Ngaba Unokufaneleka kwiHlisi?
Isigulane ngesifo senhliziyo sidinga ukuhlangabezana nemigqaliselo ethile yokuxhasa isigxina sokugcina isigxina kunye nokufanelekela ukunakekelwa kwezibhedlele. Ugqirha wenza isigqibo sokuba isifo senhliziyo sinegulane sokuphela kwesigxina esisekelwe ekubeni isigulane siyaphathwa kakuhle nge-diuretics kunye ne-vasodilators, nokuba ingaba ne-angina pectoris ekuphumleni okungaxhatshaliyo kunyango lwe-nitrate kwaye ingaba baneempawu zokunqongophala kwenhliziyo ngexesha ngokuphumla kwaye zihlelwe njengeNkcazo IV ye-New York Associations.
I-New York Heart Associations (i-NYHA) Iklasi IV ichazwa njengale ilandelayo:
IV a - Isigulane asikwazi ukuqhuba nayiphi na into eyenziwa ngaphandle kwempawu zentliziyo.
IV b - Iimpawu zikhoyo nakwiindawo zokuphumla.
IV c - Ukuba nayiphi na into eyenziwa ngokomzimba eyenziwa, impawu zanda.
Ezinye izinto ugqirha wakho uya kuziqwalasela ekwenzeni ukuxilongwa kwesigulane kwisifo senhliziyo sisiganeko sesifo senhliziyo kunye nayiphi na unyango olunjenge-arrhythmias (iintliziyo ezingapheliyo), ukuhlaselwa kwentliziyo, kunye neqhekeza ejection (inani legazi intliziyo iyakwazi ukupompa ). Ugqirha uya kukhangela naziphi na izifo eziphilayo njenge-HIV.
Ukuba ugqirha ugqiba ukuba isigulane sihlangabezana nemigqaliselo yesigidimi sokugqibela, unokuncoma ukunakekelwa kwintlungu. Ukunyamekela okunyanzelisayo kunokunceda ukunciphisa iimpawu zesifo senhliziyo esibangela intlungu kunye nokukhathazeka, kuquka intlungu yesifuba, ukuphefumula okufutshane, i-edema (ukuvuvukala) kunye nokuxhalabisa.