Ingabe inhliziyo yakho ikhathele kancane? Ake sifunde nge-Congestive Heart Failure ngendlela elula!

Ingabe ngezinye izikhathi uzizwa sengathi unenkinga yokuphefumula ngisho noma uhamba ibanga elifushane noma ukhuphuka izitebhisi? Noma uzizwa sengathi imilenze noma amaqakala akho ayavuvukala? Lokhu kungaba yinhliziyo yakho ekutshela okuthile. Namuhla sizokhuluma nge- Congestive Heart Failure , noma njengoba abanye bekubiza kanjalo, i-congestive heart failure . Ungakhathazeki, uma ukuqonda kahle lokhu futhi ukukuphatha kahle, ungaba ngcono.

Kuyini ngempela ukwehluleka kwenhliziyo okubangelwa yi-Congestive Heart?

Kalula nje, i-Congestive Heart Failure yilapho inhliziyo yakho ingakwazi ukupompa igazi ngendlela edingekayo. Cabanga ngenhliziyo yakho njengesikhungo esikhulu sokusabalalisa. Yonke iphakheji efikayo (okungukuthi igazi) idinga ukulethwa endaweni efanele (okungukuthi izitho zomzimba) ngesikhathi. Kodwa kwenzekani lapho lesi sikhungo siba buthakathaka kancane futhi singakwazi ukuletha wonke amaphakheji ngesikhathi? Amaphakheji ayanqwabelana, akunjalo? Yilokho okwenzekayo nalapha. Lapho inhliziyo ingakwazi ukupompa igazi kahle, igazi liyabuya futhi liqoqeke ezingxenyeni ezahlukene zomzimba, ikakhulukazi emaphashini, emilenzeni, emaqakaleni nasesiswini . Yilokhu esikubiza ngokuthi (Congestive), okusho ukuthi kukhona "iqoqo."

Ingabe zikhona izinhlobo eziyinhloko zokwehluleka kwenhliziyo okubangelwa yi-Congestive Heart?

Yebo, kunezinhlobo eziningana eziyinhloko:

• Ukwehluleka kwenhliziyo ohlangothini lwesobunxele: Lolu uhlobo oluvame kakhulu. Lokhu kwenzeka lapho uhlangothi lwesobunxele lwenhliziyo (i-ventricle yesobunxele) lungakwazi ukupompa igazi emzimbeni wonke. Lokhu kungabangela ukuthi igazi lihlangane emaphashini, okubangela ubunzima bokuphefumula.
• Ukwehluleka kwenhliziyo ohlangothini lwesokudla: Lokhu kuvame ukubangelwa ukwehluleka kwenhliziyo ohlangothini lwesobunxele. Uma uhlangothi lwesokudla lwenhliziyo lungakwazi ukupompa igazi emaphashini ngendlela efanele, igazi liyahlangana ohlelweni lwemithambo yegazi futhi libangele ukuvuvukala ezindaweni ezifana nemilenze, amaqakala kanye nesisu.
• Ukwehluleka kwenhliziyo okuphuma kakhulu: Lolu uhlobo olungavamile. Kulesi simo, inhliziyo impompa igazi kahle, kodwa ngenxa yokufunwa kakhulu komzimba (isibonelo, ukuntuleka kwegazi okukhulu, i-hyperthyroidism), inhliziyo ayikwazi ukuhlangabezana naleso sidingo.

Sivame kangakanani lesi simo?

Izigidi zabantu emhlabeni wonke zihlushwa yilesi simo. Sivame kakhulu kubantu abaneminyaka engaphezu kwengu-65 , futhi siyimbangela ehamba phambili yokulaliswa esibhedlela kulelo qembu leminyaka. Ngakho-ke, kubaluleke kakhulu ukuqaphela lesi simo.

Yiziphi izimpawu ze-Congestive Heart Failure?

Lezi zimpawu zingahluka kumuntu nomuntu, futhi ziyahlukahluka kuye ngokuthi isimo sibucayi kangakanani. Kodwa-ke, kunezimpawu ezithile ezivamile ezingabonakala:

• Ukuphelelwa umoya: Ukuzizwa sengathi uzophelelwa amandla uma wenza umsebenzi olula, uhamba kancane, noma ukhuphuka izitebhisi ezimbalwa. Ezimweni ezimbi kakhulu, kungaba nzima ukuphefumula ngisho noma umi ndawonye.
• Ukuvuka ebusuku kunzima ukuphefumula:Uma uvuka ngokuzumayo ulele futhi uzizwa uphelelwa umoya, lokho nakho kuyisibonakaliso salokhu.
• Ubuhlungu noma ukungakhululeki esifubeni: Abanye abantu bangase bezwe ukuqina noma isisindo esifubeni sabo.
• Ukushaya kwenhliziyo: Inhliziyo ingase izwe sengathi ishaya kakhulu, ngokushesha, noma ngokungajwayelekile.
• Ukuzizwa ukhathele kakhulu uma usebenza: Ukuzizwa ukhathele kakhulu ukwenza izinto ezazilula ngaphambilini.
• Ukuvuvukala kwemilenze, amaqakala, kanye nesisu: Amaqakala nezinzwane zingavuvukala kuze kube yilapho kuba nzima ukugqoka izicathulo noma ukususa izindandatho.
• Ukukhuluphala okungazelelwe: Uma ukhuluphala ngamakhilogremu ambalwa ezinsukwini ezimbalwa, kungase kube ngenxa yokugcinwa kwamanzi.
• Ukudinga njalo ukuchama ebusuku.
• Ukukhwehlela okomile, okuqhamuka ngaphandle kwesizathu: Lokhu kukhwehlela kungaba kubi kakhulu, ikakhulukazi uma ukhwehlela.
• Ukuzwa ukugcwala noma ukuqina esiswini.
• Ukulahlekelwa yisifiso sokudla noma ukuzizwa ugula (isicanucanu).

Khumbula, ngezinye izikhathi lezi zimpawu zingaba zicashile kakhulu, noma zingabi khona. Kodwa lokho akusho ukuthi awunayo inkinga yenhliziyo. Izimpawu zingafika zidlule. Kuvamile ukuthi isimo sibe sibi kakhulu ngokuhamba kwesikhathi. Ngakho-ke uma unesinye noma ezimbili zalezi zimpawu, kuwukuhlakanipha ukubona udokotela.

Yiziphi izimbangela zokwehluleka kwenhliziyo okubangelwa yi-Congestive Heart?

Kungaba nezizathu eziningi zokuthi kungani inhliziyo ingaba buthakathaka. Ezinye zezizathu eziyinhloko yilezi:

• Isifo semithambo yenhliziyo kanye/noma ukuhlaselwa yinhliziyo: Ukulimala kwemisipha yenhliziyo ngenxa yokuvaleka kwemithambo ehambisa igazi enhliziyweni.
• I-Cardiomyopathy: Lokhu kungaba ngenxa yezimbangela zofuzo, izifo ezibangelwa amagciwane, noma ezinye izimbangela, okubangela ukuba imisipha yenhliziyo ibe buthaka noma iqine.
• Isifo senhliziyo esizalwa naso: Ukuzalwa unesici senhliziyo.
• Isifo Sikashukela: Isifo sikashukela sesikhathi eside singathinta inhliziyo.
• Umfutho wegazi ophakeme: Umfutho wegazi ophakeme ongalawulwayo wenza inhliziyo isebenze kanzima.
• Ukushaya kwenhliziyo okungajwayelekile (i-Arrhythmia): Ukushaya kwenhliziyo okungajwayelekile kunciphisa ukusebenza kahle kwenhliziyo.
• Isifo sezinso: Uma izinso zingasebenzi kahle, inani loketshezi nosawoti emzimbeni liyakhuphuka, okubeka ingcindezi enhliziyweni.
• Inkomba yesisindo somzimba (i-BMI) engaphezu kwama-30 (ukukhuluphala ngokweqile).
• Ugwayi kanye nokusetshenziswa kwezidakamizwa okungekho emthethweni.
• Ukusetshenziswa kotshwala ngokweqile.
• Imithi ethile: Isibonelo, eminye imithi ye-chemotherapy esetshenziselwa ukwelapha umdlavuza ingaba yingozi enhliziyweni.

Okunye okufanele ukwazi ukuthi ukwehluleka kwenhliziyo ohlangothini lwesobunxele kuyimbangela eyinhloko yokwehluleka kwenhliziyo ohlangothini lwesokudla. Uma uhlangothi lwesobunxele lungasebenzi kahle, igazi ligeleza libuyela emuva emaphashini futhi lithinte nohlangothi lwesokudla.

Ubani osengozini enkulu yalokhu?

Abanye abantu banamathuba amaningi okuthola lesi simo. Lezi zici eziyingozi zifaka:

• Uneminyaka engaphezu kwengu-65 ubudala.
• Ukusetshenziswa kwemikhiqizo kagwayi, izidakamizwa ezifana ne-cocaine, noma utshwala.
• Indlela yokuphila yokuhlala phansi engadingi ukusebenza ngokomzimba.
• Ukudla njalo ukudla okunosawoti omningi namafutha amaningi.
• Ukuba nomfutho wegazi ophakeme.
• Ukuba nesifo semithambo yegazi yenhliziyo.
• Njengoba ngike ngaba nokuhlaselwa yinhliziyo ngaphambilini.
• Ukuba nomlando womndeni we-Congestive Heart Failure.

Yiziphi izinkinga ezingaba khona ngenxa yokwehluleka kwenhliziyo okubangelwa yi-Congestive Heart Failure?

Uma lesi simo singelashwa kahle noma singelashwa, kungavela ezinye izinkinga.

• Ukushaya kwenhliziyo okungajwayelekile.
• Ukuma kwenhliziyo okungazelelwe kungabangela ngisho nokufa.
• Izinkinga ze-valve yenhliziyo.
• Ukuqongelela koketshezi emaphashini (i-pulmonary edema).
• Umfutho wegazi ophezulu wamaphaphu.
• Ukulimala kwezinso noma ukwehluleka kwezinso.
• Ukulimala kwesibindi.
• Ukungondleki kahle.

Wazi kanjani ukuthi une-Congestive Heart Failure?

Uma unalezi zimpawu, uma ubona udokotela, uzoqala ngokukubuza imibuzo.

• Izinto ezifana nokuthi yiziphi izimpawu onazo nokuthi usunesikhathi esingakanani unazo.
• Ezinye izimo zezokwelapha onazo (njengesifo sikashukela, umfutho wegazi ophakeme).
• Ingabe ukhona emndenini wakho owake waba nesifo senhliziyo noma washona ngokuzumayo?
• Ingabe usebenzisa imikhiqizo kagwayi, utshwala, noma izidakamizwa?
• Kungakhathaliseki ukuthi wake wathola i-chemotherapy noma i-radiation yomdlavuza ngaphambilini.
• Yimiphi imithi oyisebenzisayo?

Udokotela uzokuxilonga ngokomzimba. Bazolalela inhliziyo yakho, bahlole amaphaphu akho, futhi bahlole imilenze yakho ukuthi ayivuvukile yini.

Yiziphi izigaba ezine zokwehluleka kwenhliziyo okubangelwa yi-Congestive Heart?

Ngenxa yokuthi lesi yisifo esiba sibi kancane kancane ngokuhamba kwesikhathi, kunezigaba ezine. Lezi zigaba zibizwa ngokuthi u-A, u-B, u-C, no-D. Okusho ukuthi, uhambo olusuka ezingeni eliyingozi ephansi luye ezingeni eliyingozi kakhulu.

Isigaba A (Isigaba A - Ukwehluleka kwenhliziyo ngaphambi kokuhlinzwa)

Lokhu kusho ukuthi usengozini enkulu yokuba nesifo senhliziyo. Lokhu kungase kube ngenxa yokuthi othile emndenini wakho uke waba nalesi sifo. Noma kungase kube ngenxa yokuthi unesinye salezi zimo:

• Umfutho wegazi ophezulu (i-Hypertension).
• Isifo sikashukela.
• Isifo semithambo yegazi ye-coronary.
• Isifo se-Metabolic.
• Umlando wokuphazamiseka kokusebenzisa utshwala.
• Ukuba nomkhuhlane wamathambo.
• Ukuba nomlando womndeni we-cardiomyopathy.
• Ukusebenzisa imithi engalimaza inhliziyo (isib. eminye imithi yokulwa nomdlavuza).

Isigaba B (Isigaba B - Ukwehluleka kwenhliziyo ngaphambi kokuhlinzwa)

Kulesi sigaba, i-ventricle yakho yangakwesobunxele (igumbi eliyinhloko elipompa igazi emzimbeni wonke) ayisebenzi kahle, noma kukhona ushintsho oluthile esakhiweni sayo (isib. ukuqina). Kodwa awukabi nazo izimpawu zokwehluleka kwenhliziyo.

Isigaba C

Abantu abakulesi sigaba batholakale ngokusemthethweni ukuthi bane-Congestive Heart Failure. Bangase babe nezimpawu manje, noma kungenzeka ukuthi bake baba nezimpawu kodwa manje abanazo.

Isigaba D kanye neNgxenye Yokukhipha Eyehlisiwe (EF)

Laba bantu banenkinga ethuthuke kakhulu (ethuthukisiwe) (ukwehluleka kwenhliziyo) . Ngisho noma bethola ukwelashwa, izimpawu kunzima ukuzilawula. Inani legazi elikhishwa enhliziyweni ngesikhathi esisodwa, okungukuthi, `(ingxenye yokukhipha igazi - EF)`, liphansi kakhulu futhi lingase libe ne-`(HFrEF - ukwehluleka kwenhliziyo okunengxenye yokukhipha igazi encishisiwe)`. Lesi yisigaba sokugcina se-`Ukwehluleka kwenhliziyo`.

Yiziphi izivivinyo zokuxilonga?

Odokotela benza izivivinyo eziningana ukuze bathole ukuthi unesifo senhliziyo esibangelwa ukuminyana, ukuthi sikusiphi isigaba, nokuthi yini ngempela ebangela lokhu:

• Ukuhlolwa kwegazi: Lokhu kungabona ezinye izimo ezithinta inhliziyo (isib. i-anemia, isifo sezinso, izinkinga ze-thyroid) nokuthi inhliziyo yonakele yini (ngokuhlola amazinga athile e-enzyme).
• Ukufakwa kwe-catheter kwenhliziyo: Lokhu kwenzelwa ukuhlola ukuvaleka kwemithambo yenhliziyo.
• I-X-ray yesifuba: Lokhu kungasetshenziswa ukuhlola ukuthi inhliziyo ikhuphukile yini kanye nokwakheka koketshezi emaphashini.
• I-Echocardiogram (Echo): Lokhu kufana nokuskena kwenhliziyo nge-ultrasound. Kungabona ngokucacile izinto eziningi ezifana namakamelo enhliziyo, ama-valve, ukusebenza kwemisipha yenhliziyo, nokuthi iphampa kahle kangakanani igazi (i-"Ejection fraction - EF").
• I-MRI (i-Magnetic Resonance Imaging) yenhliziyo.
• Ukuskena kwenhliziyo nge-CT (Computed Tomography).
• I-Electrocardiogram (EKG noma i-ECG): Lokhu kusiza ukubona izinto ezifana nomsebenzi kagesi wenhliziyo kanye nesigqi sokushaya kwenhliziyo.
• I-MUGA scan (i-Multigated Acquisition Scan): Lokhu kungasetshenziswa futhi ukubona ukuthi amakamelo enhliziyo ahambisa igazi kahle kangakanani.
• Ukuhlolwa kokucindezeleka: I-ECG ithathwa ngenkathi uhamba nge-treadmill noma ugibele ibhayisikili ukuze ubone ukuthi inhliziyo yakho isabela kanjani ekuzivocavoceni.
• Ukuhlolwa kofuzo: Ngezinye izikhathi, ikakhulukazi uma kunomlando womndeni, lokhu kuhlolwa kwenziwa ukuze kubhekwe izimbangela zofuzo.

Iphathwa kanjani i-Congestive Heart Failure?

Ukwelashwa kuncike ohlotsheni lokwehluleka kwenhliziyo onakho, imbangela yako, kanye nesigaba okuso. Imithi kanye nezinguquko zendlela yokuphila kuyingxenye ebalulekile yalo lonke uhlelo lokwelashwa. Udokotela wakho uzokhuluma nawe ngohlelo lokwelashwa olungcono kakhulu kuwe.

Into ebalulekile ukuthi, (Ukwehluleka Kwenhliziyo) akusona isifo esingelapheki ngokuphelele. Njengoba kuba kubi kakhulu, inani legazi elimpontshelwa yinhliziyo liye ezithweni zomzimba liyancipha, bese udlulela esigabeni esilandelayo. Awukwazi ukubuyela emuva kulezi zigaba. Ngakho-ke, umgomo oyinhloko wokwelashwa ukukuvimbela ukuthi uye esigabeni esilandelayo, ukukuhlehlisa, ukulawula izimpawu nokuthuthukisa ikhwalithi yokuphila kwakho.

Ake sibone ukuthi ukwelashwa kushintsha kanjani kusukela esigabeni kuya kwesinye:

Ukwelashwa kwesigaba A:

Laba bantu abakabi nesifo senhliziyo okwamanje, kodwa ingozi inkulu. Yingakho benza izinto ukuze banciphise ingozi.

• Ukuvivinya umzimba njalo, njengokuhamba nsuku zonke.
• Ukuyeka ngokuphelele imikhiqizo kagwayi.
• Ukwelashwa komfutho wegazi ophakeme (imithi, ukudla okunosawoti omncane, indlela yokuphila esebenzayo).
• Ukwelashwa kwamazinga aphezulu e-cholesterol.
• Ukugwema utshwala nezidakamizwa ezingekho emthethweni.
• Uma unezinye izimo zempilo ezifana nesifo semithambo yenhliziyo, isifo sikashukela, noma umfutho wegazi ophakeme, ungase unikezwe i-Angiotensin-converting enzyme inhibitor (ACE-I) noma i-Angiotensin II receptor blocker (ARB).

Ukwelashwa kwesigaba B:

Laba bantu banenkinga yenhliziyo, kodwa abanazo izimpawu.

• Zonke izindlela zokwelapha ezishiwo kuSigaba A.
• Uma i-`(Ejection fraction - EF)` yakho ingu-40% noma ngaphansi, i-`(ACE-I)` noma i-`(ARB)` iyimithi efanele.
• Uma uke waba nokuhlaselwa yinhliziyo ngaphambili futhi i-EF yakho ingu-40% noma ngaphansi (uma ungakayithathi kakade), kufanele uthathe umuthi obizwa ngokuthi i-beta-blocker.
• Uma uke waba nokuhlaselwa yinhliziyo ngaphambilini noma uma i-EF yakho ingu-35% noma ngaphansi, ungadinga umuthi obizwa ngokuthi i-Aldosterone antagonist.
• Ngezinye izikhathi, ukuhlinzwa noma ezinye izindlela zokungenelela zingadingeka ezimweni ezifana nesifo semithambo yenhliziyo, ukwehluleka kwenhliziyo, isifo se-valve (ukulungiswa noma ukushintshwa kwama-valve), noma isifo senhliziyo esizalwa naso.

Ukwelashwa kwesigaba C (HFrEF - kulabo abanekhono lokupompa igazi eliphansi):

Laba bantu banayo (i-Heart Failure) futhi banayo/babenezimpawu.

• Ukwelashwa okukhulunywe ngakho ezigabeni A kanye no-B.
• Imithi ethi `(Beta-blocker)` kanye nethi `(Aldosterone antagonist)`.
• Uhlobo lwemithi olubizwa ngokuthi `(i-Sodium-glucose transport 2 inhibitors - SGLT2i)`.
• Umuthi ohlanganisiwe obizwa ngokuthi ``(Hydralazine/nitrate)`` uyasetshenziswa uma ezinye izindlela zokwelapha zingalawuli izimpawu, ikakhulukazi kubantu abansundu baseMelika.
• Uma izinga lokushaya kwenhliziyo lingaphezu kwama-beats angu-70 ngomzuzu futhi izimpawu ziqhubeka, thatha imithi yokwehlisa izinga lokushaya kwenhliziyo.
• Uma izimpawu (ikakhulukazi ukuvuvukala nobunzima bokuphefumula) ziqhubeka, kunikezwa umuthi wokukhipha isisu (lokho esikubiza ngokuthi amaphilisi amanzi).
• Ukunciphisa inani likasawoti (i-sodium) ekudleni.
• Zikalele nsuku zonke. Uma ukhuluphala noma wehla ngamakhilogremu angaphezu kwama-2 (amakhilogremu ama-4) ngosuku olulodwa noma ezimbili, yazisa udokotela wakho ngokushesha.
• Kungadingeka futhi unciphise inani loketshezi oluphuzayo ngosuku.
• Abanye abantu badinga ukufakwa kwedivayisi ekhethekile ye-pacemaker ebizwa ngokuthi ``Cardiac resynchronization therapy - CRT``, noma ``biventricular pacemaker``.
• Idivayisi ebizwa ngokuthi i-implantable cardiac defibrillator (ICD) ifakwa kubantu abasengozini yokuthola ukungalingani kwe-cardiac rhythm okusongela impilo.
• Ngisho noma izimpawu ziba ngcono ngokwelashwa, kubaluleke kakhulu ukuqhubeka nokwelashwa ukuze ubambezele isimo kusukela ekuqhubekeleni phambili siye esigabeni D.

Ukwelashwa kwesigaba D:

Laba bantu banesifo esibucayi (i-Heart Failure).

• Zonke izindlela zokwelapha ezishiwo ezigabeni A, B, kanye no-C. Ngaphezu kwalokho, izindlela zokwelapha ezithuthukisiwe ziyacatshangelwa:
• Ukufakelwa inhliziyo.
• Amadivayisi emishini asekela inhliziyo (amadivayisi okusiza ama-Ventricular - ama-VAD)
• Ukuhlinzwa kwenhliziyo okukhethekile `(Ukuhlinzwa kwenhliziyo)`.
• Imithi eqhubekayo ye-inotropic efakwa ngemithambo yegazi (imithi ekhulisa amandla okufinyela kwenhliziyo).
• Ukunakekelwa kwe-palliative noma ukunakekelwa kwe-hospice.

Izigaba C no-D (HFpEF - kulabo abangenankinga yokupompa igazi lisuka enhliziyweni):

Kulesi simo, yize ikhono lenhliziyo lokufinyela (ingxenye yokukhipha igazi) livamile, kunenkinga ngokugcwaliswa kwenhliziyo ngegazi (umsebenzi we-diastolic) okuholela ekuhlulekeni kwenhliziyo.

• Ukwelashwa okukhulunywe ngakho ezigabeni A kanye no-B.
• Ukwelapha ezinye izimo zezokwelapha ezingabangela noma zibhebhethekise ukwehluleka kwenhliziyo (isib. i-atrial fibrillation, umfutho wegazi ophakeme, isifo sikashukela, ukukhuluphala, isifo semithambo yenhliziyo, isifo samaphaphu esingamahlalakhona, i-cholesterol ephezulu, isifo sezinso).
• Ama-diuretics (amaphilisi amanzi) ukunciphisa noma ukuqeda izimpawu.

Ungakhohlwa ukuthi ukuphatha ezinye izimo zakho zezokwelapha (isifo sikashukela, isifo sezinso, i-anemia, umfutho wegazi ophakeme, isifo se-thyroid, i-asthma, isifo samaphaphu esingamahlalakhona) kubaluleke kakhulu ekulawuleni lesi simo (Ukwehluleka Kwenhliziyo) .

Ingabe ikhona imiphumela emibi noma izinkinga zokwelashwa?

Eminye imithi ingaba nemiphumela emibi emincane.

• Umfutho wegazi ophansi (i-Hypotension).
• Imiphumela ekusebenzeni kwezinso (ukwehluleka kwezinso).
• Ukulaliswa esibhedlela njalo, ikakhulukazi ngemithi efakwa emthanjeni (i-central IVs), kwandisa ingozi yokutheleleka.

Khuluma nodokotela wakho ngalokhu bese uthola ulwazi.

Ungayinciphisa kanjani ingozi (yokwehluleka kwenhliziyo okubangelwa yi-Congestive Heart Failure)?

Nakuba singenakukwazi ukushintsha izinto ezifana nobudala nomlando womndeni, singanciphisa ingozi yethu yokuthola lesi simo (Ukwehluleka Kwenhliziyo) ngokushintsha indlela yethu yokuphila.

• Ukugcina isisindo esinempilo esikufanele.
• Ukudla ukudla okunempilo kwenhliziyo (usawoti omncane, ushukela, uwoyela omncane, imifino nezithelo eziningi).
• Ukuzivocavoca njalo.
• Ukuphatha kahle ukucindezeleka.
• Ukuyeka ngokuphelele ukusetshenziswa kwemikhiqizo kagwayi.
• Ukungaphuzi utshwala noma ukungabuphuzi kancane kakhulu.
• Ukungasebenzisi izidakamizwa ezingekho emthethweni.
• Uma unezinye izimo zezokwelapha ezandisa ingozi yakho (njengomfutho wegazi ophakeme, isifo sikashukela, i-cholesterol ephezulu), zitholele ukwelashwa okufanele nokulawulwa.

Hlobo luni lwekusasa umuntu one-Congestive Heart Failure angalulindela?

Ngokwelashwa okufanele, izinguquko zendlela yokuphila, kanye nokunamathela ezincomweni zikadokotela wakho, abantu abaningi bangaphila impilo ejabulisayo naphezu kokuba ne-Congestive Heart Failure. Ikusasa lakho lincike kulezi zinto:

• Kuya ngokuthi imisipha yenhliziyo yakho isebenza kahle kangakanani.
• Kuye ngohlobo kanye nobukhali bezimpawu zakho.
• Kuya ngokuthi usabela kahle kangakanani ohlelweni lokwelashwa.
• Kuya ngokuthi ulandela kahle kangakanani uhlelo lwakho lokwelashwa (imithi, ukudla okudlayo, ukuzivocavoca).

Ezinye izifundo zisikisela ukuthi abantu abanesifo senhliziyo bangaphila iminyaka engaphansi kweyi-10 kunalabo abangenaso. Kodwa lokhu kuyahlukahluka kakhulu kumuntu nomuntu. Ngakho-ke kungcono ukuvuleleka nokwethembeka ngesimo sakho kudokotela wakho. Ukwehluleka kwenhliziyo kuyisimo esingapheli, esihlala isikhathi eside. Kudinga ukwelashwa nokuphathwa impilo yonke.

Ngizinakekela kanjani? (Ukuzinakekela)

Uma uphila nokwehluleka kwenhliziyo, kubaluleke kakhulu ukuthi uzinakekele.

• Thatha umuthi wakho njengoba nje udokotela wakho ekuyalele, ngesikhathi esifanele. Ungaphuthelwa ngisho nosuku olulodwa.
• Hlala umatasa ngangokunokwenzeka. Buza udokotela wakho ukuthi yikuphi ukuvivinya umzimba okufanele.
• Landela ukudla okungenasawoti omningi. Ukudla okupakishiwe, okusemathinini, kanye nokudla okusheshayo kunosawoti omningi.
• Hlola isisindo sakho nsuku zonke. Uma ubona noma yikuphi ukukhuluphala okungazelelwe (isib., amakhilogremu angu-1-2 ngosuku noma ezimbili), tshela udokotela wakho .
• Uma kuvela izimpawu ezintsha, noma uma izimpawu ezikhona ziba zimbi kakhulu, yazisa udokotela wakho ngokushesha.
• Qiniseka ukuthi uya kudokotela ngezikhathi ezihleliwe zokulandelela.
• Ngenxa yokuthi lesi yisifo esingabulala, kuwumqondo omuhle ukwazisa udokotela wakho nomndeni wakho izifiso zakho mayelana nokunakekelwa kwakho kwezokwelapha (isib., ukuthi ufuna ukwelashwa okwandisa impilo/ukulaliswa esibhedlela). Lokhu kungenziwa ngokugcwalisa "isiqondiso kusengaphambili" noma "intando yokuphila". Kuwukuhlakanipha ukulungiselela lokhu usesengqondweni ephilile uma kwenzeka ungakwazi ukwenza lezi zinqumo ngosuku olulandelayo.

Yiziphi izinto ongeke uzidle futhi uziphuze ngazo (Congestive Heart Failure)?

Abantu abaningi abanesifo senhliziyo kudingeka banciphise ukudla usawoti nsuku zonke. Abanye abantu kungadingeka futhi banciphise ukudla kwabo okusamanzi (njengamanzi, itiye, isobho). Udokotela wakho noma isazi sokudla okunempilo uzokweluleka ngalokhu.

Kufanele ngimbone nini udokotela?

Kubaluleke kakhulu ukutshela udokotela wakho uma unezimpawu ezintsha noma uma izimpawu zakho ezikhona zokwehluleka kwenhliziyo ziba zimbi kakhulu. Ikakhulukazi uma unanoma yikuphi kwalokhu okulandelayo:

• Uma unenkinga yokuphefumula ngisho nalapho uphumule.
• Uma ukuvuvukala kukhula emilenzeni, emaqakaleni, noma esiswini.
• Uma ukhuluphala ngokuzumayo (ngaphezu kuka-1-2 kg ngosuku noma ezimbili).
• Uma uhlala uzizwa ukhathele futhi ulele.

Kufanele ngiye nini eMnyangweni Wezimo Eziphuthumayo (i-ETU) ?

Uma ukwehluleka kwenhliziyo yakho kuba kubi ngokuzumayo (isib., ukuphelelwa umoya okukhulu, ubuhlungu obukhulu besifuba), udinga ukwelashwa okuphuthumayo. Odokotela bakubiza lokhu ngokuthi ukwehluleka kwenhliziyo okudambisiwe . Kulesi simo, unganikezwa imithi nomoya-mpilo ukusiza ukuthuthukisa isimo sakho. Ukufika esibhedlela ngokushesha ngaphandle kokuchitha isikhathi kungasindisa impilo.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma uya kudokotela, ungesabi ukubuza imibuzo esengqondweni yakho.

• "Nginasiphi isigaba (sokwehluleka kwenhliziyo okubangelwa yi-Congestive Heart Failure)?"
• "Yikuphi ukwelashwa okungcono kakhulu kimi kulesi sigaba?"
• "Yiziphi ezinye izivivinyo eziphephile engingazisebenzisa? Kufanele ngizenze isikhathi esingakanani?"
• "Yiziphi izinguquko okufanele ngizenze ekudleni kwami?"
• "Ingabe kukhona amaqembu okusekela abantu abane-(Congestive Heart Failure)?"
• "Kufanele ngenzenjani uma izimpawu zami ziba zimbi kakhulu?"

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukwehluleka Kwenhliziyo Okuhlangene Akufanele Kwesatshwe, kodwa futhi akuyona into okufanele uyithathe kalula. Uma unalesi simo, kunezinto eziningi ongazenza ukuze uthuthukise impilo yenhliziyo yakho.

• Thatha imithi yakho ngesikhathi esifanele.
• Yidla ukudla okunempilo futhi okungenasawoti omningi.
• Hlala usebenza ngangokunokwenzeka.
• Hlola isisindo sakho nsuku zonke futhi uqaphele izinguquko ezisheshayo.
• Qiniseka ukuthi uya kudokotela ngezinsuku ezihleliwe.
• Gcina irekhodi lezimpawu zakho bese utshela udokotela wakho uma ziba zimbi kakhulu.

Uma unemibuzo noma ukukhathazeka mayelana nemithi yakho, izinguquko zendlela yokuphila, noma yini enye ohlelweni lwakho lokwelashwa, khuluma ngokukhululekile nodokotela wakho. Bakhona ukukusiza ukuthi uphathe lesi simo futhi uphile impilo engcono kakhulu. Khumbula, awuwedwa!

'Ukuhlaselwa yinhliziyo, ukuhlaselwa yinhliziyo, isifo senhliziyo, ubuhlungu besifuba, ubunzima bokuphefumula, ukwehluleka kwenhliziyo okuqinile, ukusebenza kwenhliziyo okubuthakathaka, ukuvuvukala kwemilenze