Noma ubani ozwa igama elithi "isimila senhliziyo" uyesaba kancane, akunjalo? Kuvamile ukuzizwa wesaba futhi ukhathazekile uma uzwa lawo mazwi. Kodwa ungakhathazeki. Into ebaluleke kakhulu ukuthi iningi lala mathumba akhula enhliziyweni awawona umdlavuza. Namuhla, kulesi sihloko, sizokhuluma ngamathumba enhliziyo, ukuhlinzwa okuwasusayo, futhi sizame ukuthola izimpendulo zemibuzo eminingi ongase ube nayo.
Kuyini ukuhlinzwa kokususa umdlavuza wenhliziyo?
Kalula nje, lena inqubo yezokwelapha eyinkimbinkimbi kakhulu. Ihilela ukususwa kwesimila enhliziyweni yakho ngokuhlinzwa. Lokhu kuhlinzwa kubaluleke kakhulu uma kunengozi yezinkinga ngenxa yesimila esingesona umdlavuza (esingesihle).
Ngezinye izikhathi, kuye ngohlobo lwesimila onaso, ungadinga ukuhlinzwa kabusha ukuze kulungiswe umonakalo enhliziyweni yakho noma kwenye yama-valve ayo. Udokotela wakho uzokuchazela lokhu.
Iyini ngempela isimila senhliziyo?
Isimila senhliziyo siwukukhula okwenzeka ngaphakathi kwenhliziyo yakho. Lokhu kungaba izimila zenhliziyo eziyinhloko. Lokhu kusho ukuthi lezi zimila zivela enhliziyweni uqobo futhi azikaze zisabalale zivela kwenye indawo emzimbeni.
Izindaba ezinhle ukuthi iningi lala mathumba enhliziyo ayisisekelo awawona umdlavuza (angabi yingozi). Lokhu kusho ukuthi cishe awanayo ingozi yokusabalala (ukusabalala kwama-metastasizing) kwezinye izingxenye zomzimba. Awahlotshaniswa nobude besikhathi sokuphila obufushane ngemva kokususwa okufanele.
Izinhlobo ezimbili ezivame kakhulu zezimila zenhliziyo eziyinhloko yi -myxoma kanye ne-papillary fibroelastoma . Nakuba lezi zimila ezingezona umdlavuza, zingathinta ukusebenza kwama-valve enhliziyo. Ngaphezu kwalokho, zandisa ingozi yokwakheka kwehlule legazi nokuhamba ngemithambo yegazi, okubangela i-embolism noma isifo sohlangothi. Ngakho-ke, udokotela wakho angase ancome ukususwa kwesimila ngokuhlinzwa.
Izimila zomdlavuza zenhliziyo, ezibizwa ngokuthi ama-sarcomas , azivamile, futhi ukuhlinzwa akuvamile ukusetshenziswa njengokwelashwa.
Ingabe isimila singasuswa ngempela enhliziyweni?
Yebo, ezimweni eziningi, odokotela abahlinzayo bangasusa ngokuphelele isimila enhliziyweni. Ukuhlinzwa kokususa izimila ezingezona umdlavuza, njenge-myxoma kanye ne-papillary fibroelastoma, kuphumelele kakhulu .
Kodwa-ke, ezinye izimila eziyinkimbinkimbi ezingezona umdlavuza kanye nezimila ezinomdlavuza kungaba nzima ukuzisusa. Ezimweni ezinjalo, odokotela abahlinzayo basusa isimila esiningi ngangokunokwenzeka (ukususwa kwengxenye). Lokhu kungasiza ekunciphiseni izimpawu zakho futhi kuthuthukise ikhwalithi yokuphila kwakho. Kwezinye izimo, ukuhlinzwa kungase kungenzeki. Kuleso simo, udokotela wakho angase ancome ezinye izindlela zokwelapha noma ukunakekelwa kokunciphisa ubuhlungu.
Ubani odinga lokhu kuhlinzwa?
Ungadinga ukuhlinzwa uma udokotela wakho ecabanga ukuthi izinzuzo zokuhlinzwa zidlula izingozi. Udokotela wakho cishe angancoma ukuhlinzwa uma:
- Uma isimila sibangela izimpawu .
- Uma kuphazamisa ukusebenza okuvamile kwenhliziyo.
- Uma wandisa ingozi yakho yezinkinga ezifana nokuqhekeka kwegazi noma isifo sohlangothi.
- Uma isimila sikhula ngokushesha .
Odokotela abahlinzayo basusa kanjani isimila enhliziyweni?
Indlela yendabuko yokususa izimila zenhliziyo ukuhlinzwa kwenhliziyo evulekile. Kodwa-ke, ngentuthuko yesayensi yezokwelapha, izindlela ezingangenisi kakhulu seziyatholakala manje ezidinga isikhathi esincane sokululama.
Izimila zenhliziyo azivamile kakhulu. Ngakho-ke, ukuhlinzwa kokususa lezi zimila akuvamile njengezinye izimila zenhliziyo. Yingakho kubaluleke kakhulu ukufuna ukwelashwa esibhedlela esikhulu esinolwazi kulezi zinhlobo zokuhlinzwa. Ithimba lodokotela abahlinzayo lizohlola isimo sakho bese linquma uhlobo lokuhlinzwa olukulungele.
Ukuhlinzwa kwenhliziyo okuvulekile kwendabuko
Le ndlela ivumela udokotela ohlinzayo ukuthi abone inhliziyo yakho nezitho ezizungezile ngqo ngenkathi enza ukuhlinzwa. Lokhu kuhilela ukwenza ukusika okude phakathi kwesifuba sakho. Lokhu kubizwa ngokuthi i-median sternotomy ngokwezokwelapha.
Uzolaliswa ubuthongo obukhulu ngaphansi kwe-anesthesia ukuze ungezwa lutho ngesikhathi sokuhlinzwa. Uzoxhunywa nomshini we-cardiopulmonary bypass . Lo mshini uthatha okwesikhashana umsebenzi wenhliziyo namaphaphu akho ngesikhathi sokuhlinzwa. Lokhu kuvumela udokotela ohlinzayo ukuthi ahlinze inhliziyo engashayi, engashintshi.
Udokotela ohlinzayo ususa isimila futhi, uma kudingeka, aphinde akhe kabusha izingxenye zenhliziyo ezonakele. Kuye ngokuthi isimila sithinteke kangakanani enhliziyweni, lokhu kwakhiwa kabusha kungafaka ukulungiswa kwevalvu noma ukushintshwa kwevalvu.
Ukuhlinzwa kwenhliziyo okungenangozi kangako
Kwenziwa imicu emincane kakhulu , kunokuba kwenziwe umcucu omude phakathi kwesifuba njengasekuhlinzweni kwenhliziyo okuvulekile.Le ndlela ihilela ukusebenzisa izimbobo eziningana ukuze kufinyelelwe enhliziyweni futhi kususwe isimila. Kodwa-ke, le ndlela idinga nomshini wokubulala izinzwa kanye nomshini wokwelapha inhliziyo namaphaphu.
Ukuhlinzwa kwenhliziyo okusizwa ngerobhothi
Lolu futhi uhlobo lokuhlinzwa okungangenisi kakhulu. Odokotela abahlinzayo benza lokhu kuhlinzwa besebenzisa ubuchwepheshe be-endoscopic futhi abavuli isifuba.
Kule nqubo, udokotela ohlinzayo wenza izimbobo eziningana ezincane ezimbanjeni zakho. Ngalezi zimbobo, kufakwa amathuluzi axhunywe ezingalweni zerobhothi. Ukunyakaza kwalezi zingalo zerobhothi kulawulwa yizandla zikadokotela ohlinzayo. Ubuchwepheshe obukhethekile bekhamera buvumela udokotela ohlinzayo ukuba abone ingaphakathi lenhliziyo ngokucacile kulo lonke ukuhlinzwa.
Kwenzekani ngaphambi kokuhlinzwa?
Ithimba lakho lezokwelapha lizokunikeza imiyalelo yokuthi ungalungiselela kanjani ukuhlinzwa, futhi kubaluleke kakhulu ukulandela leyo miyalelo ngqo.
- Kungakhathaliseki ukuthi udinga ukwenza noma yiziphi izinguquko emithini oyithathayo.
- Kumelwe uzile ukudla (ngaphandle kokudla noma isiphuzo) kusukela ngobusuku bangaphambi kokuhlinzwa.
- Uma ubhema, kufanele uyeke ukubhema amasonto ambalwa ngaphambi kokuhlinzwa. Lokhu kubalulekile ukunciphisa ingozi yezinkinga.
Futhi, ithimba lezokwelapha lizokwenza ukuhlolwa okukodwa noma ngaphezulu ukuze lithole isithombe esicacile sesimila kanye nenhliziyo yakho. Izinhlobo zokuhlolwa okungadingeka ukuthi uzenze yilezi:
- I-CT scan (i-computed tomography - i-CT scan)
- I-angiogram yenhliziyo
- I-Echocardiogram
- Ukuskena kwe-MRI (Ukufanekisa kwe-Magnetic resonance - Ukuskena kwe-MRI)
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzogcinwa egunjini lokunakekelwa okujulile (ICU) usuku noma ngaphezulu, lapho uzoqashwa khona eduze. Ngemva kwalokho, uzodluliselwa egunjini elivamile. Inani lezinsuku ozohlala esibhedlela lizoncika ohlotsheni lokuhlinzwa owahlinzwa ngalo nokuthi ululama ngokushesha kangakanani. Kuzohlukahluka kumuntu nomuntu. Ithimba lezokwelapha lizokwazisa ngesimo sakho futhi likutshele ukuthi ungaya nini ekhaya.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezinzuzo nezingozi. Kubalulekile ukuxoxa ngalokhu ngokukhululekile nodokotela wakho.
| Izinzuzo | Izingozi |
|---|---|
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| Izinzuzo ezengeziwe zokuhlinzwa kwerobhothi | |
Ukuhlinzwa kwerobhothi kunikeza izinzuzo ezilandelayo ngaphezu kokuhlinzwa okuvulekile kwendabuko:
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Okubalulekile: Izindlela ezingangenisi kakhulu zinciphisa ingozi yezinkinga. Khuluma nodokotela wakho ngezingozi ezihlobene nokuhlinzwa kwakho okuzayo.
Sinjani isikhathi sokululama?
Isikhathi sakho sokululama sincike ezicini ezifana nohlobo lokuhlinzwa owake wakwenza kanye nempilo yakho iyonke. Udokotela wakho ohlinzayo uzokunikeza imiyalelo ethile futhi akutshele ukuthi yini ongayilindela. Ngokuvamile, ungalulama ngokushesha ngemva kokuhlinzwa kwerobhothi kunangemva kokuhlinzwa kwenhliziyo okuvulekile. Iningi labantu lingabuyela emisebenzini evamile futhi lisebenze ngokushesha nje lapho lizizwa linamandla.
Ngemva kwanoma yikuphi ukuhlinzwa, kubalulekile ukulandela ngokuqinile imiyalelo kadokotela wakho mayelana nokuthi yini okufanele uyenze nokuthi yini okungafanele uyenze ngesikhathi sokululama.
Kufanele ngiphinde ngimbone nini udokotela?
Udokotela wakho ohlinzayo uzokutshela ukuthi yiziphi izimpawu okufanele uziqaphele ngesikhathi sokululama kwakho. Nakuba kujwayelekile ukuzizwa ungakhululekile, kubalulekile ukuqaphela izimpawu ezingase zibonise inkinga, njengokutheleleka.
| Izimpawu okufanele uziqaphele |
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Uma unesinye noma ngaphezulu kwalezi zimpawu ezilandelayo, yazisa udokotela wakho ngokushesha:
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Uma uzohlinzwa ukuze kususwe isimila senhliziyo, ungase ube nemibuzo eminingi engqondweni yakho. Ungase uzibuze ukuthi kuzokwenzekani ngemva kokuhlinzwa, ukuthi amathuba akho okusinda isikhathi eside angakanani, njll. Khumbula, uhambo lwezokwelapha lwawo wonke umuntu luhlukile. Izibalo zilandisa uhlangothi olulodwa lwendaba. Unganqikazi ukukhuluma nodokotela wakho ohlinzayo noma nanoma ubani eqenjini lakho lezokwelapha nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
Umlayezo Wokuya Nawe Ekhaya
- Iningi lamathumba enhliziyo aliwona umdlavuza , ngakho-ke ungakhathazeki ngokungadingekile.
- Ukuhlinzwa kokususa lezi zimila kuvame ukuphumelela kakhulu .
- Amasu okuhlinza esimanje, angangenisi kakhulu njengobuchwepheshe berobhothi avumela ukululama okusheshayo nokubuyela empilweni evamile.
- Khuluma nodokotela wakho ngokukhululekile ngesimo sakho, izinzuzo nezingozi zokuhlinzwa, bese ubuza noma yimiphi imibuzo onayo.
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