Ukuhlinzwa kokudlula kwenhliziyo - ukukhipha

Ukuhlinzwa kokudlula kwenhliziyo kwakha umzila omusha, obizwa ngokuthi ukudlula, ukuze igazi nomoya-mpilo uhambe uzungeze ukuvinjelwa ukufinyelela inhliziyo yakho. Ukuhlinzwa kusetshenziselwa ukwelapha isifo senhliziyo. Lo mbhalo ukhuluma ngalokho okudingeka ukwenze ukuze uzinakekele lapho uphuma esibhedlela.

Udokotela wakho ohlinzayo uthathe umthambo noma umthambo ovela kolunye uhlangothi lomzimba wakho ukuze wakhe umgwaqo, noma weqe, uzungeze umthambo owawuvalekile futhi owawungenakuletha igazi elanele enhliziyweni yakho.

Ukuhlinzwa kwakho kwenziwe ngokusikeka (ukusika) esifubeni sakho. Uma udokotela ohlinzayo edlula esifubeni sakho, udokotela ohlinzayo wayilungisa ngocingo nangepuleti lensimbi, isikhumba sakho savalwa ngemithungo. Ubuye waba nokusikeka okwenziwe emlenzeni noma engalweni yakho, lapho umthambo wathathwa khona ukuze usetshenziselwe ukudlula.

Ngemuva kokuhlinzwa, kuthatha amasonto amane kuya kwayisithupha ukuphola ngokuphelele bese uqala ukuzizwa ungcono. Kujwayelekile ukuthi:

• Yiba nobuhlungu endaweni yesifuba sakho lapho usike khona
• Ungathandi ukudla amaviki amabili kuya kwamane
• Yiba nokushintsha kwemizwelo futhi uzizwe ucindezelekile
• Yiba nokuvuvukala emlenzeni othathwe kuwo umthambo
• Zizwe ulunywa, undikindiki, noma ucindezeleke lapho usike esifubeni nasemlenzeni izinyanga eziyisithupha noma ngaphezulu
• Unenkinga yokulala ebusuku
• Ukuqunjelwa yimithi yezinhlungu
• Unenkinga ngememori yesikhashana noma uzizwe udidekile ("fuzzy-headed")
• Ukhathele noma ungabi namandla amaningi
• Yiba nokuphefumula okuncane. Lokhu kungaba kubi kakhulu uma unezinkinga zamaphaphu. Abanye abantu bangasebenzisa i-oxygen lapho begoduka.
• Yiba nobuthakathaka ezandleni zakho ngenyanga yokuqala

Kufanele ube nomuntu ozohlala nawe ekhaya lakho okungenani amasonto wokuqala kuya kwayi-2 ngemuva kokuhlinzwa.

Funda ukuthi ungayihlola kanjani i-pulse yakho, futhi uyihlole nsuku zonke.

Yenza izivivinyo zokuphefumula ozifunde esibhedlela amasonto amane kuya kwayisithupha.

Geza nsuku zonke, ugeze imbobo ngobumnene ngensipho namanzi. UNGABHALI, cwilisa kubhavu oshisayo, noma ugeze uze usike ngokuphelele. Landela ukudla okunempilo enhliziyweni.

Uma uzizwa ucindezelekile, khuluma nomndeni wakho nabangane. Buza umhlinzeki wakho wezempilo mayelana nokuthola usizo kumeluleki.

Qhubeka nokuthatha yonke imithi yakho ngenhliziyo yakho, isifo sikashukela, umfutho wegazi ophakeme, noma ezinye izimo onazo.

• Ungayeki ukuthatha noma imuphi umuthi ngaphandle kokuqala ukhulume nomhlinzeki wakho.
• Umhlinzeki wakho angancoma izidakamizwa ze-antiplatelet (ukunciphisa igazi) njenge-aspirin, i-clopidogrel (i-Plavix), i-prasugrel (i-Effient), noma i-ticagrelor (i-Brilinta) ukusiza ukugcina umgogodla wakho uvulekile.
• Uma uthatha igazi elincanyana, njenge-warfarin (i-Coumadin), kungadingeka ukuthi uhlolwe igazi elengeziwe ukuze uqiniseke ukuthi umthamo wakho ulungile.

Yazi ukuthi ungaziphendula kanjani izimpawu ze-angina.

Hlala usebenza ngenkathi ululama, kodwa qala kancane.

• Ungami noma uhlale endaweni efanayo isikhathi eside. Zulazula kancane.
• Ukuhamba kungumsebenzi omuhle wamaphaphu nenhliziyo ngemuva kokuhlinzwa. Ungakhathazeki ngokuthi uhamba ngokushesha okungakanani. Thatha kancane.
• Ukukhuphuka izitebhisi KULUNGILE, kepha qaphela. Ukulinganisela kungaba yinkinga. Phumula maphakathi nezitebhisi uma udinga.
• Imisebenzi elula yasendlini, njengokubeka itafula, ukusonga izingubo, ukuhamba, nokukhuphuka izitebhisi, kufanele kube KULUNGILE.
• Khulisa kancane inani nokuqina kwemisebenzi yakho ezinyangeni ezi-3 zokuqala.
• Ungazivocavoci ngaphandle uma kubanda kakhulu noma kushisa kakhulu.
• Misa uma uzizwa uphelelwa umoya, unesiyezi, noma buphi ubuhlungu esifubeni sakho. Ungenzi noma yimuphi umsebenzi noma ukuzivocavoca okubangela ukudonsa noma ubuhlungu esifubeni sakho, njengokusebenzisa umshini wokugwedla noma ukuphakamisa izinsimbi.
• Gcina izindawo zakho zokusika zivikelekile elangeni ukugwema ukushiswa yilanga.

Ungashayeli okungenani amasonto ama-4 kuye kwayi-6 ngemuva kokuhlinzwa kwakho. Ukusonteka okuhilelekile ekujikiseni isondo lokushayela kungadonsela ekusikeni kwakho. Buza umhlinzeki wakho ukuthi ungabuyela nini emsebenzini, futhi ulindele ukuba kude nomsebenzi cishe amasonto ayisithupha kuye kwayisishiyagalombili.

Ungahambi okungenani amasonto amabili kuya kwamane. Buza umhlinzeki wakho uma ukuhamba kulungile. Futhi, buza umhlinzeki wakho ngaphambi kokuqala ukwenza ucansi futhi. Isikhathi esiningi kulungile emva kwamasonto amane.

Ungathunyelwa ohlelweni olusemthethweni lokuvuselelwa kwenhliziyo. Uzothola ulwazi nokwelulekwa mayelana nomsebenzi, ukudla, nokuvivinya umzimba okugadiwe.

Emavikini awu-6 okuqala ngemuva kokuhlinzwa kwakho, kufanele uqaphele ngokusebenzisa izingalo nomzimba ongaphezulu lapho unyakaza.

• Ungafinyeleli emuva.
• Ungavumeli noma ngubani adonse izingalo zakho nganoma yisiphi isizathu - ngokwesibonelo, uma bekusiza ukuthi uzulazule noma uvuke embhedeni.
• Ungaphakamisi noma yini esindayo kunamakhilogremu ama-5 kuye kwayi-7 (2 kuya ku-3 kilograms).
• Ungenzi ngisho nemisebenzi elula yasendlini okungenani amasonto amabili kuya kwamathathu.
• Buza kumhlinzeki wakho ngaphambi kokusebenzisa izingalo nehlombe lakho ngaphezulu.

Ukuxubha amazinyo akho kulungile, kepha ungenzi eminye imisebenzi egcina izingalo zakho zingaphezu kwamahlombe akho nganoma yisiphi isikhathi. Gcina izingalo zakho zisondele ezinhlangothini zakho lapho uzisebenzisa ukuphuma embhedeni noma esihlalweni. Ungagoba phambili ukubopha izicathulo zakho. Misa njalo uma uzizwa udonsa ithambo lakho lesifuba.

Umhlinzeki wakho uzokutshela ukuthi usinakekela kanjani isilonda sakho esifubeni. Cishe uzocelwa ukuthi uhlanze ukusika kwakho okuhlinzwa nsuku zonke ngensipho namanzi, bese usomisa ngobumnene. Ungasebenzisi noma yimaphi okhilimu, ama-lotion, izimpushana, noma u-oyili ngaphandle kokuthi umhlinzeki wakho akutshele ukuthi kulungile.

Ukube ubusike noma usike umlenze wakho:

• Gcina imilenze yakho iphakanyisiwe lapho uhleli.
• Gqoka i-hose ye-TED enwebeka amasonto amabili kuya kwamathathu kuze kube yilapho ukuvuvukala kuphelile futhi usebenza ngokwengeziwe.

Shayela umhlinzeki wakho uma:

• Unobuhlungu besifuba noma ukuphefumula okungapheli lapho uphumula.
• I-pulse yakho izwa ingajwayelekile - ihamba kancane (ishaya ngaphansi kwezingama-60 ngomzuzu) noma ishesha kakhulu (ngaphezulu kwezingu-100 kuya kwezingu-120 ngomzuzu).
• Unesiyezi, uyaquleka, noma ukhathele kakhulu.
• Unekhanda elibuhlungu elingapheli.
• Unesikhwehlela esingapheli
• Ukhwehlela igazi noma amafinyila aphuzi noma aluhlaza.
• Unezinkinga zokuthatha noma imuphi umuthi wenhliziyo yakho.
• Isisindo sakho sikhuphuka ngaphezu kwamakhilogremu amabili (1 kilogram) ngosuku izinsuku ezi-2 zilandelana.
• Isilonda sakho siyashintsha. Ibomvu noma ivuvukile, ivulekile, noma kunamanzi amaningi avela kuwo.
• Unomkhuhlane noma umkhuhlane ongaphezu kuka-101 ° F (38.3 ° C).

Ukudlulisa umthambo we-coronary off-pump - ukukhipha; I-OPCAB - ukukhishwa; Ukushaya ukuhlinzwa kwenhliziyo - ukukhishwa; Ukuhlinzwa kwe-Bypass - ukukhishwa kwenhliziyo; CABG - ukukhishwa; Umthambo weCoronary udlula ngokuxhunyelelwa - ukukhishwa; Ukuhlinzwa kwe-artery Coronary bypass - ukudedela; Ukuhlinzwa kokudlula kweCoronary - ukukhipha; Ukukhishwa kwe-CAD - ukudlula; Isifo semithambo yegazi - ukudlula ukukhipha

• Ungayithatha kanjani ishayela yakho yesihlakala
• Ukuthatha ishayela lakho le-carotid

UFihn SD, uBlankenship JC, u-Alexander KP, 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. Ukujikeleza. 2014; 130 (19): 1749-1767. I-PMID: 25070666 pubmed.ncbi.nlm.nih.gov/25070666/.

UFihn SD, uGardin JM, u-Abrams J, et al. Umhlahlandlela we-2012 ACCF / AHA / ACP / AATS / PCNA / SCAI / STS wokuxilongwa nokuphathwa kweziguli ezinesifo senhliziyo esizinzile: umbiko weqembu laseMelika College of Cardiology Foundation / American Heart Association ngeziqondiso zemikhuba kanye neAmerican College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, kanye neSociety of Thoracic Odgeons. Ukujikeleza. 2012; 126 (25): 3097-3137. I-PMID: 23166210 pubmed.ncbi.nlm.nih.gov/23166210/.

UFleg JL, uForman DE, uBerra K, et al. Ukuvinjelwa kwesibili kwesifo se-atherosclerotic senhliziyo kubantu abadala asebekhulile: isitatimende sesayensi esivela ku-American Heart Association. Ukujikeleza. 2013; 128 (22): 2422-2446. I-PMID: 24166575 pubmed.ncbi.nlm.nih.gov/24166575/.

UKulik A, uRuel M, uJneid H, et al. Ukuvinjelwa kwesibili ngemuva kokuhlinzwa ngokudlula komthambo we-coronary: isitatimende sesayensi esivela ku-American Heart Association. Ukujikeleza. 2015; 131 (10): 927-964. I-PMID: 25679302 pubmed.ncbi.nlm.nih.gov/25679302/.

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-Omer S, uCornwell LD, u-Bakaeen FG. Isifo senhliziyo esitholakele: ukunganeli kwenhliziyo. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 59.

• Angina
• Isifo senhliziyo
• Ukuhlinzwa kokudlula kwenhliziyo
• Ukwehluleka kwenhliziyo
• Amazinga aphezulu e-cholesterol egazini
• Amathiphu wokuthi ungakuyeka kanjani ukubhema

• I-Angina - ukukhishwa
• U-Angina - ukuthi ubuze ini kudokotela wakho
• I-Angina - lapho unezinhlungu esifubeni
• Izidakamizwa ze-antiplatelet - P2Y12 inhibitors
• I-Aspirin nesifo senhliziyo
• Ukusebenza ngemuva kokuhlaselwa yisifo senhliziyo
• Ukusebenza lapho unesifo senhliziyo
• Ibhotela, imajarini namafutha okupheka
• Cholesterol nendlela yokuphila
• Ukulawula umfutho wegazi ophakeme
• Kuchazwe amafutha ezokudla
• Amathiphu okudla okusheshayo
• Isifo senhliziyo - ukukhipha
• Isifo senhliziyo - okufanele ubuze udokotela wakho
• Ukuhlinzwa kokudlula kwenhliziyo - ukukhipha okungatheni okweqile
• Isifo senhliziyo - izici eziyingozi
• Uwafunda kanjani amalebula okudla
• Ukudla kwaseMedithera
• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile
• Izinguquko zokugqoka ezimanzi nezomile

• Ukuhlinzwa Kwe-Coronary Artery Bypass