Ingabe uzizwa uphelelwa umoya noma uphefumula kanzima uma ukhathele kancane, noma uma ukhuphuka izitebhisi? Noma ingabe imilenze yakho iyavuvukala? Ungase ucabange ukuthi lokhu kuyinto evamile, into eyenzekayo njengoba ukhula. Kodwa lokho akuhlali kunjalo. Ngezinye izikhathi, ngemuva kwalezi zimpawu, kungase kube nenkinga ngengxenye encane kodwa ebaluleke kakhulu yenhliziyo yethu. Namuhla sikhuluma ngengxenye ebaluleke kangaka, i-valve ye-tricuspid yenhliziyo. Kuvamile ukuzizwa wesaba lapho udokotela ekutshela ukuthi kunenkinga nge-valve enhliziyweni yakho. Kodwa ungesabi, ngesayensi yezokwelapha ethuthukisiwe yanamuhla, kunezindlela zokwelapha ezisebenzayo zalokhu. Masiqonde konke ngalokhu kalula.
Okokuqala, ake sibone, iyini ivalvu ye-tricuspid?
Kalula nje, inhliziyo yethu ingumshini omangalisayo onamakamelo amane. Kunamakamelo amabili phezulu namakamelo amabili phansi. Igazi lomzimba elingenawo umoya-mpilo liqala lingene ekamelweni eliphezulu ngakwesokudla kwenhliziyo (Right Atrium). Ukusuka lapho, lelo gazi kufanele liye ekamelweni elingezansi (Right Ventricle). Manje, umnyango ophakathi kwalelo gumbi eliphezulu negumbi elingezansi yilokho esikubiza ngokuthi i-valve ye-tricuspid .
Lokhu kufana nomnyango ovuleka ohlangothini olulodwa kuphela. Uma igazi ligeleza lisuka phezulu liye phansi, lo mnyango uyavuleka, futhi uma igumbi elingezansi ligcwele igazi, uyavala futhi. Bese igazi lingaphindeli ekamelweni eliphezulu. Uma sikhuluma iqiniso, leli valve linamapheshana amathathu. Yingakho libizwa ngokuthi 'tri'. Ukusebenza kahle kwaleli valve kubalulekile ukuze igazi ligeleze kahle emzimbeni wethu.
Ngakho-ke yiziphi izinkinga ezingavela ngale valve?
Ngokuhamba kwesikhathi, le valve ingaba yinto engasebenzi kahle ngenxa yezizathu ezahlukahlukene. Kunezimo ezimbili eziyinhloko ezibonakala. Ake sibheke ukuthi ziyini.
| Isimo | Kalula nje, kwenzekani? |
|---|---|
| Ukubuyela kwesisu esiswini | Okwenzekayo kulokhu ukuthi ama-valve flaps awavali kahle. Bese kuthi, njengoba igumbi elingezansi lifinyela futhi limpompa igazi emaphashini, elinye igazi livuza libuyele ekamelweni eliphezulu. Kufana nomnyango ongavali kahle. |
| I-tricuspid stenosis | Okwenzekayo kulesi simo ukuthi amapheshana e-valve aba makhulu futhi aqine, futhi awavuleki kahle. Lokhu kusho ukuthi ama-flaps anamathelana ndawonye njengokugqwala. Lokhu-ke kuvimbela ukugeleza kwegazi kusuka ekamelweni eliphezulu kuya ekamelweni elingezansi. |
Kungakhathaliseki ukuthi isimo siyini, kwenzeka into efanayo. Inhliziyo yethu kufanele isebenze kanzima ukuze ipompe inani legazi elidingwa yimizimba yethu. Ngokuhamba kwesikhathi, lokhu kungaholela ekubeni buthaka kwenhliziyo, okungaholela ezimweni ezifana nokwehluleka kwenhliziyo.
Kungcono yini ukulungisa ivalvu noma ukufaka entsha?
Lena inkinga abantu abaningi abanayo. Ngokuvamile, odokotela bahlala bezama ukulungisa ivalvu yakho. Ngoba akukho okungcono kunengxenye yomzimba wethu.
Kodwa-ke, ngezinye izikhathi, uma umonakalo wevalvu umkhulu kangangokuthi awukwazi ukulungiswa, kungadingeka ususwe bese kufakwa ivalvu entsha (ukushintshwa). Kunezinhlobo ezimbili zalawa mavalvu amasha.
Khumbula, udokotela wakho wenhliziyo uzonquma ukuthi yikuphi ukwelashwa okungcono kakhulu kuwe. Uzokwenza leso sinqumo ngemva kokuhlola ngokucophelela isimo sakho.
| Uhlobo lwe-Valve | Incazelo nezici ezikhethekile |
|---|---|
| I-valve yezinto eziphilayo | Lezi zenziwe ngezicubu zezilwane (isib. ngengulube noma inkomo) noma ngezicubu ezivela kumuntu oshonile onikelayo. Inzuzo yalokhu ukuthi akudingeki uphuze ama-anticoagulant isikhathi eside ngemva kokuhlinzwa. Kodwa-ke, lezi zivame ukuhlala iminyaka eyi-10-20 kuphela. Ngemva kwalokho, kungadingeka ukuthi uphinde uhlinzwe. |
| I-valve yemishini | Lezi zenziwe ngezinto zokwenziwa ezihlala isikhathi eside njengekhabhoni. Zihlala impilo yonke. Kodwa ngenxa yokuthi kunengozi yokuqhekeka kwegazi kula ma-valve, kufanele uthathe imithi yokunciphisa igazi impilo yakho yonke. Kubaluleke kakhulu ukuthatha lowo muthi njengoba nje uyalelwe. |
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Kulungile, ake sithi udokotela unquma ukuthi udinga ukuhlinzwa. Ngaphambi kwalokho, uzobe ulungele kahle.
- Ukwazisa: Ithimba lezokwelapha lizokuchazela ngokuningiliziwe ukuthi kuzokwenzekani ngaphambi, ngesikhathi, nangemva kokuhlinzwa.
- Ukubuza imibuzo: Khuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka onakho. Ungafihli lutho kuwe.
- Ukukhuluma ngezingozi: Njengazo zonke izinhlobo zokuhlinzwa, kunezingozi ezincane. Uzokwaziswa ngazo futhi.
- Amafomu okuvuma ukusayina: Kuzodingeka usayine amadokhumenti ukuze unikeze imvume yakho yokuhlinzwa.
- Ukuhlolwa: Uzohlolwa kaningana ukuze kubonakale ukuthi uyakufanelekela yini ukuhlinzwa.
- Ukuhlolwa kwegazi
- I-ECG (i-Electrocardiogram)
- Ukuhlolwa kwe-X-ray yesifuba
- I-echocardiogram (lokhu kufana nokuskena kwenhliziyo. Kungabheka eduze ukusebenza kwama-valve)
- Ukulungiselela ekhaya: Uzodinga umuntu ozokusiza uma ufika ekhaya ngemva kokuhlinzwa. Kufanele uhlele lezi zinto kusenesikhathi.
Kwenziwa kanjani ukuhlinzwa?
Kunezindlela eziningana eziyinhloko zokwenza ukuhlinzwa kwe-valve ye-tricuspid.
Ukuhlinzwa Kwenhliziyo Evulekile Kwendabuko
Lena yindlela evame kakhulu. Kulokhu, inhliziyo ifinyelelwa ngokusikwa phakathi kwesifuba. Ngesikhathi sokuhlinzwa,
1. Uzolaliswa ngokuphelele.
2. Ukusebenza kwenhliziyo kuyeka okwesikhashana.
3. Ngaleso sikhathi, uzoxhunywa emshinini okhethekile owenza umsebenzi wenhliziyo namaphaphu akho (umshini wokudlula inhliziyo namaphaphu).
4. Udokotela ohlinzayo ulungisa noma ashintshe ivalvu.
5. Inhliziyo ibe isiqalwa kabusha, ikhishwe emshinini, bese inxeba livalwa.
Izinketho Ezingangeni Kakhulu
Njengoba ubuchwepheshe sebuthuthukile, akudingeki ngaso sonke isikhathi ukwenza ukusika okukhulu. Kunezindlela zokwenza lokhu kuhlinzwa ngokusika okuncane.
- Ukuhlinzwa kwesifuba kwesokudla: Lokhu kuhilela ukwenza ukusika okuncane phakathi kwezimbambo ezimbili ohlangothini lwesokudla.
- Ukuhlinzwa okusizwa ngerobhothi: Kulokhu, udokotela ohlinzayo ulawula izingalo zomshini werobhothi futhi wenza ukuhlinzwa ngokusika okuncane okuningana esifubeni.
- Indlela ye-Transcatheter:Lena inqubo entsha futhi engangenisi kakhulu. Kule nqubo, ipayipi elincane (i-catheter) lidluliselwa ngemithambo emikhulu emlenzeni noma engalweni liye enhliziyweni, lapho i-valve ilungiswa khona noma ishintshwe khona. Isikhathi sokululama ngemva kwale nqubo sifushane kakhulu.
Kwenzekani ngemva kokuhlinzwa? Kuthatha isikhathi esingakanani ukululama?
Ngemva kokuhlinzwa, uzohlala egunjini lokunakekelwa okujulile esibhedlela izinsuku ezimbalwa. Ngemuva kwalokho uzodluliselwa egunjini elijwayelekile. Inani eliphelele lokuhlala esibhedlela lizohluka kuye ngesimo sakho kanye nohlobo lokuhlinzwa okwenziwe.
Kunjalo-ke ngesikhathi sokuphulukiswa.
- Kungathatha izinyanga eziningana ukululama ngokuphelele ngemva kokuhlinzwa kwenhliziyo okuvulekile .
- Ngemva kwenqubo efana ne -transcatheter , ungaqhubeka nemisebenzi evamile zingakapheli amasonto ambalwa.
Ngemva kokubuyela ekhaya, kubaluleke kakhulu ukuthatha umuthi udokotela wakho awunikeza ngesikhathi, uphumule, bese uqala kancane kancane ukuzivocavoca.
Yiziphi izimpawu ezidinga ukuvakashela udokotela?
Ngemva kokufika ekhaya, udinga ukunaka kakhulu umzimba wakho. Uma kukhona okungajwayelekile, ungakushayi indiva.
| Isibonakaliso | Incazelo |
|---|---|
| Uma unalezi zimpawu, shayela udokotela wakho ngokushesha. | |
| Ukuzizwa unesizungu /ukuquleka | Uma uzizwa unesizungu lapho usukuma noma ngezikhathi ezivamile. |
| Ukukhathala okukhulu | Uma uzizwa ukhathele kakhulu ukuthi ungenza noma yini. |
| Ukwanda kwesisindo ngokuzumayo | Uma ukhuluphala ngokuzumayo njalo ezinsukwini ezimbili. |
| Ukuvuvukala kwemilenze noma amaqakala | Uma ukuvuvukala kwemilenze kukhuphuka. |
| Izimpawu zokutheleleka ezihlobene nesilonda sokuhlinzwa - tshela udokotela ngokushesha | |
| Umkhuhlane/amakhaza | Uma izinga lokushisa lomzimba likhuphuka. |
| Ubomvu obuphuma enxebeni | Uma kukhona uketshezi oluphuma endaweni yokusikwa. |
| Ubomvu obuzungeze inxeba, ubuhlungu obandayo | Uma inxeba libomvu futhi ubuhlungu bukhula usuku nosuku. |
| Uma unalezi zimpawu, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) ngokushesha! | |
| Ubuhlungu besifuba | Kuzwakala sengathi isifuba sami siyacindezelwa, sengathi siyacindezelwa. |
| Ukuphefumula okuphuthumayo, okunzima | Uma ngokuzumayo ungakwazi ukuphefumula. |
| Ukuquleka | Uma ulahlekelwa ingqondo ngokuzumayo bese uwe. |
Ukuphila nenkinga ye-valve yenhliziyo kungaba yinselele. Kodwa lokhu kuhlinzwa kunganciphisa izimpawu zakho futhi kukuvumele ukuthi uphile impilo evamile futhi, wenze izinto ozithandayo. Ngakho-ke ungesabi, khuluma nodokotela wakho, bese ukhetha ukwelashwa okufanele wena.
Umlayezo Wokuya Nawe Ekhaya
- Isifo se-valve ye-tricuspid siyisifo esingelapheka. Ukusishaya indiva kungabangela ukulimala kwenhliziyo.
- Nakuba ukulungisa ivalvu ngokuvamile kuyisinqumo sokuqala, kungadingeka ukuyifaka entsha uma umonakalo umkhulu.
- Amasu okuhlinzwa anamuhla angangenisi kakhulu, njengokuhlinzwa kwenhliziyo evulekile, aseyatholakala manje. Khuluma nodokotela wakho ngendlela engcono kakhulu kuwe.
- Uma uba nanoma yiziphi izimpawu ezingavamile (ikakhulukazi ubuhlungu besifuba, ukuphelelwa umoya, ukulahlekelwa ukwazi) ngemva kokuhlinzwa, funa iseluleko sezokwelapha ngokushesha. Yiya e-Emergency Treatment Unit (ETU) yesibhedlela.
- Ungakhathazeki. Lokhu kuhlinzwa kungathuthukisa kakhulu ikhwalithi yempilo yakho kanye nempilo yakho.
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