Izivivinyo Ezi-4 Zezokwelapha Zokuhlonza Izifo Zenhliziyo

Noma iyiphi inkinga yezokwelapha ethinta inhliziyo yakho ingena ngaphansi kwesambulela sesifo senhliziyo. Ukusuka ezifweni zemithambo yegazi kuya ezinkingeni zesigqi senhliziyo, kunezifo eziningi ezihlobene nenhliziyo ezidinga usizo lwezokwelapha ngokushesha. Ungavakashela a Isibhedlela senhliziyo eHyderabad futhi uthole ukuxilongwa kwesifo senhliziyo futhi ufune ukunakekelwa kwezokwelapha okungcono kakhulu.

Izifo zenhliziyo zivame ukudideka nesifo senhliziyo. Nakuba izifo zenhliziyo nemithambo yegazi zihlanganisa kuphela izindaba eziphathelene nemithambo yegazi evalekile ezingase ziholele kweminye imithelela engathi sína njengokuhlasela kwenhliziyo noma unhlangothi, izifo zenhliziyo, ngakolunye uhlangothi, zakha izimo zenhliziyo ezithinta izicubu zenhliziyo noma ama-valve ngaphandle kwezifo zenhliziyo ezivamile.

Uma usola noma yisiphi isifo senhliziyo, uzodinga ukunakekelwa kwezempilo ngokushesha. Inqubo eyinhloko eholela ekwelapheni iwukuxilongwa. Ochwepheshe benhliziyo benza izivivinyo ezithile ukuze bathole uhlobo lwesifo senhliziyo ophethwe yiso.

Ngaphambi kokwenza ukuhlolwa kokuxilongwa kwesifo senhliziyo, udokotela wakho uzohlola umzimba ngaphandle kokukubuza imibuzo embalwa evamile ngomlando wakho wezokwelapha kanye nowomndeni wakho. Ochwepheshe benhliziyo baphinde benze ukuhlolwa kwegazi okujwayelekile kanye ne-X-ray yesifuba ukuze bajule ebunkingeni obuthile bezimo zenhliziyo futhi baphakamise izinhlelo zokwelashwa ezingcono kakhulu ezifanayo.

Ukuhlola okuqondile okuzokwenziwa udokotela wakho:

Nazi ezinye zezivivinyo zokuxilonga zenhliziyo:

• I-Electrocardiogram (ECG): Usebenzisa i-Electrocardiogram, udokotela wakho uzokwazi ukubona okungaqondakali okwenzeka kusigqi nesakhiwo senhliziyo. I-ECG yenhliziyo yenziwa ngokulinganisa ukunyakaza kukagesi kwenhliziyo. Ayivamisi futhi ayinabuhlungu. Phakathi nenqubo, uchwepheshe ubeka ama-electrode amabili esifubeni sesiguli futhi alinganise umsebenzi kagesi. Ukurekhoda kuboniswa emshinini oxhunyiwe.
• I-Echocardiogram: I-echocardiogram yenziwa kusetshenziswa amaza omsindo. Ngosizo lwamaza omsindo, kwakhiwa izithombe esikrinini ezitshela udokotela wakho ukuthi inhliziyo yakho ishaya futhi iphampa kanjani igazi. Ngale ndlela, udokotela wakho angakwazi ukubona ngokushesha isifo senhliziyo yakho.
• Ukuhlolwa kwengcindezi: Odokotela benza izivivinyo zokucindezeleka ukuze bathole izifo zenhliziyo njenge-coronary artery disease kanye nezinkinga zesigqi senhliziyo (arrhythmias). Okwaziwa nangokuthi ukuhlolwa kokucindezeleka kokuvivinya umzimba, ukuhlolwa kokucindezeleka kwenziwa ukuhlola ukuthi inhliziyo yakho isebenza kanjani uma wenza imisebenzi yomzimba. Njengoba inhliziyo ishaya ngokushesha lapho uzivivinya umzimba, noma yikuphi ukuvaleka noma inkinga ngokugeleza kwegazi kungabonakala kalula kulesi simo.
• I-catheterization yenhliziyo: Ku-catheterization yenhliziyo, i-catheter ifakwa ngaphakathi kwe-artery noma umthambo otholakala endaweni ye-groin noma entanyeni. Ukusuka lapho kuya enhliziyweni yakho futhi kusize udokotela wakho ukuthi abone noma yiziphi izinkinga zenhliziyo ezicashile okuhlanganisa ukuncipha noma ukuvaleka kwemithambo yegazi. Kungasiza futhi ekuhlolweni kwe-hemodynamic.
• Ukuhlolwa kwegazi: Uma kunomonakalo emisipha yakho, njengalapho uhlaselwa yinhliziyo, umzimba wakho ukhipha izinto ezithile emgudwini wegazi lakho. Ukuhlolwa kwegazi kungathola lezi zinto futhi kubonise izinga lomonakalo emisipha yenhliziyo yakho. Ukuhlolwa kwegazi kuyenziwa futhi ukuze kuhlolwe ezinye izinto ezihlukahlukene ezisegazini lakho, njenge-cholesterol, i-triglycerides, amavithamini, namaminerali. Ukuze uhlole igazi, kuthathwa isampula emthanjeni osengalweni yakho. Isampula ithunyelwa elabhorethri ukuze ihlaziywe, futhi imiphumela kamuva uyichaze udokotela wakho.
• I-angiogram ye-coronary: I-coronary angiogram ukuhlolwa okusiza ukuthola ukuvaleka emithanjeni yenhliziyo. Udokotela ufaka ishubhu (i-catheter) eguquguqukayo emithanjeni yegazi, ngokuvamile e-groin noma esihlakaleni, futhi alihambisa enhliziyweni. Bese bejova udayi nge-catheter emithanjeni yenhliziyo. Lo dayi wenza imithambo ibonakale ngokucacile ezithombeni ze-X-ray namavidiyo.
• I-Myocardial biopsy: I-myocardial biopsy ukuhlolwa lapho udokotela ethatha izingcezu ezincane zemisipha yenhliziyo ukuze azihlole. Lokhu kusiza ukuhlonza izinkinga ezithile zemisipha yenhliziyo ezingaholela ekuhlulekeni kwenhliziyo.
• Ingxenye yokukhipha: Ingxenyana yokukhipha iyindlela yokulinganisa ukuthi lingakanani igazi elikhishwa inhliziyo yakho ngokukhama ngakunye. Odokotela bahlola lokhu ngesikhathi sokuhlolwa kwe-echocardiogram. Umphumela ubasiza ukuthi babone uhlobo lokuhluleka kwenhliziyo onakho nokuthi ungakuphatha kanjani. Ingxenye yokukhipha engu-50% noma ngaphezulu inhle, kodwa usengaba nezinkinga zenhliziyo ngisho noma iphezulu kangako.
• I-CT scan yenhliziyo: I-CT scan yenhliziyo, eyaziwa nangokuthi i-CT scan yenhliziyo, isebenzisa ama-X-ray ukuze yenze izithombe ezinemininingwane yenhliziyo ngama-engeli ahlukene.

Kungakhathaliseki ukuthi wenza inqubo yenhliziyo elula efana ne-angioplasty noma ukufakelwa inhliziyo e-Hyderabad, ukuhlolwa okuhlobene nenhliziyo okukhulunywe ngenhla kwenziwa nguchwepheshe wakho wokunakekelwa kwenhliziyo njengengxenye yokwelashwa. Ukuba nolwazi oluthile kuzokusiza ukuthi ugcine amazinga akho okukhathazeka ephansi futhi ukhululeke phakathi nenqubo.