Ingabe Ungakufanelekela Izibhedlela?
Isiguli esinesifo senhliziyo sidinga ukuhlangabezana nezinqubo ezithile zokusekela ukubikezelwa kwesiguli futhi ufanelekele ukunakekelwa esibhedlela. Udokotela wenza isinqumo ukuthi isifo senhliziyo sinesifo esibulalayo esisekelwe ekutheni isiguli siyaphathwa kahle yini nge-diuretics kanye ne-vasodilators, kungakhathaliseki ukuthi bane-angina pectoris ekuphumuleni okungavumelani nokwelashwa okuvamile kwe-nitrate nokuthi ngabe banezibonakaliso zokuhluleka kwenhliziyo ngesikhathi ngokuphumula futhi zihlukaniswa njengeNew York Heart Associations Class IV.
I-New York Heart Associations (NYHA) I-Class IV ichazwa kanje:
IV a - Isiguli asikwazi ukuqhuba noma yimuphi umsebenzi ngaphandle kwempawu zenhliziyo.
IV b - Izimpawu zikhona ngisho nokuphumula.
IV c - Uma kukhona okwenziwa ngokomzimba, izimpawu zanda.
Ezinye izinto udokotela wakho azozicabangela ekwenzeni ukuxilongwa kwesiguli sesifo senhliziyo kungumlando wezinhliziyo zenhliziyo kanye nanoma yiziphi izifo ezifana ne-arrhythmias (ukushaya kwenhliziyo okungavamile), ukuhlasela kwenhliziyo, kanye nengxenyana ye-ejection (inani legazi inhliziyo ikwazi ukupompa ). Udokotela uzophinde abheke noma yiziphi izifo ezihlala njalo njenge-HIV.
Uma udokotela enquma ukuthi isiguli sihlangabezana nemigomo yokubikezelwa kwesiguli, angase ancoma ukunakekelwa kwezintambo. Ukunakekelwa kwe-palliative kungasiza ukunciphisa izimpawu zesifo senhliziyo ezibangelwa ubuhlungu nobuhlungu, kuhlanganise nobuhlungu besifuba, ukuphefumula, i-edema (ukuvuvukala), nokukhathazeka.