Ukuhlanganiswa kwe-myocardial

Ukuxubana kwe-myocardial kungumhuzuko wemisipha yenhliziyo.

Izimbangela ezivame kakhulu yilezi:

• Ukushayisana kwezimoto
• Ukushayiswa yimoto
• Ukuvuselelwa kweCardiopulmonary (CPR)
• Ukuwa kusuka ekuphakameni, imvamisa kukhulu kunezinyawo ezingama-20 (amamitha ayisithupha)

Ukudideka okunzima kwe-myocardial kungaholela kwizimpawu nezimpawu zesifo senhliziyo.

Izimpawu zingafaka:

• Ubuhlungu ngaphambili kwezimbambo noma ithambo lesifuba
• Uzwa sengathi inhliziyo yakho iyagijima
• Ubumhlophe
• Isicanucanu noma ukuhlanza
• Ukuphelelwa umoya
• Ubuthakathaka

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba. Lokhu kungakhombisa:

• Ukuqhuma noma ukuklwebha odongeni lwesifuba
• Ukuzwela lapho uthinta isikhumba uma kukhona ukuphuka kwezimbambo nokubhoboza amaphaphu
• Ukushaya kwenhliziyo okusheshayo
• Ukushaya kwenhliziyo okungajwayelekile
• Umfutho wegazi ophansi
• Ukuphefumula okusheshayo noma okungajulile
• Ubumnene bokuthinta
• Ukunyakaza kodonga lwesifuba okungavamile okuvela ezimbanjeni

Ukuhlolwa kungafaka:

• Ukuhlolwa kwegazi (ama-enzyme enhliziyo, njengeTroponin-I noma iT noma i-CKMB)
• I-x-ray yesifuba
• I-CT scan yesifuba
• I-Electrocardiogram (ECG)
• I-Echocardiogram

Lezi zivivinyo zingakhombisa:

• Izinkinga ngodonga lwenhliziyo nokukwazi kwenhliziyo ukwenza isivumelwano
• Uketshezi noma igazi esikhwameni esincanyana esizungeze inhliziyo (pericardium)
• Ukulimala kwembambo, ukulimala kwamaphaphu noma kwegazi
• Inkinga ngokusayinwa kagesi kwenhliziyo (okufana nebhulokhi yegatsha noma enye ibhlokhi yenhliziyo)
• Ukushaya kwenhliziyo okusheshayo okuqala endaweni yesono senhliziyo (sinus tachycardia)
• Ukushaya kwenhliziyo okungavamile okuqala kuma-ventricles noma emakamelweni aphansi enhliziyo (i-ventricular dysrhythmia)

Ezimweni eziningi, uzobhekwa eduze okungenani amahora angama-24. I-ECG izokwenziwa njalo ukuhlola ukusebenza kwenhliziyo yakho.

Ukwelashwa kwegumbi eliphuthumayo kungafaka:

• Ukubekwa ngepayipi ngomthambo (IV)
• Imithi yokudambisa izinhlungu, ukuphazamiseka kokushaya kwenhliziyo, noma umfutho ophansi wegazi
• I-Pacemaker (yesikhashana, ingaba unomphela ngokuhamba kwesikhathi)
• Oxygen

Ezinye izindlela zokwelashwa zingasetshenziswa ukwelapha ukulimala kwenhliziyo, kufaka:

• Ukubekwa kwesifuba sesifuba
• Ukukhipha igazi kusuka enhliziyweni
• Ukuhlinzwa ukulungisa imithambo yegazi esifubeni

Abantu abanesifo esibi se-myocardial bazolulama ngokuphelele isikhathi esiningi.

Ukulimala okukhulu kwenhliziyo kungakhuphula ingozi yakho yokwehluleka kwenhliziyo noma izinkinga zesigqi senhliziyo.

Amathiphu alandelayo okuphepha angasiza ekuvimbeleni ukulimazeka kwenhliziyo:

• Bopha ibhande uma ushayela.
• Khetha imoto enezikhwama zomoya.
• Thatha izinyathelo zokuqinisekisa ukuphepha lapho usebenza ezindaweni eziphakeme.

Ukulimala okungahambi kahle kwe-myocardial

• Inhliziyo - isigaba phakathi nendawo
• Inhliziyo - ukubuka kwangaphambili

I-Boccalandro F, i-Von Schoettler H. Isifo senhliziyo esibuhlungu. Ku: Levine GN, ed. Izimfihlo Ze-Cardiology. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2018: isahluko 71.

ULedgerwood AM, uLucas CE. Ukulimala kwenhliziyo okungaqondakali. Ku: UCameron AM, uCameron JL, ama-eds. Ukwelashwa Kwamanje. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2020: 1241-1245.

URaja AS. Ukuhlukumezeka Thoracic. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 38.