Utshintsho ekwaluphaleni kwiimpawu ezibalulekileyo

Iimpawu ezibalulekileyo zibandakanya ubushushu bomzimba, ukubetha kwentliziyo (ukubetha kwentliziyo), ukuphefumla (ukuphefumla), kunye noxinzelelo lwegazi. Njengoko uneminyaka yobudala, iimpawu zakho ezibalulekileyo zingatshintsha, kuxhomekeke kwimpilo yakho. Ezinye iingxaki zonyango zinokubangela utshintsho kwimpawu enye okanye ezingaphezulu.

Ukujonga iimpawu zakho ezibalulekileyo kunceda umboneleli wakho wezempilo abeke esweni impilo yakho kunye naziphi na iingxaki zonyango onokuba nazo.

UKUSHISELA UMZIMBA WOMZIMBA

Ubushushu obuqhelekileyo bomzimba abuguquki kakhulu ngokwaluphala. Kodwa njengokuba ukhula, kuya kusiba nzima kumzimba wakho ukulawula iqondo lobushushu. Ukuhla kwenani lamafutha angaphantsi kolusu kwenza kube nzima ukuhlala ushushu. Kuya kufuneka unxibe iingubo zokunxiba ukuze uzive ushushu.

Ukwaluphala kunciphisa amandla akho okubila. Unokuba nobunzima ukuxelela xa ushushu kakhulu. Oku kukubeka emngciphekweni omkhulu wobushushu (ukubetha kobushushu). Unokuba semngciphekweni wokwehla okuyingozi kubushushu bomzimba.

Umkhuhlane luphawu olubalulekileyo lokugula kubantu abadala. Ihlala iluphawu kuphela lweentsuku ezimbalwa zokugula. Jonga umboneleli wakho ukuba unefiva engachazwanga sisifo esaziwayo.

Umkhuhlane ukwangumqondiso wosulelo. Xa umntu osele ekhulile enesifo, umzimba wakhe awunako ukuvelisa ubushushu obuphezulu. Ngesi sizathu, kubalulekile ukujonga ezinye iimpawu ezibalulekileyo, kunye nazo naziphi na iimpawu kunye neempawu zosulelo.

INQANABA LENTLIZIYO NOKUPHEFUMLA KWENANI

Njengoko ukhula, izinga lokubetha kwakho liphantse lafana nakudala. Kodwa xa usenza umthambo, kungathatha ixesha elide ukuba ukubetha kwentliziyo yakho kwandiswe kwaye kude ukuthoba isantya emva koko. Inqanaba lakho eliphezulu lentliziyo kunye nokuzivocavoca liphantsi kunokuba kwakunjalo xa wawusemncinci.

Umgangatho wokuphefumla uhlala ungatshintshi nobudala. Kodwa umsebenzi wamaphaphu uyehla kancinci ngonyaka njengoko uneminyaka yobudala. Abantu abadala abasempilweni bahlala bephefumla ngaphandle komzamo.

IFUTHE LEGAZI

Abantu abadala banokuba nesiyezi xa bema ngokukhawuleza. Oku kungenxa yokwehla ngesiquphe koxinzelelo lwegazi. Olu hlobo lokwehla koxinzelelo lwegazi xa umile ubizwa ngokuba yi-orthostatic hypotension.

Umngcipheko wokuba noxinzelelo lwegazi (uxinzelelo lwegazi) uyonyuka njengokuba usiya ukhula.Ezinye iingxaki ezinxulumene nentliziyo eziqhelekileyo kubantu abadala zibandakanya:

• Ukubetha kancinci okanye ukubetha ngokukhawuleza
• Iingxaki zesingqisho sentliziyo ezinje nge-atrial fibrillation

IZIPHUMO ZAMAYEZA KWIMPAWU EBALULEKILEYO

Amayeza asetyenziselwa ukunyanga iingxaki zempilo kubantu abadala anokuchaphazela iimpawu ezibalulekileyo. Umzekelo, iyeza i-digoxin, esetyenziselwa ukusilela kwentliziyo, kunye namayeza oxinzelelo lwegazi abizwa ngokuba yi-beta-blockers kunokubangela ukuba ukubetha kwentliziyo kuthambe.

I-diuretics (iipilisi zamanzi) zinokubangela uxinzelelo lwegazi olusezantsi, amaxesha amaninzi xa utshintsha imeko yomzimba ngokukhawuleza.

OLUNYE UTSHINTSHO

Njengoko ukhula, uya kuba nolunye utshintsho, kubandakanya:

• Kwizitho, izicubu kunye neeseli
• Entliziyweni nasemithanjeni yegazi
• Emiphungeni

• Ukuzivocavoca umzimba
• Ukuthatha ukubetha kwe-carotid yakho
• Ukubetha kwemitha
• Ukuzifudumeza nokupholisa
• Iziphumo zobudala kuxinzelelo lwegazi

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Ingcali DL. Indlela yokusondela kwisigulana eneempawu ezingaqhelekanga kwi: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 7.

UWalston JD. I-sequelae eqhelekileyo yeklinikhi yokuguga. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 22.