Ukuhluleka kwenhliziyo - ukukhipha

Ukwehluleka kwenhliziyo yisimo lapho inhliziyo ingasakwazi ukupompa igazi elicebile oksijini kuwo wonke umzimba kahle. Lapho izimpawu ziba nzima, ukuhlala esibhedlela kungadingeka. Lezi zihloko zikhuluma ngalokho okudingeka ukwenze ukuze uzinakekele lapho uphuma esibhedlela.

Ubusesibhedlela ukuyokwelashwa ukuhluleka kwenhliziyo yakho. Ukwehluleka kwenhliziyo kwenzeka lapho imisipha yenhliziyo yakho ibuthakathaka noma unenkinga yokuphumula, noma kokubili.

Inhliziyo yakho iyimpompo ehambisa uketshezi emzimbeni wakho. Njenganoma iyiphi impompo, uma ukuphuma kwepompo kunganele, uketshezi aluhambi kahle futhi lubambeka ezindaweni okungafanele ukuba kuzo. Emzimbeni wakho, lokhu kusho ukuthi uketshezi luqoqa emaphashini akho, esiswini nasemilenzeni.

Ngenkathi usesibhedlela:

• Ithimba lakho lokunakekelwa kwezempilo lilungise eduze uketshezi oliphuzile noma olutholile ngomugqa we-intravenous (IV). Baphinde babuka futhi balinganisa ukuthi ukhiqize umchamo ongakanani.
• Kungenzeka ukuthi uthole imithi yokusiza umzimba wakho ukukhipha uketshezi olungeziwe.
• Kungenzeka ukuthi uke wahlolwa ukuze uhlole ukuthi inhliziyo yakho ibisebenza kanjani.

Amandla akho azobuya kancane. Ungadinga usizo lokuzinakekela lapho ufika ekhaya okokuqala. Ungase uzizwe udabukile noma ucindezelekile. Zonke lezi zinto zijwayelekile.

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

Usuku lonke, zibuze:

• Ngabe izinga lamandla ami lijwayelekile?
• Ingabe ngiphefumula ngokwengeziwe lapho ngenza imisebenzi yami yansuku zonke?
• Ngabe izingubo zami noma izicathulo zizizwa ziqinile?
• Ngabe amaqakala noma imilenze yami iyavuvukala?
• Ngikhwehlela kaningi? Ingabe ukukhwehlela kwami ​​kuzwakala kumanzi?
• Ingabe ngiphelelwa umoya ebusuku noma lapho ngilala phansi?

Uma unezimpawu ezintsha (noma ezihlukile), zibuze:

• Ngabe ngidle okuhlukile kunokujwayelekile noma ngazama ukudla okusha?
• Ngabe ngiphuze yonke imithi yami ngendlela efanele ngesikhathi esifanele?

Umhlinzeki wakho wezokunakekelwa kwempilo angakucela ukuthi ulinganisele ukuthi uphuza kangakanani.

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

Uzodinga ukudla usawoti omncane. Usawoti ungakwenza womile, futhi ukoma kungakwenza ukuthi uphuze uketshezi oluningi. Usawoti owengeziwe wenza futhi ukuthi uketshezi luhlale emzimbeni wakho. Ukudla okuningi okunganambitheki usawoti, noma ongafaki usawoti kukho, kusaqukethe usawoti omningi.

Kungase kudingeke ukuthi uthathe iphilisi elenza isisu, noma lamanzi.

Ungaphuzi utshwala. Utshwala benza kube nzima ukuthi imisipha yenhliziyo yakho isebenze. Buza umhlinzeki wakho ukuthi enzeni ngezikhathi ezikhethekile lapho kuzonikezwa khona utshwala nokudla ozama ukukugwema.

Uma ubhema, yeka. Cela usizo lokuyeka uma uludinga. Ungavumeli noma ngubani abheme ekhaya lakho.

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

• Gwema ukudla okunamafutha.
• Hlala kude nezindawo zokudlela ezidayisa ukudla okusheshayo.
• Gwema ukudla okulungiselelwe nokubandayo.
• Funda amathiphu okudla okusheshayo.

Zama ukuziqhelelanisa nezinto ezikucindezelayo. Uma uzizwa ucindezelekile ngaso sonke isikhathi, noma uma udabuke kakhulu, khuluma nomhlinzeki wakho ongakudlulisela kumeluleki.

Yenza yonke 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 amakhambi ngaphandle kokubuza umhlinzeki wakho ngawo kuqala.

Thatha izidakamizwa zakho ngamanzi. Musa ukuwaphuza ngejusi lamagilebhisi, ngoba kungashintsha indlela umzimba wakho omunca ngayo imithi ethile. Buza umhlinzeki wakho noma usokhemisi ukuthi ngabe lokhu kuzoba yinkinga yini kuwe.

Izidakamizwa ezingezansi zinikezwa abantu abaningi abanesifo senhliziyo. Kwesinye isikhathi kunesizathu abangase bangaphephi ukusithatha, noma kunjalo. Le mithi ingasiza ukuvikela inhliziyo yakho. Khuluma nomhlinzeki wakho uma ungekho kunoma iyiphi yalezi zidakamizwa:

• Izidakamizwa ze-antiplatelet (izinciphisi zegazi) njenge-aspirin, i-clopidogrel (i-Plavix), noma i-warfarin (i-Coumadin) ukusiza ukugcina igazi lakho linganqobi
• I-beta blocker nemithi ye-ACE inhibitor yokwehlisa umfutho wegazi
• Izitatimende noma ezinye izidakamizwa ukwehlisa i-cholesterol yakho

Khuluma nomhlinzeki wakho ngaphambi kokushintsha indlela oyiphuza ngayo imithi yakho. Ungalokothi uyeke ukuthatha le mithi ngenhliziyo yakho, noma yimiphi imithi okungenzeka ukuthi uyiphuzela isifo sikashukela, umfutho wegazi ophakeme, noma ezinye izimo zezokwelapha onazo.

Uma uthatha igazi elincanyana, njenge-warfarin (i-Coumadin), kuzodingeka ukuthi ube nokuhlolwa kwegazi okwengeziwe ukuze uqiniseke ukuthi umthamo wakho ulungile.

Umhlinzeki wakho angakudlulisela ohlelweni lokuvuselela inhliziyo. Lapho, uzofunda ukuthi ungasikhulisa kanjani kancane isivivinyo sakho nokuthi ungasinakekela kanjani isifo senhliziyo yakho. Qiniseka ukuthi ugwema ukuphakamisa okunzima.

Qiniseka ukuthi uyazazi izimpawu eziyisixwayiso zokwehluleka kwenhliziyo nokuhlaselwa yisifo senhliziyo. Yazi okufanele ukwenze uma unezinhlungu esifubeni, noma i-angina.

Njalo buza umhlinzeki wakho ngaphambi kokuqala ukwenza ucansi futhi. Ungathathi i-sildenafil (Viagra), noma i-vardenafil (i-Levitra), i-tadalafil (i-Cialis), noma noma yiliphi ikhambi lamakhambi lezinkinga zokwakhiwa ngaphandle kokuhlola kuqala.

Qiniseka ukuthi ikhaya lakho lihlelelwe ukuthi liphephe futhi kube lula kuwe ukuthi ungene kulo futhi uvikele ukuwa.

Uma ungeke ukwazi ukuhambahamba kakhulu, cela umhlinzeki wakho akunikeze izivivinyo ongazenza ngenkathi uhleli.

Qiniseka ukuthi uthola umkhuhlane njalo ngonyaka. Ungadinga futhi i-pneumonia shot. Buza umhlinzeki wakho ngalokhu.

Umhlinzeki wakho angakushayela ukuze abone ukuthi uqhuba kanjani nokuthi aqiniseke ukuthi uhlola isisindo sakho futhi uthatha nemithi yakho.

Uzodinga ama-aphoyintimenti okulandelela ehhovisi lomhlinzeki wakho.

Kuzodingeka ukuthi ube nokuhlolwa okuthile kwelebhu ukuhlola amazinga akho e-sodium ne-potassium futhi ubheke ukuthi izinso zakho zisebenza kanjani.

Shayela umhlinzeki wakho uma:

• Uzuza ngaphezu kwamakhilogremu amabili (lb) (1 kilogram, kg) ngosuku, noma 5 lb (2 kg) ngesonto.
• Ukhathele kakhulu futhi ubuthakathaka.
• Unesiyezi futhi unekhanda elikhanyayo.
• Uphefumula ngokwengeziwe lapho wenza imisebenzi yakho ejwayelekile.
• Unokuphefumula okusha lapho uhleli.
• Udinga ukuhlala phansi noma usebenzise eminye imicamelo ebusuku ngoba uswele umoya lapho ulele.
• Uvuka ihora eli-1 kuya kwele-2 ngemuva kokulala ngoba uswele umoya.
• Uphefumula futhi unenkinga yokuphefumula.
• Uzwa ubuhlungu noma ingcindezi esifubeni sakho.
• Unesikhwehlela esingapheli. Kungaba yomile futhi igqekeze, noma ingazwakala imanzi futhi ikhiphe i-pink, sp foamy.
• Uvuvukile ezinyaweni, emaqakaleni noma emilenzeni.
• Kufanele uchame kakhulu, ikakhulukazi ebusuku.
• Unobuhlungu besisu nobumnene.
• Unezimpawu ocabanga ukuthi kungenzeka ukuthi zivela emithini yakho.
• Ukushaya kwenhliziyo yakho, noma ukushaya kwenhliziyo, kwehla kakhulu noma kusheshe kakhulu, noma kungazinzile.

Ukwehluleka kwenhliziyo yokubamba - ukukhipha; CHF - ukukhishwa; HF - ukukhishwa

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 zokwehluleka 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.

• Angina
• I-atherosclerosis
• Izinqubo zokukhipha inhliziyo
• Isifo senhliziyo
• Ukwehluleka kwenhliziyo
• Umenzi wenhliziyo
• Umfutho wegazi ophezulu - abantu abadala
• I-cardioverter-defibrillator engafakelwa
• Amathiphu wokuthi ungakuyeka kanjani ukubhema
• Idivayisi yokusiza ye-Ventricular

• Ama-ACE inhibitors
• I-Angina - lapho unezinhlungu esifubeni
• Izidakamizwa ze-antiplatelet - P2Y12 inhibitors
• I-Aspirin nesifo senhliziyo
• Ukusebenza lapho unesifo senhliziyo
• Ibhotela, imajarini namafutha okupheka
• Cholesterol nendlela yokuphila
• Ukulawula umfutho wegazi ophakeme
• Kuchazwe amafutha ezokudla
• Amathiphu okudla okusheshayo
• Isifo senhliziyo - izici eziyingozi
• Ukuhluleka kwenhliziyo - uketshezi kanye nezidakamizwa
• Ukwehluleka kwenhliziyo - ukuqapha ekhaya
• Ukwehluleka kwenhliziyo - okufanele ubuze udokotela wakho
• Umfutho wegazi ophakeme - okufanele ubuze udokotela wakho
• Uwafunda kanjani amalebula okudla
• I-cardioverter defibrillator engafakelwa - ukukhishwa
• Ukudla okunosawoti omningi
• Ukudla kwaseMedithera
• Ukuthatha i-warfarin (Coumadin, Jantoven) - okufanele ubuze udokotela wakho
• Ukuthatha i-warfarin (Coumadin)

• Ukwehluleka Kwenhliziyo