I-Postoperative ne-Recovery ngemuva kokuhlinzwa kwe-Cardiac

-Delile

• Ukubuyiselwa kokuhlinzwa kwenhliziyo
• Lapho ubuyela kudokotela
• Izinhlobo Zokuhlinzwa Kwenhliziyo
• Ukuhlinzwa kwenhliziyo yezingane

Isikhathi sokuhlinzwa kokuhlinzwa kwenhliziyo siqukethe ukuphumula, okungcono e-Intensive Care Unit (ICU) emahoreni angama-48 okuqala ngemuva kwenqubo. Lokhu kungenxa yokuthi e-ICU kunayo yonke imishini engasetshenziswa ukuqapha isiguli kulesi sigaba sokuqala, lapho kunethuba elikhulu lokuphazamiseka kwe-electrolyte, njenge-sodium ne-potassium, i-arrhythmia noma ukuboshwa kwenhliziyo, okuyisimo esiphuthumayo isimo lapho inhliziyo iyeka ukushaya noma ukushaya kancane, okungaholela ekufeni. Funda kabanzi mayelana nokuboshwa kwenhliziyo.

Ngemuva kwamahora angama-48, umuntu uzokwazi ukuya egumbini noma ewadini, futhi kufanele ahlale kuze kube yilapho udokotela wenhliziyo eqinisekisa ukuthi kuphephile ukuthi angabuyela ekhaya. Ukukhishwa kuncike ezintweni eziningi njengezempilo ejwayelekile, ukudla kanye nezinga lobuhlungu, isibonelo.

Ngemuva nje kokuhlinzwa kwenhliziyo, kukhonjiswa ukuthi umuntu uqala ukwelashwa kwe-physiotherapy, okufanele kwenziwe izinyanga ezi-3 kuye kwezi-6 noma ngaphezulu, kuye ngesidingo, ukuze ithuthukise izinga lempilo futhi ivumele ukululama okunempilo.

Ukubuyiselwa kokuhlinzwa kwenhliziyo

Ukubuyiselwa esimweni kokuhlinzwa kwenhliziyo kuhamba kancane futhi kungadla isikhathi futhi kuya ngohlobo lokuhlinzwa okwenziwe ngudokotela. Uma udokotela wezinhliziyo ekhethe ukuhlinzeka ngenhliziyo okuncane, isikhathi sokululama sifushane, futhi umuntu angabuyela emsebenzini cishe ngenyanga engu-1. Kodwa-ke, uma ukuhlinzwa kwendabuko kwenziwe, isikhathi sokululama singafinyelela ezinsukwini ezingama-60.

Ngemuva kokuhlinzwa, umuntu kufanele alandele izinkombandlela ezithile zikadokotela ukugwema izinkinga nokusheshisa inqubo yokutakula, efana nale:

• Ukuthunga nokugqoka: ukugqoka kokuhlinzwa kufanele kushintshwe yithimba labahlengikazi ngemuva kokugeza. Lapho isiguli sikhishwa ekhaya, sesivele singenakho ukugqoka. Kuyanconywa futhi ukuthi ugeze futhi usebenzise insipho ewuketshezi engathathi hlangothi ukugeza indawo yokuhlinzwa, ngaphezu kokomisa indawo ngethawula elihlanzekile nokugqoka izingubo ezihlanzekile ezinezinkinobho ngaphambili ukwenza lula ukubekwa kwezingubo;

  
  

• Oxhumana naye obuseduze: ukuxhumana okusondelene kufanele kwenzeke kuphela ngemuva kwezinsuku ezingama-60 zokuhlinzwa kwenhliziyo, ngoba kungashintsha ukushaya kwenhliziyo;

• Izincomo ezijwayelekile: Akuvunyelwe esikhathini sokuhlinzwa ukwenza umzamo, ukushayela, ukuthwala isisindo, ukulala esiswini sakho, ukubhema nokuphuza iziphuzo ezidakayo. Ngemuva kokuhlinzwa kujwayelekile ukuba nemilenze evuvukele, ngakho-ke kunconywa ukuthatha ukuhamba okulula nsuku zonke futhi ugweme ukuhlala isikhathi eside kakhulu. Lapho uphumule, kunconywa ukuthi uphumule izinyawo zakho emqamelweni futhi uzigcine ziphakeme.

Lapho ubuyela kudokotela

Kunconywa ukuthi ubuyele kudokotela wenhliziyo lapho kuvela eyodwa noma eziningi zalezi zimpawu ezilandelayo:

• Umkhuhlane uphakeme kuno-38ºC;
• Ubuhlungu besifuba;
• Ukuphefumula noma isiyezi;
• Isibonakaliso sokutheleleka ekuqhekekeni (ukuphuma kobomvu);
• Imilenze evuvukele kakhulu noma ebuhlungu.

Ukuhlinzwa kwenhliziyo wuhlobo lokwelashwa kwenhliziyo okungenziwa ukulungisa ukulimala kwenhliziyo uqobo, imithambo exhunywe kuyo, noma ukuyifaka esikhundleni sayo. Ukuhlinzwa kwenhliziyo kungenziwa nganoma yisiphi isikhathi, kunengozi enkulu yezinkinga kubantu asebekhulile.

Izinhlobo Zokuhlinzwa Kwenhliziyo

Kunezinhlobo eziningana zokuhlinzwa kwenhliziyo ezinganconywa yi-cardiologist ngokusho kwezimpawu zomuntu, njenge:

• I-Myocardial revascularization, eyaziwa nangokuthi ukuhlinzeka ngokudlula - bona ukuthi kwenziwa kanjani ukuhlinzwa ngokudlula;
• Ukulungiswa kwezifo zeValve njengokulungiswa noma ukushintshwa kwe-valve;
• Ukulungiswa Kwezifo ze-Aortic Artery;
• Ukulungiswa Kwezifo Zenhliziyo Ezizalwa;
• Ukufakelwa kwenhliziyo, lapho inhliziyo ithathelwa indawo enye. Yazi lapho ukufakelwa kwenhliziyo kwenziwa, izingozi nezinkinga;
• I-Cardiac Pacemaker Implant, okuyithuluzi elincane elinomsebenzi wokulawula ukushaya kwenhliziyo. Qonda ukuthi ukuhlinzwa kwenziwa kanjani ukubeka i-pacemaker.

Ukuhlinzwa kwenhliziyo okusizakalayo okuncane okusizayo kuqukethe ukusika ohlangothini lwesifuba, okungaba ngu-4 cm, okuvumela ukungena kwensimbi encane engabona futhi ilungise noma yimuphi umonakalo enhliziyweni. Lokhu kuhlinzwa kwenhliziyo kungenziwa uma kwenzeka umuntu ezalwa enesifo senhliziyo kanye nokungakwazi ukusebenza kahle kwe-coronary (myocardial revascularization). Isikhathi sokululama sincishisiwe ngezinsuku ezingama-30, futhi umuntu angabuyela emisebenzini ejwayelekile ezinsukwini eziyi-10, kepha lolu hlobo lokuhlinzwa lwenziwa kuphela ezimweni ezikhethiwe kakhulu.

Ukuhlinzwa kwenhliziyo yezingane

Ukuhlinzwa kwenhliziyo ezinganeni, kanye nasezinganeni, kudinga ukuqaphela okukhulu futhi kufanele kwenziwe ngochwepheshe abakhethekile futhi, kwesinye isikhathi, kuyindlela yokwelashwa engcono kakhulu yokusindisa impilo yengane ezalwa inezinkinga ezithile zenhliziyo.