Ingabe inhliziyo ingalahlwa ngemva kokufakelwa? (Ukwenqatshwa Kokufakelwa Inhliziyo) Ake sixoxe ngalokhu!

Uyabona, ukuthola inhliziyo entsha kufana nokuqala impilo entsha. Lokhu kuyimpumuzo enkulu, ikakhulukazi kumuntu okusebenza kwenhliziyo yakhe sekuye kwaba buthakathaka kakhulu, okungukuthi, ukwehluleka kwenhliziyo kwesigaba sokugcina . Kodwa-ke, ngezinye izikhathi umzimba wethu ubona le nhliziyo entsha "njengomuntu ongamazi" bese uqala ukusabela ngokumelene nayo. Yilokho esikubiza ngokuthi Ukwenqatshwa Kokufakelwa Kwenhliziyo . Nakuba lokhu kuyesabeka kancane, ukwaziswa kahle ngalokhu kunganciphisa izinkinga eziningi. Ngakho ake sixoxe ngalokhu ngokuningiliziwe namuhla, akunjalo?

Kuyini ngempela ukwenqatshwa kokufakelwa kwenhliziyo?

Kalula nje, ukufakelwa inhliziyo inqubo yokuhlinzwa lapho kususwa khona inhliziyo esesimweni esibucayi bese kufakelwa inhliziyo enempilo evela kumuntu oshonile. Ngakho-ke, lapho amasosha omzimba wakho eqaphela inhliziyo entsha "njengengeyona eyakho, kodwa eyomunye umuntu," iqala ukuhlasela inhliziyo entsha njengokungathi ilwa nesifo. Yilokho ukwenqatshwa .

Lokhu kungenzeka kakhulu emasontweni ambalwa okuqala ngemva kokufakelwa. Kodwa-ke, ngezinye izikhathi lesi simo singase senzeke ezinyangeni noma ngisho neminyaka kamuva.

Into ebaluleke kakhulu ukuthi ngaphambi kokufakelwa inhliziyo, odokotela bazokuqala ngemithi yokucindezela amasosha omzimba . Le mithi izama ukucindezela amasosha omzimba wakho futhi iwuvimbele ekuhlaseleni inhliziyo entsha. Kodwa-ke, ngezinye izikhathi ngisho nangale mithi, ukwenqatshwa akukwazi ukuyekiswa ngokuphelele.

Ukwenqatshwa kungaholela ezinkingeni eziningana. Isibonelo:

• Ukungalingani kwesigqi senhliziyo (i-Arrhythmia): Lokhu kungaholela ekufeni okuzumayo.
• Ukwehluleka kokusebenza kwenhliziyo entsha.
• Ukuba nesifo senhliziyo.

Yiziphi izinhlobo eziyinhloko zokwenqatshwa?

Kunezinhlobo ezintathu eziyinhloko zokwenqatshwa okubonakala ekufakelweni kwenhliziyo:

1. Ukwenqatshwa okukhulu kwamangqamuzana: Lokhu kwenzeka lapho uhlobo olukhethekile lweseli ohlelweni lwakho lokuzivikela olubizwa ngokuthi ama-T cell luhlasela amangqamuzana enhliziyo amasha. Lokhu kuvame kakhulu ezinyangeni ezintathu kuya kweziyisithupha zokuqala ngemva kokufakelwa.

2. Ukwenqatshwa okungapheli: Lokhu kubangelwa ukuthi amasosha omzimba aqhubeka nokuhlasela i-graft ngokuhamba kwesikhathi. Ezimweni eziningi, imithambo yegazi eyinhloko ehlinzeka ngegazi enhliziyweni, imithambo yenhliziyo, iyaqina kancane kancane. Lokhu kunciphisa inani lomoya-mpilo kanye nezakhamzimba ezidingwa yinhliziyo.

3. Ukwenqatshwa okuhlekisayo: Lokhu kubizwa ngokuthi ukwenqatshwa okubukhali kwe-antibody.Kubizwa nangokuthi. Lokhu kungenzeka nganoma yisiphi isikhathi ngemva kokufakelwa. Okwenzekayo lapha ukuthi ama-antibodies akhiqizwa amasosha omzimba wakho alimaza imithambo yegazi enhliziyweni entsha. Ngemuva kwalokho inhliziyo ayitholi ukugeleza kwegazi okwanele.

Kuvame kangakanani lokhu kwenqatshwa kwenhliziyo?

Eqinisweni, lokhu kwenqatshwa kuyinto engabonakala ngezinga elithile phakathi kwabantu abaye bafakelwa inhliziyo. Lokhu kungenzeka ngezinye izikhathi ngisho noma bethatha imithi yokucindezela amasosha omzimba ngendlela efanele. Kodwa-ke, izindaba ezinhle ukuthi ngokuthuthuka kwesayensi yezokwelapha, ikakhulukazi ngokutholakala kwezinto ezintsha mayelana nokucindezela amasosha omzimba , ingozi yalokhu kwenqatshwa iyancipha kancane kancane.

Yiziphi izinto ezandisa ingozi yokwenqatshwa yinhliziyo?

Kunezinto ezithile ezingandisa ingozi yokwenqatshwa. Ake sibone ukuthi ziyini:

• Ezinye izimo zempilo umuntu othola inhliziyo anazo: Isibonelo , i-cholesterol ephezulu , ukumelana ne-insulin , kanye nomfutho wegazi ophezulu emaphashini .
• Ukungafani kwezakhi zofuzo phakathi komnikeli kanye nomamukeli.
• Uma umuntu onikele ngenhliziyo enesifo senhliziyo.
• Uma kwenzeka okuthile enhliziyweni ngesikhathi kukhishwa emzimbeni, kubuyiselwa, bese kufakelwa kumuntu omusha.
• Umuntu othola inhliziyo umnyama (lokhu kuyinto etholakale ezifundweni, akuvamile kuwo wonke umuntu).
• Uma umuntu othola inhliziyo emncane kakhulu kunomuntu onikeza inhliziyo.
• Imithi yokucindezela amasosha omzimba engathathwanga ngesilinganiso esifanele, ngesikhathi esifanele, noma engasebenzi kahle nomunye umuthi omusha.

Yini ebangela ukuba izinhliziyo zenqabe?

Lokhu kwenzeka ngoba isimiso somzimba wakho sokuzivikela siqaphela inhliziyo entsha "njengento yangaphandle." Bese sithumela ama-T cell, noma ama-antibodies , ukuze ahlasele "umhlaseli."

Lokhu kungenzeka naphezu kwemithi yokuvimbela ukwenqatshwa enikezwa iziguli ezifakelwe inhliziyo. Ososayensi abakaqondi ngokugcwele ukuthi kungani lokhu kwenzeka.

Ziyini izimpawu zokwenqatshwa kwenhliziyo?

Lena yingxenye edida kakhulu. Ngezinye izikhathi ukwehluleka kwenhliziyo kungenzeka ngaphandle kwezimpawu! Yingakho odokotela beqhubeka nokukuhlola, ukuze babone ukuthi kukhona yini okungahambi kahle. Kodwa-ke, abanye abantu baba nezimpawu.

Izimpawu ezivamile zomkhuhlane zifaka:

• Ubuhlungu besisu.
• Ubuhlungu bomzimba.
• Ukugodola.
• Ukukhathala kakhulu (Ukukhathala).
• Umkhuhlane ophansi, njengokungathi umzimba ushisa kakhulu.
• Ukucanuzela noma ukuphelelwa yisifiso sokudla.
• Ukuzizwa ungaphilile.

Kungase kube nezinye izimpawu:

• Ukuzizwa unesizungu noma ukuphelelwa yithemba.
• Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile.
• Ukukhishwa komchamo okungaphansi kokuvamile (i-Oliguria) .
• Umfutho wegazi ophansi (i-Hypotension) .
• Ubunzima bokuphefumula (i-Dyspnea) .
• Ukukhuluphala okungazelelwe, okungalindelekile.
• Ukuvuvukala kwamaqakala, izandla, noma izinyawo.

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, kufanele wazise udokotela wakho ngokushesha, ngaphandle kokulinda i-aphoyintimenti yakho elandelayo.

Ukubona kanjani ukwenqatshwa kwenhliziyo?

Ngemva kokufakelwa inhliziyo yakho, uzoba nokuhlolwa okuvamile ukuze kuhlolwe ukwenqatshwa. Odokotela bakho bangase baku-ode ukuhlolwa okufana nalokhu:

• Ukuhlolwa kwegazi ukuhlola izimpawu ze-DNA ezihlobene nokwenqatshwa.
• I-echocardiogram (njengokuskena kwenhliziyo nge-ultrasound).
• Ukuhlolwa kwe -Electrocardiogram (ECG noma EKG) (ukuhlola ukusebenza kukagesi kwenhliziyo).
• Ukuhlolwa kokucindezeleka kwenhliziyo yenuzi .
• I-Angiography ( i-X-ray ebheka imithambo yegazi yenhliziyo).
• I-ultrasound yemithambo yegazi .
• Ukuhlolwa kwe-myocardial biopsy noma ukuhlolwa kwenhliziyo: Lokhu kuhilela ukuthatha ingxenye encane kakhulu yezicubu enhliziyweni bese uyihlola ngaphansi kwe-microscope ukuthola izimpawu zokwenqatshwa. Lena yindlela engcono kakhulu yokuqinisekisa ukwenqatshwa.

Yini okufanele uyenze uma kukhona ukwenqatshwa kwenhliziyo?

Indlela yokwelapha incike ezintweni eziningi, isibonelo:

• Uhlobo lokwenqatshwa.
• Ubunzima bokwenqatshwa.
• Izimpawu zakho.
• Ezinye izinkinga zempilo onazo.
• Yimiphi imithi oyiphuzayo njengamanje?

Uma unenhliziyo enqatshiwe, odokotela bangenza izinto ezifana nalezi:

• Ukushintsha izinhlobo zemithi yokucindezela amasosha omzimba oyithathayo njengamanje, ukwengeza emisha, noma ukwandisa umthamo.
• Ukwelashwa okubizwa ngokuthi i-plasmapheresis noma i-photopheresis, okuyindlela yokuhlanza igazi lakho.
• Ukuhlinzwa noma ezinye izinqubo zokuthuthukisa ukugeleza kwegazi, njenge- angioplasty noma ukuhlinzwa kwenhliziyo evulekile.
• Ukunikeza imithi eqenjini le-corticosteroid , isibonelo , i-Prednisone .
• Ukuthatha inhliziyo kumuntu omusha onikelayo nokwenza ukufakelwa kabusha (lokhu akuvamile kakhulu).
• Ukusebenzisa imishini ukusekela inhliziyo yakho. Isibonelo:I-Extracorporeal Membrane Oxygentor (ECMO) noma i-Ventricular Assist Device (VAD) .

Yini engingayenza ukuze ngivimbele ukwenqatshwa kwenhliziyo?

Kunezinto ezithile ongazenza ukusiza ukunciphisa ingozi yokwenqatshwa:

• Qiniseka ukuthi uya kuzo zonke izikhathi zokubonana nodokotela wakho. Lokhu kubaluleke kakhulu.
• Hlola isisindo sakho, umfutho wegazi, kanye nokushisa komzimba njalo. Tshela udokotela wakho uma ubona noma yiziphi izinguquko.
• Landela indlela yokuphila enempilo. Lokho kusho ukudla ukudla okunomsoco, ukuzivocavoca njalo, nokuyeka ukubhema uma ubhema.
• Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile, yazisa udokotela wakho ngokushesha, ngaphandle kokulinda i-aphoyintimenti yakho elandelayo.
• Phuza yonke imithi oyinikezwe udokotela wakho njengoba nje uyalelwe, ngesikhathi esifanele, nangesilinganiso esifanele. Ungayeki umthamo owodwa.
• Ngaphambi kokuthatha noma yimuphi umuthi omusha (ngisho nevithamini), buza udokotela wakho noma usokhemisi ukuthi uzodala inkinga ngemithi yakho yokulwa nokwenqatshwa.

Yini okufanele ngiyilindele uma ngenqatshwa?

Ingozi yokwenqatshwa kwenhliziyo iyancipha ngokuhamba kwesikhathi. Kodwa-ke, kubalulekile ukukhumbula ukuthi lokhu kusengenzeka eminyakeni eminingi ngemva kokuhlinzwa.

Uma wenqatshwa, udokotela wakho uzokhuluma nawe ngezinketho zakho. Iningi labantu liphatha lesi simo ngemithamo eyengeziwe yemithi yokucindezela amasosha omzimba kanye nezinye izindlela zokwelapha. Abantu abangu-2% kuya ku-4% kuphela abafakelwe inhliziyo abazodinga ukufakelwa futhi.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami mayelana nokwenqatshwa kwenhliziyo?

Ungabuza udokotela wakho imibuzo efana nale:

Ngaphambi kokuhlinzwa:

• Ingabe inhliziyo yalo mnikeli ingifanela kahle?
• Yini okufanele ngiyenze ukuze nginciphise ingozi yokwenqatshwa yinhliziyo?
• Yimiphi imithi yokuvimbela ukwenqatshwa okufanele ngiyithathe?
• Iyini imiphumela emibi yaleyo mithi?
• Kufanele ngihlole kangaki isisindo sami, umfutho wegazi kanye nokushisa komzimba? Yiziphi izinguquko okufanele ngikubikele zona?

Uma kukhona ukwenqatshwa:

• Uhlobo luni lokwenqatshwa enginalo?
• Hlobo luni lokwelashwa olungangisiza?
• Ingabe ngiyafaneleka ukufakelwa inhliziyo futhi?

Ekugcineni, khumbula lokhu.

Ukwenqatshwa kuyinto evamile ngemva kokufakelwa inhliziyo. Kungavela noma kuphi kusukela ezinsukwini ezimbalwa kuya eminyakeni ngemva kokuhlinzwa. Ngakho-ke, kubalulekile ukuhlala useduze nethimba lakho lezokwelapha futhi ulandele imiyalelo yabo ngokucophelela.Khuluma nodokotela wakho ngokukhululekile ngezindlela zokunciphisa ingozi yokwenqatshwa kanye nezinketho zokwelashwa. Ungakhathazeki, manje kunezindlela eziningi ezithuthukisiwe zokuphatha lezi zimo. Khumbula, awuwedwa.

Ukufakelwa inhliziyo , ukufakelwa inhliziyo, ukwenqatshwa kwenhliziyo, imithi yokucindezela amasosha omzimba, isifo senhliziyo, ukufakelwa kwezitho zomzimba, ukwenqatshwa kokufakelwa inhliziyo