Ukuhluleka kwenhliziyo yisifo senhliziyo esibangelwa ukusakazwa okubi. Inhliziyo ayikwazi ukupompa igazi kahle, kulokhu, ukusakazwa kwe-oksijeni nezakhi zomzimba kuwo wonke umzimba kuphulwa, umphumela ukuhlaselwa kwegazi. Ngaphezu kwalokho, ukuhluleka kwenhliziyo kungabangela isifo senhliziyo, isifo senhliziyo, isifo samaphaphu, i-myocarditis, i- rheumatism ne-blood pressure.
Ukuvimbela ukuhluleka kwenhliziyo
Izenzo zokuvimbela eziyinhloko ziyi:
- Ukuzivocavoca kwesimiso senhliziyo.
- Ukunciphisa isisindo esiningi .
Ukuhluleka kwenhliziyo kungabangela ukucindezeleka okukhulu, ngakho-ke kuyadingeka ukuqeqesha isifo senhliziyo. Kubalulekile ukuthi izivivinyo zenziwa futhi zikhethwe ngabanye.
Ezweni elizinzile, odokotela batusa ukuhamba imizuzu engu-20-30 izikhathi ezingu-3-5 ngesonto. Enye indlela ukugibela ibhayisikili imizuzu engama-20 kathathu ngesonto. Kodwa-ke, isikhathi semithwalo singathathwa ngumuntu ngokwakhe, okudingekayo kuphela ukuthi isimo sempilo asibi kakhulu. Isibonakaliso sokuqala sokuthi umsebenzi kufanele umeke ukubonakala kwe-sniffle yokukhanya.
Ukuhlukaniswa kokuhluleka kwenhliziyo
Kuzokwelapha, kunezinhlawulo eziningana zokuhluleka kwenhliziyo. Muva nje, okusabalalisa kakhulu yilo elihlongozwa yiNew York Heart Association.
Ngesisekelo sezinkomba ezizimele, amakilasi amane asebenzayo ahlukaniswa:
Ngisebenza ekilasini - ayikho imikhawulo emisebenzini yomzimba. Umsebenzi wokuzilolonga ongokwenyama awubangeli ukukhathala, ubuthakathaka, ukuphefumula nokuphefumula.
Isigaba sokusebenza esingu-II - ukuvinjelwa kwemithwalo yomzimba. Iziguli eziphumule azibonisi izimpawu zokugula.
Isigaba sokusebenza esingu-III yisilinganiso esicacile sokusebenza ngokomzimba. Umthwalo omncane omzimba ubangela iziguli ukuba zibonise izimpawu zomtholampilo.
Isigaba se-IV sokusebenza - umsebenzi omncane ongokomzimba obangela ukungathandeki esifubeni. Izimpawu zibonakala ngisho nasesimweni sokuzola, futhi ukuzikhandla okuncane ngokomzimba kungacindezela izimpawu.
Izimbangela zokuhluleka kwenhliziyo
Isizathu esiyinhloko sokuhluleka kwenhliziyo yisiphi isifo esimweni sokugula esingaphazamisa inhliziyo. Ezimweni eziningi, ukwehluleka kwenhliziyo kuwumphumela wemvelo wenhliziyo nesifo se-vascular. Ngezinye izikhathi lesi sifo singaba yisignali sokuqala yesifo senhliziyo esibi.
Ngemuva kokuqala kokushisa komfutho wegazi, kungathatha isikhathi eside ngaphambi kokuba izimpawu zokuqala zenhliziyo zivele. Lesi sifo singathuthuka ngokushesha ngokwanele, kaningi kungabi ngisho nezinsuku namahora, kodwa ngamaminithi. Ezimweni ezinjalo, umuntu angakhuluma ngokuntuleka okunamandla. Amacala asele ahlukaniswa njengokuhluleka kwenhliziyo okungapheli.
Izikhombisi-ndlela eziyinhloko zokuphathwa kwehluleka kwenhliziyo yizi:
- Ukwelashwa okuyisimangaliso ukuqedwa kwezimpawu.
- Ukuvikelwa kwezitho ezithinteka kakhulu ukusebenza okungalungile kwenhliziyo. Ngokuvamile kaningi ubuchopho, izinso nemithambo yegazi.
- Ukuphila isikhathi eside kwesiguli nokuthuthukisa ikhwalithi yakhe.
Izimpawu Zokuhluleka Kwezinhliziyo Zengapheli
Ezinganeni, ukungapheli okungapheli kubonakala njengokubuyela emuva ekuthuthukiseni ngokomzimba, i-anemia nokuntuleka kwesisindo. Ngaphezu kwalokho, ingane ingaphazanyiswa ukuphefumula kwegazi, okuphakathi nendawo.
Kubantu abadala, ukwehluleka kwenhliziyo okungapheli kuhambisana ne-polycythemia ne-acrocyanosis. Kuziguli zanoma yisiphi ubudala, uphawu oluvamile luyisigqoko sesikhumba.
Esikhathini sokuqala sokuhluleka okungapheli, lesi sifo sibonakala kuphela ngaphansi kokucindezeleka ngokomzimba. Ekugcineni, izimpawu zizinzile futhi zingabonakaliswa ngisho nalapho isiguli sithatha isikhundla esingezansi, okubangelwa ukuphefumula.
Usizo lokuqala lokuhluleka kwenhliziyo
Usizo lokuqala lokuhluleka kwenhliziyo kumele luhloswe ekuthuthukiseni isivumelwano senhliziyo. Uma ukwehluleka kwenhliziyo kuhlotshaniswa ne-angina, khona-ke ngaphansi kolimi lwesiguli kuyadingeka ukuthi ufake i-tablet eyodwa ye-nitroglycerin. Udokotela, enikeza usizo lokuqala, kufanele asebenzise i-strophanitis, i-korglikon ne-digoxin.
Ukuze unciphise ukuqhuma kwegazi emithonjeni ye-pulmonary, uphyphyin isebenza kahle. Isidakamizwa singasetshenziswa ngendlela eyiyo njengesixazululo se-2.4% kanye ne-intramuscularly njengesisombululo se-24%. Ukuze ukwandise oksijeni, isiguli sivumelekile ukuphefumula oksijini omanzi. I-Furosemide noma i-novorite nayo yaziswa.
Indlela yokuphatha ukuhluleka kwenhliziyo?
Into ebaluleke kakhulu ekwelapheni ukuhluleka kwenhliziyo okungapheli ukukhulula isiguli sezimpawu. Ukwelashwa okusetshenzisiwe kufanele kuhambelane ngokugcwele nezidingo ezithintekayo zesiguli.
Lapho uphatha lesi sifo, izindlela ezilandelayo zisetshenziswa:
- ukudla;
- Imodi ngayinye yomsebenzi womzimba;
- ukulawulwa kwezokwelapha;
- ukuvuselelwa kwengqondo;
- ukuphathwa kwezidakamizwa;
- ukwelashwa, umshini kanye ne-electrophysiological.
Kufanele kukhunjulwe ukuthi ukwelashwa kwenhliziyo ehlulekayo kuyinkimbinkimbi, njengoba kuhilela ukuphathwa kwezifo ezihambisanayo.
Ukwelashwa kwamakhambi omuntu wehluleka kwenhliziyo
Kusukela ekupheleni kwekhulu le-18 ikhambi labantu eliphumelela kakhulu ekuphulukiseni ukuhluleka kwenhliziyo yi-foxglove, libizwa nangokuthi i-digitalitis. Ukucaca kwe-digitalis kuqukethe ukuthi kuthinta kuphela inhliziyo egulayo futhi ayinayo impumelelo kumuntu onempilo. Izidakamizwa ze-digitalis zandisa umsebenzi wokusebenza we-myocardium, umphumela wale mphumela yilapho inani elikhulisiwe legazi elikhishwe.