Ngaba uyasiva isandi esingaqhelekanga sivela entliziyweni yakho? Masifunde ngeDiastolic Murmur!

Mhlawumbi ukhe weva ugqirha esithi, "Hmm... Ndiva ingxolo encinci, ukugquma," xa bebeka i-stethoscope esifubeni sakho. Kuqhelekile ukuba uzive usoyika kancinci xa besiva loo nto. Kodwa ayizizo zonke ukugquma eziyingozi. Namhlanje siza kuthetha ngohlobo oluthile lwesandi sentliziyo esibizwa ngokuba yi-diastolic murmur . Makhe sibone ukuba yintoni, kutheni isenzeka, kwaye ingaba yinto omele uyoyike.

Yintoni i-Diastolic Murmur?

Kulungile, masiqale sijonge ukuba yintoni i-diastolic murmur. Ngamafutshane, sisandi esingaqhelekanga osivayo ngelixa intliziyo yakho ibetha, oko kukuthi, xa intliziyo yakho iphumle okwethutyana (i-diastole) . Uyazi, xa ujonga uxinzelelo lwakho lwegazi, inombolo esezantsi luxinzelelo lwe-diastolic. Kulungile, oku kuxa intliziyo yakho izaliswe ligazi kwaye ilungiselela ukubetha okulandelayo.

Olu msindo lunokuvakala njengesandi esithi 'swish' okanye 'whoosh', esifana nesandi esijikelezayo. Esi sandi sibangelwa kukuphazamiseka okwenzeka xa igazi lihamba ngeevalvu entliziyweni.

Amaxesha amaninzi, ukugquma okunje akuyongozi. Kodwa ngamanye amaxesha, kunokuba luphawu lwesifo sentliziyo. Ukuba ugqirha wakho uthi une-diastolic murmur, mhlawumbi uya kuyalela ezinye iimvavanyo ukuze aqinisekise ukuba akukho ezinye izifo zentliziyo.

Yintoni umahluko phakathi kwe-systolic kunye ne-diastolic murmurs?

Ngoku usenokuba uyazibuza, 'Ngaba i-diastolic murmur kunye ne-systolic murmur zibalwa njengezibini?' Ewe, yinyani leyo.

• Isandi esivakalayo xa intliziyo iphumla phakathi kokubetha. Esi sandi kunzima ukusibona kunesandi esivakalayo xa sivakala.
• Ukugquma kwe-systolic kuvakala xa izihlunu zentliziyo zifinyela , oko kukuthi, xa intliziyo ipompa igazi (ngexesha le-systole).

Ngamafutshane, ezi ntlobo zimbini zokukhala zenzeka ngamaxesha ahlukeneyo kumjikelo wentliziyo.

Zithini iintetho ezithi “ezingenatyala” nezithi “ezingaqhelekanga”? Ngaba zonke ziyingozi?

Kulungile, enye into ebalulekileyo yindlela ezi mabhile ezihlelwa ngayo.

Oogqirha bathi ezinye ii-murmurs 'zii-murmurs ezingenatyala' . Oku kuthetha ukuba izandi zentliziyo azibangelwa sisifo sentliziyo esingaphantsi. Ezi zii-murmurs nje eziqhelekileyo, ezingenabungozi. Ezi zihlala zibonakala kubantwana abancinci, kwaye zihlala ziphela njengoko bekhula.

Nangona kunjalo, 'ukugquma okungaqhelekanga' kuthetha ukuba ukugquma kubangelwa yimeko yentliziyo engaphantsi. Kulapho oogqirha baya kwenza khona uvavanyo olongezelelweyo ukuzama ukufumana unobangela ochanekileyo.

Ukumbombozela okungenatyala kudla ngokungadingi naluphi na unyango. Nangona kunjalo, unyango lokumbombozela okungaqhelekanga luyahluka ngokuxhomekeke kwimeko yentliziyo ebangele oko.

Khumbula: Ayizizo zonke ii-murmur eziyingozi. Kodwa ukuba ugqirha uthi une-murmur, kubalulekile ukuba uyixilonge.

Ziziphi izizathu ze-diastolic murmur?

Ngoku makhe sijonge ezona zinto zibangela le ngxaki yokukrala kwe-diastolic. Uninzi lwexesha, ezi zinto zibangelwa ziingxaki zeevalvu zentliziyo.

Iingxaki Ezinxulumene Nevalve Yentliziyo

Intliziyo yethu ineevalvu ezine eziphambili. Ezi valve zifana neengcango, zivumela igazi ukuba lihambe kwicala elinye kuphela. Ukuba kukho ingxaki ngezi valve, eso sandi sinokuthi sivele.

• Ukubuyela kwe-Aortic Regurgitation: Oku kwenzeka xa ivalvu ye-aortic, ethwala igazi ukusuka entliziyweni ukuya kwi-aorta, ingavali kakuhle. Oku kubangela ukuba igazi livuze umva. Cinga ngayo njengempompo yamanzi engavalwanga kakuhle kwaye ivuza amanzi.
• Ukubuyela kwegazi kwi-Pulmonic Regurgitation: Kule meko, ivalvu ye-pulmonary ethwala igazi ukusuka entliziyweni ukuya kwimiphunga ayivaleki kakuhle. Nangona kunjalo, igazi livuza libuyela umva.
• I-Mitral Stenosis: Oku kwenzeka xa ivalvu ye-mitral, ethwala igazi ukusuka kwi-atrium yasekhohlo ukuya kwi-ventricle yasekhohlo, incipha. Ifana nombhobho ovalekileyo. Kunzima ukuba igazi lihambe.
• I-Tricuspid Stenosis: Kule nto, ivalvu ye-tricuspid, ethwala igazi ukusuka kwi-atrium yasekunene ukuya kwi-ventricle yasekunene yentliziyo, iyancitshiswa.

Iingxaki zeevalvu ezinje ngezi zibangela utshintsho kwindlela yokuhamba kwegazi, nto leyo ebangela eso sandi 'sokukhwaza', oko kukuthi, ukukhwaza.

Ezinye izizathu

Ukongeza kwiingxaki zevalvu, ukudumba kwe-diastolic kunokwenzeka ngenxa yezizathu ezininzi:

• Ezinye izifo zentliziyo ezizalwa nazo ziimeko zentliziyo ezikhoyo ekuzalweni.
• I-Endocarditis: Olu luhlobo losulelo lwengaphakathi lentliziyo kunye/okanye iivalvu zayo.
• Iziphumo zexesha elide ze- rheumatic fever : Ukuba ayinyangwanga kakuhle ebuntwaneni, i-rheumatic fever inokonakalisa iivalvu zentliziyo.

Ziziphi iimpawu ze-diastolic murmur?

Iimpawu ze-diastolic murmur zixhomekeke kwisizathu esiyintloko. Oko kukuthi, iimpawu zinokwahluka ngokuxhomekeke ekubeni ivalvu inciphile (stenotic) okanye iyavuza (regurgitant). Abanye abantu basenokungabi nazo kwaphela iimpawu. Nangona kunjalo, ezona mpawu zixhaphakileyo zezi:

• Ubunzima bokuphefumla , ingakumbi xa udiniwe okanye ugobile.
• Ukudumba esiswini okanye emilenzeni.
• Ukubetha kwentliziyo ngokukhawuleza , okanye ukuziva ukubetha kwentliziyo ngokukhawuleza.
• Ukudinwa rhoqo.
• Isiyezi.
• Ngamanye amaxesha unokude uphelelwe lithemba .
• Ukukhohlela okungapheliyo.

Ukuba unenye okanye ngaphezulu kwezi mpawu, kubaluleke kakhulu ukubona ugqirha.

Oogqirha bayifumanisa njani i-diastolic murmur? (Ukuxilongwa)

Ngokwesiqhelo, ugqirha uza kuqala afumanise ukuba unayo na ingxolo ngokumamela isifuba sakho nge-stethoscope. Xa emamele, ugqirha uza kuqwalasela izinto ezininzi:

Izinto ozivayo nge-stethoscope

• Ngaba ukutshintsha indlela oma ngayo okanye ukuzilolonga kuyayichaphazela le ngxolo?
• Ingxolo ingakanani?
• Ithini isandi ? Ingaba siphezulu okanye siphantsi?
• Isandi sivakala ngaliphi ixesha xa intliziyo ibetha, kwaye sihlala ixesha elingakanani?
• Kuphi entliziyweni apho oku kungxola kuvakala khona?

Kwiinto ezinje, ugqirha unokufumana umbono othile ngohlobo lwe-murmur.

Zeziphi iimvavanyo ezenziwayo?

Ukuba ukrokrela ukuba une-murmur, ugqirha wakho unokukuthumela kwi-cardiologist ukuze afumane olunye uvavanyo. Olu vavanyo lunokunceda ekufumaneni isigqi kunye nolwakhiwo lwentliziyo yakho. Ezona vavanyo ziqhelekileyo zezi:

• I-Echocardiogram (Echo): Olu lolona vavanyo luphambili olusetyenziswa ukuvavanya ukurhawuzelela kwentliziyo. I-echo isebenzisa amaza e-ultrasound ukuthatha imifanekiso yentliziyo. Ingabonisa izihlunu zentliziyo kunye neevalvu ngokweenkcukacha. Ayinabuhlungu, njengokuskena komntwana esibelekweni.
• I-X-reyi yesifuba: Le ithatha imifanekiso yentliziyo, amathambo kunye nemiphunga. Ingabonisa ukuba intliziyo ikhulu okanye kukho ulwelo emiphungeni.
• I-Electrocardiogram (EKG/ECG): Le irekhoda umsebenzi wombane wentliziyo. Ingajonga naziphi na iingxaki kwintliziyo.

Ngaba singaphinda sifunde ngokuhlelwa kweemabula ezi?

Oogqirha bahlalutya ukurhawuzelela kwentliziyo ngokusekelwe kubukhali bayo, nto leyo ebonisa ukuba isandi sikhulu kangakanani, ukuba isandi sibukhali kangakanani, kwaye sihlala ixesha elide kangakanani.

• I-Diastolic Murmurs ilinganiswa ngokwesikali ukusuka kwisinye ukuya kwezine (1 ukuya ku-4) . Isinye (1) sisandi esivakala kancinci, kwaye ezine (4) sisandi esikhulu kakhulu.
• I-Systolic Murmurs ilinganiswa ukusuka kwi-1 ukuya kwi-6 (1 ukuya kwi-6). I-1 (1) ayivakali kakuhle, kwaye i-6 (6) ivakala kakhulu ngokwaneleyo ukuba ingaviwa ngaphandle kwe-stethoscope ebekwe esifubeni.

Eli banga lingakunika umbono othile ngobunzima bokububula.

Iphathwa njani i-diastolic murmur?

Unyango luxhomekeke kwisizathu esiyintloko sokukhala. Umzekelo, ukuba ukukhala kubangelwa yingxaki yevalvu, ugqirha wakho unokucebisa amayeza, ukulungiswa kwevalvu, okanye ukutshintshwa kwevalvu.

Amayeza

Amanye amayeza asetyenziswa kunyango ngala:

• Izithinteli ze-enzyme eziguqula i-angiotensin (ACE): Umzekelo, i-benazepril (Lotensin®) okanye i-captopril (Capoten®). Ezi zisebenza ngokunciphisa uxinzelelo lwakho lwegazi.
• Ii-Beta-blockers: Ezifana ne-bisoprolol (Cardicor®) okanye i-metoprolol (Lopressor®). Ezi zinciphisa uxinzelelo lwegazi kunye nesantya sentliziyo.
• Izinto zokunciphisa igazi: i-warfarin (Coumadin®) okanye i-aspirin (Bayer®, Zorprin®) zombini ngamayeza anciphisa amandla egazi okujiya.
• I-Diuretics (iipilisi zamanzi): Ezifana ne-furosemide (Lasix®) okanye i-torsemide (Demadex®). Ezi zinceda ekunciphiseni ubungakanani bolwelo olungaphezulu emzimbeni.

Kubalulekile: Kubaluleke kakhulu ukusela la mayeza kanye njengoko ugqirha wakho ekuyalele, ngokwemilinganiselo emiselweyo nangexesha elimiselweyo.

Utyando (Ukulungiswa/Ukutshintshwa kweValve)

Ukuba enye yeevalvu zakho zentliziyo yonakele okanye iyavuza, kunokufuneka wenze utyando lwevalvu yentliziyo.

• Ukulungiswa kweValve: Olu tyando lunokwandisa ivalve encitshisiweyo okanye luqinise ivalve evuzayo. Nanini na xa kunokwenzeka, oogqirha bazama ukulungisa nokugcina ivalve yakho.
• Ukutshintshwa kweValve: Ukuba ivalve incinci kakhulu (i-valve stenosis enzima) okanye yonakele kakhulu, ugqirha uza kuyisusa ivalve aze ayifake ivalve yomatshini okanye ivalve evela kumntu onikelayo.

Ngaba ukudumba kwe-diastolic kunokuthintelwa?

Akukho ndlela ithile yokuthintela ukudumba kwe-diastolic, njengoko kudla ngokunxulunyaniswa nezinye iimeko zonyango. Nangona kunjalo, xa ugqirha wakho ekufumanise ukuba une-diastolic murmur, kubalulekile ukubona ugqirha wakho rhoqo ukuze kuthintelwe unobangela oyintloko (njengengxaki yevalvu) kwaye ulandele imiyalelo yakhe.

Kwakhona, ukulandela imikhwa yokuphila enempilo enokugcina intliziyo yakho isempilweni kunokunciphisa umngcipheko wezi meko ngandlela ithile.

• Yitya ukutya okutyebileyo kwiziqhamo, imifuno, kunye neenkozo ezipheleleyo.
• Yenza umthambo we-aerobic ubuncinane imizuzu eli-150 ngeveki (umz., ukuhamba ngokukhawuleza, ukubaleka, ukudada).
• Nciphisa ukusetyenziswa kotywala kunye ne-caffeine.
• Ukuba uyatshaya, yeka ngokuqinisekileyo .
• Nciphisa uxinzelelo ngezinto ezifana nokucamngca.
• Lala kakuhle ubuncinane iiyure ezisixhenxe ukuya kwezisibhozo ubusuku ngabunye.

Iyintoni imbono yomntu one-diastolic murmur? (Imbono)

Imbonakalo ixhomekeke kwimeko engaphantsi. Ngethamsanqa, ngoku kukho unyango oluhle kakhulu lweengxaki zeevalvu. Kwakhona, ukulandela indlela yokuphila esempilweni kunokukunceda uphile ubomi obungcono nobuzeleyo, nokuba unentliziyo ekhalayo. Ngoko ke ungoyiki, landela nje imiyalelo kagqirha wakho.

Yeyiphi imibuzo ebalulekileyo ekufuneka uyibuze ugqirha?

Xa ufumanisa ukuba une-diastolic murmur, kulungile ukubuza ugqirha wakho imibuzo efana nale:

• Yintoni enokubangela ukuba ndibe novalo oluphantsi kakhulu (diastolic murmur)?
• Zeziphi iintlobo zovavanyo ekufuneka ndizenze?
• Ziziphi iindlela zonyango endinazo?
• Yintoni ekufuneka ndiyazi malunga nokulawula iimeko zonyango ezisisiseko?
• Ngaba kufuneka ndidibane nengcali ?
• Ngaba kufuneka ndenze utshintsho kwindlela endiphila ngayo ukuze ndiphucule impilo yentliziyo yam?

Ukongeza kule mibuzo, buza ugqirha wakho ngayo nayiphi na into onayo, nokuba incinci kangakanani na.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke sithethe kakhulu ngeDiastolic Heart Murmur namhlanje. Nazi izinto ezimbalwa ekufuneka uzikhumbule ngokufutshane:

• Isandi esingaqhelekanga esivakalayo xa intliziyo iphumle (ngexesha le-diastole).
• Nangona uninzi lwezimbombo zingeyongozi, ngamanye amaxesha zinokuba luphawu lwesifo sentliziyo. Ngoko ke ukuba ugqirha ukuxelela ukuba unembombo, kufanelekile ukuba uyihlolwe .
• Ngokuxhomekeke kwisizathu, inganyangwa ngamayeza okanye ngotyando.
• Ukuphila ubomi obusempilweni kuya kukunceda uphile ubomi obusempilweni nangona uneemeko ezinje.
• Ukuba unemibuzo okanye amathandabuzo, ungoyiki ukuthetha nogqirha wakho .

Khumbula, ukunyamekela intliziyo yakho kubaluleke kakhulu. Ndiyathemba ukuba olu lwazi luza kukunceda!

Ukumbombozela kweDiastolic , Ukumbombozela kweDiastolic, Isifo seNtliziyo, Iivalvu zeNtliziyo, Ukunqongophala kokuphefumla, Ukubetha kweNtliziyo, i-Echocardiogram, i-ECG, iSandi seNtliziyo, Ukubetha kweNtliziyo