Emva kokuba usuphile kwisifo senhliziyo (i- myocardial infarction ), uninzi lokufunda malunga nokunye okunokucinga ngako . Kwiintsuku ezindala ezinokuthi unokuba neveki okanye ezimbini zokubhedlelelwa esibhedlele ukuze ulungelelaniswe nezinto-ukuba uhambe kuzo zonke iimvavanyo, uvavanyo lwengozi, imfundo kunye nokuqaliswa kolwaphulo olufunekayo ukwenzela ukulungelelanisa ixesha elide.
Namhlanje, nangona kunjalo, nayiphi na into eya kuyenzeka kufuneka yenzeke kwiintlobo zokuqala (okanye mhlawumbi ezine, ukuba unesicwangciso sempiliso yezempilo).
Oogqirha kunye nezibhedlele baye baqokelela kakuhle ukuba banakekele ngokukhawuleza umntu oboniswayo nge-acute myocardial infarction . Kodwa ngamanye amaxesha bayayilahla ibhola xa kuziwa ekunakekeleni ngokufanelekileyo emva kweeyure zokuqala ezibuhlungu. Abaninzi abanomdla bazama nzima ukwenza konke okufuneka kufezwe kwiintsuku ezimbalwa emva kokuhlaselwa kwentliziyo. Kodwa ke, ngezinye iinkalo, "konke okufuneka kufezekiswe" kunzima kakhulu, kubo nakwizigulane zabo. Ngenxa yoko, ngokuqhelekileyo abantu abanesifo senhliziyo abafumani yonke imvavanyo, imfundo, kunye nonyango abayidingayo ukuqinisekisa isiphumo esiphezulu sexesha elide.
Isihluthulelo sokuhamba ngokuphumelelayo kwindlela yakho ukuya kwixesha elide, eliphilileyo emva kokuhlaselwa kwentliziyo. Udinga ukwazi ukuba luhlobo luni lovavanyo olufunekayo lwenziwe, luhlobo luni lokuthunyelwa kufuneka lwenziwe, kwaye zeziphi iindidi zonyango (kunye nezinye iindlela zonyango) kufuneka ziqaliswe, okanye ubuncinci bacingisise.
Ukuba kukho into ewela kwiintluko, kufuneka uyizise ngogqirha wakho.
Ogqirha banqwenela ukwenza into efanelekileyo. Yiyo loo nto, inikwe lonke uxinzelelo kunye neengxaki ezisetyenziswa phantsi, kwiinkampani zombini ze-inshorensi kunye noorhulumente, ngamanye amaxesha kufuneka uwakhumbuze ukuba ngubani na onyanzelekile ukuba ayenze, kwaye yintoni okulindelweyo malunga naloo nto.
Kwaye ke, kufuneka ube neelindelekileyo.
Kule ndlela, nolu luhlu olulungelelwanisiweyo lwezinto ezifanele zenziwe-ngokufanelekileyo phambi kokuba ushiye esibhedlele-emva kokuhlaselwa kwentliziyo yakho. Sebenzisa olu luhlu lokuhlola ukuqinisekisa ukuba zonke iziseko ezibalulekileyo zigqityiwe kwaye wena kunye nodokotela wakho bobabini benza zonke izinto ezifanelekileyo ukuphucula amathuba okuphila ixesha elide kunye nexesha elide lempilo.
Funda ngokugqithisileyo:
- Ukuthintela enye Intlekele Yentliziyo
- Ukukhusela Inhliziyo Ukungaphumeleli
- Ukuthintela ukufa ngokukhawuleza
I-Post-Heart Attack
1) Iinguqu zokuphila kunye neminye imfundo:
- Ndiye ndafundiswa ngokupheleleyo kwiimpawu zokulumkisa kunye neempawu zokuhlaselwa kwintliziyo kunye nezenzo ezithathayo ukuba ndifumane le miqondiso okanye iimpawu. (y / n)
- Ukuba ndingumtshayi, ndiceliwe ukuba ndiyeke, kwaye ndibhekiselele kwinkqubo enye yokuyeka ukutshaya. (y / n)
- Ndiye ndafundiswa ngokupheleleyo kwi-heart-healthy diet . (y / n)
- Ugqirha wam uthethe nam malunga nokuba ndifuna ukunciphisa umzimba, kwaye bunzima bunjani ukuba ndilahleke. (y / n)
- Ndiyifumene imiyalelo emininzi yemisebenzi yeeveki ezilandelayo ukuya kwiiiveki ezithandathu kwaye sele ndihanjiswe kwiprogram yokuvuselela inhliziyo . (y / n)
- Ukubaluleka kokusebenzisa ixesha elide sele ndichazwe. (y / n)
- Ugqirha wam uthethe nam xa ndingaqalisa kwakhona umsebenzi wesondo . (y / n)
- Ugqirha wam uthethe nam xa ndingaqalisa ukuqhuba. (y / n)
2) Ukuvavanya umngcipheko wesinye isifo senhliziyo kwixesha elizayo elizayo:
- Iimeko zamathambo e- coronary ziye zahlolwa ngongxaki yoxinzelelo / thallium (y / n) okanye i- catheterization ye-cardiac . (y / n)
- Ingxaki yam yeempawu zeeronari zandichazele kanje ngale ndlela:
- Isicwangciso sokulandela imeko yeetriyari zamarononti ngexesha elizayo:
3) Umonakalo owenziwe entliziyweni yam uhlolwe ngu:
- Isifundo soxinzelelo / thallium (y / n)
- I-catheterization ye-cardiac (y / n)
- I-MUGA iskena (y / n)
- I-Echocardiogram (y / n)
(Qaphela: ubuncinci olunye lwezo mvavanyo ezine kufuneka zenziwe ukwenzela ukulinganisa iqhekeza le- ejection .)
- Mna (yenza / musa) unomlinganiselo othile wokusilela intliziyo .
4) Amanani abalulekileyo endimele ndiwazi:
- Iprofayili yam lipid iye yalinganiswa, kwaye iziphumo zilandelayo:
- I-cholesterol iyonke:
- I-cholesterol yeLDL:
- I-cholesterol yeHDL:
- Triglycerides:
- Uxinzelelo lwegazi lwam:
- Igazi lokutya lokugaya i-blood is:
- Iqhezu yam ejection yile:
(Qaphela: Ukuba iqhekeza le-ejection lingama-35 ekhulwini okanye ngaphantsi, bona # 6 ngaphantsi.)
5) Amagama kunye namayeza amachiza anqunyelwe wona:
- Aspirin :
- Iyeza-antiletletlet (ezifana ne-Plavix, iBrilinta, okanye Umthi):
- I-beta blocker :
- ACE inhibitor :
- I-Spironolactone (ukuba iqhekeza lam ejection lingama-40 ekhulwini okanye ngaphantsi):
- Statin :
Qaphela: Zonke ezi mayeza ziboniswe ukunceda ukunqanda ukuhlaselwa kwentliziyo kwaye ukunciphisa umngcipheko wokufa. Ukuba andizange ndifumane i-prescription enye okanye ngaphezulu kwala mayeza, isizathu si:
- Ndixubushe nodokotela wam ukuba ngaba ndifuna ukunyangwa ngegazi eliphezulu . (y / n)
- Ndixubushe nodokotela wam ukuba ngaba kufuneka ndiphathwe ngesifo sikashukela okanye sesifo sikashukela . (y / n)
6) Ukukhusela ukufa ngokukhawuleza
- Ukuba inqabana yam ejection ingama-30 ekhulwini okanye ngaphantsi (okanye ukuba ndiye ndahluleka kwentliziyo kwaye inqabana yam ejection ingama-35 ekhulwini okanye ngaphantsi), ndiye ndithunyelwa kwi-electrophysiologist ukuxubusha ukuba kungenzeka ukuba i- defibrillator enokutsha . (y / n)
- Amalungu entsapho yam sele eqeqeshiwe kwiCPR. (y / n)
Imithombo:
Smith, SC Jr, Allen, J, Blair, SN, et al. Izikhokelo ze-AHA / I-ACC zokukhusela okwesibini kwizigulane ezinezonyango kunye nezinye izifo zesifo se-atherosclerotic: uhlaziyo luka-2006 oluvunywe yiNational Heart, Lung, ne-Blood Institute. J Am Coll Cardiol 2006; 47: 2130.
OGara PT, uKushner FG, Ascheim DD, et al. 2013 ACCF / AHA izikhokelo zolawulo lwe-ST-elevation infarction: isishwankathelo esipheleleyo: ingxelo ye-American College of Cardiology Foundation / i-American Heart Association Task Force kwiZikhokelo zokuSebenza. Uhambo luka-2013; 127: 529.