Namuhla, ngoMashi 14, kugujwa usuku lwaseYurophu lokuVimbela Ingozi Yenhliziyo, ukukhumbula ukubaluleka kokuvimbela emkhakheni walezi zifo. Ingozi yenhliziyo iqondwa njenge-pamathuba omuntu ophethwe yisifo senhliziyo ngaphakathi kwesikhathi esithile, kulokhu sizogxila ekukhulelweni.
Ngesikhathi sokukhulelwa nokubeletha, umzimba wowesifazane uhlangabezana nochungechunge lwezinguquko zomzimba ohlelweni lwakho lwe-cardiovascular. Lezi zinguquko aziyona inkinga kwabesifazane abaningi, kepha uma unesifo senhliziyo noma isifo senhliziyo, singaphathwa njengokukhulelwa okuyingozi kakhulu.
Izinguquko zenhliziyo ngesikhathi sokukhulelwa
Ngesikhathi sokukhulelwa zenzeka ku- izinguquko ezinkulu emzimbeni womuntu wesifazane. Lokhu kuhlangabezana nezidingo zakho kanye nalezo zombungu okhulayo. Lokhu kulungiswa komzimba wowesifazane kwenzeka kusukela ekuqaleni kokukhulelwa, kunezinguquko zamahomoni, ubukhona bokujikeleza kwe-uteroplacental kanye nokwanda ngosayizi wesibeletho.
Sibala ezinye ze- izinguquko ezinkulu ohlelweni lokujikeleza kwegazi Ngesikhathi sokukhulelwa:
- Khulisa ivolumu yegazi ngo-30-50% kusukela ngesonto lesithupha. Umthamo omkhulu ufinyelelwa emavikini angama-20-24, futhi ugcinwa kuze kube ukulethwa.
- Khuphula izinga lokushaya kwenhliziyo yakho. Inhliziyo yowesifazane ishaya ngokushesha, ngakho-ke izinga lokushaya kwenhliziyo lisuka ekushayweni okuyi-10 kuye kwayi-15 ngomzuzu.
- Ukwanda kokukhishwa kwenhliziyo, kukhuphuka ngo-30-40%.
- Ukwehliswa kokumelana komzimba.
- Yehlisa umfutho wegazi ngokunwebeka kwemithambo yegazi. Inhliziyo nayo ivulekile, ingakhuphula usayizi wayo ifike ku-30%.
Lezi zinguquko ezenzeka ngesikhathi sokukhulelwa, kwabesifazane abanesifo senhliziyo, zingakhuphula ubungozi bezinkinga, kuzo zombili nakumbungu. Yini enye, iningi lokukhubazeka kwenhliziyo azalwe nakho kuzuzwe njengefa. Le ngozi ilinganiselwa ukuthi icishe ibe ngu-4%, uma kuqhathaniswa nengozi yesifo senhliziyo esizelwe kubantu abaningi abangu-0,8%.
Ingozi yenhliziyo, imibuzo okufanele uyazi
Yiba nethuba eliphakeme le- Ukuba nesifo senhliziyo nemithambo yegazi kuhlotshaniswa nezinhlobo ezimbili zezici. Lezi zingozi zingaba ngakolunye uhlangothi ngaphakathi, ngokwesibonelo, ufuzo, ubudala, ngakolunye uhlangothi, ngaphandle. Phakathi kokugcina futhi esingakwazi ukukulawula ukungcoliswa kwemvelo, ugwayi, ukukhuluphala ngokweqile, i-cholesterol, ukungazilolongi ezemidlalo ...
I-Los ukuphinda ukukhishwa kwesisu kuvame ukuhlobene ne-thrombophilia, kuze kufike ku-50%. Ngakho-ke, kubalulekile ukutadisha abesifazane abanomlando womuntu noma womndeni wokukhishwa kwezisu okuphindaphindwayo, ukuze kuthathwe izinyathelo ezanele zokuvikela. Ngakolunye uhlangothi, womabili ama-arrhythmias asetshenziswayo kanye ne-extrasystoles kuvame kakhulu ngesikhathi sokukhulelwa, kepha kufanele baphathwe ngendlela efanelekile ngangokunokwenzeka.
Abanye besifazane ngesifo senhliziyo esibi, ukukhulelwa kuyaphikiswa, ngenxa yengozi empilweni yabo noma yengane yesikhathi esizayo. Izindaba ezimnandi ukuthi ukuthuthuka kwezenhliziyo yezingane kanye nokuhlinzwa kwenhliziyo kuvumele izingane ezingaphezulu kwama-85% ezinezifo zenhliziyo ezelwe ukuba zisinde lapho sezikhulile.
Ziyini izingozi ngesikhathi sokukhulelwa?
I-Las Isifo senhliziyo, esizalwe sazalwa noma esitholakele, siyimbangela ehamba phambili yokufa komama ngemvelaphi engahlangene nokubeletha. Ngakho-ke, kubalulekile ukuya kudokotela uma ufuna ukuba ngumama, noma uma usukhulelwe vele. Ngokuvamile, ukunakekelwa kokubeletha nokubeletha kuyadingeka ukuthi kuhlelwe ngokucophelela.
Ngokuvamile, futhi njengoba kudingeka ukwandisa ivolumu yegazi nokukhipha inhliziyo, kungenzeka ukuthi kwabesifazane abakhulelwe kukhona ukwehla komthamo noma ukwehluleka kwenhliziyo. Lokhu kunemiphumela eminingana ye- izinkinga zombungu kanye neonatal, njenge:
- Ukubambezeleka kokukhula kwesisu
- Ukuhlupheka kwe-Fetal
- Ukopha okungaphakathi emzimbeni
- Ukulethwa kwangaphambi kwesikhathi
- Ukufa okungapheli kuka-18%
Endabeni yesifo senhliziyo sebanga lokuqala, noma esimnene, kuzodingeka ukulawula okuphelele, kokubili umama kanye nombungu, ukukhulelwa kufinyelele esiphethweni esiyimpumelelo. I- Izikhathi zobungozi obukhethekile zenzeka ekupheleni kwe-trimester yokuqala, phakathi kwamasonto angama-28 no-32, ngesikhathi sokubeletha kanye ne-puerperium yokuqala, izinsuku eziyishumi zokuqala emva kwayo.