Ukuzivocavoca umzimba

Isivivinyo sokucindezela ukuvivinya umzimba sisetshenziselwa ukukala umphumela wokuzivocavoca enhliziyweni yakho.

Lokhu kuhlolwa kwenziwa esikhungweni sezokwelapha noma ehhovisi lomhlinzeki wezempilo.

Uchwepheshe uzobeka iziqeshana eziyishumi ezicabalele, ezinamathelayo ezibizwa ngama-electrode esifubeni sakho. Lezi patches zinamathiselwe kumqapha we-ECG olandela umsebenzi kagesi wenhliziyo yakho ngesikhathi sokuhlolwa.

Uzohamba esitimeleni noma ngebhayisikili ngebhayisikili lokuzivocavoca. Kancane kancane (cishe njalo ngemizuzu emi-3), uzocelwa ukuba uhambe (noma unyobe) ngokushesha futhi uthambekele noma umelane kakhulu. Kufana nokuhamba ngejubane noma ukugijima ukhuphuke intaba.

Ngenkathi uzivocavoca umzimba, okwenziwa yinhliziyo yakho kukalwa nge-electrocardiogram (ECG). Ukufundwa kwengcindezi yegazi lakho nakho kuyathathwa.

Ukuhlolwa kuyaqhubeka kuze kube:

• Ufinyelela isilinganiso senhliziyo eqondiwe.
• Uba nobuhlungu besifuba noma ushintsho kumfutho wegazi ophathelene nalokhu.
• Izinguquko ze-ECG ziphakamisa ukuthi imisipha yenhliziyo yakho ayitholi i-oxygen eyanele.
• Ukhathele kakhulu noma unezinye izimpawu, ezinjengobuhlungu bomlenze, ezikugcina ukuthi uqhubeke.

Uzobhekwa imizuzu eyi-10 kuya kwengu-15 ngemuva kokuzivocavoca, noma kuze kushaye izinga lokushaya kwenhliziyo yakho kwesisekelo. Isikhathi esiphelele sokuhlolwa cishe imizuzu engama-60.

Gqoka izicathulo ezintofontofo nezingubo ezixegayo ezikuvumela ukuba uzivocavoce.

Buza umhlinzeki wakho uma kufanele uphuze noma imiphi imithi yakho ejwayelekile ngosuku lokuhlolwa. Eminye imithi ingaphazamisa imiphumela yokuhlolwa. Ungalokothi uyeke ukuthatha noma imuphi umuthi ngaphandle kokukhuluma nodokotela wakho kuqala.

Tshela udokotela wakho uma uthatha i-sildenafil citrate (Viagra), i-tadalafil (i-Cialis), noma i-vardenafil (i-Levitra) futhi uthathe umthamo ngaphakathi kwamahora angama-24 kuya kwangu-48 edlule.

Akufanele udle, ungabhemi, noma uphuze iziphuzo eziqukethe i-caffeine noma utshwala amahora amathathu (noma ngaphezulu) ngaphambi kokuhlolwa. Ezimweni eziningi, uzocelwa ukuthi uvikele i-caffeine amahora angama-24 ngaphambi kokuhlolwa. Lokhu kufaka:

• Itiye nekhofi
• Wonke ama-sodas, ngisho nalawo abhalwe ukuthi awanayo i-caffeine
• Ama-chocolate
• Ukudambisa izinhlungu okuthile okuqukethe i-caffeine

Ama-electrode (ama-patches aqhubayo) azobekwa esifubeni sakho ukurekhoda umsebenzi wenhliziyo. Ukulungiswa kwezindawo ze-electrode esifubeni sakho kungaveza ukushisa okuncane noma okuhlabayo.

Isigaxa somfutho wegazi engalweni yakho sizokhula njalo ngemizuzu embalwa. Lokhu kuveza umuzwa wokucindezela ongazizwa uqinile. Izilinganiso eziyisisekelo zokushaya kwenhliziyo nomfutho wegazi kuzothathwa ngaphambi kokuqala kokuvivinya umzimba.

Uzoqala ukuhamba esitimeleni noma ugwedle ibhayisikili elimile. Ijubane nokuthambekela kwesitebhisi sokunyathela (noma ukumelana nokuchezuka) kuzokwenyuka kancane.

Kwesinye isikhathi, abantu baba nezimpawu ezilandelayo ngesikhathi sokuhlolwa:

• Ukungakhululeki kwesifuba
• Isiyezi
• Ukushaya kancane
• Ukuphelelwa umoya

Izizathu zokuthi kungani kungenziwa ukuhlolwa kokucindezela ukuvivinya umzimba zifaka:

• Unobuhlungu besifuba (ukubheka isifo semithambo yegazi, ukuncipha kwemithambo eyondla imisipha yenhliziyo).
• I-angina yakho iya ngokuya iba yimbi noma yenzeka kaningi.
• Uke wahlaselwa yisifo senhliziyo.
• Ube nokuhlinzwa kwe-angioplasty noma kwenhliziyo ngokudlula.
• Uzoqala uhlelo lokuzivocavoca futhi unesifo senhliziyo noma izici ezithile zobungozi, njengesifo sikashukela.
• Ukukhomba izinguquko zesigqi senhliziyo ezingenzeka ngesikhathi sokuzivocavoca umzimba.
• Ukuqhubeka nokuhlola inkinga ye-valve yenhliziyo (njenge-aortic valve noma i-mitral valve stenosis).

Kungaba nezinye izizathu zokuthi kungani umhlinzeki wakho acele lokhu kuhlolwa.

Ukuhlolwa okujwayelekile kuzosho ukuthi ukwazi ukuzivocavoca isikhathi eside noma isikhathi eside kunabantu abaningi abalingana nawe nobulili bakho. Futhi awuzange ube nezimpawu noma maqondana nezinguquko kumfutho wegazi noma i-ECG yakho.

Incazelo yemiphumela yakho yokuhlolwa incike kusizathu sokuhlolwa, iminyaka yakho, nomlando wakho wenhliziyo nezinye izinkinga zezokwelapha.

Kungaba nzima ukutolika imiphumela yokuhlolwa kokucindezeleka kokuzivocavoca kuphela kwabanye abantu.

Imiphumela engajwayelekile ingabangelwa:

• Isigqi senhliziyo esingajwayelekile ngesikhathi sokuzivocavoca umzimba
• Izinguquko ku-ECG yakho ezingasho ukuthi kukhona ukuvimba emithanjeni enikezela inhliziyo yakho (isifo semithambo yenhliziyo)

Uma une-test engavamile yokuzivocavoca umzimba, ungahle ube nezinye izivivinyo ezenziwe enhliziyweni yakho njenge:

• I-catheterization yenhliziyo
• Ukuhlolwa kwengcindezi yenukliya
• Ukucindezela i-echocardiography

Ukuhlolwa kwengcindezi ngokuvamile kuphephile. Abanye abantu bangaba nobuhlungu besifuba noma bangaquleka noma bawe. Ukuhlaselwa yinhliziyo noma isigqi senhliziyo esingajwayelekile kuyingozi.

Abantu abanamathuba amaningi okuba nezinkinga ezinjalo bavame ukuvele bazi ukuthi banezinkinga zenhliziyo, ngakho-ke abanikezwa lolu vivinyo.

Ukuzivocavoca i-ECG; I-ECG - isivivinyo sokunyathela; EKG - isivivinyo sokunyathelisa; Ukucindezeleka ECG; Ukuzivocavoca i-electrocardiography; Ukuhlolwa kwengcindezi - umthambo wokunyathelisa; CAD - umshini wokunyathelisa; Isifo se-Coronary artery - umshini wokunyathela; Ubuhlungu besifuba - umshini wokunyathela; I-Angina - umshini wokunyathela; Isifo senhliziyo - umshini wokunyathelisa

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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. UJ Am Coll Cardiol. 2014; 64 (18): 1929-1949. I-PMID: 25077860 pubmed.ncbi.nlm.nih.gov/25077860/.

UGoff DC Jr, uLloyd-Jones DM, uBennett G, et al; I-American College of Cardiology / American Heart Association Task Force Kuzinkombandlela Zokuzilolonga. Umhlahlandlela we-ACC / AHA ka-2013 wokuhlolwa kobungozi benhliziyo: umbiko we-American College of Cardiology / American Heart Association Task Force on Guidelines Practice. UJ Am Coll Cardiol. 2014; 63 (25 Pt B): 2935-2959. I-PMID: 24239921 pubmed.ncbi.nlm.nih.gov/24239921/.

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.