Ingaba intliziyo yakho isebenza nzima kakhulu? Oku kubizwa ngokuba yiHigh-Output Heart Failure! Makhe sithethe ngako.

Ngaba ngamanye amaxesha uziva uphelelwa ngumphefumlo, okanye uzive udiniwe kakhulu nasemva kokuba wenze into encinci? Mhlawumbi imilenze yakho idumbile. Ukuba uneempawu ezinje, esinye sezizathu zoku kukuba intliziyo yakho isebenza nzima kunokuba kufanele, kodwa umzimba wakho awufumani ziphumo ozifunayo. Namhlanje siza kuthetha ngohlobo oluthile lwesifo sentliziyo. Oku kubizwa ngokuba yi-high-output heart failure .

Yintoni iHigh-Output Heart Failure?

Kulungile, yintoni ke iHigh-Output Heart Failure? Ngamafutshane, kulapho intliziyo yakho isebenza khona ngokuqhelekileyo. Oko kukuthi, akukho kuncipha okubonakalayo ekusebenzeni kwentliziyo ekupompeni igazi (`i-ejection fraction`) okanye ingxaki yokuzaliswa kwentliziyo ngegazi (`i-ejection fraction egciniweyo`). Nangona kunjalo, njengoko inani legazi elifunekayo emzimbeni wakho likhula kancinci kancinci, intliziyo ayikwazi ukuhlangabezana naloo mfuno.

Cinga ngayo njengenjini yemoto. Ekuqaleni isebenza kakuhle, kodwa njengoko umthwalo usanda, injini ayikwazi ukuyilawula. Ekuhambeni kwexesha, intliziyo isebenza kakhulu kangangokuba iba buthathaka kwaye ekugqibeleni ayikwazi ukupompa igazi ngokufanelekileyo emzimbeni.

Kutheni oku kubizwa ngokuba yi "High-Output"?

Ngoku usenokuba uyazibuza ukuba kutheni oku kubizwa ngokuba yi-'high-output' okanye ''high-output''. Kukho isizathu esithile sale gama. Lahlukile kwezinye iintlobo zokusilela kwentliziyo ngenxa yobungakanani begazi eliphuma entliziyweni, elibizwa ngokuba yi- 'cardiac output''.

Kwiintlobo ezininzi zesifo sentliziyo, esi sifo sentliziyo siqhelekile okanye siphantsi. Nangona kunjalo, kumntu one-High-Output Heart Failure, intliziyo ipompa malunga neelitha ezi-8 zegazi ngomzuzu (oko kuthetha malunga neegaloni ezi-2!) Intliziyo yomntu omdala osempilweni ipompa malunga neelitha ezi-5 ukuya kwezi-6 zegazi ngomzuzu (iigaloni ezi-1.3 ukuya kwezi-1.6). Ngoko ke ungabona ukuba intliziyo yenza umsebenzi ongakanani na? Kodwa ingxaki kukuba umzimba awufumani nzuzo kuloo msebenzi wongezelelweyo.

Ixhaphake kangakanani le meko?

Enyanisweni, xa kuthelekiswa nezinye iintlobo zokusilela kwentliziyo, le meko ibizwa ngokuba yi-"High-Output Heart Failure" ayiqhelekanga kangako . Umzekelo, malunga nezigidi ezi-6 zabantu eMelika bahlushwa ziintlobo ezahlukeneyo zokusilela kwentliziyo. Nangona kunjalo, olunye uphando lufumanise ukuba "High-Output Heart Failure" ibandakanya ipesenti encinci kakhulu yabantu abafuna iingcebiso zonyango ngenxa yokusilela kwentliziyo, malunga ne-0.07%. Oku kuthetha ukuba yimeko engaqhelekanga.

Zithini iimpawu zale meko `(Ukusilela kwentliziyo okuphuma kakhulu)`?

Iimpawu onokuzibona kule meko zifana kancinci nezinye izifo zentliziyo. Kodwa kubalulekile ukuba uzazi. Jonga ukuba unayo na kwezi:

• Ubunzima bokuphefumla : Oku kunokuba kubi ngakumbi xa ulele okanye ulele. Abanye abantu bavuka ebusuku benengxaki yokuphefumla.
• Ukudinwa kakhulu: Ukudinwa kakhulu nokuba sele wenze umsebenzi omncinci, okanye ukuziva ulele ngalo lonke ixesha.
• Ukudumba ( ukudumba ): Ukudumba kunokwenzeka, ingakumbi emilenzeni, emaqatheni, kwaye ngamanye amaxesha esiswini. Oku kubizwa ngokuba yi-`(ukudumba)`.
• Ukubetha kwentliziyo : Usenokuziva ngathi intliziyo yakho ibetha ngokukhawuleza, njengokungathi kukho isithonga esiphuma esifubeni sakho.
• Intliziyo ebetha ngokukhawuleza (i-tachycardia): Imeko apho intliziyo ibetha ngokukhawuleza kakhulu.

Ukuba unenye okanye ngaphezulu kwezi mpawu,Ngokuqinisekileyo kufuneka ubone ugqirha.

Yintoni ebangela le meko `(Ukusilela kwentliziyo okuphuma kakhulu)`?

Kukho izizathu ezahlukeneyo zokuba le meko inokwenzeka. Nazi ezinye zazo:

• Isalathisi sobunzima bomzimba (i-BMI) ngaphezulu kwama-30 ( ukutyeba kakhulu ): Le yeyona nto iphambili neyona ixhaphakileyo yesi simo. Kalula nje, ubunzima bomzimba bubeka ngokuthe ngqo uxinzelelo olukhulu entliziyweni. Cinga ngayo, yonke iseli emzimbeni wakho idinga igazi. Ngoko ke njengoko umzimba wakho ukhula, ubungakanani begazi ekufuneka lipompe intliziyo yakho kunye nomgama ekufuneka iwuthumele egazini uyanda. Loo nto ibangela uxinzelelo olukhulu entliziyweni.
• Isifo sesibindi : Umzekelo, izifo zesibindi ezingapheliyo ezifana ne -cirrhosis .
• Ii-fistula okanye ii-shunts ze-Arteriovenous: Ezi zinokuzalwa okanye zikhule kamva. Oku kubangela ukuba igazi lihambe ngqo emithanjeni endaweni yokuba lingene apho lifuneka khona, nto leyo eyandisa umthwalo womsebenzi entliziyweni.
• I-anemia enzulu: Xa kukho ukwehla komthamo wegazi emzimbeni, intliziyo kufuneka ipompe igazi elingakumbi ukuze kwenziwe umsebenzi omninzi ngegazi elikhoyo.
• Izifo zemiphunga: Le meko inokubangelwa nazizifo zemiphunga ezingapheliyo.
• I-Sepsis: Usulelo olunzima emzimbeni. Oku kwandisa isidingo somzimba segazi.
• I-Hyperthyroidism: Ukuveliswa kakhulu kweehomoni ze-thyroid kubangela ukuba imetabolism yomzimba ikhawuleze kwaye intliziyo isebenze nzima.
• Umhlaza wegazi ongaqhelekanga: Ezinye iintlobo zomhlaza wegazi nazo zinokubangela oku.

Kwenzeka ntoni ngokwenene kwi-`(High-Output Heart Failure)`?

Cinga ngale ndlela: imithambo yegazi emizimbeni yethu ifana nemibhobho yamanzi. Ezinye izifo zibangela ukuba le mithambo yegazi ibe mikhulu kunokuba kufanele ibe njalo, njengombhobho okhula ube mkhulu. Kwizonyango, oku sikubiza ngokuba yi-vasodilation . Oku kuqalisa uthotho lweziganeko ezinyusa ukuphuma kwentliziyo, ubungakanani begazi elimpontshwa yintliziyo.

Ngoku unokucinga, 'Kulungile ukupompa igazi elingakumbi.' Ewe, xa sizilolonga, imizimba yethu ifuna igazi elingakumbi, ngoko ke kulungile ukuba intliziyo yethu ipompe igazi elingakumbi. Kodwa oku akuyosizathu silungileyo. Okwenzekayo apha kukuba mhlawumbi umzimba wakho usebenzisa ioksijini engaphezulu kunesiqhelo, okanye mhlawumbi igazi lakho lijikeleza imithambo emincinci (ii-arterioles) endaweni yokuba ingene kuyo. Ngoko ke igazi elingakumbi liyahlangana kwimithambo, imithambo ethwala igazi libuyele entliziyweni, endaweni yokuba iye emzimbeni wonke. Ngoko ke okwenzekayo kukuba umzimba awufumani igazi elifunekayo. Intliziyo isebenza nzima kakhulu.

Ziziphi izinto ezibangela umngcipheko ezichaphazela oku?

Enyanisweni, izinto ezifanayo ezibangela le meko (ukusilela kwentliziyo okuphuma kakhulu) nazo zisebenza njengezinto ezinobungozi. Oko kukuthi:

• Ixabiso le-BMI elingaphezulu kwama-30.
• Isifo sesibindi, ingakumbi isifo sesibindi.
• Ubukho be-'arteriovenous fistula' okanye 'i-shunts'.
• I-anemia enzulu.
• Izifo zemiphunga.
• Imeko ye-'Sepsis'.
• `(I-Hyperthyroidism)`.
• Umhlaza wegazi ongaqhelekanga.

Ukuba unezi meko, usengozini yokuba ne-"High-Output Heart Failure".

Ziziphi iingxaki ezinokubakho ze-`(High-Output Heart Failure)`?

Ukuba le meko ayinyangwa kakuhle, ezinye iingxaki zingavela. Ezinye zazo zezi:

• Uxinzelelo lwegazi oluphezulu kwimiphunga: Uxinzelelo oluphezulu kwimithambo yegazi ethwala igazi ukuya emiphungeni.
• Ukusilela kwentliziyo yeSystolic: Ubuthathaka kwamandla entliziyo okupompa igazi (ukufinyela).
• Ukudumba kwemilenze engezantsi: Ukugcinwa kolwelo emilenzeni.

Ukuxilongwa njani kwe-High-Output Heart Failure?

Xa ubona ugqirha, uza kuqala akuhlole ngokwasemzimbeni. Uza kubuza ngeempawu zakho, ukuba kukho umntu kusapho lwakho onesifo sentliziyo, ngawaphi amayeza owasebenzisayo, kwaye nokuba unazo naziphi na ezinye izifo ezingapheliyo ezinokuba negalelo kule meko, i-High-Output Heart Failure. Kubaluleke kakhulu ukunika imbali yakho epheleleyo yezonyango.

Zithini iimvavanyo zokuxilonga?

Oogqirha banokwenza iimvavanyo ezahlukeneyo ukuqinisekisa isifo kunye nokufumanisa unobangela waso.

• Uvavanyo lwegazi: Jonga amanqanaba ehomoni ye-thyroid, amanqanaba e-hemoglobin (kwakhona jonga ukuba ayinayo na i-anemia), kunye nokusebenza kwesibindi kunye nezintso.
• Uvavanyo lwe-natriuretic peptide egazini: La manqanaba ayanda xa intliziyo ingasebenzi kakuhle.
• I-Electrocardiogram (EKG): Jonga umsebenzi wombane wentliziyo.
• I-Transthoracic echocardiogram: Oku kungabonisa izinto ezininzi ngentliziyo, njengobume bayo, ubungakanani bayo, indlela epompa ngayo igazi, kunye nendlela esebenza kakuhle ngayo iivalvu.
• Ukufakwa kwe-catheter kwintliziyo: Olu vavanyo lunokufuneka nakwezinye iimeko.
• I-computerized tomography (CT) scan.
• I-MRI yentliziyo – iskeni yomfanekiso we-magnetic resonance.

Olu vavanyo lunokunceda ugqirha wakho ukuba afumanise ukuba ngaba une-High-Output Heart Failure, kwaye ukuba kunjalo, yintoni kanye kanye ebangela oko.

Iphathwa njani i-High-Output Heart Failure?

Kukho iinjongo eziphambili ezininzi kunyango. Okokuqala, oogqirha baza kuzama ukunciphisa ukuphefumla kwakho, ukunciphisa ukudumba, kunye nokuzinzisa imeko yakho. Emva koko, okubaluleke kakhulu, baza kunyanga imeko esisiseko ebangele le meko "yokuhluleka kwentliziyo okuphuma kakhulu".

Kubaluleke kakhulu ukufumana unobangela ochanekileyo wale meko. Kuba iindlela zonyango ziyahluka ngokuxhomekeke kwisizathu. Xa isifo esisisiseko sinyangwa ngokufanelekileyo, imeko `(High-Output Heart Failure)` inokulawulwa, kwaye ngamanye amaxesha ide inyangeke ngokupheleleyo.

Amayeza athile asetyenzisiweyo

Ukongeza ekunikeni ioksijini, ugqirha angakunika amayeza anjengala:

• I-Diuretics: Zinceda ekususeni ulwelo olugqithisileyo emzimbeni ngomchamo, nto leyo enciphisa ukudumba.
• Ii-Inotropes: Ziyandisa amandla entliziyo okufinyela, zinceda ekupompeni igazi ngokufanelekileyo.
• Amanye amayeza:Amayeza athile esifo esibangele esi sifo (ukusilela kwentliziyo okuphuma kakhulu). Umzekelo, amayeza engxaki ye-thyroid, iipilisi zesinyithi ze-anemia.

Iziphumo ebezingalindelekanga zonyango

Amanye amayeza anikwa iHigh-Output Heart Failure anokubangela iziphumo ebezingalindelekanga ezincinci, kodwa ayinguye wonke umntu ozifumanayo.

• Intloko ebuhlungu
• Isiyezi
• Ukungonwabi kwesisu
• Ukubetha kwentliziyo okungaqhelekanga
• Igazi elonyukayo
• Uxinzelelo lwegazi oluphantsi

Ukuba uziva into efana nale, kufuneka uxelele ugqirha wakho.

Ndiza kuziva bhetele nini emva konyango?

Amayeza anjenge-diuretics anokunceda ekunciphiseni ukudumba kwisithuba seyure okanye ezimbini. Oku kunokubonelela ngoncedo olukhulu. Nangona kunjalo, imeko esisiseko ebangele esi sifo (i-High-Output Heart Failure) ifuna unyango lwexesha elide. Ubude bexesha elithathwayo liyahluka ngokuxhomekeke kwimeko kunye nendlela yonyango.

Ungayinciphisa njani ingozi yokuba `(Ukusilela kwentliziyo okuphuma kakhulu)`?

Ukunciphisa umngcipheko wale meko, kubalulekile ukunyanga iimeko zonyango ezibangela ukuba umzimba ufune igazi. Ezi ziquka:

• Ukuba i-BMI yakho ingaphezulu kwama-30, funa ingcebiso kagqirha ukuze wehlise umzimba.
• Ukuba une-hyperthyroidism, yifumane unyango olufanelekileyo.
• Ukuba unezifo zemiphunga nezesibindi, zilawule.
• Ukuba une-anemia enzima, fumana unobangela uze ufune unyango.

Thetha nogqirha wakho ngezi zinto uze uthathe amanyathelo afunekayo.

Kwenzeka ntoni ukuba une-`(High-Output Heart Failure)`?

Oogqirha banokukunceda ukulawula iimpawu zakho. Nangona kunjalo, ukuze unyange le meko ngokufanelekileyo, kufuneka uchonge unobangela ochanekileyo. Emva koko, kubalulekile ukunyanga loo nobangela.

Ukusilela kwentliziyo okuphuma kwiziphumo eziphezulu kuhlala ixesha elingakanani?

Le meko inokuhlala ixesha elide logama nje isifo esibangele ukuba iqhubeke asinyangwa.

Ngaba ukusilela kwentliziyo okuphuma kwiziphumo eziphezulu kunokunyangeka?

Ewe, le meko inokunyangeka. Kodwa kuxhomekeke kwisifo esibangele loo nto. Ezinye izizathu zinokunyangwa ngokupheleleyo kwaye le meko inokupheliswa.

Iyintoni ingqikelelo ye-`(High-Output Heart Failure)`?

Imbono yomntu onesi sifo ixhomekeke kakhulu kwisizathu esiyintloko. Umzekelo, olunye uphando lubonise ukuba abantu abane-BMI engaphezulu kwama-30 baphila iminyaka emihlanu engcono kunabo banesifo sesibindi.

Nangona kunjalo, ukuxilongwa kwangoko kunye nonyango lwesizathu esiyintloko kunokunyusa ixesha lokuphila.

Ndingazinyamekela njani?

Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha xa unyanga imeko ebangela esi sifo (iHigh-Output Heart Failure). Sela amayeza akho ngexesha, wenze oko akuxelele ukuba ukwenze, kwaye wenze oko akuxelele ukuba ulawule ukutya kwakho.

Zeziphi izinto ezilungileyo onokuzitya nokusela xa une-`(High-Output Heart Failure)`?

Ugqirha wakho angakuxelela ukuba utye ukutya okunetyuwa encinci (i-sodium) kwaye unciphise ukutya kwakho okunetyuwa. Kubalulekile ukulandela le miyalelo ngononophelo, njengoko ityuwa kunye nolwelo olugqithisileyo kunokubangela ukugcinwa kolwelo, okunokunyusa ukudumba kwaye kubeke uxinzelelo olungakumbi entliziyweni yakho.

Ndifanele ndimbone nini ugqirha?

Kuya kufuneka ubone ugqirha wakho rhoqo kwinyanga yokuqala emva kokuba ubuyile esibhedlele. Ezinye iimeko ezibangela ukungaphumeleli kwentliziyo okuphuma kakhulu zisenokufuna ukuba uphinde ulaliswe esibhedlele. Ngoko ke, ungaphoswa ziintlanganiso zakho zokulandelela njengoko ugqirha wakho eyalele.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ungabuza ugqirha imibuzo efana nale:

• Sisiphi isifo esibangela ukuba ndibe `(Ukusilela kwentliziyo okuphuma kwiziphumo eziphezulu)`?
• Ithini ingxelo yemeko yam?
• Kufuneka ndize kangaphi kwixesha lokulandela?

Musa ukoyika ukubuza ugqirha wakho nayiphi na imibuzo okanye amathandabuzo onokuba nawo.

Ngoko ke, zeziphi izinto ekufuneka sizikhumbule kuzo zonke ezi zinto?

Ukungaphumeleli kwentliziyo okuphuma kakhulu yimeko enzima apho intliziyo ipompa igazi elingaphezulu kunokuba kufanele, kodwa umzimba awufumani nzuzo ifanelekileyo kuyo.

• Iimpawu: Lumka kwizinto ezifana nokuphefumla kancinci, ukudinwa, kunye nokudumba.
• Unobangela ubalulekile: Kukho isifo esibangela esi sifo (esifana nokutyeba kakhulu, isifo sesibindi, i-anemia). Eyona nto ibalulekileyo kukufumana nokunyanga eso sifo.
• Iyanyangeka: Le meko inokulawulwa kwaye ngamanye amaxesha inyangeke ngokunyanga unobangela.
• Landela icebiso lezonyango: Sebenzisa amayeza kanye njengoko ugqirha wakho ecebisa.
• Nika iinkcukacha ezipheleleyo: Xa ubona ugqirha wakho, mxelele yonke into ngezinye izifo zakho kunye namayeza owaselayo. Ngamanye amaxesha, nezinto ongazicingiyo, zinokuba zinxulumene noku.

Ukuba uneempawu ezinje, bubulumko ukufuna ingcebiso kagqirha ngokukhawuleza kunokuba ungayinaki.