Futhi Yini Ongayenza Ngayo
Isihluthulelo sokusinda ekuhlaselweni kwenhliziyo
Isihluthulelo sokusinda isifo senhliziyo ukuqaphela ukuthi kungenzeka ukuthi ube nesinye, bese uthole usizo lwezokwelapha ngokushesha ngangokunokwenzeka.
Ukuhlaselwa kwenhliziyo ejulile (okubizwa nangokuthi i- infarction ye-myocardial , noma i-MI), kubangelwa ukuvinjelwa okungazelelwe kwe- aron coronary , okubangela okungenani ezinye zezinhlanzi zenhliziyo ezinikezwe lowo mshini wokufa.
Imiphumela eminingi yesikhathi esifushane neyesikhathi eside se-MI inqunywa ukuthi isisindo senhliziyo sinakele kangakanani. Ngakho uma umthamo uvinjiwe (okungukuthi, uma i-MI iqala), kubalulekile ukuthola ukunakekelwa okusheshayo kwezempilo, okuhlose ukuvula umthamo ovinjelwe ngokushesha ngangokunokwenzeka.
Lokhu kubalulekile ukucindezeleka. Phakathi nesifo senhliziyo, ukuthola ukwelashwa ngokushesha kuyinto ebalulekile. Indaba yamaminithi angenza umehluko phakathi kokuphumula okugcwele, noma ukukhubazeka okuhlala njalo noma ukufa.
Lokho kusho ukuthi yilokho okulandela ukutshengiswa kwemvelo abaningi bethu abazobhekana nokuhlaselwa yinhliziyo, okungukuthi, ukuphika nokulibala, kungaba yiphutha elibulalayo. Uma unezibonakaliso zesifo senhliziyo, uzama ukuyikhipha ekhaya isikhathi esithile - enethemba lokuthi izimpawu zizobe sezikhohlisayo noma ukucindezelwa kwemisipha - kungabangela ukulibaziseka okungaholela emiphumeleni eyonakalisayo nengunaphakade.
Noma ubani one- coronary artery disease (CAD), noma obani (ngenxa yezinkinga zabo zenhliziyo ) bangase babe ne-CAD, kufanele bazi ukuthi yiziphi izimpawu okufanele zibuke.
Iziphi Izimpawu Zokushaya Inhliziyo Kufanele Ithiphu Elikuphephile?
Isiqalo sobuciko se-MI sibuhlungu besifuba noma singakhululekile. Lokhu kuvame ukuchazwa njengokucindezela okukhulu, ngezinye izikhathi, ukucindezela noma ubuhlungu ngaphakathi noma esifubeni esifubeni, ngokuvamile kukhanyisa emxeni noma kwesokunxele, futhi ngezinye izikhathi kuhambisane ukujuluka okukhulu, noma ukwesaba okukhulu kakhulu noma inhlekelele ezayo.
Ngeshwa, awukwazi ukuthembela ukuthi ube nephethini yama-classic. Ngezinye izikhathi ukunganaki kungase kube mnene , futhi kungase kuvezwe ngemuva, isisu, amahlombe, noma ezinye noma zombili izingalo. Ukuphelelwa umoya okungazelelwe okungaqondakali, ukuhlukumezeka nokuhlanza, noma nje ukuzwa komzwelo, kungaba yizimpawu ezivelele (noma kuphela).
Izimpawu ezinjalo "ezingenasisindo" angeke zikuenze ucabange ngenkinga yenhliziyo nhlobo, futhi ingakuvikela ekudingeni usizo lwezokwelapha.
Kuyaphawuleka ukuthi abesifazane babonakala bezwa "izimpawu ezingenasidingo" kaningi kunamadoda. Lokhu kuvame ukuholela abesifazane ukuba balinde ukufuna usizo lwezokwelapha, futhi kungase kubangele ngisho nodokotela ukuba babambezele ekwenzeni ukuxilongwa okufanele. Lesi esinye sezizathu ukuthi abesifazane, kwezinye izifundo, baye bavame ukuba nemiphumela emibi ngokuhlaselwa kwenhliziyo kunamadoda.
Okubalulekile ukuthi noma ubani onezici ezithile noma ezingaphezu kweengozi ze-CAD udinga ukunakekelwa ngokucophelela kunoma yiziphi izimpawu ezizenzekelayo, ezingavamile noma ezingachazwanga ezibandakanya ingxenye engaphezulu yomzimba . Lesi sixwayiso sizosebenza, isibonelo, kunoma yimuphi umuntu oneminyaka ephakathi (noma ngaphezulu) owedlula ngokweqile, odelelekile, obhemayo, noma onesifo sikashukela , i- cholesterol ephakeme , umfutho wegazi ophakeme , noma umlando womndeni wesifo senhliziyo.
Kubantu abanjalo (futhi kukhona iningi lethu), noma yiziphi izimpawu ezingachazwanga ukuthi ngisho noma kungenzeka ngenxa yenkinga yenhliziyo kufanele kuthathwe njengokubaluleke kakhulu.
Yini Okufanele Uyenze Uma Ucabanga Ungase Ube Nokuhlasela Kwenhliziyo?
Uma ubona noma yiziphi izimpawu ezibonisa ukuhlaselwa kwenhliziyo, ikakhulukazi uma wazi ukuthi unengozi ye-CAD, kufanele uthole usizo lwezokwelapha ngokushesha ngangokunokwenzeka. Ngokuvamile, into ephephile kakhulu okumele uyenze ukubiza u-911 futhi ube nezimo eziphuthumayo ukuza kuwe.
Uma usunakekelwa ochwepheshe bezokwelapha, ingozi yakho yokufa iyancipha kakhulu.
Uma uhlala endaweni lapho izimo eziphuthumayo zingatholakali kalula, khona-ke omunye umuntu angakuqhubela esibhedlela.
Kodwa noma yini oyenzayo, thola usizo ngokushesha, ngoba uma unesifo senhliziyo, yonke iminithi ibaluleke kakhulu. Futhi ngenkathi ulinde izimo eziphuthumayo, noma ngenkathi uqhutshwa esibhedlela, thatha i-aspirin .
Yini Okufanele Yenzeke Esibhedlela?
Uma ufika esibhedlela, abasebenzi bezokwelapha kufanele bathathe izimpawu zakho ngokubaluleke kakhulu.
Lokhu akuyona yezinye izikhathi lapho kufanele ulindele ukuhlala kulo mnyango wezimo eziphuthumayo amahora amabili, ulinde unobhala okhukhumezayo, onamahlumela ukuze uthathe imininingwane yakho yomshuwalense. Esikhundleni salokho, kufanele ulindele ukuba ufake ngokushesha ekamelweni lokunakekelwa, futhi abantu abaningana kufanele ngesikhathi esifanayo bakwehlisele umqaphi wenhliziyo, baqale i-IV, bakunike oksijini, bathole i-electrocardiogram (ECG), badonse igazi ukuze bahlole, futhi qala ukubuza imibuzo mayelana nezimpawu zakho nokuhlola inhliziyo yakho.
Ukuze uqiniseke ukuthi unika impendulo efanele kulabo bezokwelapha, kufanele usho amagama omlingo ngokushesha uma ufika. Amazwi omlingo athi, "Ngicabanga ukuthi nginesihlungu senhliziyo."
Ungabatshele ukuthi ulapha ngoba ihlombe lakho libuhlungu, noma ucabanga ukuthi unesifo senhliziyo, noma ukuthi unamanye amathuba okunye owawucabanga (futhi owathembele wona). Isimo sakho sengqondo akufanele sibe, "Kungenzeka lutho, ngakho-ke ngeke ngenze into enkulu. Bavumele bahlole ukuthi kuyinhliziyo yami." Uma lokho kuyindlela yakho, uzothola ukwelapha okumuncu, ukugwedwa kwe-gum-snapping, imizuzu eyigugu (noma ngisho namahora) uzochitha, futhi uzokhokha inani elibi.
Uma usuqaphele izimpawu zokuhlaselwa kwenhliziyo, uzitholele esibhedlela, futhi waxwayisa abasebenzi bezokwelapha ukuthi unenkinga yenhliziyo, wenze umsebenzi wakho.
Isinyathelo esilandelayo sifike odokotela. Futhi kubalulekile ukuthi wazi, ngokujwayelekile, ukuthi odokotela kufanele bakwenzele kanjani uma behlaselwa inhliziyo enzima. Ungafunda kabanzi mayelana nokwelapha kwenhliziyo lapha .
Izwi elivela
Isihluthulelo sokusinda isifo senhliziyo ukubona ukuthi kungenzeka yini izimpawu zesifo senhliziyo, futhi ukuthatha isinyathelo ngokushesha uma uthola noma iyiphi yazo. Imiphumela emibi kakhulu yokuhlasela kwenhliziyo ivame ukugwema uma ukwelashwa kusungulwa ngokushesha. Namuhla, izibhedlela eziningi zanamuhla zenzelwe ukwelashwa ngokushesha uma ukuxilongwa kucacile; futhi iningi lokubambezeleka ekunakekeleni kokuqala kusezandleni zomuntu onesifo senhliziyo. Ngakho-ke, ikakhulukazi uma unezici zobungozi ze-CAD, wazi ukuthi ubheke ini, futhi uqaphele noma yiziphi izimpawu zesifo senhliziyo.
> Imithombo:
> Fanaroff AC, Rymer JA, Goldstein SA, et al. Ingabe Lo Mgulane Ngezinhlungu Zesibeletho Unayo I-Coronary Syndrome? I-JAMA 2015; 314: 1955.
> Thygesen K, Alpert JS, Jaffe AS, et al. Incazelo yesithathu yomhlaba wonke ye-Myocardial Infarction. Ukujikeleza ngo-2012; 126: 2020.