Ibhinqa lase-Utah lakhula njani ukumbombozela kwentliziyo emva kokufumana usulelo lwe-streptococcal KSL.com KSL kwiakhawunti yasekhaya ye-KSL

Ngo-2003, uSheana Nelson wagqiba ekubeni ashumayele kwiBandla likaYesu Krestu labaNgcwele beMihla yokuGqibela. Indawo awayesiya kuyo yayiyiMongolia, ngoko ngaphambi kokuba aye kuMbindi Asia, umhlali waseWashington State waya kwiZiko loQeqesho lobuMishinari eProvo, eUtah ukuze afunde isiMongolia.
Wabona uJohn Ryan, i-cardiologist kwiSebe lezeMpilo kwiYunivesithi yase-Utah, kunye nomongikazi ovela kwiqela le-Ryan le-MD waliphulaphula intliziyo yakhe. USheina wafumanisa ukuba unentliziyo embombozelayo. Lo ngumzekelo omhle. URyan wamazisa.
Wakhumbula: pEyona ndlela yokuyichaza ifana nosana oluvavanywa kwi-ultrasound.q p Intliziyo yam inokwenza isandi esingxolayo ngaphezu kwesandi esiqhekezayo esiqinileyo.q
Ukukhalaza kwentliziyo yingxaki ekhohlisayo kwi-cardiology. Maxa wambi ababi nanto yakuzikhathaza ngayo. URyan wacacisa: “Ukuba une-ultrasound uze ufumanise ukuba ivalve yentliziyo ayinangxaki okanye ivalekile, oko ‘kukumbombozela okumsulwa’.” "Ayibangeli monakalo, kodwa kufanelekile ukwazi."
Ngamanye amaxesha, ukumbombozela kunokubonisa iingxaki ezinzulu zentliziyo, kwanokubeka ubomi esichengeni njengoSheana. Kodwa njani ukwahlula?
Impendulo idla ngokuxhomekeka ekubeni kukumbombozela okutsha (oko uRyan akubiza ngokuba “kukudubuleka entliziyweni”). Ngamanye amaxesha oku kubangelwa kukubuya kwegazi okungalinganiyo, okubizwa ngokuba yi-reflux. Ngamanye amaxesha kungenxa yokuncipha kwevalve. Kwezinye iimeko, izigulana zizalwa zinentliziyo ekhalaza okanye zihlakulele ukukhalaza kwentliziyo besebancinci. Kodwa abanye baye bafumana iimvavanyo ezininzi zomzimba kunye notyelelo lokhathalelo oluphambili de umboneleli ngequbuliso afumanise ukuba beva ukumbombozela kwentliziyo ngexesha lovavanyo lwesiqhelo.
Ukuba kukho ingxaki yevalve yentliziyo, umonakalo onokwenzeka yingxaki. Iimpawu zinokubandakanya ukuphefumla kancinci okanye ukuqala kokwanda kolwelo. Ukuvuza okanye ukucutheka kwevalve (umzekelo, isifo sevalvu) okanye intliziyo ebetha ngokukhawuleza kangangokuba ithintele ukuhamba kwegazi kufuna utyando. URyan wathi: “Ukuba isifo sentliziyo esibangela ukusilela kwentliziyo, unyango kukubuyisela okanye ukulungisa ivalvu.” Oko kunokuthetha utyando oluvulekileyo lwesifuba.
Iindaba ezilungileyo malunga nakho konke oku kukuba nangona iindlela zokuxilonga zinokwahluka, ukugqiba ubumsulwa bokumbombozela akusiyo into ephazamisayo okanye ebuhlungu. I-Echocardiography "ilula kakhulu," utshilo uRyan. “Akukho mitha, akukho xinzelelo, kwaye akukho kwenzakala. Ayibangeli monakalo.”
Kwimeko kaSheana, kwakufuneka atshintshe ivalve yehagu eyayiwohloka. Ingxaki kukuba le iya kuba sisivalo somatshini esiza kumenza aphile ixesha elide; okanye enye ivalve ayikhethayo.
Kwafika ixesha lotyando, yaye ngoAgasti 2016, watshintsha ingqondo. Wakhumbula ukuba wathandaza kakhulu kwaye waqonda ukuba akafuni ukuba umntwana wakhe abe nexhala ngaye xa kufuneka atshintshe ivalve yentshontsho lesibini lehagu. Nangona ebesoloko ethanda ukusebenzisa iivalve zehagu, ngaphambi nje kokuba amtyande, uxelele uCraig Selzman, uNjingalwazi wezoTyando kunye neNtloko yeSebe leCardiothoracic Surgery kwi-UU Health, MD, ukuba ufuna ivalve engumatshini.
Uthe yayisisigqibo esilula, kwaye uSelzman wamcacisela ngoncedo lokusebenzisa iivalvu ngoomatshini.
Kwiminyaka emine emva kotyando, uSheana waqhuba kakuhle. Ebusuku, xa yena nomyeni wakhe besiya kulala, kwindawo ezolileyo, babeyiva intliziyo yakhe ibetha, ngenxa yesivalo somatshini. Unomatshini welizwi onokuwumisa, kodwa oko akuthethi ukuba abawuthandi ummangaliso wonyango esifubeni sakhe. Yathi: “Mkhumbuze ukuba ndisaphila, yaye ndivakalelwa ngendlela efanayo,” watsho uHina. “Xa ndisivayo, ndiya kuba nombulelo kakhulu. Ndisaphila ngenxa yelo lizwi. Yitalente ngokwenene leyo.”