Ingaba intliziyo yakho idinwe kancinci? Masifunde ngeCongestive Heart Failure ngendlela elula!

Ngaba ngamanye amaxesha uziva ngathi unengxaki yokuphefumla nokuba uhamba umgama omfutshane okanye unyuka izinyuko? Okanye uziva ngathi imilenze okanye amaqatha akho ayadumba? Oku kusenokuba yintliziyo yakho ekuxelela into ethile. Namhlanje siza kuthetha ngeCongestive Heart Failure , okanye njengoko abanye beyibiza njalo, i-congestive heart failure . Ungakhathazeki, ukuba uyiqonda kakuhle le nto kwaye uyilawula kakuhle, ungaphila kakuhle.

Yintoni kanye kanye iCongestive Heart Failure?

Ngamafutshane, i-Congestive Heart Failure kuxa intliziyo yakho ingakwazi ukupompa igazi ngendlela eyiyo. Cinga ngentliziyo yakho njengeziko elikhulu lokusasaza igazi. Yonke iphakheji efikayo (oko kukuthi igazi) kufuneka ifike kwindawo efanelekileyo (oko kukuthi amalungu omzimba) ngexesha. Kodwa kwenzeka ntoni xa eli ziko liba buthathaka kancinci kwaye lingakwazi ukuhambisa zonke iiphakheji ngexesha? Iiphakheji ziyaqokelelana, akunjalo? Yiloo nto eyenzekayo apha. Xa intliziyo ingakwazi ukupompa igazi ngokufanelekileyo, igazi liyabuyela umva kwaye liqokelele kwiindawo ezahlukeneyo zomzimba, ngakumbi emiphungeni, emilenzeni, emaqatheni nasesiswini . Oku sikubiza ngokuba yi-Congestive, oko kuthetha ukuba kukho "iqoqo."

Ngaba kukho iintlobo eziphambili ze-Congestive Heart Failure?

Ewe, kukho iintlobo ezininzi eziphambili:

• Ukusilela kwentliziyo kwicala lasekhohlo: Olu lolona hlobo luqhelekileyo. Oku kwenzeka xa icala lasekhohlo lentliziyo (i-ventricle yasekhohlo) lingakwazi ukupompa igazi emzimbeni wonke. Oku kunokubangela ukuba igazi lihlangane emiphungeni, nto leyo ebangela ubunzima bokuphefumla.
• Ukusilela kwentliziyo kwicala lasekunene: Oku kudla ngokubangelwa kukusilela kwentliziyo kwicala lasekhohlo. Xa icala lasekunene lentliziyo lingakwazi ukupompa igazi eliphuma emiphungeni ngokufanelekileyo, igazi liyahlangana kwinkqubo yemithambo yegazi lize libangele ukudumba kwiindawo ezifana nemilenze, amaqatha, kunye nesisu.
• Ukusilela kwentliziyo okuphuma kakhulu: Olu luhlobo olungaqhelekanga. Kule meko, intliziyo impompa igazi kakuhle, kodwa ngenxa yokuba umzimba ufuna kakhulu (umzekelo, i-anemia enzima, i-hyperthyroidism), intliziyo ayikwazi ukuhlangabezana neso sidingo.

Ixhaphake kangakanani le meko?

Izigidi zabantu kwihlabathi liphela zinengxaki yesi sifo. Sixhaphake kakhulu kubantu abaneminyaka engaphezu kwama-65 ubudala , kwaye sesona sizathu siphambili sokulaliswa esibhedlele kwabo bantu baneminyaka yobudala. Kungoko ke, kubaluleke kakhulu ukuba uqaphele esi sifo.

Zithini iimpawu zeCongestive Heart Failure?

Ezi mpawu zinokwahluka ukusuka kumntu ukuya komnye, kwaye zikwahluka ngokuxhomekeke kubukhali bemeko. Nangona kunjalo, kukho ezinye iimpawu eziqhelekileyo ezinokubonakala:

• Ukuphefumla kancinci: Ukuziva ngathi uza kufa isiqaqa xa usenza umsebenzi olula, uhamba kancinci, okanye unyuka izinyuko ezimbalwa. Kwiimeko ezinzima, kunokuba nzima ukuphefumla nokuba ume nkqo.
• Ukuvuka ebusuku kunzima ukuphefumla:Ukuba uvuka ngequbuliso ulele kwaye uzive uphelelwa ngumphefumlo, oko kukwaluphawu lwale nto.
• Intlungu okanye ukungakhululeki esifubeni: Abanye abantu banokuziva bexinene okanye benobunzima esifubeni sabo.
• Ukubetha kwentliziyo: Intliziyo isenokuvakala ngathi ibetha kakhulu, ngokukhawuleza, okanye ngokungacwangciswanga.
• Ukudinwa kakhulu xa usebenza: Ukudinwa kakhulu ukuba ungenza izinto ebezilula ngaphambili.
• Ukudumba kwemilenze, amaqatha, nesisu: Amaqatha neenzwane zinokudumba kude kube nzima ukunxiba izihlangu okanye ukususa imisesane.
• Ukunyuka kobunzima ngequbuliso: Ukuba ufumana iikhilogram ezimbalwa kwiintsuku ezimbalwa, kusenokwenzeka ukuba kungenxa yokugcinwa kwamanzi emzimbeni.
• Ukufuna ukuchama rhoqo ebusuku.
• Ukukhohlela okomileyo nokuqhekekayo okuphuma ngaphandle kwesizathu: Oku kukhohlela kunokuba kubi ngakumbi, ingakumbi xa ukhohlela.
• Ukuziva ugcwele okanye uxinene esiswini.
• Ukuphelelwa ngumdla wokutya okanye ukuziva ugula (isicaphucaphu).

Khumbula, ngamanye amaxesha ezi mpawu zinokuba zingabonakali kangako, okanye zingabikho. Kodwa oko akuthethi ukuba awunaso isifo sentliziyo. Iimpawu zinokufika zize ziphele. Kuqhelekile ukuba imeko ibe mandundu ngokuhamba kwexesha. Ngoko ke ukuba unesinye okanye ezimbini kwezi mpawu, kulungile ukubona ugqirha.

Zithini izizathu zokusilela kwentliziyo edibeneyo?

Zininzi izizathu zokuba intliziyo ibe buthathaka. Ezinye zezizathu eziphambili zezi:

• Isifo semithambo yegazi kunye/okanye ukuhlaselwa yintliziyo: Ukonakala kwemisipha yentliziyo ngenxa yokuvaleka kwemithambo yegazi ehambisa igazi entliziyweni.
• I-Cardiomyopathy: Oku kunokubangelwa zizizathu zemfuza, usulelo lwentsholongwane, okanye ezinye izizathu, ezibangela ukuba izihlunu zentliziyo zibe buthathaka okanye ziqine.
• Isifo sentliziyo esizalwa naso: Ukuzalwa unesiphene sentliziyo.
• Isifo seswekile: Isifo seswekile esihlala ixesha elide sinokuchaphazela intliziyo.
• Uxinzelelo lwegazi oluphezulu: Uxinzelelo lwegazi oluphezulu olungalawulwayo lubangela ukuba intliziyo isebenze nzima.
• Ukubetha kwentliziyo ngendlela engaqhelekanga (i-Arrhythmia): Ukubetha kwentliziyo ngendlela engaqhelekanga kunciphisa ukusebenza kakuhle kwentliziyo.
• Isifo sezintso: Xa izintso zingasebenzi kakuhle, ubuninzi bolwelo kunye netyuwa emzimbeni buyanda, nto leyo ebeka uxinzelelo entliziyweni.
• Isalathisi sobunzima bomzimba (i-BMI) engaphezulu kwama-30 (ukutyeba kakhulu).
• Ukusetyenziswa kwecuba kunye neziyobisi ezingekho mthethweni.
• Ukusetyenziswa kotywala ngokugqithisileyo.
• Amayeza athile: Umzekelo, amanye amayeza e-chemotherapy asetyenziselwa ukunyanga umhlaza anokuba yingozi entliziyweni.

Enye into ekufuneka uyazi kukuba ukusilela kwentliziyo kwicala lasekhohlo yeyona nto iphambili ebangela ukusilela kwentliziyo kwicala lasekunene. Xa icala lasekhohlo lingasebenzi kakuhle, igazi libuyela umva ngemiphunga kwaye lichaphazela necala lasekunene.

Ngubani osengozini enkulu yoku?

Abanye abantu banamathuba amaninzi okufumana le meko. Ezi zinto zinobungozi ziquka:

• Ngaphezulu kweminyaka engama-65 ubudala.
• Ukusetyenziswa kwecuba, iziyobisi ezifana necocaine, okanye utywala.
• Indlela yokuphila yokuhlala phantsi engasebenzisi umzimba.
• Ukutya rhoqo ukutya okunetyuwa eninzi namafutha amaninzi.
• Ukuba noxinzelelo lwegazi oluphezulu.
• Ukuba nesifo semithambo yegazi yentliziyo.
• Ekubeni ndikhe ndahlaselwa yintliziyo ngaphambili.
• Ukuba nembali yosapho lwakho ye-Congestive Heart Failure.

Ziziphi iingxaki ezinokubakho zeCongestive Heart Failure?

Ukuba le meko ayinyangwa kakuhle okanye ayilawulwa, iingxaki ezingakumbi zinokubakho.

• Ukubetha kwentliziyo okungaqhelekanga.
• Ukuma kwentliziyo ngequbuliso kunokubangela nokufa.
• Iingxaki zevalvu yentliziyo.
• Ukuqokelelana kolwelo emiphungeni (i-Pulmonary edema).
• Uxinzelelo lwegazi oluphezulu lwemiphunga.
• Ukonakala kwezintso okanye ukungasebenzi kakuhle kwezintso.
• Umonakalo wesibindi.
• Ukungondleki kakuhle.

Ungazi njani ukuba une-Congestive Heart Failure?

Ukuba unale mpawu, xa ubona ugqirha, uza kuqala akubuze imibuzo.

• Izinto ezifana nokuba zeziphi iimpawu onazo kunye nokuba sele unexesha elingakanani unazo.
• Ezinye izifo onazo (ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu).
• Ngaba kukho umntu kusapho lwakho owakha waba nesifo sentliziyo okanye wafa ngequbuliso?
• Ngaba usebenzisa iimveliso zecuba, utywala, okanye iziyobisi?
• Nokuba sele ukhe wafumana i-chemotherapy okanye i-radiation yomhlaza.
• Ngawaphi amayeza owasebenzisayo?

Emva koko ugqirha uza kukuxilonga ngokwasemzimbeni. Baza kumamela intliziyo yakho, bajonge imiphunga yakho, baze bajonge nemilenze yakho ukuba ayivuvukalanga na.

Zithini izigaba ezine zeCongestive Heart Failure?

Ngenxa yokuba esi sisifo esiba mandundu kancinci kancinci ngokuhamba kwexesha, kukho amanqanaba amane. La manqanaba abizwa ngokuba ngu-A, B, C, kunye no-D. Oko kukuthi, uhambo oluvela kwinqanaba elinomngcipheko ophantsi ukuya kwinqanaba elinomngcipheko ophezulu.

Inqanaba A (Inqanaba A - Ukusilela kwentliziyo ngaphambi kokugula)

Oku kuthetha ukuba usemngciphekweni omkhulu wokuba nesifo sentliziyo. Oku kusenokuba kungenxa yokuba umntu kusapho lwakho ukhe waba naso esi sifo. Okanye kusenokuba kungenxa yokuba unenye okanye ngaphezulu kwezi meko:

• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu).
• Isifo seswekile.
• Isifo semithambo yegazi ye-coronary.
• Isifo seMetabolic.
• Imbali yengxaki yokusebenzisa utywala.
• Ukuba nomkhuhlane we-rheumatic.
• Ukuba nembali yosapho ene-cardiomyopathy.
• Ukuba usebenzise amayeza anokonakalisa intliziyo (umz., amanye amayeza okulwa nomhlaza).

Inqanaba B (Inqanaba B - Ukusilela kwentliziyo ngaphambi kokugula)

Kule nqanaba, i-ventricle yakho yasekhohlo (igumbi eliphambili elimpompa igazi emzimbeni wonke) ayisebenzi kakuhle, okanye kukho utshintsho oluthile kwisakhiwo sayo (umz. ukutyeba). Kodwa awukabi nazo iimpawu zokusilela kwentliziyo.

Inqanaba C

Abantu abakweli nqanaba bafunyenwe ngokusesikweni ukuba bane-Congestive Heart Failure. Basenokuba nabo ngoku, okanye basenokuba babenazo ngaphambili iimpawu kodwa ngoku abanazo.

Isigaba D kunye neNgxenye yokuKhutshwa okuNciphisiweyo (EF)

Aba bantu banesimo esiphambili kakhulu (esiPhambili) (uKuhluleka kweNtliziyo) . Nokuba banyangwa, iimpawu kunzima ukuzilawula. Ubungakanani begazi elikhutshwa entliziyweni ngaxeshanye, oko kukuthi, `(inxalenye yokukhupha igazi - EF)`, liphantsi kakhulu kwaye lisenokuba `(HFrEF - ukusilela kwentliziyo kunye nenxalenye yokukhupha igazi encitshisiweyo)`. Eli linqanaba lokugqibela le (uKuhluleka kweNtliziyo).

Zithini iimvavanyo zokuxilonga?

Oogqirha benza uvavanyo oluninzi ukuze babone ukuba unesifo sentliziyo esibizwa ngokuba yi-congestive heart failure, ukuba sikuliphi inqanaba, kwaye yintoni kanye kanye ebangela oko:

• Uvavanyo lwegazi: Olu vavanyo lunokufumanisa ezinye iimeko ezichaphazela intliziyo (umz. i-anemia, isifo sezintso, iingxaki ze-thyroid) kunye nokuba intliziyo yonakele na (ngokujonga amanqanaba athile ee-enzyme).
• Ukufakwa kwe-catheter kwintliziyo: Oku kwenzelwa ukujonga ukuba akukho zithintelo kwimithambo yentliziyo.
• I-X-ray yesifuba: Oku kungasetyenziselwa ukujonga ukuba intliziyo inkulu na kunye nokwakheka kolwelo emiphungeni.
• I-Echocardiogram (Echo): Oku kufana ne-ultrasound scan yentliziyo. Ingabona ngokucacileyo izinto ezininzi ezifana namagumbi entliziyo, iivalvu, ukusebenza kwemisipha yentliziyo, kunye nendlela ehambisa ngayo igazi (i-"Ejection fraction - EF").
• I-MRI (iMagnetic Resonance Imaging) yentliziyo.
• Iskeni sentliziyo se-CT (Computed Tomography).
• I-Electrocardiogram (EKG okanye i-ECG): Oku kunceda ukubona izinto ezifana nomsebenzi wombane wentliziyo kunye nesingqisho sentliziyo.
• I-MUGA scan (i-Multigated Acquisition Scan): Oku kungasetyenziselwa ukubona ukuba amagumbi entliziyo ahambisa igazi kangakanani na.
• Uvavanyo loxinzelelo: I-ECG ithathwa xa uhamba kwi-treadmill okanye ukhwele ibhayisekile ukuze ubone ukuba intliziyo yakho isabela njani xa uzilolonga.
• Uvavanyo lwemfuza: Ngamanye amaxesha, ingakumbi ukuba kukho imbali yosapho, olu vavanyo lwenziwa ukukhangela izizathu zemfuza.

Iphathwa njani i-Congestive Heart Failure?

Unyango luxhomekeke kuhlobo lokusilela kwentliziyo okuyo, unobangela wayo, kunye nenqanaba okulo. Amayeza kunye notshintsho kwindlela ophila ngayo ziyinxalenye ebalulekileyo yesicwangciso ngasinye sonyango. Ugqirha wakho uza kuthetha nawe ngesicwangciso sonyango esifanelekileyo kuwe.

Into ebalulekileyo kukuba, (Ukusilela kwentliziyo) ayisosifo esinokunyangeka ngokupheleleyo. Njengoko sisiya sisiba mandundu, inani legazi elimpontshwa yintliziyo ukuya kwizitho zomzimba liyancipha, uze uqhubekele kwinqanaba elilandelayo. Awunakubuyela umva kwezi zigaba. Ke ngoko, injongo ephambili yonyango kukukuthintela ekubeni uye kwinqanaba elilandelayo, ukulibazisa, ukulawula iimpawu kunye nokuphucula umgangatho wobomi bakho.

Makhe sibone indlela unyango olutshintsha ngayo ukusuka kwinqanaba ukuya kwelinye:

Unyango lwesigaba A:

Aba bantu abakabi naso isifo sentliziyo okwangoku, kodwa umngcipheko uphezulu. Yiyo loo nto benza izinto zokunciphisa umngcipheko.

• Ukuzilolonga rhoqo, njengokuhamba yonke imihla.
• Ukuzikhwebula ngokupheleleyo kwiimveliso zecuba.
• Unyango loxinzelelo lwegazi oluphezulu (amayeza, ukutya okungenatyuwa ingako, indlela yokuphila esebenzayo).
• Unyango lwamanqanaba aphezulu e-cholesterol.
• Ukuphepha utywala neziyobisi ezingekho mthethweni.
• Ukuba unezinye iimeko zempilo ezifana nesifo semithambo yegazi emithanjeni yegazi, isifo seswekile, okanye uxinzelelo lwegazi oluphezulu, unganikwa i-Angiotensin-converting enzyme inhibitor (ACE-I) okanye i-Angiotensin II receptor blocker (ARB).

Unyango lwesigaba B:

Aba bantu banengxaki yentliziyo, kodwa abanazo iimpawu.

• Zonke iindlela zonyango ezikhankanyiweyo kwiSigaba A.
• Ukuba i-`(Ejection fraction - EF)` yakho yi-40% okanye ngaphantsi, `(ACE-I)` okanye `(ARB)` liyeza elifanelekileyo.
• Ukuba ukhe wahlaselwa yintliziyo ngaphambili kwaye i-EF yakho ingama-40% okanye ngaphantsi (ukuba awukayisebenzisi), kufuneka uthathe iyeza elibizwa ngokuba yi-beta-blocker.
• Ukuba ukhe wahlaselwa yintliziyo ngaphambili okanye ukuba i-EF yakho ingama-35% okanye ngaphantsi, ungadinga iyeza elibizwa ngokuba yi-Aldosterone antagonist.
• Ngamanye amaxesha, utyando okanye ezinye iindlela zokungenelela zinokufuneka kwiimeko ezifana nesifo semithambo yegazi emithanjeni yegazi, ukusilela kwentliziyo, isifo sevalvu (ukulungiswa okanye ukutshintshwa kweevalvu), okanye isifo sentliziyo esizalwa naso.

Unyango lwesigaba C (HFrEF - kwabo bangakwaziyo ukupompa igazi):

Aba bantu banayo (iHeart Failure) kwaye banayo/babenayo iimpawu.

• Unyango olukhankanyiweyo kwizigaba A kunye no-B.
• Amayeza athi `(Beta-blocker)` kunye `(Aldosterone antagonist)`.
• Udidi lwamayeza olubizwa ngokuba yi-`(Sodium-glucose transport 2 inhibitors - SGLT2i)`.
• Iyeza elidibeneyo elibizwa ngokuba yi-``(Hydralazine/nitrate)`` liyasetyenziswa ukuba ezinye iindlela zonyango azizilawuli iimpawu, ingakumbi kubantu abanemvelaphi yama-Afrika aseMelika.
• Ukuba isantya sentliziyo singaphezulu kwama-70 ngomzuzu kwaye iimpawu ziyaqhubeka, thatha amayeza okunciphisa isantya sentliziyo.
• Ukuba iimpawu (ingakumbi ukudumba kunye nobunzima bokuphefumla) ziyaqhubeka, kunikwa i-diuretic (esiyibiza ngokuba ziipilisi zamanzi).
• Ukunciphisa ubungakanani betyuwa (i-sodium) ekutyeni.
• Zilinganisele yonke imihla. Ukuba unyuka okanye ulahlekelwa ziikhilogram ezingaphezu kwe-2 (iikhilogram ezi-4) ngosuku okanye ezimbini, yazisa ugqirha wakho ngoko nangoko.
• Kusenokufuneka unciphise ubuninzi bolwelo oluselayo ngosuku.
• Abanye abantu kufuneka bafake isixhobo esikhethekileyo se-pacemaker esibizwa ngokuba yi-"Cardiac resynchronization therapy - CRT``, okanye i-"biventricular pacemaker``.
• Isixhobo esibizwa ngokuba yi-implantable cardiac defibrillator (ICD) sifakwe kubantu abasengozini yokufumana iingxaki zesingqisho sentliziyo ezisongela ubomi.
• Nokuba iimpawu ziyaphucuka xa unyango luqhubeka, kubaluleke kakhulu ukuqhubeka nonyango ukuze imeko ihambe kancinci iye kwinqanaba D.

Unyango lwesigaba D:

Aba bantu banesifo esinzima (iHeart Failure).

• Zonke iindlela zonyango ezikhankanyiweyo kwizigaba A, B, kunye no-C. Ukongeza, unyango oluphambili luyaqwalaselwa:
• Ukufakelwa kwentliziyo.
• Izixhobo zoomatshini ezixhasa intliziyo (Izixhobo zokuncedisa i-Ventricular - ii-VAD)
• Utyando lwentliziyo olukhethekileyo `(Utyando lwentliziyo)`.
• Amayeza angenazo izinto ezifakwa ngemithambo (amayeza andisa amandla okuxinana kwentliziyo).
• Unyango lokudambisa intlungu okanye unyango lwe-hospice.

Amanqanaba C no-D (HFpEF - kwabo bangenangxaki yokumpompa igazi entliziyweni):

Kwimeko enjalo, nangona amandla entliziyo okufinyela (i-ejection fraction) eqhelekileyo, kukho ingxaki yokuzaliswa kwentliziyo ligazi (umsebenzi we-diastolic) nto leyo ebangela ukungasebenzi kwentliziyo.

• Unyango olukhankanyiweyo kwizigaba A kunye no-B.
• Ukunyanga ezinye izifo ezinokubangela okanye zibenze mandundu ukusilela kwentliziyo (umz., i-atrial fibrillation, uxinzelelo lwegazi oluphezulu, isifo seswekile, ukutyeba kakhulu, isifo semithambo yentliziyo, isifo samaphaphu esingapheliyo, i-cholesterol ephezulu, isifo sezintso).
• I-Diuretics (iipilisi zamanzi) ukunciphisa okanye ukunciphisa iimpawu.

Ungalibali ukuba ukulawula ezinye izifo zakho (isifo seswekile, isifo sezintso, i-anemia, uxinzelelo lwegazi oluphezulu, isifo se-thyroid, i-asthma, isifo semiphunga esingapheliyo) kubaluleke kakhulu ekulawuleni le meko (Ukusilela kwentliziyo) .

Ngaba kukho naziphi na iziphumo ebezingalindelekanga okanye iingxaki zonyango?

Ezinye iindlela zonyango zinokuba nemiphumo emibi emincinci.

• Uxinzelelo lwegazi oluphantsi (iHypotension).
• Iziphumo ekusebenzeni kwezintso (ukungasebenzi kakuhle kwezintso).
• Ukulaliswa esibhedlele rhoqo, ingakumbi ngamayeza e-intravenous (central IVs), kwandisa umngcipheko wokosuleleka.

Thetha nogqirha wakho ngale nto uze ufumane ulwazi.

Ungayinciphisa njani ingozi (yokusilela kwentliziyo)?

Nangona singenakutshintsha izinto ezifana nobudala kunye nembali yosapho, singanciphisa umngcipheko wethu wokufumana esi sifo (iHeart Failure) ngokutshintsha indlela esiphila ngayo.

• Ukugcina ubunzima obusempilweni obukufaneleyo.
• Ukutya ukutya okunempilo kwentliziyo (ityuwa encinci, iswekile, ioyile encinci, imifuno neziqhamo ezingaphezulu).
• Ukuzilolonga rhoqo.
• Ukulawula kakuhle uxinzelelo.
• Ukuyeka ngokupheleleyo ukusetyenziswa kweemveliso zecuba.
• Ukungaseli utywala okanye ukubusela kancinci.
• Ukungasebenzisi iziyobisi ezingekho mthethweni.
• Ukuba unezinye izifo ezikwandisa umngcipheko wakho (ezifana noxinzelelo lwegazi oluphezulu, isifo seswekile, i-cholesterol ephezulu), zinyange kwaye zilawulwe ngokufanelekileyo.

Luhlobo luni lwekamva umntu one-Congestive Heart Failure angalulindela?

Ngonyango olufanelekileyo, utshintsho kwindlela ophila ngayo, kunye nokunamathela kwiingcebiso zikagqirha wakho, abantu abaninzi banokuphila ubomi obonwabisayo nangona benesifo sentliziyo esibizwa ngokuba yiCongestive Heart Failure. Ikamva lakho lixhomekeke kwezi zinto:

• Kuxhomekeke ekubeni izihlunu zentliziyo yakho zisebenza kakuhle kangakanani.
• Kuxhomekeke kuhlobo kunye nobukhali beempawu zakho.
• Kuxhomekeke ekubeni usabela njani kwisicwangciso sonyango.
• Kuxhomekeke ekubeni ulandela kakuhle kangakanani isicwangciso sakho sonyango (amayeza, ukutya, umthambo).

Ezinye izifundo zibonisa ukuba abantu abane-heart failure banokuphila iminyaka eli-10 ngaphantsi kunabo bangenayo. Kodwa oku kuyahluka kakhulu kumntu nomntu. Ngoko ke kungcono ukuba uthethe ngokukhululekileyo nangokunyaniseka ngemeko yakho nogqirha wakho. I-heart failure yimeko engapheliyo, ehlala ixesha elide. Ifuna unyango kunye nolawulo lobomi bonke.

Ndingazinyamekela njani? (Ukuzinyamekela)

Xa uphila neHeart Failure, kubaluleke kakhulu ukuba uzikhathalele.

• Sela amayeza akho kanye njengoko ugqirha wakho ekuyalele, ngexesha elifanelekileyo. Ungaphoswa nalusuku olunye.
• Hlala usebenza kangangoko unako. Buza ugqirha wakho ukuba zeziphi iindlela zokuzilolonga ezifanelekileyo kuwe.
• Landela ukutya okungenatyuwa ingako. Ukutya okupakishwe kwiipakethe, okusemathinini, kunye nokutya okukhawulezayo kugcwele ityuwa.
• Jonga ubunzima bakho yonke imihla. Ukuba ubona naluphi na ukunyuka kobunzima ngequbuliso (umz., iikhilogram ezili-1-2 ngosuku okanye ezimbini), xelela ugqirha wakho .
• Ukuba kuvela iimpawu ezintsha, okanye ukuba iimpawu ezikhoyo ziya zisiba mandundu, yazisa ugqirha wakho ngoko nangoko.
• Qiniseka ukuba uya kugqirha ngexesha elicwangcisiweyo lokulandela.
• Ngenxa yokuba esi sisifo esinokubulala, licebo elihle ukwazisa ugqirha wakho kunye nosapho lwakho iminqweno yakho malunga nonyango lwakho (umz., ukuba ufuna unyango olongezelelekileyo/ukulaliswa esibhedlele). Oku kungenziwa ngokuzalisa "umyalelo kwangaphambili" okanye "intando yokuphila". Kububulumko ukulungiselela oku ngelixa usesengqondweni ephilileyo ukuba awukwazi ukwenza ezi zigqibo kamva.

Zeziphi izinto ongenakukwazi ukuzitya nokusela ngazo (Congestive Heart Failure)?

Abantu abaninzi abaneengxaki zentliziyo kufuneka banciphise ukutya ityuwa yabo yemihla ngemihla. Abanye abantu banokufuna ukunciphisa ukutya kwabo okumanzi (njengamanzi, iti, isuphu). Ugqirha wakho okanye ingcali yesondlo uya kukunika iingcebiso ngale nto.

Ndifanele ndimbone nini ugqirha?

Kubaluleke kakhulu ukuxelela ugqirha wakho ukuba uneempawu ezintsha okanye ukuba iimpawu zakho zokusilela kwentliziyo ziya zisiba mandundu. Ingakumbi ukuba unayo nayiphi na kwezi zilandelayo:

• Ukuba unengxaki yokuphefumla nokuba uphumle.
• Ukuba ukudumba kuyanda emilenzeni, emaqatheni, okanye esiswini.
• Ukuba ngequbuliso utyeba (ngaphezulu kwe-1-2 kg ngosuku okanye ezimbini).
• Ukuba uhlala uziva udiniwe kwaye ulele.

Ndingaya nini kwiSebe leeNgxamiseko (i-ETU) ?

Ukuba ukusilela kwentliziyo yakho ngequbuliso kuya kuba mandundu (umz., ukuphefumla okunzima, iintlungu zesifuba ezinzima), udinga unyango olungxamisekileyo. Oogqirha bakubiza oku ngokuba kukusilela kwentliziyo okukhawulezileyo . Kwimeko enjalo, unokunikwa amayeza kunye neoksijini ukunceda ukuphucula imeko yakho. Ukufika esibhedlele ngokukhawuleza ngaphandle kokuchitha ixesha kunokusindisa ubomi.

Ndingayibuza yiphi imibuzo ugqirha?

Xa usiya kugqirha, ungoyiki ukubuza imibuzo esengqondweni yakho.

• "Ndinaliphi inqanaba (lokungakwazi ukunyamezela intliziyo)?"
• "Yeyiphi indlela engcono kakhulu yonyango kum ngeli xesha?"
• "Zeziphi ezinye iindlela zokuzilolonga ezikhuselekileyo endinokuzenza? Ndingazenza ixesha elingakanani?"
• "Zeziphi iinguqu endifanele ndizenze kwindlela enditya ngayo?"
• "Ngaba kukho amaqela enkxaso kubantu abane (Congestive Heart Failure)?"
• "Ndingenza ntoni xa iimpawu zam ziba mandundu?"

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukusilela kwentliziyo okubangelwa kukungakhathali akuyonto ifanelekileyo ukoyikwa, kodwa akuyonto ifanele ithathwe lula. Ukuba unale meko, zininzi izinto onokuzenza ukuphucula impilo yentliziyo yakho.

• Sela amayeza akho ngokuchanekileyo nangexesha elifanelekileyo.
• Yitya ukutya okungenatyuwa ingako, okunempilo entliziyweni.
• Hlala usebenza kangangoko unako.
• Jonga ubunzima bakho yonke imihla uze uqaphele utshintsho olukhawulezileyo.
• Qiniseka ukuba uya kugqirha ngemihla ebekiweyo.
• Gcina ingxelo yeempawu zakho kwaye uxelele ugqirha wakho ukuba ziya zisiba mandundu.

Ukuba unemibuzo okanye iinkxalabo malunga namayeza akho, utshintsho kwindlela ophila ngayo, okanye nantoni na ekwisicwangciso sakho sonyango, thetha ngokukhululekileyo nogqirha wakho. Bakhona ukukunceda ulawule le meko kwaye uphile ubomi obungcono kangangoko. Khumbula, awuwedwa!

"Uhlaselo lwentliziyo, uhlaselo lwentliziyo, isifo sentliziyo, iintlungu zesifuba, ubunzima bokuphefumla, ukungasebenzi kakuhle kwentliziyo, ukungasebenzi kakuhle kwentliziyo, ukudumba kwemilenze