Inhliziyo yakho isebenza kahle kangakanani? Ake sixoxe ngomphumela wenhliziyo!

Namuhla sizokhuluma ngenhliziyo, okuyisitho esibaluleke kakhulu emzimbeni wethu. Ngokukhethekile, sizokhuluma ngendlela inhliziyo ephampa ngayo igazi emzimbeni wethu ngempumelelo, okubizwa ngokuthi ukuphuma kwenhliziyo . Nakuba la mazwi engase abonakale emasha kuwe, empeleni alula kakhulu. Ake sibone ukuthi lokhu kusho ukuthini ngempela, akunjalo?

Kuyini ukuphuma kwenhliziyo? Kalula nje...

Kalula nje, ukuphuma kwenhliziyo yinani eliphelele legazi inhliziyo yakho elimpompa emzimbeni wakho ngomzuzu owodwa. Lokhu kuvame ukulinganiswa ngamalitha. Odokotela babala lokhu ngesibalo esilula. Kudinga izinto ezimbili:

1. Umthamo Wokushaya Kwenhliziyo: Leli inani legazi inhliziyo yakho elimpompa emzimbeni wakho isikhathi ngasinye lapho ishaya, okungukuthi, ngokushaya kwenhliziyo okukodwa. Leli nani lingahluka. Leli nani legazi linganda noma lehle kuye ngempilo yenhliziyo yakho nokuthi uphumule noma wenza umsebenzi othile.

2. Izinga Lokushaya Kwenhliziyo: Cishe uke wezwa ngalo. Lena yinani lezikhathi inhliziyo yakho eshaya ngazo ngomzuzu. Ngokuvamile, izinga lokushaya kwenhliziyo yomuntu ophilile kufanele libe phakathi kwama-beats angu-60 no-100 ngomzuzu uma ephumule. Lokhu kuyanda uma uzivocavoca futhi kuyancipha uma uphumule.

Ngakho-ke, ngokwazi kokubili lokhu, singathola inani eliphelele sisebenzisa i-equation ethi Cardiac Output = Stroke Volume x Heart Rate .

Cabanga ngale ndlela. Ukhuphuka izitebhisi ngokushesha. Imisipha yakho idinga umoya-mpilo owengeziwe, akunjalo? Ngakho-ke ukushaya kwenhliziyo yakho kuyakhula, futhi inhliziyo yakho izama ukwandisa inani legazi eliyipompa ngesikhathi (umthamo we-stroke). Yilapho ukuphuma kwenhliziyo yakho kukhula khona, ngoba umzimba wakho udinga igazi nomoya-mpilo owengeziwe.

Odokotela babheka nini lokhu kuphuma kwenhliziyo?

Kulungile, manje unombuzo, odokotela babheka nini lokhu kuphuma kwenhliziyo, akunjalo? Kungaba nezizathu eziningana.

• Uma ukuthola kunzima ukuzivocavoca njengoba wawuvame ukwenza , noma uma ukuthola kunzima ukuphefumula ngisho noma uzikhandla kancane.
• Uma udokotela wakho esola ukuthi unesifo esifana nokwehluleka kwenhliziyo , okuyisimo lapho inhliziyo ingakwazi ukupompa igazi ngendlela efanele.
• Uma udinga ukuhlonza isifo ngokunembile.
• Lokhu kulinganiswa futhi ukuqinisekisa ukuthi noma yimuphi umuthi, ithuluzi, noma ukwelashwa okunikeziwe kusebenza kahle .

Yiziphi izimpawu ezingaba khona uma ukuphuma kwenhliziyo kwehla?

Uma inani legazi elidonswa yinhliziyo liya emzimbeni, noma ukuphuma kwenhliziyo, kwehla, izingxenye ezahlukene zomzimba wethu azitholi umoya-mpilo owanele kanye nezakhamzimba. Lokhu kungabangela izimpawu ezifana nalezi:

• Kunzima kakhulu ukuzivocavoca:Ngisho nangemva kokuhamba ibanga elifushane, ngizizwa nginesizungu futhi ngikhathele.
• Ukuzizwa ukhathele kakhulu: Ukuzizwa ukhathele ngisho noma umi nje.
• Ukuvuvukala ezingalweni nasemilenzeni: Imilenze, ikakhulukazi amaqakala, ingase ivuvuke.
• Ukuphefumula kanzima: Ngezinye izikhathi kungaba nzima ukuphefumula ngisho nalapho ulele phansi.
• Isicanucanu nokuhlanza.
• Ubuhlungu besisu.

Ukuba nalezi zimpawu akusho ngaso sonke isikhathi ukuthi inhliziyo yakho inamandla aphansi okukhipha uketshezi. Kodwa-ke, uma lezi zimpawu ziqhubeka, kungcono ukufuna iseluleko sikadokotela.

Odokotela balinganisa kanjani ukuphuma kwenhliziyo? Kunezindlela eziningana!

Kunezindlela eziningana odokotela abazisebenzisayo ukukala ukuphuma kwenhliziyo. Ezinye zilula kakhulu, kanti ezinye zidinga imishini ekhethekile. Ake sibheke ukuthi ziyini:

• Ukulinganisa ukusetshenziswa kwe-oxygen: Lokhu kulinganisa ukuthi ingakanani i-oxygen esetshenziswa yisitho esithile noma izicubu emzimbeni wakho. Kubalwa ngokubheka umehluko phakathi kwenani le-oxygen emithanjeni yakho kanye nenani le-oxygen emithanjeni yakho, bese kubalwa ngesivinini sokugeleza kwegazi.
• Ukuqhathanisa izinga lokushisa kwegazi: I-catheter ekhethekile ifakwa ezingxenyeni ezahlukene zenhliziyo, isibonelo, i-vena cava noma i-atrium efanele, futhi izinga lokushisa kwegazi lapho liqhathaniswa nezinga lokushisa kwegazi emithanjeni yamaphaphu ethwala igazi liye emaphashini. Lokhu kubizwa nangokuthi indlela ye-thermodilution .
• Ukulinganisa ingcindezi kanye nokumelana: Lokhu kungatholakala ngokuthatha ingcindezi evamile emithanjeni yakho (Ukucindezeleka Okumaphakathi Kwemithambo) bese uyihlukanisa ngokumelana nokugeleza kwegazi emithanjeni yegazi (Ukumelana Nemithambo Yegazi Okuhlelekile).
• Amadivayisi aphathekayo: Kukhona namadivayisi aphathekayo anezinhlobo ezikhethekile zamagesi ongawaphefumula ngomlomo wakho.
• Ukusebenzisa Ama-Electrode: Kukhona ukuhlolwa okuhilela ukubeka ama-electrode ayisithupha esifubeni. Lokhu kulinganisa izinga lokushaya kwenhliziyo kanye nomthamo wokushaya kwenhliziyo, futhi kubala ukuphuma kwenhliziyo.
• I-Transthoracic Echocardiography: Lokhu ukuskena kwenhliziyo. Kunganikeza umbono omuhle womthamo wesifo sohlangothi.
• I-MRI Yenhliziyo: Ulwazi ngalokhu lungatholakala nangokuskena kwenhliziyo nge-MRI.
• Ukujova ngedayi: Lokhu kwenziwa ngokujova idayi ekhethekile ohlangothini lwesokudla lwenhliziyo njengoba igazi lingena kuyo, bese kulinganiswa ukuthi ingakanani idayi ephuma ohlangothini lwesobunxele lwenhliziyo.

Yini okufanele uyilindele lapho ubhala lolu vivinyo?

Ukuze ulinganise kahle ukuphuma kwenhliziyo, udokotela wakho kuzodingeka alinganise ukuthi uphefumula umoya-mpilo ongakanani bese ethatha amasampula egazi emthanjeni wakho kanye ne-catheter ekhethekile efakwe emthanjeni wakho wamaphaphu (i-Catheter in Pulmonary Artery). Lokhu kuvame ukwenziwa ngesikhathi sokuhlolwa okubizwa ngokuthi i-Right Heart Catheterization . Ngosuku lwalesi sivivinyo, uzokwazi ukwazi ukuphuma kwenhliziyo yakho kanye nezingcindezi ezahlukene ngaphakathi kwenhliziyo yakho.

Zithini imiphumela? Zisitshelani?

Kulungile, manje ake sibone ukuthi le miphumela ithini.

Umphumela wenhliziyo yomuntu ophilile lapho ephumula uvame ukuba phakathi kwamalitha ama-5 nama-6 ngomzuzu .

Kodwa-ke, uma kumdlali oqeqeshwe kahle, leli nani lingaba ngaphezu kwamalitha angu-35 ngomzuzu ngesikhathi sokuzivocavoca! Lokhu kusho ukuthi izinhliziyo zabo zisebenza kahle kakhulu.

Ukuphuma kwenhliziyo kuyanda lapho umuntu ongeyena umdlali ejima, kodwa hhayi kakhulu njengomdlali. Futhi, ngesikhathi sokukhulelwa, ukuphuma kwenhliziyo kwabesifazane kuyanda ngaphezu kwamazinga ajwayelekile , ngoba ngaleso sikhathi, umzimba kamama kanye nomntwana okhulayo badinga igazi.

Yiziphi izinto ezithinta ukuphuma kwenhliziyo yethu?

Ukuphuma kwenhliziyo yethu akuhlali kufana. Kunezici eziningana ezikuthintayo. Ake sibheke izici eziyinhloko ezikuthintayo:

• Umfutho Wegazi Ophakeme: Uma unengcindezi yegazi ephezulu, inhliziyo yakho kufanele isebenze kanzima ukuze icindezele igazi emithanjeni yakho. Cabanga ngakho njengokuhamba emoyeni onamandla, ngoba ingcindezi engaphakathi kwemithambo yakho iphakeme. Futhi, uma ingcindezi yegazi lakho iphakeme emaphashini akho (mhlawumbe ngenxa yezibazi emaphashini akho noma isimo esifana ne -emphysema ), inhliziyo yakho kufanele isebenze kanzima ukuze ipompe igazi lapho. Lokhu kunganciphisa ukuphuma kwenhliziyo yakho.
• Ukuguga: Njengoba siguga, izindonga zenhliziyo yethu ziyaqina futhi ziqine. Inhliziyo ayigcwali igazi ngokushesha noma kahle njengoba yayinjalo ngaphambili. Lokhu kunganciphisa inani legazi eliliphampa emzimbeni.
• Uma inhliziyo yonakaliswe ukuhlaselwa yinhliziyo: Uma lokhu kwenzeka, inhliziyo ingase ingakwazi ukupompa igazi eliningi njengoba yayenza ngaphambi kokuhlaselwa yinhliziyo. Futhi, ukutheleleka kwemisipha yenhliziyo okubizwa ngokuthi i-myocarditis kunganciphisa ikhono lenhliziyo lokupompa.
• Izigqi zenhliziyo ezingavamile, njenge-atrial fibrillation: Kulesi simo, amakamelo aphezulu enhliziyo (i-atria) awakwazi ukupompa igazi kahle futhi alithumele emzimbeni ngamakamelo aphansi (i-mitra). Ukukhishwa kwenhliziyo nakho kuyancipha.
• I-Aortic Stenosis ukuncipha kwevalvu okuholela ku-aorta:I-aorta iwumthambo wegazi oyinhloko othwala igazi uliyise emzimbeni. Ngakho-ke uma ivalvu eholela kuyo iba mncane, ayikwazi ukuthumela igazi elanele emzimbeni.
• I-Constrictive Pericarditis: Uma isikhwama sokuvikela esizungeze inhliziyo, i-pericardium , siqina, inhliziyo ayikwazi ukuphumula kahle, igcwalise igazi, futhi iphampe kahle. Lokhu futhi kuphazamisa ukuphuma kwenhliziyo.

Sigcina kanjani ukuphuma kwenhliziyo yethu kusezingeni elihle?

Kulungile, manje sesiyazi ukuthi kungani i-Cardiac Output ibalulekile nokuthi yiziphi izinto ezithinta yona. Ngakho-ke, yini esingayenza ukuze siyigcine isezingeni elihle? Ukugcina izinhliziyo zethu ziqinile kanye nemithambo yegazi yethu iphilile kuyisihluthulelo. Nazi ezinye izinto ezingasiza ngalokho:

• Ukuzivocavoca njalo: Yenza okuthile okufana nokuhamba, ukugijima, noma ukugibela ibhayisikili okungenani imizuzu engama-30 ngosuku.
• Lawula amazinga akho e-cholesterol: Nciphisa i-cholesterol yakho "embi" (LDL) ikakhulukazi, futhi ugcine amazinga akho "emihle" e-cholesterol (HDL) ezingeni elinempilo.
• Uma unesifo sikashukela , kubalulekile ukulandela imiyalelo kadokotela wakho nokugcina indlela yokuphila enempilo.
• Nciphisa ukudla okunamafutha nokuthosiwe ngangokunokwenzeka: Lokhu kungabangela ukwakheka kwamafutha emithanjeni yegazi.
• Ukugcina isisindo esinempilo: Ukukhuluphala ngokweqile kubeka inhliziyo enkingeni eyengeziwe.
• Gwema ukusebenzisa imikhiqizo kagwayi: Ukubhema kuyingozi kakhulu enhliziyweni nasemithanjeni yegazi.
• Uma kudingeka, thatha imithi njengoba kuqondiswe udokotela wakho futhi ulawule umfutho wegazi lakho.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kubalulekile ukuthi udokotela wakho azi ukuthi inhliziyo yakho iphampa igazi elingakanani, elibizwa ngokuthi ukuphuma kwenhliziyo . Kungasiza ekuxilongeni isifo, kubone ukuthi ukwelashwa kuyasebenza yini, noma kukunikeze umbono wempilo yenhliziyo yakho.

Uma usunalo lolu lwazi, udokotela wakho anganquma ukuthi yiziphi izinketho ezingcono kakhulu zokukusiza. Uma ungaqiniseki ngokuthile, ungesabi ukubuza udokotela wakho imibuzo. Uma unolwazi oluningi ngempilo yakho, amathuba akho okuthola imiphumela emihle kakhulu ayanda. Ngakho-ke, nakekela inhliziyo yakho!

Ukuphuma Kwenhliziyo , Isilinganiso Senhliziyo, Umthamo Wokushaywa Yisifo Sohlangothi, Impilo Yenhliziyo, Ukwehluleka Kwenhliziyo, Umfutho Wegazi, Ukujikeleza Kwegazi