Ingabe kuyiqhubu elifana nebhaluni odongeni lwenhliziyo? Ake sixoxe ngalokhu (Ventricular Aneurysm)!

Wake wezwa ukuthi ingxenye yodonga lwenhliziyo ingaba buthakathaka futhi ikhukhumale njengebhaluni? Lesi yisimo esingenzeka kwabanye abantu. Singenzeka ikakhulukazi ngemva kokuhlaselwa yinhliziyo. Ngakho-ke, namuhla sizokhuluma ngalesi simo esibizwa ngokuthi `(Ventricular Aneurysm)` ngendlela elula, ukuze usiqonde.

Kuyini lokhu `(Ventricular Aneurysm)`? Kalula nje...

Kulungile, ake siqale sibone ukuthi kuyini lokhu. Uyazi ukuthi inhliziyo yethu inezindawo ezine eziyinhloko. Amakamelo amabili angaphansi kwalawa yiwo ampompa igazi liye emzimbeni nasemaphashini. Lawo magumbi aphansi yilawo esiwabiza ngokuthi `(Ventricles)` . Ngakho-ke, uma indawo odongeni lwenye yalezi `(Ventricle)`, okungukuthi, enye yezindawo eziphansi zenhliziyo, iba buthakathaka futhi iqhuma njengebhaluni, simane siyibize ngokuthi `(Ventricular Aneurysm)`. Cabanga ngakho njengodonga oluseceleni lwethayi lemoto luba buthakathaka futhi luqhuma njengebhamuza. Lapho inhliziyo impompa igazi, lelo phuzu elibuthakathaka liyaqhuma.

Lokhu kungaba yingozi, ngoba ngezinye izikhathi ukuvuvukala kungaqhuma . Uma lokhu kwenzeka, kuyisimo esiphuthumayo esisongela ukuphila futhi kudinga ukunakekelwa kwezokwelapha okusheshayo.

Ingabe zikhona izinhlobo ze-Ventricular Aneurysm?

Yebo, odokotela bayaqaphela izinhlobo ezimbili eziyinhloko ze-Ventricular Aneurysm.

1. I-True Ventricular Aneurysm: Lokhu kwenzeka lapho ingxenye yodonga lwenhliziyo, ngokuvamile ngenxa yokuhlaselwa yinhliziyo (i-Myocardial Infarction), ifa futhi iba buthaka. Udonga olubuthakathaka lungavuvukala bese lwenza isikhwama esigcwele igazi. Lolu uhlobo oluvame kakhulu lwe-aneurysm.

2. I-Aneurysm Yamanga Yenhliziyo noma i-Pseudoaneurysm: Lokhu kuhlukile kancane. Okwenzekayo lapha ukuthi udonga lwenhliziyo lonakele, bese igazi elithile livuza ngalo bese liqoqana olwelwesini oluncane oluzungeze inhliziyo (i-pericardium). Lokhu kusho ukuthi udonga lwenhliziyo ngokwalo aluvuvukali, kodwa lubukeka njengolunye.

Sivame kangakanani lesi simo?

Ake sibone ukuthi lokhu kuvame kangakanani. Izibalo zibonisa ukuthi cishe abantu aba-5 kuya kwabayi-7 kwabayi-100 abanesifo senhliziyo bazoba nalesi simo (i-Ventricular Aneurysm). Le ngozi iphakeme nakakhulu uma isifo senhliziyo sithinte yonke imisipha yenhliziyo (i-Transmural Myocardial Infarction).

Yiziphi izimbangela ze-Ventricular Aneurysm?

Njengoba sishilo ngaphambili, imbangela eyinhloko nevame kakhulu ukuhlaselwa yinhliziyo (`Myocardial Infarction`) . Ekuhlaselweni yinhliziyo, ukuphakelwa kwegazi emisipheni yenhliziyo kuyama, bese lezo zingxenye ziyafa. Ngemuva kwalokho, izicubu zesibazi (`Scar Tissue`) zakheka kulezo zindawo ezifile. Ngokuhamba kwesikhathi, lesi sibazi singanwebeka, sibe buthakathaka, futhi sibe buthaka. Yilapho-ke kwakheka khona i-"Aneurysm".

Kodwa akuvamile kakhulu ukuthi lesi simo sibe khona lapho umuntu ezalwa. Lokho kubizwa ngokuthi isimo senhliziyo esizalwa naso.Ngakho-ke, uma ikhona, ingase ingaziwa kuze kube yilapho umuntu esemdala futhi ingabangela izinkinga kamuva.

Ngaphezu kwalesi sizathu esiyinhloko, kunezinye izizathu eziningana ezingavamile kakhulu:

• Ukutheleleka kolwelwesi lwangaphakathi lwenhliziyo (i-endocarditis).
• Ukusetshenziswa ngokweqile kwemithi yobuhlungu njenge-steroids kanye nemithi elwa nokuvuvukala engeyona i-steroidal (NSAIDs) isikhathi eside.
• Umkhuhlane We-Rheumatic.
• Izifo ezingavamile njenge-`(Sarcoidosis)`.
• Njengenkinga yokuhlinzwa kwenhliziyo okuvulekile.
• Izifo ezithathelwana ngocansi njenge-syphilis.
• Izingozi ezibuhlungu (ukulimala esifubeni)
• Isifo sofuba.
• `(Isifo iChagas)` (Lokhu ukutheleleka okubangelwa yi-parasite, okuyinto engavamile kakhulu eSri Lanka).
• Isimo esithile sokujiya kwemisipha yenhliziyo esibizwa ngokuthi "i-Apical Hypertrophic Cardiomyopathy".

Ubani osengozini enkulu yokuthola i-Ventricular Aneurysm?

Nakuba lesi simo singakhula kunoma ubani, abanye abantu basengozini enkulu. Lokhu kufaka phakathi:

• Abesifazane abangaphezu kweminyaka engama-65 ubudala.
• Uma othile emndenini wakho enesifo senhliziyo (`Isifo Senhliziyo`), isifo semithambo yenhliziyo (`Isifo Semithambo Yenhliziyo`), noma umlando wokuhlaselwa yinhliziyo. Lezi yizici eziyingozi ezizuzwa njengefa.
• Abantu abanenhliziyo ekhulisiwe (i-Hypertrophic Cardiomyopathy). Kulesi simo, imisipha yenhliziyo iba nkulu kakhulu.

Ziyini izimpawu ze-`(Ventricular Aneurysm)`?

Into emangalisayo ukuthi isikhathi esiningi, uma le ``(Ventricular Aneurysm)`` incane, ingaba nezimpawu. Abanye abantu abazi nokuthi banayo le nkinga, futhi itholakala ngengozi lapho behlolwa ngesinye isizathu.

Kodwa abanye abantu bangase babe nesinye noma ngaphezulu salezi zimpawu:

• Ubuhlungu besifuba noma ukuqina, umuzwa wokucinana (`Angina`). Lokhu kungazwakala njengokuhlaselwa yinhliziyo.
• Ukuvuvukala komzimba, ikakhulukazi emilenzeni nasemaqakaleni.
• Ukuzizwa ukhathele kakhulu njalo ('Ukukhathala'). Ukuzizwa ukhathele ngisho nangemva kokwenza umsebenzi omncane.
• Ukushaya kwenhliziyo okungavamile, okusheshayo, noma umuzwa wokushaya kwenhliziyo esifubeni (`Ukushaya Kwenhliziyo Okusheshayo`).
• Ukuphelelwa Umoya. Ukuzizwa uphelelwa umoya ngisho noma uhamba noma uzikhandla.
• Isifo sohlangothi. Lokhu kwenzeka uma ihlule legazi livela ngaphakathi kwe-aneurysm, liqhekeka, bese livimba umthambo wegazi ebuchosheni.

Yiziphi izinkinga ezingaba khona zalokhu `(i-Ventricular Aneurysm)`?

Yilokhu okudingeka sikunake kakhulu. Uma kukhona i-`(Ventricular Aneurysm)`, ingabangela izinkinga ezithile eziyingozi.

Inkinga enkulu neyingozi kakhulu ukuqhekeka kwe-aneurysm.Uma lokho kwenzeka, kuyisimo esiphuthumayo esisongela ukuphila futhi sidinga ukulaliswa esibhedlela kanye nokwelashwa ngokushesha.

Futhi, akuvamile kakhulu, ukuba nesimo esibizwa ngokuthi "i-Cardiogenic Shock" . Kalula nje, lokhu kwenzeka lapho inhliziyo ingakwazi ukupompa igazi elanele emzimbeni. Lokhu futhi kuyisimo esiphuthumayo sezokwelapha.

Enye into ukuthi le aneurysm yenza buthaka i-ventricle yesobunxele yenhliziyo, okwenza kube nzima ukupompa igazi liye emzimbeni. Lokhu kungaholela ekuhlulekeni kwenhliziyo . Lokhu kusho ukuthi inhliziyo iba buthaka kancane kancane futhi ayikwazi ukuhlangabezana nezidingo zomzimba.

Ngaphezu kwalokho, i-Ventricular Aneurysm nayo yandisa izingozi ezilandelayo:

• Amahlule egazi kanye nokushaywa okubangelwa yiwo.
• Ukwehla kokugeleza kwegazi kuya emisipheni yenhliziyo (`Ischemia ye-Myocardial`). Lokhu kungabangela ubuhlungu besifuba obandayo.
• Ukushaya kwenhliziyo okusheshayo nokungajwayelekile okuyingozi (`Ventricular Tachycardia`). Lokhu kungaba yingozi futhi empilweni.

Odokotela bakuthola kanjani ukuthi i-ventricular aneurysm ibangelwa yini?

Njengoba sishilo ngaphambili, njengoba zingabonisi izimpawu ngaso sonke isikhathi, uma uke waba nokuhlaselwa yinhliziyo ngaphambili noma unezinye izinto eziyingozi, udokotela wakho angase akucele ukuhlolwa okuhlukahlukene ukuze abheke lesi simo. Lezi zimpawu ze-aneurysm zivame ukuqala ukwakheka zingakapheli izinyanga ezintathu ngemva kokuhlaselwa yinhliziyo.

Ukuhlolwa okuyinhloko kwezithombe okusetshenziselwa ukuthola la ma-aneurysm yilokhu:

• Ama-X-ray esifubeni.
• Ukuhlolwa kwe-Angiogram. Lokhu kungafaka phakathi ukuskena okukhethekile okubizwa ngokuthi i-Coronary Computed Tomography Angiogram (CCTA).
• I-CT scan.
• I-Echocardiogram (`I-Echocardiogram`). Lokhu kuvame ukuba ukuhlolwa kokuqala okwenziwayo, okufana nokuskena kwenhliziyo nge-ultrasound.
• Ukuhlolwa kwe-electrocardiogram (ECG). Lokhu kulinganisa umsebenzi kagesi wenhliziyo.
• Ukuskena kwe-MRI. Lokhu kungaveza nezithombe ezinemininingwane zenhliziyo.

Yiziphi izindlela zokwelapha lesi `(Ventricular Aneurysm)`?

Manje ake sibone ukuthi lokhu kungenzani.

• Ama-aneurysm amancane, angenazimpawu: Lokhu kungase kungadingi ukuhlinzwa okukhulu ngokushesha. Udokotela wakho uzokuqapha. Bazokwenza izivivinyo zesithombe ezishiwo ngenhla njalo ukuze babone ukuthi i-aneurysm iyashintsha yini ngobukhulu noma ukuthi kukhona yini izimpawu zezinkinga.
• Izinguquko zendlela yokuphila kanye nokuvuselelwa kwenhliziyo: Ukuvuselelwa kwenhliziyo ngemva kokuhlaselwa yinhliziyoAbantu abaningi bayazuza ngokuhlanganyela ohlelweni olubizwa ngokuthi uhlelo lokushintsha indlela yokuphila enempilo yenhliziyo, lapho ochwepheshe bekusiza khona ukuthi wenze izinguquko endleleni yokuphila enempilo yenhliziyo (njengokudla nokuzivocavoca). Lokhu kungathuthukisa impilo yenhliziyo yakho futhi kunciphise ingozi yakho yesifo senhliziyo esikhathini esizayo.
• Imithi: Ukuze kuncishiswe ingozi yezinkinga, udokotela angase anikeze imithi efana nalokhu:
• I-aspirini noma eminye imithi evimbela ukujiya kwegazi (ama-anticoagulant).
• Imithi yokulawula umfutho wegazi.
• Imithi yokwehlisa i-cholesterol, njenge-"Statins".
• Imithi enikezwa ukwehluleka kwenhliziyo kanye nokungasebenzi kahle kwenhliziyo.

Ukuhlinzwa Kwe-Aneurysm Ye-Ventricular Yangempela

Ukuvuvukala okukhulu kwe-ventricular okubangela ubuhlungu besifuba, ukuphelelwa umoya, noma ukwehluleka kwenhliziyo kungadinga ukuhlinzwa. Odokotela abahlinza inhliziyo benza ukuhlinzwa kwenhliziyo okuvulekile okubizwa ngokuthi ukuhlinzwa kokuvuselela i-ventricular noma ukuvuselelwa kwe-ventricular .

Lokhu kuhlinzwa kuhilela:

• Ingxenye ebuthaka, evuvukele yomsipha wenhliziyo (i-aneurysm) iyasuswa.
• Bese kuthi izingxenye zenhliziyo ezinempilo zithungwe ndawonye, ​​noma kuthungwe into efana ne-patch yokwenziwa ukuze kuqiniswe ingxenye ebuthakathaka.

Uma une-rhythm yenhliziyo engajwayelekile (`Arrhythmia`) futhi ungakwazi ukuyilawula, kungadingeka ukuthi uhlinzwe ukuze kufakwe idivayisi encane ngaphansi kwesikhumba sesifuba sakho elawula ukushaya kwenhliziyo yakho. Sibiza lezi zinhlobo ngokuthi `(Implantable Cardioverter Defibrillators - ICD)` kanye `(Pacemakers)` .

Ukuhlinzwa kwe-"False Ventricular Aneurysm" noma "Pseudoaneurysm"

Leli yigama elinzima kancane, kodwa kuhle ukulazi. Uma lingelashwa, cishe ingxenye yabantu abathola lawa ma-aneurysms e-ventricle angamanga, noma ama-pseudoaneurysms, bazofa. Yileyo ndlela ayingozi ngayo. Ngakho-ke, udokotela wakho cishe uzoncoma ukuhlinzwa kwenhliziyo evulekile ukuze kulungiswe i-pseudoaneurysm.

Ingabe ukuthuthukiswa kwalokhu `(i-Ventricular Aneurysm)` kungavinjelwa?

Eqinisweni, indlela engcono kakhulu yokuvimbela i-ventricular aneurysm ukuzama ukuvimbela imbangela eyinhloko, okuyisifo senhliziyo. Lokho kusho ukunakekela impilo yenhliziyo yakho. Lezi zinto zizosiza ngalokho:

• Yidla ukudla okunempilo kwenhliziyo. Yidla ukudla okunosawoti omncane, uwoyela, noshukela, kanye nezithelo nemifino eminingi.
• Vivinya umzimba njalo. Ngisho nokuhamba imizuzu engama-30 ngosuku kuhle.
• Thola izindlela ezinhle zokulawula ukucindezeleka. Izinto ezifana nokuzindla, i-yoga, kanye nokuzibandakanya entweni yokuzilibazisa.
• Nciphisa ukusetshenziswa kotshwala, futhi uma kungenzeka, yeka ngokuphelele.
• Uma ukhuluphele ngokweqile, yehlisa isisindo futhi ugcine isisindo sakho siphilile.
• Uma unezimo ezibeka ingcindezi enhliziyweni yakho, njengomfutho wegazi ophakeme, isifo sikashukela, noma i-cholesterol ephezulu, zilawule ngendlela efanele. Landela imiyalelo kadokotela wakho bese uthatha imithi yakho njengoba kuyalelwe.
• Uma ubhema, funa usizo lokuyeka ngokushesha. Kubaluleke kakhulu futhi ukugwema ukubhema okubhemayo.

Iyini imbono yabantu abanalesi simo?

Ngokwesilinganiso, abantu abangu-9 kwabayi-10 abane-ventricular aneurysm engadali izinkinga ezinkulu basaphila eminyakeni emihlanu ngemva kokuxilongwa. Lokho kusho ukuthi uma bephathwa kahle, ungaphila impilo enhle.

Kodwa-ke, uma lezi zimpawu ze-aneurysm zibangela izimpawu ezingeke zilapheke, noma lapho kuvela izinkinga, ingozi yezinkinga ezisongela ukuphila iyanda. Yingakho kubalulekile ukuhlolwa nokwelashwa njengoba odokotela bencoma.

Kufanele ubonane nini nodokotela?

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, kufanele ushayele udokotela wakho ucingo ngokushesha, noma uye esibhedlela esiseduze:

• Ubuhlungu obukhulu esifubeni. Njengokungathi othile ukucindezela isifuba sakho, noma njengokungathi kukhona okukukhathazayo.
• Ubunzima obukhulu bokuphefumula.
• Ezinye izimpawu zokuhlaselwa yinhliziyo (isib. ubuhlungu obuvela engalweni yesobunxele, ubuhlungu bomhlathi, ukujuluka, isicanucanu)
• Uma uzizwa sengathi inhliziyo yakho ishaya ngokushesha noma ngokungajwayelekile.

Esimweni esinjalo, ungachithi isikhathi. Shayela isevisi ye-ambulensi ka-1990 (Suvaseriya) ngokushesha okukhulu.

Yini okufanele uyibuze udokotela?

Uma udokotela wakho ekutshela ukuthi une-"Ventricular Aneurysm", kungumqondo omuhle ukubuza imibuzo embalwa efana nale. Ngaleyo ndlela, ungasiqonda kangcono lesi simo.

• Kungani ngithole lokhu `(Ventricular Aneurysm)`?
• Uhlobo luni lwe-Ventricular Aneurysm enginalo? (Lwangempela noma Lungamanga?)
• Ingakanani i-aneurysm yami?
• Yini okufanele ngiyenze ukuze nginciphise ingozi yokuqhuma kwalokhu kuqubuka kwe-aneurysm?
• Uhlobo luni lomuthi engizowuthatha?
• Yimiphi imiphumela emibi engaba khona yaleyo mithi?
• Ingabe ngizodinga ukuhlinzwa?
• Uma ngihlinzwa, ziyini izingozi?
• Yiziphi izimpawu zezinkinga okufanele ngikhathazeke ngazo?

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

Ngakho-ke, i-"Ventricular Aneurysm" esikhulume ngayo iwukuvuvukala okwenzeka ngenxa yobuthakathaka odongeni lwenye yamakamelo angaphansi enhliziyo. Lesi simo sivame ukubonakala kubantu abaye baba nokuhlaselwa yinhliziyo. Lokhu kuvame ukwenzeka e-ventricle yesobunxele.

Into ebalulekile ukuthi, nakuba lokhu kuvame ukubangela izimpawu, uma izimpawu ezinjalo zivela (njengobuhlungu besifuba, ubunzima bokuphefumula), kunemithi noma ukuhlinzwa okungasetshenziswa ukuzelapha.Kodwa-ke, uma kuqhuma "i-Ventricular Aneurysm", kungaba yisimo esisongela kakhulu impilo.

Ngakho-ke, uma uzwa ubuhlungu obukhulu esifubeni, ubunzima bokuphefumula, noma ezinye izimpawu zokuhlaselwa yinhliziyo, ungalibali, shayela u-1990 ngokushesha bese uya esibhedlela. Kuzoba usizo olukhulu ekusindiseni impilo yakho.

Nakekela inhliziyo yakho. Phila impilo enempilo. Khona-ke ungazivikela ezinkingeni eziningi ezinjengalezi.

` I-Ventricular Aneurysm, isifo senhliziyo, ukuhlaselwa yinhliziyo, ubuthakathaka bodonga lwenhliziyo, ukuhlinzwa kwenhliziyo, impilo yenhliziyo, ubuhlungu besifuba