Utyando lwentliziyo

Umxholo

• Umgqatswa wokufakwa kwentliziyo
• Ithini inkqubo?
• Kunjani ukuchacha?
• Landela emva kotyando
• Yintoni imbonakalo?

Yintoni ukufakelwa kwentliziyo?

Ukufakelwa kwentliziyo yinkqubo yoqhaqho esetyenziselwa ukunyanga awona matyala mabi esifo sentliziyo. Olu lukhetho lonyango kubantu abakumanqanaba okugqibela okusilela kwentliziyo. Amayeza, utshintsho kwindlela yokuphila, kunye neenkqubo ezingaphantsi zokungenelela aziphumelelanga. Abantu kufuneka bahlangabezane neekhrayitheriya ezithile ukuze bathathelwe ingqalelo njengomgqatswa wenkqubo.

Umgqatswa wokufakwa kwentliziyo

Abagqatswa bokufakwa kwentliziyo ngabo banesifo sentliziyo okanye ukusilela kwentliziyo ngenxa yezizathu ezahlukeneyo, kubandakanya:

• Isiphene sokuzalwa
• isifo semithambo
• ukungasebenzi kakuhle kwesivalo okanye isifo
• imisipha yentliziyo ebuthathaka, okanye i-cardiomyopathy

Nokuba unayo enye yezi meko, kusekho izinto ezininzi ezisetyenziselwa ukumisela ubugqwetha bakho. Oku kulandelayo kuya kuqwalaselwa:

• Iminyaka yakho. Uninzi lwabantu abaza kufumana intliziyo kufuneka babe phantsi kweminyaka engama-65 ubudala.
• Impilo yakho iyonke. Ukungaphumeleli kwamalungu amaninzi, umhlaza, okanye ezinye iimeko zonyango ezinzulu kunokukususa kuluhlu lokufakelwa.
• Isimo sakho sengqondo. Kufuneka uzibophelele ekutshintsheni indlela ophila ngayo. Oku kubandakanya ukuzilolonga, ukutya okusempilweni, nokuyeka ukutshaya ukuba uyatshaya.

Ukuba uzimisele ukuba ngumgqatswa ofanelekileyo wofakelo lwentliziyo, uya kubekwa kuluhlu lokulinda de kubekho intliziyo yomnikeli ehambelana negazi lakho kunye nohlobo lwethishu ekhoyo.

Kuqikelelwa ukuba zingama-2 000 iintliziyo zabanikeli ezifumanekayo eUnited States ngonyaka. Nangona kunjalo, malunga ne-3,000 yabantu abakuluhlu lokulinda ukufakelwa kwentliziyo ngalo naliphi na ixesha, ngokweYunivesithi yaseMichigan. Xa intliziyo ifunyenwe kuwe, utyando lwenziwa ngokukhawuleza ngelixa ilungu lisasebenza. Oku kuhlala kungaphelanga iiyure ezine.

Ithini inkqubo?

Utyando lofakelo lwentliziyo luhlala malunga neeyure ezine. Ngelo xesha, uya kubekwa kumatshini wentliziyo-nemiphunga ukugcina igazi lijikeleza emzimbeni wakho wonke.

Ugqirha wakho uyakususa intliziyo yakho, ashiye ukuvuleka kwemithambo yamaphaphu kunye nodonga lwangasemva lwe-atrium yasekhohlo. Bayakwenza oku ukulungiselela ukuba ufumane intliziyo entsha.

Nje ukuba ugqirha wakho abethe intliziyo yomnikeli endaweni kwaye intliziyo iqale ukubetha, uyakususwa kumatshini wemiphunga yentliziyo. Kwiimeko ezininzi, intliziyo entsha iya kuqala ukubetha kwakamsinya nje ukubuyela kwegazi kuyo. Ngamanye amaxesha ukothuka kombane kuyafuneka ukukhawulezisa ukubetha kwentliziyo.

Kunjani ukuchacha?

Emva kokuba utyando lwakho lugqityiwe, uya kusiwa kwigumbi labagula kakhulu (ICU). Uya kuhlala ujongwa, unikwe amayeza eentlungu, kwaye ugqitywe ngemibhobho yokuhambisa amanzi ukususa ulwelo olugqithisileyo kwisifuba sakho.

Emva kosuku lokuqala okanye ezimbini emva kwenkqubo, uya kuthi ususwe kwi-ICU. Nangona kunjalo, uya kuhlala esibhedlele njengoko uqhubeka nokuphola. Ukuhlala esibhedlele kusuka kwiveki enye ukuya kwezintathu, ngokusekwe kwinqanaba lokufumana kwakhona.

Uya kujongwa kusulelo, kwaye ulawulo lwamayeza akho luya kuqala. Amayeza okubulala iintsholongwane kubalulekile ukuqinisekisa ukuba umzimba wakho awulali ilungu lakho lomnikeli. Ungathunyelwa kwiyunithi yokuvuselela intliziyo okanye iziko ukukunceda ukuba uhlengahlengise kubomi bakho obutsha njengommkeli wofakelo

Ukubuyiselwa kwimeko yokufakelwa kwentliziyo kunokuba yinkqubo ende. Kubantu abaninzi, ukuchacha okupheleleyo kunokufikelela kwiinyanga ezintandathu.

Landela emva kotyando

Ukuqeshwa rhoqo okulandelayo kubalulekile ekubuyiseni ixesha elide nasekulawuleni ukufakelwa kwentliziyo. Iqela lakho lonyango liya kwenza uvavanyo lwegazi, ii-biopsies zentliziyo ngokusebenzisa i-catheterization, kunye ne-echocardiograms rhoqo ngenyanga kunyaka wokuqala emva kotyando ukuqinisekisa ukuba intliziyo yakho entsha isebenza ngokufanelekileyo.

Amayeza akho e-immunosuppressant aya kuhlengahlengiswa xa kufuneka njalo. Uyakucelwa kwakhona ukuba ukhe wahlangabezana nayo nayiphi na imiqondiso yokwaliwa, kubandakanya:

• ifiva
• ukudinwa
• ukuqhawukelwa ngumphefumlo
• ubunzima bomzimba ngenxa yokugcinwa kwamanzi
• ukunciphisa imveliso yomchamo

Xela naluphi na utshintsho kwimpilo yakho kwiqela lakho lentliziyo ukuze umsebenzi wentliziyo yakho ubekwe esweni ukuba uyafuneka. Nje ukuba unyaka udlule emva kokufakelwa, imfuno yokubeka esweni rhoqo iya kuncipha, kodwa uya kudinga uvavanyo lonyaka.

Ukuba ungumfazi kwaye ufuna ukuqala usapho, nxibelelana nogqirha wezentliziyo. Ukukhulelwa kukhuselekile kubantu abaye bafakelwa intliziyo. Nangona kunjalo, oomama abakhulelweyo abanesifo sentliziyo ebesele bikho okanye abo bebekhe bafakelwa abantu bathathwa njengomngcipheko omkhulu. Banokufumana ithuba elikhulu lokufumana iingxaki ezinxulumene nokukhulelwa kunye nomngcipheko ophezulu wokwaliwa komzimba.

Yintoni imbonakalo?

Ukufumana intliziyo entsha kunokubuphucula kakhulu ubomi bakho, kodwa kufuneka uyinyamekele. Ukongeza ekuthatheni iyeza zemihla ngemihla zokuthintela into, kuya kufuneka ulandele ukutya okusempilweni kunye nendlela yokuphila njengoko kumiselwe ngugqirha. Oku kubandakanya ukungatshayi kunye nokwenza umthambo rhoqo ukuba unako.

Amanqanaba okusinda kubantu abaye banentliziyo yokutshintsha bahluka ngokwemeko yabo yempilo, kodwa imilinganiselo ihlala iphezulu. Ukwala yeyona nto iphambili kubomi obuncitshisiweyo. Ikliniki yaseMayo iqikelela ukuba inqanaba lokusinda eUnited States limalunga neepesenti ezingama-88 emva konyaka omnye neepesenti ezingama-75 emva kweminyaka emihlanu.