Kunini lapho kufanele uhlolwe khona nenhliziyo

-Delile

• Ukuhlola nini
• Yiziphi izivivinyo ezifakiwe ekuhlolweni

Ukuhlolwa kwenhliziyo kunenqwaba yezivivinyo ezisiza udokotela ukuthi ahlole ubungozi bokuba nenhliziyo noma ukuba nenkinga yokujikeleza kwegazi, njengokuhluleka kwenhliziyo, i-arrhythmia noma i-infarction, ngokwesibonelo.

Ngokuvamile, lolu hlobo lokuhlolwa lukhonjiswa amadoda angaphezu kweminyaka engama-45 ubudala nakwabesifazane abasesigabeni sangemva kokuya esikhathini, njengoba lezi kuyizikhathi lapho ubungozi bezinkinga zenhliziyo bukhulu kakhulu.

Ukuhlola nini

Ukuhlolwa kwenhliziyo kunconyelwa abesilisa abangaphezu kweminyaka engama-45 nabesifazane be-postmenopausal. Kodwa-ke, ezinye izimo zingalindela ukuya kudokotela wenhliziyo, njenge:

• Umlando wamalungu omndeni abenesifo senhliziyo noma ukufa okungazelelwe;
• Umfutho wegazi ophakeme wegazi njalo kuno-139/89 mmHg;
• Ukukhuluphala;
• Isifo sikashukela;
• I-cholesterol ephezulu ne-triglycerides;
• Ababhemayo;
• Isifo senhliziyo ebuntwaneni.

Ngaphezu kwalokho, uma uhlala phansi noma uzivivinya ngamandla aphansi, ngaphambi kokuqala ukwenza umdlalo omusha, kubalulekile ukuya kudokotela wenhliziyo ukuze uyohlolwa, ukuze udokotela akwazi ukukwazisa uma inhliziyo isebenza imisebenzi ngokufanele.

Uma kunenkinga yenhliziyo etholakele, kunconywa ukuba uye kudokotela wenhliziyo okungenani kanye ngonyaka noma noma nini lapho ethi ukulungisa ukwelashwa. Yazi ukuthi uzoya nini kudokotela wenhliziyo.

Bheka futhi ingozi yakho yokuhlaselwa yisifo senhliziyo:

Yiziphi izivivinyo ezifakiwe ekuhlolweni

Izivivinyo ezifakiwe ekuhlolweni kwenhliziyo ziyahlukahluka kuye ngeminyaka yomuntu nomlando wezokwelapha, futhi kuvame ukufakwa:

• I-X-ray yesifuba, okuvame ukwenziwa nomuntu omile futhi kuhloswe ukubheka isifunda esizungeze inhliziyo, ukukhomba noma yiziphi izinguquko emithanjeni efika noma eshiya inhliziyo, isibonelo;
• I-Electro ne-echocardiogram, lapho kuhlolwa khona isigqi senhliziyo, ubukhona bokungajwayelekile kanye nokwakheka kwenhliziyo, kubhekwa ukuthi ngabe isitho sisebenza kahle yini;
• Ukuhlolwa kwengcindezi, lapho udokotela ehlola khona ukusebenza kwenhliziyo ngesikhathi sokuzivocavoca umzimba, akwazi ukubona izinto ezingakhombisa ukuphahlazeka noma ukwehluleka kwenhliziyo, isibonelo;
• Ukuhlolwa kwelabhoratri, njengesibalo segazi, i-CK-MB, i-troponin ne-myoglobin, isibonelo. Ngaphezu kwalokho, ezinye izivivinyo zelabhoratri zinga-oda ukuze kuhlolwe ubungozi besifo senhliziyo, njengokukalwa kweshukela kanye ne-cholesterol ephelele nezingxenyana.

Lapho lezi zivivinyo zikhombisa izinguquko ezisikisela ngezifo zenhliziyo, udokotela angazihlanganisa nezinye izivivinyo ezithile, njenge-doppler echocardiography, i-myocardial scintigraphy, i-24-hour Holter noma i-24-hour ABPM, isibonelo. Yazi izivivinyo eziyinhloko zenhliziyo.