Kuyini Ukulungiswa Komvalvo We-Aortic kanye Nokushintshwa Komvalvo We-Aortic? Inhloso, Inqubo & Nemiphumela

Ukulungiswa komvalvo we-aortic kanye nokushintshwa komvalvo we-aortic kuyizinqubo zenhliziyo ezilungisa izinkinga ngomvalvo wakho we-aortic, isango eliphakathi kwenhliziyo yakho kanye nomzimba wakho wonke. Lapho lo mvalvo ungasebenzi kahle, inhliziyo yakho kufanele isebenze kanzima kakhulu ukuze ipompe igazi, okungaholela ezinkingeni ezinkulu zempilo ngokuhamba kwesikhathi.

Cabanga ngomvalvo wakho we-aortic njengomnyango onendlela eyodwa ovuleka ukuze uvumele igazi ligelele lisuka enhliziyweni yakho liye emzimbeni wakho, bese uvala ukuze uvimbele igazi ukuthi lingageleli emuva. Lapho lo mnyango uba mncane kakhulu, uvuzela kakhulu, noma ungavuleki futhi uvale kahle, ukuhlinzwa kungasiza ukubuyisela ukugeleza kwegazi okuvamile futhi kunciphise ukucindezeleka enhliziyweni yakho.

Kuyini ukulungiswa komvalvo we-aortic kanye nokushintshwa komvalvo we-aortic?

Ukulungiswa komvalvo we-aortic kusho ukulungisa umvalvo wakho okhona ukuze uwusize ukuthi usebenze kangcono. Ngesikhathi sokulungisa, udokotela ohlinzayo ulungisa noma wakhe kabusha izingxenye zomvalvo wakho wemvelo ngenkathi egcina umvalvo wokuqala endaweni. Le ndlela igcina izicubu zomzimba wakho uma kungenzeka.

Ukushintshwa komvalvo we-aortic kuhilela ukususa umvalvo wakho owonakele bese ufaka omusha. Umvalvo wokushintsha ungaba ngowomshini (owenziwe ngezinto eziqinile njengensimbi nekhabhoni) noma ophilayo (owenziwe ngezicubu zezilwane noma zomuntu). Udokotela ohlinzayo uzoxoxa ukuthi iyiphi inketho esebenza kangcono esimweni sakho esithile.

Zombili izinqubo zihlose ukubuyisela ukugeleza kwegazi okuvamile ngenhliziyo yakho. Ukulungisa kuvame ukukhethwa uma kungenzeka ngoba kugcina umvalvo wakho wemvelo, kodwa ukushintshwa kuba okudingekayo lapho umonakalo mkhulu kakhulu ukuthi ungalungiswa.

Kungani kulungiswa futhi kushintshwa umvalvo we-aortic?

Lezi zinqubo zelapha izinkinga ezimbili eziyinhloko ngomvalvo wakho we-aortic: i-stenosis kanye ne-regurgitation. I-Aortic stenosis yenzeka lapho umvalvo wakho uba mncane futhi uqina, okwenza kube nzima ukuthi igazi ligelele liphume enhliziyweni yakho. I-Aortic regurgitation yenzeka lapho umvalvo wakho ungavali kahle, okuvumela igazi ukuthi livuzele emuva enhliziyweni yakho.

Ngaphandle kokwelashwa, lezi zimo ziphoqa inhliziyo yakho ukuthi isebenze ngokweqile. Ezinyangeni noma eminyakeni, lokhu kucindezela okwengeziwe kungase kunciphise imisipha yenhliziyo yakho futhi kuholele ekwehlulekeni kwenhliziyo. Ungase uzwe ubuhlungu besifuba, ukuphefumula kanzima, isiyezi, noma ukukhathala njengoba inhliziyo yakho ilwela ukumpompa igazi ngempumelelo.

Udokotela wakho angase ancome ukuhlinzwa uma izimpawu zakho zithinta impilo yakho yansuku zonke noma uma izivivinyo zibonisa ukuthi ukusebenza kwenhliziyo yakho kuyancipha. Ngezinye izikhathi ukuhlinzwa kuyatuswa ngisho nangaphambi kokuthi izimpawu zivele, ikakhulukazi uma inkinga ye-valve inkulu futhi cishe izoba zimbi kakhulu.

Umgomo uwukulungisa inkinga ngaphambi kokuthi ibangele umonakalo unomphela enhliziyweni yakho. Ukungenelela ngokushesha kuvame ukuholela emiphumeleni engcono futhi kungakusiza ukuthi ubuyele emisebenzini yakho ejwayelekile ngamandla athuthukisiwe nokunethezeka.

Yini inqubo yokulungisa nokufaka esikhundleni se-valve ye-aortic?

Izinyathelo ezithile zincike ekutheni ngabe uhlinzwa ngendlela yendabuko yokuhlinzwa kwenhliziyo evulekile noma indlela encane yokuhlasela. Iningi lezinqubo ze-valve ye-aortic zenziwa ngaphansi kwe-anesthesia ejwayelekile, ngakho-ke uzobe ulele ngokuphelele ngesikhathi sokuhlinzwa.

Ngesikhathi sokuhlinzwa kwenhliziyo evulekile yendabuko, udokotela ohlinzayo wenza ukusikeka phakathi nendawo yesifuba sakho futhi amise okwesikhashana inhliziyo yakho esebenzisa umshini wenhliziyo namaphaphu. Lo mshini uthatha umsebenzi wokumpompa igazi nokwengeza umoya-mpilo ngenkathi udokotela ohlinzayo esebenza ku-valve yakho.

Ukuze kulungiswe i-valve, udokotela ohlinzayo angase ahlukanise ama-leaflet e-valve ahlanganisiwe, asuse izicubu ezingeziwe, noma engeze indandatho yokusekela ukusiza i-valve ivaleke kahle. Indlela eqondile incike kulokho okubangela ukuthi i-valve yakho ingasebenzi kahle.

Ukuze kufakwe i-valve esikhundleni, udokotela ohlinzayo ususa i-valve elimele bese ethunga entsha endaweni. Uma uthola i-valve yomshini, uzodinga ukuthatha imithi yokunciphisa igazi impilo yakho yonke. Ama-valve e-biological ngokuvamile awadingi ama-blood thinner esikhathi eside kodwa angase adinge ukufakwa esikhundleni ngemva kweminyaka engu-10-20.

Izindlela ezingahlaseli kakhulu zisebenzisa ukusikeka okuncane kanye namathuluzi akhethekile. Ezinye izinqubo zingenzeka ngisho nangethambo elifakwe emlenzeni wakho, okusho ukuthi akukho ukusikeka esifubeni nhlobo. Ithimba lakho labahlinzi lizothola indlela engcono kakhulu ngokusekelwe esimweni sakho esithile kanye nempilo yakho yonke.

Ungalungiselela kanjani inqubo yakho ye-aortic valve?

Ukulungiselela kuvame ukuqala emasontweni ambalwa ngaphambi kokuhlinzwa kwakho. Ithimba lakho lezokwelapha lizokwenza izivivinyo ezihlukahlukene ukuze liqinisekise ukuthi usukulungele inqubo nokuhlela indlela ephephe kakhulu yesimo sakho esithile.

Kungenzeka udinga ukuhlolwa kwegazi, ama-X-ray esifuba, i-electrocardiogram, kanye nezifundo ezinemininingwane yokucabanga kwenhliziyo. Lezi zivivinyo zisiza udokotela ohlinzayo ukuthi aqonde kahle ukuthi yini engahambi kahle nge-valve yakho futhi ahlele indlela engcono kakhulu yokuyilungisa. Ungase futhi udinge ukubona ezinye izazi, njengodokotela wamaphaphu noma uchwepheshe wezinso, ukuze uthuthukise impilo yakho yonke.

Udokotela wakho uzobuyekeza yonke imithi yakho futhi angase akucele ukuthi uyeke eminye ngaphambi kokuhlinzwa. Ama-blood thinners, imithi elwa nokuvuvukala, kanye nezinye izithasiselo kungakhuphula ingozi yokopha ngesikhathi sokuhlinzwa. Ungalokothi uyeke imithi ngaphandle kokuxoxa ngayo nethimba lakho lezokwelapha kuqala.

Ngaphambi kokuhlinzwa, gxila ekudleni kahle, ukuthola ukuphumula okwanele, nokuhlala usebenza njengoba izimpawu zakho zikuvumela. Uma ubhema, ukuyeka ngisho namasonto ambalwa ngaphambi kokuhlinzwa kungathuthukisa kakhulu ukuphola kwakho. Ithimba lakho lingase futhi lincomende ukuzivocavoca ukuphefumula noma ukuhlangana nomqeqeshi womzimba ukulungiselela umzimba wakho ukululama.

Ungawafunda kanjani imiphumela yakho yokuhlolwa kwe-aortic valve?

Ukuqonda imiphumela yakho yokuhlolwa kukusiza ukuthi wenze izinqumo ezinolwazi mayelana nokunakekelwa kwakho. Ukuhlolwa okuvame kakhulu yi-echocardiogram, esebenzisa amaza omsindo ukudala izithombe zenhliziyo yakho futhi ilinganise ukuthi i-valve yakho isebenza kahle kangakanani.

Nge-aortic stenosis, odokotela babheka indawo ye-valve kanye ne-pressure gradients. Indawo evamile ye-aortic valve ingu-3-4 square centimeters. I-Mild stenosis ikhombisa indawo engu-1.5-2.0 cm², i-moderate stenosis ingu-1.0-1.5 cm², kanti i-severe stenosis ingaphansi kuka-1.0 cm². Ama-pressure gradients aphezulu abonisa ukuncipha okukhulu.

Nge-aortic regurgitation, ubunzima buvame ukuchazwa njengobuncane, obumaphakathi, noma obukhulu ngokusekelwe ekutheni igazi livuza kangakanani emuva. Udokotela wakho uzobheka nokuthi imisipha yenhliziyo yakho isabela kanjani emsebenzini owengeziwe obangelwa yi-valve evuzayo.

Ezinye izilinganiso ezibalulekile zihlanganisa i-ejection fraction yakho, ekhombisa ukuthi inhliziyo yakho iphampa kahle kangakanani igazi ngokuqina ngakunye. I-ejection fraction evamile ngokuvamile ingu-55% noma ngaphezulu. Izinombolo eziphansi zingase zibonise ukuthi imisipha yenhliziyo yakho ithinteka yinkinga ye-valve.

Udokotela wakho uzokuchazela ukuthi lezi zinombolo zisho ukuthini ngesimo sakho esithile. Isinqumo sokuhlinzwa asisekelwe ezinombolweni kuphela kodwa sicabangela izimpawu zakho, impilo yonke, kanye nezici eziyingozi ndawonye.

Ungayiphatha kanjani isimo sakho ngemva kokuhlinzwa kwe-aortic valve?

Ukwelulama ngemva kokuhlinzwa kwe-aortic valve kuyinqubo kancane kancane ethatha izinyanga eziningana. Abantu abaningi bachitha izinsuku eziyi-3-7 esibhedlela, ngosuku lokuqala noma ezimbili besesigumbini sokunakekelwa okukhulu ukuze baqashwe eduze.

Ngesikhathi sokuhlala kwakho esibhedlela, uzosebenza nabahlengikazi kanye nabaqeqeshi bomzimba ukuze uhambe ngokuphepha. Ukuhamba amabanga amafushane nokwenza izivivinyo zokuphefumula kusiza ekuvikeleni izinkinga futhi kusheshise ukululama kwakho. Uzofunda nokuthi ungayinakekela kanjani i-incision yakho futhi uqaphele izimpawu zezinkinga ezingaba khona.

Uma usendlini, kancane kancane wandise imisebenzi yakho njengoba amandla akho ebuyela. Abantu abaningi bangakwazi ukubuyela emisebenzini elula phakathi namasonto ambalwa, kodwa kuthatha amasonto angu-6-8 ukuthi ithambo lakho lesifuba liphole ngokuphelele uma uhlinzwe inhliziyo evulekile. Gwema ukuphakamisa izinto ezisindayo ngalesi sikhathi.

Ukuqokwa okulandelayo kubalulekile ekuqapheliseni ivalvu yakho entsha noma elungisiwe. Udokotela wakho uzohlela ukuhlolwa okuvamile kanye nama-echocardiograms ngezikhathi ezithile ukuze aqinisekise ukuthi konke kusebenza kahle. Uma une-valve yomshini, uzodinga ukuhlolwa kwegazi njalo ukuze uqaphele imithi yakho yokunciphisa igazi.

Izinhlelo zokuvuselelwa kwenhliziyo zingaba usizo olukhulu ngesikhathi sokululama. Lezi zinhlelo zokuzivocavoca eziqondisiwe zikusiza ukuthi wakhe kabusha amandla akho nokukhuthazela ngokuphephile ngenkathi ufunda ngezinguquko zokuphila ezinempilo yenhliziyo.

Uyini umphumela ongcono kakhulu wezinqubo ze-aortic valve?

Umphumela ongcono kakhulu yi-valve esebenza kahle ekuvumela ukuthi ubuyele emisebenzini yakho ejwayelekile ngaphandle kwezimpawu. Abantu abaningi bathola ukuthuthuka okukhulu emazingeni abo wamandla, ukuphefumula, kanye nekhwalithi yempilo iyonke ngemva kokuhlinzwa kwe-valve okuphumelelayo.

Amanani empumelelo ezinqubweni ze-aortic valve ngokuvamile aphezulu kakhulu, ngaphezu kuka-95% wabantu abasinda ekuhlinzweni futhi iningi lithola imiphumela emihle yesikhathi eside. Okhiye womphumela ongcono kakhulu ukwenza inqubo ngaphambi kokuba imisipha yenhliziyo yakho ibe buthakathaka kakhulu.

Nge-valve elungisiwe, ungalindela ukuthi ihlale iminyaka eminingi, ngokuvamile impilo yakho yonke. Ama-valve okushintshwa ngomshini aqinile kakhulu futhi akuvamile ukuthi adinge ukushintshwa, kuyilapho ama-valve e-biological ngokuvamile ahlala iminyaka engu-15-20 noma ngaphezulu, ikakhulukazi ezigulini ezindala.

Isimo sakho sesikhathi eside sincike ezintweni eziningana, okuhlanganisa iminyaka yakho, impilo yonke, nokuthi imisipha yakho yenhliziyo ilulame kahle kangakanani enkingeni ye-valve. Abantu abaningi babuyela emsebenzini, bahambe, bazivocavoce, futhi bajabulele yonke imisebenzi yabo abayithandayo ngemva kokululama.

Ukwenza lokho okushiwo udokotela wakho mayelana nokunakekelwa okulandelayo, ukuthatha imithi ebekiwe, nokugcina indlela yokuphila enempilo yenhliziyo konke kunomthelela emiphumeleni engcono kakhulu yesikhathi eside.

Yiziphi izici eziyingozi zokudinga ukuhlinzwa kwe-aortic valve?

Izinto eziningi zingakhuphula amathuba akho okuba nezinkinga ze-aortic valve ezingase zigcine zidinga ukuhlinzwa. Ubudala buyisici esivame kakhulu esiyingozi, njengoba izinkinga ze-valve zivame ukuthuthuka kancane kancane eminyakeni eminingi yokuguga nokuguga.

Abanye abantu bazalwa benobunzima be-valve obenza izinkinga zibe maningi kamuva empilweni. I-bicuspid aortic valve, lapho i-valve inamaqabunga amabili esikhundleni samathathu, ithinta cishe u-1-2% wabantu futhi ivame ukuholela ezinkingeni ze-valve eminyakeni ephakathi.

Nawa amaphuzu ayinhloko ayingozi angaba nomthelela esifweni se-aortic valve:

• Ubudala obuthuthukile (obuvame kakhulu kubantu abaneminyaka engaphezu kwengama-65)
• Ubuthakathaka benhliziyo obuzalwa nayo, ikakhulukazi i-bicuspid aortic valve
• Umlando womkhuhlane we-rheumatic noma isifo senhliziyo se-rheumatic
• Umfutho wegazi ophezulu obeka ingcindezi eyengeziwe ku-valve
• I-cholesterol ephezulu eholela ekwakhekeni kwe-calcium kumaqabunga e-valve
• Isifo sikashukela, esingasheshisa ukuguga kwe-valve
• Isifo sezinso, ikakhulukazi labo abadinga i-dialysis
• Ukwelashwa ngemisebe yesifuba yangaphambilini
• Ezinye izimo ze-autoimmune
• Umlando womndeni wesifo se-valve

Ukuba nalezi zici eziyingozi akusho ukuthi nakanjani uzodinga ukuhlinzwa kwe-valve, kodwa zikhuphula amathuba akho okuba nezinkinga ze-valve. Ukuhlolwa njalo kungasiza ukuthola izinkinga ekuqaleni lapho izinketho zokwelapha ziphumelela kakhulu.

Ingabe kungcono ukulungisa i-valve noma ukuyishintsha?

Ukulungiswa kwe-valve kuvame ukukhethwa lapho kungenzeka ngokobuchwepheshe futhi kungenzeka ukuthi kunikeze umphumela ohlala isikhathi eside. Ukulungisa kugcina izicubu zakho zemvelo ze-valve, ezivame ukuhlala isikhathi eside futhi zibe nengozi ephansi yezinkinga uma ziqhathaniswa nama-valve okushintshwa.

Ngokulungisa, ngokuvamile awudingi imithi yokunciphisa igazi yesikhathi eside, okususa izingozi zokuphuma kwegazi ezihambisana nale mithi. Izicubu zakho zemvelo ze-valve nazo zivame ukumelana nokutheleleka kangcono kunezinto zokwenziwa.

Noma kunjalo, ukulungisa akuhlali kungenzeka noma kunconywa. Uma ivalvu yakho yonakele kakhulu noma ukulungisa kungenzeka kungahlali isikhathi eside, ukufaka esikhundleni kuba yindlela engcono. Ezinye izinkinga ze-valve, ikakhulukazi i-calcification enkulu noma izinhlobo ezithile zomonakalo wesakhiwo, kungcono ukuzelapha ngokufaka esikhundleni.

Udkt wakho ohlinzayo uzohlola ngokucophelela isimo sakho esithile esebenzisa izifundo zokucabanga futhi ngezinye izikhathi ukuhlolwa okuqondile ngesikhathi sokuhlinzwa. Isinqumo sincike ezintweni ezinjengobudala bakho, uhlobo nobukhulu bomonakalo we-valve, impilo yakho yonke, nezintandokazi zakho mayelana nokusetshenziswa kwemithi yesikhathi eside.

Kokubili ukulungisa nokufaka esikhundleni kungahlinzeka ngemiphumela emihle uma kwenziwa odokotela abahlinzayo abanolwazi. Into ebaluleke kakhulu ukukhetha indlela okungenzeka ukuthi izokunikeza umphumela ongcono kakhulu wesikhathi eside ngokuya ngezimo zakho.

Ziyini izinkinga ezingaba khona zokuhlinzwa kwe-aortic valve?

Ngenkathi ukuhlinzwa kwe-aortic valve kuvamile ukuthi kuphephile futhi kuyaphumelela, njenganoma yikuphi ukuhlinzwa okukhulu, kuletha ezinye izingozi. Ukuqonda lezi zinkinga ezingaba khona kukusiza ukuthi wenze izinqumo ezinolwazi futhi wazi ukuthi yini okufanele uyibheke ngesikhathi sokululama.

Izinkinga ezivame kakhulu zivame ukuba zesikhashana futhi zilawuleka ngokunakekelwa okufanele kwezokwelapha. Lokhu kungabandakanya ukushaya kwenhliziyo okungajwayelekile, ukungasebenzi kahle kwezinso okwesikhashana, noma ukopha okuncane okudinga ukuqapha kodwa okuvame ukuzixazulula ngokwako.

Nawa ama-complications ezingaba khona, kusukela kokuvamile kuya kokungavamile:

• Ukushaya kwenhliziyo okungajwayelekile (i-arrhythmias) okungase kudingeke imithi noma ukuqapha
• Ukuphuma kwegazi okungase kudingeke ukumpontshelwa igazi
• Ukunyuka kwamagciwane endaweni yokuhlinzwa noma okubandakanya i-valve entsha
• Amaqhubu egazi angahamba aye kwezinye izitho zomzimba
• Izinkinga zesikhashana zezinso, ikakhulukazi kubantu abanezifo zezinso ezikhona
• Izinkinga zokuphefumula ezidinga ukusekelwa kokuphefumula kwesikhashana
• Ukushaywa unhlangothi, okuyivelakancane kodwa okungenzeka kakhulu kubantu abanezici eziyingozi ezikhona
• Ukuhlaselwa yinhliziyo, ikakhulukazi kubantu abanezifo zemithambo yenhliziyo ezikhona
• Izinkinga ze-valve ezidinga ukuhlinzwa okwengeziwe
• Ushintsho lwememori noma lokucabanga, ngokuvamile okwesikhashana

Ingozi yezinkinga ezinzima iphansi uma iqhathaniswa, ikakhulukazi uma ukuhlinzwa kwenziwa ezikhungweni ezinolwazi oluningi. Ithimba lakho lokuhlinzwa lizoxoxa ngezici zakho eziyingozi futhi lithathe izinyathelo zokunciphisa izinkinga ngokusekelwe esimweni sakho sempilo esithile.

Kufanele ngibone nini udokotela ngezinkinga ze-valve ye-aortic?

Kufanele uthinte udokotela wakho uma uba nezimpawu ezingase zibonise izinkinga ze-valve, ikakhulukazi uma zintsha noma ziba zimbi kakhulu. Ukutholwa kwangaphambi kwesikhathi nokwelashwa kwezinkinga ze-valve kuvame ukuholela emiphumeleni engcono.

Ubuhlungu besifuba, ukuphefumula kanzima, isiyezi, noma ukuquleka konke kungaba yizimpawu zezinkinga ze-valve, nakuba zingase zibonise ezinye izimo zenhliziyo. Ungazishayi indiva lezi zimpawu, ikakhulukazi uma zenzeka ngesikhathi somsebenzi womzimba noma zibonakala zivame kakhulu.

Ngemva kokuhlinzwa kwe-valve, ezinye izimpawu zidinga ukunakekelwa kwezokwelapha ngokushesha. Shayela udokotela wakho ngokushesha uma uba nomkhuhlane, uqaphela ukwanda kobubomvu noma ukuphuma emgodini wakho, noma uba nobuhlungu besifuba obuzumayo noma ukuphefumula kanzima okukhulu.

Uma une-valve yomshini, noma yikuphi ukopha okungajwayelekile noma ukuqaqeka kufanele kubikwe kudokotela wakho, njengoba kungase kubonise inkinga ngemithi yakho yokunciphisa igazi. Ngokufanayo, uma unanoma yiluphi uhlobo lokushintshwa kwe-valve, yazisa udokotela wakho ngaphambi kwezinqubo zamazinyo noma ezinye izinqubo zokuhlinzwa, njengoba ungase udinge ama-antibiotics ukuvimbela ukutheleleka.

Ukuqokwa okulandelayo njalo kubalulekile ngisho nalapho uzizwa kahle. Udokotela wakho angathola izinguquko ekusebenzeni kwe-valve yakho ngaphambi kokuba izimpawu zivele, okuvumela ukungenelela ngesikhathi lapho ukwelashwa kuphumelela kakhulu.

Imibuzo evame ukubuzwa mayelana nezinqubo ze-aortic valve

Q1: Ingabe ukuhlinzwa kwe-aortic valve kulungile ekuhlulekeni kwenhliziyo?

Yebo, ukuhlinzwa kwe-aortic valve kungathuthukisa kakhulu izimpawu zokuhluleka kwenhliziyo lapho ukuhluleka kwenhliziyo kubangelwa izinkinga ze-valve. Uma i-aortic valve yakho ingasebenzi kahle, iphoqa inhliziyo yakho ukuthi isebenze kanzima kakhulu, okungaholela ekuhlulekeni kwenhliziyo.

Ukulungisa inkinga ye-valve ngokuvamile kuvumela imisipha yenhliziyo yakho ukuthi ilulame futhi isebenze kangcono. Abantu abaningi bathola ukuthuthuka okukhulu emazingeni abo wamandla, ukuphefumula, kanye nekhono lokuba matasa ngemva kokuhlinzwa kwe-valve okuphumelelayo. Nokho, izinga lokuthuthuka lincike ekutheni imisipha yakho yenhliziyo ithinteke kangakanani ngaphambi kokuhlinzwa.

Q2: Ingabe ukushintshwa kwe-aortic valve kulungisa inkinga unomphela?

Ukushintshwa kwe-aortic valve ngokuvamile kunikeza isixazululo sesikhathi eside, kodwa akudingeki ukuthi kube unomphela. Ama-valve omshini awavamile ukudinga ukushintshwa futhi angahlala amashumi eminyaka, kuyilapho ama-valve e-biological ngokuvamile ahlala iminyaka engu-15-20 noma ngaphezulu, ikakhulukazi ezigulini ezindala.

Ngenkathi i-valve entsha ngokwayo ivame ukusebenza kahle iminyaka eminingi, uzodinga ukunakekelwa okulandelayo njalo ukuze uqaphe ukusebenza kwayo. Abanye abantu bangase badinge izinqubo ezengeziwe, kodwa iningi lijabulela iminyaka eminingi yezempilo ethuthukisiwe kanye nekhwalithi yempilo ngemva kokushintshwa kwe-valve.

Q3: Ngingakwazi yini ukuzivocavoca ngokujwayelekile ngemva kokuhlinzwa kwe-aortic valve?

Abantu abaningi bangakwazi ukubuyela ekuzilolongeni okuvamile nasemisebenzini yomzimba ngemva kokululama emsebenzini wokuhlinzwa kwamavalvu, ngokuvamile ngokuqina okungcono kokuzivivinya kunangaphambi kwale nqubo. Nokho, kuthatha isikhathi ukwakha kabusha ezingeni lakho eliphelele lomsebenzi.

Ngezinyanga ezimbalwa zokuqala zokululama, uzoqhubeka kancane kancane nokwandisa izinga lakho lomsebenzi ngaphansi kokuqondiswa kwezokwelapha. Uma uselule ngokugcwele, abantu abaningi bangahlanganyela emidlalweni eminingi nasemisebenzini, nakuba udokotela wakho engase ancome ukugwema imisebenzi ethile enomthelela omkhulu noma yokuncintisana kuye ngesimo sakho esithile.

Q4: Ngizodinga isikhathi esingakanani ukuthatha ama-blood thinners ngemva kokuhlinzwa kwamavalvu?

Isidingo sama-blood thinners sincike ohlotsheni lwe-valve olutholayo. Uma uthola i-valve yomshini, uzodinga ukuthatha imithi yokunciphisa igazi (njenge-warfarin) impilo yakho yonke ukuvimbela ukwakheka kwamahlule egazi ku-valve.

Ngama-valve e-biological, ngokuvamile udinga ama-blood thinners izinyanga ezi-3-6 kuphela ngemva kokuhlinzwa, futhi ngezinye izikhathi awudingi nhlobo. Udokotela wakho uzoqoka uhlelo olungcono kakhulu lwemithi olusekelwe ohlotsheni lwakho lwe-valve kanye nezici eziyingozi zomuntu ngamunye zama-blood clots.

Q5: Kwenzekani uma ngingahlinzwa i-aortic valve lapho kunconywa?

Ngaphandle kokuhlinzwa, izinkinga ezinzima ze-aortic valve ngokuvamile ziba zimbi ngokuhamba kwesikhathi futhi zingaholela ezinkingeni ezingathi sína ezihlanganisa ukuhluleka kwenhliziyo, ukushaya kwenhliziyo okuyingozi, noma ukufa okuzumayo. Isikhathi salezi zinkinga asibikezeleki, yingakho odokotela bevame ukuncoma ukuhlinzwa ngaphambi kokuba izimpawu zibe zimbi.

Nokho, isinqumo mayelana nokuhlinzwa kufanele ngaso sonke isikhathi sicabangele impilo yakho yonke, isikhathi sokuphila, nezintandokazi zomuntu siqu. Udokotela wakho angakusiza ukuthi uqonde izingozi nezinzuzo zokuhlinzwa uma kuqhathaniswa nokulinda ngokucophelela ngokuya ngesimo sakho esithile.