Ngaba ngamanye amaxesha uziva udiniwe, uphelelwa ngumoya, okanye unemilenze evuvukileyo? Sihlala silibala ngezi mpawu, sicinga ukuba kukudinwa nje okuqhelekileyo okanye into eyenzekayo xa sisebenza nzima. Kodwa ngamanye amaxesha, emva kwezi mpawu, kunokubakho imeko yentliziyo engaqhelekanga nengaqhelekanga. Le yenye yezifo esiza kuthetha ngazo namhlanje, ezibizwa ngokuba yi -Restrictive Cardiomyopathy (RCM) . Ungakhathazeki, siza kuthetha ngale nto ngokulula nangendlela onokuyiqonda.
Ngamafutshane, yintoni i-Restrictive Cardiomyopathy?
Eli gama lisenokuvakala liyinkimbinkimbi kancinci, kodwa masilichaze ngokulula size siliqonde.
Intliziyo yethu sisitho esimangalisayo. Ineendawo ezine eziphambili. Iindawo ezimbini eziphezulu zibizwa ngokuba yi-atria , kwaye iindawo ezimbini ezinkulu neziqinileyo ezisezantsi zibizwa ngokuba zii-ventricles . Iindawo ezimbini ezisezantsi zenza umsebenzi ophambili wokupompa igazi kuyo yonke imizimba yethu. Ukuze lo msebenzi usebenze kakuhle, izihlunu ezikwiindawo kufuneka zolulwe ngokuqinileyo, zizaliswe ligazi, zize emva koko zincitshiswe ngamandla ukuze igazi lityhalelwe phambili.
Khawucinge ngebhola entsha kraca yerabha. Iguquguquka kangakanani? Yileyo ndlela iiseli zentliziyo ephilileyo ezimele zibe ngayo. Zifanele zidumbe kakuhle xa igazi lingena, zithathe igazi, zize zifinyeze kakuhle xa kufuneka zikhutshwe.
Kwisifo esibizwa ngokuba yi-Restrictive Cardiomyopathy , iindonga zemisipha zezi seli ziyaqina . Njengesiqwenga serabha esidala, esomiswe lilanga. Ngenxa yolu qina, iiseli azikwazi ukunwebeka kakuhle zize zizaliswe ligazi. Oku kuthetha ukuba azikwazi ukwamkela igazi elaneleyo eliza entliziyweni. Xa inani legazi eliza entliziyweni lincipha, inani legazi elimpontshelwa emzimbeni nalo liyancipha. Le yingxaki esisiseko yesi sifo.
Esi sifo sikweqela lezifo zemisipha yentliziyo ezibizwa ngokuba yiCardiomyopathy . Nangona kunjalo, sithathwa njengolona hlobo lungaqhelekanga phakathi kwazo. Kuphela malunga ne-5% yazo zonke izigulana zeCardiomyopathy ezinesifo esinjalo.
Ingaba esi sifo sikwenza uzive njani? (Iimpawu)
Kwinqanaba lokuqala lesi sifo, usenokungabi nazimpawu. Kodwa ngokuhamba kwexesha, njengoko ukuhanjiswa kwegazi entliziyweni kuncipha, iimpawu zokusilela kwentliziyo ziqala ukubonakala. Ezi zinokuvela nganye nganye okanye ezininzi ngaxeshanye.
Makhe sibone ukuba zeziphi ezo mpawu kwitheyibhile engezantsi.
| Uphawu | Ingcaciso elula |
|---|---|
| Ubunzima bokuphefumla (i-Dyspnea) | Usenokuziva uphelelwa ngumphefumlo, ingakumbi xa usenza umsebenzi olula, uhamba, okanye ulele. Oku kunokubangelwa kukuqokelelana kolwelo emiphungeni xa intliziyo ingakwazi ukupompa igazi ngokufanelekileyo. |
| Ukudumba kwemilenze, amaqatha, neenyawo (i-Edema) | Ngenxa yobuthathaka bokusebenza kwentliziyo ekumpompeni, ulwelo luqala ukuqokelelana kwiindawo ezisezantsi zomzimba. Lunokubangela nokudumba. |
| Ukudinwa kakhulu nokudinwa | Ubungakanani begazi elinika amalungu omzimba ioksijini kunye nezondlo azidingayo buyancipha, ngoko uhlala uziva udiniwe kwaye ungakwazi ukwenza nantoni na. |
| Ukubetha kwentliziyo | Usenokuvakalelwa kukuba isantya sentliziyo yakho siyanda ngequbuliso, isifuba sakho siyabetha ngamandla, okanye usenokuvakalelwa kukuba awukho ndawo ubetha kuyo. |
| Ukudinwa okanye Ukuquleka | Le meko inokubangelwa kukuncipha kokunikezelwa kwegazi engqondweni, ingakumbi xa umi ngequbuliso. |
| Iintlungu zesifuba | Ukuqina kwesifuba okanye intlungu zinokwenzeka ngexesha lokuzilolonga okanye xa uphumle. |
Into ebalulekileyo kukuba ezi mpawu zinokubonakala nakwezinye iimeko ezininzi zonyango. Ngoko ke ukuba unenye okanye ngaphezulu kwezi, eyona nto ingcono onokuyenza kukungaxhalabi uze ubone ugqirha ukuze akunike ingcebiso.
Kutheni oku kusenzeka? (Izizathu)
Amaxesha amaninzi, i-Restrictive Cardiomyopathy ivela njengesiphumo esingesihle sesinye isifo. Oko kukuthi, esinye isifo sonakalisa izihlunu zentliziyo size sibangele ukuba ziqine. Ngamanye amaxesha, akukho sizathu sithile sifumanekayo.
Nazi ezinye zezizathu eziphambili:
- I-Amyloidosis: Oku kwenzeka xa iproteni engaqhelekanga eveliswa ngumzimba (i-amyloid) ifakwa kwizitho ezahlukeneyo zomzimba, kuquka nentliziyo. Xa le proteni ifakwa entliziyweni, iindonga zemisipha yentliziyo ziyaqina kwaye ziqine.
- I-Sarcoidosis: Le yimeko apho amaqhuma amancinci eeseli ezivuthayo (iigranuloma) akheka kwiindawo ezahlukeneyo zomzimba. Xa ezi zikhula entliziyweni, zingonakalisa izihlunu zentliziyo kwaye zibangele ukuqina.
- I-Hemochromatosis: Le yimeko apho umzimba uqokelela isinyithi esininzi kakhulu, esinokuqokelelana kwizitho ezifana nentliziyo. Oku kungonakalisa nentliziyo.
- Izifo zezicubu ezidityanisiweyo: Iimeko ezifana ne-scleroderma zinokubangela ukuba izihlunu zentliziyo ziqine.
- Ezinye iindlela zonyango lomhlaza: Ezinye iindlela zonyango lomhlaza (i-chemotherapy) kunye nonyango lwemitha zinokubangela umonakalo kwimisipha yentliziyo njengesiphumo esibi.
Ugqirha uyifumana njani le nto?
Xa uxelela ugqirha wakho ngeempawu zakho, into yokuqala aza kuyenza kukuxilonga ngononophelo. Baza kumamela intliziyo yakho, balinganise uxinzelelo lwakho lwegazi, baze bajonge ukuba imilenze yakho idumbile na.
Emva koko, kucetyiswa iimvavanyo ezininzi ukuqinisekisa ukuxilongwa ngokuchanekileyo nokufumanisa ukuba yintoni ebangele oko.
| Uvavanyo | Kulindeleke ntoni koku? |
|---|---|
| I-Echocardiogram | Olu lolona vavanyo lubalulekileyo. Lufana ne-ultrasound scan yentliziyo. Lunokubona ngokucacileyo ukuba amagumbi entliziyo azaliswa ligazi ngokufanelekileyo na nokuba iindonga zawo zijiyile okanye ziqinile. |
| Uvavanyo lwegazi nomchamo | Ezi zinokunceda ekufumaneni unobangela. Umzekelo, uvavanyo lwegazi lungasetyenziswa ukujonga imeko efana ne-hemochromatosis. |
| I-X-reyi yesifuba, i-CT yentliziyo, i-MRI yentliziyo | Olu hlobo lweskeni lunokubonelela ngolwazi oluthe kratya malunga nobukhulu, imilo, kunye nolwakhiwo lwentliziyo. |
| I-Biopsy yeMyocardial | Kwezinye iimeko, iqhekeza elincinci kakhulu lesihlunu sentliziyo liyathathwa lize lihlolwe phantsi kwemicroscope. Oku kubaluleke kakhulu ukuqinisekisa unobangela ochanekileyo, ofana ne-amyloidosis okanye i-sarcoidosis. |
| Ezinye iimvavanyo | Uvavanyo olufana ne-ECG (Electrocardiogram) kunye novavanyo loxinzelelo lokuzivocavoca nazo zingenziwa xa kufuneka. |
Zithini iindlela zonyango zoku?
Akukho nyango lukhethekileyo lwe-Restrictive Cardiomyopathy. Kukho iinjongo ezimbini eziphambili kunyango:
1. Ukunyanga isifo esibangela le meko.
2. Lawula iimpawu ezikhoyo kwaye wenze ubomi bube lula.
Umzekelo:
- Ukuba le meko ibangelwa yi -sarcoidosis , amayeza anjenge -corticosteroids anokunikwa ngenxa yayo.
- Ukuba kungenxa ye -hemochromatosis (ukugqithisa kwesinyithi), unyango olubizwa ngokuba yi-therapeutic phlebotomy lwenziwa ukuze kususwe igazi ukuze kususwe isinyithi esingaphezulu emzimbeni.
- Ngoku kukho amayeza amatsha eentlobo ezithile ze -amyloidosis .
Ukongeza, ugqirha wakho unokucebisa oku kulandelayo ukunceda ukulawula iimpawu zokusilela kwentliziyo:
- I-Diuretics: Ezi zibizwa ngokuba 'ziipilisi zamanzi'. Zinceda umzimba ukhuphe amanzi angaphezulu ngomchamo, nto leyo enokunceda ekunciphiseni ukudumba emilenzeni kunye nokuphefumla nzima.
- Amayeza okulawula izinga lokubetha kwentliziyo: Ukuba ukubetha kwentliziyo yakho akuhambelani kakuhle, unokunikwa amayeza afana ne -beta-blockers okanye i-calcium channel blockers ukuze ayilawule.
- Amayeza oxinzelelo lwegazi.
Ezinye izigulana ezinezifo ezinzima kakhulu zinokufuna ukufakelwa intliziyo . Oogqirha bakwacebisa nonyango lokudambisa iintlungu , olunceda isigulana sizive sikhululekile kwaye lunciphise ukungonwabi okubangelwa ziimpawu.
Sihlala njani sisempilweni kule meko?
Kuqhelekile ukuba uzive usoyika xa ufumanisa ukuba unesi sifo. Nangona kunjalo, ngonyango olufanelekileyo kunye notshintsho oluncinci kwindlela ophila ngayo, ungawunciphisa umthwalo entliziyweni yakho kwaye uphile ubomi obungcono.
Utshintsho kwindlela yokuphila
- Ulawulo lwetyuwa: Nciphisa ubungakanani betyuwa obongeza ekutyeni kwakho. Ityuwa inokunyusa ukugcinwa kwamanzi emzimbeni, nto leyo ekhokelela ekudumbeni nasekuphefumuleni nzima. Ukutya okusezitotini, iisosi ezithengwa evenkileni, kunye neesoseji zinotyuwa eninzi.
- Ukutya okunempilo: Yitya imifuno emitsha, iziqhamo, kunye nokutya okutyebileyo kwi-fiber. Nciphisa amafutha ezilwanyana, iilekese, kunye neemveliso zomgubo.
- Ukuzilolonga: Buza ugqirha wakho ukuba loluphi uhlobo lokuzilolonga olufanelekileyo kuwe. Ukuzilolonga okunzima kusenokungafaneleki, kodwa ukuzilolonga okulula njengokuhamba kudla ngokuba kuhle.
- Nciphisa uxinzelelo: Uxinzelelo alulungelanga intliziyo. Khulula ingqondo yakho ngezinto ezifana nokucamngca, ukuzilolonga ukuphefumla, kunye nokwenza into oyithandayo.
Hlala ukhumbula ukulandela imiyalelo kagqirha wakho ngokuchanekileyo. Sela amayeza akho ngexesha. Ukuba uneengxaki, ungaze woyike ukuthetha nogqirha wakho.
Kunini apho kufuneka ubone ugqirha ngokukhawuleza?
Ukuba une-Restrictive Cardiomyopathy, kukho iimpawu ezithile ekufuneka uzazi ngakumbi. Ezi zisenokuba yingxamiseko.
Ukuba ufumana naziphi na kwezi mpawu zilandelayo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko:
- Intlungu yesifuba enzima okanye ekhawulezileyo
- Ubunzima bokuphefumla ngequbuliso, obunzima
- Ukuquleka okanye ukulahlekelwa zingqondo
Ezi zinokuba ziimpawu zoxinzelelo olukhulu entliziyweni, ngoko ke ukufuna unyango ngaphandle kokuchitha ixesha kunokusindisa ubomi.
Umyalezo Wokuya Ekhaya
- I-Restrictive Cardiomyopathy yimeko engaqhelekanga apho izihlunu ezikwiigumbi ezisezantsi (amagumbi) entliziyo ziba lukhuni kwaye zingakwazi ukuzaliswa ligazi ngokufanelekileyo.
- Ubunzima bokuphefumla, ukudumba kwemilenze, ukudinwa kakhulu, kunye nokubetha kwentliziyo okungaqhelekanga zezinye zeempawu eziphambili.
- Isizathu sesi sifo sidla ngokuba yenye imeko yezonyango efana ne-Amyloidosis okanye i-Sarcoidosis.
- Unyango lujolise kakhulu ekulawuleni iimpawu ngelixa kunyangwa unobangela.
- Ungaphila ubomi obusempilweni ngokulandela ukutya okunetyuwa encinci, ukwenza umthambo njengoko kucetyisiwe ngugqirha wakho, kunye nokuthatha amayeza akho owanikwe ngugqirha ngexesha.
- Ukuba ufumana iintlungu eziqatha esifubeni, ubunzima bokuphefumla, okanye ukuphelelwa ngamandla, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko.
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