Izinguquko zokuguga ezimpawu ezibalulekile

Izimpawu ezibalulekile zibandakanya ukushisa komzimba, ukushaya kwenhliziyo (ukushaya kwenhliziyo), isilinganiso sokuphefumula (sokuphefumula), nomfutho wegazi. Njengoba ukhula, izimpawu zakho ezibalulekile zingashintsha, kuye ngokuthi unempilo kangakanani. Ezinye izinkinga zezokwelapha zingadala ushintsho kusibonakaliso esisodwa noma eziningi ezibalulekile.

Ukuhlola izimpawu zakho ezibalulekile kusiza umhlinzeki wakho wokunakekelwa kwezempilo ukuqapha impilo yakho kanye nanoma yiziphi izinkinga zezokwelapha ongahle ube nazo.

UKUSHISELA KOMZIMBA

Izinga lokushisa lomzimba elijwayelekile alishintshi kakhulu ngokuguga. Kodwa njengoba ukhula, kuba nzima ngomzimba wakho ukulawula izinga lokushisa kwawo. Ukwehla kwenani lamafutha ngaphansi kwesikhumba kwenza kube nzima ukuhlala ufudumele. Ungadinga ukugqoka izingqimba zezingubo ukuze uzizwe ufudumele.

Ukuguga kunciphisa amandla akho okujuluka. Ungaba nobunzima bokutshela uma usushisa ngokweqile. Lokhu kukubeka engcupheni enkulu yokushisa ngokweqile (ukushisa okushisayo). Ungaba futhi engcupheni yokwehla okuyingozi ekushiseni komzimba.

Imfiva iyisibonakaliso esibalulekile sokugula kubantu asebekhulile. Ngokuvamile kuyisifo kuphela sezinsuku ezimbalwa zokugula. Bona umhlinzeki wakho uma unemfiva engachazwanga ukugula okwaziwayo.

Umkhuhlane nawo uwuphawu lokutheleleka. Lapho umuntu osekhulile enegciwane, umzimba wakhe kungenzeka ungakwazi ukukhiqiza ukushisa okuphezulu. Ngalesi sizathu, kubalulekile ukuhlola ezinye izimpawu ezibalulekile, kanye nanoma yiziphi izimpawu nezimpawu zokutheleleka.

ISilinganiso SENHLIZIYO NESilinganiso SOKUPHEFUMULA

Njengoba ukhula, ukushaya kwenhliziyo yakho kucishe kufane nakudala. Kepha uma uzivocavoca umzimba, kungathatha isikhathi eside ukuthi ukushaya kwenhliziyo yakho kwandise futhi kuthathe isikhathi eside ukuthi yehle ngemuva kwalokho. Ukushaya kwenhliziyo yakho ephakeme kakhulu ngokuzivocavoca umzimba nakho kuphansi kunalokho okwakukhona ngenkathi usemncane.

Izinga lokuphefumula ngokuvamile alishintshi ngeminyaka. Kodwa ukusebenza kwamaphaphu kwehla kancane unyaka nonyaka njengoba ukhula. Abantu abadala abanempilo ngokuvamile bangaphefumula ngaphandle komzamo.

UKUSHAYA KWEGAZI

Abantu abadala bangaba nesiyezi lapho besukuma ngokushesha okukhulu. Lokhu kungenxa yokwehla okungazelelwe kwengcindezi yegazi. Lolu hlobo lokwehla komfutho wegazi lapho umile lubizwa ngokuthi yi-orthostatic hypotension.

Ingozi yokuba nomfutho wegazi ophakeme (umfutho wegazi ophakeme) iyanda njengoba ukhula.Ezinye izinkinga ezihlobene nenhliziyo ezivamile kubantu abadala asebekhulile zifaka:

• Ukushaya kancane noma ukushaya okushesha kakhulu
• Izinkinga zesigqi senhliziyo ezifana ne-atrial fibrillation

IMIPHUMELA YEMITHI NGEZIMPAWU EZIBALULEKILE

Imithi esetshenziselwa ukwelapha izinkinga zempilo kubantu asebekhulile ingathinta izimpawu ezibalulekile. Isibonelo, umuthi i-digoxin, osetshenziselwa ukwehluleka kwenhliziyo, kanye nemithi yomfutho wegazi obizwa nge-beta-blockers ingadala ukushaya kwenhliziyo.

Ama-diuretics (amaphilisi amanzi) angadala umfutho wegazi ophansi, imvamisa lapho ushintsha ukuma komzimba ngokushesha okukhulu.

EZINYE IZINGUQUKO

Njengoba ukhula, uzoba nolunye ushintsho, olufaka:

• Kwezitho, izicubu, namaseli
• Enhliziyweni nasemithanjeni yegazi
• Emaphashini

• Ukuvivinya umzimba nge-aerobic
• Ukuthatha ishayela lakho le-carotid
• Ishayela osabalalayo
• Ukufudumala nokupholisa phansi
• Imiphumela yobudala ekucindezelekeni kwegazi

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I-Schiger DL. Indlela yokusondela esigulini enezimpawu ezibalulekile ezingavamile Ku: Goldman L, Schafer AI, eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 7.

UWalston JD. I-sequelae ejwayelekile yomtholampilo yokuguga. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 22.