Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane lapho udokotela wakho ekutshela ukuthi inhliziyo yakho inkulu kancane kunokujwayelekile. Noma uzizwa ukhathele ngaso sonke isikhathi, unenkinga yokuphefumula lapho ukhuphuka izitebhisi, noma unemilenze evuvukele? Lokhu kungaba izimpawu zokuthi inhliziyo yakho ikhulisiwe. Ngakho-ke namuhla, ake sixoxe ngalesi simo esibizwa ngokuthi i-Cardiomegaly, noma inhliziyo ekhulisiwe. Ake siqonde kahle ukuthi siyini, kungani senzeka, nokuthi yini okudingeka siyenze ngakho.
Kusho ukuthini ngempela uma inhliziyo iba nkulu?
Kalula nje, i-cardiomegaly yilapho inhliziyo yakho iba nkulu kunokuvamile. Kunezindlela ezimbili lokhu okungenzeka ngazo. Enye yilapho imisipha yenhliziyo iqina . Enye yilapho amakamelo enhliziyo evuleka .
Cabanga ngale ndlela. Esikhundleni sokuhamba endaweni eyisicaba usuku lonke, sikhuphuka intaba nsuku zonke. Bese imisipha emilenzeni yethu kufanele isebenze kanzima, futhi ngokuhamba kwesikhathi, leyo misipha iba mikhulu. Yilokho-ke. Uma inhliziyo kufanele isebenze kanzima kunokujwayelekile ukuze ipompe igazi emzimbeni, imisipha enhliziyweni nayo iqala ukuba mikhulu. Kodwa khumbula, akufani nemisipha engalweni nasemilenzeni eba mikhulu, futhi inhliziyo enkulu ayiyenzi isebenze kahle ngaso sonke isikhathi. Ngezinye izikhathi, ingenza ngisho nokuthi ingasebenzi kahle.
Ubani osengozini enkulu yokuthola lesi simo?
Nakuba lesi simo singaba khona kunoma ubani, abanye abantu basengozini enkulu.
- Umlando womndeni: Uma umama wakho, ubaba, noma isihlobo esiseduze sibe nenhliziyo evuvukile, nawe usengozini enkulu.
- Ukusetshenziswa kotshwala ngokweqile: Kulabo abaphuza utshwala ngokweqile isikhathi eside.
- Ukubhema: Ngoba ukubhema kulimaza inhliziyo ngqo.
- Umfutho wegazi ophezulu (Umfutho wegazi ophakeme): Uma umfutho wegazi ukhuphuka, inhliziyo kufanele isebenze kanzima ukupompa igazi.
- Umlando wokuhlaselwa yinhliziyo: Uma wena noma othile emndenini wakho wake waba nokuhlaselwa yinhliziyo ngaphambili.
- Ukuntuleka kokuzilolonga: Kulabo abaphila impilo yokuhlala phansi futhi bengenawo umsebenzi omningi womzimba.
Ziyini izimpawu zenhliziyo ekhuphukile?
Abanye abantu banenhliziyo evulekile kodwa abanazo izimpawu. Kodwa-ke, abanye bangase babe nesinye noma ngaphezulu kwalezi zimpawu ezilandelayo:
| Isibonakaliso | Incazelo elula |
|---|---|
| Ubunzima bokuphefumula | Ukuzizwa uphelelwa umoya uma ukhathele kancane, uma ukhuphuka izitebhisi, noma ngisho nalapho umile nje. |
| Ukuvuvukala (i-Edema) | Ukuvuvukala, ikakhulukazi emilenzeni, emaqakaleni, futhi ngezinye izikhathi esiswini. Lokhu kubangelwa ukwakheka koketshezi emzimbeni lapho inhliziyo ingapompi igazi kahle. |
| Ukukhathala okungavamile | Ukukhathala ngokweqile kanye nokozela ngaphandle kwesizathu. |
| Umuntu ongamazi ekushayweni kwenhliziyo | Ukuzwa sengathi inhliziyo yakho ishaya ngokushesha, njengokundiza esifubeni sakho, noma ukushaya kwenhliziyo yakho akujwayelekile. |
| Isiyezi | Kungenzeka ngoba ubuchopho abutholi igazi elanele elinomoya-mpilo. |
Kungani inhliziyo ikhula? Yiziphi izizathu eziyinhloko?
Noma yisiphi isimo sezokwelapha esenza inhliziyo isebenze kanzima singaba imbangela yalokhu. Imbangela eyinhloko nevame kakhulu yalokhu eSri Lanka yisifo semithambo yenhliziyo . Yilokhu okuvame ukubangela ukuhlaselwa yinhliziyo.
Into ebaluleke kakhulu ukuthola imbangela eqondile yokukhula kwenhliziyo bese uyelapha. Ngemuva kwalokho, umonakalo enhliziyweni ungalawulwa.
Ngaphezu kwalokho, kungase kube nezinye izizathu eziningana:
- Umfutho wegazi ophakeme: Lapho umfutho wegazi ungalawulwa isikhathi eside.
- Isifo Se-Heart Valve: Uma ama-valve enhliziyweni engasebenzi kahle.
- I-Cardiomyopathy: Ubuthakathaka bemisipha yenhliziyo ngenxa yezimbangela zofuzo noma ezinye.
- Isifo Senhliziyo Esizalwa Naso.
- Isigqi senhliziyo esingajwayelekile (i-Arrhythmia).
- Ezinye izifo: I-anemia, izinkinga ze-thyroid (i-Hyperthyroidism / i-Hypothyroidism), ukwehluleka kwezinso, ngisho nokutheleleka ngamagciwane kungabangela lokhu.
- Ukukhulelwa: Abanye besifazane bangase bazizwe bekhuliswa inhliziyo okwesikhashana ngesikhathi sokukhulelwa.
Udokotela usithola kanjani lesi simo?
Uma uya kudokotela, uzoqala ngokukubuza ngezimpawu zakho kanye nomlando wempilo yomndeni wakho. Ngemuva kwalokho, uzolalela inhliziyo yakho nge-stethoscope ukuhlola noma yimiphi imisindo engavamile (ukububula kwenhliziyo). Uzophinde ahlole ukuvuvukala emilenzeni yakho kanye nokuvuvuka kwemithambo entanyeni yakho.
Ngemva kwalokho, bazoyala ukuhlolwa okuningana ukuqinisekisa isimo esiqondile nokuthola imbangela.
| Ukuhlolwa | Ubonani kulokhu? |
|---|---|
| I-X-ray yesifuba | Thatha isithombe esingesihle senhliziyo namaphaphu bese uthola umbono oyisisekelo ngobukhulu benhliziyo. |
| I-ECG (i-Electrocardiogram) | Hlola ukusebenza kukagesi kwenhliziyo ukuze ubheke izinkinga zesigqi senhliziyo kanye nezimpawu zokuhlaselwa yinhliziyo. |
| I-Echocardiogram (Ukuhlolwa kwe-Echo) | Lolu vivinyo olubaluleke kakhulu. Amagagasi e-ultrasound angasetshenziswa ukubona ukuthi inhliziyo inkulu kangakanani, ukuthi izindonga zayo zijiyile kangakanani, ukuthi ama-valve asebenza kahle kangakanani, nokuthi ihambisa igazi kahle kangakanani. |
| Ukuhlolwa Kokucindezeleka | Bona ukuthi inhliziyo yakho isabela kanjani uma uzivocavoca. |
| Iskeni se-CT noma se-MRI | Thola izithombe zenhliziyo ze-3D ezinemininingwane eminingi bese ufunda inkinga ngokujulile. |
Iphathwa kanjani?
Ukwelashwa kokukhula kwenhliziyo kuhilela ukulawula isimo esiyisisekelo esibangele lokhu. Izindlela zokwelapha zingahlukaniswa ngezigaba ezintathu eziyinhloko.
1. Izinguquko zendlela yokuphila
Lokhu kubaluleke kakhulu. Njengomuthi udokotela akunika wona, nawe kudingeka wenze lezi zinto.
- Ukulawula usawoti: Ukunciphisa inani likasawoti ekudleni.
- Ukuyeka ukubhema: Lokhu kuyinto okufanele uyenze nakanjani.
- Ukunciphisa utshwala: Ukunciphisa utshwala ngangokunokwenzeka noma ukuyeka ngokuphelele.
- Ukulawula isisindo somzimba: Ukugcina isisindo esinempilo.
2. Imithi (izinhlobo zemithi)
Kuye ngembangela, udokotela wakho uzokunikeza imithi ehlukene.
- Imithi yokucindezela kwegazi: Imithi efana ne-ACE inhibitors kanye ne-ARBs ilawula ukucindezeleka kwegazi.
- Ama-Beta-blockers: Asiza ukulawula umfutho wegazi nokuthuthukisa ukusebenza kwenhliziyo.
- Ama-Diuretics: Aziwa nangokuthi "amaphilisi amanzi," lawa asiza ukususa uketshezi oluningi emzimbeni ngomchamo.
- Ama-anticoagulant: Anciphisa ingozi yokuqhekeka kwegazi.
- Imithi yokulwa nokushaya kwenhliziyo: Uma ukushaya kwenhliziyo kungajwayelekile.
3. Ukuhlinzwa kanye namadivayisi
Kwezinye izimo, kungase kudingeke ezinye izindlela zokwelapha ngaphezu kwemithi.
- Ukufakelwa kwe-Pacemaker: Uma ukushaya kwenhliziyo yakho kushesha kakhulu, kugcine kusesimweni esijwayelekile.
- Ukufaka idivayisi ye-ICD (Implantable Cardioverter Defibrillator): Kumisa ukungalingani kwenhliziyo okuyingozi okungase kwenzeke ngokuzumayo futhi kubangele ukushaqeka kukagesi enhliziyweni ukuze kuyibuyisele esimweni sayo esijwayelekile.
- Ukulungiswa noma ukushintshwa kwamavalvu: Uma kunenkinga ngamavalvu enhliziyo.
- Ukuhlinzwa Kokudlula Igazi Noma Ukubekwa Kwe-Stent: Uma imithambo yenhliziyo ivaliwe.
Kufanele ufune nini iseluleko sezokwelapha ngokushesha? (Kunini lapho kufanele uye khona ku-ETU)
Ezimweni eziningi, inhliziyo ekhuphukile akuyona into ephuthumayo. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, kufanele uye emnyangweni wezimo eziphuthumayo wesibhedlela (ETU) ngokushesha .
- Ubuhlungu besifuba: Ubuhlungu obuzwakala sengathi isifuba siyaqina noma siyacinana.
- Ubuhlungu obusakazeka ezingalweni, emhlane, entanyeni, noma emhlathini.
- Ukulahlekelwa yingqondo ngokuzumayo (ukuquleka).
- Kunzima kakhulu ukuphefumula ngisho noma umi nje unganyakazi.
Umlayezo Wokuya Nawe Ekhaya
- I-Cardiomegaly yisimo esenzeka lapho inhliziyo kufanele isebenze kanzima. Lokhu akuyona into okufanele uyesabe, kodwa kuyinto okufanele nakanjani inakwe futhi yelashwe.
- Into ebaluleke kakhulu ukuthola imbangela eqondile bese uyelapha. Lokhu kuzosiza ekuvimbeleni ukulimala okwengeziwe enhliziyweni.
- Uma unezimpawu ezifana nokuphelelwa umoya, ukuvuvukala kwemilenze yakho, noma ukukhathala okungavamile , ungazinaki. Bona udokotela wakho ngokushesha.
- Ukuthatha imithi oyinikezwe udokotela wakho ngesikhathi kanye nokwenza izinguquko ezidingekayo endleleni yokuphila (ukunciphisa usawoti, ukuyeka ukubhema) kubaluleke kakhulu enhlalakahleni yakho.
- Uma kutholakale ukuthi unalesi sifo futhi welashwa kusenesikhathi, abantu abaningi bangasilawula kahle lesi simo futhi baphile impilo evamile.
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