Ukubanjwa kwe-cardiac

Ukubanjwa kwe-Cardiac kwenzeka xa intliziyo iyeka ukubetha ngesiquphe. Xa oku kusenzeka, ukuhamba kwegazi ukuya kwingqondo kwaye wonke umzimba uyema. Ukubanjwa kwe-Cardiac kungxamisekileyo kwezonyango. Ukuba ayinyangwa ngaphakathi kwemizuzu embalwa, ukubanjwa kwentliziyo kunokubangela ukufa.

Ngelixa abanye abantu bebhekisa kwisifo sentliziyo njengokubanjwa kwentliziyo, azifani. Ukuhlaselwa yintliziyo kwenzeka xa umthambo ovaliweyo umisa ukuhamba kwegazi kuye entliziyweni. Ukuhlaselwa yintliziyo kunokuyonakalisa intliziyo, kodwa oko akuthethi kuthi kubangele ukufa. Nangona kunjalo, isifo sentliziyo ngamanye amaxesha sinokubangela ukubanjwa kwentliziyo.

Ukubanjwa kwe-Cardiac kubangelwa yingxaki yenkqubo yombane yentliziyo, enje:

• I-Ventricular fibrillation (VF) -Ukuba i-VF yenzeka, amagumbi asezantsi entlungwini yentliziyo endaweni yokubetha rhoqo. Intliziyo ayinakupompa igazi, nto leyo ekhokelela ekubanjweni kwentliziyo. Oku kunokwenzeka ngaphandle kwesizathu okanye njengesiphumo senye imeko.
• Ibhloko yentliziyo-Oku kwenzeka xa isiginali yombane icothiswa okanye imisiwe njengoko ihamba entliziyweni.

Iingxaki ezinokubangela ukubanjwa kwentliziyo zibandakanya:

• Isifo sentliziyo iCoronary (CHD) -I-CHD inokuvala imithambo esentliziyweni yakho, ukuze igazi lingakwazi ukuhamba kakuhle. Ngokuhamba kwexesha, oku kunokubeka uxinzelelo kwimisipha yentliziyo yakho kunye nenkqubo yombane.
• Uhlaselo lwentliziyo-Uhlaselo lwentliziyo lwangaphambili lunokudala izicwili ezibomvu ezinokukhokelela kwi-VF kunye nokubanjwa kwentliziyo.
• Iingxaki zentliziyo, ezinje ngezifo zentliziyo yokuzalwa, iingxaki zentliziyo yevalvu, iingxaki zesingqisho sentliziyo, kunye nentliziyo eyandisiweyo inokukhokelela ekubanjweni kwentliziyo.
• Amanqanaba angaqhelekanga e-potassium okanye i-magnesium - Ezi zimbiwa zinceda ukusebenza kwenkqubo yombane wentliziyo yakho. Amanqanaba aphezulu ngokungaqhelekanga okanye aphantsi kunokubangela ukubanjwa kwentliziyo.
• Uxinzelelo lomzimba olomeleleyo-Nantoni na ebangela uxinzelelo olukhulu emzimbeni wakho inokukhokelela ekubanjweni kwentliziyo. Oku kunokubandakanya ukwenzakala, ukothuka kombane, okanye ukulahleka kwegazi okukhulu.
• Iziyobisi zokuzonwabisa -Ukusebenzisa iziyobisi ezithile, ezinje ngecocaine okanye iamphetamines, kukonyusa umngcipheko wokubanjwa kwentliziyo.
• Amayeza-Amanye amayeza anokunyusa ukubakho kwesingqisho sentliziyo esingaqhelekanga.

Uninzi lwabantu ALUKHO naziphi na iimpawu zokubanjwa kwentliziyo kude kwenzeke. Iimpawu zingabandakanya:

• Ukuphulukana ngesiquphe nokuqonda; umntu uya kuwa phantsi okanye adilike xa ehleli
• Akukho ukubetha kwentliziyo
• Akukho kuphefumla

Ngamanye amaxesha, unokuqaphela iimpawu ezithile malunga neyure ngaphambi kokubanjwa kwentliziyo. Oku kunokubandakanya:

• Intliziyo ebalekayo
• Ukuba nesiyezi
• Ukuqhawukelwa ngumphefumlo
• Isihlunu okanye ukugabha
• Iintlungu zesifuba

Ukubanjwa kwe-Cardiac kwenzeka ngokukhawuleza okukhulu, akukho xesha lokwenza iimvavanyo. Ukuba umntu uyasinda, uninzi lweemvavanyo lwenziwa emva koko ukunceda ukufumanisa ukuba yintoni ebangele ukubanjwa kwentliziyo. Oku kunokubandakanya:

• Uvavanyo lwegazi ukukhangela ii-enzymes ezinokubonisa ukuba ukhe wahlaselwa sisifo sentliziyo. Ugqirha wakho unokusebenzisa uvavanyo lwegazi ukujonga amanqanaba eetyuwa ezithile, iihomoni, kunye neekhemikhali emzimbeni wakho.
• I-Electrocardiogram (ECG) ukulinganisa umsebenzi wombane wentliziyo yakho. I-ECG ingabonisa ukuba intliziyo yakho yonakaliswe yi-CHD okanye isifo sentliziyo.
• I-Echocardiogram ukubonisa ukuba intliziyo yakho yonakele kwaye ufumane ezinye iintlobo zeengxaki zentliziyo (ezinje ngeengxaki zentliziyo yemithambo okanye yezivalo).
• I-MRI ye-Cardiac inceda umboneleli wakho wezempilo abone imifanekiso eneenkcukacha zentliziyo yakho kunye nemithambo yegazi.
• Isifundo se-Intracardiac electrophysiology (EPS) ukubona ukuba zisebenza kakuhle kangakanani iimpawu zombane zentliziyo yakho. I-EPS isetyenziselwa ukukhangela ukubetha kwentliziyo okungaqhelekanga okanye izingqisho zentliziyo.
• I-catheterization yentliziyo ivumela umboneleli wakho ukuba abone ukuba imithambo yakho inciphile okanye ivalekile
• Isifundo se-Electrophysiologic ukuvavanya inkqubo yokuqhuba.

Umboneleli wakho unokuqhuba nezinye iimvavanyo, kuxhomekeke kwimbali yakho yezempilo kunye neziphumo zolu vavanyo.

Ukubanjwa kwe-Cardiac kufuna unyango olungxamisekileyo kwangoko ukuze intliziyo iqale kwakhona.

• Ukuhlaziywa kweCardiopulmonary (CPR) - Oku kuhlala kuyinto yokuqala yonyango lokubanjwa kwentliziyo. Inokwenziwa nangubani na oqeqeshwe kwiCPR. Inokukunceda ukugcina ioksijini iqukuqela emzimbeni de kufike ukhathalelo olungxamisekileyo.
• I-Defibrillation-Olu lolona nyango lubaluleke kakhulu ekubanjweni kwentliziyo. Yenziwa kusetyenziswa isixhobo sonyango esinika ukothuka kombane entliziyweni. Umothuko unokufumana ukubetha kwentliziyo ngesiqhelo kwakhona. Ii-defibrillator ezincinci, eziphathwayo zihlala zifumaneka kwiindawo zikawonke-wonke ukuze zisetyenziswe ngongxamiseko ngabantu abaqeqeshelwe ukuzisebenzisa. Olu nyango lusebenza kakuhle xa lunikwe kwimizuzu embalwa.

Ukuba usinda ekubanjweni yintliziyo, uya kungeniswa esibhedlele ukuze ufumane unyango. Kuxhomekeke kwinto ebangele ukubanjwa kwentliziyo yakho, unokufuna amanye amayeza, iinkqubo okanye utyando.

Unokuba nesixhobo esincinci, esibizwa ngokuba sisixhobo se-cardioverter-defibrillator (ICD) esifakwe phantsi kolusu lwakho kufutshane nesifuba sakho. I-ICD ibeka esweni ukubetha kwentliziyo yakho kwaye inike intliziyo yakho ukothuka ngombane ukuba ibona isingqi sentliziyo esingaqhelekanga.

Uninzi lwabantu ALUPHILI ekubanjweni kwentliziyo. Ukuba uye wabanjwa ngentliziyo, usengozini enkulu yokuba nomnye. Kuya kufuneka usebenze ngokusondeleyo noogqirha bakho ukunciphisa umngcipheko.

Ukubanjwa kwe-Cardiac kunokubangela iingxaki zempilo ezingapheliyo kubandakanya:

• Ukulimala kwengqondo
• Iingxaki zentliziyo
• Iimeko zemiphunga
• Usulelo

Unokufuna ukhathalelo oluqhubekayo kunye nonyango ukulawula ezinye zezi ngxaki.

Shayela umnikezeli wakho okanye u-911 okanye inombolo yongxamiseko yendawo ngoko nangoko ukuba unayo:

• Iintlungu zesifuba
• Ukuqhawukelwa ngumphefumlo

Eyona ndlela yokuzikhusela ekubanjweni yintliziyo kukugcina intliziyo yakho isempilweni. Ukuba une-CHD okanye enye imeko yentliziyo, buza umboneleli wakho ukuba ungawunciphisa njani umngcipheko wokubanjwa kwentliziyo.

Ukubanjwa kwentliziyo ngesiquphe; I-SCA; Ukubanjwa kweCardiopulmonary; Ukubanjwa komjikelo; Arrhythmia - ukubanjwa kwentliziyo; Ifibrillation - ukubanjwa kwentliziyo; Ibhloko yentliziyo-ukubanjwa kwentliziyo

IMyerburg RJ. Indlela yokubanjwa kwentliziyo kunye ne-arrhythmias esongela ubomi. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 57.

IMyerburg RJ, iGoldberger JJ. Ukubanjwa kwe-Cardiac kunye nokufa kwentliziyo ngesiquphe. 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 42.