Ukuqina kwe-Aorta? Izimpawu, Izimbangela, Nokwelashwa

Ukuqina kwe-aorta kuyinkinga yokuzalwa lapho ingxenye yomthambo omkhulu wegazi lomzimba wakho iba mncinci kakhulu. Lokhu kuncipha kwenza inhliziyo yakho isebenze nzima ukuze iphonse igazi kulo lonke umzimba wakho. Cabanga ngompompo wegadi onokucindezela okukhulu phakathi – amanzi asaphuma, kodwa ngengcindezi enkulu ngemuva kwendawo ecindezelekile.

Lesi simo sihlukanisa abantwana abangaba ngu-1 ku-2,500 abazalwa minyaka yonke. Nakuba kuzwakala kukubi, imithi yanamuhla inikeza izinketho ezinhle zokwelapha ezingasiza abantu abanesimo esinjalo ukuba baphile impilo egcwele, enempilo.

Iyini i-Coarctation ye-Aorta?

Ukuqina kwe-aorta kwenzeka lapho isigaba se-aorta – umthambo omkhulu wegazi womzimba wakho – sicindezelwa noma sinciphe. I-aorta ithwala igazi elicebile ngokhuni oluvela enhliziyweni yakho kuya kweminye imingcele yomzimba wakho.

Ngokuvamile, lokhu kuncipha kwenzeka eduze nalapho i-ductus arteriosus ixhunyaniswa ne-aorta. I-ductus arteriosus iyithambo legazi elinawo wonke amawele ngaphambi kokuzalwa, elivala ngokushesha ngemuva kokubeletha. Uma ukuqina kwe-aorta kuvela kule ndawo, kungadala izinkinga ezinkulu zokuhamba kwegazi.

Ukuncipha kucindezela inhliziyo yakho ukuba iphonse igazi kanzima kakhulu ukuze iphonse igazi ngaphesheya kwendawo ecindezelekile. Lo msebenzi owengeziwe ungabangela ukuba ingcindezi yakho yegazi ikhuphuke emzimbeni wakho ophezulu ngenkathi unciphise ukugeleza kwegazi emzimbeni wakho ophansi.

Ziyini Izimpawu zokuqina kwe-Aorta?

Izimpawu zingase zihluke kakhulu kuye ngokuthi ukuncipha kubi kangakanani futhi kwenzeka nini. Abanye abantu banezimpawu ezicacile ebuntwaneni, kanti abanye bangase bangaziboni izinkinga kuze kube ebudaleni.

Ezinganeni ezintsha nasezinganeni, ungase uqaphele lezi zimpawu ezinkulu:

• Ubunzima bokuqeda umoya noma ukuqeda umoya ngokushesha
• Ukudla okubi noma ukudla okuncane kunokujwayelekile
• Umbala wesikhumba oluhlaza okwesibhakabhaka noma oluhlaza okwesibhakabhaka
• Ukukhishwa okukhulu ngesikhathi sokudla
• Ukucasuka noma ukukhathazeka okungavamile
• Ukwehluleka ukuzuza isisindo ngokujwayelekile
• Izandla nezinyawo ezibandayo

Lezi zimpawu zivame ukuvela lapho i-ductus arteriosus ivala ezinsukwini ezimbalwa zokuqala noma emavikeni okuphila. Lokhu kuvala kungenza ukuncipha kube kubi futhi kudale isimo esiphuthumayo sezempilo esidinga ukunakekelwa ngokushesha.

Izingane nabantu abadala abanezimpawu ezincane bangase babe nezimpawu ezahlukile:

• Ingcindezi yegazi ephezulu ezingalweni
• Izinhlungu zikhanda eziphuma ziye
• Ubuthakathaka bemisipha ezinyaweni
• Izinyawo ezibandayo noma ukubamba kwezinyawo
• Ukuphuma kwegazi ekhaleni okuvela njalo
• Ubuhlungu esifubeni ngesikhathi somsebenzi womzimba
• Ukuphefumula okufushane ngesikhathi somsebenzi womzimba

Abanye abantu bathuthukisa lokho odokotela abakubiza ngokuthi "ukuhamba kwegazi okuhambisanayo" ngokuhamba kwesikhathi. Lokhu kusho ukuthi umzimba wakho udala izindlela ezintsha zokuhamba kwegazi ngaphesheya kwendawo ecindezelekile, okunganciphisa izimpawu kodwa akulungisi inkinga ephambili.

Ziyini Izinhlobo zokuqina kwe-Aorta?

Odokotela bahlukanisa ukuqina kwe-aorta ngokuthi ukuncipha kwenzeka kuphi nokuthi kuhlobene kanjani namanye amathambo egazi. Ukuqonda lezi zinhlobo kusiza ekutholeni indlela yokwelapha engcono kakhulu.

Ukuqina kwe-aorta okuqala kwenzeka ngaphambi kwendawo lapho i-ductus arteriosus ixhunyaniswa ne-aorta. Lolu hlobo luvame ukubangela izimpawu ezinkulu ezinganeni ezintsha ngoba lapho i-ductus arteriosus ivala, ukugeleza kwegazi emzimbeni ophansi kunciphisa kakhulu.

Ukuqina kwe-aorta okulandelayo kwenzeka ngemuva kwendawo yokuxhumana kwe-ductus arteriosus. Lolu hlobo luvame ukuthuthukisa kancane futhi lungase lungabangeli izimpawu kuze kube kamuva ebuntwaneni noma ngisho nasebudaleni.

Ukuqina kwe-aorta okuhlanganisiwe kuthuthukiswa ngqo endaweni yokuxhumana. Lolu yiluhlobo oluvamile kakhulu futhi lungabangela izimpawu emazingeni ahlukahlukene eminyakeni kuye ngokuthi ukuncipha kubi kangakanani.

Yini ebangela ukuqina kwe-Aorta?

Ukuqina kwe-aorta kuthuthukiswa ngesikhathi sokukhulelwa lapho inhliziyo yengane yakho namathambo egazi akha. Isizathu esiqondile sokuthi lokhu kwenzekani asiqondakali ngokuphelele, kodwa abacwaningi baye baqaphela izici eziningi ezinikezela.

Izici zezofuzo zidlalela indima ebalulekile ezimweni eziningi. Abanye abantwana bafa baze bathole amajini athinta indlela amathambo abo egazi athuthukisa ngayo, okwenza ukuqina kwe-aorta kube lula kakhulu.

Izimo ezithile zezofuzo zikhuphula ingozi yokuqina kwe-aorta:

• I-Turner syndrome – isimo se-chromosomal esithinta amantombazane
• I-Bicuspid aortic valve – lapho i-valve yenhliziyo inama-leaflets amabili esikhundleni sezintathu
• I-Hypoplastic left heart syndrome – ukungathuthuki okukhulu kwecala elingakwesobunxele lenhliziyo
• Ukungahambisani kwe-mitral valve
• I-Shone syndrome – ukuhlanganiswa kwezinkinga eziningi zenhliziyo

Izici zemvelo ngesikhathi sokukhulelwa zingase futhi zinikezele, nakuba ubufakazi bungacacile. Ezinye izifundo zikhomba ukuthi imithi ethile, ukutheleleka, noma ukudalulwa ezinto eziyingozi kungase kukhuphule ingozi, kodwa ucwaningo olwengeziwe luyadingeka ukuze kuqinisekiswe le miqondano.

Ezimweni ezingavamile, ukuqina kwe-aorta kungase kuthuthukiswe kamuva ekuphileni ngenxa yezimo ezibangela ukubola noma ukuvuvukala kwe-aorta, njenge-Takayasu arteritis noma i-atherosclerosis ebuhlungu.

Nini Okufanele Ubone Udokotela Ngokuqina kwe-Aorta?

Funani ukunakekelwa kwezokwelapha ngokushesha uma ingane yakho entsha ibonisa izimpawu zezinkinga zenhliziyo. Izimpawu eziphuthumayo zihlanganisa ubunzima bokuqeda umoya, ukudla okubi, isikhumba esihlaza okwesibhakabhaka noma oluhlaza okwesibhakabhaka, noma ukukhathazeka okukhulu okungathuthuki ngezindlela ezivamile zokududuza.

Kubantwana abadala nabantu abadala, hlela ukuvakashela udokotela uma uqaphela ingcindezi yegazi ephezulu njalo, ikakhulukazi uma iphakeme ezingalweni zakho kunasezinzweni zakho. Ezinye izimpawu ezinkulu zihlanganisa izinhlungu zikhanda eziphindaphindayo, ubuthakathaka beenyawo ngesikhathi somsebenzi womzimba, noma ubuhlungu esifubeni ngesikhathi somsebenzi womzimba.

Ukuhlolwa okujwayelekile kuba kubaluleke kakhulu uma unemlando womndeni wezinkinga zenhliziyo noma uma utholakala unezimo ezihlobene njenge-Turner syndrome noma i-bicuspid aortic valve.

Ungalindi uma izimpawu zibe zimbi noma ezinye zivela. Ukutholwa kwangaphambili nokwelashwa kungavimbela izinkinga ezinkulu futhi kuthuthukise imiphumela yesikhathi eside kakhulu.

Ziyini Izici Zengozi zokuqina kwe-Aorta?

Izici eziningi zingakhuphula amathuba okuthuthukisa ukuqina kwe-aorta. Ukuqonda lezi zici zengozi kusiza imindeni nodoctors ukuba baqaphele izimpawu ezingase zibe khona.

Ukuba owesifazane kukhuphula ingozi yakho, ikakhulukazi uma une-Turner syndrome. Cishe i-10-30% yamantombazane ane-Turner syndrome athuthukisa ukuqina kwe-aorta, okwenza ukuhlolwa okujwayelekile kwenhliziyo kube yinto ebalulekile kuleli qembu.

Umlando womndeni udlala indima ebalulekile ekulinganisweni kengozi:

• Ukuba nomzali noma umfowethu onokuqina kwe-aorta
• Amalungu omndeni anezinye izinkinga zenhliziyo ezingokuzalwa
• Izihlobo ezine-bicuspid aortic valve
• Ama-syndromes ezofuzo athinta ukuthuthukiswa kwenhliziyo

Izici ezithile zokukhulelwa zingase futhi zithinte ingozi, nakuba lokhu kuqondwa kancane. Ubudala obukhulu bomama, isifo sikashukela ngesikhathi sokukhulelwa, nokudalulwa kwemithi ethile kuye kwafundwa, kodwa ukuxhumana okuqondile akukaqinisiswa.

Ukuba nezinye izinkinga zenhliziyo kukhuphula amathuba akho okuba nokuqina kwe-aorta. Cishe i-85% yabantu abano-coarctation bane-abnormality eyodwa noma ngaphezulu yenhliziyo, i-bicuspid aortic valve iyingxenye evamile kakhulu.

Ziyini Izinkinga Ezingase Zivele Ngokuqina kwe-Aorta?

Ngaphandle kokwelashwa okufanele, ukuqina kwe-aorta kungabangela izinkinga ezinkulu zempilo ngokuhamba kwesikhathi. Izindaba ezinhle ukuthi izinkinga eziningi zingavikeleka ngokunakekelwa okufanele kwezokwelapha.

Ingcindezi yegazi ephezulu imele inkinga evamile yesikhathi eside. I-aorta ecindezelekile iyenza inhliziyo yakho isebenze kanzima, okungalimaza uhlelo lwakho lwe-cardiovascular eminyakeni eminingi.

Izinkinga ezihlobene nenhliziyo zingase zithuthuke kancane:

• Ukukhula kwenhliziyo engakwesobunxele ngokusebenza kanzima kakhulu
• Ukwehluleka kwenhliziyo uma umsipha uba buthakathaka kakhulu
• Isifo se-coronary artery ebudeni obusemusha
• Izinga ezingavamile zenhliziyo
• Izinkinga ze-aortic valve

Izinkinga zamathambo egazi zingase futhi zenzeke, ikakhulukazi uma ingcindezi yegazi ingalawulwa kahle. Lokhu kuhlanganisa isifo sobuchopho, ama-aneurysms emithambekeni yegazi yobuchopho, nokubola kwangaphambi kwesikhathi kwamathambo egazi kulo lonke umzimba wakho.

Ezimweni ezingavamile, ukuqina kwe-aorta okungalawulwa okukhulu kungabangela izinkinga zezinso ngenxa yokuhamba kwegazi okuncishisiwe, noma ukutheleleka kwamathambo enhliziyo okubizwa nge-endocarditis.

Ukukhulelwa kungase kube nezingozi ezikhethekile kubantu besifazane abano-coarctation, njengoba ukwanda komthamo wegazi kanye nezidingo zenhliziyo kungase kuhluphe inhliziyo esebenza kanzima kakade. Noma kunjalo, ngokunakekelwa okufanele kwezokwelapha, abesifazane abaningi bayaphumelela ukukhulelwa kuze kube sekupheleni.

Ukuqina kwe-Aorta Kuhlolwa Kanjani?

Ukuhlolwa kuvame ukuqala lapho udokotela eqaphela imiphumela engavamile ngesikhathi sokuhlolwa komzimba okujwayelekile. Izeluleko ezivamile kakhulu yilokho okubizwa ngokuthi yi-heart murmur – umsindo owengeziwe ozwakalayo lapho ulalela inhliziyo yakho nge-stethoscope.

Udokotela wakho uzohlola ingcindezi yegazi ezingalweni zakho nasezinzweni zakho. Ekuqineni kwe-aorta, ingcindezi ezingalweni zakho ivame ukuphakama kakhulu kunasezinzweni zakho, okwenza iphethini ehlukile ephakamisa ukungabaza.

Izivivinyo eziningi zokuthola izithombe zingakuqinisekisa ukuhlolwa futhi zibonise ukuthi ukuncipha kubi kangakanani:

• I-Echocardiogram – isebenzisa amaza omsindo ukwenza izithombe ezihamba zenhliziyo yakho
• I-CT scan – inikeza izithombe ezinemininingwane eziqhelelene ze-aorta yakho
• I-MRI – inikeza ukubona okuhle ngaphandle kokudalulwa kwemisebe
• I-Cardiac catheterization – ihilela ukufaka i-tube encane ngamathambo egazi ukuze kulinganiswe ngokuqondile

Izithombe ze-X-ray zesifuba zingase zibonise izinguquko ezichazwe emathanjeni akho ebizwa ngokuthi "ukugaya kwamathanjeni," okuvela lapho amathambo egazi asezindlebeni zakho akhula ukuze athwale igazi elengeziwe ngaphesheya kwendawo ecindezelekile.

Kubantwana abasanda kuzalwa abanezibonakaliso ezinkulu, ukuhlolwa kuvame ukwenzeka ngokushesha esibhedlela. I-Pulse oximetry, eilinganisa amazinga okhuni egazini lakho, ingasiza ekutholeni izinkinga ngisho nangaphambi kokuba izimpawu ezicacile zivele.

Iyini Ukwelashwa Kokuqina kwe-Aorta?

Ukuphathwa kuxhomeke ekutheni ukuqina kwakho kubi kangakanani nokuthi kutholakala nini. Umgomo uhlale ukukhulula ukuncipha nokubuyisela ukugeleza kwegazi okujwayelekile kulo lonke umzimba wakho.

Kubantwana abasanda kuzalwa abano-coarctation ebuhlungu, ukwelashwa okusheshayo kungase kudingeke ukuze baqiniswe ngaphambi kokuthi kwenziwe ukuhlinzwa. Lokhu kuvame ukubandakanya imithi yokugcina i-ductus arteriosus ivulekile, okungathuthukisa ukugeleza kwegazi okwesikhashana.

Ukulungiswa okuhlinzwayo kuhlala kuyindlela evamile nephumelelayo yokwelapha:

• I-End-to-end anastomosis – ukususa isigaba esicindezelekile nokuxhuma kabusha i-aorta
• Ukulungiswa kwe-patch – ukusebenzisa izinto zokwandisa indawo ecindezelekile
• Ukuhlinzwa kwe-bypass – ukudala indlela entsha ngaphesheya kwendawo ecindezelekile
• Ukulungiswa okuqediwe kwe-end-to-end – ngezindawo ezinde zokuncipha

I-Balloon angioplasty inikeza inketho engathinti kakhulu kwabanye abantu. Ngalesi senzo, udokotela ufake i-tube encane enenhlamvu yebhaluni ngamathambo egazi kuya endaweni ecindezelekile, bese efaka ibhaluni ukuze enze i-aorta ikhulu.

Ukufakwa kwe-stent kungase kunconywe kanye ne-angioplasty. I-stent iyithyube elincane lethusi elihlala endaweni ukuze lisize ekugcineni i-aorta ivulekile ngemuva kokwelula ibhaluni.

Ukukhetha phakathi kokuhlinzwa nokuphathwa kwe-catheter kuxhomeke ebudeni bakho, indawo nobunzima bokuqina, nokuthi unezinye izinkinga zenhliziyo ezidinga ukunakekelwa.

Indlela Yokwelapha Ekhaya Ngesikhathi Sokuqina kwe-Aorta?

Ukuphatha ukuqina kwe-aorta ekhaya kugxile ekusekiseni impilo yakho yonke ye-cardiovascular nokulandelwa kwezincomo zakho zikadokotela. Indlela yakho izoxhomeke ekutheni uthole ukwelashwa nokuthi isimo sakho silawulwa kahle kangakanani.

Ukuqapha ingcindezi yegazi kuba yingxenye ebalulekile yendlela yakho. Udokotela wakho angase ancome ukuhlola ingcindezi yakho yegazi njalo ekhaya, ikakhulukazi uma uthatha imithi ukuyiqapha.

Ukuphathwa kwemithi kudinga ukunakekelwa ngokucophelela kwesikhathi kanye nokulinganisa:

• Thatha imithi yegazi njengoba kunqunyiwe
• Ungasidluli isikhala ngisho noma uzizwa kahle
• Gcina uhlu lwemithi yakho yonke ngezikhathi zokuvakashela udokotela
• Buza umthengisi wemithi yakho mayelana nokuhlangana kwemithi
• Bika izimpawu ezingalungile ku-dokotela wakho ngokushesha

Ukushintsha kwemisebenzi kungase kudingeke, ikakhulukazi ezinganeni nasebasha. I-cardiologist yakho izonikeza imiyalo ekhethekile mayelana nemidlalo nezinye izinto ezifanelekile kuye ngesimo sakho.

Ukudla nokuphila kungathinta impilo yakho yesikhathi eside. Gxila ekudleni okunempilo kwenhliziyo okunezithelo, imifino, nama-grains aphelele ngenkathi unciphise usawoti nokudla okucutshunguliwe.

Qaphela izimpawu ezixwayisa ezingase zibonise izinkinga, njengezinhlungu zikhanda ezintsha noma ezimbi, ubuhlungu esifubeni, ubunzima bokuqeda umoya, noma ukukhula ezinzweni zakho noma ezinyaweni.

Kufanele Uzilungiselele Kanjani Ukuvakashela Udokotela?

Ukulungiselela okuhle kukusiza ukuba wenze okuningi ngaphezulu kokuvakashela kwakho futhi kuqinisekise ukuthi udokotela wakho unemininingwane edingekayo ukukunikeza ukunakekelwa okuhle kakhulu. Qala ngokuqoqa amarekhodi akho ezempilo nemithi yakho yamanje.

Dala idayari yezimpawu ngaphambi kokuvakashela kwakho. Bhala phansi izimpawu ozibonile, lapho zivelela khona, nokuthi yini ebonakala ikhuthaza noma ikhulula. Faka imininingwane mayelana nezinhlungu zikhanda, ubuhlungu esifubeni, ukuphefumula okufushane, noma ukukhathala.

Lungisa uhlu lwemibuzo okumele uyibuze udokotela wakho:

• Yiluphi uhlobo nobunzima bokuqina kwe-aorta enami?
• Ziyiphi izinketho zokwelapha ezikhona kimi?
• Ziyini izingozi nezinzuzo zaleyo nketho ngayinye?
• Ngazihlola kangaki izikhathi zokuvakashela?
• Ingabe kunemisebenzi engingayigwema?
• Ziyiphi izimpawu ezifanele zikhuthaze ukunakekelwa kwezokwelapha ngokushesha?

Letha ilungu lomndeni noma umngani uma kungenzeka, ikakhulukazi ngezikhathi ezibalulekile zokwenza izinqumo zokwelapha. Bangakusiza ukuba ukhumbule ulwazi futhi banikeze ukwesekwa ngokomzwelo.

Qiniseka ukuthi uletha imininingwane yakho yomshuwalense, uhlu lwemithi yakho yamanje, nanoma yimiphi imiphumela yokuvivinya yakamuva evela kwabanye odokotela. Lokhu kusiza ekuvinjeni ukubambezeleka futhi kuqinisekise ukuqhubeka kokunakekelwa.

Iyini Iphuzu Eliyinhloko Ngokuqina kwe-Aorta?

Ukuqina kwe-aorta kuyisimo senhliziyo esingaphathwa esithinta umthambo omkhulu wegazi womzimba. Nakuba kudinga ukunakekelwa okuqhubekayo kwezokwelapha, abantu abaningi abanesimo esinjalo bangaphila impilo egcwele, esebenzayo ngokwelashwa okufanele nokunakekelwa okulandelayo.

Ukutholwa kwangaphambili nokwelashwa kwenza umehluko omkhulu kwimiphumela. Kungakhathaliseki ukuthi kutholakala ebuntwaneni noma ebudaleni, ukwelashwa kwamanje okuhlinzwayo nokusekelwe kwi-catheter kunikeza imiphumela emihle ekukhululeni ukuncipha nokubuyisela ukugeleza kwegazi okujwayelekile.

Umgomo wokuphumelela isikhathi eside ukhona ekutholeni ukunakekelwa okulandelayo okujwayelekile ne-cardiologist yakho, ukuphatha ingcindezi yegazi ngokuphumelelayo, nokuqaphela noma yiziphi izimpawu ezintsha. Ngokuphathwa okufanele kwezokwelapha, izinkinga zingavikeleka noma zinciphisiwe.

Khumbula ukuthi ukuba nokuqina kwe-aorta akukudedumeli imingcele yempilo yakho. Abantu abaningi abanesimo esinjalo bahlanganyela emidlalweni, banezindawo zokusebenza eziphumelelayo, baqala imindeni, futhi balandele amaphupho abo ngenkathi baphatha impilo yabo yenhliziyo ngokubhekene nomthwalo wemfanelo.

Imibuzo Evamile Ngokuqina kwe-Aorta

Ingabe abantu abano-coarctation ye-aorta bangasebenza futhi badlale imidlalo?

Abantu abaningi abano-coarctation oluphumelelayo oluphulukisiwe bangase bahlanganyele ekuzivocavoca okujwayelekile nasemidlalweni eminingi. I-cardiologist yakho izohlola isimo sakho esithile futhi inikeze imiyalo ehambelana nesimo sakho ngokulawulwa kwengcindezi yegazi, ukusebenza kwenhliziyo, nanoma yiziphi ezinye izimo zenhliziyo onazo. Ngokuvamile, imisebenzi ye-aerobic ephansi njengokuhamba, ukubhukuda, nokugibela ibhayisikili kuyakhuthazwa, kanti imidlalo ebuhlungu kakhulu ingase idinge ukucabangela okuningi.

Ingabe ukuqina kwe-aorta kuyafafa?

Ukuqina kwe-aorta kungase kuqhubeke emindenini, kodwa akudluliselwa ngendlela elula, ebingakanani. Uma une-coarctation, izingane zakho zinezingozi eziphakeme kancane zezinkinga zenhliziyo uma kuqhathaniswa nabantu abavamile, kodwa izingane eziningi ezelwe kubazali abano-coarctation zineenhliziyo ezijwayelekile. Ukubonisana ngezofuzo kungakusiza ukuqonda izici zengozi zomndeni wakho futhi uxoxe ngezinketho zokuhlola ngokukhulelwa kwesikhathi esizayo.

Ingabe ngizodinga ukuhlinzwa okungaphezu kweyodwa ngokuqina kwe-aorta?

Abantu abaningi badinga ukwelashwa okukodwa kuphela ukulungisa ukuqina kwabo kwe-aorta unomphela. Noma kunjalo, abanye abantu bangase bathuthukise ukuncipha kabusha ngokuhamba kwesikhathi, ikakhulukazi uma ukulungiswa kokuqala kwenziwe ebuntwaneni. Ukuvakashela okulandelayo okujwayelekile kusiza ekutholeni noma yiziphi izinkinga ngokushesha, futhi uma ukuncipha kabusha kwenzeka, kuvame ukwelashwa ngempumelelo nge-balloon angioplasty kunokuba kudinge ukuhlinzwa okukhulu.

Ingabe abesifazane abano-coarctation bangaba nokukhulelwa okuphephile?

Abesifazane abaningi abano-coarctation olulawulwayo kahle banokukhulelwa okuphumelelayo nezingane ezempilo. Noma kunjalo, ukukhulelwa kukhuphula umsebenzi wenhliziyo yakho nohlelo lwakho lokuhamba kwegazi, ngakho-ke ukunakekelwa okucophelelayo yi-cardiologist yakho nodokotela wakho we-obstetrician kubalulekile. Ukubonisana ngaphambi kokukhulelwa kusiza ekuqinisekiseni ukuthi ingcindezi yakho yegazi ilawulwa kahle futhi uqonde noma yiziphi izinyathelo ezengeziwe ezidingekayo ngesikhathi sokukhulelwa nokubeletha.

Ngazihlola kangaki izikhathi zokuvakashela ngemuva kokwelashwa?

Izinhlelo zokuvakashela okulandelayo ziyahluka kuye ngobudala bakho, uhlobo lokwelashwa, nokuthi isimo sakho silawulwa kahle kangakanani. Ekuqaleni, ungase udinge ukuvakashela izikhathi ezingu-6-12 ngenyanga, ngokuphindaphindiwe okuncane ngokuhamba kwesikhathi uma konke kuhlala kuzinzile. I-cardiologist yakho izokwenza uhlelo lokulandela oluhambelana nesimo sakho oluhlanganisa ukuhlolwa okujwayelekile kwezithombe ukuze uqaphe i-aorta yakho kanye nokulinganiswa kwengcindezi yakho yegazi nokusebenza kwenhliziyo.