Ukuhlinzwa Kwenhliziyo

Ukuhlinzwa Kwenhliziyo Okuhle Kakhulu e-Hyderabad, India

Izibhedlela ze-CARE ngesinye sezihamba phambili Ukuhlinzwa kwenhliziyo nemithambo yegazi e-Hyderabad yokwelapha izifo zenhliziyo. Amazinga ethu okuphumelela kokuhlinzwa kwenhliziyo nenhliziyo ayaqhathaniswa namazwe ngamazwe.

Izibhedlela ze-CARE zihlinzeka ngokuhlinzwa kwe-cardiothoracic e-Hyderabad okungcono kakhulu Odokotela abahlinza i-Cardiothoracic eqenjini lethu ziphakathi kwezihamba phambili ezweni. Odokotela bethu bathole ukuqeqeshwa ezikhungweni zezokwelapha eziphezulu e-India nasemanyuvesi adume umhlaba wonke emhlabeni jikelele, okubenza bakwazi ukuphatha ngisho nezimo zenhliziyo eziyinkimbinkimbi kakhulu. Ukwengeza, iziguli zenhliziyo zisekelwa kahle yithimba elihlome ngolwazi oludingekayo namakhono okuphatha ukuze lizisize ekululameni kwazo ngemva kokuhlinzwa.

Kokubili iziguli ezindala kanye nezezingane zelashwa njalo ngokuhlinzwa kwenhliziyo esikhungweni sethu. Ukuhlinzwa okufana ne-CABG, ukuhlinzwa kwezinkinga ze-valve, nokufakelwa kwenhliziyo kuphakathi kwezinto zethu ezikhethekile. Uhlelo lwethu lokuhlinza ukufakelwa inhliziyo luphakathi kwezihamba phambili eNdiya.

Ithimba lethu liyakwazi ukufinyelela izinsiza ezintsha nezithuthukile. Iziguli zethu zilulama ngokushesha, ngenxa yamalebhu athuthukisiwe afaka i-catheterization, amayunithi okunakekelwa kwenhliziyo, namayunithi okunakekela kakhulu. Ngokuhlinzeka ngokunakekelwa kwesiguli okungenakuqhathaniswa namazinga empumelelo aphezulu, sisiza ukuthuthukisa ikhwalithi yempilo yazo zonke iziguli zethu. Siyisikhungo sokudlulisela esikhethwayo ezweni lonke ngakho konke ukuhlinzwa kwenhliziyo.

Ithimba Lenhliziyo lihlanganisa Odokotela Abahlinza Inhliziyo, Odokotela benhliziyo, Odokotela be-Radiologists, Odokotela bamaphaphu, kanye nabahlengikazi Benhliziyo kanye Nabasebenzi Bokusekela ukuze bakunikeze imiphumela engcono kakhulu.

Ziyini Izinzuzo?

Ukuhlinzwa kwe-Cardiothoracic kudlala indima ebalulekile ekubhekaneni nezinkinga ezihlukahlukene zenhliziyo. Nakhu okunye ukuhlinzwa okungazuzisa:

• I-Coronary Artery Bypass Grafting (CABG):
  • I-CABG isiza ukuvula imithambo yenhliziyo eye yancipha ngenxa yokunqwabelana kwama-fatty plaque.
  • Udokotela ohlinzayo uxhumela umthambo wegazi onempilo (ngokuvamile usuka kwenye ingxenye yomzimba) ukuze udlule ingxenye evalekile noma ewumngcingo yomthambo wenhliziyo, okwenza ngcono ukugeleza kwegazi ukuya enhliziyweni.
• Ukulungisa Imisipha Yenhliziyo Ebuthakathaka:
  • Ukuhlinzwa kwe-Cardiothoracic, njengokulungiswa kwe-ventricular aneurysm, kungabhekana nezindawo ezibuthakathaka zemisipha yenhliziyo.
  • Odokotela abahlinzayo bangase basuse noma baqinise izingxenye ezilimele, bathuthukise ikhono lenhliziyo lokumpompa igazi ngokuphumelelayo.
• Ukulungisa Izinkinga Zenhliziyo:
  • Izinqubo ze-Cardiothoracic zisetshenziselwa ukulungisa ukukhubazeka kwenhliziyo yokuzalwa noma okungavamile okukhona kusukela ekuzalweni.
  • Lokhu kuhlinzwa kuhloswe ukubuyisela ukwakheka nokusebenza kwenhliziyo okuvamile, kuqinisekiswe ukujikeleza kwegazi okulungile.
• Ukwelapha Izinkinga Zesigqi Senhliziyo:
  • Ukungenelela kokuhlinzwa, njengenqubo ye-maze, kungenziwa ukuze kulungiswe isigqi senhliziyo esingavamile (i-arrhythmias).
  • Ngokwakha isibazi esilawulwayo enhliziyweni, odokotela abahlinzayo bangakwazi ukuqondisa kabusha amasignali kagesi, babuyisele isigqi senhliziyo esivamile.
• Ukulungisa noma Ukushintshwa Kwevalvu:
  • Ukuhlinzwa kwe-Cardiothoracic kungase kuhlanganise ukulungisa noma ukubuyisela ama-valve enhliziyo eyonakele.
  • Lokhu kungathuthukisa ukugeleza kwegazi, kuvimbele ukuvuza noma ukuncipha kwama-valve, futhi kuthuthukise ukusebenza kwenhliziyo yonke.
• Ukulungiswa kwe-Aortic Aneurysm:
  • Odokotela abahlinzayo bangakwazi ukubhekana ne-aortic aneurysms, lapho umkhumbi wegazi oyinhloko (i-aorta) ukhula.
  • Ukulungisa kungase kuhilele ukubuyisela ingxenye ebuthakathaka ye-aorta nge-graft yokwenziwa, ukunciphisa ingozi yokuphuka.
• Ukufakelwa Kwenhliziyo:
  • Ezimweni ezinzima zenhliziyo, ukuhlinzwa kwe-cardiothoracic kungabandakanya ukufakelwa kwenhliziyo.
  • Inhliziyo eyonakele ithathelwa indawo inhliziyo yomnikeli enempilo, inikeze inketho yokwelapha esindisa impilo.
• Amasu Ahlasela Kancane:
  • Intuthuko ekuhlinzeni i-cardiothoracic iholele ekutheni kube nezinqubo ezingavamisile kancane.
  • Lezi zindlela zivame ukuholela ekusikeni okuncane, ukunciphisa izikhathi zokululama, kanye nokungakhululeki kwangemva kokuhlinzwa ezigulini.

Yiziphi izingozi ezihlobene nokuhlinzwa kwe-Cardiovascular?

Konke ukuhlinzwa kuza nezingozi ezingaba khona. Izingozi kanye nezinkinga ezingaba khona ezihlobene nokuhlinzwa kwe-cardiothoracic zihlanganisa:

• Izimpendulo ezinzima ku-anesthesia elawulwa ngesikhathi senqubo.
• Ukopha noma ukutheleleka okwenzeka endaweni yokuhlinzwa.
• Ukwakheka kwamahlule egazi noma ukopha ngaphakathi kobuchopho.
• Izehlakalo ezingavamile zokushaywa unhlangothi, ukuquleka, noma ukulimala kobuchopho.
• Ukwenzeka kwesifo senhliziyo.
• Ukulimala kwemizwa, umphimbo, noma uqhoqhoqho (uqhoqhoqho), okuholela ekuhosheni okungenzeka noma kube nzima ukugwinya.
• Ukunqwabelana kwe-plaque ngaphakathi kwemithambo.

Izinqubo ezibalulekile ezenziwa ezibhedlela ze-CARE

Njengesibhedlela esingcono kakhulu sokuhlinza inhliziyo e-Hyderabad, Izibhedlela ze-CARE zihlala zilwela ukuhlinzeka ngokwelashwa okungcono kakhulu ezigulini zayo ukuze kuzuzwe izinga eliphezulu lempumelelo. 

Izinqubo Ezisemqoka Esizilandelayo zihlanganisa:

I-Coronary artery bypass graft surgery (CABG): Igazi elijikelezayo liphambukiswa engxenyeni yomthambo ovalekile enhliziyweni yakho ngesikhathi senqubo ebizwa ngokuthi i-cardiac bypass ukuze ilethe igazi esicutshini senhliziyo. Inhloso yokuhlinzwa kwe-coronary bypass ukudlula indawo enesifo noma evimbekile yenhliziyo ngokusebenzisa umthambo wegazi onempilo osuka emlenzeni, engalweni, esifubeni noma esiswini. Ukujikeleza kwegazi enhliziyweni yakho kuba ngcono ngemva kokuhlinzwa kwe-coronary bypass. 

I-Angiogram yeCoronary: I-coronary angiograms isebenzisa i-X-ray imaging ukuhlola imithambo yegazi enhliziyweni. Lezi zinqubo ziwela ngaphansi kwesihloko esijwayelekile se-catheterization yenhliziyo (i-catheterization yenhliziyo). Ama-catheterizations angenziwa ukuze kuhlonzwe futhi kwelashwe kokubili izimo zenhliziyo nemithambo yegazi. Uhlobo oluvame kakhulu lwenqubo ye-catheterization yenhliziyo i-coronary angiogram, esiza ukuxilonga izimo zenhliziyo.

Ukufakwa kwe-LVAD: Iphampu yemishini efakelwayo ebizwa ngokuthi i-ventricular assist device (VAD) isiza inhliziyo ekumpompeleni igazi kuwo wonke umzimba wakho lisuka kuma-ventricles ayo. Abantu abanesifo senhliziyo noma izinhliziyo ezibuthakathaka bangadinga ama-VAD. Ngokuvamile, ama-VAD afakwa ku-ventricle yesokunxele yenhliziyo, kodwa angaphinde abekwe kwesokudla kanye nama-ventricles womabili. Imishini yokusiza ye-ventricular yangakwesokunxele (LVADs) ibekwe ku-ventricle yesokunxele.

Ukuhlinzwa Kwenhliziyo Kwezingane: Izibhedlela ze-CARE zinikezela ngezigaba ezibanzi kakhulu ezweni ezibhekele impilo yenhliziyo yezingane. Selaphe izingane ezweni lonke ezinezinkinga zenhliziyo ezizalwa nazo, okuhlanganisa ukuxilonga okungahlanyisi, ukufakwa kwenhliziyo kwenhliziyo kanye nokuhlinzwa kwe-cardiothoracic. Izingane nezinsana ezinezinkinga zenhliziyo eziyinkimbinkimbi ziye zahlinzwa inhliziyo.

I-Angioplasty yeCoronary: Le nqubo ihilela ukuvuleka kwemithambo yenhliziyo evalekile kusetshenziswa i-catheter. Kwaziwa nangokuthi ukungenelela kwe-coronary percutaneous. Ukuze usize ukunweba umthambo wegazi, ibhaluni elincane lifakwa isikhashana bese livuthelwa umoya endaweni evalekile. I-balloon angioplasty ingadambisa ubuhlungu besifuba, ukuphelelwa umoya, nezinye izimpawu zemithambo evalekile. Uma kwenzeka ukuhlaselwa yinhliziyo, i-angioplasty ingase isetshenziselwe ukuvula umthambo ovalekile futhi unciphise inani lomonakalo owenziwe enhliziyweni yakho.

Njengengxenye yamasu ethu okuxilonga athuthukile, ochwepheshe bethu basebenzisa amasu afana ne-OCT (i-optical coherence tomography), i-IVUS (i-intravascular ultrasound) nokunye ukuze babanikeze isithombe esicacile nesiphezulu semithambo kanye nokuvinjwa, okubasiza ngokwengeziwe ekwenzeni i-angioplasty.

Ukuhlinzwa Kwenhliziyo Okuhlaselayo Kancane (MICS): Ngokusebenzisa i-MICS, kungenzeka ukuthi iziguli zenhliziyo zibuyele empilweni evamile ngemva kwamaviki ambalwa kuphela. Ngenxa yempilo yethu esheshayo nesifiso sethu sokuchitha isikhathi esiningi ngangokunokwenzeka nabantu esibathandayo, i-MICS inikeza isikhathi sokululama esisheshayo esiyizinsuku eziyi-10.

I-Transcatheter aortic valve replacement (TAVR): Enqubweni ye-transcatheter yokushintsha i-valve ye-aortic eye yancipha futhi engavuleki kahle (i-aortic valve stenosis), inaliti encane ifakwa ku-aortic valve. Iziguli ezisengozini emaphakathi noma ephezulu yokushintshwa kwevalvu ye-aorta ingase ifanelekele i-TAVR. I-TAVR ingase futhi ifaneleke kwabanye abantu abangakwazi ukuhlinzwa inhliziyo evulekile. Ukwelashwa kwe-aortic stenosis nge-TAVR kunqunywa ngemva kokubonisana nethimba lezinhlaka eziningi lochwepheshe bezokwelapha nabahlinzayo benhliziyo, abanquma ndawonye indlela yokwelapha engcono kakhulu yesiguli ngasinye.

Izivivinyo zokuxilonga

I-ECG/EKG: Izimpawu zikagesi zenhliziyo yakho zirekhodwa yi-ECG, okuwukuhlolwa okusheshayo nokungenabuhlungu. Ingabona izigqi zenhliziyo ezingavamile.

I-Echocardiogram: Amaza omsindo asetshenziselwa ukukhiqiza izithombe zesakhiwo senhliziyo yakho phakathi nale nqubo engahlanyisi. Lokhu kuvuselela ukushaya kwenhliziyo kanye nendlela eshaya ngayo.

Ukuhlolwa Kwengcindezi: Ukuzivocavoca noma imithi isetshenziselwa ukuphakamisa izinga lokushaya kwenhliziyo yakho ngenkathi inhliziyo yakho ihlolwa futhi iskenwa ukuze ubone ukuthi inhliziyo yakho isabela kanjani.

Ukuskena kwe-CT: Ama-CT scan enhliziyo enziwa ematafuleni angaphakathi kwemishini emise okwe-donut. Izithombe ze-X-ray ziqoqwa zenhliziyo nesifuba sakho kusetshenziswa ishubhu ye-X-ray ejikelezayo.

I-MRI: Ukuze udale izithombe ezinemininingwane yenhliziyo yakho, i-MRI isebenzisa inkambu kazibuthe namaza omsakazo akhiqizwa ikhompuyutha.

Ukuze uthole imbangela yezimpawu zakho, udokotela wakho wenhliziyo angase asebenzise ukuhlolwa okukodwa noma ngaphezulu.

CARE Izibhedlela: Kungani Khetha Thina?

Enye yezinto ezinhle kakhulu  

CARE Hospitals, ehamba phambili Isibhedlela sokuhlinzwa kwenhliziyo eHyderabad, inikeza ukunakekelwa kwezempilo okuseqophelweni eliphezulu kanye nenkonzo yesiguli enhle kakhulu ukuze kuhlangatshezwane namazinga kazwelonke nawamazwe ngamazwe okunakekelwa kwezempilo.

Indlela ye-multispecialty

Ukuhlinzeka ngokuxilongwa okunembile nokunakekelwa kwezokwelapha, lesi sikhungo sihlanganisa ithimba lochwepheshe benhliziyo nodokotela abahlinza inhliziyo.

Ingqalasizinda yesimanje

Ngengqalasizinda yesibhedlela esezingeni eliphezulu kanye nezikhungo zezokwelapha zesimanje, iziguli zingathola usizo lwezokwelapha oluphephile, olungcono, noluphelele.