Ngaba wakha waziva udiniwe, uphelelwa ngumphefumlo, okanye imilenze idumbile? Usenokuba ukhe wabona into ebizwa ngokuba yi-"Right Atrial Enlargement" kwingxelo yakho ye-ECG. Kuqhelekile ukuba uzive usoyika kancinci xa usiva eli gama. Kodwa ungakhathazeki. Namhlanje, siza kuthetha ngokuba yintoni le nto kuthiwa yi-right atrial enlargement, yintoni ebangela oko, kwaye kutheni kufuneka siyiqaphele.
Yintoni iRight Atrial Enlargement?
Ngamafutshane, oku kuthetha ukuba igumbi eliphezulu lasekunene lentliziyo yakho, i-'Right Atrium', likhulu kunesiqhelo. Cinga ngentliziyo yakho njengendlu enamagumbi amane. Igumbi eliphezulu lasekunene yi-atrium yasekunene.
I-atrium yasekunene yindawo yokuqala yokumisa igazi elineoksijini (silibiza ngokuba 'ligazi elingcolileyo') eliye lampontshwa emzimbeni wonke lize libuyele entliziyweni. Lifana nomnyango ophambili wendlu. Igazi eliza apha, emva kokuvula ivalvu elandelayo (iTricuspid Valve), liya kwi-ventricle yasekunene engezantsi. Ukusuka apho, igazi limpontshwa liye emiphungeni ukuze liphinde limpontshwe ioksijini.
Ngoko ke, ukuba ngesizathu esithile inani legazi elingena kule atrium yasekunene liyakhula, okanye ukuba uxinzelelo olungaphakathi kwelo gumbi luyanda, njengebhaluni evuthelwayo xa uvuthela umoya omninzi kuyo, le gumbi nalo liqala ukuba likhulu kancinci kancinci. Into ebalulekileyo kukuba, le meko ayisoloko izenzekela yodwa. Luphawu lwenye ingxaki emzimbeni, ingakumbi entliziyweni okanye emiphungeni.
Ingaba le yimeko enzima kubo bonke abantu?
Akunjalo rhoqo. Umzekelo, izihlunu zentliziyo zabadlali abazilolonga rhoqo, njengezinye izihlunu, ziyaqina kwaye zikhule. Yinto eqhelekileyo leyo kubo.
Nangona kunjalo, ukuba i-atrium yasekunene ikhulisiwe kumntu ongengomdlali, oko kuthetha ukuba kukho enye into ekufuneka siyiqwalasele. Umzekelo:
- Uxinzelelo lwegazi oluphezulu kwimiphunga: Xa uxinzelelo oluphezulu kwimiphunga lusanda, kuba nzima kwi-ventricle yasekunene ukupompa igazi. Oku kunokubangela ukuba igazi libuyele umva lize lihlangane kwi-atrium yasekunene, nto leyo ebangela ukuba likhule.
- IiValve Ezivuzayo: Ukuba iivalve ezisentliziyweni azivaleki kakuhle kwaye igazi livuza libuyela umva, igazi elongezelelweyo linokuqokelelana kwi-atrium yasekunene lize libangele ukuba idumbe.
- Ukusilela kwe-ventricular yasekunene: Ukuba igumbi elisezantsi (i-ventricle yasekunene) libuthathaka, alikwazi ukupompa lonke igazi elingenayo. Igazi eliseleyo libangela uxinzelelo ukuba luqokeleleke, nto leyo echaphazela i-atrium ephezulu.
Ubunzima bale meko buxhomekeke kwisizathu esiyintloko, iimpawu zakho, kunye nonyango olufumanayo. Abantu abaneempawu basengozini enkulu kancinci kunabo bangenazo iimpawu.
Ziziphi ezinye izifo ezinokunxulunyaniswa nale meko?
Ukwandiswa kwe-atrial yasekunene kunxulunyaniswa neemeko ezahlukeneyo zonyango. Makhe sijonge ukuba ziyintoni na.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| Isifo sentliziyo esizalwa naso | Umzekelo, iimeko ezifana neTetralogy of Fallot okanye iPulmonary Stenosis (ukuncitshiswa komthambo wegazi ukuya emiphungeni). |
| Izifo zevalvu yentliziyo | Ukuncitshiswa kweevalvu ezikwicala lasekunene (iTricuspid Stenosis) okanye ukuvuza kwegazi kuzo. |
| Izifo ezinxulumene nemiphunga | Isifo semiphunga esingapheliyo (i-COPD) okanye uxinzelelo lwegazi oluphezulu emiphungeni (i-Pulmonary Hypertension) kubeka uxinzelelo olungaphezulu kwicala lasekunene lentliziyo (i-Cor Pulmonale). |
| Ukuphazamiseka kwentliziyo | Iimeko ezifana nokubetha kwentliziyo okungaqhelekanga (i-Atrial Fibrillation) okanye ukubetha kwentliziyo okukhawulezayo (i-Atrial Flutter). |
| I-Hypertrophy ye-Ventricular yasekunene | Ukwandiswa kwegumbi elingaphantsi kwicala lasekunene lentliziyo, okuchaphazela negumbi eliphezulu. |
Ungayifumana njani le meko?
Eyona ndlela iphambili nelula yokufumana oku kukusebenzisa i-ECG (i-Electrocardiogram) . Xa ugqirha wakho ejonga i-ECG yakho, uza kujonga ngokukodwa 'i-P wave'. Le P wave imele ukufinyela kwe-atria yakho ezimbini. Ukuba i-atrium ekunene ikhulisiwe, le P wave iya kuba nde kunesiqhelo.
Kodwa khumbula, ukuba nolu tshintsho kwi-ECG yakho akuthethi ukuba unengxaki enkulu yempilo. Ngoko ke, zive ukhululekile ukuxoxa ngayo nayiphi na inkxalabo onayo malunga neengxelo zakho nogqirha wakho.
Ukongeza kwi-ECG, kukho nezinye iimvavanyo zokuqinisekisa le meko nokufumanisa unobangela oyintloko.
- I-Transthoracic Echocardiogram (TTE): Olu luvavanyo lwentliziyo. Lunokubona ngokucacileyo amagumbi entliziyo, iivalvu, kunye nendlela ezisebenza ngayo.
- I-Cardiac CT Scan okanye i-Heart MRI: Ezi zinokufumana imifanekiso yentliziyo enamacala amathathu (3D) kwaye ziyihlolisise nzulu ngakumbi.
- I-Echocardiogram yosana olusesiswini: Iskeni ekhethekileyo eyenziweyo ukuze kufunyanwe naziphi na iingxaki zentliziyo ngelixa umntwana esesesibelekweni.
Ngaba oku kunganyangwa ngonyango?
Ewe. Eyona nto ibalulekileyo kukufumana unobangela oyintloko nokuwunyanga. Ukwanda kwe-atrial ngasekunene sisiphumo nje. Ngokunyanga unobangela, le meko inokulawulwa.
- Ukuba une-pulmonary hypertension, uza kunikwa amayeza ayo.
- Ukuba kukho ingxaki ngevalvu, ingadinga amayeza okanye utyando.
- Ukuba kukho ukubetha kwentliziyo okungahambelaniyo, kuya kunikwa amayeza okulawula ukubetha kwentliziyo.
Kunqabile kakhulu, utyando lunokucetyiswa ukuze i-atrium efanelekileyo ibe ncinci. Emva kotyando, kunokufuneka uqhubeke nokusela amayeza okuthintela ukuqhekeka kwegazi nokulawula isantya sentliziyo yakho.
Nokuba yeyiphi na indlela yonyango, ugqirha wakho uza kukuchazela ngokucacileyo.
Ufanele uye nini kugqirha?
Abanye abantu abanale meko basenokungabi nazo naziphi na iimpawu. Nangona kunjalo, ukuba unenye okanye ngaphezulu kwezi mpawu zilandelayo, kubalulekile ukufuna ingcebiso kagqirha.
| Iimpawu ekufuneka uziqaphele |
|---|
| Ukubetha kwentliziyo: Ukuziva ngathi intliziyo ibetha ngokukhawuleza okanye ngendlela engaqhelekanga. |
| Ubunzima bokuphefumla: Ukuziva uphelelwa ngumphefumlo nokuba unemisebenzi emincinci. |
| Ukudumba komzimba:Ukudumba, ingakumbi emilenzeni, emaqatheni nasezinyaweni. |
| Ukudinwa: Ukudinwa kakhulu okungathi akukho nto inokwenziwa. |
Iimpawu ezinxulumene nentliziyo azifanele zithathwe lula. Thetha nogqirha wakho ngayo nayiphi na into ebonakala ingaqhelekanga. Ukuba kukho ingxaki, kungcono ukuyifumanisa kwangethuba ngaphambi kokuba ibe mandundu.
Umyalezo Wokuya Ekhaya
- Ukwanda kwe-Atrial ngasekunene kudla ngokuba luphawu lwenye imeko yezonyango, kungekhona isifo ngokwaso.
- Eyona nto ibalulekileyo ekunyangeni oku kukufumana nokunyanga isifo esibangele oku.
- Ukuba uneempawu ezifana nentliziyo ebetha ngamandla, ubunzima bokuphefumla, okanye imilenze evuvukileyo, musa ukuzityeshela.
- Ukuba oku kukhankanyiwe kwingxelo yakho ye-ECG okanye kwezinye iirekhodi zonyango, ungoyiki ukuthetha nogqirha wakho umchazele. Ngokuchongwa kwangoko kunye nonyango olufanelekileyo, ungaphila ubomi obusempilweni.
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