Ngaba uva isandi esingaqhelekanga entliziyweni yakho? Ngaba "yiNtsikelelo yentliziyo"? Masithethe ngale nto!

Ukuba ugqirha ebenokukubeka i-stethoscope entliziyweni yakho aze athi, 'Ndingakuva isandi esincinci entliziyweni yakho, kukungxola,' ubungayi koyikiswa kancinci? Okanye ukuba ubuya kubonisa umntwana wakho omncinci kugqirha aze athethe into efana naleyo? Yintoni kanye kanye le ngxola yentliziyo, okanye "iHeart Murmur"? Masithethe ngale nto ngokulula.

Kuthetha ukuthini "ukumbombozela" entliziyweni?

Xa intliziyo yethu ibetha, oko kukuthi, xa ipompa igazi, iivalvu ezisentliziyweni ziyavuleka zize zivaleke. Njengeengcango. Xa ezi valve zivala, uva izandi ezibini ezibizwa ngokuba yi-'lub-dub' . Ngaba wakha wambona ugqirha ebeka i-stethoscope esifubeni sakho uze umamele? Yiloo nto uyivayo. Kodwa, ngamanye amaxesha, ukongeza kwesi sandi 'lub-dub', uva isandi esifana nesithi 'whoosh' okanye 'swish' ngokungathi sizaliswa ngumoya. Yiloo nto siyibiza ngokuba yi-'(Heart Murmur)', ngesiSinhala, ukugquma kwentliziyo. Oku kuthetha ukuba kukho into engaqhelekanga kwindlela igazi elihamba ngayo kwiivalvu zentliziyo yakho.

Ingaba oku "kukukhalaza kwentliziyo" yinto eyenzeka kubantu abaninzi?

Ewe, oku kuqhelekile kakhulu. Usenokungacingi nokucinga ngako, uninzi lwethu lukhe lwaba ne-'(Heart Murmur)' engenabungozi ngaxa lithile ebuntwaneni bethu, oko kuthetha ukugquma okwenzeka ngaphandle kwesifo esifihlakeleyo. Ngoko ke akukho mfuneko yokoyika xa usiva eli gama.

Ngaba kukho iintlobo ze-`(Heart Murmur)`?

Zikhona. Ezi zahlulwe ngokwexesha apho esi sandi sivakala khona kumjikelo wokubetha kwentliziyo.

Kalula nje:

• Ukukrazula kwe-Systolic: Oku kuvakala xa izihlunu zentliziyo yakho zifinyela, oko kuthetha ukuba zikhupha igazi ngaphandle.
• ``Diastolic`` isandi sokukhala: Oku kuvakala xa izihlunu zentliziyo ziphumla, oko kukuthi, xa zigcwala igazi kwakhona.
• ``Okuqhubekayo`` Ukumbombozela: Oku kuvakala xa intliziyo ifinyela ize iphumle, oko kuthetha ukuba kuvakala kuyo yonke imjikelo.

Ngokubanzi, ukudumba kwe-"Diastolic" kunye ne-"Continuous" kunokwenzeka ukuba kudibaniswe nesifo sentliziyo. Nangona kunjalo, kubaluleke kakhulu ukuba naluphi na "uKudumba kweNtliziyo" luhlolwe ngugqirha.

Ingxolo engakanani "iHeart Murmur"?

Asiyiva le nto ngeendlebe zethu. Kuphela xa ugqirha emamele nge-stethoscope apho sinokuyibona ngokucacileyo le sandi. Kuba i-stethoscope iyayikhulisa le sandi.

Oogqirha bahlulahlula ubukhulu bale ngxolo, oko kukuthi, isandi esikhulu kangakanani. Kukho isikali saloo nto, ukusuka ku-1 ukuya ku-6.

• Ibanga loku-1: Ayivakali kakuhle nokuba usebenzisa i-stethoscope.
• Ibanga lesi-6: I-stethoscope ivakala kakuhle kangangokuba ingavakala nokuba ayicinezelwanga eluswini.

Zithini izizathu zale `(Heart Murmur)`?

Njengoko benditshilo ngaphambili, ukurhawuzelela kubangelwa kukuhamba kwegazi okungaqhelekanga okanye ukuhamba kwegazi okungaqhelekanga kwiivalvu zentliziyo.

Kwenzeka njani ukuba abantu abangenatyala, oko kukuthi, "Iingxolo Zentliziyo Ezingenatyala" zibekho?

Ngamanye amaxesha, xa igazi lihamba ngokukhawuleza kunesiqhelo, kunokuvela ukugquma kwentliziyo "okungenatyala". Oku kukwabizwa ngokuba kukugquma "okuqhelekileyo" okanye "okungokwengqondo". Oku akubangelwa sisifo. Kuqhelekile kwiimeko ezifana nezi:

• Njengomntwana: Oku kuqheleke kakhulu kubantwana abancinci.
• Xa sisenza umthambo: Xa sibaleka size sitsibe, intliziyo yethu ibetha ngokukhawuleza, kulapho ke.
• Ngamaxesha apho abantwana bekhula ngokukhawuleza (ukukhula ngokukhawuleza).
• Ngexesha lokukhulelwa: Oku kunokwenzeka naxa ungumama ozayo.
• Kwiintsuku ezimbalwa zokuqala emva kokuzalwa komntwana.

Ezi ngxolo zingenatyala ngamanye amaxesha zinokufika ziphinde zihambe, zize zibuye. Zingakhula xa intliziyo yakho ibetha ngokukhawuleza. Uninzi lwexesha, ziyaphela zodwa ngokuhamba kwexesha. Kodwa kwabanye abantu, zinokuhlala ubomi bonke. Into ebalulekileyo kukuba ezi ngxolo zingenatyala azithethi ukuba kukho into engalunganga entliziyweni yakho.

Ukumbombozela kwentliziyo, okunokubangelwa sisifo sentliziyo okanye esinye isifo

Ezinye "iiHeart Murmurs" zinokubangelwa yimeko yentliziyo okanye enye ingxaki yempilo. Makhe sijonge ukuba zeziphi:

• I-anemia: Oku kuthetha ukwehla kwenani leeseli ezibomvu zegazi egazini. Oku kuchaphazela ukuxinana kwegazi, okunokubangela ukurhawuzelela kwentliziyo. Iimpawu ziquka ukuziva ubuthathaka nokudinwa. Khawuthelekelele, uNimali uhlala ediniwe kwaye akanakwenza nto. Ufumanisa kuphela ukuba unexinzelelo lwegazi eliphantsi xa esiya kugqirha. Wayene-heart murmur.

• Isifo sentliziyo iCarcinoid okanye isifo sentliziyo iCarcinoid: Esi sisifo somhlaza esikhula kancinci. Sibangelwa ziihormones ezigqithisileyo, ezinokuchaphazela nentliziyo. Ungabona nokuncipha kwesisindo, iintlungu zesisu, urhudo, kunye noxinzelelo lwegazi oluphantsi.

• Isiphene sentliziyo esizalwa naso: Ingxaki ngesakhiwo sentliziyo yakho, okanye indlela eyakhiwe ngayo, ozalwa nayo. Umzekelo, umngxuma entliziyweni ('isiphene se-septal') okanye iimeko ezifana ne-'Tetralogy of Fallot'.

• I-Endocarditis: Olu luhlobo losulelo lwentliziyo. Iintsholongwane okanye ezinye iintsholongwane zinokungena egazini zize zihlasele iivalvu zentliziyo. Oku kunokubangela ezinye iimpawu ezifana nomkhuhlane, ukubanda, ukurhawuzelela kwesikhumba, kunye nomphimbo obuhlungu.

• `Isifo sevalvu yentliziyo`:Oku kuthetha ukuba ivalvu enye okanye ezingaphezulu zentliziyo azisebenzi kakuhle. Emva koko igazi alihambi kakuhle. Umzekelo, ivalvu inokuba lukhuni (`valve stenosis`). Okanye isenokungavuleki kwaye ingavaleki kakuhle. Igazi linokuvuza kwicala elingalunganga (`valve regurgitation`). Ngamaxesha anje, izinto ezinje ngokudumba emaqatheni nasemilenzeni, ukuziva intliziyo ibetha ngokukhawuleza (`i-palpitations`), ubunzima bokuphefumla, kunye nokuqina kwesifuba kunokwenzeka.

• I-Hyperthyroidism: Oku kwenzeka xa i-thyroid gland ivelisa i-thyroid hormone eninzi kakhulu. Le meko inokubangela ukungazinzi, ukwanda komnqweno wokutya, ukubetha kwentliziyo ngokukhawuleza, kunye nokwehla kobunzima.

• I-Hypertrophic cardiomyopathy: Olu luhlobo lwesifo sentliziyo esibangela ukuba izihlunu zentliziyo zikhule, zijiye, okanye ziqine. Sinokufunyanwa njengelifa, okanye sinokukhula xa umntu ekhula okanye ngenxa yoxinzelelo lwegazi oluphezulu. Ezinye iimpawu zingabandakanya ukuquleka (syncope), iintlungu zesifuba, ukubetha kwentliziyo, ukudinwa, kunye nokuphefumla nzima.

Zithini iimpawu ze-`(Heart Murmur)`?

Ezinye "iiHeart Murmurs" azibonisi zimpawu. Zibonwa ngexesha lovavanyo lwezonyango oluqhelekileyo.

Nangona kunjalo, kuxhomekeke kwisizathu sokukhala, unokufumana iimpawu ezifana nezi:

• Ulusu oluluhlaza okwesibhakabhaka (ingakumbi imilebe kunye neminwe)
• Ukukhwehlela okungapheliyo
• Ukuva intliziyo yakho ibetha ngokukhawuleza (ukubetha kwentliziyo)
• Intlungu yesifuba okanye ukuxinana
• Ubunzima bokuphefumla
• Ukulahlekelwa yingqondo ngequbuliso (i-syncope) okanye ukuziva ubuthathaka

Ugqirha unokubona njani "uMbubuzo weNtliziyo"?

Ugqirha uza kumamela intliziyo yakho ukuze ahlole ukuba kukho "iHeart Murmur". Ukuba kukho ingxolo, uza kuva isandi esingaqhelekanga, esifana neso 'whoosh' okanye 'swish' endikhankanyileyo.

Ugqirha uza kubeka i-stethoscope kwiindawo ezahlukeneyo zesifuba sakho nomqolo ukuze amamele ukubetha kwentliziyo yakho. Baza kunika ingqalelo ekhethekileyo kwezi zinto:

• Ngaba kukho ezinye izandi ozivayo ngaphandle kwesandi esithi 'lub-dub'?
• Injani isandi? (`Iphimbo`)
• Isingqisho sentliziyo (`Rhythm`)
• Isandi sivakala ngaliphi ixesha xa intliziyo ibetha? (`Ixesha`)
• Ingxolo ingakanani? (`Umqulu`)

Uyakhumbula ukuba ugqirha ngamanye amaxesha ukuxelela ukuba wenze izinto ngelixa umamele nge-stethoscope? Yiloo nto isetyenziselwa yona. Umzekelo:

• Bathi mabaxhawulane.
• Undixelela ukuba ndihlale phantsi.
• Undixelela ukuba ndiphakame ndihlale phantsi.
• Undixelela ukuba ndilale phantsi.

Zeziphi iimvavanyo eziza kwenziwa ngugqirha xa eva "ukukhala kwentliziyo"?

Ukuba ugqirha wakho uva ukugquma, kuya kufuneka enze uvavanyo oluthe kratya ukuze kuqinisekiswe ukuba kubangelwa yingxaki yempilo. Ungathunyelwa kwingcali yentliziyo.

Ezi mvavanyo zilandelayo zingenziwa ukuze kufunyanwe unobangela we-"Heart Murmur":

• I-X-ray yesifuba:Oku kuthatha imifanekiso yangaphakathi kwesifuba ukujonga iingxaki zesakhiwo sentliziyo okanye imiphunga.
• I-Echocardiogram (okanye i-echo): Oku kufana ne-ultrasound scan yentliziyo. Isebenzisa amaza esandi ukwenza imifanekiso yeevalvu kunye namagumbi entliziyo. Ikwanceda ukujonga ukuba intliziyo ipompa igazi kangakanani na. Oku kungaba yi-scan eyenziwa ngesikhumba, okanye i-transesophageal echocardiogram, esebenzisa isixhobo esikhethekileyo ngomlomo nasemqaleni. Oku kunokuvelisa imifanekiso ecacileyo yentliziyo.
• I-Electrocardiogram (ECG okanye EKG): Olu luvavanyo olungenabuhlungu olulinganisa ukusebenza kombane kwentliziyo yakho. Lunokubona iingxaki ngesingqisho sentliziyo yakho kunye neempawu zokuhlaselwa yintliziyo.

Ungayinyanga njani i-`(Heart Murmur)`?

Uninzi lwe-`(Heart Murmur)` aludingi naluphi na unyango. Kwaye akukho nto inokubangela ukuba luxhalabe ngabo. Ingakumbi ezo ngxolo 'zimsulwa'.

Nangona kunjalo, ukuba ukurhawuzelela kubangelwa yimeko enzima, unokufuna unyango olufana nolu:

• Amayeza: Umzekelo, iipilisi zesinyithi ze-anemia, okanye amayeza okunciphisa ukusebenza kwe-thyroid.
• Utyando: Ngamanye amaxesha utyando luyadingeka ukulungisa ivalvu yentliziyo okanye ukuyitshintsha ngentsha.

Eyona nto ibalulekileyo kukuba ugqirha ahlolisise isigulana kakuhle aze afumanise unobangela wokukhala kwengxolo kunye nokuba kuyafuneka na unyango.

Ngaba ukumbombozela kwentliziyo kunokuthintelwa?

Akukho ndlela yokuthintela ukuba kubekho "ukukhala kwentliziyo". Kuba ezinye zizalwa nazo, ngelixa ezinye zibangelwa zezinye izifo.

Nangona kunjalo, ungayinyamekela impilo yentliziyo yakho. Ukuya kuhlolwa rhoqo nokuphila ubomi obusempilweni (ukutya kakuhle, ukuzilolonga, nokungatshayi) kunokunceda kakhulu ekunciphiseni umngcipheko weengxaki ezinkulu ezibangelwa sisifo sentliziyo.

Injani imeko yempilo yomntu ono-`(Heart Murmur)`?

Oku kuxhomekeke ngokupheleleyo kwisizathu somsindo. Ukumbombozela 'okungenatyala' kubantwana abancinci kudla ngokuphela njengoko bekhula. Ukumbombozela okwenzeka ngexesha lokukhulelwa kudla ngokuphela emva kokubeleka.

Nangona kunjalo, ukumbombozela okunxulumene neemeko zentliziyo ngokuqinisekileyo kufuna unyango. Yiyo loo nto ukuba ugqirha ukuxelela ukuba umbombozela, kufuneka uphande kakuhle.

Ndifanele ndimbone nini ugqirha?

Ukuba unayo nayiphi na kwezi mpawu ocinga ukuba zinxulumene nesifo sentliziyo, kufuneka ufune ingcebiso kagqirha ngoko nangoko :

• Ukuba ulusu lujika lube luhlaza okwesibhakabhaka (ingakumbi malunga nemilebe kunye neenzipho)
• Ukuba uziva iintlungu esifubeni okanye uxinzelelo
• Ukuba uziva intliziyo yakho ibetha ngendlela engaqhelekanga (i-palpitations)
• Ukuba unengxaki yokuphefumla
• Ukuba ngequbuliso uyafa isiqaqa (syncope) okanye uzive ukhaphukhaphu

Ukuba unayo nayiphi na kwezi mpawu, musa ukuzityeshela. Kungcono ukubona ugqirha ngokukhawuleza kwaye uhlolwe.

Masikhumbule la manqaku (Umyalezo Wokubuyela Ekhaya)

Kulungile, ngoko ke, ukushwankathela oko besithetha ngako, isandi esithi “heart murmur” sisandi esithi “whoosh” okanye “swish” osivayo xa igazi lihamba ngendlela engaqhelekanga kwiivalvu zentliziyo yakho.

Ixesha elininzi, ezi ziintetho ezingathi 'zimsulwa', oko kuthetha ukuba azibangelwa sisifo kwaye azifanele ziyoyike. Ziqheleke kakhulu ebantwaneni abancinci.

Nangona kunjalo, ezinye izikhalo zinokubangelwa yimeko yentliziyo okanye enye ingxaki yempilo. Ngoko ke, kubaluleke kakhulu ukuba ugqirha ahlole naluphi na uhlobo lwe-"Heart Murmur" ukuze kufunyanwe unobangela ochanekileyo.

Ukuba ugqirha ukuxelela wena okanye umntwana wakho ukuba une-"Heart Murmur", musani ukoyika, kodwa mamelani ngononophelo oko bakuthethayo. Ngokufumana uvavanyo olufunekayo nokufumana unyango olufanelekileyo lwesizathu (ukuba kuyimfuneko), ninokuhlala nisempilweni.

Khumbula, intliziyo yakho yimpahla yakho! Luxanduva lwakho ukuyinyamekela kakuhle.

Ukugquma kwentliziyo , ukugquma kwentliziyo, isandi sentliziyo, ukugquma okungenatyala, isifo sentliziyo, iivalvu zentliziyo, ukujikeleza kwegazi