Isifo senhliziyo - ukukhipha

Ukuhlaselwa yinhliziyo kwenzeka lapho ukugeleza kwegazi kuya engxenyeni yenhliziyo yakho kuvinjelwe isikhathi eside ngokwanele ukuthi ingxenye yomsipha wenhliziyo ilimale noma ife. Lo mbhalo ukhuluma ngalokho okudingeka ukwenze ukuze uzinakekele ngemuva kokuphuma esibhedlela.

Ubusesibhedlela ngoba uhlaselwe yisifo senhliziyo. Ukuhlaselwa yinhliziyo kwenzeka lapho ukugeleza kwegazi kuya engxenyeni yenhliziyo yakho kuvinjelwe isikhathi eside ngokwanele ukuthi ingxenye yomsipha wenhliziyo ilimale noma ife.

Ungase uzizwe udabukile. Ungazizwa ukhathazekile futhi sengathi kufanele uqaphele kakhulu okwenzayo. Yonke le mizwa ijwayelekile. Ziya kubantu abaningi ngemuva kwamasonto amabili noma amathathu. Ungase futhi uzizwe ukhathele lapho uphuma esibhedlela uya ekhaya.

Kufanele wazi izimpawu nezimpawu ze-angina.

• Ungase uzwe ingcindezi, ukukhama, ukushisa, noma ukuqina esifubeni sakho. Ungazibona futhi lezi zimpawu ezandleni zakho, emahlombe, entanyeni, emhlathini, emphinjeni, noma emuva.
• Abanye abantu bazizwa bengakhululekile nasemhlane, emahlombe nasendaweni yesisu.
• Ungahle ube nokugaya noma uzizwe ugula esiswini sakho.
• Ungazizwa ukhathele futhi uswele ukuphefumula, ujuluke ubala, unekhanda elincane, noma ubuthakathaka.
• Ungaba ne-angina ngesikhathi sokuzivocavoca umzimba, njengokukhuphuka izitebhisi noma ukuhamba ekukhuphukeni, ukuphakamisa, ukwenza ucansi, noma uma uphuma esimweni sezulu esibandayo. Kungenzeka futhi uma uphumule noma kungakuvusa lapho ulele.

Yazi ukuthi ungabelapha kanjani ubuhlungu besifuba sakho lapho kwenzeka. Khuluma nomhlinzeki wakho wezokunakekelwa kwempilo ngalokho okufanele ukwenze.

Thatha kube lula emavikini okuqala amane kuye kwayisithupha.

• Gwema ukuphakamisa okunzima. Thola usizo ngemisebenzi yasendlini uma ungakwazi.
• Thatha imizuzu engama-30 kuye kwengama-60 ukuphumula ntambama amaviki amane kuya kwayisithupha okuqala. Zama ukusheshe ulale futhi ulale ngokwanele.
• Ngaphambi kokuqala ukuzivocavoca umzimba, umhlinzeki wakho angahle akwenzele ukuhlolwa kokuvivinya umzimba futhi ancoma uhlelo lokuzivocavoca. Lokhu kungenzeka ngaphambi kokuba uphume esibhedlela noma ngemuva nje kwalokho. Ungashintshi uhlelo lwakho lokuzivocavoca ngaphambi kokukhuluma nomhlinzeki wakho.
• Umhlinzeki wakho angakudlulisela ohlelweni lokuvuselela inhliziyo. Lapho, uzofunda ukuthi ungasikhulisa kanjani kancane isivivinyo sakho nokuthi ungasinakekela kanjani isifo senhliziyo yakho.

Kufanele ukwazi ukukhuluma ngokukhululeka lapho wenza noma yimuphi umsebenzi, njengokuhamba, ukubeka itafula, nokuwasha. Uma ungakwazi, misa umsebenzi.

Buza umhlinzeki wakho mayelana nokuthi ungabuyela nini emsebenzini. Lindela ukuba kude nomsebenzi okungenani isonto.

Khuluma nomhlinzeki wakho ngaphambi kokuhlanganyela ocansini. Buza umhlinzeki wakho uma KULUNGILE ukuqala phansi. Ungathathi i-Viagra, i-Levitra, i-Cialis noma noma yiliphi ikhambi lamakhambi lezinkinga zokwakhiwa ngaphandle kokuhlola umhlinzeki wakho kuqala.

Kuzolinda isikhathi esingakanani ukubuyela emisebenzini yakho ejwayelekile kuzoya ngokuthi:

• Isimo sakho somzimba ngaphambi kokuhlaselwa yinhliziyo
• Usayizi wesifo senhliziyo yakho
• Uma ubenezinkinga
• Ijubane eliphelele lokutakula kwakho

Ungaphuzi utshwala okungenani amasonto ama-2. Buza umhlinzeki wakho ukuthi ungaqala nini. Linganisela ukuthi uphuza kangakanani. Abesifazane kufanele baphuze isiphuzo esingu-1 kuphela ngosuku, kuthi abesilisa bangaphuzi okungaphezulu koku-2 ngosuku. Zama ukuphuza utshwala kuphela uma udla.

Uma ubhema, yeka. Cela umhlinzeki wakho akusize uyeke uma uyidinga. Ungavumeli noma ngubani abheme ekhaya lakho, ngoba intuthu kagwayi ingakulimaza. Zama ukuziqhelelanisa nezinto ezikucindezelayo. Uma uzizwa ucindezelekile ngaso sonke isikhathi, noma uma uzizwa udabuke kakhulu, khuluma nomhlinzeki wakho. Bangakudlulisela kumeluleki.

Funda kabanzi mayelana nokuthi yini okufanele uyidle ukwenza inhliziyo nemithambo yegazi yakho ibe nempilo.

• Gwema ukudla okunosawoti.
• Hlala kude nezindawo zokudlela ezisheshayo.

Yenza imiyalo yakho yezidakamizwa igcwaliswe ngaphambi kokuba uye ekhaya. Kubaluleke kakhulu ukuthi uphuze imithi yakho ngendlela umhlinzeki wakho akutshele ngayo. Ungathathi noma imuphi omunye umuthi noma izithasiselo zemithi ngaphandle kokubuza umhlinzeki wakho kuqala ukuthi ziphephile yini kuwe.

Thatha imithi yakho ngamanzi. Musa ukuwaphuza ngejusi lamagilebhisi, ngoba kungashintsha indlela umzimba wakho omunca ngayo imithi ethile. Buza umhlinzeki wakho noma usokhemisi ukuthola eminye imininingwane ngalokhu.

Imithi engezansi inikezwa iningi labantu ngemuva kokuhlaselwa yisifo senhliziyo. Kwesinye isikhathi kunesizathu abangase bangaphephi ukusithatha, noma kunjalo. Le mithi isiza ukuvimbela esinye isifo senhliziyo. Khuluma nomhlinzeki wakho uma ungekho kunoma iyiphi yale mithi:

• Izidakamizwa zama-antiplatelets (izinciphisi zegazi), njenge-aspirin, i-clopidogrel (i-Plavix), i-warfarin (i-Coumadin), i-prasugrel (i-Efient), noma i-ticagrelor (i-Brilinta) ukusiza ukugcina igazi lakho linganqandi.
• Imithi ye-Beta-blocker kanye ne-ACE inhibitor yokusiza ukuvikela inhliziyo yakho.
• Izitatimende noma ezinye izidakamizwa ukwehlisa i-cholesterol yakho.

Ungayeki ngokungazelelwe ukuthatha le mithi ngenhliziyo yakho. Ungayeki ukuthatha imishanguzo yesifo sikashukela, umfutho wegazi ophakeme, noma ezinye izimo zezempilo ongahle ube nazo ngaphandle kokukhuluma nomhlinzeki wakho kuqala.

Uma uthatha igazi elincanyana njenge-warfarin (i-Coumadin), kungadingeka ukuthi uhlolwe igazi njalo ukuze uqiniseke ukuthi umthamo wakho ulungile.

Shayela umhlinzeki wakho uma uzizwa:

• Ubuhlungu, ingcindezi, ukuqina, noma isisindo esifubeni sakho, ingalo, intamo noma umhlathi
• Ukuphelelwa umoya
• Izinhlungu zegesi noma ukugaya ukudla
• Ubudoda ezandleni zakho
• Ukujuluka, noma uma ulahlekelwa umbala
• Ikhanda elikhanyayo

Izinguquko ku-angina yakho zingasho ukuthi isifo senhliziyo yakho siya ngokuya siba sibi. Shayela umhlinzeki wakho uma i-angina yakho:

• Iyaqina
• Kwenzeka kaningi
• Ihlala isikhathi eside
• Kuvela uma ungasebenzi noma uphumule
• Imithi ayisizi ukudambisa izimpawu zakho njengakuqala

I-infarction ye-myocardial - ukukhishwa; Ukukhishwa kwe-MI; Umcimbi we-Coronary - ukukhishwa; I-infarct - ukukhishwa; I-acute coronary syndrome - ukukhishwa; ACS - ukukhishwa

• I-MI enamandla

I-Amsterdam EA, uWenger NK, uBrindis RG, et al.Umhlahlandlela we-2014 AHA / ACC wokuphathwa kweziguli ezine-non-ST-elevation acute coronary syndromes: umbiko we-American College of Cardiology / American Heart Association Task Force ngemihlahlandlela yokusebenza. UJ Am Coll Cardiol. 2014; 64 (24): e139-e228. I-PMID: 25260718 pubmed.ncbi.nlm.nih.gov/25260718/.

I-Bohula EA, i-Morrow DA. I-ST-elevation infarction ye-myocardial: ukuphathwa. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 59.

UFihn SD, uBlankenship JC, u-Alexander KP, uBittl JA, et al. Isibuyekezo esigxile ku-2014 ACC / AHA / AATS / PCNA / SCAI / STS somhlahlandlela wokuxilongwa nokuphathwa kweziguli ezinesifo senhliziyo esisimeme: umbiko we-American College of Cardiology / American Heart Association Task Force on Guidelines Practice, kanye ne I-American Association for Thoracic Surgery, I-Preventive Cardiovascular Nurses Association, i-Society for Cardiovascular Angiography kanye nokungenelela, kanye ne-Society of Thoracic Odgeons. J Thorac Cardiovasc Ukuhlinzwa. 2015 Mar; 149 (3): e5-23. I-PMID: 25827388 pubmed.ncbi.nlm.nih.gov/25827388/.

IGiugliano RP, iBraunwald E. Non-ST ukuphakama kwama-syndromes abukhali we-coronary. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 60.

UMauri L, uBhatt DL. Ukungenelela kwe-coronary okwenzeka ngamandla. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 62.

UMorrow DA, de Lemos JA. Isifo senhliziyo esisimeme. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 61.

U-OGara PT, uKushner FG, u-Ascheim DD, et al. Umhlahlandlela we-ACCF / AHA ka-2013 wokuphathwa kwe-ST-elevation myocardial infarction: isifinyezo esiphezulu: umbiko we-American College of Cardiology Foundation / American Heart Association Task Force ngemihlahlandlela yokusebenza. Ukujikeleza. 2013; 127 (4): 529-555. I-PMID: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.

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• Isifo senhliziyo