Ukulindela umntwana lelinye lawona maxesha amnandi ebomini bakho. Kodwa kwangaxeshanye, umzimba wakho udlula kwiinguqu ezininzi. Ngolu tshintsho, ngamanye amaxesha ungaziva usoyika kancinci, ingakumbi xa kufikwa kwiingxaki zentliziyo. Abantu abaninzi bayoyika ngokungeyomfuneko kuba bengazi nto ingako ngale nto. Ngoko ke, namhlanje siza kuthetha ngayo yonke into ekufuneka uyazi malunga nesifo sentliziyo ngexesha lokukhulelwa, ngokulula nangokucacileyo.
Yintoni isifo sentliziyo ngexesha lokukhulelwa?
Ngamafutshane, nayiphi na ingxaki echaphazela intliziyo yakho ngexesha lokukhulelwa iwela kolu didi. Oku kunokwenzeka ngeendlela ezimbini eziphambili.
1. Iimeko zentliziyo ezazikho ngaphambili: Oku kubhekisa kwiimeko zentliziyo owawunazo ngaphambi kokuba ukhulelwe. Ezi zisenokuba azizange zikubangele naziphi na iimpawu okanye iingxaki ezinkulu ngaphambili. Nangona kunjalo, ngotshintsho olwenzeka emzimbeni wakho ngexesha lokukhulelwa, ezi meko zinokukuchaphazela ngendlela eyahlukileyo kwaye zibangele iingxaki.
2. Isifo sentliziyo esiqalayo ngexesha lokukhulelwa: Ezi ziimeko obungenazo ngaphambi kokuba ukhulelwe kwaye ezikhula ngeli xesha. Nangona ezinye zazo zingenabungozi, ezinye zinokuba yingozi.
Eyona nto ibalulekileyo kukuba uninzi lwabasetyhini abanesifo sentliziyo banokukhulelwa ngokukhuselekileyo baze bazale umntwana osempilweni, kodwa oku kufuna iingcebiso zonyango ezifanelekileyo kunye nolawulo.
Nangona kunjalo, ngamanye amaxesha le meko inokubangela iingxaki ezinkulu. Enyanisweni, kumazwe afana ne-United States, isifo sentliziyo sesona sizathu siphambili sokufa koomama.
- Ukufa oku-1 kwaba-3 okunxulumene nokukhulelwa kubangelwa sisifo sentliziyo.
- Isifo sentliziyo sichaphazela malunga nabantu abakhulelweyo aba-4 kwaba-100.
- Izinto ezinje ngoxinzelelo lwegazi oluphezulu, ukutyeba kakhulu (ubunzima bomzimba obuphezulu), kunye nokuba neminyaka engaphezu kwama-40 ubudala ziyandisa ngakumbi le ngozi.
Musa ukoyika ukufunda ezi zinto. Ezi zizinto zokukwenza uqaphele. Ukuba ukhulelwe okanye uceba ukukhulelwa, kubaluleke kakhulu ukuqaphela oku. Ngaphambi koko, masiqonde ukuba kwenzeka ntoni entliziyweni yakho nakwimithambo yegazi ngexesha lokukhulelwa.
Kwenzeka ntoni entliziyweni yakho nakwimithambo yegazi ngexesha lokukhulelwa?
Umzimba wakho udlula kwiinguqu ezininzi ezimangalisayo ngeli xesha. Ezi nguqu zibeka uxinzelelo olongezelelekileyo emzimbeni wakho kwaye intliziyo yakho kufuneka isebenze nzima kunesiqhelo. Ezi nguqu ziqhelekile. Zenzelwe ukuqinisekisa ukuba umntwana okhulela esibelekweni ufumana umlinganiselo ofanelekileyo weoksijini kunye nezondlo.
- Ukwanda komthamo wegazi: Umthamo wegazi lomzimba wakho uqala ukwanda kwiiveki zokuqala zokukhulelwa. Ekupheleni kokukhulelwa, umthamo wegazi lakho unyuke malunga ne-40% - 45%. Khumbula, oku kungenxa yokuba umlinganiselo wegazi lakho kufuneka unyuke kunye nomntwana wakho.
- Ukunyuka kwesantya sentliziyo:Kuqhelekile ukuba isantya sentliziyo yakho sinyuke malunga ne-10-20 beats ngomzuzu ngeli xesha. Oku kukhula kancinci kancinci, kufikelela kwinqanaba eliphezulu kwi-trimester yesithathu.
- Isiphumo sentliziyo: Eli linani legazi elimpompa intliziyo yakho ngomzuzu. Oku kunokunyuka ngama-30% ukuya kuma-50% phakathi kweveki yama-28 nama-34. Ukuba ukhulelwe amawele, oku kunokunyuka ukuya kuthi ga kuma-60%.
Olu tshintsho lunokukwenza uzive izinto ezinje:
- Ukuziva udiniwe ngendlela enganyamezelekiyo (Ukudinwa).
- Ndiziva ndinesizungu.
- Ubunzima bokuphefumla, uzive ngathi uyafuthaniseka (Dyspnea).
- Ukubetha kwentliziyo (ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza).
Nanku apho kubhideka khona kancinci. Ezi mpawu zixhaphakile ngexesha lokukhulelwa. Nangona kunjalo, ezi mpawu zinokuba ziimpawu zesifo sentliziyo . Ngoko ke, nangona uneempawu ezilumkisayo zesifo sentliziyo, unokucinga, "Owu, oku kunxulumene nokukhulelwa." Yiyo loo nto isifo sentliziyo ngexesha lokukhulelwa siyingozi kangaka. Kunokuba nzima ukufumanisa ukuba uphawu luqhelekile okanye yinto ekufuneka uyixhalabele.
Ukuba unesifo sentliziyo esele sikhona, usengozini enkulu yokufumana iingxaki ngexesha lokukhulelwa. Le ngozi ixhomekeke kuhlobo lwesifo onaso kunye nobunzima baso.
Kuthekani ukuba unesifo sentliziyo esele sikhona?
Ezinye izifo zentliziyo zinxulunyaniswa nomngcipheko okhulayo weengxaki ngexesha lokukhulelwa. Ukuba unayo nayiphi na kwezi meko zidweliswe ngezantsi, kubalulekile ukuxoxa ngemingcipheko nogqirha wakho ngaphambi kokuba ukhulelwe.
Isifo sentliziyo esizalwa naso
Ezi ziingxaki zentliziyo yakho oza kuba nazo xa uzalwa. Ezinye zezi zinokuba zincinci, ngelixa ezinye zinokuba zimbi kakhulu. Abantwana abaneengxaki ezinzulu badla ngokuphathwa xa besebancinci. Kodwa ngamanye amaxesha intliziyo isenokusebenza ngendlela eyahlukileyo emva kotyando.
Ngoko ke, ukuba unesifo sentliziyo esizalwa naso, thetha nogqirha wakho ngaphambi kokuba ukhulelwe. Uza kukuthumela kwingcali yentliziyo. Baza kuvavanya umngcipheko wokukhulelwa kwakho baze bakunike iingcebiso ezifanelekileyo.
Iingxaki eziqhelekileyo kubafazi abakhulelweyo abanesifo sentliziyo sokuzalwa zezi:
- Ukubetha kwentliziyo okungaqhelekanga (i-Arrhythmia)
- Ukumelwa yintliziyo
- Ukukhubazeka komntwana ongekazalwa okanye ukuzalwa ngaphambi kwexesha
Iimeko ezinobungozi obuphantsi:
- I-stenosis yevalvu yemiphunga ethambileyo.
- Ndiyinyange ngempumelelo "imingxunya entliziyweni" - (Atrial Septal Defects - ASDs) kunye (Ventricular Septal Defects - VSDs).
- Iphathwe ngempumelelo (iPatent Ductus Arteriosus - PDA).
Iimeko ezinobungozi obukhulu:
- I-stenosis yevalvu ye-aortic enevalvu ye-aortic e-bicuspid.
- Ukudibana kwe-aorta.
- I-Tetralogy of Fallot (inyangiwe).
- Ukutshintshwa kwemithambo emikhulu (enyangiweyo).
Zininzi nezinye izifo zentliziyo zokuzalwa ezingekho kolu luhlu. Nokuba imeko yakho ayidweliswanga apha, kubalulekile ukuthetha nogqirha wakho ukuba ucinga ngokukhulelwa.
I-Cardiomyopathy
I-cardiomyopathy yeyona nto iphambili ebangela iingxaki ezinkulu kunye nokufa ngexesha lokukhulelwa. Umngcipheko uxhomekeke kuhlobo onalo kunye nobunzima balo. Ukuba unale meko, thetha ngeengozi ngaphambi kokuba ukhulelwe.
Isifo seValve yeNtliziyo
Kukho iintlobo ezininzi zesifo sevalvu yentliziyo esinokuvela ebomini bakho. Ezinye izifo ezincinci zevalvu azichaphazeli ukukhulelwa, ngelixa ezinye iimeko ezinzima zandisa umngcipheko. Ukuba unembali yesifo sevalvu, buza ugqirha wakho ukuba kukhuselekile na ukukhulelwa.
Abanye abafazi banokuba nevalvu yentliziyo yokufakelwa. Bafuna ukhathalelo olukhethekileyo ngexesha lokukhulelwa. Oku kungenxa yokuba umngcipheko wokuqhekeka kwegazi uphezulu ngexesha lokukhulelwa. Kwakhona, ukuba nevalvu yokufakelwa kwandisa loo mngcipheko nangakumbi. Ezinye izinto zokunciphisa igazi (i-anticoagulants) ezisetyenziswa ngenxa yoku zinokuba yingozi kumntwana. Ke ngoko, ukuba unevalvu yokufakelwa, qiniseka ukuba ubona ugqirha wentliziyo ngaphambi kokuba ucwangcise ukukhulelwa.
Zeziphi izifo zentliziyo ezintsha ezinokuvela ngexesha lokukhulelwa?
Nokuba awuzange ube nesifo sentliziyo ngaphambili, usenokuba neengxaki ezintsha zentliziyo okanye zemithambo yegazi ngexesha lokukhulelwa. Makhe sijonge ukuba zithini.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu) | Ichaphazela malunga nomntu omnye kwabasetyhini abali-10 abakhulelweyo. Kukho iintlobo ezahlukeneyo: - Uxinzelelo lwegazi oluphezulu lokukhulelwa: Uxinzelelo lwegazi oluphezulu oluqala emva kweeveki ezingama-20. - I-Preeclampsia: Uxinzelelo lwegazi oluphezulu, iiproteni kumchamo, okanye umonakalo kwezinye izitho zomzimba. Ukuba oku kuhamba nokuxhuzula, kuthiwa yi -Eclampsia . - Uxinzelelo lwegazi olungapheliyo:Uxinzelelo lwegazi oluphezulu olubekho ukususela ngaphambi kokukhulelwa. |
| Isifo Seswekile Sokukhulelwa | Amanqanaba aphezulu eswekile egazini ayenzeka emva kweeveki ezingama-20 zokukhulelwa. Ukuba akanyangwa, iingxaki zinokwenzeka kumama nakumntwana. |
| Ukubetha kwentliziyo okungaqhelekanga (iiArrhythmias) | Ukuphazamiseka kwentliziyo. Eyona ixhaphakileyo yimeko ebizwa ngokuba yi -supraventricular tachycardia (SVT) . |
| Ukuqhaqha kwemithambo yentliziyo okuzenzekelayo (SCAD) | Le yimeko esongela ubomi apho udonga lomthambo ohambisa igazi entliziyweni lukrazuka khona. Idla ngokuvela kwiveki emva kokuzala. |
| I-Cardiomyopathy yePeripartum | Uhlobo lokungasebenzi kakuhle kwentliziyo oluvela ekupheleni kokukhulelwa okanye emva nje kokubeleka. Luvela kubafazi abangenaso isifo sentliziyo ngaphambili. |
| Amahlwili egazi (i-DVT kunye ne-Pulmonary Embolism) | Ngexesha lokukhulelwa, kukho umngcipheko okhulayo wokuqhekeka kwegazi (i-Deep Vein Thrombosis - DVT) kwimithambo enzulu yomzimba (ngesiqhelo emilenzeni). Ukuba eli hlwili legazi liya emiphungeni, libizwa ngokuba yi- (Pulmonary Embolism - PE) . Le yimeko eyingozi kakhulu. |
Ungaziqonda njani iimpawu zesifo sentliziyo?
Njengoko besitshilo ngaphambili, ezinye iimpawu zesifo sentliziyo zifana kakhulu neempawu eziqhelekileyo zokukhulelwa, ngoko ke kubalulekile ukwahlula phakathi kwazo zombini.
| Iimpawu eziqhelekileyo ngexesha lokukhulelwa | Iimpawu ezilumkisayo ezinokubonisa ukuhlaselwa yintliziyo |
|---|---|
| - Ukudinwa kakhulu - Ukuchama rhoqo - Ukuphefumla kancinci - Ukudumba kwemilenze namaqatha (i-Edema) | - Ubunzima bokuphefumla nokuba uphumle - Ubunzima bokuphefumla obukuvusa ebusuku - Ukubetha kwentliziyo okuhlala ngaphezu kwemizuzwana engama-30 - Ukuquleka - Intlungu yesifuba okanye ukuxinana - Umbono ofipheleyo |
Okubaluleke kakhulu: Ukuba ufumana iintlungu esifubeni okanye ukungakhululeki , musa ukuzityeshela. Fowunela u-911 ngoko nangoko okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane. Isenzo esikhawulezileyo ngexesha elinje sinokusindisa ubomi.
Xelela ugqirha wakho ngazo zonke iimpawu ozibonayo. Kungangcono ukuba ungabhala ezi zinto encwadini.
- Uphawu oluvayo.
- Umhla kunye nexesha.
- Ubunzima bayo (kwisikali se-1-10).
- Oko ubukwenza ngelo xesha (umz., ukuzilolonga, ukwenza umsebenzi wesikolo, ukuphumla).
Indlela yokulawula isifo sentliziyo ngexesha lokukhulelwa?
Isifo sentliziyo ngexesha lokukhulelwa sinokulawulwa ngonyango olufanelekileyo lwezonyango kunye nokuzinyamekela. Nazi ezinye izinto onokuzenza:
- Ungaphoswa kutyelelo lwezonyango: Kuya kufuneka ujongwe ngugqirha wotyando kunye nogqirha wentliziyo. Ungaphoswa kutyelelo lwentliziyo. Kuya kufuneka wenze uvavanyo rhoqo (echocardiograms) ukujonga ukuba intliziyo yakho isebenza njani.
- Kuphephe ukutyeba kakhulu: Buza ugqirha wakho malunga nokuba ungafumana ubunzima obungakanani ngexesha lokukhulelwa.
- Ziphephe iingcinezelo: Ziphephe izinto ezikukhathazayo kangangoko unako. Fumana iindlela zokuzola ingqondo yakho. Ukuba ugqirha wakho uyakuvumela oko, izinto ezifana neyoga yangaphambi kokukhulelwa zinokuba luncedo.
- Yitya ukutya okunempilo kwentliziyo: Buza ugqirha wakho malunga nokutya omawukutye noko ungakutyiyo. Ngokubanzi, nciphisa ityuwa, iswekile, amafutha agcweleyo, kunye namafutha e-trans.
- Yenza umthambo ngokukhuselekileyo: Buza ugqirha wakho malunga neentlobo zomthambo ezikulungeleyo kunye nokuba ufanele uzenze kangaphi. Ufanele uziphephe izinto ezibangela uxinzelelo olukhulu entliziyweni yakho.
Amayeza ngexesha lokukhulelwa
Ukusela amayeza akho owanikwe ngugqirha njengoko uyalelwe yinxalenye ebalulekileyo yesicwangciso sakho solawulo. Amanye amayeza entliziyo awakhuselekanga ngexesha lokukhulelwa, ngoko ugqirha wakho unokwenza utshintsho kumayeza akho.
Ezinye iintlobo zamayeza angakhuselekanga ngexesha lokukhulelwa:
- (izithinteli ze-ACE)
- (Ii-Angiotensin receptor blockers - ii-ARB)
- (Ii-Aldosterone antagonists)
- Ezinye izinto zokunciphisa igazi, ezifana neWarfarin
Eyona nto ibalulekileyo kukuba, ungayeki okanye uqalise naluphi na unyango ngaphandle kokuthetha nogqirha wakho. Ukuba ufumanisa ukuba ukhulelwe ngelixa usela elinye lala mayeza, fowunela ugqirha wakho ngoko nangoko.
Cinga ngempilo yakho emva kokuba nomntwana kunye nempilo yakho yexesha elizayo.
Ezinye iingxaki zinokwenzeka ukuya kuthi ga kwiinyanga ezintandathu emva kokuba umntwana ezelwe. Ngoko ke, ulwalathiso lwezonyango lubaluleke kakhulu nasemva kokubeleka. Nokuba uxakeke kakhulu okanye udiniwe ngeli xesha, ungaphoswa ziintsuku ekufuneka ubone ugqirha ngazo.
Ukuba nesifo sentliziyo okanye imeko efana ne-preeclampsia okanye isifo seswekile sokukhulelwa ngexesha lokukhulelwa kwandisa umngcipheko wakho wokuba nesifo sentliziyo kwixesha elizayo.
- Isifo seswekile sokukhulelwa sonyusa umngcipheko wesifo sentliziyo kwixesha elizayo nge-68%.
- Uxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa lunyusa umngcipheko wesifo sentliziyo nge-67%.
- I-Preeclampsia inyusa umngcipheko wokufa ngenxa yesifo sentliziyo kwixesha elizayo ngama-75%.
Musa ukothuka ngala manani. Zicinge njengophawu lwesilumkiso. Sebenzisa olu lwazi ukuthatha amanyathelo okuzikhusela kwisifo sentliziyo kwixesha elizayo. Ukuba ukhe waba nemeko efanayo, thetha nogqirha wakho emva kokuba ufumene umntwana wakho kwaye uhlolwe isifo sentliziyo. Ngokwenza utshintsho kwindlela ophila ngayo, kwaye ukuba kuyimfuneko, uqhubeke ubonana nogqirha wentliziyo, unokuhlala usempilweni ixesha elide.
Ukuba unesifo sentliziyo kwaye uceba ukukhulelwa, thetha nogqirha wakho ngoku. Funda ngeengozi kunye nendlela yokulawula imeko yakho ngexesha lokukhulelwa. Nokuba awunaso isifo sentliziyo, kubalulekile ukuba uqaphele iingxaki zentliziyo ezingalindelekanga. Ngokuthetha nogqirha wakho, ukunciphisa umngcipheko wakho, kunye nokukhulelwa okukhuselekileyo nokusempilweni, unokunceda ukuthintela isifo sentliziyo.
Umyalezo Wokuya Ekhaya
- Ukukhulelwa lixesha apho intliziyo yakho iphantsi koxinzelelo olungaphezulu. Yinto eqhelekileyo leyo.
- Iimpawu ezifana nokudinwa kunye nokucaphuka ezixhaphakileyo ngexesha lokukhulelwa ngamanye amaxesha zinokuba ziimpawu zesifo sentliziyo. Qaphela oku.
- Ukuba unesifo sentliziyo esele sikhona, ngaphambi kokuba ukhulelweNgokuqinisekileyo bonana nogqirha wentliziyo kwaye ufumane ingcebiso.
- Nyanga iintlungu zesifuba, ukulahlekelwa zingqondo, kunye nokuphelelwa ngumphefumlo okukhulu nokuba uphumle njengemeko kaxakeka . Yiya kwiSebe leeNgxamiseko lesibhedlele (ETU) ngokukhawuleza.
- Musa ukuqala okanye ukuyeka naluphi na unyango ngaphandle kwengcebiso kagqirha wakho.
- Nokuba sele uzelwe umntwana, cinga ngempilo yakho. Ungaphoswa kukuhlolwa kwezonyango okucwangcisiweyo.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho