Ingabe unoshintsho oluncane olufana nalolu enhliziyweni yakho? Ake sixoxe nge-(Atrial Septal Aneurysm)!

Ngezinye izikhathi siphila nezinguquko ezincane emizimbeni yethu singaqapheli, akunjalo? Ngezinye izikhathi lezi zinto zitholakala ngengozi lapho udokotela enza into efana ne-'scan' ukuze athole enye into. Kulungile, le 'Atrial Septal Aneurysm' yisifo senhliziyo esincane esizalwa naso esingavamile ukubonisa izimpawu ezinkulu. Ngakho ake sixoxe ngalokhu ngemininingwane ethe xaxa namuhla, akunjalo?

Kuyini i-'Atrial Septal Aneurysm'? Kalula nje...

Kalula nje, lokhu kuyisimo esingavamile senhliziyo yakho . Udonga oluhlukanisa amakamelo amabili aphezulu enhliziyo yethu, i-atria (ebizwa nangokuthi i-atria), lunohlobo lwezicubu ezengeziwe kulo. Ukuze kube sobala, ingxenye yalolo donga ibuthakathaka futhi iyavuvukala. Ngezinye izikhathi odokotela bangakubona lokhu ngesikhathi se-echocardiogram, ukuskena kwenhliziyo. Odokotela bakubiza nangokuthi lokhu yi-intertrial septal aneurysm.

Iningi labantu line-atrial septal aneurysm, kodwa ayiphazamisi ukugeleza kwegazi enhliziyweni futhi ayidingi ukwelashwa okukhethekile. Nakuba kungekho zibalo eziqondile zokuthi bangaki abantu abanalesi simo, kuthiwa asivamile .

Ingabe zikhona izinhlobo zalokhu?

Yebo, kunezinhlobo ezinhlanu eziyinhloko ze-'Atrial Septal Aneurysm'. Lezi zihlukaniswa ngokuya ngokuthi izicubu ezengeziwe, noma ukuvela, ziphuma kangaki ohlangothini lwenhliziyo. Cabanga ngakho, uhlangothi lwesokudla lwenhliziyo, uhlangothi lwesobunxele, noma izinhlangothi zombili.

• Uhlobo 1R: Kulesi simo, ukuvela kubheke i-atrium yakho yangakwesokudla.
• Uhlobo 2L: Lapha ukuvela kubheke e-atrium yangakwesobunxele.
• Uhlobo 3RL: I-protrusion itholakala kakhulu ohlangothini lwe-atrium kwesokudla, kodwa futhi kukhona inani elincane ohlangothini lwe-atrium lwesobunxele.
• Uhlobo lwe-4LR: Kulesi simo, ukuvela kwenzeka kakhulu ohlangothini lwesobunxele lwe-atrium, kanye nokuncane ohlangothini lwesokudla lwe-atrium.
• Uhlobo 5: Lapha ukuvela kufana cishe kokubili ku-atrium yesokudla nesobunxele.

Nakuba lokhu kuhlukaniswa kubalulekile kodokotela, akuyona into okufanele ukhathazeke ngayo. Okubalulekile ukuthi kukuthinta kanjani.

Yiziphi izimpawu ze-'Atrial Septal Aneurysm'?

Izindaba ezinhle ukuthi abantu abaningi abane-atrial septal aneurysm abanazo izimpawu . Udokotela wakho angase akuthole ngengozi uma wenza i-echocardiogram ngesinye isizathu.

Kodwa-ke, lesi simo ngezinye izikhathi singahambisana nezinye izimo zenhliziyo, njengokushaya kwenhliziyo okungajwayelekile (i-arrhythmias), amahlule egazi, noma ama-patent foramen ovales (ama-PFO). Uma lokhu kwenzeka, ungase ube nezimpawu ezifana nalezi:

• Ubuhlungu besifuba noma ukungakhululeki.
• Ukuzwa ushintsho esivinini noma isigqi senhliziyo yakho esishayayo, okwaziwa ngokuthi 'i-palpitations'.
• Isiyezi.

Kungani kwenzeka le `Atrial Septal Aneurysm`? Iyini imbangela?

Abacwaningi abakakazi kahle ukuthi yini ebangela i-interatrial septal aneurysm. Abanye odokotela nabacwaningi bakholelwa ukuthi kungenzeka ukuthi ibangelwa izakhi zofuzo noma ubuthakathaka ezicutshini ezixhumene emizimbeni yethu. Kodwa-ke, lokhu kusacwaningwa.

Ingabe lokhu kungabangela ezinye izinkinga?

Uma une-aneurysm eyodwa kuphela ye-atrial septal, akuyona inkinga enkulu. Kodwa-ke, ngezinye izikhathi lesi simo singandisa ingozi yakho yezinye izinkinga zempilo. Lezi zifaka:

• Ezinye izinkinga zenhliziyo ezizalwa nazo.
• Isifo sohlangothi yisimo lapho ihlule legazi liya ebuchosheni.
• Ukuphazamiseka kwesigqi senhliziyo (i-arrhythmias).
• Amahlule egazi.
• Isimo esibizwa ngokuthi i-`Patent foramen ovale (PFO)` (lokhu futhi kuyimbobo encane phakathi kwe-atria yenhliziyo).
• Isimo esibizwa ngokuthi `i-Atrial septal defect (ASD)` (lokhu futhi kuyimbobo odongeni phakathi kwe-atria).

Okubalulekile: Lezi zinkinga azenzeki kuwo wonke umuntu, kodwa kungenxa yale ngozi ukuthi odokotela bakhathazekile ngazo.

Uthola kanjani ukuthi une-'Atrial Septal Aneurysm'?

Ngokuvamile, udokotela angenza i-'echocardiogram' ukuze abone ukuthi lokhu kunjalo yini. Njengoba ngishilo ngaphambili, uma izicubu ezengeziwe ziphuma odongeni oluphakathi kwe-atria yenhliziyo ngamamilimitha angaphezu kwangu-10 (abanye odokotela bathi amamilimitha angu-15), odokotela bazoyixilonga njenge-'Atrial Septal Aneurysm'.

Ngezinye izikhathi, uma udokotela wakho efuna ukukubona kangcono lokhu, angase ancome ukuskena okukhethekile okubizwa ngokuthi i-transesophageal echocardiogram (TEE). Lokhu kuhilela ukudlulisa idivayisi encane efana nekhamera phansi kwe-esophagus yakho (ipayipi lokudla) ukuze uthole umbono ogcwele wodonga oluphakathi kwe-atria yenhliziyo yakho. Lokhu kungasiza ekutholeni i-atrial septal aneurysm engase iphuthelwe nge-echocardiogram evamile (i-transthoracic echocardiogram - TTE - lokhu kwenziwa ngesifuba).

Esikhathini esiningi, abantu abazi nokuthi bane-intertrial septal aneurysm. Ngokuvamile itholakala ngengozi ngesikhathi sokuhlolwa kwenhliziyo ngesinye isizathu. Lokhu kuhlolwa kufaka phakathi:

• `I-CT scan` yenhliziyo (`I-Cardiac computed tomography (CT)`).
• I-MRI scan yenhliziyo (i-Heart MRI).
• Ukuhlolwa kwe-Angiogram.

Uma udokotela ekuxilonga ukuthi une-atrial septal aneurysm, cishe uzohlola nezinye izimo zenhliziyo ezihambisana nayo, ngoba, njengoba ngishilo ngaphambili, abanye abantu abanalesi simo bangase babe nezinye izimo zenhliziyo.

Yiziphi izindlela zokwelapha lokhu?

Uma une-atrial septal aneurysm, kodwa ungenazo ezinye izimo zenhliziyo noma izinto ezibangela ukuqhekeka kwegazi kanye nesifo sohlangothi, cishe ngeke udinge ukwelashwa . Lokhu kuyiqiniso kubantu abaningi.

Kodwa-ke, kwabanye abantu, odokotela bangase banikeze imithi. Ukwelashwa kwe-intertrial septal aneurysm kungafaka phakathi izinto zokunciphisa igazi (njengezinto ezilwa nokuvuvukala kwegazi noma izinto ezilwa nokuvuvukala kwegazi). Le mithi inikezwa ukuvimbela ukuqhekeka kwegazi, njengoba abanye abantu abanalesi simo besengozini encane yokuba namahlule egazi.

Kwabanye abantu, ikakhulukazi labo abane-patent foramen ovale (PFO) kanye ne-aneurysm, inqubo encane kakhulu ebizwa ngokuthi i-patent foramen ovale (PFO) closure ingasiza ekunciphiseni ingozi yesifo sohlangothi. Ngemva kwale nqubo, kungadingeka ukuthi uthathe imithi yokunciphisa igazi ebizwa ngokuthi ama-antiplatelet izinyanga eziningana, noma ngisho impilo yakho yonke (ikakhulukazi uma uke waba nesifo sohlangothi ngaphambili).

Akuvamile kakhulu, okungukuthi, ezimweni ezimbalwa kakhulu, lapho le `Atrial Septal Aneurysm` idinga ukususwa ngokuhlinzwa.

Ingakanani ingozi ye-'Atrial Septal Aneurysm'?

Ukuba ne-atrial septal aneurysm akuyona yodwa imbangela yokukhathazeka . Akuvamile ukubangela inkinga enkulu ngokwayo. Kodwa-ke, uma unezinye izici eziyingozi zokushaywa yisifo sohlangothi (njengomfutho wegazi ophakeme, isifo sikashukela, ukubhema, noma ukuba ne-PFO), khona-ke kufanele ukhathazeke nge-atrial septal aneurysm. Lokhu kungandisa ingozi yakho yokushaywa yisifo sohlangothi nakakhulu.

Ingabe kufanele sesabe impilo yethu ngalesi simo?

Ngokuvamile, isikhathi sokuphila sabantu abane-`Atrial Septal Aneurysm` sifana nesabanye abantu abaphilile . Lokhu kusho ukuthi asikho isidingo sokukhathazeka ngokuthi lokhu kuzofinyeza impilo yakho. Akusona isimo sabo bonke abantu esifanayo. Isimo sakho singase sihluke kuye ngezinye izifo noma izimo zempilo onazo. Ngakho-ke, kungcono ukukhuluma nodokotela wakho ngalokhu.

Yini ongayenza ukuze uzinakekele?

Uma udokotela wakho ekubhalela umuthi wokusiza ukuvimbela isifo sohlangothi (njengomuthi wokunciphisa igazi), kubaluleke kakhulu ukuwuthatha njengoba nje kubhaliwe, ngomthamo obhaliwe, nangesikhathi esibhaliwe . Ungalokothi uyeke ukuthatha umuthi wakho noma ushintshe umthamo ngaphandle kokukhuluma nodokotela wakho.

Uma unenqubo encane noma ukuhlinzwa okukhulu, udokotela wakho uzokuthatha ayokuqoka izikhathi ezijwayelekile . Qiniseka ukuthi uyawagcina la ma-aphoyintimenti. Kungase kudingeke futhi ukuthi ube nokuhlolwa kwezithombe noma ukuskena.

Kunini lapho kudingeka uye esibhedlela uma kunesimo esiphuthumayo?

Lokhu kubaluleke kakhulu. Uma wena noma othile onayo enezimpawu zesifo sohlangothi , kufanele uye esibhedlela ngokushesha ngaphandle kokulibala . Ukuthola ukwelashwa kusenesikhathi kungavimbela umonakalo omkhulu obangelwa isifo sohlangothi. Khumbula lezi zimpawu:

• Kuba nzima ukukhuluma, amazwi ayaphithana.
• Uhlangothi olulodwa lomzimba (ingalo, umlenze, uhlangothi lobuso) luzizwa lungenamizwa, luqhaqhazela, noma lubuthakathaka.
• Kungazelelwe, kuvela isiyezi esinzima.
• Ukubona kuba lufifi ngokuzumayo, noma umbono ulahleka kwelinye noma kuwo womabili amehlo.
• Kungazelelwe, eyodwa noma ngaphezulu yezinzwa zethu ziyayeka ukusebenza (isib., ukuzwa, ukuhogela).
• Kungazelelwe, uzizwa udidekile kakhulu futhi sengathi ukhohliwe ukuthi ukuphi.
• Ikhanda elibuhlungu kakhulu, elizumayo.

Yimiphi imibuzo okufanele uyibuze udokotela wakho?

Uma uthola ukuthi une-'Atrial Septal Aneurysm', kuyinto evamile ukuba nemibuzo eminingi engqondweni yakho. Ungesabi ukubuza udokotela wakho ngalezi zinto:

• "Dokotela, ingabe ngidinga ukwelashwa kwale 'Atrial Septal Aneurysm'?"
• "Ngidinga ukubona udokotela futhi ngokushesha kangakanani (`ama-aphoyintimenti okulandelela`)?"
• "Ingabe nginezinye izinkinga zenhliziyo ezihlotshaniswa nale `Atrial Septal Aneurysm`?"
• "Njengoba ngibheka isimo sami samanje, udokotela ucabangani ngempilo yami yesikhathi esizayo?"

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

Ungase umangale kancane lapho udokotela ekutshela ukuthi une-'Atrial Septal Aneurysm', ikakhulukazi uma ungakaze ube nezimpawu ngaphambili. Kodwa-ke, ezimweni eziningi, lokhu akuyona into okufanele ukhathazeke ngayo . Iningi labantu liphila impilo ejwayelekile ngalesi simo ngaphandle kwezinkinga.

Kodwa-ke, uma udokotela wakho ethi usengozini yokuba nesifo sohlangothi ngenxa yalesi sifo sohlangothi, khuluma naye ngokucophelela bese wenza uhlelo olucacile mayelana nezinyathelo okudingeka uzithathe ukuze uzivikele. Kubalulekile futhi ukukhuluma nomndeni wakho, abangani emsebenzini, nabanye ngezibonakaliso eziyisixwayiso zesifo sohlangothi ukuze unciphise ukwesaba kwakho. Ukuqaphela lezi zimpawu kungaba usizo olukhulu kuwe noma kothile omaziyo esikhathini esizayo. Landela njalo iseluleko sikadokotela wakho. Khona-ke ungahlala uphilile!

i- atrial septal aneurysm, isifo senhliziyo, inhliziyo, i-echocardiogram, i-echocardiogram, isifo sohlangothi, i-PFO, impilo yenhliziyo