Inhliziyo iyinjini encane emzimbeni wethu esebenza ngokungayeki futhi ayilokothi iphumule. Le nhliziyo isebenza njalo ngisho nalapho silele, sisebenza, sigijima, sigxuma. Kodwa kwenzekani uma inhliziyo icindezelwa kakhulu? Njengalapho siphakamisa imithwalo esindayo futhi imisipha esezingalweni zethu iba mikhulu, lapho inhliziyo ikhathala kakhulu, izindonga zayo, ikakhulukazi izindonga zegumbi eliyinhloko (i-ventricle yesobunxele) epompa igazi emzimbeni, ziqala ukujiya futhi zikhule. Kwezokwelapha, lesi simo sibizwa ngokuthi 'i-Left Ventricular Hypertrophy' noma i-LVH. Lesi yisimo esivame kakhulu phakathi kwethu eSri Lanka. Ngakho-ke, ake sixoxe ngalokhu namuhla, ngendlela ongayiqonda.
Kuyini ngempela i-Left Ventricular Hypertrophy (LVH)?
Kalula nje, i-LVH iwukujiya kodonga lwemisipha lwe-ventricle yesobunxele, enye yamakamelo amane ayinhloko enhliziyo yethu. Le ventricle yesobunxele inesibopho somsebenzi obaluleke kakhulu wenhliziyo yethu. Okungukuthi, ukupompa igazi elinomoya-mpilo elivela emaphashini liye e-aorta, umthambo wegazi omkhulu kunayo yonke emzimbeni wethu. Ukusuka lapho, igazi lisakazwa kuwo wonke umzimba, kusukela ekhanda kuya ezinyaweni.
Ngakho-ke, ngesizathu esithile, lapho kunengcindezi enkulu noma ukuvinjelwa kule nqubo yokumpompa igazi, le ventricle yesobunxele kufanele isebenze kanzima kakhulu kunokujwayelekile. Kufana nephampu yamanzi eyenza umsindo omkhulu uma ivinjiwe. Uma usebenza kanzima kakhulu ngokuhamba kwesikhathi, imisipha kuleyo gumbi iyaqina kancane kancane futhi iba nkulu. Lokhu kubizwa ngokuthi i-LVH. Ngezinye izikhathi, leli gumbi linganwebeka futhi libe likhulu ukuze liphathe umthamo wegazi owengeziwe. Izifundo zibonisa ukuthi cishe umuntu oyedwa kwabahlanu ngokwesilinganiso angaba nalesi simo.
Ingabe zikhona izinhlobo ze-LVH?
Yebo, odokotela bahlukanisa i-ventricle yakho yesobunxele ibe izinhlobo eziningana ngokusekelwe ngobukhulu kanye nobukhulu bezindonga zayo. Kubalulekile ukuthi ukwazi lokhu.
| Uhlobo lwe-LVH | Kalula nje, yilokhu okwenzekayo. |
|---|---|
| I-Concentric | Izindonga zamakamelo enhliziyo ziyaqina ngaphakathi, okwenza isikhala (ngaphakathi kwegumbi) sigcwale igazi sibe sincane. |
| I-Eccentric | Igumbi lenhliziyoIyanwebeka futhi iba nkulu. Lokhu kwenza isikhala (ngaphakathi kwegumbi) sigcwale igazi libe likhulu. |
| Ukulungiswa kabusha kwe-Concentric (CR) | Nakuba izindonga zijiyile, isisindo semisipha sijwayelekile. |
Yiziphi izimpawu umuntu one-LVH azibonayo?
Inkinga enkulu ngalokhu ukuthi i-LVH ingaba nezimpawu ezingabonakali ezigabeni zayo zokuqala . Abantu abaningi bathola ukuthi banayo kuphela uma behlolwa ngesinye isizathu. Kodwa njengoba isimo siba sibi kakhulu, futhi ingcindezi enhliziyweni ikhula, ungase ube nezimpawu ezinjengalezi.
| Isibonakaliso | Kuzwakala kanjani lokhu? |
|---|---|
| Ubuhlungu besifuba | Isifuba sakho singase sizwakale siqinile futhi sinciphile, ikakhulukazi uma ukhathele noma uzivocavoca. |
| Ukuzizwa unesizungu noma ukuphelelwa amandla (i-Syncope) | Kungazelelwe, ikhanda lakho liyaphenduka, amehlo akho aphenduka aluhlaza okwesibhakabhaka, futhi ngezinye izikhathi ungase ulahlekelwe ngisho nokuqwasha bese uwe. |
| Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile | Inhliziyo ishaya ngamandla ngokuzumayo, noma izwa sengathi ishaya ngaphandle kwesigqi. |
| Ukushaya kwenhliziyo | Uma ulala, uma uthule, ungazwa futhi uzwe umsindo wenhliziyo yakho ushaya ngokuthi "gug dug". |
| Ukukhathala | Ngisho nokwenza izinto ezincane engivame ukuzenza, ngisheshe ngikhathale. Ngizizwa sengathi angisaphili emzimbeni wami. |
| Ubunzima bokuphefumula | Uma ngihamba kancane, ngikhuphuka izitebhisi, noma ngigoba, ngikuthola kunzima ukuphefumula, futhi ngizizwa ngididekile. |
Kungani lesi simo se-LVH senzeka? Ziyini izimbangela?
Imbangela eyinhloko nevame kakhulu ye-LVH umfutho wegazi ophakeme, owaziwa nangokuthi umfutho wegazi ophakeme. Lapho umfutho wegazi wakho ukhuphuka, umfutho wegazi ngaphakathi kwemithambo yegazi yakho uyakhuphuka. Ngakho-ke inhliziyo yakho kufanele isebenze kanzima kunokujwayelekile ukuze ipompe igazi ngokumelene nalokhu kucindezela okwandayo. Uma usebenza kanzima kangaka eminyakeni edlule, imisipha yenhliziyo iyaqina.
Kodwa akusikho nje ukucindezelwa, kunezinye izizathu eziningi ezingathinta lokhu.
- Isifo sama-valve enhliziyo: Ama-valve enhliziyweni afana neminyango. Agcina igazi ligeleza ohlangothini olulodwa futhi alivimbele ukuthi ligeleze libuyele emuva. Uma la ma-valve eba mancane (stenosis) noma evuza (regurgitation), inhliziyo kufanele isebenze kanzima ukupompa igazi.
- Isifo Sikashukela: Isifo sikashukela esingalawulwa sibangela amazinga aphezulu kashukela egazini. Lokhu kungalimaza inhliziyo ngokuhamba kwesikhathi.
- I-Cardiomyopathy: Ngenxa yezizathu ezithile zofuzo noma ezinye, imisipha yenhliziyo ingase iqine noma ibe buthaka.
- Ukuhlangana kwe-aorta: Lesi yisimo esiba khona lapho umuntu ezalwa. Umthambo wegazi oyinhloko othwala igazi emzimbeni uncishisiwe endaweni eyodwa. Ngakho inhliziyo kufanele isebenze kanzima ukupompa igazi kuleyo ndawo encishisiwe.
- Ezinye izimo zezokwelapha: I-cardiac amyloidosis (i-protein deposits enhliziyweni), i-renal artery stenosis (ukuncipha kwemithambo yegazi ehambisa igazi ezinso), kanye ne-ventricular septal defect (VSD) (imbobo ephakathi kwamakamelo enhliziyo) nakho kungabangela i-LVH.
- Ukuqeqeshwa okujulile kwezemidlalo: Abasubathi abazivocavocayo futhi abazivocavoca ngokweqile bangase babe nezinhliziyo ezikhuliswe kancane ngokwemvelo. Kodwa-ke, lokhu akusona isimo sezokwelapha. Izinhliziyo zabo zisebenza kahle.
Into ebalulekile ukuthi noma ngabe unesinye noma ngaphezulu kwalezi zimo, akusho ukuthi uzoba ne-LVH. Kodwa ingozi iphakeme. Ngakho-ke, kubalulekile ukulawula lezi zimo ngendlela efanele.
Ubani osengozini enkulu yokuthola i-LVH?
Abanye abantu basengozini enkulu yokuthola lesi simo kunabanye.
- Ukukhuluphala ngokweqile: Uma unesisindo somzimba esiningi, inhliziyo yakho kufanele isebenze kanzima ukupompa igazi emzimbeni wakho wonke. Ingozi yakho iphezulu uma i-BMI yakho ingaphezu kwama-30.
- Isifo sezinso esingamahlalakhona: Uma izinso zihluleka ukusebenza, inani loketshezi nosawoti emzimbeni liyakhula, okungaholela ekucindezelekeni kwegazi okuphezulu.
- Ukuphefumula okubangelwa ukungasebenzi kahle kokulala: Lesi simo, lapho ukuphefumula kuvame ukuyeka ngesikhathi sokulala, kubeka ingcindezi enkulu enhliziyweni.
- Amaphutha endleleni yokuphila: Izinto ezifana nokubhema, ukufaka usawoti omningi ekudleni kwakho, kanye nokungawuvivinyi umzimba nakho kwandisa ingozi.
Kwenzekani uma i-LVH ingelashwa?
Yilapho sonke okudingeka sigxile khona. I-LVH iyisibonakaliso sokuthi inhliziyo icela usizo. Uma singayinaki, ngokuhamba kwesikhathi, ikhono lokupompa kwenhliziyo lingaba buthaka futhi kungaba nezinkinga ezinkulu.
- Ukuphazamiseka kwenhliziyo `(Arrhythmia)`
- Isifo senhliziyo
- Ukuboshwa kwenhliziyo
- Isifo senhliziyo `(Ukwehluleka kwenhliziyo)`
- Isifo sohlangothi
- Isifo sokulahlekelwa yingqondo
Ingozi yokuthola lezi zimo ezibucayi iyanda nge-LVH, ngakho-ke kubaluleke kakhulu ukuxilonga lesi simo bese uqala ukwelashwa ngokushesha okukhulu.
Udokotela ukuthola kanjani lokhu?
Ngisho noma ungenazo izimpawu, udokotela wakho angase akusole lokhu uma uhlolwa njalo. Kuzokwenziwa izivivinyo eziningana ukuqinisekisa ukuba khona kwe-LVH nokuthola imbangela.
- I-Echocardiogram (Echo): Lesi isivivinyo esibaluleke kakhulu. Kufana nokuskena kwengane. Singabona ngokucacile ubukhulu bamakamelo enhliziyo, ukujiya kwezindonga, ukusebenza kwama-valve, nokuthi inhliziyo ipompa kanjani igazi.
- I-Electrocardiogram (ECG noma EKG): Lokhu kurekhoda umsebenzi kagesi wenhliziyo. Uma inhliziyo ikhulisiwe, izinguquko zingabonakala ku-ECG.
- I-MRI Scan: Kwezinye izimo, i-MRI scan ingadingeka ukuze kufundwe isakhiwo senhliziyo ngokucacile.
- Ukuhlolwa kwegazi: Ukuhlolwa kwegazi kwenziwa ukuze kuhlolwe ezinye izimo zezokwelapha, njengesifo sikashukela nesifo sezinso.
Yiziphi izindlela zokwelapha lokhu?
Umgomo oyinhloko wokwelapha i-LVH ukwelapha imbangela eyisisekelo yalesi simo. Lokhu kuzonciphisa ukucindezeleka enhliziyweni futhi kumise noma kunciphise ukuqhubeka kwe-LVH.
| Indlela yokwelapha | Kwenzekani ngalokhu? |
|---|---|
| Ushintsho lwendlela yokuphila | Umfutho wegazi ungalawulwa ngokudla ukudla okunempilo nokungenasawoti omningi, ukuzivocavoca nsuku zonke, ukulawula isisindo, nokugwema ukubhema. Lesi yisisekelo sokwelashwa. |
| Imithi yokucindezeleka kwegazi | Kubalulekile ukuthatha imithi yomfutho wegazi oyinikwa udokotela wakho ngesikhathi esifanele. Le mithi yehlisa ukucindezeleka enhliziyweni futhi ivimbele i-LVH ukuthi ibe yimbi kakhulu. |
| Eminye imithi | Eminye imithi yesifo sikashukela (njengezithibi ze-SGLT2) itholakale isiza ekuphatheni i-LVH. |
| Ukuhlinzwa kwe-valve yenhliziyo | Uma i-LVH ibangelwa ukuncishiswa kwevalvu yenhliziyo, ukufaka esikhundleni noma ukulungisa leyo valve ngokuhlinzwa kunganciphisa ingcindezi enhliziyweni. |
| Ukuhlinzwa kokunciphisa isisindo (ukuhlinzwa kwe-Bariatric) | Uma ukukhuluphala okukhulu kungenakulawuleka, ngezinye izikhathi ukuhlinzwa okufana nalokhu kungakusiza ukwehlisa isisindo futhi kulawule umfutho wegazi lakho. |
Kufanele ngimbone nini udokotela?
Uma uhlangabezana nanoma yiziphi zalezi zimpawu, ungazinaki.
Uma uzwa ubuhlungu obukhulu esifubeni, ubunzima obukhulu bokuphefumula, izimpawu zesifo sohlangothi (ukugoba kolunye uhlangothi lobuso, ukungazweli engalweni, ubunzima bokukhuluma), noma ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, iya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.**
Ngaphezu kwalokho, uma udokotela wakho ekutshelile ukuthi une-LVH, yazisa udokotela wakho nganoma yiziphi izinguquko noma ukwanda kwezimpawu zakho.
Ingabe i-LVH ingaguqulwa?
Lezi yizindaba ezinhle. Yebo, kwezinye izimo, i-LVH ingathuthukiswa, ilawulwe, futhi ngezinye izikhathi iguqulwe ngokuphelele!Ucwaningo luye lwabonisa ukuthi uma umfutho wegazi ulawulwa kahle, imisipha yenhliziyo ejiyile ingalulama ngezinga elithile.
Kodwa lokhu kuncike ebunzimeni besimo sakho, ukuthi usunesikhathi esingakanani unomfutho wegazi ophakeme, nokuthi unezinye izimo zezokwelapha ezifana nokukhuluphala ngokweqile. Ngakho into engcono kakhulu ongayenza ukulandela imiyalelo kadokotela wakho ngqo. Kubaluleke kakhulu ukuphuza imithi yakho, ukushintsha indlela ophila ngayo, nokuya emtholampilo ngesikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Left Ventricular Hypertrophy (LVH) iwukujiya kwezindonga zegumbi eliyinhloko lokupompa kwenhliziyo. Imbangela eyinhloko yalokhu umfutho wegazi ophakeme.
- Kungase kungabi khona zimpawu ezigabeni zokuqala, ngakho-ke hlola umfutho wegazi lakho njalo futhi uhlolwe udokotela.
- Indlela engcono kakhulu yokulawula i-LVH ukwelapha kahle isifo esiyisisekelo (ikakhulukazi umfutho wegazi ophakeme) esibangela lesi simo.
- Indlela yokuphila enempilo (ukudla okuhle, ukuvivinya umzimba, nokulawula isisindo) kungasiza kakhulu ekulawuleni lesi simo.
- Uma unemibuzo noma ukukhathazeka ngalokhu, ungesabi ukukhuluma ngokukhululekile nodokotela wakho. Ngokutholakala kusenesikhathi kanye nokwelashwa okufanele, ungaphila impilo enempilo.
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