Ukuboshwa kwenhliziyo: kuyini, izimbangela eziyinhloko nokwelashwa

-Delile

• Izimbangela eziyinhloko
• Izimpawu zokuboshwa kwenhliziyo
• Yelashwa kanjani
• Usizo lokuqala uma kwenzeka uboshwa inhliziyo

Ukuboshwa kwenhliziyo, noma ukuboshwa kwe-cardiopulmonary, kwenzeka lapho inhliziyo iyeka ukushaya ngokungazelelwe noma iqala ukushaya kancane ngokunganele ngenxa yesifo senhliziyo, ukwehluleka ukuphefumula noma ukushaywa ugesi, ngokwesibonelo.

Ngaphambi kokuboshwa kwenhliziyo, lo muntu angahlangabezana nobuhlungu besifuba obunzima, ukuphefumula okuncane, ubuhlungu noma ukuncinza engalweni yangakwesobunxele nasekushayweni komoya okuqinile, isibonelo. Ukuboshwa kwenhliziyo kubonisa isimo esiphuthumayo esingaholela ekufeni kungapheli imizuzu uma singelashwa ngokushesha.

Izimbangela eziyinhloko

Ekuboshweni kwenhliziyo, inhliziyo iyeka ukushaya ngokungazelelwe, ephazamisa ukuhanjiswa kwegazi liye ebuchosheni nakwezinye izingxenye zomzimba, ezingabulala. Ukuboshwa kwenhliziyo kungenzeka ngenxa yalokhu:

• Ukushaqeka ngogesi;
• Ukushaqeka Hypovolemic;
• Ubuthi;
• Isifo senhliziyo (i-infarction, i-arrhythmia, i-aortic dissection, i-tamponade yenhliziyo, ukwehluleka kwenhliziyo);
• Unhlangothi;
• Ukwehluleka ukuphefumula;
• Ukuminza.

Ukuboshwa kwenhliziyo kuvame kakhulu kubantu abanezinkinga zenhliziyo, izifo ezingapheli zamaphaphu, ababhemayo, abanesifo sikashukela, abakhuluphele ngokweqile, i-cholesterol ephezulu, ama-triglycerides aphezulu noma kubantu abaphila impilo engenampilo nokudla okunganele.

Ngakho-ke, kubalulekile ukuya kudokotela wenhliziyo ngezikhathi ezithile ukuze ahlole impilo yenhliziyo futhi aqale noma yiluphi ukwelashwa uma kunesidingo. Funda kabanzi mayelana nokuthi yini engadala ukuboshwa kwenhliziyo.

Izimpawu zokuboshwa kwenhliziyo

Ngaphambi kokuba umuntu aboshwe inhliziyo, angathola:

• Ubuhlungu obukhulu esifubeni, esiswini nasemhlane;
• Ikhanda elinamandla;
• Ukuphefumula okuncane noma ubunzima bokuphefumula;
• Ukukhipha ulimi, kuveza ubunzima ekukhulumeni;
• Ubuhlungu noma ukuncinza engalweni yangakwesobunxele;
• Ukushaya ngamandla okuqinile.

Ukuboshwa kwenhliziyo kungasolwa lapho umuntu etholakala equlekile, engaphenduli lapho ebizwa, engaphefumuli futhi engenayo i-pulse.

Yelashwa kanjani

Ukwelashwa kokuqala kokuboshwa kwenhliziyo ukwenza inhliziyo ishaye futhi ngokushesha okukhulu, okungenziwa ngokubhucunga inhliziyo noma nge-defibrillator, okuyithuluzi elikhipha amagagasi kagesi liye enhliziyweni ukuze lenze ukushaya futhi.

Lapho inhliziyo ishaya futhi, kuyadingeka ukwenza izivivinyo ezikhombisa ukuthi yini ebangele ukuboshwa kwenhliziyo, ukuze, ngaleyo ndlela, yelashwe futhi ivimbele ukuboshwa kwenhliziyo okusha. Kwezinye izimo, kungadingeka ukufaka i-pacemaker noma i-ICD (implantable cardioverter defibrillator), amadivayisi amancane anciphisa noma ahlehlise ukuboshwa kwenhliziyo. Funda kabanzi mayelana nokubekwa kwe-pacemaker.

Ukwehlisa ithuba lokuhlushwa inhliziyo, kuyadingeka ukuthi lowo muntu aphuze imishanguzo yenhliziyo njalo, abe nendlela yokuphila enempilo futhi agweme ukucindezelwa.

Usizo lokuqala uma kwenzeka uboshwa inhliziyo

Ukubona ukuboshwa kwenhliziyo, umuntu kufanele aqinisekise ukuthi lo muntu uyaphefumula, ashayele isisulu ukuthola ukuthi uyaphendula yini futhi aqinisekise ukuthi inhliziyo iyashaya ngokubeka isandla entanyeni yomuntu.

Uma kusolwa ukuboshwa kwenhliziyo, kubalulekile ukubiza i-ambulensi ngokushayela u-192. Okulandelayo, ukubhucungwa kwenhliziyo kufanele kuqalwe ngokushesha okukhulu ukuze inhliziyo ishaye futhi, ngokulandelayo:

1. Ukulala isisulu phansi kubheke phezulu endaweni eqinile, njengephansi noma itafula;
2. Beka isilevu sesisulu endaweni ephakeme kancane, ukwenza lula ukuphefumula;
3. Beka izandla zombili ngeminwe kuhlangenephezu kwesifuba, phakathi nendawo phakathi kwezingono;
4. Ukwenza ukucindezela ngezingalo ezeluliwe futhi ucindezele phansi, ukuze izimbambo zehle cishe ngo-5 cm. Gcina ukucindezelwa kuze kufike usizo lwezokwelapha ngesilinganiso esingu-2 ngomzuzwana.

Ukucindezelwa kungabuye kuhlanganiswe nokuphefumula komlomo ngomlomo njalo ngeminyango engama-30. Kodwa-ke, uma ungumuntu ongaziwa noma uma ungaphefumuli kahle, kufanele ugcine ukucindezela ngokuqhubekayo kuze kufike usizo lwezokwelapha.

Bona isinyathelo ngesinyathelo ukuthi ungenza kanjani ukubhucungwa kwenhliziyo ngokubuka ividiyo: