01
Iziphumo ezithathu zesifo sentliziyo yesilwanyana

Isifo sePet Heartkwiikati kunye nezinja sisifo esibi kakhulu kwaye sinzima. Amalungu amahlanu amakhulu omzimba “yintliziyo, isibindi, imiphunga, isisu kunye nezintso”. Intliziyo ngumbindi wawo onke amalungu omzimba. Xa intliziyo imbi, iya kukhokelela ngokuthe ngqo kwi-pulmonary dyspnea, ukuvuvukala kwesibindi kunye nokungaphumeleli kwezintso ngenxa yokunciphisa ukujikeleza kwegazi. Kubonakala ngathi akukho mntu unokubaleka ngaphandle kwesisu.

Inkqubo yonyango yesifo sentliziyo yesilwanyana ihlala kwiimeko ezintathu:

I-1: Uninzi lwezinja ezincinci zinesifo senhliziyo sokuzalwa, kodwa kufuneka zinyanzeliswe kwiminyaka ethile. Nangona kunjalo, ngenxa yokuba ezinye iingozi zequbuliso zenzeke kwangoko, le meko inokuphinda ichache logama olwaneleyo, lwesayensi kunye nonyango olungqongqo, kwaye inokuphila njengeekati nezinja eziqhelekileyo ngaphandle kokusela iyeza ixesha elide. Ayinakwenzeka kwakhona de kube buthathaka ukusebenza kwamalungu asebekhulile.

2: Emva kokufikelela kwiminyaka ethile, umsebenzi welungu uqala ukuba buthathaka. Ngexesha elifanelekileyo, amayeza kunye nonyango olwaneleyo lwenzululwazi lunokugcina imeko ekhoyo yokusebenza yamalungu, kwaye uninzi lwazo lunokuphila kwiminyaka eqhelekileyo yezilwanyana zasekhaya.

I-3: Ezinye iimeko zentliziyo azikho ukusebenza ngokucacileyo, kwaye kunzima ukuxilonga uhlobo lwesifo esixhomekeke kwiimeko zokuhlolwa kwendawo. Amanye amayeza asemgangathweni akakwazi ukusebenza, kwaye amandla otyando lwentliziyo yasekhaya abuthathaka kakhulu (zimbalwa izibhedlele ezikhulu kunye noogqirha abanamava). Ngoko ke, ngokuqhelekileyo, utyando olungenakusebenza ngamachiza kunzima ukuhlangula, kwaye luhlala luhamba phakathi kweenyanga ezi-3-6.

Kuba intliziyo ibaluleke kakhulu, kunengqiqo ukuthi abanikazi bezilwanyana kufuneka bazame konke okusemandleni abo ukunyanga isifo senhliziyo. Kutheni kukho iimpazamo ezininzi ezinzulu? Oku kuqala ngokubonakaliswa kwesifo senhliziyo.

02
Isifo senhliziyo sifunyaniswa ngokulula

Impazamo yokuqala eqhelekileyo "yi-misdiagnosis".

Isifo sentliziyo yesilwanyana sihlala sibonakalisa iimpawu ezithile, ezona zicacileyo zibandakanya “ukukhohlela, idyspnea, umlomo ovulekileyo nolwimi, isifuba somoya, ukuthimla, ukungabi namdla, ukuphelelwa ngumdla, kunye nobuthathaka emva komsebenzi omncinci”. Xa igula kakhulu, inokubonakala ihamba okanye isiqaqa xa itsiba ekhaya, okanye ibonakale kancinci i-pleural effusion kunye ne-ascites.

Ukubonakaliswa kwezifo, ngakumbi ukukhohlela kunye ne-asthma, kulula ukuhoywa njengezifo zentliziyo, ezihlala ziphathwa ngokuhambelana nepheshana lokuphefumula kunye ne-pneumonia. Ekupheleni konyaka ophelileyo, injana yomhlobo yahlaselwa yintliziyo, ebonisa ukukhohlela + i-dyspnea + i-asthma + ehleli kwaye elele phantsi + ukungabi naludwe + kwehle umdla wokutya kunye nomkhuhlane ophantsi usuku olunye. Ezi zibonakaliso ezicacileyo zesifo senhliziyo, kodwa isibhedlele senza i-X-reyi, inkqubo yegazi kunye nokuhlolwa kwe-c-reverse, kwaye baphathwa njengenyumoniya kunye ne-bronchitis. Batofwa ngeehomoni kunye namachiza alwa nokudumba, kodwa awazange athomalale emva kweentsuku ezimbalwa. Emva koko, iimpawu zomnini wezilwanyana zakhululeka emva kweentsuku ezi-3 zonyango ngokwesifo senhliziyo, iimpawu ezisisiseko zanyamalala emva kweentsuku ezili-10, kwaye ichiza layekwa emva kweenyanga ezi-2. Kamva, umnini-silwanyana sasekhaya wacinga ngesibhedlele esithembekileyo esinokusigweba eso sifo, ngoko wathabatha iphepha lovavanyo kunye nevidiyo xa isilwanyana sasekhaya sasigula waza waya kwizibhedlele ezininzi. Ngokungalindelekanga, akukho namnye kubo owabona ukuba yingxaki yentliziyo.

Ukuxilongwa kwesifo senhliziyo esibhedlele kulula kakhulu. Oogqirha abanamava banokugqiba enoba kukho isifo sentliziyo ngokuphulaphula isandi sentliziyo. Emva koko banokujonga i-X-reyi kunye ne-cardiac ultrasound. Ewe, iECG inokuba ngcono, kodwa uninzi lwezibhedlele azikho. Kodwa ngoku oogqirha abaninzi abancinci baxhomekeke kakhulu kwidatha. Ngokusisiseko abayi kumbona ugqirha ngaphandle kwezixhobo zaselabhoratri. Ngaphantsi kwe-20% yoogqirha banokuva izandi zentliziyo ezingaqhelekanga. Kwaye akukho ntlawulo, akukho mali, kwaye akukho mntu uzimisele ukufunda.

03
Ngaba kukuchacha xa ungaphefumli?

Impazamo yesibini eqhelekileyo “kukubeka kuqala isifo sentliziyo.”

Izinja azikwazi ukuthetha nabantu. Kuphela kwezinye iindlela zokuziphatha apho abanikazi bezilwanyana bazi ukuba ngaba abakhululekanga. Abanye abanikazi bezilwanyana bavakalelwa kukuba iimpawu zenja azikho mandundu. “Awunalo nje ukhohlokhohlo? Ngamaxesha athile vula umlomo wakho kwaye ubambe umphefumlo, njengasemva kokubaleka”. Nguwo lowo umgwebo. Abanini bezilwanyana zasekhaya abaninzi bahlela isifo sentliziyo njengokukhanya, okuphakathi kunye nobunzima. Nangona kunjalo, njengogqirha, akanakuze ahlele isifo senhliziyo. Isifo sentliziyo sinokufa kuphela nanini na xa egula, kwaye impilo ayiyi kufa. Xa kukho ingxaki yentliziyo, unokufa nanini na, naphi na. Mhlawumbi usasebenza xa uphuma uhambo, mhlawumbi usaxhuma kwaye udlala ekhaya kumzuzu ongaphambili, okanye ukhala emnyango xa ufika kwi-express, emva koko ulala phantsi, uxhuzule kunye nekoma, kwaye ufe phambi kokuba uthunyelwe esibhedlele. Esi sisifo sentliziyo.

Mhlawumbi umnini wesilwanyana ucinga ukuba akukho ngxaki. Ngaba akuyomfuneko ukuba sisebenzise iziyobisi ezininzi kakhulu? Thatha nje ezimbini ezincinci. Akukho mfuneko yokusebenzisa isethi epheleleyo yeendlela zonyango. Kodwa enyanisweni, ngomzuzu ngamnye, intliziyo yesilwanyana sasekhaya iya isiba mandundu, kwaye ukungaphumeleli kwentliziyo kuya kusiba mandundu. Kude kube ngumzuzu othile, ayinakuphinda iphinde isebenze kwintliziyo yayo yangaphambili. Ndihlala ndinika abanye abanikazi bezilwanyana ezifuywayo ngesifo senhliziyo umzekelo onjalo: umonakalo womsebenzi wentliziyo wezinja eziphilileyo ngu-0. Ukuba ufikelela kwi-100, baya kufa. Ekuqaleni, isifo sinokufikelela kuphela kwi-30. Ngokusebenzisa amayeza, banokubuyisela umonakalo we-5-10; Nangona kunjalo, ukuba kuthatha i-60 ukunyanga kwakhona, iyeza linokubuyiselwa kuphela kwi-30; Ukuba ufikelele kwi-coma kunye nokuxhuzula, okukufutshane ngaphezu kwe-90, nokuba usebenzisa iyeza, ndiyoyika ukuba inokugcinwa kuphela kwi-60-70. Ukuyeka iyeza kunokukhokelela ekufeni nangaliphi na ixesha. Oku kwenza impazamo eqhelekileyo yomnini wesithathu wesilwanyana sasekhaya.

Impazamo yesithathu eqhelekileyo “kukurhoxa ngokukhawuleza”

Ukubuyiswa kwesifo senhliziyo kunzima kakhulu kwaye kucotha. Sinokuzicinezela iimpawu kwiintsuku ezisi-7 ukuya kwezili-10 ngenxa yamayeza angexesha nachanekileyo, kwaye akusayi kubakho sisifuba kunye nokukhohlela, kodwa intliziyo ikude ukuba ichache ngeli xesha. Abahlobo abaninzi bahlala bexhalabile malunga nemiphumo emibi okanye ukusabela okubi okuziswa ngamachiza. Amanye amanqaku e-intanethi nawo ayayenza ibe mandundu le meko, ngoko bahlala beyeka ukusebenzisa iziyobisi ngokukhawuleza.

Onke amachiza asehlabathini aneziphumo ebezingalindelekanga. Kuxhomekeke nje kubunzima beziphumo ebezingalindelekanga kunye nezifo, eziya kukhokelela ekufeni. Ububi obungaphantsi kobubini bulungile. Abanye abasebenzisi be-intanethi bayakugxeka ukusabela okungalunganga kwamanye amachiza, kodwa abakwazi ukucebisa amayeza angamanye okanye unyango, olufana nokuvumela izilwanyana zasekhaya zife. Iziyobisi zinokwandisa umthwalo entliziyweni. Iikati kunye nezinja ezineminyaka engama-50 ubudala zazinokutsibela entliziyweni yeminyaka engama-90 ubudala. Emva kokuthatha iziyobisi, banokutsibela kwiminyaka engama-75 kuphela kwaye basilele. Kodwa kuthekani ukuba isilwanyana esineminyaka engama-50 ubudala sinesifo senhliziyo kwaye sinokufa kungekudala? Ngaba kungcono ukuhlala uneminyaka engama-51, okanye kungcono ukuba ngama-75?

Ukunyangwa kwesifo senhliziyo yezilwanyana kufuneka kulandele iindlela "zokuxilongwa ngokucokisekileyo", "amayeza apheleleyo", "ubomi besayensi" kunye "nonyango lwexesha elide", kwaye uzame ukubuyisela ngokupheleleyo amandla ezilwanyana ezifuywayo.