Ukungaphumeleli kwentliziyo yintliziyo yesifo esibangelwa ukusasazeka okubi. Intliziyo ayikwazi ukupompa igazi ngokufanelekileyo, ngoku, ukujikeleza kwe-oksijeni kunye nezondlo kumzimba wonke kuphulwa, umphumo ukuhlaselwa kwegazi. Ukongezelela, ukungaphumeleli kwintliziyo kunokuvusa isifo senhliziyo, isifo senhliziyo, isifo se-lung, imyocarditis, i- rheumatism kunye negazi eliphezulu.
Ukuthintela ukuhluleka kwentliziyo
Izenzo eziphambili zokukhusela zi:
- Ukuzivocavoca kwesimo senhliziyo.
- Ukunciphisa ubunzima obuninzi .
Ukungaphumeleli kwintliziyo kunokubangela uxinzelelo olungakumbi, ngoko kuyimfuneko ukuqeqesha inkqubo ye-cardiovascular system. Kubalulekile ukuba uqeqesho lubekwe kwaye lukhethwe ngabanye.
Kwimeko ezinzileyo, oogqirha bancoma ukuhamba ukuya kwii-20-30 imizuzu 3-5 ngeveki. Enye indlela ukukhwela ibhayisekile imizuzu engama-5 kathathu ngeveki. Nangona kunjalo, ubude bomthwalo bunokumiselwa ngumntu ngokwakhe, into eyimfuneko kuphela kukuba imeko yezempilo ayibubi. Umqondiso wokuqala wokuba umsebenzi ufanele umeke ukubonakala kwe-flashlight.
Ukwahlula kwenhliziyo
Kwimichiza, kukho izigaba ezininzi zokwahluleka kwentliziyo. Kungekudala, ixhaphake kakhulu yinto ephakanyiswe yiNew York Heart Association.
Ngokusekelwe kwizikhombisi ezizimeleyo, iiklasi ezine zokusebenza ziyaziwa:
Ndisebenza kwiklasi - ayinakho ukulinganiselwa kwimisebenzi yomzimba. Umsebenzi wesenzo somzimba awubangeli ukhathala, ubuthathaka, ukuphefumula nokuphefumula.
Iklasi yokusebenza e-II - ukukhawulela umda wokusebenza ngokomzimba. Izigulane eziphumliyo azibonakali naziphi iimpawu zokugula.
Iklasi yokusebenza e-III yinkcitho ecacileyo yokusebenza ngokomzimba. Umthwalo omncinci womzimba ubangela izigulane ukubonisa iimpawu zeklinikhi.
Iklasi esebenzayo ye-IV - umsebenzi omncinci owenziwe ngumzimba ubangela ukungathandeki esifubeni. Iimpawu zibonakaliswe ngumoya ozolileyo, kwaye ukunyanzeliswa komzimba omncinci kunokunyusa iimpawu.
Iimbangela zokuhluleka kwentliziyo
Isizathu esibalulekileyo sokwehluleka kwentliziyo sisiphi na isifo kwindawo yokugula eyenza iphazamise intliziyo. Kwiimeko ezininzi, ukungaphumeleli kwentliziyo ngumphumo wesimo senhliziyo kunye nesifo se-vascular. Ngamanye amaxesha isifo singaba ngumqondiso wokuqala wesifo senhliziyo.
Emva kokuqala koxinzelelo lwegazi, kungathatha ixesha elide ngaphambi kokuba iimpawu zokuqala zeentliziyo zenzeke. Esi sifo sinokunyuka ngokukhawuleza ngokwaneleyo, kaninzi asikho malunga neentsuku kunye neeyure, kodwa malunga nemizuzu. Kwiimeko ezinjalo, umntu unokuthetha ngokungazi kakuhle. Amatyala aseleyo ahlulwa njengento engapheliyo yentliziyo.
Izikhokelo eziphambili zonyango lwenkohlakalo yintliziyo:
- Utyando lwempawu kukupheliswa kweempawu.
- Ukukhuselwa kwezitho ezichaphazelekayo ngokusebenza kakubi kwentliziyo. Ngokuqhelekileyo kukho ingqondo, iintso kunye nemithambo yegazi.
- Ubomi obude bomguli kunye nokuphucula umgangatho wakhe.
Iimpawu zePhepheli yeNtliziyo engapheliyo
Kubantwana, ukungapheliyo okungapheliyo kubonakalisa ukubuyela emuva ekuphuculeni ngokomzimba, ukuphazamiseka kwegazi kunye nokungabi namandla. Ukongezelela, umntwana unokuphazamiseka ngokuphefumla, ukujikeleza kwegazi kunye nokupasa.
Kubantu abadala, ukuhluleka kwentliziyo engapheliyo kuhamba kunye ne-polycythemia kunye ne-acrocyanosis. Kwizigulane zaliphi na ubudala, uphawu oluqhelekileyo luyintsipho yesikhumba.
Kwisigaba sokuqala sokuhluleka okungapheliyo, eso sifo sibonakala kuphela phantsi kwengcinezelo yomzimba. Kwiimigangatho ekupheleni, iimpawu zizinzile kwaye ziyakuboniswa nangona isigulane sithatha isikhundla esingaphakathi, okubangelwa kukuphefumula.
Uncedo lokuqala lokusilela intliziyo
Uncedo lokuqala lokusweleka kwentliziyo kufuneka lujolise ekuphuculeni isivumelwano sokwenza intliziyo. Ukuba ukungaphumeleli kwentliziyo kuhambelana ne-angina, ngoko phantsi kolwimi lwesigulane kuyimfuneko ukubeka ipilisi enye ye-nitroglycerin. Ugqirha, ukubonelela ngoncedo lokuqala, kufuneka usebenzise i-strophanitis, i-korglikon kunye ne-digoxin.
Ukunciphisa i-stagnation yegazi kwimithambo ye-pulmonary, euphyllin iyasebenza. Isiza lingalawulwa nge-intravenously njenge-2.4% isisombululo kunye ne-intramuscularly njengesisombululo se-24%. Ukwandisa i-oksijeni, isigulane sivunyelwe ukuphefumula oksijini. IFurosemide okanye i-novorite ikwaziswa kwakhona.
Indlela yokuphatha ukuhluleka kwentliziyo?
Into ebaluleke kakhulu kunyango lwengqondo engapheliyo kukukhupha isigulane seempawu. Unyango olusetyenzisiweyo kufuneka luhambelane ngokupheleleyo neemfuno ezizimeleyo zesigulane.
Xa unyanga lesi sifo, ezi ndlela zilandelayo zisetyenziswa:
- ukutya;
- indlela yohlobo lomsebenzi;
- ulawulo lwezonyango;
- ukuvuselelwa kwengqondo;
- unyango lweziyobisi;
- unyango, ukwenziwa komatshini kunye ne-electrophysiological.
Kufuneka kukhunjulwe ukuba unyango lwe-heart failure epilisi yinkqubo enzima, njengoko ihlala iquka unyango lwezifo ezihamba nazo.
Unyango lwentliziyo yokwehluleka kwezilwanyana
Ukususela ekupheleni kwekhulu le-18 isisombululo esiluncedo kakhulu sonyango ekwenzeni ukuhluleka kwentliziyo yi-foxglove, ikwabizwa ngokuba yi-digitalitis. Ubuninzi be-digitalis buqulethe into yokuba ichaphazela kuphela intliziyo egulayo kwaye ayinayo impembelelo kwimpilo. Amachiza e-digitalis akwandisa umsebenzi onesivumelwano kunye ne-myocardium, umphumo wale mphulo yonyuka egazini legazi.