Ingaba intliziyo yakho ivuvukile? Masithethe ngokuvuvukelwa yintliziyo!

Ngaba wakha waba neentlungu esifubeni, ukuphefumla kancinci, okanye ukuziva nje ungaphili kakuhle ngenxa yomkhuhlane? Ngamanye amaxesha ezi mpawu zinokuba luphawu lwemeko ebizwa ngokuba kukudumba kwentliziyo. Kodwa ungoyiki, kuba ezi mpawu zinokubangelwa zezinye iingxaki zempilo. Nangona kunjalo, kubalulekile ukuqaphela oku. Namhlanje, siza kuthetha ngokuba kukudumba kwentliziyo, indlela okukhula ngayo, kunye nento onokuyenza ngayo.

Yintoni Ukudumba Kwentliziyo?

Ngamafutshane, ukudumba kwentliziyo kuxa iindawo ezithile zentliziyo yakho zivuvukala ngenxa yomonakalo, usulelo, okanye ezinye izizathu. Khawuthelekelele, xa sinomonzakalo kwindawo ethile emzimbeni wethu, loo ndawo iba bomvu, ivuvuke, ishushu, kwaye ibe buhlungu? Yileyo indlela intliziyo esabela ngayo. Kwabanye abantu, oku kunokwenzeka ngequbuliso ngaphandle kwesilumkiso . Kwabanye, iimpawu zikhula kancinci kancinci, ngokuhamba kwexesha. Kwakhona, ayinguye wonke umntu oneempawu ezifanayo. Abanye abantu baneempawu eziqatha, ngelixa abanye besenokungaziboni. Inqanaba lokudumba liyahluka ukusuka kumntu ukuya komnye, kuxhomekeke kwisizathu.

Ziziphi iintlobo eziphambili zesifo sentliziyo?

Ukudumba entliziyweni yethu kunokwahlulwahlulwa kube ziintlobo ezintathu eziphambili kuxhomekeke kwindawo okwenzeka kuyo. Njengokuba kukho iindawo ezahlukeneyo endlwini yethu, oku kudumba kunokuchaphazela iindawo ezahlukeneyo zentliziyo.

1. I-Endocarditis

Oku kuchaphazela ulwelo oluthambileyo lwentliziyo (endocardium), kunye neevalvu ezilawula ukuhamba kwegazi phakathi kwamagumbi entliziyo. Cinga ngako njengolwelo lweendonga kunye neengcango ngaphakathi kwekhaya lakho. Le meko idla ngokuvela xa iintsholongwane, ezifana neebhaktheriya, zingena kwezi ndawo zentliziyo.

2. I-Myocarditis

Oku kuchaphazela izihlunu zentliziyo (i-myocardium) . Esi sihlunu sisinceda intliziyo ifinyeze kwaye ipompe igazi. Sifana neendonga eziphambili zendlu. Xa esi sihlunu sivuvukala, amandla entliziyo okupompa igazi anokuncipha.

3. I-Pericarditis

Oku kuchaphazela ingxowa ekhuselayo ejikeleze intliziyo (i-pericardium) . Le yingxowa enamacala amabini. Ifana nocingo olukhuselayo olujikeleze indlu. Xa le ngxowa ivutha, la macala mabini aqala ukukhuhlana, nto leyo enokubangela iintlungu esifubeni.

Ngubani ochaphazeleka kakhulu sesi sifo sentliziyo?

Enyanisweni, zonke ezi ntlobo zintathu zesifo sentliziyo aziqhelekanga. Nangona ezi meko zinokwenzeka nakubantu banoma yiphi na iminyaka, amadoda asemngciphekweni ophezulu kancinci kunabafazi. Kwakhona, abantu abaneengxaki ezithile zempilo ezingapheliyo basemngciphekweni ophezulu wokufumana isifo sentliziyo. Umzekelo:

• Kwabo baneDiabetes Mellitus .
• Abantu abanezifo ezenza buthathaka amajoni omzimba, njenge -HIV/AIDS .
• Ezinye iingxaki zokutyaKwabo baye bakwenza oko.

Ayisiyiyo loo nto kuphela, kodwa ezinye iindlela zonyango zinokunyusa le ngozi.

• Ezinye iinkqubo zonyango ziquka ukufakwa kwe-catheter emthanjeni.
• Unyango lwemitha yomhlaza .
• Abantu abanezixhobo ezithile ezifakwe entliziyweni, umzekelo ii-pacemakers okanye ii-valve zokutshintsha .
• Le meko inokwenzeka ngamanye amaxesha emva kotyando lwentliziyo evulekileyo .

Isifo sentliziyo siwuchaphazela njani umzimba wethu?

Ngokuxhomekeke ekubeni ukudumba kwentliziyo kwenzeka phi, indlela okuchaphazela ngayo umzimba nayo iyahluka.

• I-Endocarditis: Kule meko, xa iintsholongwane zisosulela iivalvu zentliziyo, zisenokungasebenzi kakuhle. Kwakhona, ezi ntsholongwane zinokuhamba ngegazi ziye kwezinye iindawo zomzimba kwaye zosulele amalungu abalulekileyo afana nengqondo, imiphunga, kunye nezintso. Cinga ngayo njengamanzi angcolileyo anamathelayo kumbhobho, esasaza uthuli kwezinye iindawo.

• I-Myocarditis: Xa izihlunu zentliziyo zivuvukala, kuba nzima ukuzibamba nokumpompa igazi ngokufanelekileyo. Oku kuthetha ukuba umzimba awufumani igazi elaneleyo. Oku kunokubangela ukuba intliziyo ibe buthathaka, ikhule, kwaye ekugqibeleni ikhokelele ekusileleni kwentliziyo .

• I-Pericarditis: Iingqimba ezimbini zengxowa ejikeleze intliziyo (i-pericardium) ziyatyeba zize ziqale ukugudlana. Zikwagudlana nezihlunu zentliziyo. Oku kubangela iintlungu zesifuba. Ngamanye amaxesha ulwelo lunokuqokelelana phakathi kwezi zingqimba zimbini (i-pericardial effusion) , nto leyo enokufaka uxinzelelo entliziyweni kwaye iyithintele ukuba isebenze kakuhle.

Zithini iimpawu zesifo sentliziyo?

Ezi ntlobo zintathu zokudumba kwentliziyo zineempawu ezithile eziqhelekileyo:

• Iintlungu zesifuba
• Ukuqhawukelwa ngumphefumlo
• Ifiva

Nangona kunjalo, kusenokubakho ezinye iimpawu ezithile kuhlobo ngalunye.

Iimpawu ze-Endocarditis:

• Intlungu yesisu
• Igazi kumchamo
• Ukubila kakhulu ebusuku

Iimpawu ze-myocarditis:

• Ukudumba kwemilenze okanye iinyawo
• Ukubetha kwentliziyo
• Ukudinwa kakhulu

Iimpawu zePericarditis:

• Ukubetha kwentliziyo
• Iintlungu zesifuba ziyancipha xa uhleli ugobile phambili

Kubalulekile: Ngamanye amaxesha, ukuba usulelo lwentsholongwane lubangela ukudumba kwentliziyo, iimpawu zentsholongwane (ezifana nomkhuhlane, ukukhwehlela, isisu esibuhlungu) zinokuqala zivele, emva koko iimpawu zokudumba kwentliziyo zinokuvela.

Zithini izizathu zokudumba kwentliziyo?

Uninzi lwexesha, imbangela ephambili yokudumba kwentliziyo zizifo.Ezi zinokubangelwa ziintsholongwane okanye iintsholongwane . Ngaphandle koko, kukho ezinye izizathu:

• Izifo ezizikhusela ngokwazo emzimbeni , ezifana ne -rheumatoid arthritis, zizifo apho amajoni omzimba wethu ehlasela intliziyo ngempazamo.
• Ezinye izinto ezikwindalo esingqongileyo, umzekelo, zizinto ezinobuthi ezifana nelothe .
• Amayeza athile. Umzekelo, amanye amayeza okudakumba, isifo sokuwa, okanye ukwehla kobunzima.

Kutshanje, abanye abantu abaselula abafumene ugonyo lwe-COVID-19 baye baxelwa ukuba bane-myocarditis okanye i-pericarditis. Nangona kunjalo, into ebalulekileyo kukuba uninzi lwaba bantu baphile ngokukhawuleza ngamayeza. Ngoko ke musa ukukhathazeka ngokugqithisileyo ngaloo nto.

Ngaba isifo sentliziyo sisifo esinzulu?

Ewe, ezinye izifo zentliziyo kunye neengxaki zazo zinokuba yingozi kakhulu , zide zibeke ubomi esichengeni. Ukuba azinyangwa, izifo zentliziyo zingabangela:

• Amahlwili egazi
• Ukusilela kwentliziyo (ukusilela kwentliziyo )
• Izingqisho zentliziyo ezingaqhelekanga
• Ukulahlekelwa yingqondo
• I-Endocarditis ibangela ukuba usulelo lusasazeke emzimbeni wonke
• Iingxaki zemiphunga ezibangelwa yi-myocarditis
• I-Pericarditis ibangela ukuba ulwelo olugqithisileyo luqokeleleke lujikeleze intliziyo (i-pericardial effusion)

Nangona kunjalo, ukuba une-pericarditis okanye i-myocarditis encinci, ngamanye amaxesha ingazilungisa yodwa ngaphandle konyango . Nangona kunjalo, oku kufanele kumiselwe ngugqirha.

Indlela yokuxilonga isifo sentliziyo?

Ugqirha wakho uza kusebenzisa ezi zinto ukuze abone ukuba unesifo sentliziyo na:

• Uvavanyo lomzimba
• Imbali yakho yezonyango
• Uvavanyo lwegazi kunye nezinye iimvavanyo ezikhethekileyo.

Zeziphi iimvavanyo ezenziwayo ukuze kufunyaniswe isifo sentliziyo?

Ugqirha angayalela iimvavanyo ukunceda ekufumaneni izinto ezifana nezi:

• Qinisekisa ukuba ayisosifo sentliziyo.
• Jonga ukuba akukho manzi aqokelelene na entliziyweni.
• Jonga indlela intliziyo esebenza kakuhle ngayo kwaye ubone ukuba kukho nawuphi na umsebenzi ongaqhelekanga.

Ezinye zeemvavanyo eziphambili ezenziweyo ngenxa yale njongo zezi:

• Iskeni ye-cardiac computed tomography (CT)
• I-Electrocardiogram (EKG)
• I-Echocardiogram
• I-MRI yentliziyo
• Iskeni se-Positron emission tomography (PET)

Olu vavanyo lunokubonisa iinkcukacha ezininzi malunga nokuma kwentliziyo, ubungakanani bayo, umsebenzi wayo, kunye neendawo ezinesifo sokudumba.

Inyangwa njani ukudumba kwentliziyo?

Iindlela zonyango zixhomekeke kuhlobo, ubukhali, kunye nesizathu sokudumba kwentliziyo.

Amaxesha amaninzi, amayeza anceda ekulawuleni usulelo, anciphise ukusebenza kwenkqubo yomzimba yokuzikhusela, kwaye anciphise umngcipheko wesifo sentliziyo. Ukuba imeko imbi kakhulu, kunokufuneka iinkqubo zonyango ezikhethekileyo okanye izixhobo zonyango .

Zeziphi iintlobo zamayeza ezisetyenziswayo?

Iintlobo zamayeza anikwayo zinokwahluka ngokuxhomekeke kwinxalenye yentliziyo evuvukileyo. Iintlobo zamayeza anikwayo zihlala zinje:

• Ii-Corticosteroids (ukunciphisa ukudumba)
• Ii-antibiotics (zosulelo lweebhaktheriya)
• Amayeza okulwa nefungus (osulelo lwefungus)
• Amayeza okulwa nokuvuvukala ( amayeza anciphisa iintlungu nokudumba, njengee-NSAIDs)
• Amayeza okusilela kwentliziyo
• Izinto zokunciphisa igazi ( ukuthintela ukuqhekeka kwegazi)

Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?

Ewe, njengayo nayiphi na iyeza, nalo eli linokuba nemiphumo emibi. Iziphumo ebezingalindelekanga zinokwahluka ngokuxhomekeke kwiyeza olisebenzisayo. Ezinye zeziphumo ebezingalindelekanga eziqhelekileyo ziquka:

• Urhudo
• Isiyezi
• Ubuthathaka
• Intlungu yesisu

Kubalulekile: Ukuba ufumana naziphi na iziphumo ebezingalindelekanga, xelela ugqirha wakho. Angatshintsha amayeza okanye anciphise umthamo ukuba kuyimfuneko.

Kwiimeko ezinzima kakhulu, ugqirha wakho unokufuna ukwenza utyando lokukhupha ulwelo olugqithisileyo olujikeleze intliziyo (i-pericardial effusion drainage) okanye asuse izicubu zentliziyo ezonakeleyo. Ukuba i-myocarditis ibangela ukungasebenzi kwentliziyo, unokufuna isixhobo sokuncedisa i-ventricular yasekhohlo (LVAD) okanye kwanokufakelwa intliziyo . Ukuba isingqisho sentliziyo esingaqhelekanga esibangelwa yi-myocarditis asinakulawulwa ngamayeza, unokufakwa i -pacemaker .

Ndingayinciphisa njani le ngozi?

Asinakutshintsha izinto ezifana neminyaka yakho okanye naziphi na iimeko zempilo osele unazo. Nangona kunjalo, kukho ezinye izinto esinokuzilawula ukunciphisa umngcipheko wesifo sentliziyo:

• Kuphephe ukusela utywala kakhulu.
• Kuphephe ngokupheleleyo ukusebenzisa iziyobisi ngokungekho mthethweni.
• Gcina ucoceko oluhle lwamazinyo nolomlomo. Hlamba amazinyo akho yonke imihla, njengoko usulelo emlonyeni lunokuhamba luye entliziyweni luhamba ngegazi.
• Gcina ulusu lwakho lucocekile ukuze uthintele usulelo. Nokuba linxeba elincinci, licoce kakuhle kwaye ulifake amayeza.

Ngaba isifo sentliziyo singathintelwa?

Ukuba usemngciphekweni omkhulu we-endocarditis (umzekelo, ukuba ukhe waba ne-endocarditis ngaphambili, wafakelwa ivalvu yentliziyo endaweni yayo, okanye uneengxaki ezithile zentliziyo ozelwe nazo), ugqirha wakho unokukunika amayeza okubulala iintsholongwane . La mayeza kufuneka athathwe ngaphambi kokwenza utyando lwamazinyo okanye ngaphambi kokuba udibane namazinyo.

Isifo sentliziyo singenzeka izihlandlo ezingaphezu kwesinye, ngoko ke qaphela iimpawu.

Yintoni endimele ndiyilindele ukuba ndinesifo sentliziyo?

Ixesha lokuchacha liyahluka ngokuxhomekeke kuhlobo kunye nobukhali besifo sentliziyo. Kungathatha iiveki ukuba sichache, okanye kungathatha iminyaka.

• I-Endocarditis: Iyabulala ukuba ayinyangwa. Nangona kunjalo, uninzi lwabantu luyaphila ukuba luthatha amayeza okubulala iintsholongwane ngokufanelekileyo.
• I-Pericarditis: Ingahluka ukusuka kwencinci ukuya kwesongela ubomi. Okukhona ufumana unyango ngokukhawuleza, kokukhona amathuba akho okuchacha aphezulu. Imeko encinci isenokungadingi unyango konke konke.
• I-Myocarditis: Abanye abantu basenokungabi nangxaki emva konyango. Abanye basenokufuna ukuqhubeka nokusebenzisa amayeza. Abanye basenokufuna nokufakelwa intliziyo kwixesha elizayo.

Ndingazinyamekela njani?

• Thatha onke amayeza anikwe ngugqirha ngexesha.
• Qiniseka ukuba uyayigcina imihlangano yakho yokulandelela. Oku kungabandakanya uvavanyo lwegazi okanye uvavanyo lokufota.
• Ukuba ufumanisa naziphi na iimpawu ezintsha ngexesha lokuchacha kwakho, yazisa ugqirha wakho ngoko nangoko.

Ndifanele ndifune nini ingcebiso yezonyango? / Ndiye kwiYunithi yoNyango oluNgxamisekileyo (ETU) ?

Ekubeni iintlungu zesifuba ziluphawu oluqhelekileyo lwesifo sentliziyo kunye nokuhlaselwa yintliziyo, usenokungazi ukuba yeyiphi eyenzeka kuwe. Ngoko ke, ukuba ufumana iintlungu zesifuba, ukuze uhlale ukhuselekile, fowunela u-911 okanye uye kwigumbi likaxakeka elikufutshane ngoko nangoko. Yiloo nto ilungileyo onokuyenza.

Ndingayibuza yiphi imibuzo ugqirha?

Ukuba ucinga ukuba une-heartworm, musa ukulibazisa ukuya kugqirha. Okukhona uqala unyango ngokukhawuleza, kokukhona amathuba akho okufumana iziphumo ezilungileyo aphezulu. Xa ubona ugqirha, ungabuza imibuzo efana nale:

• Luhlobo luni lwesifo sentliziyo endinaso?
• Uyazi ukuba yintoni isizathu sale nto?
• Loluphi unyango olungcono kum?

Isishwankathelo (Umyalezo Wokuya Ekhaya)

Ukudumba kwentliziyo yinto omele uyoyike, kodwa yimeko enokulawulwa ukuba uyazi kwaye ufumane unyango ngexesha. Ukuba unamathandabuzo malunga noku, ukuba uneempawu, funa ingcebiso kagqirha ngokukhawuleza. Landela imiyalelo kagqirha ngononophelo, usele amayeza akho ngokuchanekileyo. Nyamekela intliziyo yakho ngexesha nasemva kokuchacha. Khumbula ukuba zeziphi iimpawu owawunazo, kuba ukudumba kwentliziyo kunokuphinda kwenzeke. Ke ngoko, kubalulekile ukuba uhlale ulumkile.

Ukudumba kwentliziyo , i-Endocarditis, i-Myocarditis, i-Pericarditis, iintlungu zesifuba, ubunzima bokuphefumla, umkhuhlane, iimpawu zesifo sentliziyo, ukudumba kwentliziyo, i-Endocarditis, i-Myocarditis, i-Pericarditis