Yintoni le inxulumene nentliziyo nezintso? Masifunde ngeCardiorenal Syndrome!

Intliziyo nezintso zingamalungu amabini emzimbeni wethu asebenza njengabahlobo abasenyongweni. Ukuba kukho ingxaki kwenye, enye nayo iyayiva kwaye iyachaphazeleka. Ngamanye amaxesha ezi ngxaki zinokuvela ngokukhawuleza, kwaye ngamanye amaxesha ziyanda ngokuhamba kwexesha. Leyo yingxaki phakathi kwentliziyo nezintso esithetha ngayo namhlanje , ``Cardiorenal Syndrome`` .

Yintoni iCardiorenal Syndrome? Kutheni oku kusenzeka?

Ngamafutshane, `(Cardiorenal Syndrome)` yimeko apho ubuthathaka entliziyweni okanye kwizintso zakho buchaphazela ukusebenza kwamanye amalungu omzimba. Cinga ngayo, intliziyo yethu yiyo epompa igazi emzimbeni wonke. Izintso zicoca elo gazi kwaye zisuse inkunkuma engeyomfuneko njengomchamo. Ayisiyiyo loo nto kuphela, kodwa ukulawula ubungakanani betyuwa namanzi emzimbeni kukwayindima enkulu yezintso. Oku kukulawula uxinzelelo lwethu lwegazi kwaye kumisela ukuba umzimba ugcina ulwelo olungakanani.

Ngoku, kwenzeka ntoni ukuba intliziyo iba buthathaka? Ayimpompi igazi ngokufanelekileyo emzimbeni. Emva koko inani legazi elifunyanwa zizintso nalo liyancipha. Ukuba izintso azisebenzi kakuhle, inkunkuma iqokelelana emzimbeni, kwaye amanzi anetyuwa ahlala emzimbeni endaweni yokuphuma. Oku kuphinda kubeke uxinzelelo entliziyweni. Le yinkqubo enzima edibene ngolo hlobo. Ngamanye amaxesha izinto ezinje "Ukuncipha kokuhamba kwegazi ukuya kwizintso", uxinzelelo olongezelelekileyo kwimithambo emikhulu ezisa igazi entliziyweni (`vena cava``), kunye nokuncipha kwamandla okumpompa kwentliziyo ( `ukuphuma kwentliziyo`` okuphantsi okanye `(ukusilela kwentliziyo)``` ) zinokuchaphazela oku.

Ixhaphake kangakanani le meko?

Enyanisweni, kuqheleke kakhulu kunokuba unokucinga ukuba uneengxaki zentliziyo nezintso ngaxeshanye. Malunga nezigidi ezingama-64 zabantu emhlabeni banesifo esibizwa ngokuba yi- "Heart failure" . Oogqirha bafumanise ukuba phakathi kwama-45% nama-63% aba bantu banesifo sentliziyo esingapheliyo nabo banesifo sezintso. Ngamanye amaxesha kunzima ukumisela ngokuchanekileyo ukuba ingxaki ifike kuqala entliziyweni okanye kwizintso.

Ziziphi iimpawu zeCardiorenal Syndrome?

Kwimeko enjalo, unokufumana iimpawu ezifana nezi. Kodwa khumbula, ukuba nezi mpawu akuthethi ukuba unesifo. Kodwa kubalulekile ukuba uzazi.

• Ukudinwa rhoqo (`Ukudinwa`): Ukudinwa, ngokungathi awunawo amandla okwenza nantoni na.
• Ukuphefumla kancinci: Ukuziva uphelelwa ngumphefumlo nokuba uhamba kancinci okanye unyuka izinyuko ezimbalwa.
• Ukuphuma komchamo okuphantsi : Ukuba uziva ngathi uchama kancinci emini.
• Uxinzelelo : Ndiziva ndilusizi nje, ngathi ndiziva ndidanile.
• Ukudumba kwemilenze nesisu : Imilenze, amaqatha, kwaye ngamanye amaxesha isisu sivakala sidumbile. Ngokungathi sigcwele amanzi.
• Ukuziva udidekile (`Ukudideka`): Kuvakala ngathi kunzima ukugxila, ngokungathi izinto ziyadideka.
• Ukuziva utshintsho kwisigqi sentliziyo: Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza ngequbuliso, okanye ukutsiba isingqi.

Zithini izizathu zeCardiorenal Syndrome?

Zininzi izizathu zoku. Ezinye ziingxaki ezinxulumene nentliziyo, ezinye ziingxaki ezinxulumene nezintso, kwaye ezinye ziimeko ezichaphazela umzimba wonke.

• Ukothuka okubangelwa yintliziyo : Ukothuka okubangelwa yintliziyo ngequbuliso.
• `(Ukusilela kwentliziyo)` : Ubuthathaka bokusebenza kwentliziyo.
• `(Isifo sentliziyo esibukhali)` : Imeko engxamisekileyo ebangelwa kukuvaleka kwemithambo yegazi ehambisa igazi entliziyweni.
• Iingxaki zotyando lwentliziyo.
• Isifo sevalvu yentliziyo.
• I-Vasculitis : Yimeko yokudumba eyenzeka kwimithambo yegazi.
• I-Atherosclerosis : Ukucutheka nokuqina kwemithambo yegazi.
• I-Pulmonary embolism (PE) : Ihlwili legazi elivimba umthambo wegazi emiphungeni.
• Isifo sezintso okanye ukwenzakala.
• I-Sepsis : Usulelo olunzima olusasazeka emzimbeni wonke.
• I-Lupus : Isifo esibangelwa yingxaki kwinkqubo yomzimba yokuzikhusela.
• I-Sarcoidosis : Isifo apho ii-granulomas ezincinci zenzeka kwiindawo ezahlukeneyo zomzimba.
• Isifo seswekile .
• Ukungalingani kwe-electrolyte emzimbeni ( iingxaki ze-electrolyte) .

Ngubani osengozini enkulu yoku?

Abanye abantu banamathuba amaninzi okufumana esi sifo (Cardiorenal Syndrome) . Oku kuthetha ukuba abantu abanezi zinto ziyingozi kufuneka balumke ngakumbi.

• Kwabo banesifo seswekile .
• Kwabo bane- high blood pressure .
• Kubantu abane- body mass index (BMI) engaphezulu kwama-30 (oko kukuthi, abatyebe kakhulu).
• Kwabo baneengxaki zemithambo yegazi.
• Kwabo sele benesifo sezintso .
• Kwabo sele benesifo sentliziyo .

Ziziphi iingxaki ezinokubakho zeCardiorenal Syndrome?

Ukuba le meko ayinyangwa kakuhle, ingakhokelela kwiingxaki ezininzi. Oko kuthetha ukuba imeko inokuba mandundu.

• Umothuko wentliziyo unokwenzeka.
• Isifo sezintso singaba sibi kakhulu (`Isifo sezintso esiba sibi`).
• I-atherosclerosis (ukuncitshiswa kwemithambo yegazi) inokwanda.
• Ukudumba kungenzeka emzimbeni.

Sifunyaniswa njani esi sifo (Cardiorenal Syndrome)?

Kukho "umgangatho ogqwesileyo" omnye kuphela wokufumanisa esi sifo.Akukho vavanyo. Ugqirha uza kukuhlola aze ahlole ubungakanani bolwelo entliziyweni yakho, emiphungeni, esiswini, emilenzeni, nakwimithambo yegazi. Ukongeza, ezinye iimvavanyo zinokucelwa.

Uvavanyo olunokwenziwa koku zezi:

• Uvavanyo lwegazi : Jonga ukusebenza kwezintso kunye nomonakalo wentliziyo.
• Uvavanyo lomchamo : Ukujonga iiproteni kunye negazi kumchamo.
• I-Echocardiogram (Echo): Iskeni yokujonga umsebenzi, ubungakanani, kunye nemeko yeevalvu zentliziyo.
• I-ultrasound scan yezintso zakho kunye/okanye isifuba : Jonga imeko yezi zitho.
• `(Ukufakwa kwe-catheter yentliziyo yasekunene)` : Uvavanyo olulinganisa uxinzelelo kwicala lasekunene lentliziyo.
• I-X-reyi yesifuba : Ukujonga ukuba kukho ulwelo emiphungeni okanye ukuba intliziyo ikhulisiwe.

Ngaba kukho naziphi na iintlobo zeCardiorenal Syndrome?

Ewe, oogqirha bayayihlela le meko. Kuxhomekeke ekubeni ingxaki yaqala kweliphi ilungu lomzimba kwaye kudala kangakanani. Wakuba ukuqondile oku, kuba lula ukunyanga.

Kukho iintlobo ezi-5 eziphambili:

• Uhlobo 1: Ukusilela kwentliziyo kwenzeka ngequbuliso. Oku kubangela umonakalo kwizintso kwaye umsebenzi wazo uyeke ukusebenza. Le yimeko 'ebukhali'.
• Uhlobo lwesibini: Iingxaki zentliziyo ezingapheliyo ziyazonakalisa kancinci kancinci izintso ngokuhamba kwexesha.
• Uhlobo 3: Ukulimala kwezintso okukhawulezileyo (AKI) kubangela ukusilela kwentliziyo okukhawulezileyo.
• Uhlobo lwesine: Isifo sezintso esingapheliyo sibangela iingxaki zentliziyo ngokuhamba kwexesha. Umzekelo, iingxaki zesingqisho sentliziyo, ukusilela kwentliziyo , okanye isifo semithambo yentliziyo (CAD) .
• Uhlobo lwesi-5: Yimeko echaphazela umzimba wonke, nto leyo ebangela ukuba intliziyo kunye nezintso zingasebenzi kakuhle.

Iphathwa njani le nto?

Injongo ephambili yokunyanga iCardiorenal Syndrome kukugcina amanqanaba egazi kunye nolwelo emzimbeni wakho aqhelekileyo. Oku kungenxa yokuba xa intliziyo yakho ibuthathaka (ukusilela kwentliziyo), ulwelo olugqithisileyo lunokuqokelelwa emzimbeni wakho. Izintso zinoxanduva lokususa olu lwelo lugqithisileyo. Ngoko ke xa intliziyo yakho kunye nezintso zichaphazeleka ngaxeshanye, kunokuba nzima ukugcina olu lungelelwaniso.

Kukho iindlela ezininzi zonyango, ukusuka kumayeza ukuya kwizixhobo kunye nokufakelwa amalungu omzimba:

• I-Diuretics : Amayeza anceda umzimba ukuba ukhuphe amanzi angaphezulu njengomchamo.
• Ii-Beta-blockers : Zilawula izinga lentliziyo kwaye zinciphise umthwalo womsebenzi entliziyweni.
• Izithinteli ze-ACE : Zinceda ekulawuleni uxinzelelo lwegazi.
• Ii-ARB : Olu luhlobo lonyango olulawula uxinzelelo lwegazi.
• I-ARNI (i-angiotensin receptor/i-neprilysin inhibitors): Uhlobo lwanamhlanje lwamayeza oluphucula ukusebenza kwentliziyo.
• Ii-Renin angiotensin system blockers : Zithintela le nkqubo, zinciphisa uxinzelelo lwegazi kunye nomonakalo wezintso.
• Ii-Mineralocorticoid receptor antagonists : zinceda ukugcina ityuwa kunye nokulinganisela kwamanzi emzimbeni.
• Ii-Inotropes : Amayeza andisa amandla okuxinana kwentliziyo. La mayeza adla ngokunikezelwa ngexesha lokulaliswa esibhedlele.
• Ukucoca igazi nge-Ultrafiltration okanye i-dialysis : Indlela yokucoca igazi kusetyenziswa umatshini xa izintso zingasebenzi kakuhle.
• I-ICD (isixhobo esifakelwayo sokunciphisa ukuqina kwentliziyo ): Sisixhobo esincinci esibekwa phantsi kwesikhumba sesifuba ukunqanda ukungasebenzi kakuhle kwesantya sentliziyo.
• Isixhobo sokuncedisa i-ventricular yasekhohlo (LVAD): Impompo yoomatshini enceda abantu ababuthathaka kakhulu ekupompeni kwentliziyo.
• Unyango lokuvuselela intliziyo (CRT) : Lufana nesixhobo sokuncedisa intliziyo ukuba ibethe kunye.
• Ukufakelwa kwentliziyo .
• Ukufakelwa kwezintso .

Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?

Ewe, njengazo zonke iindlela zonyango, ezinye iziphumo ebezingalindelekanga zinokwenzeka ngolu hlobo lonyango lwe- "Cardiorenal Syndrome." Nangona kunjalo, ayizizo zonke ezi zinto ezenzeka kuye wonke umntu.

• Intloko ebuhlungu.
• Isiyezi.
• Ukudinwa.
• Ukuchama rhoqo (ingakumbi xa usebenzisa amayeza okukhupha umchamo ).
• Intliziyo ibetha kancinci.
• Amanqanaba aphezulu e-potassium egazini.
• Ukulimala kwezintso (ngenxa yamayeza athile).
• Ukungasebenzi kakuhle kwesixhobo.
• Usulelo okanye ukopha emva kokufakwa kwesixhobo okanye emva kokufakelwa ilungu.
• Isifo sezintso.
• Ukwaliwa kwamalungu omzimba.

Kungcono ukuthetha nogqirha wakho ngaphambi kokuba ukhathazeke ngezi ziphumo ebezingalindelekanga. Ngale ndlela, unokuqonda kakuhle into enokwenzeka kunye nento omawuyenze ngazo.

Yintoni enokulindelwa ngumntu one-Cardiorenal Syndrome?

Kubaluleke kakhulu ukuqaphela le meko kwangethuba. Emva koko, xa ufumana unyango olufanelekileyo ngexesha elifanelekileyo, unokugcina umgangatho wobomi bakho ukuya kwinqanaba elithile. Kodwa, ukuba ndithetha inyani, `(Cardiorenal Syndrome)`Kule meko, 'ukuxela kwangaphambili' okanye 'imbono' yesigulana ayisoloko ilungile. Oku kuthetha ukuba esi sifo sinokuba sibi kakhulu. Kwiimeko ezinjalo, indlela yonyango ebizwa ngokuba yi-'palliative care' inokuba luncedo kakhulu. Oku kwenziwa ngokulawula iimpawu, ukwenza isigulana sikhululeke, kunye nokunciphisa ukungeniswa rhoqo esibhedlele.

Ndingayinciphisa njani le ngozi?

Ngokulawula izinto ezithile, unganciphisa umngcipheko wakho wokuba neCardiorenal Syndrome .

• Ukuba unesifo seswekile , silawule kakuhle.
• Ukuba unesifo semithambo yegazi yentliziyo , fumana unyango olufanelekileyo.
• Ukuba une- high blood pressure , yilawule.
• Ukuba i-body mass index yakho (BMI) ingaphezulu kwama-30 , zama ukunciphisa umzimba.

Kubaluleke kakhulu ukusela amayeza afanelekileyo kwezi meko, ngedosi echanekileyo. Kuba amanye amayeza anokuchaphazela nokusebenza kwezintso ukuba asetyenziswe gwenxa.

NdineCardiorenal Syndrome, ndingazinyamekela njani?

Ukuba unale meko, kubaluleke kakhulu ukunyamekela ezi zinto zilandelayo:

• Landela isicwangciso sonyango sikagqirha wakho ngokuchanekileyo. Sela amayeza akho ngexesha kwaye njengoko uyalelwe.
• Ukuba ufumanisa naziphi na iimpawu ezintsha, okanye ukuba uphawu olukhoyo luya lusiba mandundu, xelela ugqirha wakho ngoko nangoko.
• Qiniseka ukuba uya kugqirha ngexesha elicwangcisiweyo.

Ndingaya nini esibhedlele (ETU) ngoko nangoko?

Ukuba unale mpawu, kubaluleke kakhulu ukufuna ingcebiso kagqirha ngoko nangoko. Yiya esibhedlele ngokukhawuleza.

• Ukuba awuvelisi umchamo .
• Ukuba awukwazi ukubamba umoya wakho.

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa ubona ugqirha wakho, ungoyiki ukubuza imibuzo onayo. Ungabuza izinto ezinje:

• Yeyiphi indlela yonyango engcono kum?
• Ndingayinyanga ngamayeza odwa?
• Ngaba kukho amaqela enkxaso kubantu abaneCardiorenal Syndrome ?
• Ingxaki yam inzulu kangakanani?

Okokugqibela, yintoni ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

`(Isifo sentliziyo)`Eneneni yimeko enzima kancinci. Kuba, okwenzekayo apha kukuba amalungu ethu amathathu abalulekileyo – intliziyo kunye nezintso ezimbini – azisebenzi kakuhle. Ke ngoko, ukuba unale meko, ukulandela imiyalelo kagqirha wakho ngokuchanekileyo yeyona ndlela ilungileyo yokufumana iziphumo ezilungileyo. Ukwazisa abantu obathandayo ngeminqweno yakho kuya kukunika uxolo lwengqondo olukhulu. Ukuba imeko yakho iba mandundu ngequbuliso, ukuba nencwadi ethi 'ilifa lokuphila' ebhaliweyo ngelixa usaphila kuya kunceda usapho lwakho ukuba lugqibe ukuba loluphi uhlobo lonyango olufunekayo.

Isifo sentliziyo, isifo sentliziyo, isifo sezintso, ukuphefumla okunzima, ukudumba, iingcebiso zonyango