Ungaphila kanjani ngemuva kokufakelwa kwenhliziyo

-Delile

• Ukubuyiselwa emuva kokufakelwa kwenhliziyo
• Lulama kanjani ekhaya ngemuva kokuhlinzwa
• 1. Ukuthatha izidakamizwa zokuzivikela
• 2. Yenza umsebenzi ojwayelekile womzimba
• 3. Yidla ukudla okuphekiwe kuphela
• 4. Gcina inhlanzeko
• Izinkinga zokuhlinzwa
• Thola ukuthi ukuhlinzwa kwenziwa kanjani ku: Ukufakelwa inhliziyo.

Ngemuva kokufakelwa inhliziyo, ukululama okuhamba kancane futhi okunzima kuyalandela, futhi kubalulekile ukuthatha imishanguzo yokuvikela umzimba nsuku zonke, enconywe ngudokotela, ukugwema ukwenqatshwa kwenhliziyo efakelwe. Kodwa-ke, kubalulekile futhi ukugcina ukudla okunomsoco, ukudla kuphela okuphekwe kahle, ikakhulukazi okuphekiwe, ukugwema izifo ezingabeka impilo yesiguli engcupheni.

Ngokuvamile, ngemuva kokuhlinzwa, isiguli singeniswa egunjini labagula kakhulu (i-ICU) isikhathi esiyizinsuku eziyi-7, bese kuthi ngemuva kwalokho sidluliselwe esibhedlela, lapho sihlala khona amasonto angaba ma-2, sikhululwa cishe kathathu Emasontweni amane kamuva.

Ngemuva kokukhishwa, isiguli kufanele siqhubeke neseluleko sezokwelapha, ukuze kancane kancane sithole ikhwalithi yempilo futhi siphile impilo ejwayelekile, sikwazi ukusebenza, ukuzivocavoca umzimba noma ukuya olwandle, ngokwesibonelo. ;

Ukubuyiselwa emuva kokufakelwa kwenhliziyo

Ngemuva kokuhlinzwa, isiguli sizohlala egumbini lokululama amahora ambalwa, futhi ngemuva kwalokho kuphela siyodluliselwa e-ICU, lapho kufanele sihlale khona, ngokwesilinganiso, izinsuku eziyi-7, ukuze sihlolwe njalo futhi sivimbele izinkinga.

Ngesikhathi sokulaliswa e-ICU, isiguli singaxhunywa kumashubhu amaningana ukuze siqiniseke ukuthi sihlala kahle, futhi singahlala nepayipi lesinye, ama-drain esifubeni, ama-catheters ezingalweni zalo kanye ne-catheter yasekhaleni ukuzondla, futhi kujwayelekile uzizwe ubuthakathaka bemisipha nobunzima bokuphefumula ngenxa yokungasebenzi isikhathi eside ngaphambi kokuhlinzwa.

Kwezinye izimo, ngemuva nje kokuhlinzwa, isiguli singadinga ukuhlala egumbini sodwa, sihlukaniswe nezinye iziguli futhi, kwesinye isikhathi ngaphandle kokuthola izivakashi, ngoba amasosha omzimba abuthakathaka futhi, angathola kalula noma yisiphi isifo, ikakhulukazi ukutheleleka., Ukubeka impilo yesiguli engcupheni.

Ngale ndlela, isiguli nalabo abaxhumana naye kungadingeka ukuthi bagqoke imaski, ingubo kanye namagilavu ​​noma nini lapho singena egumbini laso. Kungemva kokuzinza kuphela lapho edluliselwe khona kwizinsizakalo zeziguli, lapho ehlala khona cishe amasonto amabili futhi alulame kancane kancane.

Lulama kanjani ekhaya ngemuva kokuhlinzwa

Ezimweni eziningi, ukubuyela ekhaya kwenzeka cishe emavikini ama-3 kuye kwayi-4 ngemuva kokuhlinzwa, kodwa-ke, kuyehluka ngemiphumela yokuhlolwa kwegazi, i-electrocardiogram, i-echogram kanye neX-ray yesifuba, okwenziwa kaningi ngesikhathi sokuhlala esibhedlela.

Ukuze kugcinwe ukulandelwa kwesiguli, ngemuva kokuphuma esibhedlela, ama-aphoyintimenti ahleliwe nodokotela wenhliziyo ngokwezidingo.

Impilo yesiguli efakelwe izidumbu iba nezinguquko ezithile, futhi kufanele:

1. Ukuthatha izidakamizwa zokuzivikela

Ngemuva kokuhlinzwa ukufakelwa inhliziyo, isiguli sidinga ukuphuza imishanguzo yokuvikela umzimba nsuku zonke, okuyimithi esiza ukuvimbela ukwenqatshwa kwesitho esifakelwe, njengeCyclosporine noma i-Azathioprine, futhi okufanele sisetshenziswe impilo yonke. Kodwa-ke, ngokujwayelekile, umthamo wemithi uyancipha, njengoba kukhonjisiwe ngudokotela, ngokululama, okwenza kudingeke ukuthi kwenziwe ukuhlolwa kwegazi kuqala ukuvumelanisa ukwelashwa nezidingo.

Ngaphezu kwalokho, ngenyanga yokuqala udokotela angakhombisa ukusetshenziswa kwe:

• Imithi elwa namagciwane, ukugwema ubungozi bokutheleleka, njengeCefamandol noma iVancomycin;
• Ukudambisa izinhlungu, ukunciphisa izinhlungu, njenge-Ketorolac;
• Izidakamizwa, njengeFurosemide ukugcina okungenani u-100 ml womchamo ngehora, ukuvimbela ukuvuvukala nokungasebenzi kahle kwenhliziyo;
• ICorticosteroids, ukuvimbela ukusabela kokuvuvukala, njengeCortisone;
• Ama-anticoagulants, njengeCalciparina, ukuvimbela ukwakheka kwe-thrombi, engavela ngenxa yokunganyakazi;
• Ama-Antacids, ukuvimbela ukopha kokugaya ukudla, njenge-Omeprazole.

Ngaphezu kwalokho, akufanele uthathe noma imuphi omunye umuthi ngaphandle kweseluleko sezokwelapha, ngoba ungahle uhlanganyele futhi uholele ekwenqabeni isitho esitshalwe kabusha.

2. Yenza umsebenzi ojwayelekile womzimba

Ngemuva kokufakelwa inhliziyo, isiguli sikuthola kunzima ukwenza umsebenzi womzimba ngenxa yobunzima bokuhlinzwa, ubude bokuhlala nokusetshenziswa kwama-immunosuppressants, noma kunjalo, lokhu kufanele kuqalwe esibhedlela, ngemuva kokuthi isiguli sizinzile futhi singasekho uthatha imithi ngomthambo.

Ukuze ululame ngokushesha, kufanele kwenziwe izivivinyo ze-aerobic, njengokuhamba imizuzu engama-40 kuye kwengama-60, izikhathi ezi-4 kuye kwezingu-5 ngesonto, ngesivinini esiphansi samamitha angama-80 ngomzuzu, ukuze ukululama kusheshe futhi isiguli esifakelwe kabusha sikwazi ukubuya ngosuku. imisebenzi yosuku.

Ngaphezu kwalokho, kufanele wenze izivivinyo ze-anaerobic, ezinjengokwelula, ukwandisa ukuhamba ngokuhlanganyela, ukuqinisa imisipha, ukuthuthukisa ukuminyana kwamathambo nokunciphisa ukushaya kwenhliziyo.

3. Yidla ukudla okuphekiwe kuphela

Ngemuva kokufakelwa kabusha, isiguli kufanele silandele ukudla okunomsoco, kepha kufanele:

• Susa konke ukudla okuluhlaza ekudleni, njengamasaladi, izithelo namajusi nokungajwayelekile;
• Qeda ukusetshenziswa kokudla okune-pasteurized, njengoshizi, iyogathi nezimpahla ezisemathinini;
• Dla ukudla okuphekwe kahle kuphelas, okuphekwe kakhulu, njenge-apula elibilisiwe, isobho, iqanda elibilisiwe noma elinamathiseli;
• Phuza amanzi amaminerali kuphela.

Ukudla kwesiguli kufanele kube wukudla kwempilo yonke okugwema ukuthintana nama-microorganisms ukuze kugwenywe ukutheleleka futhi, lapho kulungiswa ukudla, izandla, ukudla nezitsha zokupheka kufanele zigezwe kahle ukugwema ukungcoliswa. Yazi ukuthi uzodlani ku: Ukudla ukuze ungavikeleki kakhulu.

4. Gcina inhlanzeko

Ukugwema izinkinga kubalulekile ukugcina imvelo ihlanzekile njalo, futhi kufanele:

• Ukugeza nsuku zonke, ukugeza amazinyo akho okungenani ama-3 ngosuku;
• Ukuhlanza indlu, umoya, ungenawo umswakama nezinambuzane.
• Gwema ukuxhumana nabantu abagulayo, ngomkhuhlane, isibonelo;
• Ungahlali njalo ezindaweni ezingcolisiwe, ene-air conditioning, ebandayo noma eshisayo kakhulu.

Ukuze ukululama kusebenze ngempumelelo kuyadingeka ukuvikela isiguli ezimweni ezingahlasela amasosha omzimba abuthakathaka.

Izinkinga zokuhlinzwa

Ukufakelwa kabusha kwenhliziyo kungukuhlinzwa okuyinkimbinkimbi futhi okubucayi futhi, ngakho-ke, izingozi zalokhu kuhlinzwa kwenhliziyo zihlala zikhona. Ezinye zezinkinga, kubandakanya ukutheleleka noma ukwenqatshwa, ngenxa yokwehla kwamasosha omzimba noma isifo senhliziyo, ukwehluleka kwenhliziyo, ukungasebenzi kahle kwezinso noma ukuquleka, ngokwesibonelo.

Ngesikhathi sokululama futhi, ikakhulukazi ngemuva kokuphuma, kubalulekile ukubuka izimpawu ezingakhombisa izimpawu zezinkinga, ezifana nomkhuhlane, ukuphefumula kanzima, ukuvuvukala kwemilenze noma ukuhlanza, isibonelo futhi, uma kwenzeka, kufanele uye ngokushesha igumbi labezimo eziphuthumayo ukuqala ukwelashwa okufanele.

Thola ukuthi ukuhlinzwa kwenziwa kanjani ku: Ukufakelwa inhliziyo.