Ingabe uvame ukuzizwa ukhathele futhi uphelelwa umoya? Mhlawumbe uzizwa ukuqina noma ukuqina okungajwayelekile esifubeni sakho uma uhamba ibanga elifushane noma ukhuphuka izitebhisi? Lokhu kungaba ngenxa yenkinga enomgodi omncane enhliziyweni yakho, obizwa ngokuthi i-valve. Kungaba yinto ekhathazayo ukwazi ukuthi kunenkinga ngenhliziyo yakho. Kodwa izindaba ezinhle ukuthi ukulungiswa kwama-valve noma ukuhlinzwa kokushintsha kungenza impilo yakho ibe lula kakhulu futhi kukunike amandla okwenza izinto ozithandayo.
Iyini i-Tricuspid Valve?
Kalula nje, inhliziyo yethu ifana nendlu enamakamelo amane. Kuneminyango phakathi kwala makamelo ukuze igazi ligeleze liye phambili naphambili. Le minyango yilokho esikubiza ngokuthi ama-valve kwezokwelapha. I-valve ye-tricuspid ingumnyango ophakathi kwegumbi eliphezulu (i-atrium yangakwesokudla) kanye negumbi elingezansi (i-ventricle yangakwesokudla) ohlangothini lwesokudla lwenhliziyo. Inama-flaps amathathu (amapheshana). Umsebenzi wayo oyinhloko ukuvumela igazi ligeleze ohlangothini olulodwa kuphela, okungukuthi, kusukela phezulu kuya phansi, futhi livimbe ngokuphelele ukuthi lingagelezi libuyele phezulu.
Yiziphi izinhlobo zezimo ezidinga lokhu kuhlinzwa?
Ukulungiswa noma ukushintshwa kwevalvu ye-tricuspid kuyadingeka ezimweni ezimbili eziyinhloko zezokwelapha.
| Isimo sezokwelapha | Kalula nje... |
|---|---|
| Ukuvuselelwa kwe-Tricuspid | Ivalvu ayivaleki kahle, ngakho igazi livuza libuyele ekamelweni eliphezulu. |
| I-Tricuspid Stenosis | Ama-valve flaps aqinile futhi anamathele, okwenza kube nzima ukuthi igazi liqhubekele phambili, okungukuthi, liye ekamelweni elingezansi. |
Uma lokhu kwenzeka, inhliziyo yakho kufanele isebenze kanzima kunokujwayelekile ukuze ipompe inani legazi elidingwa ngumzimba wakho. Lesi yisona sizathu esiyinhloko esenza ube nezimpawu ezifana nokukhathala okuqhubekayo, ukuphelelwa umoya, kanye nemilenze evuvukele. Uma lesi simo siqhubeka, singagcina siholele ekuhlulekeni kwenhliziyo.
Kungcono yini ukulungisa ivalvu noma ukuyishintsha?
Ngokuvamile, ukukhetha kokuqala kodokotela ukulungisa ivalvu yakho nokulondoloza izicubu zakho. Kodwa-ke, uma umonakalo wevalvu nezicubu ezizungezile umkhulu , ivalvu entsha kungadingeka ishintshwe.
Udokotela wakho ohlinzayo kanye nodokotela wenhliziyo bazonquma ukuthi yini engcono kakhulu kuwe ngemva kokuhlola ngokucophelela isimo sakho.
Kunezinhlobo ezimbili eziyinhloko zama-valve amasha.
| Uhlobo lwevalvu | Yakhiwe ngani? | Amaphuzu akhethekile |
|---|---|---|
| I-Valve Yezinto Eziphilayo | Kusukela ezicutshini zezilwane (isb., kusukela engulubeni, enkomeni) noma kusukela kumnikeli womuntu oshonile. | Ngokuvamile kuthatha iminyaka eyi-10-20. Ezimweni eziningi, ngeke kudingeke ukuthi uthathe imithi yokunciphisa igazi impilo yakho yonke. |
| Ivalvu Yomshini | Kusukela ezintweni zokwenziwa (njengensimbi, ikhabhoni). | Kuhlala impilo yonke. Kodwa-ke, ngenxa yengozi yokuqhekeka kwegazi , kuzodingeka uphuze ama-anticoagulant impilo yakho yonke. |
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Ngaphambi kokuhlinzwa okunje, ithimba lakho lezokwelapha lizokulungiselela kahle.
- Khuluma nodokotela wakho ngokucophelela mayelana nokuhlinzwa kanye nezingozi zako, bese ubuza noma yimiphi imibuzo onayo.
- Yenza ukuhlolwa okudingekayo ukuze ubone ukuthi ungumuntu ofanele yini ukuhlinzwa. Lokhu kungafaka phakathi ukuhlolwa kwegazi , i-ECG (electrocardiogram) , i-echocardiogram (ukuskena kwenhliziyo), kanye ne -X-ray yesifuba .
- Sayina ifomu lemvume yokuhlinzwa.
- Kubaluleke kakhulu ukuhlela kusenesikhathi ukuthi othile akunakekele kanye nemithi edingekayo uma usubuya ekhaya ngemva kokuhlinzwa.
Ukuhlinzwa kwenziwa kanjani? (Ukuhlinzwa Kwenhliziyo Evulekile)
Ngokuvamile, lokhu kuhlinzwa kwenziwa njengokuhlinzwa kwenhliziyo evulekile.
1. Okokuqala, uzolaliswa ngokuphelele.
2. Udokotela ohlinzayo ube esesika phakathi noma ohlangothini lwesifuba ukuze afinyelele inhliziyo.
3. Umuthi unikezwa ukuze kumiswe ukusebenza kwenhliziyo okwesikhashana. Ungakhathazeki, umzimba wakho unikezwa igazi ngomshini okhethekile (umshini wokudlula inhliziyo namaphaphu) ngalesi sikhathi.
4. Udokotela ohlinzayo ube eselungisa noma ashintshe ivalvu.
Kungenzeka yini ukwenza lo msebenzi ngaphandle kokusikwa isifuba?
Yebo, ngobuchwepheshe obuthuthukisiwe banamuhla, kwezinye izimo lokhu kuhlinzwa kungenziwa ngaphandle kokusikwa okukhulu, ngokusebenzisa ukusikwa okuncane. Lokhu sikubiza ngokuthi izindlela 'ezingenasidingo'.
- Ukuhlinzwa Kwesifuba Esingakwesokudla: Kwenziwa ukusika okuncane ohlangothini lwesokudla lwesifuba, phakathi kwezimbambo ezimbili.
- Ukuhlinzwa okusiza ngerobhothi: Ukuhlinzwa okwenziwa udokotela ohlinzayo ngokwakhe ngokusebenzisa izimbobo eziningana ezincane kusetshenziswa ubuchwepheshe berobhothi.
- Indlela ye-Transcatheter: Kule ndlela, ithubhu (i-catheter) ifakwa enhliziyweni ngomthambo wegazi esinqeni, ngokuvamile ngaphandle kokusikwa, ukuze kulungiswe ivalvu noma kufakwe entsha. Isikhathi sokululama ngemva kwale ndlela sifushane kakhulu.
Yiziphi izinzuzo kanye nezingozi ezingaba khona zokuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezinzuzo kanye nezingozi ezithile.
| Izinzuzo | Izingozi |
|---|---|
| Izimpawu (ukukhathala, ukuphelelwa umoya, ukuvuvukala kwemilenze) ziyanyamalala. | Ukopha |
| Ukukwazi ukuphila impilo enempilo ngenkathi wenza imisebenzi yansuku zonke. | Amahlule egazi |
| Ukwanda kwesikhathi sokuphila. | Ukuphazamiseka kwenhliziyo (i-Arrhythmia) |
| Ukuvimbela ubuthakathaka obuqhubekayo benhliziyo. | Ukutheleleka |
| Isifo sohlangothi, ukwehluleka kwezinso. |
Nakuba lezi zingozi zikhona, amaqembu ezokwelapha enza konke okusemandleni awo ukuzinciphisa. Uma kuqhathaniswa nezinzuzo zokuhlinzwa, lezi zingozi zivame ukuba zifanele ukuzithatha.
Ngingashayela nini udokotela ucingo?
Uma ufika ekhaya ngemva kokuhlinzwa, udinga ukunakekela umzimba wakho kahle. Kubalulekile ukwazi ukuthi kukhona yini izinkinga ngokushesha okukhulu.
| Izimpawu okufanele uziqaphele | |
|---|---|
| Tshela udokotela wakho uma unalezi zimpawu ngemva kokuhlinzwa. | |
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| Lezi kungaba izimpawu zokutheleleka: | |
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| Lezi yizimo eziphuthumayo! Yiya e-Emergency Unit (ETU) yesibhedlela ngokushesha! | |
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Umlayezo Wokuya Nawe Ekhaya
- Isifo se-valve ye-tricuspid sibeka ukucindezeleka okwengeziwe enhliziyweni, futhi ukuhlinzwa kungakulungisa lokhu futhi kwenze impilo ibe lula.
- Ezimweni eziningi, ukulungisa ivalvu yakho kuyindlela engcono kakhulu. Uma lokho kungenzeki, ivalvu yokufaka esikhundleni sayo iyindlela engcono kakhulu.
- Uma kufakwa i-valve yomshini, kuzodingeka uthathe ama-anticoagulant impilo yakho yonke ukuze uvimbele ukuqhekeka kwegazi.
- Manje, lokhu kuhlinzwa kungenziwa ngaphandle kokusikwa kwesifuba, ngokusikwa okuncane, noma ukusebenzisa i-catheter. Buza udokotela wakho ngalokho.
- Qiniseka ukuthi wazisa udokotela wakho nganoma yiziphi izimpawu ezingavamile ezenzeka ngemva kokuhlinzwa. Uma kwenzeka isimo esiphuthumayo, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
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