Lapho udokotela wakho ekutshela nge-pacemaker, noma lapho ubheka umbiko we-heart scan, ingabe wakhuluma ngegama elithi "Right Atrial Appendage"? Ingabe wazizwa wesaba kancane noma udidekile lapho uzwa? Ingabe wacabanga ukuthi, "Hawu Nkulunkulu wami, siyini lesi sifo esisha?" Kujwayelekile kakhulu ukuzizwa ngaleyo ndlela. Ngoba yigama okungekho noyedwa kithi oke wezwa ngalo kakhulu. Kodwa asikho isizathu sokwesaba. Kulula kakhulu. Ake sixoxe ngalokhu namuhla, njengokungathi abangani ababili bakhuluma, ngaphandle komthwalo.
Kalula nje, iyini le Right Atrial Appendage (RAA)?
Cabanga nje ukuthi inhliziyo yethu ifana nendlu encane enamakamelo amane. Amakamelo amabili esitezi esiphezulu sale ndlu abizwa ngokuthi i-atria, kanti amakamelo amabili esitezi esingezansi abizwa ngokuthi ama-ventricles. Igumbi elingakwesokudla salesi sitezi esiphezulu, okungukuthi , i-atrium efanele, yingxenye encane efana nesikhwama ephuma kancane kwi-atrium efanele, esiyibiza ngokuthi i-Right Atrial Appendage (RAA). Lena yingxenye yenhliziyo ngokwayo, hhayi into entsha eyakhiwe.
"Pho kungani odokotela bekhuluma ngalokhu?" ungase uzibuze. Isizathu esiyinhloko ukuthi lapho abanye abantu bedinga ukufakwa i-pacemaker, kulula kakhulu futhi kuphephile ukufaka ucingo oluncane olubizwa ngokuthi i-lead ku-RAA. Lokhu kungenxa yokuthi i-RAA iseduze kakhulu nesikhungo esiyinhloko esithumela izimpawu zikagesi enhliziyweni, i-SA node (i-node ye-sinoatrial) . Ngakho-ke, lapho ucingo lwe-pacemaker lubekwa lapho, umsebenzi wenhliziyo ungalawulwa ngempumelelo enkulu.
Kulungile, pho le ngxenye encane inikeza yiphi insizakalo?
Lesi sikhwama esincane esibizwa ngokuthi i-RAA naso sinomsebenzi obalulekile emizimbeni yethu. Lapho umthamo wegazi emzimbeni wethu ukhuphuka ngokuzumayo, inani legazi eliza enhliziyweni nalo liyakhula. Bese izindonga zale-RAA ziqala ukwelula.
Cabanga ngakho njengebhaluni eligcwele amanzi. Njengoba nje ibhaluni likhula njengoba amanzi ekhula, i-RAA nayo iyancipha kancane njengoba igazi likhula.
Uma izindonga zifinyela ngale ndlela, i-RAA ikhipha uhlobo olukhethekile lweprotheyini, olubizwa ngokuthi i-Natriuretic Peptides . Lawa maprotheni atshela umzimba wethu ukuthi uthi, "Kulungile, manje sesinoketshezi oluningi kakhulu emzimbeni wethu, sidinga ukulunciphisa kancane." Lawa maprotheni abe esenweba imithambo yegazi yethu kancane, futhi atshela nezinso ukuthi zisize zikhiphe usawoti namanzi amaningi ngomchamo. Le nqubo ibuyisela umthamo wegazi okhuphukile kanye nomfutho wegazi emzimbeni esimweni esijwayelekile. Kalula nje, lokhu kufana nomlawuli wokucindezela wemvelo emzimbeni wethu.
Ibukeka kanjani le RAA futhi izizwa kanjani?
Lena indawo encane kakhulu. Cishe amasentimitha-skwele amathathu, okungaba kabili ngobukhulu bezinzipho zethu zesithupha. Kodwa into emangalisayo ukuthi, akuwona wonke umuntu ofana naye. Njengobuso bethu kanye neminwe yethu, ingahluka kumuntu nomuntu. Kunezinhlobo ezimbalwa eziyinhloko odokotela abazitholile.
- Isimo somlomo we-parrot: Lesi isimo esivame ukubonakala.
- Isimo sekhanda lehhashi: I-RAA yabanye abantu ibunjwe kanje.
- Isimo esifana ne-anvil: Sifana nesimo se-trapezoid.
- Isikebhe somkhumbi: Isimo esingunxantathu.
- Isimo esingachazwanga: Ngezinye izikhathi lokhu kungabekwa ngendlela engeyona eyanoma yisiphi isimo.
Kungakhathaliseki ukuthi isimo sinjani, ngokuvamile asibi nomthelela omkhulu. Kodwa-ke, odokotela bakhathazekile ngalesi simo ngesikhathi sokuhlinzwa kwenhliziyo.
Izimo nezimpawu ezingathinta i-RAA
I-RAA ngokuvamile ayiyona inkinga enkulu. Kodwa-ke, ngezinye izikhathi ingathinteka yizimo ezithile zezokwelapha. Futhi, izimpawu esizibona kulezi zimo zifana kakhulu nalezo ezitholakala kwezinye izinkinga zenhliziyo.
| Isimo sezokwelapha esingaba khona | Incazelo elula |
|---|---|
| I-Atrial Fibrillation (Afib) | Yilapho amakamelo aphezulu enhliziyo (i-atria) eqala ukushaya ngokushesha, njengokungathi ayandiza. Lokhu kungabangela ukugeleza kwegazi okungajwayelekile, futhi amahlule egazi angakheka ku-RAA. Kodwa-ke, amahlule egazi awavamile ukwakheka lapha uma kuqhathaniswa ne-atrial appendage yesobunxele. |
| Ukulimala ngengozi | Entweni efana nengozi enkulu yemoto, ukushaywa kanzima esifubeni kungalimaza i-RAA. |
| I-Aneurysm | Okwenzekayo kulokhu ukuthi udonga lwe-RAA luyabuthaka futhi luqhume njengebhaluni. Lokhu futhi kuyinto engavamile kakhulu. |
Izimpawu ezingase zizwakale esimweni esinjalo
| Isibonakaliso | Indlela ongase uzizwe ngayo |
|---|---|
| Ubuhlungu besifuba | Ubuhlungu buzwakala njengobuhlungu obuqinile, obunciphayo esifubeni. |
| Ukukhathala | Umuzwa wokukhathala okukhulu ngisho noma ungenzanga lutho. |
| Ubunzima bokuphefumula (i-Dyspnea) | Kuzwakala sengathi uyacinana, unenkinga yokuphefumula. |
| Isiyezi | Umuzwa wesiyezi namehlo aluhlaza okwesibhakabhaka. |
Into ebaluleke kakhulu ukuthi, uma unezinye zalezi zimpawu, ungacabangi nje ukuthi, "Lokhu kumele kube yinkinga nge-RAA." Into engcono kakhulu ongayenza ukubona udokotela ngokushesha bese uthola imbangela eqondile.
Udokotela uyihlola kanjani i-RAA?
Uma udokotela wakho esola i-RAA ngemva kokuzwa ngezimpawu zakho, kunezivivinyo eziningana ezikhethekile zokuhlola isimo sayo.
| Igama lokuhlolwa | Kalula nje, wenzani ngalokhu? |
|---|---|
| I-Transesophageal Echocardiogram (TEE) | Lokhu futhi kuyi-echo scan. Kodwa lokhu akwenziwa esifubeni. Kufakwa idivayisi encane efana nekhamera ngomlomo, idluliselwe emphinjeni, bese izithombe zithathwa eduze kakhulu nenhliziyo. Le ndlela ingabona izingxenye ezincane njenge-RAA ngokucacile. |
| I-CT Yenhliziyo (i-Computed Tomography) | Lokhu ukuskena okukhethekile okusebenzisa ama-X-ray. Kungakhiqiza isithombe senhliziyo esinezinhlangothi ezintathu (3D). Lokhu kusiza kakhulu ekuboneni ukuma nobukhulu be-RAA, nokuthi ngabe kukhona yini amahlule egazi lapho. |
| I-Transthoracic Echocardiogram (TTE) | Lokhu yilokho esikwaziyo ngokuvamile ngokuthi i-echo scan. Kwenziwa ngokubeka idivayisi ebusweni besifuba. Kunganikeza umbono omuhle ngokusebenza kwenhliziyo iyonke. |
Yiziphi izindlela zokwelapha izinkinga ezihlobene ne-RAA?
Izindaba ezinhle ukuthi noma ngabe kunenkinga nge-RAA, ingelashwa. Udokotela wakho uzonquma ukwelashwa okufanele kakhulu ngokusekelwe esimweni sakho.
- Ama-Anticoagulant: Uma amahlule egazi akheke ngaphakathi kwe-RAA, le mithi inikezwa ukuze kuncibilikiswe lawo mahlule futhi kuvinjelwe amahlule amasha ukuthi akheke.
- Ukwelashwa Kokuqedwa Kwemithambo: Uma imbangela ye-Atrial Fibrillation (Afib) iyizicubu ezihlotshaniswa ne-RAA, inqubo ekhethekile ingabhubhisa lezo zicubu futhi ibuyisele isigqi senhliziyo esivamile.
- Ukuhlinzwa: Uma i-RAA yonakele ngenxa yengozi, kungase kudingeke ukuhlinzwa ukuze kulungiswe ingxenye eyonakele.
Ngingayigcina kanjani inhliziyo yami kanye ne-RAA iphilile?
Lena yingxenye ebaluleke kakhulu. Akukho okukhethekile okufanele kwenziwe nge-RAA. Uma sinakekela kahle yonke inhliziyo yethu, yonke ingxenye yenhliziyo, kuhlanganise ne-RAA, ihlala iphilile. Ngakho-ke kufanele senzeni?
- Zivocavoce okungenani imizuzu eyi-150 ngesonto: Yenza into oyithandayo, njengokuhamba ngokushesha, ukugijima, noma ukubhukuda.
- Yidla ukudla okunempilo kwenhliziyo: Faka izithelo, imifino, ubhontshisi, okusanhlamvu okuphelele, kanye nenhlanzi ekudleni kwakho. Nciphisa ukudla okunamafutha amaningi, usawoti, kanye noshukela ngangokunokwenzeka.
- Gwema ukubhema ngokuphelele: Umonakalo odalwa ukubhema enhliziyweni ukhulu kakhulu.
- Lawula ukucindezeleka: Khulula ingqondo yakho ngokwenza izinto ezifana nokuzindla, i-yoga, noma ukuzibandakanya nomsebenzi wokuzilibazisa owuthandayo.
- Lawula ezinye izifo: Uma unezifo ezifana nesifo sikashukela noma umfutho wegazi ophakeme, landela imiyalelo kadokotela wakho futhi uzilawule kahle.
Uma ufaka lezi zinto ezilula empilweni yakho, inhliziyo yakho izokubonga.
Umlayezo Wokuya Nawe Ekhaya
- I-Right Atrial Appendage (RAA) iyingxenye evamile nenempilo yenhliziyo yakho. Akusona isifo esisha.
- Lokhu kuvame ukuxoxwa ngakho ezimweni ezikhethekile, njengalapho kufakwa i-pacemaker.
- Izinkinga nge-RAA azivamile, kodwa kunezindlela zokwelapha eziphumelelayo.
- Indlela engcono kakhulu yokuvikela i-RAA yakho ukugcina inhliziyo yakho yonke iphilile. Lokho kusho ukudla kahle, ukuzivocavoca, nokugwema imikhuba emibi.
- Uma unemibuzo, ukungabaza, noma ukwesaba ngenhliziyo yakho, ungacabangi ngakho wedwa, khuluma nodokotela wakho ngokukhululekile . Uzokuchazela konke.
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