kwelashwa kwenzelwa abantu abanesifo senhliziyo esibizwa ngokuthi i-Hypertrophic Cardiomyopathy (HCM) . Igama liyadida kancane, akunjalo? Kalula nje, lesi sifo sibangela ukuba imisipha yenhliziyo iqine kakhulu. Ngokuqondile, udonga oluhlukanisa amakamelo amabili enhliziyo, olubizwa ngokuthi i-septum , luyaqina.
Cabanga ngenhliziyo yakho iyiphampu yamanzi. Le phampu yiyo ethumela igazi emzimbeni wonke. Manje, uma udonga lwale phampu luba lujiyile kakhulu, isikhala sokuphuma kwegazi siba sincane, akunjalo? Yilokho okwenzekayo ku-HCM. Lapho udonga lwenhliziyo luqina, igazi aliphumi kahle. Yingakho kuvela izimpawu esikhulume ngazo ekuqaleni, njengokuphelelwa umoya nokukhathala.
Ngakho-ke, kulokhu kwelashwa kwe-ASA, kusetshenziswa ithubhu elincane kakhulu neliguquguqukayo (i-catheter) ukuthola umthambo wegazi ohlinzeka ngegazi kuleyo ngxenye yemisipha yenhliziyo ejiyile. Bese kuthi, kufakwe utshwala obuncane obukhethekile ngaleyo thubhu kuleyo ngxenye yemisipha ejiyile. Lobu tshwala bubangela ukuba amangqamuzana akhule ngokungadingekile afe, bese leyo ngxenye incipha futhi inciphe. Bese indlela yegazi eliphuma ngayo enhliziyweni iba banzi futhi, futhi ukugeleza kwegazi kuyabuyiselwa.
Ubani lokwelashwa okufanelekela kangcono?
Lokhu kwelashwa kungokwabantu abanesifo esikhulume ngaso ngaphambilini esibizwa ngokuthi i-Hypertrophic Cardiomyopathy (HCM). Lesi yisifo esizuzwe njengefa . Lokhu kusho ukuthi uma othile emndenini wakho enaso, nawe unethuba lokuba naso.
Ngokuvamile, abantu abane-HCM baqala ngokunikezwa imithi. Kodwa-ke, kwabanye abantu, ngisho nangemithi, izimpawu (njengokuphelelwa umoya nokukhathala) azilawulwa. Yingakho odokotela becabangela ukwelashwa kwe-ASA kulaba bantu.
Kukhona enye indlela yalokhu. Lokho ukuhlinzwa kwenhliziyo okuvulekile okubizwa ngokuthi i-Septal Myectomy . Kulokhu, isifuba siyavulwa bese imisipha ejiyile iyasikwa bese isuswa. Kodwa-ke, njengoba kuwukuhlinzwa okukhulu, kuthatha isikhathi eside ukuphulukiswa futhi izingozi ziphakeme.
Lokhu kwelashwa, okubizwa ngokuthi i-Alcohol Septal Ablation (ASA), kuyindlela enhle kakhulu, ikakhulukazi kulabo abaneminyaka engaphezu kwengu-65 ubudala, labo abanezinye izimo zezokwelapha, kanye nalabo abangakwazi ukuthwala izingozi zokuhlinzwa okukhulu.
Kalula nje, lokhu kuyindlela yokwelapha ehlukile ephumelelayo kulabo abangakwazi ukuhlinzwa okukhulu.
Uzilungiselela kanjani ngaphambi kokwelashwa?
Uma udokotela wakho esenqume ukuthi lokhu kwelashwa kukufanele, kunezinto ezimbalwa okudingeka uzenze kusengaphambili. Udokotela wakho uzokunikeza imiyalelo ecacile ngalokhu.
| Ukulungiselela | Kungani kunjalo? |
|---|---|
| Ukuyeka eminye imithi | Ukuze ugweme izinkinga ezingase zenzeke ngesikhathi sokwelashwa. Udokotela wakho uzokutshela ngqo ngalokhu. |
| Ukuzila ukudla | Uzocelwa ukuthi uyeke ukudla nokuphuza amahora ambalwa ngaphambi kokwelashwa. Lokhu kwenzelwa ukuvimbela izinkinga ezihlobene nokubulala izinzwa. |
| Ukuhlolwa kwegazi | Izinto ezifana nokubalwa kwegazi okuphelele (i-CBC) zenziwa ukuhlola impilo yakho jikelele kanye nekhono lakho lokujiya kwegazi. |
| Ukuhlolwa kwenhliziyo | Umsebenzi kanye nesakhiwo senhliziyo kufundwa kangcono kusetshenziswa izivivinyo ezifana ne -echocardiogram (ukuskenwa kwenhliziyo), i-electrocardiogram (EKG) , kanye ne -X-ray yesifuba. |
Kwenzekani ngesikhathi sokwelashwa?
Lokhu kwelashwa kwenziwa ekamelweni elikhethekile (i-Cath Lab) eyunithi yezifo zenhliziyo yesibhedlela. Ngokuvamile kuthatha cishe ihora noma amabili.
- Unengqondo:Kulokhu, awuzizwa ulambile ngokuphelele. Lokhu kusho ukuthi uyaqaphela. Kodwa unikezwa imithi yokudambisa ukuze uhlale ukhululekile futhi ungesabi.
- I-anesthesia yenaliti: Inaliti isetshenziselwa ukuqeda ubuhlungu endaweni lapho kufakwa khona i-catheter, njengaseduze kwesihlakala sakho noma i-groin.
- Ukufaka i-catheter: Udokotela ube esedlulisa ipayipi elincane ngemithambo yegazi esuka endaweni engenalutho iye enhliziyweni.
- Ukuqapha i-X-ray: Odokotela basebenzisa izithombe ze-X-ray ukuhlola indlela yepayipi nokuthi liya endaweni efanele yini enhliziyweni.
- Umjovo wotshwala: Uma sekutholakale umthambo wegazi ofanele, inani elincane lotshwala olukhethekile olubizwa ngokuthi i-isopropyl alcohol lufakwa ngepayipi liye emisipheni eqinisiwe. Ungase uzizwe ungakhululekile noma ubuhlungu esifubeni sakho ngalesi sikhathi. Lokhu kuvamile.
- I-pacemaker yesikhashana: Ngesikhathi sokwelashwa, ucingo oluvela ku- pacemaker yesikhashana lufakwa emthanjeni osentanyeni yakho. Lokhu kushiywa endaweni izinsuku ezimbili kuya kwezintathu ngemva kokwelashwa ukuze kuqashwe ukushaya kwenhliziyo yakho.
- Isiphetho: Uma umsebenzi usuqediwe, ithubhu liyasuswa bese indawo ivalwa ngezitishi noma ngebhandeji eliqinile lokucindezela.
Kwenzekani ngemva kokwelashwa?
Ngemva kokwelashwa, kuzodingeka uhlale esibhedlela izinsuku ezimbili noma ezintathu (amahora angu-48-72). Lesi sikhathi sibaluleke kakhulu.
- Ukuqapha izinga lokushaya kwenhliziyo: Phakathi nalezi zinsuku, ithimba lezokwelapha lizoqhubeka nokuqapha isigqi senhliziyo yakho. Lokhu kungenxa yokuthi, njengomphumela omncane walokhu kwelashwa, abanye abantu bangase babe nomthelela ezimpawini zikagesi enhliziyweni yabo. Lokhu kubizwa ngokuthi i-Heart Block . Uma lokhu kwenzeka, izinga lokushaya kwenhliziyo yakho lingase lihambe kancane kakhulu. Yingakho uzoqashwa eduze.
- Ukuphumula embhedeni: Uma ipayipi lifakwe ngembobo yakho, uzocelwa ukuba uhlale embhedeni imilenze yakho iqonde amahora ambalwa ukuze uvimbele ukuphuma kwegazi. Uma lifakwe ngengalo yakho, ngokuvamile akudingeki uhlale unjalo.
- Ama-Painkiller: Uzonikezwa ama-painkiller uma kudingeka.
- Ukuhlolwa kabusha: Ngaphambi kokuphuma esibhedlela, ungase wenze olunye ukuhlolwa, njenge- echocardiogram , ukuze ubone ukuthi ukwelashwa kuphumelele kangakanani.
Yiziphi izinzuzo nezingozi zalokhu kwelashwa?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezinzuzo kanye nezingozi ezincane.
Yiziphi izinzuzo?
Inzuzo enkulu ukuthi ayidingi ukuhlinzwa kwenhliziyo evulekile. Ngakho-ke:
- Isikhathi sokululama sifushane kakhulu.
- Izinkinga ezihambisana nokuhlinzwa zimbalwa.
- Ngeke kushiye isilonda esikhulu.
- Lena inketho engcono kakhulu kulabo abangakwazi ukukhokhela ukuhlinzwa okukhulu.
Ziyini izingozi?
Izinkinga azivamile, kodwa kubalulekile ukuziqaphela. Udokotela wakho uzokutshela okwengeziwe ngalokhu.
| Ingozi | Kuchazwe kalula |
|---|---|
| Ukopha noma ukutheleleka | Ukopha noma ukutheleleka kungase kwenzeke endaweni okufakwe kuyo ipayipi. |
| Amahlule egazi | Amahlule egazi angakheka emithanjeni yegazi. |
| Ukulimala kwenhliziyo | Akuvamile kakhulu ukuthi izindonga zenhliziyo zilimale, okungase kudingeke ukuhlinzwa. |
| Ukuvimba Inhliziyo | Lena ingozi enkulu. Izimpawu zikagesi zenhliziyo zingaphazamiseka, okubangela ukuba inhliziyo ishaye ngokungajwayelekile noma kancane kakhulu. Esimweni esinjalo, kungadingeka ukuthi kufakwe umshini wokushaya kwenhliziyo ohlala njalo. |
| Ukuphuma Kwenhliziyo Okuhamba Ngenhliziyo | Ukuqongelela koketshezi olwelwesini oluncane oluzungeze inhliziyo. |
Kuthatha isikhathi esingakanani ukuphulukiswa?
Lokhu kuyahlukahluka kuye ngomuntu nomuntu. Isikhathi sakho sokululama sizoncika empilweni yakho iyonke. Iningi labantu lingabuyela emisebenzini evamile zingakapheli isonto noma ngaphezulu . Kodwa-ke, kufanele uhlale uhlola nodokotela wakho ngaphambi kokuqala noma yini efana nokuzivocavoca okunzima.
Abantu abaningi baqala ukuzizwa bekhululekile kakhulu ezimpawini zabo ngokushesha ngemva kokwelashwa.
Uma unalezi zimpawu, xhumana nodokotela ngokushesha!
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemuva kokubuya ekhaya ekwelashweni, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Ukushaya kwenhliziyo okungajwayelekile noma umuzwa wokuthi isifuba sakho siyashaya (ukushaya kwenhliziyo).
- Ubuhlungu besifuba.
- Ubunzima bokuphefumula, ukuphefumula okusheshayo (ukuphelelwa umoya) .
- Isiyezi noma amehlo aluhlaza okwesibhakabhaka.
- Ngikhathele kakhulu.
- Ukubomvu, ukuvuvukala, ukopha, noma umkhuhlane lapho ipayipi lifakwe khona (lezi yizimpawu zokutheleleka).
- Isicanucanu nokuhlanza.
I-Alcohol Septal Ablation iyindlela yokwelapha ephumelela kakhulu ye-Hypertrophic Cardiomyopathy. Ingalawula izimpawu ngengozi encane kanye nokululama okusheshayo kunokuhlinzwa. Uma unemibuzo ngalokhu, ungangabazi ukukhuluma nodokotela wakho wenhliziyo ukuze uthole ulwazi olwengeziwe.
Umlayezo Wokuya Nawe Ekhaya
- I-Alcohol Septal Ablation (ASA) iyindlela yokwelapha i- Hypertrophic Cardiomyopathy (HCM) ngaphandle kokuhlinzwa, okuyisifo lapho imisipha yenhliziyo iqina khona.
- Lokhu kuhilela ukufaka utshwala ezicutshini zemisipha ezijiyile, okubangela ukuba zinciphe, okwenza kube lula ukuthi igazi ligeleze enhliziyweni.
- Isikhathi sokululama sifushane futhi izinkinga zincane kunokuhlinzwa kwenhliziyo okuvulekile.
- Inkinga enkulu engenzeka lapha ukushaya kwenhliziyo okuhamba kancane (i-Heart Block) , okungadinga ukufakwa kwe- pacemaker ehlala njalo .
- Uma kuvela izimpawu eziyisixwayiso ngemva kokwelashwa, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha.
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