Wake wezwa udokotela ethi, "Ngizwa ukububula okuncane kwenhliziyo" lapho ebeka i-stethoscope esifubeni sakho? Cishe nawe uke wakuzwa. Abantu abaningi bayesaba lapho bezwa lokhu "kububula." Kuvamile ukucabanga, "Ingabe kukhona okungahambi kahle enhliziyweni yami?" Kodwa ungesabi. Namuhla, sizoxoxa ngokuthi iyini i- Holosystolic Murmur , ukuthi kungani yenzeka, nokuthi yini engenziwa ngayo.
Kalula nje, kuyini lokhu ku-Holosystolic Murmur?
Cabanga ngamanzi egeleza kahle ngepayipi lamanzi ngaphandle kokuphazamiseka. Khona-ke awuzwa msindo. Kodwa uma kukhona ukuvaleka okuncane noma imbobo endaweni ethile epayipini, lapho amanzi egeleza, enza umsindo ongavamile njengo-'s...'. Kunjalo-ke.
Ukukhononda kwe-Holosystolic akusona isifo. Kuyisibonakaliso . Uma udokotela wakho elalele inhliziyo yakho nge-stethoscope, kuyisizwi esengeziwe esizwakalayo ngaphezu komsindo we-'lub-dub' wenhliziyo yakho eshaya, ngoba igazi aligelezi kahle. Ukuze kube sobala, lo msindo uzwakala njalo ngesikhathi sokukhononda (i-systole) yenhliziyo ngakho-ke ubizwa ngokuthi i-Holosystolic (ezwakala kuyo yonke ukukhononda) Ukukhononda.
Into ebaluleke kakhulu ukuthi akukhona ukuba khona kwalokhu kukhononda okuyingozi, kodwa yisimo esiyisisekelo esibangela lokhu okudingeka sisithole futhi siselaphe.
Udokotela wakho cishe uzokutshela ukuthi unike lo msindo inombolo (kusukela ku-1 kuya ku-6). Lokhu kukutshela kuphela ukuthi umsindo uphakeme kangakanani. Inombolo ephezulu ayisho ukuthi uyingozi kakhulu. Ngezinye izikhathi lapho udokotela ebeka isandla sakhe esifubeni sakho, lo msindo uzwakala sengathi uyashaqeka. Ubizwa nangokuthi 'ukuzijabulisa'.
Yiziphi izizathu eziyinhloko zalo msindo?
Uyazi ukuthi inhliziyo yethu inamakamelo amane. Phakathi kwala makamelo kunezinto ezifana neminyango ezisiza ukugeleza kwegazi ohlangothini olulodwa kuphela. Sizibiza ngokuthi 'ama-valve'. Uma lawa ma-valve engavali kahle, igazi liqala ukuvuza. Yilapho-ke lokhu kuzwakala khona kakhulu.
| Isizathu esiyinhloko | Kuchazwe kalula |
|---|---|
| Ukuvuselelwa kwe-Mitral | Lokhu kwenzeka lapho ivalvu ye-mitral ohlangothini lwesobunxele lwenhliziyo ingavali kahle, okuvumela igazi ukuthi livuze emuva. Le valve ingonakala yizimo ezifana nomkhuhlane wamathambo. |
| Ukuvuselelwa kwe-Tricuspid | Lokhu kwenzeka lapho ivalvu ye-tricuspid ohlangothini lwesokudla lwenhliziyo ingavali kahle, okubangela ukuba igazi livuza emuva. |
| I-Ventricular Septal Defect (VSD) | Lona umgodi odongeni phakathi kwamakamelo amabili amakhulu (ama-ventricle) phansi kwenhliziyo. Lokhu kuvame ukuba yisimo sokuzalwa. Kuzwakala ukububula njengoba igazi ligeleza kulo mgodi. |
Kwenzekani ngalokhu?
Cabanga nje, kumuntu one-Mitral Regurgitation, i-valve ye-mitral ayivaleki kahle, okwenza igazi libuyele emuva ngendlela elivela ngayo emaphashini. Lokhu kwandisa ingcindezi emithanjeni exhumanisa amaphaphu, futhi ezimweni ezimbi kakhulu, amaphaphu angagcwala uketshezi. Ngokuhamba kwesikhathi, lokhu kungaholela ekuhlulekeni kwenhliziyo.
Iphathwa kanjani?
Njengoba ngishilo ngaphambili, aselapha ukukhononda, kodwa isimo esiyisisekelo esibangela lokho . Udokotela wakho uzoqala enze izivivinyo (isibonelo, i- echocardiogram , okuyi-scan yenhliziyo) ukuze abone ukuthi yini ebangela lokho.
- Uma igazi livuza kuma-valve (Ukuvuselelwa kwegazi):
- Imithi: Imithi efana nemithi yokunciphisa igazi noma imithi yokukhipha amanzi emzimbeni inganikezwa.
- Ukuhlinzwa: Uma imithi yodwa inganele, kungase kudingeke ukuhlinzwa ukuze kulungiswe ivalvu eyonakele noma kufakwe ivalvu entsha ngokuphelele.
- Uma kukhona imbobo enhliziyweni (VSD):
- Imithi inganikezwa ukulawula izimpawu.
- Ngokuvamile, kwenziwa ukuhlinzwa ukuze kuvalwe le mbobo.
- Uma ivalvu incishisiwe (i-Stenosis):
- Ngezinye izikhathi, ukububula kungabangelwa nokuncishiswa kwevalvu. Ezimweni ezinjalo, kusetshenziswa inqubo ebizwa ngokuthi iBalloon Valvuloplasty . Ibhaluni lidluliswa ngemithambo yegazi ngenqubo ebizwa ngokuthi i-cardiac catheterization bese lifuthwa ngaphakathi kwevalvu encishisiwe, okwenza ivalvu inwebe.
Kuthiwani uma kufakwa ivalvu entsha yenhliziyo?
Kunezinhlobo ezimbili zama-valve amasha.
| Uhlobo lwevalvu | Okufanele ukwazi |
|---|---|
| Okwemishini | Lezi zenziwe ngensimbi nepulasitiki. Zihlala isikhathi eside. Kodwa kufanele uthathe imithi yokuvimbela ukugabha kwegazi impilo yakho yonke. |
| I-Bioprosthetic (yezinto eziphilayo) | Lezi zenziwe ngezicubu zenhliziyo yengulube noma yenkomo. Zihlala iminyaka eyi-10-15. Kodwa akudingeki ukuthi uphuze imithi yokuvimbela ukugabha kwegazi impilo yakho yonke. |
| Izinto okufanele uzikhumbule lapho ufaka noma yiluphi lwalezi zinhlobo ezimbili zama-valve: | |
| |
Yiziphi izimpawu ezidinga ukubona udokotela?
Abanye abantu banesicanucanu kodwa abanazo izimpawu. Bangase bangazi nokuthi banaso. Kodwa kwabanye abantu, imbangela eyinhloko ingase ibangele izimpawu ezikhathazayo. Uma uhlangabezana nanoma yiziphi zalezi zimpawu, bheka udokotela ngokushesha.
- Ubunzima bokuphefumula
- Ubuhlungu besifuba noma umuzwa wokuqina
- Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha (ukushaya kwenhliziyo)
- Ukuphelelwa umoya (i-dyspnea)
- Ukuvuvukala, ikakhulukazi emilenzeni, emaqakaleni nasezinyaweni
Uma uya kohlolwa njalo kwezokwelapha, udokotela wakho angasibona lesi simo kusenesikhathi. Kungcono ukuthola noma yisiphi isifo ngaphambi kokuba sibe sibi kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- Ukukhononda kwe-Holosystolic akusona isifo, kumane kuyisibonakaliso sokuthi kukhona okungahambi kahle enhliziyweni yakho.
- Izimbangela eziyinhloko zalokhu igazi elivuza lisuka emuva lisuka kuma-valve enhliziyo (ukubuyela emuva) noma imbobo odongeni lwenhliziyo (i-VSD).
- Ukwelashwa akusikho okwe-murder, kodwa kwesimo sezempilo esiyisisekelo esibangela lokho.
- Uma unezimpawu ezifana nobunzima bokuphefumula, ubuhlungu besifuba, noma ukuvuvukala emilenzeni yakho, ungazinaki futhi ubone udokotela wakho ngokushesha .
- Ngokuhlolwa kwezokwelapha ngesikhathi esifanele, izimo ezinjengalezi zingatholakala kusenesikhathi futhi ukwelashwa kungaqalwa ngaphambi kokuba zibe zimbi kakhulu.
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