Yini Ebangela Ukuqubuka Kwekhanda nokuthi Ungakuvimbela Kanjani Ukuvela

-Delile

• Kuyini ngempela ukuphuthuma ekhanda?
• Yini engadala ukushesha kwekhanda?
• Ungakuvimbela kanjani ukushesha kwekhanda kungenzeki?
• Ukuhlala kunamanzi amaningi
• Esukuma kancane
• Gwema izindawo ezishisayo
• Ukunciphisa ukuphuza utshwala
• Kufanele ubone nini udokotela?
• Yiziphi izinto ezikubeka engcupheni yokugijimisa ikhanda?
• Imithi
• Ukuphumula kombhede
• Ukuguga
• Ukukhulelwa
• Izifo
• Ukuthatha ukhiye

Ukugijimisana kwekhanda kubangelwa ukwehla ngokushesha kwengcindezi yegazi lakho lapho usukuma.

Imvamisa zibangela isiyezi esihlala kusuka kumasekhondi ambalwa kuye emizuzwini embalwa. Ukugijimisana kwekhanda nakho kungadala ubukhazikhazi besikhashana, ukungaboni kahle, nokudideka.

Iningi labantu lihlangabezana nekhanda ngezikhathi ezithile. Ngokuvamile akusona isizathu sokukhathazeka. Kodwa-ke, uma ikhanda lakho ligijima livela kaningi, kungaba uphawu lwesimo sezempilo esiyisisekelo.

Kule ndatshana, sizokhuluma ngezimbangela ezingaba khona zekhanda lakho eligijimayo futhi sibheke izindlela ongazivimba ngazo ukuthi zingaveli.

Kuyini ngempela ukuphuthuma ekhanda?

Ukuqhuma kwekhanda ukwehla okungazelelwe kwengcindezi yakho yegazi lapho usukuma kusuka endaweni olele kuyo noma ohleli phansi. Igama lezokwelapha lalokhu yi-orthostatic hypotension, noma i-postural hypotension.

Ukuqhuma kwekhanda kwehla nge-systolic blood pressure okungenani okungama-20 mm Hg (millimeter we-mercury) noma ukwehla komfutho wegazi we-diastolic okungenani okungu-10 mm Hg kungakapheli imizuzu emi-2 kuye kwemi-5 imile.

Lapho usukuma ngokushesha, amandla adonsela phansi adonsela igazi lakho emilenzeni yakho futhi umfutho wegazi lakho wehla ngokushesha. Cishe amachibi egazi emzimbeni wakho ophansi lapho umile.

Ingqondo yomzimba wakho igcina umfutho wegazi wakho uhlala njalo lapho umile. Isibonelo, bazopompa igazi eliningi futhi baqinise imithambo yakho yegazi. Lapho le mibono ingasebenzi kahle, ungahle uhlangane nesiyezi kanye nekhanda elincane lokujaha ikhanda.

Ungase futhi uhlangabezane nalezi zimpawu ezilandelayo lapho umile ngokushesha:

• ukungaboni kahle
• ubuthakathaka
• ukukhathala
• isicanucanu
• ukushaya kwenhliziyo
• ikhanda
• ukudlula emhlabeni

Ungaba nokugijimisana kwekhanda elikude, noma kungaba yinkinga engapheli.

Yini engadala ukushesha kwekhanda?

Noma ngubani angaba nokujaha kwekhanda, kepha ajwayelekile kubantu abangaphezu kweminyaka yobudala engama-65. Abaningi njengabantu abakuleli banga bangahlangabezana nokugijimisana kwekhanda.

Lezi zimo ezilandelayo zingahle ziholele ekugijimeni kwekhanda:

• ukuguga
• ukoma komzimba
• i-anemia (ukubalwa kwamaseli abomvu abomvu)
• ukulahleka kwegazi
• ukukhulelwa
• Izinkinga ze-valve yenhliziyo
• isifo sikashukela
• izimo ze-thyroid
• isimo sezulu esishisayo
• ukuthatha i-diuretics, i-narcotic, noma i-sedatives
• imithi ethile, ikakhulukazi imishanguzo yokwehlisa umfutho wegazi
• ukuhlanganisa utshwala nemithi
• ukuphumula kombhede isikhathi eside
• ukuphazamiseka kokudla

Ungakuvimbela kanjani ukushesha kwekhanda kungenzeki?

Lezi zinguquko ezilandelayo zendlela yokuphila zingakusiza ukuthi unciphise imvamisa yekhanda lakho eligijimayo. Kodwa-ke, uma ikhanda lakho ligijimela libangelwa yisimo sezempilo esiyisisekelo, kuwumqondo omuhle ukuvakashela udokotela. Bangakwazi ukuxilonga isimo sakho futhi bathole izindlela zokwelashwa ezingcono kakhulu.

Ukuhlala kunamanzi amaningi

Ukwehla kwamanzi emzimbeni kungaholela ekhanda ukugijimela ngisho nakubantu abaphilile. Lapho uphelelwa ngamanzi emzimbeni, i-. Lapho inani lakho eliphelele legazi lincipha, umfutho wegazi ophelele nawo wehla.

Ukwehla emzimbeni kungadala ubuthakathaka, isiyezi, nokukhathala kanye nokugijima ekhanda.

Esukuma kancane

Uma uhlala unamakhanda ekhanda, ukusukuma kancane kancane usendaweni ehleli phansi nokulala kungasiza. Lokhu kunikeza izingqondo zemvelo zomzimba wakho isikhathi esithe xaxa sokuzivumelanisa nezinguquko kumfutho wegazi.

Gwema izindawo ezishisayo

Ukujuluka kakhulu kungadala ukuthi ulahlekelwe ngamanzi kanye nama-electrolyte futhi kwandise ubungozi bokuthola ukomisa amanzi emzimbeni. Ukugcwalisa uketshezi njalo kungasiza ekuvimbeleni ukugijimisana kwekhanda kanye nezinye izimpawu zokoma.

Ukunciphisa ukuphuza utshwala

Utshwala buyisidakamizwa, okusho ukuthi kudala ukuthi ulahlekelwe uketshezi. Ukuphuza utshwala kungakudambisa futhi kukwenyuse ingozi yokuba nekhanda. Ukusebenzisa amanzi amaningi nama-electrolyte ngotshwala kungasiza ekunciphiseni ukuphelelwa amandla kwamanzi.

Kufanele ubone nini udokotela?

Iningi labantu lihlangabezane nekhanda ngezikhathi ezithile. Uma ukuqhuma kwekhanda lakho kubangelwa ukungabi namanzi noma ukuhlala isikhathi eside, kungenzeka ukuthi akubucayi.

Kodwa-ke, uma unamakhanda aphindaphindiwe ekhanda, kuwumqondo omuhle ukukhuluma nodokotela ukuze ubone ukuthi ikhanda lakho ligijimela kungenzeka lidalwe yisimo sempilo.

Kuwumqondo omuhle futhi ukukhuluma nodokotela uma ikhanda lakho ligijima likwenza ukhubeke, uwe, uquleke, noma ukunikeze umbono ophindwe kabili.

Yiziphi izinto ezikubeka engcupheni yokugijimisa ikhanda?

Noma ngubani angakuzwa ukukhishwa kwekhanda kwesinye isikhathi. Kodwa-ke, izici ezithile zingakhuphula ubungozi bakho.

Imithi

Ukuthatha imishanguzo eyehlisa umfutho wegazi kungakhuphula ingozi yokuba nesiyezi nokuba nekhanda elincane. Imithi engadala ukuqhuma kwekhanda ifaka phakathi le mikhakha elandelayo.

• i-alpha-blocker
• beta-blocker
• abavimba isiteshi se-calcium
• ama-nitrate
• i-angiotensin-converting enzyme (ACE)

Ukuphumula kombhede

Uma ulele embhedeni isikhathi eside, ungahle ube buthakathaka bese uhlangabezana nekhanda lapho uvuka. Ukuphuma embhedeni kancane kungasiza ukugcina umfutho wegazi lakho uzinzile.

Ukuguga

Njengoba ukhula, izingqondo ezilawula amandla omzimba wakho wokuqinisa ingcindezi yegazi lakho ziqala ukusebenza kahle.

Yize ungeke uyeke ukuguga ngokuphelele, ukudla ukudla okunempilo, ukuzivocavoca umzimba njalo, nokuphila impilo enempilo ngokuphelele kungakusiza ugcine uhlelo olunempilo lwenhliziyo.

Ukukhulelwa

Ukukhishwa kwekhanda kuvamile kwabesifazane abakhulelwe. Izinguquko zehomoni zenza imithambo yegazi yakho ikhululeke futhi ingadala ukuthi umfutho wegazi wehle. Abesifazane abaningi babona ukwehla kwengcindezi yegazi labo emasontweni angama-24 okuqala okukhulelwa.

Izifo

Izimo zenhliziyo ezahlukahlukene zingakhuphula ubungozi bokwehla komfutho wegazi nokuthuthuka kwekhanda. Lokhu kufaka phakathi izinkinga ze-valve nokuhlaselwa yinhliziyo. Isifo sikaParkinson, isifo sikashukela, nezinye izifo ezilimaza izinzwa zakho nakho kungadala ukuqubuka kwekhanda.

Ukuthatha ukhiye

Iningi labantu lihlangabezana nokujaha ikhanda ngezikhathi ezithile. Ngokukhethekile kungenzeka ukuthi ugijimele ikhanda uma ungaphezu kweminyaka engama-65. Lokhu kungenxa yokuthi umzimba wakho awusebenzi kahle ekulawuleni umfutho wegazi njengoba uguga.

Ukukhishwa ekhanda kuvame ukubangelwa ukungabi namanzi emzimbeni. Ukugcwalisa uketshezi ikakhulukazi lapho uzivocavoca kungakusiza ukuthi uvikele ikhanda.

Ngokusho komtholampilo iMayo, owesilisa omdala ovamile udinga izindebe zamanzi eziyi-15.5 ngosuku kanti owesifazane ojwayelekile udinga izinkomishi eziyi-11.5 ngosuku. Uma uhlala endaweni eshisayo, kungadingeka ukuthi uphuze amanzi amaningi.

Uma ikhanda lakho ligijimela liphindeka noma likwenza uquleke, kuwumqondo omuhle ukuvakashela udokotela ukuze nixoxe ngezindlela zokwelashwa.