Uninzi lwethu luthanda 'ukuphola' kancinci xa sidibana nabahlobo, kwitheko. Yinto eqhelekileyo leyo. Kodwa ubusazi na ukuba xa olu lonwabo ludlula umda, singazi sinokubangela umonakalo omkhulu kwilungu elibaluleke kakhulu emzimbeni wethu, intliziyo? Namhlanje sithetha ngemeko enzima kangaka, kodwa abantu abaninzi abaziyo ngayo. Eso sisifo apho izihlunu zentliziyo zibuthathaka kwaye zigule ngenxa yokusela utywala kakhulu.
Ngamafutshane, yintoni ingozi eyenziwa butywala entliziyweni?
Esi sifo saziwa ngokwezonyango ngokuba yi -Alcohol-Induced Cardiomyopathy . NgesiSinhala, singabizwa nje ngokuba "sisifo semisipha yentliziyo esibangelwa butywala." Okwenzekayo apha kukuba xa usela utywala kakhulu ixesha elide, iikhemikhali ezinobungozi ezikuloo tywala zonakalisa izihlunu zentliziyo yakho.
Cinga ngebhanti yerabha. Kwenzeka ntoni ukuba uqhubeka uyisolula? Emva kwexesha elithile, ilahlekelwa bubuthambile bayo ize ikhululeke, akunjalo? Yiloo nto eyenzekayo entliziyweni yethu. Iindawo zentliziyo, ingakumbi amagumbi aphambili abizwa ngokuba zii-ventricles, ziyasolula kancinci kancinci kwaye zikhula. Njengoko zikhula, izihlunu zentliziyo ziyabuthathaka. Izihlunu ezibuthathaka azikwazi ukupompa igazi ngendlela ezazisenza ngayo ngaphambili. Ngenxa yoko, ubungakanani beoksijini efikelela emzimbeni wonke buqala ukwehla.
Ngubani osengozini?
Oku kunokwenzeka nakubani na osela utywala kakhulu. Asikuko kuphela abo "baneengxaki zokusebenzisa utywala." Nangona kunjalo, kuqhelekile kakhulu kwabo banengxaki yokusebenzisa utywala nakubantu abatyekele ekuguquleni utywala kancinci kancinci ngokwemfuza.
Le ayisiyongxaki ixhaphakileyo. Ichaphazela kuphela i-1% ukuya kwi-2% yabantu abasela utywala obungaphezulu kunomlinganiselo ocetyiswayo. Kodwa ukuba ukwipesenti encinci, iziphumo zinokuba yingozi.
Kuthetha ukuthini 'ukusela kakhulu'?
Xa sithi "ukusela kakhulu," kunokwahluka kumntu ngamnye. Kodwa ngokwezonyango, sikunika inkcazo ecacileyo.
- Kwabasetyhini: Ukusela iziselo ezingaphezu kwe-8 ngeveki.
- Kumadoda: ukusela iziselo zotywala ezingaphezu kwe-15 ngeveki.
Ngoku usenokuba uzibuza, "Yintoni le 'siselo'?" Kuxhomekeke kuhlobo lotywala obuselayo.
| Uhlobo lotywala | Isiselo esinye esilinganayo (uqikelelo) |
|---|---|
| Ibhiya (Ibhiya - 5% yotywala) | Malunga ne-350 ml (ithini eqhelekileyo) |
| Iwayini (Iwayini - 12% yotywala) | Malunga ne-150 ml (iglasi yewayini eqhelekileyo) |
| Iziselo ezinxilisayo - 40% yotywala | Malunga ne-45 ml ('inaliti' enye) |
Into ebalulekileyo kukuba nokuba usela utywala ngaphakathi kwezi miqathango, akuthethi ukuba awukho semngciphekweni weengxaki zempilo. Kungcono rhoqo ukuba intliziyo ingabuseli utywala.
Le meko iwuchaphazela njani umzimba?
Esi sisifo esikwicandelo le- Dilated Cardiomyopathy , nto leyo ethetha isifo apho izihlunu zentliziyo zolulwa kwaye intliziyo ikhula.
- Ukungakwazi ukupompa igazi: Amagumbi amabini asezantsi entliziyo enza umsebenzi ophambili wokupompa igazi. I-ventricle yasekunene ipompa igazi ukuya emiphungeni, kwaye i-ventricle yasekhohlo ipompa igazi ukuya kumzimba wonke. Xa ezi zihlunu zibuthathaka, lo msebenzi wokupompa awuwenziwanga kakuhle.
- Iingxaki zenkqubo yombane: Intliziyo yethu ibetha sisebenzisa inkqubo yemiqondiso yombane. Njengoko imo yentliziyo itshintsha, iindlela ezihamba ngazo ezi miqondiso yombane zinokuphazamiseka. Oku kunokubangela ukuba intliziyo ibethe ngendlela engaqhelekanga. Ezi sizibiza ngokuba zii-arrhythmias (iintliziyo ezingaqhelekanga). Ngamanye amaxesha ezi zinokuba yingozi ebomini.
- Ukwakheka kwezicubu ezifileyo: Iziphumo ezinobungozi zotywala zinokubangela ukuba izicubu ezifileyo zivele kwimisipha yentliziyo. Oku kuphazamisa nokusebenza kombane kwentliziyo.
Ingaba le yingxaki yexesha elide nje?
Hayi. Ngamanye amaxesha, neengxaki zexesha elifutshane zinokubakho. Kukho imeko eyenzeka xa usela utywala obuninzi ngaxeshanye. Abanye abantu bayibiza le "Holiday Heart Syndrome." Oku kunokwenzeka xa udla iipati kwaye usela kakhulu ngexesha leeholide.
Xa utywala obuninzi buselwa ngaxeshanye, intliziyo inokubetha ngokukhawuleza kakhulu, ingakwazi ukupompa kakuhle, kwaye inokungcangcazela. Oku kubizwa ngokuba yi -fibrillation .
| Ukungalungi | Kwenzeka ntoni kunye neengozi zayo |
|---|---|
| I-Atrial Fibrillation | Amagumbi aphezulu entliziyo (i-atria) awampompi kakuhle aze abe buthathaka. Oku kunokubangela ukuba igazi liqhekeke ngaphakathi. Ukuba eli hlwili legazi liya engqondweni, lingabangela isifo sohlangothi . |
| Ukufiphalisa kwemithambo yegazi | Amagumbi asezantsi (iiseli) zentliziyo aqala ukungcangcazela. Oku kuyingozi kakhulu. Oku kunokubangela ukutyhafa, ukuhlaselwa yintliziyo, okanye nokubambeka kwentliziyo. |
Zithini iimpawu zesi sifo?
Iimpawu ezininzi zenzeka kuba intliziyo ibuthathaka kwaye ayikwazi ukupompa igazi ngokufanelekileyo.
- Ukuphefumla nzima: Ubunzima bokuphefumla, ingakumbi xa uzilolonga, uhamba, okanye ulele phantsi okwethutyana.
- Ukukhwehlela: Ukukhwehlela okomileyo okungapheliyo kunokwenzeka.
- Ukudumba (Ukudumba): Imilenze, amaqatha, kunye neenyawo ziyadumba.
- Ukudinwa nobuthathaka: Ukuziva udiniwe kangangokuba awukwazi kwenza nto.
- Ukubetha kwentliziyo: Ukuva intliziyo yakho ibetha ngokukhawuleza yinto engathandekiyo.
- Intlungu yesifuba: Ingakumbi xa usebenza.
- Ukudinwa nokuquleka: Ukuziva unesizungu, mhlawumbi ulahlekelwe zingqondo uze uwe.
- Imithambo evuvukileyo entanyeni.
- Ukulahlekelwa ngumdla wokutya kunye nobunzima bemisipha.
Indlela yokuxilonga esi sifo?
Ugqirha wakho uza kujonga izinto ezininzi ukuze afumanise esi sifo. Asinakubonwa ngovavanyo olunye kuphela.
1. Imbali yakho yezonyango kunye nendlela ophila ngayo: Ugqirha wakho uza kukubuza ngezinto ezifana nokuba usela utywala obungakanani kwaye sele usele ixesha elingakanani. Kubalulekile ukuba unyaniseke ngokupheleleyo apha.
2. Uvavanyo lomzimba: Ugqirha uza kumamela intliziyo nemiphunga nge-stethoscope aze ajonge ukudumba emilenzeni.
3. Ukungabandakanyi ezinye izizathu: Kukho ezinye izizathu ezibangela ukuvuvukala kwentliziyo (umz. izifo zofuzo, amanye amayeza). Ugqirha uza kuqala aqinisekise ukuba akukho sizathu sinjalo.
Ngenxa yesi sizathu, olunye okanye ngaphezulu kwezi vavanyo zilandelayo lunokwenziwa.
| Uvavanyo | Ubona ntoni kule nto? |
|---|---|
| I-Echocardiogram (uvavanyo lwe-'Echo') | Olu luvavanyo lwe-ultrasound lwentliziyo. Ubungakanani, imilo, ubukhulu bemisipha yentliziyo, kunye nendlela epompa ngayo igazi kunokubonakala ngokucacileyo. |
| I-Electrocardiogram (ECG/EKG) | Umsebenzi wombane wentliziyo uyajongwa. Oku kungabona naziphi na iingxaki kwintliziyo (arrhythmias). |
| I-X-reyi yesifuba | Ungajonga ukuba intliziyo ikhulu na okanye ulwelo luqokelelene emiphungeni. |
| I-cardiac CT okanye i-MRI scan | Ezi zinokubonelela ngemifanekiso eneenkcukacha ezithe kratya yentliziyo enamacala amathathu (3D) kwaye zifunde ingxaki ngokunzulu ngakumbi. |
Zithini iindlela zonyango? Ngaba oku kunganyangeka?
Iindaba ezimnandi apha zezokuba le meko inokuguqulwa rhoqo, kodwa ifuna ukuzinikela okukhulu kuwe.
Inyathelo lokuqala nelibaluleke kakhulu kunyango kukuyeka ukusela utywala ngokupheleleyo.
Xa uyeka ukusela utywala, umonakalo entliziyweni yakho uyancipha kancinci kancinci, nto leyo enika intliziyo yakho ithuba lokuchacha. Emva kweenyanga ezi-3-6, uninzi lwabantu luya kubona ukwehla okukhulu kweempawu. Abanye abantu baya kuchacha ngokupheleleyo.
Wakuba uyekile ukusela utywala, ugqirha wakho uya kukunika amayeza okulawula iimpawu zakho.
- Ii-Beta-blockers: Lawula izinga lentliziyo kunye noxinzelelo lwegazi.
- I-Diuretics: Susa ulwelo olungafunekiyo (ukudumba) oluqokelelene emzimbeni.
Kwezinye iimeko ezinzima kakhulu, kunokufuneka ufake isixhobo esifana ne -pacemaker ukulawula isigqi sentliziyo okanye utyando lokulungisa iivalvu zentliziyo ezonakeleyo.
Ukufakelwa kwentliziyo
Eyona ndlela yokunyanga esi sifo kukufakelwa intliziyo. Nangona kunjalo, yinkqubo engaqhelekanga kakhulu. Kuba zimbalwa kakhulu iintliziyo ezikhoyo zokufakelwa intliziyo. Kwakhona, ukuze umntu afakelwe intliziyo, kufuneka ayeke ngokupheleleyo utywala .
Ungazinceda njani?
- Yeka ukusela utywala: Le yeyona nto ilungileyo nebaluleke kakhulu onokuyenza. Ukuba awukwazi ukuyeka, yinciphise kancinci. Kodwa ukuyeka ngokupheleleyo yeyona nto ilungileyo.
- Landela imiyalelo kagqirha wakho: Sela amayeza achazwe ngugqirha wakho ngokuchanekileyo nangexesha elifanelekileyo. Qiniseka ukuba uyaya kwiikliniki.
- Ukutya okunempilo kwentliziyo: Nciphisa ukutya okunetyuwa eninzi kunye ne-cholesterol eninzi. Yitya imifuno emininzi, iziqhamo, iimbotyi, kunye nokutya okune-fiber eninzi.
- Iivithamini kunye neeminerali: Abantu abasela kakhulu banokufumana ukungabikho kweevithamini kunye neeminerali emizimbeni yabo. Ngoko ke, kubaluleke kakhulu ukutya ukutya okunesondlo.
Ufanele uye nini kugqirha?
Ukuba usela kakhulu kwaye unempawu enye okanye ezingaphezulu kwezi zidweliswe apha ngasentla, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Funa ingcebiso yezonyango ngokukhawuleza, ingakumbi ukuba unezinye zezi mpawu zilandelayo:
| Ixesha lokufuna ingcebiso kwezonyango | |
|---|---|
| Bona ugqirha wakho. |
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| Yiya kwi-ETU (iYunithi yoNyango oluNgxamisekileyo) ngoko nangoko. |
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Ukuqukumbela, utywala bububulali obungabonakaliyo obunokonakalisa ubomi bethu ukuba busetyenziswa kakhulu. Ukuba wena okanye umntu omaziyo unengxaki efana nale, ungoyiki ukucela uncedo. Ugqirha wakho ukulungele ukukunceda nokukubonisa indlela elungileyo. Ngokuyeka utywala, unokuphinda uphile ubomi obusempilweni.
Umyalezo Wokuya Ekhaya
- Ukusela utywala kakhulu ixesha elide kungonakalisa ngqo izihlunu zentliziyo yakho, kuyenze buthathaka kwaye kubangele ukuba intliziyo ikhule.
- Musa ukuzityeshela iimpawu ezinje ngokuphefumla kancinci, ukudumba kwemilenze, ukudinwa kakhulu, kunye nokubetha kwentliziyo ngokukhawuleza.
- Unyango olungcono nolubaluleke kakhulu lwesi sifo kukuyeka ngokupheleleyo ukusela utywala. Kwiimeko ezininzi, oku kunokunceda intliziyo ibuyele esiqhelweni.
- Ukuba unengxaki yokuyeka utywala, funa ingcebiso noncedo lwezonyango.
- Landela imiyalelo kagqirha wakho rhoqo, usele amayeza akho njengoko kuyalelwe, kwaye uphile ubomi obusempilweni.
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