Ingabe ukhathazekile ngenhliziyo yakho? Ake sixoxe ngeSifo Senhliziyo!

Namuhla sizokhuluma ngesihloko esibalulekile kubantu abaningi, futhi esesabekayo kancane. Leso yisifo senhliziyo, noma njengoba sonke sazi, "Isifo Senhliziyo". Ungase ucabange, "O, lokhu akusebenzi kimi." Kodwa linda, kubaluleke kakhulu ukuthi wonke umuntu azi ngalokhu. Ngoba, inhliziyo yethu iyisitho esincane kodwa esinamandla kakhulu esinikeza impilo emzimbeni wethu wonke.

Iyini lesi sifo senhliziyo?

Kalula nje, isifo senhliziyo sibhekisela ezinkingeni ezahlukahlukene ezingathinta inhliziyo yakho. Lapho abantu abaningi becabanga ngesifo senhliziyo, bacabanga ngokushesha ngesifo semithambo yegazi yenhliziyo (CAD) , okuyisimo lapho ama-fatty deposits akheka khona emithanjeni yenhliziyo futhi angaholela ekuhlaselweni yinhliziyo. Kodwa empeleni, izinkinga zingavela emisipheni yenhliziyo, ema-valve, noma ngisho nasesimisweni sikagesi senhliziyo. Cabanga ngale ndlela: inhliziyo yethu ifana nenjini emzimbeni wethu. Le njini ipompa igazi, umoya-mpilo, kanye nezakhamzimba emzimbeni wethu wonke. Ngakho-ke, uma kukhona okungahambi kahle ngale njini, okusho ukuthi ayitholi "uphethiloli" eyidingayo, ithinta ukusebenza kwazo zonke ezinye izinhlelo emzimbeni wethu. Kodwa kunezindaba ezinhle! Ngezinguquko ezincane endleleni yethu yokuphila futhi, uma kudingeka, ngemithi ethathwa njengoba kunqunywe udokotela, singagcina izinhliziyo zethu ziphilile futhi sinciphise ingozi yethu yokuthola isifo senhliziyo.

Yiziphi izinhlobo eziyinhloko zesifo senhliziyo?

Isifo senhliziyo akusona isifo esisodwa. Kunezinhlobo ezahlukene. Ake sibheke izinhlobo eziyinhloko ezibonakala:

• Ukuncishiswa kwemithambo yegazi yenhliziyo ngenxa yokugcwala kwamafutha : Lokhu yilokho esikubiza ngokuthi isifo semithambo yenhliziyo .
• Ukuphazamiseka kokushaya kwenhliziyo: Ngezinye izikhathi inhliziyo ishaya kancane, ngezinye izikhathi ishaya ngokushesha. Lokhu kubizwa ngokuthi ama-arrhythmia .
• Izifo Zemithambo Yenhliziyo : Inhliziyo yethu inama-valve asiza ukugeleza kwegazi ohlangothini olulodwa kuphela. Lawa angaba namaphutha.
• I-Cardiomyopathy: Lokhu kuhlanganisa izinto ezifana nobuthakathaka kanye nokuqina kwemisipha yenhliziyo.
• Ukwehluleka Kwenhliziyo : Lokhu kwenzeka lapho inhliziyo ingakwazi ukupompa igazi elanele emzimbeni.
• Isifo Senhliziyo Esizalwa Naso: Ezinye izingane zingase zizalwe zinezinkinga ezithile zenhliziyo.
• Izinkinga ezenzeka esikhwameni esigcwele uketshezi esizungeze inhliziyo (izifo ze-pericardial):Izinto ezifana nokuvuvukala zingase zenzeke kulesi sikhwama esivikela inhliziyo.

Uyabona, ukuthi zihlukahlukene kangakanani. Yingakho izimpawu umuntu ngamunye abhekana nazo zihlukile.

Isifo senhliziyo sivame kangakanani?

Eqinisweni, isifo senhliziyo siyimbangela ehamba phambili yokufa emazweni amaningi emhlabeni jikelele, okuhlanganisa nelethu. Sithinta zonke izinhlanga, kungakhathaliseki ubulili. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.

Ziyini izimpawu zesifo senhliziyo? Kanye nezimpawu zokuxwayisa zakuqala

Izimpawu zingahluka kuye ngohlobo lwesifo senhliziyo, kodwa kunezimpawu ezithile ezivamile okufanele siziqaphele :

• Ukushaya kwenhliziyo : Kungase kuzwakale njengomsindo oshayayo ovela ngaphakathi esifubeni sakho.
• Ukujuluka : Uma ujuluka ngokweqile ngaphandle kwesizathu esithile.
• Ukuquleka , isiyezi : Umuzwa wokuba nekhanda elibuthakathaka noma isiyezi.
• Ubunzima bokuphefumula : Uzizwa unesizungu ngisho nangemva kokwenza umsebenzi omncane, futhi kuzwakala sengathi unenkinga yokuphefumula.
• Ukuzungeza noma ukulahlekelwa ingqondo ngokuzumayo : Ukulahlekelwa ingqondo ngokuzumayo nokuzizwa sengathi usuzowa.
• Ubuhlungu, ukuqina, ukusinda, noma ukungakhululeki esifubeni noma esifubeni esingaphezulu : Lesi yisibonakaliso abantu abaningi abasasabayo. Singaqala phakathi kwesifuba bese sehla ngengalo yesobunxele, entanyeni, nasemhlathini. Abanye abantu bangase bazizwe sengathi isifuba sabo siyacindezelwa, noma sengathi kukhona okubasindayo.
• Ubuhlungu bentamo .
• Isilungulela noma ukungagayi kahle kokudla : Abanye abantu bangase bacabange ukuthi lokhu kuyisifo sohudo. Kodwa-ke, uma kuhambisana nobuhlungu besifuba, kufanele ukhathazeke.
• Ukucanuzela noma ukuhlanza .
• Ukuvuvukala emzimbeni ongezansi : ikakhulukazi ukuvuvukala kwemilenze namaqakala.
• Ukukhathala : Ukuzizwa ukhathele kungakhathaliseki ukuthi ulala kangakanani.
• Ubunzima bokulala .
• Ukungakwazi ukubekezelela ukuzivocavoca : Izinto ezazilula ngaphambili manje sekunzima ukuzenza.
• Umkhuhlane : Umkhuhlane ungase uvele kwezinye izifo zenhliziyo.

Izimpawu Zesexwayiso Zasekuqaleni:

Ngezinye izikhathi imizimba yethu isinika izimpawu ezincane ngaphambi kokuba kuvele inkinga enkulu. Uma uziqaphela lezi, ungafuna ukwelashwa ngokushesha:

* Ubuhlungu besifuba.

* Ukuphelelwa umoya.

* Ukuvuvukala kwemilenze.

* Ukukhathala njalo.

* Isiyezi, ukuquleka okungazelelwe, noma ukucishe uquleke njalo.

Uma uqhubeka nokuba nesinye noma ngaphezulu salezi zimpawu, kufanele nakanjani ubone udokotela . Ungamane nje ungasinaki.

Kungani sithola izifo zenhliziyo? Ziyini izimbangela?

Ayikho imbangela eyodwa yesifo senhliziyo. Izinhlobo ezahlukene zesifo senhliziyo zithonywa yizici ezahlukene. Nazi ezinye zezici ezivamile ezingaba nomthelela:

• Ukusha kwemisipha yenhliziyo.
• Isifo Semithambo Yenhliziyo .
• Izinkinga Zofuzo : Ezinye izifo zenhliziyo zingazuzwa njengefa.
• Izinkinga zokusebenza kwezinso.
• Ukutheleleka: Ngisho nokutheleleka okukhulu okwenzeka ngaphandle kwenhliziyo kungathinta inhliziyo.
• Izinkinga ze-thyroid .
• Isifo Samathambo .
• Izinguquko enhliziyweni zenzeka ngokuguga.
• Ukulimala engxenyeni ethile yenhliziyo.
• Ukulimala kwenhliziyo okubangelwa ukuhlaselwa yinhliziyo.
• Ezinye izimo zezokwelapha, isibonelo , izifo ezibangelwa amasosha omzimba .
• Ukukhulelwa: Abanye besifazane bangase babe nezinkinga zenhliziyo ngesikhathi sokukhulelwa.
• Imithi ethile, ikakhulukazi eminye imithi ye-chemotherapy yomdlavuza.
• Ukusetshenziswa kwezidakamizwa: Izinto ezifana notshwala, i-cocaine, i-methamphetamine.
• Umfutho wegazi ophakeme .
• Isigqi senhliziyo esingajwayelekile.

Yiziphi izici eziyingozi zokuthuthukisa isifo senhliziyo?

Imikhuba ethile, izindlela zokuphila, kanye nezimo zempilo kwandisa ingozi yokuthola isifo senhliziyo. Sibiza lezi zinto ngokuthi izici eziyingozi. Ake sibone ukuthi ziyini lezi zinto eziyingozi:

• I-Cholesterol Ephakeme : Amazinga aphezulu e-cholesterol embi egazini angabangela ukwakheka kwe-plaque emithanjeni yenhliziyo.
• Umfutho Wegazi Ophakeme : Yilokhu okushiwo umfutho wegazi ophezulu. Lokhu kubeka inhliziyo ecindezelekile kakhulu.
• Ukusetshenziswa kwemikhiqizo kagwayi : Izinto ezifana nokubhema ugwayi kanye ne-chewing gum.
• Indlela yokuphila yokuhlala phansi : Ukuhlala endaweni eyodwa ngaphandle kokuzilolonga.
• Umlando womndeni wesifo senhliziyo : Uma umama wakho, ubaba, noma izingane zakini zinesifo senhliziyo, nawe ungase ube sengozini.
• Isifo Sikashukela Sohlobo 2 : Sibizwa nangokuthi isifo sikashukela.
• I-Body Mass Index (BMI) engaphezu kuka-25: Lokhu kusho ukuthi ukhuluphele kakhulu uma kuqhathaniswa nobude bakho.
• Ukudla okungenampilo : Ukudla uwoyela omningi, usawoti, ushukela, kanye nokudla okwenziwe ngokwenziwa.
• Inkinga Yokusetshenziswa Kwezidakamizwa .

Ezinye zalezi zici eziyingozi zingaphansi kwamandla ethu. Isibonelo, singashintsha indlela esidla ngayo, sivivinye umzimba, futhi siyeke ukubhema.

Yiziphi izinkinga ezingaba khona ngenxa yesifo senhliziyo?

Uma isifo senhliziyo singaphathwa kahle, singaholela ezinkingeni zempilo ezinkulu kakhulu, ezibizwa ngokuthi izinkinga.Ezinye zalezi zingaba yingozi ngisho nasekufeni.

• Isifo senhliziyo
• Ukwehluleka Kwenhliziyo
• I-cardiomyopathy
• Isifo sohlangothi
• I-Anormal Heart Rhythms
• Ukushaqeka Kwenhliziyo : Inhliziyo ayikwazi ukupompa igazi elanele, okubangela ukuntuleka kwegazi ezithweni zomzimba.
• Ukuma Kwenhliziyo : Ukuphela kwenhliziyo ngokuzumayo.
• Isifo Se-Valve Yenhliziyo
• Umfutho wegazi ophezulu wamaphaphu : Ukwanda kwengcindezi emithanjeni ethwala igazi iye emaphashini.
• Ukulimala kwezinso noma kwesibindi.

Yingakho kubaluleke kakhulu ukuthola ukwelashwa okufanele kwesifo senhliziyo.

Odokotela bahlonza kanjani isifo senhliziyo? (Ukuxilongwa)

Uma unezimpawu zesifo senhliziyo, uma ubona udokotela, uzokuhlola, akubuze ngezimpawu zakho, futhi athole ukuthi kukhona yini emndenini wakho onesifo senhliziyo. Ngemuva kwalokho, bazoyala ukuhlolwa kokuxilonga ukuze baqinisekise imbangela eqondile yalesi sifo.

Yiziphi izivivinyo eziyinhloko ezisetshenziswa ukuxilonga isifo senhliziyo?

• I-Electrocardiogram (ECG noma EKG) : Lokhu kuhlola ukusebenza kukagesi kwenhliziyo. Kuwukuhlolwa okuhilela ukunamathisela izitikha ezincane esifubeni nasezingalweni.
• Ama-Ambulatory Monitors : Ngezinye izikhathi i-ECG iyodwa ayanele ukuthola inkinga. Kuleso simo, uzonikezwa idivayisi encane ongayigqoka usuku olulodwa noma ezimbili ukuze uqophe njalo isigqi senhliziyo yakho. I-Holter monitor ingenye yalezi.
• I-Echocardiogram (Echo) : Lokhu kufana nokuskena kwenhliziyo nge-ultrasound. Kungahlola izinto eziningi ngenhliziyo, njengosayizi wayo, ukuma kwayo, ukuthi ama-valve ayo asebenza kanjani, nokuthi ipompa kanjani igazi.
• I-Cardiac CT Scan : Lokhu kungathatha izithombe ezinemininingwane zenhliziyo nemithambo yegazi.
• Ukuthwebula izithombe zenhliziyo nge-magnetic resonance (MRI) : Lokhu kungaveza nezithombe ezicacile zenhliziyo.
• Ukuhlolwa kwegazi : Lokhu kuhlola izinto ezifana namazinga e-cholesterol, amazinga kashukela, kanye nama-enzyme athile aqoqana egazini lapho inhliziyo yonakele.
• Ukuhlolwa Kokucindezeleka (noma i-Exercise ECG) : I-ECG isetshenziselwa ukuhlola ukuthi inhliziyo yakho isabela kanjani ekuzivocavoceni, kungaba ngokukuvumela ukuthi ugijime ku-treadmill noma ugibele ibhayisikili.
• I-Catheterization Yenhliziyo / I-Angiogram : Kule nqubo, kufakwa ithubhu elincane ngomthambo engalweni noma emlenzeni emithanjeni yenhliziyo ukuze kubonakale ukuthi kukhona yini ukuvaleka. Uma kudingeka, i-stent ingafakwa ngesikhathi esifanayo ukuze kwandiswe ukuvaleka.

Akuzona zonke lezi zivivinyo ezifanele wonke umuntu. Udokotela wakho uzonquma ukuthi yikuphi ukuhlolwa okukulungele ngokusekelwe ezimpawini kanye nesimo sakho.

Yiziphi izindlela zokwelapha izifo zenhliziyo?

Izinketho zokwelapha ziyahlukahluka kuye ngohlobo kanye nobukhali besifo sakho senhliziyo. Ngezinye izikhathi izinguquko zendlela yokuphila zanele. Abanye abantu badinga ukuthatha imithi. Abanye badinga ukuhlinzwa noma ezinye izinqubo zezokwelapha.

• Izinguquko zendlela yokuphila : Lena yinto ebaluleke kakhulu.
• Ukudla ukudla okunamafutha agcwele aphansi.
• Ukuyeka ngokuphelele ukusetshenziswa kwemikhiqizo kagwayi.
• Ukuqala inqubo yokuzivocavoca yansuku zonke njengokuhamba.
• Ukuthatha imithi :
• Ungathatha imithi yokwehlisa umfutho wegazi kanye ne-cholesterol.
• Kunemithi engasiza ekuhlulekeni kwenhliziyo noma ukushaya kwenhliziyo okungajwayelekile.
• Into ebaluleke kakhulu ukuthatha lo muthi njengoba nje udokotela esho, ngesikhathi esifanele nangesilinganiso esifanele.
• Ukuhlinzwa noma izinqubo zezokwelapha :
• Ngezinye izikhathi ukuhlinzwa kwenhliziyo okuvulekile ( isib. ukuhlinzwa kwe-bypass) kungadingeka.
• Ukuhlinzwa Okungangeni Kakhulu ( Ukuhlinzwa okwenziwa ngokusikwa okuncane).
• Ukukhipha : Inqubo "esusa" izindawo zenhliziyo ezibangela izimpawu zikagesi ezingavamile.
• Kukhona nezinto ezifana nezinqubo ze-catheter, ukufakwa kwe-stent , kanye ne-cardioversion (okunikeza ukushaqeka kukagesi ukulungisa isigqi senhliziyo).
• Ukubamba iqhaza ohlelweni lokuvuselelwa kwenhliziyo : Lokhu kungaba usizo kakhulu ekuqiniseni inhliziyo yakho ngemva kokuhlaselwa yinhliziyo. Kuhilela ukuzivocavoca okuqondiswa udokotela kanye nezeluleko zokudla okunempilo, kanye nokushintsha indlela yokuphila.

Ingabe ikhona imiphumela emibi noma izinkinga zokwelashwa?

Yebo, njenganoma yikuphi ukwelashwa, ukwelashwa kwesifo senhliziyo kungaba nemiphumela emibi noma izinkinga ezithile.

• Imithi : Imithi eminingi ingaba nemiphumela emibi emincane. Isibonelo, imithi yomfutho wegazi ingabangela isiyezi, ukukhathala, kanye nekhanda elibuhlungu. Eminye imithi yokwehlisa i-cholesterol ingabangela ubuhlungu bemisipha, isicanucanu, kanye nekhanda elibuhlungu. Uma uhlangabezana nanoma yikuphi kwalokhu, kufanele utshele udokotela wakho .
• Ukuhlinzwa noma izinqubo : Lokhu kungaba nezingozi ezifana nokopha, ukutheleleka, isifo sohlangothi, kanye nokushintsha kwesilinganiso senhliziyo. Kodwa odokotela bazama konke okusemandleni abo ukunciphisa lezi zingozi.

Kuthatha isikhathi esingakanani ukululama ngemva kokwelashwa?

Lokhu kuyahlukahluka kuye ngohlobo lokuhlinzwa noma inqubo oyenzile. Izinqubo ezincane zingathatha izinsuku ezimbalwa ukuze zelapheke. Kodwa-ke, ukuhlinzwa okuncane kakhulu kungathatha amasonto amabili kuya kwamane. Ukuhlinzwa kwenhliziyo evulekile kungathatha amasonto ayisithupha kuya kwayishumi nambili (cishe izinyanga ezintathu) ukuze kuphulukiswe ngokuphelele.

Yini esingayenza ukuze sivimbele izifo zenhliziyo?

Lena yingxenye ebaluleke kakhulu. Kuthiwa "ukuvimbela kungcono kunokwelapha." Asikwazi ukuvimbela ezinye izinhlobo zesifo senhliziyo (njengalezo esizizuze njengefa). Kodwa kunezinto esingazenza ukuze sinciphise ingozi yethu yokuthola izinhlobo eziningi zesifo senhliziyo:

• Gcina isisindo esinempilo esikufanele.
• Uma unezinye izimo zezokwelapha ezifana nesifo sikashukela, umfutho wegazi ophakeme, noma i-cholesterol ephezulu, zilawule kahle.
• Vivinya umzimba okungenani imizuzu engama-30-60 ngosuku, izinsuku eziningi zesonto. Ukuhamba, ukugijima, ukugibela ibhayisikili, noma ukubhukuda kuyizinketho ezinhle.
• Nciphisa ukucindezeleka. Ungenza izinto ezifana ne-yoga nokuzindla.
• Yidla ukudla okunosawoti omncane namafutha agcwele. Ungabuza udokotela wakho ngokudla okunempilo kwenhliziyo. Yidla imifino eminingi, izithelo, ubhontshisi, kanye nokudla okune-fiber eningi.
• Ungasebenzisi noma yimiphi imikhiqizo kagwayi. Uma ubhema, yeka namuhla.

Lezi zinto ngezinye izikhathi kunzima ukuzenza, kodwa zikufanelekela inhliziyo yakho.

Yini ongayilindela uma uphila nesifo senhliziyo? / Singazinakekela kanjani?

Ungacabangi ukuthi impilo yakho isiphelile uma utholakala unesifo senhliziyo. Ngemithi efanele kanye nezinguquko zendlela yokuphila, abantu abaningi bangaphila impilo evamile neyanelisayo. Into ebaluleke kakhulu ukuxilongwa kusenesikhathi bese uqala ukwelashwa ngaphandle kokulinda ukuthi izimpawu zibe zimbi kakhulu. Uma unesifo senhliziyo esivamile njengesifo semithambo yegazi (CAD), ungenza umehluko omkhulu empilweni yakho ngokwenza izinguquko endleleni yakho yansuku zonke. Izinto ezifana nokunciphisa usawoti namafutha, ukuzivocavoca umzimba, kanye nokuphuza imithi yakho njengoba nje udokotela wakho ekuyalele.

Yiziphi izikhathi ezinhle kakhulu zokuya kudokotela?

• Uma kukhona emndenini wakho (umama, ubaba, izingane zakini) onesifo senhliziyo, buza udokotela uma unezinye izinto eziyingozi. Uma kunjalo, ungakha uhlelo lokuvimbela isifo senhliziyo.
• Uma unezinye zezimpawu zenhliziyo ezishiwo ngenhla , bona udokotela ngokushesha.

Kunini lapho kudingeka uye e-Emergency Treatment Unit (ETU) ?

Uma lezi zimpawu zenzeka ngokuzumayo , iya ekamelweni lezimo eziphuthumayo esibhedlela esiseduze ngokushesha noma ushayele i-ambulensi (isib. 1990 Suwaseriya):

• Ubuhlungu besifuba, ukuqina, ukusinda, noma ukungakhululeki (ikakhulukazi uma kuthatha imizuzu engaphezu kwemibalwa, kuhambisana nokunyakaza, noma ukujuluka).
• Ukulahlekelwa yingqondo ngokuzumayo (ukuquleka) .
• Ubunzima obukhulu bokuphefumula .

Ungalindi ekhaya ngesikhathi esinjengalesi. Ukufika sekwephuzile ngisho nangomzuzu owodwa kungasongela impilo.

Imibuzo ebalulekile okufanele uyibuze udokotela wakho

Uma ubona udokotela, ungesabi ukubuza imibuzo esengqondweni yakho. Nansi eminye imibuzo ongayibuza:

• Nginesifo senhliziyo esinjani?
• Ingabe ikhona ingozi yokuthi nabanye abantu emndenini wami nabo bazohlaselwa yilesi sifo?
• Yikuphi ukwelashwa okungcono kakhulu kimi?
• Yiziphi izinguquko okudingeka ngizenze endleleni yami yokuphila?
• Yikuphi ukudla okufanele ngikudle nokuthi yikuphi okungafanele ngikudle?
• Yiziphi izivivinyo engingazivivinya?
• Yiziphi imiphumela emibi yemithi? Yini okufanele ngiyenze uma ivela?

Izinto ezibaluleke kakhulu okudingeka sizikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke, nazi izinto ezibaluleke kakhulu okufanele uzikhumbule kulokho esikhulume ngakho namuhla:

Inhliziyo iyisitho esibalulekile empilweni yethu. Ngakho-ke, kungumthwalo wethu ukuyinakekela.

Ayikho imbangela eyodwa yesifo senhliziyo, kunezinhlobo ezahlukene. Izimpawu nazo ziyahlukahluka ngokufanele.

Ungazinaki izimpawu ezifana nobuhlungu besifuba, ukuphelelwa umoya, kanye nokukhathala njalo.

Izinto ezifana ne-cholesterol ephezulu, umfutho wegazi ophakeme, isifo sikashukela, ukubhema, indlela yokuphila yokuzivocavoca, kanye nokudla okungenampilo kwandisa ingozi yesifo senhliziyo.

Isifo senhliziyo singalawulwa futhi sivinjwe ngokushintsha indlela yokuphila elula, futhi uma kudingeka, ukwelashwa okufanele.

Ungalindi kuze kuvele izimpawu, funa iseluleko sezokwelapha kusenesikhathi uma unezici eziyingozi.

Thanda inhliziyo yakho. Kunezinto eziningi ongazenza ukuze uyigcine iphilile. Sonke singaphila impilo enempilo ngaphandle kokwesaba, ngokuqwashisa! Isifo senhliziyo, isifo senhliziyo, isifo semithambo yegazi, ukuhlaselwa yinhliziyo, umfutho wegazi ophakeme, i-cholesterol, izimpawu zenhliziyo, ukuvimbela isifo senhliziyo