Uma ukhuluma nodokotela wakho ngesimo esithile senhliziyo, kungenzeka ukuthi uke wezwa, "Lokhu kudinga ukuhlinzwa, sizokudlulisela kudokotela ohlinza inhliziyo." Ngaleso sikhathi, kungenzeka ukuthi wacabanga, "Ungubani lo dokotela ohlinza inhliziyo? Uhluke kanjani kudokotela ohlinza inhliziyo ?" Nakuba bobabili besebenza enhliziyweni , imisebenzi yabo ihluke ngokuphelele. Ngakho-ke namuhla, ake sixoxe ngalokhu ngokunembile, kalula.
Uyini umehluko phakathi kukaDokotela Wezinhliziyo noDokotela Wezinhliziyo?
Yilapho abantu abaningi bedideka khona. Kalula nje, uDokotela Wezinhliziyo ungudokotela ogxile ekuxilongeni nasekwelapheni izifo zenhliziyo ngemithi noma ngokungenelela okuncane. Kodwa-ke, uDokotela Wezinhliziyo ungudokotela ogxile ekwenzeni ukuhlinzwa enhliziyweni kanye nemithambo yegazi emikhulu eyixhumanisayo.
Uma uzwa ubuhlungu esifubeni noma uphefumula kanzima, into yokuqala oyibonayo udokotela wenhliziyo. Uzokwenza izivivinyo ezifana ne-ECG kanye ne-Echo ukuze anqume uhlobo oluqondile lwesimo sakho. Ngemuva kwalokho, uma isimo singenakulawuleka ngemithi, noma uma kudingeka ukuhlinzwa, uzokudlulisela kudokotela ohlinza inhliziyo.
Ake sibheke leli thebula ukuze siqonde lo mehluko ngokucacile.
| Udokotela wenhliziyo | Udokotela Ohlinza Inhliziyo |
|---|---|
| Umsebenzi oyinhloko ukuxilonga nokwelapha isifo senhliziyo ngemithi. | Umsebenzi oyinhloko ukwenza ukuhlinzwa kwenhliziyo okuvulekile kanye nokunye ukuhlinzwa okuyinkimbinkimbi enhliziyweni nasemithanjeni yegazi emikhulu. |
| Ukuhlolwa okufana ne-ECG, i-Echo, kanye ne-Stress Test kuyenziwa. | Ukulungiselela iziguli ukuhlinzwa nokwenza ukuhlinzwa. |
| Kwenziwa ukungenelela okuncane kokuhlinzwa, njengokufaka ama-stents emithanjeni yegazi. | Ukuhlinzwa okukhulu okufana nokuhlinzwa kwe-bypass, ukulungiswa kwe-valve yenhliziyo noma ukushintshwa kwenziwa. |
| Ukuphathwa kwesikhathi eside kwezimo ezifana nomfutho wegazi ophakeme kanye ne-cholesterol. | Isimo sesiguli siyaqashelwa ngesikhathi sisesibhedlela ngemva kokuhlinzwa. |
Khumbula, uDokotela Wenhliziyo akavamile ukuxilonga izifo zenhliziyo. Lokho kwenziwa nguDokotela Wenhliziyo . Uzobonana noDokotela Wenhliziyo kuphela ngemva kokuba udokotela wenhliziyo esenqume ukuthi ukuhlinzwa kuyadingeka.
Kuthatha isikhathi esingakanani ukutadisha ukuze ube ngudokotela ohlinza inhliziyo?
Lolu uhambo olude noluzinikele. Ngemva kweziqu eziyisisekelo zeminyaka emine esikoleni sezokwelapha, kufanele uqedele iminyaka emihlanu kuya kweyisikhombisa yokuhlala njengodokotela ohlinzayo ojwayelekile. Ngemva kwalokho, kufanele uqede eminye iminyaka emibili kuya kwemine yokuqeqeshwa okwengeziwe ukuze ugxile ekuhlinzeni inhliziyo . Kuphela ngemva kwalolu qeqesho olude lapho umuntu eba nokufaneleka ukusebenza njengodokotela ohlinzayo wenhliziyo.
Yiziphi izimo zezokwelapha eziyinhloko eziphathwa ngudokotela ohlinza inhliziyo?
Udokotela ohlinza inhliziyo welapha izifo zenhliziyo ezahlukahlukene eziyinkimbinkimbi ngokuhlinzwa. Ake sibheke ezimbalwa zazo.
Ukuvaleka Kwemithambo Yenhliziyo
Lesi yisimo esivame kakhulu. Imithambo yegazi ehlinzeka ngegazi enhliziyweni yethu (imithambo ye-coronary) incishiswa ukunqwabelana kwe-cholesterol namafutha (i-plaque). Lapho lokhu kuvinjelwa kwanda, inani legazi elifinyelela enhliziyweni liyancipha, okungaholela ekuhlaselweni yinhliziyo .
Ngezinye izikhathi udokotela wakho angakubona lokhu kuvinjelwa ngaphambi kokuba kuvele ukuhlaselwa yinhliziyo. Angase akuthumele kudokotela ohlinza inhliziyo ukuze akusize ngento efana nokuhlinzwa kwe-bypass.
Kodwa-ke, abanye abantu bathola kuphela ukuthi banalesi simo ngemva kokuhlaselwa yinhliziyo. Uma unezimpawu ezilandelayo, funa iseluleko sezokwelapha ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
| Izimpawu eziyisixwayiso zokuhlaselwa yinhliziyo | |
|---|---|
| - Ubuhlungu obucindezelayo noma ingcindezi enkabeni yesifuba | - Ubunzima bokuphefumula |
| - Ukushaya kwenhliziyo okungajwayelekile | - Ukujuluka ngokweqile |
| - Isiyezi, ikhanda elikhanyayo | - Ukucanuzela kwenhliziyo kanye/noma ubuhlungu besifuba |
Isifo Se-Valve Yenhliziyo
Ama-valve amane asezinhliziyweni zethu avumela igazi ukuthi ligeleze ohlangothini olulodwa kuphela. Njengomnyango. Kodwa la ma-valve angaba neziphambeko ezahlukahlukene. Amanye azalwa nawo. Amanye akhula kamuva ngenxa yezifo noma ezinye izimbangela.
- I-Stenosis: Lokhu kwenzeka lapho amapheshana e-valve eba makhulu futhi aqine, okwenza i-valve inciphe. Lokhu kuvimbela ukuhamba kwegazi .
- Ukwehla Komzimba Nokuphindeka Kwegazi: Lokhu kwenzeka lapho ivalvu ingavali kahle, okubangela ukuba igazi elithile livuze emuva. Lokhu kubizwa ngokuthi `(Ukuphinda Kwegazi)`.
- I-Atresia: Lokhu kuyiphutha lokuzalwa lapho i-valve ingavuli khona, kodwa yakha ulwelwesi oluqhubekayo.
Kulezi zimo, udokotela ohlinza inhliziyo angalungisa ivalvu noma ayishintshe ngentsha.
I-Aortic Aneurysm (ubuthakathaka bodonga lwe-aorta)
I-aorta iwumthambo wegazi oyinhloko othwala igazi lisuka enhliziyweni liye kuwo wonke umzimba. I-aortic aneurysm yilapho udonga lwe-aorta luba buthakathaka futhi luqhuma njengebhaluni. Kufana nodonga olubuthakathaka ethayini lemoto. Lokhu kuyingozi kakhulu ngoba ukuqhuma kungaqhuma. Uma lokho kwenzeka, igazi lizoqala ukuvuza emzimbeni. Lesi yisimo esidinga ukuhlinzwa okuphuthumayo.
Ukwehluleka Kwenhliziyo
Lokhu kwenzeka lapho imisipha yenhliziyo iba buthakathaka futhi ingakwazi ukupompa igazi elanele emzimbeni. Lesi simo singabangelwa yizici eziningi, njengomfutho wegazi ophakeme kanye nokuvaleka kwemithambo yegazi. Kwezinye izimo, singalawulwa ngokushintsha indlela yokuphila kanye nemithi. Kodwa-ke, ezimweni ezimbi kakhulu, kudingeka ukungenelela kukadokotela ohlinza inhliziyo, ngisho nokufakelwa inhliziyo.
I-Arrhythmia yenhliziyo
Ukushaya kwenhliziyo okungajwayelekile kungenzeka ngenxa yenkinga ngemijikelezo kagesi enhliziyweni. Lokhu kusho ukuthi ukushaya kwenhliziyo kungaba kancane kakhulu, kusheshe kakhulu, noma kungajwayelekile. Lokhu akudingi ukuhlinzwa njalo. Kodwa-ke, kwezinye izimo ezinzima, idivayisi efana ne-pacemaker noma i-implantable defibrillator kungadingeka ifakelwe ngokuhlinzwa ukuze kugcinwe inhliziyo ishaya ngesigqi esijwayelekile. Lokhu kwenziwa udokotela ohlinza inhliziyo.
Kungani kufanele ubonane nodokotela ohlinza inhliziyo?
Ngokuvamile, ngeke ubone udokotela wenhliziyo ngqo. Uzothunyelwa kudokotela wakho wenhliziyo. Lokhu kudluliselwa kuzokwenzeka kuphela ngemva kokuba isimo sakho sesitholakele futhi ukuhlinzwa sekutholakale ukuthi kuyadingeka.
Kalula nje, ubona udokotela wenhliziyo kuphela uma kunesidingo sokuhlinzwa kwenhliziyo. Yonke eminye imisebenzi yokuphatha impilo yenhliziyo, njengokukunikeza imithi, ukwenza izivivinyo, kanye nokunikeza iseluleko sendlela yokuphila, iphathwa ngudokotela wakho wenhliziyo.
Umlayezo Wokuya Nawe Ekhaya
- Udokotela wenhliziyo udokotela oxilonga futhi elapha izifo zenhliziyo ngemithi. Udokotela ohlinza inhliziyo udokotela ohlinza inhliziyo.
- Ngokuvamile ubonana nodokotela ohlinza inhliziyo ngemva kokuqondiswa udokotela wenhliziyo.
- Udokotela Wezinhliziyo wenza ukuhlinzwa okuyinkimbinkimbi njengokuhlinzwa kwe-bypass, ukulungiswa kwe-valve yenhliziyo, kanye nokufakelwa kwenhliziyo.
- Uma uzwa izimpawu zokuhlaselwa yinhliziyo, njengobuhlungu besifuba nobunzima bokuphefumula, kubalulekile ukuya e-Emergency Treatment Unit (ETU) esibhedlela ngokushesha.
- Uma unenkinga ngempilo yenhliziyo yakho, qala uthintane nodokotela womndeni wakho noma udokotela wenhliziyo ukuze uthole iseluleko.
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