Kwabaningi bethu, 'umfutho wegazi ophakeme' noma umfutho wegazi ophakeme sekuyinto evamile kakhulu. Kodwa bewazi ukuthi uma lo mfutho wegazi ungalawulwa kahle, kancane kancane ungabangela umonakalo omkhulu enhliziyweni yethu eminyakeni edlule? Ngale ndlela, ngokwezokwelapha sibiza 'isifo senhliziyo esinomfutho wegazi ophakeme' ngokuthi iqoqo lezimo zenhliziyo ezibangelwa umfutho wegazi ophakeme ongalawuleki.
Kalula nje, siyini 'isifo senhliziyo esinomfutho wegazi ophezulu'?
Cabanga ukuthi ingcindezi emapayipini epompo yamanzi ekhaya lakho iphezulu kakhulu. Kwenzekani-ke? Ipompo kufanele isebenze kanzima ukupompa amanzi. Ngokuhamba kwesikhathi, ipompo iba buthaka futhi amapayipi angonakala. Izinhliziyo zethu zinjalo nje.
Uma umfutho wegazi uphezulu (ngokuvamile ungaphezu kuka-120/80 mmHg) isikhathi eside, inhliziyo yethu kufanele isebenze kanzima ukuze ipompe igazi emzimbeni wonke. Lokhu kucindezeleka okwengeziwe kungabangela ukuba imisipha yenhliziyo iqine futhi ibe buthaka ngokuhamba kwesikhathi. Ekugcineni, lokhu kungaholela esimweni esibucayi njengokwehluleka kwenhliziyo.
Ngokufanayo, umfutho wegazi ophezulu nawo uqinisa izindonga zemithambo yethu yegazi. Lapho i-cholesterol iqala ukunqwabelana ngaphakathi kwale mithambo yegazi eqinisiwe, isimo siba sibi nakakhulu. Khona-ke ingozi yokuhlaselwa yinhliziyo kanye nesifo sohlangothi iyanda kakhulu.
Khumbula, umfutho wegazi ophakeme awubonisi zimpawu ezigabeni zokuqala. Yingakho sikubiza ngokuthi 'umbulali othule'.
Yiziphi izinhlobo eziyinhloko zalesi simo?
Kunezindlela ezimbili eziyinhloko umfutho wegazi ophakeme othinta ngazo inhliziyo.
1. Isifo Semithambo Yenhliziyo: Lokhu kwenzeka lapho i-cholesterol nezinye izinto zinqwabelana ngaphakathi kwemithambo yegazi eyinhloko ehlinzeka ngegazi enhliziyweni (imithambo yenhliziyo) (esikubiza ngokuthi "i-Atherosclerosis"), okunciphisa imithambo yegazi. Lokhu kunciphisa inani lomoya-mpilo kanye nezakhamzimba ezidingwa yinhliziyo.
2. I-Left Ventricular Hypertrophy: I- ventricle yesobunxele iyingxenye eyinhloko yenhliziyo epompa igazi. Njengoba ilwela ukupompa igazi ngokumelene nomfutho ophezulu isikhathi eside, imisipha ekule ngxenye iyaqina. Njengoba nje imisipha yomuntu ophakamisa izinsimbi iba mikhulu. Kodwa lokhu akukuhle enhliziyweni. Lokhu kungaholela ekusebenzeni kabi kwenhliziyo.
Yiziphi ezinye izinkinga ezingabangelwa yilokhu?
Uma singelashwa, isifo senhliziyo esinomfutho wegazi ophezulu singaholela kwezinye izinkinga eziningi zempilo ezimbi. Ake sibheke ithebula elingezansi.
| Inkinga | Incazelo elula |
|---|---|
| Ukwehluleka Kwenhliziyo | Inhliziyo ayikwazi ukupompa igazi elanele emzimbeni. |
| Ukuphazamiseka kwenhliziyo (i-Arrhythmia) | Ukushaya kwenhliziyo okungajwayelekile. Isibonelo, `(Atrial Fibrillation)`. |
| Isifo sohlangothi | Ukugeleza kwegazi okuphazamisekile kuya ebuchosheni. |
| Isifo Senhliziyo Esibangelwa Yi-Ischemic | Izimo ezibangelwa ukwehla kwenani legazi elinikezwa enhliziyweni. |
| Ukufa Kwenhliziyo Okungazelelwe | Ukuyeka ukusebenza kwenhliziyo ngokuzumayo. |
| Isifo Sezinso Esingapheli | Ukulimala kwezinso ngenxa yomfutho wegazi ophakeme. |
Ubani osengozini enkulu?
Hlola la maphuzu ukuze ubone ukuthi usengozini yini.
- Uma une -high blood pressure .
- Uma ungumuntu ongazivivinyi umzimba .
- Uma unesifo sikashukela .
- Uma izinga le-cholesterol egazini liphezulu .
- Uma uneminyaka engaphezu kwengu-45 ubudala.
- Uma ukhuluphele ngokweqile (ukhuluphele kakhulu).
- Uma ubhema noma usebenzisa eminye imikhiqizo kagwayi.
- Uma ufaka usawoti omningi ekudleni kwakho.
- Uma uphuza utshwala .
Uma elinye noma ngaphezulu lawa maphuzu esebenza kuwe, nakanjani udinga ukunakekela impilo yakho kakhulu.
Ziyini izimpawu zalokhu?
Inkinga enkulu lapha ukuthi, njengomfutho wegazi ophakeme, isifo senhliziyo esinomfutho wegazi ophakeme singase singabi nazimpawu ezigabeni zokuqala. Izimpawu ziqala ukuvela kuphela ngemva kokuba inhliziyo yonakele ngezinga elithile.
Lezi yizimpawu ezingase zivele:
- Ubuhlungu besifuba
- Ukuphelelwa umoya
- Ukushaya kwenhliziyo (ukuzwa sengathi inhliziyo yakho ishaya ngokushesha)
- Isiyezi
- Ukuquleka
- Izimpawu zesifo sohlangothi (isib., umlomo ogobile, ukulahlekelwa yilungu)
- Ukufa Kwenhliziyo Okungazelelwe
Uma uhlangabezana nanoma yiziphi zalezi zimpawu, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha .
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela, uzoqala ngokukubuza imibuzo embalwa.
- Umlando wakho wezokwelapha.
- Ingabe ukhona emndenini wakho onesifo senhliziyo?
- Ngemuva kwalokho uzohlolwa ngokomzimba.
Ngaphezu kwalokho, kunconywa ukuhlolwa okuningana ukuqinisekisa isimo nokuhlola umonakalo enhliziyweni.
- Ukuhlolwa kwegazi: Hlola izinto ezifana ne-cholesterol kanye namazinga kashukela.
- Ukuhlolwa komchamo: Hlola ukusebenza kwezinso.
- Ukuhlolwa kwe-ECG (i-Electrocardiogram): Bheka umsebenzi kagesi wenhliziyo.
- I-Echocardiogram: Bheka isakhiwo senhliziyo, ukujiya kwemisipha, nokuthi ipompa kanjani igazi.
Iphathwa kanjani? Futhi kufanele senzeni?
Umgomo oyinhloko wokwelashwa ukulawula umfutho wegazi lakho nokuvimbela umonakalo osewenziwe enhliziyweni yakho ukuthi ungabi mubi kakhulu. Kunezindlela ezimbili eziyinhloko zokwenza lokhu.
1. Izinguquko zendlela yokuphila
Lena yingxenye ebaluleke kakhulu. Kanye nokuphuza imithi, kubalulekile ukushintsha indlela yakho yokuphila ibe ngenempilo.
- Yeka ukubhema nokuphuza utshwala: Kokubili lokhu kulimaza ngqo inhliziyo nemithambo yegazi.
- Ukuzivocavoca: Zivocavoce, njengokuhamba noma ukugijima, okungenani imizuzu engama-30 ngosuku.
- Lawula usawoti: Nciphisa inani likasawoti elifakwa ekudleni. Gwema izinto ezifana nama-pickle, izithelo ezomisiwe, amasoso, kanye nokunambitheka okwenziwe.
- Ukudla okunempilo: Yidla imifino eminingi, izithelo, ubhontshisi, nokudla okucebile nge-fiber. Nciphisa ukudla okunamafutha amaningi, ushukela, kanye nofulawa.
- Lawula isisindo sakho: Zama ukugcina isisindo sakho siphilile.
2. Imithi (imithi)
Kanye nokushintsha kwendlela yokuphila, udokotela wakho uzokunikeza imithi yokulawula umfutho wegazi lakho. Kunezinhlobo ezahlukene zemithi, njengemithi yokukhipha isisu, ama-beta-blockers, kanye nama-ACE inhibitors.
Into ebaluleke kakhulu ukuthi ungayeki ukuthatha imithi udokotela wakho akunike yona, ngesilinganiso esifanele nangesikhathi esifanele . Uma unenkinga ngomphumela ongemuhle, khuluma nodokotela wakho bese uyixazulula. Ungayeki ukuthatha imithi yakho wedwa.
Umlayezo Wokuya Nawe Ekhaya
- Umfutho wegazi ophakeme 'ungumbulali othule.' Ngisho noma kungekho zimpawu, kungabangela umonakalo wesikhathi eside enhliziyweni yakho.
- Hlola umfutho wegazi lakho njalo. Uma uneminyaka engaphezu kwengu-18, kuwumqondo omuhle ukuthi uhlolwe okungenani kanye ngonyaka.
- Indlela yokuphila enempilo (ukudla okuhle, ukuvivinya umzimba, nokugwema ukubhema notshwala) kubalulekile empilweni yenhliziyo.
- Thatha umuthi njengoba nje udokotela wakho ekuyalele, ngesikhathi esifanele, nangesilinganiso esifanele. Ungalokothi uyeke noma ushintshe umuthi wakho wedwa.
- Inhliziyo yakho ingumthwalo wakho. Yinakekele. Uma unezinkinga, bona udokotela bese uthola iseluleko.
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