Ingabe uzizwa ukhathele futhi ukhathele? Noma ingabe imilenze namaqakala akho kuyavuvukala? Ngezinye izikhathi sicabanga ukuthi lezi yizinto ezivamile, kodwa ngezinye izikhathi zingaba uphawu lwenkinga encane enhliziyweni yethu. Namuhla sizokhuluma ngesimo esinjalo esenzeka evalvini yenhliziyo. Ungakhathazeki, ake siqonde konke ngalokhu kalula.
Iyini Isifo Se-Tricuspid Valve?
Kalula nje, lesi yisimo lapho ivalvu, noma umnyango, phakathi kwamakamelo amabili ohlangothini lwesokudla lwenhliziyo yethu ungasebenzi kahle.
Cabanga ngenhliziyo yethu njengendlu encane enamakamelo amane. Kuneminyango emine phakathi kwala makamelo esiza ukugcina igazi ligeleza ohlangothini olulodwa kuphela. Lokhu sikubiza ngokuthi ama-Heart Valve . I-Tricuspid Valve ingenye yale minyango emine.
Itholakala phakathi kwegumbi eliphezulu ngakwesokudla kwenhliziyo (i-Right Atrium) kanye negumbi elingezansi ngakwesokudla (i-Right Ventricle). I-ventricle yesokudla ithumela igazi emaphashini ukuze lithathe umoya-mpilo. Ngakho-ke, uma le valve ye-tricuspid ingasebenzi kahle, ingathinta lonke uhlelo lokujikeleza kwegazi.
Yiziphi izinhlobo eziyinhloko zalesi sifo?
Izinkinga zamavalvu e-tricuspid zingahlukaniswa zibe izinhlobo ezintathu eziyinhloko. Ukuze kube lula ukuziqonda, ake sizibheke ngale ndlela.
| Uhlobo lwesifo | Kwenzekani nje? |
|---|---|
| Ukuvuselelwa kwe-Tricuspid | Lolu uhlobo oluvame kakhulu. Okwenzekayo lapha ukuthi ivalvu ayivali kahle. Kufana nomnyango ongavali kahle. Bese kuthi, njalo lapho i-ventricle yesokudla ifinyela, elinye igazi livuza libuyele ekamelweni eliphezulu (i-atrium). Lokhu kungabangela ukuthi i-atrium ikhule futhi ingcindezi enhliziyweni ishintshe. |
| I-Tricuspid Stenosis | Okwenzekayo lapha ukuthi ukuvuleka kwevalvu kuba mncane. Kufana nokuthi umnyango awukwazi ukuvuleka yonke indlela. Ivalvu iba nkulu futhi iqine. Lokhu kuvimbela ukugeleza kwegazi kusuka ekamelweni eliphezulu kuya ekamelweni eliphansi. Ngokuhamba kwesikhathi, igumbi eliphezulu (i-atrium) lingakhula. |
| I-Tricuspid Atresia | Lesi yisimo sokuzalwa esenzeka lapho kuzalwa. Lapha, ivalvu ye-tricuspid yakheka njengezicubu ezijiyile lapho kufanele ibe khona. Okusho ukuthi, ayikho ivalvu. Lokhu kuvimbela ngokuphelele ukugeleza kwegazi. Lesi yisimo esibi kakhulu futhi ngokuvamile sidinga ukuhlinzwa. |
Okubalulekile, ngezinye izikhathi izinkinga ze-valve ye-tricuspid zenzeka kanye nezinkinga ngezinye i-valve enhliziyweni, njenge-mitral noma i-aortic.
Yiziphi izimbangela zalesi sifo?
Kunezimbangela eziningana ezingaba khona zesifo se-tricuspid valve.
- Ukwanda kwe-ventricle yesokudla yenhliziyo: Lesi simo singabangelwa ezinye izifo zenhliziyo.
- Ukutheleleka: Izimo ezifana nomkhuhlane wamathambo, okwenzeka ngemva kokutheleleka komphimbo, noma i-endocarditis, okuwukutheleleka kolwelwesi lwangaphakathi lwenhliziyo.
- Ukukhubazeka kokuzalwa: Isibonelo , isimo esibizwa ngokuthi i-Ebstein's anomaly .
- Umfutho wegazi ophezulu wamaphaphu: Lokhu kubangela ukuthi uhlangothi lwesokudla lwenhliziyo lusebenze kanzima.
- Ukulimala noma ukulimala kwesifuba: ngenxa yezinto ezifana nokuhlaselwa yinhliziyo, ukufakwa kwe-pacemaker, njll.
- Ezinye izimo zezokwelapha: Izifo ezifana ne -lupus kanye ne-rheumatoid arthritis.
- Imithi ethile: Ikakhulukazi eminye imithi eyayisetshenziswa ukwehlisa isisindo esikhathini esidlule.
- Ukwelashwa ngemisebe endaweni yesifuba noma izimila ezinomdlavuza.
Yiziphi izimpawu ongase uzibone?
Izimpawu zalesi sifo zingahluka kumuntu nomuntu. Ngezinye izikhathi, uma lesi sifo sincane, kungase kungabi nazimpawu nhlobo. Kodwa-ke, lezi zimpawu zingabonakala ezimweni eziphakathi noma ezinzima.
| Isibonakaliso | Indlela ozizwa ngayo |
|---|---|
| Ukukhathala noma ubuthakathaka | Ukuzizwa ukhathele futhi ungenampilo ngaso sonke isikhathi ngaphandle kwesizathu. |
| Ukuvuvukala (i-Edema) | Ukuvuvukala esiswini, emilenzeni, emaqakaleni, noma ezinyaweni. Ukuzwa ukuqina lapho ugqoka izicathulo. |
| Ubunzima bokuphefumula (i-Dyspnea) | Ukuzizwa uphelelwa umoya ngenkathi wenza imisebenzi evamile, uhamba, noma ngisho umi nje. |
| Ukushaya kwenhliziyo okungajwayelekile (i-Arrhythmia) | Umuzwa wokuqina kwesifuba, inhliziyo egijimayo, noma umuzwa oshayayo entanyeni. |
| Ukwandiswa kwesibindi | Ukuzwa isisindo noma ukungakhululeki engxenyeni engenhla kwesokudla yesisu. |
| Isikhumba esibandayo | Izindawo ezibandayo ngendlela engavamile njengezandla nezinyawo. |
Udokotela usithola kanjani lesi sifo?
Uma ukhuluma ngezimpawu ezinjengalezi, udokotela uzokuhlola kuqala.
- Uzobuzwa ngezimpawu zakho, ezinye izifo, kanye nemithi oyiphuzayo.
- Inhliziyo ilalelwa nge-stethoscope ukuhlola noma yimiphi imisindo engavamile (ukububula kwenhliziyo).
- Bazohlola imithambo yentamo yakho.
- Umfutho wegazi uyalinganiswa.
Uma kusolwa ukuthi unesimo senhliziyo ngemva kwalokhu kuhlolwa, ungathunyelwa kudokotela wenhliziyo noma wenze ezinye izivivinyo eziningana.
Ukuhlolwa okungadingeka
- I-Echocardiogram:Lokhu ukuhlolwa okubaluleke kakhulu. Kufana nokuskena kwenhliziyo nge-ultrasound. Kungabona ngokucacile ukuthi ama-valve enhliziyo asebenza kanjani nokuthi igazi ligeleza kanjani.
- I-Electrocardiogram (EKG): Ukuhlolwa okuqopha umsebenzi kagesi wenhliziyo.
- I-X-ray yesifuba: Lokhu kungasetshenziswa ukuhlola ukuthi inhliziyo ikhuphukile yini kanye nokwakheka koketshezi emaphashini.
- Ukuhlolwa kokucindezeleka kokuzivocavoca: Lokhu kuqapha indlela inhliziyo yakho esebenza ngayo ngesikhathi uzivocavoca.
- Ukuhlolwa kwe-catheter yenhliziyo: Ukuhlolwa kokulinganisa ingcindezi ngaphakathi kwenhliziyo nokuhlola isimo sama-valve enhliziyo.
Iphathwa kanjani?
Indlela yokwelashwa inqunywa ngokusekelwe ezimpawini zakho kanye nemiphumela yokuhlolwa.
1. Ukuqaphela: Uma isimo sakho sincane futhi kungekho zimpawu ezinkulu, udokotela wakho angase aqaphe isimo sakho ngokukuhlola ngezikhathi ezithile (isib. njalo ezinyangeni eziyisithupha noma kanye ngonyaka) ngaphandle kokukunikeza noma yimiphi imithi.
2. Ukwelashwa ngemithi: Imithi elandelayo inganikezwa ukulawula izimpawu nokuvimbela izinkinga:
- Ama-diuretics: Lawa asiza ekususeni uketshezi oluningi emzimbeni ngomchamo. Siwabiza nangokuthi "amaphilisi amanzi".
- Imithi yokulwa nokushaya kwenhliziyo okungajwayelekile: Lawula ukushaya kwenhliziyo okungajwayelekile.
- Ama-enzyme inhibitors aguqula i-angiotensin (i-ACE inhibitors): Asiza inhliziyo ukuthi ipompe igazi kalula.
- Ama-Anticoagulant: Imithi evimbela ukujiya kwegazi.
3. Ukuhlinzwa: Uma lesi sifo sibi kakhulu futhi singenakulawulwa ngemithi, kunganconywa ukuhlinzwa ukuze kulungiswe ivalvu noma kufakwe ivalvu entsha.
Uzinakekela kanjani?
Umuntu onalolu hlobo lwesifo se-valve usengozini yokuthola izifo zenhliziyo (i-endocarditis). Ngakho-ke, ukuze uphephe, qaphela lezi zinto.
- Naka kakhulu impilo yamazinyo nezinsini zakho. Ukutheleleka kwamazinyo kungadlula egazini kuye kuma-valve enhliziyo. Ngakho-ke geza amazinyo akho kahle nsuku zonke futhi ubone udokotela wamazinyo njalo.
- Tshela bonke odokotela bakho, kuhlanganise nodokotela wamazinyo, ukuthi unesifo se-valve.
- Uma ubonisa izimpawu zokutheleleka (umkhuhlane, ubuhlungu bomzimba, umphimbo obuhlungu), shayela udokotela wakho ngokushesha.
- Buza udokotela wakho wenhliziyo ukuthi kufanele yini uphuze ama-antibiotic ngaphambi kwezinqubo ezingabangela ukopha, njengokukhipha amazinyo noma ukuhlinzwa .
- Yiba usizo esimweni esiphuthumayo,Kungumkhuba omuhle ukuphatha ikhadi lezokwelapha elichaza ukuthi unesifo se-valve.
Umlayezo Wokuya Nawe Ekhaya
- Isifo se-valve ye-tricuspid yisimo esithinta i-valve ohlangothini lwesokudla lwenhliziyo.
- Abantu abaningi bangase babe nezimo ezincane futhi bangakhombisi zimpawu.
- Uma unezimpawu ezifana nokukhathala okungachazeki, imilenze evuvukile, noma ubunzima bokuphefumula, qiniseka ukuthi ubona udokotela.
- Kunezindlela zokwelapha eziphumelela kakhulu kulokhu. Ngezinye izikhathi kungalungiswa ngemithi noma, uma kudingeka, ngokuhlinzwa.
- Uma unalesi sifo, kubaluleke kakhulu ukungesabi, ulandele imiyalelo kadokotela wakho, futhi uhlolwe ngesikhathi.
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