Ingaba intliziyo yakho itshintshile ngolu hlobo? Masithethe nge-Hypertrophic Cardiomyopathy (HCM)!

Ngaba wakha weva ngemeko yentliziyo apho izihlunu zentliziyo ziqina khona, nto leyo eyinkimbinkimbi? Ngamanye amaxesha usenokungazi nokuba unayo, kuba abanye abantu abanazo iimpawu. Kodwa kubalulekile ukuyiqonda kuba ichaphazela intliziyo. Namhlanje siza kuthetha ngale meko ibizwa ngokuba yi-hypertrophic cardiomyopathy, okanye 'HCM' phakathi koogqirha. Ungakhathazeki, siza kuthetha ngayo ngokulula, ngendlela onokuyiqonda.

Masiqale sibone ukuba yintoni iHCM?

Ngamafutshane, i-hypertrophic cardiomyopathy (HCM) yimeko enzima echaphazela izihlunu zentliziyo yakho. Inokubangelwa zizinto ezimbalwa eziphambili:

• Ukutyeba kwemisipha yentliziyo: Ingakumbi amagumbi asezantsi entliziyo, esiwabiza ngokuba zii-ventricles, aneendonga ezityebileyo.
• Ukuqina kwe-ventricular yasekhohlo: Igumbi eliphambili kwicala lasekhohlo lentliziyo (i-ventricle yasekhohlo) liyaqina, libe lithambile, njengerabha.
• Utshintsho kwivalvu ye-mitral: Utshintsho kumsebenzi wevalvu ye-mitral, ivalvu ebalulekileyo entliziyweni, lunokwenzeka.
• Utshintsho lweseli: Kukho izinto ezithile ezingaqhelekanga ezenzeka kwiiseli zemisipha yentliziyo (utshintsho lweseli).

Ezi zinto zinokubangela ukuphazamiseka ekusebenzeni kwentliziyo.

Le meko yeHCM iwuchaphazela njani umzimba wakho?

Kulungile, ngoku makhe sibone ukuba ezi nguqu zenza ntoni na emzimbeni.

Ukuqina kwe-myocardium

Olu luphawu oluphambili olubonwa kwi-HCM. Ngokuqhelekileyo, olu qina lwenzeka eludongeni olwahlula amacala asekhohlo nasekunene entliziyo, olubizwa ngokuba yi-`(septum).` Khawuthelekelele, xa olu qina phakathi kwamagumbi asezantsi entliziyo `(ventricles)` luqina, lunokuthintela indlela igazi elihamba ngayo ukusuka kwi-ventricle yasekhohlo ukuya kwi-aorta, umthambo wegazi oyintloko othwala igazi emzimbeni wonke. Oku sikubiza ngokuba yi-`(outflow tract obstruction)`. Emva koko intliziyo kufuneka isebenze nzima ukupompa igazi lidlule kolu qina. Uhlobo lwe-HCM oluthintela indlela igazi elihamba ngayo lubizwa ngokuba yi-`(Hypertrophic Obstructive Cardiomyopathy - HOCM)`.

Ngamanye amaxesha ezinye iindawo zentliziyo, ezifana ne-apex, i-ventricle yasekunene, okanye yonke i-ventricle yasekhohlo, zinokuba nkulu. Kwezi meko, ukuhamba kwegazi akuthintelwa. Nangona kunjalo, ubungakanani begazi elinokuphathwa yi-ventricle buyancipha. Oku kubizwa ngokuba yi-Hypertrophic Nonobstructive Cardiomyopathy.

Ukuqina kwe-Ventricular yasekhohlo

Xa izihlunu zentliziyo ziqina, utshintsho kwezo seli lubangela ukuba i-ventricle yasekhohlo ingaphumli kakuhle ize izaliswe ligazi. Kwenzeka ntoni ke ngoko? Ngenxa yokuba kukho igazi elincinci kwigumbi, igazi elincinci elineoksijini lithunyelwa kwamanye amalungu kunye nezihlunu emzimbeni. Oku kuqina kukwanyusa uxinzelelo ngaphakathi entliziyweni, kwaye unokufumana iimpawu ezifana nezi:

• Iintlungu zesifuba
• Ukuqhawukelwa ngumphefumlo
• Ukudinwa okanye ukuquleka
• Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza (ukubetha kwentliziyo)

Utshintsho lweMitral Valve

Njengoko bekutshiwo ngaphambili, xa indlela yokuphuma kwe-ventricular yasekhohlo ivalekile, ivalvu ye-mitral entliziyweni isenokungasebenzi kakuhle. Oku kunokuthintela ukuhamba kwegazi kwaye konyuse uxinzelelo kwi-ventricle yasekhohlo.

Isizathu sale ngxaki kukuba ivalvu ye-mitral ibetha kwi-septum etyebileyo. Xa oku kusenzeka, ivalvu ye-mitral ayivaleki kakuhle kwaye igazi lingavuza kwakhona kwi-atrium yasekhohlo.

Utshintsho lweSeli

Ukuba ujonga ngokusondeleyo phantsi kwe-microscope, iiseli zemisipha yentliziyo yomntu one-HCM azilungelelaniswanga ngendlela ethe tye, kodwa zikwindlela engaqhelekanga. Le ngxaki inokubangela utshintsho kwimiqondiso yombane ehamba kwiigumbi ezisezantsi zentliziyo, nto leyo ebangela isingqisho sentliziyo esingaqhelekanga esibizwa ngokuba yi-ventricular arrhythmia. Oku kunokuba yingozi.

Ixhaphake kangakanani le meko ibizwa ngokuba yi-HCM?

Kuqikelelwa ukuba malunga ne-1.5 yezigidi zabantu eMelika kuphela, okanye malunga nomntu omnye kwabangama-500, bane-HCM. Oku kuqheleke kakhulu kunesifo esifana ne-"(Multiple Sclerosis)". Ngoko ke, akunqabile kangako.

I-HCM idla ngokukhula xa ineminyaka emingaphi?

Uninzi lwexesha, esi sifo sentliziyo sibonakala kubantu abancinci, abaneminyaka elishumi elinesibhozo okanye engamashumi amabini ubudala. Nangona kunjalo, sinokuqala nakweyiphi na iminyaka.

Ukuba ndineHCM, ngaba kukho umngcipheko wokukhulelwa?

Usenokufuna unyango olukhethekileyo, olufana ne-echocardiography rhoqo. Nangona kunjalo, kusenokwenzeka ukuba ukhulelwe kakuhle kwaye ubeleke ngendlela eqhelekileyo. Nangona kunjalo, kubalulekile ukuxoxa ngale nto nogqirha wakho ngaphambi kokuba ukhulelwe kwaye uxoxe ngemingcipheko. Ugqirha wakho uya kukuxelela nokuba zeziphi amayeza e-HCM onokuqhubeka uwathatha ngexesha lokukhulelwa. Usenokufuna nokuba ufake i-pacemaker okanye i-implantable cardioverter defibrillator (ICD) ukuba kuyimfuneko ngexesha lokukhulelwa.

Yintoni ebangela i-HCM?

Kukho izinto ezininzi ezinokubangela i-HCM:

• I-Genetics: Le yeyona nto iphambili. I-HCM sisifo esinokufunyanwa ngabazali ukuya ebantwaneni. Oku kuthetha ukuba kukho isiphene kwiijini ezilawula iimpawu zemisipha yentliziyo. Kukho iintlobo ezahlukeneyo zeejini ezibangela i-HCM. Nokuba kukho isiphene kwijini, ayinguye wonke umntu kusapho oya kukhula esi sifo ngendlela efanayo. Abanye abantu banokuba ne-HCM gene kodwa bangaze bakhulele kwesi sifo.
• Uxinzelelo lwegazi oluphezulu: Uxinzelelo lwegazi oluphezulu oluye lwabakho ixesha elide lunokuba ngunobangela woku.
• Ukwaluphala: Kukho ithuba lokuba le meko ivele njengoko ukhula.
• Amatyala apho unobangela ungaziwa:Ngamanye amaxesha, akukho sizathu sithile sifumanekayo seHCM.

Zeziphi iimpawu umntu oneHCM anokuziva?

Abanye abantu abaneHCM banokufumana iimpawu ezahlukeneyo, ngelixa abanye bengenazo kwaphela iimpawu. Iimpawu eziqhelekileyo zezi:

• Intlungu yesifuba: Oku kwenzeka rhoqo ngexesha lokuzilolonga okanye ukuzilolonga, kodwa ngamanye amaxesha kunokwenzeka xa umile okanye emva kokutya.
• Ukuphefumla nzima nokudinwa: Ezi mpawu, ingakumbi xa udiniwe, zixhaphakile kubantu abadala. Zibangelwa kukunyuka koxinzelelo kwi-atrium yasekhohlo nakwimiphunga.
• Ukuquleka okanye ukuquleka (syncope): Oku kunokubangelwa zizingqisho zentliziyo ezingaqhelekanga (arrhythmias) okanye iimpendulo ezingaqhelekanga zemithambo yegazi ngexesha lokuzilolonga. Ngamanye amaxesha, akukho sizathu sifumanekayo.
• Ukubetheka kwentliziyo: Oku kunokubangelwa kukungasebenzi kakuhle kwentliziyo, okufana ne-atrial fibrillation (atrial flutter) okanye i-ventricular tachycardia (ventricular tachycardia). Malunga nama-25% abantu abane-HCM bane-atrial fibrillation. Oku kwandisa umngcipheko wokuqhekeka kwegazi kunye nokungaphumeleli kwentliziyo.
• Ukudumba kwemithambo emzimbeni okanye entanyeni.

Ziziphi ezinye iingxaki zempilo ezinokunxulunyaniswa neHCM?

Abantu abaninzi abaneHCM baphila ubomi obuqhelekileyo kwaye abanazo naziphi na iingxaki ezinkulu zempilo. Abanye akufuneki nokuba bathathe amayeza. Nangona kunjalo, nokuba awunazo iimpawu, ugqirha wakho unokukucebisa ukuba ungenzi umthambo onzima.

Nangona kunjalo, abanye abantu abaneHCM banokuba neengxaki zentliziyo ezifinyeza ubomi babo okanye ezinciphisa umgangatho wobomi babo. Ezona ziphambili zezi:

Ukubanjwa Kwentliziyo Ngequbuliso Nokufa Kwentliziyo Ngequbuliso

Ukuma kwentliziyo ngequbuliso kukulahlekelwa yintliziyo ngequbuliso ngenxa yesantya sentliziyo esikhawulezayo ngokuyingozi (umz., i-Ventricular Tachycardia). Kule meko, unyango olungxamisekileyo, olufana ne-CPR kunye ne-defibrillation, luyadingeka kwangoko nje ukuba iimpawu ziqale. Ukuba olu nyango alunikwanga ngokufanelekileyo, ukufa kwentliziyo ngequbuliso kunokwenzeka.

Uninzi lwabantu abane-HCM banomngcipheko omncinci wokufa ngesiquphe kwentliziyo. Nangona kunjalo, i-HCM yeyona nto iphambili yokufa ngesiquphe kwentliziyo kubantu abangaphantsi kweminyaka engama-35 ubudala. Usenokuba ukhe weva ukuba i-HCM ikwanxulunyaniswa nokufa ngesiquphe kwabanye abadlali abaselula abangochwephesha.

Ukumelwa yintliziyo

Ukuba nje une-`(Heart Failure)` akuthethi ukuba intliziyo yakho "iyekile" kwaye yayeka ukusebenza. Kuthetha nje ukuba intliziyo yakho ayipompi igazi ngokufanelekileyo nangendlela efanelekileyo. Iimpawu ze-`(Heart Failure)` ziquka:

• Ukuqhawukelwa ngumphefumlo.
• Ukudinwa xa usebenza (ukudinwa).
• Ukudumba kwamaqatha, imilenze, kunye nesisu.
• Ukufuna ukuchama ebusuku ngelixa uphumle.
• Ukudinwa, ukudideka, ubunzima bokugxila, ukuquleka.
• Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza (ukubetha kwentliziyo).
• Ukukhwehlela okomileyo nokuqhekeka.
• Ukuziva uzele, uqunjelwe, ungenamdla wokutya, okanye iintlungu zesisu.

Ungayixilonga njani i-HCM? (Ukuxilongwa)

I-HCM ifunyaniswa ngokusekwe koku kulandelayo:

• Imbali yezonyango: Ugqirha wakho uza kukubuza ngeempawu zakho kunye nokuba kukho nabani na kusapho lwakho okhe waba nezigulo ezifanayo.
• Uvavanyo lomzimba: Ugqirha uza kumamela intliziyo yakho kunye nemiphunga. Abantu abane-HOCM banokuva isandi sentliziyo esingaqhelekanga (ukumbombozela kwentliziyo).
• Uvavanyo: I-echocardiogram (echo) lolona vavanyo luphambili olusetyenziselwa ukufumanisa i-HCM. Oku kunokunceda ukubona ukuba iindonga zentliziyo zijiyile na.

Kukho nezinye iimvavanyo:

• Uvavanyo lwegazi.
• I-Electrocardiogram (ECG).
• I-X-ray yesifuba.
• Uvavanyo loxinzelelo lomzimba.
• Ukufakwa kwe-catheter kwintliziyo.
• I-MRI (i-magnetic resonance imaging).

Ziziphi iindlela zonyango ze-HCM?

Ugqirha wakho uya kugqiba ukuba loluphi unyango olufanelekileyo kuwe ngokusekelwe kwezi zinto zilandelayo:

• Ngaba kukho nakuphi na ukuvaleka kwendlela igazi eliphuma ngayo entliziyweni (ukuncitshiswa kwendlela yokuphuma kwegazi)?
• Isebenza njani intliziyo yakho?
• Iimpawu zakho.
• Ubudala bakho kunye nendlela osebenza ngayo.
• Ngaba unezingqisho zentliziyo ezingaqhelekanga (i-arrhythmias)?

Injongo ephambili yonyango kukunciphisa okanye ukuthintela iimpawu kunye nokunciphisa umngcipheko weengxaki ezinje ngokusilela kwentliziyo kunye nokufa ngequbuliso kwentliziyo.

Oku kulandelayo kungenziwa njengonyango:

• Chonga iingozi uze uqhubeke ubona ugqirha.
• Utshintsho kwindlela yokuphila.
• Amayeza.
• Iinkqubo zonyango ezikhethekileyo.

Ungayihlola njani i-HCM?

Ekubeni i-HCM yimeko enokudluliselwa kwizizukulwana ngezizukulwana, ukuba omnye wabazali bakho, abantakwenu, okanye abantwana (oko kukuthi, isalamane sakho esikwinqanaba lokuqala) sinesifo, kubalulekile ukuba uvavanywe.

Inyathelo lokuqala kukuhlolwa intliziyo yakho nge-Electrocardiogram (ECG) kunye ne-Echocardiogram (echo). Ukuba ezi mvavanyo zibonisa iimpawu ze-HCM, kuya kufuneka ubone ugqirha ochwephesha kule meko (ingcali yentliziyo).

Ngamanye amaxesha, nokuba unembali yosapho lwakho yeHCM, iziphumo zovavanyo lwakho zisenokuba zezesiqhelo. Ukuba kunjalo, oogqirha bacebisa ukuba wenze i-echo kunye ne-ECG rhoqo emva kweminyaka emithathu ude ube neminyaka engama-30, uze emva koko wenze njalo emva kweminyaka emihlanu.

Ngubani osengozini enkulu yokufa ngesiquphe ngenxa ye-HCM?

Uninzi lwabantu abane-HCM banomngcipheko omncinci wokufa ngesiquphe kwentliziyo. Nangona kunjalo, inani elincinci labantu abane-HCM banomngcipheko ophezulu. Kubalulekile ukwazi ukuba unale meko. Ugqirha wakho angakuxelela into onokuyenza ukunciphisa umngcipheko wakho.

Abantu abasengozini enkulu yokufa ngesiquphe ngenxa ye-HCM ngaba:

• Abantu abanembali yokufa ngesiquphe kwintsapho yabo.
• Abantu abaye baba ne-syncope izihlandlo ezininzi ebutsheni babo.
• Abantu abasabela ngendlela engaqhelekanga kuxinzelelo lwegazi xa besenza umthambo.
• Abantu ababenembali yangaphambili yokubetha kwentliziyo ngokukhawuleza ngendlela engaqhelekanga (arrhythmia).
• Abo baneempawu ezinzima kunye nokusebenza kakubi kwentliziyo.

Thetha nogqirha wakho malunga nomngcipheko wakho. Ukuba unezinto ezimbini okanye ngaphezulu ezinokubangela ukufa ngequbuliso, ugqirha wakho unokucebisa amayeza okulwa nokubetha kwentliziyo (amayeza alawula izingqisho zentliziyo ezingaqhelekanga) okanye i-implantable cardioverter defibrillator (ICD) ukunciphisa umngcipheko wakho.

Ngawaphi amayeza asetyenziswayo ukulawula i-HCM?

Oogqirha banika amayeza ahlukeneyo ukulawula iimpawu zakho nokuthintela iingxaki ezingaphezulu. Amayeza anje nge-"Beta blockers" kunye ne-"calcium channel blockers" aphumza izihlunu zentliziyo, enceda ukuba zizalise igazi kwaye zimpompe igazi ngokufanelekileyo. Amanye amayeza anokulawula isantya sentliziyo yakho okanye anciphise umngcipheko we-arrhythmias engaqhelekanga.

Usenokuxelelwa ukuba ungasebenzisi amayeza athile, umzekelo, ii-nitrate (ezinciphisa uxinzelelo lwegazi) okanye i-digoxin (eyonyusa amandla okuqina kwentliziyo).

Ngamanye amaxesha kunokufuneka uthathe amayeza okubulala iintsholongwane kwaye uthathe amanye amanyathelo okuthintela ukunciphisa umngcipheko wosulelo olusongela ubomi olubizwa ngokuba yi-bacterial endocarditis.

Ziziphi iinkqubo zonyango ezithile ezisetyenziswayo ukunyanga i-HCM?

Kukho iindlela ezahlukeneyo zokunyanga i-Hypertrophic Obstructive Cardiomyopathy (HOCM), imeko ebangela ukuvalwa kokuhamba kwegazi:

I-Septal Myectomy

Le yinkqubo yotyando. Kwi-septal myectomy, ugqirha ususa icandelo elincinci lodonga lwakho olujiyileyo lwe-septal. Oku kwandisa indlela yokuphuma kwegazi ukusuka kwi-ventricle yasekhohlo ukuya kwi-aorta. Oogqirha bajonga olu tyando kuphela ukuba amayeza awancedi. Oku kudla ngokusombulula ingxaki ye-mitral valve.

Ukususwa kwe-Ethanol

Oku kukwabizwa ngokuba yi-`(septal ablation)`. Le ndlela isetyenziswa kubantu abangakwaziyo ukwenza utyando lwe-`(septal myectomy)` olukhankanyiweyo ngaphambili. Kule nto, ugqirha ufumana umthambo omncinci wentliziyo ohambisa igazi kwinxalenye ephezulu ye-septum yakho. Emva koko ufaka i-catheter yebhaluni kuloo mthambo aze awuvuthele. Emva koko, ufaka idayi `(i-agent yokwahlulahlula)` ukuze afumane indawo echanekileyo yodonga lwe-septal oluqinileyo oluthintela ukuhamba kwegazi.

Xa indawo ifunyenwe, ugqirha ufaka i-alcohol encinci kakhulu nge-catheter. Utywala bubulala iiseli, kwaye kwiinyanga ezimbalwa ezizayo i-septum iyancipha ibuyele kubukhulu bayo obuqhelekileyo. Oku kwandisa indlela yokuhamba kwegazi.

I-ICD (ICD) ye-ICD (ICD)

I-ICD (i-ICD) efakelweyo inokunceda abantu abane-arrhythmias esongela ubomi okanye ukufa ngequbuliso kwentliziyo. I-ICD sisixhobo esincinci esifakelwa phantsi kwesikhumba sakho. Iqhagamshelwe entliziyweni yakho ngeengcingo. I-ICD isoloko ijonga isingqisho sentliziyo yakho. Xa ibona ukubetha kwentliziyo okukhawulezayo nokungaqhelekanga, inika umothuko omncinci kodwa onamandla entliziyweni, obangela ukuba ibethe ngokuqhelekileyo kwakhona. Ugqirha wakho uya kukuxelela ukuba i-ICD ikulungele na.

Ulawulo Lokusilela Kwentliziyo

Kukho iindlela ezahlukeneyo zokulawula ukusilela kwentliziyo, ukusuka kutshintsho lwendlela yokuphila ukuya kumayeza anciphisa iimpawu kwaye ancede izihlunu zentliziyo zisebenze kakuhle.

Ndingawuphucula njani umgangatho wobomi bam ngeHCM?

Nokuba uneempawu okanye awunazo, nokuba ufunyaniswe uneHCM, okanye ukuba kukho umntu kusapho lwakho onazo, kukho izinto ezininzi onokuzenza ukuze ugcine impilo yentliziyo yakho ikwimeko entle:

• Nciphisa ulwelo kunye netyuwa (i-sodium): Ukuba uneempawu zokusilela kwentliziyo, kunokufuneka unciphise ulwelo kunye nokutya ityuwa. Cela ugqirha wakho ukuba akunike izikhokelo ezithile malunga nokutya kwakho, kuquka utywala kunye ne-caffeine.
• Zilolonge ngononophelo: Ugqirha wakho uza kuthetha nawe malunga nokuba loluphi uhlobo lomthambo olulungele wena. Abantu abaninzi abane-HCM banokwenza imisebenzi ye-aerobic engakhuphisaniyo. Oogqirha abacebisi ukuphakamisa izinto ezisindayo okanye imidlalo enamandla kakhulu.
• Bona ugqirha wakho rhoqo: Ukuba une-HCM, kufuneka ubonane nogqirha wakho wentliziyo rhoqo ukuze ajonge imeko yakho.
• Nciphisa umngcipheko wakho wokosulelwa: Ukuba une-HCM, ugqirha wakho uya kukucebisa ukuba uthathe amanyathelo okunciphisa umngcipheko wakho wokosulelwa yi-infective endocarditis.

Ungayinciphisa njani ingozi yokuba ne-Infective Endocarditis?

Abantu abaneHCM banamathuba amaninzi okufumana usulelo lwebhaktiriya olubizwa ngokuba yi-"bacterial endocarditis" okanye "infective endocarditis".

I-bacterial endocarditis lusulelo lweevalvu zentliziyo yakho okanye ulwelo lwentliziyo yakho (endocardium). Kwenzeka xa iintsholongwane (ingakumbi iibhaktheriya, kodwa ngamanye amaxesha iifungi kunye nezinye iintsholongwane) zingena egazini lakho zize zihlasele ulwelo lwentliziyo yakho okanye iivalvu. Oku kunokubangela ukuba iivalvu zibe nkulu, zibe neembobo, okanye zibe namanxeba. Oku kudla ngokubangela ukuba ivalvu yentliziyo ivuza. Ukuba ayinyangwa ngokufanelekileyo, inokubulala.

Ungathatha la manyathelo ukunciphisa le ngozi:

• Lumka kakuhle amazinyo neentsini zakho: Bona ugqirha wamazinyo rhoqo emva kweenyanga ezintandathu, hlamba amazinyo akho yonke imihla, uthambise i-floss, kwaye ujonge ukuba i-toothpaste yakho ihambelana kakuhle na.
• Bona ugqirha ukuba uneempawu zosulelo:
• Umkhuhlane ongaphezulu kwe-100 degrees Fahrenheit, ukubila, okanye ukubanda.
• Ukuqhambuka kwesikhumba.
• Intlungu, ukurhawuzelela, ukuba bomvu, okanye ukudumba.
• Inxeba okanye isilonda esingapholiyo, okanye inxeba elibomvu, elishushu, nelikhupha ubovu.
• Umphimbo obuhlungu, ukuqina komphimbo, okanye intlungu xa uginya.
• Ukuphuma kwempumlo, ukuxinana kwempumlo, intloko ebuhlungu, okanye intlungu emacaleni aphezulu ezidlele.
• Ukukhwehlela okomileyo okanye okunezikhwehlela okuhlala iintsuku ezingaphezu kwezimbini.
• Amabala amhlophe emlonyeni okanye kulwimi.
• Isicaphucaphu, ukuhlanza, okanye urhudo.

Musa ukulibazisa ukufuna unyango. Umkhuhlane oqhelekileyo kunye nomkhuhlane awubangeli i-endocarditis. Nangona kunjalo, ezinye izifo ezineempawu ezifanayo zinokubangela i-endocarditis. Ngoko ke, khuseleka kwaye ubone ugqirha wakho.

• Sela amayeza okuthintela iintsholongwane ngaphambi kokuba wenze iinkqubo ezithile zonyango kunye nezamazinyo. Thetha nogqirha wakho malunga nohlobo lwee-antibiotics omele uzithathe, ubungakanani, kunye neentlobo zeenkqubo omele uzithathe.
• Gcina ikhadi lokuchonga i-bacterial endocarditis elifumaneka kwi-American Heart Association.

Okokugqibela, nantsi into omawuyithethe (Umyalezo Wokuya Ekhaya)

Uninzi lwabantu abane-HCM baphila ubomi obuqhelekileyo nobonwabisayo. Kukho unyango oluninzi olufumanekayo kwabo baneempawu okanye abasengozini yokufumana iingxaki ezinzulu. Ingqikelelo yakho ixhomekeke ekubeni izihlunu zentliziyo yakho zisebenza kakuhle kangakanani, zithini iimpawu zakho, kunye nokuba usabela kwaye ulandela njani isicwangciso sakho sonyango.

Buza ugqirha wakho malunga nemingcipheko yakho kunye nento onokuyenza ukuphucula umgangatho wobomi bakho kunye nokuthintela usulelo. Ukuba ufunyaniswe une-HCM kwaye ubonakalisa iimpawu okanye ukrokrela usulelo, bona ugqirha wakho ngoko nangoko. Khumbula, ungaphila ubomi obuhle xa unesi sifo!

"I-Hypertrophic cardiomyopathy, i-HCM, isifo sentliziyo, ukwandiswa kwentliziyo, iintlungu zesifuba, ukuphefumla okufutshane, ukufa kwentliziyo ngequbuliso