Ingaba intliziyo yakho ibuthathaka? Masiqaphele lo mngcipheko wentliziyo uyingozi (Cardiogenic Shock)!

Ngaba wakha wacinga ngendlela emangalisayo ngayo ipompo yentliziyo yethu? Kodwa ngamanye amaxesha, kukho amaxesha apho intliziyo ingasebenzi kakuhle. Xa oko kusenzeka, umzimba wonke awukwazi ukufumana igazi elaneleyo, okubizwa ngokuba yi -cardiogenic shock . Le yimeko esongela ubomi efuna unyango olungxamisekileyo. Ngoko masithethe ngale nto ngokweenkcukacha namhlanje, akunjalo?

Yintoni le ngxaki yentliziyo?

Ngamafutshane, ukothuka kwentliziyo kwenzeka xa intliziyo yakho ingakwazi ukupompa igazi elaneleyo emzimbeni wakho. Xa uxinzelelo lwakho lwegazi luhla, amalungu akho abalulekileyo (afana nengqondo yakho, izintso, nesibindi) awafumani ioksijini ayidingayo. La malungu emva koko ayayeka ukusebenza aze aqale ukonakala. Le yingxamiseko enkulu kwaye ifuna ukulaliswa esibhedlele ngokukhawuleza kunye nonyango. Ngaphandle koko, inokuba yingozi ebomini.

Ingaba kukho amanqanaba ahlukeneyo koku?

Ewe, oogqirha bahlula le meko yokukhwankqiswa yintliziyo ibe ngamanqanaba ahlukeneyo ngokobunzima bemeko. Njengakwiiklasi esikolweni. Oko kukuthi, la manqanaba amiselwa ngokobunzima kunye nobunzima bomguli. Makhe sibone ukuba zeziphi:

• Usemngciphekweni (A): Oku kuthetha ukuba usenokuba nesifo sentliziyo okanye ukusilela kwentliziyo, kodwa awukabonisi zimpawu zokothuka. Oku kuthetha ukuba kukho umngcipheko omncinci kwaye kufuneka uqaphele.
• Isiqalo (B): Ngeli xesha, uxinzelelo lwakho lwegazi lunokuqala ukwehla, okanye isantya sentliziyo yakho sisenokungaqheleki. Oku kuthetha ukuba ukulungele ukuba nesifo sothuko.
• Iklasikhi (C): Kwimeko enjalo, ungadinga amayeza okanye uhlobo oluthile lwesixhobo sokunceda ukupompa igazi ukuya kumalungu omzimba wakho. Le meko imbi kakhulu.
• Inqanaba lokuwohloka (D): Apha, imeko iba mandundu emva kwemizuzu engama-30, ngaphandle kokuphendula kumayeza okanye izixhobo ezisetyenzisiweyo.
• I-Extremis (E): Eli lelona nqanaba linzima kakhulu. Ukuhlaselwa yintliziyo kwenzeka kwaye udinga i-ventilator yokuphefumla, i-CPR yokuvuselela intliziyo, kunye ne-defibrillator.

Kuqikelelwa ukuba phakathi kwabantu abangama-40,000 nama-50,000 eMelika kuphela bahlushwa yile meko yentliziyo minyaka le. Abafazi banamathuba amaninzi okuba nayo. Kwakhona, abantu abangaphezu kweminyaka engama-75 ubudala kunye nabo banesifo sentliziyo esele sikhona basengozini enkulu.

Zithini iimpawu zoku? Jonga ukuba nawe unazo ezi...

Ukuba unenye okanye ngaphezulu kwezi mpawu, kufuneka ukhathazeke ngazo.

• Ukudideka okanye ukulahlekelwa zingqondo:Awunakukwazi ukuqonda ukuba kwenzeka ntoni kanye kanye, okanye kuvakala ngathi izinto ozithethayo azicacanga.
• Ukuquleka: Ungalahlekelwa zingqondo ngequbuliso uze uwe.
• Ubunzima bokuphefumla: Ubunzima bokuphefumla, ukuziva ngathi ufunxwa yi-komityi.
• Ukuncipha kokuchama: Ubungakanani bomchamo owukhuphayo buncinci kunesiqhelo.
• Izandla neenyawo ezibandayo: Izandla neenyawo zivakala zibanda xa uzichukumisa.
• Utshintsho lombala wolusu: Ulusu lunokuba luhlaza okwesibhakabhaka.
• Ukudinwa/ukudinwa kakhulu: Ukudinwa kakhulu ukuba angenza nantoni na.
• Ukudumba kwesisu nemilenze: Isisu siyadumba ngokungathi sigcwele amanzi, kwaye imilenze yomibini iyadumba.
• I-Anorexia: Ukuphelelwa ngumnqweno wokutya.

Eyona nto ibalulekileyo: Ukuba uneempawu zokuhlaselwa yintliziyo (umz., iintlungu eziqatha esifubeni, ukuphefumla kancinci), funa uncedo lwezonyango ngokukhawuleza. Musa ukulibazisa!

Kutheni oku kusenzeka? Zithini izizathu?

Eyona nto ibangela ukothuka kwentliziyo kukuhlaselwa yintliziyo . Nangona kunjalo, kunokubangelwa zezinye iimeko zentliziyo. Ngamafutshane, nantoni na ebuthathaka ukusebenza kwentliziyo yakho inokubangela oko.

Ezinye izizathu zezi:

• I-Myocarditis : Ukudumba kwemisipha yentliziyo.
• I-Endocarditis : Usulelo lweevalvu zentliziyo.
• Ukubetha kwentliziyo okungaqhelekanga (i-Arrhythmia) : Ukubetha kwentliziyo okungaqhelekanga.
• I-Cardiac Tamponade : Imeko apho ulwelo okanye igazi liqokelelana ngaphakathi kwingxowa ejikeleze intliziyo, nto leyo ebangela uxinzelelo entliziyweni.
• I-Pulmonary Embolism : Ihlwili legazi livala ngequbuliso umthambo wegazi emiphungeni.
• Ingxaki ngevalvu yentliziyo: Umzekelo, ukukrazuka kwemisipha exhasa ivalvu, okanye ivalvu yokufakelwa efakelweyo engasebenzi kakuhle.
• Umonakalo eludongeni oluphakathi kwe-atrium yasekhohlo neyasekunene yentliziyo.
• Ukwenzakala esifubeni.

Ngubani onokuba nethuba elikhulu lokuphuhlisa oku? (Izinto ezibangela umngcipheko)

Kukho izinto ezithile ezibangela umngcipheko wokuba nesifo sentliziyo. Emva koko, ngenye imini, olu hlaselo lwentliziyo (Cardiogenic Shock) lunokwenzeka. Makhe sibone ukuba zeziphi ezi zinto ziyingozi:

• Ukuba nokusilela kwentliziyo.
• Ekubeni ndikhe ndahlaselwa yintliziyo ngaphambili.
• Ukuba nesifo semithambo yegazi yentliziyo.
• Igazi elonyukayo.
• I-cholesterol ephezulu.
• Isifo seswekile.
• Ukusetyenziswa kwecuba (ukutshaya, ukuhlafuna icuba).
• Ukutyeba kakhulu kunye nokutyeba kakhulu.
• Ndikhe ndatyandwa ngaphambili nge-coronary artery bypass.
• Ukungazilolongi umzimba.

Iindaba ezimnandi zezokuba ungazitshintsha ezinye zezi zinto zinobungozi. Oko kuthetha ukuba unganciphisa umngcipheko wakho ngokwenza utshintsho kwindlela ophila ngayo.

Zithini iziphumo ebezingalindelekanga zale meko?

Ukothuka okubangelwa yintliziyo kunokonakalisa amalungu abalulekileyo anje ngengqondo yakho, isibindi, kunye nezintso. Kunokubangela ukubetha kwentliziyo okungaqhelekanga kwaye kubangele ukufa ngenxa yokuma kwentliziyo. Istroke yenye ingxaki enokubakho. Kwezinye iimeko, le meko inokubulala.

Oogqirha bayibona njani le nto?

Xa usiya kugqirha, uza kukubuza ngesifo sakho kunye neempawu ozifumanayo. Emva koko, ngexesha lovavanyo lomzimba, unokubona iimpawu ezifana nezi:

• Ukubetha kwentliziyo okubuthathaka.
• Ulusu luvakala lubanda kwaye lubila.
• Uxinzelelo lwegazi oluphantsi.
• Ukubetha kwentliziyo okungaqhelekanga okanye isandi esingaqhelekanga ugqirha anokusiva nge-stethoscope (Heart Murmur).

Zeziphi iimvavanyo ezenziwayo?

Kuyenziwa uvavanyo oluninzi ukuze kuqinisekiswe ukuba kukho na ukothuka kwentliziyo.

• I-Blood Pressure Cuff: Jonga ukuba uxinzelelo lwegazi luphantsi na.
• Ukucoca igazi ngeCatheterization: Oku kwenzelwa ukujonga ukuba akukho zithintelo kwimithambo yegazi yentliziyo ehambisa igazi entliziyweni. Kungajonga nokuba intliziyo ihambisa igazi kangakanani na.
• I-Electrocardiogram (ECG/EKG): Jonga umsebenzi wombane wentliziyo (isingqisho sentliziyo).
• I-Echocardiogram: Ijonga naziphi na iingxaki ngamandla entliziyo kunye nolwakhiwo lwentliziyo.
• I-X-ray yesifuba: Ukujonga ulwelo olusezimpumlweni kunye nemeko yentliziyo kunye nemithambo yegazi.
• Uvavanyo lwegazi: Uvavanyo olufana ne-`(Lactate)` lwenziwa ukujonga inqanaba le-oksijini egazini kunye nokujonga ukuba akukho monakalo na kumalungu aphambili omzimba.

Iphathwa njani le nto?

Le yimeko esongela ubomi, ngoko ke unyango olungxamisekileyo lubalulekile.

Injongo ephambili yonyango lwe-cardiogenic shock kukuphucula ukuhamba kwegazi kunye ne-oksijini kwizitho eziphambili kunye nokuthintela umonakalo kuzo. Ngamanye amaxesha oku kungenziwa ngamayeza. Nangona kunjalo, kwiimeko ezinzima, izixhobo ezikhethekileyo (Izixhobo zokuxhasa) zinokufuneka ukunceda intliziyo.

Unyango oluqala kwigumbi likaxakeka okanye kwiYunithi yoKhathalelo oluNzulu (ICU) yesibhedlele lungabandakanya:

• Amayeza asusa ulwelo olugqithisileyo, aphucula ukujikeleza kwegazi, kwaye ancede intliziyo isebenze kakuhle.
• Ioksijini ukunceda ekuphefumleni (mhlawumbi ngesixhobo somoya).
• I-Swan-Ganz Catheter yokujonga uxinzelelo olungaphakathi kwentliziyo.
• Izixhobo zokuxhasa ezinceda intliziyo ngoomatshini.

Unyango olulandelayo

Emva konyango olungxamisekileyo, unyango olongezelelweyo luxhomekeke kwisizathu sokothuka kwentliziyo yakho. Unyango lungabandakanya:

• Ukuba kungenxa yokuhlaselwa yintliziyo: I-Angioplasty ukuvumela igazi ukuba lihambe ngemithambo yegazi evalekileyo mhlawumbi nakwi-stent.
• Ukuba kungenxa yengxaki yevalvu: Ukulungiswa okanye Ukutshintshwa kweValve yeNtliziyo.
• Kwintliziyo enentliziyo engaqhelekanga: Ukutshintsha kwentliziyo (defibrillation) okanye ukufaka ipacemaker.
• Ukuba kukho ulwelo olujikeleze intliziyo: Inkqubo esebenzisa inaliti ukususa ulwelo olugqithisileyo olucinezela intliziyo.
• Kwimithambo yentliziyo evalekileyo: I-Coronary Artery Bypass Graft (CABG / Open-Heart Surgery) ukuvumela igazi elingakumbi ukuba lihambe liye entliziyweni.
• Kwintliziyo efuna uncedo olongezelelekileyo: Umatshini obizwa ngokuba yi-`ECMO (Extracorporeal Membrane Oxygenation)` wokwenza umsebenzi wentliziyo yakho nemiphunga, kunye nepompo yexesha elifutshane`(Short-term Pump in Aorta)` yokunceda intliziyo ipompe igazi elingakumbi.
• Kwintliziyo ebonakala ngathi iyasilela: Isixhobo esihlala ixesha elide sokunceda intliziyo sibizwa ngokuba yi-"Left Ventricular Assist Device (LVAD).`` Inyathelo elilandelayo yi-"Heart Transplant."

Iza kuthatha ixesha elingakanani ukuphila?

Ixesha elithathayo ukuze uphile lixhomekeke kunyango olufumanayo. Kusenokufuneka uhlale esibhedlele iveki okanye nangaphezulu. Emva koko, kunokuthatha naphi na ukusuka kwiiveki ezimbalwa ukuya kwiinyanga ezimbalwa ukuze uphile, nokuba usekhaya okanye kwiziko lokubuyisela impilo. Ukuya kwinkqubo yokubuyisela impilo emva kokuhlaselwa yintliziyo kunokunceda kakhulu kule nkqubo yokululama.

Ndifanele ndimbone nini ugqirha?

Ukuba uneempawu zokuhlaselwa yintliziyo okanye ukothuka kwentliziyo, fowunela i-ambulensi ngoko nangoko. Ungaqala unyango kwi-ambulensi.

Emva komothuko wentliziyo, kuya kufuneka ubone ugqirha wakho ukuze akutyelele kwakhona. Ukuba unesixhobo sonyango esinceda intliziyo yakho isebenze kakuhle, kuya kufuneka uhlolwe rhoqo ukuqinisekisa ukuba isebenza kakuhle.

Ukuba ufumanisa naziphi na iimpawu ezintsha, kufuneka uxelele ugqirha wakho ngazo.

Eminye imibuzo onokuyibuza ugqirha wakho:

• Zeziphi izinto ekufuneka ndizilumkele kwixesha elizayo?
• Ngaba kufuneka ndenze utshintsho kwimikhwa yam yemihla ngemihla?
• Ngawaphi amayeza endifanele ndiqhubeke ndiwathatha kwaye ixesha elingakanani?

Ngaba oku akunakuthintelwa?

Ukufumana unyango olukhawulezileyo lokuhlaselwa yintliziyo yeyona ndlela ilungileyo yokuthintela ukothuka kwentliziyo, njengoko ukothuka kwentliziyo kudla ngokubangelwa kukuhlaselwa yintliziyo.

Bona ugqirha wakho ukuze ufunde ngomngcipheko wakho wesifo sentliziyo kwaye uthathe amanyathelo okuphucula impilo yentliziyo yakho. Ukuba unesifo semithambo yegazi, bona ugqirha wakho rhoqo kwaye ulandele isicwangciso sonyango asicebisayo.

Kuza kwenzeka ntoni xa ujongene nale meko?

Indlela ukothuka okubangelwa yintliziyo okuchaphazela ngayo ubomi bakho ixhomekeke ekubeni ufumana unyango ngokukhawuleza kangakanani. Okukhona ixesha lakho lifutshane xa usothuka, kokukhona kungcono. Oko kuthetha ukuba akukho monakalo mkhulu kumalungu akho amakhulu. Okukhona amalungu amaninzi engafumani gazi laneleyo, kokukhona umngcipheko wakho wokufa ngenxa yokothuka okubangelwa yintliziyo uphezulu.

Amathuba okusinda kwisifo sentliziyo ayanda ngokuhamba kwexesha. Nangona kunjalo, nokuba unyango lunokunyanga, esi sifo sinokubulala. Abantu abaninzi abasindi kuso.

Yintoni umahluko phakathi kweCardiogenic Shock kunye neSeptic Shock?

Zombini ziimeko zokothuka. Oku kuthetha ukuba amalungu akho kunye nezicubu zakho azifumani ioksijini eziyidingayo. Nangona kunjalo, ezi meko zimbini zisongela ubomi zibangelwa zizinto ezahlukeneyo. Ukothuka kwentliziyo kubangelwa sisifo sentliziyo. Ukothuka kweSeptic kubangelwa zizifo. Ngamanye amaxesha zombini ezi meko zinokwenzeka ngaxeshanye.

Ngaba iCardiogenic Shock iyafana neHeart Attack?

Hayi, ukothuka kwentliziyo akufani nokuhlaselwa yintliziyo. Nangona kunjalo, ukuhlaselwa yintliziyo yeyona nto ibangela ukothuka kwentliziyo.

Xa usindile kuhlaselo lwentliziyo kunye nokothuka kwentliziyo, usenokuba uziva iimvakalelo ezininzi. Kungcono ukuthetha ngento ojongene nayo nomcebisi, umhlobo, okanye iqela lenkxaso. Ungalibali ukuthatha onke amayeza achazwe ngugqirha wakho. Ukubona ugqirha wakho kunokukunceda uphumelele ekuchacheni kwakho.

Izinto ezibalulekileyo ekufuneka sizikhumbule kwizinto esithethe ngazo zezi:

Kulungile, ngoku uyaqonda kakuhle into esithethe ngayo namhlanje, iCardiogenic Shock. Nazi izinto ezibalulekileyo ekufuneka uzikhumbule:

• Ukothuka kwentliziyo yimeko eyingozi nengalindelekanga eyenzeka xa intliziyo ingakwazi ukupompa igazi ngokufanelekileyo.
• Lumka ngeempawu: Ukuba ufumana iimpawu ezifana nobunzima bokuphefumla, iintlungu esifubeni, ukulahlekelwa zingqondo, kunye nokubanda kwezandla neenyawo, musa ukulibazisa.
• Funa uncedo lwezonyango ngokukhawuleza: Ukuba unale mpawu, yiya esibhedlele ngokukhawuleza. Fowunela i-ambulensi.
• Uhlaselo lwentliziyo yeyona nto iphambili: ngoko ke, ukuba ufumana iimpawu zohlaselo lwentliziyo, funa unyango ngoko nangoko.
• Lawula izinto ezibangela umngcipheko: Kuphephe ukutshaya, yitya ukutya okunesondlo, uzilolonge, kwaye ulawule isifo seswekile kunye noxinzelelo lwegazi oluphezulu. Ezi zinto zinokukunceda uzikhusele kwezi meko.

Ukuba ufuna ukwazi okungakumbi ngale nto, ungoyiki ukuthetha nogqirha wakho. Hlala usempilweni!

Umothuko wentliziyo , uhlaselo lwentliziyo, isifo sentliziyo, unyango olungxamisekileyo, intliziyo, uxinzelelo lwegazi