Ukuhlinzwa kokudlula kwenhliziyo - ukukhipha okungatheni okweqile

Ukuhlinzwa kokudlula kwenhliziyo kwakha umzila omusha, obizwa ngokuthi ukudlula, ukuze igazi neoksijini kufinyelele enhliziyweni yakho.

Ukudlula umthambo omncane we-coronary (heart) omncane kungenziwa ngaphandle kokumisa inhliziyo. Ngakho-ke, awudingi ukufakwa emshinini wenhliziyo namaphaphu ngale nqubo.

Lo mbhalo ukhuluma ngalokho okudingeka ukwenze ukuze uzinakekele ngemva kokuphuma esibhedlela.

Ube nokuhlinzwa kokuthambeka komthambo we-coronary okuthe xaxa ngokuhlinzwa komunye noma ngaphezulu kwemithambo yakho yenhliziyo. Udokotela wakho ohlinzayo wasebenzisa umthambo osuka esifubeni sakho ukwenza ukuchezuka, noma ukweqa, emithanjeni evinjiwe futhi engakwazi ukuletha igazi enhliziyweni yakho. Ukusikwa (imbobo) okusikiwe okungu-3- kuya ku-5-intshi ubude (7.5 kuye ku-12.5 cm) kwenziwa engxenyeni yesokunxele yesifuba sakho phakathi kwezimbambo zakho. Lokhu kuvumele udokotela wakho ukuthi afinyelele inhliziyo yakho.

Ungakwazi ukuphuma esibhedlela izinsuku ezimbili noma ezintathu ngemuva kokuhlinzwa. Ungase futhi ukwazi ukubuyela emisebenzini ejwayelekile ngemuva kwamasonto amabili noma amathathu.

Ngemuva kokuhlinzwa, kuyinto ejwayelekile uku:

• Zizwe ukhathele.
• Yiba nokuphefumula okuncane. Lokhu kungaba kubi kakhulu uma unezinkinga zamaphaphu. Abanye abantu bangasebenzisa i-oxygen lapho begoduka.
• Yiba nobuhlungu endaweni yesifuba esizungeze isilonda.

Ungahle uthande ukuthi othile azohlala nawe ekhaya lakho isonto lokuqala.

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

Yenza izivivinyo zokuphefumula ozifunde esibhedlela emasontweni okuqala ayi-2 okuqala.

Zilinganise nsuku zonke.

Geza nsuku zonke, ugeze imbobo yakho ngensipho namanzi. Ungabhukudi, cwilisa kubhavu oshisayo, noma ugeze kuze kube yilapho ukusika kwakho kuselapheke 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 kokukhuluma nomhlinzeki wakho.
• Umhlinzeki wakho angancoma izidakamizwa ze-antiplatelet (izinciphisi zegazi) - njenge-aspirin, i-clopidogrel (i-Plavix), i-prasugrel (i-Effient), noma i-ticagrelor (i-Brilinta) - ukusiza ukugcina umthambo wakho womthambo uvulekile.
• Uma uthatha igazi elincanyana njenge-warfarin (i-Coumadin), ungahle ube nokuhlolwa kwegazi okungeziwe ukuqinisekisa ukuthi umthamo wakho ulungile.

Yazi ukuthi ungaziphendula kanjani izimpawu ze-angina.

Hlala usebenza ngenkathi ululama, kodwa qala kancane. Buza umhlinzeki wakho ukuthi kufanele usebenze kanjani.

• Ukuhamba kungumsebenzi omuhle 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 nokugoqa izingubo kufanele ilunge.
• 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. Gwema noma yimuphi umsebenzi noma ukuzivocavoca okubangela ukudonsa noma ubuhlungu esifubeni sakho, njengokusebenzisa umshini wokugwedla noma ukuphakamisa izinsimbi.
• Gcina indawo yakho yokusika ivikelekile elangeni ukuze ugweme ukushiswa yilanga.

Qaphela ukuthi uzisebenzisa kanjani izingalo nomzimba ongaphezulu lapho uhambahamba amasonto amabili okuqala noma amathathu ngemuva kokuhlinzwa kwakho. Buza umhlinzeki wakho ukuthi ungabuyela nini emsebenzini. Esontweni lokuqala ngemuva kokuhlinzwa:

• Ungafinyeleli emuva.
• Ungavumeli noma ngubani adonse izingalo zakho nganoma yisiphi isizathu - ngokwesibonelo, uma bekusiza ukuthi uzulazule noma uvuke embhedeni.
• Ungaphakamisi noma yini esindayo kunamakhilogremu angaba ngu-10 (4.5 kilograms). (Lokhu kungaphezudlwana kwelitha, noma amalitha ama-4, obisi.)
• Gwema eminye imisebenzi lapho udinga ukugcina izingalo zakho zingaphezu kwamahlombe akho nganoma yisiphi isikhathi.
• Ungashayeli. Ukusonteka okuhilelekile ekujikiseni isondo lokushayela kungadonsela ekusikeni kwakho.

Ungathunyelwa ohlelweni lokuvuselela inhliziyo. Uzothola ulwazi nokwelulekwa ngomsebenzi, ukudla, nokuzivocavoca umzimba.

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.
• Inxeba lakho libomvu noma livuvukile, livulekile, noma kunamanzi amaningi avela kulo.
• Unomkhuhlane noma umkhuhlane ongaphezu kuka-101 ° F (38.3 ° C).

Ukudlula kancane kwe-coronary artery bypass - discharge; I-MIDCAB - ukukhishwa; Irobhothi lisize ukudlula komthambo we-coronary - ukudedela; I-RACAB - ukukhishwa; Ukuhlinzwa kwenhliziyo yekhiye - ukukhishwa; Isifo se-Coronary artery - ukukhishwa kwe-MIDCAB; Ukukhishwa kwe-CAD - MIDCAB

• Inhliziyo yedlula ukuhlinzwa imbobo
• Ukuthatha ishayela lakho le-carotid
• Ishayela osabalalayo

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 - kukuhlasela kancane
• 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
• Isifo senhliziyo - izici eziyingozi
• Uwafunda kanjani amalebula okudla
• Ukudla kwaseMedithera

• Ukuhlinzwa Kwe-Coronary Artery Bypass