Ngaba ngamanye amaxesha ukufumanisa kunzima ukuphefumla xa unyuka izinyuko okanye ixesha elifutshane? Ngaba uziva udiniwe kakhulu? Ngaba imilenze namaqatha akho ayavuvukala ngokuhlwa? Musa ukuyithatha njengento nje enye. Ezi zinokuba ziimpawu zokuba intliziyo yakho izama ukukuxelela into ethile. Namhlanje siza kuthetha ngesihloko esibaluleke kakhulu abantu abaninzi abangasaziyo. Oko kukusilela kwentliziyo, okanye njengoko sikubiza ngokwezonyango, ukusilela kwentliziyo, kunye namayeza anikwayo ngenxa yoko.
Okokuqala, masiqonde ukuba yintoni iHeart Failure.
Abantu abaninzi bayoyika xa besiva igama elithi Heart Failure. Bathi, "Hayi bo, ingaba intliziyo yam iyekile ukusebenza?" Kodwa akunjalo. Ngamafutshane, Heart Failure yimeko apho izihlunu zentliziyo yakho zingakwazi ukupompa igazi ngokufanelekileyo emzimbeni. Kufana nepompo yamanzi ebuthathaka kancinci kwaye ingakwazi ukupompa amanzi etankini ngesantya esifanelekileyo.
Le yimeko eqhubekayo. Njengoko intliziyo ingapompi igazi ngokufanelekileyo, ulwelo luqala ukuqokelelana kwiindawo ezahlukeneyo zomzimba, ingakumbi imiphunga , imilenze, neenyawo. Yiyo loo nto ndikhankanye iimpawu zokuphefumla kancinci , ukudinwa, kunye nokudumba emilenzeni . Ukuba le meko ayinyangwa, kukho umngcipheko omkhulu weengxaki ezinkulu ezifana nokonakala kwamalungu omzimba anjengesibindi nezintso, kunye nokuma kwentliziyo ngequbuliso .
Eyona nto ibalulekileyo kukuba ukusilela kwentliziyo akunakunyangwa ngokupheleleyo ngamayeza. Kodwa ungakhathazeki! Ngamayeza afanelekileyo kunye notshintsho lwendlela yokuphila, ungayilawula kakuhle imeko, uyithintele ukuba ingabi mandundu, kwaye ugcine umgangatho wobomi ulungile.
Ugqirha wakho uya kugqiba ukuba loluphi unyango olulungele wena ngokusekelwe kwiimpawu zakho, nokuba unezinye izifo ezifana nesifo seswekile , uxinzelelo lwegazi oluphezulu , okanye isifo sezintso , kunye nokuba imeko yakho ihambele phambili kangakanani. Ke ngoko, amayeza amiselwe omnye umntu awayi kumiselwa omnye umntu.
Ngawaphi amayeza aphambili asetyenziselwa ukusilela kwentliziyo?
Xa kunyangwa ukungasebenzi kakuhle kwentliziyo, kusetyenziswa indibaniselwano yamayeza, endaweni yeyeza elinye. Isizathu soku kukuba ichiza ngalinye lenza imisebenzi eyahlukeneyo emzimbeni kwaye linceda intliziyo. Njengokuba ilungu ngalinye leqela lekhilikithi likwazi ukwenza into enye kwaye xa likunye bayaphumelela umdlalo.
Makhe sijonge le theyibhile ingezantsi ukuze sibone iindidi zamayeza ezisetyenziswa kakhulu kunye nendlela ezisebenza ngayo.
| Iklasi yamayeza | Kalula nje, kwenzeka ntoni ngale nto? | Imizekelo Eqhelekileyo |
|---|---|---|
| Ii-ACE Inhibitors (ii-Angiotensin-Converting Enzyme Inhibitors) | Ezi zisebenza ngokwandisa imithambo yegazi nokunciphisa uxinzelelo lwegazi. Oku kunciphisa umthwalo womsebenzi entliziyweni wokupompa igazi. Cinga ngako njengokwandisa umbhobho ovalekileyo ukuze kube lula ukuba amanzi ahambe. | I-Captopril, i-Enalapril, i-Lisinopril, i-Ramipril |
| Ii-ARB (ii-Angiotensin-2 Receptor Blockers) | Njenge-ACE inhibitors, ezi zikwanceda intliziyo ngokwandisa imithambo yegazi. Oogqirha bacebisa olu hlobo xa abanye abantu befumana iziphumo ebezingalindelekanga ezifana nokukhwehlela ngenxa ye-ACE inhibitors. | Losartan, Valsartan, Candesartan |
| Ii-Beta Blockers | Ezi zinciphisa isantya sentliziyo kwaye zinciphise uxinzelelo entliziyweni. Oku kunika intliziyo "ukuphumla" kwaye kuyivumela ukuba ipompe ngcono ngokuhamba kwexesha. Zikwalawula iihomoni ezibangela uxinzelelo entliziyweni. | I-Carvedilol, iBisoprolol, iMetoprolol Succinate |
| I-Diuretics (Iipilisi Zamanzi) | Sidla ngokuzibiza ngokuba "ziipilisi zamanzi." Zinceda ekususeni ulwelo olugqithisileyo emzimbeni ngomchamo. Oku kunciphisa kakhulu ukudumba kwemilenze kunye nobunzima bokuphefumla obubangelwa lulwelo olusemiphungeni. | I-Furosemide (Lasix®), i-Spironolactone, i-Hydrochlorothiazide |
| Ii-ARNIs (ARB + Neprilysin Inhibitor) | Olu luhlobo olutsha noluphucukileyo lwamayeza. Lunceda umzimba ukuba ugcine iihomoni zendalo ezikhusela intliziyo, ngelixa lukwandisa imithambo yegazi. Luluncedo ngakumbi kubantu abangakwaziyo ukupompa intliziyo (i-ejection fraction). | I-Sacubitril/Valsartan (Entresto®) |
| Izithinteli ze-SGLT2 | Nangona ezi zazenzelwe ukunyanga isifo seswekile, kamva zafunyaniswa ukuba zinciphisa umngcipheko wokulaliswa esibhedlele kwizigulane ezinesifo sentliziyo. Zinceda izintso zikhuphe iswekile kunye nesodium. | I-Dapagliflozin (Farxiga®), i-Empagliflozin (Jardiance®) |
| I-Digoxin | Eli yeza linciphisa isantya sentliziyo kwaye lomeleza ukushwabana kwemisipha yentliziyo. Linikwa abantu abaneempawu nangona kukho amanye amayeza kunye nabo bane-atrial fibrillation engaqhelekanga. | I-Digoxin (iLanoxin®) |
Ngaba kukho naziphi na iziphumo ebezingalindelekanga xa usebenzisa eli yeza?
Ewe, njengalo naliphi na iyeza, abanye abantu banokufumana iziphumo ebezingalindelekanga ezivela kula mayeza. Kodwa ayinguye wonke umntu ozifumanayo. Iziphumo ebezingalindelekanga ozifumanayo ziya kuxhomekeka kuhlobo lweyeza olinikwayo.
Ezinye zezona ziphumo bezingalindelekanga zixhaphakileyo zezi:
- Ukuba nesiyezi, ingakumbi xa uvuka kwindawo ohleli kuyo.
- Ndiziva ndidiniwe.
- Uxinzelelo lwegazi oluphantsi.
- Abanye abantu (ingakumbi abo basebenzisa i-ACE inhibitors) banokuba nokukhwehlela okomileyo.
- Ukuchama rhoqo ngenxa ye-diuretics.
- Amanqanaba e-potassium aphantsi okanye aphezulu egazini.
- Ukuqaqamba kwemisipha.
Ukuba ufumanisa naziphi na iimpawu ezintsha ezingaqhelekanga, ungaze uyeke ukuthatha amayeza akho ngaphandle kokubuza ugqirha wakho kuqala. Oku kunokuba yingozi kakhulu. Xelela ugqirha wakho malunga nokungonwabi okufumanayo. Usenokukwazi ukutshintsha idosi okanye akunike elinye iyeza elifanelekileyo kuwe.
Kunye namayeza, zeziphi izinto ekufuneka uzenze kwicala lakho?
Amayeza asisiqingatha sedabi. Esinye isiqingatha sisezandleni zakho. Ukulungisa indlela ophila ngayo kunokufumana iziphumo ezingcono nangakumbi kunamayeza.
Zikhathalele ezi zinto yonke imihla.
- Jonga ubunzima bakho ngexesha elifanayo yonke imihla, kusasa. Ukuba ngequbuliso wongeza iikhilogram ezi-2 ngosuku okanye ezimbini, oko kungaba luphawu lokugcinwa kwamanzi. Ukuba oku kuyenzeka, thetha nogqirha wakho ngokukhawuleza.
- Bekuya kuba kuhle ukuba ubunokulinganisa uxinzelelo lwakho lwegazi ekhaya. Buza ugqirha wakho malunga nokufumana isixhobo sokujonga uxinzelelo lwegazi esifanelekileyo.
- Lumka kakhulu malunga nobungakanani betyuwa (i-sodium) ekutyeni okutyayo. Ityuwa eninzi inyusa ukugcinwa kwamanzi emzimbeni kwaye inyusa umthwalo entliziyweni. Ziphephe izinto ezifana neepickles, iziqhamo ezomisiweyo, iisosi, ukutya okusemathinini, kunye neesoseji kangangoko unako.
- Sela kuphela umlinganiselo wamanzi ocetyiswa ngugqirha wakho ngosuku. Ngamanye amaxesha kunokufuneka unciphise umlinganiselo wamanzi owaselayo.
Utshintsho kwindlela yokuphila
- Ukuba uyatshaya, yeka namhlanje. Ukutshaya yenye yezona ntshaba zinkulu zentliziyo.
- Nciphisa okanye uyeke ngokupheleleyo ukusebenzisa utywala.
- Ngokwengcebiso kagqirha wakho, yenza umthambo ofanelekileyo yonke imihla. Nokuba uhamba ngeenyawo kulungile.
- Cinga nangempilo yakho yengqondo . Kuqhelekile ukuba uzive ulusizi kwaye uxhalabile xa uphila nesi sifo esihlala ixesha elide esifana nesi. Thetha nosapho lwakho kunye nabahlobo bakho ngale nto. Funa ingcebiso ukuba kuyimfuneko.
Indlela yokulawula amayeza?
Ngamanye amaxesha kunokuvakala ngathi ngumsebenzi onzima xa kufuneka uthathe amayeza amaninzi. Kodwa ukuba uzenza kakuhle ezi zinto, uza kuziva umahluko omkhulu.
- Fumana i-refill kwiintsuku ezimbalwa ngaphambi kokuba amayeza akho aphele. Musa ukulinda de kube lusuku lokugqibela.
- Bhala uluhlu lwamayeza owasebenzisayo uze ulugcine lusecaleni.Bhala phantsi yonke into ekuyo, kuquka igama leyeza, idosi (umz. 50mg), ukuba ulithatha kangaphi ngemini, nokuba ulithatha na ngaphambi okanye emva kokutya. Thabatha olu luhlu xa usiya kubona ugqirha.
- Musa ukuyeka ukuthatha amayeza akho ngaphandle kokubonisana nogqirha wakho nangasiphi na isizathu. Nokuba uzive ungcono, musa ukuyeka ukuwathatha amayeza akho. Uziva ungcono kuba amayeza asebenza kakuhle. Ukuba uyeka ukuwathatha, imeko yakho inokuba mandundu kwakhona.
- Ukuba uceba ukukhulelwa okanye ukhulelwe okwangoku, xelela ugqirha wakho ngoko nangoko, kuba amanye amayeza okusilela kwentliziyo awafanelekanga ngexesha lokukhulelwa.
Ukusilela kwentliziyo akuthethi ukuba intliziyo yakho "ayiphumelelanga." Kuthetha nje ukuba intliziyo yakho ifuna uncedo oluncinci ukuze yenze oko ifanele ukukwenza. Olo ncedo luvela kula mayeza kunye notshintsho kwindlela ophila ngayo. Ngoko ke hlala uqinile kwaye ulandele imiyalelo kagqirha wakho ngokuchanekileyo. Emva koko ungaphila ubomi obude, obonwabisayo, nobunempilo ngale meko.
Umyalezo Wokuya Ekhaya
- Ukusilela kwentliziyo akukokusilela kwentliziyo, kodwa kukwenza buthathaka kwenkqubo yokumpompa igazi kwentliziyo.
- Nangona amayeza engenakuyinyanga ngokupheleleyo le meko, kunokwenzeka ukulawula ukonakala kwesi sifo nokuphila ubomi obulungileyo.
- Nokuba uzive ungcono, ungaze uyeke ukuthatha amayeza akho ngaphandle kwengcebiso kagqirha. Kunokuba yingozi.
- Kunye namayeza, ukutya ukutya okungenatyuwa ingako, ukuphepha ukutshaya, kunye nokuzilolonga njengoko kucetyiswe ngugqirha wakho nako kubaluleke kakhulu.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezivela kumayeza akho okanye iimpawu zakho ziyatshintsha, ungathandabuzi ukuthetha nogqirha wakho ngaloo nto.
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