Xa sifumana umkhuhlane okanye umkhuhlane, sithi "usulelo lomphimbo." Ngamanye amaxesha inxeba linokudumba lize losuleleke. Kodwa ngaba wakha wacinga ukuba elinye lamalungu abalulekileyo emzimbeni wethu, intliziyo, linosulela ngolu hlobo? Ewe, linokusulela. Nangona oku kuyoyikisa kancinci, ukuqaphela oku kubaluleke kakhulu ukukhusela ubomi bakho kunye nobomi babantu obathandayo. Ngoko masithethe ngale nto ngokulula nangokucacileyo namhlanje.
Yintoni kanye kanye isifo sentliziyo?
Ngamafutshane, usulelo lwentliziyo luba xa iintsholongwane (iintsholongwane) ezifana neebhaktheriya, iintsholongwane, okanye iifungi zingena entliziyweni yakho zize zonakalise iindawo zayo. Xa ezi ntsholongwane zingena entliziyweni, ezo ndawo zentliziyo ziqala ukudumba, zibe bomvu, okanye zonakale. Njengenxeba eluswini lwethu elidumbayo, kwenzeka into efanayo ngaphakathi entliziyweni.
Iindawo eziphambili zentliziyo ezinokonakaliswa zezi zifo zezi:
- I-Myocardium: Le yimisipha ephambili entliziyweni. Le nxalenye inceda ukubetha kwentliziyo.
- Iivalvu zentliziyo: Ziindawo ezifana nocango ngaphakathi entliziyweni ezinceda igazi ukuba lihambe kwicala elinye kuphela.
- I-Endocardium: I-membrane ebhityileyo ejikeleze ngaphakathi kwamagumbi entliziyo.
- I-Pericardium: Inxalenye efana nengxowa ejikeleze intliziyo ngaphandle kwaye iyikhusele.
Ziziphi iintlobo zezifo zentliziyo?
Kukho iintlobo ezintathu eziphambili zosulelo lwentliziyo. Ngayinye ichaphazela inxalenye eyahlukileyo yentliziyo. Ukuze uziqonde kakuhle ezi zinto, jonga itheyibhile engasezantsi.
| Uhlobo losulelo | Inxalenye echaphazelekayo | Ingcaciso elula |
|---|---|---|
| I-Endocarditis | Ulwelo lwangaphakathi lweevalvu zentliziyo kunye nentliziyo | Le yimeko apho iintsholongwane zingena khona kwaye zonakalise iivalvu zentliziyo. Ngamanye amaxesha ibizwa ngokuba yi -infective endocarditis . |
| I-Myocarditis | Imisipha yentliziyo (imisipha yentliziyo) | Eli ligama elinikwa ukudumba kwemisipha yentliziyo okubangelwa yintsholongwane. Oku kungenza buthathaka ukusebenza kwentliziyo. |
| I-Pericarditis | Inwebu engaphandle ejikeleze intliziyo | Oku kubizwa ngokuba yi-heart attack, apho ingxowa yokukhusela ejikeleze intliziyo idumba khona. Oku kunokubangela iintlungu eziqatha esifubeni. |
Ngubani osengozini enkulu?
Umntu osempilweni oqhelekileyo akanakwenzeka ukuba afumane usulelo olukhulu lwentliziyo. Nangona kunjalo, abanye abantu basengozini enkulu kunabanye. Oku kuquka:
- Abantu abangaphezu kweminyaka engama-65 ubudala.
- Abantu abakhe benza utyando lwentliziyo ngaphambili.
- Abantu abafaka iziyobisi ngemithambo yegazi (emithanjeni).
Yintoni ebangela usulelo lwentliziyo?
Iintlobo ezintathu zosulelo esixoxe ngazo ngaphambili zibangelwa zizinto ezahlukeneyo. Masijonge nganye nganye ngokulandelana.
Izizathu ze-Endocarditis
Eyona nto ibangela le meko kukuba xa iintsholongwane ezivela kwenye indawo emzimbeni zingena egazini zize ziye entliziyweni. Khawuthelekelele, iintsholongwane ezisemlonyeni wethu zingena egazini zize ziye entliziyweni. Nazi ezinye zeemeko ezinokwenzeka:
- Ukungacoceki kakuhle komlomo: Ukuba awuhlambi amazinyo akho kakuhle, iintsholongwane zinokungena egazini ngesifo seentsini nokopha.
- Unyango lwamazinyo: Xa kukhutshwa izinyo okanye kucocwa amazinyo, iintsini ziyasikwa, nto leyo evumela iintsholongwane ukuba zingene egazini.
- Ukusetyenziswa kwee-catheters: Iintsholongwane zinokungena emzimbeni ngeetyhubhu (ii-catheters) ezisetyenziselwa ukususa ulwelo emzimbeni okanye ukufaka ulwelo kuwo.
- Ukusetyenziswa kweziyobisi ngemibhobho: Iintsholongwane zinokungena ngqo egazini, ingakumbi xa kusetyenziswa iinaliti kunye neesirinji ezingacocekanga.
Izizathu zePericarditis
Zininzi izizathu ezibangela le meko. Ezona ziphambili zezi:
- Usulelo lweentsholongwane: Lunokubangelwa ziintsholongwane zokuphefumla ezifana nomkhuhlane kunye nomkhuhlane, okanye iintsholongwane zesisu.
- Usulelo lweentsholongwane: Oku kunokubangelwa nazizifo ezibangelwa ziintsholongwane ezifana nesifo sephepha.
- Usulelo lwefungus kunye ne-parasites: Ezi zinqabile kancinci.
- Izifo ezizikhusela ngokwazo emzimbeni:Izifo apho amajoni omzimba ahlasela iiseli zawo. Imizekelo ibandakanya i-lupus, i-rheumatoid arthritis, kunye ne-scleroderma.
- Ezinye izizathu: Ukulimala esifubeni (umz., ingozi yemoto), ukungasebenzi kakuhle kwezintso (uremic pericarditis), iithumba, kunye nezinye izifo zemfuza.
Izizathu zeMyocarditis
Izizathu ezahlukeneyo zinokubangela ukudumba kwemisipha yentliziyo.
- Usulelo olubangelwa ziintsholongwane: Ezona ziphambili yintsholongwane ebangela i-COVID-19, intsholongwane ebangela i-coxsackievirus, i-parvovirus, i-adenovirus, kunye ne-hepatitis C.
- Usulelo lweentsholongwane: Iintsholongwane ezifana neStreptococcus, ebangela usulelo lomphimbo, iStaphylococcus, ebangela usulelo lolusu, kunye neentsholongwane ezidluliselwa ziincukuthu.
- Usulelo lwefungus: oluvela kwimvubelo, ukungunda, kunye nefungus ezifumaneka kwinkunkuma yeentaka.
- Iimpendulo ze-allergic kumayeza: Iimpendulo ze-allergic kwezinye ii-antibiotics, amayeza okuxhuzula, kunye namayeza okulwa nomhlaza.
- Ukusasazwa kwemitha: Njengesiphumo esingesihle sonyango lwemitha kumhlaza.
Zithini iimpawu zezi zifo?
Iimpawu zosulelo lwentliziyo zinokwahluka ngokuxhomekeke kuhlobo losulelo kwaye zixhomekeke kumntu nomntu. Nangona kunjalo, uninzi lwale ntsholongwane luneempawu ezininzi ezifanayo.
| Uphawu | Inkcazo |
|---|---|
| Iimpawu eziqhelekileyo zezifo ezininzi zentliziyo | |
| Iintlungu zesifuba | Intlungu ebukhali, ehlabayo okanye ecinezelweyo. |
| Ukudinwa | Ukuziva udiniwe kakhulu ngaphandle kwesizathu. |
| Ifiva | Uphawu olukhulu losulelo emzimbeni. |
| Ubunzima bokuphefumla (i-Dyspnea) | Ukuziva uphelelwa ngumphefumlo nokuba uhamba kancinci, okanye mhlawumbi umile nje ungashukumi. |
| Ukuqokelelana kolwelo emzimbeni (i-Edema) | Ukudumba emilenzeni, emaqatheni, ezinyaweni, okanye esiswini. |
| Ukubetha kwentliziyo | Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza (arrhythmia) okanye isifuba sakho siyabetha ngamandla (i-palpitations). |
| Ezinye iimpawu | Intlungu yamalungu, iintlungu zomzimba, ukubila ebusuku. |
| Iimpawu ezithile ze-endocarditis | |
| Ukumbombozela kwentliziyo | Isandi esingaqhelekanga esivakala entliziyweni xa ugqirha esihlola nge-stethoscope. Esi sisandi esichaphazela esi sifo. |
| Amabala esikhumba | Amabala amancinci abomvu okanye amfusa eluswini, ngaphakathi emlonyeni, okanye kumhlophe emehlweni (i-petechiae), amabala abomvu ezintendeni nasezinyaweni zeenyawo (izilonda zikaJaneway), kunye namaqhuma abomvu, abuhlungu phantsi kolusu lweminwe (amaqhuma ka-Osler). |
| Ezinye iimpawu ezingaqhelekanga | Igazi kumchamo (i-hematuria), i-spleen evuvukileyo, ukwehla kobunzima ngendlela engachazekiyo. |
Ugqirha uyifumana njani le nto?
Xa usiya kugqirha oneempawu ezinjalo, uza kuqala akubuze ngeempawu zakho nokuba kukho umntu kusapho lwakho onesifo sentliziyo na. Emva koko uza kumamela intliziyo yakho nge-stethoscope ukujonga naziphi na izandi ezingaqhelekanga (ukugquma kwentliziyo).
Ugqirha wakho angayalela iimvavanyo ezininzi ukuqinisekisa ukuba unesifo. Musa ukoyika ezi, kuba zibaluleke kakhulu ekuxilongweni kwesi sifo.
Ezinye zezo mvavanyo zezi:
- Uvavanyo lwegazi: Olu vavanyo lunokujonga igazi lakho ukuze lubone iimpawu zosulelo (umz., ukwanda kwenani leeseli ezimhlophe zegazi) kunye namanqanaba aphezulu eeproteni ezivuthayo ezibonisa ukudumba entliziyweni.
- I-X-reyi yesifuba: Oku kungasetyenziselwa ukujonga utshintsho kubungakanani okanye kwimilo yentliziyo, okanye ulwelo oluqokeleleneyo olujikeleze intliziyo.
- I-CT scan okanye i-MRI scan: Ezi zinokuthatha imifanekiso yentliziyo eneenkcukacha ze-3D kwaye zibonise ngokucacileyo naluphi na ukuvuvukala, ukuqina, okanye olunye utshintsho.
- Ukuhlolwa kwe-catheterization yentliziyo/i-heart biopsy: Kwezinye iimeko ezinzima, ugqirha unokufaka ityhubhu encinci kakhulu (i-catheter) ngomthambo ukuya entliziyweni aze athathe iqhekeza elincinci kakhulu lesicwili (i-biopsy) kwisihlunu sentliziyo ukuze alihlolisise phantsi kwe-microscope. Oku kunokunceda ekufumaneni unobangela ochanekileyo wosulelo.
Iphathwa njani?
Unyango losulelo lwentliziyo luxhomekeke kwisizathu sosulelo kunye nobukhali beempawu. Kwiimeko ezininzi, ezi meko zinokulawulwa ngamayeza.
Iintlobo zamayeza asetyenziselwa unyango:
- Ii-antibiotics zosulelo lweebhaktheriya.
- Amayeza okulwa nefungus osulelo lwefungus.
- I-Colchicine okanye amayeza angengo-steroidal anti-inflammatory (NSAIDs) ukunciphisa ukudumba.
- Ii-corticosteroids ukuba kukho ukudumba okukhulu.
- Amayeza esifo sentliziyo kunye noxinzelelo lwegazi oluphezulu anceda ukusebenza kwentliziyo.
Kwezinye iimeko ezinzima, ukuba amayeza odwa awaniki ncedo, utyando lunokufuneka. Ukuba usulelo lonakalise kakhulu iivalvu zentliziyo, utyando lweevalvu zentliziyo lunokufuneka, okanye ukuba intliziyo ngokwayo yonakele kakhulu , ukufakelwa intliziyo kunokufuneka.
Zeziphi iimeko ezinzulu ezinokwenzeka ukuba azinyangwa?
Usulelo lwentliziyo aluyonto yokuhlekisa. Ukuba alunyangwa kakuhle, lunokubangela iingxaki ezinzulu nezisongela ubomi.
- I-pulmonary embolism kukuqhekeka kwegazi kwimithambo yegazi emiphungeni.
- Uhlaselo lwentliziyo okanye isifo sohlangothi.
- Ukumelwa yintliziyo.
- Ukungasebenzi kakuhle kwezintso.
- Isantya sentliziyo esingaqhelekanga (i-arrhythmias).
- Ukufa kwentliziyo ngequbuliso.
Kungoko ke, kubaluleke kakhulu ukufuna ingcebiso kagqirha ngaphandle kokulibazisa ukuba uneempawu.
Ungazikhusela njani kwiintsholongwane ezinjalo?
Nangona singenakuthintela ezinye izifo, zininzi izinto esinokuzenza ukunciphisa umngcipheko.
- Hlamba izandla zakho rhoqo ngesepha: Le yeyona ndlela ilungileyo nelula yokuzikhusela kwiintsholongwane.
- Lumka ucoceko lomlomo namazinyo akho: Hlamba amazinyo akho ngokufanelekileyo yonke imihla. Bona ugqirha wamazinyo rhoqo ukuze uhlolwe amazinyo.
- Fumana imigonyo ecetyiswayo: Ukufumana imigonyo ecetyiswayo yezifo ezifana nomkhuhlane kunye ne-COVID-19 kunokukukhusela kwiintsholongwane.
- Kuphephe ukusebenzisa iziyobisi: Yeka ngokupheleleyo ukusebenzisa iziyobisi, ingakumbi iziyobisi ezifakwa kwimithambo yegazi.
- Zigcine kude nabantu abaneentsholongwane: Lumka kancinci ukuba kukho umntu onesifo esifana nomkhuhlane okanye umkhuhlane.
Ufanele uye nini ngokuqinisekileyo kugqirha?
Ukuba ufumanisa iimpawu ezintsha okanye ukuba iimpawu zakho ziya zisiba mandundu, bonana nogqirha wakho ngoko nangoko. Ingakumbi ukuba unayo nayiphi na kwezi zilandelayo, musa ukulibazisa kwaye ufune unyango ngokukhawuleza. Ukuba kuyimfuneko, yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
- Ukuba uziva kunzima ukuphefumla okanye ukuphefumla kancinci.
- Ukuba uziva udiniwe ngendlela enganyamezelekiyo .
- Ukuba ulahlekelwa yingqondo okanye uphelelwe lithemba.
- Ukuba inxeba okanye isilonda eluswini asipholi .
Nanini na xa ubona ugqirha omtsha okanye ugqirha wamazinyo, ungalibali ukubaxelela ukuba ukhe waba nosulelo lwentliziyo. Oku kuya kubanceda balawule impilo yakho ngcono.
Umyalezo Wokuya Ekhaya
- Usulelo lwentliziyo yimeko enzima, kodwa inokunyangeka ngokupheleleyo ukuba ifunyaniswe kwangethuba kwaye inyangwe ngokufanelekileyo.
- Intlungu yesifuba, umkhuhlane, ukudinwa kakhulu, kunye nokuphefumla nzima zezona mpawu ziphambili zesi sifo. Musa ukuzityeshela ezi.
- Nezinto ezilula ezifana nokugcina amazinyo esempilweni kunye nokuhlamba izandla zakho rhoqo kunokunciphisa umngcipheko wosulelo lwentliziyo.
- Ukuba ukrokrela ukuba unale mpawu, musa ukuqikelela nje, bonana nogqirha ngokukhawuleza ukuze akunike icebiso.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho