Yini Ukuhlinzwa Kwempande ye-Aortic? Inhloso, Inqubo & Ukululama

Ukuhlinzwa kwempande ye-aortic kuyinqubo yenhliziyo elungisa noma eshintsha isisekelo se-aorta yakho, umthambo omkhulu othwala igazi lisuka enhliziyweni yakho liye kuyo yonke enye ingxenye yomzimba wakho. Impande ye-aortic injengesiqalo somnyango omkhulu wokuphuma kwenhliziyo yakho, futhi uma ilimala noma yanda, ukuhlinzwa kungabuyisela ukugeleza kwegazi okufanele futhi kuvikele ukusebenza kwenhliziyo yakho.

Le nqubo ingase izwakale ikhathaza, kodwa izinkulungwane zabantu zihlinzwa ngempumelelo impande ye-aortic unyaka ngamunye. Ukuqonda okuhilelekile kungakusiza ukuthi uzizwe ulungiseleleke futhi uqiniseke ngenqubo.

Yini ukuhlinzwa kwempande ye-aortic?

Ukuhlinzwa kwempande ye-aortic kuhilela ukulungisa noma ukushintsha impande ye-aortic, okuyingxenye lapho i-aorta yakho ixhuma khona enhliziyweni yakho. Le ndawo ihlanganisa i-valve ye-aortic kanye nengxenye yokuqala ye-aorta ngokwayo.

Cabanga ngempande ye-aortic njengendawo ebalulekile lapho igazi liphuma khona ekamelweni elikhulu lokumpompa kwenhliziyo yakho. Uma le ndawo igula, yanda, noma ilimala, kungathinta ukuthi inhliziyo yakho iphampa kahle kangakanani igazi emzimbeni wakho wonke.

Kunezinhlobo eziningana zokuhlinzwa kwempande ye-aortic. Udokotela ohlinzayo angase alungise izicubu zakho ezikhona, ashintshe i-valve kuphela, noma ashintshe yonke ingxenye yempande kuye ngesimo sakho esithile.

Kungani kwenziwa ukuhlinzwa kwempande ye-aortic?

Udokotela wakho uncoma ukuhlinzwa kwempande ye-aortic lapho impande ye-aortic iba nkulu kakhulu, ilimala, noma igula ukuze ingasebenzi kahle. Lokhu kungenzeka ngenxa yezimo eziningana ezithinta ikhono lenhliziyo yakho lokumpompa igazi ngempumelelo.

Isizathu esivame kakhulu yi-aortic root aneurysm, lapho izindonga ze-aorta ziba buthakathaka futhi ziqhume ngaphandle njengebhola. Ngaphandle kokwelashwa, lokhu kuqhuma kungaba yingozi futhi kungase kubeke ukuphila engozini.

Nawa amanye amakhondishini angase adinge ukuhlinzwa kwempande ye-aortic:

• I-aortic root aneurysm (ukukhuliswa kwe-aortic root)
• Isifo se-aortic valve esithinta i-root ezungezile
• I-aortic dissection (inyembezi odongeni lwe-aortic)
• I-Marfan syndrome noma ezinye izifo zezicubu ezixhumene
• I-Bicuspid aortic valve enokukhuliswa kwe-root
• Ukutheleleka kwe-aortic root (i-endocarditis)
• Ubuthakathaka benhliziyo obuzalwa nayo obuthinta i-aortic root

Ezinye izimo ezingavamile njenge-Loeys-Dietz syndrome noma i-Ehlers-Danlos syndrome nazo zingayenza ibuthakele i-aortic root ngokuhamba kwesikhathi. Udokotela wakho uzohlola ngokucophelela isimo sakho esithile ukuze anqume ukuthi ukuhlinzwa kuyindlela engcono kakhulu kuwe.

Yini inqubo yokuhlinzwa kwe-aortic root?

Ukuhlinzwa kwe-aortic root kwenziwa ngaphansi kwe-anesthesia ejwayelekile egumbini lokusebenzela esibhedlela ngudokotela ohlinza inhliziyo. Le nqubo ngokuvamile ithatha amahora angu-3 kuya kwangu-6, kuye ngobunzima becala lakho.

Udkt. wakho ohlinzayo uzokwenza ukusikeka esifubeni sakho futhi asebenzise umshini wenhliziyo namaphaphu ukuze athathe isikhashana umsebenzi wokumpompa inhliziyo yakho ngesikhathi sokuhlinzwa. Lokhu kuvumela udkt. wakho ohlinzayo ukuthi asebenze enhliziyweni yakho ngenkathi isathule.

Izinyathelo ezithile zincike ohlotsheni lokuhlinzwa oludingayo:

1. Ukushintshwa kwe-aortic root: Udkt. wakho ohlinzayo ususa i-root elimele futhi ayishintshe ngomgraft, ngokuvamile owenziwe ngezinto zokwenziwa noma izicubu ezivela ezilwaneni
2. Ukushintshwa kwe-root okonga i-valve: I-aortic valve enempilo iyagcinwa ngenkathi kushintshwa kuphela ingxenye ye-root ekhulisiwe
3. Ukushintshwa kwe-composite graft: Kokubili i-aortic valve ne-root zishintshwa ngenyunithi eyodwa equkethe zombili izingxenye
4. Inqubo ye-Ross: I-pulmonary valve yakho ithuthwa ukuze ithathe indawo ye-aortic valve ne-root

Ngesikhathi sokuhlinzwa, udkt. wakho ohlinzayo angase adinge ukunamathisela kabusha imithambo ye-coronary ukuze aqinisekise ukuthi igazi ligeleza kahle emsipheni wenhliziyo yakho. Le yingxenye ebuthaka kodwa ejwayelekile yenqubo.

Ungalungela kanjani ukuhlinzwa kwakho kwe-aortic root?

Ukulungiselela ukuhlinzwa kwempande ye-aortic kuhilela izinyathelo eziningana ezibalulekile ezisiza ukuqinisekisa umphumela ongcono kakhulu. Ithimba lakho lokuhlinza lizokuqondisa esigabeni ngasinye sokulungiselela emasontweni ahola ngaphambi kwenqubo yakho.

Okokuqala, uzokwenza ukuhlolwa okubanzi ukuhlola ukusebenza kwenhliziyo yakho nempilo yonke. Lokhu kuvamile ukuhlanganisa ukuhlolwa kwegazi, ama-X-ray esifuba, ama-echocardiograms, futhi ngezinye izikhathi i-cardiac catheterization noma ama-CT scans.

Nakhu ongakulindela ngesikhathi sokulungiselela kwakho:

• Yeka ukubhema okungenani amasonto ama-2 ngaphambi kokuhlinzwa ukuze uthuthukise ukuphola
• Lungisa noma uyeke imithi ethile njengoba uqondiswa udokotela wakho
• Gcina inhlanzeko enhle yamazinyo futhi welaphe noma yiziphi izinkinga zamazinyo
• Landela imiyalelo yokudla ngaphambi kokuhlinzwa, ngokuvamile ukuzila ngemva kwamabili ngaphambi kokuhlinzwa
• Lungiselela umuntu ukuthi akuqhubele ekhaya futhi akusize ngesikhathi sokululama
• Lungiselela ikhaya lakho ukululama ngezihlalo ezinethezekile nezinto ezifinyeleleka kalula

Udokotela wakho angase futhi ancome ukulungiswa kwenhliziyo ngaphambi kokuhlinzwa uma unesikhathi. Lokhu kungasiza ukuqinisa inhliziyo yakho futhi kuthuthukise ukuqina kwakho konke ngenqubo.

Ungazifunda kanjani izilinganiso zakho zempande ye-aortic?

Izilinganiso zempande ye-aortic zivame ukuthathwa kusetshenziswa i-echocardiography noma ama-CT scans futhi zilinganiswa ngamamilimitha. Udokotela wakho uzoqhathanisa izilinganiso zakho nobubanzi obujwayelekile obusekelwe osayizi womzimba wakho nobudala.

Kubantu abadala abaningi, impande ye-aortic ejwayelekile ilinganisa phakathi kwama-millimeter angama-20-37 endaweni yayo ebanzi kakhulu. Kodwa-ke, udokotela wakho uzobala ukuthi yini ejwayelekile ngosayizi wakho womzimba othile esebenzisa ubude bakho, isisindo, nendawo yomzimba.

Nakhu ukuthi odokotela bavame ukuhumusha kanjani izilinganiso zempande ye-aortic:

• Okujwayelekile: Ngaphakathi kwebanga elilindelekile ngosayizi womzimba wakho
• Ikhuliswe kancane: 40-45 mm (ingase idinge ukuqapha)
• Ikhuliswe ngokulinganisela: 45-50 mm (ukuqapha okuseduze kuyadingeka)
• Ikhuliswe kakhulu: Ngaphezu kwama-50 mm (ukuhlinzwa kuvame ukunconywa)

Udkt. wakho uzobheka nokuthi impande yakho ye-aortic ikhula ngokushesha kangakanani ngokuhamba kwesikhathi. Ngisho nezilinganiso ezincane zingase zidinge ukuhlinzwa uma zikhula ngokushesha noma uma unezimo ezithile zofuzo.

Ungayiphatha kanjani ukululama kwakho ngemva kokuhlinzwa kwempande ye-aortic?

Ukwelulama ngemva kokuhlinzwa kwempande ye-aortic kuyinqubo kancane kancane ethatha izinyanga eziningana. Abantu abaningi bahlala esibhedlela izinsuku eziyi-5-7 ngemva kokuhlinzwa, ngosuku lokuqala olu-1-2 besesigumbini sokunakekelwa okukhulu ukuze baqashwe eduze.

Ngesikhathi sokuhlala kwakho esibhedlela, ithimba lakho lezokwelapha lizokusiza ukuthi uqale ukuhamba, ukuzivocavoca ukuphefumula, futhi wandise kancane kancane izinga lomsebenzi wakho. Uzoqala futhi ukuthatha imithi yokuvikela inhliziyo yakho nokuvimbela izinkinga.

Isikhathi sakho sokululama ngokuvamile silandela leli phethini:

• Namasonto amabili okuqala: Phumula ekhaya, ukuhamba okufushane, akukho ukuphakamisa okungaphezu kwamaphawundi ayi-10
• Amaviki ama-2-6: Khulisa kancane kancane ibanga lokuhamba, imisebenzi yasekhaya elula
• Amaviki ayi-6-12: Buyela emisebenzini eminingi ejwayelekile, ungase ubuyele emsebenzini
• Izinyanga ezi-3-6: Ukululama okuphelele, qala kabusha yonke imisebenzi okuhlanganisa nokuzivocavoca

Uzodinga ukuthatha imithi yokunciphisa igazi uma uthole i-valve yomshini, futhi uzoba nokuqokwa okulandelayo njalo ukuze uqaphe inqubekela phambili yakho. Abantu abaningi bazizwa ngcono kakhulu ezinyangeni ezimbalwa futhi bangabuyela endleleni yabo yokuphila ejwayelekile.

Yini umphumela ongcono kakhulu wokuhlinzwa kwempande ye-aortic?

Umphumela ongcono kakhulu wokuhlinzwa kwempande ye-aortic ukuthi lapho inqubo ivimbela ngempumelelo izinkinga eziyingozi ngenkathi ikuvumela ukuthi ubuyele emisebenzini yakho ejwayelekile ngomsebenzi wenhliziyo othuthukisiwe. Amazinga empumelelo yokuhlinzwa kwempande ye-aortic akhuthaza kakhulu, nabantu abaningi bethola imiphumela emihle yesikhathi eside.

Ukuhlinzwa kwesimanje kwempande ye-aortic kunenani eliphezulu kakhulu lokuphumelela, ngaphezu kwama-95% abantu abasinda kulolu hlelo futhi baqhubeke nokuphila impilo ejwayelekile, esebenzayo. Ukuhlinzwa kuqeda ngempumelelo ingozi yokuqhekeka kwe-aortic futhi kuvame ukuthuthukisa izimpawu ongase ube nazo.

Imiphumela emihle yesikhathi eside ngokuvamile ihlanganisa:

• Ukuqedwa okuphelele kwengozi yokuqhekeka kwe-aneurysm
• Ukuqiniswa kokubekezelela ukuzivocavoca kanye namazinga wamandla
• Ukusizwa ezimpawini ezinjengobuhlungu besifuba noma ukuphefumula kanzima
• Ukubuyela emisebenzini yansuku zonke ejwayelekile phakathi nezinyanga ezi-3-6
• Amanani amahle okusinda eminyaka eyi-10 (angaphezu kwama-90%)

Umphumela wakho ngamunye uncike ezintweni ezinjengobudala bakho, impilo yonke, kanye nohlobo oluthile lokuhlinzwa oludingayo. Abantu abaningi bayamangala ukuthi bazizwa kangcono kangakanani ngemva kokululama kulolu hlelo.

Ziyini izici eziyingozi zokudinga ukuhlinzwa kwempande ye-aortic?

Izici eziningana eziyingozi zingakhuphula amathuba akho okuthuthukisa izinkinga zempande ye-aortic ezingase zidinge ukuhlinzwa. Ukuqonda lezi zici kungakusiza kanye nodokotela wakho ukuthi baqaphe impilo yenhliziyo yakho ngokucophelela.

Isici esiyingozi esibaluleke kakhulu ukuba nesimo sezakhi zofuzo esithinta izicubu zakho ezixhumayo, njenge-Marfan syndrome noma i-bicuspid aortic valve. Lezi zimo zivame ukuzuzwa ngofuzo futhi zingabangela ukuthi impande ye-aortic ikhule ngokuhamba kwesikhathi.

Nazi izici eziyingozi eziyinhloko okufanele uziqaphele:

• Umlando womndeni wama-aneurysms e-aortic noma ukufa okungazelelwe kwenhliziyo
• I-Marfan syndrome noma ezinye izifo zezicubu ezixhumayo
• I-Bicuspid aortic valve (izalwe ngamapheshana amabili e-valve esikhundleni samathathu)
• Umfutho wegazi ophezulu, ikakhulukazi uma ungaphathwa kahle
• Izifo ze-valve yenhliziyo zangaphambilini (i-endocarditis)
• Ukulimala kwesifuba noma ukuhlinzwa kwenhliziyo kwangaphambilini
• Ezinye izimo ze-autoimmune

Ubudala nobulili nabo badlala indima, nezinkinga ze-aortic root zivame kakhulu emadodeni nakubantu abangaphezu kweminyaka engama-60. Kodwa-ke, izimo zemvelo zingabangela ukukhula kwe-aortic root kunoma iyiphi iminyaka, yingakho umlando womndeni ubaluleke kangaka.

Ingabe kungcono ukuhlinzwa kwe-aortic root ngaphambi kwesikhathi noma okuhlehlisiwe?

Isikhathi sokuhlinzwa kwe-aortic root sincike ekulinganiseni izingozi zokulinda ngokumelene nezingozi zokuhlinzwa uqobo. Ezimweni eziningi, ukuhlinzwa ngaphambi kwesikhathi kunconywa lapho izilinganiso noma izimpawu zifinyelela emingceleni ethile, kunokulinda isimo esiphuthumayo.

Ukuhlinzwa ngaphambi kwesikhathi kuvame ukuba ngcono lapho i-aortic root yakho ifinyelela imigomo ethile yosayizi noma uma uhlangabezana nezimpawu. Ukulinda isikhathi eside kungakhuphula ingozi yezinkinga ezisongela impilo njengokuqhekeka kwe-aortic noma ukuhlukaniswa.

Udokotela wakho uzoncoma ukuhlinzwa ngokushesha uma:

• I-aortic root inkulu kuno-50 mm ngobubanzi
• Ukukhula okusheshayo (ngaphezu kuka-5 mm ngonyaka)
• Izimpawu ezinjengobuhlungu besifuba noma ukuphefumula kanzima
• Umlando womndeni wokuhlukaniswa kwe-aortic
• Izimo zemvelo ezinjenge-Marfan syndrome
• Izinhlelo zokukhulelwa (abesifazane abane-aortic roots ekhulisiwe)

Ukuhlinzwa okukhethiwe okwenziwa ngaphambi kokuthi kuvele izimo eziphuthumayo ngokuvamile kunemiphumela engcono nengozi ephansi uma kuqhathaniswa nezinqubo eziphuthumayo. Ithimba lakho lokuhlinza lingahlela ngokucophelela futhi ungalungiselela ngokomzimba nangokomzwelo.

Ziyini izinkinga ezingaba khona zokukhula kwe-aortic root okungelashwa?

Ukukhula kwe-aortic root okungelashwa kungaholela ezinkingeni ezingathi sína, ezingasongela impilo. Ingozi eyingozi kakhulu ukuhlukaniswa kwe-aortic noma ukuqhekeka, okungenzeka kungazelelwe futhi kudinga ukwelashwa okuphuthumayo ngokushesha.

Njengoba i-aortic root iqhubeka nokukhula, izindonga ziba zincane futhi zibuthaka, okwenza kube maningi amathuba okuqhekeka. Lokhu kudala isimo esiphuthumayo sezokwelapha esingabulala uma singelashwa ngokushesha.

Izinkinga ezingathi sína kakhulu zihlanganisa:

• Ukuqhekeka kwe-aortic (inyembezi odongeni lwe-aortic)
• Ukuqhekeka kwe-aortic (ukuqhekeka okuphelele odongeni lwe-aortic)
• Ukuphindaphinda okukhulu kwe-valve ye-aortic (ukuvuza kwe-valve)
• Ukwehluleka kwenhliziyo ngenxa yokusebenza okubi kwe-valve
• Amaqhubu egazi akheka endaweni enwetshiwe
• Ukucindezelwa kwezakhiwo zenhliziyo eziseduze

Ezinye izinkinga ezingavamile zifaka phakathi ukucindezelwa kwemithambo yegazi ye-coronary, enikeza igazi emisipheni yenhliziyo yakho, noma ukucindezelwa kwezakhiwo eziseduze njenge-superior vena cava. Lezi zimo zidinga ukunakekelwa kwezokwelapha ngokushesha.

Izindaba ezinhle ukuthi lezi zinkinga zingavinjelwa ngokuhlinzwa ngesikhathi esifanele. Ukuqapha njalo nokulandela izincomo zikadokotela wakho kungasiza ukubamba izinkinga ngaphambi kokuba zibe yingozi.

Yiziphi izinkinga ezingaba khona zokuhlinzwa kwezimpande ze-aortic?

Njenganoma yikuphi ukuhlinzwa okukhulu, ukuhlinzwa kwezimpande ze-aortic kuthwala ezinye izingozi, nakuba izinkinga ezinzima zingavamile namaqembu okuhlinza anolwazi. Ukuqonda lezi zinkinga ezingaba khona kungakusiza ukuthi wenze isinqumo esinolwazi futhi ulungiselele ukululama kwakho.

Izinkinga ezivame kakhulu zisesikhashana futhi zixazululwa ngesikhathi sokululama kwakho. Lokhu kungase kuhlanganise ukushaya kwenhliziyo okungajwayelekile okwesikhashana, ukugcinwa kwamanzi, noma izifo ezithambile eziphendula kahle ekwelashweni.

Izinkinga ezingaba khona zihlanganisa:

• Ukuphuma kwegazi okungase kudingeke ukumpontshelwa igazi
• Ukutheleleka endaweni yokuhlinzwa noma emgudwini wegazi
• Ukushaya kwenhliziyo okungajwayelekile (arrhythmias)
• Isifo sohlangothi noma izinkinga zemizwa
• Izinkinga zezinso ezivela emshinini wenhliziyo namaphaphu
• Izinkinga ngokulungiswa kokuhlinzwa okudinga ukuhlinzwa okwengeziwe

Izinkinga ezingavamile kodwa ezinzima zihlanganisa ukuhlaselwa yinhliziyo, ukuphuma kwegazi okukhulu, noma izinkinga nge-valve entsha noma i-graft. Ithimba lakho lokuhlinza lizokuqapha eduze ukuze livimbele futhi liphathe ngokushesha noma yiziphi izinkinga ezingase zivele.

Izinga lokuhlupheka ngokujwayelekile liphansi, futhi abantu abaningi bayalulama ngokuphelele ngaphandle kwezinkinga ezihlala njalo. Udokotela ohlinzayo uzoxoxa ngezinto eziyingozi kuwe futhi aphendule noma yikuphi ukukhathazeka okuthile ongase ube nakho.

Kufanele ngibone nini udokotela ngezinkinga ze-aortic root?

Kufanele ubone udokotela uma uba nezimpawu ezingase zikhombe izinkinga ze-aortic root, ikakhulukazi uma unezinto eziyingozi njomlando womndeni noma izimo zofuzo. Ukutholwa kusenesikhathi nokuqapha kungavimbela izinkinga ezinzima.

Ungalindi uma uba nobuhlungu besifuba, ikakhulukazi uma bunzima, bengazelelwe, noma bukhanya emhlane wakho. Lokhu kungaba yizimpawu ze-aortic dissection, edinga ukwelashwa okuphuthumayo.

Hlela i-aphoyintimenti nodokotela wakho uma une:

• Ubuhlungu besifuba noma ukungakhululeki, ikakhulukazi ngomsebenzi
• Ukuphefumula kanzima ngesikhathi semisebenzi ejwayelekile
• Ukukhathala noma ubuthakathaka obuqhubekayo
• Ukuquleka noma izigameko zokucishe uquleke
• Ukushaya kwenhliziyo okungajwayelekile noma ukushaya kwenhliziyo okungajwayelekile
• Umlando womndeni wezinkinga ze-aortic noma ukufa kwenhliziyo okungazelelwe

Uma unesimo sofuzo esaziwayo njenge-Marfan syndrome noma i-bicuspid aortic valve, kufanele ube nokuhlolwa kwenhliziyo njalo noma ngabe uzizwa kahle. Ukuqapha kusenesikhathi kungabamba izinkinga ngaphambi kokuba zibe zimbi.

Shayela ku-911 ngokushesha uma uba nobuhlungu besifuba obungazelelwe, obunzima obuzizwa njengokudwengula, ikakhulukazi uma buhamba buyoshaya emhlane wakho. Lokhu kungabonisa i-aortic dissection, okuyisimo esiphuthumayo sezokwelapha.

Imibuzo evame ukubuzwa mayelana nokuhlinzwa kwe-aortic root

Q.1 Ingabe ukuhlinzwa kwe-aortic root kulungile ku-bicuspid aortic valve?

Yebo, ukuhlinzwa kwe-aortic root kungasebenza kahle kakhulu kubantu abane-bicuspid aortic valve lapho i-aortic root iba nkulu. I-bicuspid aortic valve yisimo esivamile sokuzalwa lapho uzalwa khona unamaqabunga amabili e-valve esikhundleni samathathu.

Abantu abane-bicuspid aortic valve bavame ukuthuthukisa ukukhuliswa kwempande ye-aortic ngokuhamba kwesikhathi. Ukuhlinzwa kungabhekana nenkinga ye-valve nokukhuliswa kwempande, kuye ngesimo sakho esithile. Ngezinye izikhathi impande kuphela edinga ukushintshwa ngenkathi kugcinwa i-valve yakho.

Q.2 Ingabe ukukhuliswa kwempande ye-aortic kubangela ubuhlungu besifuba?

Ukukhuliswa kwempande ye-aortic kungabangela ubuhlungu besifuba, nakuba abantu abaningi bengabi nazimpawu kuze kube yilapho lesi simo siba sesithuthukile. Ubuhlungu bungazizwa njengengcindezi, ukuqina, noma ukungakhululeki esifubeni sakho.

Ubuhlungu besifuba buvame ukwenzeka ngoba impande ekhulisiwe ithinta ukuthi inhliziyo yakho iphampa kahle kangakanani igazi noma ngoba i-valve ye-aortic ayisebenzi kahle. Abanye abantu futhi bahlangabezana nokuphefumula kanzima noma ukukhathala kanye nokungakhululeki esifubeni.

Q.3 Ngingakwazi yini ukuzivocavoca ngemva kokuhlinzwa kwempande ye-aortic?

Abantu abaningi bangakwazi ukubuyela ekuzivocavoceni okuvamile ngemva kokululama ngokugcwele ekuhlinzweni kwempande ye-aortic, ngokuvamile phakathi kwezinyanga ezi-3-6. Udokotela wakho uzohlinzeka ngemihlahlandlela ethile esekelwe ohlotsheni lokuhlinzwa kwakho nokuqhubeka kokululama.

Uzoqala ngokuhamba kancane kancane futhi wandise kancane izinga lomsebenzi wakho. Abantu abaningi bangagcina bebandakanyeka ekuzivocavoceni okulingene njengokubhukuda, ukuhamba ngebhayisikili, noma ukugijima. Udokotela wakho angase ancome ukugwema imisebenzi enamandla kakhulu noma ezemidlalo zokuxhumana.

Q.4 Zingahlala isikhathi esingakanani ukulungiswa kwempande ye-aortic?

Ukulungiswa kwempande ye-aortic kuvamile ukuhlala iminyaka eminingi, ngokuvamile amashumi eminyaka, ikakhulukazi ngamasu okuhlinza anamuhla nezinto ezisetshenziswayo. Ubude bokuphila buxhomeke ezintweni ezinjengobudala bakho, uhlobo lokulungisa, nokuthi ulandela kahle kangakanani uhlelo lwakho lokunakekelwa ngemva kokuhlinzwa.

Ama-valve emishini angahlala iminyaka engama-20-30 noma ngaphezulu, kuyilapho ama-valve ezicubu ngokuvamile ahlala iminyaka eyi-15-20. Udokotela ohlinzayo uzokhetha inketho engcono kakhulu esekelwe eminyakeni yakho, indlela yokuphila, nezintandokazi mayelana nokuthatha imithi yokunciphisa igazi.

Q.5 Ngizodinga imithi yokuphila konke ngemva kokuhlinzwa kwempande ye-aortic?

Imithi ozoyidinga ngemva kokuhlinzwa incike ohlotsheni lokulungisa olutholayo. Uma uthola i-valve yomshini, uzodinga imithi yokunciphisa igazi impilo yakho yonke ukuvimbela ukwakheka kwamahlule ku-valve.

Uma uthola i-tissue valve noma ukulungisa okuvimbela i-valve, kungenzeka udinga imithi okwesikhashana ngesikhathi sokululama kwakho. Abantu abaningi ekugcineni bathatha imithi eyisisekelo enempilo yenhliziyo efana naleyo esetshenziselwa ukuphatha umfutho wegazi noma i-cholesterol.