Iyini i-Outlook Yokwehluleka Kwenhliziyo Yesibindi?

-Delile

• Izibikezelo esigabeni ngasinye
• Isibikezelo eminyakeni ehlukene
• Izinketho zokwelashwa
• Ukuphila ngokwehluleka kokuqina kwenhliziyo
• Ukudla
• Ukuzivocavoca umzimba
• Ukuvinjelwa kwamanzi
• Ukuqapha isisindo
• Ukuthatha

Kuyini ukuhluleka kwenhliziyo okucinana?

Ukwehluleka kwenhliziyo yokucinana (CHF) yisimo lapho imisipha yenhliziyo yakho ingasakwazi ukumpompa igazi ngempumelelo. Yisimo sesikhathi eside esiya ngokuya siba sibi ngokuhamba kwesikhathi. Imane ibizwa ngokuthi ukwehluleka kwenhliziyo, yize i-CHF icacisa isigaba sesimo lapho uketshezi luqoqa khona luzungeze inhliziyo. Lokhu kuyifaka ngaphansi kwengcindezi futhi kubangele ukuthi ipompe ngokunganele.

Izibikezelo esigabeni ngasinye

Kunezigaba ezine noma amakilasi e-CHF, futhi ngasinye sisekelwe ebucayi bezimpawu zakho.

Uzoqoqwa ube isigaba 1 uma kutholakala ubuthakathaka enhliziyweni yakho kepha awukabi nezimpawu. Isigaba 2 sibhekisa kulabo abaphile kahle kakhulu, kepha badinga ukugwema umthwalo osindayo.

Ngekilasi 3 CHF, imisebenzi yakho yansuku zonke inqunyelwe ngenxa yalesi simo. Abantu abasekilasini 4 banezimpawu ezinzima noma ngabe baphumule ngokuphelele.

Izimpawu ze-CHF ziba bucayi ngokuya ngesigaba okuso sesimo okuso.

• ukuphelelwa umoya
• ubuhlungu besifuba
• uketshezi ezinyaweni, emaqakaleni noma emilenzeni
• ukuqunjelwa
• isicanucanu
• ubuhlungu besisu
• ukukhathala

I-CHF ivame ukubangelwa yisimo esingaphansi. Ngokuya ngokuthi lokho kukuphi nokuthi unakho ukwehluleka kwenhliziyo kwesokudla noma kwesobunxele, ungahlangabezana nezinye kuphela noma zonke lezi zimpawu.

Isibikezelo se-CHF sehluka kakhulu phakathi kwabantu, njengoba kunezici eziningi ezahlukahlukene ezinomthelela kulokho ukubikezelwa komuntu okungaba yikho.

Kodwa-ke, ikakhulukazi, uma i-CHF itholakala ezigabeni zayo zangaphambili futhi iphethwe kahle, lapho-ke ungalindela ukubikezelwa okungcono kakhulu kunalokho uma kutholakala ngokuhamba kwesikhathi. Abanye abantu i-CHF yabo etholakala kusenesikhathi futhi yelashwa ngokushesha nangempumelelo bangaba nethemba lokuphila cishe isikhathi esijwayelekile.

Ngokusho kwalaba, cishe isigamu sabantu abatholakala ukuthi bane-CHF bazophila ngaphezu kweminyaka emihlanu.

Isibikezelo eminyakeni ehlukene

Kube ngumbono womtholampilo owamukelwa kabanzi iminyaka eminingi ukuthi abantu abasha abatholakala ukuthi bane-CHF banesibikezelo esingcono kunabantu abadala. Kunobunye ubufakazi obusekela le mbono.

Abantu asebekhulile abane-CHF esezingeni eliphezulu banesibikezelo esinzima kakhulu. Kulezi zimo, akuvamile kakhulu ukuhlala ngaphezu konyaka owodwa ngemuva kokuxilongwa. Lokhu kungenzeka futhi ngoba izinqubo ezihlaselayo zokusiza inkinga azikholakali eminyakeni ethile.

Izinketho zokwelashwa

Kungasiza ukunciphisa uketshezi emzimbeni ukuze inhliziyo ingasebenzi kanzima ukuzungeza igazi. Odokotela bakho bangaphakamisa ukuvinjelwa koketshezi nokuthi wehlise ukudla kwakho usawoti ukuze usize ngalokhu. Bangaphinde banikeze imishanguzo yokwelapha isisu (amaphilisi amanzi). Ama-diuretics asetshenziswa kakhulu afaka i-bumetanide, i-furosemide, ne-hydrochlorothiazide.

Kukhona nemishanguzo etholakalayo engasiza inhliziyo ukuthi impomfe igazi ngempumelelo futhi ngalokho yenyuse ukusinda isikhathi eside. I-Angiotensin-converting enzyme (ACE) inhibitors kanye ne-angiotensin receptor blockers (ARBs) yimithi esetshenziswa kakhulu kule nhloso. Zingasetshenziswa ngokuhlanganyela neminye imithi.

Ama-beta blockers nawo angasetshenziswa ukulawula ukushaya kwenhliziyo futhi andise amandla enhliziyo okupompa igazi.

Kubantu abanesifo senhliziyo esezingeni lokugcina, kungenzeka ukufaka impompo esiza ukukhulisa amandla enhliziyo okukhama. Lokhu kubizwa ngokuthi yidivayisi esizwa nge-ventricular assisted (LVAD).

Kwabanye abantu abane-CHF ukufakelwa kwenhliziyo nakho kungaba yindlela. Abantu abaningi asebekhulile ababhekwa njengokufanele ukufakelwa kabusha. Kulezi zimo, i-LVAD ingahlinzeka ngesixazululo saphakade.

Ukuphila ngokwehluleka kokuqina kwenhliziyo

Kunezinguquko eziningi zendlela yokuphila umuntu angenza i-CHF okukhonjisiwe ukuthi iyasiza ukwehlisa ukuqhubeka kwesimo.

Ukudla

Isodium ibangela ukugcinwa koketshezi kukhule ngaphakathi kwezicubu zomzimba. Ukudla okunesodium ephansi kuvame ukunconywa kubantu abane-CHF. Kuyalulekwa futhi ukuthi ukhawulele kakhulu ukuphuza kwakho, ngoba lokhu kungathinta ubuthakathaka bemisipha yenhliziyo yakho.

Ukuzivocavoca umzimba

Ukuvivinya umzimba nge-aerobic kukhonjisiwe ukuthi kuthuthukise ikhono eliphelele lenhliziyo lokusebenza, ngaleyo ndlela linikeze ikhwalithi engcono yokuphila kanye nokukhula okulindelekile kokuphila. Hlela izindlela zokuzivocavoca ngosizo oluvela kubahlinzeki bakho bezokunakekelwa kwempilo ukuze izivivinyo zikwazi ukuhambisana nezidingo zakho kanye namazinga okubekezela.

Ukuvinjelwa kwamanzi

Abantu abane-CHF bavame ukwelulekwa ukuthi balawule ukuphuza kwabo uketshezi, ngoba lokhu kunomthelela kuketshezi olugcinwe ngaphakathi emzimbeni. Abantu abathatha imishanguzo yokukhipha isisu ukuqeda uketshezi oluningi bangaphikisana nemiphumela yalo muthi uma bedla uketshezi oluningi. Abantu abanezimo ezithuthuke kakhulu ze-CHF bavame ukwelulekwa ukuthi banciphise ukudla kwabo okugcwele uketshezi kuma-2 quarts.

Ukuqapha isisindo

Ukwanda kwesisindo somzimba kuyisibonakaliso sokuqala sokuqongelela uketshezi. Ngakho-ke, kubalulekile kubantu abane-CHF ukuqapha isisindo sabo eduze. Uma uzuza amakhilogremu ama-2-3 ezinsukwini eziningi, shayela udokotela wakho. Bangase bafune ukukhuphula umthamo wakho wezidakamizwa ukuze bakwazi ukulawula ukuqongelela uketshezi ngaphambi kokuba lube lukhuni ngokwengeziwe.

Ukuthatha

Umbono we-CHF uguquguquka ngokumangazayo. Ngokuyinhloko kuncike ekutheni ukusiphi isigaba sesimo okuso nokuthi unazo yini ezinye izimo zezempilo. Abantu abasebasha bangaba nombono othembisa ngokwengeziwe. Isimo singathuthukiswa kakhulu ngokushintshwa kwendlela yokuphila, imithi nokuhlinzwa. Xhumana nodokotela wakho ukuthola ukuthi yiluphi uhlelo oluhle kakhulu lokwelashwa olukufanele.