Ingaba imiphunga yakho izele ngamanzi? Masifunde ngale meko inxulumene nentliziyo (Cardiogenic Pulmonary Edema)!

Ngaba ngamanye amaxesha uziva uphelelwa ngumphefumlo? Okanye uvuka ebuthongweni kuba unengxaki yokuphefumla xa usiya kulala? Mhlawumbi nemilenze yakho idumbile. Ukuba uneempawu ezinje, ayilocebo lilungileyo ukungazinanzi. Kuba, le yimeko ebandakanya intliziyo kwaye izalise imiphunga ngamanzi, enokuba yingozi ebomini . Namhlanje, siza kuthetha ngale meko ibizwa ngokuba yi-`(Cardiogenic Pulmonary Edema)`.

Kubizwa ngokuba yintoni oku kudumba okunxulumene nentliziyo emiphungeni? (Cardiogenic Pulmonary Edema)

Ngamafutshane, `(Cardiogenic Pulmonary Edema)` kukuqokelelwa kolwelo olungafunekiyo emiphungeni yakho . Oku kunokuba yingozi kakhulu. Isizathu esiphambili soku kukuba uxinzelelo kwicala lasekhohlo lentliziyo luyanda kwaye igazi liyaqokelelana. Ngokuqhelekileyo, oku kwenzeka ngenxa yokungasebenzi kakuhle kwentliziyo. Xa imiphunga izaliswe ngamanzi ngolu hlobo, ukongeza ekuphefumleni okunzima, amanye amalungu omzimba anokonakala ngokungafumani ioksijini eyaneleyo . Cinga ngayo, imiphunga yethu ifana nesiponji. Xa ifunxa amanzi, ayinakusebenza kakuhle. Yiyo loo nto.

Yintoni umahluko phakathi kwe-cardiac edema kunye ne-pulmonary edema?

Omabini la magama abhekisa ekuqokeleleni kolwelo emiphungeni yakho, okwenza kube nzima ukuphefumla. Nangona kunjalo, `(Cardiogenic Pulmonary Edema)` luhlobo lwe `(Pulmonary Edema)` olubangelwa yingxaki yentliziyo . Oko kukuthi, luyinxalenye yodidi olukhulu lwe `(Pulmonary Edema)`. Kwelinye icala, `(Non-cardiogenic Pulmonary Edema)` lubangelwa kukonakala kwemiphunga ngokwayo. Umzekelo, inokubangelwa yinto efana nosulelo olunzima okanye ukuphefumla iigesi ezinobuthi.

Ngoko ke yintoni i-cardiac edema kunye ne-renal edema?

Zombini ezi zinto zibhekisa ekuqokeleleni kolwelo kwizitho zethu zomzimba. Kwi-`(Cardiac Edema)`, ulwelo olugqithisileyo lukwimiphunga. Kodwa kwi-`(Renal Edema)`, ulwelo olugqithisileyo lukwizintso. Ngamanye amaxesha, zombini ezi meko zinokwenzeka ngenxa yokungasebenzi kakuhle kwentliziyo. Ukuba kukho ingxaki ngezintso, izintso azikwazi ukucoca ulwelo oluvela egazini ngokufanelekileyo kwaye zilukhuphe njengomchamo. Emva koko, amanzi aqokelelana emzimbeni.

Ngubani osengozini enkulu yokuba ne-edema yentliziyo ngenxa yesifo sentliziyo?

Le meko idla ngokuchaphazela abantu abanesifo sentliziyo , ingakumbi abo bangasebenzi kakuhle kwentliziyo (Heart Failure). Cinga nje, isifo sentliziyo sixhaphakile nakwilizwe lethu. Ngoko ke, ukuba nawe uneengxaki ezinxulumene nentliziyo, kubaluleke kakhulu ukuyinyamekela le nto.

Zithini iimpawu zoku? Sizibona njani?

Jonga ukuba unayo na enye okanye ezingaphezulu kwezi mpawu:

• Ngaba unengxaki yokuphefumla xa uzilolonga okanye ulala phantsi? Abanye abantu banengxaki yokuphefumla xa belele ebhedini, ngoko ke kufuneka balale beneepillow ezimbini okanye ezintathu eziphakanyisiweyo.
• Ngaba uvuka ngequbuliso ebusuku uziva uphelelwa ngumphefumlo? Le yinto abantu abaninzi abayifumanayo.
• Ngaba iinyawo zakho namaqatha akho ziyadumba? Kude kube nzima ukunxiba izihlangu zakho.
• Ngaba uhlala uziva udiniwe kwaye udiniwe? Ngaba awunawo amandla okwenza nantoni na?
• Ingaba ngequbuliso unyuka ngaphezu kwekhilogram enye (malunga neekhilogram ezimbini) zobunzima ngosuku? Oku kusenokuba kungenxa yokugcinwa kwamanzi.

Ukuba uneempawu ezinje, kungcono ukufuna ingcebiso kagqirha ngaphandle kokuchitha ixesha .

Kutheni oku kusenzeka? Zithini izizathu zoku?

Eyona nto ibangela `(Cardiogenic Pulmonary Edema)` yi `(Congestive Heart Failure ).` Le yimeko apho intliziyo ingakwazi ukupompa igazi elaneleyo emzimbeni. Ukongeza, kukho ezinye izizathu ezininzi:

• I-Arrhythmia : Intliziyo ayibethi ngesingqisho esifanelekileyo.
• I-Cardiomyopathy : Ukubuthathaka okanye ukuqina kwemisipha yentliziyo.
• Iingxaki ngeevalvu kwicala lasekhohlo lentliziyo : Umzekelo, ukucutheka kweevalvu, okanye ukuphinda uphefumle.
• Uhlaselo lwentliziyo : Ukuvaleka ngequbuliso komthambo ohambisa igazi entliziyweni.

Ngamafutshane, xa ukusebenza kakuhle kokumpompa kwentliziyo kuncipha, igazi liqala ukuqokelelana emiphungeni, lisebenzisa uxinzelelo. Kulapho imiphunga igcwala ngamanzi.

Ugqirha uyixilonga njani le nto?

Xa usiya kugqirha, into yokuqala ayenzayo yile:

• Uvavanyo lomzimba luvavanyo olucokisekileyo kuwe. Baza kumamela esifubeni sakho nge-stethoscope baze bajonge ukuba imilenze yakho idumbile na.
• Ukubuza ngembali yakho yezonyango . Izinto ezifana nezifo okhe wazifumana ngaphambili, nokuba kukho umntu kusapho lwakho onesifo sentliziyo, njl.
• Uvavanyo yinkqubo yokwenza iimvavanyo ezikhethekileyo ezahlukeneyo .

Zeziphi iimvavanyo ezenziwayo koku?

Emva kokuba ugqirha ekuxilongile, banokwenza ezi mvavanyo zilandelayo ukuqinisekisa imeko echanekileyo:

• I-ECG (i-Electrocardiogram) : Oku kunokujonga umsebenzi wombane wentliziyo, oko kukuthi, isingqisho sokubetha kwentliziyo.
• I-X-reyi yesifuba : Kuthathwa i-X-reyi yesifuba ukujonga ulwelo olukwimiphunga okanye intliziyo ekhulisiweyo.
• I-Echocardiogram : Oku kufana ne-ultrasound scan yentliziyo. Inokujonga izinto ezininzi malunga nentliziyo, njengobukhulu bayo, imilo, indlela esebenza ngayo iivalvu zayo, kunye nendlela epompa ngayo.
• Uvavanyo lweGazi : Ezinye izinto zegazi, umzekelo, ii-enzymes ezikhutshwayo xa intliziyo yonakele, kunye nokusebenza kwezintso kuyavavanywa.
• I-Pulmonary Arterial Catheter : Olu ayilovavanyo lomntu wonke. Luyinkimbinkimbi kancinci. Luvavanyo olubandakanya ukufaka ityhubhu encinci entanyeni okanye emqolo ukuze kulinganiswe uxinzelelo kwimithambo yegazi ekhokelela emiphungeni.

Kaloku, zeziphi iindlela zonyango zoku?

Iindlela zonyango zixhomekeke kwisizathu kunye nobunzima besifo. Kukho iindlela ezininzi eziphambili zonyango:

Utyando kunye nonyango oluthile:

Kwezinye iimeko, unyango olunjalo lunokufuneka:

• I-PCI (Percutaneous Coronary Intervention) : Ukuba kukho ukuvaleka kwemithambo yegazi yentliziyo, ivulwa ngokuyifutha ngebhaluni kwaye mhlawumbi kufakwe i-'Stent' (isixhobo esincinci esifana ne-mesh).
• Isixhobo soNcedo lweMithambo (i-VAD) : Sisixhobo esincinci esifakwe ngaphakathi okanye ngaphandle komzimba esinceda intliziyo ukupompa igazi.
• Ukutshintshwa kweValve yeNtliziyo : Ukuba kukho ingxaki enkulu kwiivalve zentliziyo, lutyando lokutshintshwa kwevalve.
• I-Coronary Artery Bypass Graft (CABG) : Sonke siyayazi "utyando lwe-bypass". Lubandakanya ukudala imithambo yegazi emitsha entliziyweni ukuze idlule imithambo yegazi evalekileyo.
• I-Intra-aortic Balloon Pump (IABP) : Ibhaluni efakwa okwethutyana kwimithambo yegazi ukunceda ukupompa igazi entliziyweni.
• I-Extracorporeal Membrane Oxygenation (ECMO) : Le yindlela esetyenziswa kwiimeko ezinzima kakhulu. Ibandakanya ukongeza ioksijini egazini kusetyenziswa umatshini ongaphandle komzimba uze uyibuyisele emzimbeni.
• Ukufakelwa Intliziyo : Indlela yokugqibela ukuba zonke ezinye iindlela zonyango aziphumelelanga.

Iintlobo zamayeza:

Ugqirha wakho angakunika amayeza anjengala:

• IiVasodilators : Ezi zisebenza ngokwandisa imithambo yegazi, zenze kube lula ukuba intliziyo ipompe igazi.
• I-Diuretics : Sidla ngokuzibiza ngokuba "ziipilisi zamanzi." Zisebenza ngokukhupha ulwelo olugqithisileyo emzimbeni ngomchamo.

Eyona nto ibalulekileyo kukuba ukuba unesifo sentliziyo, ugqirha wakho uza kukuxelela ukuba unciphise ukutya ityuwa . Oku akuthethi nje ityuwa oyibeka ekutyeni kwakho, kodwa kuthetha netyuwa efihliweyo kwizinto ezifana nokutya okusemathinini, iisuphu ezipakishiweyo, kunye neesosi. Ngoko ke kufuneka ulumke nangalo mba.

Utshintsho kwindlela yokuphila kunye nezinto onokuzenza ekhaya:

Ezi zinto ziya kukunceda:

• Zilolonge ubuncinane iintsuku ezimbalwa ngeveki. Nokuba uhamba kancinci kulungile. Nangona kunjalo, buza ugqirha wakho ukuba zeziphi izilolonge ezifanelekileyo kuwe.
• Gcina imilenze yakho evuvukileyo iphakanyisiwe kancinci ngelixa uhleli.
• Ukuba imilenze yakho idumbile, unganxiba iikawusi ezikhethekileyo ezibizwa ngokuba yi-"Compression Stockings" njengoko ugqirha wakho ekucebisile.
• Ukuba une-fluid emaphaphu akho, gcina intloko yebhedi iphakanyisiwe kancinci ngelixa ulele.

Singenza ntoni ukunciphisa lo mngcipheko?

I-Cardiogenic Pulmonary Edema (CPED) idla ngokuvela xa sele unengxaki yentliziyo. Ngoko ke, eyona ndlela ilungileyo yokunciphisa le ngozi kukugcina intliziyo yakho isempilweni kwaye inamandla .

Ezi zinto ziya kunceda kuloo nto:

• Yitya ukutya okunamafutha agcweleyo aphantsi kunye namafutha e-trans . Faka imifuno, iziqhamo, kunye neembotyi ezininzi ekutyeni kwakho.
• Zilolonge nanini na xa kunokwenzeka. Nokuba uhamba imizuzu engama-30 ngosuku yinto entle kakhulu.
• Kuphephe ngokupheleleyo ukusebenzisa iimveliso zecuba (iicuba, ii-beedis, njl.njl.).
• Nciphisa utywala obuselayo. Kungcono ukuyeka ngokupheleleyo ukuba kunokwenzeka.

Kuza kwenzeka ntoni xa oku kusenzeka? Ngaba kunganyangeka?

Enyanisweni, `(Pulmonary Edema)` yimeko esongela ubomi . Nangona kunjalo, izinga lokuchacha kwakho lixhomekeke kwisizathu sayo. Umzekelo, malunga nama-50% abantu abane `(Cardiac Edema)` baphila unyaka wonke emva kokuba bephumile esibhedlele.

Ukusilela kwentliziyo sisizathu esiqhelekileyo sale nto. Sisifo esingapheliyo, oko kuthetha ukuba sihlala ixesha elide. Nangona kunjalo, ngonyango olufanelekileyo, le meko inokulawulwa kakuhle .

Endaweni yokuba uzisole uthi, "Owu, ndinayo le sifo," okubalulekileyo kukulandela imiyalelo kagqirha kwaye ulungise indlela ophila ngayo.

Ndingazinyamekela njani?

Ukuzilinganisa ngexesha elifanayo yonke imihla kunokukunceda ubone ukuba imeko yakho iya isiba mandundu na. Kungcono ukuzilinganisa kuqala kusasa, ngaphambi kokutya, nasemva kokusebenzisa indlu yangasese. Ukuba ubunzima bakho buyanda ngekhilogram engaphezulu kwe-1 (malunga neekhilogram ezimbini) ngosuku, kusenokwenzeka ukuba ugcina amanzi. Ukuba oku kuyenzeka, xelela ugqirha wakho ngoko nangoko.

Ndifanele ndimbone nini ugqirha?

Ukuba ufumana naziphi na kwezi mpawu, qiniseka ukuba ubona ugqirha:

• Ukuba unengxaki yokuphefumla , nokuba udiniwe kancinci okanye xa ulele phantsi.
• Ukuba uvuka ebuthongweni uphelelwa ngumphefumlo .
• Ukuba imilenze yakho idumbile .

Musa ukuzityeshela ezi mpawu. Okukhona uqala unyango ngokukhawuleza, kokukhona kungcono.

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

Ukuba unengxaki yokuphefumla okanye uneentlungu eziqatha esifubeni , ungalindi. Fowunela u-911 (okanye i-1990 Sudhana Ambulance Service eSri Lanka) ngoko nangoko okanye uye esibhedlele nomntu.

Yeyiphi imibuzo ebalulekileyo ekufuneka uyibuze ugqirha?

Xa usiya kugqirha, ungalibali ukubuza le mibuzo. Ngale ndlela, nawe ungayiqonda ngcono imeko yakho.

• "Gqirha, kutheni ndibe nale meko `(Cardiac Edema)`?"
• "Ngaba oku kunganyangwa ngokunyanga unobangela?"
• "Zeziphi iinguqu ekufuneka ndizenze kwindlela endiphila ngayo?"

Okukhona ugqirha wakho efumanisa imeko yakho kwangethuba aze aqalise unyango, kokukhona iziphumo ziba ngcono. Yiyo loo nto kubalulekile ukubona ugqirha wosapho lwakho rhoqo ukuze ahlolwe. Ngale ndlela, unokuzifumana naziphi na iingxaki zentliziyo onokuba nazo ngaphambi kokuba zibe mandundu. Kubalulekile nokuthatha amayeza akho ngexesha.

Okokugqibela, kufuneka ndithi... (Umyalezo Wokuya Ekhaya)

Ngoko ke, `(Cardiogenic Pulmonary Edema)` yimeko apho imiphunga igcwala ngamanzi ngenxa yengxaki yentliziyo, kwaye yinto ekufuneka uyixhalabele. Ukuba uneempawu ezifana nobunzima bokuphefumla, ukudumba kwemilenze, okanye ukuvuka uphefumla kancinci , yiqwalasele loo nto.

Ukufunyaniswa kwangoko, unyango olufanelekileyo, kunye nendlela yokuphila enempilo zezona ndlela zibalaseleyo zokuzikhusela nokulawula esi sifo. Lumka intliziyo yakho, kuba ligazi lakho lobomi!

Ukudumba kwentliziyo , amanzi agcwalisa imiphunga, uhlaselo lwentliziyo, ubunzima bokuphefumla, isifo sentliziyo, ukudumba, ubuthathaka bentliziyo