Ingabe amaphaphu akho agcwele amanzi? Ake sifunde ngalesi simo esihlobene nenhliziyo (i-Cardiogenic Pulmonary Edema)!

Ingabe ngezinye izikhathi uzizwa uphelelwa umoya? Noma uvuka ebuthongweni ngoba unenkinga yokuphefumula uma uya embhedeni? Mhlawumbe imilenze yakho nayo ivuvukele. Uma unezimpawu ezinjengalezi, akuwona umqondo omuhle ukuzishaya indiva. Ngoba, lesi yisimo esithinta inhliziyo futhi sigcwalise amaphaphu ngamanzi, okungaba yingozi empilweni . Namuhla, sizokhuluma ngalesi simo esibizwa ngokuthi `(Cardiogenic Pulmonary Edema)`.

Kubizwa ngokuthini lokhu kuvuvukala okuhlobene nenhliziyo emaphashini? (I-Cardiogenic Pulmonary Edema)

Kalula nje, `(Cardiogenic Pulmonary Edema)` ukunqwabelana okungadingekile koketshezi emaphashini akho . Lokhu kungaba yingozi kakhulu. Isizathu esiyinhloko salokhu ukuthi ingcindezi ohlangothini lwesobunxele lwenhliziyo iyanda futhi igazi liyaqongelela. Ngokuvamile, lokhu kwenzeka ngenxa yokwehluleka kwenhliziyo. Lapho amaphaphu egcwele amanzi kanje, ngaphezu kobunzima bokuphefumula, ezinye izitho zomzimba nazo zingalimala ngokungatholi umoya-mpilo owanele . Cabanga ngakho, amaphaphu ethu afana nesiponji. Uma emunca amanzi, awakwazi ukusebenza kahle. Yilokho okwenzekayo.

Uyini umehluko phakathi kwe-edema yenhliziyo kanye ne-edema yamaphaphu?

Womabili la magama abhekisela ekuqongeleleni koketshezi emaphashini akho, okwenza kube nzima ukuphefumula. Kodwa-ke, `(Cardiogenic Pulmonary Edema)` uhlobo `(Pulmonary Edema)` olubangelwa inkinga yenhliziyo . Okusho ukuthi, luyingxenye yesigaba esikhulu `(Pulmonary Edema)`. Ngakolunye uhlangothi, `(Non-cardiogenic Pulmonary Edema)` lubangelwa umonakalo emaphashini ngokwawo. Isibonelo, lungabangelwa yinto efana nokutheleleka okukhulu noma ukuhogela amagesi anobuthi.

Ngakho-ke kuyini ukuvuvukala kwenhliziyo kanye nokuvuvukala kwezinso?

Kokubili lokhu empeleni kubhekisela ekuqongeleleni koketshezi ezithweni zethu. Ku-`(Cardiac Edema)`, uketshezi oluningi lusemaphashini. Kodwa ku-`(Renal Edema)`, uketshezi oluningi lusezinso. Ngezinye izikhathi, zombili lezi zimo zingabangelwa ukwehluleka kwenhliziyo. Uma kunenkinga ngezinso, izinso azikwazi ukuhlunga kahle uketshezi egazini bese zilukhipha njengomchamo. Bese, amanzi aqoqana emzimbeni.

Ubani osengozini enkulu yokuthola ukuvuvukala kwenhliziyo ngenxa yesifo senhliziyo?

Lesi simo sivame ukuthinta abantu abanesifo senhliziyo , ikakhulukazi labo abanenkinga yokusebenza kwenhliziyo (Heart Failure). Cabanga nje, isifo senhliziyo sivamile ezweni lakithi. Ngakho-ke, uma unezinkinga ezihlobene nenhliziyo, kubaluleke kakhulu ukunakekela lokhu.

Ziyini izimpawu zalokhu? Sikubona kanjani?

Bheka ukuthi unayo yini eyodwa noma ngaphezulu yalezi zici:

• Ingabe unenkinga yokuphefumula uma uzivocavoca noma ulala phansi? Abanye abantu banenkinga yokuphefumula lapho belele embhedeni, ngakho-ke kufanele balale bephakamise imicamelo emibili noma emithathu.
• Ingabe uvuka ngokuzumayo ebusuku uzizwa uphelelwa umoya? Lokhu kuyinto abantu abaningi ababhekana nayo.
• Ingabe izinyawo zakho namaqakala akho kuyavuvukala? Kuze kube sezingeni lapho kunzima khona ukugqoka izicathulo zakho.
• Ingabe uhlala uzizwa ukhathele futhi ukhathele? Njengokungathi awunawo amandla okwenza noma yini?
• Ingabe ngokuzumayo uthola isisindo esingaphezu kwekhilogremu elilodwa (cishe amakhilogremu amabili) ngosuku? Lokhu kungaba ngenxa yokugcinwa kwamanzi.

Uma unezimpawu ezinjengalezi, kungcono ukufuna iseluleko sezokwelapha ngaphandle kokuchitha isikhathi .

Kungani lokhu kwenzeka? Yiziphi izizathu zalokhu?

Imbangela eyinhloko ye-`(Cardiogenic Pulmonary Edema)` yi-`(Congestive Heart Failure ).` Lesi yisimo lapho inhliziyo ingakwazi ukupompa igazi elanele emzimbeni. Ngaphezu kwalokho, kunezinye izimbangela eziningana:

• I-Arrhythmia : Inhliziyo ayishayi ngesigqi esifanele.
• I-Cardiomyopathy : Ukuqina noma ukuqina kwemisipha yenhliziyo.
• Izinkinga ngama-valve ohlangothini lwesobunxele lwenhliziyo : Isibonelo, ukuncishiswa kwama-valve, noma ukuphindaphinda kwemisipha.
• Ukuhlaselwa Yinhliziyo : Ukuvaleka okungazelelwe komthambo wegazi ohambisa igazi enhliziyweni.

Kalula nje, lapho ukusebenza kahle kwenhliziyo ukushaya kwehla, igazi liqala ukunqwabelana emaphashini kancane kancane, licindezela. Yilapho amaphaphu egcwala khona amanzi.

Udokotela uhlonza kanjani lokhu?

Uma uya kudokotela, into yokuqala ayenzayo yile:

• Ukuhlolwa ngokomzimba kuwukuhlolwa kwakho okuphelele. Bazolalela isifuba sakho nge-stethoscope futhi bahlole ukuthi imilenze yakho ivuvukele yini.
• Ukubuza ngomlando wakho wezokwelapha . Izinto ezifana nezifo zangaphambilini oke waba nazo, ukuthi ngabe kukhona yini emndenini wakho onesifo senhliziyo, njll.
• Ukuhlola inqubo yokwenza izivivinyo eziningana ezikhethekile .

Yiziphi izivivinyo ezenziwayo ngalokhu?

Ngemva kokuba udokotela ekuhlolile, angenza lezi zivivinyo ezilandelayo ukuqinisekisa isimo esiqondile:

• I-ECG (i-Electrocardiogram) : Lokhu kungaqapha ukusebenza kukagesi kwenhliziyo, okungukuthi, isigqi sokushaya kwenhliziyo.
• I-X-ray yesifuba : Kuthathwa i-X-ray yesifuba ukuze kuhlolwe uketshezi emaphashini noma inhliziyo ekhulisiwe.
• I-Echocardiogram : Lokhu kufana nokuskena kwenhliziyo nge-ultrasound. Kungahlola izinto eziningi ngenhliziyo, njengosayizi wayo, ukuma kwayo, ukuthi ama-valve ayo asebenza kanjani, nokuthi iphampa kanjani.
• Ukuhlolwa Kwegazi : Ezinye izingxenye zegazi, isibonelo, ama-enzyme akhishwa lapho inhliziyo yonakele, kanye nokusebenza kwezinso kuyahlolwa.
• I-Pulmonary Arterial Catheter : Lokhu akulona ukuhlolwa kwawo wonke umuntu. Kuyinkimbinkimbi kancane. Kuwukuhlolwa okuhilela ukufaka ithubhu elincane entanyeni noma endukwini ukuze kulinganiswe ingcindezi emithanjeni yegazi eholela emaphashini.

Nokho, yiziphi izindlela zokwelapha lokhu?

Izindlela zokwelapha zincike embangela kanye nobucayi besifo. Kunezindlela eziningana zokwelapha eziyinhloko:

Ukuhlinzwa kanye nokwelashwa okuqondile:

Kwezinye izimo, ukwelashwa okunjalo kungadingeka:

• I-PCI (Percutaneous Coronary Intervention) : Uma kukhona ukuvaleka kwemithambo yegazi yenhliziyo, ivulwa ngokuyifutha ngebhaluni bese mhlawumbe kufakwa i-'Stent' (idivayisi encane efana ne-mesh).
• Idivayisi Yokusiza Ngemithambo Yegazi (i-VAD) : Idivayisi encane efakwa ngaphakathi noma ngaphandle komzimba esiza inhliziyo ukupompa igazi.
• Ukufakelwa Kwevalvu Yenhliziyo : Uma kunenkinga enkulu ngamavalvu enhliziyo, kuwukuhlinzwa kokufakelwa kwamavalvu.
• I-Coronary Artery Bypass Graft (CABG) : Sonke siyazi "ukuhlinzwa kwe-bypass". Kuhilela ukudala imithambo yegazi emisha enhliziyweni ukuze idlule imithambo yegazi evalekile.
• Iphampu Yebhaluni Yangaphakathi Kwe-aorta (IABP) : Ibhaluni elifakwa okwesikhashana emthanjeni wegazi ukusiza ukupompa igazi liye enhliziyweni.
• I-Extracorporeal Membrane Oxygenation (ECMO) : Lena indlela esetshenziswa ezimweni ezimbi kakhulu. Ihilela ukufaka i-oxygen egazini kusetshenziswa umshini ongaphandle komzimba bese uyibuyisela emzimbeni.
• Ukufakelwa Inhliziyo : Indlela yokugcina uma zonke ezinye izindlela zokwelapha zingaphumeleli.

Izinhlobo zemithi:

Udokotela wakho angakunikeza imithi efana nalokhu:

• Ama-Vasodilator : Lawa asebenza ngokwandisa imithambo yegazi, okwenza kube lula ngenhliziyo ukupompa igazi.
• Ama-diuretics : Ngokuvamile siwabiza ngokuthi “amaphilisi amanzi.” Asebenza ngokukhipha uketshezi oluningi emzimbeni ngomchamo.

Into ebaluleke kakhulu ukuthi uma unesifo senhliziyo, udokotela wakho uzokutshela ukuthi unciphise usawoti owudlayo . Lokhu akusho nje usawoti owufaka ekudleni kwakho, kodwa futhi nosawoti ofihliwe ezintweni ezifana nokudla okusemathinini, amasobho apakishiwe, kanye namasosi. Ngakho-ke kudingeka uqaphele nangalokho.

Izinguquko zendlela yokuphila nezinto ongazenza ekhaya:

Lezi zinto zizokusiza futhi:

• Vivinya umzimba okungenani izinsuku ezimbalwa ngesonto. Ngisho nokuhamba kancane kuhle. Kodwa-ke, buza udokotela wakho ukuthi yikuphi ukuzivocavoca okufanele.
• Gcina imilenze yakho evuvukele iphakeme kancane ngenkathi uhleli.
• Uma imilenze yakho ivuvukele, ungagqoka amasokisi akhethekile abizwa ngokuthi "ama-Compression Stockings" njengoba kuceliwe udokotela wakho.
• Uma unama-fluid emaphashini akho, gcina ikhanda lombhede liphakeme kancane ngenkathi ulele.

Yini esingayenza ukuze sinciphise le ngozi?

I-Cardiogenic Pulmonary Edema (CPED) ivame ukwenzeka uma usuvele unenkinga yenhliziyo. Ngakho-ke, indlela engcono kakhulu yokunciphisa le ngozi ukugcina inhliziyo yakho iphilile futhi inamandla .

Lezi zinto zizosiza ngalokho:

• Yidla ukudla okunamafutha agcwele kanye namafutha e-trans aphansi . Faka imifino eminingi, izithelo, kanye nemifino ekudleni kwakho.
• Vivinya umzimba noma nini lapho kungenzeka. Ngisho nokuhamba imizuzu engama-30 ngosuku kuyinto enhle kakhulu.
• Gwema ngokuphelele ukusetshenziswa kwemikhiqizo kagwayi (ugwayi, ama-beedis, njll.).
• Nciphisa ukuphuza kwakho utshwala. Kungcono ukuyeka ngokuphelele uma kungenzeka.

Kwenzekani uma lokhu kwenzeka? Ingabe kungelapheka?

Eqinisweni, i-`(Pulmonary Edema)` iyisimo esisongela impilo . Kodwa-ke, izinga lokululama kwakho lincike embangela yaso. Isibonelo, cishe abantu abangu-50% abane-`(Cardiac Edema)` basinda unyaka wonke ngemuva kokukhishwa esibhedlela.

Ukwehluleka kwenhliziyo kuyimbangela evamile yalokhu. Kuyisifo esingamahlalakhona, okusho ukuthi sihlala isikhathi eside. Kodwa-ke, ngokwelashwa okufanele, lesi simo singalawulwa kahle .

Esikhundleni sokuzisola ngokuthi, "O, nginalesi sifo," okubalulekile ukulandela imiyalelo kadokotela nokulungisa indlela yakho yokuphila.

Ngizinakekela kanjani?

Ukuzikala ngesikhathi esifanayo nsuku zonke kungakusiza ubone ukuthi isimo sakho siya siba sibi yini. Kungcono ukuzikala kuqala ekuseni, ngaphambi kokudla, nangemva kokusebenzisa indlu yangasese. Uma isisindo sakho sikhuphuka ngaphezu kwekhilogremu elilodwa (cishe amakhilogremu amabili) ngosuku, kungenzeka ukuthi ugcina amanzi. Uma lokhu kwenzeka, tshela udokotela wakho ngokushesha.

Kufanele ngimbone nini udokotela?

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, qiniseka ukuthi ubona udokotela:

• Uma unenkinga yokuphefumula , kungaba lapho ukhathele kancane noma lapho ulele phansi.
• Uma uvuka ebuthongweni uphelelwa umoya .
• Uma imilenze yakho ivuvukele .

Ungazinaki lezi zimpawu. Uma uqala ukwelashwa ngokushesha, kungcono.

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

Uma unenkinga yokuphefumula noma uzwa ubuhlungu obukhulu esifubeni , ungalindi. Shayela ku-911 (noma i-1990 Sudhana Ambulance Service eSri Lanka) ngokushesha noma uye esibhedlela nothile.

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela?

Uma uya kudokotela, ungakhohlwa ukubuza le mibuzo. Ngaleyo ndlela, nawe ungaqonda kangcono isimo sakho.

• "Dokotela, kungani ngibe nalesi simo '(I-Cardiac Edema)'?"
• "Ingabe lokhu kungelapheka ngokwelapha imbangela?"
• "Yiziphi izinguquko okudingeka ngizenze endleleni yami yokuphila?"

Uma udokotela wakho esheshe athole isimo sakho futhi aqale ukwelashwa, kuba ngcono umphumela. Yingakho kubalulekile ukubona udokotela womndeni wakho njalo ukuze ahlolwe. Ngaleyo ndlela, ungazithola noma yiziphi izinkinga zenhliziyo ongase ube nazo ngaphambi kokuba zibe zimbi kakhulu. Kubalulekile futhi ukuthatha imithi yakho ngesikhathi.

Ekugcineni, kufanele ngithi... (Umyalezo Wokuya Ekhaya)

Ngakho-ke, `(Cardiogenic Pulmonary Edema)` yisimo lapho amaphaphu egcwala khona amanzi ngenxa yenkinga yenhliziyo, futhi kuyinto okufanele uyikhathalele. Uma unezimpawu ezifana nobunzima bokuphefumula, ukuvuvukala kwemilenze, noma ukuvuka uphefumula kanzima , qaphela lokho.

Ukutholwa kusenesikhathi, ukwelashwa okufanele, kanye nendlela yokuphila enempilo yizona zindlela ezinhle kakhulu zokuzivikela nokulawula lesi simo. Nakekela inhliziyo yakho, ngoba iyigazi lakho lokuphila!

` Ukuvuvuka Kwenhliziyo Okubangelwa Yinhliziyo, amanzi agcwalisa amaphaphu, ukwehluleka kwenhliziyo, ubunzima bokuphefumula, isifo senhliziyo, ukuvuvukala, ubuthakathaka benhliziyo