Ngaba ngamanye amaxesha uziva uphelelwa ngumoya, iinyawo kunye namaqatha avuvukileyo xa udiniwe kancinci? Okanye uvuka ebusuku kunzima ukuphefumla? Ezi zisenokuba ziimpawu ezincinci zokuba intliziyo yakho isebenza kancinci. Kwizonyango, le meko siyibiza ngokuba yi 'Congestive Heart Failure'. Musa ukoyika xa usiva eli gama. Oku akuthethi ukuba intliziyo yakho iyekile ukusebenza. Nangona kunjalo, kuthetha ukuba ukusebenza kwayo kuye kwehla kancinci. Masithethe ngayo yonke into ngokucacileyo nangokulula.
Kalula nje, yintoni ukusilela kwentliziyo?
Khawuthelekelele ukuba umzimba wethu sisixeko, kwaye intliziyo yeyona ndawo iphambili yokumpompa amanzi enika amanzi kweso sixeko. Esi sikhululo sokumpompa simpompa amanzi (oko kukuthi, igazi elifunekayo emzimbeni wethu) kuyo yonke indlu nakwindawo yonke esixekweni. Khawuthelekelele, kwenzeka ntoni ukuba amandla esi sikhululo sokumpompa ancipha kancinci? Ubungakanani bamanzi ampompelwayo awananelanga. Ngenxa yoko, amanzi awafikeleli kwezinye iindawo, kwaye kwezinye iindawo (imibhobho) avaleleka ngamanzi.
Ukusilela kwentliziyo okuxineneyo yimeko efanayo. Intliziyo yakho ayikwazi ukupompa igazi elaneleyo ukuhlangabezana neemfuno zomzimba. Oku kuthetha ukuba intliziyo ayiyeki ukusebenza, kodwa ukusebenza kwayo kuyancitshiswa. Xa amandla okupompa igazi ehla, igazi liqala ukuqokelelana kwiindawo ezahlukeneyo zomzimba. Kufana namanzi abhajwe kwimibhobho. Iindawo eziqhelekileyo apho iidamu zegazi zimiphunga, imilenze, kunye neenyawo .
Kukho iintlobo ezininzi eziphambili zokusilela kwentliziyo:
- Ukusilela kwentliziyo kwicala lasekhohlo: Olu lolona hlobo luqhelekileyo.
- Ukusilela kwentliziyo kwicala lasekunene: Oku kudla ngokubangelwa bubuthathaka kwicala lasekhohlo.
- Ukungasebenzi kakuhle kwentliziyo: Le yimeko engaqhelekanga.
Zithini iimpawu zale meko?
Iimpawu zokusilela kwentliziyo zingahluka kumntu nomntu. Abanye abantu banokuba neempawu ezingephi, ngelixa abanye banokuba neempawu eziqatha. Ngamanye amaxesha iimpawu zinokufika zize ziphele. Nangona kunjalo, ukungabi nazimpawu akuthethi ukuba uphilile ngokupheleleyo kule meko.
Lumka kwezi mpawu.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukuqhawukelwa ngumphefumlo | Ukudinwa, ingakumbi xa uhamba, unyuka izinyuko, okanye usenza nayiphi na into. |
| Ukuvuka ebusuku ngenxa yokuphefumla okunzima | Le meko inokwenzeka ngenxa yolwelo oluqokelelana emiphungeni xa ulele ebhedini. Kwakhona luphawu lwale meko, olukukuba kufuneka ulale unemiqamelo emibini okanye emithathu. |
| Ukudumba kwemilenze, amaqatha, kunye nesisu | Oku kudumba kubangelwa kukuqokelelana kolwelo kwiindawo ezisezantsi zomzimba. Ukuba kuvakala ngathi kuphuma idimple xa ucinezela ngomnwe, olo luphawu olubalulekileyo. |
| Ukunyuka kwesisindo ngequbuliso | Ukwanda kobunzima kunokwenzeka kwiintsuku ezimbalwa, kungekhona ngenxa yamafutha, kodwa ngenxa yokugcinwa kolwelo emzimbeni. |
| Ukudinwa rhoqo | Usenokuziva udiniwe ngalo lonke ixesha kuba amalungu omzimba wakho akafumani igazi elaneleyo elineoksijini. |
| Ukubetha kwentliziyo | Ngenxa yokuba intliziyo ibuthathaka, izama ukubetha rhoqo ukuze ibuyisele umva. |
| Ukukhwehlela okomileyo | Ukukhwehlela okungavelisi mhlwa, ingakumbi xa uhleli ixesha elide. |
| Ukulahlekelwa ngumdla okanye isicaphucaphu | Ezi mpawu zinokwenzeka ngenxa yokuncipha komthamo wegazi elihamba kwinkqubo yokugaya ukutya. |
Eyona nto ibalulekileyo kukuba, ukuba unazo ezi mpawu, ngokuqinisekileyo unayoBona ugqirha uze ufumane ingcebiso. Okukhona ibonwa kwangoko, kokukhona kulula ukuyinyanga.
Kutheni oku kusenzeka? Zithini izizathu zokusilela kwentliziyo?
Intliziyo sisihlunu. Nantoni na eyonakalisa esi sihlunu okanye esinika uxinzelelo olukhulu inokubangela ukuba intliziyo ibe buthathaka ngokuhamba kwexesha.
Nazi ezinye zezizathu eziphambili:
- Uhlaselo lwentliziyo kunye nesifo semithambo yegazi: Ukonakala kwemisipha yentliziyo ngenxa yokuvaleka kwemithambo yegazi ehambisa igazi entliziyweni.
- Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu): Intliziyo kufuneka isebenze nzima ngokuhamba kwexesha ukupompa igazi ngokuchasene noxinzelelo lwegazi oluphezulu.
- Isifo seswekile: Isifo seswekile singonakalisa imithambo yegazi kunye nemisipha yentliziyo.
- I-Cardiomyopathy: Ubuthathaka bemisipha yentliziyo ngenxa yezizathu zemfuza, usulelo lwentsholongwane, njl.
- Iingxaki zeevalvu zentliziyo: Xa iivalvu zentliziyo zingavali okanye zingavuli kakuhle, igazi liqala ukuhamba libuyela umva.
- Isifo sezintso: Xa izintso zingasebenzi kakuhle, ulwelo netyuwa ziyaqokelelana emzimbeni, oko kunyusa uxinzelelo lwegazi kwaye kubeka uxinzelelo entliziyweni.
- Isifo sentliziyo esizalwa naso: Iziphene ezithile zentliziyo ezibakho ekuzalweni.
- Indlela yokuphila engafanelekanga:
- Ukusetyenziswa kwecuba kunye neziyobisi.
- Ukusela utywala ngokugqithisileyo.
- Ukutyeba kakhulu.
- Yitya ukutya okunetyuwa eninzi namafutha amaninzi.
Masichonge amanqanaba okusilela kwentliziyo.
Oogqirha bahlula le meko ibe ngamanqanaba amane (A, B, C, kunye no-D). Oku kwenza kube lula ukuqonda ubunzima besifo kunye nendlela yokusinyanga. Okubaluleke kakhulu, injongo yonyango kukuyeka okanye ukucothisa ukuqhubela phambili kwala manqanaba.
| Iqonga | Ithetha ntoni le nto? |
|---|---|
| Isigaba A | Aba bantu abakabi naso isifo sentliziyo, kodwa basengozini enkulu yokuba naso kwixesha elizayo (umz. uxinzelelo lwegazi oluphezulu, isifo seswekile, imbali yentsapho yesi sifo). |
| Isigaba B | Utshintsho oluthile kwisakhiwo okanye ubuthathaka entliziyweni luqalile, kodwa iimpawu azikabonakali . |
| Inqanaba C | Ukusilela kwentliziyo kuye kwaqinisekiswa, kwaye iimpawu zikhona okanye bezikho ngaphambili (ezifana nokuphefumla kancinci, ukudumba kwemilenze). |
| Isigaba D | Eli linqanaba lokugqibela lesi sifo . Kunzima ukulawula iimpawu ngonyango oluqhelekileyo. Kufuneka unyango olukhethekileyo. |
Ziziphi iindlela zonyango?
Iindaba ezimnandi zezokuba kukho unyango oluninzi olufumanekayo namhlanje olunokunceda ekulawuleni le meko. Nangona ingenakunyangwa ngokupheleleyo, iimpawu zinokulawulwa kwaye umntu angaphila ubomi obutofotofo nobonwabisayo. Iindlela zonyango zixhomekeke kwinqanaba lesigulana kunye nesizathu.
Utshintsho kwindlela yokuphila (oku kubalulekile kuye wonke umntu!)
- Ukulawula ityuwa: Kubalulekile ukunciphisa ityuwa ekutyeni kwakho. Ityuwa yonyusa ukugcinwa kolwelo emzimbeni, nto leyo enyusa uxinzelelo entliziyweni.
- Ulawulo lolwelo: Abanye abantu banokucetyiswa ngugqirha wabo ukuba banciphise amanzi abawaselayo ngosuku.
- Ukugcina ubunzima obusempilweni: Ukunciphisa ubunzima kunokunciphisa uxinzelelo entliziyweni.
- Ukuzilolonga: Njengoko ugqirha wakho ekucebisile, ukwenza umthambo othambileyo njengokuhamba kuqinisa izihlunu zentliziyo.
- Yeka ukutshaya notywala: Ezi zizinto eziyonakalisa ngqo intliziyo.
Amayeza
Ugqirha wakho uza kukunika iyeza elinye okanye ngaphezulu ngokuxhomekeke kwimeko yakho. La mayeza angenza oku kulandelayo:
- Ukunciphisa umthwalo entliziyweni.
- Ukulawula ukubetha kwentliziyo.
- Ukukhupha ulwelo olugqithisileyo oluqokelelene emzimbeni ngomchamo (silubiza ngokuba yi-'Diuretics' okanye 'iipilisi zamanzi').
- Ukulawula uxinzelelo lwegazi.
Kubalulekile: Ungaze uyeke ukuthatha amayeza owanikwe ngugqirha wakho okanye utshintshe umthamo ngokwakho. Oku kungenxa yokuba la mayeza enzelwe ukukhusela intliziyo yakho.
Unyango olukhethekileyo kunye notyando
Kwezinye iimeko ezinzima, kunokufuneka olunye unyango ukongeza kumayeza.
- I-ICD (ICD) efakelwa kwi-Implantable Cardiac Defibrillator: Isixhobo esincinci esibekwa phantsi kwesikhumba ukuze kuthintelwe ukungasebenzi kakuhle kwentliziyo.
- I-Biventricular Pacemaker: Isixhobo esinceda amagumbi entliziyo ukuba aqine ngokuchanekileyo.
- Utyando: Kunokufuneka utyando ukuze kulungiswe imithambo yegazi evalekileyo entliziyweni (utyando lokudlula) okanye iivalvu (utyando lweevalvu).
- Ukufakelwa kwentliziyo: Olu khetho lokugqibela oluqwalaselwayo kwabo bakwinqanaba lokugqibela lesi sifo.
Ufanele wenze ntoni? Ungazinyamekela njani?
Xa uphila nale meko, kufuneka unakekele umzimba wakho kakuhle.
1. Zilinganisele imihla ngemihla: Zilinganisele ngaxeshanye, unxibe iimpahla ezifanayo. Ukuba ngequbuliso unyuka ngeekhilogram ezi-2 ngosuku okanye ezimbini, oko kuthetha ukuba unyuka ubunzima bamanzi. Xelela ugqirha wakho ngoko nangoko.
2. Nikela ingqalelo kwiimpawu: Nikela ingqalelo ukuba unengxaki yokuphefumla, ukudumba, okanye ukudinwa.
3. Sela amayeza akho ngexesha: Ungaze uphoswe yidosi enye yeyeza.
4. Landela imiyalelo kagqirha wakho: Landela imiyalelo kagqirha wakho ngokuchanekileyo. Yiya kwiikliniki ngexesha.
Ufanele ufune nini ingcebiso yezonyango ngokukhawuleza?
| Thetha nogqirha wakho ukuba ezi mpawu zintsha okanye zimbi ngakumbi: | |
|---|---|
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| Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko ukuba unezi mpawu: | |
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Le yimeko ehlala ixesha elide. Ngoko ke ngamanye amaxesha ungaziva ulusizi kwaye uxhalabile. Yinto eqhelekileyo leyo. Thetha nosapho lwakho kunye nabahlobo ngale nto. Ukuba kuyimfuneko, funa uncedo kwingcali yezempilo yengqondo. Thetha nogqirha wakho ngayo yonke into oyivayo.
Umyalezo Wokuya Ekhaya
- Ukusilela kwentliziyo okubangelwa kukungasebenzi akuthethi ukuba intliziyo iyekile ukusebenza. Kuthetha ukuba ukusebenza kwayo kuye kwehla.
- Qaphela iimpawu ezifana nokuphefumla kancinci, ukudumba kwemilenze, kunye nokudinwa rhoqo. Musa ukuzityeshela ezi zinto.
- Le meko ingalawulwa kakuhle ngokwenza utshintsho kwindlela ophila ngayo (ukunciphisa ityuwa, ukuzilolonga) kunye nokuthatha amayeza owanikwe ngugqirha wakho.
- Landelela ubunzima bakho kunye notshintsho kwiimpawu zakho yonke imihla. Ukuba ubona naluphi na utshintsho, xelela ugqirha wakho ngoko nangoko.
- Awuwedwa. Kukho oogqirha, usapho, kunye nabahlobo abanokukunceda kolu hambo. Ungoyiki ukucela inkxaso yabo.
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