Inhliziyo yethu ifana nengcebo eyigugu, akunjalo? Ngakho-ke imvelo idale into emangalisayo yokuvikela leyo ngcebo. Leyo yindwangu encane ezungeze inhliziyo. Kodwa ngezinye izikhathi lokhu kuvikela kungadala inkinga enhliziyweni. Ngezikhathi ezinjalo, le ndwangu kufanele isuswe ngokuhlinzwa. Yilokho esikhuluma ngakho namuhla.
Kuyini ngempela i-pericardiectomy?
Kalula nje, i-pericardiectomy ukususwa ngokuhlinzwa kwayo yonke noma ingxenye yayo , ulwelwesi oluzungeze inhliziyo yakho. Lokhu ngezinye izikhathi kubizwa ngokuthi “ukususwa kwe-pericardial.”
Cabanga ngakho, le pericardium ifana nesikhwama esinezingqimba ezimbili esigcina inhliziyo. Kukhona inani elincane kakhulu loketshezi phakathi kwalezi zingqimba ezimbili. Yilolo ketshezi olusiza inhliziyo ukushaya kahle futhi ngaphandle kokungqubuzana.
Singaphila yini ngaphandle kwale pericardium?
Yebo, kungenzeka nakanjani. I-pericardium ngokwayo ayibalulekile ekusebenzeni okuvamile kwenhliziyo. Uma amaphaphu akho kanye ne-diaphragm, imisipha ehlukanisa isifuba sakho nesisu, kusesimweni esihle, ngeke kube nenkinga ngokususwa kwe-pericardium.
Eqinisweni, lapho umuntu eba ne-pericarditis, i-pericardium ilahlekelwa ukushelela kwayo, okusho ikhono layo lokunciphisa ukungqubuzana. Ngakho-ke ukuyisusa akwenzi isimo sibe sibi kakhulu.
Yiziphi izizathu zokwenza i-pericardiectomy?
Isizathu esiyinhloko nesivame kakhulu salokhu kuhlinzwa yisimo esibizwa ngokuthi i-Constrictive Pericarditis . Lokhu kwenzeka lapho ulwelwesi oluzungeze inhliziyo luba lujiyile, luqine, futhi ngezinye izikhathi luba nama-calcium deposits ayenza iqine njengetshe.
Cabanga ngalokho okwenzekayo lapho isikhwama esizungeze inhliziyo siqina ngokuzumayo.
- Inhliziyo idonswa ngokuqinile futhi ayikwazi ukufinyela.
- Ngakho-ke, amakamelo enhliziyo awagcwali igazi elanele.
- Igazi eliza enhliziyweni liphoqeleka ukubuyela emaphashini.
- Inhliziyo ayikwazi ukupompa igazi ngendlela evamile.
- Lokhu kubangela ukuthi imilenze nesisu kuvuvuke, okufana nezimpawu zokwehluleka kwenhliziyo.
Lokhu kuhlinzwa kuyisisombululo esihle kakhulu samacala anzima kakhulu e-Constrictive Pericarditis.
Izimbangela ze-Constrictive Pericarditis
- Idiopathic: Ezimweni eziningi, akukho sizathu esithile esingatholakala.
- Ukuhlinzwa kwenhliziyo kwangaphambilini: Kungase kube ngenxa yokuhlinzwa kwenhliziyo kwangaphambilini.
- Ukwelashwa ngemisebe esifubeni: Ukwelashwa ngemisebe esifubeni ngenxa yezimo ezifana nomdlavuza.
- Izifo ezifana nesifo sofuba: Lokhu kungabangelwa yizimo ezithile zezokwelapha.
- Ukutheleleka ngegciwane noma amagciwane:Lokhu kungenzeka futhi ngenxa yezifo ezithile ezithathelwanayo.
Ngaphezu kwalokho, lokhu kuhlinzwa kwenziwa kwezinye izimo eziningana:
- I-Pericarditis Ephindaphindayo: Uma lesi simo siqhubeka senzeka naphezu kokwelashwa.
- Imiphumela emibi yemithi yokulwa nokuvuvukala: Uma kuvela izinkinga ngenxa yemithi efana nama-steroid anikezwa ukulawula ukuqina kwe-pericardial.
- I-Cardiac Tamponade: Akuvamile kakhulu, lokhu kwenziwa lapho uketshezi luqoqana nxazonke zenhliziyo bese luyicindezela.
Kwenzekani ngaphambi nangesikhathi sokuhlinzwa?
Ngaphambi kokuhlinzwa
Ithimba lakho lezokwelapha lizolungisa yonke imishini edingekayo ukuze kwenziwe ukuhlinzwa ngokuphephile. Ngokuvamile, udokotela ohlinzayo uzosebenzisa umshini wokudlula inhliziyo , owaziwa nangokuthi umshini wenhliziyo namaphaphu. Lo mshini uthatha okwesikhashana umsebenzi wenhliziyo namaphaphu ngesikhathi sokuhlinzwa. Lokhu kuvumela udokotela ukuthi asuse ngokuphephile i-pericardium kuzo zombili izinhlangothi nangemuva kwenhliziyo.
Ngesikhathi sokuhlinzwa
1. Ukwenza i-incision: Udokotela wenza i-incision phakathi kwesifuba sakho, eduze kwethambo lesifuba (sternum), ukuze afinyelele inhliziyo. Lokhu kubizwa ngokuthi i-Median Sternotomy .
2. Ukususwa kwe-pericardium: Ulwelwesi lwe-pericardial lususwa ngokucophelela enhliziyweni.
3. Ukulungisa i-sternum: I-sternum iqiniswa futhi kusetshenziswa izintambo.
4. Ukuthunga imbobo: Ekugcineni, imbobo ivalwa ngezithungo.
I-Pericardiectomy iwukuhlinzwa kwenhliziyo okuvulekile. Isizathu salokhu ukuthi ukuze kususwe yonke i-pericardium, udokotela kudingeka akwazi ukubona inhliziyo ngokucacile. Le ndlela ilungele lokho.
Lokhu kuhlinzwa kuvame ukuthatha amahora amabili kuya kwamathathu, kodwa lesi sikhathi singase sihluke uma kwenziwa ezinye izinqubo ngesikhathi esisodwa.
Kwenzekani ngemva kokuhlinzwa?
Uzozwa ubuhlungu lapho uvuka ngemva kokuhlinzwa. Uzophinde ubeke ipayipi elilodwa noma ngaphezulu (amapayipi) esifubeni sakho ukuze ukhiphe uketshezi oluningi. Uzokwazi ukuphuza uketshezi kusukela ngosuku olulandela ukuhlinzwa bese udla kancane kancane ukudla. Kungase kudingeke uqhubeke nokuthatha imithi yokukhipha isisu, nakuba kumthamo ophansi kunalowo owawuwuthatha ngaphambi kokuhlinzwa.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa okukhulu, kunezinzuzo nezingozi. Ukukhetha udokotela ohlinza inhliziyo onolwazi kunganciphisa izingozi.
| Izinzuzo | Izingozi |
|---|---|
| Abantu abaningi bangaphila iminyaka eminingi bengenazo izimpawu noma benezimpawu ezimbalwa kakhulu. | Izinkinga zokopha kanye nesidingo sokunikela ngegazi. |
| Kungenzeka kakhulu ukuthi umuntu alulame ngokuphelele kunokusebenzisa imithi. | Ukuphazamiseka kwesigqi senhliziyo, ikakhulukazi i-Atrial Fibrillation . |
| Ukuvimbela ukulimala kwemisipha yenhliziyo ngenxa yokuqina kwe-pericardial. | Ukulimala kwezinso. |
| Akuvamile kakhulu ukuthi kube nomonakalo emsipheni osiza ekuphefumuleni (i-phrenic nerve). | |
| Kukhona ingozi encane kakhulu yokufa ngesikhathi sokuhlinzwa, phakathi kuka-1% no-2%. |
Abantu abake bahlinzwa inhliziyo ngaphambilini, abanezinye izimo ezinkulu zezokwelapha, noma abake bathola ukwelashwa ngemisebe basengozini enkulu kancane yezinkinga.
Kuthatha isikhathi esingakanani ukululama?
Ngokuvamile kufanele uhlale esibhedlela cishe izinsuku ezinhlanu kuya kweziyisikhombisa . Ngemva kokubuyela ekhaya, ungagwema ukuphakamisa izinto ezisindayo bese kancane kancane uqhubeka neminye imisebenzi evamile.
Kuthatha phakathi kwamasonto ayi-6 kuya kwayi-8 ukululama ngokuphelele. Lesi sikhathi singahluka kuye ngokuthi isimo sakho besibi kangakanani ngaphambi kokuhlinzwa. Kungathatha isikhathi eside kubantu abasesimweni esibi kakhulu. Kodwa-ke, abantu abaningi bazizwa bekhululekile ngokushesha ngemva kokuhlinzwa.
Kufanele uphinde ubonane nodokotela wakho nini futhi?
Kuzodingeka ubone udokotela wakho wenhliziyo zingakapheli isonto noma amabili ngemuva kokuphuma esibhedlela. Kuzodingeka futhi wenze i- echocardiogram (i-ultrasound scan yenhliziyo) amasonto ayisithupha ngemuva kokuhlinzwa.
Tshela udokotela wakho ngokushesha uma kuvela izimpawu ezilandelayo:
- Ubuhlungu besifuba
- Imfiva
- Uma kunoketshezi oluningi kunokuvamile oluphuma enxebeni lokuhlinzwa
Ukuhlinzwa kwenhliziyo, i-Pericardiocentesis kanye ne-Pericardiotomy - Uyini umehluko?
La magama amathathu afana kancane, ngakho-ke kungadida. Ake sibone ukuthi umehluko uyini.
| Inqubo | Incazelo Elula |
|---|---|
| Ukuhlinzwa kwe-Pericardioectomy | Ukususwa ngokuhlinzwa kwengxenye noma yonke ingxenye yolwelwesi oluzungeze inhliziyo (i-pericardium). |
| I-Pericardiocentesis | Ukususa uketshezi oluningi oluqongeleleke ku-pericardium usebenzisa inaliti. |
| Ukuhlinzwa kwenhliziyo okubizwa nge-Pericardiotomy | Kusikwa okuncane kuphela e-pericardium ukuze kususwe uketshezi. |
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-Pericardiectomy kuyimpumelelo enkulu, kodwa kwenziwa kakhulu ezimweni ezifana ne-Constrictive Pericarditis.
- Ungaphila impilo evamile ngokuphelele ngaphandle kwe-pericardium, ulwelwesi oluzungeze inhliziyo yakho.
- Kuthatha isikhathi ukuthi ululame ngokugcwele, ngakho-ke yiba nesineke futhi ulandele imiyalelo kadokotela wakho. Kubalulekile ukugwema imisebenzi efana nokuphakamisa izinto ezisindayo kuze kube yilapho udokotela wakho ekuyala ukuba wenze kanjalo.
- Uma unemibuzo, ukwesaba, noma ukungabaza ngalokhu kuhlinzwa, ungesabi ukukhuluma ngokukhululekile nodokotela wakho ngakho.
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