Umhlahlandlela Wezingxoxo Zodokotela: Kwenzekani Lapho Uhlaselwa Inhliziyo?

-Delile

• Ngizophuma nini esibhedlela?
• Yiziphi izindlela zokwelashwa ezivame kakhulu ukunikezwa ngemuva kokuhlaselwa yinhliziyo?
• Ngabe ngizodinga ukuvuselelwa kwenhliziyo?
• Ingabe kufanele ngigweme konke ukuvivinya umzimba?
• Ingabe kungokwemvelo ukuba nobuhlungu besifuba ngemuva kokuhlaselwa yinhliziyo?
• Ngingabuyela nini emsebenzini?
• Ngiye ngabhekana nokuguquka okukhulu emizweni yami. Ngabe lokhu kuhlobene nokuhlaselwa yisifo senhliziyo?
• Ngabe kuzofanele ngiphuze imishanguzo futhi, uma kunjalo, hlobo luni?
• Ngingakwazi yini ukuzibandakanya kwezocansi?
• Ukudla okudlela endlini

Amagama athi “isifo senhliziyo” angashaqisa. Kepha ngenxa yokuthuthuka ekwelashweni nasezinkambisweni zokwelashwa, abantu abasinda ezenzakalweni zabo zokuqala zenhliziyo bangaqhubeka nokuphila impilo ephelele futhi ekhiqizayo.

Noma kunjalo, kubalulekile ukuqonda ukuthi yini ebangele isifo senhliziyo yakho nokuthi yini ongayilindela ukuya phambili.

Indlela engcono kakhulu yokuqhubekela phambili ekululameni kwakho ukuqinisekisa ukuthi udokotela wakho uphendula imibuzo yakho ecindezela kakhulu futhi akunikeze nemiyalo ecacile, enemininingwane ngaphambi kokuphuma esibhedlela.

Nayi eminye imibuzo yokusiza ukuhola ingxoxo nodokotela wakho ngemuva kokuhlaselwa yinhliziyo.

Ngizophuma nini esibhedlela?

Esikhathini esedlule, abantu abahlaselwa yisifo senhliziyo bebengachitha izinsuku kuya emasontweni esibhedlela, iningi labo beliphumula ngombhede oqinile.

Namuhla, abaningi bavukile embhedeni kungakapheli usuku, behamba bezibandakanya emisebenzini esezingeni eliphansi ezinsukwini ezimbalwa kamuva, bese bededelwa emakhaya.

Uma uhlangabezane nezinkinga noma wahlangabezana nenqubo yokuhlasela, efana ne-coronary artery bypass noma i-angioplasty, uzodinga ukuhlala isikhathi eside.

Yiziphi izindlela zokwelashwa ezivame kakhulu ukunikezwa ngemuva kokuhlaselwa yinhliziyo?

Iningi labantu abake bahlaselwa yisifo senhliziyo banikezwa imishanguzo ebekiwe, izinguquko zendlela yokuphila, futhi, kwesinye isikhathi, izinqubo zokuhlinzwa.

Udokotela wakho angaphinde ahlele izivivinyo zokuxilonga ukuze anqume ukuthi umonakalo wenhliziyo yakho ungakanani kanye nesifo semithambo yenhliziyo.

Izinguquko zokuphila udokotela wakho angazincoma zifaka:

• iba matasa ngokwengeziwe
• ukwamukela ukudla okunempilo kwenhliziyo
• ukunciphisa ukucindezeleka
• ukuyeka ukubhema

Ngabe ngizodinga ukuvuselelwa kwenhliziyo?

Ukubamba iqhaza ekuvuseleleni inhliziyo kungasiza:

• ukunciphisa izinto ezibangela isifo senhliziyo
• uyalulama ngemuva kokuhlaselwa yisifo senhliziyo
• thuthukisa impilo yakho
• thuthukisa ukuzinza kwakho ngokomzwelo
• uphatha isifo sakho

Odokotela bavame ukuncoma uhlelo olugadiwe kwezokwelapha ukukhulisa impilo yakho ngokuzivocavoca, ukufundisa, nokweluleka.

Lezi zinhlelo zivame ukuhlotshaniswa nesibhedlela futhi zibandakanya usizo oluvela eqenjini lokuvuselela elinodokotela, umhlengikazi, isazi sokudla, noma abanye abahlinzeki bezempilo.

Ingabe kufanele ngigweme konke ukuvivinya umzimba?

Ungaba namandla anele okusebenza nokuzilibazisa, kodwa kubalulekile ukuphumula noma ukulala kancane uma uzizwa ukhathele ngokweqile.

Kubaluleke ngokulinganayo ukubamba iqhaza emicimbini yomphakathi futhi ufake umsebenzi ojwayelekile womzimba enkambisweni yakho yansuku zonke.

Udokotela wakho angakunikeza ukuholwa mayelana nokuthi yini okungcono kakhulu ngesimo sakho esithile. Udokotela wakho kanye nethimba lakho lokuvuselela inhliziyo uzokunika "incwadi kadokotela yokuzivocavoca."

Ingabe kungokwemvelo ukuba nobuhlungu besifuba ngemuva kokuhlaselwa yinhliziyo?

Uma unezinhlungu esifubeni ngemuva kokuhlaselwa yisifo senhliziyo, udinga ukukhuluma ngakho ngokushesha nodokotela wakho. Kwesinye isikhathi, ubuhlungu obudlulayo ngemuva kokuhlaselwa yinhliziyo kungenzeka.

Kepha futhi ungaba nezinkinga ngemuva kokuhlaselwa yinhliziyo okubalulekile noma okusongela impilo okudingeka kuxoxwe ngakho nodokotela wakho ngokushesha. Ngakho-ke, noma yibuphi ubuhlungu besifuba ngemuva kokuhlaselwa yinhliziyo budinga ukuthathwa ngokungathi sína kakhulu.

Ngingabuyela nini emsebenzini?

Isikhathi sokubuyela emsebenzini singahluka kusuka ezinsukwini ezimbalwa kuye kumaviki ayisithupha, kuya nge:

• ubunzima besifo senhliziyo
• noma ngabe ubenenqubo
• uhlobo lomsebenzi nezibopho zakho zomsebenzi

Udokotela wakho uzonquma uma kufanelekile ukubuya ngokuqapha ngokucophelela ukutakula kwakho nenqubekela phambili.

Ngiye ngabhekana nokuguquka okukhulu emizweni yami. Ngabe lokhu kuhlobene nokuhlaselwa yisifo senhliziyo?

Izinyanga ezimbalwa ngemuva kwesigameko senhliziyo, ungahle uzwe okuzwakala njenge-roller coaster engokomzwelo.

Ukudangala kuvamile ngemuva kokuhlaselwa yisifo senhliziyo, ikakhulukazi uma kufanele wenze izinguquko ezinkulu enkambisweni yakho ejwayelekile.

Imithi ethile efana ne-beta-blockers ethathwa ngemuva kokuhlaselwa yisifo senhliziyo nayo ingahlotshaniswa nokudangala.

Isigaxa sobuhlungu singadala ukwesaba okunye ukuhlaselwa yinhliziyo noma ukufa, futhi ungazizwa ukhathazekile.

Xoxa ngokushintsha kwemizwa nodokotela nomndeni wakho futhi ungesabi ukufuna usizo lochwepheshe ukukusiza ubhekane nakho.

Ngabe kuzofanele ngiphuze imishanguzo futhi, uma kunjalo, hlobo luni?

Ukuqala noma ukumisa imishanguzo noma ukulungisa imithi yakudala kuvamile ngokulandela isifo senhliziyo.

Ungahle unikezwe imishanguzo ethile yokunciphisa ubungozi bokuhlaselwa yinhliziyo kwesibili, njenge:

• i-beta-blockers kanye ne-angiotensin-converting enzyme (ACE) inhibitors yokuphumuza inhliziyo nokuphazamisa amakhemikhali anganciphisa inhliziyo
• statins ukwehlisa i-cholesterol nokunciphisa ukuvuvukala
• ama-antithrombotic ukusiza ukuvimbela amahlule egazi, noma ngaphandle kwe-stent
• i-aspirin yedosi ephansi ukunciphisa amathuba okuhlaselwa esinye isifo senhliziyo

Ukwelashwa nge-aspirin kungasebenza kakhulu ekuvikeleni ukuhlaselwa yinhliziyo.

Ngokuvamile kusetshenziselwa ukuvimbela ukuhlaselwa kwenhliziyo kokuqala kubantu abanobungozi obukhulu besifo senhliziyo nemithambo yegazi (isb., Isifo senhliziyo nesifo sohlangothi) kanye nengozi ephansi yokopha. Yize ukwelashwa kwe-aspirin kungabhekwa njengokujwayelekile, akunconyelwa wonke umuntu.

Dalula yonke imishanguzo - ngisho nezidakamizwa ezithengiswa ekhawunteni, izithasiselo, nemithi yamakhambi - nodokotela wakho ukuvimbela ukuhlangana kwezidakamizwa.

Ngingakwazi yini ukuzibandakanya kwezocansi?

Ungase uzibuze ukuthi ukuhlaselwa yinhliziyo kuzokuthinta kanjani ukuphila kwakho kocansi noma uma kuphephile ukuya ocansini nhlobo.

Ngokusho kwe-American Heart Association, amathuba okuba ucansi abangele noma andise ingozi yokuhlaselwa yisifo senhliziyo mncane.

Uma welashwa futhi wazinza, ungaqhubeka nephethini yakho ejwayelekile yezenzo zocansi emasontweni ambalwa ngemuva kokululama.

Ungabi namahloni ngokuqala ingxoxo nodokotela wakho ukunquma ukuthi yini ephephile kuwe. Kubalulekile ukuxoxa ukuthi ungaqala nini ukuya ocansini.

Ukudla okudlela endlini

Kuningi okufanele ucabange ngokulandela isifo senhliziyo.

Uzofuna ukuqonda:

• yini evamile
• yini imbangela yokukhathazeka
• ungazenza kanjani izinguquko zendlela yokuphila noma unamathele ohlelweni lokwelashwa

Khumbula ukuthi udokotela wakho ungumlingani ekululameni kwakho, ngakho-ke unganqikazi ukubabuza imibuzo.