Ugqirha usenokuba ukuxelele okanye umntu osapho lwakho ukuba une "Heart Failure". Usenokuba ukunike amayeza amaninzi ahlukeneyo, akunjalo? Usenokuba uzibuza, "Kutheni ndinikwe amayeza amaninzi ahlukeneyo? Ngaba ngalinye kula alenzi into efanayo?" Lo ngumbuzo abantu abaninzi abanawo. Ke namhlanje, masithethe ngamayeza okusilela kwentliziyo ngendlela elula kakhulu .
Okokuqala, masibone ukuba yintoni ukusilela kwentliziyo.
Xa usiva eli gama, abanye abantu bayoyika, "Owu, intliziyo yam iyekile ukusebenza?" Akunjalo. Ukusilela kwentliziyo yimeko apho izihlunu zentliziyo yakho ziba buthathaka kwaye zingakwazi ukupompa igazi ngokufanelekileyo ngokwaneleyo ukuhlangabezana neemfuno zomzimba. Cinga ngayo njengepompo yamanzi egugayo kwaye ingakwazi ukupompa amanzi ngendlela eyayiqhele ukwenza ngayo.
Xa amandla okumpompa kwentliziyo ehla ngale ndlela, ulwelo luqala ukuqokelelana kwiindawo ezahlukeneyo zomzimba, ingakumbi emiphungeni, emilenzeni, nasemaqatheni. Oku sikubiza ngokuba yi-'(Congestive Heart Failure)'. Oku kunokubangela iimpawu ezifana nokuphefumla kancinci, ukudinwa, kunye nokudumba emilenzeni .
Into ebalulekileyo kukuba le yimeko eqhubekayo. Ngoko ke, kubalulekile ukufumana unyango olufanelekileyo ubomi bakho bonke. Nangona la mayeza engenakuyinyanga ngokupheleleyo le meko, anokunceda ukulawula ukonakala kwesi sifo nokugcina umgangatho wobomi bakho uphezulu.
Ngawaphi amayeza aphambili okusilela kwentliziyo?
Kwisifo sentliziyo, iintlobo ezininzi zamayeza zisetyenziswa kunye endaweni yesinye isiyobisi. Isizathu soku kukuba uhlobo ngalunye lwesiyobisi lwenza umsebenzi owahlukileyo emzimbeni. Njengokuba umdlali ngamnye kwiqela lekhilikithi enomsebenzi owahlukileyo. Ugqirha wakho uya kumisela indibaniselwano efanelekileyo yamayeza ngokusekwe kwiimpawu zakho, ezinye iimeko zonyango ezifana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu, kunye nohlobo lwesifo sakho.
Makhe sijonge nje ezi ntlobo ziphambili zamayeza kunye nendlela asebenza ngayo kwitheyibhile engezantsi.
| Udidi lweziyobisi | Ukusebenza (ngamagama alula) | Amayeza asetyenziswa rhoqo (imizekelo) |
|---|---|---|
| Izithinteli ze-ACE | Iyandisa imithambo yegazi, inciphise umthwalo womsebenzi entliziyweni, kwaye ilawula uxinzelelo lwegazi. | I-Enalapril, iLisinopril, iRamipril, iCaptopril |
| Ii-Angiotensin-2 Receptor Blockers (ii-ARB) | Zisebenza ngendlela efanayo ne-ACE inhibitors. Ezi zinikwa abantu abafumana iziphumo ebezingalindelekanga ezifana nokukhwehlela ngenxa ye-ACE inhibitors. | Losartan, Valsartan, Candesartan |
| Ii-Beta Blockers | Iyanciphisa isantya sentliziyo kancinci, inike intliziyo ukuphumla. Iyandisa ukusebenza kwentliziyo ngokuhamba kwexesha. | I-Carvedilol, iBisoprolol, iMetoprolol Succinate |
| I-Diuretics (iipilisi zamanzi) | Isusa ulwelo olugqithisileyo (amanzi) oluqokelelene emzimbeni ngomchamo. Inciphisa ukudumba emilenzeni kunye nokuphefumla kancinci. | I-Furosemide (iLasix), i-Spironolactone, i-Hydrochlorothiazide |
| Ii-ARNI (i-ARNI) | La luhlobo olutsha nolunamandla lwamayeza. Andisa iihomoni ezikhusela intliziyo kwaye anciphise iihomoni eziyingozi. | I-Sacubitril/Valsartan (Entresto®) |
| Izithinteli ze-SGLT2 | Nangona ekuqaleni zazinikwa isifo seswekile, ezi zifunyenwe zinciphisa umngcipheko wokulaliswa esibhedlele ngenxa yokusilela kwentliziyo. | I-Dapagliflozin, i-Empagliflozin |
| I-Digoxin | Iyawonyusa kancinci amandla okushwabana kwentliziyo. Ikwanikwa abo banentliziyo ebetha ngokungalungelelananga. | I-Digoxin (iLanoxin®) |
Ngaba nathi siyazi ngemiphumo emibi?
Njengayo nayiphi na iyeza, la mayeza anokuba nemiphumo emibi. Nangona kunjalo, ayinguye wonke umntu ofumana zonke ezi miphumo emibi . Ezinye azifumaneki lula. Kodwa kubalulekile ukuba uzazi.
- Ukudinwa kunye nentloko ebuhlungu: Amanye amayeza anokubangela isiyezi, ingakumbi xa usukuma ngequbuliso uhleli, njengoko ehlisa uxinzelelo lwegazi.
- Ukukhwehlela okomileyo: Abanye abantu abasebenzisa amayeza, ingakumbi abo bakwiqela le-ACE Inhibitors, banokuba nokukhwehlela okomileyo okungapheliyo.
- Ukudinwa: Usenokuziva udiniwe kancinci xa uqala ukuthatha ii-beta blockers, kodwa oku kuya kuphela xa umzimba wakho uqhele.
- Utshintsho kumanqanaba e-potassium: Amanye amayeza anokunyusa amanqanaba e-potassium egazini, ngelixa amanye amapilisi amanzi enokunciphisa. Yiyo loo nto oogqirha bedla ngokucebisa uvavanyo lwegazi.
- Iziphumo kwizintso: Amanye amayeza anokuba nefuthe elincinci ekusebenzeni kwezintso. Oku kujongwa nangovavanyo lwegazi.
- Okunye: Abanye abantu banokuba neentlungu zemisipha, isicaphucaphu, kunye nosulelo lolusu.
Eyona nto ibalulekileyo kukuthetha nogqirha wakho ngoko nangoko ukuba ufumana naziphi na iimpawu ezintsha, nantoni na engaqhelekanga, okanye naziphi na iziphumo ebezingalindelekanga ezifana nale, endaweni yokuzama ukuzinyanga. Usenokukwazi ukulungisa umthamo okanye ukutshintshela kwenye iyeza.
Ngaba kufuneka nditshintshe indlela endiphila ngayo kunye namayeza?
Ewe, ngokuqinisekileyo. Amayeza ayinxalenye nje yemfazwe. Enye inxalenye ixhomekeke kwindlela ophila ngayo.
- Ulawulo lwetyuwa: Nciphisa ubungakanani betyuwa oyongezayo ekutyeni kwakho. Izinto ezifana nokutya okusemathinini, inyama ecoliweyo, iisosi, kunye neepickles zinotyuwa omninzi.
- Ukuzilolonga: Ngokwengcebiso kagqirha wakho, yenza umthambo olula ofanelekileyo kuwe. Nokuhamba kwanele.
- Ukutshaya notywala: Zombini azilungelanga intliziyo kwaphela. Kungcono ukuyeka ngokupheleleyo.
- Ukulawula ubunzima: Zilinganisele ngexesha elifanayo yonke imihla uze ubhale phantsi ubunzima bakho. Ukuba ngequbuliso ufumana iikhilogram ezi-2 kwiintsuku ezimbini okanye ezintathu, oko kusenokuba kukugcina amanzi. Ukuba oko kuyenzeka, thetha nogqirha wakho.
- Impilo-ntle yengqondo:Kuqhelekile ukuziva udiniwe kwaye ulusizi xa uphila nesifo esifana nesi ixesha elide. Thetha ngaso ngokukhululekileyo nosapho lwakho kunye nogqirha wakho.
Amanye amacebiso alula okulawula amayeza
- Fumana amayeza akho ngaphambi kokuba aphele: Fumana idosi yakho elandelayo yamayeza kwikhemesti kwiintsuku ezimbalwa ngaphambi kokuba aphele.
- Gcina uluhlu: Gcina incwadi enegama, umthamo (ingakanani), kunye nexesha lokuthatha amayeza owathathayo. Yiphathe nawe ngalo lonke ixesha xa ubona ugqirha.
- Musa ukuyeka ukuthatha amayeza akho: Ungaze uyeke ukuwathatha ngaphandle kwengcebiso kagqirha wakho, kuba nje ucinga ukuba uzive ungcono. Ungaziva ungcono kuba amayeza esebenza kakuhle. Ukuwayeka kunokwenza imeko yakho ibe mandundu.
- Ukuba ukhulelwe okanye ulindele umntwana: Amanye amayeza awafanelekanga ngexesha lokukhulelwa. Ngoko ke ukuba uneengxaki, yazisa ugqirha wakho ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- Ukungaphumeleli kwentliziyo akusiso isifo sentliziyo. Kukubuthathaka kwamandla entliziyo okupompa.
- Amayeza owanikwayo oku kuya kufuneka uwasele ubomi bakho bonke. Aza kukunceda wongeze ubomi bakho kwaye agcine umgangatho wobomi bakho ulungile.
- Iindidi ezahlukeneyo zamayeza zinikwa kuba iyeza ngalinye lenza imisebenzi eyahlukileyo.
- Nokuba uzive ungcono, ungaze uyeke ukuthatha amayeza okanye utshintshe umthamo ngaphandle kwengcebiso kagqirha.
- Ukuba ufumana naziphi na iimpawu ezintsha okanye iziphumo ebezingalindelekanga, musa ukoyika kwaye thetha nogqirha wakho ngoko nangoko.
- Kunye namayeza, ukutya ukutya okunetyuwa encinci kunye nendlela yokuphila enempilo kubalulekile ekulawuleni esi sifo.
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