Kuyini lokhu kuxhumana phakathi kwenhliziyo nezinso? Ake sifunde nge-Cardiorenal Syndrome!

Inhliziyo nezinso kuyizitho ezimbili emzimbeni wethu ezisebenza njengabangane abakhulu. Uma kunenkinga ngeyodwa, enye nayo iyayizwa futhi iyathinteka. Ngezinye izikhathi lezi zinkinga zingavela ngokushesha kakhulu, kanti ngezinye izikhathi ziyanda ngokuhamba kwesikhathi. Leyo yinkinga ephakathi kwenhliziyo nezinso esikhuluma ngayo namuhla , ``Cardiorenal Syndrome`` .

Iyini i-Cardiorenal Syndrome? Kungani lokhu kwenzeka?

Kalula nje, `(Cardiorenal Syndrome)` yisimo lapho ubuthakathaka enhliziyweni noma ezinso zakho buthinta ukusebenza kwezinye izitho zomzimba. Cabanga ngakho, inhliziyo yethu yiyo epompa igazi emzimbeni wonke. Izinso zihlanza lelo gazi futhi zisuse imfucuza engadingekile njengomchamo. Akukhona lokho kuphela, kodwa ukulawula inani likasawoti namanzi emzimbeni nakho kuyindima enkulu yezinso. Yilokhu okulawula umfutho wegazi lethu futhi kunqume ukuthi umzimba ugcina uketshezi olungakanani.

Manje, kwenzekani uma inhliziyo iba buthakathaka? Ayipompi igazi kahle liye emzimbeni. Khona-ke inani legazi elitholwa yizinso nalo liyancipha. Uma izinso zingasebenzi kahle, imfucuza iyanqwabelana emzimbeni, bese amanzi anosawoti ehlala emzimbeni esikhundleni sokuphuma. Lokhu kuphinda kubeke ukucindezeleka enhliziyweni. Lena inqubo eyinkimbinkimbi exhumene kanjalo. Ngezinye izikhathi izinto ezifana nokuthi "Ukuncipha kokugeleza kwegazi ezinso", ukucindezeleka okukhulu emithanjeni emikhulu eletha igazi enhliziyweni (i-vena cava), kanye nekhono lokunciphisa ukupompa kwenhliziyo (ukwehla "kokuphuma kwenhliziyo" noma "(ukwehluleka kwenhliziyo)" ) kungathinta lokhu.

Sivame kangakanani lesi simo?

Eqinisweni, kuvame kakhulu kunokuba ungacabanga ukuthi kunezinkinga zenhliziyo nezinso ngesikhathi esisodwa. Abantu ababalelwa ezigidini ezingu-64 emhlabeni bahlushwa yisimo esibizwa ngokuthi "ukwehluleka kwenhliziyo" . Odokotela bathole ukuthi phakathi kuka-45% no-63% walaba bantu abanesifo senhliziyo esingamahlalakhona nabo banesifo sezinso. Ngezinye izikhathi kunzima ukunquma ngqo ukuthi inkinga ifike kuqala ngenhliziyo noma ngezinso.

Ziyini izimpawu ze-Cardiorenal Syndrome?

Kulesi simo, ungase ube nezimpawu ezinjengalezi. Kodwa khumbula, ukuba nalezi zimpawu akusho ukuthi unalesi sifo. Kodwa kubalulekile ukuzazi.

• Ukuzizwa ukhathele njalo (`Ukukhathala`): Ukuzizwa ukhathele, sengathi awunawo amandla okwenza noma yini.
• Ukuphelelwa umoya : Ukuzizwa uphelelwa umoya ngisho noma uhamba kancane noma ukhuphuka izitebhisi ezimbalwa.
• Ukukhishwa komchamo okuphansi : Uma uzizwa sengathi uchama kancane emini.
• Ukucindezeleka : Ukuzizwa udangele nje, sengathi uzizwa udangele.
• Ukuvuvukala kwemilenze nesisu : Imilenze, amaqakala, futhi ngezinye izikhathi isisu sizizwa sivuvukile. Njengokungathi sigcwele amanzi.
• Ukuzizwa udidekile (`Ukudideka`): Kuzwakala sengathi kunzima ukugxila, sengathi izinto ziyaxakaxaka.
• Ukuzwa ushintsho ekushayweni kwenhliziyo: Ukuzwa sengathi inhliziyo yakho ishaya ngokushesha ngokuzumayo, noma ukweqa ukushaya.

Yiziphi izimbangela ze-Cardiorenal Syndrome?

Kungaba nezizathu eziningi zalokhu. Ezinye izinkinga ezihlobene nenhliziyo, ezinye izinkinga ezihlobene nezinso, kanti ezinye izimo ezithinta umzimba wonke.

• Ukushaqeka okubangelwa yinhliziyo : Ukushaqeka okungazelelwe enhliziyweni.
• `(Ukwehluleka kwenhliziyo)` : Ubuthakathaka bokusebenza kwenhliziyo.
• `(I-Acute coronary syndrome)` : Isimo esiphuthumayo esibangelwa ukuvaleka kwemithambo yegazi ehlinzeka ngenhliziyo.
• Izinkinga zokuhlinzwa kwenhliziyo.
• Isifo se-valve yenhliziyo.
• I-Vasculitis : Isimo sokuvuvukala okwenzeka emithanjeni yegazi.
• I-atherosclerosis : Ukuncipha nokuqina kwemithambo yegazi.
• I-Pulmonary embolism (PE) : I-blood clot evimba umthambo wegazi emaphashini.
• Isifo sezinso noma ukulimala.
• I-Sepsis : Ukutheleleka okukhulu okusakazeka emzimbeni wonke.
• I-Lupus : Isifo esibangelwa inkinga ngesimiso somzimba sokuzivikela.
• I-Sarcoidosis : Isifo lapho ama-granuloma amancane akheka khona ezingxenyeni ezahlukene zomzimba.
• Isifo sikashukela .
• Ukungalingani kwama-electrolyte emzimbeni ( ukuphazamiseka kwama-electrolyte) .

Ubani osengozini enkulu yalokhu?

Abanye abantu banamathuba amaningi okuthola lesi simo (i-Cardiorenal Syndrome) . Lokhu kusho ukuthi abantu abanalezi zici eziyingozi kudingeka baqaphele kakhudlwana.

• Kulabo abanesifo sikashukela .
• Kulabo abanomfutho wegazi ophakeme .
• Kubantu abane -body mass index (BMI) engaphezu kuka-30 (okungukuthi abakhuluphele).
• Kulabo abanezinkinga zemithambo yegazi.
• Kulabo asebenesifo sezinso kakade.
• Kulabo asebevele benesifo senhliziyo .

Yiziphi izinkinga ezingaba khona ze-Cardiorenal Syndrome?

Uma lesi simo singelashwa kahle, singadala izinkinga ezengeziwe. Lokho kusho ukuthi isimo singaba sibi kakhulu.

• Ukushaqeka kwenhliziyo kungenzeka.
• Isifo sezinso singaba sibi kakhulu (`Isifo sezinso esiba sibi kakhulu`).
• I-atherosclerosis (ukuncipha kwemithambo yegazi) inganda.
• Ukuvuvukala kungenzeka emzimbeni.

Lesi sifo (i-Cardiorenal Syndrome) sitholakala kanjani?

Kukhona "izinga eliyigolide" elilodwa kuphela lokuxilonga lesi sifo.Akukho ukuhlolwa. Udokotela uzokuxilonga futhi ahlole inani loketshezi enhliziyweni yakho, emaphashini, esiswini, emilenzeni, nasemithanjeni yegazi. Ngaphezu kwalokho, kungase kudingeke ukuthi kwenziwe ezinye izivivinyo.

Ukuhlolwa okungenziwa kulokhu yile:

• Ukuhlolwa kwegazi : Hlola ukusebenza kwezinso kanye nomonakalo wenhliziyo.
• Ukuhlolwa komchamo : Ukuhlola amaprotheni negazi emchameni.
• I-Echocardiogram (Echo): Iskeni yokuhlola ukusebenza, usayizi, kanye nesimo sama-valve enhliziyo.
• Ukuskena kwezinso zakho kanye/noma isifuba nge-ultrasound : Hlola isimo salezi zitho zomzimba.
• `(Ukufakwa kwe-catheter kwenhliziyo kwesokudla)` : Ukuhlolwa okulinganisa ingcindezi ohlangothini lwesokudla lwenhliziyo.
• I-X-ray yesifuba : Ukubona ukuthi kukhona uketshezi emaphashini noma ukuthi inhliziyo ikhulisiwe.

Ingabe zikhona izinhlobo ze-Cardiorenal Syndrome?

Yebo, odokotela bahlukanisa lesi simo. Kuya ngokuthi inkinga yaqala nini nokuthi kudala kangakanani. Uma usuqonda lokhu, kuba lula ukwelapha.

Kunezinhlobo ezi-5 eziyinhloko:

• Uhlobo 1: Ukwehluleka kwenhliziyo kwenzeka ngokuzumayo. Lokhu kubangela ukulimala kwezinso kanye nokusebenza kwazo kwehluleka. Lesi yisimo 'esibi'.
• Uhlobo 2: Izinkinga zenhliziyo ezingamahlalakhona ziyalimaza kancane kancane izinso ngokuhamba kwesikhathi.
• Uhlobo 3: Ukulimala kwezinso okubukhali (AKI) kubangela ukwehluleka kwenhliziyo okubukhali.
• Uhlobo 4: Isifo sezinso esingamahlalakhona sibangela izinkinga zenhliziyo ngokuhamba kwesikhathi. Isibonelo, ukuphazamiseka kwesigqi senhliziyo, ukwehluleka kwenhliziyo , noma isifo semithambo yenhliziyo (CAD) .
• Uhlobo 5: Isimo esithinta umzimba wonke, esibangela ukuthi inhliziyo nezinso zingasebenzi kahle.

Kuphathwa kanjani lokhu?

Umgomo oyinhloko wokwelapha i-Cardiorenal Syndrome ukugcina amazinga ajwayelekile egazi kanye noketshezi emzimbeni wakho. Lokhu kungenxa yokuthi lapho inhliziyo yakho ibuthakathaka (ukwehluleka kwenhliziyo), uketshezi oluningi lunganqwabelana emzimbeni wakho. Izinso zinomthwalo wokususa lolu ketshezi oluningi. Ngakho-ke lapho kokubili inhliziyo yakho nezinso kuthinteka ngesikhathi esisodwa, kungaba nzima ukugcina leli bhalansi.

Kunezindlela eziningi zokwelapha, kusukela emithini kuya kumadivayisi kanye nokufakelwa kwezitho zomzimba:

• Imithi yokukhipha amanzi emzimbeni : Imithi esiza umzimba ukuthi ukhiphe amanzi angaphezulu njengomchamo.
• Ama-Beta-blocker : Lawula izinga lokushaya kwenhliziyo futhi wehlise umthwalo womsebenzi enhliziyweni.
• Ama-ACE inhibitors : Asiza ekulawuleni umfutho wegazi.
• Ama-ARB : Lona futhi uhlobo lomuthi olawula umfutho wegazi.
• I-ARNI (i-angiotensin receptor/i-neprilysin inhibitors): Uhlobo lwemithi yesimanje oluthuthukisa ukusebenza kwenhliziyo.
• Ama-Renin angiotensin system blockers : Vimbela lolu hlelo, kunciphisa umfutho wegazi kanye nokulimala kwezinso.
• Ama-Mineralocorticoid receptor antagonists : asiza ukugcina ibhalansi kasawoti namanzi emzimbeni.
• Imithi Engangenisi Inhliziyo : Imithi ekhulisa amandla okufinyela kwenhliziyo. Le mithi ivame ukunikezwa ngesikhathi sokulaliswa esibhedlela.
• Ukuhlunga igazi nge-Ultra noma i-dialysis : Indlela yokuhlanza igazi kusetshenziswa umshini lapho izinso zingasebenzi kahle.
• I-ICD (i-ICD ) efakwa ngaphansi kwesikhumba sesifuba ukuze kumiswe ukungasebenzi kahle kwenhliziyo okuyingozi.
• Idivayisi yokusiza i-ventricular yesobunxele (LVAD): Iphampu yomshini esiza abantu abanekhono lokupompa lenhliziyo elibuthakathaka kakhulu.
• Ukwelashwa kokuvuselelwa kwenhliziyo (CRT) : Kufana nomshini wokushaya kwenhliziyo osiza amagumbi enhliziyo ukuthi ashaye ndawonye.
• Ukufakelwa inhliziyo .
• Ukufakelwa kwezinso .

Ingabe ikhona imiphumela emibi yokwelashwa?

Yebo, njengazo zonke izindlela zokwelapha, eminye imiphumela emibi ingase ivele ngalezi zindlela zokwelapha "ze-Cardiorenal Syndrome." Kodwa-ke, akuzona zonke lezi zinto ezenzeka kuwo wonke umuntu.

• Ikhanda elibuhlungu.
• Isiyezi.
• Ukukhathala.
• Ukuchama njalo (ikakhulukazi uma uthatha imithi yokukhipha isisu ).
• Inhliziyo ishaya kancane.
• Amazinga aphezulu e-potassium egazini.
• Ukulimala kwezinso (ngenxa yemithi ethile).
• Ukungasebenzi kahle kwedivayisi.
• Ukutheleleka noma ukuphuma kwegazi ngemva kokufakwa kwensiza noma ngemva kokufakelwa isitho.
• Isifo sezinso.
• Ukwenqatshwa kwezitho zomzimba.

Kungcono ukukhuluma nodokotela wakho ngaphambi kokukhathazeka ngale miphumela emibi. Ngaleyo ndlela, ungaqonda kahle ukuthi yini engenzeka nokuthi yini okufanele uyenze ngayo.

Yini umuntu one-Cardiorenal Syndrome angayilindela?

Kubaluleke kakhulu ukuqaphela lesi simo kusenesikhathi. Khona-ke, uma uthola ukwelashwa okufanele ngesikhathi esifanele, ungalondoloza ikhwalithi yempilo yakho ngezinga elithile. Kodwa, uma ngikhuluma iqiniso, `(Cardiorenal Syndrome)`Kulesi simo, 'isibikezelo' noma 'umbono' wesiguli ngokuvamile awuhle kakhulu. Lokhu kusho ukuthi lesi sifo singase sibe sibi kakhulu. Ezimweni ezinjalo, indlela yokwelapha ebizwa ngokuthi ' ukunakekelwa kwe -palliative' ingaba usizo kakhulu. Lokhu kwenziwa ngokulawula izimpawu, ukwenza isiguli sikhululeke, nokunciphisa ukungeniswa esibhedlela njalo.

Ngingayinciphisa kanjani le ngozi?

Ngokulawula izinto ezithile, unganciphisa ingozi yakho yokuthola i-Cardiorenal Syndrome .

• Uma unesifo sikashukela , silawule kahle.
• Uma unesifo semithambo yegazi yenhliziyo , thola ukwelashwa ngendlela efanele.
• Uma unomfutho wegazi ophakeme , lawula lokho.
• Uma inkomba yakho yesisindo somzimba (i-BMI) ingaphezu kwama-30 , zama ukunciphisa isisindo.

Kubaluleke kakhulu ukuphuza imithi efanele yalezi zimo, ngesilinganiso esifanele. Ngoba eminye imithi ingathinta nokusebenza kwezinso uma ithathwa ngendlela engafanele.

Nginesifo se-Cardiorenal Syndrome, ngingazinakekela kanjani?

Uma unalesi simo, kubaluleke kakhulu ukunakekela lezi zinto:

• Landela uhlelo lokwelashwa lukadokotela wakho ngqo. Thatha imithi yakho ngesikhathi futhi njengoba uyalelwe.
• Uma uthola izimpawu ezintsha, noma uma uphawu olukhona luba lubi kakhulu, tshela udokotela wakho ngokushesha.
• Qiniseka ukuthi uya kudokotela ngezikhathi ezihleliwe.

Kufanele ngiye nini esibhedlela (ETU) ngokushesha?

Uma unalezi zimpawu, kubaluleke kakhulu ukuthola iseluleko sezokwelapha ngokushesha. Yiya esibhedlela ngokushesha okukhulu.

• Uma ungakhiqizi umchamo .
• Uma ungakwazi ukubamba umoya wakho.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma ubona udokotela wakho, ungesabi ukubuza imibuzo onayo. Ungabuza izinto ezinjengalezi:

• Iyiphi indlela yokwelapha engcono kakhulu kimi?
• Ngingayilapha ngemithi yodwa?
• Ingabe kukhona amaqembu okusekela abantu abane -Cardiorenal Syndrome ?
• Isimo sami sibi kangakanani?

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

`(Isifo Senhliziyo)`Empeleni kuyisimo esiyinkimbinkimbi kancane. Ngoba, okwenzekayo lapha ukuthi izitho zethu ezintathu ezibaluleke kakhulu - inhliziyo nezinso ezimbili - azisebenzi kahle. Ngakho-ke, uma unalesi simo, ukulandela imiyalelo kadokotela wakho ngqo kuyindlela engcono kakhulu yokuthola imiphumela emihle kakhulu. Ukwazisa abathandekayo bakho ngezifiso zakho kuzokunikeza ukuthula kwengqondo okukhulu. Uma isimo sakho siba sibi ngokuzumayo, ukuba nencwadi ethi 'incwadi yefa' ebhaliwe ngenkathi usaphila kuzosiza umndeni wakho ukuthi unqume ukuthi hlobo luni lokunakekelwa oludingayo.

Isifo Sezinso, Isifo Sezinso, Isifo Senhliziyo, Isifo Sezinso, Ukuphelelwa Ukuphefumula, Ukuqunjelwa, Iseluleko Sezokwelapha