Ungayibona kanjani futhi uyiphathe kanjani i-infarction ye-myocardial
-Delile
I-infarction ye-myocardial acute, noma isifo senhliziyo, kwenzeka lapho ukuntuleka kwegazi enhliziyweni kubangela ukulimala kwezicubu zakho. Lesi simo saziwa njenge-ischemia, futhi sidala izimpawu ezinjengobuhlungu besifuba obukhipha izingalo, ngaphezu kwesicanucanu, umjuluko obandayo, ukukhathala, i-pallor, phakathi kokunye.
Ngokuvamile, i-infarction yenzeka ngenxa yokuqongelelwa kwama-plaque anamafutha ngaphakathi kwemithambo yegazi, eyenzeka kokubili ngenxa yezakhi zofuzo, kanye nezici ezinobungozi ezifana nokubhema, ukukhuluphala, ukudla okungalingani nokungenzi lutho ngokomzimba, ngokwesibonelo. Ukwelashwa kwayo kuboniswa ngudokotela, futhi kufaka phakathi ukusetshenziswa kwemithi yokubuyisa ukusakazeka kwenhliziyo, njenge-AAS, futhi kwesinye isikhathi, nokuhlinzwa kwenhliziyo.
Lapho kukhona izimpawu ezibonisa ukuhlaselwa yinhliziyo, okungaphezu kwemizuzu engama-20, kubalulekile ukuya egumbini lezimo eziphuthumayo noma ushayele i-SAMU, ngoba lesi simo singadala i-sequelae esibi senhliziyo, noma size siholele ekufeni, uma kungenjalo usindiswa ngokushesha. Ukuze uzibone ngokushesha izimpawu zesifo senhliziyo, kanye nemininingwane kwabesifazane, abasha nabadala, hlola izimpawu zesifo senhliziyo.
Ungayibona kanjani
Izimpawu eziyinhloko ze-infarction yizi:
- Ubuhlungu ohlangothini lwesobunxele sesifuba ngendlela yokuqina, noma "usizi", olukhipha njengokundikindiki noma ubuhlungu engalweni yangakwesobunxele noma engalweni yangakwesokudla, entanyeni, emuva noma esilevini;
- Ubumpofu (ubuso obumhlophe);
- Ukuzizwa ngiyagula;
- Umjuluko obandayo;
- Isiyezi.
Ezinye izimpawu zangaphambilini, ezingezona zakudala kangako, ezingakhombisa nokuhlaselwa yinhliziyo kwabanye abantu yilezi:
- Ubuhlungu besisu, ngendlela yokuqina noma ukushisa noma sengathi kunesisindo kumuntu ngamunye;
- Ukuhlungu obusemhlane;
- Ukuzwa okuvuthayo kwesinye sezingalo noma emhlathini;
- Ukuzizwa kwegesi esiswini;
- Ukuzizwa ngiyagula;
- Malaise;
- Ukuphefumula okufishane;
- Ukuquleka.
Lezi zimpawu zivame ukuqala kancane kancane, futhi kancane kancane ziba zimbi, zihlala ngaphezu kwemizuzu engama-20. Kodwa-ke, kwezinye izimo, i-infarction ingenzeka ngokuzumayo, ngokukhula okusheshayo okukhulu, isimo esaziwa njenge-infinant infarant. Yazi ukuthi yini ebangela nokuthi ungayibona kanjani i-infarative egcwele.
Ukuxilongwa kungaqinisekiswa ngudokotela ngomlando womtholampilo wesiguli kanye nokuhlolwa okufana ne-electrocardiogram, isilinganiso se-enzyme yenhliziyo kanye ne-catheterization esimweni sesibhedlela.
Ziyini izimbangela
Isikhathi esiningi, imbangela ye-infarction ukuvinjelwa kokudlula kwegazi kuye enhliziyweni, ngenxa yokuqoqwa kwamafutha emithanjeni, noma ngenxa ye:
- Ukucindezeleka nokucasula;
- Ukubhema - Umsebenzi,
- Ukusetshenziswa kwezidakamizwa ezingekho emthethweni;
- Ukubanda ngokweqile;
- Ubuhlungu obedlulele.
Ezinye zezinto eziyingozi ezandisa amathuba omuntu wokuhlaselwa yisifo senhliziyo yilezi:
- Umlando womndeni wesifo senhliziyo noma isifo senhliziyo;
- Sike sahlaselwa yisifo senhliziyo phambilini;
- Ukubhema okusebenzayo noma okwenziwa nje;
- Ingcindezi ephezulu;
- I-LDL ephezulu noma i-cholesterol ephansi ye-HDL;
- Ukukhuluphala;
- Indlela yokuphila yokuhlala phansi;
- Isifo sikashukela.
Isici somndeni, lapho umuntu enesihlobo esiseduze esifana nobaba, umama, ugogo noma ugogo noma ingane yakini enesifo senhliziyo, kubaluleke kakhulu.
Sebenzisa umshini wokubala ongezansi ukuthola ukuthi iyini ingozi yakho yokuhlaselwa yisifo senhliziyo:
Yelashwa kanjani
Ukwelashwa kwe-infarction kwenziwa esibhedlela, kusetshenziswa imaski yomoya-mpilo noma ukuphefumula ngomshini, ukuze isiguli siphefumule kalula, kanye nokuphathwa kwemithi eminingana, ekhonjiswe ngudokotela, njengama-anti-platelet aggregators, i-aspirin , ama-venous anticoagulants, i-ACE inhibitors kanye ne-beta-blockers, ama-statins, amaphilisi ezinhlungu aqinile, ama-nitrate, asebenza ngokuzama ukulawula ukudlula kwegazi liye enhliziyweni.
Ukwelashwa kuhlose ukuzinzisa isimo, ukunciphisa izinhlungu, ukwehlisa ubukhulu bendawo ethintekile, ukunciphisa izingqinamba zangemva kokutholwa yimpilo futhi kubandakanya ukunakekelwa okujwayelekile njengokuphumula, ukuqapha okunamandla kwalesi sifo nokusetshenziswa kwemithi. I-catheterization ephuthumayo noma i-angioplasty kungadingeka, kuye ngohlobo lwe-infarction. Lokhu kukhishwa kwetende kuchaza umkhumbi ovalekile nokuthi ukwelashwa kokugcina kuzoba ukuhlinzwa nge-angioplasty noma kwenhliziyo ukubeka amabhuloho.
Thola imininingwane eminingi ngezindlela zokwelashwa zokuhlaselwa yisifo senhliziyo, ngemithi noma ngokuhlinzwa.
Njengoba ukwelashwa kufanele kwenziwe esibhedlela, lapho nje kuvela izimpawu zokuqala kubalulekile ukuthi ushayele i-SAMU ngokushesha, futhi uma kukhona ukulahleka kokwazi kubalulekile ukubhucungwa inhliziyo kuze kufike usizo lwezokwelapha. Funda ukuthi ungenza kanjani ukubhucunga inhliziyo nomhlengikazi uManuel ngokubuka ividiyo:
Ungakuvimbela kanjani ukuhlaselwa yinhliziyo
Izigilamkhuba ezinkulu zokwandisa amathuba ezifo zenhliziyo nemithambo yegazi, ezinjenge-stroke noma i-infarction, yimikhuba yokuphila engenampilo, okuyiyona ebangela ukuqoqana kwamafutha ngaphakathi kwemikhumbi. Ngakho-ke, ukuvimbela isifo senhliziyo, kuyadingeka:
- Gcina isisindo esanele, ugweme ukukhuluphala;
- Prakthiza imisebenzi yomzimba njalo, okungenani kathathu ngesonto;
- Ungabhemi;
- Lawula umfutho wegazi ophakeme ngemithi eqondiswa udokotela;
- Lawula i-cholesterol, ngokudla noma ukusetshenziswa kwemithi eqondiswa udokotela;
- Phatha kahle isifo sikashukela;
- Gwema ukucindezeleka nokukhathazeka;
- Gwema ukuphuza ngokweqile iziphuzo ezidakayo.
Ngaphezu kwalokho, kunconywa ukwenza ifayili le- ukuhlola njalo, okungenani kanye ngonyaka, nodokotela ojwayelekile noma udokotela wenhliziyo, ukuze kutholakale izinto ezinobungozi zokuphathwa i-infarction ngokushesha okukhulu, futhi kunikezwa nemihlahlandlela engathuthukisa impilo futhi inciphise ubungozi.
Bheka ukuhlolwa okuyinhloko okungenziwa ukuhlola impilo yenhliziyo.
Bheka futhi le vidiyo elandelayo futhi wazi ukuthi uzodlani ukugwema ukumelwa yinhliziyo: