Ubuhlungu be-Chest Kusolakala ukuthi kuhlale kuphuthumayo
Ubuhlungu besifuba kaningi bubonisa ukuhlaselwa kwenhliziyo . Ngisho noma kungenjalo ukuhlasela kwenhliziyo, ukutshela umehluko kuzodinga imishini ethile eyinkimbinkimbi engatholakali kalula ehhovisi likadokotela ojwayelekile. Ubuhlungu besifuba ngenye yezikhalazo ezimbalwa zezokwelashwa ezivame ukudinga ukwelashwa okuphuthumayo, futhi akufanele zibonwe ekuqaleni ehhovisi likadokotela.
Ukuhlaselwa kwenhliziyo kuvimbela imisipha yenhliziyo yegazi elidingekayo ne-oxygen. Ngokuvamile kubangelwa i-clot yegazi emthonjeni osevele uvinjiwe nge- depository cholesterol . Njengoba i-clot yegazi ivimba igazi ukugeleza enhliziyweni, izicubu zomzimba (ezingenakuyeka ukushaya ukugcina amandla ngoba inhliziyo iyisici esibalulekile) iqala ukulamba. Ekugcineni, isisu senhliziyo sizofa.
Isikhathi Siyisisulu
Isikhathi esithathayo sokuba isisu senhliziyo sifane kuhluke wonke umuntu. Kuxhomeke ezintweni eziningana, hhayi okungenani ubuncane be-artery evinjiwe futhi indawo yenhliziyo ibanjwe umoya-mpilo. Okukhudlwana umthamo ovinjiwe, ngokushesha umonakalo kwenzeka.
Izibhedlela zilinganisela impumelelo ngokuthi iziguli ezihlasela ngokushesha inhliziyo zithola kanjani ukwelashwa uma zihamba emnyango. Amahhovisi odokotela awavamile ukusebenza kahle. Kuthatha imishini ethile ekhethekile ukuhlola kahle ukuhlaselwa kwenhliziyo, futhi odokotela abaningi abahlomele ukubhekana nalezi ziphuthumayo zezokwelapha zangempela.
Ngaphandle kokuhluka kwezobuchwepheshe, odokotela ngabanye - ikakhulukazi abajwayelekile noma abomndeni - ababonanga nje ukuhlaselwa kwenhliziyo okwanele phambi kwabo ukuba baphendule ngaso sonke isikhathi ngokufanele. Ngisho naphakathi kweminyango ephuthumayo, labo ababona iziguli eziningi benza umsebenzi ongcono wokuhlonza inhliziyo.
Into eyodwa isiqiniseko kuzo zonke izinhlanzi zenhliziyo: isikhathi siyisiphazamisi. Ukuchitha isikhathi esiningi ngaphambi kokuba uphathwe, imfucumfucu yenhliziyo iyabhujiswa, yingakho iminyango ephuthumayo inezinhlelo zokulandela iziguli eziza ukukhalaza ngobuhlungu besifuba.
A Lot Okumele Yenziwe
Uma isisulu esihlasela isifo senhliziyo sivakashela umnyango ophuthumayo, kunezinto eziningana okufanele azithole emaminithini ambalwa okuqala.
- I-Electrocardiogram (ECG) ukucacisa ukuthi kunesifo senhliziyo ngempela
- Ukuhlolwa kwegazi, futhi ukuhlolisisa ukuhlasela kwenhliziyo
- I-oksijeni ye-muscle yezinhliziyo ezilambile
- I-Nitroglycerin yokunciphisa umsebenzi wezinhliziyo
- I-aspirini yokunciphisa igazi nokuncipha ukuvuvukala enhliziyweni
- Iminyango emibili ye-intravenous (IV) yokunikeza imithi kanye namanzi okusheshayo ngokushesha
- I-Morphine yobuhlungu nokunciphisa umsebenzi wezinhliziyo
- Kungenzeka ukuthi imithi ehamba nge-clot-buster njenge- tissue plasminogen activator (tPA)
- Kungenzeka ukuthi i- catheterization ye-cardiac noma i- coronary artery bypass graft (CABG) yokubuyisela unomphela ukugeleza kwegazi
Bambalwa uma kukhona noma iyiphi yalezi zinto zitholakala ehhovisi lesidokotela odokotela. Ngempela, uma isiguli esibhedlela sikholelwa ukuthi sinesifo senhliziyo, udokotela angase abize i-ambulensi ukuhambisa isiguli kumnyango ophuthumayo .
Ukuqala ukubona udokotela kuqala kuyoholela ekubambezelekeni ukwelashwa okubalulekile, futhi isikhathi siyisiphazamisi.
Ukufika Lapho
Manje ukuthi sesisungule isidingo sokwelashwa emnyangweni ophuthumayo kubo bonke abahlukumezekile bezinhliziyo (okubandakanya noma ubani ozwa ubuhlungu besifuba ), ake sikhulume ukuthi singafika kanjani.
Ukuhamba egumbini elilindile lomnyango ophuthumayo kusho ukuthi kufanele ugcwalise ifomu bese ulinda ithuba lakho ukuba lihlolwe. Kuzoba nomhlengikazi ekamelweni lokulinda ukwenza ukuhlolwa, kanti lo mhlengikazi uzokubona ngokucacile izibonakaliso nezimpawu zesifo senhliziyo uma efika kuwe, kodwa kuze kube yileso sikhathi, uzolinda kuqala , isisekelo sokukhonza.
Ngakolunye uhlangothi, ukubiza u-911 kuzokuthola i-ambulensi. Njengamanje, izinga elivamile lamazwe okuphendula nge-ambulensi ezindaweni zasemadolobheni lingaphansi kwemizuzu eyishumi.
Ngokubiza u-911, uzoba okungenani abahlinzeki ababili bezokwelapha eziphuthumayo - futhi kuye ngokuthi uhlalaphi, abaphenduli bokuqala abengeziwe - ngokubhekana nobuhlungu besifuba sakho emaminithini angaphansi kwengu-10. Kungcono kakhulu kunokushayela, nokulinda, umnyango ophuthumayo.
Ukuqala Kwekhanda
Ezingxenyeni eziningi zase-United States, ama-ambulensi aphendula amakholi angu-911 aqeqeshiwe futhi ahlonyelwe ukuphatha izinto eziningi ezithintekayo isisulu sezisulu zenhliziyo, sidinga konke ngaphambi kokufinyelela esibhedlela.
Ama-ambulensi amaningi akwenzi i-ECG yokuhlonza okwamanje (nakuba lokhu kushintsha ngokushesha), futhi-ke, ama-ambulensi akakwazi ukuhlinzwa. Ngaphandle kwalokho, i-paramedic e-ambulensi ingaqala imigqa ye-IV; unike i-oxygen, i-nitroglycerin, i-morphine ne-aspirin. Kanti, osizo lwezokwelapha uzoqapha inhliziyo yakho endleleni eya esibhedlela futhi itholakale ukuphatha imicimbi eyingozi endleleni eya esibhedlela futhi itholakala ukuphatha imicimbi eyingozi engenzeka, njengokubopha inhliziyo - ingozi yangempela phakathi kwenhliziyo ukuhlasela.
Qala ekuqaleni, hhayi okuphakathi
Njengoba umuthi ophuthumayo uphumelela, kanjalo nethimba elenzayo. Izinhlelo nezinhlelo zenzelwe ukubhekana nezimo ezithile eziphuthumayo ezifana nokuhlasela kwenhliziyo. Lezi zinhlelo zinezici eziqondile zokufaka lapho iziguli zithola umphumela omuhle kakhulu.
Ukufaka isifuba sezinhlungu zesifuba ekuqaleni, endlini yakho nama-ambulensi eziphuthumayo, kunethuba elingcono lokuphumelela kunokubambezela ukunakekelwa ngokuya ehhovisi likadokotela elingakwazi ukukunakekela. Uma uphatha ukuhlaselwa kwenhliziyo, isivinini kanye nokusebenza kahle kubalulekile.
Akufanele uthathe ubuhlungu bakho esifubeni ehhovisi likadokotela wakho ngoba isikhathi sisisipha.
Izinkomba:
Limkakeng, A Jr, et al. "Ukuhlanganiswa kwe-Goldman engozini kanye neyokuqala kwe-carponac troponin I ngenxa yokuphulukiswa kwesifo sezinhlungu zesifuba somlenze wesiguli." I-Acad Emerg Med. 2001 Jul; 8 (7): 696-702.
Schull MJ, Vermeulen MJ, Stukel TA. "Ingozi yokuxilongwa okungabanjwanga kwe-acute myocardial infarction ihambisana nomthamo womnyango ophuthumayo." U-Ann Emerg Med. 2006 Dec; 48 (6): 647-55. Epub 2006 Jun 14.
Zucker, DR, et al. "Amaphrezentheshini we -infarction eyingozi ye-myocardial kumadoda nabesifazane." J Gen Intern Med. 1997 Feb; 12 (2): 79-87.