Ubuthakathaka Benhliziyo Ezelwe Naye Ebantu Abadala? Izimpawu, Izimbangela, Nokwelashwa

Ubuthakathaka Benhliziyo Ezelwe Naye Ebantu Abadala Yini?

Ubuthakathaka benhliziyo ezelwe naye ebantwini abadala kubhekisela ezinkingeni zenhliziyo ozalwa nazo, kodwa manje uzilawula njengomuntu omdala. Lezi yizinkinga zesakhiwo senhliziyo yakho ezaqala ukukhula usengumntwana, ngaphambi kokuba uzalwe.

Cabanga ngale ndlela: inhliziyo yakho ayizange yakheke njengoba kwakulindelekile phakathi nalezoviki zokuqala zokukhulelwa. Mhlawumbe udonga phakathi kwamakamelo alungile, noma i-valve ayizange yakheke kahle. Lezi zimo zazivame ukuba nzima kakhulu ebuntwaneni, kodwa ngenxa yokuqhubeka kwezokwelapha, abantu abaningi abaneziphoso zenhliziyo ezelwe naye manje baphila impilo egcwele, esebenzayo yabantu abadala.

Ungase ufunde ngale meko okokuqala njengomuntu omdala, noma ungase ube wazi ngokuhlukana kwenhliziyo yakho kusukela ebuntwaneni. Noma kunjalo, awuwedwa. Abantu abadala abangaphezu kwezigidi ezimbili e-United States baphila nge-congenital heart disease namuhla.

Ziyini Izimpawu Zobunye Ubuthakathaka Benhliziyo Ezelwe Naye Ebantwini Abadala?

Izimpawu ongazihlangabezana nazo ziyahluka kuye ngohlobo lobuthakathaka benhliziyo olukhona nokuthi lubi kangakanani. Abanye abantu bazizwa bephilile ngokuphelele futhi abazi ukuthi banesimo senhliziyo kuze kube yilapho beqhuba ukuhlolwa okujwayelekile. Abanye baphawula izimpawu ezithuthuka kancane ngokuhamba kwesikhathi.

Nazi izimpawu ezivame kakhulu abantu abadala abane-congenital heart disease abangazibona:

• Ukuqina komoya ngesikhathi semisebenzi evamile noma ukuzivocavoca
• Ukuzizwa ukhathele noma ukhathele kakhulu, ngisho noma ukhululekile ngokwanele
• Ukukhula ezinyaweni, ezinzwini, noma ezinyaweni
• Umbala oluhlaza okwesibhakabhaka olusendaweni yakho, ezindebeni, noma ezinzipeni (okubizwa ngokuthi i-cyanosis)
• Ubuhlungu noma ukungakhululeki esifubeni
• Ukubetha kwenhliziyo noma ukubetha kwenhliziyo okungajwayelekile
• Ukukhungatheka noma ukuzizwa ukhanya
• Ukuhlupheka ngokuphelelwa umoya

Abanye abantu nabo bahlangabezana nezimpawu ezingavamile ezingase zibonakale zingena-xhumano nezingqinamba zenhliziyo. Lokhu kungafaka ukutheleleka okuvamile kokuphefumula, ukungabi nendlala, noma ubunzima bokuzuza isisindo. Uma unesimo senhliziyo esiyinkimbinkimbi kakhulu, ungase uqaphele ukuthi amandla akho okuzivocavoca ahlulekile ngokuhamba kwesikhathi.

Kubalulekile ukukhumbula ukuthi abantu abadala abaningi abane-congenital heart disease baphila impilo engenazimpawu. Isipiliyoni sakho singase sibehlukile kwabanye, futhi lokho kuyinto evamile ngokuphelele.

Ziyini Izinhlobo Zobunye Ubuthakathaka Benhliziyo Ezelwe Naye Ebantwini Abadala?

Kunezinhlobo eziningi ezahlukene zezimo zenhliziyo ezelwe naye, kusukela ezilula kuya ezinkimbinkimbi. Uhlobo lwakho oluthile luthinta indlela inhliziyo yakho esebenza ngayo nokuthi yiluphi uhlobo lokunakekelwa ongase uludingile.

Izimo ezilula zifaka ama-hole odongeni lwamakamelo enhliziyo yakho. I-atrial septal defect isho ukuthi kukhona i-hole phakathi kwamakamelo amabili aphezulu enhliziyo yakho. I-ventricular septal defect i-hole phakathi kwamakamelo amabili aphansi. Lezi zingxube zingase zivalwe zodwa njengoba ukhula, kodwa ezinkulu kakhulu zingase zidinga ukwelashwa.

Izinkinga ze-valve nazo zivame kakhulu. Ungase ube ne-valve ecindezelekile (stenosis), engavali kahle (regurgitation), noma engakhiwanga kahle. Izinkinga ze-valve ezibonakala kakhulu zithinta i-aortic valve, elawula ukugeleza kwegazi kusuka enhliziyweni yakho kuya emzimbeni wakho.

Izimo ezinkimbinkimbi kakhulu zifaka izinkinga zendlela imithambo yakho emikhulu yegazi exhunyaniswe ngayo. I-Tetralogy of Fallot ihlanganisa izifo ezine zenhliziyo ezahlukene ezivela ndawonye. Ukuguqulwa kwamagagasi amakhulu kusho ukuthi imithambo yakho emikhulu yegazi icishe ibe yindawo yayo evamile.

Abanye abantu banezimo ze-single ventricle, lapho ikamelo elilodwa kuphela lokupompa elikhulu lenhliziyo lisebenza kahle. Lezi zimo ezinkimbinkimbi zivame ukudinga ukuhlinzwa okuningi phakathi nobuntwana nokunakekelwa okukhethekile okuqhubekayo njengomuntu omdala.

Yini Ebangela Ubuthakathaka Benhliziyo Ezelwe Naye Ebantwini Abadala?

Ubuthakathaka benhliziyo ezelwe naye buqala phakathi neviki ezimbalwa zokuqala zokukhulelwa lapho inhliziyo yakho ikhahlela. Ezimweni eziningi, ayikho isizathu esicacile sokuthi kwenzekani lokhu. Akuyona into abazali bakho abayenzile okungalungile noma ababengazivikela.

Ngesinye isikhathi izici ze-genetic zidlala indima. Uma unemlando womndeni wobunye ubuthakathaka benhliziyo ezelwe naye, kunethuba elikhulu kakhulu lokuba nesimo senhliziyo wena ngokwakho. Izimo ezithile ze-genetic, njenge-Down syndrome noma i-DiGeorge syndrome, zihambisana nezinhlobo ezithile zeziphoso zenhliziyo.

Izici zemvelo ngesikhathi sokukhulelwa zingase zinikeze ezinye izimo. Lokhu kungafaka imithi ethile umama ayithathe, ukutheleleka ngesikhathi sokukhulelwa, noma ukuvezwa e-alcohol noma ezinye izidakamizwa. Noma kunjalo, ngokuvamile, ubuthakathaka benhliziyo ezelwe naye buvela ngokungahleliwe ngaphandle kwesizathu esiqondiwe.

Kubalulekile ukuqonda ukuthi ubuthakathaka benhliziyo ezelwe naye abulutheleleki futhi abukwazi ukubanjwa komunye umuntu. Akubangelwa yilutho olukwenzile noma olungenzelwanga empilweni yakho. Lezi zimo zibonisa indlela ehlukile inhliziyo yakho eyenziwe ngayo ngaphambi kokuzalwa.

Nini Okufanele Ubone Udokotela Ngobuthakathaka Benhliziyo Ezelwe Naye Ebantwini Abadala?

Kufanele ubheke udokotela uma uhlangabezana nanoma yiziphi izimpawu ezikukhathazayo, ikakhulu uma zintsha noma ziyaqina. Ungalindi uma uhlupheka ngebuhlungu esifubeni, ukuqina komoya okukhulu, noma ukuhlupheka ngokuphelelwa umoya.

Ngisho noma uzizwa uphilile, kubalulekile ukuba nokuhlolwa okujwayelekile uma wazi ukuthi une-congenital heart disease. Isimo sakho singase siqhubeke sishintsha ngokuhamba kwesikhathi, futhi ukutholakala kwangaphambi kwesikhathi kwanoma yiziphi izinkinga kusiza ukuqinisekisa imiphumela emihle kakhulu.

Hlela i-aphoyintimenti uma uqaphela ukuthi uyaqina kakhulu kunokujwayelekile, unezinkinga zokugcina ngemisebenzi owayeke ukwenza kalula, noma uma uhlangabezana nanoma yiziphi izimpawu okukhulunywe ngazo ngaphambili. Udokotela wakho angakusiza aqonde ukuthi lezi zinguquko zihambisana nesimo sakho senhliziyo noma okuthile ngokuphelele.

Uma awukaze uphunywe kodwa unemlando womndeni wobunye ubuthakathaka benhliziyo ezelwe naye, kufanele uxoxe nodokotela wakho. Ngesinye isikhathi izimo zenhliziyo aziqaphelwa kuze kube yilapho umuntu esemdala, ikakhulukazi ezinye ezingabangeli izimpawu ezicacile.

Ziyini Izici Zengozi Zobunye Ubuthakathaka Benhliziyo Ezelwe Naye Ebantwini Abadala?

Njengoba ubuthakathaka benhliziyo ezelwe naye buqala ngaphambi kokuzalwa, izici zengozi zihlanganisa ikakhulukazi lokho okwenzeka ngesikhathi sokukhulelwa. Ukuqonda lezi zici kungasiza ekucwaningeni komndeni, kodwa khumbula ukuthi izimo eziningi zenzeka ngaphandle kwanoma yiziphi izici zengozi ezaziwayo.

Ukuba nemlando womndeni wobunye ubuthakathaka benhliziyo ezelwe naye kukhuphula ingozi yakho kancane. Uma omunye wabazali bakho enesimo senhliziyo ezelwe naye, ingozi yakho cishe i-3-5% uma iqhathaniswa nengozi yabantu abavamile engaba yi-1%. Ukuba nomfowenu one-congenital heart disease nakho kukhuphula ingozi yakho kancane.

Izimo ezithile ze-genetic zihambisana nezinga eliphezulu lobuthakathaka benhliziyo ezelwe naye. Lokhu kuhlanganisa ukungalingani kwe-chromosomal njenge-Down syndrome, i-Turner syndrome, noma i-Marfan syndrome. Ezinye izifo ze-gene ezihlukile zingase zithinte ukuthuthukiswa kwenhliziyo.

Izici zikaMama ngesikhathi sokukhulelwa zingase zithinte ingozi. Lokhu kuhlanganisa isifo sikashukela sikamama, ukutheleleka okuthile ngesikhathi sokukhulelwa (njenge-rubella), noma ukuthatha imithi ethile. Iminyaka ephakeme yomzali (ngaphezu kwe-35) ihlotshaniswa nengozi encane eyenyuke yezinhlobo ezithile zeziphoso zenhliziyo ezelwe naye.

Ukuvezwa kwemvelo ngesikhathi sokukhulelwa, njengokusebenzisa i-alcohol noma ukuvezwa ezimweni ezithile, kungase kudlale indima. Noma kunjalo, kubalulekile ukugcizelela ukuthi abantu abaningi abane-congenital heart disease abanazo lezi zici zengozi.

Ziyini Izingozi Ezingase Zenzeke Ngobuthakathaka Benhliziyo Ezelwe Naye Ebantwini Abadala?

Nakuba abantu abadala abaningi abane-congenital heart disease baphila impilo enempilo, evamile, ezinye izingozi zingase zivele ngokuhamba kwesikhathi. Ukuqonda lezi zinto ezingase zenzeke kusiza ukwazi ukuthi yini okufanele uyilinde futhi nini okufanele ufuna ukunakekelwa kwezokwelapha.

Izinkinga zokubetha kwenhliziyo zihlanganiswe nezingozi ezivame kakhulu. Isistimu yakho yombane yenhliziyo ingase ingasebenzi kahle, okubangela ukubetha kwenhliziyo okungajwayelekile noma i-arrhythmias. Abanye abantu bathuthukisa i-atrial fibrillation, lapho amakamelo aphezulu enhliziyo ebetha ngokungajwayelekile.

Ukwehluleka kwenhliziyo kungase kuqale uma inhliziyo yakho iye yasebenza nzima kunokujwayelekile iminyaka eminingi. Lokhu akusho ukuthi inhliziyo yakho iyeka ukusebenza, kodwa kunalokho ukuthi ayipompi kahle njengoba kufanele. Ungase uqaphele ukukhathala okwandayo, ukuqina komoya, noma ukukhula ezinyaweni.

Ukutheleleka kwama-valve enhliziyo noma ukugqoka (endocarditis) kuyingozi enzima kodwa engavikelekayo. Abantu abanezinye izinhlobo zobunye ubuthakathaka benhliziyo ezelwe naye banengozi enkulu yokuthuthukisa lezi zifo, kungakho ama-antibiotics avimbela ngezinye izikhathi ayelulekwa ngaphambi kwezindlela zokwelapha amazinyo.

Izingxube zegazi nengozi yesifo sobuchopho zingase ziphakeme kwezinye izinhlobo zobunye ubuthakathaka benhliziyo ezelwe naye, ikakhulukazi lezo ezihlanganisa izindlela ezingajwayelekile zokugeleza kwegazi. Udokotela wakho angase akukhuthaze ukusebenzisa imithi yokunciphisa igazi uma unesongo olukhulu.

I-Pulmonary hypertension, noma ukucindezeleka okuphezulu kwegazi emaphashini, kungase kuqale kwezinye izimo zenhliziyo ezinkimbinkimbi. Lokhu kubekela inhliziyo yakho ukucindezela okwengeziwe futhi kungase kunciphisa amandla akho okuzivocavoca ngokuhamba kwesikhathi.

Ubuthakathaka Benhliziyo Ezelwe Naye Ebantwini Abadala Butholakala Kanjani?

Ukuthola ubuthakathaka benhliziyo ezelwe naye ebantwini abadala ngokuvamile kuqala ngodokotela wakho olalele inhliziyo yakho futhi ebuza ngezimpawu zakho nembali yakho yezokwelapha. Bafuna ama-heart murmurs noma ezinye izwi ezingase ziphakamise inkinga yesakhiwo.

I-electrocardiogram (EKG) ibhala umsebenzi wombane wenhliziyo yakho futhi ingabonisa ukuthi ukubetha kwenhliziyo yakho kujwayelekile yini. Lokhu kuhlolwa okulula, okungenaphimbo kuthatha imizuzu embalwa kuphela futhi kungakunikeza ulwazi oluwusizo mayelana nendlela inhliziyo yakho esebenza ngayo.

I-echocardiogram isebenzisa amaza omsindo ukwenza izithombe ezihamba zenhliziyo yakho. Lokhu kuhlolwa kubonisa isakhiwo samakamelo enhliziyo yakho nama-valve, ukuthi inhliziyo yakho iphompa kangcono kangakanani, nokuthi igazi ligeleza kanjani enhliziyweni yakho. Kuyihlolwa elibaluleke kakhulu lokuthola nokulandelela ubuthakathaka benhliziyo ezelwe naye.

Ngesinye isikhathi kudingeka ukutholakala kwezithombe eziningi. I-cardiac MRI ingakunikeza izithombe eziningi zesakhiwo nomsebenzi wenhliziyo yakho. I-cardiac catheterization ingase icelwe uma udokotela wakho edinga ukulinganisa ukucindezeleka ngaphakathi kwenhliziyo yakho noma ukubona imithambo yakho yegazi ngokucacile.

Ukuhlolwa kokuzivocavoca kungasiza ukuqonda ukuthi inhliziyo yakho ilawula kanjani umsebenzi womzimba. Uzohamba etreadmill noma ugibele ibhayisikili ngenkathi izinga lokubetha kwenhliziyo yakho nomjikelezo uqapha. Lokhu kusiza udokotela wakho ukuqonda amandla akho okusebenza futhi ahlele ukwelashwa okufanele.

Yini Ukwelashwa Kwe-Adult Congenital Heart Disease?

Ukuphathwa kobunye ubuthakathaka benhliziyo ezelwe naye kuyahluka kakhulu kuye ngesimo sakho esithile nokuthi kuthinta kanjani impilo yakho yansuku zonke. Abantu abaningi badinga ukulandelelwa nje okujwayelekile, kanti abanye banzuza emithi noma ezindleleni.

Imithi ingasiza ekulawuleni izimpawu nokuvimbela izingozi. Ungase uthathe imithi ukulawula izinkinga zokubetha kwenhliziyo, ukunciphisa ukucindezeleka kwegazi, ukuvimbela izingxube zegazi, noma ukusiza inhliziyo yakho iphompe ngokuphumelelayo. Ama-diuretics angasiza ekuthuthukiseni ukukhula uma ukugcinwa kwamanzi kuyinkinga.

Izindlela ezisekelwe kwi-catheter zingalungisa ezinye izinkinga zenhliziyo ngaphandle kokwelashwa okuvulekile. Lezi zindlela zokwelapha ezincane kakhulu zenziwa ngemithi emincane efakeke emithanjeni yegazi. Izibonelo zifaka ukuvala ama-hole enhliziyweni ngezinto ezikhethekile noma ukuvula ama-valve acindezelekile ngama-balloons.

Ukuhlinzwa kungase kudingeke kwezinkinga ezinkimbinkimbi kakhulu noma lapho izindlela ezincane zingafaneleki. Lokhu kungase kuhilele ukulungisa noma ukufaka ama-valve enhliziyo, ukuvala ama-hole, noma ukwakha kabusha imithambo yegazi. Izindlela zokwelapha zanamuhla zinezinga elihle lokuphila, futhi abantu abaningi bayaphila kahle.

Abanye abantu banzuza ezinto ezifana nama-pacemakers ukulawula ukubetha kwenhliziyo noma ama-implantable defibrillators ukuvimbela i-arrhythmias eyingozi. Lezi zinto zincinci kakhulu kunangaphambili futhi ngokuvamile azithinti kakhulu imisebenzi yansuku zonke.

Ukuhlinzwa kwenhliziyo kucabangelwa kuphela ezimweni ezinkulu lapho ezinye izindlela zingaphumelelanga. Le ndlela iye yaba yimpumelelo kakhulu, abantu abaningi baphila impilo egcwele, esebenzayo ngemuva kokufakwa.

Ungazinakekela Kanjani Ngobunye Ubuthakathaka Benhliziyo Ezelwe Naye Ebantwini Abadala?

Ukunakekela wena ngobunye ubuthakathaka benhliziyo ezelwe naye kuhilela kokubili ukunakekelwa kwezokwelapha nokukhetha indlela yokuphila okusekela impilo yakho yonke. Izindaba ezinhle ukuthi izincomo eziningi ziyizindlela ezifanayo zokuphila ezempilo ezinceda wonke umuntu.

Ukuzivocavoca okujwayelekile kuvame ukukhuthazwa, kodwa kubalulekile ukusebenza nodokotela wakho ukuze uqonde ukuthi yini efanele isimo sakho esithile. Abantu abaningi bangabamba iqhaza emisebenzini eminingi, kanti abanye bangase badinge ukugwema ezinye imidlalo noma imisebenzi enkulu.

Ukudla ukudla okunempilo kwenhliziyo kusekela uhlelo lwakho lwe-cardiovascular. Gxila ezithelo nezitshalo eziningi, ukudla okugcwele, amaprotheni ahlanzekile, namafutha anempilo. Ukulinganisela usawoti kungase kube kubalulekile ikakhulu uma uthanda ukugcinwa kwamanzi noma ukucindezeleka kwegazi okuphezulu.

Ukugcina ubuhlungu ngezifo kubalulekile ngoba ukutheleleka kokuphefumula kungase kube nzima uma une-heart disease. Qiniseka ukuthi uthola i-flu shot yakho yonyaka futhi uhlale unolwazi ngezinye izifo ezilulekwa.

Ukunakekelwa kwamazinyo kuba yinto ebalulekile ngoba amabhaktheriya omhlathi wakho ngezinye izikhathi angabangela ukutheleleka okukhulu kwenhliziyo. Geza futhi uhlanze ngokujwayelekile, bheka udokotela wamazinyo ukuze uthole ukuhlanzwa okujwayelekile, futhi uqondise iqembu lakho lamazinyo ngesimo sakho senhliziyo.

Ukugwema ukubhema nokulinganisela ukusetshenziswa kwe-alcohol kubalulekile empilweni yenhliziyo. Uma ubhema, ukuyeka kuyinto enhle ongayenza enhliziyweni yakho. Udokotela wakho angakusiza uthole izinsiza zokusekela ukuyeka ukubhema.

Kufanele Uzilungiselele Kanjani I-Aphoyintimenti Yakho Yodokotela?

Ukulungiselela i-aphoyintimenti yakho kusiza ukuqinisekisa ukuthi uthola okuningi ngesikhathi sakho neqembu lakho lokukhathalela impilo. Qala ngokubhala phansi noma yiziphi izimpawu ozihlangabezane nazo, kufaka phakathi ukuthi zenzeka nini nokuthi yini ezenza zibe ngcono noma zibe zimbi.

Letha uhlu oluphelele lwemithi yonke oyithathayo, kufaka phakathi imithi yokuthengwa ngaphandle komthetho kanye nezinye izithasiselo. Faka nezinani nokuthi uziphuza kangaki. Lolu lwazi lusiza udokotela wakho ukuqonda isithombe sakho sokwelashwa esiphelele.

Butha noma yimaphi amarekhodi ezokwelapha adlule, imiphumela yokuhlolwa, noma imibiko evela kwabanye odokotela obuke. Uma uke wenza ukuhlinzwa kwenhliziyo noma izindlela, letha lawo marekodi. Lolu lwazi lusiza udokotela wakho wamanje ukuqonda umlando wakho wezokwelapha.

Bhala phansi imibuzo ofuna ukuyibuza ngaphambi kokuba uyikhohlwe. Imibuzo evamile ingase ihlanganise ukubuza ngezikhawuzo zemisebenzi, nini okufanele ubhale udokotela, noma yiziphi izimpawu okufanele uzilinde. Unganqikazi ukubuza nganoma yini ekukhathazayo.

Cabanga ngokuletha ilungu lomndeni noma umngani e-aphoyintimenti yakho. Bangakusiza ukukhumbula ulwazi olukhulu futhi banikeze ukwesekwa. Abanye abantu bathola ukuthi kuwusizo ukuthatha amanothi ngesikhathi se-aphoyintimenti noma ukubuza ukuthi bangarekhoda yini imiyalo ebalulekile.

Yini Eyinhloko Ngobuthakathaka Benhliziyo Ezelwe Naye Ebantwini Abadala?

Into ebaluleke kakhulu okumele uyiqonde ukuthi ukuba nobuthakathaka benhliziyo ezelwe naye njengomuntu omdala akusho ukuthi awukwazi ukuphila impilo egcwele, enenjongo. Ukuqhubeka kwezokwelapha kwenze kwaba nokwenzeka kwabantu abaningi abanezi zimo ukuze baphile kahle ngokunakekelwa okufanele nokulandelelwa.

Ukulandelelwa okujwayelekile nodokotela we-cardiologist oqeqeshwe ngobunye ubuthakathaka benhliziyo ezelwe naye kubalulekile. Lezi zikhethekile ziqonda ukuthi izimo zenhliziyo ezelwe naye zishintsha kanjani ngokuhamba kwesikhathi futhi zingakusiza ugcine impilo enhle kakhulu ekuphileni kwakho konke.

Isipiliyoni sabo bonke abantu ngobunye ubuthakathaka benhliziyo ezelwe naye sihlukile. Lokho okusebenza komunye umuntu kungase kungafaneleki kuwe, futhi lokho kuyinto evamile ngokuphelele. Iqembu lakho lokukhathalela impilo lizosisebenza nawe ukuze lenze uhlelo olufanele izidingo zakho ezikhethekile nendlela yokuphila.

Ukuba nolwazi ngesimo sakho kukwenza ube yingxenye ephambili ekunakekelweni kwakho. Unganqikazi ukubuza imibuzo, ufuna imibono yesibili uma kudingeka, futhi ukhulume ngokwakho. Uyazi umzimba wakho kangcono kunanoma ubani.

Imibuzo Evamile Ngobuthakathaka Benhliziyo Ezelwe Naye Ebantwini Abadala

Ngingazivocavoca yini uma ngine-congenital heart disease?

Abantu abaningi abane-congenital heart disease bangazivocavoca ngokuphepha, kodwa uhlobo namandla kuyahluka kuye ngesimo sakho esithile. I-cardiologist yakho ingenza ukuhlolwa kokucindezela kokuzivocavoca ukuze uqonde amazinga emisebenzi ephephile kuwe. Abantu abaningi babamba iqhaza ekuzivocavoca okujwayelekile kwenhliziyo, ukuqeqeshwa kwamandla, nemidlalo yokuphumula ngaphandle kwezinkinga. Ikhona ukusebenza neqembu lakho lokukhathalela impilo ukwenza uhlelo lokuzivocavoca oluphephile futhi olujabulisayo esimweni sakho.

Ingabe ubuthakathaka benhliziyo ezelwe naye buzoqina njengoba ngikhula?

Akuyona into eqinisekile. Abantu abaningi abane-congenital heart disease bahlala beqinile amashumi eminyaka ngokunakekelwa okufanele. Noma kunjalo, ezinye izimo zingase zishintshe ngokuhamba kwesikhathi, kungakho ukulandelelwa okujwayelekile kubalulekile. Inhliziyo yakho ingase idinge ukusebenza nzima njengoba ukhula, njengoba kunjalo kubantu abangenazo izimo zenhliziyo. Ukutholakala kwangaphambi kwesikhathi kwanoma yiziphi izinguquko kuvumela ukwelashwa ngesikhathi esifanele ukuze ugcine ikhwalithi yakho yokuphila.

Ngingaba nabantwana yini uma ngine-congenital heart disease?

Abesifazane abaningi abane-congenital heart disease bangaba nokukhulelwa okuphumelelayo, kodwa kudinga ukuhlela ngokucophelela nokunakekelwa okukhethekile. I-cardiologist yakho kanye nochwepheshe wezokwelapha yomzali-umntwana bangahlola isimo sakho esithile futhi bakusize uqonde noma yiziphi izingozi. Ezinye izimo zenhliziyo zithwala izingozi eziphezulu ngesikhathi sokukhulelwa, kanti ezinye azinawo umthelela. Ukubonisana ngaphambi kokukhulelwa kusiza ukuqinisekisa imiphumela emihle kakhulu kuwe nengane yakho.

Ingabe ngidinga ukusebenzisa ama-antibiotics ngaphambi kwezindlela zokwelapha amazinyo?

Lokhu kuyahluka kuye ngohlobo lwakho oluthile lobuthakathaka benhliziyo ezelwe naye. Iziqondiso zamanje zikhuthaza ama-antibiotics avimbela kuphela kubantu abanesongo elikhulu lokulimala okukhulu, njengalabo abanezinye izinhlobo zesifo se-valve noma ukutheleleka kwangaphambili kwenhliziyo. I-cardiologist yakho ingakutshela ukuthi udinga yini i-antibiotic prophylaxis futhi inikeze ikhadi noma incwadi yodokotela wamazinyo yakho echaza izidingo zakho.

Kufanele ngibone i-cardiologist kangaki?

Ukuvamile kokuvakashela kuyahluka kuye ngokukhathazeka kwesimo sakho nokuthi uzinzile kangakanani. Abantu abanezimo ezilula abenza kahle bangase babone i-cardiologist yabo kanye ngonyaka, kanti labo abanezimo ezinkimbinkimbi kakhulu bangase badinge ukuvakashela njalo ngenyanga ezintathu kuya kweziyisithupha. Udokotela wakho uzokukhuthaza uhlelo olufanele isimo sakho. Ukulandelelwa okujwayelekile kusiza ekutholeni noma yiziphi izinguquko ngokushesha futhi kuqinisekisa ukuthi uthola ukunakekelwa okuphezulu ekuphileni kwakho konke.