Nento yokwenza ngayo
Isisinco sokusinda kwi-Attack Heart
Isihluthulelo sokusinda intliziyo yesifo kukuba uqaphele ukuba unokuba kunye, ufumane unyango lwezonyango ngokukhawuleza.
Ukuhlaselwa kwintliziyo embi (ebizwa ngokuba yi- myocardial infarction , okanye i-MI), kubangelwa ukukhutshwa ngokukhawuleza kwe- artery coronary , eyabangela ubuncinane inxalenye yesifo senhliziyo esinikezwa ngumthi wokufa.
Uninzi lwemiphumo emfutshane kunye nexesha elide le-MI linqunywe yintoni intlungu yenhliziyo eyonakaliswe ngayo. Ngoko ke, xa umthamo uvalwe (oko kukuthi, xa i-MI iqalisa), kubalulekile ukufumana unonophelo lwangoko unyango, olujoliswe ekuvuleni umthamo ovalwe ngokukhawuleza.
Le nyaniso ifanelekile. Ngexesha lokuhlaselwa kwentliziyo, ukufumana unyango ngokukhawuleza yinto ebalulekileyo. Umcimbi wemizuzu ungenza umehluko phakathi kokuphulukana ngokupheleleyo, okanye ukukhubazeka okusisigxina okanye ukufa.
Oko kuthetha oko, okokuthi, ukulandela impembelelo yemvelo ininzi lethu liya kuba ne-heart attack, oko kukuthi, ukuphika nokulibaziseka, kunokuba yiphutha elibulalayo. Ukuba unempawu zesifo senhliziyo, uzama ukuwukhwela ekhaya ngexesha elithile - enethemba lokuba iimpawu ziza kubakho ukunyanzelisa okanye ukuxhatshazwa kwemisipha - kunokuvelisa ukulibaziseka okungakhokelela kwimiphumo ebhubhisekileyo kwaye isigxina.
Nabani na onesifo se-coronary disease (CAD), okanye ngubani (ngenxa yezinto zabo ezinobungozi benhliziyo ) angaba ne-CAD, kufuneka azi ukuba ziphi iimpawu zokuzijonga.
Ziziphi Iimpawu Zengxaki Zentliziyo Xa Kufuneka Uthile I-Tip?
Uphawu lweklasi ye-MI lubuhlungu besifuba okanye buhlungu. Oku kudla ngokuchazwa njengento eqinile, ngezinye iindawo, ukuxinzelela okanye intlungu ejikeleze esifubeni, ngokuphindaphindiweyo igxotha kumhlathi okanye ngakwesobunxele, kwaye ngamanye amaxesha ihamba kunye nokukhupha okukhulu, okanye uloyiko olusondeleyo.
Ngelishwa, awukwazi ukuba nethemba leklasi yeklasi. Ngamanye amaxesha ubuhlungu bube bubucotha , kwaye bunokuthi buvalelwe ngasemva, isisu, amahlombe, okanye nokuba zimbini zombini. Ukuphefumula okungazelelwe okungazelelwe, ukuncwina kunye nokuhlanza, okanye nje ukuvakalelwa kwintliziyo, kunokuba yimpawu ebalulekileyo (okanye kuphela).
Iimpawu ezinjalo "ezinama-atypical" asinakukwenza ukuba ucinge ngeengxaki zentliziyo, kwaye unokukugcina ekufuneni uncedo lwezonyango.
Kuyaphawuleka ukuba abafazi babonakala befumana "iimpawu ze-atypical" ngokuphindaphindiweyo kunamadoda. Oku kukhokelela ukuba abafazi bayalibazise ukufuna uncedo lwezonyango, kwaye banokubangela ukuba oogqirha bazisile ekwenzeni ukuxilongwa ngokuchanekileyo. Esi sizathu esinye sokuba abafazi, kwizifundo ezithile, baye bafumana iziphumo ezibi kakhulu ngokuhlaselwa kwentliziyo kunamadoda.
Umgca wenyani kukuba nabani na ochaphazelekayo okanye ngaphezulu kweengxaki zeCAD kufuneka bahlawule ingqalelo kuyo nayiphi na impawu engaqhelekanga, engaqhelekanga okanye engaxeliweyo ebandakanya isigqibo esiphezulu somzimba . Isilumkiso singasetyenziswa, umzekelo, kunoma yimuphi umntu oneminyaka ephakathi (okanye ngaphezulu) ogqithiseleyo, ongasondeli, otshaya okanye ophethe isifo sikashukela , i- cholesterol ephakamileyo, uxinzelelo lwegazi oluphezulu , okanye imbali yentsapho yesifo senhliziyo.
Kubantu abanjalo (kwaye baninzi bethu), nayiphi na impawu ezingachazwanga nokuba mhlawumbi ngenxa yeengxaki zentliziyo kufuneka zithathwe ngokungathí sina.
Yintoni Okufanele Uyenze Ukuba Ucinga Ukuba Unokuba Uhlaselo Lweentliziyo?
Ukuba unayo nayiphi na impawu ebonisa ukuhlaselwa kwentliziyo, ngakumbi ukuba uyazi ukuba unomngcipheko weCAD, kufuneka ufumane uncedo lwezonyango ngokukhawuleza. Ngokuqhelekileyo, into ekhuselekileyo yokwenza ukubiza i-911 kunye neepedicalics ziza kuwe.
Xa usunakekelwa ngabaqeqeshi bezokwelapha, umngcipheko wokufa uyancipha kakhulu.
Ukuba uhlala kwindawo apho ama-paramedics ayifumaneki ngokulula, ke umntu anokuqhubela esibhedlele.
Kodwa nantoni na oyenzayo, fumana uncedo ngokukhawuleza, kuba ukuba unesifo senhliziyo, yonke iminithi ibaluleke kakhulu. Kwaye ngelixa ulinde ama-paramedics, okanye xa uqhutyelwa esibhedlele, thabatha i-aspirin .
Yintoni Okufanele Yenzeke Esibhedlele?
Xa ufika esibhedlele, abasebenzi bezonyango kufuneka bathabathe kakhulu iimpawu zakho.
Le yinye yezo zihlandlo xa kufuneka ulindele ukuhlala kwisebe elingxamisekileyo kwiiyure ezimbini, ulinde umabhalana onqabileyo, onobuncwane ukuba athathe ulwazi lwakho lwe-inshorensi. Kunoko, kufuneka ulindele ukuba ubekwe ngokukhawuleza kwigumbi lokunyanga, kwaye abantu abaninzi kufuneka baxhomeke kwi-monitor ye-cardiac, qalisa i-IV, banike i-oxygen, bafumane i-electrocardiogram (ECG), bathathe igazi ukuvavanya, kwaye qalisa ukubuza imibuzo malunga neempawu zakho nokuhlola intliziyo yakho.
Ukuqinisekisa ukuba unika impendulo echanekileyo kubasebenzi bezonyango, kufuneka uthi amagama omlingo ngokukhawuleza xa ufika. Amagama omlingo athi, "Ndicinga ukuba ndinesifo senhliziyo."
Ungazixeleli ukuba ulapha ngenxa yokuba ihlombe lakho libuhlungu, okanye ucinga ukuba unentlungu, nokuba unayo nayiphi enye indlela oye wacinga ngayo (kwaye uyenethemba). Isimo sengqondo sakho akufanele sibe, "Mhlawumbi akukho nto, ngoko andiyi kwenza into enkulu. Makhe baqaphele ukuba iyintliziyo yam." Ukuba leyo yindlela yakho, uza kufumana unyango olusisigxina, ukunyanga-gum-snapping, imizuzu enqabileyo (okanye iiyure) iya kutshabalalisa, kwaye uya kuhlawula ixabiso elinzima.
Emva kokuba uqaphele iimpawu zokuhlaselwa kwentliziyo, uzenzele esibhedlele, kwaye uqaphele abasebenzi bezonyango ukuba unokuba nengxaki yentliziyo, wenze umsebenzi wakho.
Isinyathelo esilandelayo siya kubagqirha. Kwaye kubalulekile ukuba ukwazi, ngokwemiqathango jikelele, ukuba oogqirha kufuneka bakwenzele ntoni xa behlaselwa yintliziyo. Unokufunda ngakumbi malunga nokuphathwa kwentliziyo apha .
ILizwi
Isihluthulelo sokusinda intliziyo yesifo kukuba uqaphele iimpawu zesifo senhliziyo, kwaye uthathe isinyathelo ngokukhawuleza ukuba ufumana nawuphi na. Imiphumo emibi kakhulu yesifo senhliziyo kaninzi iyakhutshwa xa unyango luqaliswa ngokukhawuleza. Namhlanje, izibhedlele ezininzi zanamhlanje zijoliswe ukuba zinike unyango ngokukhawuleza xa ukuxilongwa kucacile; kwaye ininzi yokulibaziseka ekuqaleni kwonyango kusezandleni zomntu onesifo senhliziyo. Ngoko ke, ingakumbi ukuba unemingcipheko yeCAD, yazi ukuba uyayijonga ntoni, kwaye uqaphele naziphi na iimpawu zesifo senhliziyo.
> Imithombo:
> I-Fanaroff AC, i-Rymer JA, i-Goldstein SA, kunye ne-al. Ingaba Lo Mondeyika Ngeentlungu Zesibeleko Unayo I-Coronary Syndrome? JAMA 2015; 314: 1955.
> Thygesen K, Alpert JS, Jaffe AS, et al. Inkcazo yesiThathu yeNkcazo yeMyocardial Infarction. Ukuhamba ngo-2012; 126: 2020.