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October 10, 2025
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Ukubetha kwenhliziyo okungajwayelekile kuyisikhalazo esengeziwe esenziwa yinhliziyo yakho phakathi kokushaya kwayo okuvamile. Cabanga ngakho njengokushayela noma ukushayishayisa okungezwa udokotela wakho nge-stethoscope. Iningi lokubetha kwenhliziyo okungajwayelekile alubi lutho futhi aludingi ukwelashwa nhlobo.
Nakuba igama elithi "ukubetha okungajwayelekile" lingase lizwakale likhathazayo, kubalulekile ukwazi ukuthi abantu abaningi baphila impilo yabo yonke benokubetha kwenhliziyo okungabi nengozi ngaphandle kokubhekana nezinkinga. Noma kunjalo, ezinye izikhalazo zingabonisa izimo zenhliziyo ezidinga ukunakekelwa.
Ukubetha kwenhliziyo okungajwayelekile kwenzeka lapho igazi ligeleza enhliziyweni yakho ngendlela edala ukuphazamiseka, likhiqize isikhalazo esengeziwe. Inhliziyo yakho ngokuvamile yenza imisindo emibili ehlukile njengoba ishaya, ngokuvamile kuchazwa ngokuthi "lub-dub." Ukubetha okungajwayelekile kungeza isikhalazo sesithathu, njengokushayela okuthambile noma ukushayishayisa.
Ukubetha kwenhliziyo okungajwayelekile kuwela ezinhlotsheni ezimbili eziyinhloko: okungabi nengozi (okubizwa nangokuthi okusebenza kahle) nokungajwayelekile. Ukubetha okungabi nengozi alubi lutho futhi akunakuthinta ikhono lenhliziyo yakho lokupompa igazi ngokuphumelelayo. Ukubetha okungajwayelekile kungabonisa izinkinga zokwakheka kwenhliziyo yakho ezidinga ukuhlolwa kwezokwelapha.
Abantwana abaningi banokubetha kwenhliziyo okungabi nengozi okuyaphela njengoba bekhula. Abantu abadala bangathuthukisa nezibhebhe ezintsha ngenxa yokuhlukahluka enhliziyweni yabo noma izindlela zokugeleza kwegazi phakathi nokuphila.
Iningi lokubetha kwenhliziyo okungajwayelekile alibangeli zimpawu nhlobo. Ukubetha okungabi nengozi kuvame ukutholakala ngesikhathi sokuhlola okuvamile lapho udokotela wakho elalela inhliziyo yakho nge-stethoscope.
Kodwa-ke, uma ukubetha kwenhliziyo yakho kuhlobene nesimo senhliziyo esingaphansi, ungase ube nezimpawu ezithile. Nanka izimpawu ezidinga ukunakekelwa:
Uma uhlangabezana nanoma yiziphi lezi zimpawu kanye nokuzwakala okwaziwayo kwenhliziyo, kuhlakaniphile ukuthintana nodokotela wakho. Bangakusiza ukuthola ukuthi izimpawu zakho zihambelana nokuzwakala kwakho noma into ehlukile ngokuphelele.
Ukuzwakala kwenhliziyo kuhlukaniswe ngezinhlobo ezimbili eziyinhloko kuye kokuthi kubonisa yini inkinga yokwakheka noma umsebenzi wenhliziyo yakho.
Ukuzwakala Kwenhliziyo Okungenasono: Lezi yizwi ezingenangozi ezingabonisi noma iyiphi inkinga yenhliziyo. Zivame kakhulu kubantwana futhi zingase ziye ziye ngokuhamba kwesikhathi. Ukuzwakala okungenasono kuvame ukubonakala kakhulu uma izinga lenhliziyo yakho likhuphuka ngenxa yomkhuhlane, umsebenzi womzimba, noma ukuthokoza.
Ukuzwakala Kwenhliziyo Okungajwayelekile: Lezi zizwi zikhomba ukuthi kungase kube khona inkinga yokwakheka kwenhliziyo yakho. Zingase zibe khona kusukela ekuzalweni (ezalwa nazo) noma zithuthukiswe kamuva ekuphileni (ezitholakala). Ukuzwakala okungajwayelekile kudinga ukuhlolwa okwengeziwe ukuze kutholakale imbangela.
Odokotela futhi bahlukanisa ukuzwakala ngesikhathi sabo ngesikhathi sokushaya kwenhliziyo yakho, ubukhulu bawo, nendawo yabo esifubeni sakho. Lolu lwazi lubasiza ukuqonda ukuthi yini engase ibe yimbangela yokuzwakala futhi uma kudinga ukwelashwa.
Ukuzwakala kwenhliziyo kuthuthukiswa uma ukugeleza kwegazi ngenhliziyo yakho kuyahlupheka kunokuba bukhulu. Lokhu kuhlupheka kungase kwenzeke ngezizathu eziningi ezahlukene, kusukela ekuhlukahlukenini okuvamile ngokuphelele kuya ezinkingeni zenhliziyo.
Ake siqale ngokuhlola izimbangela ezivamile ze-murmurs yentliziyo engenangozi, ezinguguquko oluqondene:
I-murmurs yentliziyo engavamile ingabangelwa yizinkinga zokwakheka kwenhliziyo yakho ozalwa nayo noma ezikhula ngokuhamba kwesikhathi. Nazi izimbangela eziyinhloko:
Kwezinye izimo ezingavamile, i-murmurs engavamile ingabonisa izimo eziyinkimbinkimbi ze-congenital heart noma izifo zentliziyo ezitholwe. Udokotela wakho angakusiza ukuthi ubone ukuthi i-murmur yakho iwele kuphi ngokuhlola ngokucophelela.
Kufanele ubheke udokotela uma uhlangabezana nanoma yiziphi izimpawu ezikukhathazayo, ikakhulu uma zibonakala zihambisana nenhliziyo yakho. Ungalindi uma unebuhlungu esifubeni, ukuphefumula okunzima kakhulu, noma ukuhlanza.
Uma unayo i-murmur yentliziyo eyaziwayo, cwangcisa i-aphoyintimenti nodokotela wakho uma uqaphela izimpawu ezintsha noma ezibi kakhulu. Ukushintsha indlela ozizwa ngayo kungabonisa ukuthi i-murmur yakho idinga ukunakekelwa okwengeziwe noma ukuthi kukhona okunye okukhula.
Kubantwana abanohudo lwempilo yentliziyo, ukuhlolwa njalo kubalulekile ukuqapha ukuthi uhudo luyahluka kanjani ngokuhamba kwesikhathi. Iningi lezingxaki ezingalutho kubantwana alidingi ukwelashwa okukhethekile, kodwa udokotela wakho wezingane uzofuna ukuzilandelela njengoba ingane yakho ikhula.
Ngaphezu kwalokho, uma uhlela ukukhulelwa futhi unohudo lwempilo yentliziyo olukwaziwayo, kuwukuhlakanipha ukuxoxa nalokhu nodokotela wakho ngaphambi kwesikhathi. Ukukhulelwa kukhulisa umsebenzi wentliziyo yakho, futhi ezinye izimo zentliziyo zidinga ukuqapha ngesikhathi sokukhulelwa.
Izici eziningi zingandisa amathuba akho okukhula kohudo lwempilo yentliziyo, yize abantu abaningi abanemikhawulo yengozi abakutholi nhlobo uhudo.
Ezinye izimbangela zengozi zikhona kusukela ekuzalweni noma ezihlobene nomlando wakho womndeni:
Ezinye izimbangela zengozi zithuthuka ngokuhamba kwesikhathi ngokuya ngezimo zakho zempilo nendlela yakho yokuphila:
Ukuba nezimbangela zengozi akusho ukuthi uzokuthola ngokuqinisekile uhudo lwempilo yentliziyo, futhi iningi lohudo luvela kubantu abangenazo izimbangela zengozi. Okubalulekile ukugcina impilo enhle yentliziyo ngokuhlolwa njalo nokukhetha indlela yokuphila enempilo.
Ukubetha kwentliziyo okungenasono akuholeli ezingxakini ngoba akuvezi noma yiziphi izinkinga zentliziyo eziyingozi. Ungaphila impilo evamile ngokuphelele, ephambili, unekubetha okungenasono.
Nokho, ukubetha kwentliziyo okungavamile okuvela ezingxakini zentliziyo zesakhiwo kungabangela ubunzima uma kungaphathwa. Ubunzima obuthile kuncike kulokho okubangela ukubetha kwakho:
Izindaba ezinhle ukuthi izimo eziningi zentliziyo ezibangela ukubetha okungavamile zingaphathwa kahle ngokunakekelwa okufanele kwezokwelapha. Ukutholakala kwangaphambi kwesikhathi nokuphathwa kunciphisa kakhulu ingozi yobunzima.
Ezinye izinkinga ezinqabile zingase zenzeke ngezifo ezingavamile zentliziyo ezelwe nayo, njenge-Eisenmenger syndrome, lapho izindlela ezingavamile zokugeleza kwegazi zithuthuka ngokuhamba kwesikhathi. Lezi zimo eziyinkimbinkimbi zidinga ukunakekelwa okukhethekile kwentliziyo kusukela ekuzalweni.
Awukwazi ukuvimba ukubetha kwentliziyo okungenasono ngoba kuyinto evamile yokuguquguquka kokuthi igazi ligeleza kanjani entliziyweni yakho. Izifo eziningi zentliziyo ezelwe nayo ezibangela ukubetha okungavamile nazo azikwazi ukuvinjelwa ngoba zithuthuka phakathi nokuthuthukiswa kwesisu.
Nokho, ungathatha izinyathelo zokunciphisa ingozi yezimo zentliziyo ezitholwe ezizoletha ukubetha okungavamile kamuva ekuphileni:
Kubantu abakhulelwe, ukuthatha amavithamini okukhulelwa, ukugwema utshwala nokubhema, nokuthola ukunakekelwa okufanele kokukhulelwa kungasiza ekusekweni ukuthuthukiswa kwenhliziyo enempilo ezinganeni zabo.
Uma unezimo ezithile zenhliziyo, udokotela wakho angase akukhuthaze ukuba uthathe ama-antibiotic ngaphambi kwezindlela zokwelapha amazinyo noma ukuhlinzwa ukuvimbela ukutheleleka kwenhliziyo. Lokhu kubizwa ngokuthi i-antibiotic prophylaxis futhi kudingeka kuphela ezimweni ezithile ezingozi.
I-heart murmurs ivame ukutholwa okokuqala lapho udokotela wakho elalela inhliziyo yakho nge-stethoscope ngesikhathi sokuhlolwa okuvamile. Bangazwa umsindo owengeziwe phakathi kwezimpompo zenhliziyo yakho evamile.
Udokotela wakho uzobhala izici eziningi ze-murmur yakho, kufaka phakathi ukuthi kwenzeka nini ngesikhathi sempompo yenhliziyo yakho, ukuthi ilukhulu kangakanani, nokuthi kuzwakala kahle kuphi esifubeni sakho. Ulwazi lolu lubasiza ukuthi baqonde ukuthi i-murmur yakho cishe ayinacala noma ingadinga uphenyo olwengeziwe.
Uma udokotela wakho engabaza i-murmur engavamile, angase akukhuthaze ukuthi wenze amavivinyo engeziwe ukuze uthole isithombe esicacile sokwakheka nokusebenza kwenhliziyo yakho:
Abantu abaningi abane-heart murmurs badinga kuphela i-echocardiogram ukuqinisekisa ukuthi i-murmur yabo iyaphepha noma ayiyona. Lovivinyo alubuthi luhlungu futhi lunikeza ulwazi oluqondile ngesimo senhliziyo yakho nendlela esebenza ngayo kahle.
Kwezinye izimo, udokotela wakho angakudlulisa kwikardiologist, ochwepheshe wezinhliziyo, ukuze uthole ukuhlolwa okwengeziwe. Lokhu akusho ukuthi kukhona inkinga enzima, kodwa kunokuqinisekisa ukuthi uthola ukulinganisa olukhulu kunazo zonke.
I-Heart murmurs engalutho ayidingi noma yiluphi ukwelashwa ngoba ayibonisi inkinga yenhliziyo. Udokotela wakho uzolandelela nje i-murmur yakho ngesikhathi sokuhlola okujwayelekile ukuqinisekisa ukuthi ihlala ingalutho.
Nge-heart murmurs engalungile, ukwelashwa kuncike ngokuphelele esimweni senhliziyo esibangela i-murmur. Udokotela wakho uzogxila ekwelapheni imbangela yangempela kunokuba yi-murmur ngokwayo.
Izindlela zokwelapha ezivamile zezimo ezibangela i-murmurs engalungile zihlanganisa:
Abantu abaningi abane-murmurs ezingajwayelekile bangaphathwa ngempumelelo ngemithi kuphela. Abanye bangadinga ukwelashwa ngokuhlinzwa, kodwa ukuhlinzwa kwesikhathi samanje kwenhliziyo kunesilinganiso esihle sempumelelo futhi kungathuthukisa kakhulu ikhwalithi yokuphila.
Ezimweni ezingavamile zeziphene eziphathekayo zenhliziyo, ukwelashwa kungase kuhilele ukuhlinzwa okuningi ngokuhamba kwesikhathi noma izinqubo ezikhethekile ezenziwa ochwepheshe bokuhlinzwa kwenhliziyo yabantwana. Lezi zimo zidinga ukunakekelwa kwamaqembu ezempilo akhethekile anekhono lokuqapha izimo ezinzima zenhliziyo.
Uma une-heart murmur engonakali, ungaphila ngokujwayelekile ngaphandle kokuthatha izinyathelo ezikhethekile. Qhubeka nemisebenzi yakho yansuku zonke, uzivoge njengoba nje ubungenza, futhi ugcine indlela yokuphila enempilo.
Ngokuphathelene ne-heart murmurs ezingajwayelekile, ukunakekelwa kwakho ekhaya kuzoxhomeka esimweni sakho senhliziyo. Nanka amathiphu avamile asebenza kubantu abaningi abane-heart murmurs:
Qaphela indlela ozizwa ngayo phakathi kwemisebenzi yansuku zonke. Uma uqaphela ukwanda kokuphefumula okunzima, ubuhlungu esifubeni, noma ukukhathala okungavamile, xhumana nodokotela wakho ngokushesha kunokulinda isikhathi sakho esilandelayo sokuqokwa.
Abanye abantu abanezinye izimo zenhliziyo badinga ukuthatha ama-antibiotics ngaphambi kwezinqubo zokwelashwa kwamehlo noma ukuhlinzwa. Uma lokhu kuqondana nawe, qiniseka ukuthi bonke abahlinzeki bakho bezempilo bayazi ngesimo sakho senhliziyo kanye nezidingo zama-antibiotics.
Ngaphambi kokubhekana nodokotela wakho, bhala phansi noma yiziphi izimpawu ozibonile, ngisho noma zibonakala zingahlobene nenhliziyo yakho. Faka ukuthi zenzeka nini, isikhathi eside zingakanani, nokuthi yini ezenza zibe ngcono noma zimbi.
Letha uhlu oluphelele lwazo zonke izidakamizwa ozithathayo, kufaka phakathi izidakamizwa ezingaphezu kokuthengiswa ngaphandle kwelayisensi, izongezelelo, kanye nezinongo zomhlanga. Ezinye izidakamizwa zingathinta inhliziyo yakho noma zihlangane nezidakamizwa zenhliziyo.
Lungiselela uhlu lwemibuzo ofuna ukuyibuza udokotela wakho. Nazi ezinye ezibalulekile okumele uzicabangele:
Uma unomlando womndeni wezinkinga zenhliziyo, letha ulwazi mayelana nezimo zenhliziyo zabantu bakubo. Lokhu kungasiza udokotela wakho ukuthi aqonde kangcono izici zakho ezingozi futhi anqume indlela engcono kakhulu yokunakekelwa kwakho.
Cabanga ukuthi ulethe umngane othembekile noma ilungu lomndeni ekuhlanganyeleni kwakho, ikakhulukazi uma uzizwa ukhathazekile nge-murmur yakho yenhliziyo. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukwesekwa ngokomzwelo.
Into ebaluleke kakhulu okumele uyikhumbule ukuthi iningi le-heart murmurs alibi nhlobo. Abantu abaningi baphila impilo yabo yonke beba ne-heart murmurs engaphephile ngaphandle kokubhekana nanoma yiziphi izinkinga noma ukudinga ukwelashwa.
Ngisho noma i-murmur yakho yenhliziyo ibonisa isimo senhliziyo esingaphansi, imithi yanamuhla inikeza ukwelashwa okuhle okungakusiza ukuba ugcine ikhwalithi enhle yempilo. Ikhona ukusebenzisana neqembu lakho lokukhathalela impilo ukuze uqaphele isimo sakho bese ulandela iziphakamiso zabo.
Ungavumeli ukukhathazeka ngokuthi une-heart murmur kukuvimbe ekuphileni ngokugcwele. Ngokunakekelwa okufanele kwezokwelapha nendlela yokuphila enempilo yentliziyo, abantu abaningi abane-heart murmurs bangabamba iqhaza kuzo zonke izinto abazithandayo.
Khumbula ukuthi ukuba ne-heart murmur akukucaci noma akulingani amandla akho. Hlala unolwazi ngesimo sakho, gcina uxhumano oluvulekile nabaphakeli bakho bezempilo, bese ugxila ekuzinakekeleni kahle impilo yakho yonke.
Yebo, i-heart murmurs eminingi engenasono ingafika ize ihambe ekuphileni kwakho konke. Abantwana bavame ukukhula bephela i-heart murmurs njengoba bekhula. Noma kunjalo, i-murmurs ebangelwa yizinkinga zentliziyo zesakhiwo ngokuvamile ayapheli ngaphandle kokwelashwa kwesimo esiyimbangela.
Abantu abaningi abane-heart murmurs engenasono bangaqeqesha ngokujwayelekile ngaphandle kwanoma yiziphi izikhawu. Uma une-heart murmur engavamile, udokotela wakho uzokunikeza isiqondiso esithile mayelana namanqanaba okuqeqeshwa okuvikelekile ngokusekelwe esimweni sakho sentliziyo esiyimbangela. Abantu abaningi abanezimo zentliziyo basaqala ukujabulela umsebenzi womzimba ojwayelekile ngokulungiswa okufanele.
I-heart murmurs engenasono ngokuvamile ayidluliselwa, kodwa ezinye izinkinga zentliziyo ezingokuzalwa ebangela i-murmurs engavamile zingadluliselwa emindenini. Uma unomlando womndeni wezinkinga zentliziyo, kubalulekile ukuxoxa nalokhu nodokotela wakho ukuze akwazi ukuhlola ingozi yakho futhi ancoma ukuqapha okufanele.
I-heart murmurs engenasono ayibi kakhulu ngokuhamba kwesikhathi ngoba ayibonisi noma iyiphi inkinga yentliziyo. Noma kunjalo, uma une-murmur engavamile ebangelwa yisimo sentliziyo, isimo esiyimbangela singathuthuka njengoba ukhula. Ukuqapha okujwayelekile kusiza ekutholeni noma yiziphi izinguquko ngokushesha ukuze ukwelashwa kulungiswe uma kudingeka.
Ukukhulelwa kungenza izwi ezingavamile zenhliziyo ziveke kalula ngoba inhliziyo yakho iphompa igazi eliningi ngesikhathi sokukhulelwa. Lokhu ngokuvamile akuyona into yokukhathazeka. Noma kunjalo, uma unezwi elingavamile lenhliziyo, uzodinga ukulandelelwa eduze ngesikhathi sokukhulelwa ukuqinisekisa ukuthi wena nombana wakho nihlala niphilile. Abesifazane abaningi abanezwi lenhliziyo banokukhulelwa okuphumelelayo ngenxa yokunakekelwa okufanele kwezokwelapha.
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