Kwenzekani Ekukhaleni Kwenhliziyo Yakho Ngesikhathi Sokuhlaselwa Yinhliziyo?
-Delile
- Ukuhlasela kwenhliziyo kukuthinta kanjani ukushaya kwenhliziyo yakho
- Ukushaya kwenhliziyo ngesikhathi sokuzivocavoca umzimba
- Ukushaya kwenhliziyo ngesikhathi sokuhlaselwa yinhliziyo
- Ukushaya kwenhliziyo yakho akuqageli njalo
- Imithi ethile inganciphisa izinga lokushaya kwenhliziyo yakho
- I-Tachycardia ingasheshisa izinga lokushaya kwenhliziyo yakho
- Izimpawu zokuhlaselwa yisifo senhliziyo
- Izinhlobo ezahlukene zokuhlaselwa yinhliziyo zikuthinta kanjani ukushaya kwenhliziyo
- STEMI isifo senhliziyo
- NSTEMI isifo senhliziyo
- Ama-coronary spasms
- Ukuhlasela kwenhliziyo kuyithinta kanjani ingcindezi yegazi
- Izingozi zokuhlaselwa yisifo senhliziyo
- Ingabe ukushaya kwenhliziyo yakho kungabonisa ubungozi bokuhlaselwa yinhliziyo?
- Ukudla okudlela endlini
Izinga lokushaya kwenhliziyo yakho lishintsha njalo ngenxa yezici ezisukela ekusebenzeni kwakho kakhulu ekushiseni komoya okuzungezile. Ukuhlaselwa yinhliziyo nakho kungadala ukunciphisa noma ukusheshisa kokushaya kwenhliziyo yakho.
Ngokunjalo, umfutho wegazi lakho ngesikhathi sokuhlaselwa yisifo senhliziyo ungakhuphuka noma wehle ngokuya ngezici ezinjengohlobo lwezicubu zenhliziyo ezilimele ngesikhathi somcimbi noma ngabe kukhishwe ama-hormone athile akhiphe umfutho wegazi lakho.
Kwezinye izimo, ukushaya kwenhliziyo yokuphumula komuntu kungakhombisa ubungozi obukhulu bokuhlaselwa yinhliziyo. Ngenye yezici ezibalulekile zobungozi - ezinye zazo ezilawulwayo, kanti ezinye zingaphezu kwamandla akho.
Ukwazi izici zakho zobungozi, kanye nezimpawu ezivamile zokuhlaselwa yisifo senhliziyo, kungasiza ekuvikeleni emiphumeleni esongela impilo yokuhlaselwa yisifo senhliziyo.
Qhubeka ufunda ukuze ufunde kabanzi mayelana nokuthi kwenzekani enhliziyweni yakho nokushaya kwenhliziyo ngesikhathi sokuhlaselwa yinhliziyo.
Ukuhlasela kwenhliziyo kukuthinta kanjani ukushaya kwenhliziyo yakho
Ukushaya kwenhliziyo yakho inombolo yezikhathi inhliziyo yakho eshaya ngayo ngomzuzu. Ukushaya kwenhliziyo yokuphumula okujwayelekile noma okunempilo komuntu omdala kuphakathi kokushaya okungu-60 kuya ku-100 ngomzuzu. Ngokuvamile, lapho izinga lokushaya kwenhliziyo yakho lehla, kulapho inhliziyo yakho isebenza kahle khona lapho iphampa.
Ukushaya kwenhliziyo ngesikhathi sokuzivocavoca umzimba
Ngesikhathi sokuzivocavoca umzimba, izinga lokushaya kwenhliziyo yakho liyakhula ukuhlangabezana nemfuno yemisipha yakho yegazi elinomoya-mpilo. Ekuphumuleni, izinga lokushaya kwenhliziyo yakho liyehla ngoba ukufuna akunamandla kangako. Ngenkathi ulele, izinga lokushaya kwenhliziyo yakho liyehla.
Ukushaya kwenhliziyo ngesikhathi sokuhlaselwa yinhliziyo
Ngesikhathi sokuhlaselwa yinhliziyo, imisipha yenhliziyo yakho ithola igazi elincane ngoba imithambo eyodwa noma ngaphezulu enikeza imisipha ivinjiwe noma iqhuma futhi ayikwazi ukuletha ukugeleza okwanele kwegazi. Noma, isidingo senhliziyo (inani lomoya-mpilo inhliziyo elidingayo) liphakeme kunokunikezwa kwenhliziyo (inani lomoya-mpilo inhliziyo elinalo) elitholakalayo.
Ukushaya kwenhliziyo yakho akuqageli njalo
Ukuthi lesi sehlakalo senhliziyo sikuthinta kanjani ukushaya kwenhliziyo akuhlali kubikezelwa.
Imithi ethile inganciphisa izinga lokushaya kwenhliziyo yakho
Isibonelo, uma ukwimithi enciphisa izinga lokushaya kwenhliziyo yakho, njenge-beta-blocker yesifo senhliziyo, isilinganiso senhliziyo yakho singahlala sihamba kancane ngesikhathi sokuhlaselwa yinhliziyo. Noma uma unohlobo lokuphazamiseka kwesigqi senhliziyo (i-arrhythmia) esibizwa nge-bradycardia, lapho izinga lokushaya kwenhliziyo yakho lihamba kancane kunokujwayelekile, isifo senhliziyo singenzi lutho ukukhuphula izinga.
Kunezinhlobo ezithile zokuhlaselwa yinhliziyo okungaholela ekwehleni okungajwayelekile kwenhliziyo ngoba kuthinta amaseli wezicubu kagesi (amaseli enhliziyo) enhliziyo.
I-Tachycardia ingasheshisa izinga lokushaya kwenhliziyo yakho
Ngakolunye uhlangothi, uma une-tachycardia, lapho inhliziyo yakho ihlale ishaya ngokushesha ngokweqile ngokungavamile, lelo phethini lingaqhubeka ngesikhathi sokuhlaselwa yinhliziyo. Noma, izinhlobo ezithile zokuhlaselwa yinhliziyo kungadala ukuthi isilinganiso senhliziyo sikhuphuke.
Ekugcineni, uma unesinye isimo esidala ukuthi inhliziyo yakho ishaye ngokushesha, njenge-sepsis noma ukutheleleka, khona-ke kungadala ingcindezi enhliziyweni yakho kunokuba kube umphumela wokuvinjelwa kokugeleza kwegazi.
Abantu abaningi baphila ne-tachycardia futhi abanazo ezinye izimpawu noma izinkinga. Kodwa-ke, uma uhlala unesilinganiso senhliziyo sokuphumula esisheshayo, kufanele uhlolwe impilo yakho yenhliziyo.
kukhombisa ukuthi abantu abanenhliziyo ephakeme ngesikhathi befika esibhedlela benesifo senhliziyo basengozini enkulu yokufa.
Izimpawu zokuhlaselwa yisifo senhliziyo
Ukushaya kwenhliziyo okusheshayo kungesinye sezimpawu eziningi zokuhlaselwa yinhliziyo. Kodwa imvamisa akusilo ukuphela kophawu lwenkinga uma inhliziyo yakho icindezeleke ngempela. Izimpawu ezivame kakhulu zokuhlaselwa yinhliziyo zifaka:
- ubuhlungu besifuba obungazwakala njengobuhlungu obubukhali, ukuqina, noma ingcindezi esifubeni
- ubuhlungu engalweni eyodwa noma zombili, esifubeni, emuva, entanyeni, nasemhlathini
- umjuluko obandayo
- ukuphelelwa umoya
- isicanucanu
- ubumhlophe
- umuzwa ongaqondakali wenhlekelele ezayo
Uma ucabanga ukuthi wena noma othandekayo kungenzeka ukuthi unesifo senhliziyo, shayela u-911 ngokushesha.
Uma usheshe utholakale futhi welashwe, inhliziyo izobekezelela umonakalo omncane. Akufanele neze uzame ukuzishayela uye egumbini lezimo eziphuthumayo uma unezimpawu zokuhlaselwa yisifo senhliziyo.
Izinhlobo ezahlukene zokuhlaselwa yinhliziyo zikuthinta kanjani ukushaya kwenhliziyo
Ngokwencazelo, isifo senhliziyo ukuphazamiseka kokugeleza kwegazi kuye emisipha yenhliziyo elimaza izicubu zomzimba zenhliziyo. Kepha ubunjalo balokho kuphazamiseka nokuthi inhliziyo isabela kanjani kungahluka.
Kunezinhlobo ezintathu zokuhlaselwa kwenhliziyo futhi ngasinye singathinta ukushaya kwenhliziyo ngezindlela ezihlukile:
- I-STEMI (ST segment elevation myocardial infarction)
- I-NSTEMI (non-ST segment elevation myocardial infarction), enama-subtypes amaningi
- i-spasm yenhliziyo
STEMI isifo senhliziyo
ISITEMI yilokho ocabanga ukuthi yisifo senhliziyo sendabuko. Ngesikhathi se-STEMI, umthambo we-coronary uvinjelwe ngokuphelele.
Ingxenye ye-ST ibhekisa engxenyeni yokushaya kwenhliziyo njengoba kubonwe ku-electrocardiogram (ECG).
| Ukushaya kwenhliziyo ngesikhathi se-STEMI | Izimpawu |
| Ukushaya kwenhliziyo kuvame ukukhuphuka, ikakhulukazi uma ingxenye engaphambili (yangaphakathi) yenhliziyo ithintekile. Noma kunjalo, ingahle yehle ngenxa ye-: 1.ukusebenzisa i-beta-blocker 2. ukulimala kohlelo lokuqhuba (amaseli akhethekile emisipha yenhliziyo atshela inhliziyo ukuthi kufanele ingene nini) 3. uma ingxenye engemuva (engemuva) yenhliziyo ibandakanyekile | Ubuhlungu besifuba noma ukungakhululeki, isiyezi noma ikhanda elikhanyayo, isicanucanu, ukuphelelwa umoya, ukushaya kwenhliziyo, ukukhathazeka, ukuquleka noma ukulahlekelwa ukwazi |
NSTEMI isifo senhliziyo
I-NSTEMI ibhekisa emthanjeni we-coronary ovinjiwe kancane. Akunzima kakhulu njenge-STEMI, kodwa kusenzima kakhulu.
Akukho ukuphakama kwesigaba se-ST okutholakala ku-ECG. Izingxenye ze-ST kungenzeka zicindezeleke.
| Ukushaya kwenhliziyo ngesikhathi se-NSTEMI | Izimpawu |
| Ukushaya kwenhliziyo kuyefana nokuhlotshaniswa ne-STEMI. Kwesinye isikhathi, uma esinye isimo emzimbeni, esifana ne-sepsis noma i-arrhythmia, sibangela ukuthi izinga lokushaya kwenhliziyo likhuphuke, kungadala ukungafani kwesidingo, lapho kufunwa khona umoya-mpilo wesicubu senhliziyo okwenyukayo ngenxa yesilinganiso senhliziyo esheshayo, nokunikezwa kunqunyelwe ngenxa yokuvaleka emithanjeni yegazi. | Ubuhlungu besifuba noma ukuqina, ubuhlungu entanyeni, emhlathini noma emuva, isiyezi, ukujuluka, isicanucanu |
Ama-coronary spasms
I-spasm ye-coronary yenzeka lapho imisipha engaphakathi kwemithambo eyodwa noma ngaphezulu ye-coronary iminyene ngokuzumayo, inciphisa imithambo yegazi. Kulokhu, ukugeleza kwegazi kuya enhliziyweni kunqunyelwe.
I-spasm ye-coronary ayijwayelekile kangako kune-STEMI noma i-NSTEMI.
| Ukushaya kwenhliziyo ngesikhathi se-spasm coronary | Izimpawu |
| Kwesinye isikhathi, ushintsho oluncane noma alukho nhlobo ekushayeni kwenhliziyo, yize i-spasm ye-coronary ingadala i-tachycardia. | Okufushane (imizuzu engu-15 noma ngaphansi), kodwa iziqephu eziphindaphindwayo ze- ubuhlungu besifuba, imvamisa ngenkathi ulele ebusuku, kepha bungaqina kakhulu buyakuvusa; isicanucanu; ukujuluka; uzizwe sengathi ungadlula |
Ukuhlasela kwenhliziyo kuyithinta kanjani ingcindezi yegazi
Umfutho wegazi ungamandla wegazi odudulana nezindonga zangaphakathi zemithambo yakho njengoba ijikeleza emzimbeni wonke. Njengoba nje ukushintsha kwesilinganiso senhliziyo kungalindelekile ngesikhathi sokuhlaselwa yisifo senhliziyo, kanjalo nenguquko yegazi iyashintsha.
Ngoba ukugeleza kwegazi enhliziyweni kuvinjiwe futhi nengxenye ethile yezicubu zenhliziyo yenqatshelwa igazi elicebile oksijini, inhliziyo yakho kungenzeka ingakwazi ukupompa ngamandla ngendlela ejwayelekile, ngaleyo ndlela yehlise umfutho wegazi.
Ukuhlaselwa yinhliziyo nakho kungadala impendulo ohlelweni lwakho lwezinzwa lwe-parasympathetic, kubangele inhliziyo yakho nawo wonke umzimba wakho ukuba uphumule futhi ungalwi ngenkathi inhliziyo yakho ilwela ukugcina igazi lijikeleza. Lokhu kungadala nokucwiliswa kwengcindezi yegazi.
Ngakolunye uhlangothi, ubuhlungu nokucindezeleka okuvela ekuhlaselweni yinhliziyo kungakhuphula umfutho wegazi ngesikhathi sokuhlaselwa yinhliziyo.
Imithi yokwehlisa ingcindezi yegazi, njenge-diuretics noma i-angiotensin eguqula ama-enzyme inhibitors, ingagcina umfutho wegazi lakho uphansi ngesikhathi sokuhlaselwa yinhliziyo, futhi.
Izingozi zokuhlaselwa yisifo senhliziyo
Izici ezinobungozi bokuhlaselwa yisifo senhliziyo zifaka izinto eziguquguqukayo, njengesisindo sakho, kanye nalezo ongaphezu kwamandla akho, njengeminyaka yakho. Ezinye zezimo ezivame kakhulu eziphakamisa ubungozi bokuhlaselwa yinhliziyo zifaka:
- ukukhula
- ukukhuluphala ngokweqile
- isifo sikashukela
- cholesterol ephezulu
- umfutho wegazi ophakeme
- ukuvuvukala
- ukubhema
- indlela yokuphila yokuhlala phansi
- umlando womndeni wesifo senhliziyo
- umlando wakho wesifo senhliziyo noma isifo sohlangothi
- ukucindezeleka okungalawulwa kahle
Ingabe ukushaya kwenhliziyo yakho kungabonisa ubungozi bokuhlaselwa yinhliziyo?
Ukushaya kwenhliziyo okuphezulu kakhulu noma okuphansi kakhulu kungaveza ubungozi bokuhlaselwa yisifo senhliziyo. Kubantu abaningi, ukushaya kwenhliziyo okungaphezu kokushaya okungu-100 ngomzuzu noma ngaphansi kokushaywa okungama-60 ngomzuzu kwabangewona amaqembu kungashukumisela ukuvakashela kudokotela ukuyohlolwa impilo yenhliziyo.
Abagijimi bamabanga amade nezinye izinhlobo zabasubathi bavame ukuba nesilinganiso senhliziyo sokuphumula esiphansi namandla aphezulu e-aerobic - ikhono lenhliziyo namaphaphu lokuletha umoya-mpilo owanele emisipheni. Ngakho-ke, amanani ezinhliziyo zabo ngokuvamile aphansi.
Zombili lezi zimfanelo zihlotshaniswa nengozi ephansi yokuhlaselwa yisifo senhliziyo nokufa. Ukuvivinya umzimba njalo - njengokuhamba ngokushesha noma ukugijima, ukubhukuda, ukuhamba ngebhayisikili neminye imisebenzi yokuvivinya umzimba - kungasiza ukwehlisa izinga lokushaya kwenhliziyo yakho futhi kuthuthukise amandla akho e-aerobic.
Ukudla okudlela endlini
Yize ukushaya kwenhliziyo okuphumula ngokushesha kungaba yingozi engcupheni yokuhlaselwa yisifo senhliziyo ezigulini ezithile, isifo se-myocardial infarction asihlali sibonakaliswa yinhliziyo eshaya ngamandla. Kwesinye isikhathi, ukushaya kwenhliziyo yakho kungancipha ngesikhathi sokuhlaselwa yinhliziyo ngenxa yezinkinga zesistimu kagesi yenhliziyo.
Ngokufanayo, umfutho wegazi lakho ungashintsha noma ungaguquki kakhulu ngesikhathi sokuhlaselwa yinhliziyo.
Noma kunjalo, ukugcina isilinganiso senhliziyo sokuphumula okunempilo nomfutho wegazi ojwayelekile kuyizinyathelo ezimbili ongakwazi ukuzilawula ngokukhetha indlela yokuphila futhi, uma kunesidingo, imithi. Lezi zinyathelo zingasiza ukugcina impilo yenhliziyo yakho futhi zinciphise izingqinamba zakho zokuhlaselwa yisifo senhliziyo.
Iseluleko Sethu
UCassey Ho Wabelana Kungani Kungani Ezizwa Njengokwehluleka Kwesinye Isikhathi