Ngaba abantu banokufumana iintlungu zentliziyo kwizinja?

Umxholo

• Yintoni ebangela iintshulube zentliziyo?
• Zithini iimpawu zentshulube?
• Ichongwa njani le meko?
• Inyangwa njani le meko?
• Ukuthatha
• Inqaku elikhethekileyo labanini bezilwanyana

Yintoni endifanele ndiyazi malunga neentshulube zentliziyo?

I-Dirofilaria immitis luhlobo lwe-parasitic worm eyaziwa ngcono ngabanini bezilwanyana njengezinto zokubulala iintlungu.

Imibungu ye-Heartworm ingakhula ibe ziintshulube ezindala kwigazi lenja yakho kwaye ibhloke imithambo yegazi emikhulu. Ukuba awunyangwanga, iimeko zenja yakho ezinokubangela ingozi enkulu okanye ukufa.

Iintshulube zentliziyo zidluliselwa ezinjeni zisiya ebantwini. Ngapha koko, kuphela ngamatyala angama-81 esifo sentliziyo ebantwini axelwe ukususela kowe-1941 ukuya kowama-2005. Kodwa kungcono ufumane unyango lweentshulube xa ubona naziphi na iimpawu kwisilwanyana sakho okanye wena.

Yintoni ebangela iintshulube zentliziyo?

Zombini izinja nabantu banokufumana usulelo lwentliziyo. Kodwa inja yakho ayinakukunika yona kulwelo lwabo lomzimba. Iintlungu zentliziyo zingena egazini labantu kunye nezinja ngokulunywa yingcongconi.

Iintshulube zentliziyo egazini lesilwanyana esosulelekileyo zivelise emathunjini engcongconi emva kwesidlo segazi. Emva koko, ziye zisiwe kwenye inginginya yingcongconi kwaye zidluliswa ngexesha lokondla.

Iintsholongwane zentliziyo ziqala ukungena kwigazi njengeentshulube zentliziyo ezingaphuhliswanga ezaziwa ngokuba yimicrofilariae, okanye izibungu zentliziyo.

Okwenzekayo ngoku kuyahluka ngokweendidi.

• Kwizilwanyana, imibungu ekugqibeleni ikhule ibe yintshulube yentliziyo yabantu abadala. Banokubangela i-dirofilariasis, usulelo olupheleleyo olunokubangela ukuvaleka kwemithambo okanye usulelo lwamalungu.
• Ebantwini, Imibungu ye-heartworm ayikaze ikhule ngokupheleleyo. Njengokufa kweentshulube zentliziyo encinci, umzimba wakho uphendula kwizicwili zawo ngokudumba njengoko uzama ukutshabalalisa iintshulube zentliziyo. Le meko yaziwa ngokuba yi-pulofmary dirofilariasis.

Zithini iimpawu zentshulube?

Iimpawu zentsholongwane yesifo sentliziyo kwizilwanyana nakubantu ziyahluka ngenxa yendlela ezikhula ngayo kwigazi. Awunakuhlala ufumana naziphi na iimpawu ngenxa yokuba iintshulube zentliziyo ziya kufa ngaphambi kokuvuthwa kwindawo yokuhlala umntu.

Iimpawu kunye neempawu zosulelo lwentliziyo ebantwini zingabandakanya:

• ukukhohlela okungaqhelekanga
• ukhohlela igazi
• intlungu esifubeni sakho
• ukuvutha
• Ukugodola
• ifiva
• ulwakhiwo lwamanzi ajikeleze imiphunga yakho
• izilonda ezingqukuva ezibonisa esifubeni iX-reyi (“ingqekembe”)

Funa unyango kwangoko ukuba uyazibona ezi mpawu, nokuba ukhe walunywa yingcongconi okanye hayi. (Ukulunywa yingcongconi kubonakala kubomvu, amaqhuqhuva arhawuzelayo anamachaphaza asembindini.) Oku kubaluleke ngakumbi kuba ezi mpawu zingabonisa nezinye, iimeko ezinobuzaza ngakumbi.

Ichongwa njani le meko?

Awunakuqonda ukuba unentsholongwane de ugqirha wakho abone isilonda semali kwi-X-ray.

Ezi zilonda zibonisa iiX-reyi okanye uvavanyo lwecomputer tomography (CT) njengamabala amnyama. Zibonakala kufutshane nomphetho wemiphunga. Isilonda sinokubizwa ngokuba yi-granuloma. Oku kubangelwa kukudumba kunye nokwakhiwa kweeseli zomzimba ezaziwa ngokuba zii-histiocytes ezilwa nosulelo lwentliziyo.

Ugqirha unokufuna ukuthatha isampulu yethishu (i-biopsy) ukusuka emiphungeni ukuvavanya usulelo lwentliziyo xa bebona esinye sezilonda kwi-X-ray. Ugqirha wakho unokuvavanya izicubu zemiphunga ukulawula ezinye izizathu ezinokubakho. Kwiimeko ezinqabileyo, isilonda semali sinokubonisa usulelo lwebhakteria, isifo sephepha, okanye umhlaza wemiphunga.

Inyangwa njani le meko?

Iintlungu zentliziyo azihlali ixesha elide egazini lomntu, ngenxa yoko akuyi kufuneka ukuba ususwe imisundululu ngokusebenzisa amayeza okanye uqhaqho. Unyango lwee-heartworms lujongana nayo nayiphi na i-granulomas ebonakala kuvavanyo lokucinga olunokuthi lubangelwe kukukhula kwethambo leentshulube zenhliziyo kwimithambo yakho.

Ukuba igranuloma ayibangeli naziphi na iimpawu okanye ukuvaleka kwimithambo yakho, ngekhe ufune naluphi na olunye unyango.

Ukuba ugqirha wakho ukrokrela ukuba i-granuloma inokuba ngumhlaza okanye isiphumo sesinye, imeko ebaluleke ngakumbi, baya kuthi bathathe isampulu yethishu (i-biopsy).

Ukuthatha isampuli yethishu, ugqirha wakho unokusebenzisa enye yezi ndlela:

• I-biopsy yenalung yemiphunga. Ugqirha wakho ufaka inaliti ebhityileyo kwizicubu zesifuba emiphungeni yakho.
• Bronchoscopy. Ugqirha wakho ufaka indawo ekhanyayo ngomlomo wakho kwimiphunga yakho.
• I-Mediastinoscopy. Ugqirha wakho ufaka indawo ekhanyisiweyo ngokusika kancinci kulusu lwakho kwi-mediastinum, indawo phakathi kwemiphunga.

Ukuba ugqirha wakho ufumanisa ukuba i-granuloma ayinawo umhlaza okanye sisiphumo senye imeko, awusayi kufuna olunye unyango.

Ukuba ugqirha wakho ukholelwa ukuba iigranulomas kufuneka zisuswe, unokufuna utyando ukuze ususe igranuloma. Oku kuya kuthintela naziphi na ezinye iimpawu.

Ukuba i-granuloma ifunyenwe inezicubu zomhlaza, ugqirha wakho uya kuthi akuthumele kwi-oncologist ukuze uqhubeke nokuvavanya izicubu zomzimba wakho kubukho bomhlaza.

Ukuthatha

Awunakho ukufumana iintlungu zentliziyo kwizinja zakho, iikati, okanye ezinye izilwanyana zasekhaya - kuphela kwiingcongconi ezithwala usulelo.

Uninzi lwe-heartworm microfilariae lusifa kwindlela yabo ngolusu. Nokuba bangena egazini lakho ngandlela thile, iintshulube zentliziyo azikwazi ukukhula kwaye ziya kuthi ekugqibeleni zife.

Kwiimeko ezininzi, iintlungu zentliziyo ebantwini aziyongxaki enkulu ngaphandle kokuba zibangela iintlungu, ukungonwabi, kunye nezinye iimpawu ezibonakalayo.

Inqaku elikhethekileyo labanini bezilwanyana

Iintshulube zentliziyo zizinto ezinzulu kwizinja; ngaphandle konyango, inja yakho inokuba neempawu ezibi kwaye isweleke ngenxa yosulelo.

Buza ugqirha wakho wezilwanyana ukuba uthintele inja yakho. Oku kubaluleke ngakumbi ukuba uhlala apho kukho iingcongconi ezininzi okanye ucwangcise ukuhamba kwenye indawo ngeengcongconi. (Cinga uhambo lwangaphandle, uhambo lwenkampu, okanye iiholide kwiindawo ezinomswakama.)

Ukuba uqaphela naziphi na iimpawu zentsholongwane, yisa inja yakho kugqirha wezilwanyana kwangoko ukuze kuvavanywe. Ukuba kukho imfuneko, mabanyange iintshulube zentliziyo ngokukhawuleza.