Ugqirha usenokuba ukuxelele ukuba unesifo seswekile, okanye 'isifo seswekile' njengoko sonke sisazi. Sihlala sicinga ukuba isifo seswekile yingxaki nje yamanqanaba eswekile egazini. Kodwa eneneni, sichaphazela amalungu amaninzi emzimbeni wethu, ngakumbi intliziyo yethu, ngaphezu kokuba sicinga. Yiyo loo nto umntu onesifo seswekile kufuneka ahlale enyamekela intliziyo yakhe. Kukho iimvavanyo ezikhethekileyo ezininzi ezinceda ugqirha azi ukuba intliziyo yakho iphilile na kwaye ukuba kukho umngcipheko. Makhe sithethe ngezinto ezizizo namhlanje.
Kutheni isifo seswekile sichaphazela intliziyo?
Ngamafutshane, xa amanqanaba eswekile egazini engalawuleki kwaye ephezulu ixesha elide, yonakalisa imithambo yegazi yethu. Kanye njengokuba umhlwa uqokelelana ngaphakathi kombhobho wamanzi, iindonga zemithambo yegazi yethu ziyaqina kancinci kancinci, ziba lukhuni, kwaye ziqale ukuvaleka ngamafutha (i-cholesterol). Le meko siyibiza ngokuba yi-Atherosclerosis . Xa imithambo yegazi enika intliziyo (imithambo ye-coronary) ivaleka ngale ndlela, imisipha yentliziyo ayifumani ioksijini kunye nezondlo ezifunekayo. Yile nto ivula indlela yeemeko ezinzulu ezifana nokuhlaselwa yintliziyo kunye nokubetha .
Ngoko ke, ukuba unesifo seswekile, kubalulekile ukulawula iswekile egazini lakho kwaye uhlale ujonga impilo yentliziyo yakho.
Uvavanyo olukhulu lwentliziyo onokulufuna
Ugqirha wakho angacebisa olunye okanye ngaphezulu kwezi vavanyo kuxhomekeke kwimeko yakho. Akukho sizathu sokoyika oku. Ezi vavanyo zisetyenziselwa ukuchonga naziphi na iingxaki kwangethuba nokuqalisa unyango olufunekayo.
| Igama lovavanyo | Wenza ntoni ngale nto? | Izinto ekufuneka uzazi |
|---|---|---|
| Ukuhlolwa koxinzelelo lwegazi | Ukulinganisa uxinzelelo olukhutshwa ligazi eludongeni lwemithambo yegazi yakho njengoko lihamba. Into edla ngokwenziwa xa usiya ekliniki. | Ungafumanisa ukuba unesifo segazi esiphakamileyo na. |
| I-ECG (i-Electrocardiogram) | Uvavanyo olulula nolungenabuhlungu olurekhoda umsebenzi wombane (ukubetha kwentliziyo). | Izinto ezifana nokuphazamiseka kwesingqisho sentliziyo, iimpawu zokuhlaselwa yintliziyo, kunye nokuncipha kokuhamba kwegazi ukuya kwimisipha yentliziyo. |
| I-Echocardiogram (I-Echo) | I-ultrasound scan yentliziyo. Idala umfanekiso wentliziyo kwaye ijonga ukusebenza kwayo. | Umsebenzi wamagumbi entliziyo, iivalvu, kunye nokusebenza kakuhle kwentliziyo ekupompa igazi. |
| Uvavanyo loxinzelelo lomzimba (Uvavanyo lweTreadmill) | Ukubeka esweni umsebenzi wentliziyo yakho (ECG) ngelixa uhamba okanye ubaleka kwi-treadmill. | Nokuba izihlunu zentliziyo zifumana igazi elaneleyo ngexesha lokuzilolonga, okanye kukho nakuphi na ukuvaleka kwemithambo yegazi. |
| I-Angiogram yeCoronary | Ityhubhu encinci (i-catheter) ifakwa emthanjeni osengalweni okanye emlenzeni kwaye isetyenziselwa ukuhlola imithambo yegazi kusetyenziswa ii-X-ray, ifake idayi kuyo. | Ukuze wazi kakuhle ukuba zingaphi kwaye phi imithambo yegazi entliziyweni ivalekile. |
Okungakumbi malunga nezi mvavanyo
- Ukulawula uxinzelelo lwegazi: Uxinzelelo lwegazi oluphezulu lutshaba oluyingozi kakhulu kumntu onesifo seswekile. Xa ezi zinto zimbini zidityanisiwe, umngcipheko wokuhlaselwa yintliziyo, isifo sohlangothi, kunye nesifo sezintso uphindaphindeka kabini okanye kathathu. Ke ngoko, kubalulekile ukulawula uxinzelelo lwakho lwegazi ngokuthatha amayeza achazwe ngugqirha wakho kunye nokunciphisa ukutya ityuwa.
- I-Carotid Ultrasound: Imithambo yegazi emibini ephambili ethwala igazi ukusuka emacaleni entamo ukuya ebuchotsheni. Isifo seswekile sinokubangela ukuba kubekho amanqatha amaninzi kule mithambo yegazi, nto leyo ebangela isifo sohlangothi. Olu vavanyo lulula, olungenabuhlungu lunokujonga imeko yale mithambo yegazi.
- I-CT Scan kunye neCalcium Score yeNtliziyo:Oku kulinganisa ukuba i-calcium iqokelelene na kwiindonga zemithambo yegazi ehambisa igazi entliziyweni. Kufana ne-limescale kwimibhobho yamanzi emidala. Ukunyuka kweli nqanaba le-calcium kuthetha ukuba imithambo yegazi iyaqina kwaye incipha kancinci kancinci. Ngokusekelwe kweli nqanaba, ugqirha unokufumana umbono womngcipheko wokuhlaselwa yintliziyo kwixesha elizayo.
- I-Holter Monitor: Ngamanye amaxesha ungaziva ushukuma ngequbuliso esifubeni sakho okanye iintlungu esifubeni, kodwa zinokuphela xa usiya kugqirha. Kulapho ke oku kusetyenziswa khona. Lo ngumatshini omncinci we-ECG onokuwunxiba usuku olunye okanye ezimbini. Uhlala urekhoda imisebenzi yentliziyo yakho ngelixa usenza imisebenzi yakho yemihla ngemihla.
Ufanele wenze ntoni?
Eyona nto ibalulekileyo kukuhlala unxibelelana rhoqo nogqirha wakho.
1. Yiya kwiikliniki ngexesha: Yiya kwiikliniki zesifo seswekile, kwiikliniki zentliziyo (ukuba kuyimfuneko) ngexesha. Gcina zonke iingxelo zakho zovavanyo zilungile.
2. Sela amayeza akho njengoko uyalelwe: Ungaze utsibe idosi enye yemithi yakho yeswekile, uxinzelelo lwegazi, okanye i-cholesterol. Afana nesikhuselo esikhusela intliziyo yakho.
3. Musa ukuzityeshela iimpawu: Ukuba uneempawu ezifana neentlungu esifubeni, ubunzima bokuphefumla, ukubila okukhulu ngequbuliso, okanye isiyezi, funa ingcebiso kagqirha ngokukhawuleza. Ukuba kuyimfuneko, ungalibazisi ukuya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
4. Tshintsha indlela ophila ngayo: Ukuba uyatshaya, yeka namhlanje. Yitya ukutya okunesondlo, kuphephe ukutya okuneswekile eninzi namafutha. Zilolonge yonke imihla. Ezi zinto zingcono entliziyweni yakho kunamayeza.
Ukuphila nesifo seswekile kunokuba nzima, kodwa ngolwazi olufanelekileyo, ukulandela iingcebiso zikagqirha wakho, kunye nendlela yokuphila enempilo, ungayikhusela intliziyo yakho kwaye uphile ubomi obude nobunempilo.
Umyalezo Wokuya Ekhaya
- Isifo seswekile asisosifo esibangelwa yiswekile yegazi kuphela, kodwa sichaphazela intliziyo yakho ngokuthe ngqo.
- Musa ukoyika iimvavanyo ezifana ne-ECG, i-Echo, kunye novavanyo loxinzelelo olucetyiswa ngugqirha wakho; ngokwenza ezo zilingo, unokuchonga umngcipheko wesifo sentliziyo kwangethuba.
- Ukuthatha amayeza afanelekileyo esifo seswekile, uxinzelelo lwegazi oluphezulu, kunye ne-cholesterol kubalulekile ekukhuseleni intliziyo yakho.
- Ukuba ufumana iimpawu zesifo sentliziyo, ezinje ngeentlungu zesifuba okanye ubunzima bokuphefumla, ungaze uzityeshele kwaye funa ingcebiso kagqirha ngoko nangoko.
- Ukugcina ukutya okunempilo kunye nendlela yokuphila esebenzayo yeyona ndlela ilungileyo yokulawula isifo seswekile kunye nesifo sentliziyo.
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