Ingabe nawe ubhekene nokuqina kwesifuba kanye nobunzima bokuphefumula? Ingabe kungaba yi-asthma yenhliziyo?

Ingabe ngezinye izikhathi uzizwa sengathi unenkinga yokuphefumula? Ingabe uzwa nomsindo wokuphefumula uphuma esifubeni sakho, njengomsindo wokubhonga? Esikhathini esiningi, uma kwenzeka into efana nale, sicabanga ukuthi, "O... lesi yisifuba somoya." Kodwa bewazi ukuthi kukhona esinye isimo esibonisa lezi zimpawu, kodwa empeleni akuyona isifuba somoya? Yilokho esikubiza ngokuthi 'isifuba somoya senhliziyo.' Nakuba igama liyisifuba somoya, empeleni lokhu kubangelwa inkinga yenhliziyo. Ake sixoxe ngalokhu ngokuningiliziwe namuhla, ngoba lokhu kuyinto ebalulekile okudingeka siyiqaphele.

Kuyini ngempela 'i-Cardiac Asthma'?

Kalula nje, 'i-Cardiac Asthma' yisimo lapho amaphaphu akho egcwala khona uketshezi ngenxa yobuthakathaka enhliziyweni yakho. Odokotela babiza lokhu ngokuthi 'i-Pulmonary Edema' . Cabanga ngale ndlela: amaphaphu akho afana nesiponji. Uma egcwala ngamanzi, kunzima ukuphefumula, akunjalo? Yilokho okwenzekayo nalapha.

Lesi simo sibangelwa yisimo esibizwa ngokuthi 'i-Pulmonary Hypertension' . Lokhu kungukwanda kwengcindezi emithanjeni yegazi emaphashini akho. Lokhu kuvame ukwenzeka lapho uhlangothi lwesobunxele lwenhliziyo lungasebenzi kahle, okubizwa ngokuthi 'i-Left-sided Heart Failure' .

Okubalulekile: Uma abantu bezwa igama elithi 'ukwehluleka kwenhliziyo', besaba ukuthi inhliziyo ayisebenzi kahle. Lokhu akunjalo. Kusho ukuthi inhliziyo ayikwazi ukupompa igazi elanele ukuhlangabezana nezidingo zomzimba.

Ngakho-ke uyini umehluko phakathi kwe-asthma ye-bronchial kanye ne-asthma yenhliziyo?

Nakuba zombili zinezimpawu ezifana nobunzima bokuphefumula nomsindo wokuphefumula ovela esifubeni, izimbangela zihlukile ngokuphelele.

• I-Bronchial Asthma: Lesi yisifo sesikhathi eside esenzeka emaphashini. Imigudu yomoya iyavuvukala futhi ibe mincane, okubangela ubunzima bokuphefumula, ukukhwehlela, kanye nokuqina kwesifuba. Lezi zimpawu zingaba zimbi kakhulu ngokuchayeka ezintweni ezifana nothuli, ukungcola komoya, kanye nempova.

• I-Asthma Yenhliziyo: Kulesi simo, inkinga isenhliziyweni. Uma ukusebenza kwenhliziyo kuphazamiseka, amaphaphu agcwala uketshezi, okuyimbangela yobunzima bokuphefumula.

Uyawuqonda umehluko? Enye inkinga yamaphaphu, kanti enye inkinga yenhliziyo ethinta amaphaphu.

Ubani osengozini enkulu yokuthola i-'Cardiac Asthma'?

Lesi simo sithinta kakhulu abantu abanesifo senhliziyo esibizwa ngokuthi 'i-Congestive Heart Failure' . Yilapho ukwehluleka kwenhliziyo kuba kubi kakhulu njengoba ukugeleza kwegazi emithanjeni yegazi kukhuphuka. Njengoba ukwehluleka kwenhliziyo kuba kubi kakhulu, ngisho nokuzikhandla okuncane kungenza kube nzima ukuphefumula.

Kunezici eziningana eziyingozi ze-asthma yenhliziyo:

• Umfutho wegazi ophakeme
• Isifo Sikashukela (i-Diabetes Mellitus)
• Ama-valve enhliziyo anesifo
• I-Angina (ubuhlungu besifuba)
• Njengoba ngike ngaba nokuhlaselwa yinhliziyo ngaphambilini

Umuntu onalezi zimo unamathuba amaningi okuthola 'i-asthma yenhliziyo'.

I-'Cardiac Asthma' iwuthinta kanjani umzimba?

Uma amaphaphu akho egcwele amanzi, kungaba nzima kakhulu ukuphefumula. Lokhu kuyiqiniso ikakhulukazi uma ulala phansi noma ulele. Uma uvuka futhi uhlala phansi noma usukuma, ungase ukuthole kulula ukuphefumula. Isibonelo, uma uvuka ebusuku ngemva kokulala kahle futhi ngokuzumayo uzizwa uphelelwa umoya, lokho kungaba uphawu lwalesi simo.

Ziyini izimpawu zalokhu?

Umuntu one-asthma yenhliziyo angabonisa izimpawu ezifana nalezi:

• Ukuvuka nobunzima bokuphefumula ngemva kokulala amahora ambalwa ebusuku kuyimpawu enkulu kubantu abaningi.
• Ukuphefumula.
• Ukukhwehlela. Lokhu kukhwehlela kungaba ukukhwehlela okomile, noma kungaba ukukhwehlela okune-phlegm. Ngezinye izikhathi kunezimo lapho i-phlegm ixubene negazi elincane.

Uma unesinye noma ngaphezulu salezi zimpawu, kungcono ukufuna iseluleko sezokwelapha.

Yini ebangela 'i-Cardiac Asthma'?

Njengoba sesixoxile kakade, imbangela eyinhloko 'Ukwehluleka Kwenhliziyo' . Lokhu kubangela 'Ukucindezeleka Kwegazi Emaphashini' , okuwukwanda komfutho wegazi emaphashini. Lokhu kuholela 'ekugugulekeni Kwegazi Emaphashini' , noma ukunqwabelana koketshezi emaphashini. Yilokhu kunqwabelana koketshezi emaphashini okwenza kube nzima ngawe ukuphefumula, okuyikho okubangela 'i-Cardiac Asthma'.

Odokotela bakuthola kanjani ukuthi une-'Cardiac Asthma'?

Uma ubona udokotela, uzokubuza ngezimpawu zakho, athathe umlando wakho wezokwelapha, futhi ahlole umzimba . Kanye nalokhu, bangenza nokuhlolwa okuthile ukuqinisekisa isimo.

Yiziphi izivivinyo ezenziwayo ngalokhu?

Udokotela angase asebenzise lezi zivivinyo ezilandelayo ukuthola isifo senhliziyo:

• Ukuhlolwa kwegazi
• Ukuhlolwa komchamo
• I-Electrocardiogram (EKG) - Lokhu kulinganisa umsebenzi kagesi wenhliziyo.
• I-Echocardiogram - Lokhu kufana nokuskena kwenhliziyo nge-ultrasound. Kungabheka ubukhulu, ukuma, kanye nokusebenza kwenhliziyo.
• I-X-ray yesifuba - ukuhlola uketshezi emaphashini kanye nenhliziyo ekhuphukile.
• Ukuhlolwa kokucindezeleka kwenhliziyo namaphaphu- Ukusebenza kwenhliziyo namaphaphu kuyaqashwa ngesikhathi sokuzivocavoca.
• Ukufakwa kwe-catheter kwenhliziyo - Ukuhlolwa kokuhlola ukuvaleka kwemithambo yenhliziyo.
• Iskeni se-CT yenhliziyo (i-Computed Tomography)
• Isithombe Sokuzwakala Kwe-Magnetic (MRI)

Akuzona zonke lezi zivivinyo ezenzelwa wonke umuntu. Udokotela wakho uzonquma ukuthi yiziphi izivivinyo ezidingekayo ngokusekelwe esimweni sakho.

Yiziphi izindlela zokwelapha 'i-Cardiac Asthma'?

Ukwelashwa kwe-'Cardiac Asthma' kuhlukile ekwelashweni kwe-asthma ejwayelekile (i-Bronchial Asthma). Lokhu kungenxa yokuthi imbangela ihlukile. Okulandelayo kungasetshenziswa njengokwelashwa kwe-'Cardiac Asthma':

• Ukuzivocavoca: Ukwenza ukuzivocavoca okufanele njengoba kuqondiswe udokotela.
• Imithi: Izinhlobo ezahlukene zemithi zingase zinikezwe.
• Ukuvuselelwa kwenhliziyo: Lolu uhlelo lokuzivocavoca oluqondiswa ngokwezokwelapha kanye nokuguqulwa kwendlela yokuphila.
• I-Implantable Cardioverter Defibrillator (ICD): Idivayisi esiza ukulungisa ukushaya kwenhliziyo okungajwayelekile.
• I-Biventricular pacemaker: Ithuluzi elisiza amakamelo amabili enhliziyo ukushaya ndawonye.
• Idivayisi Yokusiza I-Ventricular Left (LVAD): Idivayisi yomshini esiza inhliziyo ukupompa igazi.
• Ukufakelwa inhliziyo: Njengendlela yokugcina, abanye abantu kungadingeka bafakelwe inhliziyo.

Yimiphi imithi esetshenziswa kulokhu?

Imithi elandelayo isetshenziselwa ukwelapha ukwehluleka kwenhliziyo, okuyimbangela eyinhloko yesifo senhliziyo:

• Izithibi ze-ACE
• Ama-Beta-blocker
• Ama-Diuretics: Lawa abizwa nangokuthi "amaphilisi amanzi." Asiza ekukhipheni uketshezi oluningi emzimbeni ngomchamo.
• Ama-SNRI (ama-Serotonin-Norepinephrine Reuptake Inhibitors)
• Ama-blocker e-Aldosterone
• Izithibi ze-SGLT2

Le mithi isebenza ngokunciphisa umthwalo enhliziyweni, ukulawula umfutho wegazi, nokususa uketshezi oluningi emzimbeni.

Ingabe ikhona imiphumela emibi yokwelashwa?

Njenganoma yimuphi umuthi, le mithi ingabangela imiphumela emibi. Imiphumela emibi ingahluka kuye ngomuthi. Nazi izibonelo ezimbalwa:

• Imithi yokuvimbela i-ACE: Ukukhwehlela okomile, isiyezi, ukukhathala, ikhanda elibuhlungu.
• Ama-Beta-blockers: Isicanucanu, ukozela, isiyezi, kanye nokucindezeleka okungenzeka.

Uma uzwa izimpawu ezintsha, noma uzizwa into engavamile ngemva kokuqala imithi, kufanele wazise udokotela wakho ngokushesha.

Unganciphisa kanjani ingozi yokuthola i-'Cardiac Asthma'?

'I-asthma yenhliziyo' ibangelwa ukwehluleka kwenhliziyo. Ngakho-ke, uma unciphisa ingozi yokwehluleka kwenhliziyo, ingozi 'ye-asthma yenhliziyo' nayo izoncishiswa.

Ungenza lezi zinto ukuze unciphise ingozi yakho kokubili:

• Uma unezinye izimo zezokwelapha, njengomfutho wegazi ophakeme noma isifo sikashukela , zitholele ukwelashwa okufanele nokulawulwa kwazo.
• Gcina isisindo esinempilo.
• Lawula ukucindezeleka.
• Vivinya umzimba njalo.
• Yidla ukudla okunempilo kwenhliziyo (njengezithelo nemifino).
• Gwema ngokuphelele ukusetshenziswa kwemikhiqizo kagwayi (njengogwayi kanye ne-beedis).
• Nciphisa ukusetshenziswa kotshwala, noma uyeke ngokuphelele.
• Ungasebenzisi izidakamizwa ezingekho emthethweni.

Ukulandela lezi zinto kuzosiza kakhulu ekugcineni inhliziyo yakho iphilile.

Yini okufanele ilindelwe umuntu one-'Cardiac Asthma'?

Ukwehluleka kwenhliziyo, okwaziwa nangokuthi 'i-cardiac asthma', kuyisimo esingaba sibi kancane kancane ngokuhamba kwesikhathi. Izimpawu zingakhula futhi ngokungalindelekile. Izinguquko zendlela yokuphila kanye nemithi kungasiza ekulawuleni lesi simo okwesikhashana.

Kodwa-ke, ngezinye izikhathi ungafika eqophelweni lapho uba nobunzima bokuphefumula ngisho noma ungazikhandla. Lokhu kubizwa ngokuthi 'Ukwehluleka Kwenhliziyo Okuthuthukisiwe' .

Ngaphambi kokuba ufike eqophelweni elinjengaleli, kubalulekile ukukhuluma nomndeni wakho nodokotela mayelana nohlobo lokwelashwa olufunayo. Isibonelo, uma unenkinga enkulu yokuphefumula, ungavuma yini ukuthi ipayipi lokuphefumula lifakwe emphinjeni wakho? Kuhle ukuba lezi zinto zinqunywe kusenesikhathi.

I-'Cardiac Asthma' ihlala isikhathi esingakanani?

I-asthma yenhliziyo ihlala isikhathi eside njengoba isimo esiyimbangela siqhubeka. Ngokuvamile, leso simo ukwehluleka kwenhliziyo. Okwamanje akukho ukwelashwa kwaso. Ngakho-ke, kubalulekile ukuthola ukwelashwa okungcono kakhulu ongakuthola.

Ngizinakekela kanjani?

Ukuze unciphise izimpawu zakho futhi uthuthukise ikhwalithi yokuphila kwakho, kufanele ulandele imiyalelo kadokotela wakho ngqo:

• Thola ukwelashwa okufanele kwezinye izimo zezokwelapha (isib. isifo sikashukela, umfutho wegazi ophakeme) ezingadala ukwehluleka kwenhliziyo.
• Yenza izinguquko endleleni yokuphila. Isibonelo, ukunciphisa inani likasawoti olifakela ekudleni kwakho.
• Thatha imithi oyinikezwe udokotela wakho njalo nangendlela efanele. Ungaphuthelwa ngisho nosuku olulodwa.

Kufanele ngimbone nini udokotela?

Uma uba nezimpawu ezintsha, noma uma izimpawu zakho ziba zimbi kakhulu, bona udokotela ngokushesha.

Tshela udokotela wakho, ikakhulukazi uma unakho okulandelayo:

• Uma ubunzima bokuphefumula bukhula.
• Uma amaqakala evuvukele (amaqakala avuvukele).
• Uma ukhuluphala ngokuzumayo.
• Ubunzima bokulala.
• Uma kukhona ukuphelelwa yisifiso sokudla.

Ungazinaki lezi zimpawu.

Kunini lapho kudingeka uye e-Emergency Treatment Unit (ETU) ?

Uma une-allergy emuthini owuthathayo – isibonelo, ukuvuvukala kolimi noma izindebe – shayela u-911 ngokushesha noma uye egumbini lezimo eziphuthumayo esibhedlela esiseduze nawe. Futhi, uma unenkinga enkulu yokuphefumula, futhi kungapholi kungakhathaliseki ukuthi wenzani, kufanele nakanjani uye egumbini lezimo eziphuthumayo.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma uya kudokotela, ungabuza imibuzo efana nale:

• "Ungincoma uhlobo luni lokwelashwa ngesimo sami?"
• "Hlobo luni lokuzivocavoca engingakwenza?"
• "Kudingeka ngibuye nini ukuze ngithole ama-aphoyintimenti okulandelela?"

Buza udokotela wakho noma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

I-asthma yenhliziyo iyisibonakaliso sesimo esikhulu kakhulu, ukwehluleka kwenhliziyo . Nakuba kungekho ukwelashwa kokwehluleka kwenhliziyo, kunemithi kanye nokwelashwa okuhlukahlukene okungasiza ekulawuleni. Udokotela wakho angakusiza ukhethe ukwelashwa okukulungele. Njengoba ukwehluleka kwenhliziyo kungaba kubi kakhulu ngokuhamba kwesikhathi, kubalulekile ukugcina udokotela wakho enolwazi ngezimpawu zakho. Kuwukuhlakanipha futhi ukwazisa udokotela wakho kusengaphambili ukuthi yiziphi izindlela zokwelapha ongathanda ukuzisebenzisa uma isimo senhliziyo yakho siba sibi kakhulu. Nakekela inhliziyo yakho futhi uhlale uphilile!

I - asthma yenhliziyo, i-asthma yenhliziyo, ukuphelelwa umoya, ukuvuvukala kwamaphaphu, ukuhlaselwa yinhliziyo, isifo senhliziyo, ukucindezeleka kokuphefumula