Uyazazi yini izinkinga zenhliziyo? Ake sixoxe!

Uzizwa sengathi othile emndenini wakho, ikakhulukazi umuntu onesifo senhliziyo, wehla kancane kancane isisindo futhi wehla imisipha? Uzizwa ukhathele kakhulu kanye nokulahlekelwa yisifiso sokudla? Uma kunjalo, lokhu kungaba yilokho esikhuluma ngakho. Lokhu sikubiza ngokuthi ukulahlekelwa yinhliziyo, noma njengoba odokotela bekubiza ngokuthi Cardiac Cachexia.

Kuyini lokhu okubizwa ngokuthi i-cardiac cachexia?

Kalula nje, (Cardiac Cachexia) yisimo esithile sokungondleki kahle kanye nokulahlekelwa yimisipha okwenzeka ngesifo senhliziyo esibi, ikakhulukazi ezigabeni zokugcina zalesi sifo. Igama elithi "cachexia" ngokwezwi nezwi lisho "isimo esibi". Lokhu akusona nje isimo senhliziyo, kodwa kungenzeka nakwezinye izifo eziningi ezimbi. Okwenzekayo lapha ukuthi, ngaphandle komzamo, umzimba uba mncane futhi izicubu zemisipha ziyalahleka.

Odokotela bathi esinye sezibonakaliso eziyinhloko zalesi simo ukuthi ulahlekelwe okungenani u-5% wesisindo somzimba wakho ngonyaka odlule, ngaphandle kokwenza lutho ukuze wehlise isisindo. Ngokusho kwabanye ochwepheshe, uma leli nani lingu-6% noma ngaphezulu, futhi kunezinye izimpawu eziningana, kungaba "i-Cardiac Cachexia".

Ivame kangakanani i-Cardiac Cachexia?

Kunabantu abangaphezu kwezigidi ezingu-20 abanesifo senhliziyo esingamahlalakhona emhlabeni. Kulabo, kubikwa ukuthi phakathi kuka-10% no-39% wesifo senhliziyo esingamahlalakhona esinezimpawu bahlushwa yilesi simo (i-Cardiac Cachexia). Lokhu kusho ukuthi akuyona into engavamile kangako.

Ziyini izimpawu zalokhu?

Khumbula, ungesabi ngoba nje unesinye noma ezimbili zalezi zimpawu. Kodwa uma ziqhubeka, kungcono ukubona udokotela.

• Ukulahlekelwa ngaphezu kuka-5% wesisindo sakho sonke esikhathini esingaphansi konyaka ngaphandle komzamo (lokhu kuwukulahlekelwa amafutha emzimbeni, hhayi amanzi).
• Ukulahlekelwa amandla emisipha, umuzwa wobuthakathaka.
• Ukuzizwa ukhathele kakhulu futhi ukhathele.
• Ukungakwazi ukwenza ngisho nemisebenzi eyisisekelo yansuku zonke ngenxa yokuntuleka kwamandla.
• Ukulahlekelwa yisifiso sokudla.

Cabanga nje, uma ugogo noma umkhulu wakho ehlushwa yisifo senhliziyo, uma engadli njengoba ayevame ukwenza, uma engakwazi ukuhamba, uma elele embhedeni, uma izingubo zakhe zibukeka sengathi zinkulu kakhulu, kufanele ukhathazeke kancane ngalokhu.

Kungani i-Cardiac Cachexia ikhula? Ziyini izimbangela?

Lesi simo, esibizwa ngokuthi "i-Cardiac Cachexia", asibangelwa yimbangela eyodwa. Siyinhlanganisela yezinguquko eziningi ezenzeka emzimbeni womuntu onesifo senhliziyo esibi kakhulu. Izici eziyinhloko ezisithintayo yilezi:

• Ukungalingani kwe-metabolism yomzimba wakho. Okusho ukuthi, inkinga ngendlela umzimba wakho okhiqiza futhi osebenzisa ngayo amandla.
• Ukungatholi amaprotheni anele ekudleni naseziphuzweni.Amaprotheni abalulekile ekwakheni nasekulondolozeni imisipha.
• Ukungamunci kahle izakhamzimba kulokho okudlayo nokuphuzayo.
• Ukungazibandakanyi kunoma yimuphi umsebenzi noma ukuzivocavoca umzimba.

Yiziphi izinkinga ezingaba khona ze-Cardiac Cachexia?

Uma lesi simo singaphathwa kahle, kungavela inkinga ilandelana.

• I-Sarcopenia: Lokhu kusho ukwehla kwesisindo semisipha.
• Ngezinye izikhathi izibazi zingavela emisipheni yenhliziyo.
• Ubuthakathaka kanye nobuthakathaka bungaba khona, okuholela ekuweni nasekulimeni njalo.
• I-Anorexia ingabangela ukungalingani kwe-electrolyte kanye noketshezi emzimbeni .
• I-Osteoporosis ingenzeka. Lokhu kusho ukuthi ubuningi bamathambo buyancipha futhi amathambo angaphuka kalula.
• Ngokudabukisayo, lesi simo (i-Cardiac Cachexia) singaba sibi kakhulu futhi size sibulale.

Odokotela bakubona kanjani lokhu?

Udokotela uxilonga isimo esithi "Cardiac Cachexia" uma wehle kancane kancane ngo-5% noma ngaphezulu kwesisindo sakho ngonyaka odlule, kanye okungenani nezinkinga ezintathu ezilandelayo:

• Ukukhathala ngokweqile, ukukhathala.
• Ukulahlekelwa amandla noma isisindo semisipha.
• I-Anorexia.
• Ukuvuvukala emzimbeni.
• I-anemia.
• Ukuba namazinga aphansi kakhulu eprotheni ebizwa ngokuthi i-albumin emzimbeni.

Yiziphi izivivinyo ezenziwayo ngalokhu?

Ukuqinisekisa lesi simo ngokunembile, udokotela angase acele ukuhlolwa okuhlukahlukene.

• Ukuhlolwa kwegazi: Lokhu kungahlola izinto eziningi, njengamazinga amaprotheni, i-anemia, kanye nezimo zokuvuvukala.
• I-Electrocardiogram (EKG): Buka umsebenzi kagesi wenhliziyo.
• I-Echocardiogram: Ukuhlola umsebenzi kanye nesakhiwo senhliziyo, okufana nokuskena kwe-ultrasound.
• I-X-ray yesifuba.
• Iskeni se-DEXA (DXA): Silinganisa ubuningi bamathambo kanye nokwakheka komzimba (imisipha, amafutha).
• Isikeni se-Computed Tomography (CT).
• Ukuskena kwe-Magnetic Resonance Imaging (MRI).
• Ukuhlolwa kokuzilolonga kwenhliziyo namaphaphu: Bona ukuthi inhliziyo namaphaphu asabela kanjani ekuziloleni.

Lezi zivivinyo zibaluleke kakhulu ngoba abantu abanesifo senhliziyo bavame ukuba nokugcinwa koketshezi kanye nokuvuvukala, okungaholela ekutheni umzimba ube nesisindo somzimba esiphezulu (BMI).Kungaba nzima ukukala ngokunembile. Ukuvuvukala kungasitha izinga langempela lokwehla kwesisindo sakho.

Ukuhlolwa okukhethekile okubizwa ngokuthi "i-catheterization yenhliziyo efanele" kungasiza udokotela wakho ukuthi abone ukuthi unama-fluid amaningi kangakanani emzimbeni wakho. Lokhu kungakusiza futhi ukuthi uqonde ukuthi ulahlekelwe isisindo esingakanani nokuthi usele namanzi angakanani.

Yiziphi izindlela zokwelapha i-Cardiac Cachexia?

Lesi yisimo esiyinkimbinkimbi kakhulu, ngakho kunzima ukucabanga ukuthi, "Yidla kakhulu bese kuzolunga." Asikwazi ukwelashwa ngokwelashwa okukodwa. Kudingeka sisondelwe ngezindlela eziningi.

• Ukuzivocavoca: Udokotela wakho angase akuncome ukuthi wenze ukuzivocavoca kwe-aerobic (okwandisa izinga lokushaya kwenhliziyo yakho). Lokhu kuzosiza ekuvimbeleni ukulahleka kwemisipha okuqhubekayo. Abacwaningi bathole ukuthi ukuzivocavoca kungenye yezindlela zokwelapha ezingcono kakhulu ze-cachexia yenhliziyo. Izinhlelo zokuvuselela inhliziyo zinezinzuzo eziningi kubantu abanesifo senhliziyo:
• Ungathuthukisa ikhwalithi yokuphila.
• Ukuhlala esibhedlela kungancishiswa.
• Ungandisa isikhathi sakho sokuphila.

• Ukulaliswa esibhedlela: Uma uzizwa ubuthakathaka noma umfutho wegazi wakho uphansi kakhulu, udokotela wakho angase akungenise esibhedlela. Isisindo sakho kanye nomthamo owudlayo nowuphuzayo kuzoqashwa. Uzokwazi ukuya ekhaya ngemuva kokuthola ukudla okwanele. Kuzodingeka ubone ochwepheshe abalandelayo emasontweni amabili kuya kwamane azayo:
• Udokotela wenhliziyo.
• Isazi sokudla okunempilo.
• Udokotela womndeni wakho (Umhlinzeki wokunakekelwa okuyinhloko).

• Ukwelapha isifo senhliziyo esiyisisekelo: Uma isifo senhliziyo yakho sesisesigabeni esithuthukile, kungaba nzima ukuqeda i-cachexia ngaphandle kokwelapha isifo senhliziyo esiyisisekelo. Lokhu kuzodinga ukubona udokotela wenhliziyo osezingeni eliphezulu. Angakunikeza imithi edingekayo, noma uma kufaneleka, afake iphampu yenhliziyo yomshini, noma akuthumelele ukufakelwa inhliziyo.

Imithi ethile noma izithasiselo ezinikeziwe

Udokotela angase anikeze izinto ezifana nalezi:

• Izithasiselo zamaprotheni.
• Amavithamini C no-E.
• Ama-fatty acid e-Omega-3.
• Ama-steroid e-Anabolic.
• I-hormone yokukhula komuntu (i-hormone yokukhula komuntu - HGH).
• Ama-agonist e-Ghrelin receptor.
• Ama-beta-blocker.
• Ama-modulator e-androgen receptor akhethiwe.

Ingabe ikhona imiphumela emibi yokwelashwa?

Eminye yemithi evame ukusetshenziswa ye-'Cardiac Cachexia' ingabangela imiphumela emibi efana nalokhu:

• Isikhumba esinamafutha.
• Ukuvuvukala kweqakala.
• Ukukhathala.
• Isicanucanu.
• Isiyezi.
• Ukungalali.

Unganciphisa kanjani ingozi ye-Cardiac Cachexia?

Ukuze kuncishiswe ingozi yalesi simo, udokotela wakho angase akunike imithi efana nale (lena ivame ukunqunyelwa ukuhlaselwa yinhliziyo):

• Izithibi ze-enzyme eguqula i-angiotensin (ACE).
• Ama-beta-blocker.
• Ama-diuretics ajikelezayo (amaphilisi amanzi).
• Izitha ze-Aldosterone.

Yini umuntu one-Cardiac Cachexia angayilindela?

Uma ngikhuluma iqiniso, (Cardiac Cachexia) yisimo esivame ukuba ne-prognosis embi. Kodwa-ke, ukuxilongwa kusenesikhathi kanye nokwelashwa kungasiza ekuthuthukiseni umphumela. Uma ukwelashwa kuqalwa ngokushesha, amathuba okuguqula isimo abe ngcono.

Ingabe i-cachexia yenhliziyo ingadala ngisho nokufa?

Yebo, kungenzeka. Isibikezelo se-"Cardiac Cachexia" asisihle neze. Kuthiwa cishe abantu abangu-50% abanalesi simo bafa zingakapheli izinyanga ezingu-18 . Ngokusho kocwaningo olulodwa, abanye abantu bangafa ezinyangeni ezintathu, eziyisithupha, noma eziyishumi nambili. Lokhu akukhona ukukwesabisa, kodwa ukukwenza uqonde ukungathi sína kwalesi simo.

Ngizinakekela kanjani mina noma umuntu engimnakekelayo?

Uma ubhekene nalesi simo, kunezinto ezimbalwa ongazenza ukuze usize:

• Ukudla ukudla okuthambile kungasiza ekuvimbeleni ubunzima bokuphefumula ngenkathi udla.
• Kungcono futhi ukudla ukudla okuncane kaningi, kunokudla ukudla okuningi ngesikhathi esisodwa.
• Odokotela banemibono ehlukene ngokuthi kufanele udle usawoti ongakanani. Ngakho-ke, cela iseluleko kudokotela wakho. Odokotela abaningi bathi i-Mediterranean Diet kanye nokudla kwe-DASH kuhle kubantu abane-Cardiac Cachexia.
• Thatha noma yiziphi izithasiselo zokudla okunempilo udokotela wakho acabanga ukuthi zizokusiza. Lokhu kungathuthukisa ikhwalithi yempilo yakho kanye nempilo yakho. Ukuthola izakhamzimba ezanele kungakusiza futhi ukulungiselela ukufakelwa inhliziyo uma uzokwenzelwa.

Kufanele ngimbone nini udokotela?

Khuluma nodokotela wakho ngokuthi udinga ukumbona kangaki. Kungase kudingeke ukuthi uhlolwe njalo.Okungenani, kuzodingeka ubike isisindo sakho kanye nokudla okunama-calories.

Yimiphi imibuzo okufanele uyibuze udokotela?

Ungangabazi ukubuza udokotela wakho imibuzo efana nale:

• Sibi kangakanani isimo sami se-(Cardiac Cachexia)?
• Ungangincoma ukudla okukhethekile okungifanelayo?
• Yiziphi izithasiselo zokudla ezingcono kakhulu kimi?

Okubaluleke kakhulu: Uma unesifo senhliziyo esibi kakhulu futhi wehla isisindo, khuluma nodokotela wakho ngokushesha. Abantu abanesifo senhliziyo bavame ukuba nemizimba evuvukele, ngakho-ke ungase ungaboni ukuthi ulahlekelwe isisindo esingakanani. Zinakekele futhi uthole usizo oludingayo. Kungaleso sikhathi kuphela lapho ungavimbela khona isimo ukuba singabi sibi kakhulu.

Ngamafuphi, umyalezo okufanele uwuthathe uye ekhaya

Kulungile, manje usuyaqonda kangcono isimo esikhulume ngaso esibizwa ngokuthi (Cardiac Cachexia). Khumbula, lesi yisimo esibi kakhulu esingahambisana nokwehluleka kwenhliziyo. Uma wehlisa isisindo ungaqapheli, unezimpawu ezifana nokulahlekelwa yisifiso sokudla, nokukhathala, ungakushayi indiva.

Ukuxilongwa kusenesikhathi kanye nokwelashwa okufanele yizinto ezibaluleke kakhulu. Akukho ukwelashwa okukodwa kwalokhu, kuyinhlanganisela yokuzivocavoca umzimba, ukudla okunempilo, kanye nemithi uma kudingeka. Kubaluleke kakhulu ukukhuluma ngokukhululekile nodokotela wakho bese ulandela iseluleko sakhe ngqo. Uma umngane wakho ehlushwa yilesi simo, ungakhohlwa ukumkhuthaza nokumnikeza ukwesekwa okudingekayo.

I- Cachexia yenhliziyo, isifo senhliziyo, ukuphelelwa amandla, ukuphelelwa amandla kwemisipha, ukungondleki kahle, isifo senhliziyo, ukudla okunomsoco