Eminyakeni yamuva, uhlobo oluthi "olusha" lwenkinga yenhliziyo seluvame ukutholwa yizinhliziyo ze- cardiologists, okuthiwa i- diastolic ukungasebenzi . Uma ukukhubazeka kwe-diastolic kuba nzima, ukwehluleka kwenhliziyo ye-diastolic kungenzeka.
Ukungasebenzi kahle kwe-diastolic noma ukuhluleka kwenhliziyo ye-diastolic "ngempela" - lezi zimo ziye zaba khona kuze kube phakade. Kodwa sekule minyaka eyishumi noma emibili edlule, ngoba i- echocardiography isetshenziselwe kakhulu ukuhlola izinkinga zenhliziyo, ukuthi lezi zimo ziye zavunywa ngokujwayelekile.
Ukutholakala kokukhubazeka kwe-diastolic manje kwenziwa kaningi, ikakhulukazi kwabesifazane abadala, iningi labo elishaqekayo ukuzwa ukuthi linenkinga yenhliziyo nhlobo. Nakuba ezinye zeziguli zizoqhubeka nokuthuthukisa ukwehluleka kwenhliziyo ye-diastolic, abaningi ngeke - ikakhulukazi uma bethola ukunakekelwa okufanelekile nokwelashwa ngokwabo.
Noma kunjalo, manje sekucatshangwa ukuthi cishe isigamu seziguli ezifika emagumbini eziphuthumayo ngeziqephu zokwehluleka kwenhliziyo eqinisweni kunesifo se-diastolic senhliziyo.
Kodwa ukuxilongwa kungaba yinto ekhohlisayo, ngoba lapho isiguli esethula nge-diastolic inhliziyo ukwehluleka kwenhliziyo kuye kwaqiniswa, inhliziyo ingabonakala ejwayelekile kwi-echocardiogram - ngaphandle kokuba udokotela ebukeka ngokuqondile ubufakazi bokungasebenzi kahle kwe-diastolic. Ngenxa yalesi sizathu, ukutholakala kwe-diastolic inhliziyo ukwehluleka kwenhliziyo kungaphuthelwa odokotela abangaqapheli.
Kuyini Ukukhubazeka Kwe-Diastolic ne-Diastolic Heart Failure?
Umjikelezo we-cardiac uhlukaniswe izingxenye ezimbili - i- systole ne-diastole.
Ngesikhathi se-systole, i-ventricles (inkontileka enkulu yenhliziyo yokupompa), ngaleyo ndlela ilahla igazi ngaphandle kwenhliziyo futhi ibe emithanjeni. Ngemuva kokuthi ama-ventricle aqedile ukungena ngemvume, aphumula. Phakathi nalesi sigaba sokuphumula, bayagcwalisa ngegazi ukuze balungiselele ukukhishwa okulandelayo.
Lesi sigaba sokuphumula sibizwa ngokuthi i- diastole .
Ngezinye izikhathi, noma kunjalo, ngenxa yezimo ezihlukahlukene zezokwelapha, ama-ventricles abe "anzima" Ama- ventricles azinamandla angakwazi ukuphumula ngokugcwele ngesikhathi se-diastole; ngenxa yalokho, ama-ventricles angeke agcwalise ngokuphelele futhi igazi "lingalima" ezithombeni zomzimba (ikakhulukazi amaphaphu). Ukuqina okungavamile kwama-ventricles kanye nokugcwaliswa okungavamile kwe-ventricular ngesikhathi se-diastole kubhekiswa njengokungasebenzi kahle kwe-diastolic .
- Funda mayelana namakamelo enhliziyo namagesi, nokuthi inhliziyo isebenza kanjani .
Uma ukungasebenzi kahle kwe-diastolic kukwanele ukukhiqiza ukuxubana kwamapulmasi (okungukuthi, ukuphazamiseka kwegazi emaphashini), kusho ukuhluleka kwenhliziyo ye-diastolic .
Ngokuvamile, lapho odokotela basebenzisa amagama ahlukumezayo e-diastolic kanye ne-diastolic inhlupho yenhliziyo, bakhuluma ngokungafani okuhlukile kwe-diastolic - kukhona ukungasebenzi kahle kwe-diastolic ngaphandle kobufakazi bokungasebenzi kahle kwe-systolic. ("Ukungasebenzi kahle kwe-Systolic" kungenye igama lokunciphisa imisipha yenhliziyo, eyenzeka ngamafomu ajwayelekile okuhluleka kwenhliziyo .)
Yini Ebangela Ukukhubazeka Kwe-Diastolic?
Ukukhubazeka kwe-Diastolic kungenziwa ngezimo eziningana zezokwelapha, kufaka phakathi:
- ukunqanda ukukhubazeka komzimba
- isifo sikashukela
- ukukhuluphala
- ukuguga (Kungakhathaliseki ukuthi yobudala ngokwayo kubangela ukuqina kwezinguquko, noma ngabe ukuqina okunjalo kuhlobene nezinye izimo zezokwelapha ezihlobene nokuguga, akukaqondakali.)
Ukuhlonza nokuphatha ukukhubazeka kwe-Diastolic nokuhluleka kwenhliziyo ye-Diastolic
Nansi ulwazi olwengeziwe ku-diastolic ukungasebenzi nokuhluleka kwenhliziyo ye-diastolic:
- Izimpawu kanye nokuxilongwa kwe-diastolic ukungasebenzi nokuhluleka kwenhliziyo ye-diastolic.
- Ukwelashwa kwe-diastolic ukungasebenzi nokuhluleka kwenhliziyo ye-diastolic .
Imithombo
Gutierrez C, i-Blanchard DG. Ukuhluleka Kwezinhliziyo Ze-Diastolic: Izinselelo Zokuthola Ukuxilongwa Nezokwelapha. I-American Family Physician. 69:11. 2004. Itholakala ku-http: //www.aafp.org/afp/2004/0601/2609.html.