Intliziyo yinjini encinci emzimbeni wethu esebenza ngokungayekiyo kwaye ayiphumli. Le ntliziyo isebenza ngokuqhubekayo nokuba silele, sisebenza, sibaleka, sitsiba. Kodwa kwenzeka ntoni ukuba intliziyo iphantsi koxinzelelo olukhulu? Njengaxa siphakamisa ubunzima obukhulu kwaye izihlunu ezingalweni zethu zikhula, xa intliziyo idinwa kakhulu, iindonga zayo, ingakumbi iindonga zegumbi eliphambili (i-ventricle yasekhohlo) epompa igazi emzimbeni, ziqala ukutyeba kwaye zikhule. Kwizonyango, le meko siyibiza ngokuba yi-'Left Ventricular Hypertrophy' okanye i-LVH. Le yimeko eqhelekileyo phakathi kwethu eSri Lanka. Ngoko ke, masithethe ngale nto namhlanje, ngendlela onokuyiqonda.
Yintoni kanye kanye iLeft Ventricular Hypertrophy (LVH)?
Ngamafutshane, i-LVH kukutyeba kodonga lwemisipha ye-ventricle yasekhohlo, enye yeegumbi ezine eziphambili zentliziyo yethu. Le ventricle yasekhohlo inoxanduva lomnye wemisebenzi ebalulekileyo yentliziyo yethu. Oko kukuthi, ukupompa igazi elineoksijini ephuma emiphungeni ukuya kwi-aorta, umthambo wegazi omkhulu emzimbeni wethu. Ukusuka apho, igazi lisasazeka kuwo wonke umzimba, ukusuka entlokweni ukuya ezinyaweni.
Ngoko ke, ngesizathu esithile, xa kukho uxinzelelo olukhulu okanye ukuvaleka kule nkqubo yokumpompa igazi, le ventricle yasekhohlo kufuneka isebenze nzima nangakumbi kunesiqhelo. Ifana nepompo yamanzi eyenza ingxolo eninzi xa ivalekile. Xa usebenza nzima kakhulu ngokuhamba kwexesha, izihlunu ezikuloo gumbi ziyaqina kancinci kancinci kwaye zikhule. Oku kubizwa ngokuba yi-LVH. Ngamanye amaxesha, le gumbi linokolulwa kwaye libe likhulu ukuze likwazi ukusingatha umthamo wegazi owongezelelweyo. Izifundo zibonisa ukuba malunga nomntu omnye kwabahlanu ngokomyinge unokuba nale meko.
Ngaba kukho iintlobo ze-LVH?
Ewe, oogqirha bahlulahlula i-ventricle yakho yasekhohlo ibe ziintlobo ezahlukeneyo ngokusekwe kubukhulu kunye nobukhulu beendonga zayo. Kubalulekile ukuba ukwazi oku.
| Uhlobo lwe-LVH | Ngamafutshane, oku kwenzekayo. |
|---|---|
| I-Concentric | Iindonga zegumbi lentliziyo ziyaqina ngaphakathi, nto leyo ebangela ukuba indawo (ngaphakathi kwigumbi) igcwale igazi ibe ncinci. |
| I-Eccentric | Igumbi lentliziyoIyanwebeka ize ibe nkulu. Oku kwenza indawo (ngaphakathi kwigumbi) izaliswe ligazi ibe nkulu. |
| Ukulungiswa kwakhona kweConcentric (CR) | Nangona iindonga zinkulu, ubunzima bemisipha buqhelekile. |
Zeziphi iimpawu umntu one-LVH azibonayo?
Eyona ngxaki inkulu ngale nto kukuba i-LVH inokuba neempawu ezingabonakaliyo kwisigaba sayo sokuqala . Abantu abaninzi bafumanisa ukuba banayo kuphela xa bevavanywa ngugqirha ngesizathu esinye. Kodwa njengoko imeko isiba mandundu, kwaye uxinzelelo entliziyweni lusanda, unokufumana iimpawu ezinje.
| Uphawu | Ivakalelwa njani le nto? |
|---|---|
| Iintlungu zesifuba | Isifuba sakho sinokuvakala siqinile kwaye sixinene, ingakumbi xa udiniwe okanye uzilolonga. |
| Ukudinwa okanye ukuquleka (iSyncope) | Ngequbuliso, intloko yakho iyajika, amehlo akho ajika abe luhlaza okwesibhakabhaka, kwaye ngamanye amaxesha usenokuphelelwa zingqondo uze uwe. |
| Ukubetha kwentliziyo okukhawulezayo okanye okungaqhelekanga | Isantya sentliziyo siyanda ngequbuliso, okanye ivakala ngathi ibetha ngaphandle kwesingqisho. |
| Ukubetha kwentliziyo | Xa ulala, xa uthule, unokuva kwaye uzive isandi sentliziyo yakho sibetha "sidubile". |
| Ukudinwa | Nokuba ndenza izinto ezincinci endiqhele ukuzenza, ndidinwa ngokukhawuleza. Ndivakalelwa kukuba andinabomi emzimbeni wam. |
| Ubunzima bokuphefumla | Xa ndihamba kancinci, ndinyuka izinyuko, okanye ndigoba, kuba nzima ukuphefumla, kwaye ndiziva ndinesiyezi. |
Kutheni le meko ye-LVH isenzeka? Zithini izizathu?
Eyona nto iphambili neyona ixhaphakileyo ye-LVH luxinzelelo lwegazi oluphezulu, olukwaziwa ngokuba luxinzelelo lwegazi oluphezulu. Xa uxinzelelo lwegazi lwakho lusanda, uxinzelelo olungaphakathi kwimithambo yegazi yakho luyanda. Ngoko ke intliziyo yakho kufuneka isebenze nzima kunesiqhelo ukupompa igazi ngokuchasene nolu xinzelelo luphezulu. Xa usebenza nzima kangaka kule minyaka idlulileyo, izihlunu zentliziyo ziyaqina.
Kodwa akuyongcinezelo nje kuphela, zininzi nezinye izizathu ezinokuchaphazela oku.
- Isifo seevalvu zentliziyo: Iivalvu ezisentliziyweni zifana neengcango. Zigcina igazi lihamba kwicala elinye kwaye zithintela ukuba lingabuyeli. Ukuba ezi valve ziba mxinwa (stenosis) okanye zivuza (regurgitation), intliziyo kufuneka isebenze nzima ukupompa igazi.
- Isifo seswekile: Isifo seswekile esingalawulekiyo sibangela amazinga aphezulu eswekile egazini. Oku kungonakalisa intliziyo ngokuhamba kwexesha.
- I-Cardiomyopathy: Ngenxa yezizathu ezithile zemfuza okanye ezinye izizathu, izihlunu zentliziyo zinokuba buthathaka okanye zibe buthathaka.
- Ukuqina kwemithambo yegazi: Le yimeko ebakho xa umntu ezalwa. Umthambo wegazi oyintloko othwala igazi emzimbeni uncitshiswa kwindawo enye. Ngoko ke intliziyo kufuneka isebenze nzima ukupompa igazi kuloo ndawo incitshisiweyo.
- Ezinye iimeko zonyango: I-cardiac amyloidosis (iiproteni ezifakwa entliziyweni), i-renal artery stenosis (ukuncitshiswa kwemithambo yegazi ehambisa igazi kwizintso), kunye ne-ventricular septal defect (VSD) (umngxuma ophakathi kwamagumbi entliziyo) nazo zinokubangela i-LVH.
- Uqeqesho olunzulu lwezemidlalo: Abadlali abenza umthambo baze bazilolonge ngokugqithisileyo banokuba neentliziyo ezinkulu kancinci. Nangona kunjalo, oku akuyongxaki yempilo. Iintliziyo zabo zisebenza ngokuqhelekileyo.
Into ebalulekileyo kukuba nokuba unenye okanye ngaphezulu kwezi meko, akuthethi ukuba uza kuba ne-LVH. Kodwa umngcipheko uphezulu. Ke ngoko, kubalulekile ukulawula ezi meko ngokufanelekileyo.
Ngubani osengozini enkulu yokufumana i-LVH?
Abanye abantu basengozini enkulu yokuhlaselwa yile meko kunabanye.
- Ukutyeba kakhulu: Xa unobunzima obugqithisileyo emzimbeni, intliziyo yakho kufuneka isebenze nzima ukupompa igazi emzimbeni wakho wonke. Umngcipheko wakho uphezulu ukuba i-BMI yakho ingaphezulu kwama-30.
- Isifo sezintso esingapheliyo: Xa izintso zingaphumeleli, ubuninzi bolwelo kunye netyuwa emzimbeni buyanda, nto leyo enokubangela uxinzelelo lwegazi oluphezulu.
- I-Obstructive sleep apnea: Le meko, apho ukuphefumla kuyeka rhoqo xa ulele, ibeka uxinzelelo olukhulu entliziyweni.
- Iimpazamo zendlela yokuphila: Izinto ezinje ngokusebenzisa icuba, ukongeza ityuwa eninzi ekutyeni kwakho, kunye nokungazilolongi umzimba nazo ziyandisa umngcipheko.
Kwenzeka ntoni ukuba i-LVH ayinyangwa?
Kulapho sonke kufuneka sigxile khona. I-LVH luphawu lokuba intliziyo icela uncedo. Ukuba asiyinaki, ekuhambeni kwexesha, amandla okumpompa kwentliziyo anokuncipha kwaye kubekho iingxaki ezinkulu.
- Ukuphazamiseka kwentliziyo `(Arrhythmia)`
- Ukuhlaselwa yintliziyo
- Ukubanjwa kwe-cardiac
- Isifo sentliziyo `(Ukusilela kwentliziyo)`
- Istroke
- Isifo sengqondo esixhalabisayo
Umngcipheko wokufumana ezi meko zinzima uyanda xa une-LVH, ngoko ke kubaluleke kakhulu ukuyixilonga le meko kwaye uqale unyango ngokukhawuleza.
Ugqirha uyifumana njani le nto?
Nokuba awunazo naziphi na iimpawu, ugqirha wakho unokukukrokrela oku xa usenza uhlolo oluqhelekileyo. Kuya kwenziwa iimvavanyo ezininzi ukuqinisekisa ukuba kukho i-LVH kunye nokufumanisa unobangela.
- I-Echocardiogram (Echo): Olu lolona vavanyo lubalulekileyo. Lufana nokuskena komntwana. Lunokubona ngokucacileyo ubungakanani bamagumbi entliziyo, ubukhulu beendonga, umsebenzi weevalvu, kunye nendlela intliziyo epompa ngayo igazi.
- I-Electrocardiogram (ECG okanye EKG): Le irekhoda umsebenzi wombane wentliziyo. Ukuba intliziyo ikhulisiwe, utshintsho lunokubonwa kwi-ECG.
- I-MRI Scan: Kwezinye iimeko, i-MRI scan ingafuneka ukuze kufundwe ulwakhiwo lwentliziyo ngokucacileyo.
- Uvavanyo lwegazi: Uvavanyo lwegazi lwenziwa ukujonga ezinye iimeko zonyango, ezifana nesifo seswekile kunye nesifo sezintso.
Zithini iindlela zonyango zoku?
Injongo ephambili yokunyanga i-LVH kukunyanga unobangela oyintloko wale meko. Oku kuya kunciphisa uxinzelelo entliziyweni kwaye kumise okanye kunciphise ukuqhubela phambili kwe-LVH.
| Indlela yonyango | Kwenzeka ntoni ngale nto? |
|---|---|
| Utshintsho kwindlela yokuphila | Uxinzelelo lwegazi lunokulawulwa ngokutya ukutya okunempilo okunetyuwa encinci, ukuzilolonga imihla ngemihla, ukulawula ubunzima bomzimba, nokuphepha ukutshaya. Le sisiseko sonyango. |
| Amayeza oxinzelelo lwegazi | Kubalulekile ukuthatha amayeza oxinzelelo lwegazi achazwe ngugqirha wakho ngokuchanekileyo nangexesha elifanelekileyo. La mayeza anciphisa uxinzelelo entliziyweni kwaye athintele i-LVH ukuba ingabi mandundu. |
| Amanye amayeza | Amanye amayeza esifo seswekile (afana nezithinteli ze-SGLT2) afunyenwe enceda ukulawula i-LVH. |
| Utyando lwevalvu yentliziyo | Ukuba i-LVH ibangelwa kukuncitshiswa kwevalvu yentliziyo, ukuyitshintsha okanye ukuyilungisa loo valve ngotyando kunokunciphisa uxinzelelo entliziyweni. |
| Utyando lokunciphisa umzimba (utyando lweBariatric) | Ukuba ukutyeba kakhulu akunakulawulwa, ngamanye amaxesha utyando olufana nolu lunokukunceda unciphise umzimba kwaye ulawule uxinzelelo lwakho lwegazi. |
Ndifanele ndimbone nini ugqirha?
Ukuba ufumana naziphi na kwezi mpawu, musa ukuzityeshela.
Ukuba ufumana iintlungu eziqatha esifubeni, ubunzima obukhulu bokuphefumla, iimpawu zestroke (ukugoba kwelinye icala lobuso, ukungaziva mnandi engalweni, ubunzima bokuthetha), okanye ukubetha kwentliziyo okukhawulezayo okanye okungahambelaniyo ngequbuliso, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.**
Ukongeza, ukuba ugqirha wakho ukuxelele ukuba une-LVH, yazisa ugqirha wakho ngalo naluphi na utshintsho okanye ukwanda kweempawu zakho.
Ngaba i-LVH ingatshintshwa?
Ezi ziindaba ezimnandi. Ewe, kwezinye iimeko, i-LVH inokuphuculwa, ilawulwe, kwaye ngamanye amaxesha iguqulwe ngokupheleleyo!Izifundo zibonise ukuba xa uxinzelelo lwegazi lulawulwa kakuhle, izihlunu zentliziyo ezijiyileyo zinokubuyela kwimeko yazo eqhelekileyo.
Kodwa oku kuxhomekeke kubunzulu bemeko yakho, ukuba unexesha elingakanani une-high blood pressure, kunye nokuba unezinye izifo ezifana nokutyeba kakhulu. Ngoko ke eyona nto ingcono onokuyenza kukulandela imiyalelo kagqirha wakho ngokuchanekileyo. Kubaluleke kakhulu ukuthatha amayeza akho, ukwenza utshintsho kwindlela ophila ngayo, kunye nokuya eklinikhi ngexesha.
Umyalezo Wokuya Ekhaya
- I-Left Ventricular Hypertrophy (LVH) kukujiya kweendonga zegumbi eliphambili lokumpompa kwentliziyo. Isizathu esiphambili soku kukunyuka koxinzelelo lwegazi.
- Kusenokungabikho zimpawu kwizigaba zokuqala, ngoko ke jonga uxinzelelo lwakho lwegazi rhoqo kwaye uhlolwe ngugqirha.
- Eyona ndlela ilungileyo yokulawula i-LVH kukunyanga ngokufanelekileyo isifo esisisiseko (ingakumbi uxinzelelo lwegazi oluphezulu) esibangela le meko.
- Indlela yokuphila esempilweni (ukutya okunempilo, ukuzilolonga, ukulawula ubunzima) inokunceda kakhulu ekulawuleni le meko.
- Ukuba unemibuzo okanye iinkxalabo malunga noku, ungoyiki ukuthetha ngokukhululekileyo nogqirha wakho. Ngokufunyanwa kwangoko kunye nonyango olufanelekileyo, ungaphila ubomi obusempilweni.
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