Injini emzimbeni wakho yinhliziyo yakho. Isigcina siphila ngoba isebenza ngokungayeki. Kodwa cabanga ngakho, kwenzekani uma le njini, imisipha yenhliziyo, iqala ukuba buthaka, ikhule, noma iqine? Yilokho esikubiza ngokuthi i-cardiomyopathy. Kubaluleke kakhulu ukuqaphela lokhu.
Kuyini ngempela i-cardiomyopathy?
Kalula nje, i-cardiomyopathy yisifo esithinta imisipha yenhliziyo yakho (i-myocardium). Lokhu kwenzeka lapho imisipha enhliziyweni yakho iba buthakathaka. Njengebhande lerabha eliye lanwebeka kakhulu futhi layeka ukwelula, imisipha enhliziyweni yakho ayisakwazi ukufinyela kahle futhi ipompe igazi.
Lokhu kungabangela ukuba imisipha yenhliziyo iqine , ikhule , noma iqine . Ngezinye izikhathi, izicubu zesilonda zingakheka nasenhliziyweni. Kungakhathaliseki ukuthi imbangela iyini, umphumela wokugcina uwukuthi inhliziyo ayisakwazi ukupompa igazi elanele emzimbeni wonke. Ngokuhamba kwesikhathi, lesi simo singaba sibi kakhulu, size siholele ekuhlulekeni kwenhliziyo . Kodwa ungakhathazeki, kunezindlela ezinhle zokwelapha lokhu.
Yiziphi izinhlobo eziyinhloko ze-cardiomyopathy?
Kunezinhlobo eziningana eziyinhloko zalesi sifo. Ngayinye ithinta inhliziyo ngendlela ehlukile kancane. Ake sibheke izinhlobo eziyinhloko.
| Uhlobo lwesifo | Kalula nje, kwenzekani? |
|---|---|
| I-Dilated Cardiomyopathy | Ikamelo eliyinhloko lokupompa igazi lenhliziyo (i-ventricle yesobunxele) liyakhula, izindonga zalo ziba zincane futhi zibuthakathaka. |
| I-Hypertrophic Cardiomyopathy | Imisipha yenhliziyo iba nkulu ngendlela engavamile, okwenza kube nzima ngenhliziyo ukugcwala igazi. |
| I-Cardiomyopathy Evimbelayo | Imisipha yenhliziyo iyaqina futhi ilahlekelwa ukunwebeka kwayo. Lokhu kwenza kube nzima ngamagumbi enhliziyo ukugcwala igazi. |
| I-Cardiomyopathy ye-Arrhythmogenic | Imisipha yenhliziyo ithathelwa indawo ngamafutha kanye nezicubu ezibomvu. Lokhu kungathinta izimpawu zikagesi zenhliziyo futhi kuphazamise isigqi sokushaya kwenhliziyo. |
| Ezinye izinhlobo | Ngaphezu kwalokho, kunezinhlobo ezibangelwa yizici ezifana nokuphuza utshwala ngokweqile, ukwelashwa ngamakhemikhali, ukukhulelwa, kanye namazinga aphezulu okucindezeleka (i-broken heart syndrome). |
Ziyini izimpawu zalesi sifo?
Abanye abantu ababonisi zimpawu ekuqaleni, kodwa njengoba isifo siqhubeka, izimpawu ziqala ukuvela. Bheka ukuthi ubhekene nanoma yiziphi zalezi zimpawu.
- Ukuphefumula kanzima: Ubunzima bokuphefumula, ikakhulukazi lapho wenza umsebenzi olula, uhamba, noma ukhuphuka izitebhisi.
- Ukuvuvukala kwemilenze, amaqakala, nezinyawo (i-Edema): Ukuvuvukala kwemilenze ngenxa yokuqongelela koketshezi emzimbeni.
- Ukukhathala: Ukuzizwa ukhathele futhi ulele ngaso sonke isikhathi, ngisho noma ungenzi lutho.
- I-Arrhythmia: Umuzwa wokuthi inhliziyo ishaya ngokushesha ngokuzumayo, njengokungathi iyashaya, noma njengokungathi yeqa ukushaya.
- Ukuzizwa unesizungu noma uphelelwa amandla: Ukuzizwa uphelelwa amandla noma ulahlekelwa ukwazi, njengokungathi usukuma ngokuzumayo.
- Ubuhlungu besifuba: Umuzwa wokucindezeleka esifubeni, ikakhulukazi uma uzivocavoca.
Into ebalulekile ukuthi, uma unesinye noma ngaphezulu salezi zimpawu, ungacabangi ukuthi yi-cardiomyopathy. Kodwa-ke, akuwona umqondo omuhle ukuzishaya indiva. Into engcono kakhulu ongayenza ukubona udokotela wakho ngokushesha okukhulu bese uthola iseluleko.
Yini ebangela lokhu futhi yiziphi izinto eziyingozi?
Kunzima ukukhomba imbangela eyodwa yalesi sifo. Ngezinye izikhathi, imbangela ingase ingatholakali nhlobo. Kodwa-ke, kunezimbangela eziningana eziyinhloko ezibangela lesi sifo kanye nezici eziyingozi.
Izizathu eziyinhloko
- Izici zofuzo: Uma umama wakho, ubaba, noma isihlobo esiseduze sibe nalesi sifo, nawe usengozini yokuba naso.
- Isifo semithambo yenhliziyo: Ukuvaleka kwemithambo yegazi ehambisa igazi enhliziyweni kungalimaza imisipha yenhliziyo.
- Umfutho wegazi ophakeme: Umfutho wegazi ophakeme ongalawuleki isikhathi eside ungacindezela inhliziyo kakhulu futhi ubangele ukuba imisipha yenhliziyo iqine.
- Ukutheleleka okuthinta inhliziyo: Ukutheleleka ngamagciwane noma ngamagciwane kungabangela ukuvuvukala kwemisipha yenhliziyo.
- Ezinye izimo zezokwelapha: Lokhu kungabangelwa nayizimo zezokwelapha ezifana nesifo sikashukela, isifo se-thyroid, i-amyloidosis, kanye ne-sarcoidosis.
Izinto ezandisa ingozi
- Ukusebenzisa utshwala ngokweqile: Ukuphuza utshwala ngokweqile isikhathi eside kulimaza ngqo imisipha yenhliziyo.
- Ukusetshenziswa kwezidakamizwa: Ukusetshenziswa kwezidakamizwa ezifana ne-cocaine.
- Ukwelashwa komdlavuza: Eminye imithi yokulwa nomdlavuza (i-Chemotherapy) kanye nokwelashwa ngemisebe kungathinta inhliziyo.
- Ukukhuluphala: Kubaluleke kakhulu ukulawula isisindo somzimba.
- Ukukhulelwa: Akuvamile kakhulu, lesi simo singavela engxenyeni yokugcina yokukhulelwa noma ngemva kokubeletha.
Udokotela usithola kanjani lesi sifo ngqo?
Uma uya kudokotela, uzoqala akubuze ngomlando wakho wezokwelapha kanye nowomndeni wakho. Ngemuva kwalokho uzokuhlola. Uma esola lesi sifo, uzokudlulisela kudokotela wenhliziyo futhi akucele ukuthi wenze ezinye izivivinyo.
| Ukuhlolwa | Ubonani kulokhu? |
|---|---|
| I-ECG (i-Electrocardiogram) | Umsebenzi kagesi wenhliziyo uyaqoshwa. Kungatholakala ukungahambi kahle kwesigqi sokushaya kwenhliziyo. |
| I-Echocardiogram | Lokhu ukuskena kwenhliziyo. Ubukhulu benhliziyo, ukujiya kwezindonga zayo, kanye nendlela epompa ngayo igazi kungabonakala kahle. |
| I-X-ray yesifuba | Ungahlola ukuthi inhliziyo ikhulisiwe noma ukuthi uketshezi luqongelelene emaphashini. |
| Ukuhlolwa kokucindezeleka kokuzivocavoca | I-ECG ithathwa ngenkathi uhamba nge-treadmill, kubhekwe ukuthi inhliziyo yakho isebenza kanjani uma ucindezelekile. |
| I-MRI yenhliziyo noma i-CT scan | Lokhu kusiza ekutholeni ulwazi olujulile nolunemininingwane mayelana nesakhiwo kanye nomsebenzi wenhliziyo. |
| Ukufakwa kwe-catheter kwenhliziyo | Ipayipi elincane lifakwa ngomthambo engalweni noma emlenzeni, ingcindezi enhliziyweni ilinganiswa, futhi uma kudingeka, kuthathwa ingxenye encane yomsipha wenhliziyo ukuze ihlolwe (i-biopsy). |
Yiziphi izindlela zokwelapha lokhu?
I-cardiomyopathy ayikwazi ukwelapheka ngokuphelele. Kodwa-ke, ukwelashwa kungasiza ekulawuleni izimpawu , kumise noma kulibazise ukuqhubeka kwesifo , futhi kukusize uphile impilo engcono . Udokotela wakho uzonquma ukwelashwa kwakho ngokusekelwe esimweni sakho.
1. Izinguquko zendlela yokuphila
Lena yinto ebaluleke kakhulu futhi yokuqala okufanele yenziwe.
- Ukudla okunosawoti omncane namafutha: Ukunciphisa usawoti kungasiza ekulawuleni ukugcinwa koketshezi kanye nomfutho wegazi.
- Ukugwema utshwala nokubhema: Kokubili lokhu kubi kakhulu enhliziyweni.
- Ukuzivocavoca okufanele: Buza udokotela wakho ukuthi yikuphi ukuzivocavoca okufanele wena.
- Ukunciphisa ukucindezeleka: Izinto ezifana ne-yoga nokuzindla zingasiza.
- Ukugcina isisindo esinempilo.
2. Imithi
Kuye ngezimpawu zakho kanye nokusebenza kwenhliziyo, imithi ehlukene inganikezwa.
- Imithi yokwehlisa umfutho wegazi.
- Imithi elawula ukushaya kwenhliziyo.
- Ama-diuretics yimithi esusa uketshezi oluningi emzimbeni.
- Ama-anticoagulant.
- Imithi yokwehlisa i-cholesterol.
3. Ukuhlinzwa kanye namadivayisi
Uma lesi sifo sisesigabeni esibi kakhulu futhi kunzima ukusilawula ngemithi yodwa, ungasebenzisa lezi zinhlobo zokwelapha.
- I-Pacemaker: Ithuluzi elincane elibekwa ngaphansi kwesikhumba sesifuba ukuze lilawule isigqi senhliziyo uma ishaya ngokushesha okukhulu.
- I-ICD (I-Implantable Cardioverter-Defibrillator):Idivayisi ethola ukushaya kwenhliziyo okungajwayelekile okusongela impilo futhi inikeze inhliziyo ukushaqeka ngogesi ukuze ikulungise.
- I-Septal myectomy: Ukususwa kwengxenye yemisipha yenhliziyo ejiyile ngokuhlinzwa.
- Ukufakelwa inhliziyo: Kubhekwa njengendlela yokugcina uma zonke ezinye izindlela zokwelapha zingaphumeleli.
Kufanele usifune nini iseluleko sezokwelapha esiphuthumayo?
Uma une-cardiomyopathy, kubalulekile ukubona udokotela wakho njalo bese ulandela imiyalelo yakhe. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngokuzumayo, hamba uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Uma uzwa ubuhlungu obukhulu esifubeni.
- Uma ngokuzumayo uba nobunzima bokuphefumula.
- Uma ulahlekelwa ingqondo ngokuzumayo (ukuphelelwa yithemba).
- Uma inhliziyo iqala ukushaya ngokushesha okukhulu noma ngokungajwayelekile.
Umlayezo Wokuya Nawe Ekhaya
- I-cardiomyopathy yisimo esibi kakhulu esenza imisipha yenhliziyo ibe buthaka. Kodwa ungakhathazeki, singaphathwa kahle.
- Ungazinaki izimpawu ezifana nokuphelelwa umoya, ukuvuvukala kwemilenze, nokukhathala okuqhubekayo. Bona udokotela ngokushesha.
- Uma kukhona emndenini wakho oke waba nalesi sifo noma izigameko zenhliziyo ezizumayo, yazisa udokotela wakho ngaso.
- Ukuthatha imithi oyinikezwe udokotela wakho ngesikhathi kanye nokwenza izinguquko endleleni yokuphila (ukudla, ukuvivinya umzimba) kubaluleke kakhulu empilweni yakho yesikhathi esizayo.
- Ngokwelashwa nokuphathwa okufanele, abantu abaningi abanalesi sifo bangaphila impilo evamile nekhululekile.
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