Xa Umthande Wakho Unentliziyo Engaphumeleliyo
Ukufumanisa ukuba umthandi wakho unentliziyo engaphumeleliyo inokuthuthukisa kubo bobabini. Ukungaphumeleli kwintliziyo sisifo esibi (igama elithi "ukungaphumeleli kwintliziyo" ngokuqinisekileyo livakala ukwethusa ngokwaneleyo), elinokubangela ukuba kubekho iimpawu ezingathandekiyo kunye nokunciphisa ixesha lokuphila. Kwiimeko ezininzi ziba yingxaki engapheliyo enokuhlala ilawulwa, kodwa ayizange ihambe.
Ukungaphumeleli kwintliziyo kukuxilongwa okuba nefuthe elikhulu ebomini bomntu onalo-kunye nakubomi babathandekayo abaya kuhlala kunye nokumnakekela.
Ingxaki okanye umntu omntu owenza kakubi ngayo ukuhluleka kwentliziyo kuxhomekeka kwizinto ezininzi, kubandakanya uhlobo lweengxaki zentliziyo ezenza i-heart failure, ukufumana unyango olungcono, kunye nokuxhaswa ngokomzimba nangokwenyama olunikezwa ngabathandekayo ekhaya.
Ukuba ngumncedisi womntu onokuphelelwa yintliziyo kunokuba ngumngeni, ubuncinci kwithuba elithile, kodwa lingaba luvuyo lovuko lobabili kunye nawe othandekayo owanakekelayo. Nangona kunjalo, iziphumo ezingcono kakhulu azifumanekanga ngokungazithobeli; ngokuchasene noko, uya kwenza umhlobo wakho kunye nawe ngokwakho xa uqinisekisa ukuba unokhathalela iimfuno zakho, naye.
Nantsi ingcebiso enokukuncedisa ukunceda wakho umthandayo ngokuhluleka kwentliziyo.
Yintoni ongayilindela
Wonke umntu onokuhluleka kwentliziyo uhlukile, ngoko kulindeleke ukuba uhlobo oluthile lwamava kunye nomntu wakho othandekayo ngokuhluleka kwentliziyo aluyi kuvela njengoko ucinga.
Uninzi lwabantu abasandul 'ukufumana ukukhubazeka kwentliziyo-xa imeko iqiniswe oogqirha, kwaye nje ngokuba benqulo ekulandeleni irejimeni yabo yezokwelapha nokuphucula indlela yokuphila yabo - banokulindela ixesha elide apho bahamba khona ubomi babo bukhululekile.
Abanye abantu abanokukhubazeka kwentliziyo bangaphinde bafumane ngokupheleleyo, ukuba isifo senhliziyo siphelile ngokupheleleyo. ( Ukuxinezeleka kwengqondo kwimeko efanayo.)
Kwabanye, nangona kunjalo, ukuba imeko yesimo senhliziyo eyenza ukuhluleka kwentliziyo iqhubele phambili, okanye ukuba iqhubekela phambili ngokukhawuleza nangona unyango lwezempilo, kukho inkqubo yeklinikhi enzima kakhulu. Zingenayo imiqondiso eqhubekayo okanye ephindaphindiweyo, kwaye ikwazi ukufumana "iziqwenga" eziphindaphindiweyo zokusweleka kwentliziyo ezifuna izibhedlele eziphindaphindiweyo.
Kwaye abaninzi abantu abanesifo senhliziyo baye bafunda izifundo zekliniki eziphakathi kwezi zimbini, zixesha elide zoluvo olunzulu ngokubakho ngeziganeko ezidlulayo zeempawu ezifuna ezinye iindlela zokungenelela kwezonyango.
Njengomnakekeli, injongo efanelekileyo kukukwenza ukwenza konke okusemandleni akho ukunceda wakho umthandayo ukuba ahlale ezinzile xa intliziyo ingaphumeleli kakuhle, kwaye ukuqonda imiqondiso yokuba izinto zingase zitshintshe ukulawulwa, ukwenzela ukuba ukungenelela kwangaphambili kwonyango kubizwa ukuba abuyele izinto kwiindlela.
Ngenxa yesi sizathu, kuya kuba yinto efanelekileyo ukuba ube nolwazi oluyisiseko malunga nokuhluleka kwentliziyo kunye neyeza.
Ukuqonda Ukungaphumeleli Kwintliziyo
"Ukungaphumeleli kwentliziyo" kuthetha ukuba uhlobo oluthile lwesifo senhliziyo luye lwabenza ukuba intliziyo ingakwazi ukuhambisana nezidingo zomzimba phantsi kwazo zonke iimeko.
Phantse nayiphi na isifo sesifo senhliziyo singagqithisa ukungaphumeleli kwintliziyo, kubandakanya (phakathi kwezinye) isifo se-coronary disease (CAD) , isifo senhliziyo senhliziyo , ukusuleleka kwintsholongwane , uxinzelelo lwe- hypertrophic cardiomyopathy , okanye i- diastolic ukungasebenzi .
Izizathu ezahlukahlukeneyo zingabangela iintlobo ezahlukeneyo zentliziyo yokuhluleka. Ngokomzekelo, i-CAD, i- aortic regurgitation , i- mitral regurgitation , izifo zentsholongwane, kunye nezinye iimeko ezininzi zivame ukuvelisa i-cardiomyopathy eyanciphayo -ukunyanzeliswa kwesifo senhliziyo esenza ukuba singakwazi ukuthenga ngokufanelekileyo.
Ngakolunye uhlangothi, i-aortic stenosis, i-hypertrophic cardiomyopathy, i-hypertension, kunye ne-diastolic ukungasebenzi kunokubangela ukwanda (hypertrophy) okanye "ukuqina" kwintliziyo yesithintelo esithintela amacumbi okupompoza entliziyweni (i-ventricles) ekuzaliseni ngokupheleleyo.
Ezi ntlobo ezahlukeneyo zeentliziyo zisoloko ziphathwa ngokwahlukileyo. Ngoko kubalulekile ukuba oogqirha baxilise ngokuchanekileyo oko kubangela ukuba intliziyo ingaphumeleli ukuze kulungiswe unyango olufanelekileyo.
Ku luncedo kumntu ononophelo ukuba abe nolwazi olusisiseko lwesimo esiphezulu esibangela ukungaphumeleli kwintliziyo, kwaye unyango olumiselweyo lujolise kokubambisa imbangela engundoqo kunye nentliziyo yokuhluleka ngokwayo.
Nangona kunjalo, nantoni na i-diagnostic ye-heart, ingaba umthandi wakho onokuphelelwa yintliziyo unobuthakathaka, unesifo senhliziyo esinyanisiweyo okanye isisindo esinyanisiweyo, kukho ezimbini iintlobo zeengxaki ezibangelwa ukuhluleka kwentliziyo ezenza iimpawu.
Okokuqala, ukungaphumeleli kwentliziyo kunokubangela ukuba igazi libuyele entliziyweni ukuze libuyele, livelise ukuxinwa kwemiphunga kunye nokuvuvukala kwezicubu.
Okwesibini, inani legazi eliphambaniswa yintliziyo linokuncitshiswa, kubangela ukuba izintso ziyeke ukusebenza ngokuqhelekileyo. Umsebenzi wezintso owehlayo unokubangela ukuba iintso zigcine ityuwa kunye namanzi, okukhokelela ekukhukhuleni okukhulu (i-edema) ezinyaweni, emilenzeni nasesisu.
Iimpawu eziphambili zokungaphumeleli kwentliziyo zihambelana nale nxu lumaniso, ukunciphisa inani legazi intliziyo inakho ukupompa, kunye nokugcinwa kwetyuwa namanzi. Ezi zimbonakaliso ezinkulu kukuphefumula ( dyspnea ), ukukhathala, ukunyamezela kokunyamezela, kunye ne-edema. Ubunzima beempawu ziyakwazi ukususela kwi-mild-to-severe-and they can change from day to day. Ukugcina umkhondo onobuchule bokubonakalisa ubunzima beempawu kunokunceda ekufumaneni utshintsho olubalulekileyo kwintliziyo engaphumeleli. Funda ngokubanzi malunga neempawu zesifo senhliziyo .
Indlela Ongayinceda ngayo
Kukho izinto ezibalulekileyo umnakekeli onokukwenza ukuze ancede umntu omthandayo ngenhliziyo engaphumeleli ukukhusela iziganeko ezinzima zokwehluleka kwentliziyo, kunye nokuphucula umphumo wabo wexesha elide. Ezi ziquka
- Ukuncedisa umntu ngokuhluleka kwentliziyo kukuseka nokugcina utshintsho lwezinto zokuphila eziya kunceda intliziyo yabo
- ukubanceda baqhubeke kunye nexesha eliqhelekileyo eliyinkqubo yesicucu seyeza
- kunceda ukubeka esweni imilinganiselo yemihla ngemihla kunye neempawu ezingabonisa ukuba ukuhluleka kwentliziyo kuyanda
- ukuqaphela xa ixesha lokubiza udokotela okanye ukuya esibhedlele
Ukuba ungumlondolozi oyintloko, kufuneka uzicinge njengenxalenye yeqela lezempilo. Oku kuthetha ukuba ufanele uhambele oogqirha ukutyelela kunye nomthandayo xa kunokwenzeka, mamela zonke iinkcazo, uze ubuze imibuzo. Njengoko ilungu eliphambili leqela, kubalulekile ukuba uthathe inxaxheba kule ngxubusho ebalulekileyo yolwazi.
Ukunceda ngeenguqu zokuphila
Ukuphucula indlela yokuphila kubaluleke kakhulu kumntu ofuna ukuphepha isifo senhliziyo. Kuba umntu onokuphelelwa yintliziyo, imicimbi yokuphila ibaluleke ngakumbi. Ukukhetha okulungileyo kokuphila akukhona nje "ukukhusela umntu onentliziyo engaphumeleli-yinto yokwenyuka kwenhliziyo.
Ngokukodwa xa ubelana ngendawo yokuhlala kunye nomntu ohlala entliziyweni, indlela engcono yokunceda ngeenguqu zokuphila eziyimfuneko kukuthatha ezo zitshintsho ngokwakho, kwaye uzibandakanye kwimihla ngemihla wonke umntu ekhaya. Ezi zinguqu zendlela yokuphila kufuneka zibandakanye ukutya, ukuzivocavoca, kunye nokungafuni ukutshaya.
Umhlobo wakho uya kufuna ukuxoxa ngokutya okufanelekileyo kunye nogqirha obancedisa ukulawula ukusilela intliziyo yabo, kodwa abaninzi abantu abanesifo senhliziyo kufuneka babe nesityuwa esincinci seMedithera, kunye neethamo kunye nemifuno, i-grains, kunye namafutha enempilo (njengamafutha omnqumo) endaweni yemafutha egcweleyo, ngelixa uphepha ukutya okupakishwa, ukusetyenziswa okucwangcisiweyo (ikakhulukazi impahla ebhaka). Olu hlobo lwesidlo ngokuqhelekileyo luhle kakhulu phantse nawuphi na umntu.
Abantu abanokuphelelwa yintliziyo, nangona kunjalo, kufuneka baqaphele ngokukodwa malunga netyhulwa yetyuwa , kuba ityuwa eninzi iya kuba yingozi ngakumbi i-edema kunye ne-dyspnea. Thatha i-saltshaker kude netafile, uze unqumle ityuwa ngexesha lokupheka. Kwakhona, ukuphepha ukutya okucwangcisiweyo kubaluleke kakhulu ukugcina ukutya okuncinci kweetyuwa.
Ukutshaya kuyingozi kakhulu kwinkqubo ye-cardiovascular system, kwaye rhoqo xa umntu ekhanyisa, kubangela ukuba utshintsho olunzulu kwimida yegazi. Ukuba umntu onokuphelelwa yintliziyo, ukuqhubeka ukutshaya kuya kukwandisa ukuvama kweentliziyo ze-episodes, kwaye kuya kunciphisa ixesha lokuphila. Ncedisa wakho umthandayo ukuyeka ukutshaya , ukuba utshaya. Ukuba utshaya, ukuyeka kwakho kuya kuba luncedo olukhulu ekuncedeni umthandi wakho ukuyeka.
Gcina ukhumbule ukuba abantu abanokuphelelwa yintliziyo bahlala bekhathala ngokulula kunokuba unokulindela. Cwangcisa imisebenzi yakho nalo mntu ngokufanelekileyo. Vumela ixesha elongezelelweyo lezinto ofuna ukuzenza, kunye namaxesha athile omsebenzi kunye nexesha lokuphumla. Zama nzima njengoko ungeke ukwazi ukubonisa ukungapheliyo xa izinto zihamba ngokukhawuleza kunokuba ungathanda.
Ngexesha elifanayo, ukusetyenziswa ngokubalulekileyo kubalulekile kumntu onentliziyo. Ngoko khuthaza naluphi na umlinganiselo womsebenzi wakho othandekayo unako ukwenza ngaphandle kokukhathala ngokweqile okanye i-dyspnea. Wena kunye nomthandayo kufuneka ucele ugqirha ukuba isicwangciso sokuvuselela umsebenzi siya kuba luncedo ekubakhombeni.
Ukunceda Ngamayeza
Abantu abanesifo senhliziyo badla amayeza amaninzi, kwaye kubalulekile ukugcina umkhondo weepilisi ezithathayo. Ngokuqhelekileyo ukuba abanakekeli banokumvumela umntu ukuba aphelelwe yintliziyo yintsimi kuba ngumphathi oyintloko kumachiza abo- kodwa ngokusoloko kuluvo oluhle ukujonga kabini. Ukusebenzisa ibhokisi yeepilisi okanye ityati kwenza kube lula ukuba wonke umntu azi into ethathelweyo kunye nento ephosakeleyo.
Kunceda kakhulu umntu onokuphelelwa yintliziyo kunye nomnakekeli ukuba aqonde kakuhle ukuba zeziphi iipilisi, kwaye ziphi na amanyathelo okumelwe athathwe ukuba iqondo leyeza lithile lilahlekile ngenxa yezizathu ezithile. Ukuqonda imirhumo yonyango yenye yezona zizathu ezibalulekileyo umnakekeli kufuneka athathe inxaxheba ekutyeleleni ugqirha xa kunokwenzeka.
Ukujonga Iimpawu-Xa Ucela Uncedo
Kubantu abanentliziyo engaphumeleli, iimpawu zihlala zixaka kwaye zixhamle kwixesha, kwaye ezinye iintsuku zibhetele kunezinye. Emva kwexesha, abaninzi abanonophelo bayazikhulula ngokuqonda "usuku olungenakulungile," kwaye baya kuba nomntu othandekayo ukuba athathe lula lula kule mihla embi.
Kodwa ngamanye amaxesha, ukuthatha nje kulula ukuba usuku okanye kunjalo alanele. Ngamanye amaxesha kuya kuba kubalulekile kumntu onentliziyo engakwazi ukumbona ugqirha, okanye ukuya kwindlu yexakeka. Ngomncedisi, ukwazi ukuba ufuna ukucela uncedo ngamanye amaxesha kungabikho-brainer, kodwa ngamanye amaxesha kuya kuba yinto yokugweba. Kodwa ekubeni intliziyo yakho imthandayo, ukuba kukho nayiphi na umbuzo malunga nokuba wenze ikhwelo (kwiofisi yegqirha okanye 911), yenza njalo.
Ingqiqo enhle ukubeka iliso iimpawu zakho zomntu ngamnye iintsuku zonke, kwaye ubhale ubunzima baloo mpawu kwitshati okanye kwidayari. Ku luncedo ukulandelelanisa i-dyspnea yabo, izinga labo lokukhathala kunye namandla, kunye nesibalo sokuvuvukala abanalo emilenzeni yabo. Buza ukuba balala njani kusasa. Ngaba bazive bephefumlelwe xa belala ebusuku? Ngaba bavuke ebusuku bevalelwa ukuphefumla? Gcina indlela abaphefumulayo ngayo xa behamba, okanye njengoko bethetha. Ukurekhoda ezi zinto imihla ngemihla kuya kukunceda ukuba ubone ukuhamba kwexesha.
Ukulinganisa ubunzima babo imihla ngemihla (malunga nexesha elifanayo, ukugqoka malunga nomlinganiselo ofanayo weengubo, kunye nengubo engenanto) luncedo. Ukugcinwa kwe-Fluid kuya kuboniswa njengenzuzo kwisisindo (ngokuqhelekileyo, ngaphezu kweentsuku zeentsuku), ngaphambi kokuba wena okanye umthandayo ungakwazi ukubona nayiphi na i-edema okanye i-dyspnea.
Kukho amaxesha amabini aqhelekileyo xa kufuneka ufune uncedo lwezonyango kumntu obathandayo. Okokuqala, biza u-911 ukuba babona ubunzima obunzima bubuhlungu buhlungu , kuba intlungu yesifuba okanye ukuphazamiseka , ubunzima obunzima, i- syncope , okanye nayiphina impawu ebonakalayo iyantloni okanye isichukumisa. Akufanele unganqikaze ngokubiza 911 ngokungadingekile. Ukuba unenkxalabo okanye uxhalabile, fowuna.
Okwesibini, biza ugqirha ukuba ubona umkhwa wexesha elibonakala liphazamisayo. Oku kungaquka ukufumana ubunzima obunzima ngaphezu kweentsuku ezimbini okanye ezintathu, ngokunyuka kwandisa i-dyspnea, ukwanda kwe-edema yomlenze, okanye ukhathala okungakumbi okanye ukhathala kunokuba ucinga ukuba uqobo. Le nto inokuba yimiqondiso yokuba ukungaphumeleli kwintliziyo yakho kwandipha kancinci, kwaye ukuba isiqephu esichukumisayo singase sibe ngeenxa zonke. Ukuba uqaphele ngenguqu, ugqirha uya kukwazi ukuguqula izinto ngokukhawuleza ukulungiswa kwamachiza.
Ukunyamekela
Awuyi kuba ngumncedisi osebenzayo ngaphandle kokuba unakekele iimfuno zakho. Ukuba ugule, udidekile, okanye utshiswe ngaphandle, akukho mntu uzuza.
Qala ngokuhlola inkqubo yakho yokuxhasa. Ziziphi iintsapho kunye nabahlobo abakwaziyo kwaye bazimisele ukungena ngaphakathi? Ukuwachonga, kwaye ubavumele ukuba bancede.
Ukunyamekela umntu onokuphelelwa yintliziyo akufanele kube njengomsebenzi onzima njengokunyamekela umntu oye waba (umzekelo) isifo esibi, okanye ukugula komqondo. Ngoko musa ukuvumela ukuba ibe yinto yonke. Uninzi lwabantu abanezinyathelo ezingapheliyo zenhliziyo lungalungisa ukutya okulula, fumana i-imeyile, uye kwindlu yokuhlambela okanye mhlawumbi uhlambulule. Ngokubanzi kufuneka bakhuthazwe ukuba benze imisebenzi enjalo. Kwaye aqhelekanga afune i-24/7 iliso. Ngoko xa ukuhlolwa kwakho kwansuku zonke kungabonakali iimpawu okanye iimpawu eziphazamisayo, unokuthi ulungele kwezinye "ixesha".
Thatha ikhefu lemihla ngemihla, kwaye ube nomnye umntu ekuthethelela usuku olulodwa ngeveki okanye njalo, ukuba kunokwenzeka. Hlalani kunye neminqweno yenu, izinto zenu zokuzilibazisa kunye nenethwekhi yenu yentlalo, njengendlela yokunciphisa uxinzelelo. Fumana ukulala ngokwaneleyo, yenza umsebenzi wakho, kwaye udle ukutya okulungileyo. Ukugcina impilo yakho, kubandakanywa nokuphila kwakho ngokomzimba nangokwengqondo, kubaluleke kakhulu ukuba uya kuba ngumkhathaleli osebenzayo.
ILizwi
Ukungaphumeleli kwentliziyo kuyinselele kumntu wonke-kumntu onokuphelelwa yintliziyo, ugqirha kunye nomnakekeli. Umncedisi osebenzayo uya kuqonda izinto ezisisiseko malunga nokungaphumeleli kwintliziyo, ziphi iimpawu zokujonga kunye nokuzilindela, kwaye nini na ukucela uncedo. Mhlawumbi kubaluleke kakhulu, abanonophelo abanonophelo kakhulu abayinyamekela ukugcina impilo yabo kunye nokuphila.
> Imithombo:
> I-Ponikowski P, i-Voors AA, i-Anker SD, kunye ne-al. Izikhokelo ze-ESC zoNgcaciso kunye nokuPhathwa kweNtsholongwane yeNtsholongwane engapheliyo kunye neNyango engapheliyo: IQela leMisebenzi yokuHlola kunye nokuPhathwa kweNtsholongwane yeNtsholongwane yaseYurophu yeCardiology (ESC) Iphuhliswe kunye neNkxaso ekhethekileyo ye-Heart Failure Association (HFA). ) ye ESC. I-Eur Heart J 2016; 37: 2129.
> Yancy CW, Jessup M, Bozkurt B, et al. I-ACCF / I-AHA Isikhokelo sokuLawula kweNtliziyo: Isishwankathelo seSigqeba: Ingxelo ye-American College of Cardiology Foundation / i-American Heart Association Task Force kwiZikhokelo zokuSebenza. Uhambo luka-2013; 128: 1810.