Ngaba unengxaki yentliziyo elolu hlobo? Masifunde ngeDiastolic Dysfunction!

Ngaba ngamanye amaxesha uziva uphelelwa ngumphefumlo emva kokuba wenze umsebenzi omncinci? Okanye imilenze yakho iyadumba uze uzive udiniwe? Mhlawumbi emva kwezi zinto kukho imeko esithetha ngayo namhlanje ebizwa ngokuba yi-'Diastolic Dysfunction'. Ungakhathazeki, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.

Yintoni iDiastolic Dysfunction? Masiyiqonde ngokulula.

Kulungile, masiqale sijonge indlela intliziyo yethu esebenza ngayo. Ubusazi ukuba intliziyo yethu ifana nepompo? Le mpompi inamacandelo amabini aphambili. Elinye ligumbi ezimbini ezisezantsi kwentliziyo, esizibiza ngokuba yi-'Atria' . Elinye ligumbi ezimbini ezisezantsi kwentliziyo, esizibiza ngokuba yi-'Ventricles' .

Ngoku, xa intliziyo ibetha, oko kukuthi, xa kukho 'ukubetha kwentliziyo' , kwenzeka izinto ezimbini eziphambili:

1. I-Diastole: Eli licandelo lokuqala lokubetha kwentliziyo. Okwenzekayo apha kukuba amagumbi asezantsi entliziyo (ii-ventricles) aphumla kancinci, njengebhaluni elungiselela ukufutha. Emva koko igazi elivela kumagumbi aphezulu (i-atria) lizalisa la magumbi. Ngamafutshane, eli lixesha apho intliziyo izaliswa ligazi.

2. I-Systole: Emva kokuba ii-ventricles zizaliswe ligazi, ziyafinyela ngamandla, okanye ziyafinyela. Igazi emva koko likhutshwa lisuka entliziyweni, liye emiphungeni, lize liye kwi-aorta, umthambo wegazi oyintloko othwala igazi liye kuwo wonke umzimba.

Ngoku uyaqonda ukuba yintoni i-"Diastole"? Ukungasebenzi kakuhle kwe-Diastolic kuxa i-"Diastole", ixesha apho amagumbi asezantsi (iiseli) zentliziyo kufuneka aphumle ukuze agcwale ngegazi, ingenzeki kakuhle. Ngokuchanekileyo, amagumbi asezantsi entliziyo yakho aba lukhuni kancinci kwaye angaphumli kakuhle. Kwenzeka ntoni ke? Ezo magumbi azinakuzaliswa ngegazi ngokufanelekileyo. Xa oko kusenzeka, uxinzelelo luqala ukuqokelelana ngaphakathi entliziyweni.

Cinga ngayo, ukuze isiponji sifumane amanzi, asinakucinezelwa, kufuneka sikhululeke kancinci. Ngendlela efanayo, ukuze amagumbi entliziyo azaliswe ligazi, kufuneka aphumle kakuhle.

Ukuba le meko iba mandundu, inokukhokelela kwimeko ebizwa ngokuba yi- "Diastolic Heart Failure" , nto leyo ethetha ukuba intliziyo iyayeka ukusebenza. Emva koko, ulwelo olufana namanzi lunokuqokelelwa kwiindawo ezifana nemiphunga, isisu, nemilenze.

Yintoni umahluko phakathi kokungasebenzi kakuhle kwentliziyo ye-Diastolic kunye nokusilela kwentliziyo ye-Diastolic?

Ezi zimbini azifani, kodwa zihlobene. "Ukungasebenzi kakuhle kwe-Diastolic" kuxa ingxaki yamagumbi asezantsi entliziyo iqala ukukhululeka. Xa oku kuba nzima ngakumbi, oko kuthetha ukuba amagumbi asezantsi ecala lasekhohlo lentliziyo ayaqina, kwaye kuza nezinye iimpawu zokungasebenzi kakuhle kwentliziyo, siyibiza ngokuba yi-"Ukusilela kwentliziyo ye-Diastolic".Olu luhlobo lokungasebenzi kakuhle kwentliziyo oluchaphazela icala lasekhohlo.

Umntu one-"Diastolic Heart Failure" unokufumana iimpawu ezifana nezi:

• Ukudinwa: Ndiziva ndidiniwe nokuba ndilapho nje.
• Ukudumba kwemilenze: Ingakumbi amaqatha.
• Ukucaphuka nokuphelelwa ngumdla wokutya: Ukungaziva ngathi ufuna ukutya, ngamanye amaxesha uzive ngathi ucaphuka.
• Ubunzima bokuphefumla (Dyspnea): Ubunzima bokuphefumla nangona usenza imisebenzi elula, ngamanye amaxesha nangona ulele.
• Ukwanda kobunzima: Ukugcinwa kwamanzi kunokubangela ukwanda kobunzima ngequbuliso.

Ngubani onokuba sengozini enkulu yokuba nale meko? Zithini izinto ezinokubangela umngcipheko?

Enyanisweni, nabani na unokuba nesifo "sokungasebenzi kakuhle kwe-diastolic". Nangona kunjalo, abanye abantu basengozini enkulu kancinci. Makhe sibone ukuba bangoobani?

• Abantu abangaphezu kweminyaka engama-70 ubudala: Umngcipheko wale meko uyanda njengoko ukhula.
• Abantu abangasebenziyo emzimbeni: Ukungazilolongi kunye nokuhlala phantsi kunokubangela oku.
• Abantu abatshayayo okanye abasebenzisa iimveliso zecuba.

Kwakhona, umngcipheko uphezulu nangakumbi ukuba uneengxaki zempilo ezifana nezi:

• Ukuba i-body mass index yakho (BMI) ingama-30 nangaphezulu (oko kuthetha ukuba utyebile kakhulu).
• Ukuba unesifo semisipha yentliziyo (`Cardiomyopathy`) .
• Ukuba unesifo seswekile .
• Ukuba unesifo soxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu / uxinzelelo lwegazi oluphezulu) .
• Ukuba unesifo semithambo yegazi yentliziyo .
• Ukuba unesifo sokungalali kakuhle (sleep apnea) .

Ukungasebenzi kakuhle kwe-Diastolic kuchaphazela njani umzimba?

Khawucinge nje, kuba amagumbi asezantsi entliziyo awazali ngegazi ngokufanelekileyo, amagumbi aphezulu kufuneka asebenze nzima ukupompa igazi. Oku kwandisa uxinzelelo ngaphakathi entliziyweni. Kwenzeka ntoni ngenxa yolu xinzelelo?

• Uxinzelelo kwimithambo yegazi emiphungeni luyanda kwaye ulwelo lunokuqokelelwa. Kulapho kuvela ubunzima bokuphefumla.
• Uxinzelelo kwimithambo yegazi esiswini nasemilenzeni luyanda, kwaye ulwelo lunokuqokelelwa apho. Oku kunokubangela izinto ezifana nokulahlekelwa ngumdla wokutya kunye nokudumba kwemilenze.

Ekuhambeni kwexesha, le meko, ebizwa ngokuba yi-"Diastolic Dysfunction"`, inokuphuhla ibe yi-"Diastolic Heart Failure". Ikwangunobangela oyintloko we-pulmonary hypertension . Ngamanye amaxesha inokunxulunyaniswa ne-stroke yentliziyo engahambelaniyo ebizwa ngokuba yi-"Atrial Fibrillation" .

Imeko abantu abaninzi abane-"Diastolic Heart Failure" banayo yi -HFpEF (``Heart Failure with Preserved Ejection Fraction``).Ngamafutshane, ngumlinganiselo wegazi ompontshwa yintliziyo (siwubiza ngokuba yi-'Ejection Fraction') oqhelekileyo, kodwa usabonisa iimpawu zokusilela kwentliziyo.

Ixhaphake kangakanani le meko?

Ukungasebenzi kakuhle kwe-diastolic yimeko eqhelekileyo kubantu abadala. Ngokutsho kwezinye iingcali zonyango, malunga nesiqingatha sabantu abangaphezu kweminyaka engama-70 banokuba nokungasebenzi kakuhle kwe-diastolic. Nangona kunjalo, akuqhelekanga kangako kubantwana nakubantu abangaphantsi kweminyaka engama-70.

Ziziphi iimpawu zokungasebenzi kakuhle kwe-diastolic?

Abantu abaninzi banezinga eliphantsi le-"Diastolic Dysfunction" . Usenokuziva uphelelwa ngumphefumlo xa uzama kancinci, njengokunyuka izinyuko. Nangona kunjalo, njengoko imeko iqhubeka, ukuphefumla kuba nzima ngakumbi kwaye iimpawu ze-"Diastolic Heart Failure" zinokuvela.

Ziziphi izizathu zokungasebenzi kakuhle kwe-Diastolic?

Kukho izizathu ezininzi eziphambili zoku. Izinto ezinobungozi esizixubushe ngaphambili nazo zinxulumene noku.

• Isifo semithambo yentliziyo: Ukuvaleka kwemithambo yegazi ehambisa igazi entliziyweni.
• Isifo seswekile.
• Uxinzelelo lwegazi oluphezulu (`Uxinzelelo lwegazi oluphezulu / Uxinzelelo lwegazi oluphezulu`).
• Ukuba ukhe wahlaselwa yintliziyo ngaphambili.
• Ukuphelelwa ngamandla xa ulele.

Ungayixilonga njani le meko? (Ukuxilongwa)

Ukuba ugqirha wakho ukrokrela ukuba unale meko, mhlawumbi baya kukuthumela kwi -echocardiogram ( ekwaziwa ngokuba yi- "echo test") .

Uvavanyo lwe-echo lufana ne-ultrasound scan. Lujonga indlela intliziyo yakho epompa ngayo igazi, indlela iivalvu zentliziyo yakho ezisebenza ngayo, indlela ezijiyile ngayo iindonga zegumbi lentliziyo yakho, kunye nendlela eziphumla ngayo. Oku kubaluleke kakhulu ukufumanisa ukuba unengxaki yokungasebenzi kakuhle kwe-diastolic.

Ngaba i-Diastolic Dysfunction ihlelwa ngokwenqanaba lobunzima? (Amanqaku)

Ewe, oogqirha bahlula le meko ngokwenqanaba layo. Ibizwa ngokuba "ngamaBanga".

• Ibanga lokuQala: Olu bubuthathaka obuncinci ekukwazini kwentliziyo ukuphumla. Oku kudla ngokubonakala kubantu abangaphezu kweminyaka engama-60 ubudala.
• Ibanga lesiBini: Uxinzelelo kwicala lasekhohlo lentliziyo luyanda kancinci.
• Ibanga lesi-3: Uxinzelelo kwicala lasekhohlo lentliziyo luyanda kakhulu.
• Ibanga lesi-IV: Oku kukusilela kwentliziyo kakhulu. Uxinzelelo kwicala lasekhohlo lentliziyo luphezulu kakhulu.

Ziziphi iindlela zonyango lokungasebenzi kakuhle kwe-diastolic?

Eyona nto ingcono kukuba, kukho unyango lwesi sifo. Kukho iindlela ezahlukeneyo zonyango ezinokwenzeka:

1. Utshintsho kwindlela yokuphila: Oku kubaluleke kakhulu.

• Ukuba uyatshaya, yeka.
• Ukunciphisa ityuwa (i-sodium) ekutyeni.
• Ukuzilolonga rhoqo (ingakumbi ukuzilolonga nge-aerobics njengokuhamba ngeenyawo kunye nokukhwela ibhayisekile).
• Ugqirha wakho angakuthumela kwinkqubo yokulungisa intliziyo yakho , enokukunceda ukuphucula impilo yentliziyo yakho.

2. Iintlobo zamayeza:

• I-Diuretics (okanye "iipilisi zamanzi"): Ezi zinceda ekunciphiseni ubungakanani bolwelo olungafunekiyo oluqokelelene emzimbeni.
• Ukuba unezinye izifo, ezinje ngoxinzelelo lwegazi oluphezulu okanye isifo seswekile, unganikwa amayeza ahlukeneyo ukuze uzilawule .

3. Izixhobo zoNcedo lweNtsholongwane yasekhohlo (ii-LVAD): Ezi zizixhobo ezincinci ezifakwa ngotyando entliziyweni ukunceda intliziyo ipompe igazi. Zihlala zisetyenziswa kwiimeko ezinzima zeDiastolic Heart Failure, ingakumbi xa amandla entliziyo okupompa igazi (iSystolic Function) nawo enciphile kakhulu .

4. Ukufakelwa Intliziyo: Oku kuqwalaselwa kuphela kwiimeko ezinzima kakhulu, xa kungekho nyango lumbi oluye lwasebenza. Uninzi lwabantu lunokulawula le meko ngokutshintsha indlela yokuphila kunye namayeza.

Ngaba i-Diastolic Dysfunction ingathintelwa?

Ewe, kunokwenzeka kakhulu! Ukulandela imikhwa enempilo yentliziyo kunokunciphisa le ngozi. Zithini ezo mikhwa?

• Gcina ubunzima bakho busempilweni ngokobude bakho, iminyaka yakho, kunye nesini sakho.
• Ziphephe icuba notywala. Nciphisa ukusetyenziswa kwe-caffeine (iti, ikofu).
• Yitya ukutya okunesondlo okutyebileyo kwiziqhamo, imifuno, iimbotyi, iinkozo ezipheleleyo, amafutha asempilweni (umz. ioyile yomnquma, iavokhado), kunye neproteni engenamafutha (intlanzi, inkukhu).
• Yenza umthambo we-aerobic ubuncinane imizuzu eli-150 (njengokuhamba ngokukhawuleza, ukubaleka, ukudada) ngeveki.
• Ukuba unezinye izifo (ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu), landela imiyalelo kagqirha wakho kwaye uthathe amayeza akho owanikiweyo kanye njengoko uyalelwe.
• Nciphisa ukusetyenziswa kwamafutha agcweleyo, ityuwa, kunye neswekile ecociweyo.
• Lawula uxinzelelo (ngokucamngca, i-yoga, ukuthetha nomntu othembekileyo, njl.njl.).
• Lala kakuhle ubuncinane iiyure ezisi-7-8 ebusuku.

Kwenzeka ntoni ukuba une-diastolic dysfunction? Ungalindela ntoni?

Ukuba ayinyangwa, imeko ethi "Diastolic Dysfunction" inokuba mandundu kancinci kancinci ize ikhokelele ekusileleni kwentliziyo. Nangona kunjalo,Abantu abaninzi banokuyilawula kakuhle le meko baze baphile ubomi obuqhelekileyo ngokutshintsha indlela abaphila ngayo kunye namayeza.

Eyona nto ibalulekileyo kukuba ukuba unale meko, uya rhoqo kuvavanyo lwezonyango kwaye ulandele imiyalelo kagqirha wakho ngokuchanekileyo. Emva koko, ugqirha wakho unokujonga imeko yakho aze ongeze unyango olongezelelweyo ukuba kuyimfuneko.

Yeyiphi imibuzo omele uyibuze ugqirha wakho?

Ukuba unengxaki yokungasebenzi kakuhle kwe-diastolic okanye ukrokrela ukuba unesifo sokungasebenzi kakuhle kwe-diastolic, ungabuza ugqirha wakho le mibuzo:

• Yintoni enokubangela ukuba ezi mpawu ndibe nazo?
• Ziziphi iimpawu zokuqala ze-"Diastolic Dysfunction"?
• Zeziphi iimvavanyo ekufuneka ndizenze ukuze ndifumanise le meko ngokuchanekileyo?
• Ziziphi iindlela zonyango lwe-"Diastolic Dysfunction"?
• Zeziphi iinguqu ekufuneka ndizenze kwindlela endiphila ngayo ukuze ndinciphise umngcipheko wokuba le meko ibe mandundu?

Yintoni eyona nto ibangela ukungasebenzi kakuhle kweDiastolic?

Uxinzelelo lwegazi oluphezulu olungalawulekiyo luyimbangela eqhelekileyo nephambili yokungasebenzi kakuhle kwe-diastolic kunye nokusilela kwentliziyo ye-diastolic.

Ungaphila ixesha elingakanani neDiastolic Dysfunction?

Kukho iindaba ezimnandi! Abantu abane-"Diastolic Dysfunction" abangenayo isifo semithambo yentliziyo banokuphila ixesha elide njengomntu osempilweni oneminyaka efanayo. Nangona kunjalo, ukuba une-"Diastolic Dysfunction" kunye nezinye izifo zentliziyo (ezifana nesifo semithambo yentliziyo , ukusilela kwentliziyo ye-systolic), imeko isenokuba yahlukile kancinci. Yiyo loo nto kubaluleke kakhulu ukufumana unyango olufanelekileyo kunye nokulandela icebiso likagqirha wakho.

Umyalezo Wokuya Ekhaya

Ukungasebenzi kakuhle kwe-diastolic kuxa amagumbi asezantsi entliziyo engaphumli kakuhle aze azaliswe ligazi. Oku kwandisa uxinzelelo ngaphakathi entliziyweni, nto leyo enokubangela ukuba intliziyo ingasebenzi kakuhle.

Kodwa ungakhathazeki! Le yimeko enokulawulwa kakuhle ngokutshintsha indlela ophila ngayo, amayeza ukuba kuyimfuneko, kunye nokuhlolwa rhoqo ngugqirha. Nyamekela intliziyo yakho kwaye uphile ubomi obusempilweni. Ukuba uneengxaki, ungathandabuzi ukuthetha nogqirha wakho.

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