Kwenzeka ntoni kumgangatho weentliziyo zakho ngexesha lokuhlaselwa kwentliziyo?
Umxholo
- Ukuhlaselwa kwentliziyo kukuchaphazela njani ukubetha kwentliziyo yakho
- Ukubetha kwentliziyo ngexesha lokuzilolonga
- Inqanaba lentliziyo ngexesha lokuhlaselwa yintliziyo
- Ukubetha kwentliziyo yakho akusoloko kuqikelelwa
- Amayeza athile anokunciphisa ukubetha kwentliziyo yakho
- I-Tachycardia inokukhawulezisa izinga lokubetha kwentliziyo yakho
- Iimpawu zokuhlaselwa yintliziyo
- Iindidi ezahlukeneyo zokuhlaselwa kwentliziyo zikuchaphazela njani ukubetha kwentliziyo
- STEMI ukuhlaselwa yintliziyo
- Ukuhlaselwa kwentliziyo ye-NSTEMI
- Iimpawu zeCoronary
- Indlela isifo sentliziyo esichaphazela ngayo uxinzelelo lwegazi
- Imingcipheko yokuhlaselwa yintliziyo
- Ngaba ukubetha kwentliziyo yakho kungawubonisa umngcipheko wokuhlaselwa sisifo sentliziyo?
- Yise kude
Inqanaba lentliziyo yakho litshintsha rhoqo ngenxa yezinto ezisusela kwindlela osebenza ngayo kubushushu bomoya okujikelezileyo. Ukuhlaselwa kwentliziyo kunokubangela ukucothisa okanye ukukhawulezisa kwenqanaba lentliziyo yakho.
Kwangokunjalo, uxinzelelo lwegazi lwakho ngexesha lokuhlaselwa sisifo sentliziyo lunokunyuka okanye lwehle ngokuxhomekeka kwizinto ezinje ngohlobo lwethishu yentliziyo eyonzakeleyo ngexesha lomsitho okanye ukuba kukhululwe iihomoni ezithile ezithi zenze uxinzelelo lwegazi.
Ngamanye amaxesha, ukubetha kwentliziyo yomntu kungaphawula umngcipheko ophezulu wokuhlaselwa sisifo sentliziyo. Yenye yezinto ezibalulekileyo zomngcipheko - ezinye zazo ezinokulawulwa, ngelixa ezinye zingaphaya kolawulo lwakho.
Ukwazi imingcipheko ethile, kunye neempawu eziqhelekileyo zesifo sentliziyo, kunokunceda ukukhusela kwimingcipheko yokuhlaselwa sisifo sentliziyo.
Qhubeka ufunda ukuze ufunde ngakumbi malunga nokwenzekayo kwintliziyo yakho kunye nokubetha kwentliziyo yakho ngexesha lokuhlaselwa sisifo sentliziyo.
Ukuhlaselwa kwentliziyo kukuchaphazela njani ukubetha kwentliziyo yakho
Inqanaba lokubetha kwentliziyo yakho linani lamaxesha apho intliziyo yakho ibetha ngomzuzu. Ukubetha kwentliziyo okuqhelekileyo okanye okunempilo komntu omdala kuphakathi kwe-60 kunye ne-100 beats ngomzuzu. Ngokubanzi, isantya sentliziyo yakho esisezantsi, kokukhona intliziyo yakho isebenza ngokumpompa.
Ukubetha kwentliziyo ngexesha lokuzilolonga
Ngexesha lokuzilolonga, izinga lokubetha kwentliziyo yakho liyonyuka ukuhlangabezana neemfuno zemisipha yakho yegazi elinomoya. Ukuphumla, izinga lokubetha kwentliziyo yakho liyacotha ngenxa yokuba ibango alinamandla kangako. Ngelixa uleleyo, ukubetha kwentliziyo yakho kuyehla.
Inqanaba lentliziyo ngexesha lokuhlaselwa yintliziyo
Ngexesha lokuhlaselwa kwentliziyo, intliziyo yakho yemisipha ifumana igazi elincinci ngenxa yokuba imithambo enye okanye engaphezulu ebonelela ngesihlunu ivinjiwe okanye iyaphambuka kwaye ayinakho ukuhambisa ukuhamba kwegazi ngokwaneleyo. Okanye, imfuno yentliziyo (isixa seoksijini esifunwa yintliziyo) siphezulu kunonikezelo lwentliziyo (isixa seoksijini esikhoyo).
Ukubetha kwentliziyo yakho akusoloko kuqikelelwa
Esi siganeko sentliziyo sichaphazela njani ukubetha kwentliziyo akusoloko kuqikelelwa.
Amayeza athile anokunciphisa ukubetha kwentliziyo yakho
Umzekelo, ukuba usebenzisa amayeza anciphisa ukubetha kwentliziyo yakho, njenge-beta-blocker yesifo sentliziyo, isantya sentliziyo yakho sinokuhlala sicotha ngexesha lokuhlaselwa sisifo sentliziyo. Okanye ukuba unoluhlobo lokuphazamiseka kwentliziyo (arrhythmia) ebizwa ngokuba yi-bradycardia, apho ukubetha kwentliziyo yakho kuhamba kancinci kunesiqhelo, isifo sentliziyo asinakwenza nto ukunyusa izinga.
Kukho iintlobo ezithile zokuhlaselwa kwentliziyo ezinokuthi zikhokelele ekunciphiseni okungaqhelekanga kwenqanaba lentliziyo kuba zichaphazela iiseli zethambo zombane (iiseli zentliziyo) zentliziyo.
I-Tachycardia inokukhawulezisa izinga lokubetha kwentliziyo yakho
Ngakolunye uhlangothi, ukuba unayo i-tachycardia, apho intliziyo yakho ihlala okanye ibetha ngokukhawuleza ngokukhawuleza, loo pateni ingaqhubeka ngexesha lokuhlaselwa kwentliziyo. Okanye, iintlobo ezithile zokuhlaselwa kwentliziyo kunokubangela ukuba izinga lentliziyo lenyuke.
Okokugqibela, ukuba unenye imeko ebangela ukuba intliziyo yakho ibethe ngokukhawuleza, njenge-sepsis okanye usulelo, oko kunokubangela uxinzelelo entliziyweni yakho kunokuba sisiphumo sokuvaleka kwegazi.
Abantu abaninzi bahlala ne-tachycardia kwaye abanazo ezinye iimpawu okanye iingxaki. Nangona kunjalo, ukuba uhlala uphumla ngokukhawuleza kwentliziyo, kuya kufuneka uhlalutye impilo yentliziyo yakho.
ibonisa ukuba abantu abanezinga eliphezulu lentliziyo ngexesha lokufika kwabo esibhedlele benesifo sentliziyo banomngcipheko ophezulu wokufa.
Iimpawu zokuhlaselwa yintliziyo
Inqanaba lentliziyo elikhawulezayo yenye yeempawu ezinokubakho zokuhlaselwa sisifo sentliziyo. Kodwa ngesiqhelo ayingomqondiso wenkathazo ukuba intliziyo yakho ikwinyani. Iimpawu eziqhelekileyo zesifo sentliziyo zibandakanya:
- iintlungu zesifuba ezinokuziva njengentlungu ebukhali, ukuqina, okanye uxinzelelo esifubeni
- intlungu kwisandla esinye okanye zombini, isifuba, umqolo, intamo kunye nomhlathi
- ukubila okubandayo
- ukuqhawukelwa ngumphefumlo
- isicaphucaphu
- intloko elula
- ingqiqo engacacanga yentshabalalo ezayo
Ukuba ucinga ukuba wena okanye umntu omthandayo unokuhlaselwa sisifo sentliziyo, tsalela umnxeba ku-911 kwangoko.
Ngokukhawuleza ukuba ungafunyaniswa kwaye unyangwe, kuya kuncipha ukonakala kwentliziyo. Akufanele uzame ukuziqhubela kwigumbi lexakeka ukuba uneempawu zentliziyo.
Iindidi ezahlukeneyo zokuhlaselwa kwentliziyo zikuchaphazela njani ukubetha kwentliziyo
Ngokwenkcazo, isifo sentliziyo sisiphazamiso sokuhamba kwegazi esiya kwintliziyo eyonakalisa izihlunu zentliziyo. Kodwa imeko yolo phazamiso kunye nendlela esabela ngayo intliziyo inokwahluka.
Zintathu iintlobo ezahlukeneyo zokuhlaselwa kwentliziyo kwaye nganye inokuthi ichaphazele ukubetha kwentliziyo ngeendlela ezahlukeneyo:
- I-STEMI (icandelo lokuphakama kwe-myocardial infarction)
- I-NSTEMI (engeyiyo i-ST segment infarction ye-myocardial infarction), enee-subtypes ezininzi
- Ukuqaqamba kwemithambo
STEMI ukuhlaselwa yintliziyo
I-STEMI yile nto ucinga ukuba kukuhlaselwa sisifo sentliziyo. Ngexesha le-STEMI, umthambo wecoronary uvaliwe ngokupheleleyo.
Icandelo le-ST libhekisa kwinxalenye yokubetha kwentliziyo njengoko kubonisiwe kwi-electrocardiogram (ECG).
| Ukubetha kwentliziyo ngexesha le-STEMI | Iimpawu |
| Inqanaba lentliziyo lihlala lonyuka, ngakumbi ukuba umphambili (ngaphambili) yinxalenye yentliziyo ichaphazelekayo. Nangona kunjalo, inokucotha ngenxa: 1.ukusetyenziswa kwe-beta-blocker 2.Umonakalo kwinkqubo yokuqhuba (iiseli zemisipha ezikhethekileyo zentliziyo ezixelela intliziyo ukuba zenze nini isivumelwano) 3. ukuba umva (ongasemva) yinxalenye yentliziyo iyabandakanyeka | Intlungu yesifuba okanye ukungonwabi, utywala okanye intloko, isicaphucaphu, ukuqhawukelwa ngumphefumlo, ukubetha, ixhala, ukuphelelwa ngamandla okanye ukulahleka kwengqondo |
Ukuhlaselwa kwentliziyo ye-NSTEMI
I-NSTEMI ibhekisa kumthambo wecoronary ovaliweyo. Akunzima njenge-STEMI, kodwa kusenzima kakhulu.
Akukho ukuphakama kwecandelo le-ST kufumaneka kwi-ECG. Amacandelo e-ST kunokwenzeka ukuba adandatheke.
| Intlawulo yenhliziyo ngexesha le-NSTEMI | Iimpawu |
| Intlawulo yenhliziyo iyafana nezo zinxulunyaniswa ne-STEMI. Ngamanye amaxesha, ukuba enye imeko emzimbeni, enjenge-sepsis okanye i-arrhythmia, ibangela ukuba izinga lentliziyo lenyuke, kunokubangela ukungahambelani kwemfuno yokubonelela, apho ibango leoksijini yentliziyo yemisipha inyuka ngenxa yesantya sentliziyo, kunye nokubonelela Inqunyelwe ngenxa yokuvaleka kwimithambo yegazi. | Intlungu yesifuba okanye ukuqina, intlungu entanyeni, emhlathini okanye ngasemva, isiyezi, ukubila, isicaphucaphu |
Iimpawu zeCoronary
I-coronary spasm yenzeka xa izihlunu ngaphakathi kwenye okanye nangaphezulu kwemithambo yecoronary ngokukhawuleza iyancipha, icutha imithambo yegazi. Kule meko, ukuhamba kwegazi ukuya entliziyweni kunqunyelwe.
I-spasm coronary ayiqhelekanga kangako kune-STEMI okanye i-NSTEMI.
| Inqanaba lentliziyo ngexesha le-coronary spasm | Iimpawu |
| Ngamanye amaxesha, utshintsho oluncinci okanye alukho kwaqondo lentliziyo, nangona i-spasm ye-coronary ingabangela i-tachycardia. | Ngokufutshane (imizuzu eli-15 okanye ngaphantsi), kodwa iziqendu eziphindaphindayo ze iintlungu esifubeni, zihlala zilala ebusuku, kodwa zinokuba namandla okukuvusa; isicaphucaphu; ukubila; Ndiziva ngathi ungaphuma |
Indlela isifo sentliziyo esichaphazela ngayo uxinzelelo lwegazi
Uxinzelelo lwegazi kukunyanzelwa kwegazi lokududulela ngaphakathi kweendonga zemithambo yakho njengoko lijikeleza emzimbeni wonke. Njengokuba utshintsho lwenhliziyo lungalindelekanga ngexesha lokuhlaselwa kwentliziyo, ngokunjalo noxinzelelo lwegazi luyatshintsha.
Ngenxa yokuba ukuhamba kwegazi entliziyweni kuvaliwe kwaye inxenye yethishu yentliziyo inqatshelwe igazi eline-oksijini, intliziyo yakho isenokungakwazi ukumpompa ngamandla ngendlela yesiqhelo, ngaloo ndlela yehlisa uxinzelelo lwegazi.
Ukuhlaselwa sisifo sentliziyo kunokubangela impendulo kwinkqubo yakho yemithambo-luvo, ebangela ukuba intliziyo yakho nawo wonke umzimba wakho uphumle ungalwi ngelixa intliziyo yakho isokola ukugcina igazi lijikeleza. Oku kunokubangela nokudipha kuxinzelelo lwegazi.
Kwelinye icala, iintlungu noxinzelelo oluvela kwintliziyo inokunyusa uxinzelelo lwegazi ngexesha lokuhlaselwa sisifo sentliziyo.
Uxinzelelo lwegazi-ukunciphisa amayeza, anjenge-diuretics okanye i-angiotensin eguqula i-enzyme inhibitors, inokugcina uxinzelelo lwegazi luphantsi ngexesha lokuhlaselwa kwentliziyo, kananjalo.
Imingcipheko yokuhlaselwa yintliziyo
Imingcipheko yokuhlaselwa yintliziyo ibandakanya izinto ezinokutshintsha, ezinje ngobunzima bakho, kunye nezo zingaphaya kolawulo lwakho, ezinje ngeminyaka yakho. Ezinye zeemeko eziqhelekileyo eziphakamisa umngcipheko wokuhlaselwa kwentliziyo zibandakanya:
- ukwaluphala
- ukutyeba kakhulu
- isifo seswekile
- cholesterol ephezulu
- igazi elonyukayo
- ukudumba
- ukutshaya
- ukuhlala phantsi
- Imbali yosapho yesifo sentliziyo
- Imbali yobuqu yesifo sentliziyo okanye ukubetha
- uxinzelelo olulawulwa kakubi
Ngaba ukubetha kwentliziyo yakho kungawubonisa umngcipheko wokuhlaselwa sisifo sentliziyo?
Inqanaba eliphezulu kakhulu okanye eliphantsi kakhulu lentliziyo linokubonisa umngcipheko wokuhlaselwa yintliziyo. Kubantu abaninzi, isantya sentliziyo esingaguquguqukiyo ngaphezulu kwe-100 beats ngomzuzu okanye ngaphantsi kwe-60 beats ngomzuzu kubantu abangafikeleliyo kufuneka sibangele utyelelo kugqirha kuvavanyo lwempilo yentliziyo.
Iimbaleki ezikude kunye nezinye iintlobo zeembaleki zihlala zinezinga eliphantsi lokuphumla kwentliziyo kunye nomthamo ophezulu we-aerobic- ukukwazi kwentliziyo kunye nemiphunga ukuhambisa ioksijini eyoneleyo kwimisipha. Ke, iqondo labo lentliziyo lihlala liphantsi.
Zombini ezi mpawu zinxulunyaniswa nomngcipheko osezantsi wokuhlaselwa sisifo sentliziyo kunye nokufa. Ukuzilolonga rhoqo-njengokuhamba ngokukhawuleza okanye ukubaleka, ukuqubha, ukuhamba ngebhayisikile kunye nezinye izinto ezenza i-aerobic- kunokukunceda ukuthobise ukubetha kwentliziyo yakho kunye nokuphucula amandla akho e-aerobic.
Yise kude
Nangona ukuphumla kwentliziyo ngokukhawuleza kunokuba ngumngcipheko wokuhlaselwa sisifo sentliziyo kwizigulana ezithile, i-myocardial infarction ayisoloko ibonakaliswa yintliziyo ebetha ngokukhawuleza. Ngamanye amaxesha, ukubetha kwentliziyo yakho kunokucotha ngexesha lokuhlaselwa sisifo sentliziyo ngenxa yeengxaki zombane wentliziyo.
Ngokufanayo, uxinzelelo lwegazi lwakho lunokutshintsha okanye alunakutshintsha kakhulu xa uhlaselwa yintliziyo.
Okwangoku, ukugcina ukubetha kwentliziyo okunempilo kunye noxinzelelo lwegazi oluqhelekileyo ngamanyathelo amabini onokuthi ulawule ngokukhetha indlela yokuphila kwaye, ukuba kukho imfuneko, amayeza. La manyathelo anokunceda ukugcina impilo yentliziyo yakho kunye nokunciphisa amathuba okuhlaselwa sisifo sentliziyo.
Inomdla Kwisiza
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