Ngemuva kokusinda kwesifo senhliziyo ( infarction ye-myocardial ), unokuningi okumele ufunde ngakho okuningi okufanele ucabange ngakho . Ezinsukwini ezindala ezindala ungase ube neviki noma ezimbili ezibhedlela ukuze ulungiswe ezintweni-ukubhekana nakho konke ukuhlolwa, ukuhlolwa kwezinhlekelele, imfundo, nokuqaliswa kokwelashwa okudingekayo ukuze ukwandise ukubikezela kwakho isikhathi eside.
Namuhla, noma kunjalo, noma yikuphi okuzokwenziwa kufanele kwenzeke ezintathu zokuqala (noma mhlawumbe ezine, uma unezinhlelo zempilo enhle).
Odokotela nezibhedlela baye bahlanganisa kahle ukuhlinzeka ngokucophelela ukunakekelwa okusheshayo kumuntu ovezwe nge-infarction eyingozi ye-myocardial . Kodwa ngezinye izikhathi bayaphosa ibhola uma kuziwa ngokunikeza ukunakekelwa okufanele emva kwalezo zikhathi zokuqala ezibucayi. Abanakekeli abaningi bazama kanzima ukufeza konke okudingeka kufezwe ezinsukwini ezimbalwa emva kokuhlaselwa kwenhliziyo. Nokho, ngezinye izikhathi, "konke okudingeka kufezwe" kumane kunzima, kubo kanye neziguli zabo. Ngenxa yalokho, ngokuvamile abantu abahlaselwa yinhliziyo abatholi konke ukuhlolwa, imfundo, kanye nokwelashwa abayidingayo ukuze baqinisekise umphumela omuhle wesikhathi eside.
Isihluthulelo sokuhamba ngempumelelo endleleni yakho eya empilweni ende, enempilo emva kokuhlaselwa kwenhliziyo nguwe . Udinga ukwazi ukuthi hlobo luni lokuhlolwa okufanele lwenziwe, luhlobo luni lokudluliselwa okufanele lwenziwa, nokuthi yiziphi izinhlobo zemithi (kanye nezinye izifo) okufanele ziqalwe, noma okungenani zicutshangelwe.
Uma kukhona okuwela emaphunjini, kufanele uyiyise kudokotela wakho.
Odokotela ngempela bafuna ukwenza into efanele. Yilokho nje, unikezwe zonke izingcindezi nezinkinga ezisebenza ngaphansi, kusukela kokubili izinkampani zomshuwalense kanye nohulumeni, ngezinye izikhathi udinga ukuzikhumbuza ukuthi obani ababophezeleke ngempela, nokuthi yini okulindelekile kulokhu.
Futhi-ke, udinga ukuba nethemba elilungile.
Kuze kube sekugcineni, nansi uhlu lokuhlola olufanele lwezinto okufanele zenziwe-kahle ngaphambi kokuba uphume esibhedlela-emva kokuhlaselwa kwenhliziyo yakho. Sebenzisa lolu hlu lokuhlola ukuze uqiniseke ukuthi zonke izisekelo ezibalulekile zihlanganisiwe nokuthi wena nodokotela wakho kokubili nenza zonke izinto ezifanele ukuthuthukisa amathuba okuphila isikhathi eside nesikhathi eside sokuphila okuhle.
Funda kabanzi:
- Ukuvimbela Enye Ukuhlasela Kwezinhliziyo
- Ukuvimbela Ukuhluleka Kwezinhliziyo
- Ukuvimbela Ukufa Okungazelelwe
Uhla lokuhlola lwe-Post-Heart Attack
1) Izinguquko zokuphila neminye imfundo:
- Ngiye ngafundiswa ngokugcwele ngezibonakaliso zokuxwayisa kanye nezimpawu zokuhlasela kwenhliziyo nezenzo okufanele zithathe uma ngizwa lezi zimpawu noma izimpawu. (y / n)
- Uma ngibhema, ngiyekwa ukuba ngiyeke, futhi ngibhekise kuhlelo olulodwa noma ngaphezulu lokuyeka ukubhema. (y / n)
- Ngiye ngafundiswa ngokuphelele ngokudla okunempilo-okunempilo . (y / n)
- Udokotela wami ukhulume nami ukuthi ngidinga ukunciphisa isisindo, futhi kufanele ngilahlekelwe kangakanani. (y / n)
- Ngithole imiyalelo eningiliziwe yomsebenzi wamasonto amane kuya ayisithupha okulandelayo futhi ngithunyelwe ohlelweni lokuvuselela inhliziyo . (y / n)
- Kuye kwachazwa ukubaluleka kokuzivocavoca isikhathi eside. (y / n)
- Udokotela wami ukhulume nami mayelana nokuthi ngingabuyela kuphi umsebenzi wobulili . (y / n)
- Udokotela wami ukhulume nami mayelana nokuthi ngizoqala nini ukushayela. (y / n)
2) Ukuhlola ingozi yesifo senhliziyo esikhathini esizayo esiseduze:
- Isimo se- coronary arteries esihlolwe yi- stress / thallium study (y / n) noma i-catheterization ye-cardiac . (y / n)
- Isimo semisipha yami ye-coronary sesichazwe kanje kanje:
- Uhlelo lokulandela isimo semisipha yami yesikhumba ngokuhamba kwesikhathi yilezi:
3) Inani lemonakalo eyenziwe enhliziyweni yami lihlolwe ngu:
- Ucwaningo lwe-stress / thallium (y / n)
- I-catheterization ye-cardiac (y / n)
- Ukuskena kwe-MUGA (y / n)
- I-Echocardiogram (y / n)
(Qaphela: okungenani eyodwa yalezi zivivinyo ezine kufanele zenziwe ukuze kulinganiswe nengxenyana ye- ejection .)
- Mina (ngenza / ngingenzi) nginezinga elithile lokuhluleka kwenhliziyo .
4) Izinombolo ezibalulekile engidinga ukwazi:
- Iphrofayela yami ye- lipid iye yabalwa, futhi imiphumela yilezi:
- Ingqikithi ye-cholesterol:
- I-cholesterol ye-LDL:
- I-cholesterol ye-HDL:
- I-Triglycerides:
- Umfutho wegazi wami uwukuthi:
- I- glucose yami yegazi yokuzila iwukuthi:
- Ingqikithi yami ye-ejection yile:
(Qaphela: Uma ingxenyana ye-ejection ingamaphesenti angu-35 noma ngaphansi, bheka # 6 ngezansi.)
5) Amagama kanye nokulinganisa kwemithi eyangikelwe:
- I-aspirin :
- Imithi yama-anti-platelet (njenge-Plavix, i-Brilinta, noma i-Effient):
- I-blocker ye-Beta :
- I-ACE inhibitor :
- I-spironolactone (uma ingxenyana yami ejection ingama-40 amaphesenti noma ngaphansi):
- I-Statin :
Qaphela: Yonke yale mithi iboniswe ukusiza ukuvimbela ukuhlaselwa kwenhliziyo okunye nokunciphisa ingozi yokufa. Uma ngingakawutholi imithi eyodwa noma ngaphezulu yale mithi, isizathu siwukuthi:
- Ngixoxe nodokotela wami ukuthi ngabe ngidinga ukuphathwa ngegazi . (y / n)
- Ngikhulume nodokotela wami ukuthi ngabe ngidinga ukuphathwa ngoshukela noma isifo sikashukela . (y / n)
6) Ukuvimbela ukufa okungazelelwe
- Uma ingxenyana yami ye-ejection ingamaphesenti angama-30 noma ngaphansi (noma ngabe nginehluleka kwenhliziyo futhi ingxenyana yami ye-ejection ingamaphesenti angama-35 noma ngaphansi), ngiye ngithunyelwa ku-electrophysiologist ukuxoxa ngokuthi kungenzeka yini ukuthi i- defibrillator engasetshenziswa . (y / n)
- Amalungu omndeni wami aqeqeshiwe ku-CPR. (y / n)
Imithombo:
Smith, SC Jr, Allen, J, Blair, SN, et al. Imikhombandlela ye-AHA / ACC yokuvikela kwesibili iziguli ezine-coronary nezinye izifo zesifo se-atherosclerotic: Isibuyekezo sika-2006 esiqinisekisiwe yi-National Heart, Lung, ne-Blood Institute. J Am Coll Cardiol 2006; 47: 2130.
U-O'Gara PT, uKushner FG, u-Ascheim DD, et al. I-ACCF / I-AHA isiqondiso sokuphathwa kwe-ST-elevation infarction: i-summary executive: umbiko we-American College of Cardiology Foundation / i-American Heart Association Task Force on Guidelines Practice. Ukujikeleza 2013; 127: 529.