Ingaba izihlunu zentliziyo yakho ziqinile? Masithethe nge-cardiomyopathy ethintelayo.

Ngaba wakha wazibuza ukuba kuya kwenzeka ntoni ukuba amagumbi amancinci angaphakathi entliziyweni yakho ayeka ukusebenza kakuhle? Ngamanye amaxesha, izihlunu zethu zentliziyo ziyaqina kancinci kwaye azikwazi ukuzaliswa ligazi ngokufanelekileyo. Kulapho ke sinokuthi siphuhlise into esiza kuthetha ngayo, i-cardiomyopathy ethintelayo. Ungakhathazeki, masiyigcine ilula.

Yintoni i-Restrictive Cardiomyopathy?

Ngamafutshane, le yimeko echaphazela izihlunu zentliziyo. Izihlunu ezikwiigumbi ezimbini ezisezantsi kwentliziyo yethu, ezibizwa ngokuba zii-ventricles , ziyaqina. Akufani nebhanti yerabha ebuyela endaweni yayo xa uyisolula, kodwa izihlunu aziguquguquki kakuhle. Oku kuthetha ukuba ezi gumbi azinandawo yaneleyo yokuzalisa igazi ngokufanelekileyo. Xa oku kusenzeka, ukuhamba kwegazi entliziyweni kuyaphazamiseka.

Kukho amanye amagama alo mba, kwaye ngamanye amaxesha oogqirha banokusebenzisa la magama:

• `I-cardiomyopathy ethintela i-Idiopathic`
• I-cardiomyopathy engaphakathi (isifo semisipha yentliziyo esibangelwa kukungena kwezinye izinto kwisihlunu)

Ngubani onokuba sengozini enkulu yokuhlaselwa sesi sifo? Sixhaphake kangakanani?

Nangona nabani na enokuba nale meko, `(Restrictive Cardiomyopathy)`, ixhaphake kakhulu kwabanye abantu ngenxa yeemeko ezithile ezifihlakeleyo. Umzekelo, `(Sarcoidosis)` (enokubangela `(Restrictive Cardiomyopathy)`) ixhaphake kakhulu kubasetyhini beentlanga ezithile.

I-cardiomyopathy yimeko eqhelekileyo. Ichaphazela malunga nomntu omnye kwabangama-500. Nangona kunjalo, olu hlobo lwe-cardiomyopathy lolona lunqabileyo . Lubangela malunga ne-5% yazo zonke iimeko ze-cardiomyopathy. Ngoko ke, le yinto engasoloko iviwa, kodwa kufanelekile ukuyazi.

I-cardiomyopathy ethintelayo iyichaphazela njani intliziyo?

Intliziyo yethu sisitho esimangalisayo. Ineendawo ezine, ezenziwe ngemisipha. Ezi ndawo zimpompa igazi ngokurhuqa. Iindawo ezimbini eziphezulu zibizwa ngokuba yi-'Atria' , kwaye iindawo ezimbini ezisezantsi zibizwa ngokuba yi-'Ventricles' .

Okwenzekayo kule meko `(Restrictive Cardiomyopathy)` kukuba izihlunu zamagumbi asezantsi (`Ventricles`) ziyaqina zize ziphelelwe bubuthambile bazo. Emva koko loo magumbi awakwazi ukuzaliswa ngokupheleleyo ligazi. Cinga ngokufutha ibhaluni, ukuba ibhaluni ayifuthwanga kakuhle, iya kubamba umoya omncinci kuphela. Yiloo nto eyenzekayo nalapha. Oku kubangela ukuphazamiseka kwenkqubo yonke yokuhamba kwegazi entliziyweni.

Zithini iimpawu? Ngaba zinokubonwa kwangethuba?

Ngamanye amaxesha kusenokungabikho zimpawu , ingakumbi kwizigaba zokuqala. Kodwa njengoko isifo siqhubeka, ukusilela kwentliziyo kunokwenzeka.Iimpawu ezifana nezo zomkhuhlane ziqala ukubonakala. Nazi ezinye zezo mpawu:

• Ukugcwala kwesisu okanye isicaphucaphu.
• Intlungu yesifuba (enokwenzeka xa uphumle okanye ngexesha lokuzilolonga).
• Ukudinwa okanye ukuquleka.
• Ukudumba kwemilenze neenyawo (`Edema`).
• Ukuziva udiniwe ngalo lonke ixesha (`Ukudinwa`).
• Ukuva isantya sentliziyo esingaqhelekanga (`Intliziyo ibetha ngamandla`).
• Ubunzima bokuphefumla (i-Dyspnea), ngamanye amaxesha nokuba usebenza kancinci.
• Ukunyuka kwesisindo ngequbuliso.

Kubalulekile: Ukuba unenye okanye ngaphezulu kwezi mpawu, musa ukucinga ukuba yi-'Restrictive Cardiomyopathy'. Nangona kunjalo, kungcono ukubona ugqirha ukuze akunike ingcebiso.

Kutheni le meko isenzeka? Zithini izizathu?

Kukho izizathu ezininzi eziphambili ze-cardiomyopathy engqongqo. Oko kukuthi, inokubangelwa zezinye iimeko zonyango.

• `Amyloidosis` : Oku kwenzeka xa iproteni ifakwa kwimisipha yentliziyo.
• Izifo zezicubu ezidityanisiweyo : Izifo ezichaphazela izicubu ezahlukeneyo zomzimba.
• I-Hemochromatosis (ubuninzi besinyithi) : Ukuqokelelwa kwesinyithi ngokugqithisileyo emzimbeni.
• I-Sarcoidosis : Ukwakheka kwamaqela amancinci eeseli ezibizwa ngokuba zii-granulomas kwizitho ezahlukeneyo zomzimba.

Ukongeza, kunokwenzeka ukuba le meko ivele emva konyango oluthile lomhlaza:

• Unyango ngamakhemikhali
• Unyango ngemitha

Oogqirha bayixilonga njani ngokuchanekileyo le sifo? (Ukuxilongwa)

Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho, enze uvavanyo lomzimba, amamele ukubetha kwentliziyo yakho, aze ajonge uxinzelelo lwegazi lakho.

Emva koko, ukuqinisekisa ukuxilongwa nokubona ukuba amagumbi entliziyo (ii-ventricles) asebenza kakuhle na, kwenziwa i- echocardiogram (i-heart scan). Oku kunokujonga izinto ezifana nokusebenza kwentliziyo kunye nobukhulu bemisipha.

Ugqirha wakho unokucebisa nezinye iimvavanyo ezininzi ukujonga ezinye iimeko ezinokubangela i-Restrictive Cardiomyopathy. Ezi ziquka:

• Uvavanyo lwegazi nomchamo.
• I-X-ray yesifuba.
• Iskeni yentliziyo ethi `CT` (`Cardiac CT scan`).
• Uvavanyo loxinzelelo lokuzivocavoca.
• I-MRI yentliziyo.
• Iskeni ye-PET yentliziyo.
• Ukufakwa kwe-catheter yentliziyo yasekunene.
• I-biopsy ye-myocardial - Oku kuquka ukuthatha isampuli encinci yemisipha yentliziyo nokuyivavanya.
• Uvavanyo lwemfuza.

Ngaba kukho unyango? Luphathwa njani?

Ngelishwa, le meko, ebizwa ngokuba yi-'Restrictive Cardiomyopathy', ichaphazela le meko ngokukodwa.Akukho nyango okwangoku. Nangona kunjalo, oogqirha banokuyinyanga imbangela eyintloko baze balawule iimpawu.

Ukuba uneempawu ezinxulumene nokusilela kwentliziyo, ugqirha wakho unokucebisa olu nyango lulandelayo:

• Ii-corticosteroids (amayeza anjengee-steroid) ukuba une-sarcoidosis.
• I-Diuretics (amayeza abangela ukwanda kokuchama) ukunciphisa ulwelo olugqithisileyo emzimbeni.
• Amayeza okunyanga ukungalingani kwesantya sentliziyo (umz. `Antiarrhythmics`, `Beta-blockers` okanye `Calcium channel blockers`).
• I-phlebotomy yonyango lunyango lwabantu abane-hemochromatosis (ubuninzi besinyithi).
• Amayeza athile eentlobo ezithile ze-`(Amyloidosis)`.

Abanye abantu banokufuna utyando lokufakelwa intliziyo ekugqibeleni xa isifo siba sibi kakhulu. Banokuthunyelwa kunyango lokuthomalalisa iimpawu nokugcina umgangatho wobomi ulungile.

Ziziphi iingxaki ezinokubakho zesi sifo?

Ezinye iingxaki ezininzi zinokwenzeka ngenxa ye-'Restrictive Cardiomyopathy'. Nazi:

• Ukubetha kwentliziyo ngendlela engaqhelekanga : Ukubetha kwentliziyo ngendlela engaqhelekanga.
• Ukusilela kwentliziyo : Intliziyo ayikwazi ukupompa igazi elaneleyo emzimbeni.
• Amahlwili egazi kunye nestroke (`Thromboembolism` okanye `Stroke`) : I-blood clot ingabangela istroke.

Singenza ntoni ukunciphisa umngcipheko?

Le meko, ethi ``Restrictive Cardiomyopathy,'' ithetha ukuba intliziyo yakho kufuneka isebenze nzima ukupompa igazi. Ngoko ke, kubalulekile ukuthetha nogqirha wakho malunga nento onokuyenza ukunciphisa umthwalo womsebenzi entliziyweni yakho.

Nangona kunzima ukuthintela iimeko zonyango ezibangela i-Restrictive Cardiomyopathy, ungenza oku kulandelayo ukugcina intliziyo yakho isempilweni:

• Lawula uxinzelelo lwakho lwegazi .
• Gcina ubunzima bakho busempilweni .
• Nciphisa uxinzelelo .

Yintoni omele uyilindele xa uphila nesi sifo?

I-Restrictive Cardiomyopathy yimeko enzima, ngoko ke kubalulekile ukuthetha nogqirha wakho rhoqo malunga namanyathelo onokuwathatha ukugcina intliziyo yakho isempilweni.

Ixesha onokuphila ngalo nesi sifo liyahluka kumntu nomntu. Ugqirha wakho uza kukuchazela wena nosapho lwakho indlela esiza kuqhubeka ngayo esi sifo kunye nento omawuyilindele.

Ndingazinyamekela njani? (Ukuzinyamekela)

Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngokuchanekileyo kwaye uthathe onke amayeza owanikwe ngugqirha wakho ngexesha. Ukongeza, ugqirha wakho angakuxelela ukuba wenze utshintsho kwindlela ophila ngayo olufana nolu:

• Ukutya okunempilo okunetyuwa encinci (okulawulwa yi-sodium)Yise e.
• Ukuzilolonga (kuphela njengoko ugqirha wakho ekuyalele).

Ufanele ufune nini ingcebiso yezonyango ngokukhawuleza?

Ukuba uziva ngathi iimpawu zakho zokusilela kwentliziyo ziya zisiba mandundu, okanye ukuba ufumana iimpawu ezintsha, fowunela ugqirha wakho ngoko nangoko .

Kwakhona, xa kukho imeko engxamisekileyo efana nale, yiya esibhedlele ngokukhawuleza (ukuba useSri Lanka, fowunela inombolo engxamisekileyo efana no-1990):

• Ukuba unentlungu eqatha esifubeni .
• Ukuba uyafa isiqaqa .
• Ukuba ngequbuliso ufumana ubunzima obukhulu bokuphefumla .

Khumbula: Intliziyo sisitho esibaluleke kakhulu ebomini bethu, ngoko ke kubaluleke kakhulu ukuyinyamekela.

Umyalezo Wokuya Ekhaya

Kulungile, nazi izinto ezilula ekufuneka uzikhumbule malunga ne-`(Restrictive Cardiomyopathy)` esithethe ngayo:

• Okwenzekayo koku kukuba izihlunu ezikwiigumbi ezisezantsi (ii-ventricles) zentliziyo ziyaqina kwaye zilahlekelwe bukuguquguquka kwazo .
• Ngenxa yoko, ezo seli azikwazi ukuzaliswa ligazi ngokufanelekileyo .
• Emva koko intliziyo kufuneka isebenze nzima ukupompa igazi emzimbeni, nto leyo enokubangela "ukusilela kwentliziyo".
• Nangona kungekho nyango lucacileyo loku, lulawulwa ngokunyanga unobangela oyintloko kunye nokulawula iimpawu .
• Ukuba unemibuzo okanye amathandabuzo malunga noku, ungoyiki ukuthetha nogqirha wakho .

Ndikunqwenelela impilo entle!

I- Cardiomyopathy ethintelayo, isifo sentliziyo, isifo semisipha yentliziyo, ukuphefumla okufutshane, iintlungu zesifuba, ukuhlaselwa yintliziyo, unyango lwezonyango