Iqhosha olubanzi: iziqhamo, amathuba okusinda, ukuvuselelwa yamadoda kunye namakhosikazi

Izifo nemithambo yegazi eziphezu kwindawo yokuqala phakathi ezibangela ukufa. Phakathi kwabo enye ezimbi ezinkulu kuthathwa ukuba iposi engabalulekanga, nto leyo ngokufuthi ekhokelela ekufeni ngaphambi kwexesha. Kubalulekile ukunika uncedo lokuqala, ukususela oku kudla kuxhomekeka ukuba kukho ndamelwa yintliziyo omkhulu, iziphumo, amathuba okuphila kunye nokuvuselelwa.

Yintoni na iposi engabalulekanga

Kule meko kukho ukuphazamiseka wegazi ubonelelo imisipha intliziyo, nto leyo ekhokelela kuphuhliso neziphumo vuhlayiseki. ukungabikho Acute ioksijini ayinako le ndebe ukudlula ngaphandle utshintsho kubume kunye nokusebenza komzimba.

Ngeli yokopha nasezintliziyweni kubonakala necrotic iindawo, apho kamva abayi kukwazi ukwenza yayo imisebenzi ngokupheleleyo. Ngaba kakhulu sina enkulu yesifo sentliziyo iziphumo, amathuba okuphila zixhomekeke ngokupheleleyo ukufaneleka uncedo kwixhoba kuqala. Emva yesifo sentliziyo intliziyo izihlunu abachaphazelekayo iiseli indawo kwizicwili, enqamla kakhulu ukukwazi intliziyo ukuncipha.

Ukuba uyakholwa manani, ilizwe lethu liye ukuxhaphaka lesibini ngokuphakama nesifo sentliziyo. Kwakhona kuyenzeka ukuba uthathe ingqalelo ezi zibakala zilandelayo:

• Phantse 40% zokusweleka ngaphambi kwexesha zibangelwa iposi engabalulekanga.
• Ukuba izehlo kakhulu engabalulekanga asinde% 17 kuphela kwizigulane.
• Ngowe-11% ezigulane ibuye amatyala abantu ngezifo.

Kufuneka kuqatshelwe ukuba abantu abaphakathi kweminyaka engama 45 ne 50 kungenzeka kakhulu ubunzima kwesi sifo. Kweli xesha female yomzimba umkhuseli njengezenzo estrogen, kodwa ku-70 iminyaka yayo yophuhliso zokumisa ngokupheleleyo kunye nokwanda ubungozi bentliziyo kuhlaselwa nemazi ingxenye yesintu.

Akukho Heart Centre akakwazi kwandisa lokufunyaniswa "wamelwa inhliziyo" amathuba okusinda ukuba isibini sokuqala iiyure ayiboneleli uncedo ingcali kwixhoba.

Izinto ezibangela ukuhlaselwa yintliziyo

Oyena nobangela sisifo sentliziyo - na umonakalo iindonga ezincinane umonakalo atherosclerotic eziphazamisana nokuhamba kwegazi. Oku kwenzeka ezimbi zilandelayo:

1. Yamafutha iimpahla coronary. Ukuba nebhodi ufikelela ubukhulu becala, usenokucima ngokupheleleyo mithambo benqanawa.
2. uxinzelelo lwegazi ophakamileyo, nto leyo ekhokelela ekubeni ukwanda ngethoni nemithambo kunye ukuqina iindonga. Kwaye ukuba siphethe ubukho umonakalo sibuphethe ngezitya yegazi, nokulatyuza xi elandelayo kunokubangela iqhosha olubanzi. Iziphumo, amathuba okusinda, kwimeko yesiqhelo liya kuxhomekeka izinga uncedo.
3. Amafutha Embolism nayo ekuba thrombosis.
4. occlusion zoqhaqho nempahla, ukuba angioplasty kuqhutywa.

ubungozi

Hayi kuphela izifo ezidweliswe neemeko kunokubangela uphuhliso ndamelwa yintliziyo, kodwa kusenokwenzeka ukuba igama nje izinto ezimbi ezimbalwa kwandisa ingozi izihlandlo ezininzi:

• Seswekile uyakwazi ukuba ezingathanga ngqo wahlaselwa yintliziyo. Kumanqanaba ephakamileyo igazi glucose ukutya aphulwe, nto leyo inokukhokelela inkangeleko sclerotic umonakalo nasezimpahleni.
• Xa ngoontanga yintliziyo yokuhlaselwa lunokwenzeka ngenxa yemfuza sifuze.
• isifo sezintso.
• Ukunyhashwa yokutya.
• ubunzima ngokugqithiseleyo.
• umsebenzi Low emzimbeni.
• Ukutshaya, ayisebenzi nje kuphela kodwa kwisixando sokwenziwa. Xa kutshaywa kukho spasm kwemithambo yegazi, nto leyo ekhokelela ekubeni Intlenge zegazi ukuba Ibhodi, ngokuhamba kwexesha, oku kunokukhokelela ukufana epheleleyo sayo isitya.
• ukuselwa rhoqo utywala ikhokelela amanxeba ezinetyhefu kwemisipha intliziyo imithambo yegazi, ukunyusa uxinzelelo lwegazi, nto leyo ithetha ukuba isifo sentliziyo sele kusondele.
• stress rhoqo kunye chronic fatigue.
• umthambo kakhulu akakwazi abonwe ukuba intliziyo.
• Rheumatism, leyo libamba nodonga intliziyo.
• izifo ezosulelayo, ingakumbi abo ekucaphukisayo yi staphylococci kunye streptococci.
• amafutha.
• Le xi aphezulu triglycerides egazini.
• ungubani ngokwesondo: ukuba lufumanise ukuba amadoda kungenzeka isifo sentliziyo kuphuhliswa ngakumbi.
• iimeko zokusingqongileyo Poor.

Ukuba sicinga ukuba amaninzi ingabonwa indibaniselwano ubungozi eziliqela, akumangalisi ukuba inani elikhulu enjalo kwabemi uphuhlisa enkulu yesifo sentliziyo yintliziyo. Iziphumo, amathuba okusinda, kwimeko yesiqhelo liya kuxoxwe kamva.

Amaxesha isifo sentliziyo

Iimpawu zesi sifo iya kuxhomekeka eqongeni uphuhliso, yaye ezininzi zazo bodwa:

• PIs.
• Ithuba abukhali.
• Sharp.
• Subacute.
• Postinfarction.

Kubalulekile ukwahlula phakathi la maxesha kunye, ukubonelela ngexesha uncedo eyimfuneko umntu.

Iimpawu ze-PIs

Imiphumo yesifo sentliziyo omkhulu kusenokungabikho eyoyikisayo ngoko ukuba ukuqonda indlela lomnye nqanaba elandulela imeko iqhosha. Eli xesha luphawulwa mpawu zilandelayo:

• Kukho iintlungu esifubeni, leyo ukuze intensities ezahlukeneyo yaye stoped uthatha "Nitroglycerin".
• Ukuphelelwa umoya.
• ukubila kakhulu.
• nokuphazamiseka Heart isingqisho.
• Isicaphucaphu.
• nayiphi na intlungu amandla omzimba Xa kuphela enomfutho.
• Ukuba wenza electrocardiogram, oko kuya kubonisa ukuphazamiseka ngegazi ubonelelo imisipha intliziyo ngeli thuba.

Ukuba ixesha lokuba uhlawule ingqalelo ezi mpawu, unako ukuthintela ukuhlaselwa yintliziyo omkhulu (iziphumo). Amathuba okusinda (yesiqhelo akukho mfuneko ixesha elide) liya kuba phezulu.

Symptomatology period yayiyazi

Ukuba imeko iqhosha eyandulela nobuhlala ixesha elide, maxa wambi inyanga, ixesha sharpest yokukhula ngokukhawuleza ngokwaneleyo. Lubonakala ngokubonakala ezi mpawu zilandelayo:

• Burning buhlungu isifuba, ibonakala ukuba ekhohlo isiqingatha yomzimba.
• ukwehlisa uxinzelelo lwegazi.
• Arrhythmia.
• Ukuphefumla uba ngakanye.
• Kwesikhumba, izenzo umbilo abandayo kuba luthuthu.
• Umntu angalahlekelwa abazi lutho.
• Ukuba inxalenye uchaphazelekayo womGaqo-umva intliziyo, u nga va isicaphucaphu, iintlungu esiswini.
• Kukho ukoyika ukufa.

Inqanaba etsolo ngazo iimpawu Nedlac:

• Ezikwenza umoya.
• a khohlo.
• syndrome Edematous.
• Kukho iimpawu ischemia lobuchopho.

Kwezinye iimeko, iimpawu angase kakhulu kunxitywe. Le meko unokuthatha ukuya kwiiyure ezimbini. Ukuba kweli nqanaba Ungakuphepha ayiphumelelanga, oko kuya kubangela ezinye imiphumela emibi ndamelwa yintliziyo omkhulu. Amathuba okusinda (kwimeko yesiqhelo liya kufuna ukuba zonke izigulane ezifana) iya kuba baxhomekeke ngokupheleleyo unyango abafanelekayo.

Ithuba yayiyazi lwesifo

Kwiintsuku ezimbalwa emva kohlaselo; kukho ixesha yayiyazi. Emva intliziyo omkhulu iimpawu ukuhlasela na indawo elandelayo:

• ngcembe Intlungu kunciphisa ngegalelo lako.
• Yabumba necrotic Intliziyo nesabelo.
• uxinzelelo yegazi eyonyukileyo kunye iqondo lobushushu emzimbeni.
• Oku kubangela rhythm intliziyo.
• Ukuphelelwa umoya.

Kwiveki emva kokuba hlaselo ixesha subacute, esibonakala kukungabikho intlungu, kuqheleke izinga lentliziyo kunye noxinzelelo lwegazi. Ngesakhiwo entliziyweni izihlunu necrosis ngokuthe indawo amabala kwithishyu.

Xa postinfarction ixesha, yaye zinokuhlala ukuya kwiinyanga ezintandathu, intliziyo ngokuthe ngcembe nokuchuma nokuhlala kwiimeko ezintsha zokusebenza, ukuphuhlisa iindlela zembuyekezo. Isigulane bangafumana nokuthandwa angina, ukuphelelwa umoya kwaye maxa wambi uphazamiseke isingqi intliziyo.

uncedo lokuqala engabalulekanga

iziphumo olubanzi engabalulekanga banokuba kumanqanaba angafaniyo yokuntsonkotha, konke oko kuxhomekeke kubonelelwe zoncedo lokuqala. Kungakhathaliseki ukuba uhlobo ngezifo, ixhoba kufuneka ngokukhawuleza ukunika uncedo lokuqala phambi kokufika neqela lonyango:

1. Isigulana kufuneka alinywe okanye sicinywa kunye neentungo wawa emadolweni.
2. Ukuqinisekisa unikezelo umoya, kuba le yomqala evulekileyo, susa iqhina okanye ukuvula i window.
3. tablet Sublingual ku "nitroglycerin".
4. Xa engekho aleji "aspirin" uyakwazi zetyisa emithi Imali ukuya mg 300.
5. Ukuba isigulana zingqondweni, kuyimfuneko ukuba uyivule ngecala kwaye itshintshe intloko umva.
6. Kufuneka ukwenza compressions esifubeni xa kukho ngayo ayeke.
7. Zama ukubazolisa isigulane, ukwesaba kwimeko enjalo asinto nomncedisi.

Emva ukunceda kusiwa ixhoba ukuya esibhedlele okanye ulinde ambulensi ukufika.

Iintshukumo amaqembu ambulensi

Ngoko nangoko emva kokufika oogqirha ambulensi aqale cupping, kuba oku:

• amachiza asetyenziswa.
• Ukuba isigulane sele kakuhle ukuphefumla, ngoko isicelo i imaski ioksijini.
• Ukususa isigulane excitation omnika nadlamkisayo.
• Ukuze uqinisekise uxilongo, kanye le ambulensi wenza cardiogram.
• Nomonde weza esibhedlele, kuxhomekeke kwisimo sazo lungaba labagula okanye iyunithi labagula kakhulu.

Unyango ngenxa yesifo sentliziyo omkhulu

Unyango isifo sentliziyo kufuneka kwenziwa kuphela kwisebe zentliziyo. Eyona Umsebenzi oogqirha:

1. Okudambisa ubuhlungu.
2. Ukunciphisa indawo izilonda necrotic.
3. Ukuze ukubuyisela igazi kwemali eqhelekileyo imisipha intliziyo.
4. Ukunciphisa ubungozi egazi.
5. Buyisela iingxaki rhythm intliziyo.
6. Hlala uxinzelelo lwegazi kwinqanaba eqhelekileyo.

Amachiza zilandelayo lalathelwe ukuphunyezwa kwale misebenzi:

1. Okudambisa ubuhlungu kwisigaba etsolo ukuba usebenzisa ntlungu ezidakumbisayo, zibandakanya "icaffeine", "Promedol". La machiza zilawulwa yegazi ngenxa yoncedo ekuqaleni intlungu.
2. Ukukhulula excitability umbefu tranquillizers ukutya eboniswe ( "Diazepam" "i").
3. unyango Thrombolytic, nto leyo equka kunokwamkela "alteplase," "Fiboinolizina". Ezi mali iqhawulwa igazi egazi, kuphungula ubukhulu engabalulekanga necrosis.
4. Ukwamkela anticoagulants, eziphambili phakathi ethi "aspirin".
5. Eyabelwe inhibitors ACE anqanda umsebenzi intliziyo, uxinzelelo nganye ezinga malungu abantu ngokuthi mithambo imithambo yegazi. Eli qela libandakanya "Captopril", "Ranipril".
6. Kuba unyango lwe arrhythmia eboniswe cardioprotectors ukwamkelwa (umz: "Atenolol", "propranolol").

Ukuba iyeza engazisi isiqabu kwisigulana, kuya kufuneka ukuba bangabheneli uqhaqho.

Ukufumana emva yesifo sentliziyo

Abantu abaninzi bayazibuza: zingaphi aphile emva wahlaselwa yintliziyo omkhulu? Impendulo iya kuxhomekeka nje kuphela unyango kodwa efanelekileyo nokubuyiselwa kwimo yesiqhelo. Kweli xesha emva yokuhlaselwa isifo sentliziyo kubalulekile kakhulu ukuba ukubuyisa nje ngokomzimba kuphela kodwa ngengqondo. Isigulane emiselweyo ukuyifundisa, kodwa kufuneka kujongana nayo, rhoqo esweni ubume. imisebenzi ethile ayincedi ukubuyisela inkqubo sentliziyo, kodwa nemiphumo emihle:

• Ukuhamba.
• Umyalezo.
• emachibini ngamayeza nokunyanga.

Ukuba wahlaselwa yintliziyo enkulu, kwimo ithetha kuhlaziywe ekutyeni. Ukuba kufuneka ibandakanye ukutya ezenza kube yinto umsebenzi intliziyo:

• kwemifuno kunye neziqhamo.
• Isonka.
• Ayo.
• Kashi.

Products ngaphandle kwi menu ukuba bawaphikise ukuyilwa umonakalo sclerotic nasezimpahleni:

• izitya Fat.
• Kombani.
• Iisoseji.
• Ibhotolo kunye cream ezimuncu.
• cottage cheese Fat.

Ukuba isigulane iye wahlaselwa yintliziyo enkulu, live zingaphi emva sifo kuya kuxhomekeka ekuthotyelweni zonke izindululo gqirha khona. Isigulane kufuneka kwakhona indlela yabo yokuphila;

1. Kufuneka uye kulo imikhwa ezidlulileyo emibi, ezifana nokutshaya kunye notywala ukutyiwa.
2. Nciphisa umzimba.
3. Ziphephe iimeko ezixinezelayo.
4. Thatha uhambe esemsebenzini na imozulu.
5. Phuza imithi zinqande ukuyilwa umonakalo egazini nempahla. Mhlawumbi, a ubomi imfuneko ukusebenzisa iyeza ku nga kushiya likakade.

kuhle kakhulu, ukuba unalo ithuba lokuba bangenele yesiqhelo kwikhaya lokonga ezizodwa.

Imiphumo ngenxa yesifo sentliziyo

Ukuba bekukho ndamelwa yintliziyo enkulu, ke, njengoko umthetho, imiphumela emibi kwizigulane:

• Arrhythmia.
• Thrombus uluhlu nemithambo yegazi.
• Izitenxo waphawula kumsebenzi nezibilini abaninzi.
• nemilenze sikhatyiwe.
• Uyakwazi ukubukela kwintetho sifo.
• Enye imiphumela emibi kwemithambo ezesifuba thromboembolism.
• nokudumba miphungeni.
• ukusilela Heart.
• yashiya Cardiogenic.
• Ukophulwa kwalo msebenzi sokuphefumla.
• zokuma.

Ngandlel iyaluthintela uphuhliso ezinkulu ezinobuzaza xa be ukuthotyelwa zonke iingcebiso logqirha, ngokunjalo notshintsho yabo yokuphila kunye nesimo ukuba zabo zempilo.

Uthintelo yokuhlaselwa sentliziyo

Iyaluthintela uphuhliso yokuhlaselwa isifo senhliziyo, ukuba ngenyameko malunga nempilo yabo kunye nokuthintela ukuyilwa umonakalo sclerotic kwimikhumbi yegazi. Ukuza kuthi ga ngoku, ezi zikhokelo zilandelayo kufuneka iqalwe:

• Quka e ezityiwa ngakumbi epholileyo iziqhamo nemifuno equlethe nefayibha.
• Ukunciphisa ukusetyenziswa ezityebileyo, etshaya kunye nokutya eqhotsiweyo.
• Khokela yokuphila esempilweni.
• Kuba ekuthinteleni ubuchule xi okuphumla ukulufunda.
• Lawula izinga eswekile yegazi kunye cholesterol.
• isifo esinganyangekiyo baphathwa.
• Dibana nogqirha wakho xa isahlakalo yokuhlaselwa angina.

iposi engabalulekanga - isifo kakhulu kwentliziyo ezinokukhokelela ekufeni, kodwa zonke isigulane kuxhomekeke kwizindululo zonyango na ukuthintela oku kwizifo ezoyikekayo.