Imiphumela emikhulu yokushaywa yisifo yizinguquko zezinzwa, kodwa izinkinga zenhliziyo zingase ziphoqelele ukutakula kwesiguli.
Ucwaningo olunyatheliswa ephephandabeni iStroke lwabheka iqembu leziguli ezingu-846 ngezinyanga ezintathu ngemuva kokuhlukunyezwa. Abangaphezu kweyedwa kwabayisishiyagalombili babenomcimbi ojulile wenhliziyo ngaleso sikhathi , futhi abangaphezu kwamaphesenti angama-4 bafa ngenxa yalokho. Nakuba ukulimala kwegazi kuyisisusa esiningi kunazo zonke zokufa ngemva kokushaywa yisifo, izinkinga zenhliziyo zibeka okwesibili.
Izinkinga ezivamile ze-Cardiac Emva kwesisu
Ezinsukwini ezisheshayo ngemva kokushaywa yisifo, ukuhlasela kwenhliziyo , ukwehluleka kwenhliziyo , ukungavamile kwenhliziyo, nokuboshwa komzimba konke kungenzeka kakhulu.
Izindlela ezingavamile zenhliziyo eyaziwa ngokuthi " i-fibrillation ye-atrial " kanye "ne-flutter ye-atrial" zivame kakhulu. Kuzo zombili, amakamelo aphezulu enhliziyo-i-atria-ishaya ngokungaqondakali ngokushesha futhi ngendlela engafanele.
Uma uhlushwa yi-fibrification e-atrial, ukushaya kwenhliziyo yakho kuzoba okungaqondakali, noma okungajwayelekile. Ngokuphambene nalokho, uma i-atria yakho "i-flutter," isigqi senhliziyo yakho sizoba njalo futhi sivinjiswe kakhulu, kodwa singasebenzi. Zombili lezi zimo ziyingozi, njengoba amakamelo aphezulu enhliziyo eqhuma kahle, okusho ukuthi igazi alikhiphi ngendlela ehlelekile esuka enhliziyweni kuya emzimbeni wonke.
Esikhundleni salokho, amachibi egazi ase-atria nasezindlini zegazi angakha. Uma ama-clots ehamba egazini, angase agcine emithanjeni ye-coronary (lapho angabangela khona ukushaya kwenhliziyo) noma ubuchopho (lapho bangabangela khona olunye uhlangothi).
Ukuba nesifo sohlangothi kukhulisa ingozi yomuntu ngenkinga ye-cardiac
Ezinye izingozi ezifanayo ezingabangela ukushaya isifo zingenza izinkinga zenhliziyo zibe lula, kufaka phakathi ukucindezeleka okukhulu kwegazi, isifo sikashukela, i-cholesterol ephakeme, isifo se-aronic coronary, kanye nesifo senhliziyo. Ezinye zamakhemikhali zishintsha izimbangela zesisindo zingathinta ukusebenza kwenhliziyo.
Isibonelo, amakhemikhali ebuchosheni abukhishwe emgodleni wegazi ngemva kokushaywa komzimba kungase kube kubi enhliziyweni.
I-stroke ingaphazamisa ngqo izingxenye zobuchopho ezilawula inhliziyo. Ukulimala kwe-hemisphere kwesokudla (okungaphezu kwesokunxele) kwenza izinkinga ezinzima zenhliziyo nokufa okubangelwa yinhliziyo ngokungazelelwe kwehlisa amathuba amaningi.
Ukuvimbela Izinkinga Ze-Cardiac Emva Kokushaya
Izincomo zamuva ziphakamisile ukuthi ziqaphele njalo izinhliziyo zabo bonke abahlukunyezwa yizibhedlela eziphakathi kwezinsuku ezintathu kuya kwezintathu ukuze zibone izinkinga zentuthuko yenhliziyo.
Nazi ezinye izinto eziyingozi ezingase zenze umqondo omuhle ngokukhethekile wokuba nokuqapha kwenhliziyo ngemuva kokushaya:
- Uneminyaka engaphezu kwengu-75 ubudala
- Okukhulu kune-stroke encane (i-stroke encane ebizwa ngokuqondile ngokuthi i- ischemic attack , noma iTIA)
- Umlando weyodwa noma ngaphezulu kwezimo ezilandelayo: Isifo sikashukela, ukwehluleka kwenhliziyo, ukucindezeleka kwegazi, isifo esidlule, noma ischemic isifo senhliziyo (isifo se-coronary artery)
- Amazinga aphezulu e-serum creatinine, akhiqizwa uma imisipha ihlehla
- Amazinga aphezulu we-troponin I. I-Troponin iyiprotheni etholakala ensikeni yenhliziyo; ikhishwa engxenyeni yegazi lapho amaseli enhliziyweni elimala noma ebhujiswa.
- Umfutho wegazi ophakeme we-systolic (owokuqala, ngokuvamile ophakeme, inombolo enikezwe emiphumeleni yomsindo wegazi; ilinganisa ukucindezeleka lapho inhliziyo ingena).
- Izinguquko emiphumeleni ye-electrocardiogram, eyenza ukuthi kwenzekani enhliziyweni yakho - ikakhulukazi izinguquko ezingavamile; ekuqaleni, izinsimbi ezengeziwe ze-ventricles zenhliziyo; kanye ne-fibrillation ye-atrial kanye ne-flutter njengoba kuchazwe ngaphambilini.
> Imithombo:
Chalela, Julio A, MA Ezzeddine, uL. Davis, S. Warach. "Ukulimala Kwemyocardial In Stroke Eyingozi." Ukunakekelwa kwe-Neurocritical 1 (2004): 343-346.
I-Maramattom, i-Boby V. "Ukubaluleka Kwemitholampilo Ye-Troponin Yenhliziyo Yokwelashwa Nokukhululeka Kwezinhliziyo Ezigulini Eziphefumulayo Zokuphefumula Kwe-Cerebral Cerebral Hemorrhages." I-Mayo Clinic Proceedings 81 (2006): 192-196.
U-Prosser, Jane, uL. MacGregor, uK. Lees, H.-C. Diene, W. Hacke, S. Davis. "Izibikezelo Zokulimala Nokufa Kwemvelo Ekuqaleni Ngemva Kokushaywa Kwe-Ischemic." Isibhamu 38 (2007): 2295.