Uma ucabanga ngokuhlinzwa kwenhliziyo, okufika engqondweni ukuhlinzwa okukhulu okuhilela ukusika isifuba phakathi nendawo bese usivula, akunjalo? Abantu abaningi bayakwesaba ngempela. Kodwa bewazi ukuthi ngokuthuthuka kwesayensi yezokwelapha, ukuhlinzwa kwenhliziyo manje kungenziwa ngokusika okukodwa noma ngaphezulu okuncane kakhulu esikhundleni sokusika okukhulu kangaka? Yilokho esikubiza ngokuthi "Ukuhlinzwa Kwenhliziyo Okungenayo Kancane". Abanye abantu bakubiza nangokuthi "ukuhlinzwa kwe-keyhole" ngoba kwenziwa njengokubuka nge-keyhole. Ngakho-ke namuhla, ake sixoxe ngalokhu.
Kalula nje, kuyini lokhu kuhlinzwa kwenhliziyo okusikiwe kancane?
Lokhu kusho ukuthi ithambo elikhulu eliphakathi kwesifuba sakho, i-sternum , alinqunywanga ngokuphelele, njengasekuhlinzweni kwenhliziyo okuvamile. Kunalokho, udokotela ohlinzayo wenza ukusika okukodwa noma ngaphezulu okuncane kakhulu ohlangothini lwesifuba sakho, phakathi kwezimbambo.
Ngemuva kwalokho, ngalezi zimbobo ezincane, amakhamera obuchwepheshe obuphezulu, amathuluzi okuhlinza amade, amancane, noma izingalo zerobhothi zidluliselwa enhliziyweni. Udokotela usebenzisa i-monitor ukuze abuke izithombe ezicacile nezikhulisiwe ezivela kukhamera futhi enze ukuhlinzwa ngokunemba okukhulu. Le ndlela iholela ekuncipheni kwezibazi, ebuhlungwini obuncane, kanye nesikhathi esifushane sokululama kunendlela endala.
Yiziphi izindlela eziyinhloko zokwenza lokhu kuhlinzwa?
Kunezindlela ezimbili eziyinhloko. Ake sibone ukuthi ziyini.
| Indlela yokuhlinzwa | Kwenzeka kanjani |
|---|---|
| Ukuhlinzwa kwe-Thoracoscopic | Udokotela wenza izimbobo eziningana ezincane ohlangothini lwesifuba. Ngenye yazo, kufakwa ithubhu ende enekhamera yevidiyo (i-thoracoscope) ukuze kutholakale izithombe zenhliziyo. Ngeminye imimbobo, kusetshenziswa amathuluzi amade, amancane ukwenza ukuhlinzwa. |
| Ukuhlinzwa kwenhliziyo okusizwa ngerobhothi | Nalapha futhi, kwenziwa imicu emincane esifubeni. Kodwa imishini ilawulwa uhlelo lwengalo oluyirobhothi udokotela azilawula lona. Lokhu kunikeza umbono ocacile kakhulu wenhliziyo onezinhlangothi ezintathu (3D). Ingenza futhi ukuhlinzwa ngobuhlakani nangokunembile kunesandla somuntu. |
Yiziphi izinhlobo zezifo zenhliziyo ezisetshenziswa yile ndlela?
Nakuba kungezona zonke izinhlobo zokuhlinzwa kwenhliziyo ezingenziwa kusetshenziswa le ndlela, ingasetshenziswa ezimweni eziningi. Isibonelo:
- Ukuvalwa kwe-Atrial Septal Defect (ASD)
- Ukulungiswa noma ukushintshwa kwamavalvu . Le ndlela ithandwa kakhulu ekulungisweni kwamavalvu e-mitral.
- Ukwelashwa kwenhliziyo engajwayelekile (inqubo ye-Maze ye-atrial fibrillation)
- Ukususwa kwesimila senhliziyo
- Ezinye izindlela zokuhlinzwa kwe-bypass (ukuhlinzwa kwe-Coronary artery bypass)
- Ukubekwa kwedivayisi yosizo lwe-Ventricular
Udokotela wakho wenhliziyo kanye nodokotela ohlinzayo bazonquma kangcono ukuthi le ndlela ifanele yini isimo sakho.
Kwenzekani ngaphambi nangesikhathi sokuhlinzwa?
Udokotela wakho uzokunikeza yonke imiyalelo edingekayo ngaphambi kokuhlinzwa. Ungase ucelwe ukuthi uyeke ukuthatha imithi ethile (isib., imithi yokunciphisa igazi) ezinsukwini ezimbalwa ngaphambi kokuhlinzwa.
Ngeke uzwe lutho ngesikhathi sokuhlinzwa ngoba uzoba ngaphansi kwe-anesthesia ejwayelekile. Uzoxhunywa emshinini wenhliziyo namaphaphu ukuze ugcine ukujikeleza kwegazi emzimbeni wakho ngesikhathi sokuhlinzwa.
Udokotela ohlinzayo wenza izimbobo ezincane ohlangothini lwesifuba, afake amathuluzi ngazo, bese efinyelela inhliziyo ngezimbambo ukuze enze ukulungiswa okudingekayo, ukushintshwa kwevalvu, noma olunye ukwelashwa. Lokhu kuhlinzwa ngokuvamile kungathatha amahora amabili kuya kwayisithupha . Uma umsebenzi usuqediwe, izimbobo ziyathungwa zivalwe.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Njengoba sishilo ngaphambili, kunezinzuzo eziningi kule ndlela.
Izinzuzo
- Ukululama okusheshayo: Ngokuvamile ungabuyela emisebenzini evamile zingakapheli amasonto amabili kuya kwamane.
- Ubuhlungu obunciphile: Ubuhlungu buncane kakhulu ngoba akukho ukusikwa okukhulu noma ukunqunywa kwamathambo.
- Ukopha okunciphile: Ukopha okuncane ngoba imivimbo mincane.
- Ingozi yokutheleleka incishisiwe: Njengoba amanxeba emancane, ingozi yokutheleleka nayo incishisiwe.
- Izibazi ziba zincane: Esikhundleni sesibazi esikhulu esifubeni sonke, kusala izibazi ezimbalwa ezincane, ezingabonakali kahle.
- Ukuhlala esibhedlela okuncishisiwe:Ngokuvamile ungaya ekhaya ezinsukwini ezimbalwa.
Izingozi
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile, kodwa lezi zingozi ziphansi uma kuqhathaniswa nokuhlinzwa kwenhliziyo evulekile.
- Ukopha
- Ukutheleleka
- Ukushaya kwenhliziyo okungajwayelekile (i-Arrhythmias)
- Izimo ezifana ne-stroke
Ngezinye izikhathi, akuvamile kakhulu, ngesikhathi sokuhlinzwa, uma udokotela eqaphela ukuthi le ndlela encane yokusikwa ayisaphephile, kungase kudingeke ashintshele endleleni yendabuko yokuhlinzwa evulekile khona manjalo. Nakuba lokhu kungeyona into evame ukwenzeka, kubalulekile ukukuqaphela.
Kwenzekani ngemva kokuhlinzwa? Ungalulama kanjani ngokushesha?
Ngemva kokuhlinzwa, uzogcinwa egunjini lokunakekelwa okujulile (ICU) usuku olulodwa noma ezimbili. Amapayipi okukhipha amanzi angafakwa ukuze kukhishwe noma yiluphi uketshezi okungenzeka ukuthi luqongelele esifubeni sakho. Ngemva kwalokho, uzodluliselwa egunjini elijwayelekile futhi uzohlala esibhedlela izinsuku ezimbalwa ezengeziwe.
Uzokwazi ukuhamba ngosuku olulodwa noma ezimbili. Uzophinde ufundiswe ukuthi wenze izivivinyo zokuphefumula ukusiza ukususa amafinyila emaphashini akho. Kuzodingeka ugweme ukuphakamisa izinto ezisindayo amasonto ambalwa. Udokotela wakho uzokutshela ngqo ukuthi ungabuyela nini emsebenzini, ushayele, futhi uvivinye umzimba.
Odokotela bavame ukukudlulisela ohlelweni lokuvuselela inhliziyo , olukusiza ukuthi wandise kancane kancane umsebenzi womzimba futhi lukungenise ekudleni okunempilo kwenhliziyo.
Yiziphi izimpawu ezidinga ukuthi ubonane nodokotela ngokushesha?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuhlinzwa kwakho, shayela udokotela wakho noma ufune ukwelashwa ngokushesha .
- Kuphuma uketshezi olufana nobovu oluvela ezinsikeni.
- Ukuvuvukala okukhulu noma ukubomvu okuzungeze isilonda.
- Umkhuhlane noma ukubanda.
- Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha (ukushaya kwenhliziyo) .
- Ukuvuvukala okungavamile kwemilenze noma izinyawo (i-edema) .
- Ukwanda kwesisindo okungaphezu kuka-1.5 kg (amakhilogremu angu-3) phakathi nesonto.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwenhliziyo okungenangozi kakhulu kuyindlela yesimanje yokuhlinzwa kwenhliziyo eyenziwa ngokusika okuncane, ngaphandle kokusika okuqhubekayo esifubeni.
- Le ndlela inciphisa ubuhlungu, ukopha, izibazi, kanye nengozi yokutheleleka. Iphinde inciphise isikhathi sokuphulukiswa.
- Le ndlela ingasetshenziswa ezimweni eziningi, njengokulungiswa kwamavalvu enhliziyo kanye nokuvalwa kwembobo.
- Nakuba lokhu kuyinqubo ephumelela kakhulu, njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile.
- Khuluma nodokotela wakho mayelana nokuthi iyiphi inqubo yokuhlinzwa engcono kakhulu ngesimo sakho bese wenza isinqumo esingcono kakhulu.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho