Ngabe Abantu Bangathola Izikelemu Zenhliziyo Ezivela Ezinja?

-Delile

• Yini ebangela imisundu yenhliziyo?
• Ziyini izimpawu zesibungu senhliziyo?
• Lesi sifo sitholakala kanjani?
• Selashwa kanjani lesi simo?
• Ukuthatha
• Inothi elikhethekile labanikazi bezilwane ezifuywayo

Yini okufanele ngiyazi ngemisundu yenhliziyo?

I-Dirofilaria immitis uhlobo lwesibungu esiyisidleke esaziwa kangcono ngabanikazi bezilwane njengezibungu zenhliziyo.

Izibungu ze-heartworm zingakhula zibe izikelemu zabantu abadala egazini lenja yakho futhi zivimbele imithambo yegazi emikhulu. Uma ingalashwa, izimo zezitho zakho zenja ezingadala ingozi enkulu noma zife.

Izikelemu zenhliziyo zidluliselwa zisuka ezinjeni ziye kubantu. Eqinisweni, kuphela amacala angama-81 wesifo senhliziyo ebantwini abikwa kusuka ngo-1941 kuya ku-2005.Kodwa kungcono ukufuna ukwelashwa kwemisundu yenhliziyo uma ubona noma yiziphi izimpawu esilwaneni sakho noma kuzona.

Yini ebangela imisundu yenhliziyo?

Zombili izinja nabantu bangathola ukutheleleka kwe-heartworm. Kodwa inja yakho ayikwazi ukukunikeza ngokusebenzisa uketshezi lwabo lomzimba. Izikelemu zenhliziyo zingena egazini labantu nezinja ngokulunywa omiyane.

Izikelemu zenhliziyo egazini lesilwane esinegciwane ziyazala emathunjini omiyane ngemuva kokudla kwegazi. Ngemuva kwalokho, ziyiswa komunye umphathi ngomiyane futhi zidluliswa ngesikhathi sokudla.

Ama-heartworms aqala ukungena egazini njengemisundu yenhliziyo engathuthuki eyaziwa ngokuthi i-microfilariae, noma izibungu ze-heartworm.

Okwenzekayo ngokulandelayo kuyehluka ngezinhlobo.

• Ezilwaneni, izibungu ekugcineni zivuthwa zibe imisundu yenhliziyo yabantu abadala. Ngemuva kwalokho zingadala i-dirofilariasis, ukutheleleka okugcwele okungahle kuvimbele imithambo emikhulu noma ukutheleleka kwezitho.
• Kubantu, izibungu ze-heartworm azikaze zivuthwe ngokuphelele. Njengoba kufa imisundu emincane, umzimba wakho uphendula izicubu zawo ngokuvuvukala njengoba izama ukuqeda imisundu yenhliziyo. Lesi simo saziwa njenge-dirofilariasis yamaphaphu.

Ziyini izimpawu zesibungu senhliziyo?

Izimpawu zokutheleleka kwe-heartworm ezilwaneni nakubantu ziyehluka ngenxa yokuthi zikhula kanjani egazini. Ungahle ungabi nazimpawu njalo ngoba izibungu zenhliziyo zizofa ngaphambi kokuvuthwa kumuntu ophethe.

Izimpawu nezimpawu zokutheleleka kwenhliziyo kubantu zingabandakanya:

• ukukhwehlela okungavamile
• ekhwehlela igazi
• ubuhlungu esifubeni sakho
• isifuba
• Ukugodola
• imfiva
• ukwanda ketshezi elizungeze amaphaphu akho (i-pleural effusion)
• izilonda eziyindilinga ezibonakala esifubeni i-X-ray (izilonda "zemali")

Funa usizo lwezempilo ngokushesha uma ubona lezi zimpawu, noma ngabe ulunywe umiyane noma cha. (Ukulunywa omiyane kuvela njengamabhampa abomvu, alumayo anamachashazi phakathi.) Lokhu kubaluleke kakhulu ngoba lezi zimpawu zingakhombisa nezinye izimo ezimbi kakhulu.

Lesi sifo sitholakala kanjani?

Ungahle ungaboni ukuthi uke waba nokutheleleka kuze kube yilapho udokotela wakho ebona isilonda semali ku-X-ray.

Lezi zilonda zivela ekuhlolweni kwe-X-ray noma i-computed tomography (CT) njengezindawo ezimnyama. Zivame ukubonakala eduze komphetho wamaphaphu. Isilonda singabizwa nangokuthi i-granuloma. Lokhu kubangelwa ukuvuvukala nokwakhiwa kwamaseli omzimba abizwa ngama-histiocyte alwa nokutheleleka kwe-heartworm.

Udokotela wakho angafuna ukuthatha isampula lezicubu (i-biopsy) kusuka emaphashini ukuze ahlole ukutheleleka kwenhliziyo uma ebona esinye salezi zilonda ku-X-ray. Udokotela wakho angahlola izicubu zamaphaphu ukukhipha ezinye izimbangela ezingaba khona. Ezimweni ezingavamile, isilonda semali singabonisa ukutheleleka kwebhaktheriya, isifo sofuba noma umdlavuza wamaphaphu.

Selashwa kanjani lesi simo?

Izikelemu zenhliziyo azihlali isikhathi eside egazini lomuntu, ngakho-ke ngeke kudingeke ukuthi kususwe izibungu zenhliziyo ngokusebenzisa umuthi noma ukuhlinzwa. Ukwelashwa kwama-heartworms kubhekana nanoma yimaphi ama-granulomas avela ekuhlolweni kwe-imaging okungenzeka ukuthi kubangelwe ukwakhiwa kwezicubu zomzimba ezifile emithanjeni yakho.

Uma i-granuloma ingabangeli zimpawu noma ukuvaleka emithanjeni yakho, cishe ngeke udinge okunye ukwelashwa.

Uma udokotela wakho esola ukuthi i-granuloma ingaba nomdlavuza noma umphumela wesinye, isimo esibi kakhulu, kungenzeka bathathe isampula lesicubu (i-biopsy).

Ukuze uthathe isampula lezicubu, udokotela wakho angasebenzisa enye yalezi zindlela:

• I-needle biopsy yamaphaphu. Udokotela wakho ufaka inaliti ezondile ngezicubu zesifuba sakho emaphashini akho.
• I-Bronchoscopy. Udokotela wakho ufaka isikhala esikhanyisiwe ngomlomo wakho emaphashini akho.
• I-Mediastinoscopy. Udokotela wakho ufaka indawo ekhanyisiwe ngokusika okuncane esikhunjeni sakho ku-mediastinum, indawo ephakathi kwamaphaphu.

Uma udokotela wakho ethola ukuthi i-granuloma ayinawo umdlavuza noma umphumela wesinye isimo, ungahle ungadingi ukwelashwa okuqhubekayo.

Uma udokotela wakho ekholelwa ukuthi ama-granulomas adinga ukususwa, ungadinga ukuhlinzwa ukuze ususe i-granuloma. Lokhu kuzovimbela ezinye izimpawu.

Uma i-granuloma itholakala inezicubu zomdlavuza, udokotela wakho cishe uzokudlulisela ku-oncologist ukuze aqhubeke nokuhlola izicubu zakho zomzimba ngobukhona bomdlavuza.

Ukuthatha

Awukwazi ukuthola izibungu zenhliziyo ezinjeni zakho, amakati, noma ezinye izilwane ezifuywayo - kuphela kumiyane othwala ukutheleleka.

Iningi le-heartworm microfilariae lifa lapho lidlula esikhunjeni. Noma zingena egazini lakho ngandlela thile, imisundu yenhliziyo ayikwazi ukuvuthwa futhi ekugcineni izofa.

Ezimweni eziningi, imisundu yenhliziyo ebantwini akuyona inkinga enkulu ngaphandle kokuthi ibangele ubuhlungu, ukungaphatheki kahle, nezinye izimpawu ezibonakalayo.

Inothi elikhethekile labanikazi bezilwane ezifuywayo

Izikelemu zenhliziyo zingumsebenzi obucayi wezinja; ngaphandle kokwelashwa, inja yakho ingathola izimpawu ezinzima futhi ize ife ngenxa yokutheleleka.

Buza udokotela wezilwane wakho ngemithi yokuvikela izinhlungu zenhliziyo ngenja yakho. Lokhu kubaluleke kakhulu uma uhlala lapho kukhona omiyane abaningi noma uhlela ukuhamba kwenye indawo ngomiyane. (Cabanga ukuhamba ngaphandle, uhambo lwamatende, noma amaholide ezindaweni ezinomswakama.)

Uma ubona noma yiziphi izimpawu zokutheleleka kwesifo senhliziyo, thatha inja yakho uye kudokotela wezilwane khona manjalo ukuze ayohlolwa. Uma kunesidingo, banakekele izibungu zenhliziyo ngokushesha okukhulu.