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Ku-2007, ngangiyiminyaka engu-44 enempilo kakhulu futhi esebenzayo. Ngagijima kabili ngeviki, ngiphakamise izikhathi ezingu-2-3 ngesonto, futhi ngidlala ibhasikidi njalo ngethuba. Ngomhla ka-Okthoba 5, 2007, ngaphuma emgumbini wesigodi ngombuso wami. Ngokungazelelwe, ngangizwa ubuhlungu obubabazayo bokugwaza phansi komphimbo wami, okubangelwa i-aortic dissection. Ngemizuzu embalwa, ama-EMTs ayengifakelela ku-gurney futhi angibeka emgodini wokulinda.
I-aorta yi-artery enkulu emzimbeni futhi igijima kusukela enhliziyweni kuya emilenzeni, ihambisa igazi ekhanda, izingalo, imilenze nazo zonke izitho ezibalulekile zomzimba. Ihlanganiswe nezindandatho ezimbili ezigxile, lapho igazi ligeleza khona. I-dissection iyinyembezi ekhayeni langaphakathi. Igazi ligeleza phakathi kwezindandatho zelineni, okwenza kube nzima ukucindezeleka kuze kube yilapho i-aorta iphuka futhi umuntu efa egazini. Lesi simo senzeka cishe ku-3 kubantu abangu-100,000. Labo abangena ekuhlinzekeni kungakapheli ihora banethuba le-20% lokusinda. Noma yisiphi isikhathi eside, futhi ukusinda akunakwenzeka kakhulu. Ngangihlala ekamelweni eliphuthumayo e-Wellsville, nomkami, umfundisi wami kanye nomkami womfundisi wangithandazela, cishe amahora angu-3 ½ ngaphambi kokuba kuthathwe i-CT scan futhi yembulwe i-asetic dissection. Ngabe ngithathwa nge-helicopter eSigong Memorial Hospital eRochester, lapho kunezinye izikhathi ezingaphezu kwamahora angu-4 ngemuva kokusakaza, ngathola ukuhlinzwa kwehora le-7. Lokhu kwakuyisimangaliso sokuqala.
Kuloluhlolo lokuqala, cishe amasentimitha angu-8 we-aorta wami asusiwe futhi ashintshwe ngomshini wokufakelwa. Ngemva kwamahora ambalwa ngemva kokuphuma ekamelweni lokusebenza, elinye isitsha segazi esasifubeni esifubeni sami futhi kwadingeka ngibuyele ekuhlinzekeni futhi ngivuleke isifuba sami ukuze isitsha segazi silungiswe ngaphambi kokuba ngibhubhe.
Ngemva kwenyanga, futhi i-30 isiliva esikhwameni, ngatshelwa ukuba ngiqale ukuhamba ukuze ngithole amandla. Ngahamba ngamakhilomitha ama-½ emaminithini angu-45. Ngemva kokuphumula, ngema futhi ngokushesha ngaphuma. Ngaphinda ngiswa esibhedlela. Ngakusasa, odokotela bathola ukuthi nginesifo senhliziyo, noma ukuhluleka kwenhliziyo. Ukuphazamiseka kwe-cardiomyopathy kanye nokuphikisana kwe-aortic akuyazi ukuthi kuhlobene nokuthi akukaze kunqunywe ukuthi ngabe bayini. Nakuba, ku-athikili ngami ngo-December 23, i-2009 Journal of the American Heart Association, odokotela abayisithupha babika ucwaningo lwabo nethimba lokuthi lezi zimo ezimbili zihlobene futhi zibangelwa isifo esingavamile sofuzo enginakho.
Ngenxa yokuthi isimo sami sasingavamile, odokotela baseRochester babengenakukuchaza. Ngangizizwa ngingcono futhi nganelisekile ngokuthi "ngeke sakwazi ukuthi yini eyabangela lokhu" impendulo odokotela bami eRochester. Kodwa umngane wagcizelela ngokuphindaphindiwe ukuthi ngiya ekliniki yaseCleveland, okuye kwabekwa isibalo se-1 esibhedlela sokunakekelwa kwenhliziyo esizweni esizweni esingaphezu kweminyaka engu-20. Ngakwenza, ngenqunu. Lapho, ukuhlolwa kwezakhi zofuzo kwembula ukuthi nginesifo esingavamile kakhulu sezakhi zofuzo okuthiwa i-Loeys-Dietz Syndrome. Ngaleso sikhathi, abantu abangaphansi kuka-500 babethole benalesi simo. Phakathi kwezinye izinkinga, kubangela ukuphazamiseka kwe-aortic, kanye ne-aneurysms ku-aorta nakweminye imithambo. Ngafunda nokuthi nginama-aneurysms amaningana aortic, noma ama-bulges, futhi i-aorta yami yayanda ngezinga eliyingozi. Ngadingeka ukuba ngisuswe i-aorta yami yonke futhi ngishintshe nge-tube ye-Dacron. Ngaleso sikhathi, kwakungekho odokotela baseStrong abaye bezwa ngalokhu Loeys-Deitz Syndrome.
Ngo-June 25, i-2008, ngathola isigaba sokuqala salokho okubizwa ngokuthi inqubo yendlovu yezindlovu. Udokotela wangitshela ukuthi ukuhlinzwa ayezokwenza kuyinkimbinkimbi kunazo zonke zokuhlinza nge-cardio-vascular eyenziwa eCliniki yaseCleveland. Kwakukhona ithuba le-20% lokuthi ngizofa, kungenzeka ukuthi ngangiphakamise kakhulu ukuthi ngizokhubazeka, futhi ngokuqinisekile ukuthi izinyathelo zami zomculo zizolimala. Ngenxa yokuthi kunzima kakhulu futhi isikhathi eside, ukuhlinzwa kwenziwa ezinyathelweni ezimbili, ngokuvamile izinyanga ze-3 ezahlukana. Lesi sigaba sokuqala sasine-10-hours yokuhlinzeka lapho ukunyuka kwami kwe-aorta ne-aortic arch kushintshiwe. Ngaleso sikhathi, ngangibuhlungu obukhulu emithonjeni yami futhi ngangihlale ngilala embhedeni ngikhala futhi ngimemeza uNkulunkulu ukuba athathe impilo yami. Ngangikhathazeka ngokweqile ngokuqhubeka nale nqubo. Into yokugcina engiyikhumbulayo, njengoba i-anesthesia ithatha ekamelweni langaphambili, lalivala amehlo ami futhi ngibona intaba igcwele izinkulungwane zabantu bonke abakhuleka kuJesu ngokuphepha nokuphulukiswa kwami. Kwakuyisipho esiduduzayo esivela eNkosini.
Ngemva kokuhlinzwa nokuphulukiswa, ngabuyela ekhaya, kodwa ngangibuthakathaka kangangokuba umkami kwakungadingeka ukuba angiqhube esisitulo sabakhubazekile. Ngathuthukisa i-pneumonia futhi ngathathwa nge-helicopter emuva eCleveland ukuhlala isikhathi eside ngesonto. Emasontweni ambalwa emva kwalokho, futhi manje kuze kube ngamapounds angu-145, ngabuye ngaya ekamelweni eliphuthumayo e-Wellsville. Udokotela wangitshela ukuthi ngangibi kakhulu futhi konke angakwenza kwakuzama ukungigcina ngisaphila futhi ngikhululeke kuze kube yilapho ngingaqhutshelwa eCleveland. Ngeshwa, ngenxa yesembozo sefu esinzima nesiphepho, ngeke ngikwazi ukuhamba ngezinye amahora we-9. Ngangibuthakathaka kakhulu ukungathunyelwa ku-ambulensi. Umkami nomfundisi babekhona lapho bekhuleka nami. Ngemuva kwemizuzu eyishumi nanhlanu kamuva, udokotela wabuyela embhedeni wami wathi, "Angikwazi ukukuchazela, kodwa ngifake ucingo futhi ngatshelwa ukuthi isimo sezulu siphelile futhi i-jet isendleleni esuka eCleveland okwamanje ukukukhetha up. "Lesi yisisimangaliso esikhulu kunazo zonke engangizibona.
Lapho ngifika eCleveland, inhliziyo yami yayisebenza ku-10% yomthamo wayo. Ngatshelwa ukuthi ngidinga ukufakelwa inhliziyo. Ngo-Agasti 25, 2008, udokotela weza ukungibona wangitshela ukuthi ngaphandle kokufakelwa inhliziyo, nginezinsuku ze-4-5 kuphela ezizohlala kuzo. Ngabekwa phezulu ohlwini lokulinda, kepha ukuthola inhliziyo efanele ngesikhathi esifushane kwakungenakwenzeka, ngakho-ke kufanele ngiqale ukulungiselela lokho, futhi kwakudingeka ngizise umndeni wami. Ngabiza umkami ngalolosuku ukuthi ngimfisele usuku olujabulisayo nokuzalwa okujabulisayo endodaneni yethu. Ngabe sengimtshele izindaba. Akazange aphule. Kunalokho, wazisa abangane nabomndeni bethu abaningi ngangokunokwenzeka futhi wacela ukuba bangithandazele. Ngempela, izinkulungwane zabahlobo, amabandla omndeni kanye nesonto manje bekungithandazela. Ezinsukwini ezimbili kamuva, udokotela wangitshela ukuthi ngokumangalisayo, kwakukhona inhliziyo efanelekayo etholakalayo kimi. Kodwa-ke, kwakungenzuzo ye-hepatitis B no-C. Kodwa, kwakudingeka ngithathe le nhliziyo, noma ngabe ngizofa. Ngenkathi inhliziyo ifika eCleveland ngokuhlinzwa kwami, yahlolwa futhi yayingenayo i-hepatitis (enye isimangaliso). Ezinsukwini ezine ngemva kokuthola inhliziyo, ngakwazi ukuhamba ngamakhilomitha angu-2, ngamakhilomitha angu-¼.
Ngikhululwe eMtholampilo ngoSepthemba, kodwa kwakudingeka ngihlale kule ndawo enye inyanga ukuze ngibuyele esibhedlela usuku ngalunye ukuze ngivivinye futhi ngivuselele. Isihlobo engingabonanga kusukela ngineminyaka eyi-6 ubudala, ngikhokhele ukuhlala kwami ehhotela ngaphesheya komgwaqo kusuka esibhedlela.
Ngabuyela eCleveland ngoNovemba ukuze ngine-carotid / thoracic bypass ukulungisa enye inkinga yokuguqula. Ngangiphumile esibhedlela ngezinsuku ezintathu futhi ngakwazi ukuya ohambweni lwethu lwe-Thanksgiving wonyaka ukuze ngibone abangane baseDelaware futhi ngithenge ngo-Lwesihlanu Ngomhla ka-4 am.
Kwathi ngo-Disemba 17, i-2009, isigaba sesibili senqubo yendlovu yezindlovu senziwa. Lokhu kwakungenye ukuhlinzwa kwehora le-10 ukuze kuthathe indawo yami yonke yokuhlaselwa kwe-aorta nezinye izifo. Ngenxa yokuthi i-sternum yami yayinqunywe ngezikhathi ezine zangaphambilini, futhi nginenhliziyo efakwe kabusha, udokotela ohlinzayo wangena ngakwesobunxele sami. Ngokwenza kanjalo, wakhwela ngezimbambo ze-5 futhi wasuswa ngokuphelele. Ngemuva kokuhlinzwa, isifuba sami sasivalwa ngama-85. Noma kunjalo, ayikho inkinga edokotela engitshele yona ngoJuni ngo-June.
Ngosuku lukaKhisimusi i-2008, ngenkathi ngisesibhedlela, ngathuthukisa izinkinga ezithile futhi ngingaphefumula nje nge-tube oxygen ekhaleni lami. Ngacindezeleka kakhulu. Ngangizizwa sengathi ngeke kube nokuphela kwalokhu. NgoJanuwari 5, i-2009, usuku olulandelayo ngaphambi kokuzalwa kwami, uhlangothi lwami luvulwe futhi. Ama-pints amabili egazi newomswakama ayasuswa futhi ama-clock ye-4 ahlulwa emgqeni wesiphahlo sami sangakwesobunxele. Ekugcineni ngabuyela ekhaya ngoJanuwari 12, 2009. Ukucindezeleka kwaqhubeka ngezinyanga ze-2-3, ngaphambi kokuba uNkulunkulu athathe lokho kimi. Nginezibhedlela ezimbili ngaphezulu ku-2009, kodwa akukho ukuhlinzwa okunye. Ngezikhathi eziningi njengoba ngangingalele ebuhlungu esibhedlela, ngangizwa uMoya oNgcwele engiduduza ngongifaka futhi engibamba ezandleni zakhe. Lokhu kwakuyisikhumbuzo sikaMathewu 6: 34, "Ngakho-ke, ungakhathazeki ngekusasa, ngoba kusasa uzokhathazeka ngokwayo. Usuku ngalunye lunenkinga eyanele ngokwayo "; no-Isaya 41: 10 (a), "Ungesabi, ngoba nginawe; Ungesabi ngoba nginguNkulunkulu wakho. "
Le inguqulo emfushane kakhulu ye-odyssey yezokwelapha engidlule kuyo. Kepha, indaba yangempela ukuthi uNkulunkulu wayenesihe nomusa kangakanani kimi kuyo yonke le nto. Ngikhulume ngezimangaliso ezimbalwa engibhekane nazo. Ngaphindela kabili enkantolo yebhasikidi. Ngenelisekile, ngathatha umhlalaphansi. Ngibe sengithatha ibhayisikili futhi ngangenela umncintiswano kuma-US Transplant Games ngo-Agasti 2010. Kimina lokhu bekungukugcwaliseka kuka-Isaya 40:31, “Kepha labo abathembela eNkosini bazovuselela amandla abo, bayakhuphuka njengezinkozi; bayogijima bangakhathali; bazohamba bangapheli amandla. ” Nginesiqiniseko sokuthi sinye kuphela isizathu esenza konke lokhu kwenzeke kimi, futhi kutholakala kuJohane 9: 3, “kodwa lokhu kwenzeka ukuze imisebenzi kaNkulunkulu ibonakaliswe kuye.
Umphefumulo Othandekayo,
Ngabe unesiqiniseko sokuthi uma ungafa namuhla, uzoba sebusweni beNkosi ezulwini? Ukufa kwekholwa kumane kungumnyango ovulela ekuphileni okuphakade. Labo abalele kuJesu bazohlanganiswa nabathandekayo babo ezulwini.
Labo obabeke ethuneni bekhala; uzophinde ubahlangane nabo ngenjabulo! O, ukubona ukumamatheka kwabo nokuzwa ukuthinta kwabo… ngeke uphinde uhlukane!
Kepha, uma ungakholelwa eNkosini, uya esihogweni. Ayikho indlela emnandi yokukusho.
UmBhalo uthi, "Ngoba bonke bonile, futhi bafinyeleleka enkazimulweni kaNkulunkulu." ~ Roma 3: 23
Umphefumulo, okufaka wena nawe.
Kuphela uma sibona ububi besono sethu kuNkulunkulu futhi sizwa usizi lwaso olujulile ezinhliziyweni zethu lapho singakwazi khona ukufulathela isono esake sasithanda futhi samukele iNkosi uJesu njengoMsindisi wethu.
... ukuthi uKristu wafela izono zethu ngokwemiBhalo, ukuthi wangcwatshwa, nokuthi wavuswa kwabafileyo ngosuku lwesithathu ngokwemiBhalo. — 1 Korinte 15:3b-4
"Uma uvuma ngomlomo wakho ukuthi uyiNkosi uJesu futhi ukholelwa enhliziyweni yakho ukuthi uNkulunkulu wamvusa kwabafileyo, uyosindiswa." ~ Roma 10: 9
Ungalali ngaphandle kukaJesu uze uqinisekiswe indawo ezulwini.
Namuhla, uma ungathanda ukuthola isipho sokuphila okuphakade, okokuqala kumelwe ukholwe eNkosini. Kufanele ucele izono zakho zithethelelwe futhi ufake ithemba lakho eNkosini. Ukuze ube ikholwa eNkosini, cela ukuphila okuphakade. Kukhona indlela eyodwa kuphela yokuya ezulwini, futhi lokho kuvela eNkosini uJesu. Lona uhlelo lukaNkulunkulu oluhle lokusindiswa.
Ungaqala ubuhlobo bomuntu siqu naye ngokuthandaza ngokusuka enhliziyweni yakho, umthandazo onjengalona olandelayo:
"O Nkulunkulu, ngisoni. Ngiye ngisoni sonke impilo yami. Ngithethelele, Nkosi. Ngamukela uJesu njengoMsindisi wami. Ngiyamethemba njengeNkosi yami. Siyabonga ngokungisindisa. Egameni likaJesu, Amen. "
Uma ungakaze uthole iNkosi uJesu njengoMsindisi wakho siqu, kodwa uMamukele namhlanje emva kokufunda lesi simemo, sicela usazise.
Singathanda ukuzwa kuwe. Igama lakho lokuqala lanele, noma beka u-“x” esikhaleni ukuze ungaziwa.
Namuhla, ngenza ukuthula noNkulunkulu ...
Chofoza isixhumanisi esingezansi
ukuqala impilo yakho entsha kuKristu.
Chofoza lapha ukuze ubhale imibhalo ekhuthazayo:
Buka Igalari Yethu Yezithombe Zemvelo:
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Siyazisa imithandazo yakho futhi sibheke phambili ukukuhlangana phakade!
