Ukuqonda Izingozi Ezingenzeka Zokuhlinzwa Kwenhliziyo
Yonke imisebenzi evulekile yenhliziyo ibeka ingozi yezinkinga. Lezi zingozi ziqondene ngqo nenqubo eyenziwa, ngaphezu kwezingozi ezijwayelekile zokuhlinzwa kanye nezingozi ezihlobene ne-anesthesia . Izingozi zihluka kusukela kuhlobo olulodwa lokuhlinzwa kwenhliziyo oluya kolunye (kubandakanya ukubekwa kwe-pacemaker, umshini we-coronary , ukulungiswa komzimba , ukulungiswa kwe-valve nokuningi), futhi kungase kube ngaphezulu uma inhliziyo ivaliwe futhi igazi liphonswa ngumshini we-cardiopulmonary bypass machine kunenhliziyo ngesikhathi senqubo.
Ingozi yakho ngabanye yezinkinga kusuka ekuhlinzekeni kwenhliziyo evulekile ingathathwa kuphela udokotela wakho ohlinzayo njengoba isimo sakho samanje sempilo, inqubo oyenayo, kanye nezici ezengeziwe zomuntu siqu ezifana nobudala bakho nobulili kuthinta izinga lakho engozini. Ingozi yanda kuziguli ezingu-70 nangaphezulu , iziguli eziye zahlinzwa ngaphambili, nalabo abanezifo ezingapheli ezifana nesifo sikashukela , isifo se-coronary and high blood pressure.
Kwezinye izimo, izinga lakho lokubeka ingozi lingancishiswa ngokuthatha imithi yokwelashwa, okwenza izinguquko zokuphila zihlanganise nokudla ukudla okunomsoco ngaphambi kokuhlinzwa nokuqeda ukusetshenziswa kukagwayi .
Izinkinga Ezinokwenzeka Ngesikhathi Nokuhlinzwa Kwezinhliziyo Ngemva Kamuva
Ezinye zezinkinga ezivame kakhulu zokuhlinza inhliziyo zijwayele ukubhekana nazo phakathi namahora nezinsuku zokubuyiselwa esibhedlela. Isiguli sibhekwa ngokucophelela ngalezi zinkinga ngabasebenzi kanye nokuhlolwa kwebhu .
- Ukukhipha isisu: Kungenzeka ukuthi kwenzeke endaweni yokucubungula noma endaweni yenhliziyo lapho kwenziwa khona ukuhlinzwa
- Isimo senhliziyo engavamile: Ezimweni ezingavamile okwakungaphandle kwesikhashana, noma okuqhubekayo kwe-pacemaker yangaphakathi kungadingeka ukulungisa le nkinga.
- Ukulimala kwenhliziyo ye-Ischemic: Ukulimala kwezinhlanzi zenhliziyo ezibangelwa ukungabi khona kwegazi ukugeleza kuya enhliziyweni
- Ukufa: Ingozi yokufa iyanda ekuhlinzekeni lapho inhliziyo ivinjelwe khona.
- Ama-clots egazi : Ama- clots angase afake futhi azungeze inhliziyo noma ahambe ngegazi.
- Ukushaywa yisisu : Ngokuvamile kubangelwa ama-clots enza egazini ngemva kokuhlinzwa
- Ukulahlekelwa Kwegazi: Kwezinye izimo, kungadingeka ukuba kube nokumpontshelwa igazi.
- Ukuhlinzwa okuphuthumayo : Uma inkinga itholakele ngemuva kokuhlinzwa, kungenziwa ukuhlinzwa okuphuthumayo ukulungisa noma yiziphi izinkinga.
- I-tamponade ye-cardiac (i-tamponade ye-pericardial): Isimo esongela ukuphila lapho i-pericardium, isikhwama esizungezile inhliziyo, igcwele igazi. Lokhu kwenza kube nzima, noma akunakwenzeka, ngenhliziyo ukuba isebenze ngokugcwele.
Izingozi ze-"Pump" Ukuhlinzwa Inhliziyo
Ngezinye izinqubo zokuhlinza inhliziyo, inhliziyo kufanele imiswe ukuze udokotela ohlinzayo aqede inqubo. Lokhu kwenziwa ngezizathu ezimbili. Okokuqala, inhliziyo yokupompoza "iyisisusa esihambayo," okwenza ukuhlinzwa kungenakwenzeka noma kungenakwenzeka kulo dokotela ohlinzayo. Okwesibili, ukuhlinza okunye kudinga ukuthi udokotela ohlinzayo enze ukuchotshozwa enhliziyweni ukuba asebenze ngaphakathi kwamagumbi enhliziyo, okungaholela ekuphumeni okungalawuleki uma inhliziyo ishaya.
Uma kunesidingo sokumisa inhliziyo, umshini we- cardiopulmonary bypass uzosetshenziswa. Le oxygenates igazi bese iphoqa ngegazi lapho inhliziyo namaphaphu bengakwazi.
Izinqubo ezidinga umshini we-bypass ngokuvamile ubizwa ngokuthi "ngepompo" izinqubo. Ngenkathi inhliziyo ishaya umshini iye yathuthuka kakhulu eminyakeni yamuva, kusekhona izingozi ezihlobene nokusetshenziswa kwepompo.
- Ukweqa: Ingozi ikhuphuka ngenxa yemithi egazini yegazi esetshenziselwa ukupompa.
- Ama-clots egazi
- Ukushaywa yisisu: I-cardiopulmonary bypass yandisa ingozi yezindwangu ezingase zihambe ebuchosheni.
- Umonakalo wezinso noma wamaphaphu
- " Inhloko yepump ": Kwezinye iziguli, ukusetshenziswa kwe-cardiopulmonary bypass pump kungabangela ukucabanga okungenangqondo nokudideka ngemva kokuhlinzwa.
- Ukufa: Ngemuva kwenhliziyo ivaliwe, ezimweni ezingavamile, angeke ikwazi ukuqala futhi uma inqubo isiphelile.
Ukuze uthole olunye ulwazi mayelana ne-Human Heart & Heart Surgery
Imithombo:
> Emory Ucwaningo Uthola Abesifazane Bahle Ngcono Ngemuva kokuhlinzwa Ngama-Bypass Ngaphandle Kokusebenza Kwamaphiko Enhliziyo. I-Woodruff Health Sciences Center e-Emory University. September 2007. Kufinyelelwe ngo-Ephreli, 2009. http://www.whsc.emory.edu/press_releases2.cfm?announcement_id_seq=11563
> Vula Ukuhlinzwa Kwezinhliziyo. Isibhedlela Sezingane ZaseCincinnati. Kufinyelelwe ngo-Ephreli, 2009. http://www.cincinnatichildrens.org/health/heart-encyclopedia/treat/surg/open.htm
> Yiziphi Izingozi Zokuhlinzwa Kwenhliziyo? I-National Heart Lung ne-Blood Institute. Kufinyelelwe ngo-Ephreli, 2009. http://www.nhlbi.nih.gov/health/dci/Diseases/hs/hs_risk.html