Xa usiya kugqirha, ubeka i-stethoscope esifubeni sakho aze akuphulaphule ngononophelo, akunjalo? Ubungacinga ntoni ukuba ebenokuthi, "Hmm... Ndiyakuva ukugquma kwentliziyo okuncinci"? Kuyoyikisa ngokwenene, akunjalo? Kodwa ngaphambi kokuba soyike, masiqonde ukuba yintoni kanye kanye le sandi yongezelelweyo eviwa entliziyweni, okanye oko oogqirha bakubiza ngokuba yi-'heart murmur'.
Kalula nje, yintoni le Heart Murmur?
Cinga ngayo njengepompo yamanzi. Ngaphakathi kule pompo kukho iindawo ezine ezisebenza njengeengcango. Sizibiza ezi valve zentliziyo. Xa intliziyo ibetha, oko kukuthi, xa ipompa igazi, ezi valve ziyavuleka kwaye zivaleke ngendlela ecwangcisiweyo. Xa ii valve zentliziyo esempilweni ngokugqibeleleyo zivala, uva izandi ezibini ezahlukeneyo ezibizwa ngokuba yi-'lub-dub'.
Nangona kunjalo, ngamanye amaxesha, ukongeza kwesi sandi 'lub-dub', unokuva isandi esithi 'whoosh' okanye 'swish', njengetyhubhu egcwele umoya. Eso sandi singaphezulu koko sikubiza ngokuba yiHeart Murmur. Oku kuthetha ukuba kukho into encinci engaqhelekanga kwindlela igazi elihamba ngayo ngaphakathi entliziyweni.
Into ebalulekileyo kukuba ukuba nentliziyo ekhalayo akuthethi ukuba unesifo sentliziyo esinzulu. Kwiimeko ezininzi, ezi zinto azinabungozi kwaye zinokubonwa kubantu abaphilileyo.
Ngaba kukho iintlobo zeHeart Murmur?
Ewe, oogqirha bahlula esi sandi ngokwexesha esiviwa ngalo. Oku kusenokuvakala ngathi kungokwezonyango, kodwa masikwenze kube lula.
- Ukumbombozela ngeSystolic: Oku kuvakala xa izihlunu zentliziyo yakho zifinyela kwaye zikhupha igazi.
- Ukumbombozela kweDiastolic: Oku kuvakala xa izihlunu zentliziyo ziphumla kwaye intliziyo izele ligazi.
- Ukumbombozela Okuqhubekayo: Esi sandi sivakala njengoko intliziyo incipha kwaye iphumla, oko kukuthi, kuyo yonke intliziyo.
Ngokubanzi, i-diastolic kunye ne-continuous murmurs zezona ntlobo zimbini ezinokunxulunyaniswa nohlobo oluthile lwesifo sentliziyo. Nangona kunjalo, nokuba loluphi uhlobo lwe-murmur, kubalulekile ukuba ihlolwe ngokufanelekileyo ngugqirha.
Yintoni ebangela ukumbombozela kwentliziyo?
Izizathu zingahlulwahlulwa zibe ziindidi ezimbini. Esinye sizizathu ezingenabungozi, esinye sisizathu esibangelwa yimeko yempilo.
"Ababubulayo Abangenatyala" Abangenabungozi
Ezi zibizwa ngokuba yi "innocent murmurs." Zenzeka kuba igazi lihamba entliziyweni ngokukhawuleza kancinci kunesiqhelo. Le ayisiyongxaki yezonyango. Ingabangelwa zizinto ezifana nezi:
- Kwasebuntwaneni: Abantwana abaninzi abancinci bayaziva ezi ngxolo zingenabungozi. Ezi ziyanyamalala njengoko bekhula.
- Ngexesha lokukhulelwa:Ngexesha lokukhulelwa, inani legazi emzimbeni liyanda, nto leyo ebangela ukuba intliziyo isebenze nzima. Yiyo loo nto usenokuva izandi ezinje. Ezi ziza kuphela emva kokuba umntwana ezelwe.
- Xa sisenza umthambo: Xa sisenza umthambo, intliziyo yethu ibetha ngokukhawuleza, ngoko ke ukujikeleza kwegazi kuyakhula.
- Ukukhula ngokukhawuleza: Le meko inokwenzeka ngexesha lokukhula ngokukhawuleza kwabantwana xa ngequbuliso bekhula baze bakhule umzimba.
Akukho mfuneko yokukhathazeka ngaba Bakhalazi Bangenatyala konke konke. Bafika bahambe. Abanye abantu baphila nabo ubomi babo bonke kwaye ababenzi monakalo.
Ukumbombozela okubangelwa yimeko yempilo
Ngamanye amaxesha, ukurhawuzelela kwentliziyo kunokuba luphawu lwengxaki yempilo. Makhe sijonge ukuba yintoni ebangela oko.
| Unobangela | Ingcaciso nje |
|---|---|
| Isifo seValve yeNtliziyo | Ivalvu engavuli kakuhle ize ivaleke (iStenosis) okanye engavali kakuhle kwaye igazi livuza umva (iRegurgitation). Le yeyona nto ibangela iMurmur kubantu abadala. |
| Isiphene sentliziyo esizalwa naso | Isiphene esakhiweyo, njengomngxuma eludongeni lwentliziyo (iSeptal Defect), sikhona xa umntwana ezalwa. Esi siphene sidla ngokufunyanwa kwasebuntwaneni. |
| I-Hypertrophic Cardiomyopathy (ukuqina kwemisipha yentliziyo) | Imisipha yentliziyo iba nkulu ngendlela engaqhelekanga, ithintele ukuhamba kwegazi. Oku kusenokubangelwa lufuzo okanye kubangelwa luxinzelelo lwegazi oluphezulu. |
| I-Endocarditis | Intsholongwane, efana nebhaktheriya, engena egazini ize yonakalise iivalvu zentliziyo, nto leyo ebangela usulelo. Oku kuhamba neempawu ezifana nomkhuhlane kunye neentlungu zomzimba. |
| I-anemia | Xa igazi lincinci emzimbeni, ukuqina kwegazi kuyehla. Emva koko, kunokuvakala isandi sokukhala kuba igazi lihamba ngokukhawuleza. Ukudinwa kunye nokuphaphatheka nazo ziimpawu zoku. |
| I-Hyperthyroidism | Iinkqubo zehomoni zomzimba ziyakhawuleza kwaye isantya sentliziyo siyanda. Oku kunokubangela ukurhawuzelela. |
Zeziphi iimpawu umntu onesithukuthezi sentliziyo azibonayo?
Umntu onesingqala esingenasizathu usenokuba akanazo naziphi na iimpawu. Oku kudla ngokufunyaniswa ngengozi xa etyelele ugqirha ngenxa yesinye isifo.
Nangona kunjalo, ukuba ukurhawuzelela kubangelwa yimeko yentliziyo, nezinye iimpawu ezinxulumene nayo zinokuvela.
- Ukuphefumla nzima/ubunzima bokuphefumla: Ukuphefumla nzima nokuba usebenzisa amandla amancinci.
- Intlungu yesifuba okanye ukuxinana: Ukuziva uxinene esifubeni.
- Ukubetha kwentliziyo: Ukuva intliziyo yakho ibetha ngokukhawuleza, ngamanye amaxesha njengokuqhaqhazela.
- I-Syncope: Ukulahlekelwa yingqondo ngequbuliso.
- Ukudumba emilenzeni, emaqatheni, okanye esiswini: Ngenxa yokuqokelelana kolwelo emzimbeni.
- Ulusu oluluhlaza okwesibhakabhaka: Ingakumbi imilebe kunye neminwe. Oku kuthetha ukuba igazi alifumani ioksijini eyaneleyo.
- Ukukhohlela okungapheliyo.
Ukuba unayo nayiphi na kwezi mpawu, musa ukuzityeshela. Bonana nogqirha wakho ngoko nangoko.
Ugqirha uyifumana njani kanye kanye le nto?
Into yokuqala oyenzayo kukumamela intliziyo yakho ngononophelo nge-stethoscope. Ugqirha uya kuqwalasela izinto ezininzi, njengohlobo lwesandi, isandi, kunye nexesha.
Ukuze ufunde okungakumbi ngesandi, ugqirha wakho angakucela ukuba wenze izinto ezininzi:
- Hlala phantsi, yima ngeenyawo.
- Sukuma ngequbuliso xa uhleli.
- Khuhla kancinci.
- Bamba amanqindi akho ngokuqinileyo.
Xa ezi zinto zenziwe, indlela igazi elihamba ngayo ukuya entliziyweni iyatshintsha. Kwangaxeshanye, isandi sokubhomboloza siyatshintsha. Ngokusekelwe kolu tshintsho, ugqirha unokufumana umbono olungileyo ngohlobo lokubhomboloza.
Ngaba kuza kufuneka ezinye iimvavanyo?
Ayingabo bonke abantu abavavanywayo ukuba abanayo na i-murmur. Nangona kunjalo, ukuba ugqirha wakho urhanela ukuba uneengxaki zentliziyo, unokukuthumela kwi-cardiologist aze akuyalele uvavanyo oluthile, olufana nolu:
1. I-Electrocardiogram (ECG/EKG): Uvavanyo olungenabuhlungu olurekhoda umsebenzi wombane wentliziyo.
2. I-X-ray yesifuba: Jonga ubungakanani, imilo yentliziyo, kunye nemeko yemiphunga.
3. I-Echocardiogram (Echo): Olu lolona vavanyo lubalulekileyo. Lufana nokuskena komntwana. Lusebenzisa amaza esandi ukwenza imifanekiso ephilayo yentliziyo kunye neevalvu zayo. Lungabonisa ngokucacileyo yonke into ukususela kwindlela ezisebenza ngayo iivalvu, indlela igazi elihamba ngayo, kunye nobukhulu bemisipha yentliziyo.
Luluphi unyango lwe-Heart Murmur?
Oku kuxhomekeke ngokupheleleyo kwisizathu sokukhala.
Umntu ongafuni nyango akafuni naluphi na unyango. Ungaphila ubomi obuqhelekileyo.
Nangona kunjalo, ukuba ukurhawuzelela kubangelwa yimeko yempilo, unyango lolwelo meko ingundoqo.
- Ukuba kungenxa ye -anemia , amayeza anjengeepilisi zesinyithi aya kunikwa.
- Ukuba kungenxa yoxinzelelo lwegazi oluphezulu , uza kunikwa amayeza alo.
- Ukuba iivalvu zentliziyo zonakele , ngamanye amaxesha zinokulawulwa ngamayeza. Nangona kunjalo, ukuba umonakalo mkhulu, kunokufuneka utyando ukuze kulungiswe ivalvu (ukulungiswa kweevalvu) okanye kufakwe ivalvu entsha (ukutshintshwa kweevalvu).
- Ukuba yinto efana nesiphene sokuzalwa , inganyangwa nangotyando okanye ngenye indlela.
Ugqirha wakho kunye nogqirha wentliziyo baya kugqiba ukuba loluphi unyango olufunekayo.
Umyalezo Wokuya Ekhaya
- Ukugquma kwentliziyo sisandi esongezelelweyo esiviwa ngugqirha nge-stethoscope, kwaye asisoloko sisifo.
- Iimbombo ezininzi, ingakumbi ezo zibonwa ebantwaneni nakoomama abakhulelweyo, zinokuba yi-"Innocent Murmurs" engenabungozi kwaphela.
- Ukuba ugqirha wakho ukuxelela ukuba une-murmur, musa ukoyika. Mvumele agqibe ukuba ingaba inzulu okanye ayinzulu.
- Ukuba unezinye iimpawu ezifana neentlungu zesifuba, ukuphefumla okufutshane, okanye isiyezi, qiniseka ukuba uxelele ugqirha wakho ngazo.
- Unyango lufuneka kuphela xa kukho imeko yezonyango ebangela ukudumba, ngoko ke kubaluleke kakhulu ukulandela icebiso lezonyango.
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