Ezitheni ezinikezela inhliziyo ngegazi, ngenxa yezifo ezihlukahlukene, ama- atherosclerotic plaques akhiwa. Ziphazamisa ukujikeleza kwegazi okuvamile, ziholele ekunciphiseni kwe-arsenal 'lumen (stenosis), esongela umuntu onezimo ezisongela ukuphila. Ukubuyisela ukugeleza kwegazi, ukugudluza kwemithambo yenhliziyo isetshenziselwa - ukudala ezinye izindlela zokungenisa uketshezi lwezinto eziphilayo ngokufaka izingxenyana ezungeze izindawo ezilimele.
Inhliziyo idlula kanjani ama-grafts?
Ukusebenza kwenziwa ngaphansi kwe-anesthesia jikelele, njengoba odokotela abahlinzayo benza izinyathelo ezinhliziyweni ezivulekile.
Izinto eziphathelene ne-shunt, njengomthetho, umthambo wangaphakathi we-thoracic. Akunamathele emaceleni e-atherosclerotic ezindongeni, eziqinile njenge-graft. I-Radius umthamo wesandla isetshenziswa kaningi kancane. Ngokusetshenziswa kwayo, isifundo sokuqala senziwa, esichazwa ngayo ukuthi ukungenelela okuhlinzekwayo ngeke kuphazamise ukunikezwa kwegazi emlenzeni.
Ekuqaleni kokusebenza, isiguli sixhunywe nge-cardiopulmonary bypass. Khona-ke udokotela ohlinzayo wenza izincazelo kulezo zindawo lapho kusetshenziswe khona ukufakelwa. Kungase kube neziningana, kuye ngokuthi inani lezigaba ezincane zomzimba. Ngemuva kwalokho, ukugoqa kukhonjelwa ngokushesha.
Ukuhlola ikhwalithi nokusebenza kokufakelwa, babuyisela ukusakazwa kwemvelo, benze i-ultrasound kanye ne-angiography.
Kuthatha isikhathi esingakanani ukudlula izitsha zenhliziyo?
Isikhathi sokungenelela okuhlinzekwa ngokuhlinzwa kuncike ekutheni kuyinkimbinkimbi, isimo sezempilo sesiguli kanye nenani lokugwema ukufakwa.
Ngokuvamile, umsebenzi olula uhlala amahora angu-3-5. Amacala amakhulu kakhulu ahlanganisa izinqubo zokuhlinzeka ngamahora angu-6-8.
Kungakhathaliseki ukuthi kunezinkinga ngemva kokuthungatha izitsha zenhliziyo?
Noma yikuphi ukuhlinzwa kuhilela izingozi ezithile, uhlobo lokungenelela okucatshangelwayo akuyona into ehlukile.
Ezimweni ezingavamile, izinkinga ezilandelayo zingase zenzeke:
- ukuvuvukala, i-edema esakhiweni sokungcola;
- ukuphindwa kabusha kwe-shunt;
- ukuphuma.
Isikhathi sokutakula siqala enyunithi yokunakekelwa okujulile, lapho umsebenzi wamaphaphu nesisu senhliziyo evamile.
Ngosuku lwama-7 kuya ku-9 emva kokusebenza, izingqimba zisusiwe kusukela ku-thorax (ngokunamathela okujwayelekile). Ukukhishwa kwesibhedlela kwenzeka ngosuku lwe-12-14.
Indlela eqhubekayo yokuphila emva kokudlula imithwalo yegazi yenhliziyo kufanele ibe nephilile, okusho ukulahlwa imikhuba emibi, ikakhulukazi ukubhema. Ngaphezu kwalokho, kubalulekile ukugcina ukulinganisela emsebenzini wokusebenza, ukuhambisana nokudla okunconywayo, ukuvakashelwa ngezikhathi ngezikhathi.