Ingabe inhliziyo yakho ishintshile kanje? Ake sixoxe nge-Hypertrophic Cardiomyopathy (HCM)!

Wake wezwa ngesimo senhliziyo lapho imisipha yenhliziyo ivele iqine, kube nzima kancane? Ngezinye izikhathi ungase ungazi nokuthi unaso, ngoba abanye abantu abanazo izimpawu. Kodwa kubalulekile ukuqaphela ngoba sithinta inhliziyo. Namuhla sizokhuluma ngalesi simo esibizwa ngokuthi i-hypertrophic cardiomyopathy, noma i-'HCM' phakathi kodokotela. Ungakhathazeki, sizokhuluma ngaso kalula, ngendlela ongayiqonda.

Ake siqale sibone ukuthi iyini i-HCM?

Kalula nje, i-hypertrophic cardiomyopathy (HCM) yisimo esiyinkimbinkimbi esithinta imisipha yenhliziyo yakho. Singabangelwa izinto ezimbalwa eziyinhloko:

• Ukuqina kwemisipha yenhliziyo: Ikakhulukazi amakamelo angezansi enhliziyo, esiwabiza ngokuthi ama-ventricle, anezindonga ezijiyile.
• Ukuqina kwe-ventricle yesobunxele: Igumbi eliyinhloko ohlangothini lwesobunxele lwenhliziyo (i-ventricle yesobunxele) liyaqina, lingabi namandla kangako, njengerabha.
• Izinguquko zevalvu ye-mitral: Izinguquko emsebenzini wevalvu ye-mitral, ivalvu ebalulekile enhliziyweni, zingenzeka.
• Izinguquko zamaseli: Kwenzeka izinto ezithile ezingavamile emaseli emisipha yenhliziyo (izinguquko zamaseli).

Lezi zinto zingabangela ukuphazamiseka okuthile ekusebenzeni kwenhliziyo.

Lesi simo se-HCM sithinta kanjani umzimba wakho?

Kulungile, manje ake sibone ukuthi lezi zinguquko zithinta kanjani umzimba.

Ukuqina kwe-myocardium

Lesi yisibonakaliso esiyinhloko esibonakala ku-HCM. Ngokuvamile, lokhu kuqina kwenzeka odongeni oluhlukanisa izinhlangothi zesobunxele nesokudla zenhliziyo, olubizwa ngokuthi `(septum).` Cabanga nje, lapho le septum ephakathi kwamakamelo aphansi enhliziyo `(ventricles)` iqina, ingavimba indlela igazi eligeleza ngayo lisuka kwi-ventricle yesobunxele liye kwi-aorta, umthambo wegazi oyinhloko othwala igazi emzimbeni wonke. Lokhu sikubiza ngokuthi `(outflow tract obstruction)`. Ngemuva kwalokho inhliziyo kufanele isebenze kanzima ukupompa igazi lidlule kulokhu kuvalwa. Uhlobo lwe-HCM oluvimba indlela igazi eligeleza ngayo lubizwa ngokuthi `(Hypertrophic Obstructive Cardiomyopathy - HOCM)`.

Ngezinye izikhathi ezinye izingxenye zenhliziyo, njenge-apex, i-ventricle yesokudla, noma yonke i-ventricle yesobunxele, zingaba zijiyile. Kulezi zimo, ukugeleza kwegazi akuvimbeki. Kodwa-ke, inani legazi elingaphathwa yi-ventricle liyancishiswa. Lokhu kubizwa ngokuthi i-Hypertrophic Nonobstructive Cardiomyopathy.

Ukuqina Kwemithambo Yesobunxele

Uma imisipha yenhliziyo ikhula, izinguquko kulawo maseli zenza i-ventricle yesobunxele ingaphumuli kahle futhi igcwale igazi. Kwenzekani-ke? Ngenxa yokuthi kunegazi elincane ekamelweni, igazi elincane elinomoya-mpilo lithunyelwa kwezinye izitho nemisipha emzimbeni. Lokhu kuqina kwandisa nokucindezeleka ngaphakathi kwenhliziyo, futhi ungase ube nezimpawu ezifana nalezi:

• Ubuhlungu besifuba
• Ukuphelelwa umoya
• Isiyezi noma ukuquleka
• Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha (ukushaya kwenhliziyo)

Izinguquko ze-Mitral Valve

Njengoba kushiwo ngaphambili, lapho indlela yokuphuma kwe-ventricular yesobunxele ivalekile, i-valve ye-mitral enhliziyweni ingase ingasebenzi kahle. Lokhu kungavimba ukugeleza kwegazi futhi kwandise ingcindezi kwi-ventricle yesobunxele.

Imbangela yalokhu kuvimbeka yivalvu ye-mitral eshaya i-septum eqinisiwe. Uma lokhu kwenzeka, ivalvu ye-mitral ayivaleki kahle futhi igazi lingavuza libuyele ku-atrium yangakwesobunxele.

Izinguquko Zeselula

Uma ubhekisisa ngaphansi kwe-microscope, amangqamuzana emisipha yenhliziyo yomuntu one-HCM awahlelekile ngendlela eqondile, kodwa ahlelwe ngendlela exakile. Lokhu kuphazamiseka kungabangela izinguquko ezimpawini zikagesi ezihamba emakamelweni aphansi enhliziyo, okubangela isigqi senhliziyo esingavamile esibizwa ngokuthi i-ventricular arrhythmia. Lokhu kungaba yingozi.

Sivame kangakanani lesi simo esibizwa ngokuthi i-HCM?

Kulinganiselwa ukuthi abantu abangaba yizigidi ezingu-1.5 e-United States kuphela, noma cishe oyedwa kubantu abangu-500, bane-HCM. Lokhu kuvame kakhulu kunesifo esifana nesifo esithi "(Multiple Sclerosis)". Ngakho-ke, akuyona into engavamile kangako.

I-HCM ivame ukukhula ineminyaka emingaki?

Esikhathini esiningi, lesi sifo senhliziyo sivela kubantu abasha, abaneminyaka engaba yishumi nesishiyagalombili noma engamashumi amabili. Kodwa-ke, singaqala kunoma yimuphi ubudala.

Uma ngine-HCM, ingabe ikhona ingozi yokukhulelwa?

Ungadinga ukunakekelwa okukhethekile kwezokwelapha, njenge-echocardiography ejwayelekile. Kodwa-ke, cishe uzoba nokukhulelwa okunempilo kanye nokubeletha okuvamile. Kodwa-ke, kubalulekile ukuxoxa ngalokhu nodokotela wakho ngaphambi kokuba ukhulelwe futhi uxoxe ngezingozi. Udokotela wakho uzokutshela nokuthi yimiphi imithi ye-HCM ongaqhubeka uyithatha ngesikhathi sokukhulelwa. Kungadingeka futhi ukuthi ufake i-pacemaker noma i-implantable cardioverter defibrillator (ICD) uma kudingeka ngesikhathi sokukhulelwa.

Yini ebangela i-HCM?

Kunezici eziningana ezingabangela i-HCM:

• Izakhi zofuzo: Lesi yimbangela eyinhloko. I-HCM yisifo esingadluliselwa kubazali siye ezinganeni. Lokhu kusho ukuthi kukhona iphutha ezakhiweni zofuzo ezilawula izici zemisipha yenhliziyo. Kunezinhlobo eziningana zezakhi zofuzo ezibangela i-HCM. Ngisho noma kukhona iphutha lezakhi zofuzo, akuwona wonke umuntu emndenini ozohlakulela lesi sifo ngendlela efanayo. Abanye abantu bangase babe ne-HCM gene kodwa bangalokothi babe nalesi sifo.
• Umfutho wegazi ophakeme: Umfutho wegazi ophakeme obewukhona isikhathi eside nawo ungaba yimbangela yalokhu.
• Ukuguga: Kukhona ithuba lokuthi lesi simo sivele njengoba ukhula.
• Amacala lapho imbangela ingaziwa khona:Ngezinye izikhathi, asikho isizathu esiqondile esingatholakala se-HCM.

Yiziphi izimpawu umuntu one-HCM angase azibone?

Abanye abantu abane-HCM bangase babe nezimpawu ezahlukahlukene, kanti abanye bangase bangabi nazo nhlobo izimpawu. Izimpawu ezivame kakhulu yilezi:

• Ubuhlungu besifuba: Lokhu kuvame ukwenzeka ngesikhathi sokuzivocavoca noma ukuzikhandla, kodwa ngezinye izikhathi kungenzeka uma umile noma ngemva kokudla.
• Ukuphelelwa umoya nokukhathala: Lezi zimpawu, ikakhulukazi uma ukhathele, zivame kakhulu kubantu abadala. Lokhu kungenxa yokucindezela okukhulu kwe-atrium yesobunxele nasemaphashini.
• Ukuquleka noma ukuquleka (i-syncope): Lokhu kungabangelwa yizigqi zenhliziyo ezingavamile (i-arrhythmias) noma ukusabela okungavamile kwemithambo yegazi ngesikhathi sokuzivocavoca. Ngezinye izikhathi, akukho sizathu esingatholakala.
• Ukushaya kwenhliziyo okungavamile: Lokhu kungabangelwa ukushaya kwenhliziyo okungavamile, njenge-atrial fibrillation (atrial flutter) noma i-ventricular tachycardia (ventricular tachycardia). Cishe abantu abangu-25% abane-HCM bane-atrial fibrillation. Lokhu kwandisa ingozi yokuqhekeka kwegazi kanye nokwehluleka kwenhliziyo.
• Ukuvuvukala kwemithambo emzimbeni noma entanyeni engezansi.

Yiziphi ezinye izinkinga zempilo ezingahlotshaniswa ne-HCM?

Abantu abaningi abane-HCM baphila impilo ejwayelekile futhi abanazo izinkinga ezinkulu zempilo. Abanye akudingeki baphuze imithi. Kodwa-ke, noma ungenazo izimpawu, udokotela wakho angase akucebise ukuthi ungazivivinyi kakhulu.

Kodwa-ke, abanye abantu abane-HCM bangase babe nezinkinga zenhliziyo ezifinyeza isikhathi sabo sokuphila noma ezinciphisa ikhwalithi yokuphila kwabo. Eziyinhloko yilezi:

Ukuboshwa Kwenhliziyo Okungazelelwe Nokufa Kwenhliziyo Okungazelelwe

Ukuma kwenhliziyo ngokuzumayo kuwukulahlekelwa ukusebenza kwenhliziyo ngokuzumayo ngenxa yokushaya kwenhliziyo okusheshayo okuyingozi (isb., i-Ventricular Tachycardia). Kulesi simo, ukwelashwa okuphuthumayo, njenge-CPR kanye ne-defibrillation, kuyadingeka ngokushesha nje lapho izimpawu ziqala. Uma lokhu kwelashwa kunganikezwanga kahle, ukufa kwenhliziyo ngokuzumayo kungenzeka.

Iningi labantu abane-HCM lisengozini encane yokufa ngokuzumayo kwenhliziyo. Kodwa-ke, i-HCM iyimbangela ehamba phambili yokufa ngokuzumayo kwenhliziyo kubantu abangaphansi kweminyaka engama-35. Kungenzeka ukuthi uke wezwa ukuthi i-HCM ihlotshaniswa nokufa ngokuzumayo kwabanye abadlali abasebasha abangochwepheshe.

Ukwehluleka Kwenhliziyo

Ukuthi nje une-`(Heart Failure)` akusho ukuthi inhliziyo yakho "yehlulekile" futhi yayeka ukusebenza. Kusho ukuthi inhliziyo yakho ayipompi igazi ngendlela efanele futhi ngempumelelo. Izimpawu ze-`(Heart Failure)` zifaka:

• Ukuphelelwa umoya.
• Ukuzizwa ukhathele uma usebenza (ukukhathala).
• Ukuvuvukala kwamaqakala, imilenze, kanye nesisu.
• Ukudinga ukuchama ebusuku ngenkathi uphumule.
• Isiyezi, ukudideka, ubunzima bokugxilisa ingqondo, ukuquleka.
• Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha (ukushaya kwenhliziyo).
• Ukukhwehlela okomile, okuqhekezayo.
• Ukuzizwa ugcwele, ukuvuvukala, ukuphelelwa yisifiso sokudla, noma ubuhlungu besisu.

Ungayithola kanjani i-HCM? (Ukuxilongwa)

I-HCM ihlolwa ngokusekelwe kulokhu okulandelayo:

• Umlando wezokwelapha: Udokotela wakho uzokubuza ngezimpawu zakho nokuthi ngabe kukhona yini emndenini wakho oke waba nezifo ezifanayo.
• Ukuhlolwa komzimba: Udokotela uzolalela inhliziyo namaphaphu akho. Abantu abane-HOCM bangase bezwe umsindo wenhliziyo ongajwayelekile (ukububula kwenhliziyo).
• Ukuhlolwa: I-echocardiogram (echo) ukuhlolwa okuyinhloko okusetshenziselwa ukuxilonga i-HCM. Lokhu kungasiza ukubona ukuthi izindonga zenhliziyo zijiyile yini.

Kunezinye izivivinyo:

• Ukuhlolwa kwegazi.
• I-Electrocardiogram (ECG).
• I-X-ray yesifuba.
• Ukuhlolwa kwe-echo yokucindezeleka kokuzivocavoca.
• Ukufakwa kwe-catheter kwenhliziyo.
• Ukuthwebula izithombe ze-magnetic resonance (MRI).

Yiziphi izindlela zokwelapha i-HCM?

Udokotela wakho uzonquma ukuthi yikuphi ukwelashwa okufanele wena ngokusekelwe kulezi zici ezilandelayo:

• Ingabe kukhona ukuvaleka kwendlela igazi eliphuma ngayo enhliziyweni (umgudu wokugeleza kwegazi uyancipha)?
• Inhliziyo yakho isebenza kanjani?
• Izimpawu zakho.
• Ubudala bakho nokuthi usebenza kangakanani.
• Ingabe unezigqi zenhliziyo ezingavamile (ama-arrhythmia)?

Umgomo oyinhloko wokwelashwa ukunciphisa noma ukuvimbela izimpawu nokunciphisa ingozi yezinkinga ezifana nokwehluleka kwenhliziyo nokufa kwenhliziyo ngokuzumayo.

Lokhu okulandelayo kungenziwa njengokwelashwa:

• Thola izingozi bese uqhubeka nokubona udokotela.
• Izinguquko zendlela yokuphila.
• Imithi.
• Izinqubo zezokwelapha ezikhethekile.

Ungayihlola kanjani i-HCM?

Njengoba i-HCM iyisimo esingadluliselwa kusuka esizukulwaneni kuya kwesinye, uma omunye wabazali bakho, izingane zakini, noma izingane (okungukuthi, isihlobo sezinga lokuqala) enalesi sifo, kubalulekile ukuhlolwa.

Isinyathelo sokuqala ukuhlolwa kwenhliziyo yakho nge-Electrocardiogram (ECG) kanye ne-Echocardiogram (echo). Uma lezi zivivinyo zibonisa izimpawu ze-HCM, kuzodingeka ubone udokotela ochwepheshe kulesi simo (udokotela wenhliziyo).

Ngezinye izikhathi, noma ngabe unomlando womndeni we-HCM, imiphumela yakho yokuhlolwa ingaba ejwayelekile. Uma kunjalo, odokotela batusa ukuthi wenze i-echo kanye ne-ECG njalo eminyakeni emithathu uze ube neminyaka engu-30, bese kuba njalo eminyakeni emihlanu.

Ubani osengozini enkulu yokufa ngokuzumayo kwenhliziyo ngenxa ye-HCM?

Iningi labantu abane-HCM lisengozini encane yokufa ngokuzumayo kwenhliziyo. Kodwa-ke, inani elincane labantu abane-HCM lisengozini enkulu. Kubalulekile ukwazi ukuthi unalesi simo yini. Udokotela wakho angakutshela ukuthi yini ongayenza ukuze unciphise ingozi yakho.

Abantu abasengozini enkulu yokufa ngokuzumayo kwenhliziyo ngenxa ye-HCM yilaba:

• Abantu abanomlando womndeni wokufa ngokuzumayo kwenhliziyo.
• Abantu abaye baba ne-syncope izikhathi eziningana ebusheni babo.
• Abantu abasabela ngendlela engavamile ekuzivocavoceni ngegazi.
• Abantu abanomlando wangaphambilini wokushaya kwenhliziyo okusheshayo ngendlela engavamile (i-arrhythmia).
• Labo abanezimpawu ezinzima kanye nokusebenza kabi kwenhliziyo.

Khuluma nodokotela wakho ngengozi yakho. Uma unezici ezimbili noma ngaphezulu ezingabangela ukufa ngokuzumayo, udokotela wakho angase akuncome imithi yokulwa nokushaya kwenhliziyo (imithi elawula izigqi zenhliziyo ezingavamile) noma i-implantable cardioverter defibrillator (ICD) ukuze unciphise ingozi yakho.

Yimiphi imithi esetshenziswayo ukuphatha i-HCM?

Odokotela banikeza imithi ehlukahlukene ukulawula izimpawu zakho nokuvimbela ezinye izinkinga. Imithi efana ne-"Beta blockers" kanye ne-"calcium channel blockers" iphumuza imisipha yenhliziyo, isize ukuthi igcwalise igazi futhi ipompe igazi kahle. Eminye imithi ingalawula ukushaya kwenhliziyo yakho noma inciphise ingozi yokushaya kwenhliziyo okungajwayelekile (ama-arrhythmia).

Ungase utshelwe ukuthi ungayithathi imithi ethile, isibonelo ama-nitrate (anciphisa umfutho wegazi) noma i-digoxin (ekhulisa amandla okufinyela kwenhliziyo).

Ngezinye izikhathi kungadingeka ukuthi uphuze ama-antibiotic futhi uthathe ezinye izinyathelo zokuphepha ukuze unciphise ingozi yokutheleleka okusongela ukuphila okubizwa ngokuthi i-bacterial endocarditis.

Yiziphi izinqubo ezithile zezokwelapha ezisetshenziswayo ukwelapha i-HCM?

Kunezindlela eziningana zokwelapha i-Hypertrophic Obstructive Cardiomyopathy (HOCM), isimo esibangela ukuvinjelwa kokugeleza kwegazi:

Ukuhlinzwa kwe-Septal Myectomy

Lena inqubo yokuhlinzwa. Ku-septal myectomy, udokotela ohlinzayo ususa ingxenye encane yodonga lwakho lwe-septal olujiyile. Lokhu kwandisa indlela yokuphuma kwegazi kusuka ku-ventricle yesobunxele kuya ku-aorta. Odokotela bacabangela lokhu kuhlinzwa kuphela uma imithi ingasizi. Lokhu kuvame ukuxazulula inkinga ye-mitral valve.

Ukususwa kwe-Ethanol

Lokhu kubizwa nangokuthi `(septal ablation)`. Le ndlela isetshenziswa kubantu abangakwazi ukwenza ukuhlinzwa `(septal myectomy)` okukhulunywe ngakho ekuqaleni. Kulokhu, udokotela uthola umthambo omncane wenhliziyo ohlinzeka ngegazi engxenyeni engenhla ye-septum yakho. Bese efaka i-catheter yebhaluni kulowo mthambo bese ewufutha. Okulandelayo, ufaka idayi `(i-contrast agent)` ukuze athole indawo eqondile yodonga lwe-septal olujiyile oluvimba ukugeleza kwegazi.

Uma indawo isitholakele, udokotela ufaka inani elincane kakhulu lotshwala oluhlanzekile nge-catheter. Utshwala bubulala amaseli, futhi ezinyangeni ezimbalwa ezizayo i-septum iyancipha ibuyele kusayizi wayo ojwayelekile. Lokhu kwandisa indlela yokugeleza kwegazi.

I-Implantable Cardioverter Defibrillator (ICD)

I-implantable cardioverter defibrillator (ICD) ingasiza abantu abane-arrhythmias esongela ukuphila noma ukufa kwenhliziyo ngokuzumayo. I-ICD iyithuluzi elincane elifakwa ngaphansi kwesikhumba sakho. Ixhunywe enhliziyweni yakho ngezintambo. I-ICD iqapha njalo isigqi senhliziyo yakho. Uma ithola ukushaya kwenhliziyo okusheshayo nokungavamile, iletha ukushaqeka kukagesi okuncane kodwa okunamandla enhliziyweni, okubangela ukuthi ishaye ngendlela evamile futhi. Udokotela wakho uzokutshela ukuthi i-ICD ikufanele yini.

Ukuphathwa Kokwehluleka Kwenhliziyo

Kunezindlela eziningana zokuphatha ukwehluleka kwenhliziyo, kusukela ekushintsheni indlela yokuphila kuya emithini enciphisa izimpawu futhi isize imisipha yenhliziyo ukuthi isebenze kahle.

Ngingayithuthukisa kanjani ikhwalithi yempilo yami nge-HCM?

Kungakhathaliseki ukuthi unezimpawu noma cha, kungakhathaliseki ukuthi utholakale une-HCM, noma uma othile emndenini wakho enayo, kunezinto eziningana ongazenza ukuze ugcine impilo yenhliziyo yakho isezingeni eliphezulu:

• Nciphisa uketshezi nosawoti (i-sodium): Uma unezimpawu zokwehluleka kwenhliziyo, kungadingeka unciphise uketshezi olusetshenziswayo kanye nosawoti olusetshenziswayo. Cela udokotela wakho ukuthi akunike iziqondiso ezithile mayelana nokudla kwakho, okuhlanganisa utshwala kanye ne-caffeine.
• Zivocavoce ngokucophelela: Udokotela wakho uzokhuluma nawe ngokuthi yikuphi ukuzivocavoca okufanele wena. Abantu abaningi abane-HCM bangenza imisebenzi ye-aerobic engancintisani. Odokotela abancomi ukuphakamisa okunzima noma imidlalo enamandla kakhulu.
• Bona udokotela wakho njalo: Uma une-HCM, kufanele ubonane nodokotela wakho wenhliziyo njalo ukuze aqaphe isimo sakho.
• Nciphisa ingozi yakho yokutheleleka: Uma une-HCM, udokotela wakho uzokweluleka ukuthi uthathe izinyathelo zokunciphisa ingozi yakho yokuthola ukutheleleka okubizwa ngokuthi "i-infective endocarditis".

Ungayinciphisa kanjani ingozi yokuthola i-Infectious Endocarditis?

Abantu abane-HCM banamathuba amaningi okuthola ukutheleleka kwebhaktheriya okubizwa ngokuthi ``bacterial endocarditis`` noma ``infective endocarditis``.

I-bacterial endocarditis ukutheleleka kwama-valve enhliziyo yakho noma ulwelwesi lwenhliziyo yakho (i-endocardium). Kwenzeka lapho amagciwane (ikakhulukazi amagciwane, kodwa ngezinye izikhathi isikhunta nezinye izinto ezincane) engena egazini lakho futhi ahlasele ulwelwesi lwenhliziyo yakho noma ama-valve. Lokhu kungabangela ukuthi ama-valve abe makhulu, abhoboke, noma abe nezibazi. Lokhu kuvame ukuholela ekuvuvukeni kwe-valve yenhliziyo. Uma ingelashwa kahle, ingaba yingozi.

Ungathatha lezi zinyathelo ukunciphisa le ngozi:

• Nakekela kahle amazinyo nezinsini zakho: Bona udokotela wamazinyo njalo ezinyangeni eziyisithupha, xubha amazinyo akho nsuku zonke, faka i-floss, bese uhlola ukuthi umuthi wakho wamazinyo ulingana kahle.
• Bona udokotela uma unezimpawu zokutheleleka:
• Umkhuhlane ongaphezu kwama-degrees Fahrenheit ayi-100, ukujuluka, noma ukubanda.
• Ukuqhuma kwesikhumba.
• Ubuhlungu, ukuqaqamba, ukubomvu, noma ukuvuvukala.
• Isilonda noma ukusikeka okungapholi, noma isilonda esibomvu, esishisayo, nesiphuma ubomvu.
• Umphimbo obuhlungu, ukuqina komphimbo, noma ubuhlungu lapho ugwinya.
• Ukuphuma kwe-sinus, ukuminyana kwamakhala, ikhanda elibuhlungu, noma ubuhlungu emathanjeni aphezulu ezihlathini.
• Ukukhwehlela okomile noma okunezikhwehlela okuhlala izinsuku ezingaphezu kwezimbili.
• Amabala amhlophe emlonyeni noma olimini.
• Isicanucanu, ukuhlanza, noma uhudo.

Ungalibali ukufuna ukwelashwa. Umkhuhlane ovamile kanye nomkhuhlane akubangeli i-endocarditis. Kodwa-ke, ezinye izifo ezinezimpawu ezifanayo zingabangela i-endocarditis. Ngakho-ke, phepha futhi ubone udokotela wakho.

• Thatha ama-antibiotic okuvimbela ngaphambi kwezinqubo ezithile zezokwelapha nezamazinyo. Khuluma nodokotela wakho ngohlobo lwama-antibiotic okufanele uwathathe, inani, kanye nezinhlobo zezinqubo okufanele uzithathe.
• Gcina ikhadi lokuhlonza i-bacterial endocarditis litholakala kwi-American Heart Association.

Okokugcina, yilokhu okumele ukusho (Umyalezo Wokuya Ekhaya)

Iningi labantu abane-HCM liphila impilo ejwayelekile nejabulisayo. Kunezindlela eziningana zokwelapha ezitholakalayo kulabo abanezimpawu noma abasengozini yokuthola izinkinga ezinkulu. Ukubikezela kwakho kuncike ekutheni imisipha yenhliziyo yakho isebenza kahle kangakanani, ukuthi yiziphi izimpawu zakho, nokuthi usabela kahle kangakanani ohlelweni lwakho lokwelashwa futhi ululandela kanjani.

Buza udokotela wakho ngezingozi zakho nokuthi yini ongayenza ukuze uthuthukise ikhwalithi yempilo yakho futhi uvimbele ukutheleleka. Uma utholakala une-HCM futhi uba nezimpawu noma usola ukutheleleka, bona udokotela wakho ngokushesha. Khumbula, ungaphila impilo enhle ngalesi simo!

'I-Hypertrophic cardiomyopathy, i-HCM, isifo senhliziyo, ukukhulisa inhliziyo, ubuhlungu besifuba, ukuphelelwa umoya, ukufa kwenhliziyo ngokuzumayo