Lapho Othandekayo Enenkinga Yenhliziyo
Ukuthola ukuthi othandekayo wakho unokuhluleka kwenhliziyo kungasabisa kokubili. Ukuhluleka kwenhliziyo yisifo esibi (igama elithi "ukwehluleka kwenhliziyo" ngokwayo ngokuqinisekile lizwakala liyethusa ngokwanele), elikwazi ukudala izimpawu ezingathandeki kakhulu nokunciphisa isikhathi sokuphila. Ezimweni eziningi kuba yinkinga engapheli engasetshenziswa ngokujwayelekile, kodwa ayike ihambe.
Ukuhluleka kwenhliziyo ukuxilongwa okunomthelela omkhulu empilweni yomuntu onayo-nakwezimpilo zabathandekayo abazohlala nabo nokumnakekela.
Kungakhathaliseki ukuthi umuntu wenza kahle kangakanani noma ukuhluleka kwenhliziyo kuncike ezintweni eziningana, kubandakanya uhlobo lwezinkinga zengqondo ezicindezelayo ezikhiqiza ukuhluleka kwenhliziyo, ukuthola ukwelashwa okungcono kakhulu, nokusekelwa ngokomzwelo nangokomzimba okuhlinzekwa abathandekayo ekhaya.
Ukuba ngumnakekeli womuntu onokwehluleka kwenhliziyo kungaba yinselelo, okungenani isikhathi esithile, kepha kungaba nakho okuzuzisa ngokwakho kokubili wena nomthandekayo omnakekelayo. Kodwa-ke, imiphumela emihle kakhulu ayifinyelelwanga ngokuzidela okungapheli; Ngokuphambene nalokho, uzobe uyenzela othandekayo wakho futhi wena ngokwakho umusa omkhulu uma uqinisekisa ukuthi unakekela izidingo zakho, futhi.
Nazi ezinye izeluleko okufanele zikusize ukusiza othandekayo wakho ngokuhluleka kwenhliziyo.
Okufanele Ukulindele
Wonke umuntu onokuhluleka kwenhliziyo uhlukile, ngakho ukulindela uhlobo oluthile lokuhlangenwe nakho nomthandekayo wakho ngokuhluleka kwenhliziyo kungase kungabikho njengoba ucabanga.
Iningi labantu abasanda kutholakala ukuthi banesifo senhliziyo-uma isimo sinqunywa odokotela, futhi uma nje benokholo ekulandeleni uhlobo lwabo lwezokwelapha nokwenza ngcono indlela yabo yokuphila - ngokuvamile bangalindela isikhathi esingaqhubeka ngaso izimpilo zabo zikhululekile kakhulu.
Abanye abantu abanokuhluleka kwenhliziyo ehlukumezayo bangaphinde baphinde baphinde baphinde baphinde, uma isifo senhliziyo sisuka ngokuphelele. ( Ukucindezeleka ngokwezinhliziyo kungesinye isimo esinjalo.)
Kwabanye, noma kunjalo, uma isimo senhliziyo esiphuthumayo esikhiqiza ukuhluleka kwenhliziyo sithuthukile kakhulu, noma uma siphuthuma ngokushesha naphezu kokunakekelwa kwezokwelapha, kuqhubeka inkambo yomtholampilo eyinkimbinkimbi kakhulu. Bangase babe nezimpawu eziqhubekayo noma ezivame ukuphindaphindiwe, futhi bangathola "iziqephu" eziphindaphindiwe zokwehluleka kwenhliziyo okudinga izibhedlela eziphindaphindiwe.
Futhi abantu abaningi abanokuhluleka kwenhliziyo banezifundo zemitholampilo eziphakathi kwalezi ziqili ezimbili, ngezikhathi ezinde zokuzizwa zihlelwe kahle ngezikhathi ezithile ngezibonakaliso ezimbi ezidinga ezinye zezinga lokungenelela kwezokwelapha.
Njengomnakekeli, umgomo onengqondo kungaba ukukwenza konke okusemandleni akho ukusiza othandekayo wakho ukuba ahlale eqinile lapho inhlupho yezinhliziyo ingaphansi kokulawulwa kahle, nokubona izimpawu ukuthi izinto zingase ziphelelwe amandla, ukuze ukungenelela kwezokwelapha kwangaphambili kungase kube kubizwe ukuze uthole izinto emuva kwendlela.
Ngenxa yalesi sizathu, kuyoba umqondo omuhle ukuba ube nokuqonda okuyisisekelo mayelana nokuhluleka kwenhliziyo nokuphathwa kwayo.
Ukuqonda Ukuhluleka Kwezinhliziyo
"Ukuhluleka kwenhliziyo" kusho ukuthi uhlobo oluthile lwesifo senhliziyo luye lwazenza inhliziyo ingakwazi ukuhambisana nezidingo zomzimba ngaphansi kwazo zonke izimo.
Cishe noma yiluphi uhlobo lwesifo senhliziyo lungagcina ekubangele ukuhluleka kwenhliziyo, kufaka phakathi (phakathi kwabanye) isifo se-coronary artery (CAD) , isifo se-valvular senhliziyo , izifo , isifo somfutho wegazi , i- cardiomyopathy ye-hypertrophic , noma i- diastolic ukungasebenzi .
Izimbangela ezihlukahlukene zingabangela izinhlobo ezahlukene zokuhluleka kwenhliziyo. Isibonelo, i-CAD, ukuvuselelwa kwe-aortic , ukuphindaphinda kwe- mitral , ukutheleleka kwegciwane, kanye nezinye izimo eziningana ngokuvamile kuvame ukukhathazeka kwe-cardiomyopathy - ukwehliswa kwesisipha senhliziyo esenza singakwazi ukuhlangana ngokuphumelelayo.
Ngakolunye uhlangothi, i-aortic stenosis, i-hypertrophic cardiomyopathy, i-hypertension, ne-diastolic ukungasebenzi kahle kungabangela ukuqina (hypertrophy) noma "ukuqina" kwenhlanzi yezinhliziyo okuvimbela amakamelo amakhulu okushaya amanzi enhliziyweni (izakhi zangaphakathi) ekugcwaliseni ngokuphelele.
Lezi zinhlobo ezahlukene zokuhluleka kwenhliziyo ngokuvamile ziphathwa ngendlela ehlukile. Ngakho kubalulekile ukuthi odokotela baqonde ngokunembile lokho okubangela ukuhluleka kwenhliziyo ukuze kulungiswe ukwelashwa okufanele.
Kuwusizo kumnakekeli ukuthi abe nokuqonda okuyisisekelo esimweni esibhekene nesimo esibangela ukwehluleka kwenhliziyo, futhi ukwelashwa okubekiwe kuhlose kokubili ukuphatha imbangela eyinhloko kanye nokuhluleka kwenhliziyo ngokwayo.
Kodwa-ke, kungakhathaliseki ukuthi ukuhlolisisa inhliziyo komzimba kungabani, futhi ngabe ngabe othandekayo wakho enesifo senhliziyo unobuthakathaka, ubuhlungu benhliziyo ehlanjululwe noma ubunzima obuqinile, kunezinhlobo ezimbili ezijwayelekile zezinkinga ezibangelwa ukuhluleka kwenhliziyo okuvame ukuveza izimpawu.
Okokuqala, ukwehluleka kwenhliziyo kungabangela igazi libuyele enhliziyweni ukuze lihlehlise, likhiqize ukuxubana kwamaphaphu nokuvuvukala kwezicubu.
Futhi okwesibili, inani legazi eliqhunyiswa yinhliziyo lingancipha, okwenza izinso ziyeke ukusebenza ngendlela evamile. Umsebenzi wezinso owehlisiwe ungabangela izinso ukuthi zigcine usawoti namanzi, okuholela ekuvupheni okukhulu (i-edema) ezinyaweni, emilenzeni nasesisu.
Izimpawu eziyinhloko zokwehluleka kwenhliziyo zihlobene nalokhu kuhlanganiswa kwamaphaphu, ukunciphisa inani legazi inhliziyo ikwazi ukupompa, nokugcinwa kasawoti namanzi. Lezi zimpawu eziyinhloko ukuphefumula ( dyspnea ), ukukhathala, ukubekezela kokuzivocavoca okuncane, kanye ne-edema. Ubukhulu balezi zimpawu bungaba buhlungu kakhulu futhi bukhulu kakhulu-futhi bangashintsha nsuku zonke. Ukugcina ithrekhi ngokucophelela ngobukhulu bezimpawu kungasiza ekutholeni izinguquko ezibalulekile ekuhlulekeni kwenhliziyo. Funda kabanzi mayelana nezimpawu zokuhluleka kwenhliziyo .
Indlela Ongasiza ngayo
Kunezinto eziningana ezibalulekile umnakekeli ongayenza ukuze asize othandekayo ngenhliziyo ehlulekayo ukugwema iziqephu ezimbi zokuhluleka kwenhliziyo, nokuthuthukisa umphumela wabo wesikhathi eside. Lokhu kufaka phakathi
- ukusiza umuntu ngokuhluleka kwenhliziyo ukusungula nokugcina izinguquko zokuphila ezizozuzisa inhliziyo yakhe
- ukuzisiza ukuba baqhubeke nalokho okuvame ukwenziwa kwezikhathi eziyinkimbinkimbi yemithi
- kusiza ukuqapha izilinganiso zansuku zonke kanye nezimpawu ezingase zibonise ukuthi ukuhluleka kwenhliziyo kuqhubeka kakhulu
- ukuqaphela uma sekuyisikhathi sokubiza udokotela noma ukuya esibhedlela
Uma ungumnakekeli oyinhloko, kufanele uzibheke njengengxenye yethimba lezempilo. Lokhu kusho ukuthi kufanele uhambe kudokotela uvakashele othandekayo wakho uma kunokwenzeka, ulalele zonke izincazelo, bese ubuza imibuzo. Njengelungu eliyinhloko lethimba, kubalulekile ukuthi uhlanganyele kulezi zinsuku ezibucayi zokwaziswa.
Ukusiza Ngezinguquko Zokuphila
Ukwenza ngcono indlela yakho yokuphila kubaluleke kakhulu kunoma ngubani ofuna ukugwema isifo senhliziyo. Kumuntu onokwehluleka kwenhliziyo, izinkinga zokuphila zibaluleke nakakhulu. Ukukhetha okuhle kokuphila akulona nje "ukuvimbela umuntu onenkinga yezinhliziyo-zenza ukukhubazeka kwenhliziyo kwangempela.
Ikakhulukazi uma uhlanganyela isikhala esiphilayo nomuntu ophila nenhliziyo ehlulekayo, indlela engcono kakhulu yokusiza ngezinguquko zokuphila ezidingekayo ukuzitholela lezo zinguquko, futhi uzibandakanye ohlelweni lwansuku zonke kuwo wonke umuntu ekhaya. Lezi zinguquko zendlela yokuphila kufanele zibandakanye ukudla, ukuzivocavoca, nokubhema.
Othandekayo wakho uzodinga ukuxoxa ngokudla okuhle nodokotela obasiza ukuba baphathe ukuhluleka kwenhliziyo yabo, kodwa iningi labantu abanesifo senhliziyo kufanele libe nokudla okunamandla kasawoti waseMedithera, okunezithelo eziningi nemifino, okusanhlamvu konke, kanye namafutha enempilo (njengamafutha omnqumo) esikhundleni samafutha agcwele, ngenkathi egwema ukudla okuningi okufakwe emaphaketheni, okucutshungulwa (izimpahla ikakhulukazi eziphekwe). Lolu hlobo lokudla ngokuvamile luhle kakhulu cishe kunoma ubani.
Abantu abanesifo senhliziyo, noma kunjalo, badinga ukuqapha ikakhulukazi mayelana nokuvinjelwa usawoti , ngoba usawoti omningi kakhulu uzodala i-edema ne-dyspnea yabo. Thatha i-saltshaker kude netafuleni, bese unciphisa usawoti ngesikhathi upheka. Kanti futhi, ukugwema ukudla okusetshenziselwe kubalulekile ekugcineni ukudla okunomsoco ophansi.
Ukubhema kuyingozi kakhulu ohlelweni lwezinhliziyo, futhi njalo lapho umuntu ekhanyisa ubangela ushintsho olunzima emgqeni wemithwalo yegazi. Ukuze umuntu onokwehluleka kwenhliziyo, ukuqhuma ukubhema kuzothuthukisa imvamisa yezinkinga ze-heart failure, futhi kuzonciphisa isikhathi sokuphila. Siza othandekayo wakho ukuyeka ukubhema , uma ebhema. Uma uzibhema ngokwakho, ukuyeka kwakho kuyoba usizo olukhulu ekusizeni othandekayo wakho ukuba ayeke.
Khumbula ukuthi abantu abanokuhluleka kwenhliziyo bavame ukukhathala kalula kunokuba ungalindela. Hlela imisebenzi yakho nalo muntu ngokufanele. Vumela isikhathi esengeziwe sezinto ofuna ukuzenza, kanye nezinye izikhathi zomsebenzi ngezikhathi zokuphumula. Zama kanzima njengoba ungeke ukwazi ukuveza ukubekezela lapho izinto zihamba kancane kunalokho ongathanda.
Ngesikhathi esifanayo, ukuzivocavoca kubalulekile kumuntu onenhliziyo. Ngakho khuthaza noma yikuphi ukuvivinya umzimba wakho othandekayo okwazi ukwenza ngaphandle kokukhathala ngokweqile noma i-dyspnea. Wena nomngane wakho othandekayo kufanele ubuze udokotela ukuthi ngabe uhlelo lokuvuselela umzimba luyoba usizo ekuziqaliseni.
Ukusiza NgeMithi
Abantu abanesifo senhliziyo ngokuvamile bathatha imishanguzo eminingi, futhi kubalulekile ukugcina ithrekhi yamaphilisi ayithathayo. Kungcono kakhulu ukuthi abanakekeli bavumele ukuthi umuntu abe nokuhluleka kwenhliziyo kube ngumphathi oyinhloko wemithi yabo- kodwa ngokuvamile kuyinto enhle ukuhlola kabili. Ukusebenzisa ibhokisi lamapilisi noma ishadi kwenza kube lula kuwo wonke umuntu ukwazi ukuthi kuthathwe yini nokuthi yini ephuthelwe.
Kuwusizo ngokukhethekile umuntu onokwehluleka kwenhliziyo nomnakekeli kokubili ukuba baqonde kahle ukuthi yiziphi zonke lezo philisi, futhi yiziphi izinyathelo okufanele zithathwe uma umthamo wemithi ethile ungaphuthelwa ngesizathu esithile. Ukuqonda imithi yezokwelapha kungenye yezizathu ezibaluleke kakhulu ukuthi umnakekeli kufanele abambe iqhaza ekuvakasheni udokotela noma nini lapho kungenzeka.
Ukuqapha Izimpawu-Nini Ukubiza Usizo
Kubantu abanesifo senhliziyo, izimpawu zivame ukucwiliswa futhi zidlulele isikhathi, kanti ezinye izinsuku ziba ngcono kunezinye. Ngemuva kwesikhathi, iningi labo abanakekelayo likhululekile ngokuqaphela "usuku olungelona iqiniso," futhi luzokwenza ukuthi othandekayo wabo athathe kalula kulezo zinsuku ezimbi.
Kodwa ngezinye izikhathi, ukuthatha kalula nje usuku noma ngaphezulu akuwanele. Ngezinye izikhathi kuyoba kubalulekile kumuntu onenhliziyo ukuhluleka ukubona udokotela wabo, noma ngisho ukuya ekamelweni eliphuthumayo. Ngomnakekeli, ukwazi ukuthi uzobiza nini usizo ngezinye izikhathi kungabi yi-no-brainer, kodwa ngezinye izikhathi kuyoba ucingo lokwahlulela. Kodwa njengoba kuyinhliziyo yakho ethandekayo osebenza nayo, uma kunombuzo mayelana nokuthi ungenza ucingo (ehhovisi likadokotela noma 911), yenza kanjalo.
Kuwumqondo omuhle ukuqapha izimpawu zomuntu ozithandayo nsuku zonke, nokufaka ubunzima bezo zimpawu eshadini noma kwidayari. Kuwusizo ukulandelela izinga le-dyspnea yabo, izinga labo lokukhathala namandla, kanye nesilinganiso sokuvuvukala abanakho emilenzeni noma emaqotsheni. Buza ukuthi balala kanjani ekuseni. Ingabe bazizwa bephefumula lapho belala ebusuku? Ingabe bavuka ebusuku bezwa ukuphefumula? Qaphela indlela abaphefumula ngayo lapho behamba, noma njengoba bekhuluma. Ukurekhoda lezi zinto nsuku zonke kuzokusiza ukuba ubone izindawo ezihamba phambili ngokuhamba kwesikhathi.
Ukulinganisa isisindo sabo nsuku zonke (cishe ngasikhathi esifanayo, ukugqoka ngesilinganiso esifanayo sokugqoka, futhi nesisindo esingenalutho) kuyasiza. Ukugcinwa kwe-flux kuzovame ukuboniswa njengenzuzo yesisindo (ngokuvamile, esikhathini esithile), ngaphambi kokuba wena noma othandekayo wakho akwazi ukubona noma iyiphi i-edema noma i-dyspnea eyedlula.
Kunezikhathi ezimbili ezijwayelekile lapho kufanele ufune usizo lwezokwelapha kumthande wakho. Okokuqala, shayela u-911 uma bebhekene nokuhlukumeza kakhulu i-dyspnea, ubuhlungu besifuba noma ukungahambi kahle , ikhanda elikhulu lokukhanya , i- syncope , nanoma yisiphi esinye isifo esibonakala sisabeka noma esiyinkimbinkimbi. Akufanele neze uqiniseke ngokubiza 911 ngokungadingekile. Uma ukhathazekile noma ukhathazekile, shayela ucingo.
Okwesibili, shayela udokotela uma ubona umkhuba owedlula isikhathi obonakala ubangela ukukhathazeka. Lokhu kungabandakanya ukuzinza okunamandla ngaphezu kwezinsuku ezingu-2 noma ezintathu, kancane kancane kuqhuma i-dyspnea, ukwanda kwe-edema yomlenze, noma ukukhathala noma ukukhathala okungaphezu kwalokho ocabanga ukuthi kuyinto evamile. Lokhu kungase kube yizibonakaliso zokuthi ukwehluleka kwenhliziyo yomthandi wakho kukhula kancane kancane, futhi ukuthi isiqephu esibi singase sibe seduze kwekhoneni. Uma waziswa mayelana noshintsho, udokotela uzokwazi ukuguqula izinto ngokulungisa imithi okwesikhashana.
Ukuzinakekela Wena
Ngeke ube ngumnakekeli osebenzayo ngaphandle uma unakekela izidingo zakho. Uma ugula, ukhungathekile, noma ushisiwe, akekho onqobayo.
Qala ngokuhlola uhlelo lwakho lokusekela. Yimaphi amalungu omndeni nabangani abakwaziyo futhi abazimisele ukungena? Zibone, futhi zivumele zize zisize.
Ukunakekela umuntu onokwehluleka kwenhliziyo akufanele kube njengomsebenzi omkhulu njengokunakekela umuntu oye waba (isibonelo) isifo esiwumfutho, noma ukuwohloka komqondo. Ngakho-ke ungavumeli ukuthi ibe yinto ephelele. Iningi labantu abanokuhluleka kwenhliziyo elungile lingalungisa ukudla okulula, thola i-mail, iya endlini yokugezela, noma ngisho nokuhlanza izingubo ezilula. Ngokuvamile kufanele bakhuthazwe ukwenza imisebenzi enjalo. Futhi ngokuvamile abadingi ukuqapha 24/7. Ngakho uma ukuhlola kwakho kwansuku zonke kungabonakali izimpawu eziphazamisayo noma izimpawu, ungafanelana nesikhathi "sami" esithile.
Thatha ukuphumula kwansuku zonke, futhi ube nomunye umuntu ophayela usuku olulodwa ngesonto noma kunjalo, uma kungenzeka. Gcina izithakazelo zakho, izinto ozilibazisa kanye nenethiwekhi yakho yokuxhumana nabantu, njengendlela yokunciphisa ukucindezeleka. Thola ukulala ngokwanele, uthole umzimba wakho, futhi udle ukudla okuhle. Ukugcina impilo yakho siqu, kuhlanganise nenhlalakahle yakho engokwenyama nengqondo, kubaluleke kakhulu uma uzoba ngumnakekeli osebenzayo.
Izwi elivela
Ukuhluleka kwenhliziyo kuyinselele kuwo wonke umuntu-kumuntu onokwehluleka kwenhliziyo, udokotela, kanye nomnakekeli. Umnakekeli osebenza kahle uzoqonda okuyisisekelo mayelana nokuhluleka kwenhliziyo, yiziphi izimpawu okufanele azibheke nokuthi yini ongayilindela, nokuthi nini ukubiza usizo. Mhlawumbe okubaluleke kakhulu, abahlinzeki abaphumelelayo kakhulu yibo abaqaphela ukugcina impilo yabo kanye nokuphila kwabo.
> Imithombo:
> Ponikowski P, I-Voors AA, i-Anker SD, et al. Imihlahlandlela ka-2016 ye-ESC yokuHlola kanye nokwelashwa kokuhluleka kwe-Heart Acute and Chronicle: I-Task Force for the Discovery and Treatment of Heart and Acute Heart Failure of the European Society of Cardiology (ESC) Yakhelwe Nge-Special Contribution ye-Heart Failure Association (HFA) ) we-ESC. I-Eur Heart J 2016; 37: 2129.
> Yancy CW, Jessup M, Bozkurt B, et al. Umhlahlandlela we-ACCF / AHA ka-2013 we-Management of Heart Failure: Summary Executive: Umbiko we-American College of Cardiology Foundation / American Heart Association Task Force on Guidelines Practice. Ukujikeleza 2013; 128: 1810.