Ukuntengwa Kwenhliziyo Yini? Izimpawu, Izimbangela, & Ukwelashwa

Ukuntengwa Kwenhliziyo Yini?

Ukuntengwa kwenhliziyo kusho ukuthi inhliziyo yakho ayikwazi ukupompa igazi kahle ukuze ihlangabezane nezidingo zomzimba wakho. Lokhu akusho ukuthi inhliziyo yakho iyeka ukusebenza ngokuphelele noma isondele ekuyekezeni.

Cabanga ngenhliziyo yakho njengopompo oluye lwaba buthakathaka ngokuhamba kwesikhathi. Uma lokhu kwenzeka, igazi lingase libuye emithanjeni yakho, ezinyaweni, ezinqenqemeni, nasezinzwini. Izitho zakho nemisipha ayitholi igazi eliphezulu ngokufanele ukuze isebenze kahle.

Ukuntengwa kwenhliziyo kuyisimo esingapheli esithinta izigidi zabantu emhlabeni jikelele. Ngokwelashwa okufanele nokushintsha kwendlela yokuphila, abantu abaningi abane-kuntengwa kwenhliziyo baphila impilo egcwele, esebenzayo iminyaka eminingi.

Le simo sivame ukuthuthuka kancane kancane, yize ngezinye izikhathi kungenzeka ngokuzuma ngemva kokuhlaselwa yinhliziyo noma enye inkinga yenhliziyo. Inhliziyo yakho izama ukubuyisela ngokusebenza nzima, kodwa ekugcineni ayikwazi ukulandela isidingo.

Ziyini Izimpawu Zokuntengwa Kwenhliziyo?

Izimpawu zokuntengwa kwenhliziyo zithuthuka ngoba umzimba wakho awutholi igazi eliphezulu ngokwanele, futhi amanzi angase abunjwe ezingxenyeni ezahlukene zomzimba wakho. Lezi zimpawu zivame ukuqala kancane bese ziya ziba zimbi ngokuhamba kwesikhathi.

Izimpawu ezivame kakhulu ongazibona zihlanganisa:

• Ukuqina kokuphefumula ngesikhathi semisebenzi yansuku zonke noma uma ulele phansi
• Ukuzizwa ukhathele noma ubuthakathaka, ngisho nasemisebenzini elula
• Ukukhula kwezinyawo, ezinqenqemeni, ezinzwini, noma esiswini
• Ukushona kwenhliziyo noma okungajwayelekile
• Ukuhlanza okungapheli noma ukuvuvuka, ngezinye izikhathi nge-mucus emhlophe noma ebomvu
• Ukuzuza isisindo ngokuzuma ngenxa yokwakheka kwamanzi
• Ubunzima bokuqonda noma ukudideka
• Ubuhlungu noma ukucindezela esifubeni

Abanye abantu nabo baye baba nezimpawu ezingavamile njengokuphefumula, ukulahlekelwa ukudla, noma ukudinga ukuya emathisini njalo ebusuku. Lokhu kwenzeka ngoba amanzi abunjwa esiswini sakho noma ngoba izinkulungwane zakho zisebenza ngokuhlukile uma inhliziyo yakho ingapompi kahle.

Izimpawu zingase ziye zihambe, futhi zingase zibe ngcono noma zibe zimbi kuye ngokuthi izinga lakho lomsebenzi, lokho okudlayo, nokuthi uyakwazi kangakanani ukuphatha isimo sakho.

Imikhakha Yehluleko Lenhliziyo Yini?

Ihluleko lenhliziyo lihlukaniswe ngokusekelwe ezingxenyeni yomjikelezo wokupompa wenhliziyo yakho othonyeka kanye nokuthi izimpawu zakho zinzima kangakanani. Ukuqonda uhlobo lwakho kusiza udokotela wakho ukukhetha ukwelashwa okuhle kuwe.

Izinhlobo eziyinhloko zihlanganisa:

• Ihluleko lenhliziyo elinesilinganiso esinciphile sokuphuma (HFrEF): Imisipha yenhliziyo yakho ibuthakathaka futhi ayikwazi ukucima kahle ukuphuma igazi
• Ihluleko lenhliziyo elinesilinganiso esigciniwe sokuphuma (HFpEF): Imisipha yenhliziyo yakho iqine futhi ayikwazi ukuphumula kahle ukuze izele igazi
• Ihluleko lenhliziyo elinesilinganiso esinciphile kancane sokuphuma (HFmrEF): Ukusebenza kwenhliziyo yakho kuwela phakathi kwezinye izinhlobo ezimbili

Odokotela futhi bahlukanisa ihluleko lenhliziyo ngokuthi lilinganiselwe kangakanani imisebenzi yakho yansuku zonke. I-Class I kusho ukuthi awunazimpawu ngesikhathi semisebenzi evamile, kuyilapho i-Class IV kusho ukuthi unazimpawu ngisho nasekuphumuleni.

Uhlobo lwehluleko lenhliziyo yakho lungase lushintshe ngokuhamba kwesikhathi, kungakho udokotela wakho azolugcina njalo isimo sakho futhi alungise uhlelo lwakho lokwelashwa njengoba kudingeka.

Yini Ebangele Ihluleko Lenhliziyo?

Ihluleko lenhliziyo lithuthukela lapho kukhona okulimaza imisipha yenhliziyo yakho noma kuyenza isebenze kakhulu isikhathi eside kakhulu. Izimo eziningi ezahlukene zingabangela ukubuthakathaka noma ukuqina kwenhliziyo yakho.

Izimbangela ezivamile zihlanganisa:

• Isifo se-coronary artery, esinciphisa ukugeleza kwegazi emithanjeni yenhliziyo yakho
• Ukuphindaphindeka kwegazi, okuphoqa inhliziyo yakho ukuba isebenze nzima
• Ukuhluleka kwenhliziyo, okungalimaza ingxenye yemisipha yenhliziyo yakho
• I-Diabetes, engalimaza imithambo negazi nezinzwa eziphethe inhliziyo yakho
• Izinkinga ze-valve yenhliziyo ezenza inhliziyo yakho isebenze ngokungafaneleki
• I-Cardiomyopathy, isifo esihlukanisa ngqo imisipha yenhliziyo yakho
• Izindlela ezingavamile zenhliziyo ezingonakalisa inhliziyo yakho ngokuhamba kwesikhathi

Izimbangela ezingavamile zihlanganisa ukutheleleka kwe-viral kwenhliziyo, ukusetshenziswa okukhulu kokutshwala, ukwelashwa okuthile komdlavuza, noma izimo eziwusifa ezithinta imisipha yenhliziyo yakho. Ngezinye izikhathi, izinto eziningi zisebenza ndawonye ukubangela ukuhluleka kwenhliziyo.

Kwezinye izimo, odokotela abakwazi ukubona imbangela ethile, okuthiwa yi-idiopathic heart failure. Ngisho noma ungazi imbangela eqondile, ukwelashwa okuphumelelayo kusatholakala.

Nini Okufanele Ubone Udokotela Ngokuhluleka Kwenhliziyo?

Kufanele ubheke udokotela ngokushesha uma ubona izimpawu ezingabonisa ukuhluleka kwenhliziyo, ikakhulukazi uma zintsha noma ziya kubi. Ukuxilongwa kwangaphambi kwesikhathi nokuphathwa kungasiza ekuvikeleni inhliziyo yakho futhi kuthuthukise ikhwalithi yokuphila kwakho.

Funani ukunakekelwa kwezokwelapha uma uhlangabezana nokuntuleka komoya ngesikhathi semisebenzi evamile, ukukhathala okungachazeki, noma ukukhula ezinyaweni nasezinyaweni. Lezi zimpawu zingathuthuka kancane kancane, ngakho-ke ungase ungaziboni ekuqaleni.

Shaya izinsizakalo eziphuthumayo ngokushesha uma unekuntuleka komoya okukhulu, ubuhlungu esifubeni, ukuphelelwa yisibindi, noma i-heartbeat esheshayo, engavamile. Lokhu kungaba izimpawu zokuphuthuma kwesiguli sokuhluleka kwenhliziyo esidinga ukwelashwa ngokushesha.

Xhumana nodokotela wakho uma uzuza okungaphezu kwama-2-3 ama-pounds ngosuku noma ama-5 ama-pounds ngesonto, njengoba lokhu kungabonisa ukwakheka kwamanzi. Ungalindi ukubona uma izimpawu ziyathuthuka zodwa.

Yiziphi Izici Zengozi Zokuhluleka Kwenhliziyo?

Izici eziningi zingandisa amathuba akho okuba nehluleko lenhliziyo, nakuba ukuba nezici ezingozi akusho ukuthi uzoba naleli gciwane. Ukuqonda lezi zici kuzokusiza wena nodokotela wakho ukuba usebenzisane ukuvikela impilo yenhliziyo yakho.

Izici eziyinhloko ezingozi zihlanganisa:

• Ubudala obungaphezu kweminyaka engama-65, njengoba inhliziyo yakho ishintsha ngokwemvelo ngokuhamba kwesikhathi
• Ukuphindaphindeka kwegazi eliphakeme okungalawulwa kahle
• Umbhalo wokuhlaselwa yinhliziyo noma ezinye izifo zenhliziyo
• I-Diabetes, ikakhulukazi uma ushukela wegazi ungalawulwa kahle
• Umbhalo womndeni wehluleko lenhliziyo noma ezinye izimo zenhliziyo
• Ukukhuluphala, okubekela inhliziyo yakho umthwalo ophezulu
• I-Sleep apnea, engacindezela isimiso sakho sokujikeleza kwegazi
• Ukubhema noma ukusetshenziswa kwetabha

Ezinye izici ezingase zifake isandla zihlanganisa ukusetshenziswa okweqile kotshwala, imithi ethile, ukutheleleka yi-viral, nezimpawu ezinjengosuleleko lwempumulo noma izifo ze-thyroid. Abanye abantu bazalwa benesifo senhliziyo esikhulu esandisa ingozi yabo kamuva ekuphileni.

Izindaba ezinhle ukuthi izici eziningi ezingozi zingaphathwa ngokushintsha indlela yokuphila, imithi, noma ezinye izindlela zokwelapha. Ukusebenzisana neqembu lakho lokunakekelwa kwezempilo ukuqondisa lezi zici kunganciphisa kakhulu ingozi yakho.

Ziyini Izingozi Ezingase Zivele Ngokuhluleka Kwenhliziyo?

Ukuhluleka kwenhliziyo kungabangela izinkinga ezahlukahlukene ngoba inhliziyo yakho ayipompi igazi kahle emzimbeni wakho. Ukuqonda lezi zinkinga ezingase zenzeke kuzokusiza ubone izimpawu zezexwayiso futhi usebenzisane nodokotela wakho ukuze uzivimbe.

Izingozi ezivamile zihlanganisa:

• Izinkinga zokusebenza kwempumulo, njengoba ukujikeleza kwegazi okuncishisiwe kuthinta ukuthi ama-kidneys asebenza kanjani
• Ukonakala kwesibindi okuvela egazini elibuyela esibindini sakho
• Izinkinga zokujikeleza kwegazi, ezingaba yingozi eyingozi
• I-Blood clots engabangela isifo sokuqhaqhazela noma izinkinga zemiphunga
• I-Pulmonary edema, noma ukugcwala kwamanzi emaphashini akho
• Izinkinga ze-valve yenhliziyo ezingase zibe zimbi ngokuhamba kwesikhathi

Izinkinga ezingavamile kodwa ezinzima zihlanganisa ukufa ngokuzumayo kwentliziyo noma isidingo sokwelashwa okuthuthukile njengokufakelwa kwentliziyo noma izipompo zentliziyo ezisebenza ngamandla. Abanye abantu bathuthukisa ukucindezeleka noma ukukhathazeka okuhlobene nesimo sabo.

Ukukhathalelwa kwemithi okuvamile nokulandelwa kwepulani yakho yokwelashwa kungasiza ekunqobeni noma ukuphatheni izinkinga eziningi. Udokotela wakho uzokugcina uqaphile futhi alungise ukwelashwa kwakho njengoba kudingeka ukuze uhlale uphilile ngangokunokwenzeka.

Ukuhluleka Kwentliziyo Kungavikeleka Kanjani?

Nakuba ungakwazi ukuvimbela zonke izimo zokuhluleka kwentliziyo, unganciphisa kakhulu ingozi yakho ngokunakekela inhliziyo yakho nokuphatha izimo ezingabangela izinkinga zenhliziyo. Eziningi zezindlela zokuvimbela eziphumelelayo yizinto ongenza nsuku zonke.

Izinyathelo zokuvimbela eziyinhloko zihlanganisa ukulawula ukucindezeleka kwegazi lakho ngokudla, ukuzivocavoca, kanye nemithi uma kudingeka. Ukucindezeleka kwegazi okuphezulu kuyinye yezizathu eziyinhloko zokuhluleka kwentliziyo, kodwa kuphatheka kakhulu.

Ukuphatha isifo sikashukela ngokucophelela kusiza ukuvikela inhliziyo yakho nemithambo yegazi. Gcina amazinga akho eshukela egazini ezingeni lakho elihlosiwe ngokudla, ukuzivocavoca, kanye nemithi njengoba udokotela wakho ayiyalile.

Ungabhemi, futhi uma ubhema, yeka ngokushesha okukhulu. Ukubhema kunonakalisa inhliziyo yakho nemithambo yegazi, okwenza ukuhluleka kwentliziyo kube lula. Udokotela wakho angakusiza uthole izinsiza zokuyeka ngempumelelo.

Hlala usebenza ngokomzimba ngokuvivinya umzimba okuvamile, udle ukudla okunempilo kwentliziyo okune-sodium encane namafutha agcwele, gcina isisindo esinempilo, futhi ubeke umkhawulo e-alcohol. Lezi zinketho zokuphila zisebenza ndawonye ukuze zigcine inhliziyo yakho iqine.

Ukuhluleka Kwentliziyo Kuhlolwa Kanjani?

Ukuxilongwa kokwehluleka kwentliziyo kuhilela izinyathelo eziningi zokuqonda ukuthi inhliziyo yakho isebenza kahle kangakanani nokuthi yini engabangela izimpawu zakho. Udokotela wakho uzoqala ngomlando wakho wezokwelapha kanye nokuhlolwa komzimba, bese usebenzisa amavivinyo ahlukahlukene ukuze uthole isithombe esiphelele.

Phakathi nokuvakasha kwakho, udokotela wakho uzolalela inhliziyo yakho nemiphunga yakho, ahlole ukukhula kwezinyawo nezandla zakho, abuze ngezimpawu zakho. Uzothanda ukwazi ukuthi izimpawu zaqala nini, yini ezenzayo zibe ngcono noma zimbi, nokuthi zithinta kanjani imisebenzi yakho yansuku zonke.

Izivivinyo ezivamile zihlanganisa ukuhlolwa kwegazi ukuhlola izinto ezibonisa ukucindezeleka kwenhliziyo, i-X-rays yesifuba ukubona ukuthi inhliziyo yakho ikhulu noma kukhona uketshezi emiphungeni yakho, kanye ne-electrocardiogram (ECG) ukuhlola izinga lenhliziyo yakho.

I-echocardiogram ngokuvamile iyivivinyo elibaluleke kakhulu. Lolu hlobo lwe-ultrasound yenhliziyo yakho lubonisa ukuthi inhliziyo yakho iphompa igazi kangcono kangakanani futhi ingabonisa izinkinga ze-valve zenhliziyo noma ubukhulu bayo. Ayinabhlungu futhi inikeza ulwazi oluqondile ngomsebenzi wenhliziyo yakho.

Izivivinyo ezengeziwe zingase zihlanganise izivivinyo zokucindezela, i-catheterization yenhliziyo, noma izifundo ezithuthukisiwe zokwenza izithombe, kuye ngesimo sakho esithile nokuthi udokotela wakho udinga ukwazi ukuhlela ukwelashwa kwakho.

Iyini Ukwelashwa Kokwehluleka Kwenhliziyo?

Ukuphathwa kokwehluleka kwenhliziyo kugxila ekusizeni inhliziyo yakho ukuba isebenze kangcono, kunciphisa izimpawu, nokuvimbela isimo ukuba singabi sibi. Uhlelo lwakho lokwelashwa luzokwenziwa ngokwehlukana ngohlobo lwakho oluthile lokwehluleka kwenhliziyo nempilo yakho yonke.

Imithi ngokuvamile iyilona qopha lokuqala lokwelashwa futhi ingase ihlanganise:

• I-ACE inhibitors noma i-ARBs ukuphumula imithambo yegazi nokunciphisa umsebenzi wenhliziyo yakho
• I-Beta-blockers ukuthambisa izinga lenhliziyo yakho nokunciphisa igazi
• I-Diuretics ukusiza umzimba wakho ukuba ususe uketshezi okwedlulele
• I-Aldosterone antagonists ukusiza izinkulungwane zakho ukuba zisuse i-sodium noketshezi
• Imithi emisha njenge-SGLT2 inhibitors engasiza inhliziyo yakho ukuba isebenze kahle

Abanye abantu bangase badinge amadivayisi afana ne-pacemakers ukusiza inhliziyo yabo ukuba ishayisane njalo, noma i-implantable defibrillators ukuvimbela izinga lenhliziyo eyingozi. Ezimweni ezinzima, izinqubo ezifana nokulungiswa noma ukufakwa kwe-valve yenhliziyo kungase kudingeke.

Ekuxilongeni kokwehluleka kwenhliziyo okukhulu, izinketho zihlanganisa izipompo zenhliziyo ezimishini noma ukuhlinzwa kwenhliziyo. Lezi zindlela zokwelapha zigcinelwe abantu abanezimpawu ezinzima kakhulu abangaphendulanga kwezinye izindlela zokwelapha.

Udokotela wakho uzosisebenza nawe ukuthola ukuxuba okulungile kwezindlela zokwelapha futhi uzihlengahlengela ngokuhamba kwesikhathi ngokuya ngokuthi uphendula kanjani nokuthi isimo sakho sishintsha kanjani.

Ungazinakekela Kanjani Ekhaya Unehluleko Lenhliziyo?

Ukuphatha ukwehluleka kwenhliziyo ekhaya kuyisigaba esibalulekile ecebeni lakho lokwelapha. Izenzo ezincane zansuku zonke zingenza umehluko omkhulu endleleni ozizwa ngayo futhi zisize ukuvimbela isimo sakho ekubeni sibi.

Qapha isisindo sakho nsuku zonke ngesikhathi esifanayo, kuhle ekuseni ngemva kokusebenzisa igumbi lokugezela. Sibhale phansi bese ubiza udokotela wakho uma uzuza amakhilogremu angaphezu kwama-2-3 ngosuku olulodwa noma amakhilogremu angu-5 ngesonto, njengoba lokhu kungasho ukuthi amanzi akha.

Thatha imithi yakho ngokuqondile njengoba kulotshiwe, ngisho noma uzizwa kangcono. Lungisa umhleli wephilisi noma sebenzisa izikhumbuzo zocingo ukuze ukhumbule. Ungayeki noma ungashintshi imithi ngaphandle kokukhuluma nodokotela wakho kuqala.

Khawukhawulelise ukudla kwakho kwe-sodium kube ngaphansi kwama-2,300 mg ngosuku, noma noma yikuphi okunconyiwe udokotela wakho. Funda imibhalo yokudla ngokucophelela, njengoba i-sodium ifihliwe ezindaweni eziningi zokudla eziqediwe, ukudla kwerejista, ngisho naseminye imithi.

Hlala usebenzayo ngaphakathi kwemingcele yakho. Buza udokotela wakho ukuthi yiziphi imisebenzi ephephile kuwe. Ngisho nokwenza umsebenzi olula njengokuhamba kungasiza ekuqinisiseni inhliziyo yakho nokwenza amazinga wakho amandla abe ngcono.

Phatha ukudla kwakho kwamanzi njengoba kunconyiwe udokotela wakho. Abanye abantu kudingeka bakhawulelise amanzi, kanti abanye abakwenzi. Yazisa izincomo zakho ezithile bese uzilandela ngokuqhubekayo.

Kufanele Uzilungiselele Kanjani Ukuya Kulodokotela?

Ukulungiselela ukuvakashela udokotela wakho kusiza uqinisekise ukuthi uthola okuningi ngesikhathi sakho ndawonye nokuthi udokotela wakho uneyonke imininingwane edingekayo ukuze anikeze ukunakekelwa okuhle kakhulu. Ukulungiselela kancane kungenza umehluko omkhulu.

Gcina iphepha lokuqopha imihla ngemihla yesisindo sakho, izimpawu, nendlela ozizwa ngayo. Qaphela ukuthi yiziphi imisebenzi ekuthinta umoya, ukuthi ulele kangcono kangakanani, nanoma yikuphi ukuqhuma okuqaphelayo. Ulwazi olufana nalolu lusiza udokotela wakho ukuqonda ukuthi isimo sakho siqhubeka kanjani.

Letha uhlu oluphelele lwazo zonke izidakamizwa zakho, kufaka phakathi amagama aqondile, izilinganiso, nokuthi uzithatha kangaki. Faka izidakamizwa ezingaphezu kokuthengiswa ngaphandle kwesikripthi, izongezelelo, nezinongo zomuthi, njengoba lezi zingase zihlangane nezidakamizwa zakho zokwehluleka kwenhliziyo.

Bhala phansi imibuzo ngaphambi kokubonisana kwakho ukuze ungakhohlwa ukuyibuza. Ungase ufune ukwazi ngezimpawu ezintsha, ukulinganiselwa kwemisebenzi, imiphumela emibi yemithi, noma nini lapho kufanele ucele usizo.

Cabanga ngokuletha ilungu lomndeni noma umngani ozosiza ukukhumbula lokho udokotela akushoyo nokunikeza ukwesekwa. Bangakusiza futhi ukukhumbula imibuzo ofuna ukuyibuza.

Letha ikhadi lakho le-inshurensi, uhlu lwabanye odokotela bakho, nanoma yiziphi iziphumo zezivivinyo zakamuva ezivela kwabanye abahlinzeki bezempilo. Lokhu kusiza udokotela wakho ukuhlela ukunakekelwa kwakho ngokuphumelelayo.

Iyini i-Key Takeaway mayelana nokuhluleka kwenhliziyo?

Ukuhluleka kwenhliziyo kuyisimo esinzima kodwa esilawuleka esithinta ukuthi inhliziyo yakho iphompa igazi kangcono kangakanani emzimbeni wakho. Nakuba ukuxilongwa kungase kuzwakale kukhulu, abantu abaningi abanehluleka kwenhliziyo baphila impilo egcwele, esebenzayo ngokwelashwa okufanele nokunakekela kwabo.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukuhluleka kwenhliziyo kulashwa. Imithi, ukushintsha indlela yokuphila, kanye nezinqubo ngezinye izikhathi zingasiza inhliziyo yakho ukuba isebenze kangcono, kunciphisa izimpawu, futhi ukuvimbela isimo ukuba lingabi sibi.

Ukuhlanganyela kwakho okusebenzayo ekunakekelweni kwakho kwenza umehluko omkhulu. Ukuthatha imithi njengoba kuqokiwe, ukulandelela isisindo sakho, ukudla ukudla okunempilo yenhliziyo, ukuhlala usebenzayo ngaphakathi kwemingcele yakho, nokugcina izikhathi zokubonisana nodokotela kubalulekile ekulawuleni isimo sakho.

Ungangabazi ukuthintana neqembu lakho lokunakekelwa kwezempilo uma unemibuzo noma ukukhathazeka. Bakhona ukuze bakusekele, futhi ukungenelela kwasekuqaleni kungavimbela izinkinga ezingaba nzima.

Ngokunakekelwa okulungile nokuzimisela impilo yakho, ungaqhubeka wenza izinto eziningi ozithandayo ngenkathi uphila nokungasebenzi kahle kwenhliziyo.

Imibuzo Evame Ukubuzwa Mayelana Nokungasebenzi Kahle Kwenhliziyo

Ingakweliswa yini inkinga yokungasebenzi kahle kwenhliziyo?

Ukwehluleka kwenhliziyo ngokuvamile kuyisimo esingapheli esingeke siphekwe, kodwa kungaphathwa kahle. Ngokwelashwa okufanele, abantu abaningi babona ukuthuthuka okukhulu ezimpahleni zabo nekhwalithi yempilo. Abanye abantu abane-heart failure ebangelwa izimo eziphatheka njengezinkinga ze-thyroid noma ukutheleleka okuthile bangase babone umsebenzi wenhliziyo ubuyela ezingeni elijwayelekile uma imbangela ephambili ilungisiwe.

Umgqwebo wokuphila ungaba de kangakanani umuntu ophila nokungasebenzi kahle kwenhliziyo?

Isikhathi sokuphila ngokungasebenzi kahle kwenhliziyo sihluka kakhulu kuye ngezinto eziningi, kufaka phakathi ububi besimo sakho, impilo yakho yonke, indlela ophendula ngayo ekwelapheni, nokuthi uhileleka kangakanani ekunakekelweni kwakho. Abantu abaningi baphila iminyaka noma ngisho namakhulu eminyaka benokungasebenzi kahle kwenhliziyo, ikakhulukazi uma kutholwe ngokushesha futhi kuphathwe kahle. Udokotela wakho angakunika umbono omuhle ngesimo sakho esithile.

Ingabe ukungasebenzi kahle kwenhliziyo kufana nokushaya kwenhliziyo?

Cha, ukungasebenzi kahle kwenhliziyo nokushaya kwenhliziyo kuyizimo ezahlukene. Ukushaya kwenhliziyo kwenzeka lapho ukugeleza kwegazi ingxenye yemisipha yenhliziyo yakho kuvinjelwe ngokuzumayo, ngokuvamile yi-blood clot. Ukungasebenzi kahle kwenhliziyo kuyisimo esingapheli lapho inhliziyo yakho kancane kancane ingasakwazi ukupompa igazi ngokuphumelelayo. Noma kunjalo, ukuba nokushaya kwenhliziyo kungalimaza umisipha wenhliziyo yakho futhi kuholele ekungasebenzi kahle kwenhliziyo kamuva.

Ingabe ukuzivocavoca kungasiza ngokungasebenzi kahle kwenhliziyo?

Yebo, ukuzivocavoca njalo kuvame ukuba luncedo kubantu abane-ukwehluleka kwenhliziyo, kodwa kufanele kube yilohlobo olufanele nenani elifanele isimo sakho. Ukuzivocavoca kungasiza ekuqinisweni kwenhliziyo yakho, ukuthuthukisa amazinga wakho kwamandla, nokwenza impilo yakho ibe ngcono. Noma kunjalo, kufanele uzivocavoce kuphela ngaphansi kwesiqondiso sodokotela wakho bese ulandela izincomo zakhe ezithile mayelana nemisebenzi ephephile kuwe.

Kufanele ngigweme ukudla luni ngenkinga yokwehluleka kwenhliziyo?

USHINTSHO olukhulu kakhulu lokudla ukulinganisela i-sodium ukuvimbela ukwakheka kwamanzi. Gwema ukudla okucutshunguliwe, usoso olupakishwe, inyama yase-deli, ukudla okusheshayo, nokudla kwerejista, okuvame ukuba nepunga le-sodium eliphezulu. Ungase futhi udinga ukulinganisela amanzi uma udokotela wakho ekuncoma. Gxila ezithelo nemifino entsha, amaprotheni ahlanzekile, ukudla okugcwele, nokudla okulungiswe ekhaya lapho ungalawula khona izithako.