Uyazi ngale ngxenye encane yenhliziyo yakho? – I-Right Atrial Appendage

Sonke siyazi ukuthi inhliziyo yethu iyisitho esimangalisayo kakhulu. Kodwa kungenzeka ukuthi awuzange uzwe okuningi ngezinye zezingxenye ezincane zale nhliziyo. Ngakho-ke, namuhla sizokhuluma ngengxenye encane yenhliziyo abantu abaningi abangakhulumi ngayo, kodwa edlala indima ebaluleke kakhulu. Leyo yi -atrial appendage efanele , noma ngesiNgisi `(Right Atrial Appendage)`, noma `(RAA)` ngamafuphi. Mhlawumbe uzwa leli gama okokuqala. Kodwa ungakhathazeki, ake sixoxe ngalokhu kalula.

Iyini i-Atrial Appendage efanele?

Kalula nje, i-"Right Atrial Appendage" noma i-"RAA" yingxenye encane efana nesikhwama senhliziyo yakho ephuma kancane ekamelweni eliphezulu lenhliziyo yakho, ebizwa ngokuthi i-right atrium. Kungenzeka ukuthi uke wezwa ngalokhu ngaphambili, ikakhulukazi uma udokotela ekutshela ukuthi ufake i-"pacemaker lead", ucingo oluncane oluxhuma kwi-pacemaker, ku-atrium yakho yangakwesokudla.

Cabanga ngale `(RAA)` njengesikhwama esincane ehembeni lethu. Isikhala esincane ngaphandle kwehembe eliyinhloko. Kunesizathu esithile sokuthi kungani odokotela bethanda ukufaka izintambo ze-pacemaker kule `(RAA)`. Esinye ukuthi le `(RAA)` kulula kakhulu ukuyifinyelela. Esinye into ukuthi le `(RAA)` iseduze kakhulu ne-`(SA node)`, noma `(sinoatrial node)`, ethumela izimpawu zikagesi ezenza inhliziyo yethu ishaye. Ngakho-ke kubaluleke kakhulu ekusebenzeni kahle kwe-pacemaker.

Le ngxenye yenhliziyo ongayijwayele ingase ikubangele izinkinga ngezinye izikhathi. Kodwa izindaba ezinhle ukuthi, kunezindlela zokwelapha le `(RAA)`, njengoba kunjalo nakwezinye izingxenye zenhliziyo.

Kwenzekani ngale RAA? (Umsebenzi we-RAA)

Manje ake sibone ukuthi le `(RAA)` encane yenzani ngempela. Omunye wemisebenzi yayo eyinhloko ukuthi lapho umthamo wegazi lethu ukhuphuka, okungukuthi, lapho inani legazi emzimbeni likhuphuka ngaphezu kokudingekile, izindonga zale `(RAA)` ziqala ukwelula. Ngemuva kwalokho, le `(RAA)` ikhipha uhlobo olukhethekile lweprotheni ebizwa ngokuthi `ama-peptide e-natriuretic` .

La makhemikhali abizwa ngokuthi "ama-peptide e-natriuretic" enza izinto ezibaluleke kakhulu:

• Imithambo yakho yegazi izovuleka kancane.
• Kuyasiza ekususeni usawoti namanzi amaningi emzimbeni wakho ngomchamo.

Le nqubo isiza ukunciphisa umthamo wegazi lakho kanye nomfutho wegazi. Cabanga ngayo njengepayipi elincane elikhipha amanzi angaphezulu uma ithangi lamanzi ekhaya lakho ligcwele.

Ikuphi i-RAA? (Indawo ye-RAA)

``I-Right Atrial Appendage`` yakho itholakala phezulu kwe-atrium efanele yenhliziyo yakho. Ukuze kube sobala, itholakala eduze kwe -``superior vena cava`` yakho, umthambo wegazi omkhulu. Le ``(RAA)`` iyingxenye efana nomsele enwebeka phezulu phakathi kwe-atrium efanele ne-ventricle efanele.

Yiziphi izingxenye ze-RAA? Ibukeka kanjani ? (Ukwakheka Nokubukeka kwe-RAA)

Uma ubheka isakhiwo sangaphakathi sale `(RAA)`, sibukeka njengesikhwama esinomgodi ovumela igazi ukuthi lingene futhi liphume. Ubuso bangaphakathi be-`(RAA)` buqinile kancane. Isizathu salokhu ukuthi kunezingqimba zemisipha ezibizwa ngokuthi `i-terminal crest` kanye ne -`musculi pectinati` . Lezi zifana nezingqimba ezincane ebusweni.

Ngokuphathelene nobukhulu, abacwaningi bathi indawo yale `(RAA)` ingamasentimitha-skwele amathathu (lokho kungamasentimitha-skwele ayingxenye yesigamu). Ukuvulwa kwe-`(RAA)` kungamasentimitha angu-2 ububanzi (ngaphansi kancane kwe-intshi).

Okumangalisayo ngempela ukuthi le `(RAA)` ingaba ne-płatka eyodwa (i-lobe) noma i-płatki eziningana, ngezinye izikhathi eziningi zifinyelele kweziyisithupha. Lokho kusho ukuthi akuwona wonke umuntu ofana ne-`(RAA)`.

Yiziphi izimo ezingabonakala ku-RAA? (Izimo ze-RAA)

Abacwaningi bathole izinhlobo eziningana ze-`(RAA)`. Nazi ezinye zazo:

• Isimo sesikwele (isimo somlomo we-parrot): Lesi yisimo esivame kakhulu. Sifana nomlomo we-parrot.
• Ukuma kwezinhlangothi ezine: Kufana nokuma kwekhanda lehhashi.
• Isimo se-Trapezoid: Sifana nesimo se-anvil.
• Isimo esingunxantathu: Njengeseyili esikebheni sokuhamba ngomkhumbi.
• Isimo esingachazwanga: Ezinye zazo kunzima ukuzichaza ngendlela eqondile.

Ngaphezu kwalezi zimo eziyinhloko, abacwaningi bathole lezi zinhlobo ezincane. Akumangalisi yini ukuthi le ngxenye encane yenhliziyo yethu ingaba nokwehlukahlukana okungaka?

Yiziphi izimo nezinkinga ezivamile ezithinta i-RAA?

Njengezinye izingxenye zenhliziyo, kunezimo eziningana zezokwelapha ezingathinta i-RAA. Ezinye zazo yilezi:

• I-Atrial Fibrillation (Afib): Lokhu ukushaya kwenhliziyo okungajwayelekile. Lesi simo singabangela ukwakheka kwamahlule egazi ku-RAA. Kodwa-ke, lokhu akuvamile kakhulu ohlangothini lwesokudla uma kuqhathaniswa ne-atrial appendage yesobunxele.
• Ukulimala okubangelwe yingozi yemoto: Engozini enkulu, i-RAA ingalimala ngenxa yokushayeka esifubeni.
• I-Aneurysm: Lesi yisimo lapho umthambo uvuvukala kakhulu futhi uqhuma njengebhaluni. I-RAA ingakha lolu hlobo lwe-aneurysm.

Okubalulekile: Ukutholwa kusenesikhathi kanye nokwelashwa okufanele kwalezi zimo kubaluleke kakhulu.

Ziyini izimpawu zezimo ze-RAA?

Izimo ezithinta i-atrial appendage efanele (RAA) zingabangela ukuthi ube nezimpawu ezifana nalezi:

• Ubuhlungu besifuba
• Ukukhathala
• Ukuphelelwa umoya noma 'ukuphelelwa umoya'
• Isiyezi

Ukuthi nje unalezi zimpawu akusho ukuthi unenkinga nge-RAA yakho. Zingabangelwa nezinye izimo zenhliziyo nezinkinga zempilo ezijwayelekile. Ngakho-ke, uma unalezi zimpawu, kungcono ukufuna iseluleko sezokwelapha.

Ungahlola kanjani isimo sempilo se-RAA? (Ukuhlolwa Okuvamile Kwempilo ye-RAA)

Kunezinhlobo eziningana zokuhlolwa odokotela abazisebenzisayo ukuhlola impilo ye-atrial appendage yakho yangakwesokudla (i-RAA):

• I-Transesophageal Echocardiogram (TEE): Lolu uhlobo olukhethekile lwe-echocardiogram. Kulolu vivinyo, kufakwa ithubhu elincane elifakwe ikhamera (i-transducer probe) ngomphimbo wakho lingene emhubheni wakho ukuze kuthathwe izithombe ezicacile zenhliziyo yakho. Lokhu kuvumela umbono omuhle kakhulu we-RAA.
• I-Cardiac CT (Cardiac Computed Tomography) scan: Lokhu kusebenzisa ama-X-ray kanye nobuchwepheshe bekhompyutha ukukhiqiza izithombe zenhliziyo ezihlanganisa izingxenye ezahlukene.
• I-Transthoracic Echocardiogram (TTE): Lolu uhlobo oluvame kakhulu lwe-echocardiogram. Lapha, i-transducer ibekwa esifubeni sakho ukuze ithathe izithombe zenhliziyo yakho.

Udokotela uzonquma ukuthi enzeni ngalezi zivivinyo ngokusekelwe esimweni sakho.

Yiziphi izindlela zokwelapha lokhu? (Izindlela zokwelapha ezivamile)

Uma kunenkinga nge-atrial apparatus efanele (i-RAA), kunezindlela eziningana zokwelapha ezingaba khona:

• Ama-Anticoagulant: Uma i-RAA yakho ivame ukuba namahlule egazi, uzonikezwa le mithi yokuvimbela ukujiya kwegazi.
• Ukwelashwa nge-Ablation: Uma ukushaya kwenhliziyo okungajwayelekile, njenge-atrial fibrillation, kuqala nge-RAA, ukwelashwa okubizwa ngokuthi i-ablation kungenziwa ukuze kubhujiswe izicubu ezingavamile.
• Ukuhlinzwa: Uma izicubu ze-RAA zonakele engozini, kungase kudingeke ukuhlinzwa ukuze kulungiswe noma kususwe izingxenye ezonakele.

Ukunquma ukuthi yikuphi ukwelashwa okufanele wena kuncike ezintweni eziningi, okuhlanganisa isimo sakho sezokwelapha, ubudala, kanye nempilo yakho iyonke.

Ngingayigcina kanjani i-atrial appendage yami efanele (i-RAA) iphilile? (Ungayinakekela kanjani i-RAA yakho)

Akukho lutho ongalwenza ngokuqondile nge-`(Right Atrial Appendage)` yakho. Izinto ezifanayo ozenzayo ukuze ugcine inhliziyo yakho yonke iphilile nazo zilungele i-`(RAA)` yakho. Ukuze ugcine inhliziyo yakho iphilile, nakekela lezi zinto:

• Zivocavoce ngokomzimba okungenani imizuzu eyi-150 ngesonto: yenza izivivinyo ezifana nokuhamba, ukugijima, noma ukubhukuda.
• Yidla ukudla okunempilo kwenhliziyo: Yidla imifino eminingi, izithelo, ubhontshisi, okusanhlamvu okuphelele, inyama engenamafutha amaningi, nenhlanzi. Nciphisa uwoyela, usawoti, noshukela.
• Gwema ukusebenzisa imikhiqizo kagwayi: Ukubhema kuyingozi kakhulu enhliziyweni.
• Lawula ukucindezeleka kwakho:Yenza izinto ezifana ne-yoga, ukuzindla, njll. Phumula.
• Lawula izimo zezokwelapha ezifana nomfutho wegazi ophakeme nesifo sikashukela: Thatha imithi njengoba uyalelwe udokotela wakho.

Ngokulandela lezi zinyathelo ezilula, ungagcina lonke uhlelo lwakho lwenhliziyo luphilile.

Okokugcina, into ebaluleke kakhulu (Umyalezo Wokuya Ekhaya)

Abantu abaningi abakaze bezwe ngegama elithi ``Right Atrial Appendage'' noma ``RAA'' ngaphambili. Labo abane-``Afib'' kungenzeka ukuthi bake bezwa nge-Left Atrial Appendage, kodwa leso esingakwesokudla akukhulunywa kakhulu ngaso.

Uma ufunda lesi sihloko ngoba uzofakelwa i-pacemaker, into eyodwa okufanele uyazi ukuthi odokotela bakhetha i-RAA njengendawo engcono kakhulu yokubeka i-pacemaker lead. Sesixoxile kakade ngezizathu zalokhu.

Ngakho-ke, uma uneminye imibuzo mayelana nale `(RAA)`, ungangabazi ukukhuluma nodokotela wakho. Angakunikeza izimpendulo ezicacile kuyo yonke imibuzo yakho. Khumbula, yonke ingxenye encane yomzimba wethu inendima ebalulekile okufanele iyidlale, ngakho-ke kubalulekile ukuqaphela.

Inhliziyo , i-Atrial Appendage yangakwesokudla, i-RAA, Isifo Senhliziyo, i-Pacemaker, i-Atrial Fibrillation, Impilo Yenhliziyo, i-Atrial Appendage yangakwesokudla