Ukungaphumeleli kwentliziyo - amayeza

Uninzi lwabantu abanesifo sentliziyo kufuneka bathathe amayeza. Amanye ala mayeza asetyenziselwa ukunyanga iimpawu zakho. Abanye banokunceda ukuthintela ukusilela kwentliziyo yakho ekubeni kubi ngakumbi kwaye kukuvumele uphile ixesha elide.

Uya kudinga ukuthatha uninzi lwamayeza okusilela kwentliziyo yakho yonke imihla. Amanye amayeza athathwa kanye ngemini. Abanye bafuna ukuthathwa amaxesha ama-2 okanye nangaphezulu yonke imihla. Kubaluleke kakhulu ukuba uthathe amayeza akho ngexesha elifanelekileyo nangendlela akuxelele ngayo ugqirha wakho.

Ungaze uyeke ukuthatha amayeza entliziyo ungakhange uthethe nomboneleli wakho wokuqala wezempilo. Oku kuyinyani nakwamanye amayeza owathathayo, afana neziyobisi zeswekile, uxinzelelo lwegazi kunye nezinye iimeko ezinzulu.

Umboneleli wakho unokukuxelela ukuba uthathe amayeza athile okanye utshintshe iidosi zakho xa iimpawu zakho zisiba mandundu. SUKUTSHINTSHE amayeza okanye idosi yakho ngaphandle kokuthetha nomboneleli.

Soloko uxelela umboneleli wakho ngaphambi kokuba uthathe amayeza amatsha. Oku kubandakanya amayeza angaphaya kwamayeza afana ne-ibuprofen (Advil, Motrin) kunye ne-naproxen (Aleve, Naprosyn), kunye neziyobisi ezifana ne-sildenafil (Viagra), i-vardenafil (i-Levitra), kunye ne-tadalafil (i-Cialis).

Xelela umboneleli wakho ngaphambi kokuba uthathe naluphi na uhlobo lwemifuno okanye isongezelelo.

I-ACE inhibitors (i-angiotensin eguqula i-enzyme inhibitors) kunye nee-ARBs (ii-angiotensin II receptor blockers) zisebenza ngokuvula imithambo yegazi kunye nokunciphisa uxinzelelo lwegazi. La mayeza anga:

• Nciphisa umsebenzi ekufuneka wenziwe yintliziyo yakho
• Nceda impompo yakho yemisipha yentliziyo ibengcono
• Gcina ukusilela kwentliziyo yakho kukubi ngakumbi

Iziphumo eziqhelekileyo zala machiza zibandakanya:

• Ukukhohlela owomileyo
• Ubumhlophe
• Ukudinwa
• Isisu esimoshakele
• Edema
• Intloko ebuhlungu
• Urhudo

Xa uwathatha la mayeza, kuyakufuneka wenze uvavanyo lwegazi ukujonga ukuba zisebenza kakuhle kangakanani izintso zakho kunye nokulinganisa amanqanaba akho e-potassium.

Uninzi lwexesha, umboneleli wakho uya kumisela i-ACE inhibitor okanye i-ARB. Udidi olutsha lweziyobisi olubizwa ngokuba yi-angiotensin receptor-neprilysin inhibitors (ARNI's) ludibanisa ichiza le-ARB kunye nohlobo olutsha lweziyobisi. Ii-ARNI zinokusetyenziselwa ukunyanga ukusilela kwentliziyo.

I-Beta blockers ziyacothisa ukubetha kwentliziyo yakho kwaye zinciphise amandla ezithi iikhontrakthi zentliziyo yakho zezihlunu kwixesha elifutshane. Ixesha elide iibhloko ze-beta zinceda ukugcina ukusilela kwentliziyo yakho ukuba kungabi kubi. Ixesha elingaphezulu kunokunceda ukomeleza intliziyo yakho.

Iibhloko blocker eziqhelekileyo ezisetyenziselwa ukusilela kwentliziyo zibandakanya i-carvedilol (Coreg), i-bisoprolol (Zebeta), kunye ne-metoprolol (Toprol).

SUKUYEKE ngesiquphe uyeke ukuthatha la mayeza. Oku kunokunyusa umngcipheko we-angina kunye nokuhlaselwa sisifo sentliziyo. Ezinye iziphumo ebezingalindelekanga zibandakanya ukuba krwada kwentloko, ukudakumba, ukudinwa kunye nokulahleka kwememori.

I-diuretics inceda umzimba wakho ukuba ulahle ulwelo olongezelelekileyo. Ezinye iintlobo ze-diuretics zinokunceda nangezinye iindlela. La machiza ahlala ebizwa ngokuba "ziipilisi zamanzi." Kukho iintlobo ezininzi ze-diuretics. Ezinye zithathwa kanye ngemini. Abanye bathathwa amaxesha ama-2 ngosuku. Ezona ntlobo zixhaphakileyo zezi:

• AmaTiyazide. I-Chlorothiazide (Diuril), i-chlorthalidone (i-Hygroton), i-indapamide (i-Lozol), i-hydrochlorothiazide (i-Esidrix, i-HydroDiuril), kunye ne-metolazone (i-Mykrox, i-Zaroxolyn)
• Umchamo wethambo. Bumetanide (Bumex), furosemide (Lasix), kunye ne-torasemide (Demadex)
• Iiarhente zokugcina i potassium. I-Amiloride (Midamor), spironolactone (Aldactone), kunye ne-triamterene (Dyrenium)

Xa uwathatha la mayeza, uyakufuna iimvavanyo zegazi rhoqo ukujonga ukuba zisebenza njani izintso zakho kwaye ulinganise amanqanaba akho e-potassium.

Abantu abaninzi abanesifo sentliziyo bathatha i-aspirin okanye i-clopidogrel (Plavix). La machiza anceda ukuthintela amahlwili egazi ekubeni abe kwimithambo yakho. Oku kunokuwunciphisa umngcipheko wokubetha okanye isifo sentliziyo.

I-Coumadin (iWarfarin) iyacetyiswa kwizigulana ezinokungaphumeleli kwentliziyo ezinomngcipheko ophezulu wamahlwili egazi.Uya kudinga kuvavanyo lwegazi olongezelelweyo ukuze uqiniseke ukuba idosi yakho ichanekile. Kuya kufuneka wenze utshintsho kwindlela otya ngayo.

Iziyobisi ezisetyenziswa ngokuxhaphakileyo ukusilela kwentliziyo zibandakanya:

• I-Digoxin ukunceda ukwandisa amandla empompo yentliziyo kunye nokucotha ukubetha kwentliziyo.
• I-Hydralazine kunye neitrate ukuvula imithambo kunye nokunceda impompo yemisipha yentliziyo ngcono. La machiza asetyenziswa ikakhulu zizigulana ezingakwaziyo ukunyamezela i-ACE inhibitors kunye ne-angiotensin receptor blockers.
• I-calcium channel blockers yokulawula uxinzelelo lwegazi okanye i-angina (intlungu yesifuba) kwisifo se-coronary disease (CAD).

Iitatins kunye nezinye iziyobisi ezinciphisa i-cholesterol zisetyenziswa xa kufuneka njalo.

Amayeza e-antiarrhythmic ngamanye amaxesha asetyenziswa zizigulana ezingaphumeleli sentliziyo ezineziingqisho zentliziyo ezingaqhelekanga. Elinye lala machiza yi-amiodarone.

Iyeza elitsha, i-Ivabradine (Corlanor), lisebenza ukwehlisa ukubetha kwentliziyo kwaye linokunceda abantu ukusilela kwentliziyo ngokunciphisa umthwalo wentliziyo.

CHF - amayeza; Ukungaphumeleli kwentliziyo - amayeza; I-Cardiomyopathy - amayeza; HF - amayeza

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 Saunders; 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. J Ukusilela kwentliziyo. Ngo-2017; 23 (8): 628-651. IINKCUKACHA: 28461259 www.ncbi.nlm.nih.gov/pubmed/28461259.

UYancy CW, uJessup M, uBozkurt B, et al. Isikhokelo se-ACCF / AHA sika-2013 solawulo lokungaphumeleli kwentliziyo: ingxelo yeAmerican College of Cardiology Foundation / American Heart Association Task Force kwiZikhokelo zokuSebenza. Ukujikeleza. Ngo-2013; 128 (16): e240-e327. IINKCUKACHA: 23741058 www.ncbi.nlm.nih.gov/pubmed/23741058.

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