Ngaba uziva ngathi awukwazi ukusebenza nzima njengangaphambili? Ngaba uziva unesizungu xa uhamba umgama omfutshane okanye unyuka izinyuko? Mhlawumbi isizathu soku kukuba ukusebenza kwentliziyo yakho, oko kukuthi, isantya epompa ngaso igazi, kuye kwehla. Kwizonyango, namhlanje siza kuthetha ngomlinganiselo obaluleke kakhulu olinganisa ukusebenza kwentliziyo. Loo nguMphumo wentliziyo . Musa ukoyika xa usiva eli gama, masiliqonde ngokulula.
Ngamafutshane, yintoni iCardiac Output?
Kulula kakhulu. I-Cardiac Output yimali iyonke yegazi elipompelwa yintliziyo yakho emzimbeni wakho ngomzuzu omnye. Oku kulinganiswa ngeelitha. Cinga ngentliziyo yakho njengemoto yamanzi. I-Cardiac Output yimalini yamanzi epompelwa yile moto ngomzuzu.
Oogqirha babala oku nge-equation elula:
"Isiphumo sentliziyo = Umthamo weStroke x Isantya sentliziyo"
Ngoku mhlawumbi uyazibuza ukuba la magama mabini amatsha athetha ukuthini. Masichaze naloo nto.
- Umthamo weStroke: Eli linani legazi elimpontshelwa yintliziyo yakho emzimbeni wakho xa ibetha kube kanye . Kumzekelo wethu wemoto yamanzi, lifana nenani lamanzi eliphumayo lemoto xa isebenza kube kanye.
- Isantya sentliziyo: Mhlawumbi uyayazi le. Eli linani leexesha intliziyo yakho ibetha ngalo ngomzuzu. Ngokwesiqhelo, kumntu ophilileyo, eli liphakathi kwe-60 ne-100 beats ngomzuzu.
Xa uzilolonga, umzimba wakho udinga ioksijini engaphezulu. Le oksijini ithwalwa yigazi emzimbeni wonke. Ngoko ke ngelo xesha, umzimba usebenza ukwandisa ukuphuma kwentliziyo ngokunyusa izinga lentliziyo kunye nobungakanani begazi elimpontshwayo ngaxeshanye. Yindlela emangalisayo kakhulu, akunjalo?
Ziziphi iimpawu zokuncipha kokuphuma kwentliziyo?
Ukuba umzimba awufumani igazi elaneleyo, oko kukuthi, ukuba ukuphuma kwentliziyo kwehla, iimpawu ezahlukeneyo zinokuvela. Musa ukuzityeshela ezi njengokudinwa okuqhelekileyo.
Kubaluleke kakhulu ukuzinyamekela ukuba uziva udiniwe kangangokuba awukwazi ukwenza umsebenzi owawuwenza ngaphambili.
Apha ngezantsi kukho ezinye zeempawu eziphambili zokwehla kokuphuma kwentliziyo.
| Uphawu | Ithetha ntoni le nto? |
|---|---|
| Ndiziva ndidiniwe kakhulu ngokukhawuleza | Ukudinwa kakhulu kwenzeka xa izihlunu zomzimba zingafumani ioksijini kunye nezondlo ezizidingayo egazini. |
| Ubunzima bokuzilolonga | Ukungakwazi ukubaleka okanye ukuhamba umgama ofanelekileyo njengangaphambili. Ubunzima bokuphefumla xa uzibhokoxa. |
| Ukudumba kwezandla neenyawo | Xa intliziyo ingakwazi ukupompa igazi ngokufanelekileyo, ulwelo emzimbeni alukwazi ukujikeleza kakuhle kwaye lunokuqokelelwa emalungeni. |
| Ukuqhawukelwa ngumphefumlo | Le meko inokwenzeka ingakumbi xa uhamba okanye ugobile. Ingachaphazela nemiphunga. |
| Isicaphucaphu, ukuhlanza, kunye nentlungu yesisu | Ezi mpawu zisenokuvela ngenxa yokuncipha kokuhamba kwegazi kwinkqubo yokugaya ukutya. |
Ukuba unezi mpawu, eyona nto ingcono onokuyenza kukubona ugqirha wakho ngokukhawuleza ukuze akunike icebiso.
Oogqirha balinganisa njani umlinganiselo wokuphuma kwentliziyo?
Kukho iindlela ezahlukeneyo zokulinganisa oku. Ezinye zilula kakhulu, ngelixa ezinye zifuna uvavanyo olukhethekileyo olwenziwe esibhedlele.
- I-Transthoracic Echocardiography (Uvavanyo lwe-Echo): Oku kufana nokuskena komntwana. Akunazintlungu. Kunokujonga ukusebenza kwentliziyo, ubungakanani bayo, kunye nemeko yeevalvu. Oku kunokunika ugqirha umbono olungileyo ngomthamo westroke.
- I-MRI yentliziyo: Le yenye indlela yokuskena ethatha imifanekiso eneenkcukacha zentliziyo.
- Ukucoca Intliziyo Ngendlela Echanekileyo: Le yeyona ndlela ichanekileyo yokulinganisa ukuphuma kwentliziyo. Esibhedlele, ingcali ifaka umbhobho omncinci (i-catheter) entliziyweni ngomthambo osengalweni okanye emlenzeni ize ilinganise uxinzelelo olungaphakathi entliziyweni kunye namanqanaba eoksijini egazini. Oku kuvumela ukubalwa ngokuchanekileyo kokuphuma kwentliziyo.
- Ezinye iindlela: Ukongeza, ingcamango engeyonyani ingafunyanwa ngokuncamathisela ii-electrode emzimbeni kunye nokulinganisa ukuphefumla ngezixhobo ezikhethekileyo.
Ugqirha wakho uza kucebisa uvavanyo olufanele imeko yakho.
Zithini izizathu zokuncipha kokuphuma kwentliziyo?
Kukho izizathu ezininzi ezinokuchaphazela oku. Ezinye zazo sinokuzilawula, ngelixa ezinye kufuneka zilawulwe ngonyango lwezonyango.
| I-Factor | Kalula nje, kwenzeka ntoni? |
|---|---|
| Igazi elonyukayo | Khawuthelekelele uhamba nxamnye nomoya onamandla. Ngokufanayo, xa uxinzelelo kwimithambo yegazi yakho lusanda, intliziyo yakho kufuneka isebenze nzima ukupompa igazi kuyo. Ekuhambeni kwexesha, intliziyo yakho inokuba buthathaka. |
| Ubudala | Njengoko sikhula, iindonga zentliziyo ziyatyeba kwaye zingabi nakuguquguquka. Ngenxa yoko, ayikwazi ukuzaliswa ligazi ngokukhawuleza njengoko yayisenza ngaphambili. Oku kunciphisa nobungakanani begazi elimpompayo. |
| Umonakalo obangelwe kukuhlaselwa yintliziyo | Xa izihlunu zentliziyo zonakele ngenxa yokuhlaselwa yintliziyo, amandla azo okumpompa anokuncipha ngonaphakade. |
| Izingqisho Zentliziyo Ezingaqhelekanga | Umzekelo, kwimeko efana ne -Atrial Fibrillation, amagumbi aphezulu entliziyo awanciphisi kakuhle. Ngenxa yoko, amagumbi asezantsi awazali ngegazi ngokufanelekileyo kwaye ubungakanani bompompo buyancipha. |
| I-Aortic Stenosis (ukuncitshiswa kwevalvu yentliziyo) | Xa ivalvu edibanisa umthambo wegazi oyintloko (i-aorta) othwala igazi ukusuka entliziyweni ukuya emzimbeni iba mxinwa, ayikwazi ukupompa igazi elininzi kangangoko kufuneka. |
| Usulelo lwentliziyo okanye ezinye izifo | Iimeko ezinje ngokosuleleka kwemisipha yentliziyo (i-myocarditis) okanye ukuqina kwenwebu ejikeleze intliziyo (i-constrictive pericarditis) nazo zinokuphazamisa amandla entliziyo okupompa. |
Indlela yokwandisa imveliso yentliziyo?
Iindaba ezimnandi zezokuba le meko inokulawulwa kakhulu ngokwenza utshintsho olulula kwindlela ophila ngayo kunye nokulandela unyango oluchazwe ngugqirha wakho. Intliziyo eqinileyo kunye nenkqubo yokujikeleza kwegazi esempilweni zezona zinto zibalulekileyo koku.
Khumbula, intliziyo ephilileyo yindlela eya kubomi obusempilweni. Kufanelekile ukuzincama kancinci.
Nazi ezinye izinto onokuzenza:
- Zilolonge rhoqo: Nokuba yinto elula njengokuhamba imizuzu engama-30 ngosuku inokuba luncedo kakhulu entliziyweni yakho. Nangona kunjalo, ngaphambi kokuba uqale nayiphi na inkqubo yokuzilolonga, kubalulekile ukuthetha nogqirha wakho ubuze ukuba yintoni ekulungeleyo.
- Lawula i-cholesterol: Yitya ukutya okunciphisa i-cholesterol embi (LDL) kwaye konyuse i-cholesterol elungileyo (HDL).
- Lawula isifo seswekile: Ukuba unesifo seswekile, thatha amayeza owanikwe ngugqirha wakho kanye njengoko eyalelwe kwaye ugcine amanqanaba eswekile egazini lakho ephantsi kolawulo.
- Ukutya okunempilo: Nciphisa ukutya okunamafutha, okuqhotsiweyo, ukutya okunetyuwa eninzi kunye neswekile kangangoko unako. Faka iziqhamo, imifuno, imifuno eluhlaza kunye neentlanzi ezincinci ekutyeni kwakho.
- Gcina ubunzima obusempilweni: Njengoko ubunzima bomzimba busanda, umthwalo entliziyweni nawo uyanda.
- Yeka ukutshaya nokusebenzisa icuba ngokupheleleyo: ezi zezona ntshaba zinkulu zentliziyo kunye nemithambo yegazi.
- Lawula uxinzelelo lwakho lwegazi: Ukuba ugqirha wakho ubhale amayeza, thatha ngexesha elifanelekileyo.
Ukwazi indlela intliziyo yakho esebenza ngayo kunokunceda ugqirha wakho ukuba afumanise ukuba unyango olunikiweyo luyasebenza na. Ngoko ke ukuba unemibuzo okanye izinto ezikuxhalabisayo, vuleleka kwaye uthembeke kugqirha wakho. Okukhona unolwazi oluthe kratya ngempilo yakho, kokukhona amathuba akho okufumana iziphumo ezilungileyo.
Umyalezo Wokuya Ekhaya
- Ukuphuma kwentliziyo ngumlinganiselo wegazi eliphampa intliziyo yakho ngomzuzu. Olu luvavanyo olubalulekileyo lokusebenza kwentliziyo.
- Iimpawu ezinje ngokudinwa, ukuphefumla kancinci, kunye nokudumba kwamalungu omzimba zinokuba ziimpawu zokuncipha kokuphuma kwentliziyo.
- Le meko ingalawulwa kakuhle ngokwenza utshintsho olusempilweni kwindlela ophila ngayo (ukuzilolonga, ukutya okunempilo) kunye nokulandela icebiso likagqirha wakho.
- Ukuba unengxaki yokungakhululeki okunxulumene nentliziyo, qiniseka ukuba uthetha nogqirha wakho ngayo.
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