Ukungaphumeleli kwentliziyo - ulwelo kunye ne-diuretics

Ukungaphumeleli kwentliziyo yimeko apho intliziyo ayisakwazi ukupompa igazi eline-oksijini kuwo wonke umzimba ngokufanelekileyo. Oku kubangela ukuba ulwakhiwo emzimbeni wakho. Ukunciphisa ukusela utywala kunye nokuba ungakanani ityuwa (i-sodium) oyithathayo inokukunceda ukukhusela ezi mpawu.

Xa unesifo sentliziyo, intliziyo yakho ayikhuphi igazi elaneleyo. Oku kubangela ukuba ulwakhiwo emzimbeni wakho. Ukuba usela iziselo ezininzi, unokufumana iimpawu ezifana nokudumba, ukutyeba, kunye nokuphefumla kancinci. Ukunciphisa umda wokusela kwakho kunye nokuba ungayithatha kangakanani ityuwa (isodiyam) enokukunceda ukukhusela ezi mpawu.

Amalungu osapho lwakho anokukunceda ukuba uzikhathalele. Banokujonga ukuba usela kangakanani. Banokuqinisekisa ukuba uthatha amayeza akho ngendlela eyiyo. Kwaye banokufunda ukuzibona kwangoko iimpawu zakho.

Umboneleli wakho wezempilo unokukucela ukuba wehlise isixa samanzi oselayo:

• Xa ukusilela kwentliziyo yakho kungalunganga kakhulu, awunyanzelekanga ukuba unciphise ulwelo lwakho kakhulu.
• Njengoko ukusilela kwentliziyo yakho kusiba mandundu, kungafuneka ubeke umda kulwelo ukuya kwiikomityi ezi-6 ukuya kwezi-9 (1.5 ukuya kwezi-2 iilitha) ngosuku.

Khumbula, okunye ukutya, okunje ngeesuphu, iipuphu, i-gelatin, i-ayisi khrim, iipopu kunye nezinye zinamanzi. Xa usitya iisuphu ezirhabaxa, sebenzisa ifolokhwe ukuba unako, kwaye ushiye umhluzi ngasemva.

Sebenzisa ikomityi encinci ekhaya xa ulwelo lwakho xa usitya, uze usele nje indebe enye (240 ml). Emva kokusela i-1 indebe (i-240 mL) yolwelo kwivenkile yokutyela, jika indebe yakho ukwazisa iserver yakho ukuba awufuni ngaphezulu. Fumana iindlela zokugcina unganxanwa kakhulu:

• Xa unxaniwe, hlafuna itshungama, xukuxa umlomo wakho ngamanzi abandayo uze uwuphicothe, okanye umunce into efana neelekese ezomeleleyo, isilayidi selamuni, okanye amaqhekeza omkhenkce.
• Hlala upholile. Ukufumana ubushushu obungaphezulu kuya kukwenza unxanwe.

Ukuba unengxaki yokugcina umkhondo wayo, bhala phantsi ukuba usela kangakanani emini.

Ukutya ityiwa eninzi kunokukwenza unxanwe, nto leyo enokubangela ukuba usele kakhulu. Ityuwa eyongezelelekileyo yenza ukuba ulwelo luhlale emzimbeni wakho. Ukutya okuninzi kuqulethe "ityuwa efihliweyo," kubandakanya ukutya okulungiselelwe, okusemathinini kunye nokubandayo. Funda indlela yokutya ukutya okunetyuwa encinci.

I-diuretics inceda umzimba wakho ukuba ulahle ulwelo olongezelelekileyo. Zihlala zibizwa ngokuba "ziipilisi zamanzi." Kukho iintlobo ezininzi ze-diuretics. Ezinye zithathwa ixesha eli-1 ngosuku. Abanye bathathwa amaxesha ama-2 ngosuku. Ezi ntlobo zintathu ziqhelekileyo zezi:

• I-Thiazides: I-Chlorothiazide (i-Diuril), i-chlorthalidone (i-Hygroton), i-indapamide (i-Lozol), i-hydrochlorothiazide (i-Esidrix, i-HydroDiuril) kunye ne-metolazone (i-Mykrox, i-Zaroxolyn)
• I-Loure diuretics: iBumetanide (Bumex), i-furosemide (iLasix), kunye ne-torsemide (iDemadex)
• Iiarhente zokucoca i-potassium: Amiloride (Midamor), spironolactone (Aldactone), kunye ne triamterene (Dyrenium)

Kukwakho nezochamo eziqulathe indibaniselwano yamachiza amabini angentla.

Xa uthatha i-diuretics, kuya kufuneka uhlolwe rhoqo ukuze umboneleli wakho ajonge amanqanaba akho e-potassium kwaye abeke esweni ukuba zisebenza njani izintso zakho.

Ukuchama kukwenza uchame rhoqo. Zama ukungazithathi ebusuku phambi kokuba ulale. Thatha ngexesha elinye yonke imihla.

Iziphumo eziqhelekileyo ezichaphazelekayo ze-diuretics zi:

• Ukudinwa, izihlunu, okanye ubuthathaka kumanqanaba asezantsi e-potassium
• Utywala okanye intloko
• Ubudenge okanye ukurhawuzelela
• Ukubetha kwentliziyo, okanye ukubetha kwentliziyo "fluttery"
• Igawuthi
• Uxinzelelo
• Ukucaphuka
• Ukungahambi kakuhle kwe-Urinary (ukungakwazi ukubamba umchamo wakho)
• Ukuphulukana nokuqhuba ngesondo (ukusuka kwi-potassium-sparing diuretics), okanye ukungakwazi ukwenza ulwakhiwo
• Ukukhula kweenwele, utshintsho lokuya esikhathini, kunye nelizwi elinzulu kwabasetyhini (ukusuka kwi-potassium-sparing diuretics)
• Ukudumba kwamabele emadodeni okanye ububele besini kubafazi (ukusuka kwi-potassium-sparing diuretics)
• Ukunyanga komzimba - ukuba uxabisa amayeza esulfa, akufuneki usebenzise i-thiazides.

Qiniseka ukuba uthatha umchamo ngendlela oxelelwe ngayo.

Uya kwazi ukuba yeyiphi ubunzima obukufaneleyo. Ukuzilinganisa ngokwakho kuya kukunceda wazi ukuba kukho ulwelo oluninzi emzimbeni wakho. Unokufumanisa ukuba iimpahla zakho kunye nezihlangu ziziva ziqinile kunesiqhelo xa kukho ulwelo oluninzi emzimbeni wakho.

Zilinganise ntsasa nganye kwisikali esifanayo xa uvuka - ngaphambi kokuba utye nasemva kokuba usebenzise igumbi lokuhlambela. Qinisekisa ukuba unxibe iimpahla ezifanayo ngalo lonke ixesha uzilinganisela. Bhala ubunzima bakho yonke imihla kwitshathi ukuze ukwazi ukuyigcina.

Fowunela umnikezeli wakho ukuba ubunzima bakho bunyuke ngaphezulu kweeponti ezi-2 ukuya kwezi-3 (1 ukuya kwi-1.5 yeekhilogremu, kg) ngosuku okanye iikhilogremu ezi-2 ngeveki. Fowunela umnikezeli wakho ukuba ulahlekelwa bubunzima obuninzi.

Fowunela umnikezeli wakho ukuba:

• Udiniwe okanye ubuthathaka.
• Uziva uphefumla kancinci xa usebenza okanye xa uphumla.
• Uziva uphefumla kancinci xa ulele, okanye iyure okanye ezimbini emva kokulala.
• Unamavili kwaye unengxaki yokuphefumla.
• Unesikhohlela esingapheliyo. Inokuthi yome kwaye igqekeze, okanye isenokuvakala imanzi kwaye ivelise ipinki, igwebu.
• Unokudumba iinyawo zakho, amaqatha okanye imilenze.
• Kuya kufuneka uchame kakhulu, ngakumbi ebusuku.
• Uzuzile okanye wehlile emzimbeni.
• Unentlungu kunye nokuthamba esiswini sakho.
• Uneempawu ocinga ukuba zisenokuvela kumayeza akho.
• Ukubetha kwentliziyo yakho, okanye ukubetha kwentliziyo, kuhamba kancinci okanye ngokukhawuleza okukhulu, okanye akuzinzanga.

HF - ulwelo kunye nomchamo; Ukukhutshwa kwe-CHF-ICD; Ukukhutshwa kweCardiomyopathy-ICD

U-Eckel RH, uJakicic JM, uArd JD, et al. Isikhokelo se-AHA / ACC se-2013 kulawulo lwendlela yokuphila ukunciphisa umngcipheko wentliziyo: ingxelo yeAmerican College of Cardiology / American Heart Association Task Force kwizikhokelo zomsebenzi. J NdinguColl Cardiol. 2014; 63 (25 Pt B): 2960-2984. IINKCUKACHA: 2423992 pubmed.ncbi.nlm.nih.gov/24239922/.

IMan DL. Ulawulo lwezigulana ezinokusilela kwentliziyo ngamaqhekeza ancitshisiweyo. 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 25.

UYancy CW, uJessup M, uBozkurt B, et al. I-2017 ACC / AHA / HFSA egxile ekuhlaziyweni kwesikhokelo se-ACCF / AHA sika-2013 solawulo lokungaphumeleli kwentliziyo: ingxelo yeAmerican College of Cardiology / American Heart Association Task Force kwiZikhokelo zoKwenziwa kweKlinikhi kunye noMbutho woKusilela kwentliziyo eMelika. Ukujikeleza. Ngo-2017; 136 (6): e137-e161. IINKCUKACHA: 28455343 pubmed.ncbi.nlm.nih.gov/28455343/.

UZile MR, uLitwin SE. Ukusilela kwentliziyo ngeqhekeza lokukhutshwa eligcinwe. 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 26.

• Isifo sentliziyo
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• Ukungaphumeleli kwentliziyo - ukukhutshwa
• Ukungaphumeleli kwentliziyo-ukubeka iliso ekhaya
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• Ukumelwa yintliziyo