Umbhali: Charles Brown
Umhla Wokudalwa: 3 Eyomdumba 2021
Hlaziya Umhla: 21 Eyenkanga 2024
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Emva kofakelo lwentliziyo, kuchacha kancinci kwaye ngokungqongqo kuyalandela, kwaye kubalulekile ukuba uthathe iziyobisi zemihla ngemihla, ezicetyiswa ngugqirha, ukunqanda ukwaliwa kwentliziyo efakelweyo. Nangona kunjalo, kubalulekile ukugcina ukutya okunezondlo, ukutya kuphela ukutya okuphekiweyo, ngakumbi ukutya okuphekiweyo, ukunqanda ukosuleleka okunokubeka ubomi besigulana emngciphekweni.

Ngokubanzi, emva kotyando, isigulana samkelwa kwigumbi lokunyamekela abagula kakhulu (ICU) ngokomyinge weentsuku ezisi-7, kwaye kuphela emva koko athunyelwe kwinkonzo yokunyangwa, apho ahlala khona malunga neeveki ezimbini nangaphezulu, ekhutshiwe eyenzeka malunga nesi-3 ukuya Kwiiveki ezi-4 kamva.

Emva kokuphuma, isigulana kufuneka siqhubeke nengcebiso yezonyango, ukuze sikwazi ukufumana kancinci ubomi kwaye siphile ubomi obuqhelekileyo, sikwazi ukusebenza, ukuzivocavoca okanye ukuya elwandle, umzekelo. ;

Ukubuyiselwa emva kokufakelwa kwentliziyo

Emva kotyando, isigulana siya kuhlala kwigumbi lokuchacha iiyure ezimbalwa, kwaye kuphela emva koko esiya kudluliselwa e-ICU, apho kufuneka sihlale khona, ngokomndilili, iintsuku ezisi-7, ukuba sivavanywe rhoqo kwaye sithintele iingxaki.


Ngexesha lokulaliswa esibhedlele e-ICU, isigulana sinokudityaniswa kwimibhobho eyahlukeneyo ukuze siqiniseke ukuba sihlala kakuhle, kwaye sinokuhlala nesitshisi sesinyi, idreyini yesifuba, izixhobo zokuthambisa ezisezandleni zaso kunye nepayipa yokuphefumla ukuzondla, kwaye kuyinto eqhelekileyo buva ubuthathaka bemisipha kunye nokuphefumla nzima ngenxa yokungasebenzi ixesha elide ngaphambi kotyando.

Catheter ezingalweniImijelo kunye nemibhobhoImpumlo yempumlo

Ngamanye amaxesha, emva kotyando, umguli unokufuna ukuhlala egumbini yedwa, ahlukaniswe nabanye abaguli kwaye, ngamanye amaxesha ngaphandle kokufumana iindwendwe, kuba amajoni omzimba abuthathaka kwaye, banokusifumana lula nasiphi na isifo, ngakumbi usulelo., ukubeka ubomi besigulana emngciphekweni.


Ngale ndlela, isiguli kunye nabo banxibelelana naye banokufuna ukunxiba imaski, ingubo kunye neiglavu nanini na xa engena egumbini lakhe. Kuphela kusemva kokuzinza apho athe watshintshelwa kwinkonzo yokugula, apho ahlala khona malunga neeveki ezi-2 kwaye uchacha ngokuthe ngcembe.

Ukubuyela njani ekhaya emva kotyando

Kwiimeko ezininzi, ukubuyela ekhaya kwenzeka malunga neeveki ezi-3 ukuya kwezi-4 emva kotyando, nangona kunjalo, iyahluka ngeziphumo zovavanyo lwegazi, i-electrocardiogram, i-echogram kunye ne-X-ray yesifuba, ezenziwa amatyeli aliqela ngexesha lokuhlala esibhedlele.

ElectrocardiogramI-ultrasound yentliziyoUvavanyo lwegazi

Ukuze kugcinwe ukulandelelwa kwesigulana, emva kokuphuma esibhedlele, ukuqeshwa kucwangciselwe ugqirha wentliziyo ngokweemfuno.


Ubomi besigulana esifakelweyo kwenzeka iinguqu ezithile, kwaye kufuneka:

1. Ukuthatha iziyobisi zokuzikhusela emzimbeni

Emva kotyando ukufakelwa intliziyo, isigulana kufuneka sisebenzise iziyobisi mihla le, ezingamayeza anceda ukuthintela ukwaliwa kwelungu elifakelweyo, njengeCyclosporine okanye iAzathioprine, ekufuneka isetyenziswe ebomini. Nangona kunjalo, ngokubanzi, ithamo lonyango liyancipha, njengoko kubonisiwe ngugqirha, ngokufumana kwakhona, okwenza ukuba kufuneke kwenziwe uvavanyo lwegazi kuqala ukuze uhlengahlengiso kunyango lube kwiimfuno.

Ukongeza, kwinyanga yokuqala ugqirha unokubonisa ukusetyenziswa:

  • Amayeza okubulala iintsholongwaneUkuphepha umngcipheko wosulelo, njengeCefamandol okanye iVancomycin;
  • Ukuphelisa iintlungu, ukunciphisa iintlungu, ezinjengeKetorolac;
  • Womchamo, ezinje ngeFurosemide yokugcina ubuncinci i-100 ml yomchamo ngeyure, ukuthintela ukudumba nokungasebenzi kakuhle kwentliziyo;
  • ICorticosteroids, Ukuthintela ukusabela okukrala, njengeCortisone;
  • Iintsholongwane, ezinje ngeCalciparina, ukuthintela ukuyilwa kwe-thrombi, enokuvela ngenxa yokungakwazi ukuhamba;
  • IiAntacids, ukunqanda ukopha kokugaya ukutya, njenge-Omeprazole.

Ukongeza, akufuneki uthathe naliphi na elinye iyeza ngaphandle kwengcebiso yezonyango, njengoko inokunxibelelana kwaye ikhokelele ukwaliwa kwelungu elifakelweyo.

2. Yenza umthambo rhoqo

Emva kokufakelwa kwentliziyo, isigulana sihlala sikufumanisa kunzima ukwenza imisebenzi yomzimba ngenxa yokuntsonkotha kotyando, ubude bokuhlala kunye nokusetyenziswa kwee-immunosuppressants, nangona kunjalo, oku kufuneka kuqalwe esibhedlele, emva kokuba isiguli sizinzile kwaye singasekho kuthatha amayeza ngomthambo.

Ukubuyela kwimeko yesiqhelo, kufuneka kwenziwe umthambo, njengokuhamba imizuzu engama-40 ukuya kwengama-60, amaxesha ama-4 ukuya kwayi-5 ngeveki, ngesantya esicothayo seemitha ezingama-80 ngomzuzu, ukuze ukubuyisela kwimeko yesiqhelo ngokukhawuleza kwaye isigulana esimiliselweyo sikwazi ukubuya. imisebenzi yosuku.

Ukongeza, kuya kufuneka wenze umthambo we-anaerobic, njengokuzolula, ukwandisa ukuhamba ngokudibeneyo, ukomeleza izihlunu, ukuphucula ukuxinana kwethambo kunye nokunciphisa ukubetha kwentliziyo.

3. Yitya ukutya okuphekiweyo kuphela

Emva kokufakelwa, isigulana kufuneka silandele ukutya okunezondlo, kodwa kufuneka:

Kuphephe ukutya okuluhlazaKhetha ukutya okuphekiweyo
  • Susa konke ukutya okuluhlaza ekutyeni, ezinje ngeesaladi, iziqhamo kunye neencindi zazo ezinqabileyo;
  • Ukuphelisa ukusetyenziswa kokutya okungafunekiyo, ezinje ngesonka samasi, iyogathi kunye nempahla enkonkxiweyo;
  • Sebenzisa ukutya okuphekiweyo kuphelas, ephekwe ikakhulu, enje ngeapile ebilisiweyo, isuphu, iqanda elibilisiweyo okanye eliphekiweyo;
  • Sela amanzi amaminerali kuphela.

Ukutya kwesigulana kufanele kube kukutya okuhlala ixesha elide okuthintela ukunxibelelana neentsholongwane ukuze kuthintelwe usulelo kwaye, xa kulungiswa ukutya, izandla, ukutya kunye nezinto zokupheka kufuneka zihlanjwe kakuhle ukuthintela ungcoliseko. Yazi ukuba ungatya ntoni: Ukutya ukutya okukhuselekileyo.

4. Gcina ucoceko

Ukuthintela iingxaki kubalulekile ukugcina okusingqongileyo kuhlala kucocekile, kwaye kuya kufuneka:

  • Ukuhlamba yonke imihla, ukuhlamba amazinyo akho kathathu ngemini;
  • Ukucoceka indlu, umoya, ukhululekile ukufuma kunye nezinambuzane.
  • Kuphephe ukunxibelelana nabantu abagulayo, ngomkhuhlane, umzekelo;
  • Musa ukuhlala kwiindawo ezingcolileyo, ngomoya opholileyo, kuyabanda okanye kushushu kakhulu.

Ukubuyela kwimeko yesiqhelo ukuze kusebenze ngempumelelo kufuneka ukhusele isigulana kwiimeko ezinokuhlasela amajoni omzimba abuthathaka.

Iingxaki zotyando

Ukufakelwa kwentliziyo yinto enzima kakhulu kwaye ibuthathaka kwaye, ke, umngcipheko kolu tyando lwentliziyo uhlala ukho. Ezinye zeengxaki, kubandakanya usuleleko okanye ukwaliwa, ngenxa yokwehla kwamajoni omzimba okanye isifo sentliziyo, ukusilela kwentliziyo, ukungasebenzi kakuhle kwezintso okanye ukuxhuzula, umzekelo.

Ngexesha lokuchacha kwaye ngakumbi emva kokuphuma, kubalulekile ukubukela imiqondiso enokuthi ibonakalise iimpawu zeengxaki, ezinje ngomkhuhlane, ubunzima bokuphefumla, ukudumba kwemilenze okanye ukugabha, umzekelo kwaye, ukuba kuyenzeka, kuya kufuneka uye kwangoko igumbi likaxakeka lokuqalisa unyango olufanelekileyo.

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