Ingabe uphelelwa umoya, ubuhlungu besifuba, noma uzizwa ukhathele kalula? Udokotela wakho kungenzeka ukuthi ukutshelile ukuthi unobuthakathaka obuncane kwenye yama-valve enhliziyo yakho. Abantu abaningi besaba ukuhlinzwa kwenhliziyo. Kodwa namuhla sizokhuluma ngokuhlinzwa kwesimanje okulungisa i-valve yenhliziyo ngomsike omncane kakhulu , ngaphandle kokwenza ukusika okukhulu phakathi kwesifuba.
Okokuqala, ake sibone, iyini i-Mitral Valve?
Kulungile, cabanga nje ngale ndlela: inhliziyo yethu ifana nendlu encane enamakamelo amane. Phakathi kwala makamelo kunamasango amane asiza ukugeleza kwegazi ohlangothini olulodwa kuphela. Lawa yilokho esikubiza ngokuthi ama-valve enhliziyo.
I-valve ye-mitral ingenye yesango elikhethekile. Itholakala phakathi kwegumbi eliphezulu (i-atrium yangakwesobunxele) kanye negumbi elingezansi (i-ventricle yangakwesobunxele) ohlangothini lwesobunxele lwenhliziyo yakho. Umsebenzi wayo oyinhloko ukuvumela igazi ukuthi ligeleze lisuka ekamelweni eliphezulu liye ekamelweni elingezansi futhi livimbele ukuthi ligeleze libuyele phezulu. Kufana nomnyango ovula indlela eyodwa kuphela.
Ngakho-ke yiziphi izifo eziyinhloko ezingathinta leli valve?
Kunezindlela ezimbili eziyinhloko lapho ivalvu ye-mitral ingasebenza kabi khona. Ukuqonda lokhu kuzokusiza ukuthi uqonde kangcono lokhu kuhlinzwa.
| Isimo | Kalula nje, kwenzekani? |
|---|---|
| Ukuvuselelwa kwe-Mitral Valve | Okwenzekayo kulokhu ukuthi uma inhliziyo ishaya, ama-flap amabili e-valve awavali kahle. Kufana nomnyango ongavali kahle. Bese igazi elithile livuza libuyele ekamelweni eliphezulu. Lokhu kubangela ukuthi inhliziyo isebenze kanzima. |
| I-Mitral Valve Stenosis | Okwenzekayo lapha ukuthi ama-valve flaps aba makhulu, aqine , futhi awavuli kahle. Lokhu kunciphisa indlela igazi eligeleza ngayo. Lokhu kwenza kube nzima ngenhliziyo ukupompa igazi elanele emzimbeni. |
Uyini umehluko phakathi 'kokulungisa' kanye 'nokufaka esikhundleni'?
Lokhu futhi kuyindaba ebaluleke kakhulu.
- Ukulungisa: Lokhu kuhilela ukugcina ivalvu yakho nokulungisa iphutha. Kufana nokulungisa isihlalo esiphukile. Odokotela bazama ukusebenzisa le ndlela noma nini lapho kungenzeka.
- Ukufakwa esikhundleni: Kule nqubo, ivalvu yakho ebuthaka isuswa ngokuphelele bese ithathelwa indawo ivalvu entsha (kungaba eyokwenziwa noma eyenziwe ngezicubu zezilwane).
Kungcono ukuthi umzimba ulungise futhi usebenzise ivalvu yakho yemvelo noma nini lapho kungenzeka, yingakho lokhu kuhlinzwa 'kokulungisa' sekuthandwa kangaka manje.
Kuyini Ukuhlinzwa Okuncane Okungangeni Kahle?
Ukuhlinzwa kwenhliziyo okujwayelekile kuhilela ukwenza ukusika okukhulu ngamasentimitha ambalwa ubude phakathi kwesifuba, kunqunywe ithambo lesifuba ukuze kufinyelelwe enhliziyweni. Lokhu kuwukuhlinzwa okukhulu kakhulu.
Kodwa kule ndlela yesimanje ebizwa ngokuthi ukuhlinzwa okuncane okungavamile, ukusikwa okukhulu okunjalo akwenziwa. Kunalokho, kwenziwa ukusikwa okuncane ohlangothini lwesokudla lwesifuba sakho, phakathi kwezimbambo, cishe amasentimitha angu-4-6 . Bese kufakwa ithubhu elincane elinekhamera enamathiselwe (`(endoscope)`) kanye nezinsimbi zokuhlinza ezincane kakhulu ngaleyo nsingo, futhi ngaphansi kokuqondisa komqaphi, ivalvu ilungiswa ngobunono obukhulu. Ngezinye izikhathi ubuchwepheshe berobhothi busetshenziswa nalokhu.
Yikuphi ukulungiswa okwenziwayo phakathi nalokhu kuhlinzwa?
Udokotela angenza izinto ezahlukene kuye ngokuthi inkinga ikuphi nge-valve yakho.
- Kubekwa isakhiwo esifana nendandatho sizungeze ivalvu ukuze kuvinjwe igazi ekuvuzayo (i-Annuloplasty).
- Uma ama-valve flaps exhunyiwe, ayahlukaniswa.
- Uma kukhona imbobo kuvalvu, ivaliwe.
- Izicubu ezingadingekile ezivimbela ivalvu ukuthi ingavaleki kahle ziyasuswa.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezinzuzo nezingozi, futhi kubalulekile ukuzazi.
| 👍 Izinzuzo | 👎 Izingozi |
|---|---|
| Isikhathi sokululama sifushane. | Ukopha kanye nokujiya kwegazi. |
| Ubuhlungu buncane. | Ukutheleleka. |
| Inani lezinsuku esibhedlela lifushane (cishe izinsuku ezi-5). | Ukushaya kwenhliziyo okungajwayelekile (`(Arrhythmias)`). |
| Isilonda sincane kakhulu. | Amathuba amancane okushaywa yisifo sohlangothi. |
| Ingozi yokutheleleka nokopha iphansi. |
Kwenzekani ngemva kokuhlinzwa?
Ukuhlinzwa kuvame ukuthatha cishe amahora amabili kuya kwamane. Ngemva kwalokho, uzogcinwa uqashwe egunjini lokunakekelwa okujulile (ICU) usuku olulodwa noma ezimbili. Ngemva kwalokho, uzodluliselwa egunjini elivamile.
- Izinsuku zokuqala: Odokotela nabahlengikazi bazokusiza ukuthi uvuke uhambe. Uma kukhona ulwelwesi emaphashini akho, bazokutshela ukuthi wenze izivivinyo ezikhethekile zokuphefumula ukuze ulususe.
- Ngemva kokubuyela ekhaya: Uzozizwa ukhathele amasonto ambalwa. Gwema ukuphakamisa izinto ezisindayo. Vivinya umzimba njengoba udokotela wakho ekutshelile.
- Ukuvuselelwa Kwenhliziyo: Ezimweni eziningi, uzothunyelwa ohlelweni lokuvuselelwa kwenhliziyo. Lokhu kuzokusiza ukuthi uthole amandla kancane kancane futhi ujwayele indlela yokuphila enempilo.
Isikhathi sokubona udokotela ngokushesha!
Uma uba nanoma yiziphi zalezi zimpawu ngemva kokubuyela ekhaya, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Uma uketshezi olufana nobovu luphuma endaweni yokuhlinzwa.
- Uma kukhona ukuvuvukala okukhulu kanye nokubomvu okuzungeze indawo yokusikwa.
- Uma unomkhuhlane kanye nokubanda.
- Uma uzwa inhliziyo yakho ishaya ngokushesha (ukushaya kwenhliziyo).
- Uma imilenze ivuvukala ngendlela engavamile (`(Edema)`).
- Uma ukhuluphala ngaphezu kwe-1.5 kg (amakhilogremu amathathu) ngeviki.
Khumbula, akuwona wonke umuntu ongenza lokhu kuhlinzwa. Udokotela wakho ohlinza inhliziyo uzonquma ukuthi ungumuntu ofanele yini kulokhu kuhlinzwa ngokusekelwe esimweni senhliziyo yakho, ezinye izimo zezokwelapha, ubudala, kanye nendlela yokuphila (njengokubhema).
Umlayezo Wokuya Nawe Ekhaya
- Ukulungiswa kwe-Minimally Invasive Mitral Valve kuyindlela yokuhlinzwa kwenhliziyo yesimanje eyenziwa ngokusikwa okuncane, ngaphandle kokuvula isifuba ngokuphelele.
- Izinzuzo eziyinhloko zalokhu ukuncipha kobuhlungu, ukululama okusheshayo, kanye nesikhathi esincishisiwe esichithwa esibhedlela.
- Lokhu kungasiza ekulungiseni nasekuvikeleni ivalvu yakho yemvelo.
- Lokhu kuhlinzwa akufanele wonke umuntu. Udokotela wakho wenhliziyo ungumuntu ongcono kakhulu ukwenza isinqumo ngakho.
- Uma kuvela izimpawu eziyingozi ngemva kokuhlinzwa, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha.
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