Umbuzo ovame ukwenzeka kubantu abaye basinda ekuhlaselweni kwenhliziyo "Ngingaqala nini umsebenzi wobulili?"
Lo mbuzo wukuthi odokotela kufanele banikeze impendulo ngaphandle kokuthi ubuze, kodwa kunokuningi okuzoxoxa ngakho emva kokuhlaselwa kwenhliziyo futhi isikhathi esincane sokwenza lokho ngezinye izikhathi kubanjwe. Ungesabi ukuletha imibuzo yakho nokukhathazeka nodokotela wakho ukuze akwazi ukubhekana nezidingo zakho ezithile.
Okwamanje, lezi ziqondiso kufanele zisize.
Uma Kuphephile Ukuba Ne-Post Post-Heart Attack
Isikhathi socansi emva kokuhlasela kwenhliziyo sincike esimeni sakho ngabanye. Impilo ye-cardiovascular ihluke kakhulu phakathi kwabantu abaye bahlaselwa yinhliziyo, ngakho-ke kuzodingeka ukhulume nodokotela wakho ngezincomo ezithile. Kodwa nansi ukubhekwa okujwayelekile okufanele uqaphele.
Umphumela wokulala ngokocansi ohlelweni lwezinhliziyo lufana kakhulu nomphumela wokuvivinya umzimba ngokulinganisela. Ikakhulukazi, cishe kufana nokuhamba ama-2 ukuya kwangu-4 ngamamayela ngehora endaweni ephezulu. Ngakho akufanele kusimangaze ukuthi, njengokuzivocavoca, umsebenzi wezocansi ungandisa ingozi kwabanye abantu abane- coronary artery disease (CAD) .
Kodwa futhi njengokuzivocavoca, ngokuqapha okufanelekile ngokocansi ngemuva kokuhlaselwa yinhliziyo into evame ukuphepheka, futhi (ngoba igalela impilo enhle, iqinisa isibopho phakathi kwakho nomlingani wakho, futhi isiza ukuvimbela ukucindezeleka), kufanele khuthazwa.
Imihlahlandlela Ejwayelekile
Ngokuvamile, odokotela bacela abantu ukuba bagweme ukulala ngokocansi emasontweni angu-4 kuya kwangu-6 emva kokuhlaselwa kwenhliziyo - isikhathi esiningi kakhulu sokuphulukiswa okwenzeka emisipha yenhliziyo ewonakele.
Phakathi nalesi sikhathi sokuphulukisa, kufanele uthola imithi yokusiza inhliziyo yakho iphulukise, ukuvimbela ukuqhubekela phambili kwe- atherosclerosis , nokuvimbela enye ukuhlaselwa kwenhliziyo noma olunye uhlobo lwe -coronary syndrome .
Ngaphezu kwalokho, kufanele uhlanganyele ohlelweni lokuvuselela inhliziyo , olusiza uhlelo lwakho lwezinhliziyo ukuba lubekezelele amazinga okulinganisela okusebenza ngokomzimba ozobhekana nawo ngesikhathi sokuphila kwansuku zonke - nangesikhathi socansi.
Uma wenza zonke lezi zinto, ngesikhathi usulungele ukuqhubeka nomsebenzi wobulili, uhlelo lwakho lwe-cardiovascular luzokulungele - futhi uzobe wenza "ubulili obuphephile inhliziyo."
Ukucabangela okukhethekile
Abanye abantu emva kokuhlaselwa kwenhliziyo - labo abaye bahlakulela ukuhluleka kwenhliziyo , abanezinkinga zegazi, abaye baqhubeka no- angina , noma abanezinye izinkinga - bangadinga ukugwema umsebenzi wobulili isikhathi eside, ngenkathi izinkinga zabo zezokwelapha zikhona ngokuzinzile ngokugcwele. Uma ungomunye walaba bantu, kuzodingeka usebenze nodokotela wakho ukuze unqume ukuthi uzinzile ngokwanele ukuqhubeka nomsebenzi wobulili.
Ukukhubazeka ngokocansi emva kokuhlasela kwenhliziyo
Kuvamile ukuthi amadoda ahlupheke ngezinga elithile lokungasebenzi kahle ngemva kokuhlaselwa yinhliziyo, futhi kokubili amadoda nabesifazane bahlehlise isifiso socansi. Ezinye zezinkinga zingase zibangelwe imithi ongayithatha, kodwa kaningi zibangelwa ukukhathazeka, ukucindezeleka, noma ukwesaba ngokuthola esinye isifo senhliziyo ngesikhathi socansi.
Lezi zinkinga zengqondo eziningi zivame ukuzixazulula zodwa ngemva kwenyanga noma emibili, njengoba uphinda uzethembe emakhono akho ukuthi usebenze ngokujwayelekile kuzo zonke ezinye izici zokuphila kwakho. (Kubuye futhi, uhlelo lokuvuselela inhliziyo lungabaluleka kakhulu ekwakheni ukuzethemba kwakho.) Kodwa uma lezi zinkinga ziqhubeka, kuzoba usizo ukuxoxa ngazo nodokotela wakho, njengoba kungase kube njalo ukuphathwa kahle.
Emadodeni, imithi yokwelapha erectile - njenge-Viagra (sildenafil), i-Cialis (tadalafil) ne-Levitra (i-vardenafil) - ivame kakhulu. Le mithi ingasetshenziswa ngokuphepha emadodeni amaningi anama-CAD, okuhlukile okubalulekile: Uma uthatha i- nitrates ye-angina , bese uthatha noma iyiphi yale mithi ye-erectile ukungasebenzi kungenza ukwehla okuyingozi emfuthweni wegazi, futhi ngeke nje isetshenziswe.
Kodwa-ke, uma i-CAD yakho ibhekwa njengezinzile futhi ungathathi i-nitrate, udokotela wakho cishe uzokujabulela ukukuvumela ukuthi uthathe enye yalezi zidakamizwa ngenxa yokungasebenzi kahle kwe-erectile.
Nasi isixwayiso esengeziwe: Uma uthatha i-Viagra, i-Cialis noma i-Levitra, akufanele uthathe i-nitrate ngisho noma unesiqephu se-angina. Kunalokho, kufanele umise yonke imisebenzi, uphumule, futhi ulinde amaminithi angu-10. Uma ubuhlungu besifuba abuhambanga ngemva kwemizuzu engu-10, shayela u-911.
Okubalulekile
Ngokuvamile, umsebenzi wobulili ovamile ungabuyekezwa phakathi kwamasonto ambalwa okuhlasela kwenhliziyo. Kodwa-ke, ngenxa yokuthi kubalulekile ukubhekwa komuntu ngamunye, kufanele uxoxe ngesimo sakho ngqo nodokotela wakho.
> Imithombo
> DeBusk RF, i-Pepine CJ, i-Glasser DB, et al. Ukusebenza nokuphepha kwe-Sildenafil Citrate kumadoda ane-Erectile Dysfunction ne-Stable Coronary Artery Disease. Am J Cardiol 2004; 93: 147.
> Levine GN, Steinke EE, Bakaeen FG, et al. Umsebenzi Wocansi Nezifo Zezinhliziyo: Isitatimende Sosayensi esivela ku-American Heart Association. Ukujikeleza ngo-2012; 125: 1058.
> Steinke EE, Jaarsma T, Barnason SA, et al. Ukululekwa ngokocansi kubantu ngabanye abanezifo zengqondo kanye nabalingani babo: Idokhumenti yokuBonisana no-American Heart Association kanye ne-ESC Council on Nursing and Allied Professions (CCNAP). Ukujikeleza 2013; 128: 2075.