Ubani udokotela wezifo zenhliziyo? Ake sithole ukuthi lokhu kuyini ngempela!

Ingabe ngezinye izikhathi uzizwa uqinile noma ukhathele esifubeni sakho? Noma ingabe ukhona emndenini wakho oke waba nesifo senhliziyo? Uma kunjalo, kubaluleke kakhulu ukwazi ngodokotela wenhliziyo. Ake sibone ukuthi bangobani, benzani, nokuthi bangakusiza kanjani.

Ungubani lo dokotela wenhliziyo?

Udokotela wezifo zenhliziyo ungudokotela ogxile ezifweni zenhliziyo nemithambo yegazi. Kalula nje, laba odokotela bangasiza ekugcineni inhliziyo yakho iphilile, bavimbele izifo zenhliziyo, futhi bazelaphe uma ziqala ukukhula.

Ukuba uchwepheshe onjengalona akulula, akunjalo? Okokuqala kufanele bafunde iminyaka emine esikoleni sezokwelapha. Bese, kufanele benze i-residency kwi-general internal medicine eminye iminyaka emithathu. Ngemuva kwalokho, kufanele benze okungenani iminyaka emithathu yokuqeqeshwa okukhethekile kwi-cardiology. Ngemva kwalokhu kuqeqeshwa okude, kufanele baphumelele izivivinyo ezikhethekile futhi bathole isitifiketi yinhlangano kazwelonke eyaziwayo. Kufanele futhi baqhubeke nokubhala izivivinyo nokufunda ukuze bavuselele ulwazi lwabo futhi bahlale benolwazi lwakamuva ngemithi yokwelapha.

Yini eyenziwa yi-cardiologist?

Manje ake sibone ukuthi udokotela wenhliziyo wenzani. Uma unezinhlungu esifubeni, umfutho wegazi ophakeme, ukwehluleka kwenhliziyo, izinkinga zamavalvu enhliziyo, izinkinga zemithambo yegazi, bangelapha noma yini ehlobene nenhliziyo.

Ukuze bathole ukuthi yini ngempela engalungile ngawe, bazo-oda izivivinyo ezahlukahlukene. Isibonelo, bangase ba-oda izivivinyo ezifana ne -ECG (Electrocardiogram) , i-Echocardiogram (Echo) , i-CT Scan (Computed Tomography) , i-CMR (Cardiac Magnetic Resonance Imaging) , kanye ne -Nuclear Imaging . Ngokusekelwe olwazini oluvela kulezi zivivinyo, bangase bakunike imithi, bakusize uqale ukuzivocavoca okunempilo kanye nemikhuba yokudla, noma benze inqubo efana ne -Cardiac Catheterization . Ngezinye izikhathi, uma udinga ukuhlinzwa kwenhliziyo, lo dokotela uzokudlulisela kudokotela ohlinzayo wenhliziyo ofanele.

Uma uya kudokotela, uzokuhlola umzimba, akhulume ngezimpawu zakho kanye nomlando wakho wezokwelapha.

Kubaluleke kakhulu ukutshela udokotela wakho uma kukhona emndenini wakho oke waba nesifo senhliziyo (umlando womndeni), ngoba lokho kuzosiza ukuthi baqonde ingozi yakho.

Ngisho nolwazi oluncane oluyisisekelo olufana nalolu lunganikeza udokotela wakho ukuqonda okubalulekile ngempilo yenhliziyo yakho nemithambo yegazi:

• Isisindo sakho
• Ukushaya kwegazi
• Amazinga e-cholesterol
• Amazinga kashukela egazini/ushukela

Udokotela uzoqhathanisa lonke lolu lwazi nemiphumela yakho yokuhlolwa ukuze anqume ukuthi yiziphi izici eziyingozi onayo zesifo senhliziyo. Bazofuna nokwazi ukuthi uyabhema yini, ukuthi uvivinya umzimba kangakanani, ukuthi udlani futhi uphuzani, nokuthi imiphi imithi oyiphuzayo .

Yiziphi izinhlobo zezifo odokotela benhliziyo abazelaphayo noma abazisizayo ekuzivimbeleni?

Kulungile, ake sibheke izifo odokotela benhliziyo abazelaphayo noma abazisiza ekuzivimbeleni. Uhlu lude kancane, kodwa kubalulekile ukuzazi:

• I-atherosclerosis (Lokhu kwenzeka lapho amafutha eqoqana ngaphakathi kwemithambo yegazi futhi ayivimbe. Kufana nokungcola okubhajwa epayipini lamanzi.)
• Umfutho wegazi ophakeme
• I-cholesterol ephezulu
• I-Angina (ubuhlungu besifuba, ukuzizwa sengathi uqinile)
• Ukuboshwa Kwenhliziyo (Ukuboshwa Kwenhliziyo Okungazelelwe)
• Ukwehluleka Kwenhliziyo (ubuthakathaka bokusebenza kwenhliziyo, njengobuthakathaka benjini)
• Isifo senhliziyo
• Amahlule egazi
• I-Atrial Fibrillation kanye nezinye izinkinga zesigqi senhliziyo
• I-Endocarditis (ukutheleleka kolwelwesi lwangaphakathi lwenhliziyo)
• Ukushaqeka Kwenhliziyo (isimo esibangelwa inkinga yenhliziyo)
• Izinkinga ze-valve yenhliziyo
• Ukukhubazeka kwenhliziyo
• I-cardiomyopathy (isifo semisipha yenhliziyo)
• I-Myocarditis (ukuvuvukala/ukuvuvukala kwemisipha yenhliziyo)
• Izinkinga ngesembozo sangaphandle senhliziyo, isibonelo, i-pericarditis (ukuvuvukala kolwelwesi oluncane oluzungeze inhliziyo)
• Isifo senhliziyo esizalwa naso
• Izinkinga nge-aorta, njenge -aneurysm noma i-stenosis
• Izinkinga zemithambo yegazi (isib. Isifo semithambo yegazi engaphandle - ukuncipha kwemithambo yegazi emalungeni, Isifo semithambo yegazi engaphansi kwe-subclavian , Isifo semithambo yegazi yezinso - ukuncipha kwemithambo yegazi eholela ezinso, Isifo semithambo yegazi engaphakathi kwenhliziyo - ukuncipha kwemithambo yegazi ehambisa igazi enhliziyweni uqobo)
• Isifo sohlangothi (esibangelwa ukuvaleka kwegazi eliya ebuchosheni, ngezinye izikhathi esihambisana nezinkinga zenhliziyo)

Hlobo luni lokuhlolwa okwenziwa udokotela wenhliziyo?

Udokotela wezifo zenhliziyo angase a-ode lezi zivivinyo, kodwa ezinye izivivinyo zingenziwa nangabanye ochwepheshe bezempilo:

• Ukwelashwa nge-Catheterization yenhliziyo (ukuhlolwa/ukwelashwa okuhilela ukufaka ipayipi elincane enhliziyweni)
• I-X-ray yesifuba
• Ukuhlolwa kwegazi (Lokhu kuhlola izinto eziningi ezifana ne-cholesterol noshukela)
• Ukuskena kwenhliziyo nge-MRI (Magnetic Resonance Imaging)
• I-CT (Computed Tomography) scan yenhliziyo
• I-Coronary Angiogram (i-X-ray yemithambo yenhliziyo kusetshenziswa idayi ukubheka ukuvaleka kwemithambo)
• Ukuhlolwa Kokucindezeleka (okubizwa nangokuthi Ukuhlolwa Kwe-Treadmill)
• I-Electrocardiogram (ECG/EKG) (ukuhlolwa okukala ukusebenza kukagesi kwenhliziyo)
• I-Echocardiogram (i-Echo) (i-ultrasound scan yenhliziyo, engabheka ukuma nokusebenza kwenhliziyo)
• I-Transesophageal Echocardiogram (TEE )
• I-Holter Monitor (idivayisi encane eqopha ukushaya kwenhliziyo yakho cishe amahora angama-24)
• I-Event Monitor (idivayisi eqopha ukuthi uphawu luvela nini)
• I-Implantable Event Recorder/I-Implantable Loop Recorder (idivayisi efakwa ngaphansi kwesikhumba futhi iqapha ukushaya kwenhliziyo isikhathi eside)

Kufanele ubonane nini nodokotela wenhliziyo?

Ngokuvamile, uma udokotela womndeni wakho (uMhlinzeki Wokunakekelwa Okuyinhloko) noma udokotela wakho ojwayelekile ebona ukuthi unenkinga ngenhliziyo noma imithambo yegazi yakho edinga ukunakekelwa okukhethekile, uzokudlulisela kudokotela wenhliziyo. Ngezinye izikhathi, lochwepheshe uzosebenza nawe isikhathi eside ukuze aqhubeke nokuqapha isimo sakho.

Uma unezinye zalezi zimpawu, funa iseluleko sezokwelapha ngokushesha bese ubona udokotela wenhliziyo uma kudingeka:

• Ubuhlungu esifubeni sakho - ubuhlungu obukhulu phakathi kwesifuba sakho, ikakhulukazi uma kuzwakala sengathi kuyancipha
• Isiyezi noma ukuquleka
• Ukuphelelwa umoya - ukuzizwa uphelelwa umoya ngisho nangemva kokwenza umsebenzi omncane
• Ukushaya kwenhliziyo - Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha noma ngokushesha

Yiziphi izindawo ezikhethekile zodokotela benhliziyo?

Isifo senhliziyo siyimbangela ehamba phambili yokufa emhlabeni jikelele. Odokotela benhliziyo bayiqembu lodokotela elibaluleke kakhulu. Bangasebenza ezindaweni ezikhethekile kakhulu zokunakekelwa kwenhliziyo. Isibonelo, kukhona odokotela abangochwepheshe ezintweni ezifana 'nokwehluleka kwenhliziyo', 'izinkinga ze-Heart Rhythm', noma 'izimo zokuzalwa'.

Izinhlobo ezahlukene zodokotela benhliziyo

Odokotela benhliziyo nabo banezinhlobo ezahlukene zochwepheshe. Bangochwepheshe ezinkingeni ezahlukene zenhliziyo nemithambo yegazi, isibonelo, ukuthwebula izithombe zenhliziyo noma ukuvuselelwa kwenhliziyo.

Nazi ezinye zezinhlobo ezinjalo:

• Udokotela Wezinhliziyo Wezokwelapha - Udokotela ovame ukukubona kuqala bese ehlola isifo.
• Uchwepheshe Wokwehluleka Kwenhliziyo
• Udokotela Wenhliziyo Wezingane - Udokotela owelapha izifo zenhliziyo ezinganeni ezincane.
• Udokotela Wezinhliziyo Ongenelelayo - Laba ngabantu abenza izinto ezifana ne-angioplasty (ukukhulisa imithambo yegazi ngamabhaluni) kanye nokubekwa kwe-stent.
• Udokotela wezifo zenhliziyo - Uchwepheshe obheka imiphumela yokwelashwa komdlavuza enhliziyweni.
• Uchwepheshe Wenhliziyo Ozelwe Ngokuzalwa
• Uchwepheshe Wezithombe Zenhliziyo - Uchwepheshe oxilonga izifo esebenzisa amasu anjenge-Echo ne-MRI.
• Udokotela Wezinhliziyo Osebenza Ngezinzwa Ezingaphakathi - Labo abelapha imithambo esezithweni.
• Udokotela Wenhliziyo Ovikelayo - Umuntu osiza ekuvimbeleni izifo ngaphambi kokuba zenzeke.
• Uchwepheshe Wokuvuselelwa Kwenhliziyo - Umuntu onikeza izeluleko zokuzivocavoca kanye nendlela yokuphila kubantu abalulama esifweni senhliziyo.
• I-Electrophysiologist - Uchwepheshe wezinkinga zesigqi senhliziyo, njengokufakelwa kwe-pacemaker.
• Udokotela Wenhliziyo Wasebekhulile
• Udokotela wezifo zamathambo wenhliziyo
• Udokotela Wenhliziyo Wezemidlalo
• Udokotela Wenhliziyo Wokunakekelwa Okubucayi

Ingabe ngidinga i-referral ukuze ngibone udokotela wenhliziyo?

Lokhu kungahluka kuye ngohlelo lwakho lomshwalense. Ezinye izinkampani zomshwalense zidinga ukudluliselwa kumhlinzeki wakho wokunakekelwa okuyinhloko. Ngakho-ke, kungcono ukubuza inkampani yakho yomshwalense ngalokhu. Lokhu kuzokusiza ugweme ukukhokha okungaphezu kwalokho okulindele. Ngokuvamile, ukubona uchwepheshe, njengodokotela wenhliziyo, kubiza kakhulu kunokubona udokotela womndeni. Kodwa-ke, ungonga imali ngokulandela imithetho yenkampani yakho yomshwalense.

Basebenza kuphi odokotela benhliziyo?

Ungahlangana nodokotela wezifo zenhliziyo esibhedlela lapho esebenza khona. Abanye odokotela babona iziguli emahhovisi abo azimele. Bangase bakuthumele esibhedlela noma kwesinye isikhungo sezokwelapha ukuze uhlolwe noma welashwe.

Okokugcina, izinto okufanele uzikhumbule...

Udokotela wenhliziyo ngumuntu ongenza umehluko omkhulu empilweni yakho. Bangase bakwazi ukusindisa impilo yakho ngemva kokuhlaselwa yinhliziyo. Noma, bangase bakwazi ukusiza ekuvimbeleni ukuhlaselwa yinhliziyo. Kuye ngesimo sakho, ungase udinge udokotela wenhliziyo ochwepheshe besimo esithile onaso.

Udokotela womndeni wakho noma umngane omethembayo angakuncoma udokotela wenhliziyo omuhle. Kodwa, into ebaluleke kakhulu ukuthi uzizwe ukhululekile futhi uqiniseka ngodokotela omvakashelayo.Kufanele ukwazi ukubuza imibuzo ngaphandle kokwesaba nganoma yini ongayiqondi.

Khumbula, inhliziyo yakho iyimpahla yakho eyigugu kakhulu. Kungumthwalo wakho ukuyinakekela! Ukulalela iseluleko sikadokotela wakho nokusilandela kuzokunika amandla amakhulu okuphila impilo enempilo nejabulisayo.

Udokotela wenhliziyo, inhliziyo, isifo senhliziyo, ukuhlaselwa yinhliziyo, umfutho wegazi ophakeme, i-cholesterol, i-ECG, i-Echo, ukuhlolwa kwenhliziyo, izimpawu zesifo senhliziyo