Ukuhlinzwa kwe-Mitral valve - kuvulekile

Ukuhlinzwa kwe-Mitral valve kusetshenziselwa ukulungisa noma ukufaka i-mitral valve enhliziyweni yakho.

Igazi ligeleza phakathi kwamakamelo ahlukene enhliziyweni ngamaphayiphu axhuma amakamelo. Enye yazo i-mitral valve. I-valve ye-mitral ivula ukuze igazi likwazi ukugeleza lisuka e-atrium yesobunxele liye ku-ventricle yesobunxele. I-valve bese iyavalwa, kugcine igazi lingageleki emuva.

Kulolu hlobo lokuhlinzwa, udokotela ohlinzayo usika kakhulu ithambo lakho lesifuba ukuze afinyelele inhliziyo. Ezinye izinhlobo zokuhlinzwa zisebenzisa ukusikeka okuncane okuningana.

Ngaphambi kokuhlinzwa kwakho, uzothola i-anesthesia ejwayelekile.Uzobe ulele futhi ungenazinhlungu ngesikhathi senqubo.

• Udokotela wakho ohlinzayo uzosika phakathi nesifuba sakho ngamasentimitha angu-10.4 ubude (amasentimitha angu-25.4).
• Okulandelayo, udokotela wakho ohlinzayo uzohlukanisa ithambo lakho lesifuba ukuze abone inhliziyo yakho.
• Iningi labantu lixhunywe kumshini wokudlula wenhliziyo-lung noma iphampu yokudlula. Inhliziyo yakho imisiwe ngenkathi uxhumeke kulo mshini. Lo mshini wenza umsebenzi wenhliziyo yakho ngenkathi inhliziyo yakho imisiwe.
• Ukusikwa okuncane kwenziwa ohlangothini lwesobunxele lwenhliziyo yakho ukuze udokotela wakho ohlinzayo akwazi ukulungisa noma ukufaka esikhundleni se-mitral valve.

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 yensimbi, indwangu, noma izicubu ezungeze i-valve.
• Ukulungiswa kwe-valve - Udokotela ohlinzayo usika, abumbe, noma akhe kabusha okukodwa noma ngaphezulu kwamapheshana amathathu (amapheshana) e-valve.

Uma i-mitral valve yakho yonakele kakhulu ukuthi ingalungiswa, uzodinga i-valve entsha. Lokhu kubizwa ngokuthi ukuhlinzwa esikhundleni. Udokotela wakho ohlinzayo uzosusa i-mitral valve yakho bese ethunga entsha. Kunezinhlobo ezimbili zama-mitral valves:

• Imishini, eyenziwe ngezinto ezenziwe ngabantu (zokwenziwa), njenge-titanium. La ma-valve ahlala isikhathi eside kakhulu. Uzodinga ukuthatha umuthi wokunciphisa igazi, njenge-warfarin (Coumadin) noma i-aspirin, impilo yakho yonke.
• Okuphilayo, okwenziwe ngezicubu zomuntu noma zesilwane. La ma-valve ahlala iminyaka eyi-10 kuya kwengu-12. Ungahle ungadingi ukuthi uthathe izinciphisi zegazi impilo yakho yonke.

Lapho nje i-valve entsha noma elungisiwe isebenza, udokotela wakho ohlinzayo uzo:

• Vala inhliziyo yakho bese ususa umshini wenhliziyo-lung.
• Beka ama-catheters (amashubhu) azungeze inhliziyo yakho ukukhipha uketshezi olwakhayo.
• Vala ithambo lakho lesifuba ngezintambo zensimbi engagqwali. Kuzothatha cishe amasonto ayisithupha ukuphola kwethambo. Izintambo zizohlala ngaphakathi emzimbeni wakho.

Ungaba ne-pacemaker yesikhashana exhunywe enhliziyweni yakho kuze kubuye isigqi senhliziyo yakho semvelo.

Lokhu kuhlinzwa kungathatha amahora amathathu kuya kwayisithupha.

Ungadinga ukuhlinzwa uma i-mitral valve yakho ingasebenzi kahle.

• I-valve ye-mitral engavali yonke indlela izovumela igazi ukuthi liphinde libuyele e-atrium yesobunxele. Lokhu kubizwa ngokuthi yi-mitral regurgitation.
• I-mitral valve engavuli ngokugcwele izovimbela ukuhamba kwegazi. Lokhu kubizwa ngokuthi yi-mitral stenosis.

Ungadinga ukuhlinzwa kwe-valve yenhliziyo evulekile ngalezi zizathu:

• Izinguquko ku-valve yakho ye-mitral zidala izimpawu ezinkulu zenhliziyo, njenge-angina (ubuhlungu besifuba), ukuphefumula okuncane, ukuphelelwa amandla (i-syncope), noma ukwehluleka kwenhliziyo.
• Izivivinyo zibonisa ukuthi izinguquko ku-mitral valve yakho zinciphisa ukusebenza kwenhliziyo yakho.
• Uhlinza inhliziyo evulekile ngesinye isizathu, futhi udokotela wakho angadinga ukufaka esikhundleni noma ukulungisa i-mitral valve yakho ngasikhathi sinye.
• I-valve yenhliziyo yakho ilinyazwe yi-endocarditis (ukutheleleka kwe-valve yenhliziyo).
• Uthole i-valve yenhliziyo entsha esikhathini esedlule, futhi ayisebenzi kahle.
• Unezinkinga ezifana namahlule egazi, ukutheleleka, noma ukopha ngemuva kokuthola i-valve yenhliziyo entsha.

Izingozi zanoma yikuphi ukuhlinzwa yilezi:

• Amahlule egazi emilenzeni angahamba aye emaphashini
• Ukwehla kwegazi
• Izinkinga zokuphefumula
• Ukutheleleka, kufaka phakathi amaphaphu, izinso, isinye, isifuba, noma ama-valve wenhliziyo
• Ukusabela emithini

Izingozi ezingenzeka zokuhlinzwa okuvulekile kwenhliziyo yilezi:

• Isifo senhliziyo noma isifo sohlangothi.
• Izinkinga zesigqi senhliziyo.
• Ukutheleleka ekusikeni (okungenzeka ukuthi kwenzeke kubantu abakhuluphele, abanesifo sikashukela, noma asebevele benokuhlinzwa).
• Ukulahleka kwememori nokulahleka kokucaca kwengqondo, noma "ukucabanga okungaqondakali."
• I-Post-pericardiotomy syndrome, efaka umkhuhlane ophansi nobuhlungu besifuba. Lokhu kungahlala izinyanga eziyisithupha.
• Ukufa.

Njalo utshele umhlinzeki wakho wezokunakekelwa kwempilo:

• Uma ukhulelwe noma ungakhulelwa
• Imiphi imithi oyiphuzayo, ngisho nezidakamizwa, izithasiselo, noma amakhambi owathengile ngaphandle kwencwadi kadokotela

Ungakwazi ukugcina igazi ebhange legazi ukuze lifakwe phakathi nangemva kokuhlinzwa kwakho. Buza umhlinzeki wakho ukuthi wena namalungu omndeni wakho ningalinikela yini igazi.

Kungase kudingeke ukuthi uyeke ukuthatha imishanguzo eyenza kube nzima ngegazi lakho ukuminyana amasonto ama-2 ngaphambi kokuhlinzwa. Lokhu kungadala ukopha okwengeziwe ngesikhathi sokuhlinzwa.

• Eminye yale mithi i-aspirin, ibuprofen (Advil, Motrin), ne-naproxen (Aleve, Naprosyn).
• Uma uthatha i-warfarin (i-Coumadin) noma i-clopidogrel (i-Plavix), khuluma nomhlinzeki wakho ngaphambi kokumisa imithi yakho noma ushintshe indlela oyiphuza ngayo.

Lungisa indlu yakho ngaphambi kokuya esibhedlela ukuze izinto zibe lula uma ubuya.

Ngosuku olungaphambi kokuhlinzwa kwakho, geza ugeze izinwele zakho. Ungadinga ukugeza umzimba wakho wonke ngaphansi kwentamo yakho ngensipho ekhethekile. Khuhla isifuba sakho amahlandla ama-2 noma ama-3 ngale nsipho. Ungadinga futhi ukuthatha i-antibiotic ukuqapha ukutheleleka.

Phakathi nezinsuku ngaphambi kokuhlinzwa kwakho:

• Buza ukuthi imiphi imithi okufanele uyithathe ngosuku lokuhlinzwa kwakho.
• Uma ubhema, udinga ukuyeka. Cela usizo kumhlinzeki wakho.
• Ngaso sonke isikhathi vumela umhlinzeki wakho azi ukuthi unomkhuhlane, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, noma esinye isifo ngaphambi kokuhlinzwa kwakho.

Ngosuku lokuhlinzwa:

• Landela imiyalo yomhlinzeki wakho mayelana nokuthi ungayeka nini ukudla nokuphuza.
• Thatha imithi otshelwe ukuthi uyiphuze ngophuzo oluncane lwamanzi.
• Uzotshelwa ukuthi ufika nini esibhedlela.

Iningi labantu lichitha izinsuku ezine kuya kweziyi-7 esibhedlela ngemuva kokuhlinzwa.

Uzophaphama usegumbini labagula kakhulu (ICU). Uzolulama lapho izinsuku ezi-1 kuya kwezi-2. Uzoba namashubhu ama-2 kuye kwayi-3 esifubeni sakho ukukhipha uketshezi olusuka enhliziyweni yakho. Amashubhu avame ukususwa ezinsukwini ezi-1 ukuya kwezi-3 ngemuva kokuhlinzwa.

Ungaba neshubhu eliguquguqukayo (ipayipi) esinyeni sakho ukukhipha umchamo. Ungase futhi ube nemigqa ye-intravenous (IV) ukuthola uketshezi. Ama-monitors akhombisa izimpawu ezibalulekile (ukushaya ngamandla, izinga lokushisa, nokuphefumula) azobukwa ngokucophelela.

Uzothuthelwa egumbini lesibhedlela elijwayelekile usuka e-ICU. Inhliziyo yakho nezimpawu zakho ezibalulekile zizobhekwa uze uye ekhaya. Uzothola umuthi wezinhlungu ukulawula izinhlungu ezungeze ukusika kwakho kokuhlinzwa.

Umhlengikazi wakho uzokusiza uqale umsebenzi kancane. Ungaya ohlelweni lokwelashwa ngokomzimba ukuze wenze inhliziyo nomzimba wakho uqine.

Ama-valve wenhliziyo yemishini ahlala impilo yonke. Kodwa-ke, kungavela amahlule egazi kuwo. Lokhu kungadala ukuthi batheleleke noma bavinjwe. Uma kwenzeka amahlule egazi, ungahle ube nesifo sohlangothi.

Amaphayiphu enziwe ngezicubu zomuntu noma zezilwane ayahluleka ngokuhamba kwesikhathi. Banokuphila okulingene kweminyaka eyi-10 kuye kwengu-20 ngaphambi kokudinga ukushintshwa. Banobungozi obuphansi bamahlule egazi.

Ukushintshwa kwe-Mitral valve - kuvulekile; Ukulungiswa kweMitral valve - kuvulekile; UMitral valvuloplasty

• Izidakamizwa ze-antiplatelet - P2Y12 inhibitors
• I-Aspirin nesifo senhliziyo
• Ukuhlinzwa kwe-valve yenhliziyo - ukukhipha
• Ukuthatha i-warfarin (Coumadin)

IGoldstone AB, Woo YJ. Ukwelashwa kokuhlinzwa kwe-mitral valve. Ku: Sellke FW, del Nido PJ, Swanson SJ, ama-eds. Ukuhlinzwa kweSabiston neSpencer kwesifuba. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2016: isahluko 80.

URosengart TK, u-Anand J. Isifo senhliziyo esitholakele: i-valvular. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 60.

UThomas JD, uBonow RO. Isifo seMitral valve. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Ku: Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 69.