Izimpawu nezixwayiso zesifo senhliziyo

Isifo senhliziyo sivame ukukhula ngokuhamba kwesikhathi. Ungaba nezimpawu noma izimpawu zakuqala ngaphambi kokuba ube nezinkinga ezinkulu zenhliziyo. Noma, ungahle ungaboni ukuthi unesifo senhliziyo. Izimpawu eziyisixwayiso zesifo senhliziyo kungenzeka zingabonakali. Futhi, akuwona wonke umuntu onezimpawu ezifanayo.

Izimpawu ezithile, ezinjengobuhlungu besifuba, ukuvuvukala kwamaqakala, nokuphefumula okuncane kungaba yizimpawu zokuthi kukhona okungahambi kahle. Ukufunda izimpawu eziyisixwayiso kungakusiza uthole ukwelashwa futhi kusize ekuvimbeleni isifo senhliziyo noma isifo sohlangothi.

Ubuhlungu besifuba ukungakhululeki noma ubuhlungu obuzwayo ngaphambili komzimba wakho, phakathi kwentamo yakho nesisu esingaphezulu. Kunezimbangela eziningi zobuhlungu besifuba ezingahlangene nakancane nenhliziyo yakho.

Kepha ubuhlungu besifuba busaluphawu oluvame kakhulu lokuhamba kwegazi okungafanele kuya enhliziyweni noma ekuhlaselweni yinhliziyo. Lolu hlobo lobuhlungu besifuba lubizwa nge-angina.

Ubuhlungu besifuba bungavela lapho inhliziyo ingatholi igazi elanele noma i-oxygen. Inani nohlobo lobuhlungu lungahluka kuye ngomuntu. Ubukhulu bezinhlungu abuhlobene ngaso sonke isikhathi nokuthi inkinga inzima kangakanani.

• Abanye abantu bangase bezwe ubuhlungu obucindezelayo, kanti abanye bazizwa bengakhululekile nje.
• Isifuba sakho singazizwa sisinda noma sengathi othile ucindezela inhliziyo yakho. Ungase futhi uzwe ubuhlungu obubukhali, obuvuthayo esifubeni sakho.
• Ungabuzwa ubuhlungu obuphansi kwesifuba sakho (sternum), noma entanyeni yakho, izingalo, isisu, umhlathi, noma emuva emuva.
• Ubuhlungu besifuba obuvela ku-angina buvame ukwenzeka ngomsebenzi noma ngomzwelo, bese buhamba nokuphumula noma umuthi obizwa nge-nitroglycerin.
• Ukugaya ukudla okungafanele nakho kungadala ubuhlungu besifuba.

Abesifazane, abantu abadala asebekhulile, nabantu abanesifo sikashukela bangaba nobuhlungu besifuba obuncane noma bungabi bikho nhlobo. Banamathuba amaningi okuba nezimpawu ngaphandle kobuhlungu besifuba, njenge:

• Ukukhathala
• Ukuphelelwa umoya
• Ubuthakathaka obujwayelekile
• Shintsha umbala wesikhumba noma i-greyish pallor (iziqephu zokushintsha kombala wesikhumba ohlotshaniswa nobuthakathaka)

Ezinye izimpawu zesifo senhliziyo zingabandakanya:

• Ukukhathazeka ngokweqile
• Ukuquleka noma ukulahlekelwa ukwazi
• Inwele elikhanyayo noma isiyezi
• Isicanucanu noma ukuhlanza
• Ukushaya ngonyawo (ukuzwa sengathi inhliziyo yakho ishaya ngokushesha okukhulu noma ngokungajwayelekile)
• Ukuphelelwa umoya
• Ukujuluka, okungasinda kakhulu

Lapho inhliziyo ingakwazi ukumpompa igazi ngendlela efanele, igazi liyahlehla emithanjeni ephuma emaphashini iye enhliziyweni. Uketshezi luvuza emaphashini futhi lubangele ukuphefumula okuncane. Lokhu kuyisibonakaliso sokuhluleka kwenhliziyo.

Ungaqaphela ukuphefumula okuncane:

• Ngesikhathi somsebenzi
• Ngenkathi usaphumule
• Lapho ulele phansi ngomhlane - kungahle kukuvuse ebuthongweni

Ukukhwehlela noma ukuphefumula okungapheli kungaba esinye isibonakaliso sokuthi uketshezi luyakha emaphashini akho. Ungase futhi ukhwehlele amafinyila abomvana noma anegazi.

Ukuvuvukala (i-edema) emilenzeni yakho engezansi kungenye inkomba yenkinga yenhliziyo. Lapho inhliziyo yakho ingasebenzi futhi, ukugeleza kwegazi kuyehla futhi kuhlehle emithanjeni yemilenze yakho. Lokhu kudala uketshezi olwakhe izicubu zakho.

Ungase futhi uvuvuke esiswini sakho noma uqaphele ukuzuza okuthile kwesisindo.

Ukuncipha kwemithambo yegazi eletha igazi kwezinye izingxenye zomzimba kungasho ukuthi unengozi enkulu kakhulu yokuhlaselwa yisifo senhliziyo. Kungenzeka lapho i-cholesterol nokunye okunamafutha (i-plaque) kwakha ezindongeni zemithambo yakho yegazi.

Ukunikezwa kwegazi okungekho emilenzeni kungaholela ku:

• Ubuhlungu, ukuqaqamba, ukukhathala, ukuvutha, noma ukungaphatheki kahle emisipheni yezinyawo zakho, amathole noma amathanga.
• Izimpawu ezivame ukuvela ngesikhathi sokuhamba noma sokuzivocavoca, bese uhamba ngemuva kwemizuzu eminingana yokuphumula.
• Ukuba ndikindiki emilenzeni nasezinyaweni zakho lapho uphumule. Imilenze yakho nayo ingazizwa ipholile lapho uyithinta, futhi isikhumba singabukeka siphaphathekile.

Isifo sohlangothi senzeka lapho ukugeleza kwegazi kuya engxenyeni yobuchopho kuyeka. I-stroke kwesinye isikhathi ibizwa ngokuthi "ukuhlaselwa yingqondo." Izimpawu zokushaywa unhlangothi zingabandakanya ubunzima bokuhambisa izitho ngakolunye uhlangothi lomzimba wakho, uhlangothi olulodwa lobuso lucekele phansi, ubunzima bokukhuluma noma ukuqonda ulimi.

Ukukhathala kungaba nezimbangela eziningi. Imvamisa kumane kusho ukuthi udinga ukuphumula okwengeziwe. Kodwa ukuzizwa ugijinyisiwe kungaba uphawu lwenkinga enkulu kakhulu. Ukukhathala kungaba uphawu lokukhathazeka kwenhliziyo lapho:

• Uzizwa ukhathele kakhulu kunokujwayelekile. Kuvamile ukuthi abesifazane bazizwe bekhathele kakhulu ngaphambi noma ngesikhathi sokuhlaselwa yinhliziyo.
• Uzizwa ukhathele kangangokuba awukwazi ukwenza imisebenzi yakho ejwayelekile yansuku zonke.
• Unobuthakathaka obungazelelwe, obunzima.

Uma inhliziyo yakho ingakwazi nokumpompa igazi, ingashaya ngokushesha ukuzama ukuhambisana. Ungase uzwe inhliziyo yakho igijima noma ishaya ngamandla. Ukushaya kwenhliziyo okusheshayo noma okungalingani nakho kungaba uphawu lwe-arrhythmia. Le nkinga ngokushaya kwenhliziyo yakho noma ngesigqi.

Uma unezimpawu zesifo senhliziyo, shayela umhlinzeki wakho wezempilo ngokushesha. Ungalindi ukubona ukuthi izimpawu ziyahamba yini noma uzichithe njengezinto ezingekho.

Shayela inombolo yakho yendawo ephuthumayo (njenge-911) uma:

• Unobuhlungu besifuba noma ezinye izimpawu zesifo senhliziyo
• Uma wazi ukuthi une-angina futhi unobuhlungu besifuba obungapheli ngemuva kwemizuzu engu-5 yokuphumula noma ngemuva kokuthatha i-nitroglycerine
• Uma ucabanga ukuthi ungahle uhlaselwe yisifo senhliziyo
• Uma uphelelwa umoya ngokwedlulele
• Uma ucabanga ukuthi kungenzeka ulahlekelwe ngumqondo

Angina - izimpawu zokuxwayisa ngezifo zenhliziyo; Ubuhlungu besifuba - izimpawu zesixwayiso sesifo senhliziyo; I-Dyspnea - izimpawu zokuxwayisa ngezifo zenhliziyo; Izimpawu zesixwayiso sesifo senhliziyo; Ukushaya ngonyawo - izimpawu zesixwayiso sesifo senhliziyo

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 www.ncbi.nlm.nih.gov/pubmed/25070666.

UGoff DC Jr, uLloyd-Jones DM, uBennett G, et al. Umhlahlandlela we-ACC / AHA ka-2013 wokuhlolwa kobungozi benhliziyo: umbiko we-American College of Cardiology / American Heart Association Task Force on Guidelines Practice. Ukujikeleza. 2014; 129 (25 Suppl 2): ​​S49-S73. PMID: 24222018 www.ncbi.nlm.nih.gov/pubmed/24222018.

UGulati M, uBairey Merz CN. Isifo senhliziyo kwabesifazane. 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 89.

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.

• Izifo Zenhliziyo