Ukuhlola kwangaphandle noma ukuvalwa

Lapho uhlinzwa ngenhliziyo, udokotela ohlinzayo usika (ukusika) okwehla phakathi kwesifuba sesifuba sakho (sternum). Ukusikwa kuvame ukuziphilisa ngokwako. Kepha kwesinye isikhathi, kunezinkinga ezidinga ukwelashwa.

Izinkinga ezimbili zezilonda ezingenzeka zingakapheli izinsuku ezingama-30 zokuhlinzwa kwenhliziyo okuvulekile yilezi:

• Ukutheleleka ethanjeni lesilonda noma lesifuba. Izimpawu zingaba ubomvu lapho kusikwa khona, umkhuhlane, noma ukuzwa ukhathele futhi ugula.
• I-sternum ihlukanisa kabili. I-sternum nesifuba ziba ezingazinzile. Ungase uzwe umsindo wokuchofoza ku-sternum lapho uphefumula, ukhwehlela, noma uhambahamba.

Ukwelapha le nkinga, udokotela ohlinzayo uyayivula kabusha indawo obekuhlinzwa kuyo. Inqubo yenziwa egumbini lokuhlinza. Udokotela ohlinzayo:

• Isusa izintambo ezibambe i-sternum ndawonye.
• Ingabe ukuhlolwa kwesikhumba nezicubu enxebeni ukubheka izimpawu zokutheleleka.
• Isusa izicubu ezifile noma ezinegciwane enxebeni (susa isilonda).
• Ugeza isilonda ngamanzi anosawoti (usawoti).

Ngemuva kokuhlanzwa kwesilonda, udokotela ohlinzayo angavala noma angasivali isilonda. Inxeba ligcwele ukugqoka. Ukugqoka kuzoshintshwa kaningi.

Noma udokotela wakho ohlinzayo angasebenzisa i-VAC (ukuvalwa okusizwa nge-vacuum). Kuyinto yokugqoka ingcindezi engemihle. Kwandisa ukugeleza kwegazi nxazonke ze-sternum futhi kuthuthukise ukuphulukiswa.

Izingxenye zokugqoka i-VAC yilezi:

• Umshini futha
• Ucezu lwe-foam lusikiwe ukulingana isilonda
• Umshini weshubhu
• Sula ukugqoka okuthekhodwe phezulu

Ucezu lwe-foam luguqulwa njalo ezinsukwini ezimbili kuya kwezi-3.

Udokotela wakho ohlinzayo angakufaka isigaxa sesifuba. Lokhu kuzokwenza amathambo esifuba azinze.

Kungathatha izinsuku, amasonto, noma izinyanga ukuthi isilonda sihlanzeke, singabi nasifo bese sigcina sipholile.

Lapho lokhu sekwenzekile, udokotela ohlinzayo angasebenzisa imicu yemisipha ukumboza nokuvala isilonda. I-flap ingathathwa ezinqeni zakho, ehlombe, noma esifubeni esingaphezulu.

Kungenzeka ukuthi usuvele uthola ukunakekelwa kwesilonda noma ukwelashwa nemithi elwa namagciwane.

Kunezizathu ezimbili eziyinhloko zokwenza izinqubo zokuhlola nokuvala kwesilonda sesifuba ngemuva kokuhlinzwa kwenhliziyo:

• Susa lesi sifo
• Qinisa i-sternum nesifuba

Uma udokotela ohlinzayo ecabanga ukuthi unokutheleleka esifubeni sakho, kuqokwa lokhu okulandelayo:

• Amasampula athathwa emanzini, isikhumba nezicubu
• Isampula lesifuba sesifuba lithathwa nge-biopsy
• Ukuhlolwa kwegazi kuyenziwa
• Uzohlolwa ukuthi udla kahle kangakanani futhi uthola izakhamzimba
• Uzonikezwa ama-antibiotic

Cishe uzohlala okungenani izinsuku ezimbalwa esibhedlela. Ngemuva kwalokho, uzoya:

• Ikhaya nokulandelela nodokotela wakho ohlinzayo. Abahlengikazi bangafika ekhaya lakho bezokusiza ngokunakekelwa.
• Ukuya esikhungweni sabahlengikazi ukuze uthole olunye usizo lokululama.

Kunoma iyiphi indawo, ungathola ama-antibiotic amasonto ambalwa emithanjeni yakho (IV) noma ngomlomo.

Lezi zinkinga zingadala izinkinga ezinjengalezi:

• Udonga lwesifuba olubuthakathaka
• Ubuhlungu besikhathi eside (obungapheli)
• Ukwehla komsebenzi wamaphaphu
• Ingozi eyengeziwe yokufa
• Ukutheleleka okuningi
• Udinga ukuphinda noma ubuyekeze inqubo

I-VAC - ukuvalwa okusizwa nge-vacuum - isilonda sangaphandle; Ukuwohloka kwangaphandle; Ukutheleleka kwangaphandle

I-Kulaylat MN, iDayton MT. Izinkinga zokuhlinzwa. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; I-2017: isahluko 12.

I-Lazar HL, i-Salm TV, i-Engelman R, i-Orgill D, i-Gordon S. Ukuvimbela kanye nokuphathwa kwezifo zesilonda sangaphakathi. J Thorac Cardiovasc Ukuhlinzwa. 2016; 152 (4): 962-972. I-PMID: 27555340 pubmed.ncbi.nlm.nih.gov/27555340/.