Ukungaphumeleli kwentliziyo: yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu ze-CHF
• Izizathu ezinokubangela
• Unyango lwenziwa njani

Ukungaphumeleli kwentliziyo, okubizwa ngokuba yi-CHF, yimeko ebonakaliswa kukuphulukana nokubanakho kwentliziyo yokupompa igazi ngokufanelekileyo, okunciphisa ukuthuthwa kweoksijini kwizicwili, okukhokelela kwiimpawu ezinjengokudinwa, ukuphefumla kancinci kunye nokunyuka kwentliziyo. Qonda ukuba yintoni ukusilela kwentliziyo.

I-CHF ixhaphake kakhulu kubantu abadala nakubantu abanesifo soxinzelelo lwegazi, kodwa ukwenzeka kwayo kunokuchaphazeleka nakwindlela yokuphila, njengokutya iziyobisi rhoqo kunye nokutshaya, umzekelo.

Ukuchongwa kwesi sifo kwenziwa yi-cardiologist ngovavanyo loxinzelelo, i-x-ray yesifuba kunye ne-echocardiogram, apho ukusebenza kwentliziyo kunokuqinisekiswa khona. Kubalulekile ukuba isifo sichongwe kwiimpawu zokuqala zonyango ukubonisa iziphumo ezilungileyo. Ngokwesiqhelo, ugqirha ucebisa ukuba kusetyenziswe amayeza anciphisa uxinzelelo, ukongeza ekucebiseni ukuphuculwa kwendlela yokuphila.

Iimpawu ze-CHF

Olona phawu luphambili lwe-CHF kukukhawuleza ukuphefumla. Oku kuye kuye kusiba kubi ngokuhamba kwexesha, kuye kuvakale nokuba isigulana siphumle. Ngokubanzi, ukudinwa kuya kusiba mandundu xa ulele phantsi kwaye kunokukhokelela ekukhohliseni ebusuku.

Ezinye iimpawu ezinokubonisa i-CHF zezi:

• Ukudumba kwamalungu asezantsi kunye nesisu esiswini;
• Ukudinwa kakhulu;
• Ubuthathaka;
• Ukuphefumla okufutshane;
• Kunzima ukulala;
• Ukukhohlela okumandla kunye negazi;
• Ukungabikho komdla kunye nokuzuza ubunzima;
• Ukudideka kwengqondo;
• Ukuzimisela ukuchama rhoqo, ngakumbi ebusuku.

Ukongeza, ngenxa yobunzima bokuhambisa ioksijini, kunokubakho ukusilela kwamanye amalungu, anje ngemiphunga kunye nezintso.

Ukungaphumeleli kwentliziyo yokuxinana, ukwehla kokumpompa igazi emzimbeni wonke kubangela ukugcwala kwentliziyo, okukhokelela ekwandeni kwenqanaba lentliziyo kumzamo wokukhuthaza ioksijini efanelekileyo yezicubu kunye nokusebenza kakuhle komzimba.

Nangona kunjalo, ukonyuka kwenqanaba lentliziyo kukhokelela kukungalingani phakathi kwe-intra kunye ne-extracellular fluid, ekhokelela kulwelo olungena kwizicubu, ezikhuthaza ukudumba kwamalungu asezantsi kunye nommandla wesisu.

Izizathu ezinokubangela

Ukungaphumeleli kwentliziyo kunokubangelwa nayiphina imeko eguqula ukusebenza kwentliziyo kunye nokuthuthwa kweoksijini kwizicubu, ezona ziphambili zezi:

• Isifo seCoronary Artery Disease, esenzeka ngenxa yokuthintelwa kwemithambo yegazi ngenxa yobukho bamacwecwe anamafutha;
• I-Valve stenosis, eyokucuthwa kwezivalo zentliziyo ngenxa yokuguga okanye umkhuhlane wamathambo;
• I-arrhythmia ye-Cardiac, ebonakaliswa kukutshintsha kweentsimbi zentliziyo, ebangela ukuba intliziyo ibethe kancinci okanye ngokukhawuleza.
• Ukungasebenzi kakuhle kwediastolic, apho intliziyo ingakwaziyo ukuphumla emva kokuncipha, esi sesona sizathu siqhelekileyo kubantu abanexinzelelo kunye nabantu abadala.

Ukongeza kwezi zizathu, i-CHF inokwenzeka kwakhona ngenxa yokusela kakhulu iziselo ezinxilisayo, ukutshaya, iingxaki zamathambo, ukutyeba kakhulu, isifo seswekile, usulelo lwentsholongwane okanye ukubekwa kakhulu kwentsimbi kwizicubu.

Unyango lwenziwa njani

Unyango lokungaphumeleli kwentliziyo yokuxinana lwenziwa phantsi kwesikhokelo se-cardiologist, kwaye ngokwesizathu sesi sifo, ukusetyenziswa kwamayeza esichamo anje ngeFurosemide kunye neSpironolactone, kunye ne-beta-blocker ezinje ngeCarvedilol, Bisoprolol okanye iMetoprolol, ekufuneka isetyenziswe. isetyenziswe ngokwesindululo sonyango. Funda ngakumbi malunga nonyango lokungaphumeleli kwentliziyo.

Ukongeza, kubalulekile ukuthathela ingqalelo ukutya, ukunqanda ukusetyenziswa gwenxa kwetyuwa, kunye nokwenza imisebenzi yesiqhelo yomzimba. Ukufakelwa kwentliziyo kuboniswa kuphela xa unyango lweziyobisi lungasebenzi.

Jonga kule vidiyo ilandelayo ukuba ukutya kubaluleke kangakanani kunyango lokungaphumeleli kwentliziyo: