Izinkinga Zenhliziyo Ngemva kwe-COVID 19

Ngisho namasonto amaningi ngemva kokululama ku-COVID-19, abantu bebelokhu bebika imiphumela engemihle yezempilo emzimbeni. Lezi zimpawu zibizwa ngokuthi 'izimpawu zohambo olude' ezibonakala kudala ngemva kokululama kokuqala. Yize i-COVID-19 yaziwa ngokuyinhloko ukuthi ithinta impilo yamaphaphu ethu, iphinde ithinte nezinye izitho zomzimba kanye nezinkinga zempilo zesikhathi eside.

Kungani kuphakama izinkinga endlebeni?

I-COVID-19 idala ukulimala okungapheli enhliziyweni ngokulimaza imisipha, okungase kuthikameze ukusebenza sekukonke. Lokhu kwenzeka ngenxa yezizathu ezimbalwa, okuyilezi:

• Izamukeli zamaseli enhliziyo ziyalimala lapho igciwane le-COVID linamathela kuzo ngaphambi kokungena kumaseli

• Inqubo yokuvuvukala eyenzeka lapho amasosha omzimba elwa negciwane le-COVID angalimaza izicubu zenhliziyo enempilo

• Igciwane le-COVID lilimaza ulwelwesi lwangaphakathi lwemithambo nemithambo, ngaleyo ndlela liphazamise ukugeleza kwegazi enhliziyweni.

Izimpawu, izimpawu, nezimo

Izimpawu, izimpawu, kanye nezimo ezitholakalayo zingabandakanya, 

• Umuzwa wenhliziyo eshaya ngokushesha

• Umuzwa we ukushaya kwenhliziyo okungavamile (ukushaya kwenhliziyo)

• Ukungakhululeki esifubeni

• Ikhanda elikhanyayo/isiyezi (uma umile)

• Ukukhathala okukhulu

• Ukujuluka okukhulu

• Ukukhwehlela okuqhubekayo

• Ukukhuluphala ngokushesha ngenxa yokugcinwa koketshezi

• Ukulahlekelwa/ ukuswela ukudla

• Ukwanda kwesifiso sokuchama

• Ukuphelelwa umoya

• Ukuvuvukala kwamaqakala

• I-Myocarditis (ukuvuvukala kwemisipha yenhliziyo)

• Ingozi engenzeka yokwanda yokumelwa yinhliziyo (okungajwayelekile)

• Ithuba lokuhlaselwa yinhliziyo (akuvamile kakhulu)

Izinto eziyingozi ezingaholela ezimpawu nezimpawu esezibalulwe ngenhla yilezi,

• Izikhathi ezinde zokungenzi lutho/indlela yokuphila yokungenzi lutho

• Ukuchitha amasonto ngilulama embhedeni

• Diabetes

• Umfutho wegazi ophezulu/ umfutho wegazi ophezulu

• Cholesterol

• Ukumisa kungazelelwe imithi yenhliziyo

• Isifo samafutha

Kufanele ubone nini udokotela?

Amaqembu amabili ezimpawu, ikakhulukazi, kufanele aqashwe ngokucophelela, futhi ngokufanelekile kufanele athole usizo lwezokwelapha ngokushesha ngaphansi kwezimo ezilandelayo. Xhumana nesibhedlela senhliziyo esiseduze e-Hyderabad ukuze usiqonde kangcono lesi simo.

Ukuphelelwa umoya

• Ukuphelelwa umoya okukhulayo uma ulele

• Ukwenyuka kokuphefumula kokuphefumula ngesikhathi sokuzikhandla

• Ukukhathala okubangelwa ukuphelelwa umoya

• Ukuvuvukala eqakaleni okuhambisana nokuphelelwa umoya

ubuhlungu besifuba

• Ubuhlungu obungapheli esifubeni

• Ubuhlungu besifuba obungapheli

• Ubuhlungu besifuba obusha obudamba emizuzwini eyi-15

• Ubuhlungu besifuba bokuzikhandla budanjiswa abanye

Ukuhlolwa kwenhliziyo okungenziwa:

• I-Electrocardiogram (EKG/ECG) ukuhlola i-arrhythmia engenzeka

• I-Echocardiogram ukuthola izinkinga ngaphakathi/ ngamavalvu enhliziyo namagumbi enhliziyo

• Ukuhlolwa kwegazi kwe-Troponin ukuze kutholwe ukuthi/ yiziphi izicubu zenhliziyo ezilimele

• I-MRI ukuthola ubukhulu bomonakalo/ izinkinga zesakhiwo/ ukuvuvukala kwenhliziyo

Izinyathelo okufanele zithathwe ukuze kutholakale impilo enhle yenhliziyo ngemva kokululama ku-COVID

Nansi impilo yenhliziyo ngemuva kokululama evela ku-COVID:

• Hlola inhliziyo yakho ngemva kokululama ku-COVID

• Ungayeki noma yimiphi imithi yenhliziyo uma ikhona

• Ngokushesha bika izimpawu (ezifana nobuhlungu besifuba, ukuphelelwa umoya, ukujuluka) kudokotela

• Hlala ugcwele amanzi usuku lonke

• Hlola izimo zenhliziyo ezingaphansi njenge-tachycardia

• Ukuzivocavoca njalo

• Ungazami ukuzikhandla ngokweqile

• Qhubeka uthatha imithi evamile ukuze uthole impilo evamile

• Yidla okunempilo, futhi ukudla okunempilo ngokuqhubekayo

• Hlala uzolile, khululeka, futhi uzame ukungethuki

• Ungazihloli noma yiziphi izimpawu

• Gwema ukuzelapha ngazo zonke izindlela

• Lalela iseluleko sikadokotela wakho

• Gonywa ngokushesha futhi ngaphandle kokungabaza

Izingozi zenhliziyo ezingaba khona ezinganeni eseziluleme ku-COVID

• Izinketho zokwelapha esimweni esingavamile sokuhluleka kwenhliziyo:

• Imithi yenhliziyo

• Inqubo ye-LVAD (Left Ventricular Assist Device)

• Ukufakelwa kwenhliziyo