I-Cardiomegaly imeko yonyango eyaziwa njengentliziyo ekhulisiweyo. Ukuba uye wafumanisa ukuba unesifo se-cardiomegaly, unokuthi unemibuzo malunga nendlela ophuhlise ngayo le meko kwaye mhlawumbi ukhathazeke malunga nendlela i-cardiomegaly ifuthe ngayo ubomi bakho nokuba ingaba kukho nawuphi na unyango.
Sibanzi
Inhliziyo yakho iyimisipha eqhubekayo igaqa igazi ngezinga eliqhelekileyo kunye nesigqi sokuthumela i-oxygen kunye negazi elinothileyo kwi-body yakho.
Intliziyo ekhulisiweyo ithetha ukuba intliziyo yakho iye yaba enkulu (ihlanjululwe) okanye ikhulu okanye zombini.
Inhliziyo ekhulisiweyo ingabangela ubunzima bokugcina intliziyo yokunyusa intliziyo, kwaye oko kungabangela iimpawu okanye imiphumo kwimpilo yakho yonke. Intliziyo inokwenziwa okwesikhashana ngenxa yoxinzelelo emzimbeni, umphumo wokukhulelwa okanye ngenxa yesifo sengqondo , njengesifo somzimba we-coronary, isifo se- arrhythmia okanye isifo se-valve senhliziyo. Ngokuxhomekeka kwimeko edala i-cardiomegaly, unyango lunokuquka ukusetyenziswa kwamachiza, iinkqubo zonyango okanye utyando ukulungisa imbangela yeso simo.
Izizathu
I-Cardiomegaly ingaba yingxaki yokufa, okanye ingahlakulela ukuba unemeko echaphazela intliziyo yakho. Ininzi yexesha, i-cardiomegaly iyaqhubeka ngenxa yesimo sengonyango.
Inhliziyo ekhulisiweyo ihlala iphuma kwiziganeko ezenza ukuba intliziyo iqhume ngamandla okanye ibangela umonakalo kwisifo senhliziyo.
Ngezinye izihlandlo intliziyo inokwandiswa kwaye ibuthathaka ngenxa yesizathu esicacileyo.
Iimeko eziqhelekileyo ezinxulumene ne-cardiomegaly ziquka ezi zilandelayo:
- Isimo sengqondo senhliziyo yokuzalwa - ingxaki yenhliziyo ekhoyo ngexesha lokuzalwa
- Ukuhlaselwa kwintliziyo- okubuthathaka icandelo lentliziyo yesisu
- I-Arrhythmia- isingeniso senhliziyo esingaqhelekanga
- Igazi elonyukayo
- Isifo senqwelo
- I-Cardiomyopathy- isifo senhliziyo yesisu
- Ukukhulelwa - oku kubangela i-cardiomegaly eguquguqukayo ngenxa yokunyuka kwesisindo kunye nobuthakathaka obubeka intlungu entliziyweni. Xa isisindo sokukhulelwa kunye nomsiza uqala ukubuyela kwisiqhelo, i-cardiomegaly ihlala isombulula yona.
- I-blood pressure
- I-Pericardial effusion- fluid ejikeleze intliziyo
- Inani legazi le-anemia
- Ingxaki yeTyroid
- Hemochromatosis
Iimpawu
Ngamanye amaxesha i-cardiomegaly ayibangeli nayiphi na impawu. Iimpawu eziqhelekileyo zengqondo ziquka:
- Ukuqhawukelwa ngumphefumlo
- Ukukhathala, ukukhathala
- I-Edema kunye nokuvuvukala komlenze
Izimpawu ezongezelelweyo, ezinjengeentlungu zesifuba, ukuphefumula okufutshane kunye nokuphelelwa yintlungu kungabakho iimpawu zesifo senhliziyo. Ukuba ufumana iimpawu zesifo senhliziyo , kufuneka ufune unyango lwangonyango.
Ukuxilongwa
Ukuba unempawu zengqondo, ugqirha wakho uya kwenza uvavanyo oluthile ukuze aqonde isizathu sezibonakaliso zakho. Ugqirha wakho unokuyalela ezinye zezi zilandelayo zivavanyo zokuxilonga ukuze uhlalutye imeko yakho.
- I-X-ray yesifuba
- Electrocardiogram
- Echocardiogram
- Uvavanyo lokunyamezela
- I-CT ye-CT
- MRI
- Gcwalisa inani legazi
- I-catheterization ye-cardiac kunye ne-biopsy
Izinto zobungozi
Amathuba okuphuhlisa i-cardiomegaly ukwandisa ukuba unayo nayiphi na into elandelayo mngcipheko:
- Igazi elonyukayo
- Imbali yentsapho yalo mqathango
- Izifo ze-coronary
- Izifo zesifo senhliziyo
- Isifo senqwelo
- Ukuhlaselwa yintliziyo
Unyango
Ukunyanga kwe-cardiomegaly kugxininise ekulungiseni imbangela ye-cardiargeysia. Iinkqubo eziqhelekileyo zonyango ziquka la mayeza.
- Diuretics
- ACE inhibitors
- I-Angiotensin receptor blockers
- I-Anticoagulants- igazi elincinci
- Ulwaphulo-mthetho
Ezinye zala mayeza anciphisa umthambo emzimbeni wakho ukuze unciphise intliziyo yakho, ngelixa ezinye zala mayeza zijoliswe ekunciphiseni umngcipheko wokuhlasela kwentliziyo. Ngoko, ukuba unesifo senhliziyo, ungadinga udibaniso lwamachiza.
Ukuba unyango ngamayeza alaneleyo ukulungisa imeko, iinkqubo zonyango okanye ukuhlinzwa kunokufuneka. Ezinye zeenkqubo zibandakanya:
- Ukufakwa kwe-pacemaker
- Utyando lwentliziyo
- I-Coronary surpass operation
- Isixhobo sokuncedisa i-ventricular
- Ukufakelwa kwentliziyo
Thintelo
Ukwazi izinto ezinobungozi kunye nokwenza utshintsho lwezinto zokuphila ziindlela ezilungileyo zokunciphisa umngcipheko wokuphuhlisa i-cardiomegaly. Ukutshintsha kwindlela yokuphila kungaquka:
- Ukuyeka ukutshaya
- Ukusebenzisa rhoqo
- Ukunciphisa i-sodium intake
- Ukugcina ubunzima obuphilileyo nokutya ukutya okunempilo
- Ukulawula uxinzelelo
- Ukunciphisa okanye ukunciphisa utywala kunye nokusetyenziswa kwe-caffeine
- Ukulawula isifo sikashukela
- Ukuphelisa i-cocaine kunye nokusetyenziswa kweziyobisi ezingekho mthethweni
Ukuba unentsapho yembali ye-cardiomegaly, qiniseka ukuba ukwabelana ngale ngcaciso kunye nodokotela. Ngale ndlela ungaba novandlakanyo ukuchonga ukuba sele usuqulunqa i-cardiomegaly, kwaye unokuqala ukuthatha amanyathelo okuthintela kwangaphambili.
> Imithombo:
> Indima yokucinga nge-diagnostic and management of hypertrophic cardiomyopathy, Weissler-Snir A, Crean A, Rakowski H, Expert Rev Cardiovasc Ther. 2016; 14 (1): 51-74
Ulungiswe nguHeidi Moawad MD