Uma udokotela wakho ekutshela noma othile omaziyo ukuthi unesimila senhliziyo, ungase uzizwe ukwesaba okukhulu nokushaqeka. Kuvamile ukuba nemibuzo eyinkulungwane egijima engqondweni yakho, njengokuthi, 'Hawu Nkulunkulu wami, isimila senhliziyo? Ingabe umdlavuza? Ngenzenjani manje?' Kodwa ungakhathazeki. Yilokho esikhuluma ngakho namuhla. Ake sibheke kalula ukuthi isimila senhliziyo siyini ngempela, ukuthi ukuhlinzwa kunjani, nakho konke okudingeka ukwazi ngakho.
Iyini ngempela isimila senhliziyo?
Kalula nje, isimila senhliziyo ukukhula okungavamile kwamangqamuzana akha ngaphakathi kwenhliziyo noma odongeni lwenhliziyo. Lawa angahlukaniswa abe izinhlobo ezimbili eziyinhloko. Esinye yizimila eziqala enhliziyweni uqobo, esizibiza ngokuthi izimila eziyinhloko. Olunye uhlobo yizimila ezakheka kwenye indawo emzimbeni (isibonelo, emaphashini ) bese zisakazekela enhliziyweni.
Kodwa izindaba ezinhle lapha ukuthi ngaphezu kuka-90% wezimila eziqala enhliziyweni azinawo umdlavuza. Ngokwezokwelapha, lezi sizibiza ngokuthi 'zimbi'. Lokhu kusho ukuthi lezi zimila azisabalali kwezinye izingxenye zomzimba (i-metastasis). Uma sezisusiwe ngokuhlinzwa, akukho mthelela ebude besikhathi sokuphila kwesiguli.
Ngokuvamile, izimila ezingezona ezomdlavuza ezifana ne -myxoma noma i-papillary fibroelastoma ziyabonakala. Nakuba lezi zingezona ezomdlavuza , zingadala izinkinga.
- Zingaphazamisa ukusebenza kwama-valve enhliziyo.
- Futhi, uma izingcezu ezincane zalezi zimila ziphuka futhi zihamba emithanjeni yegazi , zenze ihlule legazi futhi livale umthambo wegazi ebuchosheni, kungavela isimo esibi njengesifo sohlangothi .
Ngenxa yale ngozi, odokotela batusa ukususwa kwalezi zimila ngokuhlinzwa. Ama-Sarcoma enhliziyo awavamile kakhulu, futhi ukuhlinzwa akuvamile ukwenziwa kuwo.
Ubani ofuna ukuhlinzwa lokhu?
Manje ungase uzibuze, "Ingabe ngiyakudinga ngempela lokhu kuhlinzwa?" Ithimba lakho lezokwelapha lizoncoma ukuhlinzwa kuphela uma liqiniseka ukuthi izinzuzo zokuhlinzwa zidlula izingozi zokungahlinzwa. Ukuhlinzwa kuvame ukucatshangelwa ezimweni ezilandelayo:
- Uma ubhekene nezimpawu ezifana nobunzima bokuphefumula kanye nobuhlungu besifuba ngenxa yesimila .
- Ngenxa yesimilaUma ukusebenza okuvamile kwenhliziyo kuphazamiseka .
- Njengoba kushiwo ngenhla, kunengozi enkulu yezinkinga ezinkulu ezifana nokuqhekeka kwegazi (i-embolism) noma isifo sohlangothi .
- Uma isimila sikhula ngokushesha , njengoba kubonakala ezivivinyweni zezokwelapha.
Ususa kanjani isimila senhliziyo? Yiziphi izindlela zokuhlinzwa?
Ngenxa yokuthi ukuhlinzwa kokususa isimila senhliziyo kuyinkimbinkimbi kakhulu, kuvame ukwenziwa ezibhedlela ezinkulu, ezihlonyiswe kahle amaqembu odokotela abahlinzayo abanolwazi olukhethekile kanye nolwazi kulo mkhakha. Bazohlola isimo sakho bese benquma ukuthi iyiphi inqubo yokuhlinzwa engcono kakhulu kuwe. Kunezinqubo ezimbili eziyinhloko zokuhlinzwa.
| Indlela yokuhlinzwa | Indlela yokukwenza |
|---|---|
| Ukuhlinzwa Kwenhliziyo Evulekile | Lena yindlela yendabuko. Lokhu kuhlinzwa kwenziwa ngokwenza ukusika okude okuqondile phakathi kwesifuba (Median Sternotomy) nokuvula umgodi wesifuba. Lokhu kuvumela udokotela ohlinzayo ukuthi abone inhliziyo nezicubu ezizungezile ngokucacile. Uhlinzwe ngokuphelele futhi uxhunywe emshinini we-cardiopulmonary bypass osebenza okwesikhashana esikhundleni senhliziyo namaphaphu akho. Lokhu kuvumela udokotela ukuthi ahlinze inhliziyo eyekile ukushaya futhi inganyakazi. Isimila siyasuswa futhi, uma kudingeka, izingxenye ezonakele ziyalungiswa. |
| Ukuhlinzwa Okungangeni Kakhulu | Lena indlela entsha nethuthukisiwe. Esikhundleni sokwenza ukusika okukhulu phakathi kwesifuba, lokhu kwenziwa ngokusika okuncane okuningana phakathi kwezimbambo. Lapho kusetshenziswa ukuhlinzwa okusizwa ngerobhothi , kufakwa ikhamera kanye nengalo yerobhothi ngalezi zimbobo ezincane, okulawulwa udokotela ohlinzayo ngokucophelela ngenkathi ebheka isikrini sekhompyutha. Kule ndlela, kwenziwa i-anesthesia kanye nokuxhumeka emshinini wenhliziyo namaphaphu. |
Ukuhlinzwa okungadingi ukungenelela okuningi kuholela ekunciphiseni ubuhlungu, izibazi ezincane, kanye nokululama okusheshayo kanye nokubuyela ngokushesha empilweni evamile.
Kwenzekani ngaphambi nangemva kokuhlinzwa?
Ukulungiselela ngaphambi kokuhlinzwa
Ithimba lakho lezokwelapha lizokukulungiselela kahle ngaphambi kokuhlinzwa. Kubaluleke kakhulu ukuthi ulandele imiyalelo yabo ngqo.
- Imithi: Ungase ucelwe ukuthi uyeke eminye yemithi oyisebenzisayo njengamanje (ikakhulukazi imithi yokunciphisa igazi) ezinsukwini ezimbalwa ngaphambi kokuhlinzwa.
- Ukuzila Ukudla: Uzocelwa ukuba uyeke ngokuphelele ukudla nokuphuza kusukela phakathi kwamabili ngobusuku bangaphambi kokuhlinzwa (ukuzila ukudla).
- Ukubhema: Uma ubhema, kufanele uyeke ukubhema amasonto ambalwa ngaphambi kokuhlinzwa ukuze unciphise izinkinga.
Ngaphezu kwalokho, ukuhlolwa okuningana okufana ne-CT scan, i-Echocardiogram (ukuhlolwa kwe-echo), kanye ne-MRI scan kungenziwa ukuze kutholakale isithombe esicacile sesimila kanye nenhliziyo.
Ngemva kokuhlinzwa
Ngemva kokuhlinzwa, uzogcinwa egunjini lokunakekelwa okujulile (ICU) usuku noma ngaphezulu ukuze uqashwe ngokucophelela. Ngemuva kwalokho uzodluliselwa egunjini elijwayelekile. Inani lezinsuku ozohlala esibhedlela lizohluka kuye ngokuthi ululame kangakanani kanye nohlobo lokuhlinzwa owakwenza.
Yiziphi izinzuzo nezingozi?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezinzuzo kanye nezingozi.
| Izinzuzo | Izingozi |
|---|---|
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Okubaluleke kakhulu, amasu okuhlinzwa angangenisi kakhulu anganciphisa eziningi zalezi zingozi. Khuluma nodokotela wakho ngezingozi ezithile ezihlobene nokuhlinzwa kwakho.
Isikhathi sokufonela udokotela ngokushesha
Kuvamile ukuba nokungakhululeki nobuhlungu lapho uya ekhaya ngemva kokuhlinzwa. Kodwa uma uhlangabezana nanoma yiziphi zalezi zimpawu, shayela udokotela wakho ohlinzayo noma esibhedlela ngokushesha .
- Ubuhlungu besifuba obungapheli ngokuhamba kwesikhathi futhi obukhula ngamandla.
- Imfiva.
- Ukucanuzela nokuhlanza okuqhubekayo.
- Ubunzima bokuphefumula.
- Uma ukuhlinzwa kubomvu, kuvuvukile, noma kuphuma ubomvu (lezi yizimpawu zokutheleleka).
- Uma ubonisa izimpawu zesifo sohlangothi, njengokukhuluma okungacacile noma ukugoba kolunye uhlangothi lobuso bakho, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze .
Umlayezo Wokuya Nawe Ekhaya
- Iningi lezimila ezikhula enhliziyweni azinawo umdlavuza (ezingenabungozi). Zingelapheka ngokuphelele uma zisuswa ngokuhlinzwa.
- Kunezinhlobo ezimbili zokuhlinzwa: ukuhlinzwa kwenhliziyo evulekile kanye nokuhlinzwa okungangenisi kakhulu. Ithimba lakho lezokwelapha lizonquma ukuthi iyiphi indlela engcono kakhulu kuwe.
- Ukuhlinzwa kwerobhothi okunezimbobo ezincane akubuhlungu kakhulu futhi kungaphola ngokushesha.
- Uma unemibuzo noma ukukhathazeka mayelana nokuhlinzwa, ungazigcini wedwa, kodwa khuluma nodokotela wakho ngokukhululekile. Bazokuchazela konke.
- Ukulandela imiyalelo yezokwelapha ngemva kokuhlinzwa kubalulekile ukuze ululame ngokushesha.
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