Intlungu yesifuba isoloko ikhuselekileyo
Iintlungu zesifuba zidla ngokuba ngumqondiso wesifo senhliziyo . Nangona kungekhona ukuhlaselwa kwentliziyo, ukuxelela ukuba umehluko uya kufuna ukuba ezinye izixhobo eziyinkimbinkimbi zingafumaneki kwiofisi yokugqirha. Iintlungu zesifuba esinye sezikhalazo zezokwelapha ezimbalwa eziphantse zifuna unonophelo lwengxamisekileyo, kwaye akufanele zibonwe ekuqaleni kwiofisi yegqirha.
Ukuhlaselwa kwentliziyo kukunciphisa intliziyo yegazi kunye ne-oksijini efunekayo. Ngokuqhelekileyo kubangelwa i-clot yegazi kwi-artery esele igqitywe nge- depository cholesterol . Ekubeni i-clot yegazi ibimbela ukuhamba kwegazi entliziyweni, izicubu ze-muscle (ezingenakuyeka ukubetha ukugcina amandla ngenxa yokuba intliziyo iyilungu ebalulekileyo) liqala ukulamba. Ekugqibeleni, isisu senhliziyo siya kufa.
Ixesha Liyinto Yomzimba
Ixesha elithathayo ukuba i-heart muscle ifeke ihluke kuwo wonke umntu. Kuya kuxhomekeka kwimibandela emininzi, kungekhona ubuncinci bobukhulu bomshini okhutshiwe kunye nenxalenye yentliziyo eyancitshiswa yi-oxygen. Eyona mkhulu umthamo ovalwe, ngokukhawuleza umonakalo uvela.
Izibhedlele zilinganisela impumelelo malunga nezigulane zokuhlaselwa kweentliziyo ezikhawulezayo zonyango xa zihamba emnyango. Iiofisi zamagqirha azange zisebenze ngokufanelekileyo. Kuthatha izixhobo ezikhethekileyo ukuvavanya ngokufanelekileyo ukuhlaselwa kwentliziyo, kwaye oogqirha abaninzi abaxhotywanga ukujongana nalezi zonyango.
Ngaphandle kokungqubuzana kwezobuchwepheshe, oogqirha ngabanye - ingakumbi abaqhelekileyo okanye iintsapho - ababonanga ukuhlaselwa kwintliziyo okwaneleyo phambi kwabo ukuba bahlale besabela ngokufanelekileyo. Ngaphandle kwamasebe angxamisekileyo, abo babona izigulane ezininzi benza umsebenzi ongcono wokuchasa intliziyo.
Enye into eqinisekile kuyo yonke intliziyo: ixesha li-muscle. Ukuchitha ixesha elide ngaphambi kokuba uphathwe, i-heart muscle iyatshatyalaliswa, oko kutheni amasebe angxamisekileyo aneenkqubo zokulandela izigulana eziza kukhononda ngentlungu yesifuba.
I-Lot ukuze Yenziwe
Xa isixhoba senhliziyo sisityelele kwisebe eliphuthumayo, kukho izinto ezininzi kufuneka zifumane kwimimiselo embalwa yokuqala.
- I-Electrocardiogram (ECG) ukuchonga ukuba kukho ukuhlaselwa kwentliziyo
- Ukuhlolwa kwegazi, kwakhona ukufumanisa ukuhlaselwa kwentliziyo
- I-oksijeni yesifo senhliziyo esisweleyo
- I-nitrolycerin ukukhupha umthwalo wentliziyo
- I-Aspirin ukucutha igazi kunye nokunciphisa ukuvuvukala entliziyweni
- Iimbalo ezimbini ze-intravenous (IV) zokunikezela imishanguzo kunye namanzi ngokukhawuleza
- UMorphine ngenxa yentlungu kunye nokunciphisa intliziyo yomthwalo
- Mhlawumbi isicaka se-clot-buster njenge- activminogen activator (tPA)
- Ininzi, mhlawumbi i- catheterization yenyama okanye i- coronary artery bypass graft (CABG) ukubuyisela ngokusisigxina ukuhamba kwegazi
Bambalwa ukuba naziphi na ezi zinto zifumaneka kwiofisi yobugqirha. Enyanisweni, ukuba isigulane kwirejista ugqirha ukuba ihlaselwe intliziyo, ugqirha mhlawumbi uya kubiza i-ambulensi ukuthutha isigulane kwisebe elingxamisekileyo .
Ukuya kubona ugqirha kuqala kuza kubangela ukulibaziseka unyango obalulekileyo, kwaye ixesha liyimisipha.
Ukufika apho
Ngoku ngoku siqinise imfuno yonyango kwisebe elingxamisekileyo kuzo zonke ixhoba lokuhlaselwa yintliziyo (elibandakanya nabani abaneentlungu zesifuba ), makhe sithethe ngendlela yokufika khona.
Ukuhamba egumbini lokulinda elikhuselekileyo lisebe lithetha ukuba kufuneka ugcwalise ifom kwaye ulinde ukuba uvavanyo lwakho luhlolwe. Kuza kuba nomongikazi kwigumbi lokulinda ukwenza uvavanyo, kwaye umongikazi uya kuqonda ngokuqinisekileyo iimpawu neempawu zesifo senhliziyo xa efika kuwe, kodwa kude kube ngoko, uza kulinda kuqala , isiseko sokuqala.
Ngakolunye uhlangothi, ukubiza u-911 kuya kufumana i-ambulensi. Okwangoku, umgangatho wesizwe wexesha leempendulo ze-ambulensi kwiindawo zemimandla engaphantsi kwemizuzu engama-10.
Ngokubiza u-911, uza kuba nabaniki-mbini abanezonyango eziphuthumayo-kwaye kuxhomekeke apho uhlala khona, abaphenduli abongezelelweyo bokuqala-ukujongana nobuhlungu besifuba sakho ngaphantsi kwemizuzu engama-10. Kungcono kunokuba uqhube, kwaye ulinde, isebe eliphuthumayo.
INtloko yeNtloko
Kwiindawo ezininzi zaseUnited States, ii-ambulensi ezithatha iifowuni ezingama-911 ziyaqeqeshwa kwaye zixhotyiswe ukuphatha ezininzi izinto ezifunekayo kwiintsholongwane zesifo senhliziyo, zonke ngaphambi kokuba zifike esibhedlele.
Uninzi lwee-ambulensi azenzi uvavanyo lwe-ECG okwangoku (nangona oko kutshintsha ngokukhawuleza), kwaye ke, i-ambulensi ayikwazi ukwenza utyando. Ngaloo miqathango, i-paramedic kwi-ambulensi ingaqalisa ii-IV; unike i-oxygen, nitroglycerin, i-morphine kunye ne-aspirin. Kwakhona, i-paramedic iya kujonga intliziyo yakho endleleni eya esibhedlele kwaye ifumaneka ukujongana neziganeko ezimbi kwindlela eya kwisibhedlele kwaye ifumaneka ukujongana neziganeko ezinobungozi ezinokuthi zenzeke, njengokubanjelwa kwintliziyo - ingozi ebalulekileyo entliziyweni hlaselwa.
Qala kwiNqalo, kungekuMbindi
Njengoko iyeza lonxunguphalo litshintsha, kunjalo neqela elenzayo. Iinkqubo kunye neeprotoksi ziphuhliswa ukujongana nokukhawuleza okuqhelekileyo, okufana nokuhlaselwa kwentliziyo. Ezi protocol zineenkcukacha ezifanelekileyo zokungena apho izigulane zifumana iziphumo ezilungileyo.
Ukungena kwintlungu yesifuba ekuqaleni kwesibindi, kwindlu yakho kunye ne-ambulance paramedics, kunethuba elingcono lokuphumelela kunokulibalalisa ukunakekelwa ngokuya kwiofisi yegqirha engenakho ukunyanga. Xa unyango lweentliziyo, ukukhawuleza nokusebenza kakuhle kubalulekile.
Akufanele uthabathe intlungu yesifuba kwiofisi yakho yegqirha kuba ixesha li-muscle.
Iingxelo:
Limkakeng, A Jr, et al. "Inhlanganisela ye-Goldman mngcipheko kunye neyokuqala kwe-carponac troponin I kwintlungu yesifuba yesifuba somlenze wesigulane isigulane somngcipheko." Acad Emerg Med. 2001 Jul; 8 (7): 696-702.
Schull MJ, Vermeulen MJ, Stukel TA. "Umngcipheko wokuxilongwa okungafihliyo kwe-acute myocardial infarction ehambelana nomlinganiselo wesebe lonxunguphako." Ann Emerg Med. 2006 Dec; 48 (6): 647-55. Epub 2006 Juni 14.
Zucker, DR, et al. "Ukunikezwa kwe- acute myocardial infarction kumadoda nakwabesetyhini." J Gen Intern Med. 1997 Feb; 12 (2): 79-87.