Ngaba ukhathazekile ngentliziyo yakho? Masithethe ngeSifo seNtliziyo!

Namhlanje siza kuthetha ngesihloko esibalulekileyo kubantu abaninzi, nesisoyikisayo kancinci. Esi sisifo sentliziyo, okanye njengoko sonke sisazi, "Isifo sentliziyo". Usenokucinga, "Owu, oku akusebenzi kum." Kodwa linda, kubaluleke kakhulu ukuba wonke umntu azi ngale nto. Kuba, intliziyo yethu sisitho esincinci kodwa esinamandla kakhulu esinika ubomi emzimbeni wethu wonke.

Yintoni le isifo sentliziyo?

Ngamafutshane, isifo sentliziyo sibhekisa kwiingxaki ezahlukeneyo ezinokuchaphazela intliziyo yakho. Xa uninzi lwabantu lucinga ngesifo sentliziyo, bacinga kwangoko ngesifo semithambo yegazi yentliziyo (CAD) , esisifo apho amafutha aqokelelwa kwimithambo yegazi yentliziyo aze akhokelele ekuhlaselweni yintliziyo. Kodwa eneneni, iingxaki zinokwenzeka kwimisipha yentliziyo, kwiivalvu, okanye nakwinkqubo yombane yentliziyo. Cinga ngale ndlela: intliziyo yethu ifana nenjini emzimbeni wethu. Le njini ipompa igazi, ioksijini, kunye nezondlo emzimbeni wonke. Ngoko ke, ukuba kukho into engalunganga ngale njini, oko kuthetha ukuba ayifumani "amafutha" ayidingayo, ichaphazela ukusebenza kwayo yonke enye inkqubo emzimbeni wethu. Kodwa kukho iindaba ezimnandi! Ngotshintsho oluncinci kwindlela esiphila ngayo kwaye, ukuba kuyimfuneko, ngamayeza athathwa njengoko kumiselwe ngugqirha, sinokugcina iintliziyo zethu ziphilile kwaye sinciphise umngcipheko wokufumana isifo sentliziyo.

Ziziphi iintlobo eziphambili zesifo sentliziyo?

Isifo sentliziyo asisosifo esinye. Kukho iintlobo ezahlukeneyo. Makhe sijonge iintlobo eziphambili ezibonwayo:

• Ukuncitshiswa kwemithambo yegazi yentliziyo ngenxa yokugcwala kwamafutha : Oku sikubiza ngokuba sisifo semithambo yegazi yentliziyo .
• Ukuphazamiseka kwentliziyo: Ngamanye amaxesha intliziyo ibetha kancinci, ngamanye amaxesha ibetha ngokukhawuleza. Ezi zibizwa ngokuba yi-arrhythmias .
• Izifo zeValve yeNtliziyo : Intliziyo yethu ineevalve ezinceda igazi ukuba lihambe kwicala elinye kuphela. Ezi zinokuba nesiphako.
• I-Cardiomyopathy: Oku kuquka izinto ezinje ngokuba buthathaka kunye nokuqina kwemisipha yentliziyo.
• Ukusilela kwentliziyo : Oku kwenzeka xa intliziyo ingakwazi ukupompa igazi elaneleyo emzimbeni.
• Isifo sentliziyo esizalwa naso: Abanye abantwana banokuzalwa beneziphene ezithile zentliziyo.
• Iingxaki ezenzeka kwisingxobo esizaliswe lulwelo esijikeleze intliziyo (izifo zentliziyo):Izinto ezinje ngokudumba zinokwenzeka kule ngxowa ikhusela intliziyo.

Uyabona, indlela abahluke ngayo. Yiyo loo nto iimpawu ezibonakaliswa ngumntu ngamnye zahlukile.

Ixhaphake kangakanani isifo sentliziyo?

Enyanisweni, isifo sentliziyo sisifo esibangela ukufa kumazwe amaninzi kwihlabathi liphela, kuquka nelethu. Sichaphazela zonke iintlanga, nokuba sisiphi na isini. Ngoko ke, kubaluleke kakhulu ukuqaphela oku.

Zithini iimpawu zesifo sentliziyo? Kunye neempawu zokulumkisa kwangethuba

Iimpawu zinokwahluka ngokuxhomekeke kuhlobo lwesifo sentliziyo, kodwa kukho ezinye iimpawu eziqhelekileyo ekufuneka siziqwalasele :

• Ukubetha kwentliziyo : Kusenokuvakala ngathi sisandi esitsho ngamandla esiphuma ngaphakathi esifubeni.
• Ukubila : Ukuba ubila kakhulu ngaphandle kwesizathu esithile.
• Ukutyhafa , ukutyhafa : Ukuziva utyhafile, unesizungu, okanye unesizungu.
• Ubunzima bokuphefumla : Uziva unesizungu nasemva kokwenza imisebenzi emincinci, kwaye uzive ngathi unengxaki yokuphefumla.
• Ukudinwa okanye ukuphelelwa zingqondo ngequbuliso : Ukulahlekelwa zingqondo ngequbuliso kunye nokuziva ngathi uza kuwa.
• Intlungu, ukuqina, ubunzima, okanye ukungakhululeki esifubeni okanye esifubeni esingaphezulu : Olu luphawu abantu abaninzi abaloyikayo. Lunokuqala embindini wesifuba luze luhambe ngengalo yasekhohlo, entanyeni, nasemhlathini. Abanye abantu banokuziva ngathi isifuba sabo siyacinezelwa, okanye ngathi kukho into ebasindayo.
• Intlungu yentamo .
• Ukutshisa kwentliziyo okanye ukungagayi kakuhle kokutya : Abanye abantu banokucinga ukuba oku kukutya kwesisu. Nangona kunjalo, ukuba kuhamba nentlungu esifubeni, kufuneka ukhathazeke.
• Isicaphucaphu okanye ukuhlanza .
• Ukudumba emzimbeni ongezantsi : ingakumbi ukudumba kwemilenze namaqatha.
• Ukudinwa : Ukuziva udiniwe nokuba ulala kangakanani na.
• Ubunzima bokulala .
• Ukungakwazi ukunyamezela umthambo : Izinto ebezilula ngaphambili ngoku ziba nzima ukuzenza.
• Umkhuhlane : Umkhuhlane unokubakho kwezinye izifo zentliziyo.

Iimpawu Zesilumkiso Kwangethuba:

Ngamanye amaxesha imizimba yethu isinika iimpawu ezincinci ngaphambi kokuba kubekho ingxaki enkulu. Ukuba uyazibona ezi, ungafuna unyango ngokukhawuleza:

* Iintlungu zesifuba.

* Ukuqhawukelwa ngumphefumlo.

* Ukudumba kwemilenze.

* Ukudinwa rhoqo.

* Ukudinwa, ukuquleka ngequbuliso, okanye ukuphantse uquleke rhoqo.

Ukuba uqhubeka nokuba nenye okanye ngaphezulu kwezi mpawu, ngokuqinisekileyo kuya kufuneka ubone ugqirha . Musa ukuyityeshela nje.

Kutheni sifumana isifo sentliziyo? Zithini izizathu?

Akukho sizathu sinye sesifo sentliziyo. Iintlobo ezahlukeneyo zesifo sentliziyo ziphenjelelwa zizinto ezahlukeneyo. Nazi ezinye zezinto eziqhelekileyo ezinokubangela oku:

• Ukuvaleka kwemisipha yentliziyo.
• Isifo semithambo yentliziyo .
• Iingxaki zeMfuzo : Ezinye izifo zentliziyo zinokufunyanwa njengelifa.
• Iingxaki zokusebenza kwezintso.
• Izifo: Kwanezifo ezinzima ezenzeka ngaphandle kwentliziyo zinokuchaphazela intliziyo.
• Iingxaki ze-thyroid .
• Isifo seRheumatic .
• Utshintsho entliziyweni lwenzeka xa umntu ekhula.
• Ukwenzakala kwenxalenye yentliziyo.
• Umonakalo wentliziyo ngenxa yokuhlaselwa yintliziyo.
• Ezinye iimeko zonyango, umzekelo , izifo ezibangelwa kukuzikhusela komzimba .
• Ukukhulelwa: Abanye abafazi banokuba neengxaki zentliziyo ngexesha lokukhulelwa.
• Amayeza athile, ingakumbi amanye amayeza e-chemotherapy omhlaza.
• Ukusetyenziswa kweziyobisi: Izinto ezifana notywala, i-cocaine, i-methamphetamine.
• Igazi elonyukayo .
• Isingqisho sentliziyo esingaqhelekanga.

Ziziphi izinto ezibangela umngcipheko wokufumana isifo sentliziyo?

Imikhwa ethile, iindlela zokuphila, kunye neemeko zempilo ziyandisa umngcipheko wokuba nesifo sentliziyo. Ezi zinto sizibiza ngokuba zizinto ezinobungozi. Makhe sibone ukuba zeziphi ezi zinto zinobungozi:

• I-Cholesterol Ephezulu : Amanqanaba aphezulu e-cholesterol embi egazini anokubangela ukuba i-plaque iqokeleleke kwimithambo yegazi yentliziyo.
• Uxinzelelo lwegazi oluphezulu : Oku kuthetha uxinzelelo lwegazi oluphezulu. Oku kubeka uxinzelelo olungaphezulu entliziyweni.
• Ukusetyenziswa kweemveliso zecuba : Izinto ezinje ngokutshaya icuba kunye netshungama.
• Indlela yokuphila yokuhlala phantsi : Ukuhlala kwindawo enye ngaphandle kokuzilolonga.
• Imbali yentsapho yesifo sentliziyo : Ukuba umama wakho, utata, okanye abantakwenu banesifo sentliziyo, nawe usenokuba sengozini.
• Uhlobo lwesibini lwesifo seswekile : Ikwabizwa ngokuba sisifo seswekile.
• Isalathisi soBunzima boMzimba (BMI) esingaphezulu kwama-25: Oku kuthetha ukuba utyebile kakhulu xa kuthelekiswa nobude bakho.
• Ukutya okungenampilo : Ukutya ioyile eninzi, ityuwa, iswekile, nokutya okwenziweyo.
• Ingxaki Yokusetyenziswa Kweziyobisi .

Ezinye zezi zinto zinobungozi ziphantsi kolawulo lwethu. Umzekelo, singatshintsha indlela esitya ngayo, sizilolonge, size siyeke ukutshaya.

Ziziphi iingxaki ezinokubakho ngenxa yesifo sentliziyo?

Ukuba isifo sentliziyo asilawulwa kakuhle, sinokukhokelela kwiingxaki zempilo ezinzulu, ezibizwa ngokuba ziingxaki.Ezinye zezi zinto zinokuba yingozi ebomini.

• Ukuhlaselwa yintliziyo
• Ukumelwa yintliziyo
• I-Cardiomyopathy
• Istroke
• Izingqisho Zentliziyo Ezingaqhelekanga
• Umothuko wentliziyo : Intliziyo ayikwazi ukupompa igazi elaneleyo, nto leyo ebangela ukunqongophala kwegazi eliya kumalungu omzimba.
• Ukubanjwa kwentliziyo : Ukuyeka ngequbuliso kwentliziyo.
• Isifo seValve yeNtliziyo
• Uxinzelelo lwegazi oluphezulu kwimiphunga : Uxinzelelo oluphezulu kwimithambo ethwala igazi ukuya emiphungeni.
• Ukonakala kwezintso okanye kwesibindi.

Yiyo loo nto kubaluleke kangaka ukufumana unyango olufanelekileyo lwesifo sentliziyo.

Oogqirha baxilonga njani isifo sentliziyo? (Uxilongo)

Ukuba uneempawu zesifo sentliziyo, xa ubona ugqirha, baya kukuxilonga, bakubuze ngeempawu zakho, baze bafumanise ukuba kukho umntu kusapho lwakho onesifo sentliziyo. Emva koko, baya kuyalela iimvavanyo zokuxilonga ukuqinisekisa unobangela wesifo.

Zeziphi iimvavanyo eziphambili ezisetyenziselwa ukufumanisa isifo sentliziyo?

• I-Electrocardiogram (ECG okanye EKG) : Olu vavanyo luvavanya umsebenzi wombane wentliziyo. Luvavanyo olubandakanya ukuncamathisela izitikha ezincinci esifubeni nasezingalweni.
• IiMonitha ze-Ambulatory : Ngamanye amaxesha i-ECG iyodwa ayinakukwazi ukubona ingxaki. Kwimeko enjalo, uya kunikwa isixhobo esincinci onokusinxiba usuku olunye okanye ezimbini ukuze urekhode rhoqo isingqisho sentliziyo yakho. I-Holter monitor yenye yezi.
• I-Echocardiogram (Echo) : Oku kufana ne-ultrasound scan yentliziyo. Inokujonga izinto ezininzi malunga nentliziyo, njengobukhulu bayo, imilo, indlela esebenza ngayo iivalvu zayo, kunye nendlela epompa ngayo igazi.
• I-Cardiac CT Scan : Oku kungathatha imifanekiso eneenkcukacha zentliziyo kunye nemithambo yegazi.
• I-Magnetic resonance imaging (MRI) yentliziyo : Oku kunokuvelisa imifanekiso ecacileyo yentliziyo.
• Uvavanyo lwegazi : Olu vavanyo lujonga izinto ezifana namanqanaba e-cholesterol, amanqanaba eswekile, kunye nee-enzyme ezithile eziqokelelana egazini xa intliziyo yonakele.
• Uvavanyo loxinzelelo (okanye i-ECG yokuzivocavoca) : I-ECG isetyenziselwa ukujonga indlela intliziyo yakho esabela ngayo xa uzilolonga, nokuba kukubaleka kwi-treadmill okanye ukukhwela ibhayisekile.
• I-Catheterization yentliziyo / i-Angiogram : Kule nkqubo, kufakwa ityhubhu encinci ngomthambo osengalweni okanye emlenzeni kwimithambo yegazi yentliziyo ukuze kubonwe ukuba akukho nto ivalelekileyo na. Ukuba kuyimfuneko, i-stent ingafakwa ngaxeshanye ukuze kwandiswe ukuvaleka.

Ayizizo zonke ezi mvavanyo ezifanelekileyo kumntu wonke. Ugqirha wakho uya kugqiba ukuba loluphi uvavanyo olulungele wena ngokusekelwe kwiimpawu zakho kunye nemeko yakho.

Ziziphi iindlela zonyango zesifo sentliziyo?

Iindlela zonyango ziyahluka ngokuxhomekeke kuhlobo kunye nobukhali besifo sentliziyo yakho. Ngamanye amaxesha utshintsho kwindlela ophila ngayo luyanele. Abanye abantu kufuneka bathathe amayeza. Abanye badinga utyando okanye ezinye iinkqubo zonyango.

• Utshintsho kwindlela yokuphila : Le yeyona nto ibalulekileyo.
• Ukutya ukutya okunamafutha agcweleyo aphantsi.
• Ukuyeka ngokupheleleyo ukusetyenziswa kweemveliso zecuba.
• Ukuqala umthambo wemihla ngemihla njengokuhamba.
• Ukuthatha amayeza :
• Ungathatha amayeza okunciphisa uxinzelelo lwegazi kunye ne-cholesterol.
• Kukho amayeza anokunceda ukungasebenzi kakuhle kwentliziyo okanye ukubetha kwentliziyo okungaqhelekanga.
• Eyona nto ibalulekileyo kukuthatha eli yeza kanye njengoko ugqirha etshilo, ngexesha elifanelekileyo nangedosi efanelekileyo.
• Utyando okanye iinkqubo zonyango :
• Ngamanye amaxesha utyando lwentliziyo evulekileyo ( umz. utyando lwe-bypass) lunokufuneka.
• Utyando Olungenabungozi Kancinci ( Utyando lwenziwa ngokusikwa okuncinci).
• I-Ablation : Inkqubo "esusa" iindawo zentliziyo ezibangela imiqondiso yombane engaqhelekanga.
• Kukwakho nezinto ezifana neenkqubo ze-catheter, ukufakwa kwe-stent , kunye ne-cardioversion (ukunika umothuko wombane ukulungisa isigqi sentliziyo).
• Ukuba nenxaxheba kwiNkqubo yoNyango lwentliziyo : Oku kunokuba luncedo kakhulu ekuqiniseni intliziyo yakho emva kokuhlaselwa yintliziyo. Kubandakanya umthambo olawulwa ngugqirha kunye neengcebiso zesondlo, kunye nokutshintsha indlela yokuphila.

Ngaba kukho naziphi na iziphumo ebezingalindelekanga okanye iingxaki zonyango?

Ewe, njengakuyo nayiphi na indlela yonyango, unyango lwesifo sentliziyo lunokuba nemiphumo emibi okanye iingxaki ezithile.

• Amayeza : Amayeza amaninzi anokuba nemiphumo emibi emincinci. Umzekelo, amayeza oxinzelelo lwegazi anokubangela isiyezi, ukudinwa, kunye nentloko ebuhlungu. Amanye amayeza okwehlisa i-cholesterol anokubangela iintlungu zemisipha, isicaphucaphu, kunye nentloko ebuhlungu. Ukuba ufumana nayiphi na kwezi, kufuneka uxelele ugqirha wakho .
• Utyando okanye iinkqubo : Ezi zinokuba neengozi ezifana nokopha, usulelo, isifo sohlangothi, kunye notshintsho kwisantya sentliziyo. Kodwa oogqirha bazama konke okusemandleni abo ukunciphisa ezi ngozi.

Kuthatha ixesha elingakanani ukuchacha emva konyango?

Oku kuyahluka ngokuxhomekeke kuhlobo lotyando okanye inkqubo oye wayenza. Iinkqubo ezincinci zingathatha iintsuku ezimbalwa ukuze ziphiliswe. Nangona kunjalo, utyando olungenamsebenzi kangako lungathatha iiveki ezimbini ukuya kwezine. Utyando lwentliziyo evulekileyo lungathatha iiveki ezintandathu ukuya kwezilishumi elinesibini (malunga neenyanga ezi-3) ukuze luphiliswe ngokupheleleyo.

Singenza ntoni ukuthintela isifo sentliziyo?

Le yeyona nxalenye ibalulekileyo. Kuthiwa "ukuthintela kungcono kunonyango." Asinakuthintela ezinye iintlobo zesifo sentliziyo (ezifana nezo zizuzwe njengelifa). Kodwa kukho izinto esinokuzenza ukunciphisa umngcipheko wokuba neentlobo ezininzi zesifo sentliziyo:

• Gcina ubunzima obusempilweni obukufaneleyo.
• Ukuba unezinye izifo ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu, okanye i-cholesterol ephezulu, zilawule kakuhle.
• Zilolonge ubuncinane imizuzu engama-30-60 ngosuku, uninzi lweentsuku zeveki. Ukuhamba, ukubaleka, ukukhwela ibhayisekile, okanye ukudada zezona ndlela zilungileyo.
• Nciphisa uxinzelelo. Ungenza izinto ezifana neyoga kunye nokucamngca.
• Yitya ukutya okunetyuwa encinci kunye namafutha agcweleyo. Ungabuza ugqirha wakho malunga nokutya okunempilo kwentliziyo. Yitya imifuno emininzi, iziqhamo, iimbotyi, kunye nokutya okunefayibha eninzi.
• Musa ukusebenzisa nayiphi na imveliso yecuba. Ukuba uyatshaya, yeka namhlanje.

Ezi zinto ngamanye amaxesha kunzima ukuzenza, kodwa zixabisekile entliziyweni yakho.

Yintoni omawuyilindele xa uphila nesifo sentliziyo? / Singazinyamekela njani?

Musa ukucinga ukuba ubomi bakho buphelile xa ufunyaniswa ukuba unesifo sentliziyo. Ngamayeza afanelekileyo kunye notshintsho lwendlela yokuphila, uninzi lwabantu lunokuphila ubomi obuqhelekileyo nobanelisayo. Eyona nto ibalulekileyo kukuxilongwa kwangethuba kwaye uqale unyango ngaphandle kokulinda ukuba iimpawu zibe mandundu. Ukuba unesifo sentliziyo esiqhelekileyo njengesifo semithambo yegazi (CAD), ungenza umahluko omkhulu kwimpilo yakho ngokwenza utshintsho kwimisebenzi yakho yemihla ngemihla. Izinto ezifana nokunciphisa ityuwa namafutha, ukuzilolonga, kunye nokuthatha amayeza akho kanye njengoko ugqirha wakho ekuyalele.

Ngawaphi amaxesha afanelekileyo okubonana nogqirha?

• Ukuba kukho umntu kusapho lwakho (umama, utata, abantakwenu noodadewabo) onesifo sentliziyo, buza ugqirha ukuba unazo ezinye izinto ezinokubangela umngcipheko. Ukuba kunjalo, ungenza icebo lokuthintela isifo sentliziyo.
• Ukuba unezinye zeempawu zentliziyo ezikhankanyiweyo apha ngasentla , bonana nogqirha ngokukhawuleza.

Kufuneka uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba ezi mpawu zenzeka ngequbuliso , yiya kwigumbi likaxakeka lesibhedlele esikufutshane ngoko nangoko okanye utsalele i-ambulensi (umz. 1990 Suwaseriya):

• Intlungu yesifuba, ukuqina, ubunzima, okanye ukungonwabi (ingakumbi ukuba ihlala ixesha elingaphezu kwemizuzu embalwa, ihamba nokunyakaza, okanye ukubila).
• Ukulahlekelwa yingqondo ngequbuliso (ukuquleka) .
• Ubunzima obukhulu bokuphefumla .

Musa ukulinda ekhaya ngexesha elinje. Ukufika emva kwexesha nokuba ngumzuzu omnye kunokuba yingozi ebomini.

Imibuzo ebalulekileyo yokubuza ugqirha wakho

Xa usiya kugqirha, ungoyiki ukubuza imibuzo esengqondweni yakho. Nazi ezinye zemibuzo onokuyibuza:

• Luhlobo luni lwesifo sentliziyo endinaso?
• Ngaba kukho umngcipheko wokuba nabanye abantu kusapho lwam nabo baza kuhlaselwa sesi sifo?
• Yeyiphi indlela engcono yonyango kum?
• Zeziphi iinguqu ekufuneka ndizenze kwindlela endiphila ngayo?
• Kokuphi ukutya endifanele ndikutye kwaye kokuphi endingafanele ndikutye?
• Zeziphi iindlela zokuzilolonga endinokuzisebenzisa?
• Zithini iziphumo ebezingalindelekanga zonyango? Ndingenza ntoni xa zisenzeka?

Izinto ezibalulekileyo ekufuneka sizikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ke, nazi izinto ezibalulekileyo ekufuneka uzikhumbule koko sithethe ngako namhlanje:

Intliziyo sisitho esibalulekileyo ebomini bethu. Ngoko ke, luxanduva lwethu ukuyinyamekela.

Akukho sizathu sinye sesifo sentliziyo, kukho iintlobo ezahlukeneyo. Iimpawu nazo ziyahluka ngokufanelekileyo.

Musa ukuzityeshela iimpawu ezifana neentlungu zesifuba, ukuphefumla kancinci, kunye nokudinwa rhoqo.

Izinto ezifana ne-cholesterol ephezulu, uxinzelelo lwegazi oluphezulu, isifo seswekile, ukutshaya, indlela yokuphila yokuzilolonga, kunye nokutya okungenampilo kwandisa umngcipheko wesifo sentliziyo.

Isifo sentliziyo sinokulawulwa kwaye sithintelwe ngokutshintsha indlela yokuphila elula, kwaye ukuba kuyimfuneko, unyango olufanelekileyo.

Musa ukulinda de kuvele iimpawu, funa ingcebiso kagqirha kwangethuba ukuba unezinto ezinokubangela umngcipheko.

Yithande intliziyo yakho. Zininzi izinto onokuzenza ukuze uyigcine isempilweni. Sonke singaphila ubomi obusempilweni ngaphandle koloyiko, sinolwazi! Isifo sentliziyo, isifo sentliziyo, isifo semithambo yegazi, uhlaselo lwentliziyo, uxinzelelo lwegazi oluphezulu, i-cholesterol, iimpawu zentliziyo, ukuthintela isifo sentliziyo