Ngaba wakha weva ukuba intlungu okanye ukothuka okukhulu kungonakalisa intliziyo? Ngamanye amaxesha, xa silahlekelwa ngumntu esimthandayo okanye sijongene nengxaki enkulu, siva intlungu engaqhelekanga esifubeni sethu kwaye kunzima ukuphefumla kunye nentlungu. Namhlanje, siza kuthetha ngemeko engaqhelekanga enokwenzeka ngamaxesha anje, evakala ngathi kukuhlaselwa yintliziyo, kodwa ingelulo uhlaselo lwentliziyo. Oku kubizwa ngokuba yi-'Broken Heart Syndrome'. Le asiyomvakalelo nje, kodwa yimeko eyaziwayo ngugqirha.
Yintoni le 'isifo sentliziyo esaphukileyo'?
Ngamafutshane, le yimeko yexeshana apho inxalenye yemisipha yentliziyo yakho ibuthathaka ngequbuliso ngenxa yokothuka ngokomzimba okanye ngokwengqondo ngequbuliso. Cinga ngayo, xa enye inxalenye yentliziyo yakho iyeka ukusebenza kakuhle, ezinye iindawo kufuneka zisebenze nzima. Le misipha yentliziyo ebuthathaka yenza ukuba ingakwazi ukupompa igazi ngokufanelekileyo.
Yonke iseli emzimbeni wethu ifuna ioksijini. Le oksijini ithwalwa ligazi. Ngoko ke ukuba intliziyo ayipompi igazi ngokufanelekileyo, ichaphazela umzimba wonke. Kodwa eyona nto ilungileyo kukuba, oku kudla ngokuba yimeko yexesha elifutshane.
Kukho amanye amagama aliqela asetyenziswayo kule meko. Musa ukoyika ukuba ugqirha uthi elinye lala magama, onke athetha into enye.
- I-Takotsubo cardiomyopathy
- I-cardiomyopathy ye-Apical ballooning
- Uxinzelelo lwentliziyo
Ngaba kukho iintlobo eziphambili zale meko?
Ewe, kukho iintlobo ezine eziphambili zale meko. Ibonwa yindawo yentliziyo ebuthathaka. Masibone ukuba ziintoni.
| Uhlobo | Ingcaciso elula |
|---|---|
| I-Apical | Olu lolona hlobo luxhaphakileyo (ngaphezulu kwama-80%). Luchaphazela inxalenye esezantsi yentliziyo. |
| I-Mid-ventricular | Oku kuchaphazela inxalenye ephakathi yamagumbi asezantsi entliziyo (ii-ventricles). Le nxalenye ifana nebhanti ejikeleze intliziyo. Amacandelo angaphezulu nangaphantsi kwale bhanti asebenza ngokuqhelekileyo. |
| Isiseko | Oku kufana nohlobo olungasentla, kodwa inxalenye 'yebhanti' echaphazelekayo iphezulu kancinci. Oku kunqabile kakhulu (malunga ne-2%). |
| I-Focal | Olu lolona hlobo lunqabileyo (malunga ne-1%). Luchaphazela indawo encinci kakhulu yentliziyo. Indawo echaphazelekayo ibonakala ngathi iphuma entliziyweni. |
Ixhaphake kangakanani le meko? Ngubani onokuba nayo?
Malunga ne -2% yabantu abaya kugqirha abarhanelwa ukuba bahlaselwe yintliziyo bafunyenwe benesifo sentliziyo esaphukileyo. Nangona kunjalo, abaphandi bakholelwa ukuba abantu abaninzi banaso esi sifo, kodwa ngamanye amaxesha asifumaneki ngokufanelekileyo.
Okumangalisayo kukuba, le meko ixhaphake kakhulu kubasetyhini . Ama-89% eemeko ezixeliweyo ngabafazi. Umngcipheko uphezulu kakhulu emva kokuya exesheni, okuphakathi kweminyaka engama-58-77 ubudala.
Enye ingcaciso yoku yi -hormone i-estrogen , efumaneka emizimbeni yabasetyhini. Le hormone kukholelwa ukuba ikhusela intliziyo kwii-hormone eziyingozi eziveliswa ngumzimba ngexesha loxinzelelo. Ekubeni amanqanaba e-estrogen ehla njengoko sikhula, abafazi banamathuba amaninzi okufumana umonakalo wentliziyo xa bejamelene noxinzelelo ngequbuliso.
Zithini iimpawu zoku?
Ezi mpawu zinokubonakala kwimizuzu embalwa ukuya kwiiyure emva kwesiganeko esibuhlungu. Iihomoni eziveliswa ngumzimba ngexesha loxinzelelo olukhawulezileyo ziyenza ingasebenzi kakuhle imisipha yentliziyo okwethutyana. Iimpawu zifana kakhulu nezo zokuhlaselwa yintliziyo okuqhelekileyo.
Eyona nto ibalulekileyo kukuba, ungaze uzame ukuzixilonga ukuba unale mpawu, kuba zifana kakhulu nesifo sentliziyo. Yiya esibhedlele ngokukhawuleza, ingakumbi iSebe leeNgxamiseko (ETU).
| Iimpawu eziphambili | Inkcazo |
|---|---|
| Intlungu yesifuba eqatha ngequbuliso (i-angina) | Olu lolona phawu luphambili noluqhelekileyo. Isifuba sinokuvakala siqinile kwaye sixinene. |
| Ubunzima bokuphefumla | Ubunzima bokuphefumla kunye nokuziva ufuthanisekile nazo ziimpawu eziphambili. |
| Ukubuthathaka kwe-ventricle yasekhohlo yentliziyo | Le yinto ugqirha anokuyifumana ngokuvavanya. |
| Ukubetha kwentliziyo okungaqhelekanga (i-arrhythmias) | Isantya sentliziyo sisenokutshintsha ngendlela engaqhelekanga. |
| Uxinzelelo lwegazi oluphantsi (uxinzelelo lwegazi oluphantsi) | Uxinzelelo lwegazi (BP) lunokwehla ngequbuliso. |
| Ukubetha kwentliziyo | Uziva ngathi uyayiva intliziyo yakho ibetha kakhulu. |
| Ukulahlekelwa yingqondo (i-syncope) | Amaxesha amaninzi, usenokulahlekelwa zingqondo uze uwe. |
Oku kwahluke njani kuhlaselo lwentliziyo?
Eli lithuba apho abantu abaninzi badideka khona. Nangona iimpawu zifana, kukho umahluko omkhulu phakathi kwezi meko zimbini.
| Ingongoma | Isifo sentliziyo esaphukileyo | Ukuhlaselwa yintliziyo |
|---|---|---|
| Unobangela oyintloko | Uxinzelelo olugqithisileyo lwengqondo okanye lomzimba ngequbuliso. | Ukuvaleka kwemithambo yegazi (imithambo ye-coronary) ehambisa igazi entliziyweni ngenxa yezinto ezifana ne-cholesterol. |
| Imeko yemithambo yegazi | Akukho kuvimbeka kwemithambo yegazi okubonwayo . | Imithambo yegazi enye okanye ngaphezulu ivalekile ngokupheleleyo okanye kancinci . |
| Umonakalo wentliziyo | Ngokwesiqhelo, akukho monakalo usisigxina . Izihlunu zentliziyo zibuthathaka okwethutyana. | Imisipha yentliziyo iyafa (yonakele) ngokusisigxina ngenxa yokulahlekelwa yigazi. |
| Ukuchacha | Ngokwesiqhelo iphinda ibuyele esiqhelweni ngokukhawuleza nangokupheleleyo . | Ukuchacha kuthatha ixesha, kwaye ngokuxhomekeke kubungakanani bomonakalo, ukusebenza kwentliziyo kunokuncipha ngonaphakade. |
Ziziphi izinto ezinokubangela oku?
Nangona abaphandi bengenako ukukhomba unobangela omnye, bakholelwa ukuba isiganeko esibuhlungu ngequbuliso sesona sibangela siphambili. Ngamaxesha anje, imizimba yethu ikhupha ngequbuliso inani elikhulu leehomoni zoxinzelelo egazini. Ezi homoni kucingelwa ukuba ziphazamisa ukusebenza kwentliziyo okwethutyana.
Iingxakeko ezichaphazela ingqondo:
- Ukufa komntu omthandayo: kungaba lilungu losapho, umhlobo, okanye kwanesilwanyana sasekhaya.
- Ukuqhawuka kobudlelwane, uqhawulo-mtshato.
- Iindaba ezimnandi: Okumangalisayo kukuba, ngamanye amaxesha nesiganeko esivuyisayo, njengokuphumelela ilotho, sinokubangela oku.
- Iindaba ezimbi: izinto ezifana nokulahlekelwa ngumsebenzi, ukulahlekelwa yimali eninzi.
- Isiganeko esibuhlungu, esifana nengozi okanye inyikima.
- Uloyiko olugqithisileyo: Ukuthetha esidlangalaleni, ukujongana nokubiwa, njl.
- Ndinomsindo kakhulu.
Iimeko ezingxamisekileyo ezichaphazela umzimba:
- Intlungu ebuhlungu.
- Umsebenzi womzimba onzima kakhulu.
- Isifo sesifuba sisifo esihlaselayo, esibangela ubunzima obukhulu ekuphefumleni.
- Iimeko ezinje ngokuxhuzula kunye nokubetha kwentliziyo.
- Umkhuhlane ophezulu, amanqanaba eswekile egazini aphantsi kakhulu (hypoglycemia).
- Ukopha kakhulu okanye utyando.
Ugqirha uyixilonga njani le nto?
Xa usiya esibhedlele unentlungu esifubeni, ugqirha uza kuqala akuhlole aze akubuze ngesi siganeko. Emva koko, baza kwenza uvavanyo oluncinci ukuze babone ukuba ingaba sisifo sentliziyo okanye 'isifo sentliziyo esaphukileyo.'
- Uvavanyo lwegazi: Kukho ii-enzymes eziqokelelana egazini xa izihlunu zentliziyo zonakele. Jonga amanqanaba azo.
- I-EKG (i-electrocardiogram): Uvavanyo olurekhoda umsebenzi wombane wentliziyo.
- I-Echocardiogram: Oku kufana nokuskena kwentliziyo. Kungajonga indlela amagumbi entliziyo, iivalvu, kunye nemisipha yentliziyo esebenza ngayo. Kwi-Broken Heart Syndrome, ingabonisa ngokucacileyo indlela inxalenye yentliziyo ebuthathaka ngayo.
- I-Coronary Angiogram: Olu lolona vavanyo lubalulekileyo. Oku kuquka ukufaka idayi ekhethekileyo kwimithambo yegazi ethwala igazi entliziyweni kunye nokuthatha i-X-ray. Oku kungabonisa ngqo ukuba kukho na ukuvaleka kwemithambo yegazi. Kwisifo sentliziyo, le mithambo yegazi iyavaleka, kodwa kwi-Broken Heart Syndrome, akukho kuvaleka okunjalo okubonwayo. Olu vavanyo lolona kuphela indlela yokwahlula ngokuchanekileyo phakathi kwezi meko zimbini.
- I-X-reyi yesifuba kunye ne-MRI yentliziyo: Ezi mvavanyo zinokwenziwa ukuba kuyimfuneko.
Iphathwa njani?
Nangona kungekho 'nyango' luthile loku, amayeza anikwa ukulawula iimpawu kunye nokunceda intliziyo ibuyele esiqhelweni. Abantu abaninzi bayachacha ngokupheleleyo ngala mayeza.
- I-Aspirin: Ithintela ukujiya kwegazi.
- Ii-ACE inhibitors okanye ii-ARB: Lawula uxinzelelo lwegazi.
- Ii-Beta-blockers: Yehlisa isantya sentliziyo kwaye yehlise uxinzelelo entliziyweni.
- I-Diuretics: Susa ulwelo olungafunekiyo emzimbeni kwaye unciphise umthwalo entliziyweni.
Intliziyo idla ngokubuyela esiqhelweni emva kweentsuku ezimbalwa ukuya kwiiveki ezimbalwa. Nangona kunjalo, abanye abantu banokuziva bediniwe kwaye bengaphili kangangeenyanga. Kwimeko ezinjalo, kubaluleke kakhulu ukuthetha nogqirha wakho.
Singenza ntoni ukuthintela oku size sizinyamekele?
Nangona kungekho ndlela ithile yokuthintela le meko ukuba ingenzeki, ukufunda ukulawula uxinzelelo olufika ebomini bethu kunokuba luncedo olukhulu.
- Ukulawula uxinzelelo: I-yoga, ukucamngca, kunye nokwenza imisebenzi ezisa uxolo engqondweni kubaluleke kakhulu. Ukuzilolonga ngokuphefumla nzulu nako kuyanceda kakhulu.
- Indlela yokuphila esempilweni:
- Yitya ukutya okunesondlo.
- Zilolonge rhoqo (ubuncinane imizuzu engama-30 iintsuku ezi-5 ngeveki).
- Lala kakuhle iiyure ezisi-7-9 ngosuku.
- Kuphephe ngokupheleleyo ukutshaya, iziyobisi, kunye nokusebenzisa utywala ngokugqithisileyo.
- Funa uncedo: Ukuba uxinezeleko olungenakukwazi ukululawula wedwa, thetha nomntu omthembayo ngalo. Ukuba kuyimfuneko, funa uncedo kumcebisi oqeqeshiweyo.
Kubalulekile: Le meko ayisoloko ibangelwa ziingcinezelo ezincinci kubomi bemihla ngemihla. Ibangelwa kukothuka ngesiquphe, okugqithisileyo. Nangona kunjalo, ukuba uhlala uva iintlungu esifubeni okanye ubunzima bokuphefumla, qiniseka ukuba uthetha nogqirha wakho ngayo.
Umyalezo Wokuya Ekhaya
- 'Isifo sentliziyo esaphukileyo' asiyomvakalelo nje, yimeko yokwenyani yempilo .
- Oku kubangelwa kukwenzakala okungalindelekanga, okugqithisileyo emzimbeni okanye engqondweni.
- Iimpawu zifana kakhulu nokuhlaselwa yintliziyo . Ngoko ke ukuba ufumana iintlungu esifubeni okanye ubunzima bokuphefumla, yiya kwigumbi likaxakeka (ETU) ngoko nangoko . Musa ukwenza izigqibo wedwa.
- Le meko idla ngokuba yeyokwexeshana kwaye intliziyo inethuba lokuchacha ngokupheleleyo ngaphandle komonakalo ongunaphakade.
- Ukuba unesi sifo, kubaluleke kakhulu ukusebenzisa amayeza achazwe ngugqirha wakho ngokuchanekileyo uze ubuye uyokuhlolwa ngemihla ebekiweyo.
- Ukufunda ukulawula uxinzelelo ebomini kuya kukunceda ekukhuselekeni kwiimeko ezinjalo kwixesha elizayo.
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