Utyando lokudlula kwentliziyo-ukukhutshwa

Utyando lokudlula kwentliziyo lwenza indlela entsha, ebizwa ngokuba kukudlula, ukuze igazi kunye neoksijini zijikeleze ukuthintela ukufikelela entliziyweni yakho. Olu tyando lusetyenziselwa ukunyanga isifo sentliziyo. Eli nqaku lixubusha ngento ekufuneka uyenzile ukuze uzikhathalele xa uphuma esibhedlele.

Ugqirha wakho ugqibe umthambo okanye umthambo kwelinye ilungu lomzimba wakho ukuze ujike ujikeleze, okanye udlule, ujikeleze umthambo obuvalekile kwaye ungenako ukuzisa igazi elaneleyo entliziyweni yakho.

Utyando lwakho lwenziwe ngokusikwa (ukusika) esifubeni sakho. Ukuba ugqirha ugqitha kwithambo lakho lesifuba, ugqirha ulilungisa ngocingo nangesitya, kwaye ulusu lwakho luvaliwe ngemithungo. Kananjalo ubunomngqusho owenziwe emlenzeni okanye engalweni, apho kwathatyathwa khona umthambo ukuba usetyenziselwe ukugqitha.

Emva kotyando, kuthatha iiveki ezi-4 ukuya kwezi-6 ukuphilisa ngokupheleleyo kwaye uqalise ukuziva ungcono. Kuqhelekile:

• Yiba neentlungu kwindawo yakho yesifuba malunga nokuqhekeka kwakho
• Unomdla wokutya kwiiveki ezi-2 ukuya kwezi-4
• Yiba neemvakalelo eziguqukayo kwaye uzive uxinezelekile
• Ukudumba emlenzeni apho kuthathwe khona umthambo
• Ziva ngathi urhawuzelele, undindisholo, okanye ubambe ngathi ujikeleza esifubeni nasemlenzeni kangangeenyanga ezi-6 okanye nangaphezulu
• Unengxaki yokulala ebusuku
• Ukuqhina kumayeza entlungu
• Unengxaki ngememori yexesha elifutshane okanye uzive udidekile ("fuzzy-headed")
• Dinwa okanye ungabi nawo amandla amaninzi
• Yiba nokuphefumla okufutshane. Oku kunokuba kubi kakhulu ukuba unengxaki yemiphunga. Abanye abantu banokusebenzisa ioksijini xa begoduka.
• Yiba nobuthathaka kwiingalo zakho kwinyanga yokuqala

Kuya kufuneka ube nomntu uhlala nawe ekhayeni lakho ubuncinci iiveki zokuqala ezi-1 ukuya kwezi-2 emva kotyando.

Funda indlela yokujonga ukubetha kwentliziyo yakho, kwaye uyijonge yonke imihla.

Yenza imithambo yokuphefumla oyifundile esibhedlele kangangeeveki ezi-4 ukuya kwezi-6.

Hlamba yonke imihla, uhlambe ubushushu ngobunono ngesepha namanzi. UNGADADI, ungene ebhafini eshushu, okanye uhlambe de ube uselulamile. Landela ukutya okunesifo sentliziyo.

Ukuba uziva udandathekile, thetha nosapho kunye nabahlobo bakho. Buza umboneleli wakho wezempilo malunga nokufumana uncedo kumcebisi.

Qhubeka nokuthatha onke amayeza wentliziyo yakho, isifo seswekile, uxinzelelo lwegazi oluphezulu, okanye naziphi na ezinye iimeko onazo.

• Sukuyeka ukuthatha naliphi na iyeza ungakhange uqale uthethe nomboneleli wakho.
• Umboneleli wakho unokucebisa i-antiplatelet (ukunciphisa igazi) iziyobisi ezinje ngeaspirin, clopidogrel (Plavix), prasugrel (Effient), okanye ticagrelor (Brilinta) ukunceda ukugcina umthambo wakho womthambo uvulekile.
• Ukuba uthatha igazi elincinci, njenge-warfarin (Coumadin), unokufuna ukuba ube novavanyo lwegazi olongezelelekileyo ukuze uqiniseke ukuba idosi yakho ichanekile.

Yazi indlela yokuphendula kwiimpawu ze-angina.

Hlala usebenza ngexesha lokufumana kwakho, kodwa qalisa kancinci.

• Sukuma okanye uhlale endaweni enye ixesha elide. Jikeleza kancinci.
• Ukuhamba kukuzilolonga kakuhle kwimiphunga nentliziyo emva kotyando. Sukuba nexhala lokuba uhamba ngokukhawuleza kangakanani na. Thatha kancinci.
• Ukunyuka kwezinyuko kulungile, kodwa lumka. Ukulungelelana kunokuba yingxaki. Phumla phakathi kwizinyuko ukuba ufuna njalo.
• Ukukhanya kwemisebenzi yasekhaya, njengokubeka itafile, ukusonga iimpahla, ukuhamba nokunyuka izinyuko, kufanelekile.
• Yandisa kancinci inani kunye nokuqina kwemisebenzi yakho kwiinyanga ezintathu zokuqala.
• Musa ukuzilolonga ngaphandle xa kubanda kakhulu okanye kushushu kakhulu.
• Yeka ukuba uziva uphefumla kancinci, unesiyezi, okanye nayiphi na intlungu esifubeni. Sukwenza nawuphi na umsebenzi okanye umthambo obangela ukutsala okanye iintlungu esifubeni sakho, njengokusebenzisa umatshini wokubheqa okanye ukuphakamisa ubunzima.
• Gcina indawo zakho zokucheba zikhuselekile elangeni ukunqanda ukutshiswa lilanga.

Musa ukuqhuba okungenani iiveki ezi-4 ukuya kwezi-6 emva kotyando lwakho. Ukujija okubandakanyekileyo ekujikeni ivili lokuqhuba kunokutsalela kusiko lwakho. Buza umboneleli wakho xa ungabuyela emsebenzini, kwaye ulindele ukuba ungekho emsebenzini malunga neeveki ezi-6 ukuya kwezi-8.

Musa ukuhamba okungenani iiveki ezi-2 ukuya kwezi-4. Buza umboneleli wakho xa uhambo lungile. Kwakhona, buza umboneleli wakho ngaphambi kokuqala umsebenzi wesondo kwakhona. Amaxesha amaninzi kulungile emva kweeveki ezi-4.

Unokuthunyelwa kwinkqubo yokuhlengahlengiswa kwentliziyo ngokusesikweni. Uya kufumana ulwazi kunye neengcebiso malunga nomsebenzi, ukutya, kunye nokuzilolonga.

Kwiiveki zokuqala ezi-6 emva kotyando lwakho, kuya kufuneka ulumke malunga nokusebenzisa iingalo kunye nomzimba ongasentla xa ushukuma.

• Sukuya ngasemva.
• Sukuvumela nabani na akubambe ngengalo nangasiphi na isizathu- umzekelo, ukuba bayakunceda uhambe okanye uphume ebhedini.
• Sukuphakamisa nantoni na enobunzima obungaphezu kweepawundi ezi-5 ukuya kwezi-7 (iikhilogram ezimbini ukuya kwezintathu).
• Musa ukwenza nokuba ngumsebenzi wasekhaya olula kangangeveki ezi-2 ukuya kwezi-3.
• Jonga umboneleli wakho ngaphambi kokusebenzisa iingalo kunye negxalaba ngaphezulu.

Ukuxubha amazinyo kulungile, kodwa musa ukwenza eminye imisebenzi egcina iingalo zakho zingaphezulu kwamagxa akho ngalo naliphi na ixesha. Gcina iingalo zakho zisondele emacaleni akho xa uzisebenzisa ukuphuma ebhedini okanye esitulweni. Unokugoba phambili ukubopha izihlangu zakho. Soloko uyeke ukuba uziva utsala esifubeni sakho.

Umboneleli wakho uya kukuxelela indlela yokunyamekela isilonda sakho esifubeni. Uya kucelwa ukuba ucoce ukusikwa kwakho yonke imihla ngesepha kunye namanzi, kwaye uyomise kakuhle. Sukusebenzisa iikhrimu, into yokuthambisa, umgubo, okanye iioyile ngaphandle kokuba umboneleli wakho ukuxelele ukuba kulungile.

Ukuba usikiwe okanye usikiwe emlenzeni:

• Gcina imilenze yakho iphakanyisiwe xa uhleli.
• Nxiba umbhobho we-TED we-elastic kwiiveki ezi-2 ukuya kwezi-3 de ukudumba kuphele kwaye uyasebenza.

Fowunela umnikezeli wakho ukuba:

• Unentlungu esifubeni okanye umphefumlo omfutshane ongaphumiyo xa uphumla.
• Ukubetha kwentliziyo yakho kuvakala kungaqhelekanga - kuyacotha kakhulu (ngaphantsi kwe-60 beats ngomzuzu) okanye ngokukhawuleza okukhulu (ngaphezulu kwe-100 ukuya kwi-120 ibetha ngomzuzu).
• Unesiyezi, uyafa isiqaqa, okanye udiniwe kakhulu.
• Unentloko ebuhlungu engapheliyo.
• Unesikhohlela esingapheliyo
• Ukhohlela igazi okanye imifinya emthubi okanye eluhlaza.
• Unengxaki zokuthatha nawaphi na amayeza entliziyo yakho.
• Ubunzima bakho bunyuka ngaphezulu kweekhilogram ezimbini (1 kilogram) ngemini iintsuku ezi-2 zilandelelana.
• Inxeba lakho liyatshintsha. Ibomvu okanye idumbile, ivulekile, okanye kukho amanzi amaninzi avela kuyo.
• Unobandayo okanye umkhuhlane ngaphezulu kwe-101 ° F (38.3 ° C).

Ukuphuma kwempompo ye-coronary artery bypass - discharge; I-OPCAB-ukukhutshwa; Ukubetha utyando lwentliziyo-ukukhutshwa; Utyando lwe-Bypass-ukukhutshwa kwentliziyo; CABG - ukukhutshwa; Umthambo weCoronary udlula kumiliselwe - ukukhutshwa; Utyando lweCoronary luhamba ngokudlula; Utyando lweCoronary bypass - ukukhutshwa; Ukukhutshwa kwe-CAD - ukudlula; Imithambo yegazi yeCoronary - idlula ekubhobhozeni

• Ungayithatha njani ukubetha kwesihlahla
• Ukuthatha ukubetha kwe-carotid yakho

UFihn SD, uBlankenship JC, uAlexander KP, 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. Ukujikeleza. Ngo-2014; 130 (19): 1749-1767. IINKCUKACHA: 25070666 pubmed.ncbi.nlm.nih.gov/25070666/.

UFihn SD, uGardin JM, uAbrams J, et al. Isikhokelo se-ACCF / AHA / ACP / AATS / PCNA / SCAI / STS sokufumanisa isifo kunye nolawulo lwezigulana ezinesifo sentliziyo esisigxina: ingxelo yeAmerican College of Cardiology Foundation / American Heart Association yoGqirha, uMbutho waseMelika woNyango lweThoracic, uMbutho woNesi woNyango lweNhliziyo, uMbutho weAriyoology ye-Cardiovascular kunye nongenelelo, kunye noMbutho woNyango lweTroacic. Ukujikeleza. Ngo-2012; 126 (25): 3097-3137. IINKCUKACHA: 23166210 pubmed.ncbi.nlm.nih.gov/23166210/.

UFleg JL, uFoman DE, uBerra K, et al. Ukuthintela okwesibini isifo se-atherosclerotic sentliziyo kubantu abadala: ingxelo yesayensi evela kuMbutho weNtliziyo yaseMelika. Ukujikeleza. Ngo-2013; 128 (22): 2422-2446. IINKCUKACHA: 24166575 pubmed.ncbi.nlm.nih.gov/24166575/.

UKulik A, uRuel M, uJneid H, et al. Uthintelo lwesibini emva kwemithambo yegazi yokugqitha kotyando: ingxelo yesayensi evela kuMbutho weNtliziyo yaseMelika. Ukujikeleza. Ngo-2015; 131 (10): 927-964. IINKCUKACHA: 25679302 pubmed.ncbi.nlm.nih.gov/25679302/.

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.

UOmer S, uCornwell LD, uBhakaeen FG. Ukufumana isifo sentliziyo: ukungonelanga kwecoronary. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 59.

• UAngina
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• Ukumelwa yintliziyo
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• Ukulawula uxinzelelo lwegazi oluphezulu
• Kuchazwe amafutha ezempilo
• Iingcebiso zokutya okukhawulezayo
• Ukuhlaselwa yintliziyo - ukukhutshwa
• Ukuhlaselwa sisifo sentliziyo- ukubuza ugqirha
• Utyando lokudlula kwentliziyo-ukukhutshwa kancinci okungafunekiyo
• Isifo sentliziyo - umngcipheko
• Ufunda njani iilebheli zokutya
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