Ngaba unyango lwe-radiation yomhlaza luchaphazela intliziyo? Masithethe nge-radiation Heart Disease!

Ukuba ukhe wafumana unyango lwe-radiation ngenxa yomhlaza, okanye ukuba kukho umntu omaziyo okhe wafumana, kusenokwenzeka ukuba uvile ukuba olu nyango lunokuba nefuthe entliziyweni. Oku kuyinto exhalabisayo. Kodwa ungakhathazeki, kuba eyona nto ibalulekileyo kukwazi. Ngoko ke namhlanje siza kuthetha ngento ekuthiwa sisifo sentliziyo se-radiation , indlela esikhula ngayo, ngubani osengozini enkulu yokusifumana, kunye nokuba yintoni enye enokwenziwa ngaso.

Yintoni iRadiation Heart Disease?

Ngamafutshane, isifo sentliziyo esibangelwa yimitha yingqokelela yeengxaki ezahlukeneyo ezinokwenzeka entliziyweni ngenxa yonyango lwemitha, olusetyenziselwa ukubulala iiseli zomhlaza. Cinga ngako, xa imisebe yemitha ijoliswe kwindawo yomhlaza, kukho ithuba lokuba umonakalo othile ungenzeka kwizicubu ezisempilweni ezikufutshane, ingakumbi intliziyo. Lo monakalo ngamanye amaxesha unokuvela kwiiveki ezimbalwa emva kokufumana unyango lwemitha, okanye unokuvela nasemva kweminyaka.

Le meko idla ngokuvela kubantu abaye bafumana unyango lwemitha esifubeni ngenxa yezi ntlobo zomhlaza:

• Umhlaza webele
• Umhlaza wesisu
• I-lymphoma yeHodgkin
• Umhlaza wemiphunga

Unyango lwemitha luyichaphazela njani intliziyo?

Ukusasazeka kwemitha kunokonakalisa izicwili ezingaphakathi kwentliziyo yakho nezijikeleze yona. Okwethutyana nje, oku kunokubangela ukudumba kwentliziyo. Oku kuthetha ukuba iindawo ezithile zentliziyo ziyadumba, zibe bomvu, kwaye zibe buhlungu. Ekuhambeni kwexesha, ezi zicwili zonakeleyo zinokutyeba kancinci kancinci zibe yi-fibrous. Kufana nesilonda esenzeka enxebeni. Emva koko izicwili azikwazi ukusebenza kakuhle.

Iindawo zentliziyo ezichaphazeleka kakhulu lunyango lwemitha zezi:

• Imithambo yentliziyo: Le yimithambo ehambisa igazi kwimisipha yentliziyo . Ukuba yonakele, ukuhamba kwegazi entliziyweni kunokuncipha.
• Iiseli ezivelisa nezithwala iintshukumo zombane ukugcina isantya sentliziyo kunye nesingqisho sayo (inkqubo yokuhambisa): Oku kufana neentambo zombane zentliziyo. Ukuba oku konakele, ukubetha kwentliziyo kunokuba yinto engahambelaniyo.
• I-Myocardium: Le yeyona ndawo iphambili yokupompa intliziyo. Ukuba iba buthathaka, intliziyo ayizukukwazi ukupompa igazi ngokufanelekileyo.
• IntliziyoI-pericardium: Oku kufana nengxowa yokukhusela ejikeleze intliziyo. Inokudumba.
• Iivalvu eziphakathi kwamagumbi entliziyo: Ezi zinceda igazi ukuba lihambe kwicala elinye kuphela. Ukuba zonakele, igazi lingaqala ukubuyela umva.

Iziphumo zexesha elifutshane

Iziphumo eziphambili zexesha elifutshane zonyango lwemitha entliziyweni zikwi-pericardium. Ezi meko ziquka:

• I-Pericarditis : Oku kukudumba kwenwebu ejikeleze intliziyo.
• Ukuphuma kwegazi entliziyweni: Oku kukuqokelelana kolwelo olumanzi phakathi kwentliziyo kunye nengxowa yentliziyo.

Ezi meko zihlala zisenzeka kwiiveki ezimbalwa ukuya kwiinyanga ezimbalwa emva kokufumana unyango lwemitha. Zixhaphake kakhulu kubantu abaye banyangwa umhlaza obizwa ngokuba yiHodgkin lymphoma .

Iingxaki zexesha elide

Ezinye izifo zentliziyo zingathatha iminyaka, ngamanye amaxesha zide zibe yiminyaka engama-20, ukuba zivele. Iingxaki ezihlala ixesha elide ziquka:

• Ukusilela kwentliziyo okubangelwa kukungafumani igazi: Intliziyo ayikwazi ukupompa igazi elaneleyo emzimbeni.
• Isifo semithambo yegazi: Ukuncitshiswa okanye ukuvaleka kwemithambo yegazi ehambisa igazi entliziyweni.
• I-Cardiomyopathy: Imisipha yentliziyo iba buthathaka, ityebe, okanye ikhule.
• Ukubetha kwentliziyo ngendlela engacwangciswanga (Arrhythmia): Ukubetha kwentliziyo ngendlela engacwangciswanga, nokuba kukhawuleze kakhulu okanye kucotha kakhulu.
• I-Constrictive pericarditis: I-membrane ejikeleze intliziyo iba nkulu kwaye iqine, ithintela intliziyo ukuba ikhule kakuhle.
• Isifo sentliziyo seValvular: Iivalvu zentliziyo azisebenzi kakuhle.

Ngubani osengozini enkulu?

Ukuba ukhe wanyangwa ngemitha esifubeni sakho, ingakumbi kwicala lasekhohlo apho intliziyo yakho ikhona, usenokuba sengozini yesi sifo sentliziyo. Iyunithi yokulinganisa imitha ibizwa ngokuba yiGrey (Gy) . Ngokubanzi, umngcipheko wesifo sentliziyo ngemitha uyanda ukuba idosi iyonke idlula iGrey (Gy) engama-30 kunyango lwemitha oluhlukeneyo.

Ukongeza, kukho nezinye izinto ezonyusa le ngozi:

• Unyango oluhambelanayo kunye namanye amayeza e-cardiotoxic chemotherapy , anjenge-trastuzumab okanye i-anthracyclines.
• Ukuba nesifo sentliziyo esele sikhona.
• Ukukhula uselula ngelixa usenza unyango lwe-radiation.

Ukongeza, ezinye iimeko zempilo kunye nemikhwa yokuphila inokunyusa le ngozi:

• Ukutyeba kakhulu.
• Isifo seswekile (isifo seswekile).
• Ukusetyenziswa kotywala ngokugqithisileyo.
• Igazi elonyukayo.
• Ukungazilolongi umzimba.
• Ukutshaya.
• Amanqanaba e-cholesterol angafanelekanga.

Ixhaphake kangakanani le meko?

Ngaphambili, bekungekho ukuqonda ngomngcipheko wokuba nesifo sentliziyo, ngoko ke bekukho iimeko ezininzi zomonakalo wentliziyo ngenxa yonyango ngemitha. Kodwa ngoku, oogqirha kunye neengcali benze uphando oluninzi ngale nto kwaye baphuhlise iindlela ezintsha nezikhuselekileyo. Oku kwenze kwaba nokwenzeka ukunciphisa ubungakanani bemitha efikelela entliziyweni. Ngoko ke, ngethamsanqa, inani labantu abafumana esi sifo sentliziyo ngemitha ngoku linciphile.

Zithini iimpawu zesifo sentliziyo esibangelwa yimisebe?

Iimpawu zesifo sentliziyo esibangelwa yimitha zingahluka kumntu nomntu, kuxhomekeke ekubeni iimpawu zibonakala ngokukhawuleza kangakanani kunye nohlobo lwesifo sentliziyo esibangelwa yimitha.

Iimpawu zesifo sentliziyo esibangelwa yimitha yexesha elifutshane

Uphawu oluphambili lwe-pericarditis kunye ne-pericardial effusion, eziyimiphumo emibi yexesha elifutshane yonyango lwe-radiation, ziintlungu zesifuba eziqatha . Le ntlungu:

• Iyancipha xa uhleli kwaye ugobe phambili.
• Iyakhula xa uphefumla kakhulu.

Kwakhona, ubunzima bokuphefumla (ukuphelelwa ngamandla) bunokubakho. Oku kukhululeka ngokugoba phambili.

Iimpawu zesifo sentliziyo esibangelwa yimisebe yexesha elide

Isifo sentliziyo esibangelwa yimitha sisenokungabangeli zimpawu de sibe sibi kakhulu. Iimpawu onazo ziya kuxhomekeka kuhlobo lwesifo sentliziyo onaso. Iimpawu eziqhelekileyo zesifo sentliziyo ziquka:

• Intlungu yesifuba okanye ukungakhululeki.
• Ukudinwa okanye ukuquleka (syncope).
• Ukukhohlela okomileyo.
• Isicaphucaphu.
• Ukubetha kwentliziyo okukhawulezayo okanye okungahambelaniyo (intliziyo ebetha ngamandla).
• Ubunzima bokuphefumla.
• Ukudumba (ukudumba) kwamaqatha, imilenze, iinyawo, okanye isisu.
• Ubuthathaka okanye ukudinwa kakhulu.

Kubalulekile: Isifo sentliziyo esibangelwa yimisebe enamandla kakhulu singakhokelela ekuhlaselweni yintliziyo okanye ekubanjweni yintliziyo.

Uhlaselo lwentliziyo okanye ukuqiniswa kwentliziyo yimeko engxamisekileyo esongela ubomi. Ukuba ukrokrela ukuba wena okanye umntu ohamba naye unesifo sentliziyo, yiya kwigumbi likaxakeka lesibhedlele esikufutshane okanye utsalele umnxeba iinkonzo zikaxakeka zasekuhlaleni ngoko nangoko. Ixesha libaluleke kakhulu. Nokuba yimizuzu embalwa yokulibaziseka inokubangela umonakalo ongunaphakade okanye nokufa.

Uyibona njani le nto?

Oogqirha basebenzisa iintlobo ngeentlobo zovavanyo ukuxilonga isifo sentliziyo esibangelwa yimisebe. Uvavanyo olusebenzisayo luya kuxhomekeka kwiimpawu zakho kunye nembali yezonyango. Ukongeza kuvavanyo lomzimba kunye novavanyo lwegazi, ugqirha wakho unokuyalela olunye okanye ngaphezulu kwezi vavanyo:

• Ukufakwa kwe-catheter kwintliziyo
• Iskeni ye-CT yentliziyo
• I-MRI yentliziyo
• I-X-reyi yesifuba
• I-Echocardiogram
• I-Electrocardiogram (EKG okanye i-ECG)
• Uvavanyo lwe-Electrophysiology
• Uvavanyo loxinzelelo lomzimba
• Isikrini seHolter
• I-biopsy ye-Endomyocardial (intliziyo)

Zithini iindlela zonyango?

Kukho iindlela ezininzi zonyango lwesifo sentliziyo. Ezi ziquka utshintsho kwindlela yokuphila ukuya kumayeza, unyango olungenazo iindlela ezininzi, kunye notyando. Ugqirha wakho uza kuxoxa nawe ukuba loluphi unyango olukulungeleyo.

Ngenxa yenkqubela phambili entsha kunyango lwesifo sentliziyo, abantu ngoku bayakwazi ukuphila ubomi obude nobungcono.

Itekhnoloji entsha ingawunciphisa njani lo mngcipheko?

Eyona ndlela iphambili yokuthintela isifo sentliziyo esinemitha kukunciphisa ubungakanani bemitha efunyanwa yintliziyo yakho.

Iiteknoloji zemitha zamva nje eziphucukileyo zomhlaza zinika iidosi ezichanekileyo zemitha kwithumba, zinciphisa ubungakanani bemitha efikelela kwizicwili eziphilileyo ezijikeleze izicubu, ingakumbi intliziyo. Ezinye zezi ziquka:

• Unyango lwemitha oluguquliweyo ngamandla (IMRT): Oku kuquka ukwenza imephu yesifo semiphunga esinemilinganiselo emithathu (3D) kunye nokuhambisa imisebe yemitha ngendlela elawulwayo kakhulu.
• Unyango lweProton: Oku kusebenzisa amasuntswana anamandla aphezulu, atshajiweyo kakuhle (iiproton) kwaye kugxininisa amandla phantse ngokupheleleyo kwithumba.

Kwakhona, xa unyanga umhlaza webele, unganciphisa ubungakanani bemitha oyifumanayo entliziyweni yakho ngokutshintsha indlela oma ngayo. Umzekelo, unokufumana unyango ngelixa ulele ngesisu sakho, okanye ungafumana imitha kuphela ngexesha elifutshane xa uphefumla nzulu.

Ungayinciphisa njani le ngozi?

Ukuba ukhe wanyangwa ngemitha esifubeni, unganciphisa umngcipheko wokuba nesifo sentliziyo ngokuphila ubomi obusempilweni. Oko kuthetha ukuba:

• Ukuphepha ukusela utywala.
• Ukutya ukutya okunempilo.
• Ukuzilolonga rhoqo.
• Ukulawula uxinzelelo lwegazi kunye namanqanaba e-cholesterol.
• Ukuyeka ukutshaya ngokupheleleyo.

Emva kokuba unyango lomhlaza lugqityiwe, kubalulekile ukuba nonyango lokulandelela rhoqo. Oku kunokunceda ekujongeni impilo yakho iyonke. Ugqirha wakho unokuyalela iimvavanyo zokujonga ukusebenza kwentliziyo yakho rhoqo emva kweminyaka emi-5 ukuya kweli-10.

Yintoni abanokuyicinga abo baye bafumana unyango lwemitha ngekamva?

Njengoko abantu abaninzi besinda kumhlaza kwaye bephila ixesha elide, ukuqonda kwethu iziphumo zonyango oluhlala ixesha elide kuyakhula. Okukhona uphila ixesha elide emva konyango lomhlaza, kokukhona umngcipheko wakho wokuba nesifo sentliziyo uyanda. Nangona kunjalo, le ngozi ngoku iyancipha ngenxa yetekhnoloji entsha enciphisa ukuvezwa kwemitha entliziyweni.

Imbono yakho ixhomekeke kwezi zinto zilandelayo:

• Ubungakanani bemitha yentliziyo yakho obufumeneyo.
• Ubudala bakho xa wafumana unyango lwe-radiation.
• Izinto ezibangela umngcipheko wentliziyo yakho. Oko kuthetha ukutya kwakho, ukuzilolonga, kunye nezinye iimeko zempilo onazo.

Ufanele uye nini kugqirha?

Ukuba ufumana naziphi na iimpawu zesifo sentliziyo, tsalela umnxeba ugqirha wakho ngokukhawuleza. Ezi mpawu ziquka iintlungu zesifuba okanye ukungakhululeki, ukuphefumla okunzima, okanye ukubetha kwentliziyo okungaqhelekanga.

Ukuba ukrokrela ukuba unesifo sentliziyo okanye ukuhlaselwa yintliziyo, funa unyango olungxamisekileyo ngokukhawuleza.

Abantu abaye bafumana unyango lwemitha yomhlaza esifubeni banokufumana isifo sentliziyo esibangelwa yimitha kwiminyaka kamva. Nangona kunjalo, inkqubela phambili yakutshanje kubuchwepheshe bemitha iye yanciphisa inani labantu abafumana isifo sentliziyo ngenxa yemitha. Unyango lwesifo sentliziyo nalo luye lwaphucuka, nto leyo evumela umgangatho wobomi ongcono. Ukuba ukhe wafumana unyango lwemitha ngaphambili kwaye uneempawu zesifo sentliziyo, qiniseka ukuba uxelele ugqirha wakho.

Isishwankathelo (Umyalezo Wokuya Ekhaya)

Kulungile, sithethe kakhulu ngeSifo seNtliziyo seMisebe namhlanje. Nazi ezinye zezinto ezibalulekileyo ekufuneka uzikhumbule:

• Unyango lwe-radiation esifubeni lomhlaza lungonakalisa intliziyo.
• Esi siphumo sinokwenzeka kwixesha elifutshane okanye kwixesha elide (emva kweminyaka).
• Lo mngcipheko ngoku uncitshiswe kakhulu ngenxa yeteknoloji entsha yemitha.
• Ukuba ukhe wafumana unyango lwe-radiation, kubaluleke kakhulu ukulandela indlela yokuphila enempilo yentliziyo kwaye uhlolwe rhoqo ngugqirha.
• Ukuba ufumana iimpawu ezifana neentlungu esifubeni kunye nobunzima bokuphefumla , musa ukoyika kwaye funa ingcebiso kagqirha ngokukhawuleza.

Akukho nto yokoyika, ukwazi nokukhathalela zezona zinto zibalulekileyo. Ukuba unemibuzo engaphezulu malunga noku, thetha nogqirha wakho.

Isifo sentliziyo esibangelwa yimitha , unyango lomhlaza, isifo sentliziyo, unyango lwemitha, imitha yesifuba, uhlaselo lwentliziyo, iimpawu zesifo sentliziyo