Khawucinge ukuba omnye wabantu bethu unomhlaza kwaye unyangwa ngonyango olunikwa ngoogqirha. Hayi indlela entle ngayo loo nto! Kodwa ngamanye amaxesha, ngenxa yezinye iindlela zonyango ezinikwa ukunyanga loo mhlaza, ezinye iingxaki zentliziyo zinokuvela emva kwexesha elithile. Kutheni oko kusenzeka? Ubusazi ukuba kukho ugqirha okhethekileyo ophanda olu nxibelelwano phakathi komhlaza nentliziyo aze ancede izigulane? Nguye lowo ugqirha esiza kuthetha ngaye namhlanje.
Ngamafutshane, ngubani lo gqirha we-Cardio-Oncologist?
Nangona eli gama lisenokuvakala liyinkimbinkimbi kancinci, intsingiselo yalo ilula kakhulu. Igama elithi Cardio lithetha ukunxulumana nentliziyo. Igama elithi Oncologist lithetha ugqirha ogxile kumhlaza. Ingcali yeCardio-Oncologist ngugqirha ofumene uqeqesho olukhethekileyo kuzo zombini ezi zifo.
Ngamafutshane, aba bantu bangoogqirha bentliziyo okanye oogqirha be-oncologist. Kodwa ukongeza kwicandelo labo eliphambili, bafumene uqeqesho olukhethekileyo ekulawuleni izifo zentliziyo kwizigulana ezinomhlaza.
Siyazi ukuba unyango lomhlaza, olufana ne -chemotherapy kunye nonyango lwe-radiation, lunokwandisa ubomi bezigulane. Nangona kunjalo, njengayo yonke enye into, olu nyango lunokuba nemiphumo emibi. Eyona nto ibalulekileyo kwezi kukonakalisa intliziyo kunye nemithambo yegazi. Ezinye iindlela zonyango zinokubangela isifo sentliziyo esitsha okanye zibenze sibe sibi ngakumbi isifo sentliziyo esikhoyo. Kwizonyango, le meko siyibiza ngokuba yi-cardiotoxicity .
Yiyo le nto kwazalwa eli candelo likhethekileyo lezonyango elibizwa ngokuba yiCardio-Oncology. Injongo ephambili yoku kukuchonga, ukujonga, kunye nokunyanga imiphumo yonyango lomhlaza entliziyweni kwangethuba. Ngale ndlela, aba gqirha bangoochwephesha banceda ekunciphiseni umonakalo entliziyweni ngelixa bebonelela ngonyango olusebenzayo lomhlaza.
Kutheni ugqirha ochwephesha kangaka ebaluleke kangaka kuthi?
Kule mihla, njengoko iindlela zonyango lomhlaza ziphucukile, inani labantu abachachayo kumhlaza liyanda imihla ngemihla. Oku kuyinto evuyisayo ngokwenene. Nangona kunjalo, ukwanda kwenani labantu abachachayo kumhlaza kuthetha ukuba nenani labantu abajongene neziphumo ebezingalindelekanga zonyango nalo liyanda.
Uninzi lwabantu abachachayo kumhlaza baneminyaka engaphezu kwama-65 ubudala. Umngcipheko weengxaki zentliziyo uyanda ngokukhula. Ukongeza, iziphumo zonyango lomhlaza zinokunyusa loo mngcipheko nangakumbi.
Yiyo loo nto indima kagqirha wentliziyo ibaluleke kangaka. Banokuthatha yonke into, kuquka umhlaza, unyango lwawo, ubudala, kunye nendlela yokuphila, ukuze benze isigqibo esifanelekileyo malunga nempilo yentliziyo yakho.
Yintoni kanye kanye eyenziwa yi-Cardio-Oncologist?
Ezi ngcali zixilonga kwaye zinyange isifo sentliziyo kwizigulane ezinomhlaza. Enye yeengxaki zazo eziphambili kukulungelelanisa iinjongo ezimbini eziphikisanayo ngamanye amaxesha:
- Ukunyanga umhlaza wakho.
- Ukukhusela intliziyo yakho.
Kufana nokuhamba ngentambo eqinileyo. Ukuba utyeba ngecala elinye, oko kunokuba yingxaki. Ngoko ke, basebenzisana nogqirha wakho we-oncologist kunye nabanye oogqirha ukuze benze isicwangciso sonyango esifanelekileyo kuwe.
Jonga le theyibhile ingezantsi ukuze ubone ezinye zezinto eziphambili abazenzayo.
| Umsebenzi owenziwayo | Ingcaciso elula |
|---|---|
| Uvavanyo lomngcipheko ngaphambi konyango | Ngaphambi kokuba uqalise unyango lomhlaza, imeko yentliziyo yakho iyahlolwa ukuze kubonwe ukuba ingakanani na ingozi yakho kwixesha elizayo. |
| Ukuqhuba iimvavanyo zamva nje | Iiskeni zanamhlanje kunye nezinye iimvavanyo, ezifana ne-echocardiogram, zenziwa ukuze kufunyanwe naziphi na iingxaki zentliziyo okanye imithambo yegazi. |
| Ukuphuhlisa isicwangciso sonyango esingcono kakhulu | Zikunceda ukhethe unyango olusebenza kakuhle kumhlaza wakho kwaye zinciphise umonakalo entliziyweni yakho. |
| Ukubeka iliso ngexesha lonyango | Ukusebenza kwentliziyo yakho kuya kuhlolwa rhoqo kulo lonke unyango lwakho lomhlaza, ukuze naziphi na iingxaki zichongwe ngokukhawuleza. |
| Ukhathalelo emva konyango | Nokuba unyango lomhlaza luphelile, impilo yentliziyo yexesha elide iyajongwa, njengoko ezinye iingxaki zinokuvela emva kweminyaka. |
Zeziphi izifo zentliziyo abazinyangayo?
Ingcali yeCardio-Oncologist igxila kakhulu kwezi meko zentliziyo zilandelayo:
- Ukuphazamiseka kwesantya sentliziyo (iiArrhythmias) , umzekelo (iAtrial Fibrillation)
- Isifo seMitha yeCoronary
- Ukumelwa yintliziyo
- Isifo seValve yeNtliziyo
- Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu)
- I-Cardiomyopathy (ubuthathaka bemisipha yentliziyo)
Ngubani ofanele aye kwi-Cardio-Oncologist?
Ugqirha wakho onyangayo (ugqirha wosapho lwakho okanye ingcali yomhlaza) uyazi kakuhle le nto. Ngokwesiqhelo, uya kubona ingcali yomhlaza wentliziyo ngokusekelwe kwingxelo evela kuloo gqirha.
Umntu othile kumaqela alandelayo unokufumana uncedo oluvela kule ngcali:
- Abantu abaza kuqala unyango lomhlaza, kunye nabo baneengozi zesifo sentliziyo: Umzekelo, ukuba baneemeko ezifana nokutyeba kakhulu, isifo seswekile, okanye uxinzelelo lwegazi oluphezulu.
- Abantu abasele benesifo sentliziyo kwaye sele beza kuqala unyango lomhlaza.
- Abantu abafumana iimpawu zentliziyo ngelixa befumana unyango lwe-chemotherapy okanye unyango lwe-radiation: umzekelo, iimpawu ezinje ngokudumba kwemilenze, iintlungu zesifuba, ukuphefumla kancinci, ukudinwa kakhulu, kunye nokubetha kwentliziyo ngokukhawuleza.
- Abantu abaye banyangwa umhlaza ngaphambili (nangona besebancinci) kwaye ngoku banengxaki entsha yentliziyo.
- Abantu abanethumba lentliziyo.
Eyona nto intle ngokulwa nomhlaza kukuba uyoyisa. Ngoko ke ngexesha elinjalo, xa kufuneka ucinge ngenye ingxaki yentliziyo, ungaziva udiniwe kwaye udanile. Oko kusengqiqweni kakhulu. Kodwa eyona nto ibalulekileyo kukuba awuwedwa kolu hambo. Kukho oogqirha abaziingcali abanjengoogqirha beCardio-Oncologists abakhoyo ukukunceda nokukukhokela ekunyamekeleni intliziyo yakho ngelixa unyanga umhlaza wakho.
Ngoko ke, ukuba unomhlaza kwaye unamathandabuzo okanye uxhalabile ngempilo yentliziyo yakho, ungoyiki ukuthetha nogqirha wakho onyangayo ngaloo nto. Nguye onokugqiba ukuba ufuna iinkonzo ze-Cardio-Oncologist aze akuthumelele ingcebiso efanelekileyo.
Umyalezo Wokuya Ekhaya
- Ezinye iindlela zonyango ezinamandla zomhlaza (ezifana ne-chemotherapy kunye ne-radiation therapy) zinokuchaphazela intliziyo yakho.
- Ingcali yeCardio-Oncologist ngugqirha okhethekileyo ofumene uqeqesho olukhethekileyo kwimpilo yentliziyo yezigulane ezinomhlaza.
- Umsebenzi wabo ophambili kukunciphisa umonakalo entliziyweni ngelixa bebonelela ngonyango olungcono kakhulu lomhlaza.
- Ukuba sele unesifo sentliziyo okanye izinto ezinokubangela umhlaza kwaye sele uza kuqala unyango lomhlaza, kubaluleke kakhulu ukufuna uncedo kulo gqirha.
- Ukuba ufumanisa naziphi na iimpawu ezinxulumene nentliziyo ngexesha okanye emva konyango lomhlaza, yazisa ugqirha wakho ngoko nangoko.
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