Ukuhlinzwa kwe-valve yenhliziyo

Ukuhlinzwa kwe-valve yenhliziyo kusetshenziselwa ukulungisa noma ukufaka ama-valve enhliziyo agulayo.

Igazi eligeleza phakathi kwamakamelo ahlukene enhliziyo yakho kufanele ligeleze nge-valve yenhliziyo. Igazi eliphuma liphuma enhliziyweni yakho lingene emithanjeni emikhulu kufanele futhi ligeleze nge-valve yenhliziyo.

La ma-valve avuleka ngokwanele ukuze igazi ligijime lingene. Bese bayavala, bagcina igazi lingageleki emuva.

Kunama-valve amane enhliziyweni yakho:

• I-aortic valve
• I-Mitral valve
• I-valve yeTricuspid
• I-valve yamaphaphu

I-aortic valve iyona valve evame kakhulu ukushintshwa. I-mitral valve yi-valve ejwayelekile kunazo zonke okufanele ilungiswe. Kuyaqabukela kuphela ukuthi i-tricuspid valve noma i-valve yamaphaphu ilungiswe noma ishintshwe.

Ngaphambi kokuhlinzwa kwakho, uzothola i-anesthesia ejwayelekile. Uzobe ulele futhi ungakwazi ukuzwa ubuhlungu.

Ekuhlinzweni kwenhliziyo okuvulekile, udokotela ohlinzayo usika ithambo lakho elikhulu lesifuba ukuze afinyelele inhliziyo ne-aorta. Uxhumeke kumshini wokudlula wenhliziyo-lung.Inhliziyo yakho imisiwe ngenkathi uxhumeke kulo mshini. Lo mshini wenza umsebenzi wenhliziyo yakho, uhlinzeka nge-oxygen futhi ususe isikhutha.

Ukuhlinzwa kwevalveji okungajwayelekile kwenziwa ngokusikeka okuncane kakhulu kunokuhlinzwa okuvulekile, noma nge-catheter efakwe esikhunjeni. Kusetshenziswa amasu ahlukahlukene ahlukahlukene:

• Ukuhlinzwa ngamandla (ngesikhumba)
• Ukuhlinzwa okusizwa ngamarobhothi

Uma udokotela wakho ohlinzayo ekwazi ukulungisa i-mitral valve yakho, ungahle ube:

• I-ring annuloplasty. Udokotela ohlinzayo ulungisa ingxenye enjengendandatho ezungeze i-valve ngokuthunga iringi yepulasitiki, indwangu, noma izicubu ezungeze i-valve.
• Ukulungiswa kwe-valve. Udokotela ohlinzayo usika, abumbe, noma akhe kabusha ipheshana elilodwa noma amaningi evalvu. Lawa mapheshana angamapheshana avula futhi avale i-valve. Ukulungiswa kwe-valve kungcono kakhulu kuma-valve we-mitral ne-tricuspid. I-aortic valve imvamisa ayilungiswa.

Uma i-valve yakho yonakele kakhulu, uzodinga i-valve entsha. Lokhu kubizwa ngokuhlinzwa kokufaka i-valve. Udokotela wakho ohlinzayo uzosusa i-valve yakho bese efaka entsha. Izinhlobo eziyinhloko zama-valve amasha yilezi:

• Imishini - eyenziwe ngezinto ezenziwe ngabantu, njengensimbi (insimbi engagqwali noma i-titanium) noma i-ceramic. Lawa ma-valve ahlala isikhathi eside kakhulu, kepha uzodinga ukuthatha umuthi wokunciphisa igazi, njenge-warfarin (Coumadin) noma i-aspirin, impilo yakho yonke.
• Okuphilayo - okwenziwe ngezicubu zomuntu noma zesilwane. Lawa ma-valve ahlala iminyaka eyi-12 kuya kwengu-15, kepha kungahle kungadingeki ukuthi uthathe izinciphisi zegazi impilo yakho yonke.

Kwezinye izimo, odokotela abahlinzayo bangasebenzisa i-valve yakho ye-pulmonic ukufaka i-aortic valve eyonakele. I-valve yamaphaphu ibese kufakwa i-valve yokufakelwa (lokhu kubizwa ngokuthi yiRoss Procedure). Le nqubo ingaba wusizo kubantu abangafuni ukuthatha izinciphisi zegazi impilo yabo yonke. Kodwa-ke, i-valve entsha ye-aortic ayihlali isikhathi eside futhi ingadinga ukuphinde ifakwe enye nge-mechanical noma i-valve ye-biologic.

Izihloko ezihlobene zifaka:

• Ukuhlinzwa kwe-aortic valve - kungangenisi kakhulu
• Ukuhlinzwa kwe-aortic valve - kuvulekile
• Ukuhlinzwa kwe-Mitral valve - kungena kancane
• Ukuhlinzwa kwe-Mitral valve - kuvulekile

Ungadinga ukuhlinzwa uma i-valve yakho ingasebenzi kahle.

• I-valve engavali yonke indlela izovumela igazi ukuba livuzele emuva. Lokhu kubizwa ngokuthi ukuvuselelwa.
• I-valve engavuli ngokugcwele izokhawulela phambili ukugeleza kwegazi. Lokhu kubizwa ngokuthi yi-stenosis.

Ungadinga ukuhlinzwa kwe-valve yenhliziyo ngalezi zizathu:

• Amaphutha ku-valve yenhliziyo yakho abangela izimpawu ezinkulu zenhliziyo, njengobuhlungu besifuba (angina), ukuphefumula okuncane, ukuphelelwa amandla (i-syncope), noma ukwehluleka kwenhliziyo.
• Ukuhlolwa kukhombisa ukuthi izinguquko ku-valve yenhliziyo yakho seziqala ukuthinta kakhulu ukusebenza kwenhliziyo yakho.
• Udokotela wakho ufuna ukufaka esikhundleni noma ukulungisa i-valve yenhliziyo yakho ngasikhathi sinye njengoba uthola ukuhlinzwa kwenhliziyo okuvulekile ngesinye isizathu, njengokuhlinzwa komthambo we-coronary bypass ukuhlinzwa.
• I-valve yenhliziyo yakho ilinyazwe ukutheleleka (i-endocarditis).
• Uthole i-valve yenhliziyo entsha esikhathini esedlule futhi ayisebenzi kahle, noma unezinye izinkinga ezinjengamahlule egazi, ukutheleleka, noma ukopha.

Ezinye zezinkinga ze-valve zenhliziyo eziphathwe ngokuhlinzwa yilezi:

• Ukunganeli kwe-aortic
• I-aortic stenosis
• Isifo se-valve senhliziyo esizelwe
• Ukuvuselelwa kweMitral - acute
• Ukubuyiselwa kweMitral - okungapheli
• I-Mitral stenosis
• I-Mitral valve prolapse
• I-pulmonary valve stenosis
• Ukuvuselelwa kabusha kweTricuspid
• I-Tricuspid valve stenosis

Izingozi zokuhlinzwa kwenhliziyo zifaka:

• Ukufa
• Isifo senhliziyo
• Ukwehluleka kwenhliziyo
• Ukopha okudinga ukuthi kusebenze kabusha
• Ukudabuka kwenhliziyo
• Ukushaya kwenhliziyo okungajwayelekile (arrhythmia)
• Ukuhluleka kwezinso
• I-Post-pericardiotomy syndrome - umkhuhlane ophansi nobuhlungu besifuba obungahlala izinyanga ezingama-6
• Ukushaywa unhlangothi noma okunye ukulimala kobuchopho okwesikhashana noma unomphela
• Ukutheleleka
• Izinkinga ngokuphulukiswa kwethambo lesifuba
• Ukudideka kwesikhashana ngemuva kokuhlinzwa ngenxa yomshini wamaphaphu wenhliziyo

Kubaluleke kakhulu ukuthatha izinyathelo ukuvikela ukutheleleka kwama-valve. Ungahle udinge ukuthatha ama-antibiotic ngaphambi komsebenzi wamazinyo nezinye izinqubo ezihlaselayo.

Ukulungiselela kwakho inqubo kuzoncika ohlotsheni lokuhlinzwa kwevalve onalo:

• Ukuhlinzwa kwe-aortic valve - kungangenisi kakhulu
• Ukuhlinzwa kwe-aortic valve - kuvulekile
• Ukuhlinzwa kwe-Mitral valve - kungena kancane
• Ukuhlinzwa kwe-Mitral valve - kuvulekile

Ukululama kwakho ngemuva kwenqubo kuzoya ngohlobo lokuhlinzwa kwe-valve onakho:

• Ukuhlinzwa kwe-aortic valve - kungangenisi kakhulu
• Ukuhlinzwa kwe-aortic valve - kuvulekile
• Ukuhlinzwa kwe-Mitral valve - kungena kancane
• Ukuhlinzwa kwe-Mitral valve - kuvulekile

Isilinganiso sokuhlala esibhedlela izinsuku ezinhlanu kuya kweziyisikhombisa. Umhlengikazi uzokutshela ukuthi ungazinakekela kanjani ekhaya. Ukutakula ngokuphelele kuzothatha amasonto ambalwa kuye ezinyangeni ezimbalwa, kuya ngempilo yakho ngaphambi kokuhlinzwa.

Izinga lokuphumelela kokuhlinzwa kwe-valve yenhliziyo liphezulu. Ukuhlinzwa kungakhulula izimpawu zakho futhi kwandise impilo yakho.

Ama-valves enhliziyo yemishini awavami ukwehluleka. Kodwa-ke, amahlule egazi angavela kulawa ma-valve. Uma kwenzeka amahlule egazi, ungahle ube nesifo sohlangothi. Ukopha kungenzeka, kepha lokhu akuvamile. Amathishu wezicubu ahlala iminyaka eyi-12 kuye kwengu-15, kuya ngohlobo lwe-valve. Ukusetshenziswa kwesikhathi eside komuthi wokuncipha kwegazi kaningi akudingeki ngama-valve wezicubu.

Kuhlala kunengozi yokutheleleka. Khuluma nodokotela wakho ngaphambi kokuba ube nohlobo oluthile lwenqubo yezokwelapha.

Ukuchofozwa kwama-valve wenhliziyo ngomshini kungazwakala esifubeni. Lokhu kujwayelekile.

Ukufaka esikhundleni se-valve; Ukulungiswa kwe-valve; I-valve valve yenhliziyo; Ama-valve wemishini; Amaphayiphu okwenziwa

• Ukuhlinzwa kwe-valve yenhliziyo - ukukhipha

• Inhliziyo - isigaba phakathi nendawo
• Inhliziyo - ukubuka kwangaphambili
• Ama-valve enhliziyo - ukubuka kwangaphakathi
• Ama-valve enhliziyo - ukubuka okuphakeme
• Ukuhlinzwa kwe-valve yenhliziyo - uchungechunge

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