Kwenzeka ntoni xa umzimba ungakwazi ukugcina uxinzelelo lomzimba kunye nokukrokrela ukubola kukrokreleka? Amalungu abalulekileyo awasasetyenziswanga kwaye anokuthatha isigulana ekufeni.

Ngothuselo oluhlawulelweyo, umzimba unamandla okugcina uxinzelelo lwegazi. Nangona kunjalo, njengoko lo mothuko usiya usanda, umzimba womntu uyehluleka ukuhlala. Okwangoku, ukugcoba kwezitho ezibalulekileyo akusafuneki kugcinwe. Iimpawu zokothuswa ukubola zibandakanya:

• Ukuwa koxinzelelo lwegazi (ukubalwa kwe-systolic ye-90 mm Hg okanye isezantsi kubantu abadala).
• I-Tachycardia kunye ne-tachypnea.
• Ukuphuma komchamo omncinci.
• Ukuphefumla kunye nokuphefumla okungaqhelekanga.
• Ubuthathaka, okhoyo okanye engekhoyo kwimiphungeni yecala.
• I-Ashy okanye i-cyanotic pallor.
• Ukunciphisa ubushushu bomzimba.
• Imeko yengqondo ethotyiweyo.
• Abafundi abatyumkileyo.

Ngothuselo olubunjiweyo, kubalulekile ukucela iindlela zenkxaso zobomi zesigulana. Ingqwalaselo ephambili kufuneka inikezwe kulawulo lwendlela yomoya kunye nonyango lwesizathu sokukhwankqiswa.

Ukwehla koxinzelelo lwegazi kusoloko kuluphawu lokubandezeleka emva kwexesha kunye nonyango kufuneka luqale kakuhle ngaphambi kokufunyaniswa. Ukuba imeko ihlala inganyangwa, iya kuqhubela phambili ibe ngumothuko ongenakulungiswa, nto leyo ekhokelela ekufeni kwesigulana.

 

Unyango lokothuka

Isitshixo sokujongana nokusothuka ngokufanelekileyo yimpendulo ekhawulezileyo. Ukuba inokunyangwa ngaphambi kokuba ifike kwinqanaba elibekiweyo, ilungile loo nto. Kwiimeko ezininzi ezisongela ubomi, ukukhula kothuko kufuneka kulindelwe.

Abanikezeli boncedo lwezonyango abaninzi baya kubhekisa "kwilixa legolide" okanye "ixesha legolide", iwindow apho ukhathalelo kufuneka lubonelelwe ngokukhawuleza, kwaye ukuba luyaphumelela, isiguli asizukufumana monakalo ungapheliyo. Oku kufuna uvavanyo olukhawulezileyo lwesigulana kunye nokuthuthwa okukhawulezayo ukuya kwindawo yoxinzelelo.

 

Ioksijini yokutyibilika

I-oksijini eyongezelelweyo inokunikezelwa ukuba amanqanaba eoksijini egazini ancitshisiwe; Umbutho i-Failure Society yaseMelika, nangona kunjalo, ucebisa ngokuchaseneyo ukuba isetyenziswe rhoqo.

 

Amayeza othusayo oxutywe

Unyango lokuqala lokothuka okubanjisiweyo ngokubanzi linokudityaniswa kwe-vasodilator efana ne-nitroglycerin, i-looptitis ye-looptics enjenge furosemide, kunye ne-non-invasive positive pressure ventilation (NIPPV).

Ukudityaniswa kwamayeza awahlukeneyo kuyadingeka kubantu abahlangabezana nokusilela kwentliziyo. Amayeza aqhelekileyo acetyiswayo kwiimeko ezinjalo abandakanya i-ACE inhibitors, i-vasodilators, i-beta-blockers, i-aspirin, i-calcium blockers blockers, kunye namayeza okwehlisa i-cholesterol, kubandakanya i-statins. Kuxhomekeka kuhlobo lomonakalo wentliziyo isigulana kunye nesizathu esingunobangela wentliziyo, naluphi na udidi lweziyobisi okanye indibaniselwano inokukhethwa ukuba ilawulwe.

Izigulana ezineengxaki zokupompa kwentliziyo ziya kuba nodibaniso olwahlukileyo lweziyobisi kunalezo zihamba neengxaki zentliziyo ekwaziyo ukuzalisa kakuhle ngexesha lokuqaqanjelwa.

 

Utyando ekutyibilikeni

Ukuba kuyafuneka, oogqirha bancomela ukuba kwenziwe utyando ukuze kujongwane nengxaki ebangela ukungaphumeleli kwentliziyo. Iindlela ezahlukeneyo zonyango ziyafumaneka kule meko, kuxhomekeka kwinqanaba eliyimfuneko kwaye zibandakanya utyando lwe-coronary artery bypass, ukulungiswa kwentliziyo ye-valve okanye enye into, okanye ukufakelwa kwentliziyo.

Ngeli thuba lotyando, izixhobo ezinje ngeempompo zentliziyo, iipememaker, okanye ii-defibrillators zinokufakwa emzimbeni wesigulana. Unyango lweengxaki zentliziyo lutshintsha ngokukhawuleza, kwaye unyango olutsha lokunyanga okusilelayo kwentliziyo luziswa ukusindisa ubomi obuninzi kunye nokungaphezulu kwezi kuhlaselo lukhulu.

 

FUNDA KUNYE

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