Ingabe inhliziyo yakho isebenza kanzima kakhulu? Lokhu kubizwa ngokuthi yi-High-Output Heart Failure! Ake sixoxe ngalokhu.

Ingabe ngezinye izikhathi uzizwa uphelelwa umoya, noma uzizwa ukhathele kakhulu ngisho nangemva kokwenza into encane? Mhlawumbe imilenze yakho ivuvukele. Uma unezimpawu ezinjengalezi, esinye sezizathu zalokhu kungaba ukuthi inhliziyo yakho isebenza kanzima kunalokho okufanele, kodwa umzimba wakho awutholi imiphumela oyidingayo. Namuhla sizokhuluma ngohlobo olukhethekile lwesifo senhliziyo. Lokhu kubizwa ngokuthi ukwehluleka kwenhliziyo okuphuma kakhulu .

Kuyini Ukwehluleka Kwenhliziyo Okuphuma Kakhulu?

Kulungile, kuyini ukuhluleka kwenhliziyo okuphuma kakhulu? Kalula nje, yilapho inhliziyo yakho isebenza khona ngokujwayelekile ekuqaleni. Okusho ukuthi, akukho ukwehla okubonakalayo ekusebenzeni kahle kwenhliziyo ekupompeni igazi (`ingxenye yokukhipha igazi`) noma inkinga ngokugcwaliswa kwenhliziyo ngegazi (`ingxenye yokukhipha igazi egciniwe`). Kodwa-ke, njengoba inani legazi umzimba wakho olidingayo landa kancane kancane, inhliziyo ayikwazi ukuhlangabezana naleso sidingo.

Cabanga ngakho njengenjini yemoto. Ekuqaleni isebenza kahle, kodwa njengoba umthwalo ukhula, injini ayikwazi ukuyiphatha. Ngokuhamba kwesikhathi, inhliziyo iba matasa kakhulu kangangokuthi iba buthakathaka futhi ekugcineni ingakwazi ukupompa igazi kahle liye emzimbeni.

Kungani lokhu kubizwa ngokuthi "i-High-Output"?

Manje ungase uzibuze ukuthi kungani lokhu kubizwa ngokuthi 'ukuphuma okuphezulu' noma 'ukuphuma okuphezulu'. Kunesizathu esithile saleli gama. Lihlukile kwezinye izinhlobo zokwehluleka kwenhliziyo ngenxa yenani legazi elikhishwa enhliziyweni, elibizwa ngokuthi 'ukuphuma kwenhliziyo '.

Ezinhlotsheni eziningi zokwehluleka kwenhliziyo, lokhu kukhishwa kwenhliziyo kuyinto evamile noma ephansi kakhulu. Kodwa-ke, kumuntu one-High-Output Heart Failure, inhliziyo ipompa cishe amalitha angu-8 egazi ngomzuzu (lokho cishe amalitha angu-2!) Inhliziyo yomuntu omdala ophilile ipompa cishe amalitha angu-5 kuya kwangu-6 egazi ngomzuzu (amalitha angu-1.3 kuya kwangu-1.6). Ngakho-ke ungabona ukuthi inhliziyo yenza umsebenzi ongakanani? Kodwa inkinga ukuthi umzimba awutholi nzuzo kulowo msebenzi owengeziwe.

Sivame kangakanani lesi simo?

Eqinisweni, uma kuqhathaniswa nezinye izinhlobo zokwehluleka kwenhliziyo, lesi simo esibizwa ngokuthi "ukwehluleka kwenhliziyo okuphuma kakhulu" asivamile kangako . Isibonelo, abantu ababalelwa ezigidini eziyisithupha e-United States bahlushwa izinhlobo ezahlukene zokwehluleka kwenhliziyo. Kodwa-ke, olunye ucwaningo luthole ukuthi "ukwehluleka kwenhliziyo okuphuma kakhulu" kubalwa kuphela iphesenti elincane kakhulu labantu abafuna iseluleko sezokwelapha ngenxa yokwehluleka kwenhliziyo, cishe u-0.07%. Lokhu kusho ukuthi kuyisimo esingavamile.

Yiziphi izimpawu zalesi simo `(Ukwehluleka Kwenhliziyo Okuphuma Kakhulu)`?

Izimpawu ongase uzizwe kulesi simo zifana kancane nezinye izimo zokwehluleka kwenhliziyo. Kodwa kubalulekile ukuziqaphela. Bheka ukuthi unazo yini lezi:

• Ubunzima bokuphefumula : Lokhu kungaba kubi nakakhulu uma ulele phansi noma ulele phansi. Abanye abantu bavuka ebusuku benobunzima bokuphefumula.
• Ukukhathala okukhulu: Ukuzizwa ukhathele kakhulu ngisho nangemva kokwenza umsebenzi omncane, noma ukuzizwa ulele ngaso sonke isikhathi.
• Ukuvuvukala ( i-edema ): Ukuvuvukala kungenzeka, ikakhulukazi emilenzeni, emaqakaleni, futhi ngezinye izikhathi esiswini. Lokhu kubizwa ngokuthi `(i-edema)`.
• Ukushaya kwenhliziyo : Ungase uzizwe sengathi inhliziyo yakho ishaya ngokushesha, njengokungathi kuphuma ngaphakathi esifubeni sakho.
• Ukushaya kwenhliziyo okusheshayo (i-tachycardia): Isimo lapho inhliziyo ishaya khona ngokushesha okukhulu.

Uma unesinye noma ngaphezulu salezi zimpawu,Udinga ngempela ukubona udokotela.

Yini ebangela lesi simo `(Ukwehluleka Kwenhliziyo Okuphuma Kakhulu)`?

Kunezizathu ezahlukahlukene zokuthi kungani lesi simo singase senzeke. Nazi ezinye zazo:

• Inkomba yesisindo somzimba (i-BMI) engaphezu kuka-30 ( ukukhuluphala ): Lena yimbangela eyinhloko nevame kakhulu yalesi simo. Kalula nje, isisindo somzimba sibeka ngqo ingcindezi enkulu enhliziyweni. Cabanga ngakho, wonke amaseli emzimbeni wakho adinga igazi. Ngakho-ke njengoba umzimba wakho ukhula, inani legazi okufanele liphampe inhliziyo yakho kanye nebanga okufanele ilithumele lelo gazi liyanda. Lokho kuwukucindezeleka okukhulu enhliziyweni.
• Isifo sesibindi : Isibonelo, izifo zesibindi ezingamahlalakhona ezifana ne -cirrhosis .
• Ama-fistula noma ama-shunt e-arteriovenous: Lawa angazalwa nawo noma akhule kamuva. Lokhu kubangela ukuthi igazi ligeleze ngqo emithanjeni esikhundleni salapho lidingeka khona, okwandisa umthwalo womsebenzi enhliziyweni.
• I-anemia enzima: Uma kunokwehla komthamo wegazi emzimbeni, inhliziyo kufanele ipompe igazi eliningi ukuze yenze umsebenzi owengeziwe ngegazi elitholakalayo.
• Izifo zamaphaphu: Lesi simo singabangelwa nayizifo zamaphaphu ezingamahlalakhona.
• I-Sepsis: Ukutheleleka okukhulu emzimbeni. Lokhu kwandisa nesidingo somzimba segazi.
• I-Hyperthyroidism: Ukukhiqizwa ngokweqile kwama-hormone e-thyroid kubangela ukuthi i-metabolism yomzimba isheshise futhi inhliziyo isebenze kanzima.
• Umdlavuza wegazi ongavamile: Ezinye izinhlobo zomdlavuza wegazi nazo zingabangela lokhu.

Kwenzekani ngempela ku-`(Ukwehluleka Kwenhliziyo Okuphuma Kakhulu)`?

Cabanga ngale ndlela: imithambo yegazi emizimbeni yethu ifana namapayipi amanzi. Ezinye izifo zibangela ukuthi le mithambo yegazi ibe mikhulu kunalokho okufanele ibe yikho, njengepayipi elikhula libe likhulu. Kwezokwelapha, lokhu sikubiza ngokuthi i-vasodilation . Lokhu kuqalisa uchungechunge lwezehlakalo ezandisa ukuphuma kwenhliziyo, inani legazi elimpontshelwa yinhliziyo.

Manje ungase ucabange, 'O, kuhle ukupompa igazi eliningi.' Impela, uma sizivocavoca, imizimba yethu idinga igazi eliningi, ngakho-ke kuhle ukuthi inhliziyo yethu ipompe igazi eliningi. Kodwa lokhu akusikho ngesizathu esinempilo. Okwenzekayo lapha ukuthi mhlawumbe umzimba wakho usebenzisa umoya-mpilo omningi kunokujwayelekile, noma mhlawumbe igazi lakho lihambahamba emithanjeni emincane kakhulu (ama-arterioles) esikhundleni sokungena kuyo. Ngakho igazi eliningi liyahlangana emithanjeni, emithanjeni ethwala igazi libuyele enhliziyweni, esikhundleni sokuya emzimbeni wonke. Ngakho okwenzekayo ukuthi umzimba awutholi inani legazi olidingayo. Inhliziyo isebenza kanzima kakhulu.

Yiziphi izinto eziyingozi ezithinta lokhu?

Eqinisweni, izinto ezifanayo ezibangela lesi simo (ukwehluleka kwenhliziyo okuphuma kakhulu) nazo zisebenza njengezinto eziyingozi. Okungukuthi:

• Inani le-BMI elingaphezu kwama-30.
• Isifo sesibindi, ikakhulukazi i-cirrhosis.
• Ukuba khona kwe-'arteriovenous fistula' noma i-'shunts'.
• I-anemia enzima.
• Izifo zamaphaphu.
• Isimo se-'Sepsis'.
• `(I-Hyperthyroidism)`.
• Umdlavuza wegazi ongavamile.

Uma unalezi zimo, usengozini yokuthola "Ukwehluleka Kwenhliziyo Okuphuma Kakhulu".

Yiziphi izinkinga ezingaba khona `(Ukwehluleka Kwenhliziyo Okuphuma Kakhulu)`?

Uma lesi simo singelashwa kahle, kungavela ezinye izinkinga. Ezinye zazo yilezi:

• Umfutho wegazi ophezulu wamaphaphu: Ukwanda kwengcindezi emithanjeni yegazi ethwala igazi liye emaphashini.
• Ukwehluleka kwenhliziyo kwe-Systolic: Ubuthakathaka bekhono lenhliziyo lokupompa igazi (ukuncipha).
• Ukuvuvukala kwemilenze engezansi: Ukugcinwa koketshezi emilenzeni.

Kuhlonzwa kanjani ukwehluleka kwenhliziyo okuphuma kakhulu?

Uma ubona udokotela, uzokuhlola ngokomzimba kuqala. Uzobuza ngezimpawu zakho, ukuthi ukhona yini emndenini wakho onesifo senhliziyo, ukuthi uthatha miphi imithi, nokuthi unazo yini ezinye izimo ezingamahlalakhona ezingaba nomthelela kulesi simo, ukwehluleka kwenhliziyo okuphuma kakhulu. Kubaluleke kakhulu ukunikeza umlando wakho wezokwelapha ophelele.

Yiziphi izivivinyo zokuxilonga?

Odokotela bangenza izivivinyo ezahlukene ukuqinisekisa lesi sifo nokuthola imbangela yaso.

• Ukuhlolwa kwegazi: Hlola amazinga e-hormone ye-thyroid, amazinga e-hemoglobin (hlola futhi ukuthi ayinayo yini i-anemia), kanye nokusebenza kwesibindi nezinso.
• Ukuhlolwa kwe-peptide yegazi ye-natriuretic: La mazinga ayanda ekuhlulekeni kwenhliziyo.
• I-Electrocardiogram (EKG): Bona umsebenzi kagesi wenhliziyo.
• I-Transthoracic echocardiogram: Lokhu kungabonisa izinto eziningi ngenhliziyo, njengokwakheka kwayo, ubukhulu bayo, indlela ephampa ngayo igazi, kanye nokuthi ama-valve asebenza kahle kangakanani.
• Ukufakwa kwe-catheter kwenhliziyo: Lokhu kuhlolwa kungadingeka nakwezinye izimo.
• I-computerized tomography (CT) scan.
• I-MRI yenhliziyo - iskena se-magnetic resonance imaging.

Lezi zivivinyo zingasiza udokotela wakho ukuthi anqume ukuthi une-High-Output Heart Failure, futhi uma kunjalo, yini ngempela ebangela lokho.

Iphathwa kanjani i-High-Output Heart Failure?

Kunemigomo eminingana eyinhloko yokwelashwa. Okokuqala, odokotela bazozama ukunciphisa ukuphelelwa umoya, banciphise ukuvuvukala, futhi bazinzise isimo sakho. Bese, okubaluleke kakhulu, bazokwelapha isimo esiyisisekelo esibangele lesi simo "sokwehluleka kwenhliziyo okuphezulu".

Kubaluleke kakhulu ukuthola imbangela eqondile yalesi simo. Ngoba izindlela zokwelapha ziyahlukahluka kuye ngembangela. Uma isifo esiyisisekelo selashwa kahle, isimo `(Ukwehluleka Kwenhliziyo Okuphuma Kakhulu)` singalawulwa, futhi ngezinye izikhathi ngisho nokuphulukiswa ngokuphelele.

Imithi ethile esetshenziswayo

Ngaphezu kokunikeza umoya-mpilo, udokotela angakunika imithi efana nalokhu:

• Ama-diuretics: Asiza ekususeni uketshezi oluningi emzimbeni ngomchamo, okunciphisa ukuvuvukala.
• Ama-Inotropes: Andisa ikhono lenhliziyo lokufinyela, okusiza ekupompeni igazi ngendlela ephumelela kakhudlwana.
• Eminye imithi:Imithi ethile yesimo esiyisisekelo esibangele lesi simo (Ukwehluleka Kwenhliziyo Okuphuma Kakhulu). Isibonelo, imithi yenkinga ye-thyroid, amaphilisi ensimbi e-anemia.

Imiphumela emibi yokwelashwa

Eminye imithi enikezwa ukwehluleka kwenhliziyo okuphuma kakhulu ingabangela imiphumela emibi emincane, kodwa akuwona wonke umuntu oyitholayo.

• Ikhanda elibuhlungu
• Isiyezi
• Ukungakhululeki kwesisu
• Ukushaya kwenhliziyo okungajwayelekile
• Umfutho wegazi ophakeme
• Umfutho wegazi ophansi

Uma uzizwa kanje, kufanele utshele udokotela wakho.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Imithi efana ne-diuretics ingasiza ekunciphiseni ukuvuvukala kungakapheli ihora noma amabili. Lokhu kunganikeza impumuzo ebalulekile. Kodwa-ke, isimo esiyisisekelo esibangele lesi simo (i-High-Output Heart Failure) sidinga ukwelashwa kwesikhathi eside. Ubude besikhathi lokhu okuthathayo buyahlukahluka kuye ngesimo kanye nendlela yokwelashwa.

Unganciphisa kanjani ingozi `(Ukwehluleka Kwenhliziyo Okuphuma Kakhulu)`?

Ukuze kuncishiswe ingozi yalesi simo, kubalulekile ukwelapha izimo zezokwelapha ezandisa isidingo somzimba segazi. Lezi zifaka:

• Uma i-BMI yakho ingaphezu kwama-30, funa iseluleko sezokwelapha ukuze wehlise isisindo.
• Uma une-hyperthyroidism, yelashwe ngendlela efanele.
• Uma unezifo zamaphaphu nezesibindi, zilawule.
• Uma une-anemia enzima, thola imbangela bese ucela ukwelashwa.

Khuluma nodokotela wakho ngalezi zinto bese uthatha izinyathelo ezidingekayo.

Kwenzekani uma une-`(Ukwehluleka Kwenhliziyo Okuphuma Kakhulu)`?

Odokotela bangakusiza ukuthi uphathe izimpawu zakho. Kodwa-ke, ukuze uphathe lesi simo ngendlela efanele, udinga ukuthola imbangela eqondile. Bese, kubalulekile ukwelapha leyo nkinga.

Ukwehluleka Kwenhliziyo Okuphuma Kakhulu Kuhlala Isikhathi Eside Kangakanani?

Lesi simo singaqhubeka uma nje isifo esibangela sona singelashwa.

Ingabe Ukwehluleka Kwenhliziyo Okuphuma Kakhulu Kungelapheka?

Yebo, lesi simo singelapheka. Kodwa kuncike esifweni esisibangele. Ezinye izimbangela zingelashwa ngokuphelele futhi lesi simo singaqedwa.

Iyini inhloso ye-`(Ukwehluleka Kwenhliziyo Okuphuma Kakhulu)`?

Umbono womuntu onalesi simo unqunywa kakhulu yimbangela eyinhloko. Isibonelo, olunye ucwaningo lubonise ukuthi abantu abane-BMI engaphezu kuka-30 babenesilinganiso sokusinda esingcono seminyaka emihlanu kunalabo abanesifo sesibindi.

Kodwa-ke, ukuxilongwa kusenesikhathi kanye nokwelashwa okusheshayo kwembangela eyinhloko kungandisa isikhathi sokuphila.

Ngizinakekela kanjani?

Into ebaluleke kakhulu ukulandela imiyalelo kadokotela ngqo lapho welapha isimo esiyisisekelo esibangele lesi simo (Ukwehluleka Kwenhliziyo Okuphuma Kakhulu). Thatha imithi yakho ngesikhathi, yenza lokho akutshela ukuthi ukwenze, futhi wenze lokho akutshela ukuthi ulawule ukudla kwakho.

Yiziphi izinto ezinhle kakhulu ongazidla futhi uziphuze uma une-`(High-Output Heart Failure)`?

Udokotela wakho angakutshela ukuthi udle ukudla okunosawoti omncane (i-sodium) futhi unciphise ukudla kwakho okusamanzi. Kubalulekile ukulandela le miyalelo ngokucophelela, njengoba usawoti kanye noketshezi oluningi kungabangela ukugcinwa koketshezi, okungakhulisa ukuvuvukala futhi kubeke ingcindezi enkulu enhliziyweni yakho.

Kufanele ngimbone nini udokotela?

Kuzodingeka ubone udokotela wakho njalo ngenyanga yokuqala ngemva kokubuya kwakho esibhedlela. Ezinye izimo ezibangela ukwehluleka kwenhliziyo okuphezulu zingadinga ukuthi uphinde ulaliswe esibhedlela. Ngakho-ke, ungaphuthelwa ama-aphoyintimenti akho okulandelela njengoba uqondiswe udokotela wakho.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ungabuza udokotela imibuzo efana nale:

• Yisiphi isifo esiyisisekelo esangenza ngaba nesifo senhliziyo esibizwa ngokuthi `(Ukwehluleka Kwenhliziyo Okuphuma Kakhulu)`?
• Iyini inkomba yesimo sami?
• Kukangaki ngidinga ukuza ngezikhathi zokulandelela?

Ungesabi ukubuza udokotela wakho noma yimiphi imibuzo noma ukungabaza ongase ube nakho.

Ngakho-ke, yiziphi izinto okudingeka sizikhumbule kukho konke lokhu?

Ukwehluleka Kwenhliziyo Okuphumela Kakhulu kuyisimo esiyinkimbinkimbi lapho inhliziyo ipompa igazi eliningi kunalokho okufanele, kodwa umzimba awutholi inzuzo efanele kuso.

• Izimpawu: Qaphela izinto ezifana nokuphelelwa umoya, ukukhathala, nokuvuvukala.
• Imbangela ibalulekile: Kukhona isifo esiyisisekelo (njengokukhuluphala ngokweqile, isifo sesibindi, i-anemia) esibangela lesi simo. Isihluthulelo ukuthola nokwelapha leso sizathu.
• Kungelapheka: Lesi simo singalawulwa futhi ngezinye izikhathi singelapheke ngokwelapha imbangela.
• Landela iseluleko sezokwelapha: Sebenzisa umuthi njengoba nje udokotela wakho encoma.
• Nikeza imininingwane egcwele: Uma ubona udokotela wakho, mtshele konke ngezinye izifo zakho kanye nemithi oyiphuzayo. Ngezinye izikhathi, ngisho nezinto ongazicabangi, zingase zihlobane nalokhu.

Uma unezimpawu ezinjengalezi, kuwukuhlakanipha ukufuna iseluleko sezokwelapha ngokushesha kunokuzishaya indiva.