Ukubanjwa kwe-Cardiac vs.ukuhlaselwa kwentliziyo: Yeyiphi eyona nto imbi?

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Ukubanjwa kwe-Cardiac vs. | Ubuninzi | Iimpawu | Uxilongo | Unyango | Imiba yomngcipheko | Uthintelo | Nini ukubona ugqirha | Izixhobo

Amaxesha amaninzi abantu basebenzisa amagama ukubetha kwentliziyo kunye nokubanjwa kwentliziyo ngokungafaniyo. Nangona kunjalo, ngelixa bobabini benokusongela ubomi kwaye baneempawu ezifanayo, kukho umahluko omkhulu phakathi kwezi zimbini. Makhe sixoxe ngokufana nokwahluka phakathi kwezi meko zombini.

Oonobangela

Ukubanjwa kwe-cardiac

Ukubanjwa kwe-Cardiac kwenzeka ngesiquphe xa kukho ukungasebenzi kombane entliziyweni. Oku kukhokelela ekubetheni kwentliziyo ngendlela engaqhelekanga, ebizwa ngokuba yi-arrhythmia, ephazamisa ukumpompa igazi kwamanye amalungu abalulekileyo emzimbeni, anjengengqondo. Oku kubangela ukuba intliziyo ime. Umntu uya kuba nokulahleka kwengqondo, kwaye ukufa kuya kwenzeka ukuba akukho nonyango ngokukhawuleza.

Ukubanjwa kwentliziyo kunye nokuhlaselwa sisifo sentliziyo kunxibelelene. Ukubanjwa kwe-Cardiac kunokwenzeka emva okanye xa kuchacha kwisifo sentliziyo. Ukuhlaselwa sisifo sentliziyo zezi esona sizathu siqhelekileyo ukubanjwa kwentliziyo, kodwa kunokubangelwa yi-cardiomyopathy, ukungaphumeleli kwentliziyo, i-arrhythmias, i-ventricular fibrillation kunye ne-Q-T syndrome ende.

Ukuhlaselwa yintliziyo

Ukuhlaselwa kwentliziyo kwenzeka xa umthambo uvaliwe, othintela igazi eline-oksijini ekufikeleleni kwiindawo zentliziyo. Olu thintelo kufuneka luqwalaselwe ngokukhawuleza kuba ukuba alunakunyangwa ngokukhawuleza, icandelo lentliziyo elingalufumaniyo unikezelo lwegazi lingaqala ukufa. Unyango olukhawulezileyo lufunyenwe, umonakalo omncinci uya kwenziwa.

Ukubanjwa kwe-Cardiac vs.
Ukubanjwa kwe-cardiac	Ukuhlaselwa yintliziyo
Ingxaki yombane Ukubetha kwentliziyo ngokungaqhelekanga kubangela ukulahleka kwentliziyo	Umthambo ovaliweyo Ukungabikho kokuhamba kwegazi ngenxa yokuvaleka

Ezinxulumene: Yintoni ukubetha kwentliziyo okuqhelekileyo?

Ubuninzi

Ukubanjwa kwe-cardiac

I-2018 Iziphumo ze-American Heart Association zibonisa malunga ne-1 kubo bonke abantu abangama-7.4 ababhubha ngesiquphe sokufa kwentliziyo qho ngonyaka. Iyaqhubeka ukucebisa ukuba inqanaba lokusinda ngaphakathi nangaphandle kokubanjwa kwentliziyo yesibhedlele iyaqhubeka ukuphucula ngokuhamba kwexesha.

Ngo-2019 , I-AHA ikwafumanise ukuba inani labantu ababanjwe ngaphandle kwesibhedlele ukubanjwa kwentliziyo kuqikelelwe ukuba babe ngama-356,461 ngonyaka, abaphantse baba li-1 000 abantu ngosuku.

Ukuhlaselwa yintliziyo

Inkqubo ye- Amaziko oLawulo lweZifo (CDC) ithi yonke imizuzwana engama-40 umntu uhlaselwa sisifo sentliziyo eUnited States. Abantu abangaphezu kwama-800,000 ngonyaka kwaye malunga nama-75% kukuhlaselwa okokuqala.

Ukubanjwa kwe-Cardiac ngokuchasene nokuhlaselwa sisifo sentliziyo
Ukubanjwa kwe-cardiac	Ukuhlaselwa yintliziyo
I-13.5% yokufa ivela kukusweleka kwentliziyo ngesiquphe. Abantu abangama-356,461 ngonyaka banokubanjwa kwentliziyo okanye abantu abamalunga ne-1 000 ngosuku.	Yonke imizuzwana engama-40 umntu uhlaselwa sisifo sentliziyo e-US. Unyaka ngamnye ama-805,000 aseMelika ahlaselwa sisifo sentliziyo. Kwezi, ezingama-605,000 sisifo sentliziyo sokuqala. I-200,000 yisihlandlo sesibini. Phantse u-1 kwabahlanu bahlaselwa yintliziyo.

Ezinxulumene: Izibalo zesifo senhliziyo

Iimpawu

Ukubanjwa kwe-cardiac

Ukuba ubanjiwe entliziyweni, unokuziva unesiyezi, uphefumla kancinci, ubuthathaka, unesicaphucaphu, uyacacisa Niket sonpal , MD, i-internist esekwe kwiSixeko saseNew York kunye nasesiswini. Ukubetha kwentliziyo kunye nentlungu yesifuba kukwayimpawu eziqhelekileyo zokubanjwa kwentliziyo. Okubi ngakumbi, umntu angayeka ukuphefumla okanye abe nobunzima bokuphefumla, angabonisi ukubetha, kwaye alahlekelwe sisazela ekubanjweni kwentliziyo.

Ukuhlaselwa yintliziyo

Iimpawu zesifo sentliziyo zahluke kancinci kwaye ziyahluka phakathi komntu ngamnye. Abanye abantu banazo ngequbuliso, kodwa abanye banokuthatha iiyure okanye iiveki ukuba bazive ngokupheleleyo. Iimpawu ezilumkisayo zesifo sentliziyo zinokubandakanya iintlungu esifubeni okanye ukungonwabi esifubeni. Ubukrakra beempawu ziya kuxhomekeka kubukhali besifo sentliziyo.

Owona mqondiso wokuqala unokuba sisifuba okanye uxinzelelo olubangelwa kukuziqhelanisa nomsebenzi, utshilo uGqirha Sonpal. Olu xinzelelo kunye nentlungu yesifuba zibangelwa kukuhla kokuhamba kwegazi ukuya entliziyweni. Unokuziva ubuhlungu, ukuqina, ukucofa imvakalelo kwiingalo zakho ezisasazeka entanyeni yakho, emhlathini, okanye ngasemva. Ezinye iimpawu eziqhelekileyo sisicaphucaphu, isitshisa, iintlungu esiswini, ukuphefumla kancinci, ukubila okubandayo, ukudinwa, intloko ebushushwini, okanye isiyezi ngesiquphe.

Ukubanjwa kwe-Cardiac ngokuchasene neempawu zentliziyo
Ukubanjwa kwe-cardiac	Ukuhlaselwa yintliziyo
Ukuba nesiyezi Ukuqhawukelwa ngumphefumlo Ubuthathaka Isicaphucaphu Ukubetha kwentliziyo Iintlungu zesifuba Akukho ukubetha okanye ukuphefumla Ukuphulukana nokuqonda / ukuwa ngesiquphe	Intlungu yesifuba okanye uxinzelelo Ubuhlungu, ukuqina, ukucofa isifuba okanye iingalo ezisasazeka entanyeni yakho, emhlathini, okanye ngasemva Isihlunu / ukugabha Isitshisa / isisu Intlungu zesisu Ukuqhawukelwa ngumphefumlo Ukubila okubandayo Ukudinwa Ubunzima bokukhanya okanye isiyezi ngokukhawuleza Ukuziva ngentshabalalo ezayo

Ezinxulumene: Iimpawu ezili-13 zeengxaki zentliziyo

Uxilongo

Ukubanjwa kwe-cardiac

Kukho iintlobo zovavanyo kunye neenkqubo zonyango olunokuthi ziqwalasele isifo sokubanjwa kwentliziyo:

• Olona vavanyo luqhelekileyo yi electrocardiogram (ECG okanye EKG) , ebonisa isingqi sentliziyo kunye neepateni zombane entliziyweni ngoncedo lwee-electrode ezifakwe esifubeni.
• Ukuboniswa kwentliziyo, ugqirha unokuyalela X-reyi yesifuba okanye umfanekiso-ngqondweni wemagneti (UMRI) .
• Iisampulu zegazi kungathathwa ukujonga amanqanaba ahlukeneyo egazini, kwaye ezi mvavanyo zinokumisela ukuba ngaba bekukho ukuhlaselwa sisifo sentliziyo kutshanje okanye ingxaki yentliziyo.
• Inkqubo ebizwa ngokuba yi Ukucinywa kwemithambo yegazi inokwenziwa ukuvavanya amanqanaba eoksijini kunye nolwakhiwo kunye nokusebenza kwentliziyo.

Ukuhlaselwa yintliziyo

Uninzi lweemvavanyo ezisetyenziselwa ukufumanisa ukubanjwa kwentliziyo zikwasetyenziselwa ukufumanisa isifo sentliziyo kubandakanya:

• An ECG ukuvavanya umonakalo wentliziyo.
• Uvavanyo lwegazi Ukujonga ii-enzyme zentliziyo kunye neetroponins kunokubonisa ubungakanani kunye nexesha lokuhlaselwa kwentliziyo.
• Inkqubo ye- Ukucinywa kwemithambo yegazi inokwenziwa, enokucoca imithambo ebhlokiweyo.
• An ebelitshitshin Uvavanyo lokucinga lunokwenziwa ngexesha nasemva kokuhlaselwa kwentliziyo. Oku kuyakuxelela iingcali zonyango ukuba zeziphi iindawo entliziyweni ezinokuvaleka okanye ukonakala kuxhomekeke kwindlela ekumpompa ngayo.

Ukubanjwa kwe-Cardiac ngokuchasene nokuhlaselwa sisifo sentliziyo
Ukubanjwa kwe-cardiac	Ukuhlaselwa yintliziyo
ECG I-X-ray yesifuba okanye iMRI Uvavanyo lwegazi Ukucinywa kwecatheterization yeCoronary	ECG Uvavanyo lwegazi Ukucinywa kwecatheterization yeCoronary Echocardiography

Unyango

Ukubanjwa kwe-cardiac

I-CPR kunye ne-defibrillation ziindlela zokuqala zonyango olungxamisekileyo ekubanjweni kwentliziyo, utshilo uGqirha Sonpal. Ezi zinto zibetha intliziyo yakho kwakhona emva kokuba ime.

Okokuqala, kubalulekile ukubiza u-911 kusayina lokuqala umntu ebanjwa yintliziyo. Okulandelayo, ukuba unokufikelela kwisixhobo sangaphandle se-defibrillator (AED), fumana i-AED kwaye ulandele imiyalelo. Emva koko, yenza iCPR. Oku kunceda ukubuyisela isingqi sentliziyo esiqhelekileyo. Ukunyanzelwa kwesifuba kunceda ukuqhubeka nokupompa igazi emzimbeni emva kokubanjwa kwentliziyo ngesiquphe, okunokukhokelela ekuvuseleleni.

Kwabo basindayo kolu hlaselo, kukho unyango lokunciphisa amathuba okubanjwa kwentliziyo okwenzekayo. Umzekelo:

• Amayeza anokumiselwa ukulawula uxinzelelo lwegazi kunye ne-cholesterol.
• Ukuba kukho nawuphi na umonakalo entliziyweni, kunokufuneka utyando.
• Indlela yokuphila changeskufuneka yenziwe kubandakanya ukutya okusempilweni kunye nokuzilolonga.

Ukuhlaselwa yintliziyo

Kukho ukungqubana kunyango phakathi kokubanjwa kwentliziyo kunye nokuhlaselwa sisifo sentliziyo. Unyango lwesifo sentliziyo lunokubandakanya:

• Amayeza Ngokwesiqhelo umgca wokuqala wokuzikhusela ngokuchasene nesifo sentliziyo. Oku kuya kunceda ukunciphisa igazi okanye ukunciphisa amahlwili-amayeza aqhelekileyo aquka iasprini, i-thrombolytics, okanye ii-antiplatelet agents.
• Ugqirha inokwenziwa, kubandakanya:
  • I-Coronary angioplasty kunye ne-stenting zenziwe ukuvula umthambo ovalelweyo. I-mesh stents stents ingafakwa ukunceda ukucoca kwexesha elizayo.
  • Umthambo weCoronary ugqitha ngotyando inokwenziwa ukunceda ukuphuma kwegazi entliziyweni.
• Ukuvuselelwa kwentliziyo iinkqubo zifumaneka kwizibhedlele ezininzi kwaye ziyilelwe ukunceda ukunciphisa olunye uhlaselo lwentliziyo okanye iingxaki ezivela kwisifo sentliziyo. Bajolise ekufumaneni amayeza afanelekileyo, ukwenza utshintsho kwindlela yokuphila, kunye nokunika inkxaso ngokweemvakalelo ngelixa ubuyela kubomi bemihla ngemihla.

Ukubanjwa kwe-Cardiac ngokuchasene nonyango lokuhlaselwa sisifo sentliziyo
Ukubanjwa kwe-cardiac	Ukuhlaselwa yintliziyo
CPR Ukuchazwa kwegama Amayeza Ugqirha Utshintsho kwindlela yokuphila	Amayeza Ugqirha, olufana: I-Coronary angioplasty kunye ne-stenting Umthambo weCoronary ugqitha ngotyando Ukuvuselelwa kwentliziyo

Imiba yomngcipheko

Ukubanjwa kwe-cardiac

Ukuba neemeko ezithile zentliziyo ezinje ngentliziyo okanye isifo somthambo kunokubangela umngcipheko omkhulu wokubanjwa kwentliziyo. Ezinye iimeko ezinje ngesigqi sentliziyo esingaqhelekanga kunye ne-cardiomyopathy inokuba negalelo ekubanjweni kwentliziyo. Izinto zokuphila ezinje ngokutshaya, ukutyeba kakhulu, kunye nokuhlala phantsi unxulunyaniswa neziganeko zentliziyo.

Ukuhlaselwa yintliziyo

Izinto ezinobungozi bokuhlaselwa kwentliziyo ziyafana nezo zokubanjwa kwentliziyo kwaye zinokubandakanya iimeko zonyango okanye izinto zokuphila. Uxinzelelo lwegazi oluphezulu kunye / okanye i-cholesterol, isifo seswekile, ukutyeba kakhulu, kunye nokusebenzisa icuba okanye utywala kwonyusa amathuba omntu wokuhlaselwa sisifo sentliziyo.

Ukubanjwa kwe-Cardiac vs.umngcipheko wokuhlaselwa sisifo sentliziyo
Ukubanjwa kwe-cardiac	Ukuhlaselwa yintliziyo
Isifo sentliziyo Isingqisho sentliziyo esisisiseko esingaqhelekanga Iintsholongwane zentliziyo ezingaqhelekanga Intliziyo enkulu Isifo sentliziyo Ukutshaya Ukutyeba kakhulu Igazi elonyukayo Ukuhlala nje kuphela Imbali yosapho	Igazi elonyukayo Cholesterol ephezulu Isifo seswekile Ukutyeba kakhulu Ukutya okungenampilo Ukuhlala nje kuphela Utywala kunye nokusetyenziswa kwecuba Imbali yosapho

Uthintelo

Ukubanjwa kwe-cardiac

Kulabo abanomngcipheko omkhulu, ugqirha wakho unokumisela amayeza ukunceda ukuthintela ukubanjwa kwentliziyo. Amayeza anokubandakanya anceda ekulawuleni uxinzelelo lwegazi okanye kuthintele amahlwili. Utyando olukhuselayo, njengongenelelo ngoncedo lwecoronary, lunokunciphisa umngcipheko.

Kulabo abasemngciphekweni omkhulu, ukuba nendlela yokuphila esempilweni kunokunceda ukuthintela ukubanjwa kwentliziyo ngesiquphe. Oku kubandakanya:

• Ukutya ukutya okusempilweni
• Ukulawula ubunzima bakho
• Ukugcina amanqanaba oxinzelelo ephantsi
• Ukunciphisa ukusela utywala
• Ukwenza umthambo
• Ukuyeka ukutshaya

Ukuhlaselwa yintliziyo

Kukho iindlela ezahlukeneyo zokunceda ukuthintela umngcipheko wesifo sentliziyo. Ezinye zezi ndlela zibandakanya:

• Amayeza okulawula uxinzelelo lwegazi kunye ne-cholesterol. Ukubeka iliso rhoqo kula manqanaba kubalulekile.
• Ukulawula ubunzima bakho, njengoko ukutyeba kakhulu kunokwandisa umngcipheko.
• Ukutya okunempilo, njengokusebenzisa Ukutya okunguDASH , Ikhuthaza impilo yentliziyo.
• Lawula amanqanaba oxinzelelo njengoko inokuba sisizathu sokuhlaselwa sisifo sentliziyo.
• Ukuzivocavoca umzimba kunceda ukuphucula ukujikeleza komzimba kwaye komeleze izihlunu zentliziyo, ngenxa yoko ukufumana umthambo rhoqo kubalulekile.
• Ukusela utywala ngokugqithileyo kunganyusa uxinzelelo lwegazi kwaye kubangele ukutyeba, ke thintela ukutya kwakho kube siselo esinye okanye ezibini ngosuku.
• Yeka ukutshaya njengoko kwandisa umngcipheko.
• Lala ngokwaneleyo.

Ungakuthintela njani ukubanjwa kwentliziyo vs. isifo sentliziyo
Ukubanjwa kwe-cardiac	Ukuhlaselwa yintliziyo
Amayeza Utyando lokuthintela Ukutya ukutya okusempilweni Ukulawula ubunzima bakho Gcina amanqanaba oxinzelelo ephantsi Zilolonge Nciphisa utywala Yeka ukutshaya	Amayeza Ukulawula ubunzima bakho Ukutya ukutya okusempilweni Ukulawula ubunzima bakho Gcina amanqanaba oxinzelelo ephantsi Zilolonge Nciphisa utywala Yeka ukutshaya Lala ngokwaneleyo

Nini ukubona ugqirha ukubanjwa kwentliziyo okanye isifo sentliziyo

Kwiimpawu zokuqala zeempawu zokubanjwa kwentliziyo okanye ukuhlaselwa yintliziyo, funa unyango lwengxamiseko njengoko kunokubeka ubomi babo engozini. Ngamanye amaxesha ezi mpawu zinokufana nezo zokuginywa okanye ukothuka, kodwa kungcono ukuba ukhuseleke kunokuba ube nosizi. Ukuba usemngciphekweni omkhulu wesifo, thetha nogqirha wakho malunga neendlela zokunceda ukukhusela le miqathango.

Izixhobo

• Iinyani ngesifo sentliziyo , I-CDC
• Izibalo zokubetha kwentliziyo kunye neentliziyo 2019 Umbutho wentliziyo yaseMelika
• Izibalo zentliziyo kunye ne-stroke 2018 Umbutho wentliziyo yaseMelika
• Umahluko phakathi kokuhlaselwa kwentliziyo kunye nokubanjwa kwentliziyo ngesiquphe Umbutho wentliziyo yaseMelika