Asazi ngazo zonke izitho zomzimba wethu, akunjalo? Ngisho nenhliziyo injalo. Wake wezwa 'nge-Left Atrial Appendage'? Cishe ubungazi ngayo kwaze kwaba yilapho udokotela wakho ekutshelile ngayo. Ikakhulukazi kumuntu onenhliziyo engajwayelekile njenge-Atrial Fibrillation (Afib), ukwazi ngale ngxenye encane yenhliziyo kungaba kubaluleke kakhulu.
Iyini i-Left Atrial Appendage (LAA)?
Kalula nje, lesi yisicucu esincane somsipha esifana nesikhwama esivela e-atrium yangakwesobunxele phezulu kwenhliziyo yakho. Kuvame ukuxoxwa ngaso lapho udokotela efuna ukusivala.
Manje ungase ucabange ukuthi, "Kungani bengayivala?" Isizathu ukuthi iningi lamahlule egazi abangela ukushaywa yisifo sohlangothi kubantu abanesifo senhliziyo esibizwa ngokuthi i-Atrial Fibrillation (Afib) lakheka ku-LAA. Kodwa ungakhathazeki, inhliziyo yakho isakwazi ukusebenza kahle ngaphandle kwale ngxenye encane.
Ngakho-ke kwenzekani ngempela nge-LAA?
Umsebenzi wayo oyinhloko ukusiza ekuphatheni inani legazi enhliziyweni. Cabanga nje, lapho inani legazi elingena enhliziyweni landa futhi izindonga ze-LAA zinwebeka, ikhipha iphrotheni ebizwa ngokuthi ama-natriuretic peptides egazini.
Lawa ma-peptide enza izinto ezimangalisayo emizimbeni yethu:
- Zitshela izinso zethu ukuthi zikhiphe usawoti namanzi amaningi ngomchamo.
- Futhi kukhulula imithambo yegazi yethu kancane.
Le nqubo iyasiza ekwehliseni umfutho wegazi.
Manje ungase uzibuze ukuthi kwenzekani kula ma-peptide uma i-LAA isuswa ngokuhlinzwa. Into emangalisayo ukuthi cishe ezinyangeni ezintathu ngemva kokuhlinzwa, umzimba uyalungisa futhi amazinga e-peptide abuyela esimweni esijwayelekile.
Iyini ukuma nokubukeka kwe-LAA?
Ngokuvamile ingamasentimitha angu-2 ubude, cishe ngobukhulu bekhadi lesikweletu. Ingathwala cishe izipuni ezimbili zegazi (cishe amamililitha angu-9).
Kodwa akuwona wonke umuntu ofana naye. Kunezinhlobo ezahlukene zezimo. Kuye ngokuthi lesi simo sinjani, ingozi yokushaywa yisifo sohlangothi ingahluka ngisho nangokwengeziwe. Ake sibone ukuthi yiziphi izinhlobo eziyinhloko zezimo.
| Igama lesimo | Incazelo kanye nengozi |
|---|---|
| Iphiko lenkukhu (elimise okwephiko lenkukhu) | Lolu uhlobo oluvame kakhulu. Kukhona ukugoba okuncane phakathi. Lolu lubhekwa njengohlobo olunengozi ephansi kakhulu yokushaywa yisifo sohlangothi. |
| I-Cactus (ebunjwe njenge-cactus) | Kukhona ingxenye eyinhloko phakathi nendawo, kanye nezinye izingxenye ezibonakala zihlukana nayo. |
| I-Windsock (efana nesikhwama somoya) | Lokhu kunengxenye eyodwa ende, eyinhloko. |
| I-Cauliflower (esimo se-cauliflower) | Lokhu kuyinkimbinkimbi kakhulu, kunezingxenye eziningi ezinobukhulu obufanayo. Lokhu akuvamile kakhulu. Lolu hlobo lubhekwa njengolunengozi enkulu yokushaywa unhlangothi . |
Yiziphi izimo ezithinta i-LAA?
Kunezinkinga eziningana ezibalulekile ezithinta i-LAA:
- Izingozi: Izinto ezifana nezingozi zezimoto zingalimaza noma zidabule i-LAA.
- I-Mitral valve stenosis: Ukuncishiswa kwe-mitral valve enhliziyweni kunciphisa ukugeleza kwegazi nge-LAA. Lokhu kungandisa ingozi yokuqhekeka kwegazi.
- I-Atrial fibrillation (Afib): Lena yiyo okudingeka siyinake kakhulu. Nge-Afib, i-atria yenhliziyo ayifinyeleli kahle, kodwa kunalokho iyathuthumela. Lokhu kungabangela ukuthi igazi lihlangane ku-LAA futhi kwandise ingozi yokwakheka kwamahlule egazi.
Imbangela eyinhloko yesifo sohlangothi kumuntu one-atrial fibrillation (Afib) amahlule egazi akheka ku-LAA. Isifo sohlangothi senzeka lapho la mahlule eqhuma futhi ehlala emthanjeni osebuchosheni.
Ungayihlola kanjani impilo ye-LAA?
Uma udokotela wakho efuna ukuhlola isimo se-LAA, kunezivivinyo eziningana ezikhethekile zalokho.
- I-Transesophageal echo (TEE): Lena inqubo esebenzisa ipayipi elincane elifakwe emphinjeni ukuze kuthathwe izithombe ezicacile zenhliziyo. Lena indlela evame kakhulu esetshenziswa ukubuka i-LAA.
- Ukuskena kwenhliziyo nge-MRI (Magnetic Resonance Imaging) kanye ne-Cardiac CT (Computed Tomography):Lokhu kunganikeza izithombe ezinemininingwane ze-3D zenhliziyo kanye ne-LAA.
Yiziphi izindlela zokwelapha i-LAA?
Ukwelashwa kwe-LAA kuncike esimweni sesiguli.
- Uma kukhona ukulimala, kuyalungiswa ngokuhlinzwa .
- Uma kunenkinga yevalvu, njenge-`mitral valve stenosis`, iyelashwa .
- Uma kukhona ingozi yokushaywa yisifo sohlangothi ngenxa ye-Afib, i-LAA iyavalwa, isuswe, noma ivinjwe ukuze kuvinjelwe ukwakheka kwamahlule egazi. Lokhu manje sekuyikwelashwa okuphumelelayo kakhulu. Lokhu kunganciphisa ingozi yokushaywa yisifo sohlangothi.
Ngingayinakekela kanjani inhliziyo yami kahle?
Kubalulekile ukugcina inhliziyo yakho yonke iphilile, hhayi i-LAA kuphela. Ukuze wenze lokho, engeza lezi zinto ezilula empilweni yakho.
- Zivocavoce okungenani imizuzu eyi-150 ngesonto. Ngisho nokuhamba ngokushesha kwanele.
- Yidla ukudla okunempilo okunenhliziyo. Faka izithelo, imifino, imifino eluhlaza, inyama engenamafutha nenhlanzi ekudleni kwakho.
- Gwema imikhiqizo kagwayi ngokuphelele .
- Thola izindlela zokulawula ukucindezeleka empilweni yakho yansuku zonke. Ngisho nento elula njengokuzindla, ukulalela umculo, noma ukukhuluma nomngane kungasiza.
- Uma unezimo ezifana nomfutho wegazi ophakeme noma isifo sikashukela , landela imiyalelo kadokotela wakho futhi uyilawule kahle.
Nakuba abantu abaningi bengakaze bezwe ngakho, i-LAA inendima encane emizimbeni yethu. Kodwa-ke, uma ikubeka engcupheni yokushaywa yisifo sohlangothi, kuphephile ukuphila ngaphandle kwayo. Kuvamile ukuzizwa wesaba kancane lapho ucabanga ngokuhlinzwa kwenhliziyo. Kodwa kumuntu one-Afib, ukuvimba i-LAA, ukuzikhulula emithini yokunciphisa igazi impilo yakhe yonke, nokuphila impilo engenasifo sohlangothi kuyindlela enhle yokukhuluma nodokotela wakho ngalokho okungcono kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- I-Left Atrial Appendage (LAA) yingxenye encane yenhliziyo efana nesikhwama enamathele ku-atrium yesobunxele. Ayibalulekile ekusebenzeni kwenhliziyo.
- Ingozi enkulu yalokhu ukuthi kubantu abane-Atrial Fibrillation (Afib), amahlule egazi angakheka ngaphakathi kwenhliziyo, aye ebuchosheni, futhi abangele isifo sohlangothi.
- Ingozi yokushaywa yisifo sohlangothi iyahlukahluka kuye ngesimo se-LAA. Isimo 'sekholifulawa' siyingozi enkulu kunazo zonke.
- Ukuvala, ukususa, noma ukuvimba i-LAA kuyindlela yokwelapha ephumelelayo yokunciphisa ingozi yokushaywa yisifo sohlangothi.
- Uma une-Afib, khuluma nodokotela wakho ngokukhululekile ngalokhu kanye nokwelashwa okufanele wena.
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