Ngaba unevalvu yentliziyo 'evuzayo'? (Ivalvu yentliziyo evuzayo) - Masifumanise yonke into ngale nto!

Ngaba ngamanye amaxesha uziva udiniwe, uphelelwa ngumphefumlo, okanye ukubetha nje esifubeni sakho? Sihlala sizilibala ezi zinto, sicinga ukuba ziqhelekile. Kodwa ngamanye amaxesha ezi zinokuba ziimpawu ezincinci esizifumanayo entliziyweni yethu. Namhlanje siza kuthetha ngemeko eqhelekileyo eyenzeka entliziyweni, kodwa abantu abaninzi abazi ngayo. Loo nto yivalvu yentliziyo evuzayo. Musa ukoyika, nangona igama lisenokuvakala ngathi yinto enkulu, masithethe ngale nto ngokulula.

Kulungile, kuthetha ukuthini xa ivalvu yentliziyo 'ivuza'?

Ngamafutshane, olu luhlobo oluqhelekileyo lwesifo sevalvu yentliziyo. Le meko yenzeka xa enye yeevalvu ezine entliziyweni yethu ingavalwanga kakuhle. Khawuthelekelele ucango endlwini yakho olungatshixwanga kakuhle. Emva koko, njengokuba unokuhamba ubuyela umva, xa ivalvu yentliziyo ingavalwanga kakuhle, igazi elithile liqala ukubuyela kwicala elingalunganga. Oku sikubiza ngokuba 'kukuvuza' okanye, ngokwezonyango , ukubuyiselwa kwevalvu yentliziyo .

Iivalvu zethu zentliziyo zifana neengcango ezivumela igazi ukuba lihambe kwicala elinye kuphela. Umsebenzi wazo ophambili kukugcina igazi lihamba kwicala elifanelekileyo kwaye lithintele ukuba libuyele umva. Kodwa ngamanye amaxesha, ezi valve zinokonakala ngenxa yeziphene zentliziyo ezizalwa nazo okanye izifo ezikhula kamva ebomini. Kulapho ke olu hlobo lokuvuza luvela khona.

Ubunzima bale meko buxhomekeke ekubeni ingakanani igazi elivuzayo libuyela umva. Ukuba inani elincinci kakhulu (umlinganiselo olandelwayo) livuza, usenokungabi nazimpawu. Akuyi kuba nefuthe elikhulu ekusebenzeni kwentliziyo. Nangona kunjalo, ukuba ukuvuza kuphakathi okanye kukhulu, iimpawu zinokuvela kwaye unyango lunokufuneka ukuze kumiswe umonakalo entliziyweni.

Oogqirha basebenzisa amanye amagama kule meko:

• Ukuvuselelwa kwevalvu yentliziyo
• Ukungasebenzi kakuhle kwevalvu yentliziyo
• Ukungasebenzi kakuhle kwevalvu yentliziyo

Omathathu la magama abhekisa kwimeko efanayo.

Zeziphi iintlobo zeevalvu zentliziyo ezinokuvuza?

Kukho iivalvu ezine eziphambili entliziyweni yethu. Ngoko ke, nayiphi na kwezi zine inokuba nokuvuza. Le meko ibizwa ngegama levalvu echaphazelekayo. Masijonge oku ukuze sikuqonde kakuhle.

Eyona ixhaphakileyo kwezi yi-mitral valve regurgitation.

Zithini iimpawu zale meko?

Njengoko benditshilo ngaphambili, ukuba ukuvuza kuncinci kakhulu, usenokungabi nazimpawu. Abantu abaninzi abazi nokuba banale meko, kwaye ifunyenwe ngengozi ngexesha lovavanyo olwenziwe ngesinye isizathu. Nangona kunjalo, ukuba ukuvuza kuphakathi okanye kukhulu, ezi mpawu zilandelayo zinokuvela.

• Intlungu yesifuba okanye ukuxinana: Ukuziva ngathi kukho umntu ocinezela isifuba sakho.
• Ukukhwehlela: Ukukhwehlela okomileyo, ingakumbi xa kukhohlela.
• Ukudinwa okanye ubuthathaka ngokukhawuleza: Ukudinwa kakhulu nangona sele ugqibile umsebenzi omncinci.
• Ukubetha kwentliziyo: Ukuziva ngathi intliziyo ibetha kakhulu, ngokukhawuleza, okanye ngokungacwangciswanga.
• Ubunzima bokuphefumla ngexesha lokuzilolonga: Ukuziva uphelelwa ngumphefumlo xa uhamba umgama omfutshane okanye unyuka izinyuko.
• Ukudumba kwemilenze neenyawo (i-Edema):Ngenxa yokuba intliziyo ayipompi igazi ngokufanelekileyo, ulwelo luyaqokelelana emzimbeni luze lubangele ukudumba emilenzeni nasemaqatheni.

Ukuba unenye okanye ngaphezulu kwezi mpawu, akuthethi ukuba unengxaki yevalvu yentliziyo. Nangona kunjalo, kungcono ukungazityesheli ezi mpawu. Kungcono ukubona ugqirha wakho ukuze akunike ingcebiso.

Kutheni iivalvu zivuza ngolu hlobo? Zithini izizathu?

Zininzi izizathu zokuba iivalvu zentliziyo zivuza. Ezinye zibangelwa kukwaluphala, ngelixa ezinye zibangelwa zezinye iimeko zempilo. Nazi ezinye zezizathu eziphambili:

• Ukuwohloka kwe-Myxomatous: Le yimeko edla ngokuvela xa ukwaluphala. Amandla kunye nokuguquguquka kweevalvu kuyancipha.
• I-Cardiomyopathy: Njengoko izihlunu zentliziyo zibuthathaka kwaye intliziyo ikhula, iivalvu ezidibene nayo zinokwelulwa kwaye zingavaleki kakuhle.
• Isifo sentliziyo esizalwa naso: Abanye abantu bazalwa benesiphene entliziyweni okanye kwiivalvu zabo.
• I-Endocarditis: Usulelo lwengaphakathi lentliziyo kunye neevalvu zayo, olubangelwa ziintsholongwane ezifana neebhaktheriya. Oku kunokubangela umonakalo ongunaphakade kwiivalvu.
• Umonakalo obangelwe kukuhlaselwa yintliziyo kwangaphambili: Xa igazi liphuma kwindawo ethile yentliziyo ngenxa yokuhlaselwa yintliziyo, izihlunu kuloo ndawo ziyawohloka. Oku kunokuchaphazela ukusebenza kweevalvu.
• Iithumba zentliziyo: Ezi azixhaphakanga kakhulu, kodwa zinokuphazamisana nokusebenza kweevalvu.
• Isifo sentliziyo esibizwa ngokuba yiRheumatic: I-Rheumatic fever, eyenzeka xa i-strep throat inganyangwa kakuhle ebuntwaneni, inokonakalisa iivalvu zentliziyo. Le meko ngoku ayiqhelekanga kakhulu kwilizwe lethu.
• I-Thoracic aortic aneurysm: Ukudumba komthambo oyintloko ophuma entliziyweni okunokuchaphazela ivalvu ye-aortic.

Ziziphi iingxaki ezinokubakho xa ivalvu ivuza?

Xa ivalvu ivuza, ukusebenza kwentliziyo kuyehla. Ngenxa yokuba igazi elithile lihamba ngendlela engafanelekanga, intliziyo kufuneka isebenze nzima ukupompa inani legazi elifunekayo emzimbeni. Lo mthwalo wongezelelweyo unokukhokelela kwiingxaki ezahlukeneyo ngokuhamba kwexesha.

• I-Atrial fibrillation: Amagumbi aphezulu entliziyo (i-atria) aqala ukubetha ngokungacwangciswanga nangokukhawuleza kakhulu.
• Intliziyo ekhulisiweyo (iCardiomegaly):Imisipha yentliziyo iba mikhulu kuba iqhubeka isebenza nzima. Njengokuba imisipha iba mikhulu xa uzilolonga. Kodwa oku akulunganga entliziyweni.
• Ukusilela kwentliziyo: Imeko apho intliziyo ingakwazi ukupompa igazi elaneleyo emzimbeni ngenxa yokungakwazi ukuthwala umthwalo owongezelelweyo ixesha elide.
• Uxinzelelo lwegazi oluphezulu kwimiphunga: Uxinzelelo oluphezulu kwimithambo yegazi ethwala igazi ukuya emiphungeni.
• Ukuma kwentliziyo ngequbuliso: Ukuyeka ukusebenza kwentliziyo ngequbuliso. Le yimeko embi kakhulu nengaqhelekanga.

Oogqirha bayixilonga njani le meko?

Xa usiya kugqirha ukuze umxelele ngeempawu zakho, into yokuqala ayenzayo kukukuhlola kakuhle.

• Baza kukubuza ngeempawu zakho kunye neenkcukacha malunga nezinye izifo zakho.
• Bajonga izinto ezifana noxinzelelo lwegazi kunye nesantya sokubetha kwentliziyo.
• Baza kuziva iindawo ezifana nemilenze nesisu ukuze babone ukuba kukho ukudumba na.
• Eyona nto ibalulekileyo kukubeka i-stethoscope esifubeni uze umamele izandi zentliziyo. Ukuba kukho ukuvuza kwivalvu, ungava isandi esingaqhelekanga (intliziyo ikhala) esifana nesithi "hr...r...r" ukongeza kwizandi zentliziyo eziqhelekileyo.

Emva kolu vavanyo lokuqala, kuya kwenziwa ezinye iimvavanyo ezininzi ukuqinisekisa ukuxilongwa nokufumanisa ubukhali bokuvuza.

Uvavanyo oluphambili lokuxilongwa

Uvavanyo oluphambili nolubaluleke kakhulu lokufumanisa ukuvuza kwevalvu yi-echocardiogram. Sidla ngokuyibiza ngokuba yi- "Echo test."

Ukongeza kuvavanyo lwe-echo, ezi mvavanyo zinokufuneka:

• Uvavanyo lwegazi: Jonga ezinye iimeko ezichaphazela intliziyo.
• Ukufakwa kwe-catheter kwintliziyo: Uvavanyo lokujonga ukuvaleka kwemithambo yegazi yentliziyo.
• I-X-ray yesifuba: Ukujonga ukuba intliziyo inkulu na kunye nokwakheka kolwelo emiphungeni.
• I-Electrocardiogram (EKG/ECG): Ivavanya umsebenzi wombane wentliziyo ukujonga naziphi na iingxaki kwintliziyo.
• I-MRI yentliziyo: Fumana imifanekiso eneenkcukacha ezithe vetshe yentliziyo kunye neevalvu.

Ziziphi iindlela zonyango zokuvuza kwevalvu?

Unyango luxhomekeke kwimeko yakho. Ukuba ukuvuza kuncinci kwaye awunazo iimpawu, usenokungadingi naluphi na unyango. Ugqirha wakho uza kukuxelela ukuba ubuye ukuze uhlolwe rhoqo. Oku kubizwa ngokuba "kukubeka esweni."

Nangona kunjalo, ukuba kukho iimpawu okanye ukuba ukuvuza kubangela uxinzelelo entliziyweni, kufuneka unyango. Kukho iindlela ezintathu eziphambili zonyango.

1. Amayeza: Amayeza awakwazi ukulungisa ivalvu evuzayo. Nangona kunjalo, amayeza anokunceda ukulawula iimpawu, ukuthintela iingxaki, kunye nokunciphisa umthwalo womsebenzi entliziyweni. Umzekelo, amayeza anokunikwa ukususa ulwelo olugqithisileyo emzimbeni, ukulawula uxinzelelo lwegazi, kunye nokulawula isantya sentliziyo.

2. Utyando lwevalvu yentliziyo: Kwenziwa utyando lokulungisa okanye lokutshintsha ivalvu eyonakeleyo. Nanini na xa kunokwenzeka, oogqirha bazama ukulungisa ivalvu yakho. Ukuba oko akunakwenzeka, kufakelwa ivalvu yokwenziwa (ivalvu yoomatshini okanye yethishu). Ngoku, kukho neendlela ezingafunekiyo kakhulu ezingafuneki kuhlinzwa okukhulu esifubeni njengangaphambili.

3. Iinkqubo ezisebenzisa i-catheter: Le yindlela elula kuneyotyando. Ityhubhu encinci (i-catheter) ifakwa kwimithambo yegazi emlenzeni okanye engalweni ize ifakwe entliziyweni ukuze ithathe indawo yevalvu okanye ilungise ivalvu ekhoyo. Le nkqubo ayifanelekanga kuye wonke umntu, kwaye imiselwa ngugqirha wakho.

Ugqirha wakho uza kuxoxa nawe ngonyango olulungele wena aze achaze iingenelo kunye neengxaki zokhetho ngalunye ngaphambi kokuba enze isigqibo.

Ngaba singayithintela le meko?

Asinakuthintela ezinye izinto ezibangela oku, ezinje ngeziphene zokuzalwa okanye ukwaluphala. Nangona kunjalo, zininzi izinto esinokuzenza ukugcina intliziyo kunye neevalvu zethu ziphilile.

• Kuphephe ukutshaya ngokupheleleyo. Ukutshaya kuyingozi kakhulu entliziyweni nakwimithambo yegazi.
• Zilolonge rhoqo. Nokuba yinto elula njengokuhamba ngokukhawuleza imizuzu engama-30 ngosuku, iintsuku ezi-5 ngeveki.
• Landela ukutya okunempilo kwentliziyo. Nciphisa ukutya okunetyuwa eninzi, iswekile, namafutha. Yitya iziqhamo, imifuno, iimbotyi, kunye neenkozo ezipheleleyo.
• Gcina ubunzima obusempilweni. Ukutyeba kakhulu ngumthwalo omkhulu entliziyweni.
• Musa ukuyityeshela i-strep throat, kodwa bonana nogqirha ngoko nangoko uze ufumane amayeza okubulala iintsholongwane. Oku kunokunceda ukuthintela iingxaki ezifana ne-rheumatic fever.

Imibuzo ekufuneka uyibuze ugqirha wakho

Xa ufumanisa ukuba unale meko, kuyinto eqhelekileyo ukuba nemibuzo emininzi engqondweni yakho. Musa ukoyika okanye ukhathazeke, kodwa buza ugqirha wakho ngezi zinto ngokucacileyo.

• "Gqirha, yeyiphi ivalvu entliziyweni yam evuzayo?"
• "Ingakanani ingxaki yokuvuza oku? (okuncinci, okuphakathi, okanye okuqatha?)"
• "Yeyiphi isicwangciso sonyango esifanelekileyo kum?"
• "Zeziphi iinguqu ekufuneka ndizenze kwindlela endiphila ngayo?"
• "Ndifanele ndibuye kangaphi ukuze ndihlolwe?"

Lufuneka nini unyango olungxamisekileyo?

Ivalvu yentliziyo evuzayo ayisoloko iyinto engxamisekileyo. Nangona kunjalo, ukuba ufumana iimpawu zokuhlaselwa yintliziyo okanye isifo sohlangothi , oko kusongela ubomi. Fowunela u-911 ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane.

Iimpawu zokuhlaselwa yintliziyo: Intlungu okanye uxinzelelo oluqatha embindini wesifuba (le ntlungu inokusasazeka kwiingalo, emagxeni, emhlathini, okanye emqolo), ukubila kakhulu, ubunzima bokuphefumla, kunye nokuquleka.

Iimpawu zestroke: ukugoba kwelinye icala lobuso, ukungaziva mnandi kwengalo okanye umlenze, ubunzima bokuthetha.