Ingaba i-atrium yasekhohlo yentliziyo yakho ikhulisiwe? (Ukwandiswa kwe-Atrial yasekhohlo) Masifumanise ngale nto!

Ngaba wakha weva ngeendawo ezithile zentliziyo ezikhula kancinci? Mhlawumbi ugqirha wakho ukuxelele into efana naleyo. Le yimeko esiza kuthetha ngayo namhlanje, ebizwa ngokuba yiLeft Atrial Enlargement. Ungakhathazeki, siza kuthetha ngayo, isizathu sokuba yenzeke, kunye nento omawuyenze ngayo.

Yintoni i-Left Atrial Enlargement?

Ngamafutshane, ukwandiswa kwe-Left Atrial kuxa elinye lamagumbi entliziyweni yakho, i-left atrium, liba likhulu kunesiqhelo. Oku akwenzeki ngaxeshanye, kwenzeka kancinci kancinci ngokuhamba kwexesha. Kufana naxa amanzi evuza eludongeni endlwini yethu, aqala ukudumba kancinci kancinci.

Khawuthelekelele ukuba intliziyo yethu ifana nendlu encinci enamagumbi amane. Kukho amagumbi amabini kumgangatho ophezulu (atria) kunye namagumbi amabini kumgangatho osezantsi (ventricles). Igumbi elingasentla ngasekhohlo libizwa ngokuba yi-atrium yasekhohlo . Igazi elineoksijini eninzi elivela emiphungeni liqala lingene kule atrium yasekhohlo. Emva koko elo gazi liya kwi-ventricle yasekhohlo, apho liphonswa khona emzimbeni wonke.

Ngoku, ukuba kukho ingxaki kwezinye iindawo zentliziyo, umzekelo, ukuba kukho uxinzelelo lwegazi oluphezulu , okanye ukuba kukho ingxaki ngeevalvu zentliziyo (ingakumbi ivalvu ye-mitral ephakathi kwe-atrium yasekhohlo kunye ne-ventricle yasekhohlo), kunokubakho uxinzelelo oluninzi kwi-atrium yasekhohlo. Okanye igazi elininzi kakhulu linokuqokelelana apho.

Kufana nomntakwenu omdala kusapho oya kunceda abanye aze agqibele esengxakini ngokuphakamisa ubunzima obukhulu. I-atrium yasekhohlo iyanwebeka kancinci kancinci njengoko izama ukuziqhelanisa nokujongana nolu xinzelelo lunyukayo. Olu nwebeka lunokonakalisa udonga lwe-atrium kwaye lubangele amanxeba.

Ngubani ochaphazeleka kakhulu yile meko? (Ngubani ochaphazeleka kakhulu?)

Nangona nabani na enokuba nale meko ibizwa ngokuba kukwandiswa kwe-atrium yasekhohlo, abanye abantu basengozini enkulu. Makhe sijonge ukuba bangoobani:

• Kwabo bane- high blood pressure . Sonke siyazi ukuba kuthetha ukuthini "high blood pressure".
• Kwabo banesifo se-mitral valve . Le yivalvu ebalulekileyo kwicala lasekhohlo lentliziyo.
• Kwabo banesifo se-aortic valve . Le yivalvu edibanisa umthambo oyintloko othwala igazi ukusuka kwi-ventricle yasekhohlo ukuya emzimbeni.
• Kubantu abanesifo semithambo yegazi yentliziyo . Le yimithambo yegazi ehambisa igazi entliziyweni ngokwayo.
• Kubantu abaneentlobo ezithile zesifo semisipha yentliziyo (Cardiomyopathy) .
• Kubantu abanemeko ebizwa ngokuba yi -diastolic dysfunction . Oku kwenzeka xa amagumbi entliziyo engavuli kakuhle kwaye engagcwali ngegazi.
• I-hypertrophy ye-ventricular yasekhohlo(Ukwandiswa kwegumbi elisezantsi lasekhohlo lentliziyo).
• Kwabo bazalwa benesifo sentliziyo .

Uphononongo olwenziwe e-Itali lufumanise ukuba kwixesha leminyaka eli-10, malunga ne-12% yabantu abadala baye baba nale meko yokukhulisa i-atrium yasekhohlo. Oku kuthetha ukuba ayinqabile kangako. Kolu phononongo, abantu abachaphazeleka kakhulu yayingabantu abakwiminyaka yabo engama-40 nama-50.

Zithini iimpawu?

Nantsi into ebalulekileyo. Akukho zimpawu zithile zokwandiswa kwe-atrium yasekhohlo. Nangona kunjalo, unokufumana iimpawu zesifo esibangela oku. Makhe sibone ukuba zithini:

• Ukuquleka
• Ndiziva ndidiniwe ngalo lonke ixesha
• Ukubetha kwentliziyo - Ukuziva ngathi iigubu zibetha ngaphakathi esifubeni.
• Ukunyuka kwesisindo ngequbuliso
• Ubunzima bokuphefumla - Ukuziva ngathi uza kuphelelwa ngamandla nokuba ukhe wazama kancinci.
• Ukudumba ezingalweni okanye emilenzeni

Ukongeza, ukwanda kwe-atrium yasekhohlo kunokubangela ukungahambelani kwesantya sentliziyo, okanye i-arrhythmias . Ezi mpawu zingabandakanya:

• Ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga (intliziyo ebetha ngokukhawuleza okanye engaqhelekanga)
• Isifuba siyashukuma
• Iintlungu zesifuba
• Ukuquleka

Zithini izizathu zokwanda kwe-atrium yasekhohlo? (Yintoni ebangela i-LAE?)

Zininzi izizathu ezinokubangela oku. Ezinye zizalwa nazo, ngelixa ezinye zikhula ngokuhamba kwexesha. Makhe sijonge ezinye zezizathu eziphambili:

• Uxinzelelo lwegazi oluphezulu - Le yeyona nto ixhaphakileyo.
• I-Aortic valve stenosis - Xa le valve ingavuli kakuhle, kuba nzima ukuba igazi lihambe phambili.
• I-Mitral valve stenosis - Oku kwenza kube nzima ukuba igazi liphume kwi-atrium yasekhohlo liye kwi-ventricle yasekhohlo.
• Ukubuyela kwevalvu yeMitral - Ivalvu ayivali kakuhle, nto leyo ebangela ukuba igazi libuyele kwi-atrium.
• Ukuba nobunzima okanye ithumba kwi-atrium yasekhohlo.
• I-Arteriovenous fistulas - Oku kwenzeka xa igazi lihamba ngqo lisuka kwimithambo ukuya kwimithambo, ngaphandle kokusebenzisa imijelo emincinci ephakathi (ii-capillaries).
• Intliziyo yomdlali weqonga - Ubungakanani bentliziyo yabo baziqeqesha nzima rhoqo bunokuba bukhulu kancinci kunesiqhelo.
• Ukungasebenzi kakuhle kwe-diastolic ye-ventricle yasekhohlo.
• Ukungaphumeleli kwe-ventricle yasekhohlo .
• Iziphene zentliziyo ezizalwa nazo:
• Umngxuma ophakathi kweeventricles (i-Ventricular septal defect - VSD)
• I-Patent ductus arteriosus (PDA) - Le ikwayingxaki yombhobho wentliziyo wokuzalwa.

Ifunyaniswa njani le nto?

Uvavanyo oluphambili ugqirha wakho anokulusebenzisa ukufumanisa esi sifo yi- ECG (i-electrocardiogram) . Sonke siyazi ukuba yintoni i-ECG.

Uphawu olwahlukileyo lokwandiswa kwe-atrium yasekhohlo kwi-ECG yi-"P wave" ende ngokungaqhelekanga. Le P wave ibonisa ukucutheka kwe-atrium ezimbini zentliziyo. Ngokwesiqhelo, oku kufanele kube ngaphantsi kwe-120 milliseconds. Ukuba ilingana okanye ingaphezulu koko, kucingelwa ukuba i-atrium yasekhohlo inokwandiswa.

Ukongeza, kukho nezinye iimvavanyo zokuqinisekisa le meko:

• I-Transthoracic echocardiogram (TTE) - Oku kubizwa ngokuba yi-"Echo scan". Oku kusenza sikwazi ukubona ngaphakathi entliziyweni.
• Iskeni se-CT yentliziyo `(I-CT yentliziyo - i-computed tomography)`
• Iskeni ye-MRI yentliziyo

Iphathwa njani?

Nantsi into ekufuneka uyiqonde. Akukho nyango luthile lokukhulisa i-atrium yasekhohlo. Kwakhona, ukuba le meko ibikho ixesha elingaphezu kweveki, kunzima ukuyibuyisela kwimeko yayo yangaphambili.

Kodwa ungakhathazeki! Oogqirha banyanga imeko ebangela oku. Ukunyanga unobangela kunokuthintela i-atrium yasekhohlo ekubeni ibe nkulu.

Oku kulandelayo kungenziwa njengonyango:

• Ukuzilolonga rhoqo.
• Yeka ukusebenzisa iimveliso zecuba.
• Ukutya ukutya okungenatyuwa ingako.
• Ukunciphisa ukusetyenziswa kotywala.
• Ukuthatha amayeza okulawula uxinzelelo lwegazi.
• Utyando okanye ezinye iindlela zokulungisa iingxaki zeevalvu zentliziyo .
• Ukusela amayeza okunciphisa iimpawu ezibangelwa ziingxaki zeevalvu.
• Ukusela amayeza okunciphisa igazi (i-anticoagulants) ukuthintela isifo sohlangothi .
• Ukuthatha amayeza okunceda xa intliziyo yakho ingasebenzi kakuhle .

Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango? (Iingxaki/iziphumo ebezingalindelekanga zonyango?)

Utshintsho oluhle olwenzayo kwindlela ophila ngayo (ukuzilolonga, ukutya kakuhle) luya kukunceda, kungabi lubi. Nangona kunjalo, amayeza owasebenzisayo anokuba nemiphumo emibi.

Iziphumo ebezingalindelekanga ezinokubakho ngamayeza athathwayo ukunyanga unobangela wokwanda kwe-atrium yasekhohlo:

• Isiyezi
• Ukuquleka
• Amanqanaba e-electrolyte angaqhelekanga emzimbeni

Ngexesha lotyando, kukho umngcipheko wokopha okanye usulelo. Ukulungiswa okanye ukutshintshwa kwevalvu kunokuba neengozi ezilandelayo:

• Ukuhlaselwa yintliziyo
• Istroke
• Ukungasebenzi kakuhle kwezintso
• Isingqisho sentliziyo esingaqhelekanga

Ezinye zezi ngxaki zinokuba yingozi ebomini. Yiyo loo nto kufuneka uxoxe ngazo zonke ezi zinto nogqirha wakho ngaphambi kokuba wenze naziphi na izigqibo.

Kuthatha ixesha elingakanani ukuchacha? (Ixesha lokuchacha?)

Ukuba ulungisiwe okanye utshintshelwe ivalvu, kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa ukuya kwiveki. Ngokuxhomekeke kuhlobo lotyando, kungathatha iinyanga ezimbini ukuya kwezintathu ukuba uphile ngokupheleleyo.

Ndingakuthintela na ukwanda kwe-atrium yasekhohlo? (Ndingayithintela njani i-LAE?)

Ewe, kunokwenzeka kakhulu! Eyona nto ingcono onokuyenza kukugcina intliziyo yakho isempilweni kwaye uzikhusele kwisifo sentliziyo esibangela ukwanda kwe-atrium yasekhohlo.

Olunye uphando lufumanise ukuba ukwenza ezi zinto kunokunceda ukuthintela ukwanda kwe-atrium yasekhohlo:

• Gcina uxinzelelo lwakho lwegazi luqhelekile.
• Gcina ubunzima bomzimba wakho bukwinqanaba elifanelekileyo.
• Thintela i-hypertrophy ye-ventricular yasekhohlo.
• Yeka ukutshaya.
• Lawula utywala obuselayo (ukuba uyabusela, sela kancinci kakhulu).

Ndingalindela ntoni ukuba ndinayo le meko?

Abaphandi bafumanise ukuba ukuba i-atrium yasekhohlo ikhulisiwe, umngcipheko wokufumana isifo sentliziyo kwixesha elizayo uphezulu:

• Ukumelwa yintliziyo
• I-Atrial fibrillation (ukubetha kwentliziyo okungaqhelekanga kwi-atria)
• Isifo sentliziyo esibangelwa luxinzelelo lwegazi oluphezulu (isifo sentliziyo esibangelwa luxinzelelo lwegazi oluphezulu)
• Istroke

Wakuba ukwazi oku, ungasebenzisana nogqirha wakho ukwenza isicwangciso sokuphucula impilo yentliziyo yakho ukususela ngoku. Thatha oku njengesilumkiso uze wenze ngokwesi silumkiso.

Ibaluleke kangakanani i-LAE?

Ukwanda kwe-atrium yasekhohlo akuyongxaki inkulu ngokwako. Nangona kunjalo, kunokuba luphawu lwenye imeko embi engaphantsi. Kufana nokuvuza endlwini. Ukuvuza akuyongxaki, kodwa luphawu lokuba kukho umngxuma omkhulu eluphahleni.

Ngoko ke ukuba unale meko, kubaluleke kakhulu ukufumana unobangela nokuwunyanga. Ukuba unobangela awunyangwa, unokukhokelela kwiingxaki kwixesha elizayo.

Ngaba umntu one-atrium yasekhohlo enkulu angaphila ubomi obuqhelekileyo? (Ngaba ungaphila ne-LAE?)

Ewe, kunokwenzeka. Kodwa, kufuneka ufumanise ukuba yintoni unobangela. Wakuba usazi unobangela, kufuneka ufumane unyango olufanelekileyo lwaso.

Ndifanele ndimbone nini ugqirha wam?

Nokuba awunazo naziphi na iimpawu, ugqirha wakho uya kufunaZihlole rhoqo ngonyaka kwaye wenze izinto ezifana ne-echo scan. Oku kunokukunceda uqonde imeko yentliziyo yakho.

Ukuba ngequbuliso ufumana iimpawu zestroke (ukugoba kwelinye icala lobuso, ubunzima bokuthetha, ukungasebenzi kakuhle kwengalo) okanye iimpawu zokuhlaselwa yintliziyo (iintlungu zesifuba eziqatha, ubunzima bokuphefumla), fowunela u-911 ngoko nangoko okanye uye kwisibhedlele esikufutshane.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ukuba ugqirha wakho ukuxelela ukuba i-atrium yakho yasekhohlo ikhulisiwe, ungalibali ukubuza le mibuzo:

• Yintoni ebangela ukuba i-atrium yam yasekhohlo ikhule?
• Yeyiphi indlela engcono yonyango kum?
• Ngaba lonke usapho lwam kufuneka luvavanywe oku?

Okokugqibela, eyona nto ibalulekileyo (Umyalezo Wokuya Ekhaya)

Ukuba ugqirha ukuxelela ukuba uneLeft Atrial Enlargement, yithathe njengesilumkiso . Oko kuthetha ukuba lixesha lokuba unikele ingqalelo kwinto ethile entliziyweni yakho.

Fumanisa ukuba yintoni unobangela kwaye usebenzisane nogqirha wakho ukuze uphuhlise isicwangciso sonyango. Ukunyamekela intliziyo yakho kusoloko kuyinto elungileyo. Akunyanzelekanga ukuba kube yinto enkulu. Nezinto ezincinci ezifana nokupaka kude nevenkile nokuhamba kancinci, okanye ukutya ilettuce endaweni yokutya okunamafutha kunye nerayisi yakho, kunokwenza umahluko omkhulu. Ugqirha wakho unokukunika amayeza okulawula uxinzelelo lwakho lwegazi. Ukulawula uxinzelelo lwakho lwegazi lelinye lamanyathelo amakhulu onokuwathatha ukuphucula impilo yakho.

Ngoko ke, khathalela intliziyo yakho. Kuba yiyo ekugcina uphila!

Isifo sentliziyo, Ukwanda kwe-Atrial yasekhohlo, Iingxaki zentliziyo, Uxinzelelo lwegazi oluphezulu, Isifo se-valve yentliziyo, i-ECG, i-Echo