Udokotela kungenzeka ukuthi ukutshelile noma othile emndenini wakho ukuthi "unesifo senhliziyo". Kungenzeka ukuthi ukunike imithi eminingi ehlukene, akunjalo? Ungase uzibuze, "Kungani nginikezwe imithi eminingi kangaka ehlukene? Ingabe ngayinye yale mithi ayenzi into efanayo?" Lona umbuzo abantu abaningi abanawo. Ngakho-ke namuhla, ake sixoxe ngemithi yokwehluleka kwenhliziyo ngendlela elula kakhulu .
Okokuqala, ake sibone ukuthi kuyini ukwehluleka kwenhliziyo.
Uma uzwa leli gama, abanye abantu bayesaba, "O, inhliziyo yami iyeke ukusebenza?" Akunjalo. Ukwehluleka kwenhliziyo yisimo lapho imisipha yenhliziyo yakho iba buthakathaka futhi ingakwazi ukupompa igazi ngendlela efanele ukuze ihlangabezane nezidingo zomzimba. Cabanga ngakho njengephampu yamanzi eguga futhi ingakwazi ukupompa amanzi njengoba yayinjalo ngaphambili.
Uma ikhono lokupompa kwenhliziyo lehla ngale ndlela, uketshezi luqala ukuqongelela ezingxenyeni ezahlukene zomzimba, ikakhulukazi emaphashini, emilenzeni nasemaqakaleni. Yilokhu esikubiza ngokuthi `(Congestive Heart Failure)`. Lokhu kungabangela izimpawu ezifana nokuphelelwa umoya, ukukhathala, nokuvuvukala emilenzeni .
Into ebalulekile ukuthi lesi yisimo esiqhubekayo. Ngakho-ke, kubalulekile ukuthola ukwelashwa okufanele impilo yakho yonke. Nakuba le mithi ingakwazi ukwelapha lesi simo ngokuphelele, ingasiza ekulawuleni ukuwohloka kwesifo futhi igcine izinga lempilo yakho lihle.
Yimiphi imithi eyinhloko yokwehluleka kwenhliziyo?
Ekuhlulekeni kwenhliziyo, izinhlobo eziningana zemithi zisetshenziswa ndawonye esikhundleni somuthi owodwa. Isizathu salokhu ukuthi uhlobo ngalunye lomuthi lwenza umsebenzi ohlukile emzimbeni. Njengoba nje umdlali ngamunye eqenjini lekhilikithi enomsebenzi ohlukile. Udokotela wakho uzonquma inhlanganisela yemithi efaneleke kakhulu kuwe ngokusekelwe ezimpawini zakho, ezinye izimo zezokwelapha ezifana nesifo sikashukela noma umfutho wegazi ophakeme, kanye nohlobo lwesifo sakho.
Ake sibheke kalula lezi zinhlobo eziyinhloko zemithi nokuthi zisebenza kanjani kusukela kuthebula elingezansi.
| Isigaba sezidakamizwa | Ukusebenza (ngamagama alula) | Imithi esetshenziswa kakhulu (izibonelo) |
|---|---|---|
| Ama-ACE Inhibitors | Iyandisa imithambo yegazi, inciphise umthwalo womsebenzi enhliziyweni, futhi ilawula umfutho wegazi. | I-Enalapril, i-Lisinopril, i-Ramipril, i-Captopril |
| Ama-Angiotensin-2 Receptor Blockers (ARBs) | Zisebenza ngendlela efanayo nemithi yokuvimbela i-ACE. Lezi zinikezwa abantu ababhekana nemiphumela emibi njengokukhwehlela ngenxa yemithi yokuvimbela i-ACE. | I-Losartan, i-Valsartan, i-Candesartan |
| Ama-Beta Blockers | Kwehlisa ijubane lokushaya kwenhliziyo kancane, kunikeza inhliziyo ukuphumula. Kwandisa ukusebenza kahle kwenhliziyo ngokuhamba kwesikhathi. | I-Carvedilol, i-Bisoprolol, i-Metoprolol Succinate |
| Ama-diuretics (amaphilisi amanzi) | Isusa uketshezi oluningi (amanzi) oluqongelelwe emzimbeni ngomchamo. Inciphisa ukuvuvukala emilenzeni kanye nokuphelelwa umoya. | I-Furosemide (Lasix), i-Spironolactone, i-Hydrochlorothiazide |
| Ama-ARNI (i-ARNI) | Lena uhlobo olusha nolunamandla lwemithi. Yandisa ama-hormone avikela inhliziyo futhi anciphise ama-hormone ayingozi. | I-Sacubitril/Valsartan (Entresto®) |
| Izithibi ze-SGLT2 | Nakuba ekuqaleni kwanikezwa isifo sikashukela, lokhu kutholakale ukuthi kunciphisa ingozi yokulaliswa esibhedlela ngenxa yokwehluleka kwenhliziyo. | I-Dapagliflozin, i-Empagliflozin |
| I-Digoxin | Kukhulisa kancane amandla okufinyela kwenhliziyo. Kunikezwa nalabo abanokushaya kwenhliziyo okungajwayelekile. | I-Digoxin (i-Lanoxin®) |
Ingabe siyazi nemiphumela emibi?
Njenganoma yimuphi umuthi, le mithi ingaba nemiphumela emibi. Kodwa-ke, akuwona wonke umuntu othola yonke le miphumela emibi . Eminye ayivamile. Kodwa kubalulekile ukuyiqaphela.
- Isiyezi kanye nekhanda elibuhlungu: Eminye imithi ingabangela isiyezi, ikakhulukazi uma usukuma ngokuzumayo uhleli, njengoba yehlisa umfutho wegazi.
- Ukukhwehlela okomile: Abanye abantu abaphuza imithi, ikakhulukazi labo abaseqenjini lama-ACE Inhibitors, bangase babe nokukhwehlela okomile okuqhubekayo.
- Ukukhathala: Ungase uzizwe ukhathele kancane uma uqala ukuthatha ama-beta blocker, kodwa lokhu kuzophela njengoba umzimba wakho usujwayele.
- Izinguquko emazingeni e-potassium: Eminye imithi ingakhuphula amazinga e-potassium egazini, kanti eminye amaphilisi amanzi angawanciphisa. Yingakho odokotela bevame ukuncoma ukuhlolwa kwegazi.
- Imiphumela ezinso: Eminye imithi ingaba nomthelela omncane ekusebenzeni kwezinso. Lokhu kuhlolwa futhi ngokuhlolwa kwegazi.
- Okunye: Abanye abantu bangase babe nokuqaqamba kwemisipha, isicanucanu, kanye nokutheleleka kwesikhumba.
Into ebaluleke kakhulu ukukhuluma nodokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi izimpawu ezintsha, noma yini engavamile, noma yimiphi imiphumela emibi efana nale, kunokuba uzame ukuzelapha wena. Angase akwazi ukulungisa umthamo noma akushintshele komunye umuthi.
Ingabe ngidinga ukushintsha indlela yami yokuphila kanye nemithi?
Yebo, impela. Imithi iyingxenye nje yempi. Ingxenye yesibili incike endleleni yakho yokuphila.
- Ukulawula usawoti: Nciphisa inani likasawoti olifaka ekudleni kwakho. Izinto ezifana nokudla okusemathinini, inyama ecutshunguliwe, amasoso, kanye nama-pickle zinosawoti omningi.
- Ukuzivocavoca: Ngokweseluleko sikadokotela wakho, hlanganyela ekuzivocavoceni okulula okukufanele. Ngisho nokuhamba ngezinyawo kwanele.
- Ukubhema notshwala: Kokubili akukuhle nhlobo enhliziyweni. Kungcono ukuyeka ngokuphelele.
- Ukulawula isisindo: Zikalele ngesikhathi esifanayo nsuku zonke bese uqopha isisindo sakho. Uma ngokuzumayo ukhuphuka amakhilogremu ama-2 ezinsukwini ezimbili noma ezintathu, kungaba ukugcinwa kwamanzi. Uma lokho kwenzeka, khuluma nodokotela wakho.
- Impilo yengqondo:Kuvamile ukuzizwa ukhathele futhi udangele uma uphila nesifo esifana nalesi isikhathi eside. Khuluma ngakho ngokukhululekile nomndeni wakho kanye nodokotela.
Amanye amathiphu alula okuphatha imithi
- Thola umuthi wakho ngaphambi kokuba uphele: Thola umthamo wakho olandelayo wemithi ekhemisi ezinsukwini ezimbalwa ngaphambi kokuba uphele.
- Gcina uhlu: Gcina incwadi enegama, umthamo (imalini), nokuthi kufanele uyithathe nini yonke imithi oyithathayo. Yiphathe njalo uma ubona udokotela.
- Ungayeki ukuthatha imithi yakho: Ungalokothi uyeke ukuthatha imithi yakho ngaphandle kweseluleko sikadokotela wakho, ngoba nje ucabanga ukuthi uzizwa ungcono. Ungase uzizwe ungcono ngoba imithi isebenza kahle. Ukuyiyeka kungenza isimo sakho sibe sibi kakhulu.
- Uma ukhulelwe noma ulindele umntwana: Eminye imithi ayifanele ukusetshenziswa ngesikhathi sokukhulelwa. Ngakho-ke, uma unenkinga, yazisa udokotela wakho ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Ukwehluleka kwenhliziyo akusikho ukuhlaselwa yinhliziyo. Kuwubuthakathaka bekhono lenhliziyo lokupompa.
- Imithi oyinikwayo yalokhu kuzodingeka uyiphuze impilo yakho yonke. Izokusiza ukuthi welule impilo yakho futhi ugcine impilo yakho isezingeni elihle.
- Izinhlobo eziningana zemithi zinikezwa ngoba umuthi ngamunye wenza imisebenzi ehlukene.
- Ngisho noma uzizwa ungcono, ungalokothi uyeke ukuthatha imithi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela.
- Uma uthola izimpawu ezintsha noma imiphumela emibi, ungesabi futhi ukhulume nodokotela wakho ngokushesha.
- Kanye nemithi, ukudla okunosawoti omncane kanye nendlela yokuphila enempilo kubalulekile ekulawuleni lesi sifo.
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