Iningi lethu lithanda 'ukuphola' kancane lapho sihlangana nabangani, ephathini. Lokho kuyinto evamile. Kodwa bewazi ukuthi uma lokhu kujabulisa kudlula umkhawulo, singalimaza kakhulu isitho esibaluleke kakhulu emzimbeni wethu, inhliziyo? Namuhla sikhuluma ngesimo esibi kangaka, kodwa abantu abaningi abazi ngaso. Leso yisifo lapho imisipha yenhliziyo iba buthaka futhi igule ngenxa yokusebenzisa utshwala ngokweqile.
Kalula nje, iyini ingozi ebangelwa utshwala enhliziyweni?
Lesi simo saziwa ngokwezokwelapha ngokuthi i-Alcohol-Induced Cardiomyopathy . NgesiSinhala, singabizwa ngokuthi "isifo semisipha yenhliziyo esibangelwa utshwala." Okwenzekayo lapha ukuthi uma uphuza utshwala ngokweqile isikhathi eside, amakhemikhali anobuthi kulolo tshwala alimaza imisipha yenhliziyo yakho.
Cabanga ngebhande lerabha. Kwenzekani uma uqhubeka nokulinweba? Ngemva kwesikhathi esithile, lilahlekelwa ukunwebeka kwalo bese likhululeka, akunjalo? Yilokho okwenzeka enhliziyweni yethu. Izingxenye zenhliziyo, ikakhulukazi amakamelo amakhulu abizwa ngokuthi ama-ventricle, ziyanwebeka kancane kancane futhi zibe zinkulu. Njengoba zikhula, imisipha yenhliziyo iba buthaka. Imisipha ebuthakathaka ayikwazi ukupompa igazi njengoba yayivame ukwenza. Ngenxa yalokho, inani lomoya-mpilo elifika emzimbeni wonke liqala ukwehla.
Ubani osengozini?
Lokhu kungenzeka kunoma ubani ophuza utshwala obuningi kakhulu. Akubona nje labo "abanenkinga yokusebenzisa utshwala ngokweqile." Kodwa-ke, kuvame kakhulu kulabo abanenkinga yokusebenzisa utshwala ngokweqile nakubantu abathambekele ekuguquleni utshwala kancane kancane.
Lesi akusona isimo esivamile kakhulu. Sithinta kuphela abantu abangu-1% kuya ku-2% abaphuza utshwala obuningi kakhulu kunobunconywayo. Kodwa uma ukulelo phesenti elincane, imiphumela ingaba mibi kakhulu.
Kuyini 'ukuphuza ngokweqile'?
Uma sithi "ukuphuza ngokweqile," kungahluka kumuntu ngamunye. Kodwa ngokwezokwelapha, sikunikeza incazelo ecacile.
- Kwabesifazane: Ukuphuza iziphuzo ezingaphezu kweziyi-8 ngesonto.
- Kwabesilisa: ukuphuza iziphuzo zotshwala ezingaphezu kuka-15 ngesonto.
Manje ungase uzibuze, "Yini le 'siphuzo'?" Kuya ngohlobo lotshwala oluphuzayo.
| Uhlobo lotshwala | Isiphuzo esisodwa esilingana (cishe) |
|---|---|
| Ubhiya (Ubhiya - 5% utshwala) | Cishe ama-350 ml (ithini elivamile) |
| Iwayini (Iwayini - 12% utshwala) | Cishe i-150 ml (ingilazi yewayini ejwayelekile) |
| Iziphuzo ezidakayo - 40% utshwala | Cishe u-45 ml ('umjovo' owodwa) |
Into ebalulekile ukuthi noma uphuza utshwala ngaphakathi kwale mingcele, akusho ukuthi awukho engozini yezinkinga zempilo. Kungcono ngaso sonke isikhathi ukuthi inhliziyo igweme utshwala.
Lesi simo sithinta kanjani umzimba?
Lesi yisifo esingaphansi kwesigaba se- Dilated Cardiomyopathy , okusho isifo lapho imisipha yenhliziyo inwebeka khona bese inhliziyo ikhula.
- Ukuncishiswa kwamandla okupompa: Amakamelo amabili angezansi (amakamelo) enhliziyo enza umsebenzi oyinhloko wokupompa igazi. I-ventricle yesokudla ipompa igazi emaphashini, kanti i-ventricle yesobunxele ipompa igazi liye kuwo wonke umzimba. Lapho le misipha iba buthakathaka, lo msebenzi wokupompa awukwenziwa kahle.
- Izinkinga zesistimu kagesi: Inhliziyo yethu ishaya sisebenzisa uhlelo lwezimpawu zikagesi. Njengoba isimo senhliziyo sishintsha, izindlela ezihamba ngazo lezi zimpawu zikagesi zingaphazamiseka. Lokhu kungabangela ukuthi inhliziyo ishaye ngokungajwayelekile. Lokhu sikubiza ngokuthi ama-arrhythmia (ukushaya kwenhliziyo okungajwayelekile). Ngezinye izikhathi lokhu kungaba yingozi ngisho nokuphila.
- Ukwakheka kwezicubu zezibazi: Imiphumela enobuthi yotshwala ingabangela ukwakheka kwezicubu zezibazi emisipheni yenhliziyo. Lokhu kuphazamisa nokusebenza kukagesi kwenhliziyo.
Ingabe lokhu kuyinkinga yesikhathi eside nje?
Cha. Ngezinye izikhathi, ngisho nezinkinga zesikhashana zingavela. Kukhona isimo esiba khona uma uphuza utshwala obuningi ngesikhathi esisodwa. Abanye abantu bakubiza ngokuthi "i-Holiday Heart Syndrome." Lokhu kungenzeka uma uphuza kakhulu ngesikhathi samaholide.
Uma kuphuzwa utshwala obuningi ngesikhathi esisodwa, inhliziyo ingashaya ngokushesha okukhulu, ingakwazi ukupompa kahle, futhi ingathuthumela ngisho nokuqhaqhazela. Lokhu kubizwa ngokuthi i-fibrillation .
| Ukungajwayelekile | Kwenzekani kanye nezingozi zako |
|---|---|
| I-Atrial Fibrillation | Amakamelo aphezulu enhliziyo (i-atria) awaphampi kahle futhi aba buthakathaka. Lokhu kungabangela ukwakheka kwehlule legazi ngaphakathi. Uma leli hlule legazi liya ebuchosheni, lingabangela isifo sohlangothi . |
| I-Fibrillation ye-Ventricular | Amakamelo aphansi (amaseli) enhliziyo aqala ukuthuthumela. Lokhu kuyingozi kakhulu. Lokhu kungabangela ukuquleka, ukuhlaselwa yinhliziyo, noma ngisho nokuma kwenhliziyo. |
Ziyini izimpawu zalesi sifo?
Izimpawu eziningi zenzeka ngoba inhliziyo ibuthakathaka futhi ayikwazi ukupompa igazi kahle.
- Ukuphefumula kanzima: Ubunzima bokuphefumula, ikakhulukazi lapho uzivocavoca, uhamba, noma ulele phansi isikhashana.
- Ukukhwehlela: Ukukhwehlela okomile okuqhubekayo kungase kwenzeke.
- Ukuvuvukala (Ukuvuvuka): Imilenze, amaqakala, nezinyawo kuyavuvukala.
- Ukukhathala nobuthakathaka: Ukuzizwa ukhathele kangangokuthi awukwazi ukwenza lutho.
- Ukushaya kwenhliziyo: Ukuzwa inhliziyo yakho ishaya ngokushesha kuyinto engakhululekile.
- Ubuhlungu besifuba: Ikakhulukazi uma usebenza.
- Ukuzizwa unesizungu nokuquleka: Ukuzizwa unesizungu, mhlawumbe ulahlekelwe ingqondo bese uyawa.
- Imithambo evuvukele entanyeni.
- Ukulahlekelwa yisifiso sokudla kanye nokuqina kwemisipha.
Ungasithola kanjani lesi sifo?
Udokotela wakho uzobheka izici eziningana ukuze athole lesi sifo. Asinakutholakala ngokuhlolwa okukodwa nje.
1. Umlando wakho wezokwelapha kanye nendlela yakho yokuphila: Udokotela wakho uzokubuza ngezinto ezifana nokuthi uphuza utshwala obungakanani nokuthi usuphuze isikhathi esingakanani. Kubalulekile ukuba qotho ngokuphelele lapha.
2. Ukuhlolwa komzimba: Udokotela uzolalela inhliziyo namaphaphu nge-stethoscope bese ehlola ukuvuvukala emilenzeni.
3. Ukukhipha ezinye izimbangela: Kunezinye izimbangela zokukhula kwenhliziyo (isib. izifo zofuzo, eminye imithi). Udokotela uzoqala aqinisekise ukuthi ayikho enye imbangela enjalo.
Ngenxa yalokhu, kungenziwa olunye noma ngaphezulu kokuhlolwa okulandelayo.
| Ukuhlolwa | Ubonani kulokhu? |
|---|---|
| I-Echocardiogram (ukuhlolwa kwe-'Echo') | Lokhu ukuskena kwenhliziyo nge-ultrasound. Ubukhulu, ukuma, ukujiya kwemisipha yenhliziyo, kanye nendlela epompa ngayo igazi kungabonakala kahle. |
| I-Electrocardiogram (ECG/EKG) | Umsebenzi kagesi wenhliziyo uyahlolwa. Lokhu kungabona noma yikuphi ukungahambi kahle kwenhliziyo (ama-arrhythmia). |
| I-X-ray yesifuba | Ungahlola ukuthi inhliziyo ikhulisiwe noma ukuthi uketshezi luqongelelene emaphashini. |
| I-CT noma i-MRI yenhliziyo | Lokhu kunganikeza izithombe zenhliziyo ezinemininingwane eminingi enobukhulu obuthathu (3D) futhi kufundwe inkinga ngokujulile. |
Yiziphi izindlela zokwelapha? Ingabe lokhu kungelapheka?
Izindaba ezinhle ukuthi lesi simo singavamise ukuguqulwa, kodwa sidinga ukuzibophezela okukhulu kuwe.
Isinyathelo sokuqala nesibaluleke kakhulu ekwelashweni ukuyeka ukuphuza utshwala ngokuphelele.
Uma uyeka ukuphuza utshwala, umonakalo enhliziyweni yakho uyancipha kancane kancane, okunikeza inhliziyo yakho ithuba lokululama. Ngemva kwezinyanga ezingaba ngu-3-6, abantu abaningi bazobona ukwehla okukhulu kwezimpawu. Abanye abantu bazolulama ngokuphelele.
Uma usuyekile ukuphuza utshwala, udokotela wakho uzokunikeza imithi yokulawula izimpawu zakho.
- Ama-Beta-blockers: Lawula izinga lokushaya kwenhliziyo kanye nomfutho wegazi.
- Ama-Diuretics: Susa uketshezi olungadingekile (i-edema) oluqongeleleke emzimbeni.
Kwezinye izimo ezinzima kakhulu, kungadingeka ukufaka idivayisi efana ne -pacemaker ukulawula isigqi senhliziyo noma ukuhlinzwa ukuze kulungiswe ama-valve enhliziyo alimele.
Ukufakelwa Inhliziyo
Indlela kuphela yokwelapha lesi sifo ukufakelwa inhliziyo. Kodwa-ke, inqubo engavamile kakhulu. Ngoba zimbalwa kakhulu izinhliziyo ezitholakalayo zokufakelwa inhliziyo. Futhi, ukuze kufakwe inhliziyo, isiguli kumele siyeke ngokuphelele utshwala .
Ungazisiza kanjani?
- Yeka ukuphuza utshwala: Lena yinto engcono kakhulu nebaluleke kakhulu ongayenza. Uma ungakwazi ukuyeka, yehlisa kancane. Kodwa ukuyeka ngokuphelele kungcono kakhulu.
- Landela imiyalelo kadokotela wakho: Thatha umuthi udokotela wakho awunikezayo ngesikhathi esifanele. Qiniseka ukuthi uya emitholampilo.
- Ukudla okunempilo kwenhliziyo: Nciphisa ukudla okunosawoti omningi kanye ne-cholesterol. Yidla imifino eminingi, izithelo, ubhontshisi, kanye nokudla okune-fiber eningi.
- Amavithamini Namaminerali: Abantu abaphuza kakhulu bangase babe nokuntuleka kwamavithamini namaminerali emizimbeni yabo. Ngakho-ke, kubaluleke kakhulu ukudla ukudla okunempilo.
Kufanele ubonane nini nodokotela?
Uma ungumuntu ophuza kakhulu futhi unesinye noma ngaphezulu sezimpawu ezibalwe ngenhla, kufanele nakanjani ubone udokotela. Funa iseluleko sezokwelapha ngokushesha, ikakhulukazi uma unezinye zezimpawu ezilandelayo:
| Nini lapho kufanele uthole iseluleko sezokwelapha | |
|---|---|
| Bona udokotela wakho. |
|
| Yiya e-ETU (i-Emergency Treatment Unit) ngokushesha. |
|
Ekuphetheni, utshwala bungumbulali othule ongadala umonakalo empilweni yethu uma buphuzwa ngokweqile. Uma wena noma othile omaziyo enenkinga efana nale, ungesabi ukucela usizo. Udokotela wakho ukulungele ukukusiza nokukukhombisa indlela efanele. Ngokuyeka utshwala, ungaphinde uthole impilo yakho enempilo.
Umlayezo Wokuya Nawe Ekhaya
- Ukuphuza utshwala ngokweqile isikhathi eside kungalimaza ngqo imisipha yenhliziyo yakho, kuyenze buthaka futhi kubangele ukuthi inhliziyo ikhule.
- Ungazinaki izimpawu ezifana nokuphelelwa umoya, ukuvuvukala kwemilenze, ukukhathala okukhulu, kanye nokushaya kwenhliziyo okusheshayo.
- Ukwelashwa okungcono nokubaluleke kakhulu kwalesi sifo ukuyeka ngokuphelele ukuphuza utshwala. Ezimweni eziningi, lokhu kungasiza inhliziyo ukuba ilulame.
- Uma unenkinga yokuyeka utshwala, funa iseluleko sezokwelapha kanye nokusekelwa.
- Landela imiyalelo kadokotela wakho njalo, thatha imithi yakho njengoba uyalelwe, futhi ube nendlela yokuphila enempilo yenhliziyo.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho