Ukumelwa yintliziyo

Umxholo

• Ziintoni iimpawu zokusilela kwentliziyo?
• Yintoni ebangela ukusilela kwentliziyo?
• Zithini iintlobo ezahlukeneyo zokusilela kwentliziyo?
• Ukusilela kwentliziyo ngasekhohlo
• Ukusilela kwentliziyo esekunene
• Ukusilela kwentliziyo kw diastolic
• Ukungaphumeleli kwentliziyo yeSystolic
• Zeziphi izinto ezinobungozi ekusileleni kwentliziyo?
• Isifo sentliziyo ichongwa njani?
• Iphathwa njani ukusilela kwentliziyo?
• Amayeza
• Ugqirha
• Ungakuthintela njani ukusilela kwentliziyo?
• Zeziphi iingxaki zokusilela kwentliziyo?
• Ukuhlaselwa yintliziyo
• Ithini imbonakalo yexesha elide yabantu abanokusilela kwentliziyo?

Yintoni ukusilela kwentliziyo?

Ukungaphumeleli kwentliziyo kubonakaliswa kukungakwazi kwentliziyo ukupompa unikezelo olwaneleyo lwegazi emzimbeni. Ngaphandle kokuhamba kwegazi ngokwaneleyo, yonke imisebenzi ephambili yomzimba iyaphazamiseka. Ukungaphumeleli kwentliziyo yimeko okanye ingqokelela yeempawu ezenza buthathaka intliziyo yakho.

Kwabanye abantu abanokusilela kwentliziyo, intliziyo inobunzima bokumpompa igazi elaneleyo ukuxhasa amanye amalungu omzimba. Abanye abantu banokuba lukhuni kunye nokuqina kwentliziyo yemisipha ngokwayo, ethintela okanye inciphise ukuhamba kwegazi kuye entliziyweni.

Ukusilela kwentliziyo kunokuchaphazela icala lasekunene okanye lasekhohlo lentliziyo yakho, okanye zombini ngexesha elinye. Ingaba yimeko ebukhali (yexesha elifutshane) okanye engapheliyo (eqhubekayo) imeko.

Ukungaphumeleli kwentliziyo, iimpawu zibonakala ngequbuliso kodwa zihambe ngokukhawuleza. Le meko ihlala ivela emva kokuhlaselwa sisifo sentliziyo. Isenokuba sisiphumo sengxaki enezivalo zentliziyo ezilawula ukuhamba kwegazi entliziyweni.

Ukungaphumeleli kwentliziyo engapheliyo, nangona kunjalo, iimpawu ziyaqhubeka kwaye aziphucuki ngokuhamba kwexesha. Uninzi lwamatyala okusilela kwentliziyo ahlala ixesha elide.

Malunga nokusilela kwentliziyo, ngokwamaZiko oLawulo lweNtsholongwane kunye noThintelo. Uninzi lwaba bantu ngamadoda. Nangona kunjalo, abasetyhini kunokwenzeka ukuba babhubhe kukusilela kwentliziyo xa imeko inganyangwa.

Ukungaphumeleli kwentliziyo yimeko enzima yonyango efuna unyango. Unyango lwakwangoko lonyusa amathuba akho okubuyela kwimeko yesiqhelo kunye neengxaki ezimbalwa. Shayela ugqirha wakho ngokukhawuleza ukuba unayo nayiphi na impawu yokungaphumeleli kwentliziyo.

Ziintoni iimpawu zokusilela kwentliziyo?

Iimpawu zokusilela kwentliziyo zingabandakanya:

• ukudinwa kakhulu
• ukukhawuleza ukutyeba
• Ukuphelelwa ngumdla wokutya
• ukukhohlela okungapheliyo
• ukubetha okungaqhelekanga
• ukubetha kwentliziyo
• ukudumba kwesisu
• ukuqhawukelwa ngumphefumlo
• umlenze neqatha ukudumba
• ukuphuma kwemithambo yentamo

Yintoni ebangela ukusilela kwentliziyo?

Ukusilela kwentliziyo kuhlala kunxulumene nesinye isifo okanye isifo. Esona sizathu siqhelekileyo sokusilela kwentliziyo sisifo semithambo (i-CAD), isifo esibangela ukuhla kwemithambo ehambisa igazi neoksijini entliziyweni. Ezinye iimeko ezinokunyusa umngcipheko wokukhula kwentliziyo zibandakanya:

• i-cardiomyopathy, ukuphazamiseka kwentliziyo yemisipha ebangela ukuba intliziyo ibe buthathaka
• Isiphene sentliziyo ozelwe naso
• isifo sentliziyo
• isifo sentliziyo
• iintlobo ezithile ze-arrhythmias, okanye isingqi sentliziyo esingaqhelekanga
• igazi elonyukayo
• emphysema, isifo semiphunga
• isifo seswekile
• i-thyroid okanye i-thyroid engasebenzi
• Intsholongwane kaGawulayo
• UGawulayo
• iintlobo ezinzima ze-anemia
• unyango oluthile lomhlaza, njenge-chemotherapy
• ukusetyenziswa gwenxa kweziyobisi okanye utywala

Zithini iintlobo ezahlukeneyo zokusilela kwentliziyo?

Ukusilela kwentliziyo kunokwenzeka nokuba kusekhohlo okanye ekunene kwentliziyo yakho. Kuyenzeka ukuba omabini amacala entliziyo yakho asilele ngaxeshanye.

Ukungaphumeleli kwentliziyo kukwahlelwa njenge-diastolic okanye i-systolic.

Ukusilela kwentliziyo ngasekhohlo

Ukusilela kwentliziyo ngasekhohlo lolona hlobo luqhelekileyo lokusilela kwentliziyo.

I-ventricle yentliziyo yasekhohlo ibekwe kwicala lasezantsi lasekhohlo lentliziyo yakho. Lo mmandla upompa igazi eline-oksijini kuwo wonke umzimba wakho.

Ukusilela kwentliziyo kwicala lasekhohlo kwenzeka xa i-ventricle yasekhohlo ingampompozi ngokufanelekileyo. Oku kuthintela umzimba wakho ekufumaneni igazi elaneleyo elineoksijini. Igazi libuyela kwimiphunga yakho endaweni yoko, elibangela ukuphefumla okufutshane kunye nokwanda kolwelo.

Ukusilela kwentliziyo esekunene

I-ventricle efanelekileyo yentliziyo inoxanduva lokumpompa igazi kwimiphunga yakho ukuze uqokelele ioksijini. Ukusilela kwentliziyo esekunene kwenzeka xa icala lasekunene lentliziyo yakho lingakwazi ukwenza umsebenzi walo ngokufanelekileyo. Ihlala ibangelwa kukusilela kwentliziyo kwicala lasekhohlo. Ukuqokelelwa kwegazi emiphungeni okubangelwa kukusilela kwentliziyo kwicala lasekhohlo kwenza ukuba i-ventricle elungileyo isebenze nzima. Oku kunokugxininisa kwicala lasekunene lentliziyo kwaye kubangele ukuba isilele.

Ukungaphumeleli kwentliziyo emele ekunene kunokwenzeka ngenxa yezinye iimeko, ezinje ngesifo semiphunga. Ngokwe-Mayo Clinic, ukungaphumeleli kwentliziyo esekunene kuphawulwe kukudumba kweziphelo ezisezantsi. Oku kudumba kubangelwa kukugcina ulwelo emilenzeni, ezinyaweni, nasesiswini.

Ukusilela kwentliziyo kw diastolic

Ukusilela kwentliziyo yeDiastolic kwenzeka xa izihlunu zentliziyo ziba lukhuni kunesiqhelo. Ukuqina, okuhlala kubangelwa sisifo sentliziyo, kuthetha ukuba intliziyo yakho ayizalisi gazi ngokulula. Oku kwaziwa njenge-diastolic dysfunction. Kukhokelela kukungabikho kokuhamba kwegazi kuwo onke amalungu omzimba wakho.

Ukungaphumeleli kwentliziyo ye-diastolic kuxhaphake kakhulu kwabasetyhini kunamadoda.

Ukungaphumeleli kwentliziyo yeSystolic

Ukusilela kwentliziyo ye-Systolic kwenzeka xa izihlunu zentliziyo ziphulukana namandla okwenza isivumelwano. Ukuchasana kwentliziyo kuyimfuneko ukupompa igazi eline-oksijini emzimbeni. Le ngxaki yaziwa njenge-systolic dysfunction, kwaye ihlala ikhula xa intliziyo yakho ibuthathaka kwaye yandisiwe.

Ukusilela kwentliziyo ye-Systolic kuxhaphake kakhulu emadodeni kunabafazi.

Zombini i-diastolic kunye ne-systolic ukusilela kwentliziyo kunokwenzeka kumacala asekhohlo okanye ekunene entliziyo. Unokuba nayo nayiphi na imeko kumacala omabini entliziyo.

Zeziphi izinto ezinobungozi ekusileleni kwentliziyo?

Ukusilela kwentliziyo kunokwenzeka nakubani na. Nangona kunjalo, izinto ezithile zinokunyusa umngcipheko wokuphuhlisa le meko.

Abantu abanemvelaphi yaseAfrika bakwintsilelo yentliziyo xa kuthelekiswa nezinye iintlanga. Amadoda anabafazi.

Abantu abanezifo ezonakalisa intliziyo nabo basemngciphekweni owandayo. Ezi zifo zibandakanya:

• ianemia
• hyperthyroidism
• hypothyroidism
• emphysema

Ukuziphatha okuthile kunokwandisa umngcipheko wokuphuhlisa ukusilela kwentliziyo, kubandakanya:

• ukutshaya
• ukutya ukutya okunamafutha amaninzi okanye icholesterol
• ukuhlala ubomi bokuhlala
• ukutyeba kakhulu

Isifo sentliziyo ichongwa njani?

I-echocardiogram yeyona ndlela isebenzayo yokufumanisa ukusilela kwentliziyo. Isebenzisa amaza esandi ukwenza imifanekiso eneenkcukacha zentliziyo yakho, ethi incede ugqirha wakho avavanye umonakalo wentliziyo yakho kwaye abone oyena nobangela wemeko yakho. Ugqirha wakho unokusebenzisa i-echocardiogram kunye nolunye uvavanyo, kubandakanya oku kulandelayo:

Ugqirha wakho unokwenza uvavanyo lomzimba ukukhangela iimpawu zomzimba zokungaphumeleli kwentliziyo. Umzekelo, ukudumba kwemilenze, ukubetha kwentliziyo ngendlela engaqhelekanga, kunye nokuqaqamba kwemithambo yentamo kunokwenza ugqirha wakho akrokre ukusilela kwentliziyo phantse kwangoko.

Iphathwa njani ukusilela kwentliziyo?

Ukunyanga ukusilela kwentliziyo kuxhomekeke kubuzima bemeko yakho. Unyango lwakwangoko lunokuphucula iimpawu ngokukhawuleza, kodwa kuya kufuneka ufumane uvavanyo rhoqo rhoqo kwiinyanga ezintathu ukuya kwezintandathu. Eyona njongo iphambili yonyango kukwandisa ixesha lokuphila.

Amayeza

Amanqanaba okuqala okusilela kwentliziyo anokunyangwa ngamayeza ukunceda ukukhulula iimpawu zakho kunye nokuthintela imeko yakho ukuba ibe mandundu. Amayeza athile amiselwe:

• phucula ukukwazi kwentliziyo yakho ukumpompa igazi
• ukunciphisa amahlwili egazi
• nciphisa ukubetha kwentliziyo yakho, xa kukho imfuneko
• susa i-sodium engaphezulu kwaye uzalise i-potassium
• ukunciphisa amanqanaba e-cholesterol

Soloko uthetha nogqirha wakho ngaphambi kokuba uthathe amayeza amatsha. Amanye amayeza akathintelekanga kwaphela kubantu abanesifo sentliziyo, kubandakanya naproxen (Aleve, Naprosyn) kunye ibuprofen (Advil, Midol).

Ugqirha

Abanye abantu abanesifo sentliziyo baya kufuna utyando, njengotyando lwe-coronary bypass. Ngexesha lotyando, ugqirha wakho wotyando uya kuthatha isiqwenga somzimba esifanelekileyo kwaye asincamathisele kumthambo we-coronary ovaliweyo. Oku kuvumela igazi ukuba lidlule kwithambo ebhlokiweyo, eyonakeleyo kunye nokuhamba kule intsha.

Ugqirha wakho unokucebisa i-angioplasty. Kule nkqubo, i-catheter enebhaluni encinci iqhotyoshelwe ifakwe kumthambo ovaliweyo okanye omxinwa. Nje ukuba i-catheter ifike kumthambo owonakeleyo, ugqirha wakho uyayifaka ibhaluni ukuvula umthambo. Ugqirha wakho unokufuna ukubeka i-stent esisigxina, okanye ityhubhu yocingo, kwi-artery evaliweyo okanye emxinwa. Isigxina sigcina isigxina sakho esivulekileyo kwaye sinokukunceda ukuthintela ukuqhubeka kwe-artery.

Abanye abantu abanesifo sentliziyo baya kufuna iicememaker ukunceda ukulawula izingqisho zentliziyo. Ezi zixhobo ezincinci zibekwe esifubeni. Banokucothisa ukubetha kwentliziyo yakho xa intliziyo ibetha ngokukhawuleza okanye yonyuse izinga lokubetha kwentliziyo ukuba intliziyo ibetha kancinci. Iipememaker zihlala zisetyenziswa kunye notyando ngokudlula kunye namayeza.

Ukufakelwa kwentliziyo kusetyenziswa kwinqanaba lokugqibela lokusilela kwentliziyo, xa zonke ezinye iindlela zonyango zisilele. Ngexesha lofakelo, ugqirha wakho wotyando ususa yonke into okanye inxalenye yentliziyo yakho kwaye ayitshintshe ibe nentliziyo esempilweni evela kumnikeli.

Ungakuthintela njani ukusilela kwentliziyo?

Indlela yokuphila esempilweni inokunceda ukunyanga ukusilela kwentliziyo kunye nokuthintela imeko ekukhuleni kwindawo yokuqala. Ukunciphisa umzimba kunye nokuzilolonga rhoqo kunokunciphisa kakhulu umngcipheko wokungaphumeleli kwentliziyo. Ukunciphisa inani leetyuwa ekudleni kwakho kunokunciphisa umngcipheko.

Eminye imikhwa yokuphila esempilweni ibandakanya:

• ukunciphisa ukuselwa kotywala
• ukuyeka ukutshaya
• ukunqanda ukutya okunamafutha amaninzi
• ukufumana inani elaneleyo lokulala

Zeziphi iingxaki zokusilela kwentliziyo?

Ukungaphumeleli kwentliziyo kunokunyanga kunokukhokelela ekusileleni kwentliziyo (CHF), imeko apho igazi lakha kwezinye iindawo zomzimba wakho. Kule meko isongela ubomi, unokufumana ukugcinwa kwamanzi emzimbeni wakho nakumalungu akho, njengesibindi nemiphunga.

Ukuhlaselwa yintliziyo

Ukuhlaselwa yintliziyo kunokubakho ngenxa yengxaki enxulumene nokusilela kwentliziyo.

Shayela i-911 okanye iinkonzo zongxamiseko zengingqi ngokukhawuleza ukuba unayo le mpawu:

• ukutyumza iintlungu zesifuba
• ukungonwabi esifubeni, njengokucinezela okanye ukuqina
• ukungakhululeki emzimbeni ophezulu, kubandakanya ukuba ndindisholo okanye ukubanda
• ukudinwa kakhulu
• isiyezi
• ukukhawuleza kwentliziyo
• ukugabha
• isicaphucaphu
• ukubila okubandayo

Ithini imbonakalo yexesha elide yabantu abanokusilela kwentliziyo?

Ukungaphumeleli kwentliziyo kuhlala imeko yexesha elide efuna unyango oluqhubekayo ukuthintela iingxaki. Xa ukusilela kwentliziyo kushiywe kunganyangwa, intliziyo inokuba buthathaka kakhulu kangangokuba ibangele ingxaki esongela ubomi.

Kubalulekile ukuqaphela ukuba ukusilela kwentliziyo kunokwenzeka nakubani na. Kufuneka uthathe amanyathelo okukhusela ubomi bakho bonke ukuze uhlale usempilweni. Soloko uqhagamshelana nogqirha wakho ukuba ngequbuliso unempawu ezintsha nezingachazekiyo ezinokubonisa ingxaki ngentliziyo yakho.

Ngenxa yokuba ukusilela kwentliziyo kuhlala kuyimeko engapheliyo, iimpawu zakho ziya kusiba mandundu ngokuhamba kwexesha. Amayeza kunye notyando lunokunceda ukukhulula iimpawu zakho, kodwa olo nyango alunakunceda ukuba unengxaki yokusilela kwentliziyo. Ngamanye amaxesha, ukusilela kwentliziyo kunokuba sesichengeni sobomi.

Unyango lwakwangoko lubalulekile ekuthinteleni ezona meko zinzima zokusilela kwentliziyo.Biza ugqirha wakho ngoko nangoko ukuba ubonakalisa ukungaphumeleli kwentliziyo okanye ukuba uyakholelwa ukuba unale meko.