Utyando lwevalvu yentliziyo - ukukhutshwa

Utyando lwevalvu yentliziyo lusetyenziselwa ukulungisa okanye ukufaka endaweni yezivalo zentliziyo ezinesifo. Utyando lwakho kungenzeka ukuba lwenziwe ngokusikwa okukhulu (ukusika) embindini wesifuba sakho, ngokusika okuncinci phakathi kweembambo zakho okanye ukusika okuncinci oku-2 ukuya kwezi-4.

Wenziwa utyando ukulungisa okanye ukubuyisela enye yezivalo zentliziyo yakho. Utyando lwakho kungenzeka ukuba lwenziwe ngokusikwa okukhulu (ukusika) phakathi esifubeni sakho, ngokusika okuncinci phakathi kweembambo zakho ezimbini, okanye ngo-2 ukuya ku-4 ukusika okuncinci.

Uninzi lwabantu luchitha iintsuku ezi-3 ukuya kwezi-7 esibhedlele. Usenokuba ubekwigumbi labagula kakhulu ngamanye amaxesha, esibhedlele, usenokuba sele uqalile ukwenza imithambo yokufunda ukukunceda ukuba uphinde uchache ngokukhawuleza.

Kuya kuthatha iiveki ezi-4 ukuya kwezi-6 okanye ngaphezulu ukuphilisa ngokupheleleyo emva kotyando. Ngeli xesha, kuyinto eqhelekileyo ukuba:

• Yiba neentlungu esifubeni sakho xa ujikeleze ukusikwa kwakho.
• Unomdla wokutya kwiiveki ezi-2 ukuya kwezi-4.
• Yiba neemvakalelo eziguqukayo kwaye uzive uxinezelekile.
• Ziva ngathi urhawuzelele, undindisholo, okanye ungcangcazele xa usijikeleze. Oku kunokuhlala iinyanga ezi-6 okanye nangaphezulu.
• Ukuqhina kumayeza entlungu.
• Unengxaki encinci ngememori yexesha elifutshane okanye uzive udidekile.
• Ndiziva ndidiniwe okanye ndingenamandla.
• Unengxaki yokulala. Kuya kufuneka ulale ngokwesiqhelo kwiinyanga ezimbalwa.
• Yiba nokuphefumla okufutshane.
• Yiba nobuthathaka kwiingalo zakho kwinyanga yokuqala.

Oku kulandelayo zizindululo ngokubanzi. Unokufumana izikhokelo ezithile kwiqela lakho lotyando. Qiniseka ukuba ulandela ingcebiso akunika yona ukhathalelo lwempilo.

Yiba nomntu onokukunceda uhlale ekhayeni lakho iiveki zokuqala ezi-1 ukuya kwezi-2.

Hlala usebenza xa uchacha. Qiniseka ukuba uqala kancinci kwaye wandise umsebenzi wakho kancinci kancinci.

• MUSA ukuma okanye uhlale endaweni enye ixesha elide. Jikeleza kancinci.
• Ukuhamba ngumthambo olungileyo wemiphunga nentliziyo. Thatha kancinci ekuqaleni.
• Ukunyuka ngezinyuko ngononophelo kuba ibhalansi isenokuba yingxaki. Bamba kwi-railing. Indawo yokuphumla inyuke ngezitepsi ukuba ufuna njalo. Qala nomntu ohamba nawe.
• Kulungile ukwenza imisebenzi yasekhaya elula, njengokubeka itafile okanye ukusonga iimpahla.
• Misa umsebenzi wakho ukuba uziva uphefumla kancinci, unesiyezi, okanye unayo nayiphi na intlungu esifubeni.
• UNGENZI nawuphi na umsebenzi okanye umthambo obangela ukutsala okanye iintlungu esifubeni sakho, (njengokusebenzisa umatshini wokubheqa, ukujija, okanye ukuphakamisa iintsimbi.)

SUKUQHUBE ukuqhuba ubuncinci iiveki ezi-4 ukuya kwezi-6 emva kotyando lwakho. Iintshukumo ezijijekileyo ezifunekayo ukujika ivili lokuqhuba zinokutsala xa usike.

Lindela ukuthatha iiveki ezi-6 ukuya kwezi-8 emsebenzini. Buza umboneleli wakho xa ungabuyela emsebenzini.

SUKUHAMBE ubuncinci iiveki ezi-2 ukuya kwezi-4. Buza umboneleli wakho xa unokuhamba kwakhona.

Buyela kwimisebenzi yesondo ngokuthe ngcembe. Thetha ngokukhululekileyo neqabane lakho malunga nalo.

• Uninzi lwexesha, kulungile ukuqala ngesondo emva kweeveki ezi-4, okanye xa unokukwazi ngokulula ukunyuka iinqwelo-moya ezi-2 okanye uhambe umgama oziimitha ezingama-800.
• Gcina ukhumbula ukuba unxunguphalo, kunye namanye amayeza, anokutshintsha impendulo ngokwesondo kubo bobabini abesilisa nabasetyhini.
• Amadoda akufuneki asebenzise amayeza ukungabinamandla (Viagra, Cialis, okanye Levitra) de umboneleli athi kulungile.

Kwiiveki ezi-6 zokuqala emva kotyando lwakho, kufuneka uqaphele ukuba uzisebenzisa njani iingalo kunye nomzimba ongasentla xa ushukuma.

SUKU:

• Finyelela ngasemva.
• Vumela nabani na akutsale ngengalo nangasiphi na isizathu (njengokukunceda uhambe okanye uphume ebhedini).
• Phakamisa nantoni na enobunzima obungaphezu kweepawundi ezi-5 ukuya kwezi-7 (2 ukuya kwi-3 kilograms) malunga neenyanga ezi-3.
• Yenza eminye imisebenzi egcina iingalo zakho zingaphezulu kwamagxa akho.

Yenza ezi zinto ngocoselelo:

• Ukuxubha amazinyo.
• Ukuphakama ebhedini okanye esitulweni. Gcina iingalo zakho zisondele emacaleni akho xa uzisebenzisa ukwenza oku.
• Ukugoba phambili ukubopha izihlangu zakho.

Yeka nayiphi na into xa uziva utsala kwisicwili sakho okanye ithambo lesifuba. Yima kwangoko ukuba uyeva okanye uve ukuvela, ukuhamba, okanye ukutshintsha kwethambo lakho lesifuba kwaye ubize iofisi yakho yotyando.

Sebenzisa isepha ethambileyo kunye namanzi ukucoca indawo engqonge ukusikwa kwakho.

• Hlamba izandla zakho ngesepha namanzi.
• Gcoba ngobunono kwaye wehle ulusu ngezandla zakho okanye ilaphu elithambileyo.
• Sebenzisa ilaphu lokuhlamba kuphela xa ukhoko luphelile kwaye ulusu luphilile.

Ungathatha iishawari, kodwa kuphela imizuzu eli-10 ngexesha. Qinisekisa ukuba amanzi adikidiki. MUSA ukusebenzisa naziphi na iikhrimu, iioyile, okanye umzimba ococekileyo. Faka isicelo sokubopha (iibhandeji) ngendlela umboneleli wakho akubonise ngayo.

UNGADADI, ungene ebhafini eshushu, okanye uhlambe de ube uselulamile. Gcina ubushushu bomile.

Funda indlela yokujonga ukubetha kwentliziyo yakho, kwaye uyijonge yonke imihla. Yenza imithambo yokuphefumla oyifundile esibhedlele kangangeeveki ezi-4 ukuya kwezi-6.

Landela ukutya okunesifo sentliziyo.

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

Qhubeka nokuthatha onke amayeza wentliziyo yakho, isifo seswekile, uxinzelelo lwegazi oluphezulu, okanye naziphi na ezinye iimeko onazo. SUKUYEKE ukuthatha naliphi na iyeza ngaphandle kokuthetha nomboneleli wakho kuqala.

Kuya kufuneka uthathe i-antibiotiki ngaphambi kwayo nayiphi na inkqubo yezonyango okanye xa usiya kugqirha wamazinyo. Xelela bonke ababoneleli bakho (ugqirha wamazinyo, oogqirha, abongikazi, abancedisi boogqirha, okanye iingcali zabongikazi) malunga nengxaki yentliziyo yakho. Unokufuna ukunxiba isongo okanye isilumkiso sezonyango.

Kuya kufuneka ukuba uthathe amayeza okucoca igazi ukunceda ukugcina igazi lakho lingenzi amahlwili. Umboneleli wakho unokucebisa elinye lala mayeza:

• I-Aspirin okanye i-clopidogrel (i-Plavix) okanye elinye igazi elincinci, njenge-ticagrelor (Brilinta), iprasugrel (i-Effient), i-apixaban (i-Eliquis), i-dabigatran (i-Xeralto), kunye ne-rivaroxaban powder (Pradaxa), i-edoxaban (i-Savaysa).
• IWarfarin (Coumadin). Ukuba uthatha i-warfarin, kuyakufuneka wenze uvavanyo lwegazi rhoqo. Unokwazi ukusebenzisa isixhobo ukujonga igazi lakho ekhaya.

Fowunela umnikezeli wakho ukuba:

• Unentlungu esifubeni okanye umphefumlo omfutshane ongaphumiyo xa uphumla.
• Unentlungu ngaphakathi kwaye ujikeleze ukusikwa kwakho okungaqhubeki ngcono ekhaya.
• Ukubetha kwentliziyo yakho kuvakala kungaqhelekanga, kucotha kakhulu (ngaphantsi kwe-60 beats ngomzuzu) okanye ngokukhawuleza okukhulu (ngaphezulu kwe-100 ukuya kwi-120 ibetha ngomzuzu).
• Unesiyezi okanye ufe isiqaqa, okanye udiniwe kakhulu.
• Unentloko ebuhlungu kakhulu engapheliyo.
• Unesikhohlela esingapheliyo.
• Unobomvu, ukudumba, okanye iintlungu etholeni lakho.
• 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. Ubomvu okanye udumbile, uvulekile, okanye unamanzi aphuma kuwo.
• Unobandayo okanye umkhuhlane ngaphezulu kwe-101 ° F (38.3 ° C).

Ukuba uthatha abacoci gazi, tsalela umnikezeli wakho ukuba unayo:

• Ukuwa okunzulu, okanye ukubetha entloko
• Ubuhlungu, ukungonwabi, okanye ukudumba kwindawo yenaliti okanye kwindawo yokwenzakala
• Ukutyumka okuninzi kulusu lwakho
• Ukopha okuninzi, okunje ngeempumlo zegazi okanye iintsini ezophayo
• Umchamo wegazi okanye mnyama omdaka okanye ilindle
• Intloko ebuhlungu, isiyezi, okanye ubuthathaka
• Usulelo okanye umkhuhlane, okanye isigulo esibangela ukugabha okanye urhudo
• Uyakhulelwa okanye ucwangcisa ukukhulelwa

Ukutshintshwa kwesivalo se-aortic - ukukhutshwa; IAortic valvuloplasty - ukukhutshwa; Ukulungiswa kwevalvu yeAortic - ukukhutshwa; Ukutshintshwa - i-aortic valve - ukukhutshwa; Ukulungisa - i-aortic valve - ukukhutshwa; I-ring annuloplasty - ukukhutshwa; Ukutshintshwa kwevalveji ye-aortic okanye yokulungisa-ukukhupha; Ibhaluni valvuloplasty - ukubhobhoza; Mini-thoracotomy aortic ivelufa - ukubhobhoza; Ukutshintshwa kwe-mini-aortic okanye ukulungiswa - ukukhutshwa; Utyando lwe-valvular yentliziyo - ukukhutshwa; Mini-sternotomy - ukubhobhoza; Ukulungiswa kwerobotic endoscopic aortic valve - ukukhutshwa; Ukufakwa endaweni yevalvethi yeMitral -ukuvula-ukuvuleka; Ukulungiswa kwevalvethi yeMitral - ukukhutshwa okuvulekileyo; Ukulungiswa kwe-Mitral valve - ekunene mini-thoracotomy - ukukhutshwa; Ukulungiswa kwe-Mitral valve-inxenye ephezulu ye-sternotomy-ukukhutshwa; Ukulungiswa kweerotoscopic endoscopic mitral valve ukulungiswa - ukukhutshwa; I-mitral valvuloplasty ye-mitral-ukukhutshwa

ICarabello BA. Isifo sentliziyo seValvular. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 75.

UNishimura RA, Otto CM, uBonow RO, et al. Isikhokelo se-AHA / ACC sika-2014 kulawulo lwezigulana ezinesifo sentliziyo: isishwankathelo sesigqeba: ingxelo yeAmerican College of Cardiology / American Heart Association Task Force kwiZikhokelo zokuSebenza J NdinguColl Cardiol. Ngo-2014; 63 (22): 2438-2488. IINKCUKACHA: 24603192 www.ncbi.nlm.nih.gov/pubmed/24603192.

I-Rosengart TK, i-Anand J. Isifo sentliziyo esifunyenweyo: i-valvular. Ku: Townsend CM JR, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 60.

• Utyando lwevalvu yeAortic -ungena kancinci
• Utyando lwe-aortic valve-luvulekile
• Ivalicic aortic ivelufa
• Endocarditis
• Utyando lwevalvu yentliziyo
• I-Mitral valve prolapse
• Utyando lweMitral valve -yincinci
• Utyando lweMitral valve-luvulekile
• I-valve stenosis yepulmonary
• Iingcebiso malunga nendlela yokuyeka ukutshaya

• Iziyobisi Antiplatelet - P2Y12 inhibitors
• I-Aspirin kunye nesifo sentliziyo
• Ukuthatha i-warfarin (Coumadin, Jantoven) -ukubuza ugqirha wakho
• Ukuthatha warfarin (Coumadin)

• Utyando lwentliziyo
• Izifo zeValve zentliziyo