Ngaba uyayazi iSifo sentliziyo xa ukhulelwe? Masithethe!

Ukuba ungumama ozayo okanye sele ukhulelwe, eli nqaku liza kuba libaluleke kakhulu kuwe. Ukukhulelwa lixesha elikhethekileyo nelihle, kwaye lixesha apho imizimba yethu itshintsha kakhulu. Intliziyo yethu, ngakumbi, inomthwalo womsebenzi owongezelelweyo ngeli xesha, kuba intliziyo inendima enkulu ekuboneleleni ngesondlo esifunekayo kunye neoksijini kumama nakumntwana. Ngoko ke, namhlanje siza kuthetha ngokubakho kwesifo sentliziyo ngeli xesha kunye nendlela ukukhulelwa okubachaphazela ngayo abo sele benesifo sentliziyo.

Zeziphi izifo zentliziyo ezinokwenzeka ngexesha lokukhulelwa?

Ngamafutshane, oku kubizwa ngokuba ziingxaki zentliziyo yakho ngexesha lokukhulelwa. Zimbini iintlobo eziphambili:

1. Iimeko zentliziyo ezazikho ngaphambili: Ezi ziimeko zentliziyo owawunazo ngaphambi kokuba ukhulelwe. Ezi zisenokuba azizange zikubangele naziphi na iimpawu ezinkulu okanye zibe yingxaki enkulu. Nangona kunjalo, ngexesha lokukhulelwa, ezi meko zinokukuchaphazela ngeendlela ezahlukeneyo kwaye zinokubangela iingxaki ezahlukeneyo.

2. Iimeko zentliziyo ezikhula ngexesha lokukhulelwa: Ezi ziimeko obungenazo ngaphambi kokuba ukhulelwe kwaye ezikhula ngexesha lokukhulelwa. Ezinye zazo zisenokuba zingenabungozi, kodwa ezinye zinokuba yingozi.

Uninzi lwabasetyhini abanesifo sentliziyo banokukhulelwa ngokukhuselekileyo baze bazale umntwana ophilileyo. Nangona kunjalo, ngamanye amaxesha isifo sentliziyo ngexesha lokukhulelwa sinokukhokelela kwiingxaki ezinkulu. Enyanisweni, isifo sentliziyo sichongiwe njengesona sizathu siphambili sokufa komama kwamanye amazwe aphuhlileyo.

• Ngokweengxelo ezithile, malunga nesithathu sabantu abafa ngenxa yokukhulelwa babangelwa ziingxaki zenkqubo yentliziyo.
• Malunga ne-4 kwi-100 yoomama abakhulelweyo banokuba neengxaki ezibangelwa sisifo sentliziyo.
• Izinto ezinje ngoxinzelelo lwegazi oluphezulu, ukutyeba kakhulu, kunye nobudala obungaphezulu kwama-40 zezona zinto zibangela umngcipheko wokufa ngexesha lokukhulelwa.

Ukuba ukhulelwe okanye uceba ukukhulelwa, kubalulekile ukwazi indlela isifo sentliziyo esinokukuchaphazela ngayo. Kodwa ngaphambi koko, makhe sijonge indlela ukukhulelwa okuchaphazela ngayo intliziyo yakho kunye nemithambo yegazi.

Utshintsho kwintliziyo yakho nakwimithambo yegazi ngexesha lokukhulelwa

Umzimba wakho udlula kwiinguqu ezininzi ngexesha lokukhulelwa. Ezi nguqu zibeka uxinzelelo olungakumbi emzimbeni wakho, kwaye intliziyo yakho kufuneka isebenze nzima. Ezi nguqu zingezantsi ziqhelekile ngexesha lokukhulelwa. Zinceda umntwana wakho okhulayo ukuba afumane ioksijini kunye nezondlo azidingayo.

• Ukwanda komthamo wegazi: Umthamo wegazi lakho uqala ukwanda kwiiveki zokuqala zokukhulelwa, kwaye uyaqhubeka nokwanda. Umthamo wegazi wabasetyhini abaninzi unyuka ngama-40% ukuya kuma-45% ngexesha lokukhulelwa. Khawucinge nje, intliziyo yakho inegazi elingakanani elinokumpompa igazi kunesiqhelo!
• Ukunyuka kwesantya sentliziyo:Kuqhelekile ukuba isantya sentliziyo yakho sinyuke malunga ne-10 ukuya kwi-20 beats ngomzuzu ngexesha lokukhulelwa. Oku kunyuka kancinci kancinci, kufikelela kwinqanaba eliphezulu kwi-trimester yesithathu.
• Ukwanda kokuphuma kwentliziyo: Ukuphuma kwentliziyo sisixa segazi elimpontshwa yintliziyo yakho ngomzuzu. Phakathi kweveki yama-28 neyama-34, ukuphuma kwentliziyo yakho kunokunyuka ngama-30% ukuya kuma-50%. Oku kungenxa yokwanda komthamo wegazi kunye nokunyuka kwesantya sentliziyo. Ukuba uthwele amawele, ukuphuma kwentliziyo yakho kunokunyuka ukuya kuthi ga kuma-60%.

Olu tshintsho lunokukwenza uzive izinto ezinje:

• Ndiziva ndidiniwe kakhulu (ndidiniwe) .
• Ndiziva ndinesizungu.
• Ubunzima bokuphefumla (ukuphelelwa ngamandla) .
• Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza (ukubetha kwentliziyo) .

Ezi ziimpawu eziqhelekileyo zokukhulelwa. Kodwa nantsi ingxaki: Ezi mpawu zikwanokuba ziimpawu zezinye izifo zentliziyo. Ngoko ke, nokuba uneempawu ezilumkisayo zesifo sentliziyo, ungazihoyi, ucinge, "Kunjalo kanye ngexesha lokukhulelwa." Yiyo loo nto isifo sentliziyo ngexesha lokukhulelwa sinokuba yingozi. Kunokuba nzima ukwazi ukuba uphawu luqhelekile okanye yinto ekufuneka uyixhalabele.

Ukuba unesifo sentliziyo esele sikhona, usemngciphekweni omkhulu wokufumana iingxaki ezinxulumene nentliziyo ngexesha lokukhulelwa. Umngcipheko wakho uxhomekeke kwimeko ethile onayo kunye nobunzima bayo.

Zeziphi izifo zentliziyo esele zikhona ezinokuchaphazela ukukhulelwa?

Ezinye izifo zentliziyo zinokwandisa umngcipheko wakho weengxaki ngexesha lokukhulelwa. Ukuba unayo nayiphi na kwezi meko zingezantsi, thetha nogqirha wakho malunga neengozi zokukhulelwa.

Isifo sentliziyo esizalwa naso

Isifo sentliziyo esizalwa naso sisifo esibakho xa umntu ezalwa. Ezinye zezi meko zinokuba zincinci, ngelixa ezinye zinokuba zimbi kakhulu. Iintsana ezineengxaki ezinzulu zihlala zinyangwa zisencinci. Nangona kunjalo, ngamanye amaxesha utshintsho ekusebenzeni kwentliziyo lunokwenzeka emva konyango okanye utyando.

Ngoko ke, ukuba unesifo sentliziyo esizelwe naso, kubalulekile ukuthetha nogqirha wakho ngaphambi kokuba ukhulelwe. Ugqirha wakho angakuthumela kwingcali yesifo sentliziyo esizelwe naso yabantu abadala okanye kwingcali ye-cardio-obstetrics. Banokuvavanya umngcipheko wakho wokukhulelwa. Banokukunceda uchonge kwaye ulawule umngcipheko wokukhulelwa okungacwangciswanga.

Iingxaki zentliziyo eziqhelekileyo ezibonwa kubafazi abakhulelweyo abanesifo sentliziyo sokuzalwa zezi:

• Ukuphazamiseka kwentliziyo (arrhythmia) .
• Ukumelwa yintliziyo .

Ukuba unesifo sentliziyo esizelwe naso, usengozini enkulu yokuzalwa ngaphambi kwexesha .

Ngokubanzi, abafazi abanezi meko zentliziyo zokuzalwa zilandelayo basengozini encinci yokufumana iingxaki ngexesha lokukhulelwa:

• I-stenosis yevalvu yemiphunga ethambileyo.
• Ukuba "imingxunya" emincinci entliziyweni ilungisiwe ngempumelelo, njenge-atrial septal defects (ASDs) kunye ne-ventricular septal defects (VSDs).
• I-patent ductus arteriosus (PDA) encinci okanye elungisiweyo ngempumelelo.

Abafazi abanezi ngxaki zentliziyo zokuzalwa banokuba semngciphekweni omkhulu weengxaki zokukhulelwa:

• I-stenosis yevalvu ye-aortic enevalvu ye-aortic e-bicuspid.
• Ukudibana kwe-aorta.
• Ingxaki ka-Ebstein.
• I-physiology yeFontan.
• Ukuqina kwevalvu yemiphunga okunzulu.
• I-Tetralogy of Fallot (ilungisiwe)
• Ukutshintshwa kwemithambo emikhulu (ilungisiwe)

Khumbula, zininzi ezinye iziphene zentliziyo ozalwe nazo ezingekho kolu luhlu. Nokuba imeko yentliziyo yakho ayikho kolu luhlu, kusabalulekile ukuthetha nogqirha ukuba ucinga ngokukhulelwa.

I-Cardiomyopathy

I-cardiomyopathy yeyona nto iphambili ebangela iingxaki ezinkulu kunye nokufa ngexesha lokukhulelwa. Umngcipheko wakho weengxaki ezivela kwi-cardiomyopathy uxhomekeke kuhlobo onalo kunye nobunzima balo.

Malunga nabafazi abane-4 kwabalishumi abane-dilated cardiomyopathy baya kuba nesifo sentliziyo okanye ezinye iingxaki. I-Hypertrophic cardiomyopathy ayinobungozi kangako ngexesha lokukhulelwa. Nangona kunjalo, isenokubangela iingxaki, ingakumbi ukuba ubuneempawu ngaphambi kokuba ukhulelwe.

Ukuba unayo nayiphi na uhlobo lwe-cardiomyopathy, thetha nogqirha wakho malunga neengozi zakho ngaphambi kokuba ukhulelwe.

Isifo sevalvu yentliziyo

Kukho iintlobo ezininzi zesifo sevalvu yentliziyo esinokuvela ngexesha lobomi bakho. Zinokwahluka ukusuka kwezincinci ukuya kwezinzima. Ezinye izifo zevalvu zisenokungachaphazeli ukukhulelwa kwakho, kodwa ezinye zinokwandisa umngcipheko weengxaki. Ukuba unembali yesifo sevalvu, thetha nomboneleli wakho wezempilo ukuze ufumane ukuba ukukhulelwa kukhuselekile na kuwe.

• Ukubuyiselwa kwevalvu ye-aorta:Inqanaba lakho lomngcipheko lixhomekeke kubukhali be-reflux (ukuvuza). Ukuba awunazo iimpawu kwaye intliziyo yakho isebenza ngokuqhelekileyo, usemngciphekweni omncinci weengxaki. Kodwa ukuba u-reflux enzima kunye nokusebenza kwentliziyo okunciphileyo, usemngciphekweni omkhulu, kwaye unokufuna ukuphepha ukukhulelwa. Iimeko ezinxulumene noko ezifana ne-Marfan syndrome okanye i-bicuspid aortic valve nazo zinokuchaphazela umngcipheko wakho.
• I-Mitral valve prolapse: Le yimeko eqhelekileyo edla ngokungabonisi zimpawu okanye ifuna unyango. Uninzi lwabasetyhini abane-mitral valve prolapse abangenazo ezinye iingxaki zentliziyo abanazo naziphi na iingxaki zokukhulelwa. Ukuba imeko yakho ibangele ukuvuza okukhulu kwevalvu, kunokufuneka unyangwe ngaphambi kokuba ukhulelwe.
• Ukubuyela kwevalvu yeMitral: Inqanaba lomngcipheko wakho lixhomekeke ekubeni ivalvu yakho ivuza kangakanani, ukuba intliziyo yakho iyakwazi kangakanani ukupompa igazi, kunye nokuba unazo na iimpawu. Ukuba ukubuyela kwevalvu yakho kukhulu kwaye uneempawu, kunokufuneka ulungiswe ivalvu yemitral ngaphambi kokuba ukhulelwe. Abafazi abanokubuyela kwevalvu kakhulu kunye nokusebenza kwentliziyo okungahambi kakuhle nabo banokufuna ukuphepha ukukhulelwa.
• I-Mitral valve stenosis: Le yeyona ngxaki yentliziyo ixhaphakileyo ngexesha lokukhulelwa kwihlabathi liphela. Ixhaphake kakhulu kwiindawo apho i-rheumatic fever (imeko ebangelwa yi-scarlet fever kunye nosulelo lomphimbo olunganyangwanga) ixhaphake khona. Ukuba une-mitral valve stenosis, kunokufuneka wenze utyando okanye utyando ngaphambi kokuba ukhulelwe ukuze kuncitshiswe umngcipheko weengxaki.

Ukutshintshwa kweevalvu kunokunceda abantu abanesifo sevalvu baphile ubomi obude nobusempilweni. Kodwa abafazi abaneevalvu zentliziyo ezenziwe ngokufakelwa badinga ukhathalelo olukhethekileyo ngexesha lokukhulelwa. Kuba:

• Ukukhulelwa kwandisa umngcipheko wakho wokuba namahlwili egazi. Ukuba nevalvu yokwenziwa kwandisa umngcipheko wakho wokuba namahlwili egazi.
• Ukuba unezivalo zokufakelwa, kuya kufuneka usele amayeza okuthintela ukugabha kwegazi ubomi bakho bonke ukuze unciphise umngcipheko wokugabha kwegazi. Ezinye izinto ezithintela ukugabha kwegazi zinokuba yingozi kumntwana.

Ukuba unevalvu yokufakelwa, kubaluleke kakhulu ukubona ugqirha wentliziyo ngaphambi kokuba ucebe ukukhulelwa. Ugqirha wakho wentliziyo uza kuthetha nawe malunga noku:

• Umngcipheko wakho wokukhulelwa.
• Unyango oluthintela ukuqhekeka kwegazi olulungele wena.
• Amanyathelo okhuseleko ekufuneka uwathathe ukuze uthintele i-endocarditis.

Isifo se-Aortic

Isifo se-aorta, okanye i-aortaopathy, liqela lezifo ezichaphazela i-aorta yakho. Iimpawu zemfuza zinxulunyaniswa nezinye izifo ze-aorta.

Isifo se-Aortic sandisa umngcipheko weengxaki ezinkulu ngexesha lokukhulelwa. Oku kungenxa yokuba uxinzelelo kwi-aorta luyanda ngexesha lokukhulelwa, ingakumbi ngexesha lokubeleka nokubeletha. Olu xinzelelo longezelelweyo lwandisa umngcipheko wokuqhekeka kwe-aortic okanye ukuqhekeka kwe-aneurysm, okunokuba yingozi.

Abafazi abanezi meko zilandelayo basengozini enkulu yokufumana iingxaki ngexesha lokukhulelwa:

• Ivalvu ye-aortic yeBicuspid enokwandiswa kwe-aortic.
• Ukuba nembali yokuqhekeka kwe-aorta.
• Isifo sikaLoeys-Dietz.
• Isifo sikaMarfan.
• Isifo seTurner.
• Isifo semithambo yegazi i-Ehlers-Danlos.

Kubalulekile: Malunga nesiqingatha sokuqhekeka kwe-aorta kunye nokuqhekeka kwemithambo yegazi kubasetyhini abangaphantsi kweminyaka engama-40 ubudala kunxulumene nokukhulelwa. Ngokuqhelekileyo kwenzeka kwi-trimester yesithathu okanye emva kokuzala.

Ukuba unesifo se-aorta, kubaluleke kakhulu ukubona ugqirha wentliziyo ukuze akuhlole ngaphambi kokuba ucwangcise ukukhulelwa.

Ziziphi iingxaki ezintsha zentliziyo ezinokuvela ngexesha lokukhulelwa?

Nokuba awunayo imbali yesifo sentliziyo ngaphambili, ukukhulelwa kunokubangela iingxaki ezahlukeneyo kwintliziyo yakho okanye kwimithambo yegazi.

Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu)

Uxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa luchaphazela malunga nomntu omnye kwabasetyhini abali-10 abakhulelweyo. Kwakhona yimeko eqhelekileyo.

Ukuxilongwa koxinzelelo lwegazi oluphezulu kuquka:

• Uxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa: Uxinzelelo lwegazi oluphezulu (ubuncinane i-140/90 mmHG) oluqala emva kweeveki ezingama-20 zokukhulelwa.
• I-Preeclampsia: Uxinzelelo lwegazi oluphezulu oluqala emva kweeveki ezingama-20. Oku kuhamba neproteni kumchamo wakho okanye ubungqina bomonakalo wamalungu omzimba. I-Eclampsia yimeko eyenzeka ngexesha lokukhulelwa okanye kwiintsuku ezili-10 emva kokuzalwa, ehamba nokuxhuzula.
• Uxinzelelo lwegazi olungapheliyo: Uxinzelelo lwegazi oluphezulu oluqala ngaphambi kweeveki ezingama-20 okanye ngaphambi kokuba ukhulelwe.
• Uxinzelelo olungapheliyo olune-preeclampsia egqithisileyo: Uxinzelelo olungapheliyo oluneproteni kumchamo okanye ubungqina bomonakalo wezitho zomzimba.

Isifo seswekile sokukhulelwa

Isifo seswekile sokukhulelwa sisifo seswekile ephezulu egazini esikhula emva kweeveki ezingama-20 zokukhulelwa. Ukuba asinyangwa, esi sifo sonyusa umngcipheko weengxaki kuwe nakumntwana wakho.

Ukungahambi kakuhle kwentliziyo (iiArrhythmias)

Ukukhulelwa kwandisa umngcipheko wokuba nentliziyo engaqhelekanga (i-arrhythmia), nokuba ukhe wanayo ngaphambili okanye akunjalo. Iindidi ze-arrhythmias onokuzifumana ngexesha lokukhulelwa ziquka:

• Ukubetha kwentliziyo okuphuma embilinini: Le yintliziyo eyongezelelweyo edla ngokuba yingozi.
• I-Supraventricular tachycardia (SVT): Le yintliziyo ekhawulezayo eqala kumagumbi aphezulu entliziyo yakho (atria). Le yeyona arrhythmia ixhaphakileyo ehlala ixesha elide (ehlala imizuzwana engaphezu kwama-30) ebonwa ngexesha lokukhulelwa. Usengozini enkulu ukuba unembali ye-SVT okanye isiphene sentliziyo esizalwa naso. Kodwa inokwenzeka okokuqala ngexesha lokukhulelwa.

Ezinye izifo ezingapheliyo zifuna unyango, kanti ezinye azifuni unyango. Abafazi abanesifo sentliziyo kunye nezifo ezingapheliyo banamathuba amaninzi okufuna unyango. Umboneleli wakho wezempilo uya kumisela unyango olukhuselekileyo kuwe.

Ukuqhaqha kwemithambo yentliziyo okuzenzekelayo (SCAD)

Ukuqhaqha kwemithambo yentliziyo okuzenzekelayo (i-SCAD) sisifo esisongela ubomi. I-SCAD kukukrazuka kwenye okanye ngaphezulu kwemithambo yegazi ehambisa igazi entliziyweni yakho. Abantu aba-4 kwaba-5 abafumana i-SCAD ngabafazi. Malunga ne-1 kwaba-3 banxulumene nokukhulelwa. I-SCAD idla ngokuvela kwiveki yokuzala, kodwa inokwenzeka nakwiveki yokukhulelwa okanye kwiiveki ezintandathu zokuzala.

Abaphandi bakholelwa ukuba utshintsho lweehomoni ngexesha lokukhulelwa ludlala indima. Ezinye izinto ezibangela umngcipheko kubafazi abakhulelweyo ziquka:

• Uneminyaka engaphezu kwama-30 ubudala.
• Ukusetyenziswa kwecocaine.
• Izifo zezicubu ezidibeneyo.
• Isifo seswekile.
• Igazi elonyukayo.
• Ukusetyenziswa kwecuba.

Ukuncipha kokunikezelwa kwegazi kwimisipha yentliziyo (i-Myocardial ischemia)

I-Myocardial ischemia iyenzeka xa intliziyo yakho ingafumani gazi laneleyo. Oku kunokubangela:

• I-angina ezinzileyo.
• I-angina engaqinisekanga.
• Ukuhlaselwa yintliziyo.

Malunga nabantu ababini kwabangama-25,000 abangeniswa esibhedlele ngenxa yokukhulelwa babangelwa yi-myocardial ischemia. Izinto ezibangela umngcipheko kubafazi abakhulelweyo ziquka:

• Uneminyaka engaphezu kwama-30 ubudala.
• Isifo seswekile.
• Imbali yosapho yesifo sentliziyo.
• Igazi elonyukayo.
• I-cholesterol ephezulu okanye i-triglycerides ephezulu.
• Imbali yokuqhaqha kwemithambo yentliziyo ezenzekelayo `(SCAD)`.
• Ukutyeba kakhulu/ukutyeba kakhulu.
• Ukusetyenziswa kwecuba.

I-cardiomyopathy emva kokubeletha

I-Peripartum cardiomyopathy luhlobo lokusilela kwentliziyo oluvela ekukhulelweni okanye emva nje kokubeleka. Luchaphazela abafazi abangakhange bafunyaniswe benesifo sentliziyo ngaphambili. Le meko yenza intliziyo yakho ingakwazi ukupompa igazi elaneleyo emzimbeni wakho. Inokwenzeka nakweyiphi na iminyaka, kodwa ihlala ichaphazela abantu abangaphezu kweminyaka engama-30.

I-Deep vein thrombosis kunye ne-pulmonary embolism

Ukukhulelwa kwandisa umngcipheko we-deep vein thrombosis (DVT) kunye ne-pulmonary embolisms (PE). Ezi meko zixhaphake ngokuphindwe kane ukuya kahlanu kubafazi abakhulelweyo kunakwabasetyhini abangakhulelwanga. Zihlala zenzeka kwixesha lokubeleka (kwiinyanga ezintandathu emva kokubeleka).

I-deep vein thrombosis (DVT) yi-blood clot kwi-deep vein emzimbeni wakho (ngesiqhelo emlenzeni wakho). I-pulmonary embolism (PE) yi-blood clot eyakheka ndaweni ithile emzimbeni wakho ize iye emiphungeni yakho.

Umngcipheko wakho uphezulu ukuba unembali yokuqhekeka kwegazi okanye i-embolism. Ukuba une-DVT okanye i-PE, kuya kufuneka unyangwe nge-blood thinners. Ugqirha wakho kufuneka akunike i-blood thinner ekhuselekileyo ngexesha lokukhulelwa.

Sesiphi isifo sentliziyo esixhaphakileyo ngexesha lokukhulelwa?

Isifo sentliziyo esizalwa naso sesona sifo sixhaphakileyo kumazwe aphuhlileyo.

Kumazwe asakhasayo, isifo sentliziyo esibangelwa yirheumatic sesona sifo sixhaphakileyo sentliziyo, sibangela malunga ne-7 kwi-10 yeziganeko zentliziyo ngexesha lokukhulelwa.

Zeziphi izifo zentliziyo eziyingozi kakhulu xa ukhulelwe?

Ezinye izifo zentliziyo kunye nezinye izifo ezinxulumene nazo zenza ukukhulelwa kube yingozi kakhulu. Kusenokufuneka ukuba ungakhulelwa ukuba unezi meko zilandelayo:

• I-Aortic valve stenosis (ukuba inzima kwaye ibangela iimpawu)
• Ukudibana kwe-aorta (ukuba ayilungiswanga okanye ikhona kunye ne-aortic aneurysm)
• Isifo se-Eisenmenger.
• I-physiology yeFontan.
• Isifo sikaMarfan.
• I-Mitral valve stenosis (ukuba inzima kakhulu)
• I-cardiomyopathy ye-Peripartum ekukhulelweni kwangaphambili (kunye nomonakalo oseleyo ekusebenzeni kwentliziyo)
• Uxinzelelo lwegazi oluphezulu lwemiphunga.
• Ukwanda okukhulu kwe-aorta (ubuncinane i-45 mm ukuba une-Marfan syndrome, ubuncinane i-50 mm ukuba une-bicuspid aorta valve)
• Ukungasebenzi kakuhle kwemithambo yegazi kunye nenxalenye yokukhupha i-ventricular yasekhohlo engaphantsi kwama-40%

Ukuba unayo nayiphi na kwezi meko, thetha nogqirha wakho. Uza kuvavanya ubunzulu bemeko yakho aze axoxe nawe ngemingcipheko yakho.

Ziziphi iimpawu zeengxaki zentliziyo ngexesha lokukhulelwa?

Ezinye iimpawu zeengxaki zentliziyo ziyafana nezo unokuba nazo ngexesha lokukhulelwa. Ezi ziquka:

• Ndiziva ndidiniwe kakhulu (ndidiniwe) .
• Ukufuna ukuchama rhoqo.
• Ubunzima bokuphefumla.
• Ukudumba kweenyawo namaqatha (i-edema) .

Ezi mpawu zisenokungabi yingozi. Nangona kunjalo, zinokuba luphawu lwengxaki yentliziyo, ingakumbi ukuba:

• Ukuba ziqala emva kweeveki ezingama-20 zokukhulelwa.
• Ukuba ziyakuchaphazela kangangokuba awukwazi ukwenza imisebenzi yakho yemihla ngemihla.
• Ukuba uziva uphelelwa ngumphefumlo nokuba uphumle.
• Ukuba uvuka ezinzulwini zobusuku kunzima ukuphefumla.

Iimpawu ezingaqhelekanga ngexesha lokukhulelwa:

• Umbono ofipheleyo.
• Intlungu yesifuba (i-angina) .
• Ukubetha kwentliziyo okuhlala ngaphezu kwemizuzwana engama-30.
• Ukulahlekelwa zingqondo (i-syncope) .
• Ukubetha kwentliziyo ngokukhawuleza (i-tachycardia) .

Kubalulekile: Ukuba uziva iintlungu esifubeni okanye ungakhululekanga, fowunela u-119 okanye inombolo yakho yongxamiseko yasekuhlaleni ngoko nangoko.

Xelela ugqirha wakho ngazo naziphi na iimpawu ozifumanayo. Kunganceda ukugcina idayari yeempawu zakho. Faka oku kulandelayo:

• Zonke iimpawu ozivayo.
• Umhla kunye nexesha.
• Ubunzima kwisikali esiqala kwi-1 ukuya kwi-10 (i-10 yeyona imbi kakhulu).
• Oko ukwenzayo ngelo xesha (umzekelo, ukuzilolonga, ukwenza imisebenzi yasekhaya elula, okanye ukuphumla).

Iimpawu ziimvakalelo okanye utshintsho oluvelayo. Iimpawu ziimpawu ezilumkisayo ezibonwa ngumboneleli wakho wezempilo ngexesha lovavanyo lomzimba okanye uvavanyo. Iimpawu zeengxaki zentliziyo ngexesha lokukhulelwa:

• Intliziyo ekhulisiweyo (i-cardiomegaly).
• Izandi zentliziyo ezingaqhelekanga (Intliziyo ikhalaza).
• Igazi elonyukayo.
• Ukubakho kweproteni kumchamo.
• Ukudumba kwemithambo entanyeni (ukudumba kwemithambo entanyeni).

Ugqirha wakho uza kukujonga iimpawu zeengxaki zentliziyo kwikliniki yakho yokukhulelwa.

Indlela yokulawula isifo sentliziyo ngexesha lokukhulelwa?

Unyango lwezonyango kunye nokuzinyamekela kunokukunceda ukulawula isifo sentliziyo ngexesha lokukhulelwa. Nazi ezinye iingcebiso:

• Yiya kugqirha wakho. Kusenokwenzeka ukuba uza kunyangwa yingcali yokubelekisa, ugqirha wezifo zabesifazane kunye nogqirha wentliziyo. Qiniseka ukuba uya kuzo zonke iintlanganiso zakho kunye nokulandelela. Kusenokufuneka ukuba wenze uvavanyo rhoqo (kuquka i-echocardiograms) ukujonga ukusebenza kwentliziyo yakho.
• Kuphephe ukutyeba ngokungeyomfuneko. Buza ugqirha wakho ukuba ungakanani ubunzima onokubufumana ngokukhuselekileyo ngexesha lokukhulelwa.
• Ziphephe iingxaki zoxinzelelo. Kangangoko kunokwenzeka, ziphephe iimeko ezikwenza uzive uxinezelekile. Kwakhona, fumana iindlela zokuphumla ezinokukunceda uzive uzolile. Ukuba ugqirha wakho uthi kulungile, iiklasi zeyoga zangaphambi kokukhulelwa zinokukunceda.
• Yitya ukutya okunempilo okunentliziyo.Landela ulwalathiso lukagqirha wakho malunga nokutya omawukutye kunye noko umele ukuphephe. ​​Ngokubanzi, zama ukunciphisa ukutya kwakho i-sodium, iswekile, amafutha agcweleyo, kunye namafutha e-trans.
• Zivocavoce ngokukhuselekileyo. Ugqirha wakho uza kukuxelela ukuba kufuneka uzivocavoce kangaphi kwaye zeziphi iintlobo zokuzivocavoca ezikhuselekileyo kuwe. Qiniseka ukuba ulandela imiyalelo yabo ngokuchanekileyo. Kusenokufuneka uziphephe izinto ezibangela uxinzelelo olukhulu entliziyweni yakho.

Ngokuxhomekeke kwimeko yakho, ugqirha wakho unokucebisa inkqubo yokunceda intliziyo yakho isebenze ngcono. Ngokuqhelekileyo kungcono ukuba kwenziwe iinkqubo ezinjalo ngaphambi kokuba ukhulelwe. Iqela lakho lezonyango liza kuhlola imeko yakho lize ligqibe ngenyathelo elifanelekileyo.

Ungadinga amayeza okulawula iimeko ezithile okanye izinto ezinobungozi. Thetha nogqirha wakho malunga nokuba ngawaphi amayeza akhuselekileyo nalawo angakhuselekanga ukuba uwasebenzise ngexesha lokukhulelwa.

Amayeza esifo sentliziyo ngexesha lokukhulelwa

Inxalenye yesicwangciso sakho solawulo kukuthatha amayeza akho njengoko kuyalelwe. Ugqirha wakho angawatshintsha amayeza akho. Oku kungenxa yokuba amanye amayeza entliziyo akakhuselekanga ukuwathatha ngexesha lokukhulelwa.

Amayeza angakhuselekanga aquka:

• Izithinteli ze-ACE.
• Ii-Angiotensin receptor blockers (ARBs).
• Abachasi be-Aldosterone.
• Ezinye izinto zokunciphisa igazi, ezifana ne-warfarin.
• Amanye amayeza anyanga uxinzelelo lwegazi oluphezulu emaphaphu, afana ne-riociguat kunye ne-bosentan.

Kubalulekile: Ukuba uthatha naliphi na kula mayeza uze ukhulelwe, fowunela umniki-nkonzo wakho wezempilo ngoko nangoko. Musa ukuyeka ukuthatha naliphi na iyeza ngaphandle kokuthetha nogqirha.

Ukubeka iliso emva kokubeleka

Ezinye iingxaki zinokwenzeka kwiinyanga ezintandathu emva kokubeleka. Iqela lakho lezonyango liza kukujonga lize lijonge ukusebenza kwentliziyo yakho. Nokuba uxakeke kakhulu kwaye udiniwe ngeli xesha, kubalulekile ukuba uye kuzo zonke ii-aphoyintimenti zakho. Iqela lakho lezonyango liza kuthetha nawe malunga nokhuseleko kunye nemingcipheko yokuceba ukukhulelwa kwixesha elizayo.

Ngaba iingxaki zentliziyo ngexesha lokukhulelwa ziya kuchaphazela ubomi bam bexesha elizayo?

Iingxaki zentliziyo ngexesha lokukhulelwa zinyusa umngcipheko wesifo sentliziyo kamva ebomini. Nazi ezinye zeenkcukacha-manani ezibalulekileyo:

• Isifo seswekile sokukhulelwa sonyusa umngcipheko wesifo sentliziyo kwiminyaka yaso yamva nje nge-68%.
• Uxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa lunyusa umngcipheko wesifo sentliziyo ngama-67%.
• I-Preeclampsia inyusa umngcipheko wokufa ngenxa yesifo sentliziyo kwiminyaka yakutshanje yobomi nge-75%.

Ezi zibalo zisenokubonakala zisoyikisa kancinci kuwe. Kodwa iindaba ezimnandi zezokuba, izibalo zichaza inxalenye yebali kuphela. Zibonisa oko kwenzekileyo kwixesha elidlulileyo. Akunyanzelekanga ukuba zimisele ikamva lakho. Sebenzisa olu lwazi ukucwangcisa amaqhinga okunciphisa umngcipheko wesifo sentliziyo. Ukuba ubunazo naziphi na kwezi meko ngexesha lokukhulelwa okanye kwiinyanga emva kokubeleka, thetha nogqirha wakho emva kokubeleka kwaye ucele ukuba uhlolwe isifo sentliziyo.

Zininzi izinto onokuzenza ukuthintela isifo sentliziyo okanye ukucothisa ukuqhubela phambili kwaso. Ungadinga ukulandelwa ixesha elide ngugqirha wentliziyo ukuze ajonge impilo yentliziyo yakho aze abone iimpawu zokuqala zeengxaki. Thetha neqela lakho lokhathalelo malunga notshintsho kwindlela ophila ngayo olunokunceda ukugcina intliziyo yakho kunye nemithambo yegazi iphilile iminyaka ezayo.

Okokugqibela, khumbula oku.

Ukuba unesifo sentliziyo kwaye uceba ukukhulelwa, ngoku lixesha lokuthetha nomboneleli wakho wezempilo. Funda ngemingcipheko yakho kunye nendlela yokulawula imeko yentliziyo yakho ngexesha lokukhulelwa. Ukuba ukhulelwe ngendlela engacwangciswanga, kubalulekile ukuthetha nogqirha wakho ngoko nangoko. Ugqirha wakho uya kuvavanya umngcipheko wakho weengxaki. Usenokukwazi ukutshintsha amayeza akho entliziyo ukuze akhuseleke ekukhulelweni.

Nokuba awunaso isifo sentliziyo, kubalulekile ukuba uqaphele indlela iingxaki zentliziyo ezingalindelekanga ezinokuchaphazela ngayo ukukhulelwa kwakho. Thetha nogqirha wakho ngezinto ezikubangela umngcipheko. Sebenzisana nogqirha wakho ukunciphisa umngcipheko wakho ukuze ube nokukhulelwa okukhuselekileyo nokusempilweni. Khumbula, umama osempilweni unika umntwana osempilweni isiqalo esihle!

Isifo sentliziyo, ukukhulelwa, intliziyo, isifo sentliziyo ngexesha lokukhulelwa, iimpawu zesifo sentliziyo, iingxaki zokukhulelwa, impilo yentliziyo