Uzizwa sengathi awukwazi ukusebenza kanzima njengoba wawusebenza ngaphambili? Uzizwa unesizungu lapho uhamba ibanga elifushane noma ukhuphuka izitebhisi? Mhlawumbe isizathu salokhu ukuthi ukusebenza kahle kwenhliziyo yakho, okungukuthi, isivinini epompa ngaso igazi, sehlile. Kwezokwelapha, namuhla sizokhuluma ngesilinganiso esibaluleke kakhulu esilinganisa ukusebenza kahle kwenhliziyo. Leso yi -Cardiac Output . Ungesabi uma uzwa leli gama, masiliqonde kalula.
Kalula nje, kuyini ukuphuma kwenhliziyo?
Kulula kakhulu. Ukuphuma kwenhliziyo yinani eliphelele legazi inhliziyo yakho elimpompa emzimbeni wakho ngomzuzu owodwa. Lokhu kulinganiswa ngamalitha. Cabanga ngenhliziyo yakho njengenjini yamanzi. Ukuphuma kwenhliziyo yinani lamalitha amanzi le njini empompa ngomzuzu.
Odokotela babala lokhu ngesibalo esilula:
"Ukuphuma Kwenhliziyo = Umthamo Wokushaya Inhliziyo x Isilinganiso Senhliziyo"
Manje cishe uyazibuza ukuthi la magama amabili amasha asho ukuthini. Ake sichaze nalokho futhi.
- Ivolumu Yokushaya Kwenhliziyo: Leli inani legazi inhliziyo yakho elimpompa emzimbeni wakho uma lishaya kanye . Esibonelweni sethu senjini yamanzi, kufana nenani lamanzi injini eliwakhiphayo uma isebenza kanye.
- Izinga Lokushaya Kwenhliziyo: Cishe uyayazi le. Lena yinani lezikhathi inhliziyo yakho eshaya ngazo ngomzuzu. Ngokuvamile, kumuntu ophilile, lokhu kuphakathi kokushaya okungu-60 no-100 ngomzuzu.
Uma uzivocavoca, umzimba wakho udinga umoya-mpilo owengeziwe. Lo moya-mpilo uthwalwa yigazi emzimbeni wonke. Ngakho-ke ngaleso sikhathi, umzimba usebenza ukwandisa ukuphuma kwenhliziyo ngokwandisa kokubili ukushaya kwenhliziyo kanye nenani legazi elimpontshwayo ngesikhathi esisodwa. Kuyindlela emangalisayo kakhulu, akunjalo?
Yiziphi izimpawu zokwehla kokuphuma kwenhliziyo?
Uma umzimba ungatholi igazi elanele, okungukuthi, uma ukuphuma kwenhliziyo kwehla, kungase kuvele izimpawu ezahlukahlukene. Ungakushayi indiva lokhu njengokukhathala okuvamile.
Kubaluleke kakhulu ukuzinakekela uma uzizwa ukhathele kakhulu kangangokuthi awukwazi ukuqeda umsebenzi owawuwenza.
Ngezansi kunezinye zezimpawu eziyinhloko zokwehla kokuphuma kwenhliziyo.
| Isibonakaliso | Kusho ukuthini lokhu? |
|---|---|
| Ukuzizwa ukhathele kakhulu ngokushesha | Ukukhathala okukhulu kwenzeka lapho imisipha yomzimba ingatholi umoya-mpilo nezakhamzimba ezizidingayo egazini. |
| Ubunzima bokuzivocavoca | Ukungakwazi ukugijima noma ukuhamba ibanga elide njengoba wawuvame ukwenza. Ubunzima bokuphefumula uma uzikhandla. |
| Ukuvuvukala kwezandla nezinyawo | Uma inhliziyo ingakwazi ukupompa igazi kahle, uketshezi emzimbeni alukwazi ukujikeleza kahle futhi lunganqwabelana ezithweni. |
| Ukuphelelwa umoya | Lesi simo singaba khona ikakhulukazi uma uhamba noma ugoba. Singathinta namaphaphu. |
| Isicanucanu, ukuhlanza, kanye nobuhlungu besisu | Lezi zimpawu zingase zivele ngenxa yokuncipha kokugeleza kwegazi ohlelweni lokugaya ukudla. |
Uma unalezi zimpawu, into engcono kakhulu ongayenza ukubona udokotela wakho ngokushesha ukuze akunike iseluleko.
Odokotela balinganisa kanjani ukuphuma kwenhliziyo?
Kunezindlela eziningana zokukala lokhu. Ezinye zilula kakhulu, kanti ezinye zidinga ukuhlolwa okukhethekile okwenziwa esibhedlela.
- I-Transthoracic Echocardiography (Ukuhlolwa kwe-Echo): Lokhu kufana nokuskena kwengane. Akubuhlungu. Kungahlola ukusebenza kwenhliziyo, usayizi wayo, kanye nesimo sama-valve. Lokhu kunganikeza udokotela umbono omuhle ngevolumu yesifo sohlangothi.
- I-MRI Yenhliziyo: Lena enye indlela yokuskena ethatha izithombe ezinemininingwane zenhliziyo.
- Ukuhlolwa Kwenhliziyo Okufanele: Lena yindlela enembile kakhulu yokukala ukuphuma kwenhliziyo. Esibhedlela, uchwepheshe ufaka ithubhu elincane (i-catheter) enhliziyweni ngomthambo ongalweni noma emlenzeni bese elinganisa ingcindezi ngaphakathi kwenhliziyo kanye namazinga omoya-mpilo egazini. Lokhu kuvumela ukubalwa okunembile kakhulu kokuphuma kwenhliziyo.
- Ezinye izindlela: Ngaphezu kwalokho, umqondo ongejwayelekile ungatholakala ngokunamathisela ama-electrode emzimbeni kanye nokukala ukuphefumula ngemishini ekhethekile.
Udokotela wakho uzoncoma ukuhlolwa okufanele kakhulu isimo sakho.
Yiziphi izimbangela zokwehla kokukhishwa kwenhliziyo?
Kunezizathu eziningana ezingathinta lokhu. Ezinye zazo singazilawula, kanti ezinye zidinga ukuphathwa ngokwelashwa.
| Isici | Kalula nje, kwenzekani? |
|---|---|
| Umfutho Wegazi Ophakeme | Zicabange uhamba emoyeni onamandla. Ngokufanayo, lapho ingcindezi emithanjeni yakho yegazi ikhula, inhliziyo yakho kufanele isebenze kanzima ukupompa igazi kuyo. Ngokuhamba kwesikhathi, inhliziyo yakho ingaba buthakathaka. |
| Ubudala | Njengoba sikhula, izindonga zenhliziyo ziyaqina futhi zingaguquguquki. Ngenxa yalokho, ayikwazi ukugcwala igazi ngokushesha njengoba yayivame ukwenza. Lokhu kunciphisa nenani legazi eliyipompayo. |
| Umonakalo obangelwe ukuhlaselwa yinhliziyo | Uma imisipha yenhliziyo yonakele ngenxa yokuhlaselwa yinhliziyo, ikhono layo lokupompa lingancishiswa unomphela. |
| I-Rhythms Yenhliziyo Engavamile | Isibonelo, esimweni esifana ne -Atrial Fibrillation, amakamelo aphezulu enhliziyo awafinyeleli kahle. Ngenxa yalokho, amakamelo aphansi awagcwali igazi kahle futhi inani elimpontshelwayo liyancishiswa. |
| I-Aortic Stenosis (ukuncipha kwevalvu yenhliziyo) | Uma ivalvu exhumanisa umthambo wegazi oyinhloko (i-aorta) othwala igazi lisuka enhliziyweni liye emzimbeni iba mncane, ayikwazi ukukhipha igazi eliningi ngangokunokwenzeka. |
| Ukutheleleka kwenhliziyo noma ezinye izifo | Izimo ezinjengokutheleleka kwemisipha yenhliziyo (i-myocarditis) noma ukuqina kolwelwesi oluzungeze inhliziyo (i-constrictive pericarditis) nakho kungaphazamisa ikhono lenhliziyo lokupompa. |
Indlela yokwandisa ukuphuma kwenhliziyo?
Izindaba ezinhle ukuthi lesi simo singalawulwa kakhulu ngokwenza izinguquko ezimbalwa ezilula endleleni yokuphila nokulandela ukwelashwa okunqunywe udokotela wakho. Inhliziyo eqinile kanye nohlelo lokujikeleza kwegazi olunempilo yizona zinto ezibalulekile kulokhu.
Khumbula, inhliziyo enempilo iyisango eliya empilweni enempilo. Kufanelekile ukuzidela okuncane.
Nazi ezinye izinto ongazenza:
- Vivinya umzimba njalo: Ngisho nento elula njengokuhamba imizuzu engama-30 ngosuku ingaba yinhle kakhulu enhliziyweni yakho. Kodwa-ke, ngaphambi kokuqala noma yiluphi uhlelo lokuzivocavoca, kubalulekile ukukhuluma nodokotela wakho ukuze uthole ukuthi yini ekufanele.
- Lawula i-cholesterol: Yidla ukudla okwehlisa i-cholesterol embi (LDL) futhi kwandise i-cholesterol enhle (HDL).
- Lawula isifo sikashukela: Uma unesifo sikashukela, thatha imithi oyinikezwe udokotela wakho njengoba nje kuyalelwe futhi ugcine amazinga kashukela egazini lakho elawulwa.
- Ukudla okunempilo: Nciphisa ukudla okunamafutha, okuthosiwe, ukudla okunosawoti omningi kanye noshukela ngangokunokwenzeka. Faka izithelo, imifino, imifino eluhlaza kanye nezinhlanzi ezincane ekudleni kwakho.
- Gcina isisindo esinempilo: Njengoba isisindo somzimba sanda, umthwalo enhliziyweni nawo uyanda.
- Yeka ukubhema nokusebenzisa ugwayi ngokuphelele: lezi yizitha ezinkulu zenhliziyo nemithambo yegazi.
- Lawula umfutho wegazi lakho: Uma udokotela wakho ekunike imithi, yithathe ngesikhathi.
Ukwazi ukuthi inhliziyo yakho isebenza kahle kangakanani kungasiza udokotela wakho ukuthi athole ukuxilongwa okunembile futhi abone ukuthi ukwelashwa okunikezile kuyasebenza yini. Ngakho-ke uma unemibuzo noma ukukhathazeka, vuleleka futhi uthembeke kudokotela wakho. Uma unolwazi oluningi ngempilo yakho, amathuba akho okuthola imiphumela emihle kakhulu ayanda.
Umlayezo Wokuya Nawe Ekhaya
- Ukuphuma kwenhliziyo yinani legazi inhliziyo yakho elimpompa ngomzuzu. Lesi yisilinganiso esibalulekile sokusebenza kahle kwenhliziyo.
- Izimpawu ezinjengokukhathala, ukuphelelwa umoya, nokuvuvukala kwamalungu kungaba izimpawu zokwehla kokuphuma kwenhliziyo.
- Lesi simo singalawulwa kahle ngokwenza izinguquko zendlela yokuphila enempilo (ukuzivocavoca umzimba, ukudla okuhle) kanye nokulandela iseluleko sikadokotela wakho.
- Uma ubhekene nanoma yikuphi ukungakhululeki okuhlobene nenhliziyo, qiniseka ukuthi ukhuluma nodokotela wakho ngakho.
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