Kuyini Ukufakelwa Kwenhliziyo? Inhloso, Inqubo & Ukululama

Ukufakelwa kwenhliziyo kuyinqubo yokuhlinzwa lapho inhliziyo egulayo noma elimele ithathelwa indawo yinhliziyo enempilo evela kumnikeli. Lokhu kwelashwa okusindisa impilo kuba yindlela yokwelapha uma inhliziyo yakho ingasakwazi ukumpompa igazi ngempumelelo, futhi ezinye izindlela zokwelapha azizange zikusize ukuthi uthuthukise isimo sakho.

Kucabange njengokunika umzimba wakho ukuqala okusha ngenhliziyo ekwazi ukwenza umsebenzi obalulekile inhliziyo yakho yasekuqaleni engasakwazi ukuwenza. Noma kuzwakala kukhulu, ukufakelwa kwenhliziyo kusize izinkulungwane zabantu ukuthi babuyele ezimpilweni ezinentshisekelo, eziqhubekayo.

Kuyini ukufakelwa kwenhliziyo?

Ukuhlinzwa kokufakelwa kwenhliziyo kuhilela ukususa inhliziyo yakho elimele bese uyithathela indawo ngenhliziyo enempilo yomnikeli. Inhliziyo entsha ivela kumuntu oshonile futhi owayevumelene ngaphambili ngomnikelo wezitho, ekunika isipho sokuqhubeka nokuphila.

Ngesikhathi senqubo, odokotela abahlinzayo bahlukanisa ngokucophelela inhliziyo yakho emithanjeni emikhulu yegazi bese bexhuma inhliziyo yomnikeli esikhundleni sayo. Inhliziyo entsha ithatha umsebenzi wokumpompa igazi emzimbeni wakho wonke. Lokhu kuhlinzwa okuyinkimbinkimbi kuvame ukuthatha amahora angu-4 kuya kwangu-6 futhi kudinga ithimba lezokwelapha elinolwazi olukhulu.

Ithimba lakho lezokwelapha lizokuncoma kuphela le ndlela uma ukuhluleka kwenhliziyo yakho kubi kakhulu futhi ezinye izindlela zokwelapha ezinjengemithi, amadivayisi, noma ukuhlinzwa okuncane ngeke kukusize. Kuthathwa njengendlela yokwelapha yokugcina, kodwa kungathuthukisa kakhulu kokubili ubude kanye nekhwalithi yempilo yakho.

Kungani kwenziwa ukufakelwa kwenhliziyo?

Ukufakelwa kwenhliziyo kuba ngesidingo uma inhliziyo yakho ilimele kakhulu ukuthi ingakwazi ukumpompa igazi ngempumelelo, futhi ubhekene nokuhluleka kwenhliziyo okusongela impilo. Udokotela wakho uzocabangela le ndlela uma imithi, izinguquko zokuphila, nezinye izinqubo zingakuthuthukisanga ukugula kwakho.

Izimo eziningi ezingathi sína zenhliziyo zingaholela ekutheni kudingeke ukufakelwa. Lezi zimo zenza imisipha yenhliziyo yakho ibe buthaka noma iqine kakhulu kangangokuthi ayikwazi ukuhlinzeka umzimba wakho ngegazi elinothile nge-oksijini olidingayo ukuze uphile.

Izizathu ezivame kakhulu zokufakelwa kwenhliziyo zihlanganisa:

• I-Cardiomyopathy (imisipha yenhliziyo ekhulisiwe, ekhulu, noma eqinile)
• Isifo semithambo yenhliziyo esinenkinga enkulu yenhliziyo
• Isifo se-valve yenhliziyo esingeke silungiswe
• Ubuthakathaka benhliziyo obuzalwa nabo kusukela ekuzalweni
• Ukufakelwa kwenhliziyo kwangaphambilini okuhlulekayo
• Ezinye izinkinga zesigqi senhliziyo ezingasabeli emithini
• Amathumba enhliziyo angeke asuswe ngokuhlinzwa

Ngokuvamile, izimo ezinjengokutheleleka okukhulu ngegciwane emsipheni wenhliziyo noma izinkinga ezivela ekwelashweni ngamakhemikhali nazo zingaholela ekucatshungweni kokufakelwa. Ithimba lakho lokufakelwa lizohlola ngokucophelela ukuthi unempilo eyanele yini yokuhlinzwa nokuthi cishe uzohlomula enhliziyweni entsha.

Yini inqubo yokufakelwa kwenhliziyo?

Ukuhlinzwa kokufakelwa kwenhliziyo kuyinqubo ehlelwe ngokucophelela eqala ngesikhathi nje lapho inhliziyo yomnikeli efanayo itholakala. Uzothola ucingo oluphuthumayo lokuthi uye esibhedlela ngokushesha, njengoba izinhliziyo zabanikeli kumele zifakelwe phakathi kwamahora angu-4 kuya kwangu-6 ngemva kokususwa.

Uma ufika esibhedlela, ithimba lakho lezokwelapha lihamba ngokushesha kodwa ngokucophelela kuzo zonke izinyathelo. Ukuhlinzwa ngokwako kuhilela ukufaka inhliziyo yomnikeli esikhundleni senhliziyo yakho nokuqinisekisa ukuthi zonke izixhumanisi zisebenza kahle.

Nakhu okwenzekayo ngesikhathi senqubo:

1. Uthola i-anesthesia ejwayelekile ukuze ikugcine ungalazi futhi ungenabo ubuhlungu
2. Odokotela bahlinza phakathi nesifuba sakho bese bevula ithambo lesifuba sakho
3. Uxhunywe emshinini wokuhlinza inhliziyo namaphaphu othatha umsebenzi wenhliziyo yakho
4. Inhliziyo yakho enesifo ikhishwa ngokucophelela, kushiya izindonga ezingemuva zamagumbi enhliziyo akho angaphezulu
5. Inhliziyo enikelwe ithungelwa endaweni futhi ixhunywe emithanjeni yakho yegazi
6. Inhliziyo entsha iqalwa kabusha, ngezinye izikhathi ngokuvuselelwa ngogesi
7. Lapho inhliziyo isishaya ngokujwayelekile, uyakhishwa emshinini wokuhlinza
8. Isifuba sakho sivalwa ngocingo futhi isikhumba sakho sithungwa

Ukuhlinzwa konke kuvame ukuthatha amahora angu-4 kuya kwangu-6, nakuba kungathatha isikhathi eside uma kuvela izinkinga. Ithimba lakho lokuhlinza lihlanganisa odokotela abahlinza inhliziyo, odokotela abaqeqeshwe ekuqeqesheni, abaqeqeshwe ekuqeqesheni abasebenzisa umshini wokuhlinza, kanye nabahlengikazi abaqeqeshiwe.

Ungalungiselela kanjani ukufakelwa kwenhliziyo yakho?

Ukulungiselela ukufakelwa kwenhliziyo kuhilela ukuhlolwa okuningi kwezokwelapha nokulungiswa kwendlela yokuphila ukuze kuqinisekiswe ukuthi ulungele ukuhlinzwa nokululama. Ithimba lakho lokufakelwa lizokuqondisa kuzo zonke izinyathelo zale nqubo yokulungiselela ebanzi.

Inqubo yokuhlola isiza ukunquma ukuthi unempilo eyanele yini yokuhlinzwa futhi cishe uzoba nemiphumela emihle yesikhathi eside. Le nqubo ingathatha amasonto amaningana noma izinyanga, lapho uzothatha khona izivivinyo eziningi nokubonisana.

Ukulungiselela kwakho kuzohlanganisa:

• Ukuhlolwa kwegazi ukuhlola ukusebenza kwezitho nokukhipha izifo
• Ukuhlolwa kwenhliziyo njenge-echocardiogram kanye ne-cardiac catheterization
• Ukuhlolwa kokusebenza kwamaphaphu kanye ne-X-ray yesifuba
• Ukuhlolwa komsebenzi wezinso nesibindi
• Ukuhlolwa kokuhlolwa komdlavuza okufanele iminyaka yakho
• Ukuhlolwa kwengqondo ukuhlola ukulungela kwakho
• Ukubonisana ngomsebenzi wezenhlalakahle mayelana nezinhlelo zokusekela
• Ukubonisana ngezimali mayelana nomshuwalense nezindleko

Ngaphambi kokuhlinzwa, kuzodingeka ukuthi uhlale unempilo ngangokunokwenzeka futhi uhlale uxhumana eduze nethimba lakho lokufakelwa. Uzothola imfundo mayelana nokuthi yini ongayilindela futhi ufunde ngemithi ozoyidinga ngemuva kokufakelwa.

Kufanele futhi uhlele ukuthi umndeni wakho ukusekele ngesikhathi sokululama kwakho, njengoba uzodinga usizo ngemisebenzi yansuku zonke amasonto amaningana ngemuva kokuhlinzwa. Ukuba nohlelo oluqinile lokusekela kuthuthukisa kakhulu amathuba akho okululama ngempumelelo.

Ungawafunda kanjani imiphumela yakho yokufakelwa kwenhliziyo?

Ngemuva kokufakelwa kwenhliziyo, ithimba lakho lezokwelapha liqapha ukululama kwakho ngezivivinyo ezahlukahlukene nezilinganiso ezikhombisa ukuthi inhliziyo yakho entsha isebenza kahle kangakanani. Ukuqonda le miphumela kukusiza ukuthi uhlale unolwazi mayelana nentuthuko yakho nempilo yakho.

Odokotela bakho bazolandela izinkomba eziningana ezibalulekile ukuze baqinisekise ukuthi inhliziyo yakho entsha isebenza kahle nokuthi umzimba wakho awuyali. Lezi zilinganiso zisiza ukuqondisa ukunakekelwa kwakho nokulungiswa kwemithi.

Izilinganiso ezibalulekile zihlanganisa:

• I-ejection fraction - ikhombisa ukuthi ingakanani igazi inhliziyo yakho elipompa ngokuqina ngakunye (okujwayelekile kungama-50-70%)
• Imiphumela ye-heart biopsy - hlola izimpawu zokwenqatshwa ezingeni leselula
• Ukufundwa komfutho wegazi - kufanele kulawulwe kahle, ngokuvamile ngaphansi kuka-140/90
• Izinga lenhliziyo nesigqi - kuqashwe nge-EKGs futhi ngezinye izikhathi ama-monitor aqhubekayo
• Amazinga emithi yokucindezela amasosha omzimba - qinisekisa ukuthi imithi isezingeni eliphilayo
• Izivivinyo zomsebenzi wezinso - qapha imiphumela emibi yemithi
• Izimpawu zokutheleleka - qaphela izimpawu zokuthi amasosha akho omzimba acindezelwe kakhulu

Ithimba lakho lokufakelwa lizochaza ukuthi yini umphumela ngamunye osho ngesimo sakho esithile. Ngokuvamile, izinombolo ezinzile noma ezithuthukayo zibonisa ukuthi inhliziyo yakho entsha isebenza kahle futhi umzimba wakho uyayamukela.

Uma imiphumela ikhombisa izinguquko ezikhathazayo, ithimba lakho lezokwelapha lizolungisa imithi yakho noma lincomende ukuhlolwa okwengeziwe. Ukuqapha njalo kuvumela ukutholwa kwangaphambi kwesikhathi nokwelashwa kwanoma yiziphi izinkinga.

Ungayigcina kanjani ukufakelwa kwenhliziyo yakho?

Ukunakekela ukufakelwa kwenhliziyo yakho kudinga ukuzibophezela impilo yonke emithini, ukunakekelwa kwezokwelapha njalo, nokukhetha indlela yokuphila enempilo. Ukulandela izinqumo zeqembu lakho lokufakelwa ngokucophelela kukunika ithuba elingcono kakhulu lempumelelo yesikhathi eside.

Ukunika imithi yokucindezela amasosha omzimba ngendlela eqondile njengoba kunqunywe kubaluleke kakhulu ekuvikeleni ukwenqatshwa. Le mithi ivimbela amasosha akho omzimba ukuthi angahlaseli inhliziyo yakho entsha, kodwa idinga ukulinganiswa ngokucophelela ukuze kugwenywe imiphumela emibi.

Ukunakekelwa okubalulekile kufaka phakathi:

• Ukunika yonke imithi ngesikhathi esifanele, ungalokothi uphuthelwe imithamo
• Ukuya kuwo wonke ama-aphoyintimenti okulandelayo nokuhlolwa
• Ukuthola ama-biopsies enhliziyo njalo ukuze kuhlolwe ukwenqatshwa
• Ukuqapha izimpawu zokutheleleka ngenxa yokucindezelwa komzimba
• Ukulandela ukudla okunempilo enhliziyo okuphansi ku-sodium namafutha agcwele
• Ukwenza umzimba njalo njengoba kuvunywe yithimba lakho lokufakelwa
• Ukwenza izivivinyo njalo njengoba kuvunywe yithimba lakho lokufakelwa
• Ukuphatha ezinye izimo zezempilo njengesifo sikashukela noma umfutho wegazi ophezulu

Uzodinga ukuhlolwa okuvamile onyakeni wokuqala ngemva kokufakelwa, bese kuba njalo kancane kancane uma konke kuhamba kahle. Nokho, uzohlala udinga ukuqapha njalo impilo yakho yonke.

Ukuzivikela ekuvikeleni izifo kubaluleke kakhulu ngoba amasosha akho omzimba acindezelwe. Lokhu kusho ukuqaphela ngokwengeziwe ngokuqina kokudla, ukugwema izixuku ngesikhathi sonyaka womkhuhlane, nokwelapha ngokushesha noma yiziphi izimpawu zokugula.

Yini umphumela ongcono kakhulu wokufakelwa kwenhliziyo?

Umphumela omuhle kakhulu wokufakelwa kwenhliziyo ukuphila isikhathi eside, okunempilo nenhliziyo yakho entsha isebenza ngendlela ejwayelekile futhi nezinkinga ezimbalwa. Abantu abaningi abathola ukufakelwa kwenhliziyo bangakwazi ukubuyela emsebenzini, ukuhamba, nokujabulela imisebenzi ababengakwazi ukuyenza ngaphambi kokuhlinzwa.

Imiphumela emihle ngokuvamile isho ukuthi inhliziyo yakho entsha iphampa ngendlela ejwayelekile, unamazinga amahle wamandla, futhi ungahlanganyela emisebenzini ejwayelekile ngaphandle kwemingcele ebalulekile. Abaningi abathola ukufakelwa bachaza ukuzizwa kangcono kuneminyaka ababeyizwa.

Izimpawu zemiphumela emihle zihlanganisa:

• Ukusebenza kwenhliziyo okujwayelekile ekuhlolweni okufana ne-echocardiograms
• Amazinga emithi yokucindezela amasosha omzimba azinzile
• Awekho amacala okuphikiswa
• Ukuqina okuhle kokuzivocavoca namazinga wamandla
• Ukungabi khona kokutheleleka okukhulu noma izinkinga
• Umfutho wegazi olawulwa kahle nezinye izinyathelo zempilo
• Ikhono lokubuyela emsebenzini nasemisebenzini ejwayelekile

Izibalo zamanje zibonisa ukuthi cishe ama-85-90% wabantu abathola ukufakelwa kwenhliziyo basinda ngonyaka wokuqala, futhi cishe ama-70% aphila eminyakeni emihlanu ngemuva kokufakelwa. Abantu abaningi baphila iminyaka engu-10, 15, noma engu-20 ngezinhliziyo zabo ezifakelwe.

Isihluthulelo sokufeza umphumela ongcono kakhulu ukulandela izincomo zeqembu lakho lezokwelapha ngokucophelela nokugcina ukuxhumana okuvulekile mayelana nanoma yikuphi ukukhathazeka noma izinguquko endleleni ozizwa ngayo.

Yiziphi izici eziyingozi zezinkinga zokufakelwa kwenhliziyo?

Izici eziningana zingakhuphula ingozi yakho yezinkinga ngemuva kokufakelwa kwenhliziyo, nakuba ithimba lakho lezokwelapha lisebenza ngokucophelela ukunciphisa lezi zingozi. Ukuqonda lezi zici kukusiza kanye nodokotela bakho ukuthi benze izinqumo ezingcono kakhulu mayelana nokunakekelwa kwakho.

Ezinye izici eziyingozi awukwazi ukuzishintsha, kanti ezinye ungazithonya ngokukhetha indlela yokuphila nokuphathwa kwezokwelapha. Ithimba lakho lokufakelwa lihlolwa zonke lezi zici ngaphambi kokuncoma ukuhlinzwa.

Izici eziyingozi zezinkinga zihlanganisa:

• Ubudala obungaphezu kweminyaka engama-65
• Isifo sikashukela, ikakhulukazi uma singalawuleki kahle
• Isifo sezinso noma sesibindi
• Ukuhlinzwa kwangaphambilini okwenza izicubu ezinamanxeba
• Ukukhuluphala ngokweqile noma ukungondleki okukhulu
• Izifo ezisebenzayo ngesikhathi sokufakelwa
• I-pulmonary hypertension (umfutho wegazi ophezulu emithanjeni yamaphaphu)
• Umlando womdlavuza
• Ukubhema noma ukusebenzisa izidakamizwa
• Uhlelo olungalungile lokusekelwa komphakathi

Ngaphezu kwalokho, ezinye izinto ezithile ezihlobene nesimo senhliziyo yakho zingase zikhuphule izingozi. Isibonelo, uma uke wahlinzwa inhliziyo kaningi ngaphambilini, inqubo yokufakelwa iba nzima kakhulu ngokobuchwepheshe.

Ithimba lakho lokufakelwa liqaphela ngokucophelela lezi zinto eziyingozi ngokumelene nezinzuzo zokufakelwa. Noma ngabe unezinye izinto eziyingozi, ukufakelwa kungase kusengaba yindlela yakho engcono kakhulu uma ukwehluleka kwenhliziyo yakho kubi ngokwanele.

Ingabe kungcono ukuba nokufakelwa kwenhliziyo ngaphambi kwesikhathi noma kamuva?

Isikhathi sokufakelwa kwenhliziyo sincike ekulinganiseni izingozi zesimo sakho senhliziyo samanje ngokumelene nezingozi zokuhlinzwa kokufakelwa kanye nokucindezelwa komzimba impilo yonke. Ngokuvamile, ukufakelwa kunconywa lapho ukwehluleka kwenhliziyo yakho kubi ngokwanele ukuthi izinzuzo zizicacele ngaphezu kwezingozi.

Ukuba nokufakelwa ngaphambi kwesikhathi kusho ukuthatha izingozi zokuhlinzwa kanye nemiphumela emibi yemithi yempilo yonke lapho inhliziyo yakho ingase isasebenza ngokwanele izinyanga noma iminyaka. Kodwa-ke, ukulinda isikhathi eside kungasho ukugula kakhulu ukuhlinzwa noma ukuzwa izinkinga ezisongela impilo.

Ithimba lakho lokufakelwa licabangela izinto eziningi lapho lihlela ukuhlinzwa kwakho. Balinganisa ukuthi ukusebenza kwenhliziyo yakho kwehla ngokushesha kangakanani, ukuthi usabela kahle kangakanani kwezinye izindlela zokwelapha, kanye nesimo sakho sempilo esiphelele.

Izici ezithuthukisa ukufakelwa ngokushesha zihlanganisa ukusebenza kwenhliziyo okushintsha ngokushesha, ukulaliswa esibhedlela njalo, ukungakwazi ukwenza imisebenzi yansuku zonke, nokungaphenduli kahle emithini. Izici ezithuthukisa ukufakelwa kamuva zihlanganisa izimpawu ezizinzile, ukusabela okuhle ekwelashweni kwamanje, kanye nobukhona bezinye izinkinga zempilo ezenyusa ingozi yokuhlinzwa.

Umgomo uwukwenza ukufakelwa lapho ugula ngokwanele ukuze uzuze kakhulu kodwa usaphila ngokwanele ukuba nemiphumela emihle yokuhlinzwa nokuphila isikhathi eside. Lesi sikhathi sidinga ukuhlolwa okuqhubekayo ngokucophelela yithimba lakho lezokwelapha.

Ziyini izinkinga ezingase zibe khona zokufakelwa kwenhliziyo?

Ukufakelwa kwenhliziyo kungaholela kokubili ezinkingeni zokuhlinzwa ngokushesha nezinkinga zesikhathi eside ezihlobene nokuba nesitho esifakelwe. Ngenkathi lezi zinkinga zizwakala zikhathaza, eziningi zingavinjelwa noma ziphathwe ngempumelelo uma zitholwe ngokushesha.

Ithimba lakho lezokwelapha likuqapha eduze ukuze lithole futhi libhekane nanoma yiziphi izinkinga ngokushesha. Ukuqonda izinkinga ezingaba khona kukusiza ukuthi uqaphele izimpawu zokuxwayisa futhi ufune ukunakekelwa kwezokwelapha ngokushesha lapho kudingeka.

Izinkinga ngokushesha ngemuva kokuhlinzwa zingahlanganisa:

• Ukuphuma kwegazi okudinga ukuhlinzwa okwengeziwe
• Amaqhubu egazi emilenzeni noma emaphashini
• Isifo sohlangothi noma ukuhlaselwa yinhliziyo
• Izinkinga zezinso noma zesibindi ezivela emithini
• Ubunzima bokuphefumula
• Izinkinga zokuphulukisa amanxeba noma izifo
• Ukungajwayelekile kwesigqi senhliziyo

Izinkinga zesikhathi eside zingavela ezinyangeni noma eminyakeni ngemuva kokufakelwa. Lokhu kuvame ukuhlobana nemithi yokucindezela amasosha omzimba oyidingayo ukuvimbela ukwenqatshwa, okungathinta ezinye izingxenye zomzimba wakho.

Izinkinga ezingaba khona zesikhathi eside zihlanganisa:

• Ukwenqatshwa okungamahlala-khona okubangela ukwehla kancane komsebenzi wenhliziyo
• Ukwanda kwengozi yokutheleleka ngenxa yokucindezelwa komzimba
• Ingozi enkulu yomdlavuza, ikakhulukazi imidlavuza yesikhumba nama-lymphomas
• Umonakalo wezinso ovela emithini ecindezela amasosha omzimba
• Umfutho wegazi ophezulu nesifo sikashukela
• Ukuqina kwamathambo (i-osteoporosis)
• Isifo semithambo yenhliziyo enhliziyweni etshalwe

Ukuqapha njalo nokunakekela ukuvimbela kunciphisa kakhulu ingozi yezinkinga ezinzima. Iningi lezinkinga lingalawulwa ngempumelelo uma kutholwe kusenesikhathi ngokunakekelwa okuvamile kokulandela.

Kufanele ngibone nini udokotela ngemva kokutshalwa kwenhliziyo?

Ngemva kokutshalwa kwenhliziyo, kufanele uthinte ithimba lakho lokutshala ngokushesha uma uhlangabezana nanoma yiziphi izimpawu ezikhathazayo, ngisho noma zibonakala zincane. Ngenxa yokuthi amasosha akho omzimba acindezelwe, izinkinga zingavela ngokushesha futhi zidinga ukunakekelwa kwezokwelapha okusheshayo.

Isikhungo sakho sokutshala sinikeza imininingwane yokuxhumana yamahora angama-24 ezimweni eziphuthumayo. Unganqikazi ukushaya ucingo uma ukhathazekile nganoma yiziphi izinguquko endleleni ozizwa ngayo, njengoba ukungenelela kwasekuqaleni kungavimbela izinkinga ezinzima.

Xhumana nethimba lakho lokutshala ngokushesha uma:

• Umkhuhlane ongaphezu kuka-100.4°F (38°C) noma ama-chills
• Ukuphefumula kanzima noma ubunzima bokuphefumula
• Ubuhlungu besifuba noma ukushaya kwenhliziyo okungajwayelekile
• Ukwanda kwesisindo okungazelelwe (ngaphezu kwamaphawundi angu-2-3 ngosuku)
• Ukuvuvukala emilenzeni, emaqakaleni, noma esiswini
• Ukukhathala okukhulu noma ubuthakathaka
• Isicanucanu, ukuhlanza, noma ukungakwazi ukuthatha imithi
• Izimpawu zokutheleleka njengokukhwehlela, umphimbo obuhlungu, noma ukukhishwa okungajwayelekile
• Ushintsho ekuchameni noma emsebenzini wezinso

Kufanele futhi uthinte ithimba lakho ngezinguquko ezingaphuthumi kodwa ezibalulekile njengezinhlungu zekhanda eziqhubekayo, izinguquko zemizwa, izinkinga zombono, noma yiziphi izimpawu ezintsha ezikukhathazayo.

Khumbula ukuthi izimpawu eziningi ezingase zibe zincane kwabanye abantu zingaba zinkulu uma usebenzisa imithi ecindezela amasosha omzimba. Ithimba lakho lokufakelwa lizokujabulela ukuzwa kuwe ngento evela ukuthi incane kunokuthi uphuthelwe okuthile okubalulekile.

Imibuzo evame ukubuzwa mayelana nokufakelwa kwenhliziyo

Umb.1 Ingabe ukufakelwa kwenhliziyo kuhle ekuhlulekeni kwenhliziyo yesigaba sokugcina?

Yebo, ukufakelwa kwenhliziyo kuvame ukuba yindlela engcono kakhulu yokwelapha ukuhluleka kwenhliziyo yesigaba sokugcina lapho ezinye izindlela zokwelapha ziye zahluleka. Kubantu abakhethwe ngokucophelela, ukufakelwa kungathuthukisa kakhulu kokubili ukusinda kanye nekhwalithi yempilo, okuvumela abantu abaningi ukuthi babuyele emisebenzini ejwayelekile futhi baphile iminyaka eminingi ngenhliziyo yabo entsha.

Umb.2 Ingabe ukufakelwa kwenhliziyo kuyayelapha isifo senhliziyo?

Ukufakelwa kwenhliziyo kuthatha indawo yenhliziyo yakho enesifo kodwa akuyelaphi ukuthambekela okuyisisekelo esifweni senhliziyo. Ungathuthukisa isifo semithambo yenhliziyo enhliziyweni yakho entsha ngokuhamba kwesikhathi, futhi uzodinga imithi yokuphila konke ukuvimbela ukwenqatshwa. Noma kunjalo, ikunikeza inhliziyo enempilo engasebenza ngokujwayelekile iminyaka eminingi.

Umb.3 Ungaphila isikhathi esingakanani ngenhliziyo efakelwe?

Abantu abaningi baphila iminyaka eyi-10-15 noma ngaphezulu ngenhliziyo efakelwe, futhi abanye basinde iminyaka engaphezu kwama-20. Izibalo zamanje zibonisa ukuthi cishe ama-85-90% abamukeli basinda ngonyaka wokuqala futhi cishe ama-70% asekhona eminyakeni emihlanu. Ukubuka kwakho komuntu ngamunye kuncike ezintweni ezinjengobudala, impilo yonke, nokuthi uyilandelisa kahle kangakanani ukunakekelwa kwakho kwezokwelapha.

Umb.4 Ungayenqaba yini ukufakelwa kwenhliziyo eminyakeni eminingi kamuva?

Yebo, ukwenqatshwa kungenzeka nganoma yisiphi isikhathi ngemva kokufakelwa, ngisho neminyaka eminingi kamuva. Yingakho udinga imithi ecindezela amasosha omzimba yokuphila konke kanye nokuqapha njalo ngama-biopsies enhliziyo. Ukuphikiswa okungapheli, okuthuthuka kancane kancane eminyakeni eminingi, kwehlukile ekuphikisweni okukhulu futhi kungabangela ukwehla kancane komsebenzi wenhliziyo.

Umb.5 Yimiphi imisebenzi ongayenza ngemva kokufakelwa kwenhliziyo?

Abantu abaningi abathole ukufakelwa kwenhliziyo bangakwazi ukubuyela emisebenzini yabo ejwayelekile ehlanganisa umsebenzi, ukuhamba, nokuzivivinya ngemuva kokuthi belulame emsebenzini wokuhlinzwa. Kuzodingeka ukuthi ugweme imidlalo yokuxhumana futhi uthathe izinyathelo zokuzivikela ekuvikeleni izifo, kodwa abantu abaningi bayakujabulela ukuhamba ngezinyawo, ukubhukuda, ukuhamba ngebhayisikili, neminye imisebenzi ababengakwazi ukuyenza ngaphambi kokufakelwa.