"Qaphela, sethula i-adrenaline. Udadewethu, bukela izinkomba ze-cardiograph. Ngakho, isikhumba siyaba mnyama, ufika kuye. Siyabonga bonke, ingozi iphelile. " Ucabanga ukuthi lezi ziyizimele ezivela ochungechungeni lwezokwelapha? Kungakhathaliseki ukuthi yikuphi: lokhu kuyisikhathi esivamile odokotela "abaqalayo" abajwayelekile kakhulu, abangela isiguli esinesihlungu senhliziyo futhi benze umsebenzi wabo ekilasini lokuqala.
Kunamakhulu noma ngisho nezinkulungwane zezimo ezinjalo nsuku zonke. Kodwa ngaphambi kokuba usizo lwezokwelapha lufike, kuzothatha isikhathi esithile, futhi isiguli ngeke siphume emaphashini. Ngakho-ke, izihlobo nezihlobo zimane nje kudingeka zikwazi ukuhlinzeka ukunakekelwa okuphuthumayo kwe-infarction ye-myocardial nezimo ezifanayo. Ake sibheke uhlelo lokusebenza olufanele lulandelwe uma wena noma omaziyo wakho ubanjelwa ezimweni ezinzima kangaka.
Kungani i-infarction ye-myocardial yenzeka?
Kodwa ngaphambi kokufunda ukuhlinzeka ngosizo lokuqala uma kwenzeka i-infarction, ake sijwayelane nezimbangela nezinhlobo zalesi simo. Ngale ndlela sizokwazi ukucubungula ukuqala kokuhlaselwa ekuqalweni kwayo futhi ngokuphambene ngokuphumelelayo nokuthuthukiswa kwalesi simo esiyingozi kakhulu.
Ngakho-ke, i- infarction ye-myocardial ayiyona into nje elambile yenkomo ye-oksijeni ye-muscle yenhliziyo. Ngenxa yokucindezeleka kwegazi ephakeme noma ejulile, umthwalo osebenza ngokweqile, injabulo enkulu, ukukhukhumeza kwezifo zenhliziyo ekhona, ukunikezwa kwegazi enhliziyweni kuya kwehla ngokuzumayo. Ngenxa yalokho, izicubu zenhliziyo zilahlekelwa izakhi ezingenamsoco ne-oksijini, futhi kukhona ukungasebenzi okukhulu emisebenzini yezinhliziyo.
Umtholampilo ovame kakhulu ukwelashwa kwe-myocardial isifo esibuhlungu ngemuva kwe-sternum ngakwesobunxele, kuhambisane nokwesaba nokushaywa ukufa, ukuxubana kwesikhumba kanye nezinambuzane ezimangcwabeni, ukuqhuma kwesithukuthezi esinomkhuhlane, isicanucanu nokuhlanza. Ubuhlungu bunganikezwa engxenyeni engakwesokunxele ne-scapula, kumhlathi ophansi nangamazinyo, kodwa ngokungafani nobuhlungu obunama-angina, ubuhlungu obunama-infyoction we-myocardial buthaka kakhulu ekuqedeni i-nitraglycyrin.
Ezinye izinhlobo ze-infarction ye-myocardial nazo zihlukanisiwe:
- Uma isisu esiswini (kwesisu) sesifo senhliziyo sibonakala, njengokwenyuka kwe-gastritis yemvelo.
- Ngefomu le-asthmatic, uzifihla izibonakaliso ze-asthma ye-bronchial. Kodwa-ke, kuhluke ngokuthi akusikho i-gastric noma i-antiasthmatics eyasiza.
- Uhlobo olungenabuhlungu lwe- infarction ye-myocardial lubhekwa njengento esabekayo kakhulu futhi eyingozi. Idlula ngokuphelele ngaphandle kobuhlungu futhi ithola ukuwohloka okunamandla kwamandla kanye nokuzikhandla okuncane kakhulu ngokomzimba.
Kodwa kungakhathaliseki ukuthi lesi simo esiyingozi sibonakala kanjani, ukuhlinzekwa okusemthethweni kokunakekelwa okuphuthumayo kwe-infarction ye-myocardial ngaphambi kokufika "usizo lokuqala" ngokuqinisekile kuzosindisa isisulu ekufeni. Ake sibone manje ukuthi yiziphi izinyathelo ezifanele ukuthatha, ekubeni eduze komuntu onjalo.
Usizo oluphuthumayo nge-infarction ye-myocardial
Uma ngabe isisulu siyazi, izenzo zakhe zokuqala uma kwenzeka ukuhlaselwa yinhliziyo kuyisimo se-ambulensi, ukuthatha i-nitroglycerin ngaphansi kolimi bese imbeka embhedeni. Isixazululo esihle sizoba ukubiza izihlobo, izihlobo noma okungenani umakhelwane.
Njengesizo sokuqala ku-infarction ye-myocardial acut to nitraglycyrin, akuyona into engafanele ukwengeza amaphilisi e-aspirin. Ziningi inani lezicucu ezifakwe emlonyeni wakho futhi zihloliwe kahle, hhayi ukugezwa ngamanzi. Izenzo zemithi zingasekelwa futhi nge-massage iphuzu. Ngomshini omnandi we-rhythmic weminithi elingu-1, hlalisa amaphuzu afakwe kumugqa owodwa oqondile. Owokuqala ungaphansi kwe-nipple kwesokunxele emadodeni noma ngaphansi kwesifuba sesokunxele kubesifazane. Futhi owesibili - ekupheleni kwesigaba, esuka echazweni elingenhla elichazwe phakathi kwe-sternum. Ukunakekelwa, kokubili amaphuzu ayabuhlungu kakhulu, ngakho ukuwaphuca ngokucophelela.
Uma isisulu sesilahlekile, futhi ukushaywa kwemithambo ye-carotid akuketshezi, qhubekela phambili ukuhlunga okungaqondile ngqo kwenhliziyo nokuphefumula ngokwenziwa ngomlomo ngomlomo noma ngomlomo ekhaleni:
- Okokuqala, yenza i-punch ekhaliphile endaweni engaphakathi kwenhliziyo, bese ubhala ngesifuba esiphelele, ubeke i-handkerchief ebusweni bomlwelwe futhi ukhululeke ngamandla wonke emoyeni kusukela emapapheni akhe aye ekhaleni noma emlonyeni wesisulu. Isifuba ekugcineni kufanele sikhuphuke, njengokungathi lapho kukhulunywa khona.
- Manje faka izandla zakho esifubeni endaweni yenhliziyo bese wenza ukuchofoza okungama-15. Bese futhi, bhala, bese uphinde uchofoze enhliziyweni.
Ukushisa kuqhubeka kuze kube yilapho isisulu singazifihli, noma i-ambulensi ifika.
Usizo olunjalo nge-infarction ye-myocardial, uma lunikezwa ngokoqobo, lungadonsela umuntu ohluphekile ngisho nakwezinye izizwe. Kodwa-ke, uma uqapha impilo yakho, thola ukwelashwa ngokushesha futhi uphathe indlela yokuphila elinganisiwe, bese usizo oluphuthumayo nge-infarction ye-myocardial akudingeki ngenxa yokuntuleka kwalo.