Ukuhlinzwa Kwenhliziyo Kwezingane

Izibhedlela Zokuhlinza Inhliziyo Kwezingane eHyderabad

Izibhedlela ze-CARE ngesinye sezibhedlela ezingcono kakhulu zezingane zenhliziyo e-Hyderabad zokuhlinzwa kwezingane zenhliziyo (inhliziyo). 

Ukuhlinzwa kwenhliziyo ezinganeni kunconywa lapho ingane ihlushwa isifo senhliziyo esibi. Kuyasiza ukulungisa ukukhubazeka kwenhliziyo ukuze ingane ibe nempilo enempilo. Ezinye izifo zenhliziyo zingadinga ukuhlinzwa ngokushesha ngemva kokuzalwa. Ezimweni ezimbi kakhulu, lokhu kuhlinzwa kwenziwa ngisho nezinyanga noma iminyaka ngemva kokubeletha. Uhlobo lokuhlinzwa oludingekayo kanye nenombolo yakho kuncike ebucayi besimo. Lokhu kuhlinzwa kwenziwa odokotela abahlinza inhliziyo bezingane abanolwazi nabaqeqeshwe kahle ukuze banikeze ukunakekelwa okuphelele enganeni yakho. 

Ezibhedlela ze-CARE, izinqubo zokwelapha ezingangeneleli kancane ziyacatshangelwa ekuqaleni. Uma zingahambi kahle, ithimba lethu lezokunakekelwa kwempilo lihamba phambili ekusebenziseni izindlela ezihlaselayo ukuze kuncishiswe izingozi zokutheleleka. Lesi yisikhathi esibucayi kakhulu kubazali. Siyasiqonda isimo sabo ngakho-ke sibanikeza izinsizakalo ezingcono kakhulu zengane yabo. Sihlala sixhumana nabo futhi sibanikeze isibuyekezo sokwelashwa kwengane yabo. 

Ubuchwepheshe bethu ekuhlinzeni inhliziyo yezingane

Izibhedlela ze-CARE beziyizikhungo zezokwelapha ezihamba phambili zabazali abafuna ukwelashwa okungcono kakhulu kwengane yabo. Ithimba lethu labahlinzayo nezokwelapha bemikhakha eminingi lisebenza ndawonye ukuze libuyekeze amacala. Eyethu odokotela abahlinza inhliziyo yezingane ingakwazi ukwelapha izifo ezihlukahlukene. Lapha, sinikeza izinhlobo ezilandelayo zokuhlinzwa kwenhliziyo yezingane. 

• Isifo senhliziyo esakhiweni kanye nokulungiswa kwama-valve- Odokotela abahlinzayo basesibhedlela i-CARE bangochwepheshe ekuhloleni nasekwelapheni abantu abatholakala benezifo zenhliziyo noma izimo ze-valve njengezifo ze-aortic valve, i-bicuspid ne-tricuspid regurgitation, kanye nezinkinga ze-valve ye-ventricle eyodwa. Odokotela bethu abahlinzayo baphinde bahlinzeke ngokuhlinzwa ku-aorta, ikakhulukazi ezinganeni ezine-Marfan syndrome, isifo se-aortic valve nezinye izifo ezithinta izicubu. 

• I-hypertrophic cardiomyopathy kanye ne-septal myectomy- Odokotela abahlinzayo ezibhedlela ze-CARE basebenzisa izindlela zokuhlinza ezingcono kakhulu ze-obstructive and nonobstructive cardiomyopathy. Ngaphezu kwalokho, odokotela bethu abahlinzayo nabacwaningi basebenzela ukwenza intuthuko ekucabangeni, amasu e-defibrillator kanye nokwelashwa kwe-arrhythmia ukuvimbela ukufa okungalindelekile. 

• Izinqubo zokuhluleka kwenhliziyo kanye nokufakelwa kwenhliziyo- Isibhedlela i-CARE singesinye sezikhungo zezokwelapha ezihamba phambili ekwelapheni iziguli nge-ventricle eyodwa. Futhi sihlinzeka ngendawo yokufakelwa kwenhliziyo ezinganeni ezisanda kuzalwa nakubantu abadala ukuze kuqinisekiswe impilo yazo. 

• Ihlasela kancane - Kulezi zinsuku, ubuchwepheshe bokwelapha izifo zenhliziyo zesakhiwo bukhula ngokushesha. Kwezinye izimo, amasu angavaleli kancane angasetshenziswa. Lokhu kubangela ubuhlungu obuncane futhi kunciphisa isikhathi sokululama. Ithimba lethu lezinhlaka eziningi liqinisekisa ukuthi zonke izindlela zokwelapha ziyacatshangelwa ukuze wonke umuntu athole ukwelashwa okufanele ngesikhathi esifanele. 

• Ukufakwa kwedivayisi yokusiza i-ventricular- Sihlinzeka ngendawo yokufaka idivayisi yokusiza i-ventricular (VAD). Kuyipompo yemishini esiza ukubuyisela ukugeleza kwegazi nokusebenza kwenhliziyo. 

• Ukungenelela kwenhliziyo yengane - Izibhedlela ze-CARE zihamba phambili ekungeneleleni kwenhliziyo yengane ukuze zinikeze ukwelashwa kusenesikhathi. Ochwepheshe bethu bezingane ezikhulelwe basebenza ngokubambisana ukwenza lula ukungenelela okuhlukahlukene okuyinkimbinkimbi kwezifo zenhliziyo. Lokhu kubangela ukunakekelwa okubanzi komama kanye nengane ekhulayo noma i-fetus futhi kuqinisekisa ukuguquguquka okushelelayo kusuka empilweni yengane kuye ekuzalweni. 

Izinto eziyingozi zokuhlinzwa kwenhliziyo yezingane

Izingozi ezihlobene nokuhlinzwa kwenhliziyo yezingane zihlanganisa-

• Izinkinga zezinso

• I-anemia

• Izinkinga zokuphefumula

• Izinkinga zesisu

• Ukutheleleka

• Isidingo sokufakwa kwe-trachea

• Izinkinga zemithambo yegazi

Ezibhedlela ze-CARE, lezi zingozi zingancishiswa ngezinketho zokwelashwa ezisebenzayo kanye nemithi efanele. 

Ukuxilongwa kwezimo zenhliziyo zezingane

Ezibhedlela ze-CARE, kwenziwa ukuhlolwa okuhlukahlukene ukuze kutholakale izinkinga zenhliziyo ezinganeni. Ngesikhathi sokuqokwa, wethu eyezingane izazi zenhliziyo zithatha umlando wezokwelapha wesiguli futhi zihlole umzimba. I-electrocardiogram (ECG), i-X-ray yesifuba kanye ne-echocardiogram (yakha izithombe ze-ultrasound zenhliziyo) ziyaphakanyiswa ukuze kuxilongwe. Ngaphezu kwalokho, ukuhlolwa kwegazi kubalulekile ezigulini ezine-cyanosis (isikhumba esiluhlaza okwesibhakabhaka) kanye nezinhliziyo ze-ventricle eyodwa. 

Izisebenzi zethu zezifo zenhliziyo zikhuluma ngakho konke ukuhlolwa nabazali bengane futhi zichaza izinqubo. Ngemva kokuhlolwa, odokotela bethu benhliziyo bachaza kabanzi ngemiphumela nokuthi ngabe ukulandelela kuyadingeka yini noma cha. 

Ngezinye izikhathi, ukuhlola kokuqala akunikezi ulwazi oluningi mayelana nesimo, futhi kungase kudingeke ukuhlolwa okwengeziwe. Lokhu kufaka phakathi i-angiography ne-catheterization yenhliziyo, i-CT Scanning kanye ne-magnetic resonance imaging (MRI), ukuqoshwa kwe-Holter nokuhlolwa kokucindezeleka. 

Inqubo yokuhlinzwa kwenhliziyo yezingane

Inqubo yokuhlinzwa kwenhliziyo yezingane ihlanganisa izigaba ezintathu. 

Isigaba 1- Ngaphambi kokuhlinzwa

Ekuqaleni, umqondo wokuhlinzwa uyesabisa kokubili kubazali nasenganeni. Ngakho ukusiza ingane ukuba ilungele ukuhlinzwa kuyingxenye ebalulekile yenqubo. Ingane ekuqaleni ibuza imibuzo mayelana nenqubo kubazali bayo, ngakho kufanele baqiniseke ukuthi bayiphendula ngendlela efanele ukuze basuse ukungabaza kwengane yabo. Abazali nabo bangafuna usizo kudokotela noma kubasebenzi bezokwelapha okufanayo. Futhi, abazali kufanele batshele ingane ukuthi ukuhlinzwa kuzokwenziwa kanjani, okuzokwenzeka ngaphambi, phakathi nangemuva kokuhlinzwa. Kumelwe baqinisekise ukuthi ubuhlungu babo buzoqedwa ngemithi kuyo yonke inqubo. 

Isigaba 2- Ngesikhathi sokuhlinzwa

Ingane inikezwa i-anesthesia jikelele ukuze ilale futhi ingabi nabuhlungu phakathi nenqubo. Khona-ke, udokotela ohlinzayo wenza imbobo esifubeni. Usika ingxenye yesifuba somntwana ukuze aveze inhliziyo. Lapho inhliziyo isibonakala, ingane ixhunywe emshinini wokudlula. Isusa igazi enhliziyweni ukuze udokotela ohlinzayo akwazi ukwenza inqubo. Usika umthambo onempilo noma umthambo ukuze akhe indlela entsha ezungeze umthambo owonakele. Ngemva kwalokho, usebenzisa ucingo ukuvala ithambo lesifuba futhi alishiye (ucingo) emzimbeni. Khona-ke, i-incision yangaphandle iyathungwa. 

Isigaba 3- Ngemva kokuhlinzwa

Ingane ingakwazi ukuzwa ubuhlungu obuthile ngemva kwenqubo, inikezwa imithi yokukhulula ubuhlungu. Abazali bangabona izinguquko ezithile ekuziphatheni kwengane yabo. Ngalesi sikhathi, kufanele bawasekele futhi bawaphathe ngokucophelela. 

Izibhedlela ze-CARE zingasiza kanjani? 

Izibhedlela ze-CARE zihlangabezana nezindinganiso zokwelashwa zamazwe ngamazwe. Isikhungo sethu sezokwelapha sisungulwe ukuze sinikeze izikhungo zezokwelapha ezingcono kakhulu emkhakheni wezifo zenhliziyo kuzo zonke iziguli. Ithimba lethu elihlinzayo liqukethe odokotela abahlinzayo abangcono kakhulu nodokotela benhliziyo abazinikele emsebenzini wabo futhi abasekelwa abasebenzi abanozwela ukuze banikeze ukunakekelwa kwangaphambi kokuhlinzwa nangemuva kokuhlinzwa.