Uncedo lokuqala lwentliziyo

Isifo sentliziyo yimeko engxamisekileyo yezonyango. Tsalela u-911 okanye inombolo yongxamiseko yendawo ukuba ucinga ukuba wena okanye omnye umntu unesifo sentliziyo.

Umntu ophakathi ulinda iiyure ezi-3 ngaphambi kokufuna uncedo kwiimpawu zesifo sentliziyo. Izigulana ezininzi ezihlaselwa sisifo sentliziyo ziyafa ngaphambi kokuba ziye esibhedlele. Ngokukhawuleza ukuba umntu afike kwigumbi lexakeka, kungcono ithuba lokusinda. Unyango olukhawulezayo linciphisa umonzakalo wentliziyo.

Eli nqaku lixoxa ukuba wenzeni xa ucinga ukuba umntu othile unesifo sentliziyo.

Ukuhlaselwa kwentliziyo kwenzeka xa ukuhamba kwegazi okuhambisa ioksijini kwentliziyo kuye kwavalwa. Imisipha yentliziyo ilamba ioksijini kwaye iqala ukufa.

Iimpawu zesifo sentliziyo zinokwahluka kumntu nomntu. Banokuba nobulali okanye babukhali. Abasetyhini, abantu abadala abadala, kunye nabantu abanesifo seswekile kunokwenzeka ukuba babe neempawu ezifihlakeleyo okanye ezingaqhelekanga.

Iimpawu kubantu abadala zingabandakanya:

• Utshintsho kwisimo sengqondo, ngakumbi kubantu abadala.
• Intlungu yesifuba evakalelwa ngathi luxinzelelo, ukucudisa, okanye ukugcwala. Intlungu ihlala ihlala embindini wesifuba. Inokuvakala nasemhlathini, egxalabeni, ezingalweni, ngasemva, nasesiswini. Inokuhlala ngaphezulu kwemizuzu embalwa, okanye uze uhambe.
• Ukubila okubandayo.
• Ubumhlophe.
• Isihlunu (esiqhelekileyo kubafazi).
• Ukuhlanza.
• Ubudenge, ukuqaqanjelwa, okanye ukubetha engalweni (ihlala ingalo yasekhohlo, kodwa ingalo yasekunene inokuchaphazeleka yodwa, okanye kunye nekhohlo).
• Ukuqhawukelwa ngumphefumlo.
• Ubuthathaka okanye ukudinwa, ngakumbi kubantu abadala nakwabasetyhini.

Ukuba ucinga ukuba umntu unesifo sentliziyo:

• Menze umntu ahlale phantsi, aphumle aze azame ukuzola.
• Khulula naziphi na iimpahla ezixineneyo.
• Buza ukuba ngaba umntu uthatha naliphi na iyeza leentlungu esifubeni, njenge-nitroglycerin, ngesimo sentliziyo esaziwayo, kwaye umncede alithathe.
• Ukuba iintlungu azipheli ngokukhawuleza ngokuphumla okanye kwimizuzu emi-3 yokuthatha i-nitroglycerin, tsalela uncedo lwezonyango olungxamisekileyo.
• Ukuba umntu akazi nto kwaye akaphenduli, fowunela i-911 okanye inombolo yongxamiseko yendawo, emva koko uqalise i-CPR.
• Ukuba usana okanye umntwana akazi nto kwaye akaphenduli, yenza umzuzu omnye we-CPR, tsalela umnxeba ku-911 okanye inombolo yongxamiseko yendawo.

• SUKUmshiya yedwa umntu ngaphandle kokucela uncedo, ukuba kukho imfuneko.
• SUKUVUMELE umntu ukuba azikhanyele iimpawu kwaye akuqinisekise ukuba ungafowuneli uncedo olungxamisekileyo.
• Sukulinda ukubona ukuba iimpawu ziyaphela na.
• MUSA ukumnika nantoni na umntu ngomlomo ngaphandle kokuba iyeza lentliziyo (njenge-nitroglycerin) limiselwe.

Tsalela umnxeba ku-911 okanye inombolo yongxamiseko yendawo ngokukhawuleza ukuba umntu:

• Ayikuphenduli
• Akuphefumli
• Unentlungu yesifuba ngesiquphe okanye ezinye iimpawu zesifo sentliziyo

Abantu abadala kufuneka bathathe amanyathelo okulawula umngcipheko wesifo sentliziyo xa kunokwenzeka.

• Ukuba uyatshaya, yeka. Ukutshaya ngaphezu kokuphindaphinda kabini ithuba lokuhlaselwa sisifo sentliziyo.
• Gcina uxinzelelo lwegazi, icholesterol, kunye neswekile kulawulo olulungileyo kwaye ulandele imiyalelo yomboneleli wezempilo.
• Ukunciphisa umzimba ukuba utyebe kakhulu okanye utyebe kakhulu.
• Yenza umthambo rhoqo ukuphucula impilo yentliziyo. (Thetha nomboneleli wakho ngaphambi kokuqala nayiphi na inkqubo entsha yokomelela komzimba.)
• Yitya ukutya okusempilweni ngentliziyo. Nciphisa amafutha, inyama ebomvu kunye noshukela. Yandisa ukutya kwakho inkukhu, intlanzi, iziqhamo kunye nemifuno, kunye neenkozo ezipheleleyo. Umboneleli wakho unokukunceda ulungelelanise ukutya okuthe ngqo kwiimfuno zakho.
• Nciphisa inani lotywala obuselayo. Isiselo esinye ngemini sinxulunyaniswa nokunciphisa izinga lokuhlaselwa sisifo sentliziyo, kodwa iziselo ezibini nangaphezulu ngosuku zingonakalisa intliziyo kwaye zibangele nezinye iingxaki kwezonyango.

Uncedo lokuqala - isifo sentliziyo; Uncedo lokuqala - ukubanjwa kwentliziyo; Uncedo lokuqala - ukubanjwa kwentliziyo

• Iimpawu zokuhlaselwa yintliziyo
• Iimpawu zesifo sentliziyo

ILungu lePalamente leBonaca, iSabatine MS. Indlela kwisigulana esineentlungu esifubeni.Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 56.

UJneid H, uAnderson JL, uWight RS, et al. Ukuhlaziywa kwe-ACCF / AHA ka-2012 kwesikhokelo kulawulo lwezigulana ezine-angina ezingazinzanga / ezingezizo i-ST-elevation myocardial infarction (ukuhlaziya isikhokelo sika-2007 kunye nokutshintsha uhlaziyo olugxile ku-2011): ingxelo yeAmerican College of Cardiology Foundation / American Heart Umbutho weQela loMsebenzi kwizikhokelo zokuziqhelanisa. J NdinguColl Cardiol. Ngo-2012; 60 (7): 645-681. IINKCUKACHA: 22809746 pubmed.ncbi.nlm.nih.gov/22809746/.

ULevin GN, iiBates ER, iBlankenship JC, et al. I-2015 ACC / AHA / i-SCAI igxile ekuhlaziyweni kongenelelo lwe-coronary lokuqala kwizigulana ezine-ST-elevation myocardial infarction: Uhlaziyo lwe-2011 ACCF / AHA / SCAI Isikhokelo songenelelo ngoncedo lwe-coronary kunye ne-2013 ACCF / AHA isikhokelo kulawulo lwe-ST- ukuphakama kwe-infyoction ye-myocardial. J NdinguColl Cardiol. Ngo-2016; 67 (10): 1235-1250. IINKCUKACHA: 26498666 pubmed.ncbi.nlm.nih.gov/26498666/.

UThomas JJ, uBrady WJ. Isifo se-coronary syndrome. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: Iikhonsepthi kunye nokuziqhelanisa neKlinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; 2018: isahluko 68.