Uzwa umsindo ongajwayelekile othi "soo... soo..." uvela enhliziyweni yakho? Kungaba ukukhononda kwenhliziyo okubizwa ngokuthi i-Systolic Heart!

Uma udokotela elalele isifuba sakho nge-stethoscope, ngezinye izikhathi ungase uzwe umsindo omncane othi 'swoosh' noma 'whistle' ngaphezu komsindo ojwayelekile 'we-lub-dub' wenhliziyo yakho. Lokhu yilokho esikubiza ngokuthi 'inhliziyo ibubula'. Abanye abantu bayesaba lapho bezwa lokhu, kodwa akuzona zonke izinkulumo eziyingozi. Namuhla sizokhuluma ngokunye okunjalo , i-Systolic Murmur .

Kuyini ukukhononda kwe-Systolic?

Kalula nje, umsindo we-systolic heart murder uwumsindo ongavamile owuzwayo lapho inhliziyo yakho ifinyela, okungukuthi, lapho ipompa igazi emzimbeni wakho. Odokotela bakubiza lokhu ngokuthi i-systole yenhliziyo. Uma ubheka umfutho wegazi lakho , inombolo ephezulu yi-systolic pressure.

Umsindo wenhliziyo ukhiqizwa kanjani?

Inhliziyo yethu inama-valve amane. Lawa afana neminyango evumela igazi ukuthi ligeleze ohlangothini olulodwa kuphela. Uma inhliziyo ishaya, kuzwakala umsindo othi 'lub-dub' njengoba la ma-valve evala.

• Umsindo wokuqala ('ilabhu'): Lokhu kwenzeka lapho amavalvu e-mitral kanye ne-tricuspid (abizwa nangokuthi amavalvu e-atrioventricular ) evala. Yilapho inhliziyo iqala ukufinyela (i-systole).
• Umsindo wesibili ('dub'): Lokhu kwenzeka lapho amavalvu e-aorta kanye nama-pulmonic (abizwa nangokuthi amavalvu e-semilunar ) evala. Ngalesi sikhathi, inhliziyo ilungiselela ukugcwala igazi futhi.

I-systolic murmur ingumsindo owengeziwe othi 'swoosh' noma 'whoosh' ozwakala ngomsindo wokuqala othi 'lub' noma ngemva kwawo. Imbangela eyinhloko yalokhu ukugeleza kwegazi okuguquguqukayo enhliziyweni. Kufana nomsindo wepayipi lamanzi elivalekile.

Nakuba lokhu kukhononda ngokuvamile kungengozi, ngezinye izikhathi kungaba uphawu lwesifo senhliziyo esingaphansi. Ngakho-ke uma udokotela wakho ekutshela ukuthi unakho ukukhononda, kubalulekile ukuthi uhlolwe.

Yiziphi izinhlobo eziyinhloko ze-systolic murmur?

Odokotela bahlukanisa lezi zinhlobo ezimbili zezinkinga:

• Ukububula Okusebenzayo: Laba bantu abanazo iziphambeko zesakhiwo enhliziyweni, okusho ukuthi akukho nkinga ngesimo senhliziyo noma ama-valve. Lokhu kuvame ukuba ukububula okungenacala .
• Ukububula Okungokwemvelo: Laba bantu banokububula ngenxa yenkinga yesakhiwo enhliziyweni. Lokhu kusho ukuthi kungase kube nephutha ku-valve noma odongeni lwenhliziyo.

Lezi zimpawu ze-systolic nazo zihlukaniswa ngenye indlela:

• Ukukhononda Kokuxoshwa:Lokhu kuvame ukuqala ngama-valve e-semilunar esikhulume ngawo ngaphambili. Lawa ma-valve yiwo athwala igazi lisuka enhliziyweni liye e-aorta kanye nomthambo wamaphaphu uye emaphashini. I-ejection murmur iwumsindo owenziwa lapho inhliziyo ikhipha igazi, noma 'ilikhipha'. Lawa angaba asebenzayo noma angokwemvelo.
• Ukububula Okuvamile: Lokhu kwenzeka lapho ama-valve enhliziyo engavali kahle, okubangela ukuba igazi livuza emuva. Kufana nompompi wamanzi ongavali kahle. Ngokuvamile kuqala kuma-valve e-atrioventricular. Zonke izimbongolo ze-systolic eziphindaphindayo ziyizinto eziphilayo , okusho ukuthi kukhona iphutha elithile lesakhiwo.

Uyini umehluko phakathi kwe-systolic no-diastolic murmur?

Zombili lezi yimisindo yenhliziyo engavamile.

• Ukububula kwe-Systolic: Lokhu kuzwakala lapho imisipha yenhliziyo ifinyela (ekuqaleni noma ngesikhathi sokushaya kwenhliziyo).
• Ukububula kwe-Diastolic: Lokhu kuzwakala lapho imisipha yenhliziyo iphumule (phakathi kokushaya kwenhliziyo okubili).

Kalula nje, i-systolic umsindo owenziwa lapho inhliziyo 'isebenza', kanti i-diastolic umsindo owenziwa lapho inhliziyo 'iphumula'.

Uyini umehluko phakathi kokububula kwenhliziyo okungenacala nokungajwayelekile?

Lokhu kubaluleke kakhulu futhi.

• Ukububula Kwenhliziyo Okungenacala: Ngezinye izikhathi lokhu kububula akulona uphawu lwesifo senhliziyo. Yilokhu odokotela abakubiza ngokuthi 'ukububula kwenhliziyo okungenacala.' Lokhu kuvame ukubonakala ezinganeni ezincane, kwabesifazane abakhulelwe, noma ngesikhathi sezimo ezifana nomkhuhlane noma ngemva kokuzivocavoca okunzima. Esikhathini esiningi, lokhu akudingi ukwelashwa futhi kuzophela ngokuhamba kwesikhathi.
• Ukububula Kwenhliziyo Okungavamile: Ngakolunye uhlangothi, okunye ukububula kuyisibonakaliso sesimo senhliziyo esingaphansi. Lokhu kubizwa ngokuthi 'ukububula kwenhliziyo okungavamile.' Uma unobubula obungavamile, imbangela kuzodingeka itholakale futhi yelashwe.

Ungesabi! Akudingeki wesabe lapho udokotela ekutshela ukuthi une-murmur. Ungathola ukuthi ayinangozi noma cha, noma kukhona okungahambi kahle ngayo.

Ziyini izimpawu zokukhala kwe-systolic?

Abantu abaningi abanokububula kwenhliziyo bangase bangabi nazo izimpawu. Kodwa-ke, kuye ngokuthi imbangela yokububula, ungase ube nezimpawu ezifana nalezi:

• Umbala oluhlaza okwesibhakabhaka esikhumbeni (ikakhulukazi izindebe nezinzipho).
• Ukukhwehlela okuqhubekayo.
• Ukuquleka okungazelelwe (i-syncope) .
• Ukuzizwa ukhathele ngokushesha.
• Ukuvuvukala kwemilenze, ukugcinwa koketshezi (i-edema) .
• Ukuzizwa unesizungu (vertigo).
• Ubunzima bokuphefumula (ukuphelelwa umoya) , ikakhulukazi lapho uzivocavoca noma ulele phansi.

Uma unalezi zimpawu, kubaluleke kakhulu ukubona udokotela.

Yini ebangela ukububula kwenhliziyo ye-systolic?

Kungaba nezizathu eziningana. Ukukhononda kokukhipha isisu kanye nokukhononda okuphindaphindiwe esixoxe ngakho ekuqaleni kunezimbangela ezahlukene.

Izimbangela Zokukhononda Kokuphuma Kwesisu:

• I-Aortic stenosis: Lokhu kuwukuncishiswa kwevalvu eyinhloko ethwala igazi lisuka enhliziyweni liye emzimbeni wonke (ivalvu ye-aortic), njengomnyango ongakwazi ukuvula kahle. Lokhu kubangela ukuvaleka kokugeleza kwegazi.
• I-Atrial septal defect (ASD): Imbobo encane odongeni phakathi kwamakamelo amabili aphezulu (i-atria) enhliziyo.
• I-Hypertrophic obstructive cardiomyopathy (HOCM): Lesi yisifo senhliziyo esibangelwa ufuzo lapho udonga (septum) phakathi kwamakamelo amabili aphansi (amakamelo) enhliziyo luba lukhuni ngendlela engavamile.
• I-pulmonic stenosis: Ukuncipha kwevalvu ethwala igazi lisuka enhliziyweni liye emaphashini (ivalvu yepulmonic).

Izimbangela zokukhononda okuphindaphindiwe:

• Ukubuyela kwe-valve ye-mitral: Ngokuvamile, i-valve ye-mitral kufanele ivalwe lapho inhliziyo ifinyela (ngesikhathi se-systole). Kodwa-ke, kulesi simo, i-valve ayivali kahle, okuvumela igazi elithile ukuthi livuze emuva liye ku-atrium yangakwesobunxele.
• Ukuphindaphinda kwe-valve ye-Tricuspid: Lokhu kufana nokuphindaphinda kwe-mitral, kodwa kwenzeka ku-valve ye-tricuspid ohlangothini lwesokudla lwenhliziyo. Igazi livuza emuva lisuka ku-ventricle yesokudla liye ku-atrium yesokudla.
• I-Ventricular septal defect (VSD): Imbobo odongeni phakathi kwamakamelo amabili aphansi (ama-ventricles) enhliziyo. Lesi yisifo esivamile sokuzalwa ezinganeni ezincane.

Uyibona kanjani i-systolic murmur?

Lokhu kukhononda kuvame ukuzwakala okokuqala lapho udokotela wakho elalele inhliziyo yakho nge-stethoscope. Uma udokotela efuna lo msindo, uzofuna okulandelayo:

• Ungawuzwa isikhathi esingakanani umsindo?
• Umsindo uvela kuphi ngempela enhliziyweni?
• Iphimbo kanye nomthamo womsindo unjani? (Ingabe uzwakala uthambile noma uphezulu?)
• Ingabe umsindo uyashintsha uma ushintsha izikhundla (isib., ulele phansi, umile)?

Ingabe kuzodingeka ezinye izivivinyo?

Yebo, uma udokotela wakho efuna ukwazi okwengeziwe nge-murnur, angakudlulisela kudokotela wenhliziyo, ongenza izivivinyo ezifana nalezi:

• Ukufakwa kwe-catheter kwenhliziyo: Kule nqubo, kufakwa ipayipi elincane eliguquguqukayo (i-catheter) nge-groin noma ingalo, liqondiswa ngemithambo yenhliziyo, bese kuhlolwa isimo semithambo kusetshenziswa i-X-ray kanye noketshezi olukhethekile (udayi wokungafani).
• I-X-ray yesifuba:Lokhu kuthatha izithombe zamathambo, inhliziyo, namaphaphu.
• I-Echocardiogram (Echo): Lokhu kufana nokuskena kwe-ultrasound komntwana osesibelethweni. Kusebenzisa amaza omsindo ukubona izinto ezifana nokuthi inhliziyo ishaya kanjani, ukuthi ama-valve asebenza kanjani, kanye nosayizi wenhliziyo. Lokhu ukuhlolwa okubaluleke kakhulu ukuthola imbangela yokububula.
• I-Electrocardiogram (EKG/ECG): Lokhu kurekhoda umsebenzi kagesi wenhliziyo. Kungahlola izinkinga zesigqi senhliziyo.

Ingabe kukhona isikali sokulinganisa i-systolic murmur?

Yebo, odokotela balinganisa ukububula ngokusekelwe ekuqineni kwakho. Kunesilinganiso salokhu kusukela ku-1 kuya ku-6.

• Ibanga 1: Ukububula okuthule kakhulu, okungezwakali kahle. Udokotela onolwazi kuphela ongakubona.
• Ibanga lesi-2: Ukububula okuthambile, kodwa okuzwakalayo nge-stethoscope.
• Ibanga lesi-3: Umsindo ophakathi nendawo.
• Ibanga lesi-4: Kunomsindo omkhulu, futhi ungase uzizwe ujabule uma ucindezela isandla sakho esifubeni sakho.
• Ibanga lesi-5: Umsindo omkhulu. Ungakuzwa noma ngabe umane ubeke i-stethoscope esifubeni sakho bese ulalela. Ungakuzwa nokudlidliza.
• Ibanga lesi-6: Ukububula okukhulu kakhulu. Kuzwakala kakhulu ngisho noma i-stethoscope ingafakwanga esifubeni, noma ngisho eduze kancane.

Lesi silinganiso singakunikeza umbono othile ngobunzima bokukhononda.

Iphathwa kanjani i-systolic heart murmur?

Ukwelashwa kuncike ekutheni ukukhononda akunacala noma akujwayelekile ngenxa yesimo senhliziyo esingaphansi.

KuMarmer ongenacala:

Lokhu kuvame ukuphela ngaphandle kokwelashwa. Udokotela uzokutshela ukuthi ulinde ubone, mhlawumbe ubuye uzohlola kamuva.

Ngezikhalo ezingavamile:

Lokhu kudinga ukwelashwa kwesifo senhliziyo esiyisisekelo, esingadinga imithi, ukuhlinzwa, noma kokubili.

Imithi:

• Izithibi ze-Angiotensin-converting enzyme (ACE): Isibonelo, i-Captopril ne-Benazepril. Lezi zinciphisa umfutho wegazi.
• Ama-Beta-blocker: Isibonelo, i-Metoprolol, i-Bisoprolol. Lawa anciphisa izinga lokushaya kwenhliziyo kanye nomfutho wegazi.
• Izinto zokunciphisa igazi: Isibonelo, i-Warfarin, i-Aspirin. Lokhu kuvimbela ukwakheka kwamahlule egazi enhliziyweni.
• Ama-Diuretics: Isibonelo, i-Furosemide, i-Torsemide. Lawa anciphisa inani loketshezi oluningi emzimbeni. Lokhu kungasiza kwezinye izifo zenhliziyo.

Ukuhlinzwa:

Uma isimo senhliziyo sibi kakhulu, kungadingeka ukulungisa ivalvu, ukufaka ivalvu entsha, noma ukwenza olunye ukuhlinzwa.

• Ukulungiswa kwamavalvu: Lokhu kungasetshenziswa ukukhulisa (ukuvula) ivalvu encishisiwe noma ukuqinisa ivalvu evuzayo engavaleki kahle.
• Ukushintsha ivalvu: Uma ivalvu incane kakhulu noma yonakele, udokotela angayishintsha ngevalvu yezicubu noma ivalvu yomshini.
• Ukuhlinzwa kwenhliziyo okuvulekile: Ngezinye izikhathi, ukuhlinzwa kwenhliziyo okuvulekile kuyadingeka ukuze kuvalwe imigodi, njenge-atrial septal defect (ASD) noma i-ventricular septal defect (VSD) esikhulume ngayo.

Ingabe ukububula kwenhliziyo ye-systolic kungavinjelwa?

Ayikho indlela eqondile yokuvimbela ukububula kwe-systolic. Ezinye zizalwa nazo, kanti ezinye zibangelwa ezinye izimo. Kodwa-ke, kubalulekile ukugcina impilo yonke yenhliziyo yakho. Nazi ezinye izinto ongazenza ukusiza:

• Yenza okungenani imizuzu eyi-150 yokuzivocavoca nge-aerobic ngesonto (njengokuhamba, ukugijima, noma ukugibela ibhayisikili).
• Yidla ukudla okunempilo okucebile okusanhlamvu, izithelo nemifino.
• Nciphisa i-caffeine (itiye, ikhofi) kanye notshwala.
• Uma ubhema, kudingeka uyeke .
• Nciphisa ukucindezeleka ngezinto ezifana nokuzindla.
• Lala kahle okungenani amahora angu-7-8 ebusuku.

Uyini umbono womuntu one-systolic murmur?

Ukukhala kwe-systolic okungenacala ngokuvamile akudingi ukwelashwa, futhi ungaphila impilo evamile ngakho.

Uma une-murmur engavamile, kuzodingeka welaphe isimo senhliziyo esiyisisekelo. Kodwa-ke , ngokwelashwa okuthuthukile okutholakalayo namuhla, ungalawula izifo eziningi zenhliziyo futhi uphile impilo enempilo. Futhi, ukulandela indlela yokuphila enempilo kungasiza ekuthuthukiseni impilo yenhliziyo yakho.

Ungakhohlwa ukubuza udokotela ngalezi zinto, kulungile?

Uma udokotela wakho ekutshela ukuthi une-systolic murmur, kuwumqondo omuhle ukubuza le mibuzo:

• Yini okungenzeka kakhulu ukuthi iyimbangela yalokhu kukhononda kwe-systolic kimi?
• Yiziphi izivivinyo ezengeziwe okudingeka ngizenze?
• Ingabe ngidinga ukwelashwa kwalokhu kukhononda kwe-systolic?
• Yikuphi ukwelashwa engikudingayo ngesimo sami senhliziyo esingaphansi?
• Kungaba usizo kimi ukubona udokotela wenhliziyo ?
• Yiziphi izinguquko zendlela yokuphila engingayenza ukuze ngithuthukise impilo yenhliziyo yami?

Umlayezo Wokuya Nawe Ekhaya

Ukububula kwenhliziyo okubizwa ngokuthi yi-systolic heart kuwumsindo ongajwayelekile ozwakalayo lapho inhliziyo ifinyela. Esikhathini esiningi, lokhu akunangozi, okusho ukuthi asikho isifo senhliziyo esiyisisekelo. Kodwa ngezinye izikhathi, kungaba uphawu lwesifo senhliziyo.

Into ebaluleke kakhulu ukungesabi. Uma udokotela ekutshela ukuthi une-murmur, ungathola ukuthi hlobo luni lwayo, yini ebangela lokho, nokuthi ingabe ukwelashwa kuyadingeka noma cha. Ngokulandela iseluleko esifanele sezokwelapha nokuphila impilo enempilo, ungaphila impilo esebenzayo. Khumbula, ukunakekela inhliziyo yakho kubaluleke kakhulu!

` ukububula kwenhliziyo ye-systolic, ukububula kwenhliziyo, isifo senhliziyo, imisindo yenhliziyo, ama-valve enhliziyo, impilo yenhliziyo, izimo zenhliziyo, izinga lokushaya kwenhliziyo, ukububula okungenacala