Ngaba nawe unengxaki yokuxinana kwesifuba kunye nobunzima bokuphefumla? Ngaba inokuba sisifo sentliziyo?

Ngaba ngamanye amaxesha uziva ngathi unengxaki yokuphefumla? Ngaba ukhe uve isandi sokuphefumla esiphuma esifubeni sakho, njengesandi sokugquma? Ixesha elininzi, xa kwenzeka into efana nale, sicinga, "Owu... esi sisifo sombefu." Kodwa ubusazi ukuba kukho enye imeko ebonisa ezi mpawu, kodwa ayisosifo sombefu ngokwenene? ​​Yiloo nto siyibiza ngokuba yi -'Cardiac Asthma.' Nangona igama lisisifo sombefu, oku kubangelwa yingxaki yentliziyo. Makhe sithethe ngale nto ngokweenkcukacha namhlanje, kuba oku kukwayinto ebalulekileyo ekufuneka siyiqaphele.

Yintoni kanye kanye 'iCardiac Asthma'?

Ngamafutshane, 'iCardiac Asthma' yimeko apho imiphunga yakho izaliswe lulwelo ngenxa yobuthathaka entliziyweni yakho. Oogqirha bakwabiza oku ngokuba yi 'Pulmonary Edema' . Cinga ngale ndlela: imiphunga yakho ifana nesiponji. Xa izaliswe ngamanzi, kunzima ukuphefumla, akunjalo? Yiloo nto eyenzekayo apha.

Le meko ibangelwa yimeko ebizwa ngokuba yi -'Pulmonary Hypertension' . Oku kukunyuka koxinzelelo kwimithambo yegazi emiphungeni yakho. Oku kwenzeka rhoqo xa icala lasekhohlo lentliziyo lingasebenzi kakuhle, elibizwa ngokuba yi -'Left-sided Heart Failure' .

Kubalulekile: Xa abantu besiva igama elithi 'ukusilela kwentliziyo', bayoyika ukuba intliziyo ayisebenzi kakuhle. Oku akunjalo. Kuthetha nje ukuba intliziyo ayikwazi ukupompa igazi elaneleyo ukuhlangabezana neemfuno zomzimba.

Ngoko ke yintoni umahluko phakathi kwe-asthma ye-bronchial kunye ne-asthma yentliziyo?

Nangona zombini zineempawu ezifana nobunzima bokuphefumla kunye nesandi sokuphefumla esiphuma esifubeni, izizathu zahlukile ngokupheleleyo.

• Isifuba somoya esibangelwa yi-Bronchial Asthma: Esi sisifo esihlala ixesha elide esibakho emiphungeni. Iindlela zomoya ziyadumba kwaye zinciphe, nto leyo ebangela ubunzima bokuphefumla, ukukhohlela, kunye nokuqina kwesifuba. Ezi mpawu zinokuba mandundu xa zichaphazeleka zizinto ezifana nothuli, ungcoliseko lomoya, kunye ne-pollen.

• Isifo sentliziyo: Kwimeko enjalo, ingxaki ikwintliziyo. Xa ukusebenza kwentliziyo kuphazamiseka, imiphunga izaliswa lulwelo, nto leyo ebangela ubunzima bokuphefumla.

Uyawuqonda umahluko? Enye yingxaki yemiphunga, enye yingxaki yentliziyo echaphazela imiphunga.

Ngubani osengozini enkulu yokufumana 'iCardiac Asthma'?

Le meko ichaphazela kakhulu abantu abaneengxaki zentliziyo ezibizwa ngokuba yi -'Congestive Heart Failure' . Kulapho ukungaphumeleli kwentliziyo kuba mandundu njengoko ukuhamba kwegazi emithanjeni yegazi kusanda. Njengoko ukungaphumeleli kwentliziyo kusiba mandundu, nokuba umgudu omncinci unokwenza kube nzima ukuphefumla.

Kukho izinto ezininzi ezibangela ukuhlaselwa sisifo sentliziyo:

• Igazi elonyukayo
• Isifo Seswekile (iDiabetes Mellitus)
• Iivalvu zentliziyo ezinesifo
• I-Angina (iintlungu zesifuba)
• Ukuba ndikhe ndahlaselwa yintliziyo ngaphambili

Umntu onezi meko unamathuba amaninzi okufumana 'isifo sentliziyo'.

I-'Cardiac Asthma' iyichaphazela njani umzimba?

Xa imiphunga yakho izele ngamanzi, kunokuba nzima kakhulu ukuphefumla. Oku kuyinyani ngakumbi xa ulele okanye ulele. Xa uvuka kwaye uhlala okanye uvuka, ungafumana kulula ukuphefumla. Umzekelo, ukuba uvuka ebusuku emva kokulala kakuhle kwaye ngequbuliso uzive uphelelwa ngumphefumlo, oko kungaba luphawu lwesi sifo.

Zithini iimpawu zoku?

Umntu one-asthma yentliziyo angabonakalisa iimpawu ezifana nezi:

• Ukuvuka kunzima ukuphefumla emva kokulala iiyure ezimbalwa ebusuku luphawu oluphambili kubantu abaninzi.
• Ukuphefumla.
• Ukukhwehlela. Olu khohlela lunokuba kukukhwehlela okomileyo, okanye lunokuba kukukhwehlela okune-phlegm. Ngamanye amaxesha kukho iimeko apho i-phlegm ixutywe negazi elincinci.

Ukuba unenye okanye ngaphezulu kwezi mpawu, kungcono ukufuna ingcebiso kagqirha.

Yintoni ebangela 'iCardiac Asthma'?

Njengoko sele sixoxile, unobangela oyintloko 'yiHeart Failure' . Oku kubangela 'iPulmonary Hypertension' , okukukwanda koxinzelelo lwegazi emiphungeni. Oku kubangela 'iPulmonary Edema' , okanye ukuqokelelwa kolwelo emiphungeni. Kukuqokelelwa kolwelo emiphungeni okwenza kube nzima kuwe ukuphefumla, nto leyo ebangela 'iCardiac Asthma'.

Oogqirha bayixilonga njani i-'Cardiac Asthma'?

Xa ubona ugqirha, uza kukubuza ngeempawu zakho, athathe imbali yakho yezonyango, aze enze uvavanyo lomzimba . Kunye nezi zinto, banokwenza uvavanyo oluthile ukuqinisekisa imeko.

Zeziphi iimvavanyo ezenziwayo koku?

Ugqirha angasebenzisa ezi mvavanyo zilandelayo ukufumanisa isifo sentliziyo:

• Uvavanyo lwegazi
• Uvavanyo lomchamo
• I-Electrocardiogram (EKG) - Le yindlela yokulinganisa umsebenzi wombane wentliziyo.
• I-Echocardiogram - Oku kufana ne-ultrasound scan yentliziyo. Ingajonga ubungakanani, imilo, kunye nokusebenza kwentliziyo.
• I-X-ray yesifuba - ukujonga ulwelo olukwimiphunga kunye nentliziyo ekhulisiweyo.
• Uvavanyo loxinzelelo lwentliziyo nemiphunga- Umsebenzi wentliziyo nemiphunga ujongwa ngexesha lokuzilolonga.
• Ukufakwa kwe-catheter kwintliziyo - Uvavanyo lokujonga ukuvaleka kwemithambo yegazi yentliziyo.
• Iskeni seCardiac CT (Computed Tomography)
• Umzobo weMagnetic Resonance (MRI)

Ayizizo zonke ezi mvavanyo ezenzelwa wonke umntu. Ugqirha wakho uya kugqiba ukuba zeziphi iimvavanyo ezifunekayo ngokwemeko yakho.

Ziziphi iindlela zonyango lwe-'Cardiac Asthma'?

Unyango lwe-'Cardiac Asthma' lwahlukile kunyango lwe-asthma eqhelekileyo (i-Bronchial Asthma). Oku kungenxa yokuba unobangela wahlukile. Oku kulandelayo kunokusetyenziswa njengonyango lwe-'Cardiac Asthma':

• Ukuzilolonga: Ukwenza umthambo ofanelekileyo njengoko uyalelwe ngugqirha.
• Amayeza: Iindidi ezahlukeneyo zamayeza zinokunikwa.
• Ukuvuselelwa kwentliziyo: Le yinkqubo yokuzilolonga elawulwa ngugqirha kunye nokuguqula indlela yokuphila.
• I-Implantable Cardioverter Defibrillator (ICD): Isixhobo esinceda ukulungisa ukubetha kwentliziyo okungaqhelekanga.
• I-Biventricular pacemaker: Isixhobo esinceda amagumbi amabini entliziyo ukuba abethe kunye.
• Isixhobo Sokuncedisa Umoya Wasekhohlo (LVAD): Sisixhobo soomatshini esinceda intliziyo ipompe igazi.
• Ukufakelwa intliziyo: Njengendlela yokugqibela, abanye abantu banokufuna ukufakelwa intliziyo.

Ngawaphi amayeza asetyenziswa koku?

La mayeza alandelayo asetyenziswa ukunyanga ukusilela kwentliziyo, unobangela oyintloko wesifo sentliziyo:

• Izithinteli ze-ACE
• Ii-Beta-blockers
• I-Diuretics: Ezi zikwabizwa ngokuba "ziipilisi zamanzi." Zinceda ekususeni ulwelo olugqithisileyo emzimbeni ngomchamo.
• Ii-SNRI (ii-Serotonin-Norepinephrine Reuptake Inhibitors)
• Izithinteli zeAldosterone
• Izithinteli ze-SGLT2

La mayeza asebenza ngokunciphisa umthwalo entliziyweni, ukulawula uxinzelelo lwegazi, nokususa ulwelo olugqithisileyo emzimbeni.

Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?

Njengayo nayiphi na imithi, la mayeza anokubangela ezinye iziphumo ebezingalindelekanga. Iziphumo ebezingalindelekanga zinokwahluka ngokuxhomekeke kwiyeza. Nazi imizekelo embalwa:

• Izithinteli ze-ACE: Ukukhwehlela okomileyo, isiyezi, ukudinwa, kunye nentloko ebuhlungu.
• Ii-Beta-blockers: Ukucaphuka, ukozela, isiyezi, mhlawumbi nokudakumba.

Ukuba ufumanisa naziphi na iimpawu ezintsha, okanye uziva into engaqhelekanga emva kokuqalisa amayeza, kufuneka wazise ugqirha wakho ngoko nangoko.

Ungayinciphisa njani ingozi yokuba ne-'Cardiac Asthma'?

'Isifo sentliziyo' sibangelwa kukusilela kwentliziyo. Ngoko ke, ukuba uyawunciphisa umngcipheko wokusilela kwentliziyo, umngcipheko 'wesifo sentliziyo' nawo uya kuncipha.

Ungenza ezi zinto ukunciphisa umngcipheko wazo zombini ezi zinto:

• Ukuba unezinye izifo, ezinje ngoxinzelelo lwegazi oluphezulu okanye isifo seswekile , zinyange kwaye zilawulwe ngokufanelekileyo.
• Gcina ubunzima bakho busempilweni.
• Lawula uxinzelelo.
• Zilolonge rhoqo.
• Yitya ukutya okunempilo ngakumbi (njengeziqhamo nemifuno).
• Kuphephe ngokupheleleyo ukusebenzisa iimveliso zecuba (ezifana neecuba kunye nee-beedis).
• Nciphisa ukusetyenziswa kotywala, okanye uyeke ngokupheleleyo.
• Musa ukusebenzisa iziyobisi ezingekho mthethweni.

Ukulandela ezi zinto kuya kunceda kakhulu ekugcineni intliziyo yakho isempilweni.

Yintoni ekufuneka ilindelwe ngumntu one-'Cardiac Asthma'?

Ukusilela kwentliziyo, okwaziwa ngokuba yi-'cardiac asthma', yimeko enokuthi kancinci kancinci ibe mandundu ngokuhamba kwexesha. Iimpawu nazo zinokwanda ngokungalindelekanga. Utshintsho kwindlela yokuphila kunye namayeza anokunceda ukulawula imeko okwethutyana.

Nangona kunjalo, ngamanye amaxesha ungafikelela kwinqanaba apho ufumana ubunzima bokuphefumla ngaphandle kokuzibhokoxa. Oku kubizwa ngokuba yi -'Advanced Heart Failure' .

Ngaphambi kokuba ufikelele kwinqanaba elinje, kubalulekile ukuthetha nosapho lwakho kunye nogqirha malunga nohlobo lonyango olufunayo. Umzekelo, ukuba unengxaki yokuphefumla kakhulu, ngaba ungavuma ukuba umbhobho wokuphefumla ubekwe phantsi emqaleni wakho? Kulungile ukuba ezi zinto zigqitywe kwangaphambili.

Ihlala ixesha elingakanani i-'Cardiac Asthma'?

Isifo sentliziyo sihlala ixesha elide njengoko imeko yezonyango ebangela ukuba siqhubeke. Ngokwesiqhelo, eso sifo kukusilela kwentliziyo. Okwangoku akukho nyango lwaso. Ke ngoko, kubalulekile ukufumana unyango olungcono onokulufumana.

Ndingazinyamekela njani?

Ukuze unciphise iimpawu zakho kwaye uphucule umgangatho wobomi bakho, kufuneka ulandele imiyalelo kagqirha wakho ngokuchanekileyo:

• Fumana unyango olufanelekileyo kwezinye iimeko zonyango (umz. isifo seswekile, uxinzelelo lwegazi oluphezulu) ezinokubangela ukuba intliziyo ingasebenzi kakuhle.
• Yenza utshintsho kwindlela ophila ngayo. Umzekelo, ukunciphisa ityuwa oyityayo ekutyeni kwakho.
• Sela amayeza owanikwe ngugqirha wakho rhoqo nangendlela echanekileyo. Ungaphoswa lusuku olunye.

Ndifanele ndimbone nini ugqirha?

Ukuba ubonakalisa iimpawu ezintsha, okanye ukuba iimpawu zakho ziya zisiba mandundu, bonana nogqirha ngoko nangoko.

Xelela ugqirha wakho, ingakumbi ukuba unayo nayiphi na kwezi zilandelayo:

• Ukuba ubunzima bokuphefumla buyanda.
• Ukuba amaqatha avuvukile (amaqatha avuvukileyo).
• Ukuba ngequbuliso utyeba.
• Ubunzima bokulala.
• Ukuba kukho ukuphelelwa ngumdla wokutya.

Musa ukuzityeshela ezi mpawu.

Kufuneka uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba une-allergy kwiyeza olisebenzisayo – umzekelo, ukudumba kolwimi okanye imilebe yakho – tsalela umnxeba ku-911 ngoko nangoko okanye uye kwigumbi likaxakeka kwisibhedlele esikufutshane nawe. Kwakhona, ukuba unengxaki enkulu yokuphefumla, kwaye ayibi ngcono nokuba wenza ntoni na, ngokuqinisekileyo kuya kufuneka uye kwigumbi likaxakeka.

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa usiya kugqirha, ungabuza imibuzo efana nale:

• "Ucebisa uhlobo luni lonyango kwimeko yam?"
• "Ndingenza umthambo onjani?"
• "Ndingabuya nini ngexesha elizayo ukuze ndifumane amadinga okulandela?"

Buza ugqirha wakho nayiphi na imibuzo okanye iinkxalabo onokuba nazo.

Okokugqibela, yintoni ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Isifo sentliziyo sisifo esibangela isifo esikhulu kakhulu, ukusilela kwentliziyo . Nangona kungekho nyango lokusilela kwentliziyo, kukho amayeza kunye nonyango olwahlukeneyo olunokunceda ekulawuleni. Ugqirha wakho angakunceda ukhethe unyango olukulungeleyo. Ekubeni ukusilela kwentliziyo kunokuba mandundu ngokuhamba kwexesha, kubalulekile ukugcina ugqirha wakho enolwazi ngeempawu zakho. Kukwabubulumko ukwazisa ugqirha wakho kwangaphambili ukuba loluphi unyango olufunayo ukuba imeko yentliziyo yakho iba mandundu. Nyamekela intliziyo yakho kwaye uhlale usempilweni!

Isifo sentliziyo, isifo sentliziyo, ukuphefumla okufutshane, ukudumba kwamaphaphu, ukuhlaselwa yintliziyo, isifo sentliziyo, ukuphefumla okunzima