Ukulungiselela i-Cardiologist yakho yokuqala yokuTyunjelwa ukuhlaselwa kwentliziyo emva kwentliziyo: Yintoni oza kuyibuza

Umxholo

• 1. Kwakutheni ukuze ndihlaselwe sisifo sentliziyo?
• 2. Ndiyintoni umngcipheko wokuhlaselwa sisifo sentliziyo?
• 3. Ngawaphi amayeza ekufuneka ndiwathathe, kwaye ixesha elingakanani?
• 4. Ndingakwazi ukuqhubeka nemisebenzi yam yesiqhelo?
• 5. Loluphi uhlobo lokutya ekufuneka ndilulandele?
• 6. Ngaba kuya kufuneka ndenziwe utyando?
• 7. Ingaba kufuneka ndiwuyekile umsebenzi wam?
• 8. Kufuneka ndenze ntoni xa ndicinga ukuba ndinesinye isifo sentliziyo?
• 9. Zeziphi iingxaki ezinokubakho?
• 10. Ngawaphi amanyathelo endinokuwathatha ukuphucula ubomi bam?
• Yise kude

Ukuba kutshanje uye wahlaselwa sisifo sentliziyo, mhlawumbi unemibuzo emininzi kwi-cardiologist yakho. Ukuqala, unokuzibuza ukuba yintoni kanye kanye ebangele uhlaselo. Kwaye kusenokwenzeka ukuba ufuna ukwazi okungakumbi malunga nonyango lwakho ukuze ugcine intliziyo yakho isempilweni kwaye uthintele umngcipheko wakho wokuhlaselwa sisifo sentliziyo okanye enye ingxaki.

Ukubona ugqirha wentliziyo okokuqala ukuthetha ngezi zinto kunokuba ngamava anzima, kodwa kubalulekile ukuba ufunde ngakumbi ngemeko yakho kwaye ufumane unyango olufanelekileyo. Thatha ikopi yesi sikhokelo ukuze uqalise incoko kunye nentliziyo yakho ngexesha lokuqeshwa kwakho okokuqala.

1. Kwakutheni ukuze ndihlaselwe sisifo sentliziyo?

Uhlaselo lwentliziyo lwenzeka xa igazi elibonelela ngeoksijini kunye nezakha-mzimba kwintliziyo yakho lizivalele. Kukho izizathu ezahlukeneyo zokuba kuthintelwe. Isizathu esiqhelekileyo kukwakhiwa kwecholesterol kunye nezinto ezinamanqatha, ezaziwa ngokuba yicwecwe. Njengoko ipleyiti ikhula, ekugqibeleni inokugqabhuka ize ichitheke kwigazi lakho. Xa oku kusenzeka, igazi alinakuphuma lihambe ngokukhululekileyo kwimithambo ebonelela ngesihlunu sentliziyo, kwaye iinxalenye zentliziyo yesihlunu ziyonakala, zibangele isifo sentliziyo.

Kodwa imeko yomntu wonke yahlukile. Kuya kufuneka uqinisekise nogqirha wakho unobangela wesifo sentliziyo ukuze uqalise kwisicwangciso esifanelekileyo sonyango.

2. Ndiyintoni umngcipheko wokuhlaselwa sisifo sentliziyo?

Ukuba ukhe wahlaselwa sisifo sentliziyo, usemngciphekweni omkhulu wokuba nalo kwixesha elizayo. Oku kuyinyani ngakumbi ukuba awuzenzi utshintsho olufunekayo kwindlela yokuphila kwaye uqalise kwisicwangciso sonyango ngokukhawuleza. Amachiza, ngokudibanisa nendlela yokuphila esempilweni, anokuwunciphisa kakhulu umngcipheko wokuhlaselwa sisifo sentliziyo.

I-cardiologist yakho iya kuqwalasela izinto ezifana nomsebenzi wakho wegazi, iziphumo zovavanyo lwe-imaging, kunye nemikhwa yokuphila ukuze uchonge umngcipheko kwaye ufumanise ukuba leliphi iyeza eliza kukusebenzela. Bayakucinga nokuba ukubetha kwentliziyo kwakho kubangelwe kukugqitywa okanye ukuvalwa kancinci.

3. Ngawaphi amayeza ekufuneka ndiwathathe, kwaye ixesha elingakanani?

Nje ukuba uqale unyango emva kokuhlaselwa sisifo sentliziyo, ukw unyango ubomi bakho bonke. Nangona kunjalo idosi yakho okanye uhlobo lweziyobisi lunokuhlengahlengiswa njengoko imeko yakho iphucuka. Oku kunjalo kwimeko ene-cholesterol ephezulu kunye noxinzelelo lwegazi oluphezulu.

Izinketho zonyango zibandakanya:

• beta-iibhlokhi
• igazi elincinci (ii-anticoagulants)
• iicalcium block blockers
• iziyobisi ezinciphisa i-cholesterol
• ii-vasodilators

Buza ugqirha wakho wezonyango ukuba loluphi unyango olulungele wena. Amathuba kukuba, unokufuna ukuthatha indibaniselwano yamachiza.

4. Ndingakwazi ukuqhubeka nemisebenzi yam yesiqhelo?

Ufuna ukuphumla okuninzi emva kokuhlaselwa sisifo sentliziyo, kodwa unokuba nomdla wokwazi ukuba ungabuyela nini kubomi bakho obuqhelekileyo. Ngexesha lokuqeshwa kwakho, cela ugqirha wakho wenhliziyo ukuba abone xa kukhuselekile ukubuyela kwimisebenzi yakho yesiqhelo. Oku kubandakanya umsebenzi, imisebenzi yemihla ngemihla, kunye nokuzonwabisa.

I-cardiologist yakho mhlawumbi iya kuncoma ukuba uqale ukuhamba ngakumbi kulo lonke usuku, kunye nexesha elide lokuphumla phakathi. Kananjalo baya kukucebisa ukuba uyeke umsebenzi ngokukhawuleza ukuba uhlangabezana nokudinwa okanye ubuthathaka.

5. Loluphi uhlobo lokutya ekufuneka ndilulandele?

Xa kuziwa kwimpilo yentliziyo yakho, ukutya ukutya okunesondlo kubalulekile kwisicwangciso sakho sonyango njengamayeza. I-cardiologist yakho iya kukucebisa ukuba ulandele ukutya okunesifo sentliziyo okubandakanya imifuno, inyama ebuthathaka, ukutya okuziinkozo kunye namafutha asempilweni.

Oku kuya kunceda ukunciphisa amathuba akho okufumana olunye uhlaselo lwentliziyo ngokunciphisa okanye ukuthintela ukwakhiwa kweplate kwimithambo yakho. Ukuba ujonge isicwangciso sokutya ekufuneka usilandele, jonga ukutya kweMeditera.

Ukuba unayo nayiphi na imiqobo yokutya, ugqirha unokukunceda wenze isicwangciso esifanelekileyo sokutya esikusebenzelayo.

6. Ngaba kuya kufuneka ndenziwe utyando?

Nokuba ufuna utyando okanye hayi hayi kuxhomekeke kuhlobo oluthile lokuvalwa. Ukulandela ukuhlaselwa yintliziyo, ugqirha wakho unokujoba into echithayo. Le nkqubo, ibizwa ngokuba yi-thrombolysis, yenziwa esibhedlele. Nje ukuba imeko yakho izinze, ugqirha wakho otyandayo uya kuthetha nawe malunga nezisombululo zexesha elide zokugcina imithambo yakho ivulekile.

I-coronary angioplasty inokwenziwa ukunceda ukuvula i-artery evaliweyo efunyenwe kuvavanyo lwe-imaging. Ngethuba lale nkqubo, ugqirha ugqirha ufaka i-catheter kumthambo odibanisa umthambo ovaliweyo entliziyweni yakho. Oku kuhlala kufumaneka esihlahleni sakho okanye kwindawo ye-groin. I-catheter inesixhobo esifana nebhaluni esifakwe kumbhobho wayo, esinceda ukuvula imithambo xa inomoya.

Nje ukuba kwenziwe oku, ugqirha wakho ugqirha unokufaka isixhobo esibizwa ngokuba yistent. Oku kunceda ukugcina umthambo uvulekile ixesha elide ukuze igazi lakho lihambe ngokukhululekileyo kuyo yonke intliziyo, ngaloo ndlela kuthintelwe uhlaselo lwentliziyo lwexesha elizayo. I-angioplasty inokwenziwa kwakhona nge-lasers, kusetyenziswa ukukhanya okuphezulu okuphula i-blockages kwimithambo.

Olunye utyando olunokwenzeka lubizwa ngokuba kukudlula komthambo wecoronary. Ngexesha lotyando lokugqitha, ugqirha wakho utshintsha indawo ekubekwe kuyo imithambo eyahlukeneyo kunye nemithambo entliziyweni ukuze igazi liphume liye kwezi zidlula kwimithambo evaliweyo. Ngamanye amaxesha ukudlula kwenziwa ukuthintela ukuhlaselwa yintliziyo. Kodwa ukuba sele uhlaselwe sisifo sentliziyo, ugqirha wakho unokucebisa ngenkqubo yokudlula ngokungxamisekileyo kwisithuba seentsuku ezintathu ukuya kwezisixhenxe, ngokweKliniki yaseMayo.

Nokuba ugqirha wakho ucebisa ukuba utyandwe, kusafuneka ulandele amanye amanyathelo asempilweni, njengokuthatha amayeza kunye nokutya ukutya okusempilweni. Ukufakelwa kwentliziyo okanye ukutshintshwa kwevalve kusetyenziswa njengendawo yokugqibela xa intliziyo yakho ifunyenwe inesifo okanye yonakele kakhulu.

7. Ingaba kufuneka ndiwuyekile umsebenzi wam?

Xa kufuneka ulawule iindleko zokhathalelo emva kwentliziyo yakho, usenokuzibuza ukuba ungabuyela nini emsebenzini wakho. Ngokwe-American Heart Association, i-cardiologist yakho inokucebisa ukuba uthathe naphi na ukusuka kwiiveki ezimbini ukuya kwiinyanga ezintathu emsebenzini. Kuya kuxhomekeka kubukhali bentliziyo yakho ekuhlaselweni kwaye kufuneka wenze utyando.

I-cardiologist yakho iya kusebenza nawe ukuvavanya indlela umsebenzi wakho wangoku ochaphazela ngayo amanqanaba akho oxinzelelo kwaye ukuba ngaba negalelo kwiingxaki zakho zentliziyo. Kuya kufuneka ufumane iindlela zokunciphisa umthwalo wakho, njengokuhambisa imisebenzi okanye ukwehla kwindima yakho. Unokuzibophelela nasekuziqhelaniseni nokuzikhathalela ngakumbi ngeveki yomsebenzi ukunciphisa amanqanaba oxinzelelo.

8. Kufuneka ndenze ntoni xa ndicinga ukuba ndinesinye isifo sentliziyo?

Njengalo naluphi na olunye unyango olungxamisekileyo, ngokukhawuleza ukuba ufike kwiziko lononophelo olungxamisekileyo kwaye ufumane uncedo, ngcono amathuba akho ekubuyiseni ngokukhawuleza. Yiyo loo nto kunyanzelekile ukuba wazi zonke iimpawu kunye neempawu zesifo sentliziyo. Iimpawu zokuhlaselwa yintliziyo zinokwahluka. Kwaye ezinye izifo zentliziyo azibonisi zimpawu zibalulekileyo kwaphela.

Iimpawu zesifo sentliziyo zibandakanya:

• iintlungu zesifuba, ukuqina, okanye uvakalelo lokucinezela
• uxinzelelo lwengalo okanye iintlungu (ngakumbi kwicala lasekhohlo, apho intliziyo yakho ikhona)
• iintlungu ezisasazeka ukusuka kwisifuba ukuya entanyeni yakho okanye emhlathini, okanye ezantsi esiswini sakho
• isiyezi ngesiquphe
• ukuqhawukelwa ngumphefumlo
• ukuphuma ukubila okubandayo
• isicaphucaphu
• ukudinwa ngequbuliso

9. Zeziphi iingxaki ezinokubakho?

Iingxaki zinokwenzeka ukuba imeko ishiywe inganyangwa okanye ayinyangwa ngokufanelekileyo. Ezinye izinto zinokubangela iingxaki nazo.

Ukuba nesifo sentliziyo akubeki emngciphekweni weziqendu ezizayo kunye nokwandisa umngcipheko wokungaphumeleli kwentliziyo. Ezinye iingxaki ezinokubakho zibandakanya i-arrhythmia kunye nokubanjwa kwentliziyo, zombini ezinokubulala.

Buza i-cardiologist yakho malunga nayiphi na ingxaki ofuna ukuyibukela ngokusekelwe kwimeko yakho. Naluphi na utshintsho ekubetheni kwentliziyo yakho kufuneka luqwalaselwe kwangoko malunga nokungaqheleki kwesingqi sentliziyo.

10. Ngawaphi amanyathelo endinokuwathatha ukuphucula ubomi bam?

Emva kokudibana nesiganeko esibuhlungu njengokuhlaselwa sisifo sentliziyo, kuyaqondakala ukuba ufuna ukufumana impilo ngokukhawuleza ukuze uqhubeke nokwenza izinto othanda ukuzenza.

Indlela efanelekileyo yokuphucula umgangatho wobomi emva kokuhlaselwa yintliziyo kukulandela isicwangciso sonyango se-cardiologist. Ngelixa kungathatha iiveki ezininzi okanye nangaphezulu ukuba uphinde uchache ngokupheleleyo, ungaqala uzive ngcono ngamayeza kunye nohlengahlengiso lwendlela yokuphila.

Ukukhokelela kwindlela yokuphila esempilweni ngokubanzi kunye nokunciphisa amanqanaba oxinzelelo kunokwenza imimangaliso yentliziyo yakho kunye nokuba sempilweni kwengqondo. Ukuvuselelwa kwentliziyo, uhlobo lweengcebiso kunye nezixhobo zemfundo, nazo zinokunceda.

Yise kude

Ukuba kutshanje uye wahlaselwa sisifo sentliziyo, qiniseka ukuba ujongana nezi zihloko kunye nayo nayiphi na into enomdla kunye nentliziyo yakho. Baza kusebenza kunye nawe ukuba bafumane ukuba yeyiphi na isicwangciso sonyango esisebenza kakuhle kwizinto ezithile eziguqukayo zemeko yakho, kwaye banokukwazisa ngakumbi ngomngcipheko wakho wexesha elizayo. Ngelixa isifo sentliziyo inokuba sisiganeko ngequbuliso, ukubuyela kwimeko yesiqhelo kuya kuthatha ixesha.