Ingabe udokotela ukutshelile ukuthi unenkinga nge-valve yenhliziyo nokuthi kuzodingeka ishintshwe? Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane uma uzwa into efana nale. Akumangazi ukucabanga, "O, kuzomele ngihlinzwe inhliziyo yami?" Kodwa empeleni, lokhu ukuhlinzwa okwenziwa ngempumelelo kakhulu emhlabeni nasezweni lethu manje, futhi kusiza ekusindiseni izimpilo eziningi. Ngakho-ke, ake sithole izimpendulo zayo yonke imibuzo mayelana nalokhu namuhla. Ake sixoxe ngalokhu kuhlinzwa kalula, ngendlela ongayiqonda, kulungile?
Kungani udinga ukushintsha ivalvu yenhliziyo?
Kalula nje, inhliziyo yethu iyingcezu yenyama emangalisayo. Ifana nephampu encane epompa igazi emizimbeni yethu yonke. Ukuze senze lo msebenzi, kunezingxenye ezine ngaphakathi kwenhliziyo ezisebenza njengeminyango emine. Sibiza lawa ma-valve enhliziyo ngokuthi. Lawa ma-valve avuleka futhi avaleke ohlangothini olulodwa kuphela, ngakho igazi lihlala ligeleza ohlangothini olufanayo.
Cabanga ngamanzi asekhaya lakho njengompompi. Uma umpompi ungavali kahle, amanzi ayavuza. Uma ungavuli kahle, ukugeleza kwamanzi kuyavaleka. Yileyo ndlela okwenzeka ngayo uma la ma-valve egula.
- I-Stenosis: Ngezinye izikhathi i-valve ayivuli kahle bese incipha, okwenza inhliziyo kudingeke isebenze kanzima ukupompa igazi.
- Ukuvuza kweValve (Ukubuyela Ebuchosheni): Ngezinye izikhathi ivalve ayivaleki kahle bese igazi livuza emuva. Ngemuva kwalokho inhliziyo kufanele isebenze kanzima kabili.
Uma lesi simo siba sibi kakhulu, ungase ube nezimpawu ezifana nobuhlungu besifuba, ukuphelelwa umoya, kanye nokuquleka . Yilapho odokotela benquma ukususa ivalvu egulayo nengasebenzi kahle bese beyishintsha ngentsha, esebenzayo. Lokhu kubizwa ngokuthi ukushintshwa kwevalvu yenhliziyo .
Yiziphi izinhlobo zama-valve amasha akhona?
Kunezinhlobo ezimbili eziyinhloko zama-valve okufaka esikhundleni, noma ama-valve okufakelwa. Womabili anezinzuzo kanye nokungalungi. Udokotela wakho uzokusiza ukhethe uhlobo olufanele wena.
| Uhlobo lwe-Valve | Izinzuzo | Izinto okufanele uzicabangele |
|---|---|---|
| Amavalvu Ezinto Eziphilayo Kwenziwe ngesilwane (inkomo, ingulube) noma izicubu zomuntu. | Akudingeki ukuthi uphuze imithi yokunciphisa igazi impilo yakho yonke (ngaphandle uma kudingeka ngenxa yesinye isimo sezempilo). | Ngokuhamba kwesikhathi (ngokuvamile iminyaka eyi-10-20), la ma-valve ayaguga, ngakho-ke kungadingeka ukuthi ashintshwe esikhathini esizayo ngokuhlinzwa. |
| Amavalvu Omshini Yenziwe ngezinto ezihlala isikhathi eside njengekhabhoni noma insimbi. | Ihlala isikhathi eside kakhulu. Ingasetshenziswa impilo yonke. Asikho isidingo sokuhlinzwa kabusha. | Kuzodingeka uthathe umuthi wokunciphisa igazi njenge- Warfarin impilo yakho yonke. Kuzodingeka ukuthi uhlolwe igazi njalo (izivivinyo ze-INR) ukuqinisekisa ukuthi uthatha umthamo ofanele walo muthi. Abanye abantu bangase bezwe umsindo omncane "othikhayo" njengoba ivalvu ivuleka futhi ivala. |
Manje ungase uzibuze, "Yimuphi okufanele ngiwukhethe?" Ungakhathazeki. Udokotela wakho uzocabangela izici eziningi, okuhlanganisa iminyaka yakho, impilo, izingozi zokuthatha imithi yokunciphisa igazi, kanye nekhono lakho lokwenza ukuhlinzwa okwengeziwe esikhathini esizayo , futhi uzoxoxa nawe ngokuthi iyiphi i-valve engcono kakhulu kuwe. Lesi yisinqumo wena nodokotela wakho enizosenza ndawonye.
Ukuhlinzwa kwenziwa kanjani? Yiziphi izindlela?
Kunezindlela ezimbili eziyinhloko zokushintsha ivalvu yenhliziyo. Lezi yindlela yokuhlinzwa evulekile yendabuko kanye nendlela yesimanje yokusebenzisa i-catheter. Udokotela wakho uzokhetha indlela engcono kakhulu ngokusekelwe esimweni sakho sezokwelapha.
Ukuhlinzwa Kwenhliziyo Evulekile
Lena yindlela yendabuko ebilokhu isetshenziswa isikhathi eside. Kulokhu kuhlinzwa, kwenziwa isilonda phakathi kwesifuba, inhliziyo iyamiswa, bese umsebenzi wenhliziyo namaphaphu udluliselwa okwesikhashana emshinini wenhliziyo namaphaphu . Izibonelo zokuhlinzwa okwenziwa kusetshenziswa le ndlela yi -SAVR (Surgical Aortic Valve Replacement) .
Izinqubo Ezisekelwe Ku-Catheter
Lena yindlela yesimanje esetshenziswa kakhulu, engasinzima kakhulu emzimbeni. Lapha, ngaphandle kokuvula isifuba, kwenziwa ukusika okuncane kakhulu endaweni efana ne-groin, kufakwa ipayipi elincane (i-catheter) ngalo, bese i-valve entsha idluliselwa kulelo payipi iye enhliziyweni bese ifakwa.
Inzuzo enkulu yale ndlela ukuthi inxeba lokuhlinzwa lincane kakhulu, ukuhlala esibhedlela kufushane, futhi ukululama kuyashesha.
Izibonelo zokuhlinzwa okwenziwa kusetshenziswa le ndlela yilezi:I-TAVR (Transcatheter Aortic Valve Replacement) kanye ne -TMVR (Transcatheter Mitral Valve Replacement) .
Udokotela wakho uzochaza zombili izindlela futhi anqume ukuthi iyiphi ephephile futhi ephumelela kakhulu esimweni sakho.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Isibhedlela sizokunikeza imiyalelo ethile ngosuku noma ezimbili ngaphambi kokuhlinzwa.
- Bazokutshela ngqo ukuthi kufanele uyeke nini ukudla nokuphuza ngaphambi kokuhlinzwa.
- Bazokweluleka ngokuthi kufanele uyeke yini ukuthatha noma yimiphi imithi ovame ukuyithatha (ikakhulukazi leyo yesifo sikashukela kanye nomfutho wegazi).
- Kungase kube nokuhlolwa okuningana okudingeka kwenziwe ngaphambi kokuhlinzwa.
- Uma uza esibhedlela, gqoka izingubo ezikhululekile nezilula ukuzigqoka.
- Kubalulekile futhi ukuhlela kusenesikhathi ukuthi othile akuyise esibhedlela futhi akubuyise.
Kwenzekani ngempela ngesikhathi sokuhlinzwa?
Ukuhlinzwa kuvame ukuthatha cishe ihora elilodwa kuya kwamane. Nakhu okwenzekayo phakathi nalesi sikhathi, ngokulandelana:
1. I-Anesthesia: Okokuqala, ulaliswa ngokuphelele. Ngakho ngeke uzwe ubuhlungu. Ngeke ukhumbule lutho.
2. Ukusikwa: Kuye ngohlobo lokuhlinzwa okwenziwayo, ukusikwa kwenziwa esifubeni noma endaweni yengquza endaweni efanele.
3. Umshini Wokusebenza Ngenhliziyo Namaphaphu: Ekuhlinzweni okuvulekile, umsebenzi wenhliziyo udluliselwa okwesikhashana kulo mshini. Lokhu ngokuvamile akudingekile endleleni ye-catheter.
4. Ukufaka Ivalvu Esikhundleni: Udokotela ususa ngokucophelela ivalvu enesifo bese eyishintsha ngevalvu entsha yezinto eziphilayo noma yemishini. Kwezinye izinqubo zesimanje, ivalvu entsha ifakwa ngaphakathi kwevalvu endala.
5. Ukuvala Ukusika: Ngemva kokuqinisekisa ukuthi ivalvu entsha isebenza kahle, ukusika kuzothungwa kuvalwe. Uzobe usuyiswa eYunithi Yokunakekelwa Okujulile (ICU).
Sinjani isikhathi sokululama ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzoqala ukubekwa eYunithi Yokunakekelwa Okujulile (ICU). Lapho, odokotela nabahlengikazi bazoqapha isimo sakho eduze. Uma usululame kancane, uzodluliselwa ewadini evamile.
Isikhathi sokululama siyahlukahluka kumuntu nomuntu, kodwa ngokuvamile kuthatha inyanga eyodwa kuya kwezintathu ukululama ngokuphelele. Uma ukuhlinzwa kwenziwe nge-catheter, isikhathi sokululama singase sibe sifushane.
- Ungase uzizwe ukhathele ngokushesha emasontweni ambalwa okuqala. Lokho kuvamile.
- Udokotela ukweluleka ukuthi ungashayeli amasonto ambalwa.
- Kuzodingeka uhlale kude nemisebenzi enzima njengokuphakamisa izinsimbi isikhashana.
- Kungase kudingeke uphumule amasonto ambalwa noma izinyanga ngaphambi kokubuyela emsebenzini.
- Ungase uthunyelwe ohlelweni lokwelapha inhliziyo , oluzokusiza ukuthi uphinde uthole amandla akho.
Kufanele ngimshayele nini udokotela?
Ngemva kokubuyela ekhaya, naka umzimba wakho ngokucophelela. Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho ngokushesha.
- Uma uzizwa ushisa noma umkhuhlane
- Uma ukushaya kwenhliziyo yakho kuzwakala kungajwayelekile
- Uma inxeba lokuhlinzwa livuvukile, libomvu, libuhlungu, noma likhipha ubomvu
- Ubuhlungu, ukubomvu, noma ukuvuvukala emlenzeni ongezansi (lokhu kungaba uphawu lwegazi eliqhekekile)
- Uma ukhuluphala ngokuzumayo noma imilenze noma amaqakala akho evuvukala.
Okubaluleke kakhulu: Uma unezimpawu zokuhlaselwa yinhliziyo noma isifo sohlangothi (isib. ubuhlungu obukhulu besifuba obungazelelwe, ukungazweli engalweni, umlomo uphendukela ohlangothini olulodwa), ungachithi isikhathi bese uya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
Njengoba uqala impilo yakho entsha nge-valve entsha, ungase ube nemizwa ehlukahlukene. Kuvamile ukuzwa ingxubevange yokwesaba, injabulo, kanye nempumuzo. Kodwa khumbula, awuwedwa. Lokhu kuhlinzwa sekuphumelele kakhulu manje. Ngokuthuthuka kobuchwepheshe, kuya ngokuya kuphephile nsuku zonke. Ithimba lakho lezokwelapha lizokunikeza zonke iziqondiso ozidingayo kulolu hambo.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kokushintsha ivalvu yenhliziyo kuyisisombululo esiphumelelayo kakhulu nesesikhathi eside sesimo esibucayi sezokwelapha. Kungayithuthukisa kakhulu ikhwalithi yempilo yakho.
- Kunezinhlobo ezimbili zamavalvu okufaka esikhundleni (ezebhayoloji kanye nezemishini). Ngayinye inezinzuzo kanye nokungalungi kwayo. Udokotela wakho uzokhetha eyodwa ekulungele kangcono.
- Kunezindlela ezimbili eziyinhloko zokwenza ukuhlinzwa (ukuhlinzwa okuvulekile kanye nendlela ye-catheter). Udokotela wakho uzonquma ukuthi iyiphi indlela engcono kakhulu kuwe.
- Kuthatha isikhathi ukululama ngemva kokuhlinzwa. Ukulandela imiyalelo kadokotela kubalulekile ukuze ululame ngokushesha.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile ngesikhathi sokululama kwakho, ungangabazi ukukhuluma nodokotela wakho.
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