Ngaba uyayazi iCardiac Cachexia? Masithethe!

Ngaba uvakalelwa kukuba kukho umntu kusapho lwakho, ingakumbi umntu onesifo sentliziyo, oyehla kancinci kancinci aze anciphise izihlunu? Ngaba uziva udiniwe kakhulu kunye nokuphelelwa ngumdla wokutya? Ukuba kunjalo, oku kusenokuba yinto esithetha ngayo. Oku sikubiza ngokuba kukulahlekelwa yintliziyo, okanye njengoko oogqirha bekubiza ngokuba yi-"Cardiac Cachexia".

Yintoni le nto kuthiwa yi-cardiac cachexia?

Ngamafutshane, `(Cardiac Cachexia)` yimeko ethile yokungondleki kakuhle kunye nokulahlekelwa yimisipha okwenzeka xa kukho isifo sentliziyo esibi, ingakumbi kwizigaba zokugqibela zesifo. Igama elithi "cachexia" lithetha "imeko embi". Le ayisiyongxaki yentliziyo kuphela, kodwa inokwenzeka nakwezinye izifo ezininzi ezinzulu. Okwenzekayo apha kukuba, ngaphandle komzamo, umzimba uba mncinci kwaye izicubu zemisipha ziyalahleka.

Oogqirha bathi enye yeempawu eziphambili zale meko kukuba ulahlekelwe ubuncinane yi-5% yobunzima bomzimba wakho kunyaka ophelileyo, ngaphandle kokwenza nantoni na ukunciphisa umzimba. Ngokutsho kwezinye iingcali, ukuba eli nani liyi-6% nangaphezulu, kwaye kukho ezinye iimpawu ezininzi, kusenokwenzeka ukuba yi-"Cardiac Cachexia".

Ixhaphake kangakanani iCardiac Cachexia?

Kukho abantu abangaphezu kwezigidi ezingama-20 abanesifo sentliziyo esinganyangekiyo ehlabathini. Kubo, kubikwa ukuba phakathi kwe-10% kunye ne-39% yesifo sentliziyo esinganyangekiyo esineempawu banesi sifo (Cardiac Cachexia). Oku kuthetha ukuba asinto ingaqhelekanga kangako.

Zithini iimpawu zoku?

Khumbula, musa ukoyika kuba nje unenye okanye ezimbini zezi mpawu. Kodwa ukuba ziyaqhubeka, kungcono ukubona ugqirha.

• Ukulahlekelwa ngaphezu kwe-5% yobunzima bakho bubonke kwixesha elingaphantsi konyaka ngaphandle komzamo (oku kukulahlekelwa ngamafutha omzimba, kungekhona amanzi).
• Ukulahlekelwa ngamandla emisipha, ukuziva ubuthathaka.
• Ndiziva ndidiniwe kakhulu kwaye ndidiniwe.
• Ukungakwazi ukwenza nemisebenzi yemihla ngemihla ngenxa yokungabi namandla.
• Ukulahlekelwa yintliziyo.

Khawucinge nje, ukuba umakhulu okanye utatomkhulu wakho unesifo sentliziyo, ukuba akatyi njengangaphambili, ukuba akakwazi ukuhamba, ukuba uhlala ebhedini, ukuba iimpahla zakhe zibonakala ngathi zinkulu kakhulu, kuya kufuneka ukhathazeke kancinci ngale nto.

Kutheni iCardiac Cachexia ikhula? Zithini izizathu?

Le meko, ebizwa ngokuba yi-"Cardiac Cachexia", ayibangelwanga sisizathu esinye. Yindibaniselwano yenguqu ezininzi ezenzeka emzimbeni womntu onesifo sentliziyo esinzima. Izinto eziphambili ezichaphazela le meko zezi:

• Ukungalingani kwindlela umzimba wakho osebenza ngayo. Oko kukuthi, ingxaki kwindlela umzimba wakho ovelisa kwaye usebenzisa ngayo amandla.
• Ukungafumani iiproteni ezaneleyo ekutyeni naseziseloni.Iiproteni zibalulekile ekwakheni nasekugcineni ubunzima bemisipha.
• Ukungazifunxi kakuhle izondlo kwizinto ozityayo noziselayo.
• Ukungazibandakanyi nakweyiphi na imisebenzi yomzimba okanye umthambo.

Ziziphi iingxaki ezinokubakho zeCardiac Cachexia?

Ukuba le meko ayilawulwa kakuhle, ingxaki emva kwenye inokuvela.

• I-Sarcopenia: Oku kuthetha ukwehla kobunzima bemisipha.
• Ngamanye amaxesha izibazi zinokwenzeka kwimisipha yentliziyo.
• Ubuthathaka kunye nobuthathaka bunokubakho, nto leyo ekhokelela ekuweni rhoqo nasekulimaleni.
• I-Anorexia inokubangela ukungalingani kwe-electrolyte kunye nolwelo emzimbeni .
• I-Osteoporosis inokwenzeka. Oku kuthetha ukuba uxinano lwamathambo luyancipha kwaye amathambo anokuqhekeka lula.
• Okubuhlungu kukuba, le meko (iCardiac Cachexia) inokuba yingozi kakhulu kwaye ide ibulale.

Oogqirha bayibona njani le nto?

Ugqirha uxilonga imeko ethi "Cardiac Cachexia" ukuba uye wehla kancinci nge-5% okanye ngaphezulu kobunzima bakho kunyaka ophelileyo, kunye nobuncinci ezintathu kwezi ngxaki zilandelayo:

• Ukudinwa kakhulu, ukudinwa.
• Ukulahlekelwa ngamandla okanye ubunzima bemisipha.
• I-Anorexia.
• Ukudumba emzimbeni.
• I-anemia.
• Ukuba namanqanaba aphantsi kakhulu eproteni ebizwa ngokuba yi-albumin emzimbeni.

Zeziphi iimvavanyo ezenziwayo koku?

Ukuqinisekisa le meko ngokuchanekileyo, ugqirha unokuyalela iimvavanyo ezahlukeneyo.

• Uvavanyo lwegazi: Olu vavanyo lunokujonga izinto ezininzi, ezinje ngamanqanaba eeproteni, i-anemia, kunye neemeko zokudumba.
• I-Electrocardiogram (EKG): Jonga umsebenzi wombane wentliziyo.
• I-Echocardiogram: Ukujonga umsebenzi kunye nolwakhiwo lwentliziyo, okufana nokuskena nge-ultrasound.
• I-X-ray yesifuba.
• `Iskeni ye-DEXA (DXA)`: Ilinganisa uxinano lwamathambo kunye nokwakheka komzimba (izihlunu, amafutha).
• Iskeni ye-`Computed Tomography (CT)`.
• Iskeni seMagnetic Resonance Imaging (MRI).
• Uvavanyo lokuzilolonga lwentliziyo nemiphunga: Jonga indlela intliziyo nemiphunga ezisabela ngayo xa uzilolonga.

Olu vavanyo lubaluleke kakhulu kuba abantu abanesifo sentliziyo badla ngokuba nokugcinwa kolwelo kunye nokudumba, nto leyo enokubangela ukuba umzimba ube ne-body mass index ephezulu (BMI).Kunokuba nzima ukulinganisa ngokuchanekileyo. Ukudumba kunokufihla ubungakanani bokwenyani bokwehla kwakho kobunzima.

Uvavanyo olukhethekileyo olubizwa ngokuba yi- "right heart catheterization" lunokunceda ugqirha wakho abone ukuba ungakanani ulwelo olongezelelweyo emzimbeni wakho. Oku kunokukunceda uqonde ukuba ulahlekelwe bubunzima obungakanani kwaye usele namanzi angakanani.

Ziziphi iindlela zonyango lweCardiac Cachexia?

Le yimeko enzima kakhulu, ngoko ke kunzima ukucinga ukuba, "Yitya nje ngaphezulu kwaye kuza kulunga." Ayinakuphiliswa ngonyango olunye. Kufuneka ijongwe kwiindlela ezahlukeneyo.

• Ukuzilolonga: Ugqirha wakho unokucebisa ukuba wenze umthambo we-aerobic (owonyusa izinga lentliziyo yakho). Oku kuya kunceda ukuthintela ukuphelelwa ngamandla kwemisipha. Abaphandi bafumanise ukuba umthambo lolunye lonyango olungcono lwe-cachexia yentliziyo. Iinkqubo zokuvuselela intliziyo zinezibonelelo ezininzi kubantu abanesifo sentliziyo:
• Ungawuphucula umgangatho wobomi.
• Ukuhlala esibhedlele kungancitshiswa.
• Ungandisa ubomi bakho.

• Ukuya esibhedlele: Ukuba uziva ubuthathaka okanye uxinzelelo lwakho lwegazi luphantsi kakhulu, ugqirha wakho angakungenisa esibhedlele. Ubunzima bakho kunye nobungakanani bokutya nokusela kuya kuhlolwa. Uya kukwazi ukuya ekhaya emva kokuba ufumene ukutya okwaneleyo. Kuya kufuneka ubone iingcali ezilandelayo kwiiveki ezimbini ukuya kwezine ezizayo:
• Ingcali yentliziyo.
• Ingcali yesondlo.
• Ugqirha wakho wosapho (`umboneleli weenkonzo zokhathalelo oluphambili`).

• Ukunyanga isifo sentliziyo esisisiseko: Ukuba isifo sentliziyo yakho sikwinqanaba eliphezulu, kunokuba nzima ukuphelisa i-cachexia ngaphandle kokunyanga isifo sentliziyo esisisiseko. Oku kuya kufuna ukubonana nogqirha wentliziyo ophucukileyo. Angakunika amayeza afunekayo, okanye ukuba kufanelekile, afake ipompo yentliziyo yomatshini, okanye akuthumelele ukufakelwa intliziyo.

Amayeza athile okanye izongezo ezinikiweyo

Ugqirha angakunika izinto ezifana nezi:

• Izongezo zeproteni.
• Iivithamini C kunye no-E.
• Ii-asidi zamafutha ze-Omega-3.
• Ii-steroid ze-Anabolic.
• Ihomoni yokukhula komntu (`ihomoni yokukhula komntu - HGH`).
• Ii-agonists ze-Ghrelin receptor.
• Ii-Beta-blockers.
• Iimodulators ze-androgen receptor ezikhethiweyo.

Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?

Amanye amayeza asetyenziswa rhoqo kwi-'Cardiac Cachexia' anokubangela iziphumo ebezingalindelekanga ezifana nezi:

• Ulusu olunamafutha.
• Ukudumba kweqakala.
• Ukudinwa.
• Isicaphucaphu.
• Isiyezi.
• Ukungalali.

Ungayinciphisa njani ingozi yeCardiac Cachexia?

Ukunceda ukunciphisa umngcipheko wale meko, ugqirha wakho unokukunika amayeza afana nala (adla ngokunikwa amayeza okuhlaselwa sisifo sentliziyo):

• Izithinteli ze-enzyme eguqula i-angiotensin (ACE).
• Ii-Beta-blockers.
• Iipilisi zamanzi eziphuma kwi-loop diuretics.
• Abachasi be-Aldosterone.

Yintoni enokulindelwa ngumntu one-Cardiac Cachexia?

Inyaniso kukuba, `(Cardiac Cachexia)` yimeko edla ngokuba neziphumo ezibi. Nangona kunjalo, ukuxilongwa kwangoko kunye nonyango kunokunceda ukuphucula iziphumo. Unyango luqalwa ngokukhawuleza, kokukhona amathuba okuguqula imeko abe ngcono.

Ngaba i-cachexia yentliziyo inokubangela nokufa?

Ewe, inokwenzeka. Ingqikelelo ye-"Cardiac Cachexia" ayilunganga kangako. Kuthiwa malunga nama-50% abantu abanale meko bafa kwiinyanga ezili-18 . Ngokutsho kolunye uphando, abanye abantu banokufa kwiinyanga ezintathu, ezintandathu, okanye ezilishumi elinambini. Oku akukoyikisi, kodwa kukwenza uqonde ubunzulu bale meko.

Ndingazinyamekela njani mna okanye umntu endimkhathalelayo?

Ukuba unengxaki yesi sifo, kukho izinto ezimbalwa onokuzenza ukunceda:

• Ukutya ukutya okuthambileyo kunokunceda ukuthintela ubunzima bokuphefumla ngelixa usitya.
• Kungcono ukutya ukutya okuncinci rhoqo, kunokuba utye ukutya okuninzi ngaxeshanye.
• Oogqirha banezimvo ezahlukeneyo malunga nokuba ingakanani ityuwa omele uyitye. Ngoko ke, cela ingcebiso kugqirha wakho. Oogqirha abaninzi bathi iMediterranean Diet kunye neDASH diet zilungile kubantu abaneCardiac Cachexia.
• Thatha naziphi na izongezo zesondlo ugqirha wakho acinga ukuba ziya kukunceda. Ezi zinokuphucula umgangatho wobomi bakho kunye nobomi bakho. Ukufumana izondlo ezaneleyo kunokukunceda ulungiselele ukufakelwa intliziyo ukuba uza kuyenza.

Ndifanele ndimbone nini ugqirha?

Thetha nogqirha wakho malunga nokuba kufuneka umtyelele kangaphi. Kusenokufuneka ukuba uhlolwe rhoqo.Ubuncinane, kuya kufuneka uxele ubunzima bakho kunye neekhalori ozityayo.

Yeyiphi imibuzo omele uyibuze ugqirha?

Musa ukuthandabuza ukubuza ugqirha wakho imibuzo efana nale:

• Ingakanani imeko yam ye-`(Cardiac Cachexia)`?
• Ungandicebisa ukutya okukhethekileyo okundifaneleyo?
• Zeziphi izongezo zesondlo ezilungele mna?

Eyona nto ibalulekileyo: Ukuba unesifo sentliziyo esibi kwaye wehla umzimba, thetha nogqirha wakho ngoko nangoko. Abantu abanesifo sentliziyo badla ngokuba nemizimba evuvukileyo, ngoko usenokungazi ukuba ulahlekelwe bubunzima obungakanani. Zinyamekele kwaye ufumane uncedo olufunayo. Kuphela emva koko unokuthintela imeko ukuba ingabi mandundu.

Ngamafutshane, umyalezo wokubuyela ekhaya

Kulungile, ngoku uyiqonda ngcono imeko esithethe ngayo ebizwa ngokuba yi-`(Cardiac Cachexia)`. Khumbula, le yimeko enzima enokubangelwa kukungasebenzi kakuhle kwentliziyo. Ukuba ulahlekelwa bubunzima ungaqondanga, uneempawu ezifana nokulahlekelwa ngumdla wokutya, kunye nokudinwa, musa ukuyityeshela loo nto.

Ukuxilongwa kwangoko kunye nonyango olufanelekileyo zezona zinto zibalulekileyo. Akukho nyango lunye lokunyanga oku, kukudibanisa umthambo, ukutya okunesondlo, kwaye, ukuba kuyimfuneko, amayeza. Kubaluleke kakhulu ukuthetha ngokukhululekileyo nogqirha wakho kwaye ulandele icebiso lakhe ngokuchanekileyo. Ukuba umhlobo wakho unengxaki yesi sifo, ungalibali ukumkhuthaza nokumnika inkxaso efunekayo.

I- Cardiac Cachexia, isifo sentliziyo, ukuphelelwa ngamandla, ukuphelelwa ngamandla kwemisipha, ukungondleki kakuhle, isifo sentliziyo, ukutya okunesondlo