Ingaba intliziyo yakho ibuthathaka? Masifunde ngeDiastolic Heart Failure!

Ngaba ngamanye amaxesha uziva uphelelwa ngumphefumlo? Okanye uziva ubuthathaka nasemva kokuhamba umgama omfutshane? Mhlawumbi kufuneka uzixhase ngeepillow ezimbini okanye ezintathu ebusuku ukuze ungakwazi ukulala uqonde? Ezi zisenokungabi kukudinwa nje kuphela. Namhlanje siza kuthetha ngemeko abantu abaninzi abangayaziyo, kodwa enokuchaphazela kakhulu impilo yentliziyo yethu kwaye inokuba yingozi kakhulu. Oko kukusilela kwentliziyo yeDiastolic .

Ngaba uyazi ukuba yintoni i-Diastolic Heart Failure?

Ngamafutshane, i-Diastolic Heart Failure yimeko apho igumbi eliphambili lokumpompa lentliziyo yakho, i-ventricle yasekhohlo , liqina kwaye lingakwazi ukuzalisa igazi elaneleyo. Oku kukwabizwa ngokuba yi -Heart Failure with Preserved Ejection Fraction (HFpEF) .

Kukho iintlobo ezimbini zokusilela kwentliziyo ezenzeka kwicala lasekhohlo lentliziyo yethu. Ukusilela kwentliziyo ye-Diastolic luhlobo olunye. Olunye uhlobo lukusilela kwentliziyo ye-systolic . Okwenzekayo apho kukuncipha kwamandla e-ventricle yasekhohlo okupompa igazi. Kodwa namhlanje sithetha ngakumbi ngokusilela kwentliziyo ye-diastolic.

Yintoni eyenziwa yi-ventricle yasekhohlo yentliziyo yethu?

Ubusazi na ukuba intliziyo yethu ifana nendlu enamagumbi amane? Kukho amagumbi amabini kumgangatho ophezulu (i-atrium yasekunene kunye ne-atrium yasekhohlo), kunye namagumbi amabini kumgangatho osezantsi (i-ventricle yasekunene kunye ne-ventricle yasekhohlo). I-ventricle yasekunene ipompa igazi kuphela ukuya emiphungeni. Kodwa i-ventricle yasekhohlo yeyona nxalenye ibalulekileyo epompa igazi ukuya emzimbeni wonke. Yiyo loo nto i-ventricle yasekhohlo yeyona gumbi ityebileyo entliziyweni. Yiyo ehambisa igazi elineoksijini emzimbeni wethu wonke.

Ithetha ukuthini amagama athi Diastolic kunye neSystolic?

Ngaba wakha wavavanywa uxinzelelo lwakho lwegazi ? Inika amanani amabini. La manani mabini abizwa ngokuba yi-systolic kunye ne-diastolic.

Cinga ngako, ngalo lonke ixesha intliziyo yakho ibetha, ipompa igazi elincinci kwinkqubo yokujikeleza kwegazi emzimbeni wakho wonke. Uxinzelelo oludalwa xa elo gazi lipompa lubizwa ngokuba yi-systolic blood pressure .

Uxinzelelo lwegazi oluyi-diastolic luxinzelelo olukwimithambo yegazi xa intliziyo iphumla phakathi kokubetha, oko kukuthi, xa izihlunu zentliziyo ziphumla kancinci.

Yingakho uxinzelelo lwakho lunexabiso ezimbini:

• Inombolo ephezulu yi-systolic blood pressure.
• Inombolo esezantsi yi-diastolic blood pressure.

Ngoku, uyaqonda ukuba igama elithi "diastolic" livela njani xa sithi ukusilela kwentliziyo ye-diastolic? Oko kuthetha ukuba ingxaki ikwisigaba se-diastolic, xa intliziyo iphumle kwaye izele ligazi.

Ukungaphumeleli kwentliziyo ye-diastolic kuyichaphazela njani umzimba wakho?

Xa icala lasekhohlo lentliziyo yakho, ingakumbi i-ventricle yasekhohlo, liqina, nantsi into eyenzekayo:

• Intliziyo ayikwazi ukuphumla kakuhle phakathi kokubetha kwentliziyo.
• Ngenxa yoko, intliziyo ayizali ngegazi elaneleyo .
• Intliziyo ephilileyo neqhelekileyo ayinakukwazi ukupompa igazi elininzi emzimbeni wonke.

Ngenxa yoko, unokufumana iimpawu zokungasebenzi kakuhle kwentliziyo. Usenokuba nobunzima bokuphefumla, kwaye ungaziva udiniwe nokuba ufumana ukuphumla okungakanani na . Usenokuba nobunzima bokuphefumla xa ulele ebusuku. Usenokubona nokuvuvukala (i-edema) esiswini sakho okanye emilenzeni. Ezi mpawu zinokwanda kancinci kancinci ngokuhamba kwexesha.

Yintoni ebangela ukungaphumeleli kwentliziyo yeDiastolic?

Kukho izinto ezininzi ezinokubangela le meko. Ezinye zazo zezi:

• I-Atrial fibrillation (Afib) : Le yintliziyo engaqhelekanga.
• Isifo semithambo yegazi : Ukuvaleka kwemithambo yegazi ehambisa igazi entliziyweni.
• Isifo seswekile
• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu)
• Ukuphelelwa ngamandla kokulala (i-OSA)
• Ukutyeba kakhulu
• Isifo sezintso esingapheliyo
• Ezinye izifo ezichaphazela izicwili zentliziyo, ezifana ne -amyloidosis .

Xa sijonga ezi zizathu, kuyacaca ukuba uninzi lwezifo ekufuneka sizilawule kubomi bethu bemihla ngemihla ziyachaphazeleka koku.

Zithini iimpawu zale meko?

Iimpawu zokusilela kwentliziyo kwi-diastolic zifana kakhulu nezo zezinye iintlobo zokusilela kwentliziyo. Ukuba unale meko, unokufumana iimpawu ezifana nezi:

• Ukuphefumla, isandi esifana nokukhohlela okanye ukuphefumla .
• Isiyezi .
• Ukudumba , oko kuthetha ukudumba, ingakumbi emilenzeni, emaqatheni, ezinyaweni, okanye esiswini.
• Ukudinwa okungapheliyo .
• Ukuchama rhoqo .
• Ukuphefumla kancinci , ingakumbi xa ulele okanye usenza umsebenzi olula.
• Ukuncipha kokunyamezela umthambo . Khawucinge nje, ukuba ngoku uziva ngathi isifuba sakho siyaxina kwaye unengxaki yokuphefumla xa unyuka izinyuko obukade ukwazi ukuzinyuka ngokulula, oku kungaba luphawu.

Kubalulekile:Ukuba unenye okanye ngaphezulu kwezi mpawu, nceda ufumane ingcebiso kugqirha. Ezi zisenokungabi njalo ngenxa yokusilela kwentliziyo ye-diastolic, kodwa kubaluleke kakhulu ukufumana uxilongo olufanelekileyo.

Ukuxilongwa kwe-Diastolic Heart Failure njani?

Xa usiya kugqirha, uza kukubuza ngeempawu zakho kunye nembali yempilo yosapho lwakho, aze akuhlole aze amamele intliziyo yakho nge -stethoscope .

Kunokwenziwa uvavanyo olukhethekileyo oluninzi ukuze kufunyaniswe esi siphene sentliziyo. Umzekelo:

• I-X-ray yesifuba : Thatha imifanekiso yesifuba sakho nentliziyo yakho.
• I-Electrocardiogram (EKG) : Uvavanyo olurekhoda umsebenzi wombane wentliziyo.
• I-Echocardiogram : Isebenzisa amaza esandi ukuhlola ulwakhiwo kunye nomsebenzi wemisipha yentliziyo kunye neevalvu.
• Uvavanyo loxinzelelo lomzimba : Isantya sentliziyo yakho siyanda, nokuba kukunika amayeza okanye ngokuhamba nge-treadmill, kwaye intliziyo yakho ijongwa ukuba isabela njani.
• Ukufakwa kwe-catheter yentliziyo : Kufakwa ityhubhu encinci, engenanto (i-catheter) ukulinganisa uxinzelelo kunye nokuhamba kwegazi entliziyweni.

Olu vavanyo luvumela ugqirha ukuba aqinisekise ukuba imeko yakho injani kanye kanye.

Zithini iindlela zonyango zoku?

Musa ukoyika ukuba ufumanisa ukuba une-diastolic heart failure. Kukho iindlela zonyango zokuyilungisa. Ugqirha wakho usenokucebisa utshintsho oluthile kwindlela ophila ngayo . Imikhwa esempilweni inokuphucula impilo yakho yentliziyo kwaye incede intliziyo yakho isebenze kakuhle. Unokufumana isiqabu ngokwenza ezi zinto:

• Fumana kwaye ugcine ubunzima obusempilweni .
• Ukutya ukutya okune-sodium encinci . Kulungile kakhulu ukunciphisa ityuwa ekutyeni esikutyayo nokutya iziqhamo nemifuno emininzi.
• Nyanga uxinzelelo lwegazi oluphezulu .
• Ukunxiba umatshini we-CPAP ukuba une- sleep apnea .
• Ukuzilolonga ubuncinane imizuzu engama-30 phantse yonke imihla yeveki.
• Ukuyeka ukutshaya nokusebenzisa iimveliso zecuba . Buza ugqirha wakho ukuba ufuna uncedo ngale nto.

Isicwangciso sakho sonyango singabandakanya amayeza abhalwe ngugqirha . Kubaluleke kakhulu ukuthatha amayeza akho njengoko ugqirha wakho ekuyalele.

Abantu abaninzi abane-HFpEF basenokuba basebenzisa amayeza ezinye izifo zentliziyo. Ugqirha wakho angakunika amayeza ngokukodwa okusilela kwentliziyo ye-diastolic. Oku kungabandakanya:

• I-Diuretics : Amayeza anceda ekususeni i-sodium egqithisileyo (ityuwa) kunye namanzi emzimbeni. La ngamayeza esiwabiza ngokuba yi-"diuretics."
• Ii-Mineralocorticoid receptor antagonists : Ezi zikwanceda ukugcina amanqanaba e-potassium ngelixa zisusa i-sodium engaphezulu emzimbeni.
• Amayeza okunciphisa uxinzelelo lwegazi .

Ngaba ukusilela kwentliziyo kwi-diastolic kunokunyangeka ngokupheleleyo?

Enyanisweni, ukusilela kwentliziyo okubangelwa yi-diastolic akunakunyangwa ngokupheleleyo . Nangona kunjalo, ngonyango olufanelekileyo, ungazilawula iimpawu kwaye uphucule ukusebenza kwentliziyo yakho. Oku kuthetha ukuba ungaphila kamnandi nale meko.

Singenza ntoni ukunciphisa lo mngcipheko?

Eyona ndlela ilungileyo yokunciphisa umngcipheko wokusilela kwentliziyo kwi-diastolic kukwamkela imikhwa esempilweni . Le mikhwa iya kuphucula impilo yentliziyo yakho iyonke kwaye inciphise umngcipheko wesifo sentliziyo.

Unganciphisa umngcipheko wakho ngokwenza ezi zinto zilandelayo:

• Ukutya ukutya okunempilo kwentliziyo .
• Ukuzilolonga rhoqo .
• Nciphisa ukusetyenziswa kotywala kwaye uphephe ukutshaya .
• Ukulawula iimeko ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu, kunye ne-cholesterol ephezulu .

Iyintoni imbono yomntu one-Diastolic Heart Failure?

Ngonyango, ungaphila kakuhle nokusilela kwentliziyo okubangelwa yi-diastolic. Eyona nto ibalulekileyo kukulandela isicwangciso sonyango sikagqirha wakho ngokuchanekileyo. Nangona ukusilela kwentliziyo okubangelwa yi-diastolic kusenokungapheli ngokupheleleyo, ungazilawula iimpawu zakho.

Yintoni enye ongathanda ukuyibuza ugqirha wakho?

Ungabuza ugqirha wakho imibuzo efana nale:

• Ndingenza ntoni ukuthintela ukuba olu xinzelelo lwentliziyo lungaqhubeki lusiba mandundu?
• Ziziphi izinto endifanele ndiziphephe xa ndinesifo sentliziyo se-diastolic?
• Ndingenza ntoni ukulawula iziphumo ebezingalindelekanga zamayeza?
• Ndifanele ndimbone kangaphi ugqirha xa ndine-diastolic heart failure?

Umyalezo Wokuya Ekhaya

Ukusilela kwentliziyo okubangelwa yi-diastolic yenye yeentlobo ezimbini zokusilela kwentliziyo okwenzeka kwicala lasekhohlo lentliziyo. Ikwabizwa ngokuba yi -HFpEF . Umngcipheko wokufumana le meko uyanda njengoko ukhula. Kwakhona, umngcipheko uphezulu ukuba uneengxaki zempilo ezifihlakeleyo, ezinje ngesifo seswekile okanye uxinzelelo lwegazi oluphezulu.

Nangona kungekho ndlela ipheleleyo yokuphelisa ukusilela kwentliziyo kwi-diastolic, iimpawu zinokulawulwa kakuhle ngokutshintsha indlela yokuphila kunye namayeza.

Abantu abaninzi baphila ubomi obupheleleyo nobuxakekileyo benesifo sentliziyo esibizwa ngokuba yi-diastolic heart failure. Ngoko ke, musani ukoyika kwaye nilandele iingcebiso zonyango ezifanelekileyo.

Isifo sentliziyo, ukusilela kwentliziyo okubangelwa yi-diastolic, ukusebenza kwentliziyo, ukuphefumla okufutshane, ukudumba, uxinzelelo lwegazi oluphezulu, isifo seswekile