Ixesha lasemva kokuhlinzwa kotyando lwentliziyo yomntwana

Umxholo

• Kwenzeka ntoni emva kotyando
• Xa ufika ekhaya
• Ubuyela nini kwimisebenzi yesiqhelo
• Ungaziphepha njani iingxaki emva kotyando

Utyando lwentliziyo yobuntwana luyacetyiswa xa umntwana ezalwa enengxaki enkulu yentliziyo, enje ngevalve stenosis, okanye xa enesifo esiya sisiba mandundu esinokubangela ukonakala okuqhubekayo entliziyweni, kufuna ukutshintshiselana okanye ukulungiswa kweenxalenye zentliziyo.

Ngokwesiqhelo, utyando lwentliziyo yabantwana yinkqubo ebuthathaka kakhulu kwaye ubunzima bayo buyahluka ngokobudala bomntwana, imbali yezonyango kunye nenqanaba lempilo ngokubanzi. Yiyo loo nto kuhlala kucetyiswa ukuba uthethe kugqirha wabantwana okanye ugqirha wezentliziyo malunga nolindelo kunye nomngcipheko wotyando.

Emva kotyando, umntwana kufuneka angeniswe esibhedlele ukuze alulame ngokupheleleyo ngaphambi kokuba abuyele ekhaya, okunokuthatha phakathi kweeveki ezi-3 ukuya kwezi-4, kuxhomekeka kuhlobo lotyando kunye nokuvela kwimeko nganye.

Kwenzeka ntoni emva kotyando

Emva kotyando lwentliziyo, umntwana kufuneka alaliswe esibhedlele kwiCandelo eliKhathalela kakhulu (ICU) malunga neentsuku ezisi-7, ukuze livavanywe rhoqo, ukuthintela ukukhula kweengxaki, ezinjengosulelo okanye ukwaliwa, umzekelo.

Ngexesha lokulaliswa e-ICU, umntwana unokudityaniswa neengcingo ezininzi kunye neetyhubhu ukuqinisekisa impilo yabo, enje:

• Ifayibha ityhubhu: ifakwe emlonyeni okanye empumlweni yomntwana ukunceda umntwana aphefumle, kwaye inokugcinwa kangangeentsuku ezi-2 okanye ezi-3;
• Amanzi esifuba: zizityhubhu ezincinci ezibekwe kwindawo yotyando ukususa igazi elingaphezulu, ulwelo kunye nezinye iintsalela kutyando, ukukhawulezisa ukubuyisela kwimeko yesiqhelo. Zigcinwa de umjelo uphele;
• Catheters ezingalweni: zihlala zigcinwa ngokuthe ngqo kwimithambo yeengalo okanye yemilenze ukuvumela ukulawulwa kwe-serum okanye amanye amayeza kwaye kunokugcinwa kulo lonke ixesha lokuhlala esibhedlele;
• Ipayipi yesinye: ibekwe ukugcina ukuvavanywa rhoqo kweempawu zomchamo, ukuvumela ukungqinisisa ukusebenza kwezintso ngexesha lokuhlala kwe-ICU. Jonga izilumkiso ekufuneka uzithathele ingqalelo: Ukhathalelo lomntu onekhabethe yesinyi.
• I-tube ye-Nasogastric kwimpumlo: isetyenziselwa iintsuku ezi-2 okanye ezi-3 ukuvumela ukukhutshwa kwesisu esiswini kunye neegesi, ukuthintela iintlungu zesisu.

Ngeli xesha lokuhlala e-ICU, abazali abayi kuba nakho ukuhlala nomntwana wabo imini yonke ngenxa yemeko yabo ebuthathaka, nangona kunjalo, baya kuba nakho ukubakho kwimisebenzi yemihla ngemihla iqela labongikazi elibona lifanelekile, njengokuhlamba okanye ukunxiba, umzekelo.

Ngokubanzi, emva kokwamkelwa e-ICU, umntwana ugqithiselwa kwinkonzo yokunyanga yabantwana ezinye iiveki ezi-2, apho aqala khona imisebenzi yemihla ngemihla, njengokutya, ukudlala okanye ukupeyinta nabanye abantwana, umzekelo.Ngeli nqanaba, umzali uvumelekile ukuhlala nomntwana wakhe rhoqo, kubandakanya nokuchitha ubusuku esibhedlele.

Xa ufika ekhaya

Ukubuyela ekhaya kwenzeka malunga neeveki ezi-3 emva kotyando, nangona kunjalo, eli xesha linokutshintshwa ngokweziphumo zovavanyo lwegazi olwenziwa ngumntwana yonke imihla okanye nge-biopsy yentliziyo eyenziwe kwiiveki ezi-2 emva kotyando.

Ukugcina uvavanyo oluqhelekileyo lomntwana emva kokuphuma kwakhe esibhedlele, ukuqeshwa okuninzi kunokucwangciswa kunye nentliziyo ukuba ivavanye iimpawu ezibalulekileyo, amaxesha ama-1 okanye ama-2 ngeveki, kunye ne-electrocardiogram rhoqo kwiiveki ezi-2 okanye ezi-3, umzekelo.

Ubuyela nini kwimisebenzi yesiqhelo

Emva kokubuyela ekhaya, kubalulekile ukuhlala ekhaya, ukunqande ukuya esikolweni iiveki ezi-3. Ukongeza, kubalulekile ukugcina ukutya okuthe tyaba kwaye uqalise ukwenza imisebenzi yomzimba ngokuthe ngcembe, ngokwezikhokelo zikagqirha, ukugcina intliziyo yakho isempilweni kwaye wandise amathuba okuphumelela kule minyaka idlulileyo. Khangela ukuba ukutya kufanele ukuba njani: Ukutya kwentliziyo.

Ungaziphepha njani iingxaki emva kotyando

Umngcipheko woqhaqho lwentliziyo yomntwana luyahluka ngohlobo lotyando kunye nengxaki ekufuneka inyangwe, nangona kunjalo, ezona zibalulekileyo ngexesha lokuchacha zibandakanya:

• Usulelo: ngowona mngcipheko uphambili onxulunyaniswa nalo naluphi na uhlobo lotyando ngenxa yokuba buthathaka amajoni omzimba, nangona kunjalo, ukunqanda lo mngcipheko kufuneka uhlambe izandla zakho ngaphambi kokuba ube nomntwana, thintela unxibelelwano namalungu osapho amaninzi ngexesha lokulaliswa esibhedlele kwaye unikezele ngesikhuselo kumntwana, umzekelo;
• Ukwala: yingxaki rhoqo kubantwana abafuna ukufakelwa intliziyo okanye batshintshe iinxalenye zentliziyo ngokufakelwa izinto zokufakelwa, umzekelo. Ukunciphisa lo mngcipheko, kuyacetyiswa ukuba kugcinwe rhoqo amayeza ngexesha elifanelekileyo;
• Isifo sentliziyo: sisifo esinokuthi sikhule kwiinyanga ezimbalwa emva kotyando kwaye sinokuphetshwa ngemikhwa esempilweni, njengokutya okunezondlo kunye nokuzilolonga rhoqo.

Ke, ngexesha lokuchacha komntwana, kubalulekile ukuba wazi iimpawu kunye neempawu ezinokubonisa ukukhula kweengxaki, ezinje ngomkhuhlane ongaphezulu kwama-38º, ukudinwa kakhulu, ukungakhathali, ukuphefumla nzima, ukugabha okanye ukungabinamdla wokutya, umzekelo. Kule meko, kuyacetyiswa ukuba uye kwangoko kwigumbi likaxakeka ukuqala unyango olufanelekileyo.