Ingabe inhliziyo yakho ibuthakathaka? Ake sifunde ngokuhluleka kwenhliziyo okubangelwa yi-Diastolic!

Ingabe ngezinye izikhathi uzizwa uphelelwa umoya? Noma uzizwa uphelelwa amandla ngisho nangemva kokuhamba ibanga elifushane? Mhlawumbe kufanele uziqinise ngemicamelo emibili noma emithathu ebusuku ukuze ungakwazi ukulala uqonde? Lokhu kungase kungabi ukukhathala nje. Namuhla sizokhuluma ngesimo abantu abaningi abangasazi, kodwa esingathinta kakhulu impilo yenhliziyo yethu futhi singaba sibi kakhulu. Lokho yi -Diastolic Heart Failure .

Uyazi ukuthi kuyini ukwehluleka kwenhliziyo kwe-diastolic?

Kalula nje, i-Diastolic Heart Failure yisimo lapho igumbi eliyinhloko lokupompa lenhliziyo yakho, i-ventricle yesobunxele , liqina futhi lingakwazi ukugcwalisa igazi elanele. Lokhu kubizwa nangokuthi i-Heart Failure with Preserved Ejection Fraction (HFpEF) .

Kunezinhlobo ezimbili zokwehluleka kwenhliziyo ezenzeka ohlangothini lwesobunxele lwenhliziyo yethu. Ukwehluleka kwenhliziyo kwe-Diastolic uhlobo olulodwa. Olunye uhlobo ukwehluleka kwenhliziyo kwe-systolic . Okwenzekayo lapho ukwehla kwamandla e-ventricle yesobunxele okupompa igazi. Kodwa namuhla sikhuluma kakhulu ngokwehluleka kwenhliziyo kwe-diastolic.

Yini eyenziwa yi-ventricle yesobunxele yenhliziyo yethu?

Ubuwazi ukuthi inhliziyo yethu ifana nendlu enamakamelo amane? Kunamakamelo amabili esitezi esiphezulu (i-atrium yangakwesokudla ne-atrium yesobunxele), kanye namakamelo amabili esitezi esingezansi (i-ventricle yangakwesokudla ne-ventricle yesobunxele). I-ventricle yangakwesokudla ipompa igazi emaphashini kuphela. Kodwa i-ventricle yesobunxele yingxenye ebaluleke kakhulu epompa igazi emzimbeni wonke. Yingakho i-ventricle yesobunxele iyigumbi elijiyile kakhulu enhliziyweni. Yilona elihambisa igazi elinomoya-mpilo emzimbeni wethu wonke.

Asho ukuthini amagama athi i-Diastolic ne-Systolic?

Wake walinganiswa umfutho wegazi lakho? Kunikeza izinombolo ezimbili. Lezo zinombolo ezimbili zibizwa ngokuthi i-systolic kanye ne-diastolic.

Cabanga ngakho, njalo uma inhliziyo yakho ishaya, ipompa igazi elincane ohlelweni lokujikeleza kwegazi emzimbeni wakho wonke. Ingcindezi edalwa lapho lelo gazi lipompa ibizwa ngokuthi i-systolic blood pressure .

Umfutho wegazi we-Diastolic ukucindezela emithanjeni yegazi lapho inhliziyo iphumula phakathi kokushaya, okungukuthi, lapho imisipha yenhliziyo iphumula kancane.

Yingakho ingcindezi yakho inamanani amabili:

• Inombolo ephezulu yi-systolic blood pressure.
• Inombolo engezansi umfutho wegazi we-diastolic.

Manje, uyaqonda ukuthi igama elithi "diastolic" livela kanjani uma sithi ukwehluleka kwenhliziyo kwe-diastolic? Lokho kusho ukuthi inkinga isesigabeni se-diastolic, lapho inhliziyo iphumule futhi igcwele igazi.

Ukwehluleka kwenhliziyo kwe-diastolic kuthinta kanjani umzimba wakho?

Uma uhlangothi lwesobunxele lwenhliziyo yakho, ikakhulukazi i-ventricle yesobunxele, luqina, nakhu okwenzekayo:

• Inhliziyo ayikwazi ukuphumula kahle phakathi kokushaya kwenhliziyo.
• Ngakho-ke, inhliziyo ayigcwali igazi elanele .
• Inhliziyo ephilile evamile ayikwazi ukupompa igazi eliningi emzimbeni wonke.

Ngenxa yalokho, ungase ube nezimpawu zokwehluleka kwenhliziyo. Ungase ube nobunzima bokuphefumula, futhi ungase uzizwe ukhathele kungakhathaliseki ukuthi uthola ukuphumula okungakanani . Ungase ube nobunzima bokuphefumula uma ulele phansi ebusuku. Ungase futhi uqaphele ukuvuvukala (i-edema) esiswini sakho noma emilenzeni. Lezi zimpawu zingase zande kancane kancane ngokuhamba kwesikhathi.

Yini ebangela ukwehluleka kwenhliziyo kwe-diastolic?

Kunezici eziningana ezingabangela lesi simo. Ezinye zazo yilezi:

• I-Atrial fibrillation (Afib) : Lokhu ukushaya kwenhliziyo okungajwayelekile.
• Isifo semithambo yenhliziyo : Ukuvaleka kwemithambo yegazi ehambisa igazi enhliziyweni.
• Isifo sikashukela
• Umfutho wegazi ophezulu (umfutho wegazi ophakeme)
• Ukuphefumula kobuthongo okuvimbelayo (OSA)
• Ukukhuluphala ngokweqile
• Isifo sezinso esingamahlalakhona
• Ezinye izifo ezithinta izicubu zenhliziyo, njenge- amyloidosis .

Uma sibheka lezi zizathu, kusobala ukuthi izifo eziningi okudingeka sizilawule ekuphileni kwethu kwansuku zonke zithinteka yilokhu.

Ziyini izimpawu zalesi simo?

Izimpawu zokwehluleka kwenhliziyo okubangelwa yi-diastolic zifana kakhulu nezezinye izinhlobo zokwehluleka kwenhliziyo. Uma unalesi simo, ungase ube nezimpawu ezifana nalezi:

• Ukuphefumula, umsindo ofana nokukhwehlela noma ukuphefumula .
• Isiyezi .
• Ukuvuvukala , okusho ukuvuvukala, ikakhulukazi emilenzeni, emaqakaleni, ezinyaweni, noma esiswini.
• Ukukhathala okungapheli .
• Ukuchama njalo .
• Ukuphelelwa umoya , ikakhulukazi uma ulele phansi noma wenza umsebenzi olula.
• Ukuncipha kokubekezelela ukuzivocavoca . Cabanga nje, uma manje uzizwa sengathi isifuba sakho siyancipha futhi unenkinga yokuphefumula uma ukhuphuka izitebhisi obukwazi ukuzikhuphuka kalula, lokhu kungaba uphawu.

Okubalulekile:Uma unesinye noma ngaphezulu salezi zimpawu, sicela ufune iseluleko sezokwelapha. Lokhu kungase kungabi njalo ngenxa yokwehluleka kwenhliziyo kwe-diastolic, kodwa kubaluleke kakhulu ukuthola ukuxilongwa okufanele.

Ukuxilongwa Kokwehluleka Kwenhliziyo Kwe-Diastolic Kuhlonzwa Kanjani?

Uma uya kudokotela, uzokubuza ngezimpawu zakho kanye nomlando wempilo yomndeni, bese ekuxilonga bese elalela inhliziyo yakho nge -stethoscope .

Kungenziwa izivivinyo eziningana ezikhethekile ukuze kutholakale lesi sifo senhliziyo. Isibonelo:

• I-X-ray yesifuba : Thatha izithombe zesifuba sakho nenhliziyo yakho.
• I-Electrocardiogram (EKG) : Ukuhlolwa okuqopha umsebenzi kagesi wenhliziyo.
• I-Echocardiogram : Isebenzisa amaza omsindo ukuhlola isakhiwo kanye nomsebenzi wemisipha yenhliziyo nama-valve.
• Ukuhlolwa kokucindezeleka kokuzivocavoca : Isilinganiso senhliziyo yakho siyakhuphuka, kungaba ngokukunikeza imithi noma ngokuhamba nge-treadmill, futhi inhliziyo yakho iqashwe ukuze ithole impendulo.
• Ukufakwa kwe-catheter enhliziyweni : Kufakwa ipayipi elincane, elingenalutho (i-catheter) enhliziyweni ukuze kulinganiswe ukucindezeleka kanye nokugeleza kwegazi.

Lezi zivivinyo yizo ezivumela udokotela ukuthi anqume ukuthi yisiphi isimo obhekene naso.

Yiziphi izindlela zokwelapha lokhu?

Ungesabi uma uthola ukuthi unesifo senhliziyo esibizwa nge-diastolic. Kunezindlela zokwelapha. Udokotela wakho cishe uzoncoma izinguquko ezithile endleleni yokuphila . Imikhuba enempilo ingathuthukisa impilo yakho yenhliziyo futhi isize inhliziyo yakho ukuthi isebenze kahle. Ungathola impumuzo ngokwenza lezi zinto:

• Finyelela futhi ugcine isisindo esinempilo .
• Ukudla ukudla okune-sodium ephansi . Kuhle kakhulu ukunciphisa usawoti ekudleni esikudlayo nokudla izithelo nemifino eminingi.
• Yelapha umfutho wegazi ophakeme .
• Ukugqoka umshini we-CPAP uma une -sleep apnea .
• Ukuzivocavoca okungenani imizuzu engama-30 cishe izinsuku eziningi zesonto.
• Ukuyeka ukubhema nokusebenzisa imikhiqizo kagwayi . Buza udokotela wakho uma udinga usizo ngalokhu.

Uhlelo lwakho lokwelashwa lungafaka nemithi kadokotela . Kubaluleke kakhulu ukuthatha imithi yakho njengoba nje udokotela wakho ekuyalele.

Abantu abaningi abane-HFpEF bangase baphuze imithi yezinye izimo zenhliziyo. Udokotela wakho angase futhi akunike imithi eqondene ngqo nokwehluleka kwenhliziyo kwe-diastolic. Lokhu kungafaka:

• Ama-diuretics : Imithi esiza ukususa i-sodium eningi (usawoti) namanzi emzimbeni. Lokhu yilokho esivame ukukubiza ngokuthi "ama-diuretics."
• Ama-Mineralocorticoid receptor antagonists : Lawa asiza futhi ekugcineni amazinga e-potassium ngenkathi esusa i-sodium eningi emzimbeni.
• Imithi yokwehlisa umfutho wegazi .

Ingabe ukwehluleka kwenhliziyo kwe-diastolic kungalapheka ngokuphelele?

Eqinisweni, ukwehluleka kwenhliziyo okubangelwa yi-diastolic akukwazi ukwelapheka ngokuphelele . Kodwa-ke, ngokwelashwa okufanele, ungalawula izimpawu futhi uthuthukise ukusebenza kwenhliziyo yakho. Lokhu kusho ukuthi ungaphila kahle nalesi simo.

Yini esingayenza ukuze sinciphise le ngozi?

Indlela engcono kakhulu yokunciphisa ingozi yokwehluleka kwenhliziyo kwe-diastolic iwukuba nemikhuba enempilo . Le mikhuba izothuthukisa impilo yenhliziyo yakho iyonke futhi inciphise ingozi yesifo senhliziyo.

Unganciphisa ingozi yakho ngokwenza lezi zinto:

• Ukudla ukudla okunempilo okunempilo kwenhliziyo .
• Ukuzivocavoca njalo .
• Nciphisa ukusetshenziswa kotshwala futhi ugweme ukubhema .
• Ukulawula izimo ezifana nesifo sikashukela, umfutho wegazi ophakeme, kanye ne-cholesterol ephezulu .

Iyini inhloso yomuntu one-Diastolic Heart Failure?

Ngokwelashwa, ungaphila kahle nokwehluleka kwenhliziyo okubangelwa yi-diastolic. Into ebaluleke kakhulu ukulandela uhlelo lokwelashwa lukadokotela wakho ngqo. Nakuba ukwehluleka kwenhliziyo okubangelwa yi-diastolic kungase kungapheli ngokuphelele, ungakwazi ukulawula izimpawu zakho.

Yini enye ongathanda ukuyibuza udokotela wakho?

Ungabuza udokotela wakho imibuzo efana nale:

• Yini engingayenza ukuze ngivimbele lokhu kwehluleka kwenhliziyo ukuthi kungabhebhetheki?
• Yikuphi ukudla okufanele ngikugweme uma nginesifo senhliziyo se-diastolic?
• Yini engingayenza ukuze ngilawule imiphumela emibi yemithi?
• Kufanele ngibone udokotela kangaki ngalesi simo sokwehluleka kwenhliziyo okubangelwa yi-diastolic?

Umlayezo Wokuya Nawe Ekhaya

Ukwehluleka kwenhliziyo okubangelwa yi-diastolic kungenye yezinhlobo ezimbili zokwehluleka kwenhliziyo okwenzeka ohlangothini lwesobunxele lwenhliziyo. Kubizwa nangokuthi i-HFpEF . Ingozi yokuthola lesi simo iyanda njengoba ukhula. Futhi, ingozi iphakeme uma unezimo zezokwelapha eziyisisekelo, njengesifo sikashukela noma umfutho wegazi ophakeme.

Nakuba kungekho ikhambi eliphelele lokwehluleka kwenhliziyo okubangelwa yi-diastolic, izimpawu zingalawulwa kahle ngokushintsha indlela yokuphila kanye nemithi.

Abantu abaningi baphila impilo egcwele, esebenzayo kanye nokwehluleka kwenhliziyo okubangelwa yi-diastolic. Ngakho-ke, ungesabi futhi ulandele iseluleko sezokwelapha esifanele.

Ukuhlaselwa yinhliziyo , ukwehluleka kwenhliziyo okuphansi, ukusebenza kwenhliziyo, ukuphefumula okufushane, ukuvuvukala, umfutho wegazi ophakeme, isifo sikashukela