Ngubani ingcali yentliziyo? Masifumanise ukuba yintoni kanye kanye le!

Ngaba ngamanye amaxesha uziva uxinezelekile okanye udiniwe esifubeni sakho? Okanye ngaba kukho umntu kusapho lwakho okhe waba nesifo sentliziyo? Ukuba kunjalo, kubaluleke kakhulu ukwazi ngogqirha wentliziyo. Masibone ukuba bangoobani, benza ntoni, kwaye banokukunceda njani.

Ngubani lo gqirha wentliziyo?

Ingcali yentliziyo ngugqirha ogxile kwizifo zentliziyo nemithambo yegazi. Ngamafutshane, aba gqirha banokukunceda ugcine intliziyo yakho isempilweni, bathintele isifo sentliziyo, kwaye bayinyange ukuba iyakhula.

Ukuba yingcali efana nale akulula, akunjalo? Kufuneka baqale bafunde iminyaka emine kwisikolo sezonyango. Emva koko, kufuneka benze i-residency kwi-general internal medicine eminye iminyaka emithathu. Emva koko, kufuneka benze ubuncinci iminyaka emithathu yoqeqesho olukhethekileyo kwi-cardiology. Emva kolu qeqesho lude, kufuneka baphumelele iimviwo ezikhethekileyo baze bafumane isiqinisekiso liqumrhu lesizwe elaziwayo. Kufuneka baqhubeke bethatha iimviwo kwaye bafunde ukuze bahlaziye ulwazi lwabo kwaye bahlale benolwazi malunga nonyango lwamva nje.

Yintoni eyenziwa yingcali yentliziyo?

Ngoku makhe sibone ukuba ugqirha wentliziyo wenza ntoni. Ukuba unentlungu esifubeni, uxinzelelo lwegazi oluphezulu, ukungasebenzi kakuhle kwentliziyo, iingxaki zeevalvu zentliziyo, iingxaki zemithambo yegazi, banokunyanga nantoni na enxulumene nentliziyo.

Ukuze bafumane kanye kanye ingxaki yakho, baza ku-odola iimvavanyo ezahlukeneyo. Umzekelo, banokuodola iimvavanyo ezifana ne -ECG (Electrocardiogram) , i-Echocardiogram (Echo) , i-CT Scan (Computed Tomography) , i-CMR (Cardiac Magnetic Resonance Imaging) , kunye ne -Nuclear Imaging . Ngokusekelwe kulwazi oluvela kwezi mvavanyo, banokukunika amayeza, bakuncede uqale umthambo onempilo kunye nemikhwa yokutya, okanye benze inkqubo efana ne -Cardiac Catheterization . Ngamanye amaxesha, ukuba udinga utyando lwentliziyo, lo gqirha uza kukuthumela kugqirha ofanelekileyo wentliziyo.

Xa usiya kugqirha, uza kukwenza uvavanyo lomzimba, athethe ngeempawu zakho, kunye nembali yakho yezonyango.

Kubaluleke kakhulu ukuxelela ugqirha wakho ukuba kukho umntu kusapho lwakho okhe waba nesifo sentliziyo (imbali yosapho), kuba oko kuya kumnceda aqonde umngcipheko wakho.

Kwanolwazi oluncinci olufana nolu lunokunika ugqirha wakho ulwazi olubalulekileyo ngempilo yentliziyo yakho kunye nemithambo yegazi:

• Ubunzima bakho
• Ifuthe legazi
• Amanqanaba e-cholesterol
• Amanqanaba eswekile egazini/iswekile

Ugqirha uza kuthelekisa lonke olu lwazi neziphumo zovavanyo lwakho ukuze abone ukuba zeziphi izinto ezinokubangela isifo sentliziyo onazo. Baya kufuna nokwazi ukuba uyatshaya, ukuba wenza umthambo ongakanani, ukuba utya ntoni kwaye usela ntoni, kunye namayeza owaselayo .

Zeziphi iintlobo zezifo ezinyangwa okanye ezithintelwa ziingcali zentliziyo?

Kulungile, makhe sijonge izifo ezinyangwa ziingcali zentliziyo okanye ezinceda ekuthinteleni. Uluhlu lude kancinci, kodwa kubalulekile ukuzazi:

• I-atherosclerosis (Oku kwenzeka xa amafutha eqokelelana ngaphakathi kwemithambo yegazi aze ayivale. Kufana nothuli olubhajwe kumbhobho wamanzi.)
• Igazi elonyukayo
• I-cholesterol ephezulu
• I-Angina (iintlungu zesifuba, ukuziva ngathi uxinezelekile)
• Ukubanjwa yintliziyo (Ukubanjwa yintliziyo ngequbuliso)
• Ukusilela kwentliziyo (ukuba buthathaka komsebenzi wentliziyo, njengokubuthathaka kwenjini)
• Ukuhlaselwa yintliziyo
• Amahlwili egazi
• I-Atrial Fibrillation kunye nezinye iingxaki zesingqisho sentliziyo
• I-Endocarditis (usulelo lwengaphakathi lentliziyo)
• I-Cardiogenic Shock (imeko ebangelwa yingxaki yentliziyo)
• Iingxaki zevalvu yentliziyo
• Ukungaqhelekanga kwentliziyo
• I-Cardiomyopathy (isifo semisipha yentliziyo)
• I-Myocarditis (ukudumba/ukudumba kwemisipha yentliziyo)
• Iingxaki ngesigqubuthelo sangaphandle sentliziyo, umzekelo, i-pericarditis (ukudumba kwenwebu encinci ejikeleze intliziyo)
• Isifo sentliziyo esizalwa naso
• Iingxaki ze-aorta, ezifana ne -aneurysm okanye i-stenosis
• Iingxaki zemithambo yegazi (umz. Isifo semithambo yegazi engaphandle - ukuncitshiswa kwemithambo yegazi emilenzeni, Isifo semithambo yegazi engaphantsi kwe-subclavian , Isifo semithambo yegazi yezintso - ukuncitshiswa kwemithambo yegazi ekhokelela kwizintso, Isifo semithambo yegazi engaphakathi kwe-coronary - ukuncitshiswa kwemithambo yegazi ehambisa igazi entliziyweni ngokwayo)
• Istroke (esibangelwa kukuvaleka kokuhamba kwegazi ukuya engqondweni, ngamanye amaxesha okunxulunyaniswa neengxaki zentliziyo)

Luhlobo luni lovavanyo oluqhutywa yingcali yentliziyo?

Ingcali yentliziyo ingayalela ezi mvavanyo, kodwa ezinye iimvavanyo zinokwenziwa nangabanye oochwephesha bezempilo:

• Ukufakwa kweCatheterization yentliziyo (uvavanyo/unyango olubandakanya ukufakwa kombhobho omncinci entliziyweni)
• I-X-reyi yesifuba
• Uvavanyo lwegazi (Olu luhlola izinto ezininzi ezifana ne-cholesterol kunye neswekile)
• Iskeni sentliziyo i -MRI (Magnetic Resonance Imaging)
• Iskeni yentliziyo ye -CT (Computed Tomography)
• I-Coronary Angiogram (i-X-ray yemithambo yentliziyo kusetyenziswa idayi ukujonga ukuvaleka kwemithambo)
• Uvavanyo loxinzelelo (olukwabizwa ngokuba luvavanyo lweTreadmill)
• I-Electrocardiogram (ECG/EKG) (uvavanyo olulinganisa umsebenzi wombane wentliziyo)
• I-Echocardiogram (i-Echo) (i-ultrasound scan yentliziyo, enokujonga imilo kunye nomsebenzi wentliziyo)
• I-Transesophageal Echocardiogram (TEE )
• I-Holter Monitor (isixhobo esincinci esirekhoda ukubetha kwentliziyo yakho malunga neeyure ezingama-24)
• I-Event Monitor (isixhobo esirekhoda xa kukho uphawu)
• I-Implantable Event Recorder/I-Implantable Loop Recorder (isixhobo esifakwe phantsi kwesikhumba kwaye sijonga isantya sentliziyo ixesha elide)

Ufanele ubonane nini nogqirha wentliziyo?

Ngokwesiqhelo, ukuba ugqirha wakho wosapho (uMboneleli weNkathalelo ePhambili) okanye ugqirha wakho oqhelekileyo ubona ukuba unengxaki ngentliziyo yakho okanye imithambo yegazi efuna ingqalelo ekhethekileyo, uya kukuthumela kwingcali yentliziyo. Ngamanye amaxesha, le ngcali iya kusebenza nawe ixesha elide ukuze iqhubeke nokujonga imeko yakho.

Ukuba unayo nayiphi na kwezi mpawu, funa ingcebiso kagqirha ngokukhawuleza kwaye ubone ugqirha wentliziyo ukuba kuyimfuneko:

• Intlungu esifubeni sakho - intlungu ebukhali embindini wesifuba sakho, ingakumbi ukuba ivakala ngathi iyancipha
• Ukudinwa okanye ukuquleka
• Ukuphefumla kancinci - ukuziva uphelelwa ngumphefumlo nasemva kokwenza umsebenzi omncinci
• Ukubetha kwentliziyo - Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza okanye ngokukhawuleza

Ziziphi iindawo ezikhethekileyo zeengcali zentliziyo?

Isifo sentliziyo sesona sizathu siphambili sokufa kwihlabathi liphela. Iingcali zentliziyo liqela elibaluleke kakhulu loogqirha. Bangasebenza kwiindawo ezikhethekileyo ngakumbi zokhathalelo lwentliziyo. Umzekelo, kukho oogqirha abagxile kwizinto ezifana 'nokusilela kwentliziyo', 'iingxaki zentliziyo', okanye 'iimeko zokuzalwa'.

Iindidi ezahlukeneyo zeengcali zentliziyo

Iingcali zentliziyo nazo zinezifundo ezahlukeneyo. Ziziingcali kwiingxaki ezahlukeneyo zentliziyo kunye nemithambo yegazi, umzekelo, ukuxilongwa kwentliziyo okanye ukuvuselelwa kwentliziyo.

Nazi ezinye zeentlobo ezinjalo:

• Ingcali yentliziyo yeklinikhi - Ugqirha oqhele ukubona kuqala aze enze uxilongo.
• Ingcali yokusilela kwentliziyo
• Ingcali yentliziyo yabantwana - Ugqirha onyanga izifo zentliziyo kubantwana abancinci.
• Iingcali zentliziyo ezingenelelayo - Aba ngabantu abenza izinto ezifana ne-angioplasty (ukwandisa imithambo yegazi ngeebhaluni) kunye nokubekwa kwe-stent.
• Ingcali ye-Cardio-oncologist - Ingcali ejonga iziphumo zonyango lomhlaza entliziyweni.
• Ingcali yeNtliziyo yokuzalwa
• Ingcali yokuFota ngeMifanekiso yeNtliziyo - Ingcali echonga izifo isebenzisa iindlela ezifana ne-Echo kunye ne-MRI.
• Iingcali zentliziyo ezisebenza ngaphakathi kwemithambo yegazi - Abo banyanga imithambo yegazi esemagxeni.
• Ingcali yentliziyo ethintelayo - Umntu onceda ekuthinteleni isifo ngaphambi kokuba senzeke.
• Ingcali yoLungiso lwentliziyo - Umntu onika iingcebiso zokuzilolonga kunye nendlela yokuphila kubantu abachacha kwisifo sentliziyo.
• I-Electrophysiologist - Ingcali kwiingxaki zesingqisho sentliziyo, ezifana nokufakelwa kwe-pacemaker.
• Ingcali yentliziyo yabantu abadala
• Ingcali yentliziyo kunye namathambo
• Ingcali yentliziyo yezemidlalo
• Ugqirha wentliziyo oKhathalelwayo

Ngaba ndifuna ingcebiso yokubona ugqirha wentliziyo?

Oku kunokwahluka ngokuxhomekeke kwisicwangciso sakho se-inshorensi. Ezinye iinkampani ze-inshorensi zifuna ukuthunyelwa kumboneleli wakho wezonyango oyintloko. Ke ngoko, kungcono ukubuza inkampani yakho ye-inshorensi ngale nto. Oku kuya kukunceda uphephe ukuhlawula ngaphezu kokuba ulindele. Ngokubanzi, ukubona ingcali, njengogqirha wentliziyo, kubiza kakhulu kunokubona ugqirha wosapho. Nangona kunjalo, ungonga imali ngokulandela imithetho yenkampani yakho ye-inshorensi.

Zisebenza phi iingcali zentliziyo?

Ungadibana nogqirha wentliziyo esibhedlele apho asebenza khona. Abanye oogqirha babona izigulana kwiiofisi zabo zabucala. Banokukuthumela esibhedlele okanye kwenye indawo yezonyango ukuze ufumane uvavanyo okanye unyango.

Okokugqibela, izinto ekufuneka uzikhumbule...

Ingcali yentliziyo ngumntu onokwenza umahluko omkhulu ebomini bakho. Banokukwazi ukusindisa ubomi bakho emva kokuhlaselwa yintliziyo. Okanye, banokukwazi ukunceda ukuthintela ukuhlaselwa yintliziyo. Ngokuxhomekeke kwimeko yakho, unokufuna ingcali yentliziyo egxile kwimeko ethile onayo.

Ugqirha wakho wosapho okanye umhlobo othembekileyo unokukucebisa ugqirha wentliziyo olungileyo. Kodwa, eyona nto ibalulekileyo kukuba uzive ukhululekile kwaye uzithembile ngogqirha ombonayo.Ufanele ukwazi ukubuza imibuzo ngaphandle koloyiko malunga nantoni na ongayiqondiyo.

Khumbula, intliziyo yakho yeyona nto ixabisekileyo kuwe. Luxanduva lwakho ukuyinyamekela! Ukumamela iingcebiso zikagqirha wakho nokulilandela kuya kukunika amandla amakhulu okuphila ubomi obusempilweni nobonwabisayo.

Ingcali yentliziyo , intliziyo, isifo sentliziyo, uhlaselo lwentliziyo, uxinzelelo lwegazi oluphezulu, i-cholesterol, i-ECG, i-Echo, uvavanyo lwentliziyo, iimpawu zesifo sentliziyo