Ithini imbonakalo yokusilela kwentliziyo?

Umxholo

• Ukuxela kwangaphambili kwinqanaba ngalinye
• Ukuxela kwangaphambili kwiminyaka eyahlukeneyo
• Izinketho zonyango
• Ukuphila ngokusilela kwentliziyo
• Ukutya
• Zilolonge
• Uthintelo lolwelo
• Ukujonga ubunzima
• Ukuthatha

Yintoni ukungaphumeleli kwentliziyo?

Ukungaphumeleli kwentliziyo (CFF) yimeko apho izihlunu zentliziyo yakho zingasakwaziyo ukumpompa igazi ngokukuko. Yimeko yexesha elide eqhubeka iba mandundu ngokuhamba kwexesha. Ihlala ibizwa ngokuba kukusilela kwentliziyo, nangona i-CHF ithe ngqo kwinqanaba lemo apho ulwelo luqokelela khona lujikeleze intliziyo. Oku kuyibeka phantsi koxinzelelo kwaye kubangele ukuba impompe ngokungonelanga.

Ukuxela kwangaphambili kwinqanaba ngalinye

Kukho amanqanaba amane okanye iiklasi ze-CHF, kwaye nganye isekelwe kubukhali beempawu zakho.

Uya kudityaniswa ube yiklasi 1 ukuba ubuthathaka bufunyenwe entliziyweni yakho kodwa awukabi nazimpawu. Iklasi 2 ibhekisa kwabo bahlala kakuhle, kodwa kufuneka banqande umthwalo onzima.

Ngeklasi ye-3 CHF, imisebenzi yakho yemihla ngemihla inomda ngenxa yale meko. Abantu beklasi yesi-4 baneempawu ezinzima nokuba baphumle ngokupheleleyo.

Iimpawu zoluhlu lwe-CHF kubukhali kuxhomekeke kweliphi inqanaba imeko okuyo.

• ukuqhawukelwa ngumphefumlo
• iintlungu zesifuba
• ulwelo ezinyaweni, emaqatheni, okanye emilenzeni
• ukudumba
• isicaphucaphu
• intlungu zesisu
• ukudinwa

I-CHF ihlala ibangelwa yimeko engaphantsi. Kuxhomekeke ekubeni yeyiphi na loo nto kuwe nokuba ngaba usilele okanye ushiyekile ukusilela kwentliziyo, unokufumana ezinye okanye zonke ezi mpawu.

Ukuxelwa kwangaphambili kwe-CHF kuyahluka kakhulu phakathi kwabantu, njengoko zininzi izinto ezahlukeneyo ezinegalelo kwinto yokuba umntu unokuxela kwangaphambili.

Nangona kunjalo, ubukhulu becala, ukuba i-CHF ifunyenwe kumanqanaba ayo okuqala kwaye ilawulwa ngokufanelekileyo, unokulindela isibikezelo esingcono kakhulu kunokuba sifunyenwe kamva. Abanye abantu abane-CHF ifunyenwe kwangethuba kwaye baphathwa ngokukhawuleza nangokufanelekileyo banokuba nethemba lokuphila ubomi obuqhelekileyo.

Ngokuka, malunga nesiqingatha sabantu abane-CHF baya kuphila ngaphezulu kweminyaka emihlanu.

Ukuxela kwangaphambili kwiminyaka eyahlukeneyo

Yimbono yeklinikhi eyamkelweyo ngokubanzi iminyaka emininzi yokuba abantu abancinci abachongiweyo abane-CHF banesimo sokuxela ngcono kunabantu abadala. Kukho ubungqina bokuxhasa le ngcamango.

Abantu abadala abane-CHF abaphambili banesifo esinzima ngakumbi. Kwezi meko, kunqabile ukuhlala ngaphaya konyaka omnye emva kokuxilongwa. Oku kunokuba njalo kuba iinkqubo ezingafunekiyo zokunceda ingxaki azibonakali kwiminyaka ethile.

Izinketho zonyango

Kunokuba luncedo ukunciphisa ulwelo ngaphakathi emzimbeni ukuze intliziyo ingasebenzi nzima ukuze ijikeleze igazi. Oogqirha bakho banokucebisa ukuthintelwa kolwelo kunye nokunciphisa ukutya kwakho ityuwa ukuze uncede koku. Banokumisela amayeza e-diuretic (iipilisi zamanzi). I-diuretics esetyenziswa ngokuxhaphakileyo ibandakanya i-bumetanide, i-furosemide, kunye ne-hydrochlorothiazide.

Kukwakho amayeza akhoyo anokunceda intliziyo ukuba impompe igazi ngokukuko kwaye ke inyuse ukusinda kwexesha elide. I-Angiotensin-converting enzyme (ACE) inhibitors kunye ne-angiotensin receptor blockers (ARBs) zezona ziqhelekileyo zisetyenziselwa amayeza ukulungiselela le njongo. Zingasetyenziswa ngokudibeneyo namanye amayeza.

Iibhlokhi zeBeta zingasetyenziselwa ukulawula ukubetha kwentliziyo kunye nokunyusa amandla entliziyo yokupompa igazi.

Kubantu abanesifo sentliziyo sokugqibela, kunokwenzeka ukuba batyale impompo eyanceda ukwandisa ukubanakho kwentliziyo ukucudisa. Oku kubizwa ngokuba sisixhobo sasekhohlo esincedisa i-ventricular (LVAD).

Kwabanye abantu abane-CHF ukufakelwa kwentliziyo kunokukhetha. Uninzi lwabantu abadala aluqwalaselwa njengokulungele ukufakelwa. Kule meko, i-LVAD inokunika isisombululo esisigxina.

Ukuphila ngokusilela kwentliziyo

Zininzi iinguqu kwindlela yokuphila enokuthi yenziwe ngumntu one-CHF ebonakalisiweyo ukuba iyanceda ukucothisa ukuqhubela phambili kwale meko.

Ukutya

Isodiyam ibangela ukugcinwa kolwelo ukunyuka ngaphakathi kwezicubu zomzimba. Ukutya okunesodiyam ephantsi kuhlala kunconyelwa abantu abane-CHF. Kukwacetyiswa ukuba uthintele kakhulu utywala, kuba oku kunokuchaphazela ubuthathaka bentliziyo yakho.

Zilolonge

Ukuzivocavoca umzimba kubonakalise ukuphucula ukubanakho kwentliziyo ukuba isebenze, ngaloo ndlela kunikwa umgangatho wobomi obungcono kunye nokwandisa ixesha lokuphila. Cwangcisa iirejimeni zokuzilolonga ngoncedo oluvela kubanikezeli bakho bezempilo ukuze imithambo ilungelelaniswe neemfuno zakho kunye nenqanaba lokunyamezelana.

Uthintelo lolwelo

Abantu abane-CHF bahlala becetyiswa ukuba balawule ukungenisa ulwelo, njengoko oku kunefuthe kulwelo lulonke olugcinwe emzimbeni. Abantu abathatha amayeza e-diuretic ukuphelisa ulwelo olugqithisileyo banokuchasana nefuthe lale mayeza ukuba batya ulwelo oluninzi. Abantu abanamatyala aphambili e-CHF bahlala becetyiswa ukuba banciphise ukungenisa ulwelo ngokubanzi kwii-2 quarts.

Ukujonga ubunzima

Ukunyusa ubunzima bomzimba luphawu lokuqala lokuqokelela ulwelo. Ke ngoko, kubalulekile ukuba abantu abane-CHF babeke esweni ubunzima babo ngokusondeleyo. Ukuba uzuze iiponti ezingama-2-3 ngeentsuku ezininzi, tsalela ugqirha wakho. Banokufuna ukonyusa idosi yakho ye-diuretics ukuze ulawule ukuqokelelwa kolwelo ngaphambi kokuba lube lukhulu ngakumbi.

Ukuthatha

Imbonakalo ye-CHF iyahluka ngokungafaniyo. Kuxhomekeka ikakhulu kweliphi inqanaba kwimeko okuyo kunye nokuba unayo nayiphi na imeko yezempilo. Abantu abancinci banokuba nembono ethembisayo. Imeko inokuphuculwa kakhulu ngotshintsho kwindlela yokuphila, amayeza kunye notyando. Dibana nogqirha wakho ukufumanisa ukuba loluphi olona sicwangciso sonyango silungileyo kuwe.