Injini emzimbeni wakho yintliziyo yakho. Isigcina siphila kuba isebenza ngokungayekiyo. Kodwa khawucinge ngayo, kwenzeka ntoni ukuba le njini, izihlunu zentliziyo, iqala ukuba buthathaka, ikhule, okanye ityebe? Yiloo nto siyibiza ngokuba yi-cardiomyopathy. Kubaluleke kakhulu ukuqaphela oku.
Yintoni kanye kanye i-cardiomyopathy?
Ngamafutshane, isifo sentliziyo sisifo esichaphazela izihlunu zentliziyo yakho (i-myocardium). Oku kuxa izihlunu entliziyweni yakho ziba buthathaka. Njengebhanti yerabha eye yathamba kakhulu kwaye iyeka ukunwebeka, izihlunu entliziyweni yakho azisakwazi ukufinyela kakuhle kwaye zipompe igazi.
Oku kunokubangela ukuba izihlunu zentliziyo ziqine , zikhule , okanye ziqine . Ngamanye amaxesha, izicwili zinokwakheka entliziyweni. Nokuba yintoni na imbangela, isiphumo kukuba intliziyo ayisakwazi ukupompa igazi elaneleyo emzimbeni wonke. Ekuhambeni kwexesha, le meko inokuba nzima, ide ikhokelele ekusileleni kwentliziyo . Kodwa ungakhathazeki, kukho unyango olufanelekileyo loku.
Ziziphi iintlobo eziphambili ze-cardiomyopathy?
Kukho iintlobo ezininzi eziphambili zesi sifo. Nganye ichaphazela intliziyo ngendlela eyahlukileyo kancinci. Makhe sijonge iintlobo eziphambili.
| Uhlobo lwesifo | Kalula nje, kwenzeka ntoni? |
|---|---|
| I-Dilated Cardiomyopathy | Igumbi eliphambili lokumpompa igazi entliziyweni (i-ventricle yasekhohlo) liyakhula, iindonga zayo zibhityile kwaye zibuthathaka. |
| I-Hypertrophic Cardiomyopathy | Imisipha yentliziyo iba nkulu ngendlela engaqhelekanga, nto leyo eyenza kube nzima ukuba intliziyo igcwale igazi. |
| I-Cardiomyopathy ethintelayo | Imisipha yentliziyo iyaqina ize iphelelwe bubuthambile bayo. Oku kwenza kube nzima ukuba amagumbi entliziyo azaliswe ligazi. |
| I-Cardiomyopathy ye-Arrhythmogenic | Imisipha yentliziyo ithathelwa indawo ngamafutha kunye nezicubu ezibomvu. Oku kunokuchaphazela imiqondiso yombane yentliziyo kwaye kuphazamise isigqi sentliziyo. |
| Ezinye iintlobo | Ukongeza, kukho iintlobo ezibangelwa zizinto ezifana nokusela utywala kakhulu, i-chemotherapy, ukukhulelwa, kunye namanqanaba aphezulu oxinzelelo (i-broken heart syndrome). |
Zithini iimpawu zesi sifo?
Abanye abantu ababonisi zimpawu ekuqaleni, kodwa njengoko isifo siqhubeka, iimpawu ziqala ukubonakala. Jonga ukuba ngaba uhlangabezana naziphi na kwezi mpawu.
- Ukuphefumla nzima: Ubunzima bokuphefumla, ingakumbi xa usenza umsebenzi olula, uhamba, okanye unyuka izinyuko.
- Ukudumba kwemilenze, amaqatha, kunye neenyawo (Edema): Ukudumba kwemilenze ngenxa yokuqokelelana kolwelo emzimbeni.
- Ukudinwa: Ukuziva udiniwe kwaye ulele ngalo lonke ixesha, nokuba ungenzi nto.
- I-Arrhythmia: Ukuziva ngathi intliziyo ibetha ngokukhawuleza ngequbuliso, ngokungathi iyabetha, okanye ngathi iyatsiba isingqi.
- Ukudinwa okanye Ukuquleka: Ukuziva utyhafile okanye ulahlekelwe zingqondo, ngokungathi umi ngequbuliso.
- Intlungu yesifuba: Ukuziva uxinezelekile esifubeni, ingakumbi xa usenza umthambo.
Eyona nto ibalulekileyo kukuba, ukuba unenye okanye ngaphezulu kwezi mpawu, ungacingi ukuba yi-cardiomyopathy. Nangona kunjalo, ayilocebo lilungileyo ukuzityeshela. Eyona nto ingcono onokuyenza kukubona ugqirha wakho ngokukhawuleza kwaye ufumane ingcebiso.
Yintoni ebangela oku kwaye zithini izinto ezibangela umngcipheko?
Kunzima ukuchonga unobangela omnye wesi sifo. Ngamanye amaxesha, unobangela usenokungafumaneki konke konke. Nangona kunjalo, kukho izizathu ezininzi eziphambili ezibangela esi sifo kunye nezinto ezinobungozi.
Izizathu eziphambili
- Izinto ezibangela ufuzo: Ukuba umama wakho, utata wakho, okanye isalamane sakho esisondeleyo sikhe saba nesi sifo, nawe usengozini yokuba naso.
- Isifo semithambo yegazi: Ukuvaleka kwemithambo yegazi ehambisa igazi entliziyweni kunokonakalisa izihlunu zentliziyo.
- Uxinzelelo lwegazi oluphezulu: Uxinzelelo lwegazi oluphezulu olungalawulwayo ixesha elide lunokubangela uxinzelelo olungakumbi entliziyweni kwaye lubangele ukuba izihlunu zentliziyo ziqine.
- Iintsholongwane ezichaphazela intliziyo: Ezinye izifo ezibangelwa ziintsholongwane okanye iintsholongwane zinokubangela ukudumba kwemisipha yentliziyo.
- Ezinye iimeko zempilo: Oku kunokubangelwa zizifo ezifana nesifo seswekile, isifo se-thyroid, i-amyloidosis, kunye ne-sarcoidosis.
Izinto ezonyusa umngcipheko
- Ukusetyenziswa kotywala ngokugqithisileyo: Ukusela utywala ngokugqithisileyo ixesha elide konakalisa ngokuthe ngqo izihlunu zentliziyo.
- Ukusetyenziswa kweziyobisi: Ukusetyenziswa kweziyobisi ezifana ne-cocaine.
- Unyango lomhlaza: Amanye amayeza okulwa nomhlaza (iChemotherapy) kunye nonyango lwemitha zinokuchaphazela intliziyo.
- Ukutyeba kakhulu: Kubaluleke kakhulu ukulawula ubunzima bomzimba.
- Ukukhulelwa: Kunqabile kakhulu, le meko inokwenzeka kwisiqingatha sokugqibela sokukhulelwa okanye emva kokubeleka.
Ugqirha ufumanisa njani esi sifo kanye kanye?
Xa usiya kugqirha, uza kuqala akubuze ngembali yakho yezonyango kunye neyentsapho yakho. Emva koko uza kukuhlola. Ukuba urhanela esi sifo, uza kukuthumela kwingcali yentliziyo aze akucele ukuba wenze olunye uvavanyo.
| Uvavanyo | Ubona ntoni kule nto? |
|---|---|
| I-ECG (i-Electrocardiogram) | Umsebenzi wombane wentliziyo uyarekhodwa. Ukungaqheleki kwesingqisho sentliziyo kunokubonwa. |
| I-Echocardiogram | Olu luvavanyo lwentliziyo. Ubungakanani bentliziyo, ubukhulu beendonga zayo, kunye nendlela epompa ngayo igazi bubonakala ngokucacileyo. |
| I-X-reyi yesifuba | Ungajonga ukuba intliziyo ikhulu na okanye ulwelo luqokelelene emiphungeni. |
| Uvavanyo loxinzelelo lomzimba | I-ECG ithathwa xa uhamba kwi-treadmill, ujonge indlela intliziyo yakho esebenza ngayo xa uxinezelekile. |
| I-MRI yentliziyo okanye i-CT scan | Ezi zinceda ekufumaneni ulwazi oluthe kratya noluneenkcukacha malunga nolwakhiwo kunye nomsebenzi wentliziyo. |
| Ukufakwa kwe-catheter kwintliziyo | Ityhubhu encinci ifakwa ngomthambo osengalweni okanye emlenzeni, uxinzelelo olusentliziyweni luyalinganiswa, kwaye ukuba kuyimfuneko, kuthathwa iqhekeza elincinci lemisipha yentliziyo ukuze lihlolwe (biopsy). |
Zithini iindlela zonyango zoku?
I-cardiomyopathy ayinakunyangwa ngokupheleleyo. Nangona kunjalo, unyango lunokunceda ukulawula iimpawu , lumise okanye lulibazise ukuqhubela phambili kwesi sifo , kwaye lukuncede uphile ubomi obungcono . Ugqirha wakho uya kugqiba ngonyango lwakho ngokusekelwe kwimeko yakho.
1. Utshintsho kwindlela yokuphila
Le yeyona nto ibalulekileyo neyokuqala ukuyenza.
- Ukutya okunetyuwa encinci namafutha aphantsi: Ukunciphisa ityuwa kunokunceda ekulawuleni ukugcinwa kolwelo kunye noxinzelelo lwegazi.
- Ukuphepha utywala nokutshaya: Zombini ezi zinto ziyingozi kakhulu entliziyweni.
- Umthambo ofanelekileyo: Buza ugqirha wakho ukuba zeziphi iindlela zokuzilolonga ezifanelekileyo kuwe.
- Ukunciphisa uxinzelelo: Izinto ezifana neyoga kunye nokucamngca zinokunceda.
- Ukugcina ubunzima obusempilweni.
2. Amayeza
Ngokuxhomekeke kwiimpawu zakho kunye nokusebenza kwentliziyo yakho, amayeza ahlukeneyo anokunikwa.
- Amayeza okunciphisa uxinzelelo lwegazi.
- Amayeza alawula isantya sentliziyo.
- I-Diuretics ziziyobisi ezisusa ulwelo olugqithisileyo emzimbeni.
- Izinto ezithintela ukugabha kwegazi.
- Amayeza okwehlisa i-cholesterol.
3. Utyando kunye nezixhobo
Ukuba isifo sikwinqanaba elibi kakhulu kwaye kunzima ukusilawula ngamayeza odwa, ungasebenzisa olu hlobo lonyango.
- I-Pacemaker: Sisixhobo esincinci esibekwa phantsi kwesikhumba sesifuba ukuze silawule isigqi sentliziyo ukuba ibetha ngokukhawuleza kakhulu.
- I-ICD (I-Implantable Cardioverter-Defibrillator):Isixhobo esibona ukubetha kwentliziyo okungaqhelekanga okusongela ubomi kwaye sinike intliziyo umothuko wombane ukuze ilungiswe.
- I-Septal myectomy: Ukususwa kwenxalenye yemisipha yentliziyo etyebileyo ngotyando.
- Ukufakelwa intliziyo: Kuthathwa njengenyathelo lokugqibela ukuba zonke ezinye iindlela zonyango aziphumeleli.
Ufanele ufune nini ingcebiso yezonyango ezingxamisekileyo?
Ukuba une-cardiomyopathy, kubalulekile ukubona ugqirha wakho rhoqo kwaye ulandele imiyalelo yakhe. Nangona kunjalo, ukuba ufumana naziphi na zezi mpawu zilandelayo ngequbuliso, yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele (ETU) ngokukhawuleza.
- Ukuba ufumana iintlungu eziqatha esifubeni.
- Ukuba ngequbuliso ufumana ubunzima bokuphefumla.
- Ukuba ngequbuliso ulahlekelwa zingqondo (ukuphelelwa ngamandla).
- Ukuba intliziyo iqala ukubetha ngokukhawuleza kakhulu okanye ngokungacwangciswanga.
Umyalezo Wokuya Ekhaya
- I-cardiomyopathy yimeko enzima ebangela ukuba izihlunu zentliziyo zibe buthathaka. Kodwa ungakhathazeki, inokulawulwa kakuhle.
- Musa ukuzityeshela iimpawu ezinje ngokuphefumla kancinci, ukudumba kwemilenze, kunye nokudinwa okungapheliyo. Bonana nogqirha ngoko nangoko.
- Ukuba kukho umntu kusapho lwakho okhe waba nesi sifo okanye wakha wahlaselwa sisifo sentliziyo ngequbuliso, yazisa ugqirha wakho ngaso.
- Ukusela amayeza owanikwe ngugqirha wakho ngexesha kunye nokwenza utshintsho kwindlela ophila ngayo (ukutya, umthambo) kubaluleke kakhulu kwimpilo yakho yexesha elizayo.
- Ngonyango olufanelekileyo nolawulo, abantu abaninzi abanale sifo banokuphila ubomi obuqhelekileyo nobukhululekileyo.
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