Ukugeleza Kwephepha Le-Aortic? Izimpawu, Izimbangela, Nokwelashwa

Ukugeleza kwephepha le-aortic kwenzeka lapho iphepha le-aortic lenhliziyo yakho lingavalwa kahle, okuvumela igazi ukuthi ligeleze emuva enhliziyweni yakho. Cabanga ngakho njengomnyango ongavali kahle, uvumela ezinye zezinto okufanele zihlale ngaphandle ukuthi zigalele emuva.

Lesi simo sithinta iphepha phakathi kwegumbi elikhulu lokupompa lenhliziyo yakho kanye ne-artery enkulu ethwala igazi emzimbeni wakho. Uma iphepha ligeleza, inhliziyo yakho kumele isebenze kanzima ukuze iphonse inani elifanele legazi phambili, okungathinta umsipha wenhliziyo ngokuhamba kwesikhathi.

Iyini i-Aortic Valve Regurgitation?

Ukugeleza kwephepha le-aortic, okuthiwa futhi yi-aortic insufficiency, kwenzeka lapho iphepha le-aortic lingakwazi ukuvala kahle ngemuva kwesigxobo senhliziyo ngayinye. Iphepha lakho le-aortic linezinye zezicucu ezintathu ezivame ukuvala ukuvimbela igazi ukuthi lingagalele emuva.

Uma lezi zicucu zingavalwa kahle, igazi ligeleza emuva kwisisu lase-left ventricle, igumbi elikhulu lokupompa lenhliziyo yakho. Lokhu kusho ukuthi inhliziyo yakho kumele iphonse igazi elengeziwe ngesigxobo ngasinye ukuze ihlanganise lokho okugalele emuva.

Lesi simo singaba silula kuya kokubi. Abantu abaningi abane-regurgitation elula baphila ukuphila okujwayelekile ngaphandle kwezimpawu, kuyilapho izingxabano ezinkulu zingadinga ukwelashwa okuyisikhathi sokuvikela umsebenzi wenhliziyo.

Ziyini Izimpawu Zokugeleza Kwephepha Le-Aortic?

Awungase ungaphawuli zimpawu zithile ekuqaleni, ikakhulukazi uma ukugeleza kuvela kancane kancane eminyakeni eminingi. Inhliziyo yakho iyakwazi ukuzibonakalisa futhi ingakwazi ukubuyisela ukugeleza okulula ngaphandle kokubangela izinkinga eziphawulekayo.

Uma izimpawu zivele, zivame ukuvela kancane kancane njengoba inhliziyo yakho isebenza kanzima ukuze igcine ukugeleza kwegazi okufanele. Nazi izimpawu ezivame kakhulu okufanele uzibheke:

• Ukuthukuthela komoya, ikakhulukazi ngesikhathi somsebenzi womzimba noma uma ulele phansi
• Ukukhathala nobuthakathaka obukhulu kunezinga lomsebenzi wakho
• Ubuhlungu noma ukungakhululeki esifubeni, ikakhulukazi ngesikhathi sokuzivocavoca
• Ukubetha kwenhliziyo noma ukuqaphela ukubetha kwenhliziyo yakho
• Ukukhungatheka noma ukukhanya ekhanda
• Ukukhula ezinkinini, ezinyaweni, noma emilenzeni

Abanye abantu baqaphela inhliziyo yabo ibetha ngamandla, ikakhulukazi uma belele. Ungase uzizwe sengathi inhliziyo yakho ibetha noma igija ngezikhathi lapho ingafanele.

Ngokungavamile, ukugeleza okukhulu kungabangela izimpawu ezinkulu njengokuwa ngesikhathi somsebenzi womzimba noma ukuthukuthela komoya okukhulu ngokuzumayo. Lokhu kudinga ukunakekelwa kwezokwelapha ngokushesha.

Ziyini Izimbangela Zokugeleza Kwephepha Le-Aortic?

Ukugeleza kwephepha le-aortic kungabangelwa izinkinga ngezicucu zephepha ngokwazo noma ngomsuka we-aortic, indawo lapho iphepha lihlala khona. Ukuqonda imbangela kusiza ekutholeni indlela yokwelapha engcono kakhulu.

Izimo eziningi zingalimaza izicucu zephepha noma zivimbele ukuthi zingavalwa kahle. Nazi izimbangela ezivame kakhulu:

• Iphepha le-aortic le-bicuspid - isifo sokuzalwa lapho iphepha linezicucu ezimbili esikhundleni sezintathu
• Ukuvuvukala kwe-rheumatic - isimo sokuvuvukala esingalimaza insimbi yephepha
• I-Infective endocarditis - ukutheleleka okukhulu kwamaphepha enhliziyo
• Ukugqwala okubangelwa ubudala bezicucu zephepha
• Ukuphindaphindeka kwegazi eliphakeme okuyandisa umsuka we-aortic ngokuhamba kwesikhathi
• Izifo ze-connective tissue njenge-Marfan syndrome

Ngezinye izikhathi izicucu zephepha ziyajwayelekile, kodwa umsuka we-aortic ukhula noma ulimazwe. Lokhu kungenzeka ngezimo ezithinta i-aorta, njengokwahlukana kwe-aortic noma ezinye izifo zezakhiwo.

Ezimeni ezingavamile, imithi, ukwelashwa ngomgogodla esifubeni, noma izimo zokuvuvukala njenge-lupus zingase zifake isandla ekubulaleni kwephepha. Udokotela wakho uzosebenza ukuze athole imbangela ejulile, njengoba lokhu kuthonya izinqumo zokwelapha.

Nini Okufanele Ubone Udokotela Ngokugeleza Kwephepha Le-Aortic?

Kufanele ubheke udokotela wakho uma uhlushwa ukuthukuthela komoya okuqhubekayo, ikakhulukazi uma kuya kubi noma kuhlupha imisebenzi yakho yansuku zonke. Ungalindi uma unezinkinga zokuphefumula uma ulele phansi noma uvuka uthukuthele.

Ubuhlungu esifubeni ngesikhathi somsebenzi womzimba yisimo esibalulekile esidinga ukuhlolwa kwezokwelapha. Ngisho noma ukungakhululeki kulula, kufanele ukuxoxe nodokotela wakho.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uwa, ubuhlungu obukhulu esifubeni, noma ukuthukuthela komoya okukhulu ngokuzumayo. Lokhu kungabonisa ukuthi isimo sakho siye saba sibi kakhulu.

Uma unomculo wenhliziyo owaziwayo noma ukhulunywe ukuthi unezinkinga zephepha le-aortic, ukuvakashela okujwayelekile kubalulekile ngisho noma uzizwa kahle. Udokotela wakho angalandelela isimo ngaphambi kokuthi izimpawu zivele.

Ziyini Izingozi Zokugeleza Kwephepha Le-Aortic?

Izici ezithile zingandisa amathuba akho okuthola ukugeleza kwephepha le-aortic, nakuba ukuba nezingozi akusho ukuthi uzokuthola ngokuqinisekile lesi simo. Ukuqonda lokhu kungakusiza wena nodokotela wakho ukuthi nihlale niphapheme.

Ubudala yisici esibalulekile, njengoba izinkinga zephepha ziyaqala ukuba khona njengoba siqhubeka sikhulile. Ukugqwala kweminyaka yokubetha kwenhliziyo kungathinta umsebenzi wephepha kancane kancane.

Nazi izingozi eziyinhloko okufanele uzazi:

• Ukuzalwa nephatha le-aortic le-bicuspid noma ezinye izifo zenhliziyo zokuzalwa
• Umlando wokuvuvukala kwe-rheumatic, ikakhulukazi ngesikhathi sobuntwana
• Ukuphindaphindeka kwegazi eliphakeme, ikakhulukazi uma kungalawulwa kahle
• Umlando womndeni wezifo ze-connective tissue
• Ukutheleleka kwangaphambili kwenhliziyo noma i-endocarditis
• Ukwelashwa ngomgogodla esifubeni ngokwelashwa komdlavuza

Ezinye izimo ze-autoimmune kanye nezifo zezakhiwo zingase zikhulise ingozi. Uma unemlando womndeni wezinkinga zenhliziyo ekuqaleni noma ukufa kwenhliziyo ngokuzumayo, kufanele ukuxoxe nodokotela wakho.

Izindaba ezinhle ukuthi izingozi eziningi, njengokuphakama kwegazi, zingalawulwa kahle ngokunakekelwa kwezokwelapha okufanele kanye nokushintsha indlela yokuphila.

Ziyini Izingozi Ezingenzeka Zokugeleza Kwephepha Le-Aortic?

Uma ukugeleza kwephepha le-aortic kulula futhi kuzinzile, izingozi azikho. Noma kunjalo, uma isimo siqhubeka noma singalashwa uma sikubi, singabangela izinkinga ezinzima zenhliziyo ngokuhamba kwesikhathi.

Ukukhathazeka okukhulu ukuthi umsipha wenhliziyo yakho ungaba buthakathaka ngokusebenza kanzima ukuze upompe igazi kahle. Lo msebenzi ongeziwe ungalimaza kancane kancane i-left ventricle, igumbi elikhulu lokupompa lenhliziyo yakho.

Nazi izingozi ezingenzeka ezingathuthuka:

• Ukwehluleka kwenhliziyo - lapho inhliziyo yakho ingakwazi ukupompa igazi kahle ngokwanele ukuze ihlangabezane nezidingo zomzimba wakho
• Inhliziyo enkulu (cardiomegaly) - umsipha wenhliziyo uyandisa futhi ukhuluphala ngenxa yokusebenza okukhulu
• Izindlela ezingavamile zokubetha kwenhliziyo (arrhythmias) - umsebenzi wangavamile womgogodla enhliziyweni
• Ukufa kwenhliziyo ngokuzumayo - ingozi encane kodwa ebuhlungu ezimeni ezinkulu, ezingalashwanga
• Ukungena engcupheni yokutheleleka kwenhliziyo

Ukuqhubeka kwezingozi kuvame ukwenzeka kancane kancane eminyakeni eminingi noma amashumi eminyaka. Ukulandelela okujwayelekile kuvumela udokotela wakho ukuthi angene phakathi ngaphambi kokuthi izinkinga ezinzima zivele.

Ukwelashwa okusheshayo kanye nokuphathwa kwendlela yokuphila kunganciphisa kakhulu ingozi yezingozi futhi kusize ekugcineni umsebenzi omuhle wenhliziyo iminyaka eminingi.

Ukutholakala Kokugeleza Kwephepha Le-Aortic?

Ukutholakala kuvame ukuqala lapho udokotela wakho ezwa umculo wenhliziyo ngesikhathi sokuhlolwa okujwayelekile. Lo mculo ohlukile uvela lapho igazi ligeleza emuva ngephepha eligeleza.

Udokotela wakho uzokubuza ngezimpawu zakho kanye nomlando wakho wezokwelapha, bese enza ukuhlolwa komzimba. Bazolalela ngokucophelela inhliziyo yakho futhi bangase baphawule imisindo ethile ebonisa izinkinga zephepha.

Izivivinyo eziningi zingakuqinisekisa ukutholakala futhi zibone ukuthi ukugeleza kubukhulu kangakanani:

• I-Echocardiogram - i-ultrasound yenhliziyo yakho ebonisa umsebenzi wephepha kanye nokugeleza kwegazi
• I-Electrocardiogram (ECG) - ibhalisa umsebenzi womgogodla wenhliziyo yakho
• I-X-ray yesifuba - ingabonisa uma inhliziyo yakho inkulu
• Ukuhlinzwa kwe-cardiac catheterization - kunikeza izithombe eziningi zomsebenzi wenhliziyo (kusetshenziswa ezimeni eziyinkimbinkimbi)
• Uvivinyo lokucindezela komzimba - uhlola ukuthi inhliziyo yakho iphendula kanjani emsebenzini womzimba

I-echocardiogram yivivinyo elibaluleke kakhulu, njengoba ibonisa ukuthi igazi elingakanani eligazelayo emuva nokuthi inhliziyo yakho isebenza kahle kangakanani. Lokhu kusiza ekuqondeni ukuthi ukwelashwa kudingeka yini.

Udokotela wakho angase futhi anikeze izivivinyo zegazi ukuze ahlole izimpawu zokutheleleka noma ezinye izimo ezingase zithinte inhliziyo yakho.

Iyini Ukwelashwa Kokugeleza Kwephepha Le-Aortic?

Ukwelashwa kuncike ekutheni ukugeleza kwakho kubukhulu kangakanani nokuthi uhlushwa yizimpawu yini. Abantu abaningi abane-regurgitation elula badinga ukulandelela okujwayelekile ngaphandle kokwelashwa okusheshayo.

Uma une-regurgitation elula ngaphandle kwezimpawu, udokotela wakho cishe uzokuncoma ukuhlolwa okujwayelekile ukuze alandelele isimo. Le ndlela isebenza kahle ngoba i-regurgitation elula ivame ukuhlala iqinile iminyaka eminingi.

Ngokugeleza okukhulu, izinketho zokwelapha zihlanganisa:

• Imithi yokunciphisa ukuphakama kwegazi nokunciphisa umsebenzi wenhliziyo yakho
• Ukulungiswa kwephepha le-aortic - ukulungisa iphepha elikhona uma kungenzeka
• Ukuhlukaniswa kwephepha le-aortic - ukushintsha iphepha ngephepha lomshini noma le-biological
• Ukuhlukaniswa kwephepha le-aortic le-Transcatheter (TAVR) - inketho engathinti kakhulu kwabanye abantu

Ukuhlinzwa kuvame ukunconywa lapho ukugeleza kukhulu futhi kubangela izimpawu, noma lapho umsebenzi wenhliziyo uqala ukwehla ngisho noma kungekho zimpawu. Isikhathi sokuhlinzwa kubalulekile ngemiphumela emihle kakhulu.

Udokotela wakho uzokukhathalela ubudala bakho, impilo yakho yonke, kanye nembangela ethile yengxaki yakho yephepha lapho ekuncoma ukwelashwa. Umgomo ukunciphisa izingozi ngenkathi ugcina ikhwalithi yokuphila kwakho.

Ungawuphatha Kanjani Ukwelashwa Kwasekhaya Ngesikhathi Sokugeleza Kwephepha Le-Aortic?

Ngenkathi ukwelashwa kwezokwelapha kubalulekile ngezinkinga zephepha ezinkulu, kunezinto eziningi ongenza ekhaya ukuze usekele impilo yakho yenhliziyo futhi ulawule izimpawu. Lezi zinyathelo zingakusiza uzizwe ukhulu futhi zinciphisa ukuqhubeka.

Ukushintsha indlela yokuphila kudlala indima ebalulekile ekulawuleni ukugeleza kwephepha le-aortic. Gxila emikhwenyeni yempilo yenhliziyo eunciphisa ukucindezela ohlelweni lwakho lokugaya igazi.

Nazi izinyathelo ezisebenzayo ongazithatha:

• Thatha imithi ngokuqondile njengoba kunqunyiwe, ikakhulu imithi yokuphakama kwegazi
• Landela ukudla okunempilo kwenhliziyo okune-sodium encane futhi okunotshani nemifino
• Hlala usebenza ngokomzimba ngokunconywa udokotela wakho
• Gcina isisindo esinempilo ukuze unciphise ukucindezela enhliziyweni yakho
• Gwema ukubhema futhi ubeke umkhawulo ekusetshenzisweni kotshwala
• Thola ubuthongo obanele futhi ulawule ukucindezeleka kahle

Landelela izimpawu zakho futhi ubhale noma yikuphi ukushintsha. Qaphela uma uqala ukuthukuthela komoya ngemisebenzi owayuyiphatha kalula, noma uma uhlushwa ubuhlungu obusha esifubeni.

Kubalulekile ukuvimbela ukutheleleka okungase kuthinte inhliziyo yakho. Yenza ukuhlanzeka okuhle kwamehlo futhi uqondise udokotela wakho wamehlo ngesimo sakho sephepha ngaphambi kwanoma yiziphi izinqubo.

Kufanele Uzilungiselele Kanjani Ukuvakashela Udokotela Wakho?

Ukulungiselela ukuvakashela kwakho kusiza uqinisekise ukuthi uthola ukutholakala okuchane kakhulu kanye nenhlelo yokwelapha efanele. Udokotela wakho udinga ulwazi oluthile ngezimpawu zakho kanye nomlando wakho wezokwelapha.

Ngaphambi kokuvakashela kwakho, bhala phansi noma yiziphi izimpawu ozibonile, ngisho noma zibonakala zincane. Faka lapho zaqala khona, yini ezibangela, nokuthi zikuthinta kanjani imisebenzi yakho yansuku zonke.

Letha lezi zinto ezibalulekile ekuvakasheni kwakho:

• Uhlu lwemithi yonke, izithasiselo, namavithamini owaqopha
• Umlando wakho ophelele wezokwelapha, kuhlanganise nezinkinga zenhliziyo zangaphambili
• Umlando womndeni wesifo senhliziyo noma ukufa kwenhliziyo ngokuzumayo
• Imiphumela yokuvivinywa kwamuva noma amarekhodi wezokwelapha evela kwabanye odokotela
• Amakhadi yebhange kanye nokuhlonza
• Uhlu lwemibuzo ofuna ukuyibuza

Bhala phansi imibuzo ethile ngesimo sakho, izinketho zokwelapha, kanye nalokho okufanele ukulindele. Unganqikazi ukubuza ngokumisa umsebenzi, ukunakekelwa okulandelayo, noma izimpawu zokuqapha.

Cabanga ngokuletha ilungu lomndeni noma umngani ongakusiza ukukhumbula ulwazi oluqakathekile oluxoxwe ngesikhathi sokuvakashela. Ukuvakashela kwezokwelapha kungaba okucindezelayo, futhi ukuba nokusekelwa kungasiza.

Iyini Iphuzu Eliyinhloko Ngokugeleza Kwephepha Le-Aortic?

Ukugeleza kwephepha le-aortic yisimo esilawuleka, ikakhulukazi uma kubanjwe ekuqaleni futhi kulandelelwe kahle. Abantu abaningi abane-regurgitation elula baphila ukuphila okujwayelekile ngokuphelele ngokuhlolwa okujwayelekile kanye nokukhetha indlela yokuphila enempilo.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi lesi simo sivame ukuqhubeka kancane, sikunike wena nodokotela wakho isikhathi sokwenza izinqumo ezilwemi ngokwelashwa. Ukulandelela okujwayelekile kuvumela ukungenelela ngesikhathi esifanele ukuvimbela izingozi.

Ungavumeli ukutholakala kokugeleza kwephepha le-aortic kubangele ukukhathazeka okungadingekile. Ngokunakekelwa kwezokwelapha okufanele nokunakekelwa kwempilo yakho yenhliziyo, ungagcina ukuphila okusebenzayo, okuhlangabezana nezidingo.

Hlala uxhumene neqembu lakho lokunakekelwa kwezokwelapha, landela izincomo zabo, futhi unganqikazi ukufinyelela uma uqaphela ukushintsha kwezimpawu zakho. Isenzo esisheshayo nokunakekelwa okuqhubekayo yizithuluzi zakho ezinhle kakhulu zokulawula lesi simo ngempumelelo.

Imibuzo Evame Ukubuzwa Ngokugeleza Kwephepha Le-Aortic

Ingabe ukugeleza kwephepha le-aortic kungaphela ngokwalo?

Ukugeleza kwephepha le-aortic ngokuvamile akupheli ngokwalo, kodwa ukugeleza okulula kuvame ukuhlala kuqinile iminyaka eminingi ngaphandle kokuba sibi. Ukonakala kwephepha okubangela ukugeleza ngokuvamile kuhlala njalo, nakuba ukuqhubeka kungaba kancane kakhulu. Ngokulandelela okufanele nokuphathwa kwezimo ezingaphansi njengokuphakama kwegazi, abantu abaningi bagcina ukugeleza okulula okuzinzile ngaphandle kokudinga ukuhlinzwa.

Ingabe ukuzivocavoca kuphephile ngokugeleza kwephepha le-aortic?

Ukuzivocavoca ngokuvamile kuphephile futhi kuzuzisa abantu abane-regurgitation elula kuya ephakathi, kodwa kufanele uxoxe ngesimo sakho esithile nodokotela wakho. Ukuzivocavoca okujwayelekile empeleni kungasiza ekugcineni impilo yenhliziyo kanye nokuqina kwengqondo. Udokotela wakho angase akuncome ukugwema imisebenzi enzima kakhulu noma imidlalo yokuncintisana uma ukugeleza kwakho kukhulu, kodwa abantu abaningi bangqhubeka bejabulela ukuzivocavoca okujwayelekile njengokuhamba, ukubhukuda, noma ukujika ibhayisikili.

Ubude bangakanani ongabuphila ngokugeleza kwephepha le-aortic?

Abantu abaningi abane-regurgitation yephepha le-aortic baphila isikhathi eside esijwayelekile, ikakhulukazi uma isimo silula futhi silandelelwa kahle. Ukubuka kuncike ekutheni ukugeleza kubukhulu kangakanani, ukuthi kuqhubeka ngokushesha kangakanani, nokuthi ukwelashwa kudingeka yini. Ngisho nabantu abadinga ukuhlinzwa kwephepha bavame ukuba nemiphumela emihle yesikhathi eside futhi bangabuyela ekuphileni okusebenzayo, okunempilo ngemuva kokutamba.

Yikuphi ukudla engingakufanele ngokugeleza kwephepha le-aortic?

Gxila ekubekweni komkhawulo we-sodium ukuze usizo ekulawuleni ukuphakama kwegazi nokunciphisa ukucindezela enhliziyweni yakho. Gwema ukudla okuqediwe, usoso olupakishwe, kanye nokudla kwendawo yokudlela okuvame ukuba ne-salt eningi. Awudingi ukulandela ukudla okunqanyuliwe kakhulu, kodwa ukugcizelela izithelo ezintsha, imifino, amaprotheyini ahlanzekile, kanye nezitshalo eziphelele kusekela impilo yonke yenhliziyo. Udokotela wakho angase anikeze izincomo ezithile zokudla ngokuya ngesimo sakho.

Ingabe ngizodinga ukuhlinzwa ngokugeleza kwephepha le-aortic?

Akuwona wonke umuntu onokugeleza kwephepha le-aortic odinga ukuhlinzwa. Abantu abaningi abane-regurgitation elula badinga ukulandelela okujwayelekile futhi bangase bangadingi ukungenelela okuyisikhathi. Ukuhlinzwa kuvame ukunconywa lapho ukugeleza kukhulu futhi kubangela izimpawu noma lapho umsebenzi wenhliziyo uqala ukwehla, ngisho noma kungekho zimpawu. Udokotela wakho uzoqapha isimo sakho esithile futhi axoxe ukuthi ukuhlinzwa kungaba usizo yini kuwe.