Ingabe ngezinye izikhathi ukuthola kunzima ukuphefumula uma ukhathele kancane, noma uma ukhuphuka izitebhisi? Ingabe uzizwa usinda esifubeni sakho, njengokuminyana? Nakuba kunezimbangela eziningi zalezi zimpawu, kungase kube nesizathu ongacabangi ngaso. Lokho kuwukuqina okungadingekile kwengxenye yemisipha yenhliziyo. Namuhla sikhuluma nge-Alcohol Septal Ablation, ukwelashwa okuphumelelayo kakhulu okungeyona indlela enkulu yokuhlinzwa evulekile futhi esetshenziselwa ukwelapha lesi simo.
Kuyini i-Alcohol Septal Ablation?
Kalula nje, lena inqubo engangenisi kakhulu esetshenziselwa ukwelapha isifo senhliziyo esibizwa ngokuthi i-Hypertrophic Cardiomyopathy (HCM) . Cabanga nje, kukhona udonga enhliziyweni yethu oluhlukanisa amakamelo amabili. Lokhu sikubiza ngokuthi i-septum. Kumuntu one-HCM, lolu donga luba lujiyile futhi luqine ngokungadingekile.
Uma udonga luqina ngale ndlela, indlela igazi elipompelwa ngayo lisuka enhliziyweni liye emzimbeni iyavalwa. Njengoba nje imoto enkulu ibambeke emgwaqweni omncane idala izimoto eziningi. Lokhu kuvimbela inhliziyo ekupompeni igazi ngendlela efanele. Yilapho kuvela khona izimpawu ezifana nokuphelelwa umoya nokukhathala.
I-Alcohol Septal Ablation (ASA) ihilela ukufaka ipayipi elincane neliguquguqukayo, elibizwa ngokuthi i-catheter , emthanjeni wegazi omncane ohlinzeka ngegazi emisipheni ejiyile. Bese kuthi, kufakwe inani elincane kakhulu lotshwala ngalo. Utshwala bubhubhisa amangqamuzana ajiyile ngokungadingekile futhi bubangele ukuthi indawo inciphe. Ukugeleza kwegazi okuvinjiwe bese kuvulwa kabusha, bese ukugeleza kwegazi kubuyiselwa.
Kungani kwenziwa lokhu kwelashwa futhi kungcono kubani?
Lokhu kwelashwa kusetshenziselwa kakhulu isimo esixoxe ngaso ngaphambili , i-hypertrophic cardiomyopathy (HCM) . Lesi ngokuvamile yisimo sofuzo esidluliselwa esizukulwaneni kuya kwesinye.
Odokotela benhliziyo batusa lokhu kwelashwa kubantu abanezimpawu ezifana nokuphelelwa umoya kanye nokukhathala okungenakulawulwa ngemithi.
Okunye ukwelashwa okuyinhloko kwe-HCM ukuhlinzwa kwenhliziyo okuvulekile okubizwa ngokuthi i-septal myectomy . Kulokhu, isifuba siyavulwa bese imisipha ejiyile iyasikwa futhi isuswe. Kodwa-ke, akuwona wonke umuntu ongenza ukuhlinzwa okukhulu. Izingozi zokuhlinzwa okuvulekile ziphezulu kakhulu kubantu asebekhulile noma labo abanezinye izimo zezokwelapha.
Kulabo abangakwazi ukubekezelela ukuhlinzwa kwenhliziyo okunjalo, i-Alcohol Septal Ablation (ASA) iyindlela engcono kakhulu futhi ephephile.
| Isici | Utshwala Olwengeziwe (i-ASA) | I-Septal myectomy (ukuhlinzwa okuvulekile) |
|---|---|---|
| Indlela yokwelapha | Ayihlaseli kakhulu (nge-catheter) | Ukuhlinzwa kwenhliziyo okuvulekile (ukuvula isifuba) |
| Isikhathi sokutakula | Isikhathi esifushane (cishe isonto) | Isikhathi eside (amasonto noma izinyanga eziningana) |
| Ubani ofaneleka kakhulu? | Kulabo abangakwazi ukubekezelela ukuhlinzwa okuvulekile, asebekhulile, noma abanezinye izifo | Kwabantu abaphilile, abasebasha abakwazi ukubekezelela ukuhlinzwa |
Yini okufanele ngiyenze ngaphambi kokwelashwa?
Udokotela wakho uzokunikeza zonke izeluleko ozidingayo ngaphambi kwalokhu kwelashwa.
- Ungase ucelwe ukuthi uyeke ukuthatha imithi ethile ezinsukwini ezimbalwa ngaphambi kokwelashwa.
- Kuzodingeka uzile ukudla (uyeke ukudla nokuphuza) amahora amaningana ngaphambi kokwelashwa.
- Ungaphinde wenze izivivinyo eziningana ukuze uhlole impilo yakho:
- I-Echocardiogram: Iskeni esibheka umsebenzi kanye nesakhiwo senhliziyo.
- I-Electrocardiogram (EKG): Ukuhlolwa okubheka ukusebenza kukagesi kwenhliziyo.
- Inani Eliphelele Legazi (CBC): Inani eliphelele legazi.
- I-X-ray yesifuba: Ukuhlolwa kwe-X-ray yesifuba.
Kwenzekani ngesikhathi sokwelashwa?
Lena inqubo eyenziwa esibhedlela futhi ithatha cishe ihora noma amabili. Uzobe uphapheme, kodwa ithimba lezokwelapha lizokunikeza imithi yokukugcina uzolile futhi uphumule.
1. Ukuba ndikindiki: Okokuqala, indawo lapho kuzofakwa khona i-catheter (ngokuvamile ingalo engenhla noma esihlakaleni) ayivalwanga.
2. Ukufaka i-catheter:Ngemuva kwalokho, ipayipi elincane (i-catheter) lifakwa emthanjeni wegazi bese liqondiswa endaweni efanele enhliziyweni kusetshenziswa izithombe ze-X-ray.
3. Umjovo wotshwala: Uma umthambo wegazi ofanele usutholakele, kufakwa inani elincane lotshwala oluhlanjululwe kakhulu (`isopropyl alcohol`) ngawo. Ungase uzizwe ungakhululekile esifubeni sakho ngalesi sikhathi.
4. I-Pacemaker Yesikhashana: Phakathi nale nqubo, ucingo lwe-pacemaker yesikhashana lufakwa enhliziyweni yakho ngomthambo osentanyeni yakho. Lokhu kwenzelwa ukuqapha izinga lokushaya kwenhliziyo yakho izinsuku ezingu-2-3 ngemva kokwelashwa.
5. Ukuqeda: Uma umsebenzi usuqediwe, i-catheter iyasuswa bese kufakwa ibhandishi phezu kwendawo yokufaka.
Kwenzekani ngemva kokwelashwa?
Ngemva kokwelashwa, kuzodingeka uhlale esibhedlela izinsuku ezimbili noma ezintathu. Phakathi nalesi sikhathi, ithimba lezokwelapha lizoqhubeka nokuqapha impilo yakho kanye nokushaya kwenhliziyo yakho. Uma ubuhlungu, uzonikezwa imithi yokwelapha izinhlungu.
Kubalulekile ukuqhubeka nokuqapha izinga lokushaya kwenhliziyo yakho ngesikhathi sokuhlala kwakho esibhedlela ngemuva kokwelashwa, njengoba inani elincane kakhulu labantu lingase libe nokushaya kwenhliziyo okungajwayelekile njengomphumela ongemuhle walokhu kwelashwa futhi kungadingeka ukuthi kufakwe umshini wokushaya kwenhliziyo unomphela.
Uma ukwelashwa kwenziwe ngomthambo, uzocelwa ukuba ulale embhedeni imilenze yakho isakazeke amahora ambalwa ukuze uvimbele ukuphuma kwegazi. Uma kwenziwe nge-splint yesihlakala, ngokuvamile akudingeki ulale embhedeni kanjalo.
Ziyini izingozi zalokhu kwelashwa?
Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane, kodwa izinkinga azivamile.
- Ukopha noma ukutheleleka endaweni yokufaka i-catheter.
- Ukwakheka kwamahlule egazi emithanjeni yegazi.
- Umonakalo omncane odongeni lwenhliziyo (kungadingeka ulungiswe ngokuhlinzwa).
- Ukuvinjwa Kwenhliziyo: Ukuphazamiseka kwezimpawu zikagesi zenhliziyo. Lokhu kungabangela ukuthi inhliziyo ishaye kancane kakhulu noma ngokushesha kakhulu. Uma lokhu kwenzeka, kungadingeka i-pacemaker ehlala njalo.
- Ukuphuma kwegazi enhliziyweni: Ukunqwabelana koketshezi esikhwameni esizungeze inhliziyo.
Ungakhathazeki ngalokhu. Udokotela wakho uzokuchazela kahle lezi zingozi.
| Uma unalezi zimpawu ngemva kokwelashwa, bonana nodokotela ngokushesha! | |
|---|---|
| * Ubuhlungu besifuba | * Ubunzima bokuphefumula noma ukuphelelwa umoya (i-dyspnea) |
| * Isiyezi noma ukuzizwa uphelelwe amandla | * Ukushaya kwenhliziyo okungavamile noma ukuqina kwesifuba |
| * Ukukhathala ngokweqile | * Ubomvu, ukuvuvukala, ukopha, noma umkhuhlane lapho kufakwe khona i-catheter |
| * Isicanucanu nokuhlanza | |
Iningi labantu lingabuyela emisebenzini evamile phakathi nesonto lokwelashwa, futhi izimpawu zivame ukuthuthuka ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-Alcohol Septal Ablation (ASA) iyindlela yokwelapha ephumelela kakhulu ngaphandle kokuhlinzwa ye-HCM, ukuqina kwemisipha yenhliziyo.
- Lena inketho enhle kakhulu, ikakhulukazi kubantu asebekhulile noma labo abanezinye izifo abangakuthola kunzima ukubekezelela ukuhlinzwa kwenhliziyo okuvulekile.
- Nakuba lokhu kwelashwa kuholela ekululameni okusheshayo, kunezingozi ezincane, njengokuvinjelwa kwenhliziyo, okungadinga i-pacemaker ehlala njalo.
- Xoxa futhi uqonde yonke imininingwane nodokotela wakho wenhliziyo ngaphambi nangemva kokwelashwa.
- Uma kuvela izimpawu ezingavamile ngemva kokwelashwa, funa iseluleko sezokwelapha ngokushesha.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Ingabe ukuphefumula/isifuba kuyisifo samaphaphu nje? Ingabe ukuphefumula kungenzeka uma inhliziyo ikhuphukile?
Abantu abaningi bacabanga ukuthi ukukhwehlela kwenzeka kuphela ku-'Asthma'. Kodwa lokho akulungile neze! 'I-Cardiomyopathy / Ukwehluleka Kwenhliziyo' Lapho inhliziyo yehluleka, amaphaphu agcwala uketshezi (igazi), okwenza kube nzima ngesiguli ukuphefumula futhi 'ukukhwehlela' kungenzeka. Lokhu kubizwa ngokuthi 'I-Cardiac Asthma' kwezesayensi yezokwelapha. Kulokhu, isifuba asivuli ngisho nalapho kusetshenziswa ama-inhaler!
💬 Ngingazi kanjani ukuthi ukuphefumula kwami kuyisifo se-asthma esivamile noma ukwehluleka kwenhliziyo?
Ukuhlaselwa yisifuba somoya okuvamile kwenzeka uma kunothuli/uthuli, noma uma kunomkhuhlane. Kodwa uma kukhulunywa 'ngezinkinga zenhliziyo', 1) Uma ulala phansi/ulala embhedeni ebusuku bese uzama ukulala, uzizwa uphelelwa umoya ngokuzumayo bese uvuka ukhala (i-Orthopnea). 2) Kanye nalokho, imilenze/amaqakala akho avuvukala ngendlela engavamile (i-Edema). 3) Uma isifuba sakho sizizwa siqinile kunokujwayelekile lapho ukhuphuka izitebhisi, ngokuqinisekile kuyisifo senhliziyo!
💬 Uma unesifo sohlangothi, kufanele ushayele i-ambulensi ngokushesha, ngaphandle kokuhlala ekhaya, usebenzisa i-inhaler. Yiziphi izimo ezibulalayo/eziphuthumayo?
Ingozi enkulu ukumiswa kwenhliziyo ngokuphelele! Uma, kanye nokuhlaselwa yinhliziyo, 1) kukhona ubuhlungu obungabekezeleleki phakathi kwesifuba, njengokungathi kukhona itshe (Ubuhlungu Besifuba / Ukuhlaselwa Yinhliziyo), 2) uma ubuhlungu busakazeka engalweni yesobunxele kuya ngaphansi komhlathi, 3) uma isiguli sijuluka kakhulu njengokungathi siyageza, ubuso baso buphenduka mnyama/luhlaza okwesibhakabhaka, bese siba nesiyezi futhi silahlekelwe ukuqonda, isiguli singafa ngemizuzwana! Kufanele uye emnyangweni wezimo eziphuthumayo wesibhedlela ngokushesha!
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