Ngaba wakha weva ugqirha esithi, "Ndingakuva ukugquma kwentliziyo kancinci" xa ebeka i-stethoscope esifubeni sakho? Mhlawumbi nawe ukhe wakuva. Abantu abaninzi bayoyika xa besiva oku "kugquma." Kuqhelekile ukucinga, "Ngaba kukho into engalunganga entliziyweni yam?" Kodwa ungoyiki. Namhlanje, siza kuthetha ngokuba yintoni iHolosystolic Murmur , kutheni isenzeka, kunye nento enokwenziwa ngayo.
Kalula nje, yintoni le Holosystolic Murmur?
Khawuthelekelele amanzi ephuma kakuhle ngombhobho wamanzi ngaphandle kokuphazanyiswa. Emva koko awuva lizwi. Kodwa ukuba kukho ingxolo encinci okanye umngxuma kwindawo ethile embhobho, xa amanzi ephuma, enza isandi esingaqhelekanga esifana ne-'s...'. Yiyo loo nto kunjalo.
Ukubhomboloza kweHolosystolic akusiso isifo. Luphawu . Xa ugqirha wakho emamele intliziyo yakho nge-stethoscope, sisandi esongezelelweyo esivakalayo ukongeza kwisandi esithi 'lub-dub' sentliziyo yakho, kuba igazi alihambi kakuhle. Ukuchaneka, esi sandi sivakala rhoqo ngexesha lokubhomboloza (systole) yentliziyo kwaye ngenxa yoko sibizwa ngokuba yiHolosystolic (eviwa kuyo yonke ukubhomboloza) Ukubhomboloza.
Eyona nto ibalulekileyo kukuba asikuko ukubakho kwale ngxolo eyingozi, yimeko ebangela le ngxaki ekufuneka siyifumane size siyinyange.
Ugqirha wakho mhlawumbi uza kukuxelela ukuba unike esi sandi inombolo (ukusuka ku-1 ukuya ku-6). Oku kukuxelela kuphela ukuba isandi sikhulu kangakanani. Inani eliphezulu akuthethi ukuba liyingozi ngakumbi. Ngamanye amaxesha xa ugqirha ebeka isandla sakhe esifubeni sakho, esi sandi sivakala ngathi sisothukile. Sikwabizwa ngokuba 'yi-thrill'.
Ziziphi izizathu eziphambili zale ngxolo?
Uyazi ukuba intliziyo yethu ineegumbi ezine. Phakathi kwezi gumbi kukho izinto ezifana neengcango ezinceda igazi ukuba lihambe kwicala elinye kuphela. Sizibiza ngokuba 'ziivalvu'. Ukuba ezi valve azivaleki kakuhle, igazi liqala ukuvuza kwakhona. Kulapho ke oku kuvakala khona kakhulu.
| Isizathu esiphambili | Icacisiwe ngokulula |
|---|---|
| Ukubuyela kwiMitral Regurgitation | Oku kwenzeka xa ivalvu ye-mitral kwicala lasekhohlo lentliziyo ingavali kakuhle, nto leyo evumela igazi ukuba livuze umva. Le valve ingonakaliswa ziimeko ezifana nomkhuhlane wamathambo. |
| Ukuhlaziya iTricuspid | Oku kwenzeka xa ivalvu ye-tricuspid kwicala lasekunene lentliziyo ingavali kakuhle, nto leyo ebangela ukuba igazi livuza ngasemva. |
| I-Ventricular Septal Defect (VSD) | Lo ngumngxuma eludongeni phakathi kwamagumbi amabini amakhulu (ii-ventricles) ezantsi kwentliziyo. Le yimeko edla ngokuba yingxaki yokuzalwa. Kuvakala ukugquma xa igazi liphuma kulo mngxuma. |
Kwenzeka ntoni ngale nto?
Khawucinge nje, kumntu one-Mitral Regurgitation, ivalvu ye-mitral ayivaleki kakuhle, nto leyo ebangela ukuba igazi libuyele kwicala elivela kulo emiphungeni. Oku kwandisa uxinzelelo kwimithambo edibanisa imiphunga, kwaye kwiimeko ezinzima, imiphunga ingazaliswa lulwelo. Ekuhambeni kwexesha, oku kunokukhokelela ekusilelekeni kwentliziyo.
Iphathwa njani?
Njengoko benditshilo ngaphambili, asinyangi ukurhawuzelelwa, kodwa sinyanga imeko ebangela oko . Ugqirha wakho uza kuqala enze uvavanyo (umzekelo, i- echocardiogram , esisikeni sentliziyo) ukuze abone ukuba yintoni ebangela oko.
- Ukuba igazi livuza kwiivalvu (Regurgitation):
- Amayeza: Amayeza anjenge -anticoagulants okanye i-diuretics anganikwa.
- Utyando: Ukuba amayeza odwa awanelanga, kunokufuneka utyando ukuze kulungiswe ivalvu eyonakeleyo okanye kufakwe ivalvu entsha ngokupheleleyo.
- Ukuba kukho umngxuma entliziyweni (VSD):
- Amayeza anokunikwa ukulawula iimpawu.
- Rhoqo, kwenziwa utyando lokuvala lo mngxuma.
- Ukuba ivalvu inciphile (iStenosis):
- Ngamanye amaxesha, ukurhawuzelela kunokubangelwa kukuncitshiswa kwevalvu. Kwiimeko ezinjalo, kusetyenziswa inkqubo ebizwa ngokuba yiBalloon Valvuloplasty . Ibhaluni idluliselwa emthanjeni ngenkqubo ebizwa ngokuba yi-cardiac catheterization ize ivuthelwe ngaphakathi kwevalvu encitshisiweyo, nto leyo eyandisa ivalvu.
Kuthekani ukuba kufakwa ivalvu entsha yentliziyo?
Kukho iintlobo ezimbini zeevalvu ezintsha.
| Uhlobo lwevalvu | Yintoni ekufuneka uyazi |
|---|---|
| Oomatshini | Ezi zenziwe ngesinyithi neplastiki. Zihlala ixesha elide. Kodwa kufuneka uthathe amayeza okunciphisa ukugabha kwegazi ubomi bakho bonke. |
| I-Bioprosthetic (yebhayoloji) | Ezi zenziwe ngezicubu zentliziyo yehagu okanye yenkomo. Zihlala iminyaka eli-10-15. Kodwa akufuneki usele amayeza okunciphisa igazi ubomi bakho bonke. |
| Izinto ekufuneka uzikhumbule xa ufaka naluphi na kwezi ntlobo zimbini zeevalvu: | |
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Ziziphi iimpawu ezifuna ukubona ugqirha?
Abanye abantu banezimbombo kodwa abanazo iimpawu. Basenokungazi nokuba banazo. Kodwa kwabanye abantu, unobangela oyintloko unokubangela iimpawu eziphazamisayo. Ukuba ufumana naziphi na kwezi mpawu, bonana nogqirha ngoko nangoko.
- Ubunzima bokuphefumla
- Intlungu yesifuba okanye ukuziva uxinezelekile
- Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza (ukubetha kwentliziyo)
- Ukuphefumla nzima (dyspnea)
- Ukudumba, ingakumbi emilenzeni, emaqatheni nasezinyaweni
Ukuba uya rhoqo kuvavanyo lwezonyango, ugqirha wakho angayibona le meko kwangethuba. Kungcono ukufumanisa nasiphi na isifo ngaphambi kokuba sibe sibi kakhulu.
Umyalezo Wokuya Ekhaya
- Ukubhomboloza kweHolosystolic akusiso isifo, luphawu nje lokuba kukho into engalunganga entliziyweni yakho.
- Izizathu eziphambili zoku kukuphuma kwegazi ngasemva kwivalvu zentliziyo (regurgitation) okanye umngxuma eludongeni lwentliziyo (VSD).
- Unyango alulolwe-nongumungumungumu, kodwa lolwe-meko yempilo ebangela oko.
- Ukuba uneempawu ezifana nobunzima bokuphefumla, iintlungu zesifuba, okanye ukudumba emilenzeni yakho, musa ukuzityeshela kwaye bonana nogqirha wakho ngoko nangoko .
- Ngokuvavanywa kwangethuba, iimeko ezinje ngezi zinokuchongwa kwangethuba kwaye unyango lunokuqaliswa ngaphambi kokuba zibe nzima.
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