Uphononongo lwangaphandle okanye ukuvalwa

Xa utyando lwentliziyo luvulekile, ugqirha wotyando usika (incision) eyehla iye phakathi embindini wesifuba sakho (sternum). Ukuqanjwa kudla ngokuziphilisa. Kodwa ngamanye amaxesha, kukho iingxaki ezifuna unyango.

Iingxaki ezimbini zenxeba ezinokwenzeka ngaphakathi kweentsuku ezingama-30 zotyando lwentliziyo oluvulekileyo zezi:

• Usulelo kwisilonda okanye esifubeni. Iimpawu zinokuba bubofu xa kusikwa, kubushushu, okanye kukuziva udiniwe kwaye ugula.
• I-sternum iyahlula kubini. I-sternum kunye nesifuba azizinzanga. Unokuva isandi sokucofa kwi-sternum xa uphefumla, ukhohlela, okanye ujikeleza.

Ukunyanga ingxaki, ugqirha wotyando waphinda wayivula indawo ebetyandwa kuyo. Inkqubo yenziwa kwigumbi lokusebenza. Ugqirha:

• Isusa iingcingo ezibambe i-sternum kunye.
• Ngaba kuvavanywa ulusu kunye nezicubu enxebeni ukukhangela iimpawu zosulelo.
• Isusa izihlunu ezifileyo okanye ezosulelekileyo enxebeni (yonakalisa inxeba).
• Hlamba isilonda ngamanzi anetyuwa (ityuwa).

Emva kokuba inxeba licociwe, ugqirha wotyando unakho okanye angalivale inxeba. Inxeba ligcwele ukunxiba. Ukunxiba kuya kutshintshwa rhoqo.

Okanye ugqirha wakho osebenzisa ugqirha unokusebenzisa i-VAC (ukuvalwa okuncediweyo). Kukunxiba okungafunekiyo. Yonyusa ukuhamba kwegazi ejikeleze i-sternum kwaye iphucula ukunyanga.

Iindawo zokunxiba i-VAC zezi:

• Impompo yokucoca
• Isiqwenga sogwebu silungele inxeba
• Ityhubhu yokucoca
• Sula isinxibo esifakelwe phezulu

Isiqwenga se-foam sitshintshwa rhoqo kwiintsuku ezi-2 ukuya kwezi-3.

Ugqirha wakho unokubeka isifuba kuwe. Oku kuyakwenza ukuba amathambo esifuba azinze.

Kungathabatha iintsuku, iiveki, okanye neenyanga ukuba inxeba licoceke, licace nakusulelo, kwaye ekugqibeleni linyange.

Nje ukuba oku kwenzeke, ugqirha otyandayo unokusebenzisa imicu yemisipha ukogquma nokuvala inxeba. I-flap inokuthathwa kwiimpundu zakho, igxalaba, okanye isifuba esingasentla.

Usenokuba sele ufumana ukhathalelo lwenxeba okanye unyango kunye namayeza okubulala iintsholongwane.

Kukho izizathu ezibini eziphambili zokuhlola kunye nokuvala iinkqubo zesilonda sesifuba emva kotyando lwentliziyo:

• Lususe usulelo
• Ukuzinzisa i-sternum kunye nesifuba

Ukuba ugqirha wotyando ucinga ukuba unesifo esifubeni sakho, oku kulandelayo kuhlala kwenziwa:

• Iisampulu zithathwa kumsele, ulusu kunye nezicubu
• Isampulu yesifuba sesifuba sithathwa kwi-biopsy
• Uvavanyo lwegazi lwenziwe
• Uya kuvavanywa ukuba utya kangakanani kwaye ufumana izakhamzimba
• Uya kunikwa i-antibiotics

Uya kuchitha ubuncinci iintsuku ezimbalwa esibhedlele. Emva koko, ungaya:

• Ikhaya kunye nokulandela kunye nogqirha wakho. Abongikazi banokuza ekhayeni lakho ukuze bancede ngononophelo.
• Kwindawo yononophelo ngoncedo olungaphaya lokufumana kwakhona.

Kuyo nayiphi na indawo, unokufumana i-antibiotics iiveki ezimbalwa kwimithambo yakho (IV) okanye ngomlomo.

Ezi ngxaki zinokubangela iingxaki ezinje:

• Udonga lwesifuba olubuthathaka
• Iintlungu zexesha elide (ezingapheliyo)
• Ukuhla kwemiphunga
• Umngcipheko wokufa
• Usulelo oluninzi
• Kufuneka uphinde okanye uhlaziye inkqubo

I-VAC-ukuvalwa okuncediweyo-inxeba langaphakathi; Ukunyaniseka okungaphandle; Usulelo lwangaphandle

I-Kulaylat MN, iDayton MT. Iingxaki zotyando. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 12.

I-Lazar HL, i-Salm TV, i-Engelman R, i-Orgill D, uGordon S. Uthintelo kunye nolawulo losulelo lwenxeba lwangaphakathi. J Thorac Cardiovasc Uqhaqho. Ngo-2016; 152 (4): 962-972. IINKCUKACHA: 27555340 pubmed.ncbi.nlm.nih.gov/27555340/.