Kuvamile ukuzizwa wesaba kancane lapho udokotela wakho ekutshela ukuthi udinga ukuhlinzwa kwenhliziyo. Abantu abaningi bacabanga ngakho njengenqubo ebuhlungu kakhulu ehilela ukwenza ukusika okukhulu phakathi kwesifuba nokuhlala esibhedlela isikhathi eside. Kodwa namuhla, isayensi yezokwelapha isithuthuke kakhulu. Kunezindlela zokwelapha inhliziyo ngemigodi embalwa emincane esikhundleni sokwenza ukusika okukhulu njengakuqala. Leyo ndlela yilokho esikubiza ngokuthi ukuhlinzwa kwenhliziyo okungavamile . Namuhla, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.
Kalula nje, kuyini ukuhlinzwa kwenhliziyo okungavamile?
Cabanga nje, ekuhlinzeni kwenhliziyo okujwayelekile, udokotela ohlinzayo usika lonke ithambo lesifuba (sternum) phakathi kwesifuba sakho ukuze afinyelele inhliziyo yakho. Lokhu kuthatha isikhathi eside ukuphola, kubuhlungu kakhulu, futhi kushiya isilonda esikhulu.
Kodwa kule ndlela entsha, ebizwa ngokuthi i-Minimally Invasive Surgery, ayikho i-incision enkulu kangaka. Esikhundleni salokho, kwenziwa i-incision eyodwa noma ngaphezulu encane kakhulu ohlangothini lwesifuba sakho, phakathi kwezimbambo zakho. Ngemuva kwalokho, kufakwa amakhamera obuchwepheshe obuphezulu, amathuluzi okuhlinza abucayi kakhulu, kanye nezingalo zamarobhothi ngalezi zicucu ezincane ukuze kwenziwe ukuhlinzwa okudingekayo enhliziyweni yakho.
Udokotela ohlinzayo ubona kanjani inhliziyo? Ubuka izithombe ezicacile ezivela kukhamera enamandla amakhulu esikrinini futhi ulawula lezi zinsimbi ngokucophelela. Kufana nokudlala umdlalo wevidiyo, kodwa kuyinkimbinkimbi kakhulu futhi kuqaphile.
Ake sibheke ithebula elingezansi ukuze sicacise kabanzi umehluko phakathi kwalezi zindlela ezimbili.
| Isici | Ukuhlinzwa Okungangeni Kakhulu | Ukuhlinzwa Kwenhliziyo Evulekile Kwendabuko |
|---|---|---|
| Ukusikwa | Kusikwa cishe okungu-1-3 okuncane ohlangothini lwesifuba. | Ukusika okukhulu, okungamasentimitha angu-1.5-1.8 ubude, kwenziwe phakathi kwesifuba. |
| Ubuhlungu | Okuncane kakhulu. | Ubuhlungu bukhulu kakhulu ngemva kokuhlinzwa. |
| Isikhathi sokuphulukiswa | Kuyashesha kakhulu. Ukululama kungenzeka zingakapheli amasonto ama-2-4. | Kuthatha amasonto ayi-6-8 noma ngaphezulu. |
| Isikhathi esibhedlela | Ngokuvamile izinsuku ezimbalwa. | Ngokuvamile kufanele ulinde isonto noma ngaphezulu. |
| Izibazi | Izibazi ezincane kakhulu, ezingabonakali kahle. | Kusala isilonda esikhulu, esibonakalayo phakathi kwesifuba. |
| Ingozi yokutheleleka | Ngaphansi. | Kakhulu. |
Yiziphi izinhlobo zokuhlinzwa lezi?
Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa kwenhliziyo okungangenisi kakhulu.
1. Ukuhlinzwa kwe-Thoracoscopic: Kulokhu, udokotela ohlinzayo ufaka ithubhu ende enekhamera ebizwa ngokuthi i-thoracoscope ngembobo encane ohlangothini lwesifuba. Udokotela ohlinzayo usebenzisa amathuluzi amade, amancane afakwe ngezinye izimbobo ukuze enze ukuhlinzwa, esebenzisa izithombe ezivela kule khamera.
2. Ukuhlinzwa kwenhliziyo okusiza ngerobhothi: Lena yindlela ethuthuke kakhulu kulezi zindlela. Nalapha futhi, kwenziwa izimbobo ezincane ohlangothini lwesifuba. Kodwa-ke, ukuhlinzwa akwenziwa ngqo ngudokotela. Uhlala phambi kohlelo lokulawula lwekhompyutha (ikhonsoli) futhi ulawula izingalo zerobhothi. Lezi zingalo zerobhothi zingasebenza ngobuhlakani, ngokunembile, futhi ngaphandle kokunyakaza kunengalo yomuntu. Futhi, njengoba kutholakala izithombe ezinezinhlangothi ezintathu (3D), ukuhlinzwa kungenziwa ngenkathi kubhekwe isithombe esicacile senhliziyo.
Yiziphi izinhlobo zezifo zenhliziyo ezisetshenziswa yile ndlela?
Akuzona zonke izinhlobo zokuhlinzwa kwenhliziyo ezingenziwa kusetshenziswa le ndlela. Kodwa-ke, ukuhlinzwa okuningi okuvamile manje kwenziwa ngempumelelo kusetshenziswa le ndlela. Udokotela wakho uzonquma ukuthi le ndlela ikufanele yini.
- Ukulungiswa noma ukushintshwa kwamavalvu, ikakhulukazi ukuhlinzwa okubandakanya ivalvu ye-mitral.
- Izimo ezifana ne -atrial septal defect (ASD) , okubangela ukuthi izimbobo enhliziyweni zivaleke.
- Ukususwa kwesimila senhliziyo.
- Ezinye izindlela zokuhlinzwa ze-coronary artery bypass .
- Ukwelashwa okufana nenqubo ye-Maze yokuphazamiseka kwesigqi senhliziyo (i-arrhythmias).
- Ukufakwa kwedivayisi yokusiza i-ventricular.
Kwenzekani ngaphambi nangemva kokuhlinzwa?
Ngaphambi kokuhlinzwa
Udokotela wakho ohlinzayo uzokunikeza imiyalelo yokuthi ungalungiselela kanjani ukuhlinzwa. Ungase ucelwe ukuthi uyeke ukuthatha imithi ethile (ikakhulukazi imithi yokunciphisa igazi) ezinsukwini ezimbalwa ngaphambi kokuhlinzwa. Uzonikezwa i-anesthesia ejwayelekile ukuze ungezwa lutho ngesikhathi sokuhlinzwa.
Uzoxhunywa emshinini wenhliziyo namaphaphu ukuze ugcine ukujikeleza kwegazi emzimbeni wakho ngesikhathi sokuhlinzwa.
Ngesikhathi sokuhlinzwa
Njengoba kushiwo ngaphambili, udokotela ohlinzayo wenza ukuhlikihla okukodwa noma ngaphezulu okuncane ohlangothini lwesifuba. Ngalezi zinto, kufakwa ikhamera namathuluzi ukuze kwenziwe ukulungiswa kwenhliziyo okudingekayo, ukushintshwa kwevalvu, noma okunye ukwelashwa. Lapho umsebenzi usuqediwe, izimbobo ezincane ziyathungwa zivalwe. Le nqubo yonke ingathatha amahora amabili kuya kwayisithupha .
Ngemva kokuhlinzwa
Ngemva kokuhlinzwa, uzoqashwa egunjini lokunakekelwa okujulile (ICU) usuku olulodwa noma ezimbili. Ungase ube namapayipi amancane okukhipha amanzi abekwe ngaphandle kwesifuba sakho ukuze uvimbele uketshezi ukuthi luqongelelane nenhliziyo yakho.
Ngemuva kwalokho uzodluliselwa ewadini evamile. Okumangalisayo ukuthi uzosizwa ukuthi uvuke uhambe zingakapheli izinsuku ezimbili noma ezimbili ngemuva kokuhlinzwa. Uzofundiswa nokuzivocavoca kokuphefumula ukuze uvimbele ukwakheka kwamafinyila emaphashini akho. Ngokuvamile uzokwazi ukuya ekhaya ezinsukwini ezimbalwa.
Ziyini izingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezihilelekile, kodwa uma kuqhathaniswa nokuhlinzwa okuvulekile, ingozi yezinkinga iphansi kakhulu.
Izingozi ezingaba khona:
- Ukopha
- Izifo
- Ukungalingani kwesigqi senhliziyo (i-arrhythmias)
- Isifo sohlangothi
Akuvamile kakhulu, uma ngesikhathi senqubo udokotela ohlinzayo ezwa ukuthi indlela engangenisi kakhulu ayisaphephile, angase ashintshele ekuhlinzeni okuvulekile ngokushesha. Lokhu kwenzeka kaningi kakhulu, kodwa kubalulekile ukukuqaphela.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Lena inzuzo enkulu yale ndlela. Ngemva kokuhlinzwa okuvulekile, awukwazi ukwenza umsebenzi onzima noma ukushayela izinyanga eziningana. Kodwa-ke, ngemva kokuhlinzwa okuncane okungavamile, ungabuyela emisebenzini yakho evamile emavikini amabili kuya kwamane .
Ungase uzizwe ukhathele kancane kunokujwayelekile emasontweni ambalwa okuqala. Lokhu kuvamile. Kungcono ukungenzi lutho olusindayo, njengokuphakamisa izinsimbi, amasonto ambalwa. Udokotela wakho uzokutshela ukuthi ungalikhulisa kanjani kancane kancane izinga lakho lomsebenzi njengoba kufanele. Ungathunyelwa futhi ohlelweni lokuvuselela inhliziyo . Lokhu kuzokusiza ufunde ukuthi ungazivocavoca kanjani ngokuphephile futhi udle ukudla okunempilo kwenhliziyo.
Yiziphi izimpawu zokuthi kufanele ubonane nodokotela ngemva kokuhlinzwa?
Uma uhlangabezana nanoma yiziphi izimpawu ezingezansi ngemva kokubuyela ekhaya, kufanele ushayele udokotela wakho ucingo ngokushesha .
- Ubomvu noma uketshezi oluphuma emanxebeni.
- Ukuvuvukala okukhulu noma ukubomvu okuzungeze isilonda.
- Umkhuhlane noma ukuzizwa ubanda.
- Ukuzwa kwesilinganiso senhliziyo esingavamile (ukushaya kwenhliziyo okungavamile).
- Ukuvuvukala okungavamile kwemilenze noma izinyawo (i-edema).
- Ukwanda kwesisindo okungaphezu kuka-1.5 kg (amakhilogremu angu-3) phakathi nesonto.
Lezi kungaba izimpawu zokutheleleka noma ezinye izinkinga, ngakho ungazinaki.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa Kwenhliziyo Okungangeni Kakhulu Kuyindlela yokuhlinzwa ethuthukisiwe eyenziwa ngokusika okuncane esifubeni, kunokwenza ukusika okukhulu.
- Le ndlela ayibuhlungu kakhulu, isikhathi sokululama sishesha, ukuhlala esibhedlela izinsuku ezimbalwa kuphela, futhi azikho izibazi ezinkulu ezisele.
- Ingozi yezinkinga nayo iphansi kakhulu kunangesikhathi sokuhlinzwa okuvulekile.
- Ukuhlinzwa okuningi, njengokulungisa ama-valve enhliziyo nokuvala imigodi enhliziyweni, kungenziwa kusetshenziswa le ndlela.
- Udokotela wakho wenhliziyo ungumuntu ongcono kakhulu ukunquma ukuthi lokhu kuhlinzwa kukufanele yini, ngakho ungesabi ukukhuluma naye ngakho.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho