Ukwehluleka kwenhliziyo yokucinana: kuyini, izimpawu nokwelashwa

-Delile

• Izimpawu ze-CHF
• Izimbangela ezingaba khona
• Yelashwa kanjani

Ukwehluleka kwenhliziyo ukuminyana, okubizwa nangokuthi i-CHF, yisimo esivezwa ukulahleka kwekhono lenhliziyo lokumpompa igazi kahle, elehlisa ukuthuthwa komoya-mpilo ezicutshini, okuholele ekutheni kube nezimpawu ezinjengokukhathala, ukuphefumula kancane nokwenyuka kwenhliziyo. Qondisisa ukuthi yini ukwehluleka kwenhliziyo.

I-CHF ivame kakhulu kubantu asebekhulile nakubantu abanomfutho wegazi ophezulu, kepha ukwenzeka kwayo kungathonywa nemikhuba yokuphila, njengokuphuza njalo iziphuzo ezidakayo nokubhema.

Ukuxilongwa kwalesi sifo kwenziwa udokotela wenhliziyo ngokuhlolwa kokucindezeleka, i-x-ray yesifuba ne-echocardiogram, lapho ukusebenza kwenhliziyo kungaqinisekiswa khona. Kubalulekile ukuthi lesi sifo sikhonjwe ezimpawu zokuqala zokwelashwa ukukhombisa imiphumela emihle. Imvamisa, udokotela uncoma ukusetshenziswa kwemithi eyehlisa ingcindezi, ngaphezu kokuncoma ukuthuthuka kwendlela yokuphila.

Izimpawu ze-CHF

Uphawu oluyinhloko lwe-CHF ukuphelelwa umoya. Lokhu kuvama ukuba kubi ngokuhamba kwesikhathi, kuzwakale noma ngabe isiguli siphumule. Ngokuvamile, ukukhathala kuba kubi kakhulu lapho ulala phansi futhi kungaholela ekukhwehleleni ebusuku.

Ezinye izimpawu ezingakhombisa ukuthi i-CHF yilezi:

• Ukuvuvukala kwezitho ezingezansi nesifunda sesisu;
• Ukukhathala ngokweqile;
• Ubuthakathaka;
• Ukuphefumula okufishane;
• Kunzima ukulala;
• Ukukhwehlela okukhulu futhi okunegazi;
• Ukungabi nesifiso sokudla kanye nokuzuza kwesisindo;
• Ukudideka kwengqondo;
• Ukuzimisela ukuchama kaningi, ikakhulukazi ebusuku.

Ngaphezu kwalokho, ngenxa yobunzima bokuhambisa umoya-mpilo, kungahle kube khona ukwehluleka kwezinye izitho, njengamaphaphu nezinso.

Ekuhlulekeni kwenhliziyo okunciphisayo, ukwehla kokumpompa igazi emzimbeni wonke kubangela ukugcwala kwenhliziyo, okuholela ekukhuleni kwesilinganiso senhliziyo emzameni wokukhuthaza ukuphefumula kahle kwezicubu kanye nokusebenza kahle komzimba.

Kodwa-ke, ukwanda kwesilinganiso senhliziyo kuholela ekungalingani phakathi kuketshezi lwangaphakathi nolwangaphandle, okuholela ekutheni uketshezi lungene ezicutshini, okukhuthaza ukuvuvukala kwezitho ezingezansi nesifunda sesisu.

Izimbangela ezingaba khona

Ukwehluleka kwenhliziyo ukubindana kungabangelwa yinoma isiphi isimo esishintsha ukusebenza kwenhliziyo nokuthuthwa komoya-mpilo ezicutshini, okuyinhloko:

• Isifo Se-Coronary Artery Esiqinile, esenzeka ngenxa yokuvaleka kwemithambo yegazi ngenxa yokuba khona kwamapuleti anamafutha;
• I-Valve stenosis, okuwukuncipha kwama-valve enhliziyo ngenxa yokuguga noma umkhuhlane wamathambo;
• I-arrhythmia yenhliziyo, ebonakala ngokushintsha kokushaya kwenhliziyo, okwenza inhliziyo ishaye kancane noma ngokushesha.
• Ukungasebenzi kahle kwe-diastolic, lapho inhliziyo ingakwazi khona ukuphumula ngemuva kokuncipha, lokhu kuyimbangela ejwayelekile kakhulu kubantu abane-hypertension kanye nabantu abadala.

Ngaphezu kwalezi zimbangela, i-CHF nayo ingenzeka ngenxa yokuphuza ngokweqile iziphuzo ezidakayo, ukubhema, izinkinga ze-rheumatic, ukukhuluphala ngokweqile, isifo sikashukela, ukutheleleka ngegciwane noma ukufakwa kwensimbi ngokweqile ezicubu.

Yelashwa kanjani

Ukwelashwa kwe-Congestive Heart Failure kwenziwa ngaphansi kokuqondiswa yi-cardiologist, futhi ngokusho kwesizathu sesifo, ukusetshenziswa kwemithi yokwelapha efana neFurosemide ne-Spironolactone, kanye ne-beta-blockers efana neCarvedilol, Bisoprolol noma iMetoprolol, okufanele ijwayele ukwenziwa isetshenziswe ngokuya ngokuncoma kwezokwelapha. Funda kabanzi mayelana nokwelashwa kokuhluleka kwenhliziyo.

Ngaphezu kwalokho, kubalulekile ukunaka ukudla, ukugwema ukusetshenziswa kasawoti okweqile, nokwenza imikhuba ejwayelekile yomzimba. Ukufakelwa kwenhliziyo kuboniswa kuphela lapho ukwelashwa kwezidakamizwa kungasebenzi.

Bona kuvidiyo elandelayo ukuthi ukudla kubaluleke kanjani ekwelapheni Ukwehluleka Kwenhliziyo: