Ukufakelwa kwenhliziyo

Isibhedlela Esihamba phambili Sokufakelwa Kwenhliziyo e-Indore

Ukufakelwa kwenhliziyo kuyindlela yezokwelapha ewela ngaphansi komgomo we-cardiology yokungenelela futhi kuhilela ukubuyisela inhliziyo egulayo noma ehlulekayo ngenhliziyo yomnikeli enempilo. Ukuhluleka kwenhliziyo yisimo lapho inhliziyo ingasebenzi kahle, njengoba kufanele. Ukufakelwa kwenhliziyo kungase kubhekwe njengendlela yokugcina uma ezinye izindlela zokwelapha, njengemithi noma ukuhlinzwa, zingazange ziphathe ngempumelelo izimo ezithile zenhliziyo.

Ukuhlinzwa kwenhliziyo okungenelele okungenelele kanye nezinqubo zokufakelwa kwenhliziyo zenziwa njalo ngaphakathi koMnyango Wezinhliziyo e-CARE CHL Hospitals Indore. Lezi zinqubo zihlose ukulungisa izinkinga zokuzalwa kanye nokubhekana nezimo zezempilo zenhliziyo ezigulini zezingane, abantu abadala, kanye neziguli esezikhulile. 

Ithimba elihlangene lodokotela benhliziyo abangenelelayo, odokotela abahlinza inhliziyo, ochwepheshe, nabanye ochwepheshe bezinhlaka ezahlukene basebenza ndawonye ukuze banikeze izinsizakalo zokunakekelwa kwezempilo ezisezingeni lomhlaba kanye nokwesekwa, kusetshenziswa indlela ehlukahlukene yokubhekana nezinkinga ezinkulu nezincane ezigulini ezinezifo zenhliziyo. Ngezindawo ezisezingeni eliphezulu kanye nemishini esezingeni eliphezulu yezinqubo zokungenelela, uMnyango Wezinhliziyo e-CARE CHL Hospitals Indore usungulwe njengeSikhungo Sobuhle, esihlinzeka ngezinsizakalo zezokwelapha eziyingqayizivele kanye nezinga eliphezulu lokuphumelela ekwelapheni kwenhliziyo.

Ubani Ofaneleka Ukuba Umamukeli?

Akuzona zonke iziguli ezinokwehluleka kwenhliziyo ezingase zibe umuntu ofanelekayo wokufakelwa inhliziyo, njengoba kungase kubangele izingozi ezinkulu kuzo. Ngaphambi kokufaka isiguli ohlwini lwabazofakelwa inhliziyo, ithimba lodokotela lisihlolisisa ngokucophelela isimo sempilo yaso futhi lihlole isidingo saso sokufakelwa kabusha, licabangela izici ezinjengobudala, indlela yokuphila, nezinto ezigulayo.

Kunezici ezimbalwa ezingathonya ukufaneleka kwesiguli ukuthi sibe umamukeli wokufakelwa inhliziyo, okuhlanganisa:

1. I-Comorbidities: Ukugula okuthile kunganciphisa amathuba okuphila isikhathi eside ngemva kokufakelwa inhliziyo.
2. Izifo Ezisebenzayo: Ukutheleleka okusebenzayo kungaholela ezinkingeni ezinzima kumongo wokufakelwa kwenhliziyo.
3. Amathuba Okululama: Uma isiguli sithathwa njengento engenakwenzeka ukuba silulame ngempumelelo ngemva kokufakelwa inhliziyo, odokotela bangase bakhethe ukulwa nenqubo.
4. Umlando Womdlavuza: Iziguli ezinomlando womndeni womdlavuza zingase zinganconyelwe ukufakelwa inhliziyo

Ukuqonda Inqubo Yokufakelwa Kwenhliziyo

Uma isiguli sesihlonzwe njengomuntu ongase abe umamukeli wokufakelwa inhliziyo, singase sibekwe ohlwini lokulinda. Ngesikhathi esohlwini lokulinda, odokotela bayiqapha ngokucophelela impilo yesiguli kuze kube yilapho inhliziyo yomuntu onikelayo itholakala. Ngezinye izikhathi, isiguli singase silulame esimweni senhliziyo ebesiphethwe kuso, okungaholela ekukhishweni kwaso ohlwini lokulinda. Nokho, kuye ngokuthi isiguli sesilulame, zingase zibuyiselwe ohlwini lokulinda.

Ukulungiselela Ukufakelwa Inhliziyo 

Odokotela bangase bancome uhlelo lokwelapha olusekelwe esikhathini esilinganiselwe sokulinda senhliziyo yomnikeli. Imfundo yesiguli mayelana nohlelo lokwelapha lwamanje kanye nenqubo yokuvuselela inhliziyo inikezwa, igxile olwazini mayelana nokugcina impilo ngaphambi nangemva kokufakelwa. Ukuhlola nokuphatha ngokomzwelo nangokwengqondo nakho kuyagcizelelwa ukuze kulungiselelwe iziguli inqubo yokufakelwa.

Inqubo Yokufakelwa Kwenhliziyo

Ukuhlinzwa kokufakelwa kabusha kwenhliziyo kuyinqubo eyinkimbinkimbi eklanyelwe izidingo zesiguli ngasinye. Ithimba elizinikele lodokotela abahlinza inhliziyo nabanye ochwepheshe banesibopho sokunakekela isiguli kuyo yonke inqubo. Ngokuvamile, ukuhlinzwa kokufakelwa kwenhliziyo kuthatha cishe amahora angu-4-6 ukuqeda. Inqubo yenziwa ngaphansi i-anesthesia jikelele, kuyilapho isiguli sihlala sixhumeke emshinini wokunqamula inhliziyo namaphaphu ukuze kuqinisekiswe ukutholakala kwegazi eligcwele umoya-mpilo okuqhubekayo.

Phakathi nokuhlinzwa, kukhishwa ithambo lebele (i-sternum), futhi isiguli sixhunywe emshinini wokunqamula inhliziyo namaphaphu, olawula imisebenzi yenhliziyo namaphaphu. Njengoba izimbambo zivuliwe, odokotela abahlinzayo benhliziyo basusa inhliziyo enesifo bese befaka inhliziyo yokunikela enempilo. Imithambo yegazi emikhulu ibe isixhunywa enhliziyweni entsha, okuvumela igazi ukuba ligeleze kuyo, okuyenza ishaye ngendlela evamile. Uma inhliziyo yomnikeli ihlangabezana nobunzima ekugcineni isigqi esifanele, ukushaya kwenhliziyo okuvamile kungabuyiselwa ngokushaqeka kukagesi.

Ukuvuselelwa Nokunakekelwa Kwangemuva Kokufakelwa

Ngemva kokuba inqubo yokufakelwa inhliziyo isiqediwe, isiguli singase sinikezwe imithi edambisa ubuhlungu. Bazogcinwa egunjini labagula kakhulu (ICU) ukuze bagadwe eduze futhi baqashwe ngeso lokhozi izinsuku ezimbalwa. Ukwengeza, isiguli singase sixhunywe kumshini wokuphefumula kanye nohlelo lokudonsa amanzi ukuze kube lula ukukhishwa koketshezi ngemva kokuhlinzwa, kanye nokuthola imithi edingekayo noketshezi.

Ngemva kwezinsuku ezimbalwa, isiguli sizosuswa e-ICU siyiswe egumbini lasesibhedlela ukuze sihlolwe futhi sihlunyeleliswe. Uma sekuqinisekisiwe ukuthi isiguli sesiphile saka ukuze sibuyele ekhaya, sizophuma esibhedlela. Nokho, basazodinga ukuqapha njalo impilo yabo. Abantu abahlinzelwa inhliziyo ngokuvamile bathola ikhwalithi yempilo ethuthukisiwe ngokuthobela imiyalelo kadokotela wabo. Ngokuvamile, ama-immunosuppressants anqunyelwe ukunciphisa ingozi yokwenqatshwa kwesitho.

Ngesikhathi sokuhlolwa okujwayelekile kwangemuva kokuhlinzwa, odokotela bangenza izivivinyo ezithile ukuze baqinisekise ukuthi inhliziyo etshaliwe isebenza kahle futhi ayinqatshwa umzimba. Lokhu kuhlola kungase kuhlanganise ama-biopsies nama-electrocardiograms, ikakhulukazi ezinyangeni zokuqala ngemva kokuhlinzwa. Lokhu kuqapha kubalulekile njengoba izimpawu zokwenqatshwa kwesitho, ikakhulukazi esimweni senhliziyo etshalwe kabusha, zingase zingabonakali ngaso sonke isikhathi. 

Nokho, ngezinye izikhathi kungase kube nezimpawu ezibonisa ukwenqaba inhliziyo etshalwe kabusha. Lezi zimpawu zingabandakanya:

• Ukukhula kwesisindo okungachazeki
• Ukuphefumula, ukukhathala
• Imvamisa encishisiwe yokuchama

Izingozi Nezinkinga

Ukufakelwa kwenhliziyo kuwukuhlinzwa okukhulu okungase kuhlanganise izingozi ezithile kanye nezinkinga. Izingozi ezihlobene nokuhlinzwa kokufakelwa kwenhliziyo zingabandakanya:

• Ukwenqatshwa kwenhliziyo
• Ama-clots egazi
• Ukutheleleka
• Ukulimala kwezinso, i-osteoporosis, umfutho wegazi ophakeme, nesifo sikashukela ngenxa yama-immunosuppressants
• Yehlise ukungazetheki
• Cancer
• Izifo ze-coronary artery ezifana nesifo senhliziyo, ukwehluleka kwenhliziyo, isigqi senhliziyo esingavamile, njll.

Nakuba izinkinga zingase zenzeke njengoba ukuhlinzwa kokufakelwa kwenhliziyo kuwukuhlinzwa okukhulu, kwenzeka ngokungajwayelekile futhi kungase kuthathwe ukunakekelwa ngokushesha njengoba iziguli zigcinwa ngaphansi kokubhekwa futhi zihlolwe njalo izinkinga zangemva kokuhlinzwa isikhathi eside.

Kungani Khetha Izibhedlela ze-CARE CHL?

Emnyangweni Wezinhliziyo We-CARE CHL Hospitals Indore, sizinikele ekuhlinzekeni ukwelashwa nokuphathwa kwezifo zenhliziyo ezihlukahlukene. Lokhu kuhlanganisa ukwenza nokuphatha ngempumelelo izinkinga ezihlobene nokufakelwa inhliziyo ngezinga eliphezulu lobuchwepheshe nekhono. Ithimba lethu liqukethe odokotela benhliziyo abanolwazi olunzulu nodokotela abahlinza inhliziyo abaya esigulini ngasinye ngekhono elibukhali lomtholampilo nokunakekelwa okukhethekile. Umgomo wethu uwukuhlinzeka ngokuhlolwa okunembile kanye nokwelashwa kwazo zonke izimo zempilo ezihlobene nenhliziyo.