Ngemva kokuba othile odumile efile ngokuzumayo, kuvamile ukuzwa emibikweni yezindaba ukuthi ukufa kwabangelwa "ukuhlaselwa yinhliziyo" noma "ukuboshwa kwenhliziyo." La magama asetshenziswa ngokuphindaphindiwe yizintatheli; abanye bazosebenzisa igama elilodwa kanti abanye basebenzisa elinye, njengokungathi babonisa into efanayo. Akuyona nje intatheli, noma. Odokotela, nabo, bangaba nenhlanhla kakhulu ngokusetshenziswa kwabo "kokuhlaselwa kwenhliziyo" kanye "nokuboshwa komzimba" lapho umuntu ehlupheka ngokuzumayo.
Ukungacabangi okunjalo ngodokotela kungaholela ekudidekeni phakathi kwamalungu omndeni wesisulu. Okubi nakakhulu, ukudala ukudideka mayelana nesizathu sokufa kungabangela izihlobo zalesi sisulu ukuthi zilahlekelwe izinkomba ezibalulekile eziphathelene nobungozi babo benhliziyo.
Ukuhlaselwa kwenhliziyo nokuboshwa komzimba kukhona izinto ezimbili ezihlukahlukene ezivame ukuba nezinhlobonhlobo ezimbili ezihlukene kulabo abathintekayo (uma zisinda kulo mcimbi), kanye namalungu omndeni.
Kuyini Ukuhlaselwa Inhliziyo?
Ukuhlaselwa kwenhliziyo yisigama esivamile se- infarction ye-myocardial (MI). I-MI ivela lapho umthambo we-coronary , omunye wemithi ehlinzeka ngegazi emisipha yenhliziyo, ivalwe ngokungazelelwe. Ukuvinjelwa okungazelelwe kubamba ingxenye ye-muscle yenhliziyo yokunikezwa kwegazi okubalulekile, futhi i-muscle ifa. Ngakho-ke, ukuhlaselwa yinhliziyo kuwukufa kwengxenye yesisu senhliziyo.
Ukuvinjelwa okungazelelwe kwe-aron coronary ngokuvamile kubangelwa ukuqhuma kwesibhakabhaka emthini.
Ukuphuka kwama-plaque kungabangela izimo ezihlukahlukene zemitholampilo, kuhlanganise nokuhlaselwa kwenhliziyo nokungena okungazinzile , okuhlanganiswa ndawonye ngaphansi kwegama elimangalisayo le-coronary syndrome (i-ACS) . Zonke izinhlobo ze-ACS yizimo eziphuthumayo zezokwelapha, futhi ngokuvamile zidinga ukwelashwa ngemithi, i- angioplasty ne- stenting , noma ukuhlinzwa ukuze kubuyiselwe ukugeleza kwegazi okujwayelekile emgqeni ovinjiwe.
Uma ukugeleza kwegazi kungabuyiselwa kungakapheli amahora ambalwa, ukulimala okuhlala njalo kumisipha yenhliziyo kungasetshenziswa ukunciphisa. Ukwazi ukuthi ungasinda kanjani ekuhlaselweni kwenhliziyo kubalulekile ngalesi sizathu.
Esinye sezici ezibalulekile ezingozini zokuhlasela kwenhliziyo ngumlando womndeni wakho. Uma isihlobo esiseduze sibhekene nesifo senhliziyo, ikakhulukazi esasemncane, ingozi yakho yokugula isifo se-coronary ngaphambi kwesikhathi (CAD) ingase iphakanyiswe kakhulu. Kulokhu, kubaluleke kakhulu ukuthatha wonke amathuba ukunciphisa ingozi yakho ye-CAD .
Yini Eyokukhishwa I-Cardiac?
Ukuboshwa komzimba, ngokuphambene, kuvame ukubangelwa yi- heart fluhythmia ebizwa nge- ventricular fibrillation . E-fibrillation ye-ventricular, izimpawu zikagesi ngaphakathi kwenhliziyo ngokuzumayo ziba yizicathulo ngokuphelele. Ngenxa yokuthi lezi zimpawu kagesi zilawula isikhathi kanye nenhlangano yokushaya kwenhliziyo, lapho lezo zimpawu zishisa zibe yizingxabano eziphelele, inhliziyo iyayeka ngokushaya ngokuzumayo. Okungukuthi, kungena "ekuboshiwe inhliziyo." Umphumela ovame kakhulu wokuboshwa komzimba ukufa okungazelelwe.
Ukwelapha ukuboshwa komzimba ukuqala ukuvuselelwa kwe-cardiopulmonary (CPR) ukusekela ukusabalalisa komuntu oyisisulu, futhi, ngokushesha ngangokunokwenzeka, ukuletha ukushaqeka okukhulu kagesi ngenhliziyo ngedivayisi ebizwa ngokuthi i-defibrillator.
Ukwethuka okukhulu kuvumela isignali kagesi senhliziyo ukuba ihlele kabusha, futhi inhliziyo iqale ukushaya futhi. Ngeshwa, ngoba ukufa kwenzeka emaminithini ambalwa okuboshwa komzimba ngaphandle kokuba usizo lutholakale, iningi labantu ababhekene nokuboshwa kwe-cardiac ngeke livuselelwe ngempumelelo.
Ukuboshwa kwe-cardiac kuvame ukuvame kakhulu kubantu abanezinhlobo ezihlukahlukene zesifo senhliziyo-ikakhulukazi, ukuhlasela kwenhliziyo noma noma yisiphi isimo esenza ukuhluleka kwenhliziyo . Empeleni, ingozi yokufa okungazelelwe ingakhuphuka kakhulu kubantu abanesifo senhliziyo esilinganiselwe kangangokuthi eziningi zazo kufanele zicatshangelwe ngokufakwa kwe-defibrillator engasetshenziswa , idivayisi evuselela ngokuzenzakalelayo abantu ababoshiwe inhliziyo.
Ezinye izimbangela zokuboshwa komzimba zihlanganisa ukungalingani kwenhliziyo ethile eyenza ukwandisa ingozi ye-ventricular fibrillation (okuvame kakhulu kulaba yi- hypertrophic cardiomyopathy ) kanye nokusetshenziswa kwezidakamizwa ezingekho emthethweni (ikakhulukazi i-cocaine).
Ukuhlukaniswa Okubalulekile
Uma isihlobo esiseduze sefile ngokuzumayo, kubalulekile ukuthi wena namalungu omndeni wakho nizame ukufunda imbangela eqondile yokufa. Leyo bangela yokufa ingathinta iphrofayli yakho engozini yempilo yengculazi kanye nalabo abathandekayo bakho.
Qaphela ukuthi ngisho nodokotela bangasebenzisa amagama athi "ukushaya kwenhliziyo" kanye nokuboshwa komzimba "ngokukhululekile ngemuva kokuba umuntu efile ngokuzumayo. Uma umcimbi onjalo uthinte umndeni wakho, kufanele uthole ulwazi oluningi ngangokunokwenzeka mayelana nesizathu futhi ugcizelele ukuthi udokotela akhulume ngokuqondile nawe okwenzeka empeleni.
> Imithombo:
> Chugh SS, Jui J, Gunson K, et al. Ukulawulwa Kwamanje Kwe-Cardiac Ukufa Okungazelelwe Kungazelelwe: Umthombo Wokuhlola Omningi Okuhambisana Nokubuyekeza Okuyisitifiketi Sokufa KuMphakathi Omkhulu wase-US. J Am Coll Cardiol 2004; 44: 1268.
> Marijon E, Uy-Evanado A, uDumas F, et al. Izimpawu Eziyisixwayiso Zihlangene Nokusinda Ekuthunjweni Kwezinhliziyo Ze-Cardiac. U-Ann Intern Med 2016; 164: 23.
> O'Gara PT, uKushner FG, Ascheim DD, et al. 2013 ACCF / AHA Fuideline yokuphathwa kwe-ST-elevation Myocardial Infarction: Isifinyezo Esiphezulu: Umbiko we-American College of Cardiology Foundation / American Heart Association Task Force on Guidelines Practice. Ukujikeleza 2013; 127: 529.