Ukuhlaselwa yintliziyo - ukukhutshwa

Uhlaselo lwentliziyo lwenzeka xa ukuphuma kwegazi kwinxalenye yentliziyo yakho kuvaliwe ixesha elide ngokwaneleyo kangangokuba inxenye yesihlunu sentliziyo yonakele okanye iyafa. Eli nqaku lixubusha ngento ekufuneka uyenzile ukuzikhathalela emva kokuphuma esibhedlele.

Ubusesibhedlele kuba uhlaselwe sisifo sentliziyo. Uhlaselo lwentliziyo lwenzeka xa ukuphuma kwegazi kwinxalenye yentliziyo yakho kuvaliwe ixesha elide ngokwaneleyo kangangokuba inxenye yesihlunu sentliziyo yonakele okanye iyafa.

Ungaziva ulusizi. Unokuziva uxhalabile kwaye ngokungathi kuya kufuneka ulumke kakhulu malunga nento oyenzayo. Zonke ezi mvakalelo ziqhelekile. Bemka baya kubantu abaninzi emva kweeveki ezi-2 okanye ezi-3. Unokuziva udiniwe xa uphuma esibhedlele ugoduka.

Kuya kufuneka uyazi imiqondiso kunye neempawu ze-angina.

• Unokuziva uxinzelelo, ucinezela, utshisa, okanye uxinekile esifubeni sakho. Unokuzibona ezi mpawu kwiingalo zakho, emagxeni, entanyeni, emhlathini, emqaleni, okanye ngasemva.
• Abanye abantu baziva bengonwabanga nasemqolo, emagxeni nakwindawo yesisu.
• Unokuba ne-indigestion okanye uzive ugula kwisisu sakho.
• Ungaziva udiniwe kwaye ungaphefumli, ubile, unentloko encinci, okanye ubuthathaka.
• Unokuba ne-angina ngexesha lomsebenzi, njengokunyuka kwezitepsi okanye ukunyuka intaba, ukuphakamisa, isenzo sesondo, okanye xa uphakathi kwimozulu ebandayo. Kungenzeka kwakhona xa uphumla okanye kunokukuvusa xa ulele.

Yazi indlela yokuphatha iintlungu zesifuba sakho xa kusenzeka. Thetha nomboneleli wakho wezempilo malunga nokuba wenze ntoni.

Thatha lula kwiiveki zokuqala ezi-4 ukuya kwezi-6.

• Gwema ukuphakamisa okunzima. Fumana uncedo kwimisebenzi yasekhaya ukuba unako.
• Thatha imizuzu engama-30 ukuya kwengama-60 ukuphumla emva kwemini kwiiveki ezi-4 ukuya kwezi-6 zokuqala. Zama ukulala kwangethuba uze ufumane ubuthongo obuninzi.
• Ngaphambi kokuba uqale ukusebenzisa, umboneleli wakho unokufumana uvavanyo lokuzilolonga kwaye ucebise isicwangciso sokuzilolonga. Oku kunokwenzeka ngaphambi kokuba uphume esibhedlele okanye kungekudala emva koko. Sukutshintsha isicwangciso sakho somthambo ngaphambi kokuba uthethe nomboneleli wakho.
• Umboneleli wakho unokukuthumela kwinkqubo yokuvuselela intliziyo. Apho, uya kufunda ukuba ungawonyusa njani umthambo wakho kunye nendlela yokunyamekela isifo sentliziyo.

Kuya kufuneka uthethe kamnandi xa usenza nawuphi na umsebenzi, njengokuhamba, ukuseta itafile kunye nokuhlamba impahla. Ukuba awukwazi, misa umsebenzi.

Buza umboneleli wakho malunga nokuba ungabuyela nini emsebenzini. Lindela ukuba ungabikho emsebenzini ubuncinci iveki.

Thetha nomboneleli wakho ngaphambi kokuzibandakanya kwimicimbi yesondo. Buza umboneleli wakho xa kulungile ukuqala kwakhona. Sukuyithatha iViagra, iLevitra, iCialis okanye naluphi na unyango lwasekhaya lweengxaki zokwakha ngaphandle kokujonga umboneleli wakho kuqala.

Kuya kufuneka ulinde ixesha elide ukubuyela kwimisebenzi yakho yesiqhelo kuya kuxhomekeka:

• Imeko yakho yomzimba ngaphambi kokuhlaselwa yintliziyo
• Ubungakanani besifo sentliziyo
• Ukuba uneengxaki
• Isantya esipheleleyo sokubuyiswa kwakho

Musa ukusela nabuphi na utywala ubuncinci iiveki ezi-2. Buza umboneleli wakho xa ungaqala. Nciphisa indlela osela ngayo. Abasetyhini kufuneka basele i-1 kuphela ngosuku, kwaye amadoda angabi ngaphezu kwe-2 ngosuku. Zama ukusela utywala kuphela xa usitya.

Ukuba uyatshaya, yeka. Buza umboneleli wakho ngoncedo lokuyeka ukuba uyayifuna. Ungavumeli nabani na ukuba atshaye ekhayeni lakho, kuba umsi womntu ongatshatanga unokukwenzakalisa. Zama ukuhlala kude nezinto ezinoxinzelelo kuwe. Ukuba uziva uxinezelekile ngalo lonke ixesha, okanye ukuba uziva ulusizi kakhulu, thetha nomboneleli wakho. Banokudlulisela kumcebisi.

Funda ngakumbi malunga nento ofanele uyitye ukuze yenze intliziyo yakho kunye nemithambo yegazi isempilweni.

• Kuphephe ukutya okunetyiwa.
• Hlala kude kwiindawo zokutyela ezikhawulezayo.

Yenza imigqaliselo yakho yeziyobisi igcwaliswe ngaphambi kokuba ugoduke. Kubaluleke kakhulu ukuba uthathe amayeza akho ngendlela athe umboneleli wakho ukuxelele ngayo. Musa ukuthatha naziphi na iziyobisi okanye izongezo zemifuno ngaphandle kokubuza umboneleli wakho kuqala ukuba zikhuselekile kuwe.

Thatha amayeza akho ngamanzi. Musa ukuwathatha ngejusi yeziqhamo, ngenxa yokuba inokutshintsha indlela owafunxa ngayo amayeza athile emzimbeni wakho. Buza umboneleli wakho okanye usokhemesti ngolwazi oluthe kratya malunga noku.

Amayeza angezantsi anikwa uninzi lwabantu emva kokuba behlaselwe sisifo sentliziyo. Ngamanye amaxesha kukho izizathu zokuba banokungakhuseleki ukuthatha, nangona kunjalo. La mayeza anceda ukuthintela olunye uhlaselo lwentliziyo. Thetha nomboneleli wakho ukuba awukho kula mayeza:

• Izidakamizwa ze-Antiplatelets (i-blood thinners), njenge-aspirin, i-clopidogrel (i-Plavix), i-warfarin (i-Coumadin), i-prasugrel (i-Efient), okanye i-ticagrelor (i-Brilinta) ukunceda ukugcina igazi lakho lingabonakali.
• I-Beta-blocker kunye ne-ACE inhibitor amayeza ukunceda ukukhusela intliziyo yakho.
• I-Statins okanye ezinye iziyobisi ukunciphisa i-cholesterol yakho.

Sukuyeka ngequbuliso ukuthatha la mayeza wentliziyo yakho. Sukuyeka ukuthatha amayeza eswekile, uxinzelelo lwegazi oluphezulu, okanye naziphi na ezinye iimeko zonyango onokuthi ube ungakhange uthethe nazo kuqala.

Ukuba uthatha igazi elincinci njenge-warfarin (Coumadin), kusenokufuneka ufumane iimvavanyo zegazi ezongezelelweyo rhoqo ukuqinisekisa ukuba idosi yakho ichanekile.

Fowunela umboneleli wakho ukuba uziva:

• Ubuhlungu, uxinzelelo, ukuqina, okanye ubunzima esifubeni sakho, ingalo, intamo, okanye umhlathi
• Ukuqhawukelwa ngumphefumlo
• Iintlungu zegesi okanye ukungcola
• Ubudenge ezingalweni zakho
• Ukubila, okanye ukuba ulahlekelwa ngumbala
• Unentloko elula

Utshintsho kwi-angina yakho lunokuthetha ukuba isifo sentliziyo siyanda. Fowunela umboneleli wakho ukuba ngaba i-angina yakho:

• Yomelela
• Yenzeka rhoqo
• Ihlala ixesha elide
• Yenzeka xa ungasebenzi okanye xa uphumla
• Amayeza awancedi ukunciphisa iimpawu zakho njengoko bebeqhele ukwenza

Iposi engabalulekanga - ukukhutshwa; Ukukhutshwa kwe-MI; Isiganeko seCoronary - ukukhutshwa; I-infarct - ukukhutshwa; Isifo se-coronary syndrome - ukukhutshwa; ACS - ukubhobhoza

• MI efanelekileyo

IAmsterdam EA, uWenger NK, uBrindis RG, et al.Isikhokelo se-AHA / ACC se-2014 solawulo lwezigulana ezingekho kwi-ST-elevation acon coronary syndromes: ingxelo yeAmerican College of Cardiology / American Heart Association Task Force kwizikhokelo zokusebenza. J NdinguColl Cardiol. Ngo-2014; 64 (24): e139-e228. IINKCUKACHA: 25260718 pubmed.ncbi.nlm.nih.gov/25260718/.

I-Bohula EA, iMorrow DA. I-ST-election infyoction ye-myocardial infarction: ulawulo. 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 59.

UFihn SD, uBlankenship JC, uAlexander KP, uBittl JA, et al. Ngo-2014 i-ACC / AHA / AATS / i-PCNA / i-SCAI / i-STS igxile ekuhlaziyweni kwesikhokelo sokuchongwa kunye nolawulo lwezigulana ezinesifo sentliziyo esisigxina: ingxelo yeAmerican College of Cardiology / American Heart Association Task Force kwiZikhokelo zokuSebenza, kunye Umbutho waseMelika woNyango lwe-Thoracic, uMbutho wabahlengikazi abaThintelayo be-Cardiovascular, uMbutho we-Cardiovascular Angiography kunye nongenelelo, kunye noMbutho woNyango lweTroacic. J Thorac Cardiovasc Uqhaqho. Ngo-2015 Mar; 149 (3): e5-23. IINKCUKACHA: 25827388 pubmed.ncbi.nlm.nih.gov/25827388/.

IGiugliano RP, iBraunwald E.I-non-ST yokunyusa ii-syndromes zecoronary. 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 60.

UMauri L, uBhatt DL. Ungenelelo ngoncedo lwe-coronary. 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 62.

UMorrow DA, de Lemos JA. Isifo sentliziyo esomeleleyo. 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 61.

U-OGara PT, uKushner FG, uAscheim DD, et al. Isikhokelo se-ACCF / AHA sika-2013 kulawulo lwe-ST-elevation myocardial infarction: isishwankathelo sesigqeba: ingxelo yeAmerican College of Cardiology Foundation / American Heart Association Task Force kwizikhokelo zokusebenza. Ukujikeleza. Ngo-2013; 127 (4): 529-555. IINKCUKACHA: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.

• I-angioplasty kunye nokubekwa kwindawo entle-umthambo wecarotid
• Iinkqubo zokupheliswa kwentliziyo
• Ukuhlaselwa yintliziyo
• Utyando lwentliziyo ngokudlula
• Utyando lwentliziyo olugqithisileyo- olungenayo intsholongwane
• Intliziyo yomenzi wentliziyo
• Amanqanaba aphezulu e-cholesterol egazini
• Uxinzelelo lwegazi oluphezulu - abantu abadala
• Isixhobo se-Cardioverter-defibrillator esinokufakwa
• Iingcebiso malunga nendlela yokuyeka ukutshaya
• Angina engazinzanga
• Isixhobo sokuncedisa umoya

• I-ACE inhibitors
• Angina - ukubhobhoza
• UAngina - xa unentlungu esifubeni
• I-Angioplasty kunye ne-stent-heart-discharge
• Iziyobisi Antiplatelet - P2Y12 inhibitors
• I-Aspirin kunye nesifo sentliziyo
• Ukusebenza emva kokuhlaselwa yintliziyo
• Ukusebenza xa unesifo senhliziyo
• Ibhotolo, imajarini neeoli zokupheka
• Ukucinywa kwentliziyo - ukukhutshwa
• Cholesterol kunye nendlela yokuphila
• Cholesterol - unyango lweziyobisi
• Ukulawula uxinzelelo lwegazi oluphezulu
• I-vein thrombosis enzulu - ukukhutshwa
• Kuchazwe amafutha ezempilo
• Iingcebiso zokutya okukhawulezayo
• Ukuhlaselwa yintliziyo - ukukhutshwa
• Ukuhlaselwa sisifo sentliziyo- ukubuza ugqirha
• Utyando lokudlula kwentliziyo-ukukhutshwa
• Utyando lokudlula kwentliziyo-ukukhutshwa kancinci okungafunekiyo
• Isifo sentliziyo - umngcipheko
• Intliziyo pacemaker - ukubhobhoza
• Uxinzelelo lwegazi oluphezulu- yintoni oza kuyibuza ugqirha wakho
• Ufunda njani iilebheli zokutya
• Isixhobo se-Cardioverter defibrillator esinokufakwa
• Ukutya okunetyuwa encinci
• Ukutya kweMeditera
• Ukuthatha i-warfarin (Coumadin, Jantoven) -ukubuza ugqirha wakho
• Ukuthatha warfarin (Coumadin)

• Ukuhlaselwa yintliziyo