I-Cardiologist: Kunconywa nini ukwenza i-aphoyintimenti?

-Delile

• Izimpawu zezinkinga zenhliziyo
• Ukuhlolwa kwenhliziyo
• Izifo ezivamile zenhliziyo

Ukubonisana nodokotela wenhliziyo, okungudokotela obhekele ukuxilongwa nokwelashwa kwesifo senhliziyo, kufanele njalo kwenziwe izimpawu ezifana nobuhlungu besifuba noma ukukhathala okungapheli, isibonelo, njengoba kuyizimpawu ezingakhombisa ushintsho enhliziyweni.

Ngokuvamile, lapho umuntu enesifo senhliziyo esitholakele, njengokuhluleka kwenhliziyo, isibonelo, kunconywa ukuthi uye kudokotela njalo ezinyangeni eziyisithupha noma njengokuyalelwa, ukuze izivivinyo nokwelashwa kulungiswe, uma kunesidingo.

Kubalulekile ukuthi amadoda angaphezu kweminyaka engama-45 nabesifazane abaneminyaka engaphezu kwengama-50 abangenalo umlando wezinkinga zenhliziyo babe nokuqokwa minyaka yonke nodokotela wenhliziyo. Kodwa-ke, esimweni somlando wezinkinga zenhliziyo emndenini, abesilisa nabesifazane abaneminyaka engama-30 nengama-40, ngokulandelana, kufanele bavakashele udokotela wenhliziyo ngezikhathi ezithile.

Ukuba nezici zobungozi kusho ukuba nethuba elikhulu lokuba nezinkinga zenhliziyo, futhi ezinye zezici zibandakanya ukukhuluphala ngokweqile, ukubhema, ukuhlala phansi noma ukuba ne-cholesterol ephezulu, futhi lapho uba nezici eziningi usengozini enkulu. Thola okuningi ku: Ukuhlolwa kwezokwelapha.

Izimpawu zezinkinga zenhliziyo

Kubalulekile ukuthi wazi izimpawu ezingakhombisa izinkinga zenhliziyo, futhi kufanele uye kudokotela wenhliziyo ngokushesha lapho zivela. Uma usola izinkinga zenhliziyo, yenza lokhu kuhlolwa kwezimpawu:

1. 1. Ukuhosha njalo lapho ulele
2. 2. Ukuphefumula kancane lapho uphumule noma uzikhandla
3. 3. Ubuhlungu besifuba noma ukungaphatheki kahle
4. 4. Ukukhwehlela okomile nokuphikelelayo
5. 5. Umbala we-Bluish kutholakale kalula
6. 6. Isizungu noma ukuquleka njalo
7. 7. Ukushaywa kwamaphaphu noma itachycardia
8. 8. Ukuvuvukala emilenzeni, emaqakaleni nasezinyaweni
9. 9. Ukukhathala ngokweqile ngaphandle kwesizathu
10. 10. Umjuluko obandayo
11. 11. Ukugaya ukudla okungafanele, isicanucanu noma ukulahlekelwa isifiso sokudla

Uma lo muntu enalezi zimpawu, kunconywa ukuthi uye kudokotela wenhliziyo ngokushesha, ngoba kungakhombisa ukuba khona kwanoma yisiphi isifo senhliziyo, futhi kufanele welashwe ngokushesha ukuze ungabeki impilo yakho engcupheni. Yazi ngezimpawu eziyi-12 ezingakhombisa izinkinga zenhliziyo.

Ukuhlolwa kwenhliziyo

Olunye uvivinyo udokotela angalukhombisa ukuthi ahlole uma isiguli sinezinguquko enhliziyweni:

• I-Echocardiogram: kungukuskena kwe-ultrasound kwenhliziyo okukuvumela ukuthi uthole izithombe zezakhiwo ezahlukahlukene zenhliziyo ezinyakazayo. Lokhu kuhlolwa kubheka ubukhulu bezimbotshana, ama-valve enhliziyo, ukusebenza kwenhliziyo;
• I-Electrocardiogram: kuyindlela esheshayo nelula ebhalisa ukushaya kwenhliziyo ngokubeka ama-electrode ensimbi esikhumbeni sesiguli;
• Ukuzivocavoca ukuhlolwa: ukuhlolwa kokuzivocavoca umzimba, okusetshenziselwa ukuthola izinkinga ezingabonwa lapho umuntu ephumule, kube wukuhlolwa okwenziwa nomuntu ogijima esitendhini sokunyathela noma ngokugwedla ibhayisikili lokuzivocavoca ngesivinini esisheshayo;
• Ukucabanga kwemagnetic resonance: ukuhlolwa kwesithombe okusetshenziselwa ukuthola izithombe zenhliziyo nesifuba.

Ngaphezu kwalezi zivivinyo, udokotela wenhliziyo angakhombisa ukuhlolwa okuningiliziwe noma ukuhlolwa kwelabhorethri, njenge-CK-MB, iTroponin ne-myoglobin, ngokwesibonelo. Bona ukuthi yiziphi ezinye izivivinyo ezihlola inhliziyo.

Izifo ezivamile zenhliziyo

Ukuthola izifo ezivame kakhulu zenhliziyo, njenge-arrhythmia, ukwehluleka kwenhliziyo kanye ne-infarction, ngokwesibonelo, kubalulekile ukuya kudokotela wenhliziyo ngokushesha lapho kuvela izimpawu zokuqala noma okungenani kanye ngonyaka.

I-Arrhythmia yisimo esivezwa ukushaya kwenhliziyo okungajwayelekile, okusho ukuthi, inhliziyo ingashaya kancane noma isheshe kunokujwayelekile futhi ingaguqula ukusebenza nokusebenza kwenhliziyo, ebeka impilo yomuntu engcupheni.

Endabeni yokwehluleka kwenhliziyo, inhliziyo iba nobunzima bokumpompa igazi ngokufanele emzimbeni, idale izimpawu ezifana nokukhathala ngokweqile nokuvuvukala emilenzeni ekupheleni kosuku.

I-infarction, eyaziwa nangokuthi isifo senhliziyo, okungenye yezifo zenhliziyo ezivame kakhulu, ibonakala ngokufa kwamaseli engxenyeni ethile yenhliziyo, imvamisa ngenxa yokushoda kwegazi kuleso sitho.

Sebenzisa umshini wokubala olandelayo bese ubona ukuthi ingozi yakho yokuba nezinkinga zenhliziyo iyini: