Nengxaki unesifo: Ulwahlulo kunye noncedo lokuqala

izifo ezahlukahlukeneyo yegazi babe ngabantu abakwizihlalo ephambili ehlabathini namhlanje. Meteozavisimost, ukutyeba ngokugqithiseleyo, uxinezeleko rhoqo - zonke ezi zinto ziya kunyanzela kungekudala abantu abaninzi ukuba sibuyele cardiologist izikhalazo uxinzelelo oluphezulu lwegazi. Nzima ukunyanga isifo sentliziyo esengozini okanye sistroke. Iimeko ezinjalo bayingozi kwaye kungakhokelela ekubeni ukukhubazeka okanye ukufa, ngoko ke, weva iintsimbi alarm yokuqala, kuyimfuneko ukuba uye kwagqirha.

A kancinci malunga nesifo

nengxaki unesifo ekuthiwa imeko zophendlo lwezifo apho kukho esibukhali ukunyuka koxinzelelo lwegazi.

Oku kungenzeka na ubudala, kodwa izigulane ezininzi ukuba abo owangenela eyimbalasane kunyaka-50. iimeko rhoqo lobunzima engama-30 okanye 20.

Ukususela isifo sentliziyo akukho namnye ugonyiwe ke abo babandezeleka iyantlukwano kwezalathisi uxinzelelo basengozini kakhulu.

Crisis kunokwenzeka ngaphandle kwesizathu okanye ngenxa yeemeko ezithile.

izigulane ezinjalo ixesha ebaluleke kakhulu ukususa isivuseleli ukunika amalungiselelo ayimfuneko, kwaye kwiimeko kakhulu kunokubangela i ambulance.

Ngokutsho data zonyango ezisemthethweni, ubunzima unesifo sizathu siphambili ukufika oogqirha ekhaya, kunye nokunika uncedo ngexesha ukulawula hayi ngaphezulu kwe-25% yabantu.

uhlobo

Pathology kungenzeka ngeendlela ezahlukeneyo. Ukuhlelwa lobunzima unesifo isekelwe phezu iqondo ubungqongqo isigulane. Yahlulahlulwe yaba ezi ndidi zilandelayo:

• Imvelaphi (ayinzima). Kakhulu onobulali kwaye ongazaliyo umngcipheko omkhulu kumguli. Kungabangela nesiyezi, iintlungu, xi esifubeni, isicaphucaphu nokugabha. Nge obubonakala ungakwazi ukumelana ngokwabo. Ukuze wenze oku, thatha indawo oxwesileyo, nisele amalungiselelo isincomo yi igqirha khona.
• Yesibini. It lubonakala kakhulu. Xa engekho unyango ivame ezinye izigqeba. Loo njengesigulane abafuna ukwenzelwa ukhathalelo lwezonyango olungxamisekileyo. Ukuhlaselwa yintliziyo ixhaphakileyo okanye icala kwenzeka kanye kwizigulana ezinjalo. Ngoko ke, kucetyiswa ukuba esweni imeko yempilo kunye noxinzelelo lwegazi utshintsho.

Kuxhomekeka izinto ezakhokelela kukwehla yempilo, uhlobo mihla lentlekele unesifo wahlula libe ezi ndidi zilandelayo:

1. Neurovegetative. Not ezinxulumene nasiphi na isifo sentliziyo kunye imithambo yegazi. Oku kuvela njenge yokusabela kuxinezeleko kakhulu. Ebonakalisa ngokohlobo isicaphucaphu, ukugabha, isiyezi kunye intloko ebuhlungu. Kuthatha i avareji malunga ne-2 iiyure. In-izigulane unyango akufuneki. Abantu abaninzi abajongene ezineempawu ezifanayo, boyika yokuba istrowuku okanye intliziyo ukuhlasela. Ngokutsho oogqirha, xa lingekho nezinye izinto ezimbi lwengozi ebomini naye engekho.
2. Amanzi kunye netyiwa. Yeyona ziziphumo ukusilela kwinkqubo renin-angiotensin-aldosterone, olawula lwesilinganiso lwangaphakathi. Esi sigulane asikwazi ukubhidisa bephethwe dyspeptic, ulungelelwaniso motor kakuhle, yintloko ebuhlungu. Loo urhulumente unokuthatha iintsuku eziliqela.
3. Encephalopathy. It liphakamisa umngcipheko omkhulu yimivumbo kunye isifo sentliziyo. izigulane ezinjalo kufuneka bafumane unyango ongxamisekileyo, kungenjalo kunokubangela sokuwa kunye ingozi etsolo cerebrovascular, ilandelwe yi ngokoyiswa yethishyu yayo. Amaxesha amaninzi, oogqirha kwigumbi labagula Andinaxesha ukufika ngexesha niqinisekise ukufa yesigulane.

Yintoni esenza sibe nempilo enkenenkene

Kudla ngokuthi emva kohlaselo, lwegazi, umntu akanako ukuqonda ukuba yavusa. Oonobangela ziqhelekileyo zibandakanya:

• ukudandatheka yayinzima;
• utshintsho ngokukhawuleza kwi kwimozulu, ukuhla ezithile womoya, umoya, imvula, njl .;
• ukusetyenziswa kwemveliso zokutya okuthile, ingakumbi ityuwa;
• ukuthatha iziyobisi ezithile okanye ukurhoxiswa;
• kakubi utywala, ukutshaya.

Ngokutsho manani, uninzi xi wavuswayo ngokugqithiseleyo ixhala kunye ukushaya, ngoko ezi izigulane kufuneka ukuba ndizibambe kunye, kungenjalo kunokubangela iingxaki zempilo.

iimpawu uphawu

Ngokusekelwe ukubekwa lobunzima unesifo, ikliniki ziyahluka kakhulu. Umntu ngamnye wahlukile kwaye izisa ukwanda koxinzelelo ngeendlela ezahlukeneyo. Kuba isiphawuli single 180 akubonakalisi isoyikiso sokwenene kwelinye 130 kubalulekile.

Ezi mpawu zixhaphakileyo lentlekele incipient ziquka:

• ukonakala ezibukhali yempilo;
• ubuthathaka iingalo kunye nemilenze;
• nedumbe iqinelwa;
• Barr wonke umzimba;
• intloko ebuhlungu nosizi;
• imvakalelo yengxinano esifubeni;
• ukuvela black "iimpukane" phambi kwamehlo;
• incoordination;
• isicaphucaphu kakhulu kwaye ukugabha, yivusa isiqabu.

Ukuba isigulana akukho uncedo eziyimfuneko ziza kubonelelwa, kukho ingozi enkulu ingxaki enokuthi yenzeke:

• niphele;
• ekukhubazekeni ngokupheleleyo okanye ngokungaphelelanga;
• bakhubazeke intetho;
• ukulahleka umbono;
• Ukungaphumeleli intliziyo ngenxa iposi engabalulekanga.

The degree of ukubonakaliswa nobukhali kuxhomekeke ukuhlelwa lobunzima unesifo.

lokuqala zoncedo

Xa iimpawu kuyothusa abeke umntu uze ulinganise uxinzelelo. Ukuba intsebenzo amahlwempu, kufuneka ukuba amachiza kuthoba uxinzelelo lwegazi kunye nemali eyongezelelweyo, kuxhomekeke lucalulo lobunzima unesifo (nadlamkisayo, ntlungu, njl ..).

Ngokungafaniyo amacwecwe umfutho, iinaliti kakhulu ngokukhawuleza, ngoko kusenokwenzeka ukuba uzenze ngcono.

Ubume bezempilo kufuneka ukuphucula 10-30 imiz. Ukuba oku kwenzeke kwisithuba seeyure ezi-2, qiniseka ukuba ufuna ukubiza ngugqirha ekhaya.

Phambi ambulensi ukuba isigulane:

• olahla emva intloko yakhe umva kancinci;
• lisetyenziswa entloko (kummandla occiput on) cutha cool;
• okudambisa indawo esifubeni.

Nothululwayo akunconywa ngeli xesha. ukunikezelwa fluid ingase ivule reflex gag, nto leyo ebangela ukwanda koxinzelelo.

Self-ulawulo amayeza ngaphandle kokubonisana ugqirha ukuxilongwa kunokuba yingozi.

Indlela ukulinganisa uxinzelelo ngokuchanekileyo

Ukuchonga naluphi na uhlobo yokuhlelwa lentlekele unesifo kwanele ukuba on Tonometer ngesandla - isixhobo yokulinganisa uxinzelelo lwegazi iSystolic kunye ukuzala.

Ifanele ibe emithi ukuze umntu ngamnye ukubandezeleka kule ngxaki.

Kwimarike namhlanje kukho uluhlu enkulu zezi zixhobo, ukuba ingaba:

1. Mechanical.
2. Semi-automatic.
3. Ngokuzenzekelayo.
4. Mercury.

Bonke nomse- kakuhle umsebenzi ophambili womlinganiselo xi zahluke:

• inani iimpawu ezongezelelweyo;
• ixabiso;
• ukucaciswa;
• design.

Wonke umntu uya kukwazi ukukhetha ngokwabo ukhetho kakhulu efanelekileyo.

Ukuze ufumane result ethembekileyo kwi nomlinganiselo kufuneka ukhumbule ezinye iinkalo inkqubo;

• Phambi kokuba imizuzu eli-10-15 ecaleni ukuphumla;
• ekunene-sasekhohlo wabeka cuff esandleni sakhe sasekhohlo,-zasekhohlo phezu koko;
• ichibi uya kungena umoya apho kufuneka zibe kwinqanaba intliziyo hayi kakhulu close-kufaneleka ngaxhatha bend engqinibeni kulo.

Kufuneka kuqwalaselwa xa kuhlolwa iziphumo elo nani ukususela 140 phezulu nasezantsi 90 kuyedlulwa, nakuba ngamnye.

Surgery

In-izigulane unyango ifuna ubunzima obukhulu Ukuhlelwa unesifo. Emergency Care unokonga ubomi yesigulane. Zakuba zifikile kulo Izifundo ezilandelayo ziya kubeka wenziwe:

• electrocardiogram;
• esweni inhliziyo Holter;
• electroencephalogram;
• Doppler yegazi;
• echocardiography;
• Ultrasound kwenkqubo womchamo;
• uvavanyo lwegazi jikelele kunye nemvelo.

Uthomalaliso ukhethe ngamnye, ngokusekelwe kwiziphumo zophando.

zibeka iziyobisi

Ukukhetha i izikimu idosi olusebenzayo ezibandakanya cardiologists.

Eyona wabelwa kwiqela lwamayeza eya kuthintela ntlekele unesifo ngokungqinelana ulwahlulohlulo WHO, ziquka:

1. Nitrate.
2. blocker Calcium channel.
3. ACE inhibitor.
4. Alpha-adrenergic agonists.

Oku ingaba:

• "Nitroglycerin".
• "Clonidine".
• "Captopril".
• "Corinfar".

Izigulane ezininzi unokufuna unyango efanayo a nephrologist, zamehlo, pulmonologist, luvo. Bayakwazi kumisela indlela olongezelelweyo:

• "Furosemide".
• "Magnesium sulfate".
• "Arfonad".
• "Benzogeksony".
• "Diazepam" kunye nabanye.

Easy Clinic kunye nokwahlulwa iingxaki unesifo musa zifuna unyango olungxamisekileyo. Yanele ukuba ukusela iyeza ngaphambili emiselwe ngugqirha.

imiphumela

Eyona ngozi inkulu xi ephakamileyo kuphuhliso iingxaki ezinzulu. Umthwalo eziphambili iwela ku:

• sezintso;
• ingqondo kunye nenkqubo luvo;
• amehlo.

ukuhlasela Strong nomfutho uyakwazi ukuba bamqumbise:

• Intliziyo etsolo okanye ezingapheliyo insufficiency pulmonary ;
• iposi engabalulekanga;
• angina;
• ngesibetho;
• nokudumba kunye thromboembolism nezengekho miphungeni.

Zonke ezi zifo zinobungozi kakhulu ubomi, ngoko xa kufuneka imiqondiso yokuqala yongeniselo xi ukuthatha inyathelo.

icebiso likagqirha

Izigulane abaye iingxaki lobunzima unesifo, leyo iphantsi ukuhlelwa udidi lwesibini, impilo yakho kufuneka ibekwe esweni ngokusondeleyo kwaye ulandele imigaqo elula:

• umlinganiselo ngemihla amazinga wegazi;
• kubhalwe kwincwadi eyahlukileyo wafumana zikhombisa;
• yokudla;
• qho kusasa ukuya ukwenza imithambo, ukujoyina echibini;
• ukuba ukusela utywala;
• ukuyeka ukutshaya;
• Iinyanga ezi-6 ukuya kutyelela cardiologist, ukuba kuyimfuneko, ezinye iingcali.

Ukuba imeko engaqhelekanga ukuba umntu, kufuneka nangoku kuvavanywa eluviweni. Xa engekho ezimbi ukuba aphetshwe imithwalo ezinamandla ngokweemvakalelo engxaki.

izithintelo nokudla

Nutrition ludlala indima ebalulekileyo recovery. Eyona njongo iphambili yale ekutyeni kukunciphisa isiqulatho caloric yokutya ziphele.

Qiniseka ukuba ayiyeke:

• umgubo;
• fat;
• kamnandi;
• yosiwe;
• utywala.

Kuyanconywa ukuba adle ngaphezulu:

• Iapilkosi yomile;
• uyawathena;
• zasendle wavuka;
• ikhaphetshu;
• amazambane;
• cereals;
• eluhlaza;
• beetroot;
• currant emnyama.

Yonke esisityebi magnesium potassium, nto leyo eya kuba nefuthe kuyingenelo kwisistim sentliziyo, ingqondo kunye nezintso, ke "ekujoliswe 'organami- kwi ukunyuka koxinzelelo lwegazi.

wesimo unesifo, ukuhlelwa, iingxaki kunye nokhathalelo olungxamisekileyo - iinkcukacha ezibalulekileyo eziya kuba luncedo zombini kwisigulana kunye nezalamane zakhe. Ukuba isifo esiyingozi, emele isoyikiso sokwenene ebomini. izigulane ezinjalo kufuneka uhlale amayeza kwikhaya lakho ikhabhinethi tonometer kunye amayeza ezinciphisa uxinzelelo lwegazi.

Labo abasengozini ngabo bangamaziyo ngeengxaki zabo. Xa kuthe ngenxa yesifo ngesiquphe, bakholisa ukuba ukungabikho kwamachiza kuyimfuneko, kwaye nakwizibetho zabo luxhomekeke ukufika kwangethuba yezigulana.