01
Imiphumela emithathu yesifo senhliziyo esifuywayo

Isifo senhliziyo esifuywayoemakati nasezinjeni kuyisifo esibi kakhulu futhi esiyinkimbinkimbi. Izitho ezinhlanu ezinkulu zomzimba “inhliziyo, isibindi, amaphaphu, isisu nezinso”. Inhliziyo iyisizinda sazo zonke izitho zomzimba. Uma inhliziyo iyimbi, izoholela ngokuqondile ekuphupheni kwe-pulmonary, ukuvuvukala kwesibindi kanye nokwehluleka kwezinso ngenxa yokunciphisa ukujikeleza kwegazi. Kubonakala sengathi akekho ongabaleka ngaphandle kwesisu.

Inqubo yokwelapha isifo senhliziyo yesilwane ngokuvamile iba yizimo ezintathu:

1: Iningi lezinja ezincane linesifo senhliziyo esizalwa nalo, kodwa sidinga ukunxenxwa eminyakeni ethile. Kodwa-ke, ngenxa yokuthi ezinye izingozi eziphuthumayo zenzeka ngaphambi kwesikhathi, lesi simo singalulama inqobo nje uma ukwelashwa okwanele, kwesayensi nokuqinile, futhi kungaphila njengamakati nezinja ezivamile ngaphandle kokuphuza umuthi isikhathi eside. Akwenzeki futhi kuze kube yilapho umsebenzi wezitho ezikhulile ubuthakathaka.

2: Ngemva kokufinyelela eminyakeni ethile, ukusebenza kwezitho zomzimba kuqala ukuba buthaka. Ngesikhathi esifanele, imithi yesayensi neyanele kanye nokwelashwa kungagcina isimo esikhona sokusebenza sezitho, futhi iningi lazo lingaphila iminyaka evamile yezilwane ezifuywayo.

3: Ezinye izifo zenhliziyo azinakho ukusebenza okusobala, futhi kunzima ukuhlonza uhlobo lwesifo ngokuya ngezimo zokuhlolwa kwendawo. Eminye imithi ejwayelekile ayikwazi ukusebenza, futhi amandla okuhlinzwa kwenhliziyo yasekhaya abuthakathaka (zimbalwa izibhedlela ezinkulu ezinekhono kanye nodokotela abanolwazi). Ngakho-ke, ngokuvamile, ukuhlinzwa okungenakusebenza ngezidakamizwa nakho kunzima ukuhlenga, futhi ngokuvamile kuhamba phakathi nezinyanga ezingu-3-6.

Njengoba inhliziyo ibaluleke kakhulu, kunengqondo ukusho ukuthi abanikazi bezilwane ezifuywayo kufanele bazame konke okusemandleni abo ukwelapha isifo senhliziyo yesilwane. Kungani kunamaphutha amaningi amakhulu? Lokhu kuqala ngokubonakaliswa kwesifo senhliziyo.

02
Isifo senhliziyo asitholakali kalula

Iphutha lokuqala elivamile elithi "misdiagnosis".

Isifo senhliziyo yesilwane esifuywayo sivame ukukhombisa izici ezithile, ezisobala kakhulu kuzo ezihlanganisa “ukukhwehlela, ukuphefumula kanzima, umlomo ovulekile nolimi, isifuba somoya, ukuthimula, ukungabi naluhlu, ukuphelelwa ukudla, nokuba buthakathaka ngemva komsebenzi omncane”. Uma igula kakhulu, ingase ibonakale ihamba noma iquleke ngokuzumayo lapho igxuma ekhaya, noma ibonakale kancane i-pleural effusion kanye nama-ascites.

Ukubonakaliswa kwezifo, ikakhulukazi ukukhwehlela kanye nesifuba somoya, azinakwa kalula njengezifo zenhliziyo, ezivame ukuphathwa ngokuhambisana nomgudu wokuphefumula ngisho ne-pneumonia. Ekupheleni konyaka odlule, umdlwane womngane wakhe waba nesifo senhliziyo, okwakubonisa ukukhwehlela + i-dyspnea + isifuba somoya + ukuhlala nokucambalala + nokungabi naludwendwe + ukuncipha kwesifiso sokudla kanye nomkhuhlane ophansi usuku olulodwa. Lezi yizibonakaliso ezisobala zesifo senhliziyo, kodwa isibhedlela senza i-X-ray, isimiso segazi kanye nokuhlolwa kwe-c-reverse, futhi saphatha njenge-pneumonia ne-bronchitis. Bajovwe ngamahomoni nemithi elwa nokuvuvukala, kodwa abazange baphole ngemva kwezinsuku ezimbalwa. Kamuva, izimpawu zomnikazi wesilwane zakhululwa ngemva kwezinsuku ezingu-3 zokwelashwa ngokusho kwesifo senhliziyo, izimpawu eziyisisekelo zanyamalala ngemva kwezinsuku ezingu-10, futhi umuthi wamiswa ngemva kwezinyanga ezingu-2. Kamuva, umnikazi wesilwane esifuywayo wacabanga ngesibhedlela esithembekile esingahlulela lesi sifo, ngakho wathatha ishidi lokuhlola nevidiyo lapho isilwane esifuywayo sigula waya ezibhedlela eziningana. Ngokungalindelekile, akekho kubo owayebona ukuthi kwakuyinkinga yenhliziyo.

Ukuxilongwa kwesifo senhliziyo esibhedlela kulula kakhulu. Odokotela abanolwazi banganquma ukuthi sikhona yini isifo senhliziyo ngokulalela umsindo wenhliziyo. Ngemva kwalokho bangahlola i-X-ray kanye ne-cardiac ultrasound. Yebo, i-ECG ingaba ngcono, kodwa izibhedlela eziningi azinjalo. Kodwa manje odokotela abaningi abasebasha bathembele kakhulu kudatha. Ngokuyisisekelo ngeke babone udokotela ngaphandle kwamathuluzi aselabhorethri. Ngaphansi kwama-20% odokotela bangezwa imisindo yenhliziyo engajwayelekile. Futhi akukho mali, akukho mali, futhi akekho ozimisele ukufunda.

03
Ingabe ukululama uma ungaphefumuli?

Iphutha lesibili elivamile “ukubeka kuqala isifo senhliziyo.”

Izinja azikwazi ukukhuluma nabantu. Kuphela kwezinye izindlela zokuziphatha lapho abanikazi bezilwane bazi uma bengakhululekile. Abanye abanikazi bezilwane ezifuywayo banomuzwa wokuthi izimpawu zenja azibucayi. “Awunakho ukukhwehlela nje? Ngezikhathi ezithile vula umlomo wakho futhi ubambe umoya, njengoba nje ngemva kokugijima”. Yilokho ukwahlulela. Abanikazi bezilwane ezifuywayo abaningi bahlukanisa isifo senhliziyo njengesilula, esimaphakathi nesisindayo. Nokho, njengodokotela, akasoze ahlukanisa isifo senhliziyo. Isifo senhliziyo singafa noma nini lapho egula, futhi impilo ngeke ife. Uma kunenkinga yenhliziyo, ungase ufe noma nini, noma kuphi. Mhlawumbe usasebenza uma uphuma uyoshaywa umoya, mhlawumbe usagxuma futhi udlala ekhaya ngomzuzu odlule, noma umemeza emnyango uma ufika ku-express, bese ulala phansi, uqhaqhazela futhi ukoma, futhi ufe ngaphambi kokuba uyiswe esibhedlela. Lesi yisifo senhliziyo.

Mhlawumbe umnikazi wesilwane esifuywayo ucabanga ukuthi ayikho inkinga. Akudingekile yini ukuthi siphuze izidakamizwa eziningi kakhulu? Thatha okubili nje. Asikho isidingo sokusebenzisa isethi egcwele yezindlela zokwelapha. Kodwa empeleni, njalo ngomzuzu, inhliziyo yesilwane esifuywayo iba yimbi kakhulu, futhi ukwehluleka kwenhliziyo kuya ngokuya kubhebhetheka. Kuze kube umzuzwana othile, ngeke isakwazi ukubuyisela ukusebenza kwayo kwangaphambilini kwenhliziyo. Ngivame ukunikeza abanikazi bezilwane ezifuywayo abanesifo senhliziyo isibonelo esinjalo: umonakalo wokusebenza kwenhliziyo wezinja ezinempilo ngu-0. Uma ufinyelela ku-100, zizofa. Ekuqaleni, lesi sifo singafinyelela ku-30 ​​kuphela. Ngokusebenzisa imithi, bangalulama kumonakalo we-5-10; Kodwa-ke, uma kuthatha ama-60 ukwelapha futhi, umuthi ungabuyiselwa ku-30 ​​kuphela; Uma ufinyelele i-coma kanye nokudlikizela, okuseduze nokungaphezu kuka-90, ngisho noma usebenzisa umuthi, ngiyesaba ukuthi ungagcinwa kuphela ku-60-70. Ukumisa umuthi kungaholela ekufeni noma nini. Lokhu kwakha ngokuqondile iphutha elivamile lomnikazi wesithathu wesilwane esifuywayo.

Iphutha lesithathu elivamile “ukuhoxa ngokushesha”

Ukubuyiselwa kwesifo senhliziyo kunzima kakhulu futhi kuhamba kancane. Singase sicindezele izimpawu ezinsukwini ezingu-7-10 ngenxa yemithi efika ngesikhathi futhi efanele, futhi ngeke kube khona isifuba somoya nokukhwehlela, kodwa inhliziyo isekude ukululama ngalesi sikhathi. Abangane abaningi bahlale bekhathazekile ngemiphumela emibi noma ukusabela okungekuhle okulethwa izidakamizwa. Ezinye iziqephu zendatshana eziku-inthanethi nazo zenza lesi simo sibe sibi, ngakho-ke bavame ukuyeka ukusebenzisa izidakamizwa ngokushesha.

Zonke izidakamizwa emhlabeni zinemiphumela emibi. Kumane kuncike ebucayi bemiphumela emibi kanye nezifo, okuzoholela ekufeni. Okuncane kokubi okubili kuyilungelo. Abanye abasebenzisi benethiwekhi bayakugxeka ukusabela okungekuhle kweminye imithi, kodwa abakwazi ukuphakamisa ezinye izidakamizwa noma ukwelashwa, okufana nokuvumela izilwane ezifuywayo zife. Izidakamizwa zingase zikhulise umthwalo enhliziyweni. Amakati nezinja ezinempilo ezineminyaka engu-50 ubudala ngabe zigxumele enhliziyweni yeminyaka engama-90 ubudala. Ngemva kokudla izidakamizwa, bangagxuma baye eminyakeni engu-75 kuphela bese behluleka. Kodwa kuthiwani uma isilwane esifuywayo esineminyaka engu-50 sinesifo senhliziyo futhi singase sife maduzane? Ingabe kungcono ukuphila ube 51, noma kungcono ukuba 75?

Ukwelashwa kwesifo senhliziyo yezilwane ezifuywayo kumele kulandele izindlela "zokuxilongwa ngokucophelela", "imithi ephelele", "impilo yesayensi" kanye "nokwelashwa kwesikhathi eside", futhi silwele ukubuyisela ngokuphelele ubungqabavu bezilwane ezifuywayo.