Ukungaphumeleli kwentliziyo - ukukhutshwa

Ukungaphumeleli kwentliziyo yimeko apho intliziyo ayisakwazi ukupompa igazi eline-oksijini kuwo wonke umzimba ngokufanelekileyo. Xa iimpawu ziba nzima, ukuhlala esibhedlele kunokuba yimfuneko. La manqaku athetha ngento ekufuneka uyenzile ukuzikhathalela xa uphuma esibhedlele.

Ubusesibhedlele ukuze unyangwe ukusilela kwentliziyo yakho. Ukusilela kwentliziyo kwenzeka xa izihlunu zentliziyo yakho zibuthathaka okanye unengxaki yokuphumla, okanye zombini.

Intliziyo yakho yimpompo ehambisa ulwelo emzimbeni wakho. Njengayo nayiphi na impompo, ukuba ukuphuma kwempompo akonelanga, ulwelo aluhambi kakuhle kwaye luyabambeka kwiindawo ekungafanelekanga ukuba lube kuzo. Emzimbeni wakho, oku kuthetha ukuba ulwelo luqokelela kwimiphunga yakho, isisu kunye nemilenze.

Ngelixa usesibhedlele:

• Iqela lakho lokhathalelo lwempilo lihlengahlengise ulwelo oselwayo okanye olufunyenwe nge-intravenous (IV) line. Baye bajonge kwaye balinganisa ukuba ungakanani umchamo owenzileyo.
• Usenokuba uwafumene amayeza ukunceda umzimba wakho ukuba ulahle ulwelo olongezelelekileyo.
• Usenokuba kuvavanyiwe ukukhangela ukuba intliziyo yakho ibisebenza njani.

Amandla akho aya kubuya kancinci. Unokufuna uncedo lokuzikhathalela xa ufika ekhaya. Unokuziva ukhathazekile okanye uxinezelekile. Zonke ezi zinto ziqhelekile.

Zilinganise ntsasa nganye kwisikali esifanayo xa uvuka - ngaphambi kokuba utye kodwa emva kokusebenzisa indlu yangasese. Qinisekisa ukuba unxibe iimpahla ezifanayo ngalo lonke ixesha uzilinganisela. Bhala ubunzima bakho yonke imihla kwitshathi ukuze ukwazi ukuyigcina.

Kuyo yonke imini, zibuze:

• Ngaba inqanaba lam lamandla liqhelekileyo?
• Ngaba ndiphefumla kancinci xa ndisenza imisebenzi yam yemihla ngemihla?
• Ngaba iimpahla zam okanye izihlangu ziziva ziqinile?
• Ngaba amaqatha okanye imilenze iyadumba?
• Ngaba ndikhohlela rhoqo? Ngaba ukukhohlela kwam kuvakala kumanzi?
• Ngaba ndiphefumla nzima ebusuku okanye xa ndilele?

Ukuba uneempawu ezintsha (okanye ezahlukileyo), zibuze:

• Ngaba ndikhe ndatya into eyahlukileyo kunesiqhelo okanye ndizama ukutya okutsha?
• Ngaba ndiwathathe onke amayeza am ngendlela eyiyo ngamaxesha afanelekileyo?

Umboneleli wakho wezempilo unokukucela ukuba unciphise ukuba usela kangakanani.

• Xa ukusilela kwentliziyo yakho kungakhange kube nzima kakhulu, kusenokungafuneki ukuba unciphise ulwelo lwakho kakhulu.
• Njengoko ukusilela kwentliziyo yakho kusiba kubi, unokucelwa ukuba unciphise ulwelo ukuya kwiikomityi ezi-6 ukuya kwezi-9 (1.5 ukuya kwezi-2 iilitha) ngosuku.

Uya kudinga ukutya ityuwa encinci. Ityuwa inokukwenza unxanwe, kwaye ukunxanwa kunokubangela ukuba usele kakhulu amanzi. Ityuwa eyongezelelweyo yenza ulwelo luhlale emzimbeni wakho. Ukutya okuninzi okungangcamli ityuwa, okanye ongafaki ityuwa kuyo, kusaqulathe ityuwa eninzi.

Kuya kufuneka uthathe i-diuretic, okanye ipilisi yamanzi.

Musa ukusela utywala. Utywala benza kube nzima ukuba izihlunu zentliziyo yakho zisebenze. Buza umboneleli wakho ukuba enze ntoni ngezihlandlo ezikhethekileyo apho utywala kunye nokutya ozama ukukuthintela kuya kunikwa.

Ukuba uyatshaya, yeka. Cela uncedo lokuyeka ukuba uyayifuna. Musa ukuvumela nabani na atshaye ekhayeni lakho.

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

• Kuphephe ukutya okunamafutha.
• Hlala kude kwindawo yokutyela.
• Gwema ukutya okulungiselelwe kunye neqhwa.
• Funda iingcebiso zokutya okukhawulezayo.

Zama ukuhlala kude nezinto ezinoxinzelelo kuwe. Ukuba uziva uxinezelekile ngalo lonke ixesha, okanye ukuba ulusizi kakhulu, thetha nomboneleli wakho onokukuthumela kumcebisi.

Yenza yonke imigqaliselo yamachiza igcwaliswe ngaphambi kokuba uye ekhaya. Kubaluleke kakhulu ukuba uthathe amayeza akho ngendlela athe umboneleli wakho ukuxelele ngayo. Sukuthatha amanye amayeza okanye amayeza ngaphandle kokubuza umboneleli wakho ngawo.

Thatha iziyobisi zakho ngamanzi. Musa ukuwathatha ngejusi yeziqhamo, ngenxa yokuba inokutshintsha indlela owafunxa ngayo amayeza athile emzimbeni wakho. Buza umboneleli wakho okanye usokhemesti ukuba oku kuyakuba yingxaki kuwe.

Amachiza angezantsi anikwa abantu abaninzi abanesifo sentliziyo. Ngamanye amaxesha kukho izizathu zokuba banokungakhuseleki ukuthatha, nangona kunjalo. La machiza anokunceda ukukhusela intliziyo yakho. Thetha nomboneleli wakho ukuba awukabikho nakweliphi na kula machiza:

• Amachiza e-antiplatelet (abanciphisi begazi) njenge-aspirin, i-clopidogrel (i-Plavix), okanye i-warfarin (i-Coumadin) ukunceda ukugcina igazi lakho lingagungqi
• I-Beta blocker kunye ne-ACE inhibitor amayeza ukunciphisa uxinzelelo lwegazi
• I-Statins okanye ezinye iziyobisi ukunciphisa i-cholesterol yakho

Thetha nomboneleli wakho ngaphambi kokutshintsha indlela owathatha ngayo amayeza akho. Ungaze uyeke ukuthatha la machiza ngentliziyo yakho, okanye naziphi na iziyobisi onokuthi uzithathele isifo seswekile, uxinzelelo lwegazi oluphezulu, okanye ezinye iimeko zonyango onazo.

Ukuba uthatha igazi elincinci, njenge-warfarin (Coumadin), kuyakufuneka ukuba ube novavanyo lwegazi olongezelelekileyo ukuze uqiniseke ukuba idosi yakho ichanekile.

Umboneleli wakho unokukuthumela kwinkqubo yokuvuselela intliziyo. Apho, uya kufunda ukuba ungawonyusa njani umthambo wakho kunye nendlela yokunyamekela isifo sentliziyo. Qiniseka ukuba uyakuphepha ukuphakamisa ubunzima.

Qiniseka ukuba uyazi imiqondiso yokulumkisa yokusilela kwentliziyo kunye nesifo sentliziyo. Yazi ukuba wenzeni xa unentlungu esifubeni, okanye i-angina.

Soloko ubuza umboneleli wakho ngaphambi kokuba uqale kwakhona umsebenzi wesondo. Musa ukuthatha i-sildenafil (Viagra), okanye i-vardenafil (i-Levitra), i-tadalafil (i-Cialis), okanye naluphi na unyango lwe-herbal lweengxaki zokwakha ngaphandle kokujonga kuqala.

Qiniseka ukuba ikhaya lakho lisetelwe ukuba likhuseleke kwaye kube lula kuwe ukuba ujikeleze ngaphakathi kwaye uphephe ukuwa.

Ukuba awukwazi ukuhambahamba kakhulu, cela umboneleli wakho ukuba enze imithambo onokuyenza ngelixa uhleli.

Qinisekisa ukuba ufumana umkhuhlane unyaka nonyaka. Unokufuna kwakhona inyumoniya. Buza umboneleli wakho malunga noku.

Umboneleli wakho angakubiza ukuba ubone ukuba uqhuba njani kwaye aqiniseke ukuba ujonga ubunzima bakho kwaye uthatha amayeza akho.

Uya kudinga ukuqeshwa okulandelayo kwi-ofisi yomboneleli wakho.

Kuya kufuneka ukuba ube neemvavanyo ezithile zebhu ukujonga amanqanaba e-sodium kunye ne-potassium kunye nokujonga ukuba zisebenza njani izintso zakho.

Fowunela umnikezeli wakho ukuba:

• Uzuza ngaphezulu kweepawundi ezi-2 (lb) (1 kilogram, kg) ngosuku, okanye i-5 lb (2 kg) ngeveki.
• Udiniwe kakhulu kwaye ubuthathaka.
• Unesiyezi kwaye unentloko elula.
• Ufutshane xa usenza imisebenzi yakho yesiqhelo.
• Unokuphefumla okutsha xa uhleli.
• Kufuneka uhlale phantsi okanye usebenzise eminye imiqamelo ebusuku kuba uyaphefumla xa ulele.
• Uvuka iiyure ezi-1 ukuya kwezi-2 emva kokulala kuba uphefumla kancinci.
• Unamavili kwaye unengxaki yokuphefumla.
• Uziva iintlungu okanye uxinzelelo esifubeni sakho.
• Unesikhohlela esingapheliyo. Inokuthi yome kwaye igqekeze, okanye isenokuvakala imanzi kwaye ivelise ipinki, igwebu.
• Ukudumba kweenyawo zakho, amaqatha okanye imilenze.
• Kuya kufuneka uchame kakhulu, ngakumbi ebusuku.
• Unentlungu esiswini kunye nokuthantamisa.
• Uneempawu ocinga ukuba zisenokuvela kumayeza akho.
• Ukubetha kwentliziyo yakho, okanye ukubetha kwentliziyo, kuhamba kancinci okanye ngokukhawuleza okukhulu, okanye akuzinzanga.

Ukungaphumeleli kwentliziyo - ukukhutshwa; CHF - ukukhutshwa; HF - ukubhobhoza

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 ezingaphumeleli kwintliziyo ezinamaqhekeza 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.

• UAngina
• I-atherosclerosis
• Iinkqubo zokupheliswa kwentliziyo
• Isifo sentliziyo
• Ukumelwa yintliziyo
• Intliziyo yomenzi wentliziyo
• Uxinzelelo lwegazi oluphezulu - abantu abadala
• Isixhobo se-Cardioverter-defibrillator esinokufakwa
• Iingcebiso malunga nendlela yokuyeka ukutshaya
• Isixhobo sokuncedisa umoya

• I-ACE inhibitors
• UAngina - xa unentlungu esifubeni
• Iziyobisi Antiplatelet - P2Y12 inhibitors
• I-Aspirin kunye nesifo sentliziyo
• Ukusebenza xa unesifo senhliziyo
• Ibhotolo, imajarini neeoli zokupheka
• Cholesterol kunye nendlela yokuphila
• Ukulawula uxinzelelo lwegazi oluphezulu
• Kuchazwe amafutha ezempilo
• Iingcebiso zokutya okukhawulezayo
• Isifo sentliziyo - umngcipheko
• Ukungaphumeleli kwentliziyo - ulwelo kunye ne-diuretics
• Ukungaphumeleli kwentliziyo-ukubeka iliso ekhaya
• Ukungaphumeleli kwentliziyo-yintoni oza kuyibuza ugqirha wakho
• 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)

• Ukumelwa yintliziyo