Izinkinga zenhliziyo zivame ukucindezeleka kubantu abanomdlavuza. Uma unesihlungu, bobabili nodokotela bakho kudingeka nilinde ngokukhethekile ngenhliziyo yakho ngesikhathi sesicindezelo sokushaya, ngesikhathi sokuphumula - nangemva kwalokho.
Izinhlobo zezinkinga ze-Cardiac Ziyabona Nge-Stroke
Izinhlobo eziningana zezinkinga zenhliziyo zivame ukubonakala kubantu abahlukunyezwa.
Lokhu kufaka phakathi i- myocardial infarction ( ukulimala kwenhliziyo), ukwehluleka kwenhliziyo , nokuhleleka kwenhliziyo - ikakhulukazi i-fibrillation ye -rial , i- tricycardia ye- ventricular kanye ne- fibrication ye-ventricular .
Izinkinga zenhliziyo ezihambisana nokushaywa komzimba kungabangelwa yi-stroke ngokwayo, noma kungabangelwa inqubo efanayo efanayo eyabangela isifo (ikakhulukazi, ukuhlushwa kwe-artery). Noma, inkinga yenhliziyo ingase ivele kuqala, futhi isifo singabangela kuso. (Lokhu kuvame ukubonwa lapho i-fibrillation ye-atrial ikhiqiza ubuchopho ebuchosheni.).
Ngakho-ke noma kunini lapho uhlangothi luyinkimbinkimbi nenkinga yenhliziyo, kubalulekile ukuthi udokotela enze konke okusemandleni ukuxazulula imbangela nomphumela. Lokhu kuqonda kuyadingeka ukuze ukwelashwa okuphumelele kakhulu kungakhethwa ukuphuthuma futhi kuvimbele izinkinga eziningi esikhathini esizayo.
I-Stroke and Myocardial Infarction
Abangu-13% abahlukumezekile abanesihluku abaneminyaka engama-60 noma ngaphezulu bazoba nesifo senhliziyo zingakapheli izinsuku ezintathu zesifo.
Ngakolunye uhlangothi, akuyona into engavamile ukuba isifo senhliziyo silandelwe ngokushesha ngesifo.
Ngoba iziguli eziningi ezine-stroke ezinzima zingase zibe nobunzima bokubona noma ukubika izimpawu zesifo senhliziyo , inkinga yenhliziyo ingase ingabonakali. Ngakho-ke, kubalulekile odokotela abanakekela iziguli ezihlaselwa ukuba ziqaphe ngokucophelela ngezibonakaliso ze- ischemia yenhliziyo.
Lokhu kuhlanganisa ukuhlola ama- ECG okungenani nsuku zonke ngezinsuku ezimbalwa zokuqala nokuqapha ama-enzyme enhliziyo ngenxa yezibonakaliso zomonakalo wenhliziyo.
Akucaci ukuthi kungani ukuhlaselwa kwenhliziyo ehlabayo kanye nemivimbo emibi kwenzeka ndawonye njalo. Kungenzeka ukuthi abanye abantu abane- atherosclerosis bangase bahambe ngezikhathi ezithile lapho ingozi ye- thrombosis engosini ye- plaque ye- atherosclerotic iphezulu kakhulu (isibonelo, usuku noma amabili ngemuva kokubhema ugwayi ).
Njengoba ama-plaque evame ukutholakala emitheni ye-arteries ehlinzekela kokubili inhliziyo nobuchopho, ngezikhathi ezinjengezikhathi ezinobungozi kanye nokuhlaselwa kwenhliziyo kungase kwenzeke kanyekanye.
Kubaluleke kakhulu ukuthi odokotela baphathe isifo senhliziyo esiqinile ukuze baqiniseke ukuthi isiguli asinaso nesifo ngaphambi kokuba basebenzise izidakamizwa ze-thrombolytic (okungukuthi, "i-clot busters"). Ngenkathi ukuqeda i-thrombosis emthonjeni we-coronary ngokuvamile ukwelapha, ukususa i-thrombosis ebuchosheni obuchopho kungabangela ukubola kwesifo sobuchopho nokulimala okukhulu kwesifo.
Okokugcina, iqiniso lokuthi umuntu ube ne-stroke ubabeka engozini enkulu yokuhlaselwa kwenhliziyo esikhathini esizayo. Lokhu kungenxa yokuthi, ezimweni eziningi, ukushaywa yisifo sokushaya isifo kubangelwa ukuphefumula kwesifo somzimba, isifo esifanayo esiholela ekuhlaselweni kwenhliziyo.
Ngakho-ke abantu abaningi abaye basinda ngesifo sokushaya isifo kungenzeka ukuthi banesifo esibalulekile se- coronary artery (CAD) , futhi kudingeka benze imizamo enobudlova yokunciphisa ingozi yabo yesikhathi esizayo.
Ukuhluleka kwesisu nokushaya kwenhliziyo
Ukushaywa yisisu kungahlotshaniswa nokuhluleka kwenhliziyo entsha noma okubi.
Ukungaphumeleli kwenhliziyo kungabangela uma ukushaywa komzimba kuhambisana ne-infarction ye-myocardial.
Ngaphezu kwalokho, isifo ngokwazo singabangela ukuba buthakathaka kwenhliziyo ngokukhiqiza ukwanda okukhulu emazingeni e-adrenaline (kanye nezinye, izinguquko ezingezansi ezichazwe kahle nge-neurological). Lezi zinguquko zingabangela i- ischemia ye- cardiac ebalulekile (ukungabi ne-oksijeni ensikeni senhliziyo) ngisho nabantu abangenawo i-CAD.
Umonakalo wenhliziyo obangelwa yi-ischemia ye-cardiac-mediated-mediated, ejwayele ukuhlala unomphela, iyinto evame ukucindezeleka kubantu abasha, abanempilo abane-stroke ngenxa yokuqothulwa kwesisu .
I-stroke iphinde ihlotshaniswe nesikhashana "senhliziyo emangalisa," lapho ingxenye ethile yemisipha yenhliziyo ishiya ngokuzumayo ukusebenza ngokujwayelekile. Lesi simo, cishe cishe esifana nalokho okuthiwa "i- heart syndrome ephukile ," singenza iziqephu ezinzima, kodwa okwesikhashana, ukwehluleka kwenhliziyo.
I-Stroke ne-Cardiac Arrhythmias
Ama-arrhythmias enhliziyo ebalulekile abonakala ezinsukwini ezimbalwa zokuqala ezigulini ezingu-25% ezivunyelwe esibhedlela nge-stroke enzima.
I-arrhythmia kaningi kakhulu ehlotshaniswa nokushaywa yisifo i-fibrillation e-atrial, elandisa okungaphezu kwesigamu sezinkinga ze-heart rhythm ezihlobene nesifo sohlangothi.
Izindlela zokuphila ezisongelayo zingase zenzeke, kufaka phakathi i-fibrication ye-ventricular nokubopha inhliziyo. Ezimweni eziningi, ama-arrhythmiya angase abulawe angenxa ye- QT syndrome ende , engabangela isifo.
I- bradycardia ebalulekile (izinga lentliziyo elincane) lingabuye lenzeke ngemva kokushaywa yisifo. Ngokuvamile, i-bradycardia ihamba kancane, kodwa ngezinye izikhathi ibhokisi lenhliziyo elibonakalayo lingabonakala, lidinga ukufakwa kwe- pacemaker .
Isifingqo
Izinkinga zenhliziyo ezinzima zivame kakhulu emva kokushaya. Noma ubani ohlukunyezwayo kudingeka ahlolwe ngokucophelela futhi ahlolwe okungenani izinsuku eziningana ukuze kube khona ukuhlukunyezwa kwe-myocardial, ukwehluleka kwenhliziyo, nokuhlelwa kwe-cardiac arrhythmias. Futhi ngenxa yokuthi uhlangothi oluthile lubonisa ukuthi usemngciphekweni omkhulu wezinkinga zenhliziyo yesikhathi esizayo, izinyathelo ezinonya zokunciphisa ingozi yakho yomzimba ziba zibucayi ikakhulukazi uma unesifo sohlangothi.
> Imithombo:
> Touzé E, Varenne O, Chatellier G, et al. Ingozi ye-Myocardial Infarction kanye ne-Vascular Death Emva kokuhlaselwa kwe-Ischemic ejulile ne-Ischemic Stroke: Ukubuyekezwa Okuhlelekile Nokuhlaziywa Kwe-Meta-Analysis. Isibhamu 2005; 36: 2748.
> Kumar S, Selim MH, Caplan LR. Ukucindezeleka Kwezokwelapha Ngemva kokushaywa yisifo. I-Lancet Neurol 2010; 9: 105.
> Ama-Samuels MA. I-Brain-Heart Connection. Ukujikeleza kuka-2007; 116: 77.