Ukufumana isibetho sokuwa yenye yezinto ezibuhlungu abantu abaninzi abadlula kuzo.La maxesha ashiya impembelelo enamandla kubomi bomntu kwaye inokuchaphazela ingqondo yakhe kunye nemeko jikelele. Ndaba namava aquka ukuwa, yaye ebudeni beli nqaku ndiza kwabelana nani ngezibakala zalo nempembelelo yalo kum.
Yintoni ukubetha?
Ibethi eyehlayo sisingqi sentliziyo esibangela ukuva isingqi esithe chatha entliziyweni. Ukubetha kwentliziyo okuwisayo kuthetha ukuba ukubetha kwentliziyo kwahluka kwisingqi esiqhelekileyo kunye nesiqhelo, kwaye oku kubetha kwenzeka ngendlela eyahlukileyo yesandi kunye neemvakalelo kunezo zibetha eziqhelekileyo. Le meko ngamanye amaxesha iyingozi kwaye idinga ukuxilongwa ngokukhawuleza kunye nonyango olufanelekileyo. I-stroke ehlayo inokubangelwa ziingxaki ezithile zempilo ezichaphazela intliziyo okanye ezinye iindawo emzimbeni, nto leyo efuna ingcebiso yezonyango ngoko nangoko xa uziva naziphi na iimpawu ezingaqhelekanga. Akufanele ungayihoyi nayiphi na imvakalelo engaqhelekanga entliziyweni okanye ukunyuka okubukhali okanye ukuncipha kwentliziyo, kwaye uye kugqirha ngokukhawuleza.
Iimpawu zesibetho esiwileyo
I-Stroke sisifo sentliziyo esixhaphakileyo esenzeka kumaqela obudala aliqela, kwaye sibonakala ngesiquphe kwabo bachaphazelekayo ngaphandle kwesilumkiso. Uphawu oluqhelekileyo lokuhlaselwa yintliziyo kukuva ukubetha kwentliziyo okwandileyo kunesiqhelo, okwenzeka izihlandlo eziliqela ngemini, kwaye kunokufikelela amaxesha angaphezu kwama-30 ngosuku, ngakumbi emva kokutya okanye ukusela.Ngoko ke, abo bachaphazelekayo kufuneka balumke kwaye baye ugqirha oyingcali kwiimviwo kunye nokuxilongwa ngokuchanekileyo kwimeko yabo. Ukutshona phantsi kunokukhatshwa zezinye iimpawu eziliqela, ezifana nokuba nesiyezi, isicaphucaphu, ukuziva udiniwe, nokudinwa, yaye oku kunokubonisa iingxaki zentliziyo. Ngoko ke, kucetyiswa ukuba undwendwele ugqirha wakho ukuba kukho naziphi na ezi zimpawu ezingaqhelekanga zivela.
Imiba yomngcipheko eyayanyaniswa nesibetho esiwileyo
I-drop beat ithathwa njengomcimbi wezonyango onxulumene neengxaki zentliziyo, kwaye ihambelana nokubonakala kweempembelelo ezongezelelweyo ezisasaza umsebenzi oqhelekileyo wombane entliziyweni, kwaye ngaloo ndlela ichaphazela isigqi sendalo sentliziyo kunye nesigqi. Izinto ezibangela isistroke zizinto ezichaphazela ukusebenza kwentliziyo kwaye ziyenze isebenze ngendlela engaqhelekanga, kwaye ezi ziquka ukuqokelelana kwe-cholesterol emithanjeni, ukutshaya, uxinzelelo lwegazi, ukungondleki, ukungazilolongi rhoqo, ukutyeba. , iswekile ephezulu yegazi, kunye noxinzelelo kunye nokuxhalaba. Ngoko ke, kubalulekile ukuqinisekisa ukulandelwa rhoqo kwezonyango, ukufumana unyango olufanelekileyo, kwaye ulandele indlela yokuphila enempilo ukukhusela ukulimala ekuweni.
Indlela yokuxilonga isibetho esiwileyo kwaye zeziphi iimvavanyo ezifunekayo?
Ukuxilongwa kwe-drop stroke kubaluleke kakhulu ukugcina impilo yentliziyo kunye nenkqubo yokujikeleza komzimba. I-drop stroke inokufunyaniswa ngeemvavanyo ezininzi, kuquka i-EKG, iimvavanyo zegazi, ii-X-rays, kunye ne-MRI. I-Electrocardiogram inika umfanekiso ocacileyo womsebenzi wentliziyo kwaye inokubona nakuphi na ukuphazamiseka kwisigqi sentliziyo. Ngelixa iimvavanyo zegazi zibonisa iimpawu zomonakalo wemisipha yenhliziyo. Xa kurhanelwa ukuba unentliziyo enkulu, iiX-reyi kunye neMRI nazo zisenokusetyenziswa ukujonga oku. Ukuxilongwa kwe-drop stroke kubaluleke kakhulu ukumisela isicwangciso sonyango esilungileyo, njengoko ezinye iimeko zinokufuna utshintsho kumgangatho wobomi kunye nonyango lweziyobisi, ngelixa iimeko ezinzima ngakumbi zifuna inkqubo yentliziyo evulekileyo okanye ukufakelwa kwe-pacemaker.
Ziziphi izizathu zokuwa kwabasetyhini?
Kuyimfuneko ukuba siqonde ukuba kukho izizathu ezininzi ezinokubangela i-stroke kubasetyhini, ukuze sikwazi ukuthintela kwaye sithathe amanyathelo ayimfuneko ukujongana nabo. Ezona zizathu zibalulekileyo ezinokukhokelela ekuveleni kwesi sifo kukuxhalaba rhoqo kunye noxinzelelo, kunye nemvakalelo yoloyiko olukhulu kunye nokudakumba. Ukongezelela, i-stroke ingenzeka ngenxa yeenguqu ze-hormonal ezenzeka ngexesha lokukhulelwa, kwaye ngenxa yezinto ezinobungozi ezinxulumene nezifo ezingapheliyo ezifana nesifo sikashukela, uxinzelelo lwegazi oluphezulu kunye nokukhuluphala. Ngoko ke, amabhinqa afanele aziphephe izinto ezinjalo ezibangela i<em>stroke ngokulandela ukutya okusempilweni nokulungeleleneyo, ukwenza umthambo rhoqo, nokuphuhlisa ubuchule bokulawula iimvakalelo noxinezeleko lwengqondo.
Indlela yokuthintela ukulimala kokuwa
Ukuthintela ugwayimbo lokuwa yenye yezinto ezibalulekileyo ekufuneka ugxile kuzo ukuze uphephe ukuyifumana. Enye yeengcebiso ezibalulekileyo zokukhusela kukuhlala kude neendawo ezishushu nezomileyo, kubandakanywa namagumbi angenawo umoya. Kufuneka kwakhona ukuphephe ukuchanabeka elangeni ixesha elide ehlotyeni kwaye usele amanzi amaninzi ukuthintela ukuphelelwa ngamanzi emzimbeni kunye nobushushu obuphezulu. Kukwacetyiswa ukuba uthintele ukwenza imithambo ngamaxesha obushushu obugqithisileyo, kwaye ungatyi kakhulu utywala kunye nezivuseleli.Ingqalelo mayinikwe kwisondlo esifanelekileyo kunye nokutya iziqhamo nemifuno emitsha. Ukuthintela isibetho esiwayo kubalulekile ukugcina impilo yabantu kwaye ungabonakali kumonakalo omkhulu onokubangela.
Ukunyanga isibetho esiwileyo kunye nokhathalelo oluyimfuneko emva kokulimala
Xa umntu ehlaselwa si<em>stroke, sifunyanwa ngokuxilongwa kwentliziyo nokuxilongwa ngokupheleleyo ngugqirha. Nangona ugwayimbo lokuwa alukho mandundu, yimeko yonyango efuna unyango olukhawulezileyo. Unyango lubandakanya ukunakekelwa okufunekayo kumntu owenzakeleyo, kunye nokunikezelwa kwamayeza afana ne-beta blockers kunye ne-calcium inhibitors. Unyango lwe-Neurological lukwasetyenziselwa ukukhulula ixhala eliviwa sisigulana. Kufuneka ahlale esibhedlele ixesha elifutshane ukuze abeke iliso kwaye aqinisekise ukuba imeko yakhe izinzile. Ekuphumeni kwakhe, utshintshelwa kwiziko lonyango lomzimba ukuze aqalise imithambo ekhethekileyo enceda ekuphuculeni imeko yakhe. Ngokuqhelekileyo, abantu abane-stroke bafanele babambelele ekutyeni okunempilo, baphephe utywala kunye neekhemikhali eziyingozi, kwaye bagcine umthambo rhoqo.
Amava am ngeFallen Strike
Amava akhe ngesibetho sokuwa ayebuhlungu kakhulu kwaye kunzima kuye, njengoko wayeziva engakhululekanga, intloko ebuhlungu, kunye nesiyezi engakwazi ukuhamba kakuhle. La mava ayesenzeka kuye izihlandlo eziliqela, kodwa ngesi sihlandlo ayemandundu yaye eyingozi ngakumbi kwimpilo yakhe. Emva kokuya kugqirha nokumxilonga, kwaqinisekiswa ukuba unesifo sentliziyo. Wafunda indlela yokulawula imeko yakhe, nokuphepha ezinye zezinto ezandisa amathuba okuba aphinde ahlaselwe sistrowuku, njengokuphepha utywala neziselo ezihlwahlwazayo nokuyeka ukutshaya. Wabelana nabanye ngamava akhe, ebaxelela ngento abamele bayenze ukuba le meko iyenzeka kubo. Kunconywa ukutyelela ugqirha rhoqo ukuze ugweme naziphi na iingxaki ezivela kwi-stroke.
Amanye amanyathelo asebenzayo okujongana nentlungu
Xa umntu echanabeke kwisibetho sokuwa, kufuneka kuthatyathwe amanyathelo athile okuhlangabezana nako ukuze kunikelwe inyameko eyimfuneko. Iinkonzo zonyango olungxamisekileyo kufuneka ziqhagamshelane ngokukhawuleza, kwaye kukhethwa ukuba umntu ochaphazelekayo ahanjiswe esibhedlele ngokukhawuleza. Ukuba umntu umile, kufuneka alaliswe phantsi kwaye aphakamise iinyawo zakhe ukukhusela uxinzelelo lwegazi oluphantsi kunye nokunciphisa iimpawu. Ipakethe yomkhenkce okanye ilaphu elimanzi linokuthi libekwe ebunzini ukukhulula intloko ebuhlungu. Kufuneka kuthathelwe ingqalelo ukudala indawo epholileyo nezolileyo kumntu owenzakeleyo, ukuze kuncitshiswe uxinzelelo kunye nokubhideka. I-stroke inokuphetshwa ngokuthatha amanyathelo okhuseleko, anjengokuphepha uxinzelelo kunye noxinzelelo olugqithisileyo, ukutya ukutya okunempilo nokulungeleleneyo, kunye nokugcina impilo esempilweni kunye nokwenza umthambo rhoqo. Ukuba kubonakala iimpawu zogwayimbo lokuwa, amanyathelo afanelekileyo kufuneka athatyathwe kwaye kufuneka kudityanwe nogqirha ukuze anike unyango oluyimfuneko.
Umahluko phakathi kokuwa kunye nesifo sentliziyo
Ukubetha kwentliziyo okuhlayo akumelanga kubhidaniswe nesifo sentliziyo.Ibethi eyehlayo yimvakalelo yokubetha kwentliziyo eyongezelelekileyo okanye evalekileyo kaninzi ngemini kwaye idla ngokubangelwa kukuphazamiseka kwesingqi sentliziyo. Ngelixa uhlaselo lwentliziyo lwenzeka xa ukuphuma kwegazi kwinxalenye yentliziyo kuyeka ngenxa yokuvaleka kwemithambo, yaye oku kubangela umonakalo omkhulu entliziyweni. Oku kuthetha ukuba ukuhlaselwa yintliziyo kufuna uncedo olukhawulezileyo. Kufuneka kuqatshelwe ukuba isibetho esiwayo asihlali sibi kakhulu, kodwa kufuneka udibane nodokotela ukuze unqume isizathu kwaye uthathe amanyathelo ayimfuneko. Ukubetha kwentliziyo ehlayo kunokubonisa ubukho bengxaki yentliziyo kunye nenkqubo ye-arterial, kwaye ngoko kufuneka kuthathelwe ingqalelo kwaye isizathu saso esicacileyo kufuneka saziwe.
Ugwayimbo oluwileyo kunye nekholoni
I-stroke sisifo esichaphazela ukubetha kwentliziyo, apho umntu eziva exhuzula ngokukhawuleza okanye ukubetha kwentliziyo okungaqhelekanga.Nangona kungekho budlelwane buthe ngqo phakathi kwe-irritable bowel syndrome kunye ne-stroke, i-irritable bowel syndrome inokubangela ukuxinezeleka kwengqondo kunye nokudumba kwindlela yokwetyisa enokuthi zikhokelela kwizidubedube. Kufuneka ulandele ukutya okunempilo kwaye ugweme ukutya okunamafutha kunye nokutya okuneziqholo kunye nezivuseleli ezifana ne-caffeine kunye notywala ukugcina inkqubo yokwetyisa enempilo. Ngaphezu koko, kufuneka udibane nogqirha oyingcali ukuze uxilonge unobangela wokubethwa kwemivumbo kwaye umisele unyango olufanelekileyo. Ekugqibeleni, wonke umntu kufuneka anakekele impilo yakhe yonke kwaye abambelele kwimilinganiselo efunekayo yokukhusela ukuphepha isifo senhliziyo.
Amayeza okunyanga ukubetha kwentliziyo
Unyango olubaluleke kakhulu kwimeko yokulimala ngengozi kukulandela ugqirha oyingcali kwaye ulandele iingcebiso zezempilo ezicetyiswayo. Ukuze kuthomalaliswe iimpawu, kunokusetyenziswa amayeza athile, anjengokuphucula ukuhamba kwegazi, njengonyango lwe-aspirin, amayeza okubulala iintsholongwane kwiimeko zosulelo olunxulumene noko, namayeza okuthomalalisa iintlungu, njengamayeza okuthomalalisa iintlungu. Amanye amayeza anceda ukugcina isingqi sentliziyo nawo ayasetyenziswa, anje ngebeta blockers, calcium inhibitors, kunye namayeza e-anticoagulant. Akufunekanga uthathe naliphi na iyeza ngaphandle kokubonana nogqirha oyingcali naphantsi kweliso lakhe.Kuphephe ukusela amayeza angahambelani nokunyanga istroke.Idosi kunye nezilumkiso zeyeza ngalinye kufuneka zithathelwe ingqalelo.
Luzakuba yingozi nini ugwayimbo lwabafuduki?
I-Migratory stroke sisifo esiqhelekileyo esichaphazela abantu abaninzi, kwaye asibangeli iimpawu ngaphandle kwezinye iimeko. Nangona le ngxaki ayinzima kwiimeko ezininzi, ukuba i-stroke yokufuduka ihlala rhoqo, oku kunokukhokelela kwezinye iingxaki zempilo kwixesha elide. Kufuneka ubeke ingqalelo ukuba i-stroke ihamba kunye neempawu eziphazamisayo ezifana nokuziva ukubetha kwentliziyo, ukubakho kokuphelelwa amandla, isiyezi, kunye ne-pulsation kwindawo yentamo. Kule meko, kucetyiswa ukuba udibane nogqirha oyingcali ukuze ufumane ukuxilongwa ngokuchanekileyo kunye nonyango olufanelekileyo ukunciphisa iingxaki zempilo ezinokwenzeka.
Ukubetha kunye nokuxhalaba
I-stroke ehlayo sisiganeko esingokwemvelo esinokufunyanwa ngumzimba, kwaye ngamanye amaxesha sidibene neemvakalelo zokuxhalaba kunye noxinzelelo. Olu xinzelelo lunokwandisa impembelelo ye-stroke kwimpilo yentliziyo, ngoko kuyacetyiswa ukuba ugweme uxinzelelo kunye nokuxhalaba kwiimeko ezihamba kunye ne-stroke. Unobangela wokwenzeka kwe<em>stroke uqinisekiswa ngokuthetha nogqirha oyingcali, njengoko izinto ezifana nokutya ukutya okunamafutha neswekile eninzi okanye ukusela utywala neziselo ezinecaffeine eninzi zinokubangela i<em>stroke. Ngoko ke, impembelelo ye-stroke kwimpilo yentliziyo inokuncitshiswa ngokutshintsha indlela yokutya kunye nokuphepha utywala kunye neziphuzo eziphezulu ze-caffeine.
Ukuwa emva kokutya
Abantu abaninzi baziva bebetha emva kokutya, kwaye oku kunokubangela ukuxhalaba kunye nokungazinzi. Ukubetha kwethontsi kuthetha ukuba kukho ukuyeka ukubetha kwentliziyo kwi-atrium, kwaye oku kunokwenzeka ngenxa yezizathu ezininzi, ezifana ne-stenosis yevalve ye-aortic okanye ubukho beetyuwa kwi-atrium. Iimpawu abazivayo abantu xa besiwa ziyahluka, kodwa ngokuqhelekileyo ukuva ukutsalwa kwentliziyo okanye ukubetha kwentliziyo okungaqhelekanga. Kucetyiswa ukuba utye ukutya okulula nokunempilo, ukunciphisa ukutya okutyebileyo ngamafutha kunye neekhalori, kwaye ugcine umthambo rhoqo. Ukuba uziva naziphi na iimpawu ezingaqhelekanga, kufuneka uqhagamshelane nogqirha wakho ngokukhawuleza ukuze ufumane ukuxilongwa okufanelekileyo kunye nonyango.
