Ungayichonga njani kwaye uyiphathe njani i-myocardial infarction

Umxholo

• Indlela yokuchonga
• Zintoni izizathu
• Unyango lwenziwa njani
• Indlela yokukhusela ukuhlaselwa yintliziyo

I-infarction ye-myocardial infute, okanye isifo sentliziyo, senzeka xa ukusilela kwegazi entliziyweni kubangela ukonakala kwizicubu zakho. Le meko yaziwa ngokuba yi-ischemia, kwaye ibangela iimpawu ezinje ngesifuba esiqaqambisa iingalo, ukongeza kwisicaphucaphu, ukubila okubandayo, ukudinwa, ukubola, phakathi kwabanye.

Ngokubanzi, infarction yenzeka ngenxa yokuqokelelwa kwamacwecwe amanqatha ngaphakathi kwimithambo yegazi, eyenzeka zombini ngenxa yemfuza, kunye nemingcipheko yokutshaya, ukutyeba kakhulu, ukutya okungalinganiyo kunye nokungasebenzi komzimba, umzekelo. Unyango lwayo luboniswa ngugqirha, kwaye lubandakanya ukusetyenziswa kwamayeza okubuyisela ukujikeleza kwentliziyo, njenge-AAS, kwaye ngamanye amaxesha, utyando lwentliziyo.

Phambi kweempawu ezibonisa ukuhlaselwa yintliziyo, okuhlala ngaphezulu kwemizuzu engama-20, kubalulekile ukuba uye kwigumbi likaxakeka okanye utsalele i-SAMU, kuba le meko inokubangela ukuba umntu ahlaselwe sisifo sentliziyo, okanye akhokelele ekufeni, ukuba abenzi njalo. ihlangulwa ngokukhawuleza. Ukuzibona ngokukhawuleza iimpawu zesifo sentliziyo, kunye neenkcukacha kwabasetyhini, abancinci nabadala, jonga iimpawu zesifo sentliziyo.

Indlela yokuchonga

Iimpawu eziphambili ze-infarction zi:

• Ubuhlungu kwicala lasekhohlo lesifuba ngohlobo lokuqina, okanye "uxinzelelo", olukhupha njengobundindisholo okanye iintlungu kwingalo yasekhohlo okanye engalweni yasekunene, entanyeni, emqolo okanye esilevini;
• Ubumhlophe (ubuso obumhlophe);
• Ziva gula;
• Ukubila okubandayo;
• Ukuba nesiyezi.

Ezinye iimpawu zangaphambili, ezingaqhelekanga kangako, ezinokubonisa ukuba uhlaselwa sisifo sentliziyo kwabanye abantu zezi:

• Intlungu yesisu, ngohlobo lokuqina okanye ukutshisa okanye ngokungathi kukho ubunzima emntwini;
• Umqolo obuhlungu;
• Ukutshisa imvakalelo kwenye yeengalo okanye umhlathi;
• Ukuziva kwegesi esiswini;
• Ziva gula;
• Malaise;
• Ukuphefumla okufutshane;
• Ukufa isiqaqa.

Ezi mpawu zihlala ziqala ngokuthe chu, kwaye ngokuthe ngcembe ziya zisiba mbi, zihlala ngaphezulu kwemizuzu engama-20. Nangona kunjalo, kwezinye iimeko, i-infarction inokwenzeka ngesiquphe, ngokukhawuleza okukrakra, imeko eyaziwa njenge-infinant infarction. Yazi ukuba yintoni unobangela kunye nendlela yokuchonga ukungafezeki okugcweleyo.

Ukuxilongwa kunokuqinisekiswa ngugqirha kwimbali yesigulana kunye neemvavanyo ezinje nge-electrocardiogram, idosi ye-enzyme yentliziyo kunye ne-catheterization kwisibhedlele.

Zintoni izizathu

Uninzi lwexesha, unobangela wesifo kukuthintelwa kokuhamba kwegazi kuye entliziyweni, ngenxa yokufumba kwamafutha kwimithambo, okanye ngenxa:

• Uxinzelelo kunye nokucaphuka;
• Ukutshaya -Umsebenzi,
• Ukusetyenziswa kweziyobisi ezingekho mthethweni;
• Kubanda kakhulu;
• Intlungu egqithisileyo.

Eminye yemingcipheko eyonyusa amathuba okuba nesifo sentliziyo zezi:

• Imbali yosapho yesifo sentliziyo okanye isifo sentliziyo;
• Ukuhlaselwa sisifo sentliziyo ngaphambili;
• Ukutshaya okusebenzayo okanye okwenziwa nje;
• Uxinzelelo oluphezulu;
• I-LDL ephezulu okanye i-cholesterol esezantsi ye-HDL;
• Ukutyeba kakhulu;
• Indlela yokuphila;
• Seswekile.

Inqaku losapho, xa umntu enesihlobo esisondeleyo njengotata, umama, utatomkhulu okanye umntakwabo onesifo sentliziyo, kubaluleke kakhulu.

Sebenzisa ikhalityhuleyitha engezantsi kwaye ufumanise ukuba umngcipheko wokuhlaselwa sisifo sentliziyo nguni:

Unyango lwenziwa njani

Unyango lwe-infarction lwenziwa esibhedlele, kusetyenziswa isigqumathelo seoksijini okanye umoya wokungenisa umoya, ukuze isigulana siphefumle ngokulula, kunye nolawulo lwamayeza aliqela, aboniswe ngugqirha, anje ngee-anti-platelet aggregators, i-aspirin , ii-anticoagulants ze-venous, i-ACE inhibitors kunye ne-beta-blockers, ii-statins, iipilisi zentlungu ezomeleleyo, iitrate, ezisebenza ngokuzama ukumisela indlela yegazi eliya entliziyweni.

Unyango lufuna ukuzinzisa imeko, ukunciphisa iintlungu, ukunciphisa ubungakanani bendawo echaphazelekayo, ukunciphisa iingxaki zasemva kokubeleka kwaye kubandakanya ukhathalelo ngokubanzi njengokuphumla, ukubeka esweni isifo kunye nokusetyenziswa kwamayeza. Ukuphelisa i-catheterization ngokukhawuleza okanye i-angioplasty kunokuba yimfuneko, kuxhomekeke kuhlobo lwe-infarction. Olu catheterization luchaza inqanawa evaliweyo kunye nokuba unyango lokugqibela luya kuba yi-angioplasty okanye uqhaqho lwentliziyo lokubeka iibhlorho.

Fumana iinkcukacha ezithe vetshe malunga nokhetho kunyango lwentliziyo, kunye namayeza okanye uqhaqho.

Njengoko unyango kufuneka lwenziwe esibhedlele, nje ukuba kuvele iimpawu zokuqala kubalulekile ukuba ubize i-SAMU kwangoko, kwaye ukuba kukho ukulahleka kwengqondo kubalulekile ukuba ube nokuthanjiswa kwentliziyo kude kufike uncedo lwezonyango. Funda indlela yokwenza umthambo wentliziyo kunye nomongikazi uManuel ngokubukela ividiyo:

Indlela yokukhusela ukuhlaselwa yintliziyo

Abahlali ababi ukonyusa amathuba ezifo zentliziyo, ezinje ngokubetha okanye ukubetha, ziindlela zokuphila ezingalunganga, ezinoxanduva lokuqokelelwa kwamanqatha ngaphakathi kweenqanawa. Ke, ukuthintela isifo sentliziyo, kufuneka:

• Gcina ubunzima obaneleyo, ugweme ukukhuluphala;
• Ziqhelanise nemisebenzi yomzimba rhoqo, ubuncinci ama-3 ngeveki;
• Musa ukutshaya;
• Lawula uxinzelelo lwegazi oluphezulu ngamayeza ayalelwa ngugqirha;
• Ukulawula i-cholesterol, ngokutya okanye ukusebenzisa amayeza akhokelwa ngugqirha;
• Nyanga isifo seswekile ngokuchanekileyo;
• Thintela uxinzelelo kunye noxinzelelo;
• Kulumkele ukusela utywala ngokugqithisileyo.

Ukongeza, kuyacetyiswa ukwenza Jonga rhoqo, ubuncinci kube kanye ngonyaka, kunye nogqirha okanye ugqirha wentliziyo, ukuze umngcipheko wobuchwephesha ubhaqwe ngokukhawuleza, kwaye kubonelelwe ngezikhokelo ezinokuphucula impilo kunye nokunciphisa umngcipheko.

Jonga ezona mvavanyo ziphambili zinokwenziwa ukuvavanya impilo yentliziyo.

Bukela le vidiyo ilandelayo kwaye wazi ukuba ungatya ntoni ukuthintela ukubanjwa sisifo sentliziyo: