Ngaba uva isandi esingaqhelekanga esithi "soo... soo..." siphuma entliziyweni yakho? Isenokuba yiSystolic Heart Murmur!

Xa ugqirha ephulaphula isifuba sakho nge-stethoscope, ngamanye amaxesha unokuva isandi esincinci esithi 'swoosh' okanye 'whistle' ukongeza kwisandi esiqhelekileyo 'se-lub-dub' sentliziyo yakho. Oku sikubiza ngokuba 'yi-heart murmur'. Abanye abantu bayoyika xa besiva oku, kodwa ayizizo zonke ii-murmur eziyingozi. Namhlanje siza kuthetha ngenye ye-murmur enjalo , i-Systolic Murmur .

Yintoni iSystolic Murmur?

Ngamafutshane, isandi esingaqhelekanga osivayo xa intliziyo yakho iqina, oko kukuthi, xa ipompa igazi emzimbeni wakho. Oogqirha bathi esi sisandi sentliziyo. Xa ujonga uxinzelelo lwegazi lakho , inani eliphezulu loxinzelelo lwentliziyo.

Isandi sentliziyo siveliswa njani?

Intliziyo yethu ineevalvu ezine. Ezi zifana neengcango ezivumela igazi ukuba lihambe kwicala elinye kuphela. Xa intliziyo ibetha, isandi esithi 'lub-dub' sivakala njengoko ezi valve zivala.

• Isandi sokuqala ('ilebhu'): Oku kwenzeka xa iivalvu ze-mitral kunye ne-tricuspid (ezikwabizwa ngokuba ziivalvu ze-atrioventricular ) zivaleka. Oku kuxa intliziyo iqala ukufinyela (i-systole).
• Isandi sesibini ('dub'): Oku kwenzeka xa iivalvu ze-aortic kunye ne-pulmonic (ezibizwa ngokuba ziivalvu ze-semilunar ) zivaleka. Ngeli xesha, intliziyo ilungiselela ukuzaliswa ligazi kwakhona.

Isandi se-systolic murmur sisandi esongezelelweyo 'sokukhwaza' okanye 'sokukhwaza' esivakalayo ngesandi sokuqala 'sokukhwaza' okanye emva kwaso. Isizathu esiphambili soku kukuhamba kwegazi okuguquguqukayo entliziyweni. Kufana nesandi sombhobho wamanzi ovalekileyo.

Nangona ezi ngxolo zingasoloko zingeyongozi, ngamanye amaxesha zinokuba luphawu lwesifo sentliziyo esingaphantsi. Ngoko ke ukuba ugqirha wakho ukuxelela ukuba unengxolo, kubalulekile ukuba uyixilonge.

Ziziphi iintlobo eziphambili ze-systolic murmur?

Oogqirha bahlula ezi ngxolo zibe ziintlobo ezimbini:

• Ukumbombozela Okusebenzayo: Aba bantu abanazo iziphene zesakhiwo sentliziyo, nto leyo ethetha ukuba akukho ngxaki ngokuma kwentliziyo okanye iivalvu. Ezi zidla ngokuba kukumbombozela okungenatyala .
• Ukumbombozela okungokwemvelo: Aba bantu banombombozela ngenxa yengxaki yesakhiwo sentliziyo. Oku kuthetha ukuba kunokubakho isiphene kwivalvu okanye eludongeni lwentliziyo.

Ezi systolic murmurs nazo zahlulwe ngenye indlela:

• Ukububula ngokuKhupha:Ezi zihlala ziqala ngeevalvu zesemilunar ebesithethe ngazo ngaphambili. Ezi valve zezona zithwala igazi lisuka entliziyweni liye kwi-aorta kwaye umthambo we-pulmonary uye emiphungeni. Isandi sokukhupha igazi sisandi esenziwa xa intliziyo ikhupha igazi, okanye 'ilikhupha'. Ezi zinokuba zisebenza okanye zendalo.
• Ukumbombozela Okungapheliyo: Oku kwenzeka xa iivalvu zentliziyo zingavali kakuhle, nto leyo ebangela ukuba igazi livuza ngasemva. Kufana nombhobho wamanzi ongavali kakuhle. Zihlala ziqala kwiivalvu ze-atrioventricular. Zonke ii-murmur ze-systolic eziphindaphindayo ziyi-organic , nto leyo ethetha ukuba kukho isiphene esithile kwisakhiwo.

Yintoni umahluko phakathi kwe-systolic kunye ne-diastolic murmur?

Zombini ezi zizandi zentliziyo ezingaqhelekanga.

• Ukudumba kwe-Systolic: Oku kuvakala xa izihlunu zentliziyo zifinyela (ekuqaleni okanye ngexesha lokubetha kwentliziyo).
• Ukukhwaza kwe-Diastolic: Oku kuvakala xa izihlunu zentliziyo ziphumle (phakathi kwentliziyo ezimbini).

Ngamafutshane, i-systolic sisandi esiza xa intliziyo 'isebenza', kwaye i-diastolic sisandi esiza xa intliziyo 'iphumle'.

Yintoni umahluko phakathi kokumbombozela kwentliziyo okumsulwa nokungaqhelekiyo?

Oku kubaluleke kakhulu.

• Ukumbombozela Kwentliziyo Okungengomntu: Ngamanye amaxesha okumbombozela akulophawu lwesifo sentliziyo. Oku kubizwa ngoogqirha ngokuba 'kukumbombozela kwentliziyo okungengomntu.' Oku kudla ngokubonakala kubantwana abancinci, kubafazi abakhulelweyo, okanye kwiimeko ezifana nomkhuhlane okanye emva kokuzilolonga kakhulu. Uninzi lwexesha, oku akudingi nyango kwaye kuya kuphela ngokuhamba kwexesha.
• Ukumbombozela Kwentliziyo Okungaqhelekanga: Kwelinye icala, ezinye izimbombozela luphawu lwesifo sentliziyo esingaphantsi. Ezi zibizwa ngokuba 'ziimbombozela zentliziyo ezingaqhelekanga.' Ukuba unombombozela ongaqhelekanga, kuya kufuneka kufunyanwe unobangela uze unyangwe.

Musa ukoyika! Akufuneki ukoyika xa ugqirha ekuxelela ukuba une-murmur. Ungafumanisa ukuba ayinabungozi okanye ayinabungozi, okanye kukho into engalunganga ngayo.

Ziziphi iimpawu ze-systolic murmur?

Abantu abaninzi abanesigqubuthelo sentliziyo basenokungabi nazo naziphi na iimpawu. Nangona kunjalo, ngokuxhomekeke kwisizathu sokusigqubuthelo, unokufumana iimpawu ezifana nezi:

• Umbala oluhlaza okwesibhakabhaka kulusu (ingakumbi imilebe kunye neenzipho).
• Ukukhohlela okungapheliyo.
• Ukuquleka ngequbuliso (i-syncope) .
• Ndiziva ndidiniwe ngokukhawuleza.
• Ukudumba kwemilenze, ukugcinwa kolwelo (ukudumba) .
• Ukuziva unesizungu (vertigo).
• Ubunzima bokuphefumla (ukuphelelwa ngamandla) , ingakumbi xa uzilolonga okanye ulele phantsi.

Ukuba unale mpawu, kubaluleke kakhulu ukubona ugqirha.

Yintoni ebangela ukudumba kwentliziyo ye-systolic?

Kunokubakho izizathu ezahlukeneyo. Ukukrazula kokukhupha isisu kunye nokukrazula okuphinda-phindayo esikuxubushileyo ngaphambili kunezizathu ezahlukeneyo.

Izizathu zokuBubula ngokuKhupha:

• I-Aortic stenosis: Oku kukuncitshiswa kwevalvu ephambili ethwala igazi ukusuka entliziyweni ukuya emzimbeni wonke (ivalvu ye-aortic), njengocango olungakwaziyo ukuvula kakuhle. Oku kubangela ukuvaleka kokuhamba kwegazi.
• I-Atrial septal defect (ASD): Umngxuma omncinci eludongeni phakathi kwamagumbi amabini aphezulu (atria) entliziyo.
• I-Hypertrophic obstructive cardiomyopathy (HOCM): Esi sisifo sentliziyo esibangelwa lufuzo apho udonga (septum) phakathi kwamagumbi amabini asezantsi (amagumbi) entliziyo luba lukhuni ngendlela engaqhelekanga.
• I-pulmonic stenosis: Ukuncitshiswa kwevalvu ethwala igazi ukusuka entliziyweni ukuya emiphungeni (ivalvu yepulmonic).

Izizathu zokungavumi ukucula:

• Ukubuyela kwevalvu yeMitral: Ngokwesiqhelo, ivalvu yemitral kufuneka ivalwe xa intliziyo iqina (ngexesha le-systole). Nangona kunjalo, kule meko, ivalvu ayivali kakuhle, nto leyo evumela igazi ukuba livuza libuyele umva kwi-atrium yasekhohlo.
• Ukubuyela kwevalvu yeTricuspid: Oku kufana nokubuyela kwemitral, kodwa kwenzeka kwivalvu yetricuspid kwicala lasekunene lentliziyo. Igazi livuza umva lisuka kwiventricle yasekunene liye kwiatrium yasekunene.
• I-Ventricular septal defect (VSD): Umngxuma eludongeni phakathi kwamagumbi amabini asezantsi (ii-ventricles) entliziyo. Esi sisifo esiqhelekileyo sokuzalwa kwabantwana abancinci.

Uyibona njani i-systolic murmur?

Oku kungxola kudla ngokuvakala okokuqala xa ugqirha wakho emamele intliziyo yakho nge-stethoscope. Xa ugqirha efuna esi sandi, uza kukhangela oku kulandelayo:

• Ungasiva ixesha elingakanani eso sandi?
• Isandi sivela phi kanye entliziyweni?
• Injani isandi kunye nomthamo waso ? (Ingaba sivakala sithambile okanye siphezulu?)
• Ingaba isandi siyatshintsha xa utshintsha indawo (umz., ulele phantsi, umile)?

Ngaba kuza kufuneka ezinye iimvavanyo?

Ewe, ukuba ugqirha wakho ufuna ukwazi ngakumbi nge-murmur, unokukuthumela kwi-cardiologist, onokwenza iimvavanyo ezifana nezi:

• Ukufakwa kwe-catheter kwintliziyo: Kule nkqubo, kufakwa ityhubhu encinci, eguquguqukayo (i-catheter) nge-groin okanye ingalo, ikhokelwa ngemithambo yentliziyo, kwaye imeko yemithambo ihlolwe kusetyenziswa ii-X-ray kunye nolwelo olukhethekileyo (idayi yokwahlulahlula).
• I-X-ray yesifuba:Oku kuthatha imifanekiso yamathambo, intliziyo, kunye nemiphunga.
• I-Echocardiogram (Echo): Oku kufana ne-ultrasound scan yomntwana osesibelekweni. Isebenzisa amaza esandi ukubona izinto ezifana nendlela intliziyo ebetha ngayo, indlela esebenza ngayo iivalvu, kunye nobukhulu bentliziyo. Olu luvavanyo olubaluleke kakhulu lokufumana unobangela wokukrokra.
• I-Electrocardiogram (EKG/ECG): Le irekhoda umsebenzi wombane wentliziyo. Ingajonga iingxaki zesingqisho sentliziyo.

Ngaba kukho isikali sokulinganisa i-systolic murmur?

Ewe, oogqirha banika amanqaku okukhwaza ngokusekwe kubukhali bako. Kukho isikali sokuqala ku-1 ukuya ku-6.

• Ibanga loku-1: Ingxolo ethule kakhulu, engavakaliyo kangako. Ngugqirha onamava kuphela onokuyibona.
• Ibanga lesi-2: Isandi esithambileyo, kodwa sivakala nge-stethoscope.
• Ibanga lesi-3: Ingxolo ephakathi.
• Ibanga lesi-4: Ingxolo iphezulu, kwaye ungaziva uchulumancile xa ucinezela isandla sakho esifubeni sakho.
• Ibanga lesi-5: Ingxolo kakhulu. Ungayiva nokuba ubeka nje i-stethoscope esifubeni sakho uze umamele. Ungaziva nokungcangcazela.
• Ibanga lesi-6: Ingxolo enkulu kakhulu. Ivakala ngokwaneleyo nokuba i-stethoscope ayifakwanga esifubeni, okanye ikufutshane kancinci.

Olu vavanyo lunokukunika umbono othile wobunzima bokukrazula.

Iphathwa njani i-systolic heart murmur?

Unyango luxhomekeke ekubeni ukurhawuzelela akunatyala okanye akuqhelekanga ngenxa yesifo sentliziyo esingaphantsi.

KuMarmer omsulwa:

Ezi zinto zihlala ziphela ngaphandle konyango. Ugqirha uza kukuxelela ukuba ulinde uze ubone, mhlawumbi ubuye ujonge emva kwexesha elithile.

Kwiingxolo ezingaqhelekanga:

Oku kufuna unyango lwesifo sentliziyo esisisiseko, esinokufuna amayeza, utyando, okanye zombini.

Amayeza:

• Izithinteli ze-enzyme eguqula i-angiotensin (ACE): Umzekelo, iCaptopril kunye neBenazepril. Ezi zinciphisa uxinzelelo lwegazi.
• Ii-Beta-blockers: Umzekelo, iMetoprolol, iBisoprolol. Ezi zinciphisa izinga lentliziyo kunye noxinzelelo lwegazi.
• Izinto zokunciphisa igazi: Umzekelo, iWarfarin, iAspirin. Ezi zithintela ukwakheka kwamahlwili egazi entliziyweni.
• I-Diuretics: Umzekelo, i-Furosemide, i-Torsemide. Ezi zinciphisa ulwelo olugqithisileyo emzimbeni. Oku kunokunceda kwezinye izifo zentliziyo.

Utyando:

Ukuba imeko yentliziyo imbi kakhulu, kusenokufuneka kulungiswe ivalvu, kufakwe ivalvu entsha, okanye kwenziwe olunye utyando.

• Ukulungiswa kweevalvu: Oku kungasetyenziselwa ukukhulisa (ukuvula) ivalvu encitshisiweyo okanye ukuqinisa ivalvu evuzayo engavali kakuhle.
• Ukutshintshwa kwevalvu: Ukuba ivalvu incinci kakhulu okanye yonakele, ugqirha angayitshintsha ngevalvu yethishu okanye ivalvu yomatshini.
• Utyando lwentliziyo oluvulekileyo: Ngamanye amaxesha, kufuneka utyando lwentliziyo oluvulekileyo ukuze kuvalwe imingxunya, efana ne-atrial septal defect (ASD) okanye i-ventricular septal defect (VSD) esithethe ngayo.

Ngaba ukumbombozela kwentliziyo ye-systolic kunokuthintelwa?

Akukho ndlela ithile yokuthintela ukudumba kwe-systolic. Ezinye zizalwa nazo, ngelixa ezinye zibangelwa zezinye iimeko. Nangona kunjalo, kubalulekile ukugcina impilo yentliziyo yakho iyonke. Nazi ezinye izinto onokuzenza ukunceda:

• Yenza umthambo we-aerobic ubuncinane imizuzu eli-150 ngeveki (njengokuhamba, ukubaleka, okanye ukukhwela ibhayisekile).
• Yitya ukutya okunempilo okutyebileyo kwiinkozo, iziqhamo kunye nemifuno.
• Nciphisa i-caffeine (iti, ikofu) kunye notywala.
• Ukuba uyatshaya, kufuneka uyeke .
• Nciphisa uxinzelelo ngezinto ezifana nokucamngca.
• Lala kakuhle ubuncinane iiyure ezisi-7-8 ngobusuku.

Injani imeko yomntu one-systolic murmur?

Ukukhala kwe-systolic okungenabungozi akusoloko kufuna unyango, kwaye ungaphila ubomi obuqhelekileyo ngako.

Ukuba une-surprise engaqhelekanga, kuya kufuneka unyange imeko yentliziyo engaphantsi. Nangona kunjalo , ngonyango oluphambili olufumanekayo namhlanje, unokulawula iimeko ezininzi zentliziyo kwaye uphile ubomi obusempilweni. Kwakhona, ukulandela indlela yokuphila enempilo kunokunceda ukuphucula impilo yentliziyo yakho.

Ungalibali ukubuza ugqirha ngezi zinto, kulungile?

Ukuba ugqirha wakho ukuxelela ukuba une-systolic murmur, kulungile ukubuza le mibuzo:

• Yintoni enokubangela ukuba ndibe nolu hlobo lokudumba kwe-systolic?
• Zeziphi ezinye iimvavanyo ekufuneka ndizenze?
• Ngaba ndifuna unyango lwale systolic murmur?
• Loluphi unyango endiludingayo kwimeko yam yentliziyo engaphantsi?
• Ingaba kungandinceda ukubona ugqirha wentliziyo ?
• Zeziphi iinguqu endinokuzitshintsha kwindlela yam yokuphila ukuze ndiphucule impilo yentliziyo yam?

Umyalezo Wokuya Ekhaya

Ukugquma kwentliziyo okubizwa ngokuba yi-systolic heart sisandi esingaqhelekanga esivakalayo xa intliziyo iqina. Uninzi lwexesha, ezi azinabungozi, oko kuthetha ukuba akukho sifo sentliziyo esikhoyo. Kodwa ngamanye amaxesha, zinokuba luphawu lwesifo sentliziyo.

Eyona nto ibalulekileyo kukungaxhalabi. Ukuba ugqirha ukuxelela ukuba une-murmur, ungafumanisa ukuba luhlobo luni na, yintoni ebangela oko, kwaye ingaba unyango luyadingeka na. Ngokulandela iingcebiso zonyango ezifanelekileyo nokuphila ubomi obusempilweni, ungaphila ubomi obusebenzayo. Khumbula, ukunyamekela intliziyo yakho kubaluleke kakhulu!

` ukugquma kwentliziyo ye-systolic, ukugquma kwentliziyo, isifo sentliziyo, izandi zentliziyo, iivalvu zentliziyo, impilo yentliziyo, iimeko zentliziyo, isantya sentliziyo, ukugquma okumsulwa