Ukuhluleka kwenhliziyo - uketshezi kanye nezidakamizwa

Ukwehluleka kwenhliziyo yisimo lapho inhliziyo ingasakwazi ukupompa igazi elicebile oksijini kuwo wonke umzimba kahle. Lokhu kudala uketshezi emzimbeni wakho. Ukulinganisela ukuthi uphuza kangakanani nokuthi usawoti ongakanani (i-sodium) owuthathayo kungasiza ukuvimbela lezi zimpawu.

Lapho uhluleka yinhliziyo, inhliziyo yakho ayikhiphi igazi elanele. Lokhu kudala uketshezi emzimbeni wakho. Uma uphuza uketshezi oluningi, ungathola izimpawu ezifana nokuvuvukala, ukukhuluphala, nokuphefumula okuncane. Ukulinganisela ukuthi uphuza kangakanani nokuthi usawoti ongakanani (i-sodium) owuthathayo kungasiza ukuvimbela lezi zimpawu.

Amalungu akho omndeni angakusiza ukuthi uzinakekele. Bangakwazi ukubheka ukuthi uphuza kangakanani. Bangaqiniseka ukuthi uphuza imithi yakho ngendlela efanele. Futhi bangafunda ukuzibona izimpawu zakho kusenesikhathi.

Umhlinzeki wakho wezokunakekelwa kwempilo angakucela ukuthi wehlise inani loketshezi oliphuzayo:

• Lapho ukwehluleka kwenhliziyo yakho kungakubi kakhulu, kungenzeka ungadingi ukukhawulela uketshezi lwakho ngokweqile.
• Njengoba ukwehluleka kwenhliziyo yakho kuba kubi kakhulu, kungadingeka ukuthi ulinganisele uketshezi ezinkomishini eziyisithupha kuya kwezi-9 (1.5 kuye 2 litre) ngosuku.

Khumbula, okunye ukudla, okunjengesobho, uphudingi, i-gelatin, u-ayisikhilimu, ama-popsicles nokunye kuqukethe uketshezi. Uma udla isobho eli-chunky, sebenzisa imfoloko uma ungakwazi, bese ushiya umhluzi ngemuva.

Sebenzisa inkomishi encane ekhaya uketshezi lwakho uma udla, uphuze inkomishi eyodwa nje (240 ml). Ngemuva kokuphuza 1 inkomishi (i-240 mL) yoketshezi endaweni yokudlela, vula inkomishi yakho ukwazisa isiphakeli sakho ukuthi awufuni okungaphezulu. Thola izindlela zokuvikela ukoma kakhulu:

• Uma womile, hlafuna ushungamu, hlanza umlomo wakho ngamanzi abandayo bese uwukhafula, noma umunce okuthile okufana noswidi onzima, ucezu lukalamula, noma izingcezu ezincane zeqhwa.
• Hlala upholile. Ukushisa ngokweqile kuzokukomisa.

Uma unenkinga yokugcina umkhondo wayo, bhala phansi ukuthi uphuza kangakanani emini.

Ukudla usawoti omningi kungakomisa, okungenza ukuthi uphuze kakhulu. Usawoti owengeziwe wenza futhi ukuthi uketshezi oluningi luhlale emzimbeni wakho. Ukudla okuningi kuqukethe "usawoti ofihliwe," kufaka phakathi ukudla okulungiselelwe, okusemathinini kanye neqhwa. Funda ukuthi ungadla kanjani ukudla okunosawoti omncane.

Izidakamizwa zisiza umzimba wakho ukuthi ulahle uketshezi olungeziwe. Zivame ukubizwa ngokuthi "amaphilisi amanzi." Kunezinhlobo eziningi zemikhiqizo yokwelapha isisu. Ezinye zithathwa 1 ngosuku. Ezinye zithathwa izikhathi ezimbili ngosuku. Izinhlobo ezintathu ezijwayelekile yilezi:

• I-Thiazides: I-Chlorothiazide (i-Diuril), i-chlorthalidone (i-Hygroton), i-indapamide (i-Lozol), i-hydrochlorothiazide (i-Esidrix, i-HydroDiuril), ne-metolazone (i-Mykrox, i-Zaroxolyn)
• I-Loure diuretics: I-Bumetanide (i-Bumex), i-furosemide (i-Lasix), ne-torsemide (i-Demadex)
• Ama-potassium-sparing agents: Amiloride (Midamor), spironolactone (Aldactone), kanye ne-triamterene (Dyrenium)

Kukhona futhi nomchamo oqukethe inhlanganisela yezidakamizwa ezimbili ezingenhla.

Uma uthatha isisu, kuzodingeka ukuthi uhlolwe njalo ukuze umhlinzeki wakho abheke amazinga akho e-potassium futhi abheke ukuthi izinso zakho zisebenza kanjani.

I-diuretics ikwenza uchame kaningi. Zama ukungazithathi ebusuku ngaphambi kokuba ulale. Zithathe ngasikhathi sinye nsuku zonke.

Imiphumela emibi ejwayelekile ye-diuretics yilezi:

• Ukukhathala, imisipha, noma ubuthakathaka obuvela emazingeni aphansi e-potassium
• Isiyezi noma ikhanda elikhanyayo
• Ukuba ndikindiki noma ukuncinza
• Ukushaya inhliziyo, noma ukushaya kwenhliziyo kwe- "fluttery"
• Gout
• Ukucindezeleka
• Ukuthukuthela
• Ukungahambisani nomchamo (ukungakwazi ukubamba umchamo wakho)
• Ukulahlekelwa yi-sex drive (kusuka ku-potassium-sparing diuretics), noma ukungakwazi ukwakhiwa
• Ukukhula kwezinwele, izinguquko zokuya esikhathini, nezwi elijulayo kwabesifazane (kusuka ku-potassium-sparing diuretics)
• Ukuvuvukala kwamabele emadodeni noma ubumnene besifuba kwabesifazane (kusuka ku-potassium-sparing diuretics)
• Ukungezwani komzimba - uma uxabana nezidakamizwa ze-sulfa, akufanele usebenzise ama-thiazides.

Qiniseka ukuthi uthatha umchamo wakho ngendlela otshelwe ngayo.

Uzokwazi ukuthi yisiphi isisindo esifanele kuwe. Ukuzikala kuzokusiza wazi ukuthi kukhona yini uketshezi oluningi emzimbeni wakho. Ungase futhi uthole ukuthi izingubo zakho nezicathulo zizizwa ziqine kakhulu kunokujwayelekile lapho kunoketshezi oluningi emzimbeni wakho.

Zilinganise njalo ekuseni ngesilinganiso esifanayo lapho uvuka - ngaphambi kokudla nangemva kokugeza. Qiniseka ukuthi ugqoka izingubo ezifanayo isikhathi ngasinye lapho uzikala. Bhala isisindo sakho nsuku zonke eshadini ukuze ukwazi ukusilandela.

Shayela umhlinzeki wakho uma isisindo sakho sikhuphuka ngaphezu kwamakhilogremu ama-2 kuye kwayi-3 (1 kuya ku-1.5 kilograms, kg) ngosuku noma amakhilogremu ama-2 ngesonto. Fonela nomhlinzeki wakho uma ulahlekelwa isisindo esiningi.

Shayela umhlinzeki wakho uma:

• Ukhathele noma ubuthakathaka.
• Uzwa uphelelwa umoya lapho usebenza noma lapho uphumule.
• Uzwa uphelelwa umoya lapho ulala phansi, noma ihora noma amabili ngemuva kokulala.
• Uphefumula futhi unenkinga yokuphefumula.
• Unesikhwehlela esingapheli. Kungaba yomile futhi igqekeze, noma ingazwakala imanzi futhi ikhiphe i-pink, sp foamy.
• Uvuvukale ezinyaweni, emaqakaleni noma emilenzeni.
• Kufanele uchame kakhulu, ikakhulukazi ebusuku.
• Uthole noma wehlise isisindo.
• Unobuhlungu nobumnene esiswini sakho.
• Unezimpawu ocabanga ukuthi kungenzeka ukuthi zivela emithini yakho.
• Ukushaya kwenhliziyo yakho, noma ukushaya kwenhliziyo, kwehla kakhulu noma kusheshe kakhulu, noma kungazinzile.

I-HF - uketshezi kanye ne-diuretics; Ukukhishwa kwe-CHF - ICD; I-Cardiomyopathy - ukukhishwa kwe-ICD

U-Eckel RH, uJakicic JM, u-Ard JD, et al. Umhlahlandlela we-2013 AHA / ACC ekuphathweni kwendlela yokuphila ukunciphisa ubungozi benhliziyo: umbiko we-American College of Cardiology / American Heart Association Task Force ngemihlahlandlela yokusebenza. UJ Am Coll Cardiol. 2014; 63 (25 Pt B): 2960-2984. I-PMID: 2423992 pubmed.ncbi.nlm.nih.gov/24239922/.

UMann DL. Ukuphathwa kweziguli ezinokwehluleka kwenhliziyo ezinengxenyenamba yokukhipha encishisiwe. 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 25.

UYancy CW, uJessup M, uBozkurt B, et al. Ukubuyekezwa okugxile kwe-2017 ACC / AHA / HFSA komhlahlandlela we-ACCF / AHA ka-2013 wokuphathwa kokuhluleka kwenhliziyo: umbiko we-American College of Cardiology / American Heart Association Task Force ku-Clinical Practice Guidelines kanye ne-Heart Failure Society of America. Ukujikeleza. 2017; 136 (6): e137-e161. I-PMID: 28455343 pubmed.ncbi.nlm.nih.gov/28455343/.

UZile MR, uLitwin SE. Ukwehluleka kwenhliziyo ngengxenyenamba yokukhipha egciniwe. 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 26.

• Isifo senhliziyo
• Ukwehluleka kwenhliziyo
• Amazinga aphezulu e-cholesterol egazini
• Umfutho wegazi ophezulu - abantu abadala

• I-Aspirin nesifo senhliziyo
• Cholesterol nendlela yokuphila
• Ukulawula umfutho wegazi ophakeme
• Amathiphu okudla okusheshayo
• Ukuhluleka kwenhliziyo - ukukhipha
• Ukwehluleka kwenhliziyo - ukuqapha ekhaya
• Ukwehluleka kwenhliziyo - okufanele ubuze udokotela wakho
• Ukudla okunosawoti omningi

• Ukwehluleka Kwenhliziyo