Ingabe uzwa umsindo ongajwayelekile enhliziyweni yakho? Ingabe "ukukhononda kwenhliziyo"? Ake sixoxe ngalokhu!

Uma udokotela ebengakubeka i-stethoscope enhliziyweni yakho bese ethi, 'Ngizwa umsindo omncane enhliziyweni yakho, kuwukububula,' ubungeke yini wesabe kancane? Noma uma ubungabonisa ingane yakho encane kudokotela bese besho into efana naleyo? Kuyini ngempela lokhu kububula kwenhliziyo, noma "Ukukhala Kwenhliziyo"? Ake sixoxe ngalokhu kalula.

Kuyini "ukububula" enhliziyweni?

Uma inhliziyo yethu ishaya, okungukuthi, uma ipompa igazi, ama-valve enhliziyweni ayavuleka futhi avaleke. Njengeminyango. Uma la ma-valve evala, uzwa imisindo emibili ebizwa ngokuthi 'lub-dub' . Wake wambona udokotela ebeka i-stethoscope esifubeni sakho bese ulalela? Yilokho okuzwayo. Kodwa, ngezinye izikhathi, ngaphezu kwalomsindo 'lub-dub', uzwa umsindo ofana nokuthi 'whoosh' noma 'swish' sengathi ugcwala umoya. Yilokho esikubiza ngokuthi '(Heart Murmur)', ngesiSinhala, ukububula kwenhliziyo. Lokhu kusho ukuthi kukhona okungajwayelekile endleleni igazi eligeleza ngayo kuma-valve enhliziyo yakho.

Ingabe lokhu "kukhononda kwenhliziyo" kuyinto eyenzeka kubantu abaningi?

Yebo, lokhu empeleni kuvame kakhulu. Ungase ungacabangi ngakho, iningi lethu liye laba 'nokukhala kwenhliziyo okungenangozi' ngesikhathi esithile ebuntwaneni bethu, okusho ukububula okwenzeka ngaphandle kwesifo esiyisisekelo. Ngakho-ke asikho isidingo sokwesaba uma uzwa leli gama.

Ingabe kukhona izinhlobo ze-`(Heart Murmur)`?

Zikhona. Lezi zihlukaniswa ngokuya ngokuthi lo msindo uzwakala nini emjikelezweni wokushaya kwenhliziyo.

Kalula nje:

• Ukububula kwe-Systolic: Lokhu kuzwakala lapho imisipha yenhliziyo yakho ifinyela, okusho ukuthi ikhipha igazi.
• Ukububula kwe-"Diastolic": Lokhu kuzwakala lapho imisipha yenhliziyo iphumula, okungukuthi, lapho igcwala igazi futhi.
• ``Okuqhubekayo`` Ukububula: Lokhu kuzwakala lapho inhliziyo ifinyela futhi iphumula, okusho ukuthi kuzwakala kulo lonke umjikelezo.

Ngokuvamile, ukukhononda kwe-"Diastolic" kanye ne-"Continuous" kungenzeka kakhulu ukuthi kuhlotshaniswe nesifo senhliziyo. Kodwa-ke, kubaluleke kakhulu ukuthi noma yikuphi "ukukhononda kwenhliziyo" kuhlolwe udokotela.

Inomsindo ongakanani "i-Heart Murmur"?

Asikuzwa lokhu ngezindlebe zethu. Kuphela uma udokotela elalele nge-stethoscope lapho singawubona khona ngokucacile lo msindo. Ngoba i-stethoscope ikhulisa lo msindo.

Odokotela bahlukanisa ubukhulu balo msindo, okungukuthi, ukuthi umsindo ukhulu kangakanani. Kukhona isikali salokho, kusukela ku-1 kuya ku-6.

• Ibanga 1: Akuzwakali kahle ngisho nange-stethoscope.
• Ibanga lesi-6: I-stethoscope inomsindo ngokwanele ukuthi izwakale kahle ngisho noma ingacindezelwanga esikhumbeni.

Yiziphi izimbangela zalokhu `(Heart Murmur)`?

Njengoba ngishilo ngaphambili, ukububula kubangelwa ukugeleza kwegazi okuphazamisayo noma ukugeleza kwegazi okungavamile ngama-valve enhliziyo.

Kwenzeka kanjani ukuthi "Ukububula Kwenhliziyo Okungenacala" okunempilo, okungukuthi, kwenzeke?

Ngezinye izikhathi, lapho igazi ligeleza ngokushesha kunokujwayelekile, kungase kube nokububula kwenhliziyo "okungenacala". Lokhu kubizwa nangokuthi ukububula "okujwayelekile" noma "okwemvelo". Lokhu akubangelwa yinoma yisiphi isifo. Kuvamile ezimweni ezinjengalezi:

• Ngiseyingane: Lokhu kuvame kakhulu ezinganeni ezincane.
• Uma sizivocavoca: Uma sigijima futhi sigxuma, inhliziyo yethu ishaya ngokushesha, yilapho-ke.
• Ngesikhathi lapho izingane zikhula ngokushesha (ukukhula okusheshayo).
• Ngesikhathi sokukhulelwa: Lokhu kungenzeka nalapho ungumama ozayo.
• Ezinsukwini ezimbalwa zokuqala ngemva kokuzalwa komntwana.

Lokhu kukhononda okungenacala ngezinye izikhathi kungafika kudlule, bese kubuya. Kungakhula futhi lapho inhliziyo yakho ishaya ngokushesha. Esikhathini esiningi, kuyaphela ngokwako ngokuhamba kwesikhathi. Kodwa kwabanye abantu, kungahlala impilo yonke. Into ebalulekile ukuthi lokhu kukhononda okungenacala akusho ukuthi kukhona okungahambi kahle ngenhliziyo yakho.

Ukububula kwenhliziyo, okungase kubangelwe yisifo senhliziyo noma esinye isimo

Ezinye "izikhalo zenhliziyo" zingabangelwa yisimo senhliziyo noma enye inkinga yezempilo. Ake sibheke ukuthi ziyini:

• I-anemia: Lokhu kusho ukwehla kwenani lamaseli abomvu egazini. Lokhu kuthinta ukujiya kwegazi, okungaholela ekububuleni kwenhliziyo. Izimpawu zifaka phakathi ukuzizwa ubuthakathaka nokukhathala. Cabanga nje, uNimali uhlala ekhathele futhi akakwazi ukwenza lutho. Uthola kuphela ukuthi unengcindezi yegazi ephansi lapho eya kudokotela. Wayebuye abe nokububuleka kwenhliziyo.

• Isifo se-carcinoid noma isifo senhliziyo se-carcinoid: Lesi umdlavuza okhula kancane kancane. Ubangelwa ama-hormone amaningi, angathinta nenhliziyo. Ungase futhi ubone ukwehla kwesisindo, ubuhlungu besisu, isifo sohudo, kanye nomfutho wegazi ophansi.

• Iphutha lenhliziyo ozalwa nalo: Inkinga ngesakhiwo senhliziyo yakho, noma indlela eyakhiwe ngayo, ozalwa nayo. Isibonelo, imbobo enhliziyweni ('iphutha le-septal') noma izimo ezifana ne-'Tetralogy of Fallot'.

• I-Endocarditis: Lokhu ukutheleleka kwenhliziyo. Amabhaktheriya noma amanye amagciwane angangena egazini ahlasele ama-valve enhliziyo. Lokhu kungabangela izimpawu ezengeziwe ezifana nomkhuhlane, ukubanda, ukuqubuka kwesikhumba kanye nomphimbo obuhlungu.

• `Isifo se-valve yenhliziyo`:Lokhu kusho ukuthi i-valve eyodwa noma ngaphezulu yenhliziyo ayisebenzi kahle. Ngemuva kwalokho igazi alihambi kahle. Isibonelo, i-valve ingase iqine (`i-valve stenosis`). Noma ingase ingavuli futhi ingavaleki kahle. Igazi lingase livuze ngendlela engafanele (`i-valve regurgitation`). Ngezikhathi ezinjengalezi, izinto ezifana nokuvuvukala emaqakaleni nasemilenzeni, ukuzwa inhliziyo ishaya ngokushesha (`i-palpitations`), ubunzima bokuphefumula, kanye nokuqina kwesifuba kungenzeka.

• I-Hyperthyroidism: Lokhu kwenzeka lapho i-thyroid gland ikhiqiza i-thyroid hormone eningi kakhulu. Lesi simo singabangela ukungaphumuli, ukwanda kwesifiso sokudla, ukushaya kwenhliziyo okusheshayo, kanye nokwehla kwesisindo.

• I-Hypertrophic cardiomyopathy: Lolu uhlobo lwesifo senhliziyo olubangela ukuba imisipha yenhliziyo ikhule, iqine, noma iqine. Lungadluliselwa ngofuzo, noma lungakhula ngokuguga noma ngenxa yomfutho wegazi ophakeme. Ezinye izimpawu zingase zihlanganise ukuquleka (i-syncope), ubuhlungu besifuba, ukushaya kwenhliziyo, ukukhathala, kanye nokuphefumula kanzima.

Ziyini izimpawu ze-`(Heart Murmur)`?

Ezinye "izinhlungu zenhliziyo" azibonisi zimpawu. Zitholakala ngesikhathi sokuhlolwa okuvamile kwezokwelapha.

Kodwa-ke, kuye ngokuthi imbangela yokukhala, ungase ube nezimpawu ezifana nalezi:

• Isikhumba esiluhlaza okwesibhakabhaka (ikakhulukazi izindebe neminwe)
• Ukukhwehlela okuqhubekayo
• Ukuzwa inhliziyo yakho ishaya ngokushesha (ukushaya kwenhliziyo)
• Ubuhlungu besifuba noma ukuqina
• Ubunzima bokuphefumula
• Ukulahlekelwa yingqondo ngokuzumayo (i-syncope) noma umuzwa wokuphelelwa yithemba

Udokotela angayibona kanjani "inhliziyo ekhonondayo"?

Udokotela uzolalela inhliziyo yakho ukuze ahlole ukuthi "unenhliziyo ekhalayo". Uma kukhona umsindo ozwakalayo, uzozwa umsindo ongavamile, njengo-'whoosh' noma 'swish' engikhulume ngawo.

Udokotela uzobeka i-stethoscope ezingxenyeni ezahlukene zesifuba sakho kanye nomhlane ukuze alalele ukushaya kwenhliziyo yakho. Bazonaka ngokukhethekile lezi zinto:

• Ukhona yini omunye umsindo owuzwayo ngaphandle komsindo othi 'lub-dub'?
• Umsindo unjani? (`Iphimbo`)
• Isigqi sokushaya kwenhliziyo (`Rhythm`)
• Kunini lapho umsindo uzwakala khona ngesikhathi sokushaya kwenhliziyo? (`Isikhathi`)
• Umsindo uphakeme kangakanani? (`Ivolumu`)

Uyakhumbula ukuthi udokotela ngezinye izikhathi ukutshela kanjani ukuthi wenze izinto ngenkathi ulalele nge-stethoscope? Yilokho okuhloselwe kona. Isibonelo:

• Bathi ukuxhawulana.
• Ungitshela ukuthi ngihlale phansi.
• Ungitshela ukuthi ngisukume ngingahlali phansi.
• Ungitshela ukuthi ngilale phansi.

Yiziphi izivivinyo udokotela azozenza uma ezwa "ukukhala kwenhliziyo"?

Uma udokotela wakho ezwa umsindo wokubhonga, kuzodingeka enze izivivinyo ezengeziwe ukuze anqume ukuthi ubangelwa yini inkinga yempilo. Ungathunyelwa kudokotela wenhliziyo.

Ukuhlolwa okulandelayo kungenziwa ukuthola imbangela ye-"Heart Murmur":

• I-X-ray yesifuba:Lokhu kuthatha izithombe zengaphakathi lesifuba ukuze kuhlolwe izinkinga zesakhiwo enhliziyweni noma emaphashini.
• I-Echocardiogram (noma i-echo): Lokhu kufana nokuskena kwenhliziyo nge-ultrasound. Kusebenzisa amaza omsindo ukwenza izithombe zama-valve namagumbi enhliziyo. Kuphinde kusize ukuhlola ukuthi inhliziyo ipompa igazi kahle kangakanani. Lokhu kungaba ukuskena okwenziwa esikhumbeni, noma i-transesophageal echocardiogram, esebenzisa ithuluzi elikhethekile ngomlomo nasemqaleni. Lokhu kungaveza izithombe ezicacile zenhliziyo.
• I-Electrocardiogram (ECG noma EKG): Lolu uhlobo lokuhlola olungenabuhlungu olulinganisa ukusebenza kukagesi kwenhliziyo yakho. Lungabona izinkinga ngesigqi senhliziyo yakho kanye nezimpawu zokuhlaselwa yinhliziyo.

Ungayiphatha kanjani i-`(Heart Murmur)`?

Iningi le-`(Heart Murmur)` alidingi ukwelashwa. Futhi akukho okufanele likhathazeke ngakho. Ikakhulukazi lawo mazwi okukhononda 'angenacala'.

Kodwa-ke, uma ukububula kubangelwa yisimo esibucayi, ungadinga ukwelashwa okufana nalokhu:

• Imithi: Isibonelo, amaphilisi ensimbi okwelapha i-anemia, noma imithi yokunciphisa ukusebenza kwe-thyroid.
• Ukuhlinzwa: Ngezinye izikhathi ukuhlinzwa kuyadingeka ukuze kulungiswe ivalvu yenhliziyo noma kufakwe entsha.

Into ebaluleke kakhulu ukuthi udokotela ahlole isiguli kahle futhi athole imbangela yokukhononda nokuthi ngabe kudinga ukwelashwa noma cha.

Ingabe ukububula kwenhliziyo kungavinjelwa?

Ayikho indlela yokuvimbela ukuthi "inhliziyo ibubule". Ngoba ezinye zizalwa nazo, kanti ezinye zibangelwa ezinye izifo.

Noma kunjalo, ungayinakekela impilo yenhliziyo yakho. Ukuhlolwa njalo nokuphila ngendlela enempilo (ukudla kahle, ukuzivocavoca, nokungabhemi) kungasiza kakhulu ekunciphiseni ingozi yezinkinga ezinkulu ezibangelwa yisifo senhliziyo.

Sinjani isimo sempilo somuntu ono-`(Heart Murmur)`?

Lokhu kuncike ngokuphelele embangeni yalokhu kukhononda. Ukukhononda 'okungenacala' ezinganeni ezincane kuvame ukuphela njengoba zikhula. Ukukhononda okwenzeka ngesikhathi sokukhulelwa kuvame ukuphela ngemva kokubeletha.

Kodwa-ke, ukukhononda okuhlobene nezimo zenhliziyo kudinga usizo lwezokwelapha. Yingakho uma udokotela ekutshela ukuthi ukhononda, kufanele uphenye kahle.

Kufanele ngimbone nini udokotela?

Uma unezinye zalezi zimpawu ocabanga ukuthi zingase zihlobene nesifo senhliziyo, kufanele ufune iseluleko sezokwelapha ngokushesha :

• Uma isikhumba siphenduka sibe luhlaza okwesibhakabhaka (ikakhulukazi eduze kwezindebe nezinzipho)
• Uma uzwa ubuhlungu besifuba noma ingcindezi
• Uma uzizwa inhliziyo yakho ishaya ngendlela engavamile (ukushaya kwenhliziyo)
• Uma unenkinga yokuphefumula
• Uma uquleka ngokuzumayo (i-syncope) noma uzizwa unesizungu

Uma unezinye zalezi zimpawu, ungazinaki. Kungcono ukubona udokotela ngokushesha okukhulu bese uyahlolwa.

Masikhumbule la maphuzu (Umyalezo Ofanele Uwuthathe Ekhaya)

Kulungile, ngakho-ke, ukufingqa lokho ebesikhuluma ngakho, umsindo othi “heart murmur” uwumsindo othi “whoosh” noma “swish” owuzwayo lapho igazi ligeleza ngendlela engavamile ngama-valve enhliziyo yakho.

Esikhathini esiningi, lokhu kuyizinkulumo 'ezingenacala', okusho ukuthi azibangelwa yinoma yikuphi ukugula futhi akumelwe zesatshwe. Zivame kakhulu ezinganeni ezincane.

Kodwa-ke, okunye ukukhononda kungabangelwa yisimo senhliziyo noma enye inkinga yezempilo. Ngakho-ke, kubaluleke kakhulu ukuthi noma yikuphi "ukukhononda kwenhliziyo" kuhlolwe udokotela ukuze kutholakale imbangela eqondile.

Uma udokotela ekutshela wena noma ingane yakho ukuthi ine-"Heart Murmur," ungesabi, kodwa lalela ngokucophelela lokho abakushoyo. Ngokuthola izivivinyo ezidingekayo nokuthola ukwelashwa okufanele ngembangela (uma kudingeka), ungahlala uphilile.

Khumbula, inhliziyo yakho iyimpahla yakho! Kungumthwalo wakho ukuyinakekela kahle.

' Ukububula kwenhliziyo, ukububula kwenhliziyo, umsindo wenhliziyo, ukububula okungenacala, isifo senhliziyo, ama-valve enhliziyo, ukujikeleza kwegazi