Sitholakala Kanjani Isifo Senhliziyo?

-Delile

• Izimpawu zesifo senhliziyo
• Ukuhlolwa komzimba nokuhlolwa kwegazi
• Ukuhlolwa okungavumelekile kwesifo senhliziyo
• I-Electrocardiogram
• I-Echocardiogram
• Ukuhlolwa kwengcindezi
• I-Carotid ultrasound
• Ukuqapha kweHolter
• I-X-ray yesifuba
• Ukuvivinya kwetafula lokutsheka
• Iskena se-CT
• Inhliziyo MRI
• Ukuhlolwa okuhlaselayo kokuthola isifo senhliziyo
• I-Coronary angiography kanye ne-catheterization yenhliziyo
• Ucwaningo lwe-Electrophysiology
• Lapho uzobona udokotela wakho

Ukuhlolelwa isifo senhliziyo

Isifo senhliziyo yinoma yisiphi isimo esithinta inhliziyo yakho, njengesifo se-coronary artery kanye ne-arrhythmia. Ngokusho kwesifo senhliziyo yisona esibulala umuntu oyedwa kwabane e-United States unyaka ngamunye. Kuyimbangela ehamba phambili yokufa kwabesilisa nabesifazane.

Ukuthola isifo senhliziyo, udokotela wakho uzokwenza uchungechunge lwezivivinyo nokuhlolwa. Bangasebenzisa ezinye zalezi zivivinyo ukukuhlolela isifo senhliziyo ngaphambi kokuba ube nezimpawu ezibonakalayo.

Izimpawu zesifo senhliziyo

Izimpawu zenkinga yenhliziyo zingabandakanya:

• ukuquleka
• ukushaya kwenhliziyo okuhamba kancane noma okusheshayo
• ukuqina kwesifuba
• ubuhlungu besifuba
• ukuphelelwa umoya
• ukuvuvukala okungazelelwe emilenzeni, ezinyaweni, emaqakaleni noma esiswini

Uma unanoma iyiphi yalezi zimpawu, kufanele uhlele i-aphoyintimenti nodokotela wakho. Ukuxilongwa nokwelashwa kusenesikhathi kungasiza ekwehliseni ubungozi bezinkinga, njengokuhlaselwa yinhliziyo noma isifo sohlangothi.

Ukuhlolwa komzimba nokuhlolwa kwegazi

Ngesikhathi sokuqokwa kwakho, udokotela wakho uzokubuza ngezimpawu zakho kanye nomlando wakho wezokwelapha womndeni. Bazobuye babheke ukushaya kwenhliziyo yakho nomfutho wegazi.

Udokotela wakho angaphinde ahlele ukuhlolwa kwegazi. Isibonelo, ukuhlolwa kwe-cholesterol kukala amazinga amafutha kanye ne-cholesterol egazini lakho. Udokotela wakho angasebenzisa lezi zivivinyo ukusiza ukuthola ubungozi besifo senhliziyo nokuhlaselwa yinhliziyo.

Ukuhlolwa okuphelele kwe-cholesterol kubheka izinhlobo ezine zamafutha egazini lakho:

• Ingqikithi ye-cholesterol isamba sayo yonke i-cholesterol esegazini lakho.
• Isisindo esiphansi se-lipoprotein (LDL) cholesterol kwesinye isikhathi ibizwa nge-cholesterol “embi”. Amaningi awo abangela ukwakheka kwamafutha emithanjeni yakho, okunciphisa ukugeleza kwegazi. Lokhu kungaholela ekuhlaselweni yinhliziyo noma isifo sohlangothi.
• Isisindo esiphakeme se-lipoprotein (HDL) cholesterol kwesinye isikhathi ibizwa nge “cholesterol” enhle. Kuyasiza ukuthwala i-cholesterol ye-LDL nokusula imithambo yakho.
• Ama-Triglycerides uhlobo lwamafutha egazini lakho. Amazinga aphezulu we-triglycerides avame ukuhlotshaniswa nesifo sikashukela, ukubhema, nokuphuza ngokweqile.

Udokotela wakho futhi angayalela ukuhlolwa kwe-C-reactive protein (CRP) ukuhlola umzimba wakho ukuthi awunazimpawu zokuvuvukala. Bangasebenzisa imiphumela ye-CRP yakho kanye nokuhlolwa kwe-cholesterol ukuhlola ubungozi besifo senhliziyo.

Ukuhlolwa okungavumelekile kwesifo senhliziyo

Ngemuva kokuphothula ukuhlolwa komzimba nokuhlolwa kwegazi, udokotela wakho anga-oda ezinye izivivinyo ezingezona ezokuhlasela.Okungahlaseli kusho ukuthi izivivinyo azibandakanyi amathuluzi aphula isikhumba noma angene emzimbeni emzimbeni. Kunezivivinyo eziningi ezingekho emthethweni ezitholakalayo ukusiza udokotela wakho ahlole isifo senhliziyo.

I-Electrocardiogram

I-electrocardiogram (EKG) isivivinyo esifushane esihlola umsebenzi kagesi osenhliziyweni yakho. Kubhala lo msebenzi esiqeshini sephepha. Udokotela wakho angasebenzisa lesi sivivinyo ukubheka ukushaya kwenhliziyo okungajwayelekile noma ukulimala kwenhliziyo.

I-Echocardiogram

I-echocardiogram iyi-ultrasound yenhliziyo yakho. Isebenzisa amagagasi omsindo ukwakha isithombe senhliziyo yakho. Udokotela wakho angayisebenzisa ukuhlola ama-valves enhliziyo yakho nemisipha yenhliziyo.

Ukuhlolwa kwengcindezi

Ukuthola izinkinga zenhliziyo, udokotela wakho angadinga ukukuhlola ngenkathi wenza umsebenzi onzima. Ngesikhathi sokuhlolwa kwengcindezi, bangakucela ukuthi ugibele ibhayisikili elimile noma uhambe ngezinyawo noma ugijime endaweni yokunyathela imizuzu embalwa. Bazobheka ukuphendula komzimba wakho ekucindezelekeni njengoba izinga lokushaya kwenhliziyo yakho lenyuka.

I-Carotid ultrasound

Iskena se-carotid duplex sisebenzisa amaza omsindo ukudala izithombe zemithambo yakho ye-carotid ezinhlangothini zombili zentamo yakho. Ivumela udokotela wakho ukuthi ahlole ukwakheka kocwecwe emithanjeni yakho futhi ahlole ubungozi bokushaywa unhlangothi.

Ukuqapha kweHolter

Uma udokotela wakho edinga ukuqapha inhliziyo yakho esikhathini esingamahora angama-24 kuya kwangama-48, bazokucela ukuthi ugqoke umshini obizwa nge-Holter monitor. Lo mshini omncane usebenza njenge-EKG eqhubekayo. Udokotela wakho angayisebenzisa ukubheka ukungahleleki kwenhliziyo okungatholakali ku-EKG ejwayelekile, efana ne-arrhythmias, noma ukushaya kwenhliziyo okungajwayelekile.

I-X-ray yesifuba

I-X-ray yesifuba isebenzisa inani elincane lemisebe ukudala izithombe zesifuba sakho, kufaka phakathi nenhliziyo yakho. Kungasiza udokotela wakho ukuthola imbangela yokuphefumula noma izinhlungu zesifuba.

Ukuvivinya kwetafula lokutsheka

Udokotela wakho angenza isivivinyo setafula elinyakazayo uma uqulekile. Bazokucela ukuthi ulale etafuleni elihamba lisuka enhla liye endaweni emi mpo. Njengoba itafula lihamba, bazobheka ukushaya kwenhliziyo yakho, umfutho wegazi, nezinga le-oxygen. Imiphumela ingasiza udokotela wakho ukuthi anqume ukuthi ukuquleka kwakho kubangelwe yisifo senhliziyo noma esinye isimo.

Iskena se-CT

Iskena se-CT sisebenzisa izithombe eziningi ze-X-ray ukwakha isithombe esinqamulelayo senhliziyo yakho. Udokotela wakho angasebenzisa izinhlobo ezahlukene zamaskena we-CT ukuthola isifo senhliziyo. Isibonelo, bangasebenzisa i-calcium score yokuhlola ukuskena kwenhliziyo ukuhlola ama-calcium deposits emithanjeni yakho ye-coronary. Noma bangasebenzisa i-coronary CT angiography ukuhlola amafutha noma i-calcium deposits emithanjeni yakho.

Inhliziyo MRI

Ku-MRI, odonsa abakhulu namagagasi omsakazo benza izithombe zengaphakathi lomzimba wakho. Ngesikhathi se-MRI yenhliziyo, uchwepheshe wakha izithombe zemithambo yegazi nenhliziyo yakho ngenkathi ishaya. Ngemuva kokuhlolwa, udokotela wakho angasebenzisa izithombe ukuthola izimo eziningi, njengezifo zemisipha yenhliziyo kanye nesifo semithambo yenhliziyo.

Ukuhlolwa okuhlaselayo kokuthola isifo senhliziyo

Kwesinye isikhathi izivivinyo ezingenasidingo azihlinzeki ngezimpendulo ezanele. Udokotela wakho angadinga ukusebenzisa inqubo ehlaselayo ukuthola isifo senhliziyo. Izinqubo ezihlaselayo zifaka amathuluzi angena emzimbeni ngokomzimba, njengenaliti, ithubhu, noma ububanzi.

I-Coronary angiography kanye ne-catheterization yenhliziyo

Ngesikhathi se-catheterization yenhliziyo, udokotela wakho ufaka ishubhu elide eliguquguqukayo ngesitsha segazi emgodleni wakho noma kwenye ingxenye yomzimba wakho. Ngemuva kwalokho bahambisa le tube kuye enhliziyweni yakho. Udokotela wakho angayisebenzisa ukwenza izivivinyo ukuhlola izinkinga zemithambo yegazi nokungahleleki kwenhliziyo.

Isibonelo, udokotela wakho angaqedela i-coronary angiography nge-catheterization. Bazofaka udayi okhethekile emithanjeni yegazi yenhliziyo yakho. Ngemuva kwalokho bazosebenzisa i-X-ray ukubheka imithambo yakho yenhliziyo. Bangasebenzisa lolu vivinyo ukubheka imithambo emincane noma evinjiwe.

Ucwaningo lwe-Electrophysiology

Uma unezigqi zenhliziyo ezingavamile, udokotela wakho angaqhuba ucwaningo lwe-electrophysiology ukuthola imbangela nohlelo lokwelashwa olungcono kakhulu. Phakathi nalolu vivinyo, udokotela wakho wondla i-electrode catheter ngomthambo wakho wegazi uye enhliziyweni yakho. Basebenzisa le electrode ukuthumela amasiginali kagesi enhliziyweni yakho nokwenza imephu yomsebenzi wayo kagesi.

Udokotela wakho angazama ukubuyisa isigqi senhliziyo yakho semvelo ngokunika imithi noma ezinye izindlela zokwelapha.

Lapho uzobona udokotela wakho

Uma usola ukuthi ungaba nesifo senhliziyo, yenza isikhathi sokubonana nodokotela wakho. Izici ezikubeka engcupheni ephezulu yesifo senhliziyo zifaka:

• umlando womndeni wesifo senhliziyo
• umlando wokubhema
• ukukhuluphala ngokweqile
• ukungadli kahle
• ubudala

Udokotela wakho angenza ukuhlolwa ngokomzimba, oda ukuhlolwa kwegazi, noma asebenzise ezinye izivivinyo ukuhlola izinkinga ngenhliziyo yakho noma ngemithambo yegazi. Lezi zivivinyo zingabasiza ukuthi bathole isifo senhliziyo futhi bakhe uhlelo lokwelashwa.

Izinkinga zesifo senhliziyo zifaka phakathi isifo senhliziyo nesifo sohlangothi. Unganciphisa ubungozi bezinkinga ngokuxilongwa nokwelashwa kusenesikhathi. Khuluma nodokotela wakho uma unenkinga ethile. Bazokufundisa ukuthi ungazibona kanjani izimpawu zesifo senhliziyo futhi ugcine inhliziyo iphilile.