Ubuhlungu Belembu Lehliziyo: Izimpawu, Izimbangela, Nokwelashwa

Ubuhlungu belembu lehliziyo buvela lapho elinye noma ngaphezulu kwamalembu amane ehliziyo lakho lingasebenzi kahle. Cabanga ngalembu njengeminyango evula ivala ukuze igazi liqhubeke lihamba ngendlela efanele ehliziyweni yakho. Uma ingavuli kahle noma ingavali kahle, ihliziyo yakho kumele isebenze nzima ukuze iphonse igazi ngokuphumelelayo emzimbeni wakho.

Ubuhlungu Belembu Lehliziyo Yini?

Ihliziyo yakho inalembu amane asebenza njengegethi elilodwa, liqinisekisa ukuthi igazi lihamba phambili emakhameni ehliziyo yakho. Ubuhlungu belembu lehliziyo buvela lapho la malembu elimazeka, ecindezelekile, noma ephuma igazi. Lokhu kusho ukuthi ihliziyo yakho ayikwazi ukuphonsa igazi ngokuphumelelayo njengoba kufanele.

A malembu amane ehliziyo yi-mitral, i-tricuspid, i-aortic, ne-pulmonary valves. Ngamunye udlala indima ebalulekile ekugcineni ukusabela kwegazi okunempilo. Uma noma yiliphi lale malembu lihluleka, lingathinta ukuthi ihliziyo yakho inikeza igazi eliphezulu loketshezi emzimbeni wakho kangcono kangakanani.

Kunezinhlobo ezimbili eziyinhloko zezinkinga zelembu. I-Stenosis kwenzeka lapho i-valve ihlala iqine futhi icishe, okwenza kube nzima igazi ukuhamba ngayo. I-Regurgitation kwenzeka lapho i-valve ingavali kahle, ivumela igazi ukuthi liphume emuva.

Ziyini Izimpawu Zobuningi Belembu Lehliziyo?

Abantu abaningi abane-valve disease ephansi abanawo noma yimiphi impawu ekuqaleni. Ihliziyo yakho iyakwazi ukumelana futhi ingalungisa izinkinga zelembu iminyaka eminingi. Noma kunjalo, njengoba isimo siqhubeka, ungaqala ukubona izimpawu zokuthi ihliziyo yakho isebenza nzima kunokujwayelekile.

Izimpawu ezivame kakhulu ongazihlangabezana nazo zihlanganisa:

• Ukuhlupheka ngokuphefumula, ikakhulukazi ngesikhathi somsebenzi womzimba noma lapho ulele phansi
• Ukukhathala noma ubuthakathaka obukhulu kunezinga lomsebenzi wakho
• Ubuhlungu noma ukungakhululeki esifubeni, ikakhulukazi ngesikhathi somsebenzi
• Ukushona kwenhliziyo noma ukushaya kwenhliziyo okungajwayelekile
• Ukukhungatheka noma ukulahlekelwa yisazela
• Ukukhula kwamagxolo, izinyawo, noma imilenze
• Ukuzuza isisindo ngokushesha ngenxa yokugcinwa kwamanzi

Izimpawu ezingavamile kodwa eziqakathekile zingabandakanya ukukhokha okuqhubekayo, ikakhulukazi okukhipha i-mucus ebomvu noma ephuziwe. Abanye abantu baphawula ukuthi izihlalo zabo zenziwa imisindo engavamile, nakuba lokhu kuvame ukubona udokotela ngesikhathi sokucubungula.

Lezi zimpawu zivame ukuvela kancane kancane, ngakho ungase ungaziboni ngokushesha. Uma uhlangabezana nanoma iyiphi inhlanganisela yalezi zimpawu, kufanele ukhulume nodokotela wakho.

Ziyini Izinhlobo Zobuningi Belembu Lehliziyo?

Ubuhlungu belembu lehliziyo buhlukaniswa ngokusekelwe kulembu elithintekile nohlobo lwenkinga eyenzeka. Ukuqonda lezi zinhlobo ezahlukene kungakusiza ukuba uxhumane kahle neqembu lakho lokunakekelwa kwezempilo mayelana nesimo sakho esithile.

Izinhlobo ezivame kakhulu zihlanganisa i-aortic stenosis, lapho i-aortic valve icishe futhi iqine. Le valve ilawula ukusabela kwegazi ekuhlanzweni kwakho emzimbeni wakho wonke. I-aortic regurgitation kwenzeka lapho le valve ingavali kahle, ivumela igazi ukuthi liphume emuva ehliziyweni.

Izinkinga ze-mitral valve nazo zivame kakhulu. I-mitral stenosis kwenzeka lapho i-valve phakathi kwamagumbi aphezulu naphansi kwesobunxele sehliziyo yakho icishe. I-mitral regurgitation, ebizwa nangokuthi yi-mitral insufficiency, kwenzeka lapho le valve iphuma igazi.

Ngokungavamile, ungathuthukisa i-tricuspid noma i-pulmonary valve disease. Lezi zimo zithinta ama-valve ngakwesokudla sehliziyo yakho, aphatha ukusabela kwegazi kuya naphesheya kwamaphaphu akho.

Yini Ebangela Ubuhlungu Belembu Lehliziyo?

Ubuhlungu belembu lehliziyo bungathuthukiswa ngezimbangela eziningi ezahlukene, futhi ngezinye izikhathi bukhona kusukela ekuzalweni. Ukuqonda ukuthi yini engase ibe yimbangela yezinkinga zakho zelembu kungasiza ekuqondiseni izinqumo zokwelapha nezinqubo zokuvimbela zesikhathi esizayo.

Izimbangela ezivame kakhulu zihlanganisa:

• Ukugqwala okubangelwa ubudala, ikakhulukazi ukwakheka kwe-calcium kuma-valve leaflets
• Ukuvuvukala kwe-rheumatic, ngokuvamile okuvela ezifweni ze-strep throat ezingalashwanga
• Ukuphazamiseka kwenhliziyo okukhona kusukela ekuzalweni
• Ukuhlaselwa kwenhliziyo okonakalisa imisipha yomzimba ehambisana nama-valve
• Ukutheleleka kwama-valve enhliziyo, okuthiwa yi-endocarditis
• Uxinzelelo lwegazi oluphakeme olubeka uxinzelelo olukhulu kuma-valve ngokuhamba kwesikhathi
• Izimo ezithile zokuziphatha komzimba njenge-lupus noma i-rheumatoid arthritis

Ezinye izimbangela ezingavamile zihlanganisa ukwelashwa ngomgogodla kwindawo yesifuba, imithi ethile, nemiphumela yezakhiwo ezihlobene ne-genetic. I-Carcinoid syndrome, isimo esingavamile esibandakanya ama-tumors athile, ingalimaza nama-valve enhliziyo.

Ezimweni eziningi, ubuhlungu belembu buthuthuka kancane kancane iminyaka eminingi. Ama-valve akho kancane kancane abaqine noma aphume igazi njengoba ukhula, kungakho izinkinga zelembu zivame kakhulu kubantu abadala.

Nini Okufanele Ubone Udokotela Ngobuhlungu Belembu Lehliziyo?

Kufanele uxhumane nodokotela wakho uma uhlangabezana nezimpawu ezingase zibonise ubuhlungu belembu lenhliziyo. Ungalindi kuze kube yilapho izimpawu ziqala ukuba zimbi, njengoba ukutholakala kwangaphambi kwesikhathi nokugcinwa kungasiza ekuvinjeni izinkinga.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uqaphela ukuhlupheka ngokuphefumula okubi kakhulu, ikakhulukazi uma kwenzeka ngomsebenzi omncane noma ngenkathi ukhululekile. Ubuhlungu besifuba, ikakhulukazi ngesikhathi somsebenzi womzimba, akufanele luphoswe.

Hlela i-aphoyintimenti maduze uma uhlangabezana nokukhathala okungachazeki, ukukhungatheka, noma ukulahlekelwa yisazela. Ukukhula kwamagxolo, izinyawo, noma imilenze okungaphuli ngokuphumula kungabonisa nokuthi ihliziyo yakho ayiphonsi kahle.

Shaya ucingo ukuze uthole ukunakekelwa kwezokwelapha okusheshayo uma unebuhlungu besifuba esibi, ukuhlupheka ngokuphefumula okukhulu ngokushesha, noma uma ulahlekelwa yisazela. Lezi zimpawu zingase zibonise inkinga enzima edinga ukunakekelwa okusheshayo.

Ziyini Izici Zengozi Zobuningi Belembu Lehliziyo?

Izici eziningi zingandisa amathuba akho okuthuthukisa ubuhlungu belembu lehliziyo phakathi nokuphila kwakho. Nakuba ungakwazi ukulawula zonke izici zengozi, ukuzazi kuzokusiza wena nodokotela wakho ukuba nilandele impilo yakho yenhliziyo ngokucophelela.

Izici eziyinhloko zengozi zihlanganisa:

• Ubudala obukhulu, ikakhulukazi ngaphezulu kweminyaka engama-65
• Umlando wokuvuvukala kwe-rheumatic noma izifo ze-strep throat
• Ukuphazamiseka kwenhliziyo okukhona ekuzalweni noma umlando womndeni wobuningi belembu
• Ukuhlaselwa kwenhliziyo ngaphambili noma ezinye izimo zenhliziyo
• Uxinzelelo lwegazi oluphakeme noma i-cholesterol ephakeme
• I-Diabetes noma i-metabolic syndrome
• Umlando wokutheleleka okungathinta inhliziyo

Ezinye izici zengozi zihlanganisa isifo sokugula esiqhubekayo, izimo ezithile zokuziphatha komzimba, nokwelashwa ngomgogodla ngaphambili esifubeni. Imithi ethile, ikakhulukazi imithi ethile yokudla ne-ergot, ihlanganiswe nezinkinga zelembu.

Izici zokuphila njengokubhema, ukukhuluphala, nokuntuleka komsebenzi womzimba zingase futhi zinikeze izimo ezicindezela ama-valve enhliziyo yakho ngokuhamba kwesikhathi. Noma kunjalo, abantu abaningi abanezici zengozi abazithuthukisi ubuhlungu belembu, futhi abanye abantu abangenazo izici zengozi ezicacile bayazithuthukisa.

Ziyini Izinkinga Ezingase Zenzeke Ngobuhlungu Belembu Lehliziyo?

Uma ubuhlungu belembu lehliziyo bungaphathwa noma bube sibi kakhulu, bungabangela izinkinga ezinkulu ezithinta impilo yakho yonke kanye nekhwalithi yokuphila. Ukuqonda lezi zinkinga ezingase zenzeke kuchaza ukuthi kungani ukugcinwa okuvamile nokwelashwa okufanele kubaluleke kangaka.

Izinkinga ezivame kakhulu ongazihlangabezana nazo zihlanganisa:

• Ukwehluleka kwenhliziyo, lapho ihliziyo yakho ingakwazi ukuphonsa igazi ngokuphumelelayo ukuze ihlangabezane nezidingo zomzimba wakho
• Ukukhungatheka kwenhliziyo, ikakhulukazi i-atrial fibrillation
• Ama-blood clots angahamba ebuchosheni bakho, abangela izifo
• Ukutheleleka kwama-valve enhliziyo, okungaba yingozi ekuphileni
• Ukufa kwenhliziyo ngokuzumayo ezimweni ezinkulu, ezingaphathwanga
• I-Pulmonary hypertension evela ekubuyiselweni kwegazi emaphaphwini

Izinkinga ezingavamile kodwa ezinzima zihlanganisa ukukhula kwenhliziyo njengoba ihliziyo yakho isebenza nzima ukuze ilungise izinkinga zelembu. Lokhu ekugcineni kungabangela ukuqina kwemisipha yenhliziyo.

Izindaba ezinhle ukuthi ngokunakekelwa kwezokwelapha okufanele nokugcinwa, izinkinga eziningi zingavikeleka noma ziphathwe kahle. Iqembu lakho lokunakekelwa kwezempilo lizosisebenzisana nawe ukuze lilinganise ingozi yakho futhi likhethe uhlelo lokuqeda izinkinga.

Ubuhlungu Belembu Lehliziyo Bungavikeleka Kanjani?

Nakuba ungakwazi ukuvimbela zonke izinhlobo zobuningi belembu lehliziyo, ikakhulukazi lezo ezikhona kusukela ekuzalweni noma ezihlobene nobudala, kunezinyathelo ongazithatha ukuze unciphise ingozi yakho futhi uvikele impilo yakho yenhliziyo phakathi nokuphila kwakho.

Izindlela ezibaluleke kakhulu zokuvimbela zigxile ekugcineni impilo enhle yenhliziyo. Lokhu kuhlanganisa ukulawula uxinzelelo lwakho lwegazi nama-cholesterol levels ngokudla, ukuzivocavoca, kanye nemithi uma kudingeka.

Ukuvimbela ukutheleleka okungalimaza ama-valve enhliziyo yakho kubalulekile. Funani ukwelashwa okusheshayo kwezifo ze-strep throat ukuze nivikele ukuvuvukala kwe-rheumatic. Uma usuvele une-valve disease, udokotela wakho angase akukhuthaze ukuba uthathe ama-antibiotics ngaphambi kokuthi wenze izinqubo ezithile zokwelapha.

Ukugcina indlela yokuphila enempilo kuzokusiza ama-valve enhliziyo yakho isikhathi eside. Ukuzivocavoca njalo, ukudla okulinganiselayo, ukungabhemi, nokulawula ukucindezeleka konke kuzokusiza ukugcina isimo sakho senhliziyo siqinile futhi siqine.

Ubuhlungu Belembu Lehliziyo Butholakala Kanjani?

Ukuthola ubuhlungu belembu lehliziyo ngokuvamile kuqala ngodokotela wakho olalela inhliziyo yakho nge-stethoscope. Izinkinga eziningi zelembu zenziwa imisindo ehlukile ebizwa ngokuthi yi-murmurs abantu abafundisiwe bezempilo abangayithola ngesikhathi sokuhlola okuvamile.

Uma udokotela wakho enesibopho sobuhlungu belembu, cishe uzokukhipha i-echocardiogram kuqala. Lo mviwo we-ultrasound ongenayo ubuhlungu uyakha izithombe eziningi zenhliziyo yakho futhi ubonisa ukuthi ama-valve akho asebenza kahle kangakanani. Ingalinganisa ukusabela kwegazi futhi ibonise ukuthi yimaphi ama-valve athintekile.

Ezinye izivivinyo zingase zihlanganise i-electrocardiogram (ECG) ukuhlola ukushaya kwenhliziyo yakho, i-X-rays yesifuba ukuze ubone usayizi nokuma kwenhliziyo yakho, kanye nezivivinyo zegazi ukuze uhlole izimpawu zokutheleleka noma ezinye izimo.

Ukuze uthole ukulinganiswa okuningiliziwe, udokotela wakho angase akukhuthaze i-cardiac catheterization, lapho i-tube encane ifakwa ezinhlanzi zegazi ukuze ilinganise ngokuqondile uxinzelelo ehliziyweni yakho. Izivivinyo zokucindezela komzimba zingabonisa ukuthi inhliziyo yakho iphendula kanjani emsebenzini womzimba.

Yini Ukwelashwa Kwebuningi Belembu Lehliziyo?

Ukuphathwa kobuningi belembu lehliziyo kuncike kula malembu athintekile, ukuthi inkinga imubi kangakanani, kanye nempilo yakho yonke. Abantu abaningi abane-valve disease ephansi badinga ukugcinwa okuvamile kuphela, kanti abanye badinga imithi noma izinqubo ezisiza izinhliziyo zabo ukuba zisebenze kangcono.

Ngobuhlungu belembu obuphansi kuya obuphakathi, udokotela wakho angase akukhiphe imithi ezosiza ekulawuleni izimpawu nokunciphisa uxinzelelo ehliziyweni yakho. Lokhu kungase kuhlanganise imithi yokunciphisa uxinzelelo lwegazi, imithi yokunciphisa igazi ukuvimbela ama-clots, noma imithi yokulawula ukushaya kwenhliziyo okungajwayelekile.

Uma ubuhlungu belembu bube sibi kakhulu, ungase udinga inqubo yokulungisa noma ukushintsha i-valve elimazeke. Ukulungiswa kwe-valve ngokuvamile kukhethwa uma kungenzeka ngoba kulondoloza inyama yakho yelembu yemvelo. Lokhu ngezinye izikhathi kungenziwa ngezindlela ezincane.

Ukushintshwa kwe-valve kuhlanganisa ukususa i-valve elimazeke nokufaka i-valve yomshini eyenziwe ngezinto ezihlala isikhathi eside noma i-valve yemvelo evela enyameni yesilwane. Iqembu lakho lokuhlinzwa lizokusiza uqonde ukuthi iyiphi indlela engase isebenze kangcono esimweni sakho.

Indlela Yokunakekela Wena Ekhaya Ngesikhathi Sobuningi Belembu Lehliziyo?

Ukuphatha ubuhlungu belembu lehliziyo ekhaya kuhlanganisa ukwenza izinqumo zokuphila ezisekela impilo yakho yenhliziyo nokulandela izikhuthazo zedokotela wakho ngokucophelela. Izinqumo ezincane zansuku zonke zingenza umehluko omkhulu endleleni ozizwa ngayo nokuthi usebenza kanjani.

Hlola izimpawu zakho ngokucophelela futhi ugcine ulandelela noma yikuphi ukushintsha. Qaphela lapho uzizwa uhlupheka ngokuphefumula, uhlangabezana nobuhlungu besifuba, noma uqaphela ukukhula kwamagxolo. Lolu lwazi luzosisiza iqembu lakho lokunakekelwa kwezempilo ukuba lilungise ukwelashwa kwakho njengoba kudingeka.

Landela ukudla okunempilo kwenhliziyo okune-sodium ephansi ukuze uvikele ukugcinwa kwamanzi. Gxila ezithelo ezintsha, imifino, ukudla okugcwele, namaprotheni ahlanzekile. Udokotela wakho noma umdidiyeli angakunikeza isiqondiso esithile ngokusekelwe esimweni sakho.

Hlala usebenza ngaphakathi kwemingcele udokotela wakho ayikhuthaza. Ukuzivocavoca okuvamile, okulula njengokuhamba kungasiza ekuqinisiseni inhliziyo yakho nokuthuthukisa ukusabela kwegazi. Noma kunjalo, gwema ukusebenza kakhulu bese uyeka umsebenzi uma uhlangabezana nezimpawu.

Thatha yonke imithi ngokuqondile njengoba ikhishwe, ngisho noma uzizwa kangcono. Uma une-valve disease, ungase udinga ama-antibiotics ngaphambi komsebenzi wamazinyo noma izinqubo ezithile zokwelapha ukuze uvikele ukutheleleka.

Kufanele Uzilungiselele Kanjani I-Aphoyintimenti Yakho Yedokotela?

Ukulungiselela i-aphoyintimenti yakho kuzokusiza uqinisekise ukuthi uthola ulwazi oluwusizo kakhulu nesiqondiso esivela eqenjini lakho lokunakekelwa kwezempilo. Ukulungiselela kancane kungenza ukuvakasha kwakho kube nomphumela futhi kukusize uzizwe ukhululekile ngokunakekelwa kwakho.

Bhala zonke izimpawu zakho, kuhlanganise nokuthi zaqala nini, yini eyenza zibe ngcono noma zimbi, nokuthi zikuthinta kanjani imisebenzi yakho yansuku zonke. Yiba ocacile ngezinto ezifana nokuthi ungahamba kude kangakanani ngaphambi kokuba uzizwe uhlupheka ngokuphefumula noma ukuthi izimpawu zikuvusa ebusuku.

Letha uhlu oluphelele lwemithi yonke oyithathayo, kuhlanganise nemithi yokuthengwa ngaphandle komthetho kanye nezinhlanganisela. Lungiselela futhi uhlu lwemibuzo ofuna ukuyibuza, njengokuthi yimiphi imisebenzi ephephile kuwe noma yiziphi izimpawu okufanele zikukhuthaze ukuba ucingo.

Butha ulwazi mayelana nomlando womndeni wakho wesifo senhliziyo futhi ulethe amarekhodi okuvivinywa noma ukwelashwa ngaphambili. Uma kungenzeka, letha ilungu lomndeni noma umngani ongakusiza ukuba ukhumbule ulwazi oluqakathekile oluxoxwe ngesikhathi sokuvakasha.

Yini Eyinhloko Yokuthatha Ngobuhlungu Belembu Lehliziyo?

Ubuhlungu belembu lehliziyo yisimo esilawuleka uma sibonakala futhi siphathwa kahle. Nakuba kungase kuzwakale kuyesabekayo, abantu abaningi abanezinkinga zelembu baphila impilo egcwele, esebenzayo ngokunakekelwa kwezokwelapha okufanele nokwenza izinguquko zokuphila.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukutholakala kwangaphambi kwesikhathi nokugcinwa okuvamile kwenza umehluko omkhulu emiphumeleni. Ungaziphosi izimpawu ezifana nokuhlupheka ngokuphefumula, ubuhlungu besifuba, noma ukukhathala okungavamile, ikakhulukazi uma ziya ziba zimbi ngokuhamba kwesikhathi.

Sebenzisana eduze neqembu lakho lokunakekelwa kwezempilo ukuze uthuthukise uhlelo lokwelapha oluhambisana nesimo sakho esithile. Kungakhathaliseki ukuthi udinga imithi, ukushintsha indlela yokuphila, noma ekugcineni inqubo, kunezindlela ezisebenzayo ezitholakalayo ezokusiza uzizwe kangcono futhi uvikele impilo yakho yenhliziyo.

Khumbula ukuthi ukuba nobuhlungu belembu lehliziyo akusho ukuthi ubuthakathaka noma ukhanyekile. Ngokunakekelwa okufanele, ungaqhubeka ujabulela imisebenzi eminingi namava abalulekile kuwe.

Imibuzo Evame Ukubuzwa Ngobuhlungu Belembu Lehliziyo

Ungaphila impilo evamile ngobuningi belembu lehliziyo?

Yebo, abantu abaningi abane-valve disease baphila impilo egcwele, esebenzayo. Ikhona ukusebenzisana neqembu lakho lokunakekelwa kwezempilo ukuze uqaphele isimo sakho futhi ulandele izikhuthazo zokwelapha. Abanye abantu badinga ukubheka okuvamile kuphela, kanti abanye bazuza ngemithi noma izinqubo ezisiza izinhliziyo zabo ukuba zisebenze ngokuphumelelayo.

Ingabe ubuhlungu belembu lehliziyo buhlala bukhulu?

Akuyona njalo. Ubuhlungu belembu lehliziyo buhluka kusuka ephansi kuya esibi, futhi abantu abaningi banezinkinga zelembu ephansi ezingathinti impilo yabo yansuku zonke kakhulu. Noma kunjalo, ubuhlungu belembu bungathuthuka ngokuhamba kwesikhathi, kungakho ukugcinwa okuvamile kubalulekile ngisho noma uzizwa kahle.

Ingabe ubuhlungu belembu lehliziyo bungaphiliswa?

Nakuba ayikho impilo eyenza ama-valve alimaleke abe njengokujwayelekile futhi, ukulungiswa kwe-valve nokushintshwa kwayo kungaphatha kahle ubuhlungu belembu obukhulu. Lezi zindlela zokwelapha zingathuthukisa kakhulu izimpawu futhi zikusize ubuyele emisebenzini evamile. Imithi ingasiza futhi ekulawuleni izimpawu nokuvimbela izinkinga.

Ubuhlungu belembu lehliziyo buthuthuka ngokushesha kangakanani?

Ukuthuthuka kuyahluka kakhulu kusuka kumuntu komunye. Abanye abantu bane-valve disease ezinzile, ephansi iminyaka eminingi, kanti abanye bangase babone ukushintsha ngokushesha. Udokotela wakho uzolandelela isimo sakho ngokuhlola okuvamile ukuze alandele noma yikuphi ukushintsha futhi alungise ukwelashwa njengoba kudingeka.

Yikuphi ukudla okufanele ngikugweme ngobuningi belembu lehliziyo?

Gxila ekuqedeni i-sodium ukuze uvikele ukugcinwa kwamanzi nokukhula. Gwema ukudla okucutshungulwayo, usoso olubekwe emakhanini, kanye nokudla kwendawo yokudlela okuvame ukuba ne-salt eningi. Uma uthatha imithi yokunciphisa igazi, udokotela wakho angase futhi akunike isiqondiso mayelana nokudla okune-vitamin K eningi, njenge-leafy greens, nakuba ukugwema okuphelele ngokuvamile akudingeki.