Intlungu edla ngokuhamba ne- myocardial infarction (ukuhlaselwa kwintliziyo) kubangelwa ukukhutshwa ngokukodwa kweerariyari ze-coronary, ngokuqhelekileyo ngenxa ye- coronary disease (CAD) . Ukukhutshwa ngokukhawuleza kuba ngumphumo wepastiki ye- atherosclerotic eludongeni lomthamo.
Xa i-artery coronary iyavalwa, intliziyo ye-muscle eyenziwa ngulo mzobo ngokukhawuleza iba yinto enzima ye- ischemic (i-oksijini ilambileyo), kwaye ukuba i-ischemia iqhubeka iiseli zentliziyo ziqala ukufa.
Ukufa kwentliziyo yesisu kukuchaza ukuhlaselwa kwentliziyo.
Ukuhlaselwa kwentliziyo kudla ngokuvelisa iimpawu ezibalulekileyo. Intlungu yesifuba, okanye ukungathandeki kwesifuba, ngokuqhelekileyo luyinxalenye evelele yale mpawu.
Iimpawu zoBuhlungu
Intlungu ehamba neentliziyo zisoloko zifana ne- angina yeklasi, kodwa iyancipha ngakumbi kwaye ihlala ihlala ixesha elide. Intlungu ngokuyinhloko ichazwa njengengcinezelo efana nokucinywa, ukutyumza, okanye intlungu ebuhlungu. Iintlungu zidla ngokugqithisa kumhlathi, amahlombe okanye iingalo.
Nangona kunjalo, intlungu yesifo senhliziyo ingasoloko ibe "i-atypical." Ngamanye amaxesha ayifaki isifuba nantoni zonke, kodwa kunokuba ibe yindawo ephakathi, enye okanye zombini, okanye kwisisu. Ukongezelela, kungenakucingwa ukuba ixhoba "njengentlungu" nonke, kodwa kunokuba ihlaziye.
Ukongeza kwintlungu (okanye ukungaxhamli) abantu abahlaselwa yintliziyo bahlala befumana i-dyspnea (ukuphefumula okufutshane), kunye nesicathulo, ukujuluka, ukuxakeka, ukungabi namandla okanye ukungakhathali.
Ngokungafani ne-angina, iimpawu zihlala ziqhubeka, kwaye zihlala zakha ubuncinane kwiminyaka yokuqala eyi-15 okanye engama-20.
Ezi zibonakaliso zikhula ngokukhawuleza-kodwa oku akuwona umgaqo. Izimpawu zesifo senhliziyo zingakha ngokukhawuleza, ngaphezu kweeyure okanye kwiintsuku.
Iimpawu zesifo senhliziyo zihlala zihamba kunye neengxaki zokwesaba okukhulu - ngokuchazwe ngokuqhelekileyo njengengqondo "yecala elizayo."
Kwenziwe ntoni
Nabani na ofumana iimpawu ezifana nesifo senhliziyo sidinga uncedo lwezonyango olusondeleyo. Ukuba kuyisifo senhliziyo, imizuzu ingenza umehluko phakathi kobomi obude kwaye obonwabileyo, okanye ukukhubazeka okusisigxina okanye ukufa. Call 9-1-1.
Xa ufika kwiSebe elixakekileyo, uhlolo logqirha luya kubandakanya imbali yonyango kunye nophando lwamaziko, oludla ngokubhekiselele ekuxilweni, kunye ne- ECG , edla rhoqo kwiikliniki zokuxilongwa. Ii-enzyme ze-cardiac (iiprotheyini zentliziyo ezithe zawela egazini xa iintsholongwane zenyama zifa) zilinganiswa kwiimvavanyo zegazi ukuqinisekisa ukuxilongwa. Ukuvavanywa kokuhlaselwa kwentliziyo kweso sikamva kufuneka kwenzeke ngokukhawuleza kwaye ngokukhawuleza, kuba unyango kunye nolwaphulo luyakwazi ukulondoloza izicubu zenhliziyo kunye nokuphucula kakhulu amathuba okuphila kwakho okukhubazeka.
Imithombo:
OGara PT, uKushner FG, Ascheim DD, et al. Ngo-2013 i-ACCF / i-AHA isikhokelo sokulawulwa kwe-ST-elevation infarction: iNgxelo ye-American College of Cardiology Foundation / i-American Heart Association Task Force kwiZikhokelo zokuSebenza. Uhambo luka-2013; 127: e362.
Svavarsdottir, AE, Jonasson, MR, Gudmundsson, GH, Fjeldsted, K. Intlungu yesifuba kwintsapho. Ukuxilongwa kunye nesiphumo sesikhathi eside kwiindawo zoluntu. Ngaba Unogqirha weNtsapho; 42: 1122.