Udokotela kungenzeka ukuthi ukutshelile ukuthi unesifo sikashukela, noma 'isifo sikashukela' njengoba sonke sazi. Sivame ukucabanga ukuthi isifo sikashukela siyinkinga nje enamazinga kashukela egazini. Kodwa empeleni, sithinta izitho eziningi zomzimba wethu, ikakhulukazi inhliziyo yethu, ngaphezu kwalokho esikucabangayo. Yingakho umuntu onesifo sikashukela kufanele ahlale enakekela inhliziyo yakhe. Kunezivivinyo eziningana ezikhethekile ezisiza udokotela ukuthi azi ukuthi inhliziyo yakho iphilile yini nokuthi ikhona yini ingozi. Ake sixoxe ngokuthi ziyini namuhla.
Kungani isifo sikashukela sithinta inhliziyo?
Kalula nje, lapho amazinga kashukela egazini engalawuleki futhi ephezulu ngokuhamba kwesikhathi, kulimaza imithambo yegazi yethu. Njengoba nje ukugqwala kwakheka ngaphakathi kwepayipi lamanzi, izindonga zemithambo yegazi yethu ziyaqina kancane kancane, zibe nzima, bese ziqala ukuvaleka ngamafutha (i-cholesterol). Lesi simo sibizwa ngokuthi i-Atherosclerosis . Lapho imithambo yegazi ehlinzeka ngenhliziyo (imithambo ye-coronary) ivaleka ngale ndlela, imisipha yenhliziyo ayitholi umoya-mpilo nezakhamzimba ezidingayo. Yilokhu okuvula indlela yezimo ezibucayi njengokuhlaselwa yinhliziyo kanye nohlangothi .
Ngakho-ke, uma unesifo sikashukela, kubalulekile ukulawula ushukela egazini lakho futhi uqaphe njalo impilo yenhliziyo yakho.
Ukuhlolwa okukhulu kwenhliziyo ongase ukudinge
Udokotela wakho angase akuncome okukodwa noma ngaphezulu kwalokhu kuhlolwa kuye ngesimo sakho. Asikho isizathu sokwesaba lokhu. Lokhu kuhlolwa kusetshenziselwa ukuhlonza noma yiziphi izinkinga kusenesikhathi bese kuqala ukwelashwa okudingekayo.
| Igama Lokuhlolwa | Wenzani ngalokhu? | Izinto okufanele uzazi |
|---|---|---|
| Ukuhlolwa Komfutho Wegazi | Ukulinganisa ingcindezi ekhishwa yigazi ezindongeni zemithambo yegazi yakho njengoba ligeleza. Into evame ukwenziwa uma uya emtholampilo. | Ungathola ukuthi une-high blood pressure. |
| I-ECG (i-Electrocardiogram) | Ukuhlolwa okulula nokungebuhlungu okuqopha umsebenzi kagesi (ukushaya kwesigqi) senhliziyo. | Izinto ezifana nokuphazamiseka kwesigqi senhliziyo, izimpawu zokuhlaselwa yinhliziyo, kanye nokwehla kokugeleza kwegazi emisipheni yenhliziyo. |
| I-Echocardiogram (i-Echo) | Ukuskena kwenhliziyo nge-ultrasound. Kudala isithombe senhliziyo futhi kuhlole ukusebenza kwayo. | Umsebenzi wamakamelo enhliziyo, ama-valve, kanye nokusebenza kahle kwenhliziyo ukupompa igazi. |
| Ukuhlolwa Kokucindezeleka Kokuzivocavoca (Ukuhlolwa Kwe-Treadmill) | Ukuqapha umsebenzi wenhliziyo yakho (ECG) ngenkathi uhamba noma ugijima ku-treadmill. | Ukuthi imisipha yenhliziyo ithola igazi elanele ngesikhathi sokuzivocavoca, noma ukuthi kukhona yini ukuvaleka kwemithambo yegazi. |
| I-Angiogram ye-Coronary | Ithubhu elincane (i-catheter) lifakwa emthanjeni engalweni noma emlenzeni bese lisetshenziselwa ukuhlola imithambo yegazi kusetshenziswa ama-X-ray, kufakwe udayi kuyo. | Ukwazi kahle ukuthi zingaki futhi kuphi imithambo yegazi enhliziyweni evalekile. |
Okunye okwengeziwe ngalezi zivivinyo
- Ukulawula umfutho wegazi: Umfutho wegazi ophakeme uyisitha esiyingozi kakhulu kumuntu onesifo sikashukela. Uma lokhu kokubili kuhlanganiswa, ingozi yokuhlaselwa yinhliziyo, isifo sohlangothi, kanye nesifo sezinso iphindwe kabili noma kathathu. Ngakho-ke, kubalulekile ukulawula umfutho wegazi lakho ngokuthatha imithi enqunywe udokotela wakho nokunciphisa usawoti owudlayo.
- I-Carotid Ultrasound: Imithambo yegazi ye-carotid iyimithambo yegazi emibili eyinhloko ethwala igazi lisuka ezinhlangothini zentamo yethu liye ebuchosheni. Isifo sikashukela singabangela ukwakheka kwamafutha kule mithambo yegazi, okuyimbangela enkulu yesifo sohlangothi. Lokhu kuskena okulula, okungenabuhlungu kungahlola isimo sale mithambo yegazi.
- I-CT Scan kanye neCalcium Score yenhliziyo:Lokhu kulinganisa ukuthi i-calcium iqoqene yini ezindongeni zemithambo yegazi enikeza igazi enhliziyweni. Kufana ne-limescale emapayipini amanzi amadala. Ukwanda kwaleli zinga le-calcium kusho ukuthi imithambo yegazi iyaqina kancane kancane futhi inciphe. Ngokusekelwe kulokhu, udokotela angathola umbono wengozi yokuhlaselwa yinhliziyo esikhathini esizayo.
- I-Holter Monitor: Ngezinye izikhathi ungase uzizwe ubuhlungu besifuba noma besifuba buhamba ngokuzumayo, kodwa bungaphela uma uya kudokotela. Yilapho-ke lokhu kusetshenziswa khona. Lona umshini omncane we-ECG ongawugqoka usuku olulodwa noma ezimbili. Uqopha njalo umsebenzi wenhliziyo yakho ngenkathi uqhubeka nemisebenzi yakho evamile yansuku zonke.
Yini okufanele uyenze?
Into ebaluleke kakhulu ukuxhumana njalo nodokotela wakho.
1. Yiya emitholampilo ngesikhathi: Yiya emitholampilo yesifo sikashukela, emitholampilo yenhliziyo (uma kudingeka) ngesikhathi. Gcina yonke imibiko yakho yokuhlolwa ihlelekile.
2. Phuza imithi yakho njengoba uyalelwe: Ungalokothi weqe umthamo owodwa wemithi yakho yesifo sikashukela, umfutho wegazi, noma i-cholesterol. Ifana nesivikelo esivikela inhliziyo yakho.
3. Ungazinaki izimpawu: Uma unezimpawu ezifana nobuhlungu besifuba, ubunzima bokuphefumula, ukujuluka okukhulu okungazelelwe, noma isiyezi, funa iseluleko sezokwelapha ngokushesha. Uma kudingeka, ungalibali ukuya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
4. Shintsha indlela yakho yokuphila: Uma ubhema, yeka namuhla. Yidla ukudla okunempilo, gwema ukudla okunoshukela namafutha amaningi. Vivinya umzimba nsuku zonke. Lezi zinto zingcono enhliziyweni yakho kunemithi.
Ukuphila nesifo sikashukela kungaba yinselele, kodwa ngolwazi olufanele, ukulandela iseluleko sikadokotela wakho, kanye nendlela yokuphila enempilo, ungavikela inhliziyo yakho futhi uphile impilo ende nenempilo.
Umlayezo Wokuya Nawe Ekhaya
- Isifo sikashukela asisona nje isifo esithinta ushukela wegazi kuphela; sithinta inhliziyo yakho ngqo.
- Ungesabi ukuhlolwa okufana ne-ECG, i-Echo, kanye ne-Stress Test okunconywa udokotela wakho; ngokwenza lokhu, ungabona ingozi yesifo senhliziyo kusenesikhathi.
- Ukuthatha imithi efanele yesifo sikashukela, umfutho wegazi ophakeme, kanye ne-cholesterol kubalulekile ekuvikeleni inhliziyo yakho.
- Uma ubona izimpawu zesifo senhliziyo, njengobuhlungu besifuba noma ubunzima bokuphefumula, ungalokothi uzishaye indiva futhi funa iseluleko sezokwelapha ngokushesha.
- Ukugcina ukudla okunempilo kanye nendlela yokuphila esebenzayo kuyindlela engcono kakhulu yokulawula kokubili isifo sikashukela kanye nesifo senhliziyo.
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