Ukwehluleka kwenhliziyo - ukunakekelwa okunciphisayo

Kubalulekile ukukhuluma nabahlinzeki bakho bezokunakekelwa kwempilo kanye nomndeni wakho ngohlobo lokunakekelwa kokuphela kwempilo olufunayo lapho welashelwa ukwehluleka kwenhliziyo.

Ukwehluleka kwenhliziyo okungapheli kuvame ukuba kubi ngokuhamba kwesikhathi. Abantu abaningi abanokuhluleka kwenhliziyo babulawa yilesi simo. Kungaba nzima ukucabanga nokukhuluma ngohlobo lokunakekelwa olufunayo ekugcineni kwempilo yakho. Kodwa-ke, ukuxoxa ngalezi zindaba nodokotela bakho nalabo obathandayo kungasiza ekuletheni ukuthula kwengqondo.

Kungenzeka ukuthi usuvele uxoxe ngokufakelwa kwenhliziyo nokusetshenziswa kwethuluzi lokusiza le-ventricular nodokotela wakho.

Esikhathini esithile, uzobhekana nesinqumo sokuthi uzoqhubeka yini nokwelashwa okusebenzayo noma okunolaka kokuhluleka kwenhliziyo. Ngemuva kwalokho, ungahle ufune ukuxoxa ngenketho yokunakekelwa okunciphisayo noma okunethezeka nabahlinzeki bakho nabathandekayo.

Abantu abaningi bafisa ukuhlala emakhaya abo phakathi nesikhathi sokuphila. Lokhu kuvame ukwenzeka ngokusekelwa abathandekayo, abanakekeli, kanye nohlelo lwe-hospice. Ungahle udinge ukwenza izinguquko ekhaya lakho ukwenza impilo ibe lula futhi ikugcine uphephile. Amayunithi wezibhedlela ezibhedlela nakwezinye izikhungo zabahlengikazi nakho kuyindlela.

Imiyalo yokunakekelwa kwangaphambili yimibhalo esho uhlobo lokunakekelwa ongathanda ukuba nalo uma ungakwazi ukuzikhulumela.

Ukukhathala nokuphefumula kuyizinkinga ezijwayelekile ekugcineni kwempilo. Lezi zimpawu zingakhathaza.

Ungazizwa uphelelwa umoya futhi unenkinga yokuphefumula. Ezinye izimpawu zingabandakanya ukuqina esifubeni, uzizwe sengathi awutholi umoya owenele, noma uzizwe sengathi uyashaywa.

Umndeni noma abanakekeli bangasiza ngoku:

• Ukugqugquzela umuntu ukuthi ahlale aqonde
• Ukwandisa ukuhamba komoya egumbini ngokusebenzisa ifeni noma ukuvula iwindi
• Ukusiza umuntu akhululeke futhi angatatazeli

Ukusebenzisa i-oxygen kuzokusiza ukuthi ulwe nokuphefumula okuncane futhi kugcine umuntu onokwehluleka kwenhliziyo yokugcina ekhululekile. Izindlela zokuphepha (njengokungabhemi) zibaluleke kakhulu uma usebenzisa i-oxygen ekhaya.

I-Morphine nayo ingasiza ekuphefumuleni. Itholakala njengephilisi, uketshezi, noma ithebhulethi encibilika ngaphansi kolimi. Umhlinzeki wakho uzokutshela ukuthi ungayithatha kanjani i-morphine.

Izimpawu zokukhathala, ukuphefumula okuncane, ukulahlekelwa isifiso sokudla, kanye nesicanucanu kungenza kube nzima kubantu abanenhliziyo ukwehluleka ukuthola amakhalori nezakhi zomzimba ezanele. Ukwehla kwemisipha nokuncipha kwesisindo kuyingxenye yenqubo yesifo semvelo.

Kungasiza ukudla izidlo ezimbalwa ezincane. Ukukhetha ukudla okuthandekayo futhi okulula ukukugaya kungenza kube lula ukukudla.

Abanakekeli akufanele bazame ukuphoqa umuntu onenkinga yenhliziyo ukuba adle. Lokhu akusizi ukuthi umuntu aphile isikhathi eside futhi kungahle kungakhululeki.

Khuluma nomhlinzeki wakho ngezinto ongazenza ukusiza ukuphatha isicanucanu noma ukuhlanza nokuqunjelwa.

Ukukhathazeka, ukwesaba nokudabuka kuvamile phakathi kwabantu abanesifo senhliziyo sokugcina.

• Umndeni nabanakekeli kufanele babheke izimpawu zalezi zinkinga. Ukubuza lowo muntu ngemizwa yakhe nangokwesaba kwakhe kungenza kube lula ukuxoxa ngakho.
• I-Morphine nayo ingasiza ngokwesaba nokukhathazeka. Amanye ama-anti-depressants nawo angasiza.

Ubuhlungu buyinkinga ejwayelekile ekugcineni kwezifo eziningi, kufaka phakathi ukwehluleka kwenhliziyo. I-morphine neminye imithi yezinhlungu ingasiza. Imithi ejwayelekile yezinhlungu ezithengiswayo, njenge-ibuprofen, imvamisa ayiphephile kubantu abanokwehluleka kwenhliziyo.

Abanye abantu bangaba nezinkinga ngokulawula isinye noma ukusebenza kwamathumbu. Khuluma nomhlinzeki wakho ngaphambi kokusebenzisa noma yimiphi imithi, ama-laxatives, noma ama-suppositories alezi zimpawu.

CHF - palliative; Ukwehluleka kwenhliziyo yokuqina - ukuthambisa; I-Cardiomyopathy - i-palliative; HF - palliative; I-cachexia yenhliziyo; Ukuphela kwempilo-yenhliziyo ukwehluleka

U-Allen LA, uMatlock DD. Ukwenza izinqumo nokunakekelwa okunciphisayo ekuhlulekeni kwenhliziyo okuthuthukile. Ku: Felker GM, Mann DL, eds. Ukwehluleka Kwenhliziyo: Umngane Wezifo Zenhliziyo zeBraunwald. Umhla wesi-4. IPhiladelphia, PA: Elsevier, 2020: isahluko 50.

U-Allen LA, uStevenson LW. Ukuphathwa kweziguli ezinesifo senhliziyo nemithambo yegazi okusondela ekupheleni kwempilo .. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier Saunders; 2019: isahluko 31.

UYancy CW, uJessup M, uBozkurt B, et al. Umhlahlandlela we-ACCF / AHA ka-2013 wokuphathwa kokuhluleka kwenhliziyo: umbiko we-American College of Cardiology Foundation / American Heart Association Task Force on Guidelines Practice. Ukujikeleza. 2013; 128 (16): e240-e327. I-PMID: 23741058 www.ncbi.nlm.nih.gov/pubmed/23741058.

• Ukwehluleka Kwenhliziyo