Ingabe kuyiqiniso ukuthi ukuncipha kwengcindezi yakho yegazi kungathuthukisa isimo senhliziyo yakho, futhi uma kunjalo, yiluhlobo luni lwemithi yomshoshaphansi wegazi okufanele ube phezu kwalo?
I-Diastolic Dysfunction ne-Hypertension
Ukukhubazeka kwe-Diastolic uhlobo lwesifo senhliziyo lapho imisipha yenhliziyo iba "yintamo," okunciphisa ikhono lenhliziyo lokugcwalisa igazi phakathi kwezinhliziyo.
Ukukhubazeka kwe-Diastolic kuhlotshaniswa nezimo eziningana ezibandakanya umfutho wegazi ophakeme , i- hypertrophic cardiomyopathy , i- aortic stenosis , isifo se-artery coronary , isifo sikashukela , ukukhuluphala ngokweqile nokuphila ngokwempilo. Uma ukukhubazeka kwe-diastolic kuba nzima ngokwanele, ukwehluleka kwenhliziyo kungathuthuka ekugcineni.
Abantu abane-hypertension ikakhulukazi bangakhula ukuqina kwenhliziyo - isimo esibizwa ngokuthi "hypertrophy" - esiholela ekusebenzeni kabi kwe-diastolic. Ngaphezu kwalokho, njengoba udokotela wakho ekutshele yona, ukwelapha umfutho wegazi ophezulu kuye kwaboniswa ukunciphisa ingozi yokuthuthukisa ukuhluleka kwenhliziyo kusuka ekusebenziseni kwe-diastolic.
Eqinisweni, izidakamizwa ezithile ezisetshenziselwa ukwelapha umfutho wegazi ophezulu ziye zaboniswa ukuthi zibuyiselwe ngokuqondile hypertrophy zenhliziyo, futhi zibuyisela ukungasebenzi kahle kwe-diastolic.
Iziphi izidakamizwa ezingenakuqeda imithi "ezihle kakhulu" ekusebenziseni kwe-diastolic?
Kunezinhlobo eziningi, izidakamizwa eziningi ongakhetha kuzo ekuphatheni umfutho wegazi ophezulu , futhi akuzona zonke eziphumelelayo ngokulinganayo ekuthuthukiseni ukungasebenzi kwe-diastolic.
Izilingo eziningi zokwelashwa ziye zaqhutshwa eminyakeni edlule ukuthola ukuthi imiphi imishanguzo yokulwa nemishanguzo eningi kakhulu engase ibuyele ekunqandeni i-hypertrophy, ngakho-ke, ukunciphisa ukungasebenzi kwe-diastolic:
Ukuhlaziywa kwe-meta okubandakanya ukuhlolwa kwemitholampilo engu-80 kwenzelwe imiphumela yale mizamo. Ngenkathi zonke izigaba ezinkulu zezidakamizwa ezisetshenziselwa ukwelapha umfutho wegazi ophezulu ziphumelela ekunciphiseni i-hypertrophy yenhliziyo, amakilasi ayephumelela kakhulu kule ndaba yilezi:
Izidakamizwa kulezi zigaba zanciphisa ukucindezeleka kwenhliziyo phakathi kuka-10 kuya ku-13%. Ngakho-ke, ngokusekelwe encwadini enkulu yezifundo ezishicilelwe, lezi zigaba ezintathu zezidakamizwa zaziphumelela ngokukhethekile ekuguquleni isimo esiholela ekusebenzeni okungasebenzi kwe-diastolic. Ama-Diuretics kanye ne- beta blockers - ezinye izigaba ezimbili ezinkulu zezidakamizwa ezivame ukusetshenziselwa ukwelapha umfutho wegazi ophezulu - nazo zazivame ukuguqula i-hypertrophy, kodwa ngezinga eliphansi.
Nakuba le miphumela ihlaba umxhwele, kufanele siqaphele ukuthi lezi zifundo ezithile aziklanyelwe ukuthi zibone noma yikuphi ukungafani emiphumeleni yomtholampilo phakathi kwalezi zidakamizwa - ukungezwani nje ekusebenzeni kwabo ku-hypertrophy. Kucatshangwa, kodwa kungabonakali, ukuthi ukunciphisa ukucindezeleka kwenhliziyo kubantu abanokukhubazeka kwe-diastolic kuzoholela emiphumeleni engcono.
Okubalulekile
Ukukhubazeka kwe-Diastolic kuyimfuneko ebalulekile engabangela ukuhluleka kwenhliziyo. Ngenxa yokuthi umfutho wegazi ophezulu (kanye nokukhuluphala ngokweqile, ukuhlala phansi, nezinye izici) ngokuvamile uveza ukungasebenzi kahle kwe-diastolic, ukwelapha ngokweqile umfutho wegazi ophezulu kungase kuguqule kancane kancane ukungasebenzi kahle kwe-diastolic. Iqiniso lokuthi izidakamizwa ezithile ezingasetshenziselwa ukwelashwa zingase zibe ngcono ekuvimbeleni i-hypertrophy kunezinye izinto odokotela okufanele bazicabangele lapho bebeka ukwelashwa kwegazi.
Ngakho udokotela wakho ubonakala ekunika iseluleko esihle kakhulu kwezokwelapha, futhi kufanele usebenze naye ukuze uthole ukucindezelwa kwegazi lakho. Noma kunjalo, khumbula ukuthi ukwelapha ngokweqile umfutho wegazi ophezulu kuyinto ebaluleke kakhulu. Uma lokhu kungenziwa ngezidakamizwa ezingcono ekunciphiseni i-hypertrophy, kuhle. Kodwa uma kungenjalo, okubaluleke kakhulu ukuthola ukulawulwa kwengcindezi yakho yegazi, noma yikuphi noma izidakamizwa noma izidakamizwa zisebenza kahle kakhulu futhi zibekezeleleka kangaki esimweni sakho siqu.
> Imithombo:
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> Klingbeil AU, Schneider M, Martus P, et al. Ukuhlaziywa kwe-Meta ye-Effects of Treatment kuMisa we-Ventricular we-Left ku-Essential Hypertension esemqoka. Am J Med 2003; 115: 41.
> Schwartzenberg S, Redfield MM, Kusuka AM, et al. Imiphumela ye-Vasodilation enqenqenqenqenqenqenqenqenqenqenqeneni ye-Ejection egcinwe noma eyancishisiwe Implications ye-Pathophysiologies ehlukanisiwe ekuphenduleni ukwelapha. J Am Coll Cardiol 2012; 59: 442.