Ukugeleza Emuva Kwesisindo Se-Tricuspid: Izimpawu, Izimbangela, Nokwelashwa

Ukugeleza emuva kwesisindo se-tricuspid kwenzeka lapho isisindo se-tricuspid senhliziyo yakho singavalwa kahle, okuvumela igazi elibuyela emuva. Lesi sisindo sihlala phakathi kwe-atrium yasekunene (igumbi eliphezulu) ne-ventricle yasekunene (igumbi elingezansi) lenhliziyo yakho, lisebenza njengomnyango oyedwa kuphela ovumela igazi eliya phambili.

Cabanga ngakho njengompompo oleleka ohlelweni lwezindwangu zenhliziyo yakho. Lapho isisindo se-tricuspid siqala ukukhululeka noma ukwenzakala, igazi elithile ligeleza emuva esikhundleni sokuya emaphashini njengoba kufanele. Abantu abaningi baphila nokugeleza emuva okuncane kwesisindo se-tricuspid ngaphandle kokukwazi, kanti abanye bangadinga ukunakekelwa kwezokwelapha ezimweni ezinzima kakhulu.

Ziyini izimpawu zokugeleza emuva kwesisindo se-tricuspid?

Abantu abaningi abane-tricuspid regurgitation ephansi abanawo nhlobo izimpawu. Inhliziyo yakho ivame ukuhlanganisa kahle inani elincane legazi elibuyela emuva, ikakhulukazi emazingeni okuqala.

Lapho izimpawu ziveleka, zivame ukuvela kancane njengoba isimo siqhubeka. Nanka ongaqaphela:

• Ukuqina kokuphefumula, ikakhulukazi ngesikhathi somsebenzi womzimba noma lapho ulele phansi
• Ukukhathala nokukhathala okungavamile ngesikhathi semisebenzi yansuku zonke
• Ukukhula kwezinyawo, izikhokhonjali, izinyawo, noma isisu
• Ukuzwa okunjengokuthi kukhona okuthile olukhulu esifubeni noma entanyeni
• Amandla aphansi okwenza umsebenzi womzimba noma ukuba matasa
• Ukuzwa ukugcwaliswa ngokushesha lapho udle

Ezimweni ezinzima kakhulu, ungase ube nezimpawu ezengeziwe njengokungakhululeki esifubeni, ukukhungatheka, noma ukushaya kwenhliziyo okungavamile. Lezi zimpawu zenzeka ngoba inhliziyo yakho isebenza nzima ukuqhumula igazi ngokuphumelelayo lapho isisindo singavalwa kahle.

Ziyini izinhlobo zokugeleza emuva kwesisindo se-tricuspid?

Odokote bahlukanisa ukubuyela emuva kwe-tricuspid valve ngokusekelwe ekutheni igazi lingakanani elibuyela emuva nalokho okubangela inkinga. Ukuqonda le mihlobo kusiza ekutholeni indlela yokwelapha engcono kakhulu yesimo sakho.

Isimo sivame ukulinganiswa njengokukhulu, okuphakathi, noma okukhulu kakhulu ngokusekelwe ekutheni igazi lingakanani eligeleza emuva. Ukubuyela emuva okukhulu kuvame ukungabangeli zimpawu futhi kungadingi ukwelashwa, kuyilapho izimo ezinzima ngokuvamile zidinga ukungenelela kwezokwelapha.

Kukhona nezinhlobo ezimbili eziyinhloko eziqondene nesizathu esiyimbangela. Ukubuyela emuva kwe-tricuspid valve okuyinhloko kusho ukuthi i-valve ngokwayo yonakele noma ayilungile. Ukubuyela emuva kwe-tricuspid valve okubangelwa ezinye izinto kwenzeka lapho i-valve inhle ngokwakhe kodwa ayisebenzi kahle ngenxa yezinye izinkinga zenhliziyo, njengengcindezi ephezulu ngakwesokudla senhliziyo yakho.

Yini ebangela ukubuyela emuva kwe-tricuspid valve?

Izimo eziningi ezahlukene zingabangela ukubuyela emuva kwe-tricuspid valve. Isizathu esivame kakhulu empeleni ukwakheka kwengcindezi ngakwesokudla senhliziyo yakho, okungayelula i-valve futhi kuyivimbe ekuvalweni ngokuphelele.

Nazi izimbangela eziyinhloko ezingathinta i-tricuspid valve yakho:

• I-Pulmonary hypertension (ingcindezi yegazi ephezulu emithanjeni ye-lung)
• Ukwehluleka kwenhliziyo ngakwesobunxele okubuyisela ingcindezi ngakwesokudla
• I-Rheumatic heart disease evela ezifo ze-strep throat ezingalashwanga
• I-Infective endocarditis (ukutheleleka kwe-valve zenhliziyo)
• I-Congenital heart defects ekhona kusukela ekuzalweni
• I-Carcinoid syndrome (izigcwagcwa ezingavamile ezikhulula amakhemikhali athile)
• Imithi ethile, ikakhulukazi eminye imithi yokudla noma imithi yokuhlungekisa
• Ukulimala ebhodini noma enhliziyweni

Kwezinye izimo ezingavamile, i-valve ingonakala ngokwelashwa ngomgogodla, izifo ze-autoimmune, noma izinkinga ezivela ekuhlinzweni kwenhliziyo. Ngezinye izikhathi, isizathu esiqondile sihlala singacaci, okuyikho odokotela abakubiza ngokuthi i-idiopathic tricuspid regurgitation.

Nini okufanele ubone udokotela ngokubuyela emuva kwe-tricuspid valve?

Kufanele uxhumane nodokotela wakho uma uthola izimpawu ezingase zibonise izinkinga zevalvu yentliziyo. Ukuxilongwa kwasekuqaleni kungasiza ukuvimbela izinkinga futhi kuqinisekise ukuthi uthola ukunakekelwa okufanele.

Hlela isikhathi sokuhlangana uma ubona ukuphefumula okunzima okuqhubekayo, ikakhulukazi uma kuya kubi noma kuhlupha imisebenzi yakho yansuku zonke. Ukukhuluphala okungachazeki ezinyaweni, ezinzwini, noma esiswini nakho kudinga ukunakekelwa kwezokwelapha, njengoba lokhu kungabonisa ukuqoqwa kwamanzi okuvela ezinkingeni zentliziyo.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlushwa ukuphefumula okunzima, ubuhlungu esifubeni, ukuphelelwa amandla, noma ukushaya kwenhliziyo okusheshayo okungajwayelekile. Lezi zimpawu zingabonisa inkinga enzima yentliziyo edinga ukwelashwa okusheshayo.

Iyini imikhakha yokusongela ukubuyela emuva kwevalvu ye-tricuspid?

Izici ezithile zingandisa amathuba akho okukhula kwe-tricuspid valve regurgitation. Ukuqonda le mikhakha yokusongela kungakusiza wena nodokotela wakho ukuba nilandelele impilo yentliziyo yakho eduze.

Isimo nesimo esilandelayo singakubeka engcupheni enkulu:

• Uxinzelelo lwegazi oluphezulu emaphashini (pulmonary hypertension)
• Ukwehluleka kwenhliziyo eceleni kwesobunxele noma ezinye izifo zentliziyo
• Umbhalo we-rheumatic fever noma ukutheleleka okuvamile kwe-strep
• Ukuphazamiseka kwenhliziyo okungokwemvelo
• Ukutheleleka kwangaphambili kwevalvu yentliziyo
• Ukusetshenziswa kwemithi ethile njengezithambisi zokunciphisa ukulangazelela noma i-ergot alkaloids
• Ukusetshenziswa kwezidakamizwa ze-intravenous, okwandisa ingozi yokutheleleka
• Umbhalo womndeni wezinkinga zevalvu yentliziyo

Ubudala bungadlala indima, njengoba amavalvu entliziyo ngokwemvelo ehlangabezana nokugqoka okwengeziwe ngokuhamba kwesikhathi. Ukuba nemikhakha eminingi yokusongela akusho ukuthi uzokuthola le simo, kodwa kusho ukuthi ukulandelela njalo kwenhliziyo kubaluleke kakhulu.

Ziyini izinkinga ezingase zibe khona zokubuyela emuva kwevalvu ye-tricuspid?

Uma ingelaphiwe, ukungasebenzi kahle okukhulu kwe-tricuspid valve kungabangela izinkinga eziningi ezinkulu. Inhliziyo yakho ingase ihluleke ukupompa igazi kahle, lokho kungathinta impilo yakho jikelele kanye nokunambitheka kokuphila.

Nawa amanye amahluleko amakhulu angase aphumelele ngokuhamba kwesikhathi:

• Ukwehluleka kwenhliziyo ngakwesokudla njengoba imisipha yenhliziyo ibuthakathaka ngenxa yokusebenza kakhulu
• Izindlela ezingavamile zenhliziyo, ikakhulukazi i-atrial fibrillation
• Ukubuthana kwamanzi esiswini, ezinyaweni, nakwezinye izicubu
• Izinkinga zesibindi ezivela egazini elibuyela emithanjeni yesibindi
• Ukungena engozini enkulu yama-blood clots kanye nokushaya
• Ukuncipha kwamandla okwenza umsebenzi kanye nokunambitheka kokuphila

Kwezinye izimo ezingavamile, ukungasebenzi kahle okukhulu kwe-tricuspid valve okungelaphiwe kungaba yingozi eyingozi. Kodwa-ke, ngokunakekelwa komtholampilo okufanele nokulandelela, abantu abaningi bangaphatha isimo sabo kahle futhi bavimbele lezi zinkinga ezinkulu ezingase zivele.

Kungenzeka kanjani ukuvimbela ukungasebenzi kahle kwe-tricuspid valve?

Nakuba ungakwazi ukuvimbela zonke izimo zokungasebenzi kahle kwe-tricuspid valve, ungathatha izinyathelo zokunciphisa ingozi yakho nokuvikela impilo yenhliziyo yakho. Ukuvimbela kugxila ekunakekelweni kwezimo eziyisisekelo ezivame ukubangela izinkinga ze-valve.

Ukuphatha igazi lakho elikhuphukile nokwelapha noma yiziphi izimo zenhliziyo ngokushesha kungasiza ukuvimbela ukwakheka kokucindezela okuvame ukubangela ukungasebenzi kahle kwe-tricuspid valve. Uma une-high blood pressure, sebenzisana nodokotela wakho ukuze uyilawule kahle ngemithi, ukudla, kanye nezinguquko zendlela yokuphila.

Ukuvimbela ukutheleleka kubalulekile. Qeda njalo izifundo ze-antibiotic ezibhalwe ngumtholampilo we-strep throat ukuvimbela i-rheumatic fever. Uma unesongo elikhulu lokuthola ukutheleleka kwe-valve yenhliziyo, udokotela wakho angase akukhuthaze ukuba uthathe ama-antibiotic ngaphambi kokwenza izinqubo ezithile zokwelapha amazinyo noma ezemithi.

Ukugwema ukusebenzisa izidakamizwa nge-intravenous nokuqapha imithi engase ithonye ama-valve enhliziyo kusiza futhi ekuqedeni ingozi yakho. Ukubheka njalo kudokotela kuvumela udokotela wakho ukuba alandelele impilo yakho yenhliziyo futhi abone noma yiziphi izinkinga ngokushesha.

Ukuhlolwa Kwe-Tricuspid Valve Regurgitation Kwenziwa Kanjani?

Ukuhlolwa kwe-tricuspid valve regurgitation kuvame ukuqala ngokuba udokotela alalele inhliziyo yakho nge-stethoscope. Uyalalela umsindo othile othiwa yi-murmur, ongabonisa igazi elibuyela emuva nge-valve.

I-echocardiogram iyivivinyo eliyinhloko elisetshenziswa ukuqinisekisa ukuxilongwa nokuhlola ukuthi ukubuyela emuva kubi kangakanani. Lolu hlobo lwe-ultrasound yenhliziyo yakho lubonisa ukuthi ama-valve akho asebenza kahle kangakanani nokuthi igazi elingakanani eliphuma emuva. Akubuhlungu futhi linikeza izithombe ezinemininingwane yesakhiwo nenhlangano yenhliziyo yakho.

Udokotela wakho angase futhi anikeze amavivinyo engeziwe afana ne-electrocardiogram (EKG) ukuhlola izinga lenhliziyo yakho, izithombe ze-X-ray sesifuba ukubuka usayizi wenhliziyo yakho, noma ukuhlolwa kwegazi ukuhlola izimpawu zokucindezeleka kwenhliziyo. Kwezinye izimo, amavivinyo akhethekile afana ne-cardiac catheterization noma i-MRI angase adingeke ukuthola umbono ophelele wempilo yenhliziyo yakho.

Ukuphathwa kwe-Tricuspid Valve Regurgitation Kuyini?

Ukuphathwa kwe-tricuspid valve regurgitation kuncike ekuthini isimo sakho sibi kangakanani nokuthi yini elibangela. Abantu abaningi abane-regurgitation ephansi badinga ukulandelelwa njalo ngaphandle kokwelashwa ngokushesha.

Ezimweni ezilula, udokotela wakho cishe uzokuncoma ukuhlolwa njalo ukuqapha noma yiziphi izinguquko. Ungase udinga i-echocardiogram eminyakeni embalwa ukuqinisekisa ukuthi isimo alibi kakhulu. Ukwelapha izimo eziyisisekelo njengokucindezeleka kwegazi noma ukwehluleka kwenhliziyo kuvame ukuba yinto ephambili.

Izimo eziphakathi nendawo kuya ezinkulu zingase zidinga imithi ukusiza inhliziyo yakho ukuba isebenze kahle. Lezi zingafaka i-diuretics ukunciphisa ukwakheka kwamanzi, imithi yokulawula izinga lenhliziyo, noma imithi yokunciphisa umsebenzi wenhliziyo yakho. Udokotela wakho uzokulungiselela uhlelo lwemithi ngokuya ngezidingo zakho nezimpawu zakho ezithile.

Ukugeleza okukhulu emgqeni we-tricuspid ngezinye izikhathi kudinga ukungenelela kokwelapha. Lokhu kungase kuhilele ukulungisa i-valve ekhona noma ukuyibuyisela nge-valve yemishini noma yemvelo. Izindlela ezintsha, ezingathinti kangako nazo ziyatholakala kwabanye abantu, kufaka phakathi izindlela zokulungisa i-valve ezenziwa ngokusika okuncane noma ngisho nangama-blood vessels.

Ukulawula kanjani ukugeleza kwe-tricuspid valve ekhaya?

Ukulawula ukugeleza kwe-tricuspid valve ekhaya kuhilela ukwenza izinqumo zokuphila ezisempilweni yenhliziyo nokulandela izincomo zedokotela wakho. Lezi zinyathelo zingakusiza uzizwe kangcono futhi zinganciphisa intuthuko yesimo sakho.

Ukulandela ukudla okunempilo yenhliziyo okune-sodium encane kungasiza ekunciphiseni ukugcinwa kwamanzi nokunciphisa umsebenzi wenhliziyo yakho. Hlose ngaphansi kwama-milligrams angu-2,300 we-sodium ngosuku, noma ngisho nangaphansi uma udokotela wakho ekuncoma. Gxila ezithelo ezintsha, imifino, ukudla okugcwele, namaprotheni ahlanzekile.

Ukuzivocavoca okuvamile, okuthambile njengoba kuvunywe udokotela wakho kungasiza ekuqiniseni inhliziyo yakho nokuthuthukisa impilo yakho yonke. Qala kancane bese ukhulisa amazinga wemisebenzi kancane kancane. Ukubhukuda, ukuhamba, nokuqeqesha okukhanyayo ngezinye izikhathi kuyizindlela ezinhle, kodwa qiniseka ukuthi ukhulumisana neqembu lakho lokunakekelwa kwezempilo kuqala.

Qapha isisindo sakho nsuku zonke bese ubika ukwanda okungazelelwe kudoctor wakho, njengoba lokhu kungabonisa ukugcinwa kwamanzi. Ukuthatha imithi yakho ngokunembile njengoba kulotshwe nokugcina yonke imiqondiso yokulandelela kubalulekile ekulawuleni isimo sakho ngokuphumelelayo.

Kufanele ulungiselele kanjani i-appointment yakho yedokotela?

Ukulungiselela i-appointment yakho kungakusiza ukwenza okuningi ngesikhathi sakho nodokotela wakho futhi kuqinisekise ukuthi uthola lonke ulwazi oludingayo. Qala ngokubhala phansi zonke izimpawu zakho, ngisho noma zibonakala zincane noma azinhlobene.

Yenza uhlu lwamathuluzi onke owathathayo, kuhlanganise nemithi yokuthengwa ngaphandle komthetho kanye nezinhlanganisela. Letha noma yimiphi imiphumela yokuhlola yangaphambili noma amarekhodi ezempilo ahlobene nesimo sengqondo yentliziyo yakho. Uma ubona odokotela abanye ngale nkinga, butha lawo marekodi futhi.

Bhala imibuzo ofuna ukuyibuza udokotela wakho. Lokhu kungafaka imibuzo mayelana nesimo sakho esithile, izinketho zokwelashwa, ukushintsha kwendlela yokuphila, noma lokho okufanele ukulindele phambili. Ungakhathazeki ngokubuza imibuzo eminingi kakhulu – udokotela wakho ufuna ukukusiza ukuthi uqonde isimo sakho.

Cabanga ngokuletha ilungu lomndeni noma umngani ozokusiza ukuba ukhumbule ulwazi oluxoxwe ngesikhathi sokuqokwa. Bangaphinda banikeze ukwesekwa ngokomzwelo futhi basize ekumeleleni izidingo zakho uma kudingeka.

Iyini into ebalulekile mayelana nokubuyela emuva kwe-tricuspid valve?

Ukubuyela emuva kwe-tricuspid valve kuyisimo esilawuleka esithinta abantu abaningi, ngokuvamile ngaphandle kokubangela izimpawu ezinkulu. Okubalulekile ukuthola ukuxilongwa okufanele nokulandelwa kwezincomo zokwelapha zedokotela wakho zokubeka iliso nokwelashwa.

Abantu abaningi abane-tricuspid regurgitation ephansi bangaphila impilo evamile, esebenzayo ngokuhlola okuvamile nokuguqulwa okufanele kwesitayela sempilo. Ngisho nalabo abanemibandela eqinile kakhulu banenketho eminingi yokwelashwa ephumelelayo etholakalayo, kuhlanganise nemithi nezinqubo zokucutshungulwa uma kudingeka.

Khumbula ukuthi ukutholwa kwangaphambi kwesikhathi nokwelashwa kwezimo zentliziyo eziyisisekelo kungavimbela ukubuyela emuva kwe-tricuspid valve ekukhuleni noma ekubeni sibi. Ukusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo, ukulandela izinhlelo zokwelashwa, nokugcina imikhuba enempilo yentliziyo kunika ithuba elihle kakhulu lokuba nemiphumela emihle.

Imibuzo evame ukubuzwa mayelana nokubuyela emuva kwe-tricuspid valve

Ingabe ukubuyela emuva kwe-tricuspid valve kuyingozi eyingozi?

Ukugeleza okungaphansi kompompi we-tricuspid akuyona into eyingozi ekuphileni futhi abantu abaningi baphila impilo evamile ngalesi simo. Noma kunjalo, izimo ezinzima zingabangela ukwehluleka kwenhliziyo nezinye izinkinga ezinkulu uma zingaphathwa. Ukuqapha njalo nokuphathwa okuqondile kungavimbela imiphumela eminingi enzima.

Ingabe ukugeleza kompompi we-tricuspid kungaphila kuhle ngokwalo?

Ukugeleza kompompi we-tricuspid ngokuvamile akululami ngokwalo, kodwa kungase kuhlale kuzinzile iminyaka eminingi ngaphandle kokuba sibi. Ezimweni ezithile, ukwelapha imbangela ephambili (njengokucindezeleka kwegazi eliphakeme) kunganciphisa ubukhulu bokugeleza. Ukuqapha njalo kusiza ekuqapheni noma yiziphi izinguquko esimweni sakho.

Yikuphi ukudla okufanele ngikugweme ngokugeleza kompompi we-tricuspid?

Gxila ekunciphiseni i-sodium ukuze kunciphisa ukugcinwa kwamanzi futhi kululamise umsebenzi wenhliziyo yakho. Gwema ukudla okuqediwe, ukudla kwerejistanti, kanye nezidlo ezipakishwe eziphezulu ngosawoti. Khipha futhi utshwala nekhafeyin, okuthinta izinga lenhliziyo yakho. Udokotela wakho angakunika imiyalo ethile yokudla ngokuya ngesimo sakho.

Ngingazivocavoca yini ngokugeleza kompompi we-tricuspid?

Abantu abaningi abane-tricuspid regurgitation ephansi kuya emaphakathi bangazivocavoca ngokuphepha ngemvume yodokotela wabo. Qala ngemisebenzi ephansi, njengokuhamba noma ukubhukuda, bese wandise kancane izinga njengoba ubekezelela. Hlala uxoxa ngezinhlelo zakho zokuzivivinya neqembu lakho lokunakekelwa kwezempilo, ikakhulukazi uma unezimpawu noma ukugeleza okukhulu.

Kwangaphi ukubona odokotela abalandelayo?

Ukuqhelelana kokubona odokotela kuya ngobunzima besimo sakho. Abantu abane-regurgitation ephansi bangadinga ukuhlolwa njalo eminyakeni emi-3-5, kanti labo abane-cases emaphakathi kuya ezinkulu bangadinga ukuqokwa njalo ngenyanga eziyi-6-12. Udokotela wakho uzokunquma isimiso esifanele ngokuya ngesimo sakho nezimpawu zakho.