Ngaba uyamazi ugqirha we-Cardio-Oncologist onceda ukugcina impilo yentliziyo kunye nonyango lomhlaza?

Ukuba ungumntu ofumana unyango lomhlaza, okanye ukuba unelungu losapho okanye umhlobo ofumana unyango, usenokuba ukhe wazibuza ngale nto. Unyango lomhlaza lunyango olusindisa ubomi. Nangona kunjalo, ngamanye amaxesha olu nyango lunokuba nefuthe ezintliziyweni zethu. Namhlanje, siza kuthetha ngeqela leengcali eziza kusinceda ngamaxesha anjalo.

Ngubani lo gqirha wezifo zentliziyo?

Ngamafutshane, aba ngoogqirha abanika ingqalelo ekhethekileyo kwimpilo yentliziyo yezigulane ezinomhlaza xa benyanga. Ngoku khangela, kukho oogqirha bentliziyo, kwaye kukho oogqirha be-oncologist. Ugqirha "we-cardio-oncologist" ngugqirha wentliziyo okanye umhlaza. Nangona kunjalo, ukongeza kwingcali yabo ephambili, bafumene uqeqesho olukhethekileyo lokulawula isifo sentliziyo kwizigulane ezinomhlaza.

Uyazi, unyango lomhlaza, olufana ne -chemotherapy kunye ne-radiation therapy , lunceda abantu baphile ixesha elide. Kulungile oko. Kodwa ngelishwa, olu nyango lunokuba nemiphumo emibi . Ezinye zezi zizifo zentliziyo ezintsha okanye ukuqhubela phambili kwesifo sentliziyo esikhoyo. Uhlobo lomonakalo entliziyweni yakho kunye nomngcipheko weengxaki zinokuhluka kakhulu kunyango. Olu hlobo lomonakalo entliziyweni lubizwa ngokuba yi -cardiotoxicity , okanye isifo sentliziyo se-radiation.

Yiyo loo nto kuye kwavela uhlobo olutsha lweyeza olubizwa ngokuba yiCardio-Oncology. I-Cardio-Oncology igxile ekuxilongeni, ekubekeni esweni, nasekunyangeni izifo zentliziyo ezibangelwa lunyango lomhlaza. Injongo kukunciphisa iziphumo ebezingalindelekanga zonyango lomhlaza kwinkqubo yakho yentliziyo.

Ezi ngcali ze-cardio-oncology zikunceda ufumane unyango lomhlaza olusebenzayo kangangoko, ngaphandle komonakalo omncinci entliziyweni yakho. Zisebenzisana nabanye ababoneleli bezempilo ukucwangcisa unyango lwakho ukuze luhambelane neemfuno zakho.

Luhlobo luni loqeqesho olufunyanwa zezi ngcali?

Aba "oogqirha beCardio-Oncologists" ngoogqirha abasele benolwazi kwicandelo labo, nokuba yi "Cardiology" okanye "Oncology." Ukongeza kuqeqesho lwabo lobuchwephesha, bafumana uqeqesho olongezelelweyo lokufunda oku kulandelayo:

• Zithini iziphumo ebezingalindelekanga zonyango lomhlaza ezichaphazela inkqubo yakho yentliziyo?
• Indlela umhlaza ochaphazela ngayo umzimba wonke, ingakumbi inkqubo yentliziyo.
• Indlela yokuvavanya umngcipheko wentliziyo ngaphambi, ngexesha, nasemva konyango lomhlaza.
• Indlela yokuchonga nokulawula izifo zentliziyo kubantu abanomhlaza.
• Indlela yokugqiba ukuba loluphi unyango lwe-chemotherapy olukhuselekileyo entliziyweni yakho kwaye loluphi olubeka emngciphekweni omkhulu.
• Indlela yokujonga izihlunu zentliziyo yakho kunye neevalvu zentliziyo ukuze ubone iziphumo ebezingalindelekanga zonyango lomhlaza ngexesha nasemva konyango.

Olu qeqesho ludla ngokunikezelwa ngenkqubo yoqeqesho olukhethekileyo (iFellowship) ethatha malunga nonyaka. Luquka:

• Ukufundisa ngokuthe ngqo ngeentetho.
• Ukuya kwiingqungquthela.
• Fumana amava asebenzayo kunye nezigulana kwiiKliniki zeCardio-Oncology.
• Amava ophando.

Ezinye iingcali ze-cardio-oncology zide zibe nesatifikethi sebhodi esivela kwi-International Cardio-Oncology Society, oko kuthetha ukuba ulwazi lwabo kunye nezakhono zabo ziyaqatshelwa kwihlabathi liphela.

Kutheni le nto ezi ngcali ze-cardio-oncology zibaluleke kangaka?

Njengoko unyango lomhlaza luphucuka imihla ngemihla, ukubaluleka kwaba gqirha `(Cardio-Oncologist)` kuye kwanda nangakumbi. Isizathu soku kukuba inani labantu abachachayo kumhlaza liyanda ngokuthe chu. Cinga nje, ngo-2016, bekukho abantu abangaphezu kwezigidi ezili-15 abasinde kumhlaza eMelika kuphela. Abaphandi baqikelela ukuba eli nani liza kunyuka liye kwizigidi ezingama-26 ngo-2040! Ngoko ke, njengoko inani labantu abachachayo kumhlaza lisanda, inani labantu abafumana iziphumo ebezingalindelekanga kunyango nalo liyanda, akunjalo?

Malunga nesixhenxe kwishumi ngalinye labantu abasinde kumhlaza bangaphezulu kweminyaka engama-65 ubudala. Njengoko aba basinde kumhlaza bekhula, banokujamelana nemingcipheko engakumbi yesifo sentliziyo ngenxa yonyango lwabo lomhlaza. Ukongeza, umngcipheko uyanda ngokweminyaka, izinto zendlela yokuphila, kunye nezinye izifo ezinxulumene noko. Ngoko ke, kubalulekile ukubanyanga kuthathelwa ingqalelo zonke ezi zinto .

Ezi ngcali ze-cardio-oncology zinoqeqesho namava afunekayo ukuxhasa eli nani likhulayo.

Yintoni kanye kanye eyenziwa yile ngcali ye-cardio-oncologist?

Aba bantu baxilonga baze banyange iingxaki zentliziyo kubantu abanomhlaza. Into yokuqala ekufuneka bayenze kukufumana unobangela oyintloko wengxaki. Umzekelo, akusoloko kucacile ukuba imeko efana nokusilela kwentliziyo ibangelwa kunyango lomhlaza. Rhoqo, abantu abanomhlaza banezinye iingxaki.Kusenokuba kukho izinto ezinokubangela isifo sentliziyo . Ngoko ke, aba gqirha "beengcali zentliziyo" kufuneka bafumane unobangela wokwenyani phakathi kwezi zizathu zihlukeneyo ezinokubangela isifo sentliziyo.

Kwakhona, kufuneka balinganisele iinjongo ezimbini ezinokuthi ngamanye amaxesha zingqubane:

• Isidingo sonyango lomhlaza wakho.
• Imfuneko yokukhusela intliziyo yakho.

Kulapho ke intsebenziswano yamacandelo amaninzi iba yinto ebalulekileyo khona. Iingcali zeCardio-Oncologists zisebenza nezinye iingcali ukuze zichonge isicwangciso sonyango esifanelekileyo somntu ngamnye.

Nazi ezinye zemisebenzi eyenziwa yingcali yentliziyo njengenxalenye yemisebenzi yabo:

• Ngaphambi kokuba uqalise unyango lomhlaza, kwenziwa uvavanyo oluneenkcukacha malunga nomngcipheko wakho wesifo sentliziyo.
• Uvavanyo lwemifanekiso olusemgangathweni kunye novavanyo lokuxilonga lwenziwa ukujonga naziphi na iingxaki zentliziyo okanye imithambo yegazi.
• Isicwangciso sonyango senzelwe ukujolisa kumhlaza wakho ngendlela engabangela umonakalo omncinci entliziyweni yakho kangangoko kunokwenzeka.
• Uza kuhlolwa ngalo lonke ixesha lonyango lwakho lomhlaza kwaye naziphi na iingxaki zentliziyo ziya kubonwa ngokukhawuleza.
• Unyango olulandelayo lunikezelwa nasemva kokuba unyango lwakho lomhlaza lugqityiwe.
• Utyando kunye nezinye iindlela zonyango ziyacetyiswa kwisifo sentliziyo esibangelwa lunyango lomhlaza.

Aba "oogqirha bentliziyo" banceda ekulawuleni iingxaki ezahlukeneyo zentliziyo. Nazi imizekelo embalwa:

• Ukungahambi kakuhle kwesantya sentliziyo (iiArrhythmias), ezifana neAtrial Fibrillation kunye neTorsade de Pointes.
• Isifo semithambo yentliziyo.
• Ukumelwa yintliziyo.
• Isifo seValve yeNtliziyo.
• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu).
• I-Cardiomyopathy eNgqongileyo.

Ngubani ofumana unyango kwezi ngcali ze-cardio-oncology?

Aba gqirha banyamekela abantu abanomhlaza abanesifo sentliziyo okanye izinto ezinokubangela umngcipheko wesifo sentliziyo. Bakwanyanga abantu abanesifo sentliziyo emva konyango lomhlaza. Ezinye izinto ezibangela ubuthi bentliziyo zibonakala ngoko nangoko. Kodwa ezinye zibonakala emva kweminyaka emininzi unyango lomhlaza (mhlawumbi iminyaka eli-10 nangaphezulu). Oko kuvakala kuyoyikisa, akunjalo? Kodwa ungakhathazeki, kukho nezisombululo zaloo nto.

Oogqirha beengcali zeCardio-Oncologist banceda abantu abafana naba:

• Abantu abaza kuqala unyango lomhlaza kwaye banesinye okanye ngaphezulu izinto ezinokubangela isifo sentliziyo. Imizekelo yezi zinto kukutyeba kakhulu , isifo seswekile, kunye noxinzelelo lwegazi oluphezulu .
• Abo sele beza kuqala unyango lomhlaza, kunye nabo sele benesifo sentliziyo.
• Abantu ababonakalisa iimpawu zentliziyo ngelixa befumana unyango lwe-chemotherapy okanye i-radiation. Imizekelo yezi zinto kukudumba (i-edema) , ukudinwa , iintlungu zesifuba, kunye nokubetha kwentliziyo okungahambelaniyo (i-arrhythmia).
• Abantu abakhe banyangwa umhlaza ngaphambili kwaye ngoku banengxaki entsha yentliziyo.
• Abantu abaye baba neengxaki zentliziyo ngenxa yonyango lomhlaza kwaye badinga utyando lwentliziyo okanye olunye unyango.
• Abantu abanethumba lentliziyo.

Ngaba kufuneka ndidibane nogqirha wentliziyo?

Umntu ofanelekileyo onokumbuza malunga neemfuno zakho zokhathalelo ngumboneleli wakho oyintloko okanye ugqirha onyanga umhlaza wakho (ugqirha we-oncologist). Ukuze ubone ugqirha we-cardio-oncologist, kuya kufuneka uthunyelwe ngugqirha wakho.

Ukuba uwela kwenye yezi ndidi, unokufuna ukubona ingcali:

• Ukuba unesifo sentliziyo kwaye kutshanje ufunyenwe unomhlaza.
• Ukuba wakhe wanyangwa umhlaza ngaphambili, nokuba wawusemncinci.
• Ukuba okwangoku unyangwa umhlaza.

Ndifanele ndibonane nini nogqirha wentliziyo?

Ixesha olidingayo ukubonana nogqirha wentliziyo liyahluka kakhulu kumntu nomntu. Ungaqala ukufumana unyango ngaphambi kokuba uqale unyango lomhlaza uze emva koko ube nentlanganiso yokulandelela iminyaka. Kufuneka ulandele imiyalelo evela kwiqela lakho lezonyango malunga nokuba kufuneka uye kangaphi.

Uvavanyo lwemifanekiso yentliziyo, olufana ne -echocardiograms , luyinxalenye ebaluleke kakhulu yokhathalelo lwakho lomhlaza wentliziyo. Oku kuyinyani nasemva kokuba unyango lwakho lomhlaza luphelile. Olu vavanyo lunokubonisa iimpawu zokuqala zesifo sentliziyo. Ngoko ke, kubaluleke kakhulu ukugcina onke amadinga akho kagqirha .

Ukuphuma kunyango lomhlaza linyathelo elikhulu. Emva koko, ukufumanisa ukuba uneengxaki zentliziyo kwaye ufuna unyango lwazo kunokuba nzima kakhulu. Kungavakala ngathi ugqibile ugqatso lwe-marathon kwaye ngequbuliso kufuneka uqhube olunye. Kodwa khumbula, awuwedwa kolu hambo . Iingcali ze-Cardio-oncologists ziingcali ezinokukunceda ulawule isifo sentliziyo, nokuba usemngciphekweni okanye ufunyenwe unaso. Thetha nogqirha wakho wosapho okanye ingcali ye-oncologist ukuze ufunde ngakumbi malunga nendlela ingcali ye-cardio-oncologist enokukunceda ngayo.

Izinto ezibalulekileyo ekufuneka sizikhumbule kwizinto esizithethileyo (Umyalezo Wokubuyela Ekhaya)

Kulungile, ngoko ke, masikukhumbuze nje ngezinye zezona zinto zibalulekileyo ekufuneka uzikhumbule kwinto esithethe ngayo?

• (Ingcali yeCardio-Oncologist)Oku kuthetha ugqirha onika ingqalelo ekhethekileyo kwimpilo yentliziyo yezigulane ezinomhlaza xa eziphatha.
• Unyango lomhlaza (umz., `(I-Chemotherapy)`, `(Unyango lweMisebe)`) lunokubangela iziphumo ebezingalindelekanga entliziyweni. Oku kubizwa ngokuba `(I-Cardiotoxicity)` .
• Ezi ngcali zinceda ekunciphiseni umonakalo entliziyweni ngelixa zibonelela ngonyango olungcono lomhlaza.
• Ukuba unesifo sentliziyo esinomhlaza, unezinto ezinokubangela isifo sentliziyo, okanye ubonakalisa iimpawu zentliziyo emva konyango lomhlaza, thetha nogqirha wakho malunga nokubonana nogqirha wentliziyo-umhlaza.
• Kubaluleke kakhulu ukuba uhlale unika ingqalelo entliziyweni yakho ngaphambi, ngexesha, nasemva konyango lomhlaza.

Khumbula, kunokuba nzima ukucinga ngempilo yentliziyo yakho ngelixa ulwa nomhlaza. Kodwa, kukho iingcali ezinokukunceda kwaye zikunyamekele. Ngoko ungoyiki!

Ugqirha wentliziyo nomhlaza, unyango lomhlaza, isifo sentliziyo, iziphumo ebezingalindelekanga, ichemotherapy, unyango lwemitha, impilo yentliziyo