Yenziwa njani into yokumbombozela kwentliziyo kwaye yintoni ingozi

Umxholo

• Lwenziwa njani utyando
• Iindidi zotyando
• Indlela yokulungiselela utyando
• Iingozi zotyando
• Unjani uchacha

Akukho mfuneko yokuba kwenziwe utyando kuzo zonke iimeko zokumbombozela kwentliziyo, kuba, kwiimeko ezininzi, yimeko enobungozi kwaye umntu unokuhlala nayo ngesiqhelo ngaphandle kweengxaki zempilo.

Ukongeza, kwiintsana nasebantwaneni, kuyinto eqhelekileyo ukuba ukumbombozela kuhlala iinyanga nje ezimbalwa okanye iminyaka kwaye kusonjululwe ngokwaso ngokwendalo, njengoko ulwakhiwo lwentliziyo lusakhula.

Yiyo loo nto utyando luboniswa kwimeko apho ukumbombozela kubangelwa sisifo esithile, semisipha okanye sezivalo zentliziyo, eziphazamisa ukusebenza kwayo, njengokuncipha kakhulu okanye ukungonelanga, ukuya kuthi ga kwinqanaba lokubangela iimpawu ezinje ngokuphefumla kancinci, ukudinwa okanye ukubetha, umzekelo. Ukuqonda ngcono ukuba yintoni kwaye yintoni ebangela intliziyo yokumbombozela kwabantu abadala nabantwana.

Lwenziwa njani utyando

Utyando lokulungisa isifo sentliziyo luboniswa ngugqirha wezifo zentliziyo kunye nengcibi yentliziyo, abagqiba, ngokudibeneyo, lolona hlobo lonyango lokutshintsha umntu ngamnye.

Rhoqo, ngaphambi kotyando, unyango ngamachiza okuphucula imeko kunye nolawulo lweempawu lunokuzama, kusetyenziswa iHydralazine, iCaptopril okanye iFurosemide, umzekelo, enokuba luncedo kwabanye abantu. Nangona kunjalo, xa iimpawu zinzima okanye zingaphucuki kunyango, inkqubo yotyando inokuba yeyona ndlela ingcono yokuphucula umgangatho wobomi bomntwana okanye wabantu abadala.

Ukucwangcisa ukusebenza kotyando, kwenziwa uvavanyo lwangaphambi kokusebenza, kunye nebhetri yovavanyo lwegazi, njengesixa segazi kunye necoagulogram, kunye nokucinga, njenge-echocardiogram, i-electrocardiogram, i-X-ray yesifuba kunye ne-catheterization yentliziyo, umzekelo.

Iindidi zotyando

Utyando, olomntwana kunye nolomntu omdala, lwenziwa ngokwesiphene sentliziyo ekufuneka silungisiwe, esinokuthi:

• Ukucuthwa kwesivalo sentliziyo, ebonakala kwizifo ezinje nge-mitral, aortic, pulmonary okanye tricuspid stenosis: i-balloon dilation inokwenziwa nge-catheter ethe yaziswa entliziyweni kwaye yafaka ibhaluni kwindawo eyiyo, okanye ngoqhaqho, apho intliziyo ilungisa khona ivalve okanye, kwezinye iimeko, ivelufa eyenziweyo iyatshintshwa;
• Ukungabikho kwevalve, eyenzekayo kwimeko ye-mitral valve prolapse okanye ukungabikho kwezivalo, ezinjenge-aortic, mitral, pulmonary kunye ne-tricuspid: utyando lunokwenziwa ukulungisa isiphako kwivelufa okanye ukubuyisela ivalve eyenziweyo;
• I-Congenic cardiopatics, njengakwiintsana ezine-interatrial (IAC) okanye unxibelelwano lwe-interventricular (CIV), ukuqhubeka kwe-ductus arteriosus, okanye i-tetralogy ye-Fallot, umzekelo: utyando lwenziwa ukulungisa isiphako sentliziyo.

Kwiimeko ezininzi, inkqubo enye iyimfuneko ekuphuculeni ukusebenza kwentliziyo kunye nokunciphisa iimpawu, nangona kunjalo, kwiimeko ezinzima ngakumbi, ngaphezulu kotyando olunye kunokuba yimfuneko.

Indlela yokulungiselela utyando

Utyando, ixesha lokuzila liyadingeka, elahluka ngokobudala, nge-avareji yeeyure ezi-4 ukuya kwezi-6 kwiintsana kunye ne-8 h yabantwana ngaphezulu kweminyaka emi-3 kunye nabantu abadala. Inkqubo yenziwa phantsi kwe-anesthesia ngokubanzi, kwaye ixesha lotyando luxhomekeke kuhlobo lwayo, kodwa iyahluka phakathi kweeyure ezi-4 ukuya kwezi-8.

Iingozi zotyando

Naluphi na utyando lwentliziyo lubuthathaka kuba lubandakanya ukuhamba kwegazi kwentliziyo kunye negazi, nangona kunjalo, kule mihla ingozi iphantsi, ngenxa yetekhnoloji entsha yamayeza kunye nezinto zokuhlinzwa.

Ezinye zeengxaki ezingenakwenzeka kuqhaqho lwentliziyo kukusopha, ukusuleleka, ukubanjwa, ukubanjwa kwentliziyo okanye ukwaliwa kwevalve, umzekelo. Ezi ntlobo zeengxaki zinokuthintelwa ngokwenza kwangaphambili kunye neposi yenziwe kakuhle, kulandela yonke imiyalelo kagqirha.

Unjani uchacha

Emva kotyando, ixesha lasemva kokuhlinzwa lenziwa e-ICU, malunga neentsuku ezi-2, emva koko kulandelwa kwigumbi lewadi, apho umntwana okanye umntu omdala anokuhlala khona kangangeentsuku ezisi-7, kuvavanyo lwe-cardiologist, ade akhululwe esibhedlele. Ngeli xesha, ukongeza ekusebenziseni amayeza okungathandeki kunye neentlungu, ezinje ngeParacetamol, i-physiotherapy inokuqalwa ukomelela kunye nokuphefumla emva kokubakho kotyando.

Emva kokuphuma ekhaya, kuya kufuneka ulandele izikhokelo ezithile, ezinje:

• Sebenzisa amayeza amiselwe ngugqirha;
• Sukwenza iinzame, ngaphandle kwezo zicetyiswe ngugqirha wezonyango;
• Yiba nokutya okunezakha-mzimba, kunye nokutya okune-fiber, iziqhamo, imifuno kunye neenkozo ezipheleleyo, ezifana ne-oats kunye neflakisi, kunye nokuphepha ukutya okunamafutha okanye okunetyiwa;
• Yiya kumatyelelo okubuyela kugqirha wentliziyo ukuze uphinde uphonononge;
• Cinga ukubuya okanye nxibelelana nogqirha kwangoko kwimeko yomkhuhlane ongaphezu kwama-38ºC, ukuphefumla kakhulu, iintlungu eziqatha kakhulu, ukopha okanye ubofu kulusu.

Funda ngakumbi malunga nokuchacha kutyando lwentliziyo yomntwana kunye notyando lwentliziyo yabantu abadala.