Izimpawu Eziyisixwayiso Ezisuka Enhliziyweni Yakho: Zingaki Ongaziqaphela?

Emphakathini wanamuhla osheshayo, imizimba yethu isebenza njengemishini eyinkimbinkimbi esebenza ngokungami, inhliziyo esebenza njengenjini ebalulekile egcina yonke into iqhubeka. Nokho, phakathi nesiphithiphithi sokuphila kwansuku zonke, abantu abaningi abazinaki “izimpawu zokucindezeleka” ezithunyelwa izinhliziyo zabo. Lezi zimpawu zomzimba ezibonakala zivamile empeleni zingase zibe izixwayiso ezicashile ezivela enhliziyweni yakho. Zingaki zazo ongaziqaphela?

◉Ukuphefumula Okufishane Lapho Ulele
Uma uhlangabezana nokuphefumula emizuzwini embalwa ngemva kokulala phansi, okwenza kube lula uma uhlezi, kungase kubonise ukwehluleka kwenhliziyo. Lokhu kwenzeka ngoba ukulala phansi kwandisa ukubuya kwegazi enhliziyweni, kuphakamisa ukumelana komoya futhi kubangele ukuphefumula. Ezimweni ezinjalo, funa ukubonisana ngokushesha nodokotela wenhliziyo kuyilapho futhi ukhipha izimo ezihlobene namaphaphu.

◉ Ukusinda Kwesifuba, Njengetshe Elisindayo
Okuvame ukubizwa ngokuthi ukucinana kwesifuba, lolu phawu lungase luphakamise ukuthi i-myocardial ischemia uma izici ezingokomzwelo nezinkinga zesistimu yokuphefumula zingabandakanywa. Uma ukucinana kuqhubeka imizuzu embalwa noma kukhula kube ubuhlungu besifuba obunzima, kungase kubonise i-angina noma ngisho ne-acute myocardial infarction (okwaziwa kakhulu ngokuthi “ukuhlasela kwenhliziyo”). Shayela u-120 ngokushesha futhi uqonde esibhedlela esiseduze. Uma ekhona, thatha amaphilisi e-nitroglycerin noma amaphilisi okusiza inhliziyo asebenza ngokushesha njengesinyathelo sokuqala.

◉ Ukulahlekelwa Isifiso Sokudla
Iziguli ezinokukhubazeka kwenhliziyo zingase zingagcini nje ngokuphelelwa isifiso sokudla kodwa futhi ziqunjelwe, isicanucanu, ukuhlanza, ukuqunjelwa, noma ubuhlungu obungaphezulu besisu. Lezi zimpawu ngokuvamile zibangelwa ukuminyana emathunjini okubangelwa ukuhluleka kwenhliziyo ohlangothini lwesokudla.

◉ Ukukhwehlela
Ukukhwehlela kuwuphawu olubalulekile lokuhluleka kwenhliziyo kodwa ngokuvamile kwenziwa iphutha njengomkhuhlane noma umkhuhlane. Ngokungafani nokukhwehlela okuvamile okuhlobene nokubanda, ukukhwehlela okubangelwa ukuhluleka kwenhliziyo akuvamile ukuthi kuqale emphinjeni. Ingase ikhiphe igwebu elimhlophe, i-phlegm ewugqinsi, noma ngisho nemikhondo yegazi. Ukukhwehlela okomile kuvame kakhulu ekuhlulekeni kwenhliziyo futhi kuvame ukuba kubi kakhulu lapho ulele noma uvuka.

◉ Ukukhipha Umchamo Owehlisiwe kanye Nezitho Zasezansi Ezivuvukele
Iziguli ezihluleka yinhliziyo zivame ukukhiqiza umchamo omncane emahoreni angama-24, nokuchama okwenyuka ebusuku. Ukwengeza, i-edema ehlobene nenhliziyo ngokuvamile iqala ezindaweni ezincikene njengamaqakala namankonyane, iveza njenge-pitting edema. Ngokuphambene, i-renal edema ngokuvamile ivela kuqala ebusweni. Ngokuphawulekayo, ukuhlolwa komchamo we-edema yenhliziyo kuvame ukujwayelekile, kuyilapho i-renal edema ngokuvamile ibonisa amazinga aphezulu e-albhamuin.

◉ Ukushaya kwenhliziyo noma ukushaya kwenhliziyo okungajwayelekile
Ukushaya kwenhliziyo okusheshayo, okungajwayelekile, noma okushaya ngamandla kuyizimpawu ezivamile zokuhluleka kwenhliziyo. Iziguli zingase zizwe inhliziyo yazo igijima kakhulu, ngokuvamile ehambisana nomuzwa wokwethuka. Okunye ukuphazamiseka kwesigqi, okufana ne-atrial fibrillation noma i-atrial flutter, kungaba yingozi ngokulinganayo uma kungelashwa.

◉ Isiyezi noma i-Lightheadedness
Isiyezi noma umuzwa wokuphotha wudaba oluvamile ekuhlulekeni kwenhliziyo, ngezinye izikhathi okuhambisana nesicanucanu noma imizwa enjengokugula okunyakazayo. Uma lezi zimpawu zenzeka kanye nokushaya kwenhliziyo noma ukushaya kwenhliziyo okungajwayelekile, funa usizo lwezokwelapha ngokushesha.

◉ Ukukhathazeka noma Ukungaphumuli
Izimpawu ezinjengokuphefumula ngokushesha, imicabango egijimayo, izintende zezandla ezijulukayo, nokushaya kwenhliziyo okusheshayo kuyizimpawu zakudala zokukhathazeka. Kodwa-ke, ezinye iziguli zingase zikuchaze kabi lokhu njengokuhlobene nokucindezeleka, zinganaki ukuthi kungenzeka yini ukuhluleka kwenhliziyo okucashile.

Ungahlolwa Kanjani Ukwehluleka Kwenhliziyo Futhi Uhlole Ukuqina Kwayo?

Ukuhluleka kwenhliziyo okwamanje kuthathwa njengesimo esingapheli, esiqhubekayo okunzima ukuselapha kodwa esingavinjelwa. I2024 Izinkombandlela ZaseShayina Zokuxilonga Nokwelashwa Kokuhluleka Kwenhliziyobatusa ukukala i-natriuretic peptide (BNP nomaI-NT-proBNP) amazinga okuhlola abantu abasengozini enkulu (Ukuhlelwa kwe-NYHA kokuhluleka kwenhliziyo njengangezansi).

I-NT-proBNPinesigamu sempilo ende cishe imizuzu engama-60-120 futhi ibonisa ukuzinza okuhle kakhulu kwe-vitro. Ihlanza kancane kancane egazini, ivumela ukuthi iqongelele ekugxilweni okuphezulu, okuhlobana ngokuqondile nobukhulu bokungasebenzi kahle kwenhliziyo. Ngaphezu kwalokho,I-NT-proBNPamazinga ahlala engathinteki ukuma, imisebenzi yansuku zonke, noma ukuhluka kwansuku zonke, okubonisa ukuphindaphinda okuqinile. Ngenxa yalokho, NI-T-proBNPibhekwa njenge-biomarker evamile yegolide yokuhluleka kwenhliziyo.

I-Xiamen Baysen Medical'sIkhithi ye-Assay ye-NT-proBNP(usebenzisa i-fluorescence immunochromatography) inika amandla ukukala kwenani okusheshayo kweI-NT-proBNPamazinga ku-serum yomuntu, i-plasma, noma amasampula egazi lonke, esiza ekuhlonzweni kokwehluleka kwenhliziyo. Imiphumela ingatholakala phakathi nemizuzu engu-15