Iimpawu ezilumkisayo kunye neempawu zesifo sentliziyo

Isifo sentliziyo sihlala sikhula ngokuhamba kwexesha. Unokuba neempawu okanye iimpawu zaphambi kwexesha ngaphambi kokuba ube neengxaki ezinzulu zentliziyo. Okanye, awunakuqonda ukuba uphuhlisa isifo sentliziyo. Iimpawu ezilumkisayo zesifo sentliziyo zisenokungabonakali. Kwakhona, ayinguye wonke umntu oneempawu ezifanayo.

Iimpawu ezithile, ezinje ngesifuba, ukudumba kwamaqatha, kunye nokuphefumla okufutshane kunokubonisa ukuba kukho into engalunganga. Ukufunda iimpawu zokulumkisa kunokukunceda ufumane unyango kwaye uncede ukukhusela ukuhlaselwa yintliziyo okanye ukubetha.

Intlungu yesifuba kukungonwabi okanye iintlungu oziva ziphambi komzimba wakho, phakathi kwentamo yakho kunye nesisu esingasentla. Zininzi izinto ezibangela iintlungu esifubeni ezingenanto yakwenza nentliziyo yakho.

Kodwa iintlungu zesifuba iseyeyona mpawu ixhaphakileyo yokungahambi kakuhle kwegazi ukuya entliziyweni okanye kwisifo sentliziyo. Olu hlobo lweentlungu zesifuba lubizwa ngokuba yi-angina.

Intlungu yesifuba inokwenzeka xa intliziyo ingafumani gazi laneleyo okanye ioksijini. Ubungakanani kunye nohlobo lwentlungu lungahluka kumntu kumntu. Ubunzulu bentlungu ayisoloko ihambelana nendlela enkulu ngayo ingxaki.

• Abanye abantu banokuziva beqaqanjelwa, ngelixa abanye besiva ukungakhululeki okuphakathi.
• Isifuba sakho sinokuziva sinzima okanye ngathi umntu ucinezela intliziyo yakho. Unokuziva ubuhlungu obuvuthayo, obuvuthayo esifubeni sakho.
• Unokuziva iintlungu phantsi kwesifuba sakho (sternum), okanye entanyeni yakho, iingalo, isisu, umhlathi, okanye umqolo ongasentla.
• Intlungu yesifuba esivela kwi-angina ihlala isenzeka kunye nomsebenzi okanye imvakalelo, kwaye iyahamba ngokuphumla okanye iyeza elibizwa ngokuba yi-nitroglycerin.
• Ukugaya okungalunganga kunokubangela nentlungu esifubeni.

Abasetyhini, abantu abadala abadala, kunye nabantu abanesifo seswekile banokuba nentlungu encinci okanye bangabi nayo kwaphela esifubeni. Banokwenzeka ukuba babe neempawu ngaphandle kweentlungu zesifuba, ezinje:

• Ukudinwa
• Ukuqhawukelwa ngumphefumlo
• Ubuthathaka ngokubanzi
• Utshintsho kumbala wolusu okanye kumbala ongwevu (iziqendu zotshintsho kumbala wolusu onxulunyaniswa nobuthathaka)

Ezinye iimpawu zesifo sentliziyo zingabandakanya:

• Uxinzelelo olukhulu
• Ukufa okanye ukulahleka kwengqondo
• Ubumhlophe obukhanyayo okanye isiyezi
• Isihlunu okanye ukugabha
• Iipalpitations (ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza okanye ngokungafaniyo)
• Ukuqhawukelwa ngumphefumlo
• Ukubila, okunokuba nzima kakhulu

Xa intliziyo ingakwazi ukumpompa igazi njengoko kufanele, igazi libuyele emithanjeni ephuma kwimiphunga iye entliziyweni. Ulwelo luvuza kwimiphunga kwaye lubangela ukuphefumla okufutshane. Olu luphawu lokwehluleka kwentliziyo.

Ungabona ukuphefumla okufutshane:

• Ngexesha lomsebenzi
• Ngelixa uphumleyo
• Xa ulele ucabalele emqolo - isenokukuvusa ebuthongweni

Ukukhohlela okanye ukuvutha okungapheliyo kungangomnye umqondiso wokuba ulwelo luyakha kwimiphunga yakho. Unokukhwehlela i-mucus epinki okanye enegazi.

Ukudumba (i-edema) kwimilenze yakho esezantsi ngomnye umqondiso wengxaki yentliziyo. Xa intliziyo yakho ingasebenzi ngokunjalo, ukuhamba kwegazi kuyacotha kwaye kubuya umva kwimithambo yemilenze yakho. Oku kubangela ukuba ulwelo lwakhiwe kwizicwili zakho.

Unokuba nokudumba esiswini sakho okanye uqaphele ukutyeba kobunzima.

Ukuncitshiswa kwemithambo yegazi ezisa igazi kwamanye amalungu omzimba kunokuthetha ukuba unengozi enkulu yokuhlaselwa sisifo sentliziyo. Inokwenzeka xa i-cholesterol kunye nezinye izinto ezinamafutha (i-plaque) zakha kwiindonga zemithambo yakho.

Ukunikezelwa kwegazi okungalunganga kwimilenze kunokukhokelela ku:

• Ubuhlungu, ukudinwa, ukudinwa, ukutshisa, okanye ukungonwabi kwiimisipha zeenyawo zakho, amathole, okanye amathanga.
• Iimpawu ezihlala zibonakala ngexesha lokuhamba okanye lokuzilolonga, kwaye uhambe emva kwemizuzu eliqela yokuphumla.
• Ukuba ndindisholo emilenzeni nasezinyaweni xa uphumle. Imilenze yakho inokuziva ipholile xa uyichukumisa, kwaye ulusu lukhangeleka lumbala.

Ukubetha kwenzeka xa ukuphuma kwegazi kwinxalenye yengqondo kuyekile. Ukuhlaselwa sisifo ngamanye amaxesha ngamanye amaxesha kubizwa ngokuba "kukuhlaselwa yingqondo." Iimpawu zokubetha zingabandakanya ubunzima bokuhambisa imilenze kwelinye icala lomzimba wakho, kwelinye icala lobuso ukugoba, ubunzima bokuthetha okanye ukuqonda ulwimi.

Ukudinwa kunokuba nezizathu ezininzi. Rhoqo kuthetha ukuba ufuna ukuphumla okungakumbi. Kodwa ukuziva uphantsi kunokuba luphawu lwengxaki enkulu. Ukudinwa kunokuba luphawu lwenkathazo yentliziyo xa:

• Uziva udinwe kakhulu kunesiqhelo. Kuqhelekile ukuba abantu basetyhini bazive bedinwe kakhulu ngaphambi okanye ngexesha lokuhlaselwa sisifo sentliziyo.
• Uziva udiniwe kangangokuba awukwazi ukwenza imisebenzi yakho yesiqhelo yemihla ngemihla.
• Unobuthathaka obukhawulezileyo nobunzima.

Ukuba intliziyo yakho ayinakho ukumpompa igazi, inokubetha ngokukhawuleza ukuzama ukuqhubeka. Unokuziva ukuba intliziyo yakho iyangxama okanye iyabetha. Ukubetha kwentliziyo okukhawulezayo okanye okungalinganiyo kunokuba ngumqondiso we-arrhythmia. Le yingxaki ngenqanaba lentliziyo yakho okanye isingqisho.

Ukuba unayo nayiphi na imiqondiso yesifo sentliziyo, tsalela umnikezeli wakho wezempilo kwangoko. Musa ukulinda ukubona ukuba iimpawu ziyahamba okanye uzixoshe njengento.

Fowunela inombolo yongxamiseko yendawo yakho (enje nge-911) ukuba:

• Unentlungu esifubeni okanye ezinye iimpawu zesifo sentliziyo
• Ukuba uyazi ukuba une-angina kwaye uneentlungu esifubeni ezingahambi emva kwemizuzu emi-5 yokuphumla okanye emva kokuthatha i-nitroglycerine
• Ukuba ucinga ukuba unokuhlaselwa sisifo sentliziyo
• Ukuba uphefumla kancinci
• Ukuba ucinga usenokuba ulahlekelwe yingqondo

Angina - iimpawu zesilumkiso sesifo sentliziyo; Intlungu yesifuba - iimpawu zesilumkiso sesifo sentliziyo; IDyspnea - iimpawu zesilumkiso sesifo sentliziyo; Iimpawu zesilumkiso sesifo sentliziyo; Ukubetha - iimpawu zesilumkiso sesifo sentliziyo

UFihn SD, uBlankenship JC, uAlexander KP, et al. Ngo-2014 i-ACC / AHA / AATS / i-PCNA / i-SCAI / i-STS igxile ekuhlaziyweni kwesikhokelo sokuchongwa kunye nolawulo lwezigulana ezinesifo sentliziyo esisigxina: ingxelo yeAmerican College of Cardiology / American Heart Association Task Force kwiZikhokelo zokuSebenza, kunye Umbutho waseMelika woNyango lwe-Thoracic, uMbutho wabahlengikazi abaThintelayo be-Cardiovascular, uMbutho we-Cardiovascular Angiography kunye nongenelelo, kunye noMbutho woNyango lweTroacic. Ukujikeleza. Ngo-2014; 130 (19): 1749-1767. IINKCUKACHA: 25070666 www.ncbi.nlm.nih.gov/pubmed/25070666.

UGoff DC Jr, uLloyd-Jones DM, uBennett G, et al. Isikhokelo se-ACC / AHA sika-2013 kuvavanyo lomngcipheko wentliziyo: ingxelo yeAmerican College of Cardiology / American Heart Association Task Force kwiZikhokelo zokuSebenza. Ukujikeleza. 2014; 129 (25 iSuppl 2): ​​S49-S73. IINKCUKACHA: 24222018 www.ncbi.nlm.nih.gov/pubmed/24222018.

UGulati M, uBairey Merz CN. Isifo sentliziyo kwabasetyhini. 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 89.

UMorrow DA, de Lemos JA. Isifo sentliziyo esomeleleyo. 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 61.

• Izifo Zentliziyo