Ingabe unenkinga yenhliziyo enje? Ake sifunde nge-Diastolic Dysfunction!

Ingabe ngezinye izikhathi uzizwa uphelelwa umoya ngisho nangemva kokwenza umsebenzi omncane? Noma ingabe imilenze yakho iyavuvukala bese uzizwa ukhathele? Mhlawumbe ngemuva kwalezi zinto kukhona isimo esikhuluma ngaso namuhla esibizwa ngokuthi 'i-Diastolic Dysfunction'. Ungakhathazeki, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.

Kuyini Ukungasebenzi Kahle Kwe-Diastolic? Masikuqonde kalula.

Kulungile, ake siqale sibheke ukuthi inhliziyo yethu isebenza kanjani. Ubuwazi ukuthi inhliziyo yethu ifana nephampu? Le phampu inezingxenye ezimbili eziyinhloko. Elinye liyizindawo ezimbili phezulu kwenhliziyo, esizibiza ngokuthi i-'Atria' . Elinye liyizindawo ezimbili phansi kwenhliziyo, esizibiza ngokuthi i-'Ventricles' .

Manje, uma inhliziyo ishaya, okungukuthi, uma kukhona 'ukushaya kwenhliziyo' , kwenzeka izinto ezimbili eziyinhloko:

1. I-Diastole: Lena yingxenye yokuqala yokushaya kwenhliziyo. Okwenzekayo lapha ukuthi amakamelo aphansi enhliziyo (ama-ventricle) aphumula kancane, njengebhaluni elilungiselela ukufutha. Bese igazi elivela emagumbini aphezulu (i-atria) ligcwalisa la makamelo. Kalula nje, lesi yisikhathi lapho inhliziyo igcwala khona igazi.

2. I-Systole: Ngemva kokuba ama-ventricle egcwele igazi, ayafinyela kakhulu, noma afinyele. Igazi bese likhishwa lisuka enhliziyweni, liye emaphashini, bese lingena e-aorta, umthambo wegazi oyinhloko othwala igazi liye kuwo wonke umzimba.

Manje usuyaqonda ukuthi iyini i-"Diastole"? Ukungasebenzi kahle kwe-Diastole yilapho i-"Diastole", isikhathi lapho amakamelo aphansi (amaseli) enhliziyo kufanele aphumule ukuze agcwale igazi, ingenzeki kahle. Uma sikhuluma iqiniso, amakamelo aphansi enhliziyo yakho aba lukhuni kancane futhi angaphumuli kahle. Kwenzekani-ke? Lawo makamelo awakwazi ukugcwala igazi kahle. Uma lokho kwenzeka, ingcindezi iqala ukwakheka ngaphakathi kwenhliziyo.

Cabanga ngakho, ukuze isiponji simunce amanzi, asinakucindezelwa, kufanele sikhululeke kancane. Ngendlela efanayo, ukuze amakamelo enhliziyo agcwale igazi, kufanele aphumule kahle.

Uma lesi simo siba sibi kakhulu, singaholela esimweni esibizwa ngokuthi "i-Diastolic Heart Failure" , okusho ukuthi inhliziyo iyayeka ukusebenza. Ngemuva kwalokho, uketshezi olufana namanzi lunganqwabelana ezindaweni ezifana namaphaphu, isisu, kanye nemilenze.

Uyini umehluko phakathi kokungasebenzi kahle kwe-diastolic kanye nokwehluleka kwenhliziyo kwe-diastolic?

Lokhu okubili akufani, kodwa kuhlobene. "Ukungasebenzi kahle kwe-Diastolic" yilapho inkinga yamakamelo angaphansi enhliziyo iqala ukukhululeka. Uma lokhu kuba nzima kakhulu, okusho ukuthi amakamelo aphansi ohlangothini lwesobunxele lwenhliziyo aba lukhuni, futhi kuza nezinye izimpawu zokwehluleka kwenhliziyo, sikubiza ngokuthi "Ukwehluleka Kwenhliziyo kwe-Diastolic".Lolu uhlobo lokwehluleka kwenhliziyo oluthinta uhlangothi lwesobunxele.

Umuntu one-"Diastolic Heart Failure" angase abe nezimpawu ezifana nalezi:

• Ukukhathala: Ukuzizwa ukhathele ngisho nokuba lapho nje.
• Ukuvuvukala kwemilenze: Ikakhulukazi amaqakala.
• Ukucanuzela kwenhliziyo nokulahlekelwa yisifiso sokudla: Ukungazizwa sengathi ufuna ukudla, ngezinye izikhathi uzizwa sengathi ucanuzela kwenhliziyo.
• Ubunzima bokuphefumula (Dyspnea): Ubunzima bokuphefumula ngisho nalapho wenza imisebenzi elula, ngezinye izikhathi ngisho nalapho ulele.
• Ukwanda kwesisindo: Ukugcinwa kwamanzi kungabangela ukwanda kwesisindo ngokuzumayo.

Ubani onamathuba amaningi okuthola lesi simo? Yiziphi izinto ezibangela ingozi?

Empeleni, noma ubani angaba nesifo "sokungasebenzi kahle kwe-Diastolic". Kodwa-ke, abanye abantu basengozini enkulu kancane. Ake sibone ukuthi bangobani?

• Abantu abangaphezu kweminyaka engama-70 ubudala: Ingozi yalesi simo iyanda njengoba ukhula.
• Abantu abangasebenzi ngokomzimba: Ukungawuvivinyi umzimba kanye nokuhlala phansi kungathinta lokhu.
• Abantu ababhemayo noma abasebenzisa imikhiqizo kagwayi.

Futhi, ingozi iphakeme nakakhulu uma unezinkinga zempilo ezifana nalezi:

• Uma inkomba yakho yesisindo somzimba (i-BMI) ingu-30 noma ngaphezulu (okusho ukuthi ukhuluphele kakhulu).
• Uma unesifo semisipha yenhliziyo (`Cardiomyopathy`) .
• Uma unesifo sikashukela .
• Uma unomfutho wegazi ophezulu (Umfutho wegazi ophezulu / Umfutho wegazi ophezulu) .
• Uma unesifo semithambo yegazi yenhliziyo .
• Uma une-sleep apnea .

Ukungasebenzi kahle kwe-Diastolic kuthinta kanjani umzimba?

Cabanga nje, ngenxa yokuthi amakamelo angaphansi enhliziyo awagcwali kahle ngegazi, amakamelo aphezulu kufanele asebenze kanzima ukupompa igazi. Lokhu kwandisa ingcindezi ngaphakathi kwenhliziyo. Kwenzekani ngenxa yalokhu kucindezela?

• Ingcindezi emithanjeni yegazi emaphashini iyanda futhi uketshezi lunganqwabelana. Lokhu kwenzeka lapho kuba nobunzima bokuphefumula.
• Ingcindezi emithanjeni yegazi esiswini nasemilenzeni iyanda, futhi uketshezi lunganqwabelana lapho. Lokhu kungabangela izinto ezifana nokulahlekelwa yisifiso sokudla kanye nokuvuvukala emilenzeni.

Ngokuhamba kwesikhathi, lesi simo, esibizwa ngokuthi "Ukungasebenzi Kahle Kwe-Diastolic", singakhula sibe "Ukwehluleka Kwenhliziyo Kwe-Diastolic". Futhi kuyimbangela enkulu yomfutho wegazi ophezulu wamaphaphu . Ngezinye izikhathi singahlotshaniswa nokushaya kwenhliziyo okungajwayelekile okubizwa ngokuthi "I-Atrial Fibrillation" .

Isimo abantu abaningi abane-"Diastolic Heart Failure" abanaso yi -HFpEF (``Heart Failure with Preserved Ejection Fraction``).Kalula nje, inani legazi elimpontshelwa yinhliziyo (silibiza ngokuthi 'i-Ejection Fraction') elivamile, kodwa lisabonisa izimpawu zokwehluleka kwenhliziyo.

Sivame kangakanani lesi simo?

Ukungasebenzi kahle kwe-diastolic kuyisimo esivame kakhulu kubantu asebekhulile. Ngokusho kwabanye ochwepheshe bezokwelapha, cishe ingxenye yabantu abangaphezu kweminyaka engu-70 bangase babe nokungasebenzi kahle kwe-diastolic ngezinga elithile. Kodwa-ke, akuvamile kakhulu ezinganeni nakubantu abangaphansi kweminyaka engu-70.

Yiziphi izimpawu zokungasebenzi kahle kwe-diastolic?

Abantu abaningi banamazinga aphansi ``okungasebenzi kahle kwe-Diastolic`` . Ungase uzizwe uphelelwa umoya kancane ngokuzikhandla okuncane, njengokukhwela izitebhisi. Kodwa-ke, njengoba isimo siqhubeka, ukuphefumula kuba nzima kakhulu futhi izimpawu ``zokwehluleka kwenhliziyo kwe-Diastolic`` zingase zivele.

Yiziphi izimbangela zokungasebenzi kahle kwe-diastolic?

Kunezizathu eziningana eziyinhloko zalokhu. Izici eziyingozi esixoxe ngazo ekuqaleni nazo zihlobene nalokhu.

• Isifo Semithambo Yenhliziyo: Ukuvaleka kwemithambo yegazi ehambisa igazi enhliziyweni.
• Isifo sikashukela.
• Umfutho wegazi ophezulu (`Umfutho wegazi ophezulu / Umfutho wegazi ophezulu`).
• Uma uke waba nokuhlaselwa yinhliziyo ngaphambilini.
• Ukuphefumula komoya.

Ungasithola kanjani lesi simo? (Ukuxilongwa)

Uma udokotela wakho esola ukuthi unalesi simo, cishe uzokudlulisela ku -echocardiogram ( eyaziwa nangokuthi "ukuhlolwa kwe-echo") .

Ukuhlolwa kwe-echo kufana nokuskena kwe-ultrasound. Kubheka ukuthi inhliziyo yakho ihambisa igazi kahle kangakanani, ukuthi ama-valve enhliziyo yakho asebenza kahle kangakanani, ukuthi izindonga zamagumbi enhliziyo yakho zijiyile kangakanani, nokuthi ziphumula kahle kangakanani. Lokhu kubaluleke kakhulu ukuthola ukuthi une-diastolic dysfunction.

Ingabe i-Diastolic Dysfunction ihlelwa ngokwezinga lobunzima? (Amabanga)

Yebo, odokotela bahlukanisa lesi simo ngokwezinga laso. Sibizwa ngokuthi "AmaBanga".

• Ibanga I: Lokhu kuwubuthakathaka obuncane ekhonweni lenhliziyo lokuphumula. Lokhu kuvame ukubonakala kubantu abangaphezu kweminyaka engama-60 ubudala.
• Ibanga lesi-2: Ingcindezi ohlangothini lwesobunxele lwenhliziyo iyanda kancane.
• Ibanga lesi-3: Ingcindezi engxenyeni yesobunxele yenhliziyo iyanda kakhulu.
• Ibanga lesi-IV: Lokhu ukwehluleka okukhulu kwenhliziyo. Ingcindezi ohlangothini lwesobunxele lwenhliziyo iphezulu kakhulu.

Yiziphi izindlela zokwelapha ukungasebenzi kahle kwe-diastolic?

Into engcono kakhulu ukuthi, kukhona ukwelashwa kwalesi simo. Kunezindlela eziningana zokwelapha ezingaba khona:

1. Izinguquko endleleni yokuphila: Lokhu kubaluleke kakhulu.

• Uma ubhema, yeka.
• Ukunciphisa usawoti (i-sodium) ekudleni.
• Ukuvivinya umzimba njalo (ikakhulukazi ukuvivinya umzimba okufana nokuhamba ngezinyawo kanye nokugibela ibhayisikili).
• Udokotela wakho angakudlulisela ohlelweni lokuvuselela inhliziyo , olungasiza ekuthuthukiseni impilo yenhliziyo yakho.

2. Izinhlobo zemithi:

• Ama-diuretics (noma "amaphilisi amanzi"): Lawa asiza ekunciphiseni inani loketshezi olungadingekile oluqongelelene emzimbeni.
• Uma unezinye izifo, njengomfutho wegazi ophakeme noma isifo sikashukela, unganikezwa imithi ehlukile yokuzilawula .

3. Amadivayisi Okusiza Nge-Left Ventricular (LVAD): Lawa amadivayisi amancane afakwa ngokuhlinzwa enhliziyweni ukusiza inhliziyo ukupompa igazi. Ngokuvamile asetshenziswa ezimweni ezinzima ze-Diastolic Heart Failure, ikakhulukazi lapho ikhono lenhliziyo lokupompa igazi (i-Systolic Function) nalo lincipha kakhulu .

4. Ukufakelwa Inhliziyo: Lokhu kucatshangelwa kuphela ezimweni ezinzima kakhulu, lapho kungekho okunye ukwelashwa okuye kwasebenza. Iningi labantu lingabhekana nalesi simo ngokushintsha indlela yokuphila kanye nemithi.

Ingabe ukungasebenzi kahle kwe-Diastolic kungavinjelwa?

Yebo, kungenzeka ngezinga elikhulu! Ukulandela imikhuba enempilo yenhliziyo kunganciphisa le ngozi. Yimiphi leyo mikhuba?

• Gcina isisindo esinempilo ngobude bakho, iminyaka, kanye nobulili.
• Gwema ugwayi notshwala. Nciphisa ukusetshenziswa kwe-caffeine (itiye, ikhofi).
• Yidla ukudla okulinganiselayo okucebile ngezithelo, imifino, ubhontshisi, okusanhlamvu okuphelele, amafutha anempilo (isib. amafutha omnqumo, ukwatapheya), kanye namaprotheni angenamafutha amaningi (inhlanzi, inkukhu).
• Yenza okungenani imizuzu eyi-150 yokuzivocavoca nge-aerobic (njengokuhamba ngokushesha, ukugijima, ukubhukuda) ngesonto.
• Uma unezinye izimo zezokwelapha (njengesifo sikashukela, umfutho wegazi ophakeme), landela imiyalelo kadokotela wakho bese uthatha imithi oyinikezwe ngudokotela njengoba nje uyalelwe.
• Nciphisa ukusetshenziswa kwamafutha agcwele, usawoti, kanye noshukela ocolisisiwe.
• Lawula ukucindezeleka (ngokuzindla, i-yoga, ukukhuluma nomuntu omethembayo, njll.).
• Lala kahle okungenani amahora angu-7-8 ebusuku.

Kwenzekani uma une-diastolic dysfunction? Yini ongayilindela?

Uma ingelashwa, isimo "sokungasebenzi kahle kwe-Diastolic" singaba sibi kancane kancane futhi siholele ekuhlulekeni kwenhliziyo. Kodwa-ke,Abantu abaningi bangalawula lesi simo kahle futhi baphile impilo ejwayelekile ngokushintsha indlela yokuphila kanye nemithi.

Into ebaluleke kakhulu ukuthi uma unalesi simo, uya kohlolwa njalo kwezokwelapha bese ulandela imiyalelo kadokotela wakho ngqo. Ngemuva kwalokho, udokotela wakho angaqapha isimo sakho futhi angeze ukwelashwa okwengeziwe uma kudingeka.

Yimiphi imibuzo okufanele uyibuze udokotela wakho?

Uma unenkinga yokuphazamiseka kwe-diastolic noma usola ukuthi une-diastolic dysfunction, ungabuza udokotela wakho le mibuzo:

• Yini okungenzeka ukuthi iyimbangela yalezi zimpawu enginazo?
• Yiziphi izimpawu zokuqala ze-"Diastolic Dysfunction"?
• Yiziphi izivivinyo okufanele ngizenze ukuze ngithole lesi simo ngokunembile?
• Yiziphi izindlela zokwelapha "ukungasebenzi kahle kwe-diastolic"?
• Yiziphi izinguquko okufanele ngizenze endleleni yami yokuphila ukuze nginciphise ingozi yokuthi lesi simo sibe sibi kakhulu?

Iyini imbangela eyinhloko yokungasebenzi kahle kwe-Diastolic?

Umfutho wegazi ophezulu ongalawulwa yimbangela evame kakhulu futhi ehamba phambili yokungasebenzi kahle kwe-diastolic kanye nokwehluleka kwenhliziyo kwe-diastolic.

Ungaphila isikhathi esingakanani nokungasebenzi kahle kwe-Diastolic?

Kunezindaba ezinhle! Abantu abane-"Diastolic Dysfunction" abangenayo isifo semithambo yenhliziyo bangaphila isikhathi eside njengomuntu ophilile oneminyaka efanayo. Kodwa-ke, uma une-"Diastolic Dysfunction" kanye nezinye izimo zenhliziyo (njengesifo semithambo yenhliziyo , ukwehluleka kwenhliziyo kwe-systolic), isimo singase sihluke kancane. Yingakho kubaluleke kakhulu ukuthola ukwelashwa okufanele nokulandela iseluleko sikadokotela wakho.

Umlayezo Wokuya Nawe Ekhaya

Ukungasebenzi kahle kwe-diastolic kwenzeka lapho amakamelo aphansi enhliziyo engaphumuli kahle futhi agcwale igazi. Lokhu kwandisa ingcindezi ngaphakathi kwenhliziyo, okungagcina kuholele ekuhlulekeni kwenhliziyo.

Kodwa ungakhathazeki! Lesi yisimo esingalawulwa kahle ngokushintsha indlela yokuphila okuhle, imithi uma kudingeka, kanye nokuqapha njalo kwezokwelapha. Nakekela inhliziyo yakho futhi uphile impilo enempilo. Uma unenkinga, ungangabazi ukukhuluma nodokotela wakho.

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