Ngokwezinga elithile noma elinye, izitho zomzimba zonke azihambisani-ukusebenza okujwayelekile kwesitho esisodwa kuxhomeke okungenani ngezinga elithile ngokusebenza okujwayelekile kwabanye bonke. Lokhu kuvelelana kubheka ngokuyinhloko phakathi kwenhliziyo nezinso.
Kuyinto evamile ukucindezeleka kubantu abanesifo senhliziyo esibalulekile ekugcineni bahlakulele isifo esingenasifo sezinso.
Kuvamile futhi kubantu abanezinso zezinso ukuthuthukisa isifo senhliziyo. Lokhu kusho ukuthi abantu abanenkinga ngeyodwa yalezi zinhlelo zomzimba kufanele baqaphele (kanye nodokotela babo) ukuze bakwazi ukuthuthukisa inkinga komunye, futhi ukuthatha izinyathelo ezifanele zokunciphisa ingozi yalokhu okwenzekayo.
Ubuhlobo Phakathi Kwezifo Zenhliziyo Nezifo Zezinso
Isifo senhliziyo nesifo sezinso ngokuvamile sihamba ndawonye. Ochwepheshe baye bachaza okungenani izindlela ezinhlanu lapho isifo senhliziyo nesifo soqhwaba kuhlobene:
- Iziqephu ezihle zokuhluleka kwenhliziyo zingabangela ukulimala kwezinso ezinzima.
- Ukwehluleka kwenhliziyo okungapheli kuvame ukuholela ekufeni kwesifo sezinso .
- Ukusebenza kwezinso ngokuphuthumayo kungabangela ukwehluleka kwenhliziyo.
- Isifo sezinso ezingapheli sihlotshaniswa nokusabalalisa okukhulu kwesifo se- coronary artery (CAD) , ukwehluleka kwenhliziyo, nokuhlelwa kwe- cardiac arrhythmias .
- Izinkinga eziningi zezokwelapha ezingathinta izinqubo eziningi zomzimba, ezifana nesifo sikashukela noma i- lupus , ngokuvamile ziveza izifo zombili nezinso.
Ngakho-ke, uma inhliziyo noma izinso zithinteka ngesimo esithile sesifo, kunengozi enkulu kakhulu yokuthi elinye ilungu liyoba nezinkinga zezokwelapha. Ubuhlobo obuvamile phakathi kwabo ngezinye izikhathi babizwa ngokuthi i- cardiorenal syndrome .
Akufanele kusimangaze ukuthi ukuba nesifo kuzo zombili lezi zinhlelo zomzimba kubi kakhulu kunesifo esisodwa kuphela.
Abantu abanesifo esingapheliyo senhliziyo futhi abanesifo sezinso basengozini enkulu yokufa kokuqala. Futhi phakathi kwabantu abanesifo esingenasifo sezinso, izinkinga zenhliziyo ziphelisa ukufa cishe cishe isigamu.
Nakuba izindlela eziningi izifo zengqondo zingaholela ezifweni zezinso, futhi ngokuphambene nalokho, aziqondakali ngokuphelele, eminyakeni yamuva ukuqonda kwethu lobu buhlobo kuye kwaqhubeka kakhulu, kusisiza ukuba sithuthukise izinyathelo ezifanele zokunciphisa ingozi yalokhu okwenzekayo.
Izifo Zenhliziyo Kungabangela Izinkinga Zezinso
Ukuhluleka kwenhliziyo yisimo somtholampilo esingabangela cishe noma yiluphi uhlobo lwesifo senhliziyo. Ngokuvamile, lapho isifo senhliziyo siveza isifo sezinso, ukwehluleka kwenhliziyo sekukhona kakade. Kunezindlela eziningana lapho ukuhluleka kwenhliziyo kungabangela isifo sezinso. Okuyinhloko yilokhu:
Yehla ekuphumeni kwenhliziyo. Ngokwehluleka kwenhliziyo okungapheli, inani legazi eliqhunyiswa yinhliziyo lingancishiswa. Lokhu kungaholela ekunciphiseni izinga legazi elihlungiwe yizinso, okubangela ukuthi umsebenzi we-renal uphumele.
Izinguquko ze-Neurohumoral . Ukukhokhela ukwehla kwenani elivela enhliziyweni elivame ukuvela ekuhlulekeni kwenhliziyo, izinguquko eziningana zenzeka ohlelweni lomzwelo oluzwelayo nakumahomoni alawula umthamo usawoti namanzi ekusakazeni-okungukuthi, e- renin-angiotensin- uhlelo lwe-aldosterone .
Lezi zinguquko ziholela ekwandiseni usawoti nokugcinwa kwamanzi, okwesikhashana kungathuthukisa inani legazi elifinyelela ezingxenyeni ezibalulekile. Kodwa-ke, esikhathini esizayo, lezi zinguquko ze-neurohumoral ziholela e-edema (ukuvuvukala) nakwezinye izindlela zokuncipha kwenhliziyo. Ngakho-ke, okungajwayelekile, lezi zinguquko zinciphisa ukugeleza kwegazi kuya ezinso, futhi umsebenzi wezinso uphelelwa.
Ukucindezela okwandayo emithanjeni ye-renal. Ngokwehluleka kwenhliziyo, ukunciphisa amandla enhliziyo kunciphisa ukucindezeleka ngaphakathi kwemithanjeni. Ukucindezela okuphakeme emithanjeni ye-renal (imithanjeni evula izinso) yenza kube nzima kakhulu izinso ukuhlunga igazi.
Futhi, umsebenzi wezintambo uhamba kakhulu.
Ngenxa yalokho kanye nezinye izindlela, ukwehluleka kwenhliziyo okungapheli kubeka izingcindezi eziningana ezintsheni ezivimbela ukusebenza kwazo okuvamile, nokuthi ngokuhamba kwesikhathi, kungabangela ukulimala okungapheli ezinso.
Indlela Ukugula Kwezinso Kubangelwa Izinkinga Zenhliziyo
Ngakolunye uhlangothi, isifo sezinso ngokuvamile siholela ezinkingeni zenhliziyo. Yenza lokhu ngezindlela ezimbili ezinkulu.
Okokuqala, isifo sezinso ezingasaphili ngokuvamile sikhipha usawoti nokugcinwa kwamanzi, okungabeka ukucindezeleka okukhulu enhliziyweni. Uma kukhona isifo senhliziyo esivela khona, kungakhathaliseki ukuthi i-CAD, isifo se-valve senhliziyo noma isifo senhliziyo (isifo senhliziyo), lokhu kwanda komthamo womzimba kungenza ukuba inhliziyo yomzimba ihlasele futhi ingabangela ukwehluleka kwenhliziyo.
Okwesibili, isifo esingenasifo sezinso yisici esiyinhloko engozini yokuthuthukisa i-CAD, kanye nokwehliswa kwe-CAD engase ibe khona. Abantu abanesifo esingenasifo sezinso futhi abane-CAD bavame ukuba nezimpawu ezibi nakakhulu, nemiphumela emibi kakhulu kunabantu abane-CAD ngaphandle kwesifo sezinso.
Izifo Zesifo Esisifo Sengculaza Ngokuvamile ziholela ku-CAD
Kunezizathu ezimbili zokuthi abantu abanesifo esingenasifo sezinso banengozi enkulu yokuthuthukisa i-CAD.
Okokuqala, izibalo zabantu zibonise ukuthi abantu abanesifo esingenasifo sezinso bavame ukuba nezimo eziphakeme zezinto ezivamile ezingozini ze-CAD. Lokhu kuhlanganisa ukubhema, isifo sikashukela, i- cholesterol ephakeme , umfutho wegazi ophezulu , indlela yokuphila yangasese, nokudala.
Ngaphezu kwalokho, isifo sezinso esingapheli ngokwayo sandisa kakhulu ingozi ye-CAD. Isifo sezinso sandisa le ngozi ngezindlela eziningana. Ngokwesibonelo, izinhlayiya ezibuthe egazini ngenxa yomsebenzi wezinso ezingavamile (okuthiwa yi-toxins obukhulu) zandisa ingozi ye-CAD. Eminye igazi kanye nokungafani komzimba okuhlobene nesifo esingenasifo nesifo sezinso kukhulisa ingozi. Lokhu kufaka phakathi i-calcium imetabolism engavamile, i- anemia , isimo esingapheliyo sokuvuvukala ( ngamanqanaba aphakeme e-CRP ), ukudla okunomsoco, kanye namazinga aphezulu weprotheyini egazi.
Ukuhlanganiswa, lezi zici zibonakala zikhiqiza ukukhubazeka okuphelile okujwayelekile, isimo esihambisana ne-CAD nezinye izimo zenhliziyo kufaka phakathi umfutho wegazi ophezulu, ukungasebenzi kwesifo se-diastolic , nesifo se-cardiax x .
Indlela Yokuvimbela Izifo Zombili Amalungu
Ngenxa yokuthi isifo senhliziyo nesifo sezinso sihamba ndawonye njalo, noma ubani onenkinga ngeyodwa yalezi zinhlelo zomzimba kufanele asebenze nodokotela bawo ukuvimbela izifo ukuthi zingenzeki komunye.
Isifo senhliziyo. Uma une-diagnosis yezinhliziyo, indlela engcono kakhulu yokugwema isifo sezinso ukuqinisekisa ukuthi uthola yonke imithi yokwelapha isimo sakho senhliziyo. Lokhu kusho ukuthi akutholakali ukuthola kuphela ukwelashwa okudingayo ngenxa yesimo senhliziyo esisodwa ngokwayo (kungakhathaliseki ukuthi i-CAD, isifo senhliziyo, isifo senhliziyo noma nanoma yisiphi isimo), kodwa futhi wenza konke ongakwenza ukuze uzuze futhi ugcine impilo enhle yesistimu yakho yezinhliziyo ngenjwayelo. Lokhu kusho ukwelapha ngokweqile umfutho wegazi ophezulu, isifo sikashukela, ne lipids ephakeme, ukugcina isisindo esinempilo, ukungabhemi nokuthola okuningi umzimba.
Isifo sezinso. Njengoba sibonile, isifo sezinso ngokwayo manje sibhekwa njengengozi enkulu yokukhuphula i-CAD. Lokhu kusho ukuthi uma unesifo sezinso, kubaluleke kakhulu ukuthola ukulawula kwazo zonke ezinye izinkinga zakho zempilo yengqondo (esikushilo nje). Ukulawulwa kwezinto ezinobungozi obukhulu kufanele kube yinto ebaluleke kakhulu kuwe, futhi kufanele uthathe noma yiziphi izinyathelo ezidingekayo ukuze ukwandise ingozi yakho.
Ngaphezu kwalokho, ochwepheshe abaningi batusa ukuthi noma ubani onesifo sezinso ezingapheli kufanele abekwe kwisidakamizwa se- statin , futhi kufanele kucatshangelwe ngokujulile i- prophylactic aspirin . Lezi zinyathelo zingasiza ekuvimbeleni imiphumela embi kakhulu ye-CAD.
Okubalulekile
Ukuba nesifo sezinso kungandisa kakhulu ingozi yokuthuthukisa isifo esiyingozi senhliziyo, futhi ngokufanayo. Noma ubani onenkinga yezokwelapha ehilela noma yilezi zinhlelo zemizimba kudingeka athathe yonke into engatholakali nje kuphela yokwandisa ukwelashwa kwe-diagnostic ekhona, kodwa ukuvimbela ukuthuthukiswa kwenkinga entsha yezokwelapha kwenye isici esibalulekile.
> Imithombo:
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> Leoncini G, Viazzi F, i-Pontremoli R. Ukuhlolwa Kwezempilo Okuphelele: Umbono Wezinhlamba. I-Lancet 2010; 375: 2053.
> McCullough PA, Jurkovitz CT, Pergola PE, et al. Izigaba Ezizimele Zesifo Sengqondo Esisifo Sengqondo Njengesizwe Somngcwabo Wezinhliziyo: Imiphumela Evela Kuhlelo Lwezinso Lokuhlola Lokuqala (KEEP). I-Arch Intern Med 2007; 167: 1122.
> Ronco C, Haapio M, Indlu AA, et al. I-Cardiorenal Syndrome. J Am Coll Cardiol 2008; 52: 1527.
> Shishehbor MH, Oliveira LP, u-Lauer MS, et al. Izingozi Zezifo Zezinhliziyo ZamaKhosi Akhawunti Eyingxenye Ebalulekile Yokufa Kwebungozi Ingozi Ezinganeni Zesifo Sengqondo. Am J Cardiol 2008; 101: 1741.