Ubani uDokotela Wezifo Zenhliziyo? Ake sithole konke!

Wake wazibuza ukuthi hlobo luni lodokotela obungalubona uma kufanele uhlinzwe izitho ezibalulekile esifubeni sakho, njengenhliziyo noma amaphaphu akho? Noma uma kufanele uhlinzwe ngenxa yenkinga yomphimbo wakho? Yilapho-ke udokotela ohlinzayo wenhliziyo esiza ukuzosisiza khona. Nakuba igama lingase lizwakale lide kancane, laba bantu benza ukuhlinzwa okuyinkimbinkimbi kakhulu nokusindisa impilo. Ngakho-ke, namuhla sizokhuluma ngokuthi bangobani laba ochwepheshe, benzani, nokuthi kufanele ubabone nini.

Ubani lo dokotela ohlinza inhliziyo?

Kalula nje, udokotela ohlinzayo wenhliziyo ungudokotela ogxile ekuhlinzeni izitho ezingaphakathi kwesifuba sakho . Lezi zitho zifaka phakathi inhliziyo yakho, amaphaphu, kanye nombhobho wokudla. Cabanga ngakho, inhliziyo namaphaphu yizitho ezimbili ezibaluleke kakhulu emzimbeni wethu ukuze silondoloze impilo . Inhliziyo ipompa igazi kuwo wonke umzimba, kanti amaphaphu ahlinzeka ngegazi ngomoya-mpilo. Ngakho-ke, ukuze wenze ukuhlinzwa ezithweni ezibalulekile kangaka, udinga umuntu oqeqeshwe ngokukhethekile, akunjalo?

Laba odokotela bachitha iminyaka eyisithupha kuya kweyisishiyagalombili beqeqeshwa ngokukhethekile ekuhlinzeni ngemuva kokuphothula esikoleni sezokwelapha. Phakathi nalesi sikhathi, bafunda ngokujulile ngokuhlinzwa okuvamile kanye nokuhlinzwa okubandakanya inhliziyo nesifuba. Abanye bathatha isikhathi eside nakakhulu ukugxila emkhakheni ongaphansi komkhakha ofanayo, njengesifo senhliziyo sokuzalwa ezinganeni.

Yini ngempela eyenziwa yilaba odokotela?

Udokotela ohlinzayo wenhliziyo welapha izimo ezenzeka esifubeni ngenxa yesifo noma ukulimala. Uzoqala ngokuxilonga lesi simo , bese exoxa nawe ngezindlela zokwelapha, enze ukuhlinzwa uma kudingeka, bese ekulandela ngemva kokuhlinzwa uze uphile kahle.

Laba odokotela bangelapha izingxenye zomzimba wakho abantu abaningi abazijwayele, kanye nezingxenye okungenzeka ukuthi awukaze uzizwe ngazo ngaphambili. Nazi ezinye zezindawo eziyinhloko abazelaphayo:

• Inhliziyo kanye ne-pericardium: Sonke siyazi ukuthi iyini inhliziyo. I-pericardium iyisikhwama esincane nesivikelayo esizungeze inhliziyo. Benza ukuhlinzwa kuzo zombili lezi zinto.
• Imithambo yenhliziyo: Lena yimithambo yegazi emincane ehambisa igazi enhliziyweni. Uma ivalekile, kuvela ukuhlaselwa yinhliziyo.
• Umphimbo: Lona umbhobho othwala ukudla esikudlayo kusuka emlonyeni wethu kuya esiswini sethu.
• Udonga lwesifuba: Lokhu kuhlanganisa imisipha namathambo esifuba.
• I-Mediastinum: Lesi isikhala esingenalutho phakathi kwamaphaphu akho. Siphinde sibe nezitho ezibalulekile.
• I-Trachea: Ipayipi eliyinhloko esiphefumula ngalo.
• I-Diaphragm:Umsipha omkhulu ohlukanisa umgodi wesifuba nomgodi wesisu. Uphinde usize ekuphefumuleni.
• Amaphaphu kanye nolwelwesi oluwazungezile, i-pleura: Asikho isidingo sokukhuluma ngamaphaphu. I-pleura iyisivikelo esizungezile amaphaphu.

Ingabe kunemikhakha ehlukene yodokotela abahlinza inhliziyo kanye nesifuba?

Yebo, kunezinye izinhlobo eziningana ezikhethekile kulo mkhakha oyinhloko. Lokhu kusho ukuthi abanye odokotela bagxila kakhulu kokunye noma ngaphezulu kwalokhu.

• Odokotela abahlinza inhliziyo: Laba bantu benza ukuhlinzwa ikakhulukazi enhliziyweni kanye nemithambo yegazi emikhulu exhunywe kuyo.
• Odokotela abahlinza inhliziyo abazalwa nabo: Laba bantu bathole ukuqeqeshwa okukhethekile ukuze benze ukuhlinzwa ezinganeni ezincane ngenxa yezifo zenhliziyo ezizalwa nazo.
• Odokotela abahlinzayo benhliziyo nemithambo yegazi: Laba bantu banakekela ukuhlinzwa okuhlobene nohlelo lonke lokujikeleza kwegazi, hhayi inhliziyo kuphela.
• Odokotela abahlinzayo besifuba abajwayelekile: Laba bantu benza ukuhlinzwa enhliziyweni nakwezinye izingxenye zesifuba, njengamaphaphu kanye nomphimbo.
• Odokotela abahlinzayo ngokufakelwa izitho: Laba ngabantu abanolwazi lokufakelwa inhliziyo noma amaphaphu.

Hlobo luni lwezifo eziphathwa yilaba ochwepheshe?

Laba odokotela belapha izifo eziningi ezihlobene nomgodi wesifuba. Ezinye zazo yilezi:

• Isifo semithambo yenhliziyo nezinye izifo zenhliziyo: Izinkinga ezifana nokuvaleka kwemithambo yegazi ehambisa igazi enhliziyweni.
• I-Atrial fibrillation: Ukushaya kwenhliziyo okungajwayelekile.
• Izinkinga ze-Aorta (isb., ama-aneurysms): Ukukhula noma ezinye izinkinga ezenzeka emthanjeni wegazi omkhulu emzimbeni.
• Ukufakelwa inhliziyo
• Ukufakelwa kwamaphaphu
• Izifo zamaphaphu (isib. Umdlavuza): Izifo ezahlukahlukene ezenzeka emaphashini, okuhlanganisa nezimo zomdlavuza.
• Izifo zomqala (isib. umdlavuza): Izifo kanye nomdlavuza owenzeka emgudwini wokudla.
• I-Emphysema : Isifo esonakalisa amasaka omoya emaphashini futhi esibangela ubunzima bokuphefumula.
• Ukwehluleka kwenhliziyo: Inhliziyo ayikwazi ukupompa igazi ngendlela efanele ngokwanele.
• Ubunzima bokugwinya
• Ukulimala esifubeni ngengozi
• Ukukhubazeka kwenhliziyo okuzelwe nakho: Lokhu kuthinta ukusebenza kwenhliziyo.
• Ama-hernias e-hiatal: Ingxenye yesisu iphuma nge-diaphragm iye esifubeni.
• Izinkinga ngemisipha namathambo odongeni lwesifuba
• Ama-Aneurysms emithanjeni yesifuba
• Ukungasebenzi kahle kwe-valve yenhliziyo
• Isifo se-gastroesophageal reflux (GERD): Siyibiza ngokuthi uhlobo olubi lwe-gastritis, lapho kuvela khona i-asidi esiswini.

Uyini umehluko phakathi koDokotela Wenhliziyo noDokotela Wenhliziyo?

Lokhu kuyinto edida abantu abaningi. Udokotela ohlinza inhliziyo ngumuntu ogxile kuphela ekuhlinzeni inhliziyo kanye nemithambo yegazi emikhulu exhunywe ngqo enhliziyweni (isib. i-aorta).

Kodwa-ke, uDokotela Wenhliziyo ngumuntu osebenza emkhakheni obanzi kakhulu. Wenza ukuhlinzwa cishe kukho konke okusesifubeni ngaphezu kwenhliziyo. Lokho kusho ukuthi konke kusukela emaphashini kuya emhubheni kuya ku-trachea kuwela ngaphansi kwensimu yakhe. Kalula nje, udokotela wenhliziyo ungomunye umsebenzi okhethekile emkhakheni wokuhlinzwa kwenhliziyo.

Hlobo luni lokuhlolwa okwenziwa yilaba odokotela?

Laba odokotela bangase ba-ode izivivinyo ezahlukene ukuze bathole isimo sakho. Lezi zivivinyo zingahluka kuye ngezimpawu zakho. Ezinye zezivivinyo ezivame kakhulu yilezi:

• I-X-ray yesifuba: Hlola isimo esiyisisekelo sezitho zesifuba.
• I-CT scan: Ithatha izithombe ezihlanganisa izingxenye zomzimba ukuze ibone ngokuningiliziwe.
• Ukuskena kwe-MRI (i-magnetic resonance imaging): Kusebenzisa insimu yamagnetic namagagasi omsakazo ukukhiqiza izithombe ezinemininingwane.
• I-Ultrasound: Sebenzisa amaza omsindo ukukhiqiza izithombe zezitho zomzimba (ngokuvamile inhliziyo njenge-echocardiogram).
• I-Electrocardiogram (ECG/EKG): Iqopha umsebenzi kagesi wenhliziyo.
• I-Echocardiogram: I-ultrasound scan yokuhlola ukusebenza kwenhliziyo kanye nesimo sama-valve ayo.
• Ukuhlolwa kwe-catheter yenhliziyo: Ukuhlolwa kokuhlola izinto ezifana nokuvaleka kwemithambo yenhliziyo.
• I-Multigated Acquisition Scan (i-MUGA scan): Bona ukuthi inhliziyo ishaya igazi kahle kangakanani.
• Ukuhlolwa kokucindezeleka kokuzivocavoca: Bona ukuthi inhliziyo isabela kanjani ekuzivocavoceni.
• I-Holter monitor: Idivayisi eqopha njalo i-ECG yenhliziyo amahora angama-24 noma ngaphezulu.
• Ukuhlolwa kokusebenza kwamaphaphu: Bona ukuthi amaphaphu akho asebenza kahle kangakanani.
• I-pulse oximetry: Ihlola izinga le-oxygen egazini.
• I-endoscopy ephezulu: Ukuhlolwa komphimbo nesisu kusetshenziswa ipayipi elinekhamera.
• Ukuhlolwa kwe-biopsy:Ukuthatha ucezu lwezicubu ezisolisayo bese uluhlola ngaphansi kwe-microscope.
• I-Esophageal manometry: Bona ukuthi imisipha ye-esophagus isebenza kanjani.

Kufanele simbone nini udokotela ohlinzayo wenhliziyo?

Ngokuvamile, uzothunyelwa kuchwepheshe ngomunye udokotela. Lo kungaba umhlinzeki wakho wokunakekelwa oyinhloko. Noma kungaba udokotela wamaphaphu noma udokotela wenhliziyo. Bazokudlulisela kuchwepheshe uma isimo sakho singalawulwa ngemithi noma ezinye izindlela zokwelapha futhi becabanga ukuthi ukuhlinzwa kuyadingeka. Futhi, uma ufuna umbono wesibili komunye udokotela, ungaya kudokotela wesibili ohlinzayo wenhliziyo ngokwakho.

Yini okufanele uyilindele uma uya kobona uchwepheshe onjengalona?

Uma uya kobona uchwepheshe onjengalona, ​​uzoqala akuhlole ngokomzimba. Ngemuva kwalokho uzokhuluma nawe ngokucophelela ngezimpawu zakho. Umlando wezokwelapha womndeni wakho ubaluleke kakhulu, ikakhulukazi uma kukhulunywa ngesifo senhliziyo. Ngoba ezinye izifo zenhliziyo zingangena emindenini. Ngakho-ke, lungela ukumtshela ngqo ukuthi kukhona yini emndenini wakho oke waba nesifo senhliziyo nokuthi sasiluhlobo luni lwesifo.

Uzofuna ukubona imiphumela yakho yokuhlolwa kwangaphambilini. Uma sekuphele isikhathi eside ungazange wenze lezo zivivinyo, angakucela ukuthi uphinde uziphinde. Kufanele futhi umtshele nganoma yimiphi imithi oyiphuzayo njengamanje.

Ngemva kokukuhlola nokubukeza lonke ulwazi olunikezayo, angase akunikeze imithi. Noma, angase athi udinga ukuhlolwa okwengeziwe ngaphambi kokunquma ukuthi yini azoyenza ngokulandelayo. Uma esenolwazi lonke aludingayo ukuze aqonde ngokugcwele isimo sakho, uzoxoxa nawe ngezinketho zakho zokwelashwa ngokuningiliziwe, okuhlanganisa nokuhlinzwa uma kudingeka. Ungesabi ukubuza noma yimiphi imibuzo ongase ube nayo.

Khumbula, uma ungaqondi okuthile lapho udokotela ekuchazela, ungabi namahloni okubuza futhi. Kubaluleke kakhulu ukuthi uqonde kahle isimo sakho.

Ingabe ngidinga i-referral ukuze ngibone udokotela ohlinzayo we-cardiothoracic?

Lokhu kungahluka kuye ngohlelo lwakho lomshwalense. Kungumqondo omuhle ukuhlola nenkampani yakho yomshwalense. Kodwa-ke, cishe uzodinga ukudluliselwa. Lokhu kuvela kudokotela owaqala ukuthola isimo sakho kodwa ongazange akwazi ukuselapha ngemithi noma ezinye izindlela zokwelapha. Odokotela abangakudlulisela kudokotela ohlinzayo wenhliziyo bahlanganisa:

• Udokotela wakho wenhliziyo
• Udokotela Wakho Wezifo Zamaphaphu
• Udokotela womndeni wakho (umhlinzeki wokunakekelwa okuyinhloko)
• Udokotela wakho wezifo zamathumbu (isibonelo, ngezinkinga zomphimbo)

Abantu abanjalo bangafakwa.

Yiziphi izici ezikhethekile zodokotela abahlinza inhliziyo nesifuba?

Njengoba sesikhulume kancane ngaphambili, laba odokotela banezinye izinhlobo ezikhethekile. Lokho kusho ukuthi bagxila kakhulu ezingxenyeni ezithile noma ezifweni zesifuba. Ezinye zezinhlobo ezikhethekile eziyinhloko zifaka:

• Ukuhlinzwa kwenhliziyo
• Ukuhlinzwa kokufakelwa inhliziyo namaphaphu
• Ukuhlinzwa kwenhliziyo okuzelwe nakho
• Ukuhlinzwa kwesifuba (ukuhlinzwa okubandakanya ezinye izitho ngaphandle kwenhliziyo)

Basebenza kuphi laba odokotela?

Odokotela abahlinza inhliziyo nesifuba bavame ukusebenza ezibhedlela. Abanye basebenza nasezikhungweni zezokwelapha ezizimele. Ngaphezu kwalokho, abanye odokotela bahlanganyela ocwaningweni lwezokwelapha noma bafundisa abafundi bezokwelapha.

Khumbula izinto ezibalulekile (Umyalezo Wokuya Ekhaya)

Odokotela abahlinza inhliziyo nesifuba ngabantu abenza ukuhlinzwa kwezinye zezitho zomzimba ezibaluleke kakhulu emizimbeni yethu. Ukuhlinzwa abakwenzayo kuvame ukuba nzima kakhulu. Ngakho-ke uma uhlinzwa, qiniseka ukuthi ubuza udokotela wakho noma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Kufanele ube nokuqonda okucacile kokuthi kungani udinga ukuhlinzwa nokuthi kuzosisiza kanjani isimo sakho.

Ngemva kokuhlinzwa, thatha yonke imithi oyinikezwe udokotela wakho ngesikhathi. Landela imiyalelo enikeziwe ukuze uzinakekele wena noma othandekayo wakho. Ungaphuthelwa yinoma yimiphi imihlangano yokulandelela ngemva kokuhlinzwa. Yiyo evumela udokotela ukuthi abone ukuthi ululama kahle kangakanani. Hlala unethemba njalo futhi ukufisela ukululama okusheshayo!

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