Ingabe ngezinye izikhathi uzizwa uphelelwa umoya, uvuvukele izinyawo namaqakala uma ukhathele kancane? Noma uvuka ebusuku unobunzima bokuphefumula? Lezi kungaba izimpawu ezincane zokuthi inhliziyo yakho isebenza kancane kancane. Kwezokwelapha, lesi simo sibizwa ngokuthi 'Congestive Heart Failure'. Ungesabi uma uzwa leli gama. Lokhu akusho ukuthi inhliziyo yakho iyeke ukusebenza. Kodwa-ke, kusho ukuthi ukusebenza kwayo kwehle kancane. Ake sixoxe ngakho konke ngokucacile nangokulula.
Kalula nje, kuyini ukwehluleka kwenhliziyo?
Ake sithi umzimba wethu uyidolobha, futhi inhliziyo iyisiteshi esikhulu sokupompa amanzi esihlinzeka ngamanzi kulowo muzi. Lesi siteshi sokupompa sipompa amanzi (okungukuthi, igazi elidingwa yimizimba yethu) kuzo zonke izindlu nakuzo zonke izindawo edolobheni. Manje cabanga, kwenzekani uma amandla alesi siteshi sokupompa ehla kancane? Inani lamanzi apompelwayo liba elanele. Ngenxa yalokho, amanzi awafinyeleli kwezinye izindawo, futhi kwezinye izindawo (amapayipi) avinjelwa ngamanzi.
Ukwehluleka Kwenhliziyo Okuhlanganisiwe kuyisimo esifanayo. Inhliziyo yakho ayikwazi ukupompa igazi elanele ukuhlangabezana nezidingo zomzimba. Lokhu kusho ukuthi inhliziyo ayiyeki ukusebenza, kodwa ukusebenza kwayo kuyancishiswa. Lapho leli khono lokupompa igazi lehla, igazi liqala ukuhlangana ezingxenyeni ezahlukene zomzimba. Kufana namanzi abhajwa emapayipini. Izindawo ezivame kakhulu lapho kuhlangana khona igazi emaphashini, emilenzeni nasezinyaweni .
Kunezinhlobo eziningana eziyinhloko zokwehluleka kwenhliziyo:
- Ukwehluleka kwenhliziyo ohlangothini lwesobunxele: Lolu uhlobo oluvame kakhulu.
- Ukwehluleka kwenhliziyo ohlangothini lwesokudla: Lokhu kuvame ukubangelwa ubuthakathaka ohlangothini lwesobunxele.
- Ukwehluleka kwenhliziyo okuphuma kakhulu: Lesi yisimo esingavamile.
Ziyini izimpawu zalesi simo?
Izimpawu zokwehluleka kwenhliziyo zingahluka kumuntu nomuntu. Abanye abantu bangase babe nezimpawu ezincane, kanti abanye bangase babe nezimpawu ezinzima. Ngezinye izikhathi izimpawu zingase zifike zidlule. Kodwa-ke, ukungabi nazimpawu akusho ukuthi usuphulukisiwe ngokuphelele kulesi simo.
Qaphela lezi zici.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukuphelelwa umoya | Ukukhathala, ikakhulukazi lapho uhamba, ukhuphuka izitebhisi, noma wenza noma yimuphi umsebenzi. |
| Ukuvuka ebusuku ngenxa yokuphelelwa umoya | Lesi simo singabangelwa uketshezi olunqwabelana emaphashini ngesikhathi ulele embhedeni. Futhi kuyisibonakaliso salesi simo, okuyisidingo sokulala unemicamelo emibili noma emithathu. |
| Ukuvuvukala kwemilenze, amaqakala, kanye nesisu | Lokhu kuvuvukala kubangelwa ukunqwabelana koketshezi ezingxenyeni ezingezansi zomzimba. Uma kuzwakala sengathi kuyisicaba uma ucindezela ngomunwe, lokho kuyisibonakaliso esibalulekile. |
| Ukwanda kwesisindo ngokuzumayo | Ukukhuluphala kungenzeka ezinsukwini ezimbalwa, hhayi ngenxa yamafutha, kodwa ngenxa yokugcina uketshezi emzimbeni. |
| Ukukhathala okuvamile | Ungase uzizwe ukhathele ngaso sonke isikhathi ngoba izitho zomzimba wakho azitholi igazi elanele elinomoya-mpilo. |
| Ukushaya kwenhliziyo | Ngenxa yokuthi inhliziyo ibuthakathaka, izama ukushaya kaningi ukuze ibuyisele emuva. |
| Ukukhwehlela okomile | Ukukhwehlela okungakhiqizi amafinyila, ikakhulukazi uma uhleli isikhathi eside. |
| Ukulahlekelwa yisifiso sokudla noma isicanucanu | Lezi zimpawu zingabangelwa ukwehla kwenani legazi eligeleza ohlelweni lokugaya ukudla. |
Into ebaluleke kakhulu ukuthi, uma unalezi zici, khona-ke nakanjani unayoBona udokotela bese uthola iseluleko. Uma kusheshe kwatholakala, kuba lula kakhulu ukukwelapha.
Kungani lokhu kwenzeka? Yiziphi izimbangela zokwehluleka kwenhliziyo?
Inhliziyo iyisicubu. Noma yini elimaza lesi sicubu noma esibeka umthwalo omkhulu ingabangela ukuba inhliziyo ibe buthaka ngokuhamba kwesikhathi.
Nazi ezinye zezizathu eziyinhloko:
- Ukuhlaselwa yinhliziyo kanye nesifo semithambo yenhliziyo: Ukulimala kwemisipha yenhliziyo ngenxa yokuvaleka kwemithambo yegazi ehambisa igazi enhliziyweni.
- Umfutho wegazi ophezulu (Umfutho wegazi ophakeme): Inhliziyo kufanele isebenze kanzima ngokuhamba kwesikhathi ukuze ipompe igazi ngokumelene nomfutho wegazi ophezulu.
- Isifo Sikashukela: Isifo sikashukela singalimaza imithambo yegazi kanye nemisipha yenhliziyo.
- I-Cardiomyopathy: Ubuthakathaka bemisipha yenhliziyo ngenxa yezimbangela zofuzo, izifo ezibangelwa amagciwane, njll.
- Izinkinga zamavalvu enhliziyo: Uma amavalvu enhliziyo engavali noma engavuli kahle, igazi liqala ukugeleza libuyela emuva.
- Isifo sezinso: Uma izinso zingasebenzi kahle, uketshezi nosawoti kuyanqwabelana emzimbeni, okwandisa umfutho wegazi futhi kucindezele inhliziyo.
- Isifo senhliziyo esizalwa naso: Iziphambeko ezithile zenhliziyo ezikhona lapho umuntu ezalwa.
- Indlela yokuphila engaphilile:
- Ukusetshenziswa kukagwayi nezidakamizwa.
- Ukuphuza utshwala ngokweqile.
- Ukukhuluphala ngokweqile.
- Yidla ukudla okunosawoti omningi namafutha amaningi.
Ake sibone izigaba zokwehluleka kwenhliziyo.
Odokotela bahlukanisa lesi simo ngezigaba ezine (A, B, C, kanye no-D). Lokhu kwenza kube lula ukuqonda ubucayi besifo nokuthi singaselapha kanjani. Okubaluleke kakhulu, umgomo wokwelashwa ukumisa noma ukunciphisa ijubane lokuqhubeka kwalezi zigaba.
| Isiteji | Kusho ukuthini lokhu? |
|---|---|
| Isigaba A | Laba bantu abakabi nesifo senhliziyo, kodwa basengozini enkulu yokuba naso esikhathini esizayo (isib. umfutho wegazi ophakeme, isifo sikashukela, umlando womndeni walesi sifo). |
| Isigaba B | Ushintsho oluthile lwesakhiwo noma ubuthakathaka enhliziyweni seluqalile, kodwa izimpawu azikabonakali . |
| Isigaba C | Ukwehluleka kwenhliziyo sekuqinisekisiwe, futhi izimpawu zikhona noma bezikhona esikhathini esidlule (njengokuphelelwa umoya, ukuvuvukala kwemilenze). |
| Isigaba D | Lesi yisigaba sokugcina salesi sifo . Kunzima ukulawula izimpawu ngokwelashwa okujwayelekile. Kudingeka ukwelashwa okukhethekile. |
Yiziphi izindlela zokwelapha?
Izindaba ezinhle ukuthi kunezindlela eziningi zokwelapha ezitholakalayo namuhla ezingasiza ekuphatheni lesi simo. Nakuba singelapheki ngokuphelele, izimpawu zingalawulwa futhi umuntu angaphila impilo ekhululekile nejabulisayo. Izindlela zokwelapha zincike esigabeni sesiguli kanye nembangela.
Izinguquko zendlela yokuphila (lokhu kubalulekile kuwo wonke umuntu!)
- Ukulawula usawoti: Kubalulekile ukunciphisa usawoti ekudleni kwakho. Usawoti wandisa ukugcinwa koketshezi emzimbeni, okwandisa ukucindezeleka enhliziyweni.
- Ukulawula uketshezi: Abanye abantu bangase belulekwe odokotela babo ukuthi banciphise inani lamanzi abawaphuzayo ngosuku.
- Ukugcina isisindo esinempilo: Ukwehlisa isisindo kunganciphisa ukucindezeleka enhliziyweni.
- Ukuzivocavoca: Njengoba udokotela wakho ekweluleka, ukuzivocavoca okuthambile njengokuhamba kuqinisa imisipha yenhliziyo.
- Yeka ukubhema notshwala: Lezi yizinto ezilimaza inhliziyo ngqo.
Imithi
Udokotela wakho uzokunikeza umuthi owodwa noma ngaphezulu kuye ngesimo sakho. Le mithi ingenza okulandelayo:
- Ukunciphisa umthwalo enhliziyweni.
- Ukulawula ukushaya kwenhliziyo.
- Ukukhipha uketshezi oluningi oluqongelelwe emzimbeni ngomchamo (lokhu sikubiza ngokuthi 'ama-Diuretics' noma 'amaphilisi amanzi').
- Ukulawula umfutho wegazi.
Okubalulekile: Ungalokothi uyeke ukuthatha imithi kadokotela wakho noma ushintshe umthamo ngokwakho. Lokhu kungenxa yokuthi le mithi yenzelwe ukuvikela inhliziyo yakho.
Ukwelashwa okukhethekile kanye nokuhlinzwa
Kwezinye izimo ezinzima kakhulu, kungase kudingeke ezinye izindlela zokwelapha ngaphezu kwemithi.
- I-Implantable Cardiac Defibrillator (ICD): Idivayisi encane efakwa ngaphansi kwesikhumba ukuze kumiswe ukungasebenzi kahle kwenhliziyo okuyingozi.
- I-Biventricular Pacemaker: Idivayisi esiza amakamelo enhliziyo ukuthi afinyele ndawonye.
- Ukuhlinzwa: Kungase kudingeke ukuhlinzwa ukuze kulungiswe imithambo yegazi evalekile enhliziyweni (ukuhlinzwa kokudlula) noma ama-valve (ukuhlinzwa kwama-valve).
- Ukufakelwa Inhliziyo: Inketho yokugcina ecatshangelwayo kulabo abasesigabeni sokugcina sesifo.
Yini okufanele uyenze? Ungazinakekela kanjani?
Uma uphila nalesi simo, kufanele unakekele umzimba wakho kahle.
1. Zikalele nsuku zonke: Zikalele ngesikhathi esifanayo, ugqoke izingubo ezifanayo. Uma ngokuzumayo ukhuphuka ngamakhilogremu ama-2 ngosuku olulodwa noma ezimbili, kusho ukuthi ukhuphuka isisindo samanzi. Tshela udokotela wakho ngokushesha.
2. Naka izimpawu: Naka uma unenkinga yokuphefumula, ukuvuvukala, noma ukukhathala.
3. Thatha umuthi wakho ngesikhathi: Ungalokothi uphuthelwe umthamo womuthi.
4. Landela imiyalelo kadokotela wakho: Landela imiyalelo kadokotela wakho ngqo. Yiya emitholampilo ngesikhathi.
Kunini lapho kufanele ufune khona iseluleko sezokwelapha ngokushesha?
| Khuluma nodokotela wakho uma lezi zimpawu zintsha noma zimbi kakhulu: | |
|---|---|
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| Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha uma unalezi zimpawu: | |
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Lesi yisimo sesikhathi eside. Ngakho-ke ngezinye izikhathi ungase uzizwe udabukile futhi ukhathazekile. Lokho kujwayelekile. Khuluma nomndeni wakho nabangani ngalokhu. Uma kudingeka, funa usizo kuchwepheshe wezempilo yengqondo. Khuluma nodokotela wakho ngakho konke okuzwayo.
Umlayezo Wokuya Nawe Ekhaya
- Ukwehluleka Kwenhliziyo Okuhlanganisiwe akusho ukuthi inhliziyo iyeke ukusebenza. Kusho ukuthi ukusebenza kwayo kahle kwehlile.
- Qaphela izimpawu ezifana nokuphelelwa umoya, ukuvuvukala kwemilenze, kanye nokukhathala okuvamile. Ungazinaki lezi.
- Lesi simo singalawulwa kahle ngokwenza izinguquko endleleni yokuphila (ukunciphisa usawoti, ukuzivocavoca) kanye nokuthatha imithi enqunywe udokotela wakho.
- Landelela isisindo sakho kanye nezinguquko ezimpawu zakho nsuku zonke. Uma ubona noma yiziphi izinguquko, tshela udokotela wakho ngokushesha.
- Awuwedwa. Kukhona odokotela, umndeni, nabangani abangakusiza kulolu hambo. Ungesabi ukucela usizo lwabo.
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