Kuyini Ukulungiswa Komvalvo We-Tricuspid kanye Nokuwashintsha? Inhloso, Inqubo & Nemiphumela

Ukulungiswa komvalvo we-tricuspid nokushintshwa kwawo yizinhlobo zokuhlinzwa kwenhliziyo ezilungisa izinkinga ngomvalvo wakho we-tricuspid, omunye wamavalvu amane enhliziyo yakho. Umvalvo wakho we-tricuspid uhlala phakathi kwe-atrium yakho engakwesokudla nenhliziyo engakwesokudla, usebenza njengomnyango onendlela eyodwa ogcina igazi ligeleza ngendlela efanele.

Lapho lo mvalvo ungasebenzi kahle, ungaleka emuva noma ube mncane kakhulu, okwenza inhliziyo yakho isebenze kanzima kunokuba kufanele. Lezi zinqubo zisiza ukubuyisela ukuhamba kwegazi okuvamile futhi zingathuthukisa kakhulu izinga lokuphila kwakho.

Kuyini ukulungiswa komvalvo we-tricuspid nokushintshwa kwawo?

Ukulungiswa komvalvo we-tricuspid kusho ukuthi udokotela ohlinzayo ulungisa umvalvo wakho okhona ukuze usebenze kangcono. Lokhu kungabandakanya ukuqina kwamalaphu omvalvo axekile, ukususa izicubu ezingeziwe, noma ukwengeza indandatho ukusiza umvalvo ukuthi uvale kahle.

Ukushintshwa komvalvo we-tricuspid kusho ukuthi udokotela ohlinzayo ususa umvalvo wakho owonakele ngokuphelele futhi ufaka omusha. Umvalvo omusha ungenziwa ngezicubu zezilwane (umvalvo wemvelo) noma izinto zokwenziwa (umvalvo wemishini).

Odokotela abaningi abahlinza inhliziyo bakhetha ukulungisa ngaphezu kokushintsha uma kungenzeka ngoba umvalvo wakho, uma usulungisiwe, ngokuvamile uhlala isikhathi eside futhi usebenza ngokwemvelo kunomvalvo wokwenziwa.

Kungani kwenziwa ukuhlinzwa komvalvo we-tricuspid?

Udokotela wakho angase ancome ukuhlinzwa komvalvo we-tricuspid lapho umvalvo wakho wonakala kakhulu futhi uqala ukuthinta ikhono lenhliziyo yakho lokumpompa igazi ngempumelelo. Lokhu kuvame ukwenzeka lapho umvalvo evuza igazi eliningi kakhulu emuva (ukuhlanza) noma iba mncane kakhulu (i-stenosis).

Isizathu esivame kakhulu sezinkinga zomvalvo we-tricuspid ukulimala okuvela kwezinye izimo zenhliziyo, njengezinkinga ngamavalvu akho enhliziyo ohlangothini lwesobunxele noma umfutho wegazi ophezulu emaphashini akho. Ngezinye izikhathi izifo, ukukhubazeka kwenhliziyo okuzalwa nakho, noma imithi ethile nayo ingalimaza lo mvalvo.

Ungase udinge ukuhlinzwa uma uhlangabezana nezimpawu ezinjengokuphefumula kanzima kakhulu, ukukhathala okukhulu, ukuvuvukala emilenzeni yakho nasesiswini, noma uma izivivinyo zikhombisa ukuthi ukusebenza kwenhliziyo yakho kuyehla kakhulu.

Yini inqubo yokuhlinzwa kwe-tricuspid valve?

Ukuhlinzwa kwe-tricuspid valve ngokuvamile kuthatha amahora angu-3 kuya kwangu-6 futhi kwenziwa ngaphansi kwe-anesthesia ejwayelekile, ngakho-ke uzobe ulele ngokuphelele kuyo yonke inqubo. Udokotela ohlinzayo uzokwenza ukusikeka esifubeni sakho ukuze afinyelele enhliziyweni yakho.

Ngesikhathi sokuhlinzwa, inhliziyo yakho izoma okwesikhashana ngenkathi umshini wenhliziyo namaphaphu uthatha umsebenzi wokumpompa igazi nokwengeza umoya-mpilo kulo. Lokhu kunikeza udokotela ohlinzayo ukubuka okungashintshi, okucacile kwe-tricuspid valve yakho ukuze enze ukulungisa noma ukufaka esikhundleni.

Ukuze kulungiswe, udokotela ohlinzayo angase alungise ama-valve flaps, asuse izicubu ezingeziwe, noma abeke indandatho ezungeze i-valve ukuyisiza ukuthi ivaleke ngokuqinile. Ukuze kufakwe esikhundleni, bazosusa ngokucophelela i-valve yakho elimele bese bethunga entsha esikhundleni sayo.

Ngemva kokuthi ukulungisa noma ukufaka esikhundleni kuqediwe, udokotela ohlinzayo uzoqala kabusha inhliziyo yakho, asuse umshini wenhliziyo namaphaphu, futhi avale isifuba sakho ngocingo kanye nokuthunga.

Ungalungiselela kanjani ukuhlinzwa kwakho kwe-tricuspid valve?

Ukulungiselela kwakho ngokuvamile kuqala emasontweni ambalwa ngaphambi kokuhlinzwa ngokuhlolwa okubanzi ukuze kuqinisekiswe ukuthi usukulungele inqubo. Lokhu ngokuvamile kuhlanganisa ukuhlolwa kwegazi, ama-X-ray esifuba, i-electrocardiogram, kanye nokucabanga okuningiliziwe kwenhliziyo.

Ithimba lakho lezokwelapha lizobuyekeza yonke imithi yakho yamanje futhi lingase likucele ukuthi uyeke eminye, ikakhulukazi ama-blood thinners, cishe ngesonto ngaphambi kokuhlinzwa. Kubalulekile ukulandela le miyalelo ngqo njengoba impilo yakho incike ekulungiseleleni okufanele.

Uzodinga ukuyeka ukudla nokuphuza ngemva kwamabili ngobusuku obandulela ukuhlinzwa kwakho. Hlela ukufika esibhedlela ekuseni ngosuku lwakho lokuhlinzwa, futhi ulungiselele amalungu omndeni ukuthi ahlale eduze njengoba uzobe usesibhedlela cishe isonto.

Qiniseka ukuthi ikhaya lakho lilungele ukululama kwakho ngokususa izingozi zokukhubeka, ukugcina ukudla okulula ukukulungisa, nokuhlela usizo ngemisebenzi yansuku zonke emasontweni ambalwa okuqala ngemuva kokuthi ubuyele ekhaya.

Ungazifunda kanjani imiphumela yakho yokuhlinzwa kwe-tricuspid valve?

Udkt. ohlinzayo uzohlola impumelelo yokuhlinzwa kwakho kwe-tricuspid valve ngezinyathelo eziningana, eqala ngokuthi i-valve yakho entsha noma elungisiwe ilawula kahle kangakanani ukuhamba kwegazi. Ngokushesha ngemuva kokuhlinzwa, bazosebenzisa ama-echocardiograms ukubona ukuthi i-valve yakho isebenza kahle kangakanani.

Ukulungiswa noma ukufakwa okusha okuphumelelayo kufanele kubonise ukuhamba kwegazi okuncane emuva (ukubuyela emuva) nokugeleza okuqhubekayo okuvamile ngaphandle kokuvaleka. Udkt. ohlinzayo uzophinde aqaphele ukuthi i-ventricle yakho engakwesokudla ilulama kahle kangakanani ngemuva kokuhlinzwa.

Emasontweni nasezinyangeni ezilandelayo, ithimba lakho lezokwelapha lizolandela izimpawu zakho, ukubekezelelana kokuzivocavoca, kanye nomsebenzi wenhliziyo wonke. Abantu abaningi baqaphela ukuthuthuka okukhulu ekuphefumuleni kwabo nasezingeni lamandla ezinyangeni ezimbalwa ngemuva kokuhlinzwa okuphumelelayo.

Ukuqokwa okuvamile kokulandela ngama-echocardiograms kuzosiza udokotela wakho ukuthi aqaphele ukusebenza kwe-valve yakho isikhathi eside futhi abambe noma yiziphi izinkinga ezingaba khona ekuqaleni.

Ungayithuthukisa kanjani ukululama kwakho ngemuva kokuhlinzwa kwe-tricuspid valve?

Impumelelo yakho yokululama incike kakhulu ekulandeleni imiyalelo yeqembu lakho lezokwelapha ngokucophelela nokubekezela ngenqubo yokuphola yomzimba wakho. Abantu abaningi bahlala esibhedlela izinsuku eziyi-5 kuya kweziyi-7 ngemuva kokuhlinzwa, nezinsuku ezimbalwa zokuqala ekunakekelweni okukhulu.

Ngesikhathi sokuhlala kwakho esibhedlela, uzoqhubeka kancane kancane izinga lakho lomsebenzi, uqale ngezivivinyo zokuphefumula nokuhamba okufushane. Ithimba lakho lezokwelapha lizobheka isigqi senhliziyo yakho, ukulinganisela kwamanzi, nokuphola kwenxeba ngokucophelela.

Uma usendlini, uzodinga ukugwema ukuphakamisa izinto ezisindayo (ezingaphezu kwamakhilogremu angu-4.5) nemisebenzi eqinile cishe amasonto angu-6 kuya kwangu-8 ngenkathi ithambo lakho lesifuba liphola. Ukuhamba kancane nokuzivocavoca okubekiwe kuzosiza ukuqinisa inhliziyo yakho futhi kuthuthukise ukululama kwakho konke.

Ukunatha imithi yakho ngendlela eqondile njengoba ibekiwe kubalulekile ekuvikeleni izinkinga nasekuqinisekiseni ukuthi i-valve yakho iyaqhubeka nokusebenza kahle. Abantu abaningi babuyela emisebenzini ejwayelekile phakathi nezinyanga ezingu-3 kuya kwezi-4 ngemva kokuhlinzwa.

Ziyini izici eziyingozi zezinkinga ze-tricuspid valve?

Izici eziningana zingakhuphula amathuba akho okuthuthukisa izinkinga ze-tricuspid valve, ngesifo se-valve yenhliziyo esingakwesobunxele esiyimbangela evame kakhulu. Uma ama-valve akho e-mitral noma e-aortic engasebenzi kahle, kungadala ukwanda kwengcindezi okugcina kulimaza i-tricuspid valve yakho.

Ukuqonda lezi zici eziyingozi kungakusiza kanye nodokotela wakho ukuthi niqaphe impilo yenhliziyo yakho ngokucophelela:

• Isifo se-valve yenhliziyo sangaphambilini noma ukuhluleka kwenhliziyo
• Umfutho wegazi ophezulu emaphashini akho (i-pulmonary hypertension)
• Ubuthakathaka benhliziyo obuzalwa nabo obukhona kusukela ekuzalweni
• Umlando womkhuhlane we-rheumatic noma izifo zenhliziyo
• Imithi ethile, ikakhulukazi amaphilisi athile okudla noma izikhuthazi
• Ukusetshenziswa kwezidakamizwa ngomjovo, okungadala izifo ze-valve
• I-Radiation therapy endaweni yesifuba
• I-Carcinoid syndrome, isimo esingavamile esithinta ukukhiqizwa kwamahomoni

Ngenkathi ungenakuzilawula zonke lezi zici eziyingozi, ukugcina impilo enhle yenhliziyo ngokuvakashelwa njalo kungasiza ukubamba izinkinga ekuqaleni lapho ziselapheka kakhulu.

Ingabe kungcono ukulungisa noma ukufaka i-tricuspid valve?

Ukulungiswa kwe-tricuspid valve kuvame ukukhethwa ngaphezu kokufakwa uma i-valve yakho ingalungiswa ngempumelelo ngoba ama-valve alungisiwe ngokuvamile ahlala isikhathi eside futhi asebenza ngendlela engokwemvelo kunezinto ezenziwe ngabantu. I-valve yakho, uma isilungisiwe, ayidingi imithi yokunciphisa igazi yesikhathi eside ezimweni eziningi.

Noma kunjalo, ukushintshwa kuba yimpoqo lapho ivalvu yakho yonakele kakhulu ukuthi ingalungiswa ngempumelelo. Udokotela ohlinzayo uzokwenza lesi sinqumo ngokusekelwe esimweni esithile sevalvu yakho kanye nempilo yakho yonke.

Amavalvu okushintshwa kwe-Biological (enziwe ngezicubu zezilwane) awadingi ama-blood thinners esikhathi eside kodwa angadinga ukushintshwa ngemva kweminyaka engu-10 kuya kwengu-15. Amavalvu e-Mechanical ahlala isikhathi eside kodwa adinga imithi yokunciphisa igazi impilo yonke ukuvimbela ukwakheka kwamahlule egazi.

Ubudala bakho, indlela yokuphila, nezinye izimo zempilo kuzosiza udokotela ohlinzayo ukuthi anqume ukuthi iyiphi inketho ekunikeza umphumela ongcono kakhulu wesikhathi eside.

Ziyini izinkinga ezingase zibe khona zokuhlinzwa kwe-tricuspid valve?

Ngenkathi ukuhlinzwa kwe-tricuspid valve kuvamile ukuthi kuphephe futhi kuphumelele, njenganoma yikuphi ukuhlinzwa okukhulu kwenhliziyo, kuthwala ezinye izingozi okufanele uziqonde ngaphambi kokuqhubeka. Abantu abaningi bathola imiphumela eyimpumelelo, kodwa ukuqaphela izinkinga ezingaba khona kukusiza ukuthi ubone izimpawu zokuxwayisa kusenesikhathi.

Izinkinga ezivamile ezingenzeka zihlanganisa:

• Ukuphuma kwegazi okungase kudingeke ukuhlinzwa okwengeziwe
• Ukushaya kwenhliziyo okungajwayelekile (arrhythmias)
• Ukutheleleka endaweni yokuhlinzwa noma ngaphandle kwenhliziyo
• Amahlule egazi angahamba emaphashini akho noma ebuchosheni bakho
• Ukudideka okwesikhashana noma izinkinga zenkumbulo
• Izinkinga zezinso ngenxa yokucindezeleka kokuhlinzwa
• Isidingo eside sokusekelwa kokuphefumula ngomshini

Izinkinga ezingavamile kodwa ezingathi sína zihlanganisa ukushaywa unhlangothi, ukuhlaselwa yinhliziyo, noma isidingo sokuhlinzwa okwengeziwe kwenhliziyo. Ithimba lakho lokuhlinza lisebenza ngokucophelela ukunciphisa lezi zingozi ngokulungiselela okufanele nokuqapha.

Izinkinga eziningi, uma zenzeka, zilawuleka ngokunakekelwa kwezokwelapha okusheshayo. Ithimba lakho lezokwelapha lizokubheka eduze nganoma yiziphi izimpawu zezinkinga ngesikhathi sokululama kwakho.

Kufanele ngibone nini udokotela ngezinkinga ze-tricuspid valve?

Kufanele uthinte udokotela wakho uma uhlangabezana nezimpawu ezingase zibonise izinkinga ze-tricuspid valve, ikakhulukazi uma ziba zimbi ngokuhamba kwesikhathi. Ukutholwa nokwelashwa kwasekuqaleni kungavimbela izinkinga ezingathi sína.

Funani usizo lwezokwelapha uma uqaphela lezi zimpawu zokuxwayisa:

• Ukuphefumula okuncane okwandayo, ikakhulukazi ngesikhathi semisebenzi ejwayelekile
• Ukukhathala okukhulu okungathuthuki ngokuphumula
• Ukuvuvukala emilenzeni yakho, amaqakala, noma isisu
• Ubuhlungu besifuba noma ukucindezela
• Ukushaya kwenhliziyo okungajwayelekile noma okusheshayo
• Isiyezi noma izikhathi zokuquleka
• Ukuncipha kwamandla okuzivocavoca noma ukwenza imisebenzi yansuku zonke

Uma usuvele uhlinzwe i-tricuspid valve, thintana nodokotela wakho ngokushesha uma une-fever, ubuhlungu besifuba obanda, ukuphefumula okuncane okungajwayelekile, noma izimpawu zokutheleleka endaweni yokusika.

Ukuqokwa okulandelayo njalo kubalulekile ngisho nalapho uzizwa kahle, njengoba ezinye izinkinga ze-valve zingathuthuka kancane kancane ngaphandle kwezimpawu ezisobala.

Imibuzo evame ukubuzwa mayelana nokuhlinzwa kwe-tricuspid valve

Q.1 Ingabe ukuhlinzwa kwe-tricuspid valve kulungile ukuhluleka kwenhliziyo?

Yebo, ukuhlinzwa kwe-tricuspid valve kungathuthukisa kakhulu izimpawu zokuhluleka kwenhliziyo lapho i-valve yakho ehlulekayo inegalelo enkingeni. Abantu abaningi abanokuhluleka kwenhliziyo okubangelwa isifo se-tricuspid valve bathola ukuphefumula okungcono, amandla andisiwe, kanye nekhwalithi yempilo ethuthukisiwe ngemva kokuhlinzwa okuphumelelayo.

Nokho, isikhathi sokuhlinzwa sibalulekile. Udokotela wakho uzohlola ngokucophelela ukuthi ukuhluleka kwenhliziyo yakho kubangelwa yini ikakhulukazi inkinga ye-valve noma ezinye izimo zenhliziyo ezingase zingathuthuki ngokuhlinzwa kwe-valve kuphela.

Q.2 Ingabe i-tricuspid valve regurgitation ibangela ukuphefumula okuncane?

Yebo, ukungasebenzi kahle kwe-tricuspid valve ngokuvamile kubangela ukuphefumula kanzima, ikakhulukazi ngesikhathi somsebenzi womzimba noma uma ulele phansi. Lokhu kwenzeka ngoba igazi elibuyela emuva nge-valve evuzayo linciphisa inani legazi elinothile nge-oksijini elifinyelela emzimbeni wakho.

Ukuphatheka kanzima kokuphefumula ngokuvamile kuthuthuka kancane kancane futhi kungahambisana nokukhathala, ukuvuvukala emilenzeni yakho, noma umuzwa wokugcwala esiswini sakho njengoba inhliziyo yakho ilwela ukumpompa ngempumelelo.

Umbuzo 3. Ingabe ukuhlinzwa kwe-tricuspid valve kuthatha isikhathi esingakanani?

Ukuhlinzwa kwe-tricuspid valve ngokuvamile kuthatha amahora angu-3 kuya kwangu-6, kuye ngokuthi ngabe uyalungiswa noma uyashintshwa nokuthi ngabe udinga ezinye izinqubo zenhliziyo ngesikhathi esifanayo. Izimo eziyinkimbinkimbi noma izinqubo ezihlanganisiwe zingathatha isikhathi eside.

Udkt wakho ohlinzayo uzokunikeza isilinganiso sesikhathi esiqondile esisekelwe esimweni sakho somuntu ngamunye. Isikhathi sokuhlinzwa asihlanganisi isikhathi sokulungiselela nokululama ekamelweni lokusebenza, ngakho-ke uzobe ungekho emndenini wakho amahora amaningi ngaphezu kwesikhathi sokuhlinzwa sangempela.

Umbuzo 4. Ungaphila ngokujwayelekile ngemuva kokuhlinzwa kwe-tricuspid valve?

Yebo, abantu abaningi bangabuyela ezimpilweni ezijwayelekile, ezisebenzayo ngemuva kokuhlinzwa kwe-tricuspid valve okuphumelelayo. Iziguli eziningi zibika ukuzizwa zingcono kuneminyaka edlule uma seziphinde zithole ngokugcwele inqubo.

Izinga lakho lomsebenzi nendlela yokuphila kuzoncika empilweni yakho yonke, impumelelo yokuhlinzwa kwakho, nokuthi ulandela kahle kangakanani uhlelo lwakho lokululama. Abantu abaningi bangaqala kabusha umsebenzi, ukuzivocavoca, nokuhamba ezinyangeni ezimbalwa ngemuva kokuhlinzwa.

Umbuzo 5. Iyini izinga lempumelelo lokulungiswa kwe-tricuspid valve?

Ukulungiswa kwe-tricuspid valve kunezinga eliphezulu lempumelelo, ngocwaningo oluningi olukhombisa imiphumela emihle ku-85-95% weziguli uma zenziwa odokotela abahlinzayo abanolwazi. Izinga lempumelelo lincike enkingeni ethile nge-valve yakho kanye nesimo sakho sempilo esiphelele.

Ukulungisa kuvame ukuba kuqine kunezinto ezithathelwa indawo, futhi abantu abaningi bajabulela amashumi eminyaka yokusebenza kahle kwe-valve ngemva kokuhlinzwa okulungile. Udokotela ohlinzayo angakunika ulwazi oluqondile mayelana nempumelelo ngokusekelwe esimweni sakho esithile.