Kuqhelekile ukuziva usoyika kwaye ukhathazekile xa ugqirha wakho ekuxelela ukuba intliziyo yakho inkulu kancinci kunesiqhelo. Okanye uziva udiniwe ngalo lonke ixesha, unengxaki yokuphefumla xa unyuka izinyuko, okanye unemilenze evuvukileyo? Ezi zinokuba ziimpawu zokuba intliziyo yakho ikhulu. Ngoko ke namhlanje, masithethe ngale meko ibizwa ngokuba yiCardiomegaly, okanye intliziyo ekhulu. Masiqonde ukuba yintoni kanye kanye, kutheni isenzeka, kunye nento ekufuneka siyenze ngayo.
Kuthetha ukuthini ngokwenene xa intliziyo inkulu?
Ngamafutshane, i-cardiomegaly kuxa intliziyo yakho iba nkulu kunesiqhelo. Zimbini iindlela oku okunokwenzeka ngazo: Enye kuxa izihlunu zentliziyo ziqina . Enye kuxa amagumbi entliziyo evuleka .
Cinga ngale ndlela. Endaweni yokuhamba kwindawo ethe tyaba imini yonke, sinyuka intaba yonke imihla. Emva koko izihlunu ezisemilenzeni yethu kufuneka zisebenze nzima, kwaye ngokuhamba kwexesha, ezo zihlunu ziyakhula. Yiyo loo nto kunjalo. Ukuba intliziyo kufuneka isebenze nzima kunesiqhelo ukupompa igazi emzimbeni, izihlunu ezisentliziyweni nazo ziyaqala ukukhula. Kodwa khumbula, akufani nezihlunu ezisezingalweni nasemilenzeni ezikhula, kwaye intliziyo enkulu ayisoloko iyenza isebenze kakuhle. Ngamanye amaxesha, inokuyenza ingasebenzi kakuhle.
Ngubani osengozini enkulu yokuhlaselwa yile meko?
Nangona le meko inokwenzeka nakubani na, abanye abantu basengozini enkulu.
- Imbali yosapho: Ukuba umama wakho, utata, okanye isalamane sakho esisondeleyo sikhe sanentliziyo evulekileyo, nawe usengozini enkulu.
- Ukusetyenziswa kotywala ngokugqithisileyo: Kwabo basela utywala ngokugqithisileyo ixesha elide.
- Ukutshaya: Kuba ukutshaya kuyayonakalisa intliziyo ngokuthe ngqo.
- Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu): Xa uxinzelelo lwegazi lusanda, intliziyo kufuneka isebenze nzima ukupompa igazi.
- Imbali yokuhlaselwa yintliziyo: Ukuba wena okanye umntu kusapho lwakho ukhe wahlaselwa yintliziyo ngaphambili.
- Ukungazilolongi: Kwabo baphila ubomi bokuhlala phantsi bengenawo umthambo omninzi.
Zithini iimpawu zentliziyo ekhulisiweyo?
Abanye abantu banentliziyo ekhulisiweyo kodwa abanazo iimpawu. Nangona kunjalo, abanye banokufumana enye okanye ngaphezulu kwezi mpawu zilandelayo:
| Uphawu | Ingcaciso elula |
|---|---|
| Ubunzima bokuphefumla | Ukuziva uphelelwa ngumphefumlo xa udiniwe kancinci, xa unyuka izinyuko, okanye xa umile nje. |
| Ukudumba (Ukudumba) | Ukudumba, ingakumbi emilenzeni, emaqatheni, kwaye ngamanye amaxesha esiswini. Oku kubangelwa kukuqokelelwa kolwelo emzimbeni xa intliziyo ingapompi igazi ngokufanelekileyo. |
| Ukudinwa okungaqhelekanga | Ukudinwa kakhulu kunye nokozela ngaphandle kwesizathu. |
| Umntu ongamaziyo xa intliziyo yakhe ibetha | Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza, njengokubhabha esifubeni sakho, okanye ukubetha kwentliziyo yakho akuhambelani. |
| Isiyezi | Oku kungenzeka kuba ingqondo ayifumani igazi elaneleyo elineoksijini. |
Kutheni intliziyo ikhula? Zithini izizathu eziphambili?
Nasiphi na isifo sempilo esenza intliziyo isebenze nzima sinokubangela oku. Eyona nto iphambili neyona ixhaphakileyo eSri Lanka sisifo semithambo yegazi emithanjeni yegazi . Oku kusoloko kubangela ukuhlaselwa yintliziyo.
Eyona nto ibalulekileyo kukufumana unobangela ochanekileyo wokwanda kwentliziyo uze uyinyange. Emva koko, umonakalo osentliziyweni ungalawulwa.
Ukongeza, kunokubakho ezinye izizathu ezininzi:
- Uxinzelelo lwegazi: Xa uxinzelelo lwegazi lungalawulwa ixesha elide.
- Isifo seValve yentliziyo: Xa iivalve ezisentliziyweni zingasebenzi kakuhle.
- I-Cardiomyopathy: Ubuthathaka bemisipha yentliziyo ngenxa yemfuza okanye ezinye izizathu.
- Isifo sentliziyo esizalwa naso.
- Isingqisho sentliziyo esingaqhelekanga (i-Arrhythmia).
- Ezinye izifo: I-anemia, iingxaki ze-thyroid (i-Hyperthyroidism / i-Hypothyroidism), ukungasebenzi kakuhle kwezintso, kwanosulelo oluthile lweentsholongwane lunokubangela oku.
- Ukukhulelwa: Abanye abafazi banokufumana ukwandiswa kwentliziyo yabo okwethutyana ngexesha lokukhulelwa.
Ugqirha uyixilonga njani le meko?
Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho kunye nembali yempilo yosapho lwakho. Emva koko, uza kumamela intliziyo yakho nge-stethoscope ukujonga naziphi na izandi ezingaqhelekanga (ukugquma kwentliziyo). Uza kujonga nokudumba emilenzeni yakho kunye nemithambo evuvukileyo entanyeni yakho.
Emva koko, baya kuyalela iimvavanyo ezininzi ukuqinisekisa imeko echanekileyo kunye nokufumana unobangela.
| Uvavanyo | Ubona ntoni kule nto? |
|---|---|
| I-X-reyi yesifuba | Thatha umfanekiso ongeyonyani wentliziyo nemiphunga uze ufumane umbono osisiseko wobukhulu bentliziyo. |
| I-ECG (i-Electrocardiogram) | Jonga ukusebenza kombane kwentliziyo ukuze ukhangele iingxaki zesingqisho sentliziyo kunye neempawu zokuhlaselwa yintliziyo. |
| I-Echocardiogram (Uvavanyo lwe-Echo) | Olu lolona vavanyo lubalulekileyo. Amaza e-ultrasound angasetyenziselwa ukubona ukuba intliziyo inkulu kangakanani na, ukuba iindonga zayo zinobukhulu kangakanani, ukuba iivalvu zisebenza kakuhle kangakanani na, nokuba ihambisa igazi kakuhle kangakanani na. |
| Uvavanyo loxinzelelo | Jonga indlela intliziyo yakho esabela ngayo xa uzilolonga. |
| Iskeni ye-CT okanye ye-MRI | Fumana imifanekiso yentliziyo ye-3D eneenkcukacha ezithe vetshe kwaye ufunde ingxaki ngokunzulu. |
Iphathwa njani?
Unyango lokukhulisa intliziyo lubandakanya ukulawula imeko esisiseko ebangele oko. Iindlela zonyango zinokwahlulwa zibe ziindidi ezintathu eziphambili.
1. Utshintsho kwindlela yokuphila
Oku kubaluleke kakhulu. Njengamayeza anikwa ngugqirha, nawe kufuneka wenze ezi zinto.
- Ulawulo lwetyuwa: Ukunciphisa ubungakanani betyuwa ekutyeni.
- Ukuyeka ukutshaya: Le yinto omele uyenze ngokuqinisekileyo.
- Ukunciphisa utywala: Ukunciphisa utywala kangangoko kunokwenzeka okanye ukuyeka ngokupheleleyo.
- Ukulawula ubunzima bomzimba: Ukugcina ubunzima obusempilweni.
2. Amayeza (iintlobo zamayeza)
Ngokuxhomekeke kwisizathu, ugqirha wakho uza kukunika amayeza ahlukeneyo.
- Amayeza oxinzelelo lwegazi: Amayeza afana ne-ACE inhibitors kunye nee-ARB alawula uxinzelelo lwegazi.
- Ii-Beta-blockers: Zinceda ekulawuleni uxinzelelo lwegazi kwaye ziphucule ukusebenza kwentliziyo.
- I-Diuretics: Ekwaziwa ngokuba "ziipilisi zamanzi," ezi zinceda ekususeni ulwelo olugqithisileyo emzimbeni ngomchamo.
- Ii-Anticoagulants: Zinciphisa umngcipheko wokuqhekeka kwegazi.
- I-Antiarrhythmics: Ukuba ukubetha kwentliziyo akuhambelani kakuhle.
3. Utyando kunye nezixhobo
Kwezinye iimeko, kunokufuneka olunye unyango ukongeza kumayeza.
- Ukufakelwa kwe-pacemaker: Ukuba isantya sentliziyo yakho siphezulu kakhulu, yigcine isantya sayo sihamba rhoqo.
- Ukufakela isixhobo se-ICD (Implantable Cardioverter Defibrillator): Kuyekisa ukungalingani kwesantya sentliziyo okunokwenzeka ngequbuliso kwaye kubangele ukothuka kombane entliziyweni ukuze ibuyele esiqhelweni.
- Ukulungiswa okanye ukutshintshwa kwevalvu: Ukuba kukho ingxaki kwiivalvu zentliziyo.
- Utyando lwe-Bypass okanye i-Stent Placement: Ukuba imithambo yentliziyo ivaliwe.
Ufanele ufune nini ingcebiso yezonyango ngoko nangoko? (Ufanele uye nini kwi-ETU)
Kwiimeko ezininzi, intliziyo ekhulisiweyo ayisiyongxaki. Nangona kunjalo, ukuba ufumana naziphi na kwezi mpawu zilandelayo, kufuneka uye kwicandelo lezonyango ezingxamisekileyo esibhedlele (ETU) ngoko nangoko .
- Intlungu yesifuba: Intlungu evakala ngathi isifuba siyaqina okanye siyancipha.
- Intlungu ephuma kwiingalo, emqolo, entanyeni, okanye emhlathini.
- Ukulahlekelwa yingqondo ngequbuliso (ukutyhafa).
- Kunzima kakhulu ukuphefumla nangona umi nje ungashukumi.
Umyalezo Wokuya Ekhaya
- I-Cardiomegaly yimeko eyenzeka xa intliziyo kufuneka isebenze nzima. Le ayisiyonto yokoyika, kodwa yinto ekufuneka iqwalaselwe kwaye inyangwe.
- Eyona nto ibalulekileyo kukufumana unobangela ochanekileyo nokuwunyanga. Oku kuya kunceda ukuthintela umonakalo ongakumbi entliziyweni.
- Ukuba uneempawu ezifana nokuphefumla kancinci, ukudumba kwemilenze yakho, okanye ukudinwa okungaqhelekanga , musa ukuzityeshela. Bona ugqirha wakho ngoko nangoko.
- Ukusela amayeza owanikwe ngugqirha wakho ngexesha elifanelekileyo kunye nokwenza utshintsho olufunekayo kwindlela ophila ngayo (ukunciphisa ityuwa, ukuyeka ukutshaya) kubaluleke kakhulu kwimpilo-ntle yakho.
- Ukuba ifunyenwe kwaye yanyangwa kwangethuba, uninzi lwabantu lunokuyilawula kakuhle le meko baze baphile ubomi obuqhelekileyo.
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