Ukungaphumeleli kwentliziyo-ukhathalelo lokunyanga

Kubalulekile ukuba uthethe nabanikezeli bakho bezempilo kunye nosapho lwakho malunga nokhathalelo lokuphela kobomi olufunayo xa unyangwa ukusilela kwentliziyo.

Ukusilela kwentliziyo engapheliyo kuhlala kusiba mandundu ngokuhamba kwexesha. Abantu abaninzi abanesifo sentliziyo bayafa yile meko. Kunokuba nzima ukucinga nokuthetha ngohlobo lokhathalelo olufunayo ekupheleni kobomi bakho. Nangona kunjalo, ukuxoxa ngezi zinto noogqirha bakho kunye nabantu obathandayo kunokukunceda ukuzisa uxolo lwengqondo.

Usenokuba sele uxoxe ngokufakelwa kwentliziyo kunye nokusetyenziswa kwesixhobo sokuncedisa i-ventricular kunye nogqirha wakho.

Ngexesha elithile, uya kujongana nesigqibo malunga nokuqhubeka nokunyanga okanye ukunyanga kwintliziyo yokungaphumeleli. Emva koko, unokufuna ukuxoxa ngenketho yokunyamekela okanye yokuthuthuzela kunye nababoneleli bakho kunye nabantu obathandayo.

Abantu abaninzi banqwenela ukuhlala emakhayeni abo ngexesha lokuphila. Oku kuhlala kunokwenzeka ngenkxaso yabathandekayo, abanonopheli, kunye nenkqubo yokugula. Kuya kufuneka wenze utshintsho ekhayeni lakho ukuze wenze ubomi bube lula kwaye ugcine ukhuselekile. Iiyunithi zezibhedlele kwizibhedlele nakwezinye iindawo zononophelo nazo zinokukhetha.

Imiyalelo yokhathalelo lwangaphambili ngamaxwebhu achaza uhlobo lononophelo ongathanda ukuba nalo ukuba awukwazi ukuzithethela.

Ukukhathala kunye nokuphefumla ziingxaki eziqhelekileyo ekupheleni kobomi. Ezi mpawu zinokubangela uxinzelelo.

Unokuziva uphefumla kancinci kwaye unengxaki yokuphefumla. Ezinye iimpawu zinokubandakanya ukuqina esifubeni, ukuziva ngathi awufumani moya ngokwaneleyo, okanye uziva ngathi uyacinywa.

Usapho okanye abanonopheli banganceda ngoku:

• Ukukhuthaza umntu ukuba ahlale nkqo
• Yandisa ukuhamba komoya kwigumbi ngokusebenzisa ifeni okanye ukuvula iwindow
• Ukunceda umntu akhululeke kwaye angothuki

Sebenzisa ioksijini kuyakunceda ukuba ulwe nokuphefumla okuncinci kwaye ugcine umntu onesiphelo sentliziyo yokuphela ekhululekile. Amanyathelo okhuseleko (njengokungatshayi) abaluleke kakhulu xa usebenzisa ioksijini ekhaya.

I-Morphine inokukunceda ukuphefumla kancinci. Iyafumaneka njengepilisi, ulwelo, okanye ithebhulethi inyibilika phantsi kolwimi. Umboneleli wakho uya kukuxelela ukuba ungayithatha njani i-morphine.

Iimpawu zokudinwa, ukuphelelwa ngumphefumlo, ukuphelelwa ngumdla wokutya, kunye nesicaphucaphu kungenza kubenzima kubantu abanesifo sentliziyo ukuthatha iikhalori ezaneleyo kunye nezakha mzimba. Ukulahleka kwezihlunu kunye nokulahleka kobunzima yinxalenye yenkqubo yesifo sendalo.

Inokukunceda ukutya ukutya okuncinci okuncinci. Ukukhetha ukutya okunomtsalane kwaye kulula ukukugaya kungenza kube lula ukutya.

Abakhathaleli akufuneki bazame ukunyanzela umntu ukuba angatyi. Oku akuncedi umntu aphile ixesha elide kwaye angonwabi.

Thetha nomboneleli wakho malunga nezinto onokuzenza ukunceda ukuphatha isicaphucaphu okanye ukugabha kunye nokuqhina.

Ixhala, uloyiko kunye nosizi ziqhelekile phakathi kwabantu abanesifo sentliziyo sokugqibela.

• Usapho kunye nabanonopheli kufuneka bajonge iimpawu zezi ngxaki. Ukubuza loo mntu ngeemvakalelo kunye noloyiko lwakhe kunokwenza kube lula ukuxoxa ngazo.
• I-Morphine nayo inokunceda ngoloyiko kunye noxinzelelo. Amanye amayeza okulwa noxinzelelo anokuba luncedo.

Ubuhlungu yingxaki eqhelekileyo kwizigaba zokugqibela zezifo ezininzi, kubandakanya ukusilela kwentliziyo. I-Morphine kunye namanye amayeza eentlungu anokunceda. Amayeza aqhelekileyo e-counter-the-counter, afana ne-ibuprofen, ahlala engakhuselekanga kubantu abanesifo sentliziyo.

Abanye abantu banokuba neengxaki ngokulawula isinyi okanye ukusebenza kwamathumbu. Thetha nomboneleli wakho ngaphambi kokusebenzisa nawaphi na amayeza, i-laxatives, okanye i-suppositories yezi mpawu.

CHF - palliative; Ukungaphumeleli kwintliziyo yokuxhamla - ukunyaniseka; Cardiomyopathy - palliative; HF - palliative; I-cachexia yentliziyo; Ukuphela kobomi-ukusilela kwentliziyo

UAllen LA, uMatlock DD. Ukwenza izigqibo kunye nokunakekelwa kwepalliative kukusilela kwentliziyo. Ku: Felker GM, Mann DL, ii-eds. Ukungaphumeleli kwentliziyo: Umlingane kwisifo sentliziyo seBraunwald. Ngomhla we-4. IPhiladelphia, PA: Elsevier, 2020: isahluko 50.

UAllen LA, uStevenson LW. Ulawulo lwezigulana ezinesifo sentliziyo esondela esiphelweni sobomi .. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier Saunders; I-2019: isahl. 31.

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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