Uyawuzwa umsindo ongajwayelekile ovela enhliziyweni yakho? Ake sifunde nge-Diastolic Murmur!

Cishe uke wezwa udokotela ethi, "Hmm... Ngizwa umsindo omncane, ukububula," lapho befaka i-stethoscope esifubeni sakho. Kuvamile ukuzizwa wesaba kancane uma bezwa lokho. Kodwa akuwona wonke umsindo oyingozi. Namuhla sizokhuluma ngohlobo olukhethekile lomsindo wenhliziyo olubizwa ngokuthi i-diastolic murmur . Ake sibone ukuthi kuyini, kungani kwenzeka, nokuthi kuyinto okufanele uyesabe.

Kuyini i-Diastolic Murmur?

Kulungile, ake siqale sibheke ukuthi kuyini ukububula kwe-diastolic. Kalula nje, umsindo ongajwayelekile owuzwayo ngenkathi inhliziyo yakho ishaya, okungukuthi, lapho inhliziyo yakho iphumule isikhashana (i-diastole) . Uyazi, uma ubheka umfutho wegazi lakho, inombolo engezansi umfutho we-diastolic. Kulungile, lokhu yilapho inhliziyo yakho igcwala igazi futhi ilungiselela ukushaya okulandelayo.

Lokhu kukhononda kungase kuzwakale njengomsindo othi 'swish' noma 'whoosh', ofana nomsindo ojikelezayo. Lo msindo ubangelwa ukuxokozela okwenzeka lapho igazi ligeleza ngama-valve enhliziyweni.

Esikhathini esiningi, ukububula okunje akulona ingozi. Kodwa ngezinye izikhathi, kungaba uphawu lwesifo senhliziyo. Uma udokotela wakho ethi une-diastolic murmur, cishe uzoyala ukuhlolwa okwengeziwe ukuze anqume ezinye izifo zenhliziyo.

Uyini umehluko phakathi kwe-diastolic no-systolic murmurs?

Manje ungase uzibuze, 'Ingabe i-diastolic murmur kanye ne-systolic murmur zibalwa njengezimbili?' Yebo, lokho kuyiqiniso.

• Ukububula kwe-diastolic kuzwakala lapho inhliziyo iphumula phakathi kokushaya. Lo msindo kunzima ukuwubona kunobubula be-systolic.
• Ukububula kwe-systolic kuzwakala lapho imisipha yenhliziyo ifinyela , okungukuthi, lapho inhliziyo ipompa igazi (ngesikhathi se-systole).

Kalula nje, lezi zinhlobo ezimbili zokububula zenzeka ngezikhathi ezahlukene emjikelezweni wenhliziyo.

Kuyini ukukhononda 'okungenacala' kanye 'nokungajwayelekile'? Ingabe konke kuyingozi?

Kulungile, enye into ebalulekile ukuthi la ma-marble ahlukaniswa kanjani.

Odokotela babiza ezinye izikhalo ngokuthi 'izikhalo ezingenacala' . Lokhu kusho ukuthi imisindo yenhliziyo ayibangelwa yinoma yisiphi isifo senhliziyo esiyisisekelo. Lokhu kumane kuyizikhalo ezivamile, ezingenangozi. Lokhu kuvame ukubonakala ezinganeni ezincane, futhi kuvame ukuphela njengoba zikhula.

Kodwa-ke, 'ukububula okungavamile' kusho ukuthi ukububula kubangelwa yisimo senhliziyo esingaphansi. Yilapho odokotela bezokwenza khona ukuhlolwa okwengeziwe ukuze bazame ukuthola imbangela eqondile.

Ukukhononda okungenacala ngokuvamile akudingi ukwelashwa. Kodwa-ke, ukwelashwa kokukhononda okungavamile kuyahlukahluka kuye ngesimo senhliziyo esiyisisekelo esibangele lokho.

Khumbula: Akuzona zonke izinkondlo eziyingozi. Kodwa uma udokotela ethi unesinkondlo, kubalulekile ukuthi uhlolwe.

Yiziphi izimbangela zokukhala kwe-diastolic?

Manje ake sibheke izimbangela eziyinhloko zalokhu kukhononda kwe-diastolic. Isikhathi esiningi, lokhu kubangelwa izinkinga ngama-valve enhliziyo.

Izinkinga Ezihlobene Ne-Heart Valve

Inhliziyo yethu inama-valve amane ayinhloko. La ma-valve afana neminyango, avumela igazi ukuthi ligeleze ohlangothini olulodwa kuphela. Uma kunenkinga ngala ma-valve, lowo msindo wokububula ungavela.

• Ukubuyiselwa Kwemithambo Yenhliziyo: Lokhu kwenzeka lapho ivalvu yemithambo yenhliziyo, ethwala igazi lisuka enhliziyweni liye emithanjeni yegazi, ingavali kahle. Lokhu kubangela ukuthi igazi livuza libuyele emuva. Cabanga ngakho njengompompi wamanzi ongavalwanga kahle futhi ovuza amanzi.
• Ukubuyela Kwegazi Emaphashini: Kulokhu, ivalvu yamaphaphu ethwala igazi lisuka enhliziyweni liya emaphashini ayivali kahle. Ngisho nalapho, igazi livuza emuva.
• I-Mitral Stenosis: Lokhu kwenzeka lapho i-valve ye-mitral, ethwala igazi lisuka ku-atrium yangakwesobunxele liye ku-ventricle yangakwesobunxele, incipha. Kufana nepayipi elivinjiwe. Kunzima ukuthi igazi ligeleze.
• I-Tricuspid Stenosis: Kulokhu, i-valve ye-tricuspid, ethwala igazi lisuka ku-atrium yangakwesokudla liye ku-ventricle yangakwesokudla yenhliziyo, iyancishiswa.

Izinkinga zama-valve ezinjengalezi zibangela ushintsho endleleni yokugeleza kwegazi, okuyikho okubangela lowo msindo 'we-whoosh' 'we-swish', okungukuthi, umsindo we-murmur.

Ezinye izizathu

Ngaphezu kwezinkinga zama-valve, ukukhononda kwe-diastolic kungenzeka ngenxa yezinye izizathu eziningana:

• Ezinye izifo zenhliziyo ezizalwa nazo ziyizimo zenhliziyo eziba khona lapho umuntu ezalwa.
• I-Endocarditis: Lokhu ukutheleleka kolwelwesi lwangaphakathi lwenhliziyo kanye/noma ama-valve ayo.
• Imiphumela yesikhathi eside yomkhuhlane wamathambo : Uma ingelashwa kahle ebuntwaneni, umkhuhlane wamathambo ungalimaza ama-valve enhliziyo.

Ziyini izimpawu zokukhala kwe-diastolic?

Izimpawu zokukhala kwe-diastolic zincike embangela eyinhloko. Okusho ukuthi, izimpawu zingahluka kuye ngokuthi i-valve inciphile (i-stenotic) noma iyavuza (iyavuza). Abanye abantu bangase bangabi nazo nhlobo izimpawu. Kodwa-ke, izimpawu ezivame kakhulu yilezi:

• Ubunzima bokuphefumula , ikakhulukazi uma ukhathele noma ugobile.
• Ukuvuvukala esiswini noma emilenzeni.
• Ukushaya kwenhliziyo okusheshayo , noma umuzwa wokushaya kwenhliziyo okusheshayo.
• Ukukhathala okuqhubekayo.
• Isiyezi.
• Ngezinye izikhathi ungaze uphelelwe yithemba .
• Ukukhwehlela okuqhubekayo.

Uma unesinye noma ngaphezulu salezi zimpawu, kubaluleke kakhulu ukubona udokotela.

Odokotela bakuthola kanjani ukukhononda kwe-diastolic? (Ukuxilongwa)

Ngokuvamile, udokotela uzoqala ngokubona ukuthi une-nonsense ngokulalela isifuba sakho nge-stethoscope. Lapho elalele, udokotela uzocabangela izinto eziningana:

Izinto ozizwayo nge-stethoscope

• Ingabe ukushintsha indlela oma ngayo noma ukuzivocavoca umzimba kuyawuthinta lo msindo?
• Umsindo ukhulu kangakanani?
• Iyini iphimbo lomsindo? Ingabe liphakeme noma liphansi?
• Umsindo uzwakala nini ngesikhathi sokushaya kwenhliziyo, futhi uhlala isikhathi esingakanani?
• Kukuphi enhliziyweni lapho lokhu kukhononda kuzwakala khona?

Kusukela ezintweni ezinjengalezi, udokotela angathola umbono othile ngohlobo lokukhala.

Yiziphi izivivinyo ezenziwayo?

Uma usola ukuthi une-murmur, udokotela wakho angakuthumela kudokotela wenhliziyo ukuze athole ezinye izivivinyo. Lezi zivivinyo zingasiza ekunqumeni isigqi kanye nesakhiwo senhliziyo yakho. Izivivinyo ezivame kakhulu yilezi:

• I-Echocardiogram (Echo): Lesi isivivinyo esiyinhloko esisetshenziselwa ukuhlola ukububula kwenhliziyo. I-echo isebenzisa amaza e-ultrasound ukuthatha izithombe zenhliziyo. Ingabonisa imisipha yenhliziyo nama-valve ngokuningiliziwe. Ayibuhlungu, njengokuskena kwengane esibelethweni.
• I-X-ray yesifuba: Lokhu kuthatha izithombe zenhliziyo, amathambo, namaphaphu. Kungabonisa ukuthi inhliziyo ikhulisiwe noma ukuthi kukhona uketshezi emaphashini.
• I-Electrocardiogram (EKG/ECG): Lokhu kurekhoda umsebenzi kagesi wenhliziyo. Kungahlola noma yikuphi ukungahambi kahle kwenhliziyo.

Ingabe kufanele sifunde nangokuhlukaniswa kwalezi zimabula?

Odokotela bahlaziya ukububula kwenhliziyo ngokusekelwe ekuqineni kwayo, okuwukuthi umsindo uphakeme kangakanani, ukuthi iphimbo libukhali kangakanani, nokuthi lihlala isikhathi esingakanani.

• Ama-Murmur e-Diastolic alinganiswa ngesikali esisodwa kuya kwezine (1 kuya ku-4) . Omunye (1) umsindo ozwakala kancane, kanti u-4 (4) umsindo omkhulu kakhulu.
• Ukukhononda kwe-Systolic kulinganiselwa kusukela kokukodwa kuya kokuyisithupha (1 kuya ku-6). Okukodwa (1) akuzwakala kahle, kanti okuyisithupha (6) kuzwakala kakhulu ngokwanele ukuba kuzwakale ngaphandle kwe-stethoscope ebekwe esifubeni.

Leli banga lingakunikeza umbono othile ngobunzima bokukhononda.

Iphathwa kanjani i-diastolic murmur?

Ukwelashwa kuncike embangela eyinhloko yokukhala. Isibonelo, uma ukukhala kubangelwa inkinga yevalvu, udokotela wakho angase ancome imithi, ukulungiswa kwevalvu, noma ukushintshwa kwevalvu.

Imithi

Eminye yemithi esetshenziswa ekwelapheni yile:

• Izithibi ze-enzyme eguqula i-angiotensin (ACE): Isibonelo, i-benazepril (Lotensin®) noma i-captopril (Capoten®). Lezi zisebenza ngokwehlisa umfutho wegazi lakho.
• Ama-Beta-blocker: Njenge-bisoprolol (Cardicor®) noma i-metoprolol (Lopressor®). Lawa anciphisa umfutho wegazi kanye nesilinganiso senhliziyo.
• Izinto zokunciphisa igazi: i-warfarin (Coumadin®) noma i-aspirin (Bayer®, Zorprin®) zombili ziyimithi enciphisa ikhono legazi lokujiya.
• Ama-diuretics (amaphilisi amanzi): Njenge-furosemide (Lasix®) noma i-torsemide (Demadex®). Lawa asiza ekunciphiseni inani loketshezi oluthe xaxa emzimbeni.

Okubalulekile: Kubaluleke kakhulu ukuphuza le mithi njengoba nje udokotela wakho ekuyalile, ngesilinganiso esinqunyiwe kanye nesikhathi esinqunyiwe.

Ukuhlinzwa (Ukulungiswa/Ukufakwa Kwevalvu)

Uma enye yama-valve enhliziyo yakho yonakele noma ivuza, kungadingeka ukuthi uhlinzwe i-valve yenhliziyo.

• Ukulungiswa Kwevalvu: Lokhu kuhlinzwa kungandisa ivalvu encane noma kuqinise ivalvu evuzayo. Noma nini lapho kungenzeka, odokotela bazama ukulungisa nokugcina ivalvu yakho.
• Ukushintshana Ngevalvu: Uma ivalvu incane kakhulu (i-valve stenosis enzima) noma yonakele kakhulu, udokotela uzoyisusa ivalvu bese eyishintsha ngevalvu yomshini noma ivalvu evela kumnikeli.

Ingabe ukubhonga kwe-diastolic kungavinjelwa?

Ayikho indlela eqondile yokuvimbela ukububula kwe-diastolic, njengoba kuvame ukuhlotshaniswa nezinye izimo zezokwelapha. Kodwa-ke, uma udokotela wakho esekutholile ukuthi une-diastolic murmur, kubalulekile ukubona udokotela wakho njalo ukuze kutholakale imbangela eyisisekelo (njengenkinga ye-valve) bese ulandela imiyalelo yakhe.

Futhi, ukulandela imikhuba yokuphila enempilo engagcina inhliziyo yakho iphilile kunganciphisa ingozi yalezi zimo ngezinga elithile.

• Yidla ukudla okucebile ngezithelo, imifino, kanye nokudla okusanhlamvu okuphelele.
• Yenza okungenani imizuzu eyi-150 yokuzivocavoca nge-aerobic ngesonto (isib. ukuhamba ngokushesha, ukugijima, ukubhukuda).
• Nciphisa ukusetshenziswa kotshwala kanye ne-caffeine.
• Uma ubhema, yeka nakanjani .
• Nciphisa ukucindezeleka ngezinto ezifana nokuzindla.
• Lala kahle okungenani amahora ayisikhombisa kuya kwayisishiyagalombili njalo ebusuku.

Uyini umbono womuntu one-diastolic murmur? (I-Outlook)

Umbono uncike esimweni esiyisisekelo. Ngenhlanhla, manje kunezindlela zokwelapha ezinhle kakhulu zezinkinga zama-valve. Futhi, ukulandela indlela yokuphila enempilo kungakusiza ukuthi uphile impilo engcono negcwele, ngisho noma inhliziyo yakho ikhala. Ngakho ungesabi, vele ulandele imiyalelo kadokotela wakho.

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela?

Uma usuyazi ukuthi une-diastolic murmur, kuwumqondo omuhle ukubuza udokotela wakho imibuzo efana nale:

• Yini okungenzeka kakhulu ukuthi iyimbangela yalokhu kukhononda kwe-diastolic kimi?
• Yiziphi izinhlobo zokuhlolwa okudingeka ngizenze?
• Yiziphi izindlela zokwelapha enginazo?
• Yini okudingeka ngiyazi mayelana nokuphatha izimo zezokwelapha eziyisisekelo?
• Ingabe ngidinga ukubona uchwepheshe ?
• Ingabe ngidinga ukwenza izinguquko endleleni yami yokuphila ukuze ngithuthukise impilo yenhliziyo yami?

Ngaphezu kwale mibuzo, buza udokotela wakho nganoma yini onayo, kungakhathaliseki ukuthi incane kangakanani.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke sikhulume kakhulu nge-Diastolic Heart Murmur namuhla. Nazi izinto ezimbalwa okufanele uzikhumbule ngamafuphi:

• Umsindo we-diastolic murmur uwumsindo ongavamile ozwakalayo lapho inhliziyo iphumule (ngesikhathi se-diastole).
• Nakuba ukukhononda okuningi kungeyingozi, ngezinye izikhathi kungaba uphawu lwesifo senhliziyo. Ngakho-ke uma udokotela ekutshela ukuthi unesifo sokukhononda, kufanelekile ngempela ukuba uhlolwe .
• Kuye ngembangela, ingelashwa ngemithi noma ngokuhlinzwa.
• Ukuphila impilo enempilo kuzokusiza ukuthi uphile kahle ngisho nasezimweni ezinjengalezi.
• Uma unemibuzo noma ukungabaza, ungesabi ukukhuluma nodokotela wakho .

Khumbula, ukunakekela inhliziyo yakho kubaluleke kakhulu. Ngithemba ukuthi lolu lwazi luwusizo kuwe!

Ukukhononda kwe- Diastolic, Isifo Senhliziyo, Ama-Valve Enhliziyo, Ukuphelelwa Ukuphefumula, Ukushaya Kwenhliziyo, I-Echocardiogram, I-ECG, Umsindo Wenhliziyo, Ukushaya Kwenhliziyo