Kwinqanaba elithile okanye kwelinye, zonke izitho zomzimba ziyaxhomekeka-ukusebenza ngokuqhelekileyo kwelungu elinye lithembela ubuncinane kwizinga elithile ngokusebenza ngokuqhelekileyo kwabo bonke abanye. Ukuxhomekeka kubaluleke kakhulu phakathi kwentliziyo kunye neentso.
Kuyinto exhaphazelayo kubantu abanesifo esibalulekileyo senhliziyo ekugqibeleni bahlakulele isifo esingenasifo sengqondo.
Kuqhelekile ukuba abantu abanesifo seengtso bahlakulele isifo senhliziyo. Oku kuthetha ukuba abantu abaneengxaki ngeyodwa kwezi nkqubo zesebe kufuneka baqaphele (kunye noogqirha babo) ukuba bakwazi ukuphuhlisa ingxaki kwenye, kwaye bathathe amanyathelo afanelekileyo okunciphisa umngcipheko wale nto eyenzekayo.
Ubudlelwane Phakathi Kwezifo Zengqondo Nezifo Zengqondo
Isifo senhliziyo kunye nesifo sesifo sidla ngokubambisana. Iingcali zichaze ubuncinane iindlela ezintlanu apho izifo zentliziyo kunye nesifo se-renal zihambelana:
- Iziqhekeza eziqhelekileyo zokuhluleka kwentliziyo zingabangela ukulimala kweentliziyo.
- Ukungaphumeleli kwintliziyo engapheliyo kukhokelela kwizifo ezingasigxina .
- Umsebenzi wezintso ngokukhawuleza ungabangela ukuhluleka kwentliziyo.
- Isifo sesifo esingasigxina sinxulumene nokuxhaphaka kwe- coronary artery disease (CAD) , ukungaphumeleli kwentliziyo, kunye ne- cardiac arrhythmias .
- Iingxaki ezininzi zezonyango ezinokuchaphazela iinkqubo ezininzi zesebe, ezifana nesifo sikashukela okanye i- lupus , zivame ukuvelisa izifo zentliziyo kunye nezintso.
Ngoko, ukuba intliziyo okanye izintso zichaphazelekayo ngenye indlela yesifo, kukho umngcipheko omkhulu ukuba elinye iqumrhu liza kuba neengxaki zonyango. Ulwalamano oluqhelekileyo phakathi kwabo maxa wambi lubizwa ngokuba yi- cardiorenal syndrome .
Akufanele kusimangalise ukuba ukufumana isifo kuzo zombini kwezi zixhobo zimbi kunokuba nesifo esisodwa.
Abantu abanokuphelelwa yintliziyo engapheliyo abanesifo sengqondo basengozini enkulu yokufa kwangaphambili. Kwaye phakathi kwabantu abanesifo sesigulo esingapheliyo, iingxaki zentliziyo ziyaphela ekubangeni ukufa malunga nesiqingatha.
Nangona iindlela ezininzi ezinokuthi izifo zentliziyo zingakhokelela kwizifo zengqondo, kwaye ngokuphambene nanjalo, aziqondi kakuhle, kwiminyaka yamuva nje ukuqonda kwethu olu lwalamano luye lwaqhubela phambili kakhulu, lusinceda senze amanyathelo athile okunciphisa umngcipheko wokuba kwenzeke oku.
Iintsholongwane Zentliziyo Zinokubangela iingxaki zezintso
Ukungaphumeleli kwintliziyo yimeko yeklinikhi engabangela ukuba kukho nawuphi na uhlobo lwesifo senhliziyo. Ngokuqhelekileyo, xa isifo senhliziyo sivelisa isifo sesifo, ukusabalalisa intliziyo sele kusekhona. Kukho iindlela ezininzi apho ukungaphumeleli kwentliziyo kunokukhokelela kwisifo seengtso. Eziphambili zi:
Yehla kwiphumo lomzimba. Ukungaphumeleli kwintliziyo engapheliyo, inani legazi eligqitywa ngentliziyo linokuncitshiswa. Oku kunokukhokelela ekunciphiseni umthamo wegazi ohlanjululwa yizintso, okubangela ukuba umsebenzi we-renal uhlahloke.
Izinguqulelo ze-neurohumoral . Ukuhlawulela ukulahla kwintsebenzo yesimo senhliziyo esoloko ivela kwintliziyo engaphumeleli, uninzi lweenguqu luvela kwinkqubo yeentlungu kunye neehomoni ezilawula isantya setyuwa namanzi ekusasazeni-oko kukuthi, kwi- renin-angiotensin- inkqubo ye-aldosterone .
Ezi zinguqu zikhokelela ekwandiseni ityuwa kunye nokugcinwa kwamanzi, okufutshane kwixesha elifutshane kunokuphucula inani legazi elifikelela kwizigungu ezibalulekileyo. Nangona kunjalo, kwixesha elide, olu tshintsho lwe-neurohumoral lubangela i-edema (ukuvuvukala) kunye nokunciphisa okunye okuveliswayo kwintliziyo. Ngoko, ngokungapheliyo, ezi tshintsho zinciphisa ukuhamba kwegazi kwiintso, kwaye umsebenzi wezintso uyabuhlungu.
Uxinzelelo olwandayo kwiimvini ze-renal. Ukungaphumeleli kwintliziyo, ukunciphisa intliziyo yomzimba kwandisa uxinzelelo ngaphakathi kwemithanjeni. Uxinzelelo oluphezulu kwiimvumba ze-renal (iisondlo ezigubungela izintso) kwenza kube nzima ukuba izintso zihluze igazi.
Kwakhona, umsebenzi we-renal uhamba ngakumbi.
Ngenxa yezi zinto kunye nezinye iindlela, ukungaphumeleli kwintliziyo kunokuhlala uxinzelelo kwiintyokhwe ezikhusela ukusebenza kwazo eziqhelekileyo, kwaye oko, ekuhambeni kwexesha, kunokubangela ukulimala ngonaphakade kwiintso.
Indlela Iintsholongwane Zesifo Ezibangelwa Ngxaki Zengqondo
Ngakolunye uhlangothi, izifo zesifo zihlala zikhokelela kwiingxaki zentliziyo. Ukwenza oku kwindlela ezimbini ezibalulekileyo.
Okokuqala, izifo zengqondo ezingapheliyo zivelisa ityuwa kunye nokugcinwa kwamanzi, ezinokubeka intlungu ebalulekileyo entliziyweni. Ukuba nayiphi na idilesi yesifo senhliziyo esele ikhona, nokuba ingaba yi-CAD, isifo se-valve senhliziyo okanye isifo senhliziyo (isifo senhliziyo yesifo), ukwanda kwimizimba yomzimba kungabangela ukuba impilo yomzimba ihlasele kwaye ingakhokelela ekudleni kwenhliziyo.
Okwesibini, isifo esingasasigxina sesifo sisisongelo esichengeni sokuphuhlisa i-CAD, kunye nokunyuka kweyiphi na i-CAD engaphantsi. Abantu abanesifo esingasasigxina esinesifo sengqondo esinezintlu ezingasigxina kunye neCAD bavame ukuba nempawu ezimbi kakhulu, kunye neziphumo ezimbi, kunabantu abane-CAD ngaphandle kwesifo seengtso.
Izifo Zesifo Esisigxina rhoqo zikhokelela kwi-CAD
Kukho ezibini izizathu zokuba abantu abanesifo esingasigxina sesifo banomngcipheko omkhulu wokuphuhlisa i-CAD.
Kwenye into, iziphumo zabantu zibonise ukuba abantu abanesifo esingasigxina sesifo banesifo esiphezulu sezinto eziqhelekileyo zobungozi beCAD. Ezi zibandakanya ukutshaya, isifo sikashukela, i- cholesterol ephezulu , umfutho wegazi ophezulu , indlela yokuphila, kunye nokudala.
Ukongezelela, isifo esingasigxina sesifo ngokwaso sandisa kakhulu ingozi yeCAD. Izifo zengqondo zandisa lo mngcipheko ngeendlela ezininzi. Ngokomzekelo, ii-toxins eziqokelela egazini ngenxa yomsebenzi wengqondo ongaqhelekanga (oko kuthiwa yi-toxic i-uremic) yandisa ingozi kwi-CAD. Ezinye igazi kunye nokungaqhelekanga kweempawu ezinxulumene nezifo zesifo esingasasigxina nazo zandisa ingozi. Ezi zibandakanya i-calcium metabolism engavamile, i- anemia , imeko engapheliyo yokuvuvukala (kunye namazinga e-CRP aphezulu ), ukutya okunomsoco, kunye namazinga eeprotheni ephakamileyo.
Kuthathwe ndawonye, le micimbi ibonakala ivelise ukungasebenzi komsebenzi wokuphela kokuphela komsebenzi , imeko ehambelana neCAD kunye nezinye izimo zengqondo ezinjenge-hypertension, i- diastolic disysction , kunye ne- cardiac syndrome x .
Indlela Yokukhusela Izifo Kuzo zombini
Ngenxa yokuba isifo senhliziyo kunye nezifo zengqondo zihamba kunye ngokukhawuleza, nabani na unengxaki ngenye yalezi zixhobo zomzimba kufuneka basebenze noogqirha babo ukukhusela izifo ukuba zenzeke kwenye.
Isifo sentliziyo. Ukuba unengxaki yokuxilonga inhliziyo, indlela efanelekileyo yokuphepha ukukhuselwa kwesifo sentso kukuqinisekisa ukuba ufumana lonke unyango olufanelekileyo kwimeko yakho yentliziyo. Oku akuthethi nje kuphela ukufumana zonke unyango ozifunayo kwiimeko zentliziyo ngokwayo (nokuba i-CAD, isifo senhliziyo, isifo senhliziyo, okanye nayiphi na imeko), kodwa wenza konke onako ukufikelela nokugcina impilo enempilo yakho ye-cardiovascular system nje. Oku kuthetha ukuphatha ngokugqithiseleyo ingozi yomshukela, isifo sikashukela, kunye neepidid ephakamileyo, ukugcina ubunzima obuphilileyo, ukubhema, nokufumana umthambo omkhulu.
Izifo zesifo. Njengoko sibonile, izifo zengqondo ngoku zibhekwa njengengozi enkulu yokuphuhlisa i-CAD. Oku kuthetha ukuba ukuba unesifo sezintso, kubaluleke kakhulu ukuba ufumane ukulawula zonke ezinye izinto ezinobungozi be-cardiovascular (izinto esizikhankanywe nje). Ulawulo olujongene nobungozi obuchaphazelekayo kufuneka lube ngqalelo ekujoliswe kuyo, kwaye kufuneka uthathe nawaphi na amanyathelo afunekayo ukuze ulungiselele umngcipheko wakho.
Ukongezelela, ezininzi iingcali zincoma ukuba nabani na abaneengxaki zesifo esingasasigxina kufuneka babekwe kwisicatshulwa se- statin , kwaye ukuba kuqwalasele ingqalelo kufuneka inikwe iprophylactic aspirin . Le nyathelo inokukunceda ukukhusela imiphumo emibi kakhulu yeCAD.
Ngaphantsi
Ukuba nesifo sengqondo sinokunyusa kakhulu umngcipheko wokuba nesifo esinzulu senhliziyo, kwaye ngokuthe ngqo. Nabani na unobangela wezokwelapha olubandakanya nayiphi na inkqubo yezicwangciso kufuneka zithathe yonke imilinganiselo ayifumanekanga nje kuphela ekuphuculeni uphando lwe-diagnostic esele ikhona, kodwa ukukhusela ukuphuhliswa kwengxaki entsha yezokwelapha kwelinye iqumrhu elibalulekileyo.
> Imithombo:
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> Leoncini G, Viazzi F, i-Pontremoli R. Uvavanyo lwezeMpilo jikelele: iReal Perspective. Lancet 2010; 375: 2053.
> McCullough PA, uJurkovitz CT, Pergola PE, et al. Iziganeko ezizimeleyo zeZifo eziSifo esiPhezulu njengeSizwe soMngcipheko weeMpilo: Iziphumo ezivela kwiNtshukumo yokuHlola yokuQala kwangaphambili (KEEP). I-Arch Intern Med 2007; 167: 1122.
> Ronco C, Haapio M, Indlu AA, et al. Cardiorenal Syndrome. J Am Coll Cardiol 2008; 52: 1527.
> Shishehbor MH, Oliveira LP, uLauer MS, et al. Izinto eziphazamisayo zee-Cardiovascular Factors I-Akhawunti yeNgxenye ebalulekileyo ye-Mortality Attributable Ingozi kwiSifo esisigxina se-Kidney. InguJ Cardiol 2008; 101: 1741.