Emva kokuba umntu odumile efile ngokukhawuleza, kudla ukuva kwiindaba zeendaba zokuba ukufa kwabangelwa "ukuhlaselwa kwentliziyo" okanye "ukuboshwa kwentliziyo." La magama aqhelekileyo asetyenziswa ngokuchanekileyo ngabanyathelisi; abanye baya kusebenzisa elinye ixesha ngelixa abanye basebenzisa elinye, njengokungathi babonisa into efanayo. Akunjalo nje ababhali beendaba. Oogqirha, nabo, banokungabi nantlonelo malunga nokusetyenziswa kwabo "kweentliziyo zentliziyo" kunye "nokuboshwa kwentliziyo" xa umntu ehlaselwa ngokukhawuleza.
Ukungacaciswanga okunjalo kwinqanaba likagqirha kunokukhokelela ekudidekeni phakathi kwamalungu entsapho exhoba. Okubi kakhulu, ukudala ukudideka malunga nesizathu sokufa kunokubangela ukuba izalamane zexhoba zilahleke iingcinga ezibalulekileyo malunga nomngcipheko wenyama.
Ukuhlaselwa intliziyo kunye nokubanjwa kwintliziyo zintlobo ezimbini ezahlukahlukeneyo eziqhelekileyo zineentlobo ezimbini ezichaphazelayo abo bachaphazelayo (ukuba basinda kuloo mcimbi), kunye namalungu entsapho.
Yintoni Intliziyo Yokuhlasela?
Ukuhlaselwa kwentliziyo yigama eliqhelekileyo le- infyoction ye-myocardial (MI). I-MI iyenzeka xa i- artery coronary , enye yeetriyiti ezinika igazi kwisisu senhliziyo, ikhutshwe ngokukhawuleza. Ukukhutshwa ngokukhawuleza kubamba inxalenye yesisu senhliziyo yesibonelelo segazi esibalulekileyo, kwaye i-muscle iyafa. Ngoko, ukuhlaselwa kwentliziyo kukufa kwesahlulo senhliziyo.
Ukukhutshwa ngokukhawuleza kwe-coronary artery ngokuqhelekileyo kubangelwa ukugqithwa kweplate kwi-artery.
Ukuphuka kwe-Plaque kunokuvelisa iimeko ezahlukeneyo zeklinikhi, kuquka ukuhlaselwa kwentliziyo kunye ne- angina engaqinisekanga , ehlanganiswa phantsi kwegama elibi kakhulu le-coronary syndrome (ACS) . Zonke iifom ze-ACS ziphuthumayo zezokwelapha, kwaye ngokubanzi zifuna ukunyangwa ngamachiza, i- angioplasty kunye ne- stenting , okanye ukuhlinzwa ukuze kubuyiselwe ukuhamba kwegazi ngokuqhelekileyo kumzobo ovaliweyo.
Ukuba ukuhamba kwegazi kungabuyiselwa kwiiyure ezimbalwa, umonakalo ongunaphakade kwintliziyo ye-muscle iyakuncitshiswa. Ukwazi ukuba usinde njani ukuhlasela kwentliziyo kubalulekile kwesi sizathu.
Enye yezinto ezibalulekileyo zengozi yesifo senhliziyo yimbali yakho yentsapho. Ukuba isihlobo esisondeleyo siye sahlaselwa sisifo senhliziyo, ingakumbi ngexesha lokuqala, ingozi yakho yokugula isifo se-coronary ngaphambi kwexesha (CAD) sinokuphakanyiswa. Kule meko, kubaluleke kakhulu ukuba uthathe onke amathuba okunciphisa umngcipheko wakho kwiCAD .
Uphi na iCardiac?
Ukubanjwa komzimba, ngokuchaseneyo, kubangelwa yintliziyo ngokukhawuleza ebizwa ngokuthi i- fibrillation ye-ventricular . Kwifibrillation ye-ventricular, izibonakaliso zombane ngaphakathi kwintliziyo ngokukhawuleza zixakeke ngokupheleleyo. Ngenxa yokuba ezi zimpawu zombane zilawula ixesha kunye nentlangano yesimo senhliziyo, xa loo mqondiso igqithisa ukuba ibe yintlanethi, intliziyo iyayeka ngokukhawuleza. Oko kukuthi, kungena "ekubanjweni kwenhliziyo." Isiphumo esona siqhelekileyo sokubanjwa komzimba kukufa ngokukhawuleza.
Ukunyangwa kokubanjelwa kwintliziyo kukuqala ukuvuselela i-cardiopulmonary resuscitation (CPR) ukuxhasa ukusabalaliswa kwexhoba, kwaye, ngokukhawuleza, ukunikela ukutshatyalaliswa okukhulu kombane ngecebo elibizwa ngokuba yi-defibrillator.
Ukutshatyalaliswa okukhulu kuvumela ukuba uphawu lwegesi lwenhliziyo luzilungiselele ngokwaso, kwaye intliziyo iqale ukubetha kwakhona. Ngelishwa, ngenxa yokuba ukufa kwenzeka kwimibandela embalwa yokubanjwa kwentliziyo ngaphandle kokuba uncedo lukhoyo, uninzi lwabantu abaphethwe yintliziyo yokuboshwa aluphumelelwanga ngempumelelo.
Ukubanjwa kweenqwelo ze-cardiac kuya kuba nzima kakhulu kubantu abaneentlobo ezahlukahlukeneyo zezifo zentliziyo-ngokuqhelekileyo, ukuhlaselwa kwentliziyo kwangaphambili okanye nayiphi na imeko eyenza ukuhluleka kwentliziyo . Njengokuba kunjalo, umngcipheko wokufa ngokukhawuleza unokuphakanyiswa kakhulu kubantu abanesifo senhliziyo esilinganisweni kangangokuthi abaninzi babo kufuneka baqwalaselwe ngokufakelwa kwe- defibrillator echitshiweyo , isistim esizivuselela ngokuzenzekelayo abantu abaphethwe yintliziyo.
Ezinye izizathu zokubanjelwa komzimba ziquka iintliziyo ezingenakulinganiswa ezinokuthi zandise umngcipheko we-fibrillation ye-ventricular (eyona nto ixhaphakileyo yi- hypertrophic cardiomyopathy ) kunye nokusetyenziswa kweziyobisi ezingekho mthethweni (ngakumbi i-cocaine).
Ukwahlukana Okubalulekileyo
Ukuba isihlobo esisondeleyo siphelile ngokukhawuleza, kubalulekile ukuba wena kunye nosapho lwakho uzame ukufunda isizathu esicacileyo sokufa. Isizathu sokufa singathintela yakho iphrofayili yengozi ye-cardiovascular and those of your loved ones.
Qaphela ukuba oogqirha bangasebenzisa igama elithi "ukuhlaselwa kwintliziyo" kunye "nokubanjwa kwintliziyo" ngokukhululekile emva kokuba umntu efile ngokukhawuleza. Ukuba isiganeko esinjalo sichaphazele intsapho yakho, kufuneka ufumane ulwazi oluninzi njengoko unako malunga nesizathu kwaye ugxininise ukuba ugqirha uthetha ngokuchanekileyo malunga nento eyenzekayo.
> Imithombo:
> Chugh SS, Jui J, Gunson K, et al. Ukuxhatshazwa kwangoku kokufa kweCardiac ngokukhawuleza: Ukuhlolwa kweMithombo emininzi ngokubhekiselele kwi-Retrospective UkuThunywa kweSatifikethi sokuFiselwa kweSatifikethi kuMmandla omkhulu wase-US. J Am Coll Cardiol 2004; 44: 1268.
> Marijon E, Uy-Evanado A, uDumas F, et al. Iimpawu Zesixwayiso Zidibaniswa Nokusinda Kwi-Cardiac Carriage. U-Ann Intern Med 2016; 164: 23.
> O'Gara PT, uKushner FG, Ascheim DD, et al. 2013 ACCF / AHA Fuideline yoLawulo lwe-ST-elevation Myocardial Infarction: Isishwankathelo seSigqeba: Ingxelo ye-American College of Cardiology Foundation / i-American Heart Association Task Force kwi-Practice Guidelines. Uhambo luka-2013; 127: 529.