Ukungaphumeleli kwentliziyo - iimvavanyo

Ukuchongwa kwesifo sentliziyo kwenziwa ikakhulu kwiimpawu zomntu kunye novavanyo lomzimba. Nangona kunjalo, zininzi iimvavanyo ezinokunceda ukunika ulwazi ngakumbi malunga nemeko.

I-echocardiogram (i-echo) luvavanyo olusebenzisa amaza esandi ukwenza umfanekiso ohambayo wentliziyo. Umfanekiso ucaciswe ngakumbi kunomfanekiso we-x-ray ocacileyo.

Olu vavanyo lunceda umboneleli wakho wokhathalelo lwempilo ukuba afunde okungakumbi malunga nendlela intliziyo yakho esebenza ngayo kunye nokuhlaziya. Ikwabonelela ngolwazi malunga nobukhulu bentliziyo yakho kunye nendlela ezisebenza ngayo iivevsi zentliziyo.

I-echocardiogram lolona vavanyo lubalaseleyo:

• Chonga ukuba loluphi uhlobo lokusilela kwentliziyo (systolic, diastolic, valvular)
• Jonga ukusilela kwentliziyo yakho kwaye ukhokele unyango lwakho

Ukusilela kwentliziyo kunokuchongwa ukuba i-echocardiogram ibonisa ukuba umsebenzi wokumpompa kwentliziyo usezantsi kakhulu. Oku kubizwa ngokuba liqhekeza lokukhupha. Iqhekeza lokukhutshwa eliqhelekileyo lijikeleze ama-55% ukuya kuma-65%.

Ukuba kuphela ezinye iinxalenye zentliziyo azisebenzi ngokuchanekileyo, oko kunokuthetha ukuba kukho ukubhloka kwimithambo yentliziyo ehambisa igazi kuloo ndawo.

Ezinye iimvavanyo zokucinga zisetyenziselwa ukujonga indlela intliziyo yakho ekwazi ngayo ukumpompa igazi kunye nobungakanani bokonakala kwentliziyo yemisipha.

Unokuba ne-x-ray yesifuba eyenziwe kwiofisi yomboneleli wakho ukuba iimpawu zakho ziba zimbi ngokukhawuleza. Nangona kunjalo, i-x-ray yesifuba ayinakuchonga ukusilela kwentliziyo.

I-Ventriculography lolunye uvavanyo olulinganisa amandla okucinezela entliziyo (iqhekeza lokulahla). Njenge-echocardiogram, inokubonisa iinxalenye zentliziyo yemisipha engahambi kakuhle. Olu vavanyo lusebenzisa i-x-ray umahluko ulwelo ukugcwalisa igumbi lokumpompa kwentliziyo kunye nokuvavanya ukusebenza kwayo. Ihlala isenziwa ngaxeshanye nezinye iimvavanyo, ezinje nge-coronary angiography.

I-MRI, i-CT, okanye i-PET yokuskena kwentliziyo inokwenziwa ukujonga ukuba ungakanani na umonakalo wentliziyo. Inokukunceda ukufumanisa isizathu sokusilela kwentliziyo yesigulana.

Uvavanyo loxinzelelo lwenziwa ukubona ukuba izihlunu zentliziyo zifumana ukuhamba kwegazi okwaneleyo kunye neoksijini xa isebenza nzima (iphantsi koxinzelelo). Iindidi zovavanyo loxinzelelo zibandakanya:

• Uvavanyo loxinzelelo lwenyukliya
• Zilolonge uvavanyo loxinzelelo
• Uxinzelelo lwe-echocardiogram

Umboneleli wakho unoku-odola ukubethelwa ngentliziyo ukuba naluphi na uvavanyo lwe-imaging lubonisa ukuba unciphile kwenye yeemithambo zakho, okanye ukuba unentlungu esifubeni (angina) okanye kufuneka uvavanyo olucacileyo ngakumbi.

Iimvavanyo ezahlukeneyo zegazi zingasetyenziselwa ukufunda ngakumbi ngemeko yakho. Uvavanyo lwenziwa:

• Nceda ukufumanisa unobangela kunye nokujonga ukusilela kwentliziyo.
• Ukuchonga umngcipheko wesifo sentliziyo.
• Khangela izizathu ezinokubangela ukungaphumeleli kwentliziyo okanye iingxaki ezinokubangela ukuba intliziyo yakho ibe yimbi ngakumbi.
• Ukujonga iziphumo ebezingalindelekanga zamayeza onokuthi uwathathe.

Igazi urea nitrogen (BUN) kunye neemvavanyo ze-serum creatinine zinceda ukubeka esweni indlela ezisebenza ngayo izintso zakho. Uya kuzidinga ezi mvavanyo rhoqo ukuba:

• Uthatha amayeza abizwa ngokuba yi-ACE inhibitors okanye ii-ARBs (ii-angiotensin receptor blockers)
• Umboneleli wakho wenza utshintsho kumayeza akho
• Unesifo sentliziyo esiqatha

Amanqanaba esodium ne potassium egazini lakho aya kufuna ukulinganiswa rhoqo xa kukho utshintsho olwenziwe kwamanye amayeza kubandakanya:

• I-ACE inhibitors, ii-ARBs, okanye iintlobo ezithile zeepilisi zamanzi (i-amiloride, i-spironolactone, kunye ne-triamterene) kunye namanye amayeza anokwenza amanqanaba e-potassium aphezulu kakhulu
• Uninzi lwezinye iipilisi zamanzi, ezinokwenza isodiyam iphantsi kakhulu okanye ipotassium yakho iphakame kakhulu

I-anemia, okanye ukubala kweeseli ezibomvu, kunokwenza ukuba intliziyo yakho isilele ngakumbi. Umboneleli wakho uya kujonga i-CBC yakho okanye agqibe ukubala kwegazi rhoqo okanye xa iimpawu zakho ziba mandundu.

CHF - iimvavanyo; Ukungaphumeleli kwentliziyo - uvavanyo; Cardiomyopathy - iimvavanyo; HF - iimvavanyo

IGreenberg B, uKim PJ, uKahn AM. Uvavanyo lwezonyango lokungaphumeleli kwentliziyo. Ku: Felker GM, Mann DL, ii-eds. Ukungaphumeleli kwentliziyo: Umlingane kwisifo sentliziyo seBraunwald. Ngomhla we-4. IPhiladelphia, PA: Elsevier, 2020: isahluko 31.

IMan DL. Ulawulo lwezigulana ezinokusilela kwentliziyo ngamaqhekeza ancitshisiweyo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier Saunders; I-2019: isahluko 25.

UYancy CW, uJessup M, uBozkurt B, et al. I-2017 ACC / AHA / HFSA egxile ekuhlaziyweni kwesikhokelo se-ACCF / AHA sika-2013 solawulo lokungaphumeleli kwentliziyo: ingxelo yeAmerican College of Cardiology / American Heart Association Task Force kwiZikhokelo zoKwenziwa kweKlinikhi kunye noMbutho woKusilela kwentliziyo eMelika. J Ukusilela kwentliziyo. Ngo-2017; 23 (8): 628-651. IINKCUKACHA: 28461259 www.ncbi.nlm.nih.gov/pubmed/28461259.

UYancy CW, uJessup M, uBozkurt B, et al.Isikhokelo se-ACCF / AHA sika-2013 solawulo lokungaphumeleli kwentliziyo: ingxelo yeAmerican College of Cardiology Foundation / American Heart Association Task Force kwiZikhokelo zokuSebenza. Ukujikeleza. Ngo-2013; 128 (16): e240-e327. IINKCUKACHA: 23741058 www.ncbi.nlm.nih.gov/pubmed/23741058.

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