Ukuhlinzwa Kokuhlinzwa Kwenhliziyo

-Delile

• Ukhetho lokufakelwa kwenhliziyo
• Yini inqubo?
• Kunjani ukululama?
• Ukulandelela ngemuva kokuhlinzwa
• Uyini umbono?

Kuyini ukufakelwa inhliziyo?

Ukufakelwa kwenhliziyo inqubo yokuhlinzwa esetshenziselwa ukwelapha amacala abucayi kakhulu wesifo senhliziyo. Lokhu kuyindlela yokwelashwa kubantu abasezigabeni zokugcina zokwehluleka kwenhliziyo. Imithi yokwelashwa, ukuguquka kwendlela yokuphila, nezinqubo ezingezinhle ezingaphumelelanga aziphumelelanga. Abantu kumele bahlangabezane nenqubo ethile ukuze babhekwe njengabamele ukhetho.

Ukhetho lokufakelwa kwenhliziyo

Abaqokelwe ukufakelwa inhliziyo yilabo abake baba nesifo senhliziyo noma ukwehluleka kwenhliziyo ngenxa yezimbangela ezahlukahlukene, kufaka phakathi:

• isici sokuzalwa
• isifo semithambo yegazi
• ukungasebenzi kahle kwe-valve noma isifo
• imisipha yenhliziyo ebuthakathaka, noma i-cardiomyopathy

Noma ngabe unenye yalezi zimo, kusenezici eziningi ezisetshenziswayo ukuthola ukuthi ungubani. Okulandelayo kuzobhekwa futhi:

• Iminyaka yakho. Iningi labantu abathola inhliziyo kumele babe ngaphansi kweminyaka engama-65 ubudala.
• Impilo yakho iyonke. Ukwehluleka komzimba okuningi, umdlavuza, noma ezinye izimo ezibucayi zezempilo kungakususa ohlwini lokufakelwa kabusha.
• Isimo sakho sengqondo. Kumele uzibophezele ekushintsheni indlela ophila ngayo. Lokhu kubandakanya ukuzivocavoca umzimba, ukudla okunempilo, nokuyeka ukubhema uma ubhema.

Uma uzimisele ukuba yilungu elifanele ukufakelwa inhliziyo, uzobekwa ohlwini lokulinda kuze kutholakale inhliziyo yomnikeli efana negazi lakho kanye nohlobo lwezicubu.

Izinhliziyo zabanikeli abalinganiselwa ku-2 000 zitholakala e-United States unyaka nonyaka. Noma kunjalo, cishe abantu abayi-3 000 basohlwini lokulinda ukufakelwa kwenhliziyo nganoma yisiphi isikhathi, ngokusho kwe-University of Michigan. Lapho kutholakala inhliziyo yakho, kuhlinzwa ngokushesha okukhulu lapho isitho sisasebenza. Lokhu kuvame ukuba phakathi kwamahora amane.

Yini inqubo?

Ukuhlinzwa kokufakelwa kwenhliziyo kuhlala cishe amahora amane. Ngaleso sikhathi, uzobekwa emshinini wenhliziyo namaphaphu ukugcina igazi ligijima emzimbeni wakho wonke.

Udokotela wakho ohlinzayo uzosusa inhliziyo yakho, ashiye ukuvuleka kwemithambo yamaphaphu nodonga lwangemuva lwe-atrium yangakwesokunxele luqinile. Bazokwenza lokhu ukukulungiselela ukwamukela inhliziyo entsha.

Lapho nje udokotela wakho emisa inhliziyo yomnikeli endaweni futhi inhliziyo iqala ukushaya, uzosuswa emshinini wenhliziyo-namaphaphu. Ezimweni eziningi, inhliziyo entsha izoqala ukushaya ngokushesha lapho ukugeleza kwegazi kubuyiselwa kuyo. Kwesinye isikhathi ukushaqeka kukagesi kuyadingeka ukushukumisa ukushaya kwenhliziyo.

Kunjani ukululama?

Ngemuva kokuthi ukuhlinzwa kwakho kuqediwe, uzoyiswa egumbini labagula kakhulu (i-ICU). Uzobhekwa njalo, unikezwe imishanguzo yezinhlungu, futhi ufakwe amashubhu okukhipha amanzi ukuze ususe uketshezi oluningi emgodini wesifuba sakho.

Ngemuva kosuku lokuqala noma ezimbili ngemuva kwenqubo, cishe uzosuswa e-ICU. Kodwa-ke, uzohlala esibhedlela njengoba uqhubeka nokwelashwa. Ukuhlala esibhedlela kusuka ebangeni elilodwa kuya kwamathathu, ngokuya ngezinga lakho lokululama.

Uzobhekwa ngokutheleleka, futhi ukuphathwa kwemithi yakho kuzoqala. Imishanguzo yokulwa namagciwane ibalulekile ukuqinisekisa ukuthi umzimba wakho awulahli isitho sakho sabanikeli. Ungathunyelwa kuphiko lokuvuselela inhliziyo noma isikhungo ukukusiza ujwayele impilo yakho entsha njengomamukeli wokufakelwa

Ukubuyiselwa kokufakelwa kwenhliziyo kungaba inqubo ende. Kubantu abaningi, ukululama ngokugcwele kungafika ezinyangeni eziyisithupha.

Ukulandelela ngemuva kokuhlinzwa

Ukuqokwa njalo kokulandelwa kubalulekile ekululameni nasekuphathweni kokufakelwa kwenhliziyo isikhathi eside. Ithimba lakho lezokwelapha lizokwenza ukuhlolwa kwegazi, i-biopsies yenhliziyo ngokusebenzisa i-catheterization, nama-echocardiograms njalo ngenyanga ngonyaka wokuqala ngemuva kokuhlinzwa ukuze kuqinisekiswe ukuthi inhliziyo yakho entsha isebenza kahle.

Imithi yakho ye-immunosuppressant izolungiswa uma kudingeka. Uzobuzwa futhi ukuthi ngabe uhlangabezane nanoma yiziphi izimpawu zokunqatshwa, kufaka phakathi:

• imfiva
• ukukhathala
• ukuphelelwa umoya
• ukuzuza kwesisindo ngenxa yokugcina uketshezi
• kunciphise ukuphuma komchamo

Bika noma yiluphi ushintsho empilweni yakho eqenjini lakho lenhliziyo ukuze umsebenzi wenhliziyo yakho ubhekwe uma kudingeka. Uma nje unyaka usudlulile ngemuva kokufakelwa, isidingo sakho sokuqapha njalo sizokwehla, kepha usazodinga ukuhlolwa minyaka yonke.

Uma ungowesifazane futhi ufuna ukuqala umndeni, thintana nodokotela wenhliziyo yakho. Ukukhulelwa kuphephile kubantu abaye bafakelwa inhliziyo. Kodwa-ke, omama abakhulelwe abanesifo senhliziyo esivele sikhona noma abake bafakelwa kubhekwa njengengozi enkulu. Bangase babe nethuba elikhulu lezinkinga ezihlobene nokukhulelwa kanye nengozi ephezulu yokwaliwa komzimba.

Uyini umbono?

Ukuthola inhliziyo entsha kungakhuphula izinga lempilo yakho kakhulu, kepha kufanele uyinakekele kahle.Ngaphezu kokuthatha imishanguzo yansuku zonke yokulwa nemishanguzo, uzodinga ukulandela ukudla okunempilo nenhliziyo yakho njengoba kuchazwe ngudokotela wakho. Lokhu kubandakanya ukungabhemi nokuzivocavoca umzimba njalo uma ukwazi.

Izinga lokusinda labantu abaye bafakelwa inhliziyo liyahlukahluka ngokuya ngesimo sabo sempilo jikelele, kepha izilinganiso zihlala ziphakeme. Ukwenqatshwa kuyimbangela enkulu yesikhathi sokuphila esifushane. Umtholampilo waseMayo ulinganisela ukuthi inani lokusinda lilonke e-United States cishe ngamaphesenti angama-88 ngemuva konyaka owodwa namaphesenti angama-75 ngemuva kweminyaka emihlanu.