Inhliziyo yakho ingenye yezitho ezimangalisayo kakhulu emzimbeni wethu. Kodwa ngezinye izikhathi, igciwane elincane elingena emzimbeni wethu lingahamba liye kuma-valve enhliziyo futhi libangele inkinga enkulu kunalokho ocabanga. Namuhla sizokhuluma ngesimo esibi nesisongela ukuphila esibizwa ngokuthi 'i-Infective Endocarditis' nokuthi kungani sidinga ukuhlinzwa. Nakuba lesi sihloko siyinkimbinkimbi kancane, ake sizame ukusiqonda kalula.
Kalula nje, kuyini i-Infective Endocarditis?
Nakhu okwenzekayo: Ngokuvamile, lapho sikhishwa izinyo, senziwa i-endoscopy, noma senza olunye ukuhlinzwa, amagciwane anjengebhaktheriya noma isikhunta angangena egazini lethu. Ngokuvamile, la magciwane awakwazi ukubangela umonakalo omkhulu kuma-valve enhliziyo enempilo. Anekhono lokumelana nokutheleleka.
Kodwa-ke, uma kukhona ubuthakathaka, isifo, noma inkinga yokuzalwa ema-valve enhliziyo yakho, amagciwane angena egazini anganamathela kulawo ma-valve njengembewu ehluma enhlabathini evundile, amile izimpande lapho, bese eqala ukwanda. Yilokhu esikubiza ngokuthi 'i-Infective Endocarditis'.
Lesi simo siyithinta kanjani impilo yakho?
Uma ingelashwa, la magciwane ayanda kuma-valve enhliziyo, akha lokho okufana nokukhula kwamagciwane. Kwezokwelapha, lokhu sikubiza ngokuthi izimila . Lokhu kumane kuyikukhula okuncane okukhula kuma-valve.
La magciwane akhiqiza ama-enzyme aqala ukubhubhisa izicubu ze-valve yenhliziyo ezinempilo. Lokhu kubangela:
- Ubuthakathaka bevalvu: Ivalvu ingase ingavaleki kahle futhi igazi lingase liqale ukuvuza emuva (ivalvu evuzayo).
- Ukwehluleka Kwenhliziyo: Uma ama-valve engasebenzi kahle, inhliziyo ayikwazi ukupompa igazi ngendlela efanele. Lokhu akusikho ukuhlaselwa yinhliziyo, kodwa ubuthakathaka benhliziyo kancane kancane.
- I-Embolism: Into eyingozi kakhulu ukuthi ingxenye encane yalezo zitshalo ingaphuka futhi ihambe negazi futhi ivimbe umthambo wegazi kwenye indawo emzimbeni. Sibiza le ngxenye ephukile ngokuthi i-embolus . Uma inamathela emthanjeni wegazi ebuchosheni, ingabangela isifo sohlangothi , futhi uma inamathela emaphashini, ingabangela isimo esisongela ukuphila esibizwa ngokuthi i- pulmonary embolism .
Izindlela zokwelapha kanye nesidingo sokuhlinzwa
Ukwelashwa kwalesi sifo kuncike ohlotsheni lwegciwane elibangela ukutheleleka kanye nobunzima besifo. Uma sitholakale kusenesikhathi, lesi sifo singelapheka ngamaviki ambalwa ama-antibiotic anamandla.
Kodwa-ke, uma izimila zakheke kuma-valve, uma ama-valve onakele, noma uma i-valve yokwenziwa osuvele unayo itheleleka, ukuhlinzwa kuvame ukudingeka.
Ongakulindela ekuhlinzweni:
- Ukususwa okuphelele kokutheleleka okungalawulwa.
- Ukulungisa umonakalo kumavalvu noma ukususa ivalvu eyonakele bese ufaka entsha.
- Ukuvimbela izinkinga ezinkulu njengokukhubazeka komzimba.
Ukuhlinzwa kufanele kwenziwe nini?
Isikhathi sokuhlinzwa sincike ebunzimeni besimo sakho. Ngezinye izikhathi ukuhlinzwa kungadingeka kwenziwe ngokushesha, kanti ngezinye izikhathi kungathatha isikhathi eside. Ake sibheke ukuthi ziyini lezo zimo.
| Isikhathi Sokuhlinzwa | |
|---|---|
| Izimo lapho kungadingeka khona ukuhlinzwa okuphuthumayo | |
| Isizathu | Incazelo |
| Ukwehluleka Kwenhliziyo | Uma inhliziyo ingakwazi ukupompa igazi ngendlela efanele ngenxa yomonakalo kuma-valve. |
| Imifino Emikhulu | Kukhona ingozi enkulu yokuthi lezi zingcezu ziqhekeke futhi zibangele i-embolism. |
| Ukwehluleka ukuphendula kuma-antibiotic | Uma ukutheleleka kungenakulawuleka ngisho nangemva kokunikezwa ama-antibiotic. |
| Ukutheleleka kwe-valve yokufakelwa | Uma ivalvu yokufakelwa ekhona itheleleka. |
| Ithumba lenhliziyo | Uma ukutheleleka kubangele izinto ezifana namathumba emisipheni yenhliziyo. |
| Amacala Okuhlinzwa Okulibazisekile | |
| Izinkinga zesistimu yezinzwa | Uma isiguli sesivele sinesimo esifana nesifo sohlangothi, ukuhlinzwa kungase kuhlehliswe kuze kube yilapho isimo sobuchopho sizinzile. |
| Uma ukutheleleka kungalawulwa | Uma ukutheleleka kungekubi kakhulu futhi ingozi yezinkinga iphansi, ukuhlinzwa kungenziwa ngemuva kokunikezwa inkambo ephelele yama-antibiotics futhi ukutheleleka sekuphelile. |
Ngingazi kanjani ukuthi ukuhlinzwa kulungile kimi?
Lesi akusona isinqumo osenza wedwa. Udokotela wakho kanye nethimba lodokotela benhliziyo benza lesi sinqumo ndawonye. Bazokwenza izivivinyo eziningana.
- Ukuhlolwa kwegazi: Thola uhlobo oluqondile lwebhaktheriya noma isikhunta esibangela ukutheleleka.
- I-Echocardiogram (TEE/TTE): Lokhu kufana nokuskena kwenhliziyo. Kungahlola izinto eziningi, njengosayizi wezitshalo kuma-valve, umonakalo kuma-valve, nokuthi kukhona yini ukuvuza kwegazi.
- Ama-CT Scan: Ukuhlola izinkinga ebuchosheni noma kwezinye izitho zomzimba.
Kwenzekani ngemva kokuhlinzwa? Futhi yiziphi izingozi?
Kuzodingeka uhlale egunjini lokunakekelwa okujulile (ICU) izinsuku ezimbalwa zokuqala ngemva kokuhlinzwa. Ukusebenza kwenhliziyo yakho kuzoqashwa. Kuzodingeka uthathe ama-antibiotic ngemithambo noma ngesimo samaphilisi amasonto amaningana kuze kube yilapho ukutheleleka sekuphelile ngokuphelele. Kufanele uthole ukuphumula okwanele ngemva kokubuyela ekhaya. Kuvamile ukuzizwa ukhathele futhi ubuhlungu.
Njenganoma yikuphi ukuhlinzwa okukhulu, kunezingozi. Lokhu kufaka phakathi ukopha ngokweqile, ukushaya kwenhliziyo okungajwayelekile (i-arrhythmia), amahlule egazi, ukukhubazeka , kanye nokutheleleka kwevalvu esanda kufakelwa. Kodwa khumbula, izingozi zokungahlinzwa zikhulu kakhulu. Udokotela wakho uzokuchazela lezi zingozi.
Uzobona nini udokotela ngemva kokuhlinzwa
Kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemuva kokubuyela ekhaya.
- Ubuhlungu besifuba noma umuzwa wokuqina esifubeni.
- Ubomvu noma ukuphuma kwegazi okungavamile enxebeni lokuhlinzwa.
- Ubomvu, ukuvuvukala, noma ukufudumala okuzungeze isilonda.
- Uma uzizwa ushisa noma unesifo somkhuhlane.
- Uma uzizwa uphelelwa umoya noma inhliziyo yakho ishaya ngokushesha (ukushaya kwenhliziyo).
I-Infectious Endocarditis akuyona isifo okufanele sithathwe kalula. Kodwa-ke, ngokwelashwa okufanele ngesikhathi esifanele, futhi uma kudingeka, nokuhlinzwa, izimpilo eziningi zingasindiswa.
Umlayezo Wokuya Nawe Ekhaya
- I-infective endocarditis iwukutheleleka okukhulu okubangelwa amagciwane angena kuma-valve enhliziyo. Kudinga ukwelashwa okusheshayo.
- Nakuba ekuqaleni kwelapheka ngama-antibiotic, ukuhlinzwa kuvame ukudingeka lapho ama-valve onakele noma kuvela izitshalo ezinkulu.
- Ukuhlinzwa kungalawula ukutheleleka, kulondolozwe ukusebenza kwenhliziyo, futhi kuvimbele izinkinga ezinkulu njengokukhubazeka.
- Isikhathi sokuhlinzwa sinqunywa yithimba lezokwelapha ngokusekelwe esimweni sakho sezokwelapha.
- Kuthatha isikhathi ukululama ngemva kokuhlinzwa. Landela imiyalelo kadokotela wakho ngqo futhi uhlale uqaphele izimpawu eziyisixwayiso. Khuluma nodokotela wakho uma unenkinga.
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