Ukudityaniswa kwe-myocardial

Ukuhlanganiswa kwe-myocardial kukutyumka kwesihlunu sentliziyo.

Oonobangela abaqhelekileyo zezi:

• Iingozi zemoto
• Ukubethwa yimoto
• Ukuhlaziywa kweCardiopulmonary (CPR)
• Ukuwa ukusuka kubude, ubukhulu becala kungaphezulu kweenyawo ezingama-20 (iimitha ezi-6)

Ukuxakaniseka kakhulu kwe-myocardial kungakhokelela kwiimpawu kunye neempawu zesifo sentliziyo.

Iimpawu zingabandakanya:

• Ubuhlungu ngaphambili kweembambo okanye ithambo lesifuba
• Ndiva ukuba intliziyo yakho ibaleka
• Ubumhlophe
• Isihlunu okanye ukugabha
• Ukuqhawukelwa ngumphefumlo
• Ubuthathaka

Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Oku kungabonisa:

• Ukuqhekeka okanye ukukrola eludongeni lwesifuba
• Ukuqhaqhaqhaqhaqhaqha xa uchukumisa ulusu ukuba kukho uqhekeko lweembambo kunye nokugqabhuka kwemiphunga
• Ukubetha kwentliziyo okukhawulezayo
• Ukubetha kwentliziyo ngokungaqhelekanga
• Uxinzelelo lwegazi oluphantsi
• Ukukhawuleza okanye ukuphefumla nzulu
• Ukuthantamisa ekuphathweni
• Ukuhamba okungaqhelekanga kwindonga yesifuba ukusuka ekuqhekekeni kwembambo

Uvavanyo lunokubandakanya:

• Uvavanyo lwegazi (ii-enzyme zentliziyo, ezinje ngeTroponin-I okanye T okanye CKMB)
• I-x-ray yesifuba
• Ukuxilongwa kwe-CT kwesifuba
• I-Electrocardiogram (ECG)
• Echocardiogram

Olu vavanyo lunokubonisa:

• Iingxaki ngodonga lwentliziyo kunye nokukwazi kwentliziyo ukwenza isivumelwano
• Ulwelo okanye igazi kwisingxobo esincinci esirhangqe intliziyo (pericardium)
• Ukuqhawuka kwembambo, ukonzakala kwemiphunga okanye kwenqanawa yegazi
• Ingxaki ngokutyikitya kombane kwentliziyo (njengebhloko yesebe okanye enye ibhloko yentliziyo)
• Ukubetha kwentliziyo okukhawulezayo ukuqala kwindawo yesono sentliziyo (sinus tachycardia)
• Intliziyo engaqhelekanga eqala kwii-ventricles okanye kumagumbi asezantsi entliziyo (i-ventricular dysrhythmia)

Kwiimeko ezininzi, uya kujongwa ngononophelo okungenani iiyure ezingama-24. Kuya kwenziwa i-ECG rhoqo ukujonga ukusebenza kwentliziyo yakho.

Unyango kwigumbi likaxakeka lunokubandakanya:

• Ukubekwa ngecatheter ngomthambo (IV)
• Amayeza okuphelisa iintlungu, ukuphazamiseka kwentliziyo, okanye uxinzelelo lwegazi
• I-Pacemaker (okwethutyana, inokuba sisigxina kamva)
• Ioksijini

Olunye unyango lunokusetyenziselwa ukunyanga ukwenzakala kwentliziyo, kubandakanya:

• Ukubekwa kwetyhubhu yesifuba
• Ukutsala igazi ngeenxa zonke entliziyweni
• Ugqirha ukulungisa imithambo yegazi esifubeni

Abantu abanesifo esincinci se-myocardial baya kuphila ngokupheleleyo ixesha elininzi.

Ukulimala okukhulu kwentliziyo kunokunyusa umngcipheko wokungaphumeleli kwentliziyo okanye iingxaki zentliziyo.

Ezi ngcebiso zilandelayo zokhuseleko zinokukunceda ukuthintela ukutyumka kwentliziyo:

• Bhinqa ibhanti xa uqhuba.
• Khetha imoto eneengxowa zomoya.
• Thatha amanyathelo okuqinisekisa ukhuseleko xa usebenza kwiindawo eziphakamileyo.

Ukulimala okungafunekiyo kwe-myocardial

• Icandelo lentliziyo phakathi embindini
• Intliziyo - umbono wangaphambili

IBoccalandro F, uVon Schoettler H. Isifo sentliziyo esibuhlungu. Ku: Levine GN, ed. Iimfihlo zeCardiology. Umhla we-5. IPhiladelphia, PA: Elsevier; I-2018: isahluko 71.

ILedgerwood AM, uLucas CE. Ukulimala kwentliziyo. Ku: ICameron AM, uCameron JL, ii-eds. Unyango lwangoku lonyango. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2020: 1241-1245.

URaja AS. Umonzakalo weToracic. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 38.