Ingaba intliziyo yakho ibuthathaka kwaye ikhulisiwe? Masithethe nge-Dilated Cardiomyopathy!

Intliziyo yethu sisitho esimangalisayo ngokwenene, akunjalo? Siyikhathalele kangakanani le ntliziyo ehlala inika ubomi emzimbeni wethu wonke? Ngamanye amaxesha, ngaphandle kokuba singazi, le ntliziyo inokuba neengxaki ezahlukeneyo kunye nezifo. Namhlanje siza kuthetha ngesifo esenza intliziyo ibe buthathaka kwaye senza izihlunu zentliziyo zibe nkulu ngokungeyomfuneko, isifo esinegama eloyikekayo kancinci, kodwa kubaluleke kakhulu ukuba sonke siqaphele. Oku kubizwa ngoogqirha (Dilated Cardiomyopathy).

Yintoni i-Dilated Cardiomyopathy?

Ngamafutshane, le meko (i-Dilated Cardiomyopathy) iyenzeka xa igumbi eliphambili lokumpompa lentliziyo yakho, i-ventricle yasekhohlo , okanye umsipha oyintloko wentliziyo, unwebeka kwaye ube mkhulu kunesiqhelo. Cinga ngayo njengokunwebeka kwebhendi yerabha, kodwa kule meko, ayilungelanga intliziyo. Xa umsipha wentliziyo ubuthathaka, uncipha, kwaye ukhula, amandla entliziyo okupompa igazi ngokufanelekileyo ayancipha. Kwenzeka ntoni ke ngoko? Ngalo lonke ixesha intliziyo ibetha, kusala igazi elincinci ngaphakathi entliziyweni. Ngenxa yoko, wonke umzimba awufumani umlinganiselo ofanelekileyo wegazi elineoksijini. Kwiimeko ezinzima, oku kunokuchaphazela nezinye iindawo zentliziyo.

Abaphandi baqikelela ukuba malunga nabantu abangama-36 kwabayi-100,000 kuluntu ngokubanzi banengxaki yesi sifo. Kodwa iindaba ezimnandi zezokuba kukho unyango lwesi sifo sentliziyo. Kwaye kukho izinto onokuzenza ukulawula esi sifo.

Zithini iimpawu zesi sifo?

Abantu abaninzi, ingakumbi kwizigaba zokuqala zesi sifo, basenokungabonakalisi zimpawu. Leyo yinxalenye eyoyikisayo yesi sifo. Kodwa njengoko ukusebenza kwentliziyo kuya kusiba mandundu kancinci kancinci, uqala ukuziva iimpawu ezingakumbi.

Iimpawu ze-Dilated Cardiomyopathy zingabandakanya:

• Intlungu yesifuba okanye ukuxinana
• Ukukhwehlela kunye nokuxinana
• Isiyezi okanye ukuba nentloko ebuhlungu
• Ukuquleka
• Ndiziva ndidiniwe ngokungaqhelekanga ( Ukudinwa )
• Ukubetha kwentliziyo okanye ukuphaphazela esifubeni sakho
• Ukuphefumla nzima/ukuphelelwa ngamandla
• Ukudumba/ukudumba kwesisu, imilenze, amaqatha, neenyawo
• Ukwanda kobunzima obungalindelekanga ngenxa yokugcina ulwelo

Ukuba unenye okanye ngaphezulu kwezi mpawu, kubaluleke kakhulu ukufuna ingcebiso kagqirha ngokukhawuleza.

Kutheni le nto (i-Dilated Cardiomyopathy) isenzeka?

"Kutheni le nto yenzeka kum?" usenokuba uzibuza. Enyanisweni, kwiimeko ezininzi, neengcali azikwazi ukukhomba unobangela ochanekileyo. Nangona kunjalo, kukho izizathu ezaziwayo. Nazi:

• Ukubetha kwentliziyo okungaqhelekanga (iingxaki zesingqisho) ( i-Arrhythmia )
• Ingxaki yokusebenzisa utywala
• Amanye amayeza okulwa nomhlaza (la mayeza anokuba yingozi entliziyweni - amachiza anobuthi kwintliziyo )
• Iingxaki ezenzeka emva kwexesha lokukhulelwa okanye emva kokubeleka
• Isifo sentliziyo esizalwa naso
• Isifo semithambo yentliziyo
• Isifo seswekile
• Iimeko ezizuzwe ngabazali nge-genes (oku kubizwa ngokuba yi -familial dilated cardiomyopathy . Oku kunokubangela ngaphezulu kwama-50% eemeko)
• Ukuhlaselwa yintliziyo
• Isifo sevalvu yentliziyo
• Igazi elonyukayo
• Usulelo lwe-HIV
• Izifo ezifana nokudumba kwemisipha yentliziyo (umzekelo, i-myocarditis )
• Ukusetyenziswa kweziyobisi ezifana ne-cocaine
• Isifo se-thyroid
• I-hepatitis yentsholongwane

Ngamanye amaxesha umntu unokuba nezizathu ezingaphezu kwesinye. Umzekelo, usenokuba ne-Dilated Cardiomyopathy ngenxa yesinye isifo, ngelixa usenokuba unesifo semfuza.

Ngubani osengozini enkulu yokuhlaselwa sesi sifo?

Abanye abantu banamathuba amaninzi okufumana le meko kunabanye. Nazi:

• Abantu abangaphantsi kweminyaka engama-50 ubudala
• Abantu abamnyama (nangona oku kungabalulekanga kangako eSri Lanka, yinto ebonwa kwihlabathi liphela)
• Amadoda
• Ukuba kukho umntu kusapho one-Dilated Cardiomyopathy (impembelelo yemfuza)

Ziziphi iingxaki ezinokubakho zeDilated Cardiomyopathy?

Ukuba esi sifo siyaqhubeka, oko kukuthi, kumanqanaba okugqibela, iingxaki ezahlukeneyo zinokuvela. Ezi zinzima kakhulu, yiyo loo nto kubalulekile ukufuna unyango ngokukhawuleza.

Ezi ngxaki zingabandakanya:

• Ukubetha kwentliziyo okungaqhelekanga ( i-Arrhythmia )
• Intlungu yesifuba ( i-Angina )
• Amahlwili egazi entliziyweni (la mahlwili egazi anokuhamba aye emiphungeni aze abangele imeko eyingozi ebizwa ngokuba yi-pulmonary embolism )
• Ukubanjwa kwe-cardiac
• Ukuhlaselwa yintliziyo
• Ukusilela kwentliziyo - Oku kuthetha ukuba intliziyo ibuthathaka kangangokuba ayinakukwazi ukuhlangabezana neemfuno zomzimba.
• Isifo sevalvu yentliziyo
• Istroke

Cinga nje ngendlela ezi ngxaki zinzima ngayo. Yiyo loo nto ufanele ukhathazeke xa ubona nophawu oluncinci.

Oogqirha bayixilonga njani le sifo (i-Dilated Cardiomyopathy)?

Xa usiya kugqirha, into yokuqala ayenzayo kukubhala imbali yakho yezonyango.Ugqirha wakho uza kukubuza ngembali yakho yezonyango (njengezifo okanye amayeza owasebenzisayo ngaphambili) kunye nembali yosapho lwakho (njengezifo oluye lwaba nazo usapho lwakho). Emva koko, baza kwenza uvavanyo lomzimba . Ngeli xesha, ugqirha uza kumamela imiphunga yakho ukuze ajonge ukuba akukho manzi aqokelelene na. Okumangalisayo kukuba, ugqirha unokuva isandi esingaqhelekanga entliziyweni yakho (ukugquma kwentliziyo) ngaphambi kokuba ube nazo naziphi na iimpawu.

Emva koko, kuya kufuneka wenze iimvavanyo ezahlukeneyo ukuze ubone ukuba isifo sinzima kangakanani na kwaye ucebe unyango olukufaneleyo.

Zeziphi iimvavanyo ezenziwayo koku?

Ngokwesiqhelo, iimvavanyo ezinjalo zinokwenziwa:

• I-Angiogram: Le ijonga ukuba akukho na ukuvaleka kwemithambo yentliziyo ehambisa igazi entliziyweni yakho.
• Uvavanyo lwegazi: Olu vavanyo lujonga umonakalo wentliziyo kunye nezinye iingxaki.
• I-X-reyi yesifuba: Oku kunokunika umbono ocacileyo wokuba intliziyo yakho inkulu kunesiqhelo na.
• I-Echocardiogram: Olu luvavanyo olubaluleke kakhulu. Lufana 'nevidiyo' yentliziyo. Lungabonisa indlela intliziyo esebenza ngayo, indlela izihlunu ezisebenza ngayo, kunye nendlela iivalvu ezisebenza ngayo.
• I-Electrocardiogram (EKG/ECG): Le nkqubo ijonga ukusebenza kombane kwentliziyo, oko kukuthi, ukuba kukho naziphi na iingxaki ngesingqisho sentliziyo.
• Uvavanyo loxinzelelo lokuzivocavoca: Olu vavanyo luvavanya indlela intliziyo yakho esabela ngayo xa usenza umthambo.
• Uvavanyo lwemfuza: Olu vavanyo lunceda ekuqinisekiseni ukuba unesifo esibangelwa yimfuza.
• I-MRI yentliziyo: Oku kunokubonelela ngomfanekiso ocacileyo wobukhulu kunye nomsebenzi wamagumbi entliziyo.
• I-Endomyocardial biopsy: Oku akwenziwa rhoqo. Kubandakanya ukuthatha isampuli encinci yesihlunu sentliziyo uze uyihlolisise.

Iphathwa njani i-Dilated Cardiomyopathy?

Ungadinga iintlobo ezahlukeneyo zonyango. Nangona olu nyango luhlala lungenakunyanga isifo ngokupheleleyo, lunokunceda ukulawula iimpawu kwaye lukuncede uphile ubomi obude nobunempilo. Okukhona unyango luqala ngokukhawuleza, kokukhona iziphumo ziba ngcono. Ingcali yakho yentliziyo okanye ingcali yokusilela kwentliziyo iya kuthetha nawe kwaye yenze isigqibo ngesicwangciso sonyango esifanelekileyo kuwe.

Iindlela zonyango zinokwahlulwa zibe ziindidi ezintathu eziphambili: amayeza, utshintsho kwindlela yokuphila, kunye notyando okanye ezinye iinkqubo zonyango.

Amayeza

Kukho iintlobo ezahlukeneyo zamayeza anokuphucula ukusebenza kwentliziyo yakho kwiimeko zeDilated Cardiomyopathy. Eminye imizekelo yile:

• Izithinteli ze-ACE
• Abachasi be-Aldosterone
• I-Angiotensin receptor/neprilysin inhibitors (ARNI)
• Amayeza e-antiarrhythmics (amayeza okubetha kwentliziyo okungahambelaniyo)
• Ii-Beta-blockers
• Izinto zokunciphisa igazi/izinto ezithintela ukugabha kwegazi - ingakumbi kubantu abaneemeko ezifana ne -atrial fibrillation
• Amayeza anciphisa ulwelo olungafunekiyo emzimbeni ( i-Diuretics )

Kubaluleke kakhulu ukuthatha onke la mayeza njengoko ugqirha wakho ekuyalele, ngomlinganiselo ochanekileyo, nangexesha elifanelekileyo.

Utshintsho kwimikhwa yemihla ngemihla

Ngokwenza utshintsho oluncinci kwindlela yakho yemihla ngemihla, ukutya, kunye nezinye izinto, ungenza amayeza akho asebenze ngcono, mhlawumbi ude ulibazise okanye uphephe imfuneko yotyando ngokupheleleyo.

Olu tshintsho lulandelayo:

• Khusela umzimba wakho: Nciphisa utywala obuselayo. Ziphephe ngokupheleleyo iziyobisi ezingekho mthethweni. Zikhusele kwiintsholongwane ezifana ne-hepatitis kunye ne-HIV.
• Yitya ukutya okunempilo nentliziyo: Yitya inyama eninzi engenamafutha (njengenkukhu nentlanzi), iziqhamo, kunye nemifuno. Ukutya ukutya okunetyuwa encinci kunokunceda ekunciphiseni ukugcinwa kolwelo emzimbeni, nto leyo enokubangela uxinzelelo entliziyweni.
• Yandisa umsebenzi womzimba: Ukuzilolonga okuthambileyo okunganzima kakhulu entliziyweni kunokunceda ukuphucula ukusebenza kwentliziyo. Thetha nogqirha wakho malunga nokuba zeziphi izilolonga ezifanelekileyo kuwe. Ungacinga nangokuthatha inxaxheba kwinkqubo yokuvuselela intliziyo . Le yindawo elungileyo yokuqala ukuzilolonga ngokukhuselekileyo.

Utyando kunye neenkqubo ezingafunekiyo kakhulu

Ukuba isifo sihambele phambili kwaye ukusebenza kwentliziyo kunciphile kakhulu, ungadinga utyando okanye ezinye iinkqubo zonyango ezikhethekileyo. Ezinye zeenkqubo zeDilated Cardiomyopathy zezi:

• I-Biventricular pacemaker: Esi sisixhobo esinceda amagumbi entliziyo ukuba asebenze ngesingqisho esifanayo.
• I-ICD (i-ICD) efakelweyo: Ukuba ukubetha kwentliziyo yakho kuba yinto engaqhelekanga ngendlela eyingozi, esi sixhobo senza umbane omncinci ukubuyisela izinga lentliziyo yakho.
• Utyando lokungasebenzi kakuhle kwentliziyo okanye iivalvu zentliziyo: Ezi ziphucula ukusebenza kwentliziyo.
• Isixhobo sokuncedisa i-ventricular yasekhohlo (LVAD): Esi sisixhobo soomatshini esinceda ukupompa igazi kwimisipha yentliziyo ebuthathaka kakhulu.
• Ukufakelwa intliziyo: Olu lukhetho olunqabileyo kakhulu, oluqwalaselwayo xa zonke ezinye iindlela zonyango zingaphumelelanga.

Ngaba esi sifo singathintelwa?

Inyaniso kukuba, le meko ayinakuthintelwa rhoqo. Isenokuba yinto eyenzeka kusapho lwakho (i-genetics). Okanye, isenokuba ibangelwa yi-chemotherapy yesifo esifana nomhlaza.Inokwenzeka nanjengesiphumo esingesiso sonyango.

Nangona kunjalo, kukho izinto onokuzenza ukunciphisa umngcipheko wakho wokufumana i-Dilated Cardiomyopathy:

• Ziphephe ngokupheleleyo iziyobisi ezifana ne-cocaine.
• Ukuba usela utywala, bunciphise bube buncinci kakhulu.
• Ukuba unezifo ezifana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu, zilawule kakuhle.
• Lumka kakuhle intliziyo yakho ukuze uthintele ukuhlaselwa yintliziyo (ukutya okunempilo, ukuzilolonga, kunye nokuphepha ukutshaya).

Yintoni onokuyilindela xa uphila nesifo esibizwa ngokuba yiDilated Cardiomyopathy?

Ingqikelelo yakho ixhomekeke kwisizathu kunye nobunzima bemeko yakho. Ngonyango oluqhelekileyo, unokukwazi ukubuyela emsebenzini kwaye uqalise imisebenzi yakho yemihla ngemihla. Nangona kunjalo, ngamanye amaxesha iimpawu zakho zinokuba mandundu ngokuhamba kwexesha. Ukuba imeko yakho iba mandundu okanye iingxaki zivele, unokuba nobunzima bokumelana nayo. Kusenokufuneka uhlale esibhedlele de iimpawu zakho zibe ngcono.

Kwabaninzi abantu, i-dilated cardiomyopathy inokuba mandundu ngokuhamba kwexesha kwaye ikhokelele ekusileleni kwentliziyo ixesha elide. Oku kuthetha ukuba intliziyo iba buthathaka kangangokuba ayikwazi ukumelana neemfuno zomzimba. Ukusilela kwezintso kunye nokusilela kwentliziyo okuqatha ziimpawu zokuba esi sifo asizukuhamba kakuhle. Abantu abaneempawu nokuba baphumle, okanye abangakwaziyo ukwenza nayiphi na imisebenzi yomzimba, badla ngokuba neziphumo ezimbi kakhulu.

Kodwa ungakhathazeki! Impilo nobomi obulindelekileyo babantu abane-Dilated Cardiomyopathy buphucuke kakhulu kwiminyaka yakutshanje. Oku kungenxa yonyango oluphuculweyo kunye nokubonwa kwangethuba. Namhlanje, abantu abangaphezu kwama-80% abanesi sifo baphila kakuhle iminyaka esibhozo, ngaphandle kokufuna ukufakelwa intliziyo.

Ndingazinyamekela njani?

Eyona nto ibalulekileyo onokuyenza ngelixa uphila nesi sifo kukuzinyamekela. Landela imiyalelo kagqirha wakho ngononophelo.

• Lumka iimpawu zeengxaki, ezinje ngokutyeba ngequbuliso, yonke imihla.
• Yenza utshintsho olucetyiswa ngugqirha wakho (umz., ukutya ukutya okunetyuwa encinci) ngokuchanekileyo.
• Bona ugqirha wakho ukuze akutyelele izihlandlo ezininzi ngonyaka.
• Sela amayeza amiselweyo ngokuchanekileyo nangexesha elifanelekileyo.

Ndifanele ndimbone nini ugqirha wam?

Ngenxa yokuba imeko yakho inokutshintsha ngokuhamba kwexesha, kungcono ukuhlala unxibelelana nogqirha wakho kwaye uhlolwe rhoqo. Le yinto omele uyenze ubomi bakho bonke. Ukuba uziva ukuba iimpawu zakho ziya zisiba mandundu, thetha nogqirha wakho ngoko nangoko. Unokukunceda ukulawula iimpawu zakho.

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa usandul’ ukufunyanwa unesifo, kuyinto eqhelekileyo ukuba nemibuzo emininzi. Ungathandabuzi ukubuza ugqirha wakho imibuzo efana nale:

• Ingaba licebo elihle na ukufumana uvavanyo lwemfuza kusapho lwam lonke?
• Ngaba ndifanele ndiphephe umsebenzi onzima?
• Ngaba ikho iqela lenkxaso endinokujoyina, nokuba kuseSri Lanka okanye kwi-intanethi?
• Luluphi uhlobo lokudla olundilungeleyo?
• Luhlobo luni lomthambo endifanele ndiwenze kwaye ndiwenze ixesha elingakanani?

Akukho mntu ufuna ukwazi ukuba intliziyo yakhe ayisebenzi kakuhle. Nangona kunjalo, oogqirha banamhlanje banokubonelela ngeendlela ezahlukeneyo zonyango ukunceda intliziyo yakho isebenze kakuhle kwiimeko ezifana neDilated Cardiomyopathy. Kukwakho notshintsho olulula onokulwenza ukuphucula imeko yakho. Ungoyiki ukubuza imibuzo nokuqonda ukhetho lwakho. Ungasebenzisana nogqirha wakho ukuze ufumane eyona ndlela ingcono yokuqhubeka nale meko.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ndiyathemba ukuba ngoku uyiqonda ngcono isifo semisipha yentliziyo esithethe ngaso namhlanje (i-Dilated Cardiomyopathy) . Nangona esi sisifo esibi kakhulu, ukuba uyasazi kwaye usilawula ngokufanelekileyo, ungaphila ubomi obuhle.

Eyona nto ibalulekileyo kukwazi iimpawu, ufune iingcebiso zonyango ngokukhawuleza, kwaye ulandele unyango kunye nemiyalelo oyinikwe ngugqirha wakho ngokuchanekileyo. Awuwedwa, kukho oogqirha kunye nabasebenzi bezempilo abanokukunceda kwaye bakukhokele kolu hambo. Ngoko ke hlala uqinile kwaye ujongane nale meko.

Isifo sentliziyo , ukwandiswa kwentliziyo, ukwanda kwentliziyo, ukuba buthathaka kwemisipha yentliziyo, ukuphefumla nzima, ukungaphumeleli kwentliziyo, unyango lwentliziyo