Ngaba ukhe wabethwa kakhulu esifubeni? Masifunde nge-myocardial contusion?

Ngamanye amaxesha, iingozi zinokwenzeka ebomini bethu esingazicingiyo, akunjalo? Ukuwa okuncinci, ingozi yemoto, okanye enye into xa sidlala imidlalo... Ubusazi ukuba ukuba into efana nale ibetha esifubeni kakhulu, inokuchaphazela nentliziyo yethu? Imeko enokwenzeka ngexesha elinjalo ibizwa ngokuba kukwenzakala kwemisipha yentliziyo. Makhe sithethe ngale nto ngokweenkcukacha namhlanje, kuba le asiyonto yokungayinaki.

Yintoni le myocardial contraction?

Ngamafutshane, ukudumba kwentliziyo kukulimala kwimisipha yentliziyo yakho. Kufana nokudumba xa sitshayiswa ndaweni ithile, kodwa oku kwenzeka entliziyweni. Oku kwenzeka xa kukho ukudumba okunzima esifubeni ngaphandle, oko kuthetha ukuba akuphuli ulusu, kodwa kuchaphazela ngaphakathi. Uninzi lwexesha, unobangela oyintloko woku kukulimala kwemoto . Cinga ngako njengokutshayiswa yimoto.

Oku kwenzakala kwemisipha yentliziyo ngamanye amaxesha kunokuba yimvuthuluka encinci, kwaye isenokungabi yingxaki enkulu. Kodwa ngamanye amaxesha kunokuba yingozi enkulu , kwaye imisipha yentliziyo yakho isenokungakwazi ukusebenza kakuhle. Ngoko ke kubaluleke kakhulu ukukwazi oku.

Kungcono ukungabhidanisi i-myocardial infarction ne-cardiac tamponade, akunjalo?

Iimpawu zezi meko zombini ngamanye amaxesha ziyafana, kodwa zizinto ezimbini ezahlukeneyo.

• Ukudumba kwentliziyo yintlungu yemisipha yentliziyo esithetha ngayo ngoku.
• I-cardiac tamponade yimeko apho ulwelo luqokelelana ngaphakathi kwesingxobo esincinci esijikeleze intliziyo (i-pericardium), nto leyo ebeka uxinzelelo entliziyweni.

Uvavanyo lwegazi lungenziwa ukuze kufunyaniswe ukuba yeyiphi kanye kanye ebangela ingxaki kwezi zimbini. Lunokubonisa nokuba kukho isifo sentliziyo na.

Ngubani onokuthi achaphazeleke kakhulu yile meko?

Ukuhlaselwa yintliziyo kunokwenzeka nakubani na , nokuba ungakanani na ubudala. Khawucinge nje:

• Umntu oselula ufumana ingozi ngelixa edlala umdlalo oyingozi.
• Indoda eneminyaka ephakathi iwile kwindawo ende yokwakha.
• Indoda eneminyaka engama-80 ubudala yenzakele esifubeni kwingozi yemoto.

Oko kuthetha ukuba, le ngozi ikhona nakweyiphi na ingozi ebetha esifubeni ngamandla.

Ixhaphake kangakanani le meko?

Enyanisweni, ukuhlaselwa yintliziyo akuqhelekanga kangako. Nangona kunjalo, kubonakala malunga ne-10% yamatyala apho kwaphuka ithambo eliphakathi lesifuba, i-sternum . Ukwaphuka kwe-sternum nako kunqabile kakhulu.

Ukulimala okungapheliyo esifubeni kubangela umonakalo entliziyweni kwi-15% kuphela yamatyala. Nangona kunjalo, kubalulekile ukuqaphela oku kuba kunokuba yingozi.

Zithini iimpawu zokuxhuzula kwentliziyo? (Iimpawu zokuxhuzula kwentliziyo)

Ukuba ukwenzakala kwemisipha yentliziyo yakho kuncinci , usenokungabi nazimpawu ngaphandle kokubetha kwentliziyo ngokukhawuleza.

Nangona kunjalo, ukuba inxeba libi kakhulu , ungaziva ngathi unesifo sentliziyo.

Ezi ziimpawu ezinokubonwa ngokubanzi:

• Ubunzima bokuphefumla
• Isiyezi (vertigo)
• Ndivakalelwa ngathi ndikhathazekile yisisu
• Ukubetha kwentliziyo (ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza)
• Intlungu esifubeni, ingakumbi kwindawo yembambo

Ukuba ezi mpawu zenzeka emva kokubetheka esifubeni, ngokuqinisekileyo kuya kufuneka ufune ingcebiso kagqirha.

Zingaba yintoni izizathu zoku?

Amaxesha amaninzi, ukuhlaselwa yintliziyo kwenzeka ngenxa yengozi . Nazi ezinye zezizathu:

• Ukuwa ukusuka kubude obuziimitha ezingama-20 nangaphezulu.
• Ukwenzakala okwenzekayo ngexesha lokudlala imidlalo (umz., imidlalo enefuthe elikhulu efana neragbi kunye nebhokisi).
• Iingozi zezithuthi (le yeyona nto iphambili).
• Ngamanye amaxesha, kwanangexesha le- CPR esindisa ubomi (Cardiopulmonary Resuscitation) , ukucinezelwa kwesifuba kunokubangela olu hlobo lokugruzuka. Oku akuthethi ukuba akufanele wenze i-CPR, kuba yinkqubo esindisa ubomi, kodwa kulungile ukuqaphela esi siphumo esingalindelekanga esinokubakho.

Oogqirha bayixilonga njani le nto?

Ukufumanisa ukudumba kwemisipha yentliziyo ngamanye amaxesha kunokuba nzima kancinci , kuba nokuba akukho nxeba libonakalayo okanye umkrwelo ngaphandle kwesifuba, kunokubakho umonakalo omkhulu entliziyweni ngaphakathi.

Ugqirha uza kukuhlola aze enze uvavanyo oluyimfuneko.

Ukuba unesifo sentliziyo, unokubona izinto ezifana nezi:

• Iimpawu zeembambo ezaphukileyo (njengesandi "esirhawuzelayo" xa uchukumisa isifuba).
• Uxinzelelo lwegazi oluphantsi .
• Ukuphazamiseka kwentliziyo.
• Ukwanda kwesantya sokuphefumla.
• Imikrwelo okanye imivumbo esifubeni.

Luhlobo luni lovavanyo oluza kwenziwa? (Uvavanyo)

Ukufumanisa ukuba kukho ukwenzakala kwemisipha yentliziyo, kunokwenziwa ezi mvavanyo zilandelayo:

• I-X-ray yesifuba: Oku kunokujonga ukuba iimbambo zaphukile okanye umonakalo wemiphunga awubonakali.
• I-Chest CT (Computed Tomography) Scan: Olu luvavanyo oluneenkcukacha ezingaphezulu kune-X-ray. Lunokubonisa ngokucacileyo umonakalo wentliziyo kunye nomonakalo kwizicubu ezingqongileyo.
• I-Echocardiogram (Echo): Oku kujonga ukusebenza kwentliziyo, indlela amagumbi entliziyo kunye neevalvu ezisebenza ngayo, kunye nokuba kukho na umonakalo owenzekileyo eludongeni lwentliziyo ngenxa yokukrweleka. Kufana ne-ultrasound scan yentliziyo.
• I-Electrocardiogram (EKG / ECG): Le ndlela ilinganisa umsebenzi wombane wentliziyo, okanye isingqisho sentliziyo. Inokunceda ekuqinisekiseni ukuba isingqisho sitshintshile ngenxa yokwenzakala.
• I-MRI yentliziyo: Olu luvavanyo oluneenkcukacha ezininzi. Lunokububona ngokucacileyo ubunzulu bomonakalo kwimisipha yentliziyo.
• Uvavanyo lwegazi: Ngokukodwa, bakhangela i-enzyme ebizwa ngokuba yi -troponin (Troponin I okanye iTroponin T) . Le enzyme ikhutshwa egazini xa izihlunu zentliziyo zonakele. Ubungakanani bayo bunokunika umbono wobungakanani bomonakalo.

Ziziphi iindlela zonyango zoku? (Unyango lwe-Myocardial Contusion)

Akukho sicwangciso sithile sonyango lokuhlaselwa yintliziyo. Oko kukuthi, akukho "nantsi iyeza ekufuneka ulinike." Nangona kunjalo, oogqirha baya kukubeka esweni ngokusondeleyo baze banyange naziphi na iingxaki ezinokubakho ngelo xesha.

KwiSebe leNgxakeko, unganikwa oku kulandelayo:

• Ioksijini .
• Izinto ezifana ne-saline ezifakwa emthanjeni osengalweni (ii-IV fluids) .
• Amayeza okunceda ukungasebenzi kakuhle kwesantya sentliziyo, uxinzelelo lwegazi oluphantsi, okanye iintlungu.
• Isixhobo sokuncedisa ukubetha kwentliziyo okwethutyana ukulawula ukubetha kwentliziyo okwethutyana.
• Ukuba kukho igazi elongezelelekileyo elijikeleze intliziyo, kunokufakwa ityhubhu yesifuba ukuze lisuswe.

Ukuba uvavanyo lwakho lwegazi lubonisa ukuba izihlunu zentliziyo yakho zonakele, uza kungeniswa esibhedlele. Amanqanaba akho e-troponin aza kuhlolwa kwaye igazi lakho liza kuvavanywa kwakhona ngamaxesha ahlukeneyo.

Ziziphi iingxaki ezinokubakho ngenxa yale meko?

Ukuhlaselwa yintliziyo kunokubangela iingxaki ezinkulu, yiyo loo nto kubalulekile ukuba uyixilonge ngokukhawuleza.

• Ukungasebenzi kwentliziyo: Intliziyo ayikwazi ukupompa igazi ngokufanelekileyo.
• Ukuqhekeka kwentliziyo: Oku kuyingozi kakhulu, kukuqhekeka eludongeni lwentliziyo.
• I-Cardiac tamponade: Njengoko besitshilo ngaphambili, ulwelo luqokelelana lujikeleze intliziyo, nto leyo ebangela uxinzelelo entliziyweni.
• Umothuko wentliziyo: Yimeko enzima apho intliziyo ingakwaziyo ukupompa igazi elaneleyo, nto leyo ebangela ukungabikho kwegazi emzimbeni wonke.
• Izingqisho zentliziyo ezingaqhelekanga / iiArrhythmias.
• Ngamanye amaxesha, ukufa ngequbuliso kunokwenzeka ngaphandle kwesilumkiso . Yiyo loo nto kungeyonto ifanele ithathwe lula.

Kuza kuthatha ixesha elingakanani ukuchacha? (Ixesha lokuchacha)

Ixesha lokuchacha emva kokudumba kwemisipha yentliziyo linokususela kwiiveki ezimbalwa ukuya kwiinyanga ezimbalwa . Kuxhomekeke kwimeko yakho kunye nobunzima bokwenzakala. Akuthathi xesha lifanayo kumntu wonke.

Ngaba kufuneka ulumke ngokutya nokusela?

Ukuba ufumana imeko efana nokusilela kwentliziyo emva kokuhlaselwa yintliziyo, ugqirha wakho angakuxelela ukuba utye ukutya okunetyuwa encinci kuba ityuwa inokunyusa ukugcinwa kolwelo emzimbeni, nto leyo ebeka uxinzelelo olungakumbi entliziyweni.

Ngawaphi amayeza kunye nonyango oluqhelekileyo olunikwayo? (Amayeza/Unyango olusetyenziselwa iingxaki)

Unyango kunye namayeza kuxhomekeka kwiingxaki onazo. Oku kuthetha ukuba unyango olunikwa umntu ngamnye lunokwahluka.

• Ukuba unesifo sentliziyo , unganikwa amayeza oxinzelelo lwegazi awenza kube lula ukuba intliziyo ipompe igazi.
• I-tamponade yentliziyoUkuze kuncitshiswe uxinzelelo entliziyweni, kunokwenziwa inkqubo ebizwa ngokuba yi -pericardiocentesis , esusa ulwelo olugqithisileyo kwisingxobo esijikeleze intliziyo (i-pericardium).
• Izingqisho zentliziyo ezingaqhelekanga (arrhythmias) zinokufuna amayeza okanye i-pacemaker.
• Kwimeko yokuphazamiseka kwentliziyo , amayeza okanye izixhobo zexeshana zingasetyenziswa ukunceda intliziyo ipompe igazi.
• Ukuba imisipha yentliziyo iyaqhekeka (i-myocardial rupture) , kunokufuneka utyando ukuze ilungiswe. Nangona kunjalo, oku kunqabile kakhulu kwaye kuyingozi kakhulu.

Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango? (Iingxaki/Iziphumo ebezingalindelekanga zonyango)

Ewe, ezinye iindlela zonyango zinokubangela iziphumo ebezingalindelekanga okanye iingxaki. Oku kuyahluka ngokonyango.

• Amanye amayeza entliziyo anokubangela iziphumo ebezingalindelekanga ezifana nesiyezi .
• Usulelo okanye ukopha kungenzeka emva kotyando okanye i-pericardiocentesis.
• Izixhobo zonyango ezisetyenzisiweyo zisenokungasebenzi kakuhle.

Nangona kunjalo, oogqirha banyanga izigulana ngokuthatha yonke le nto ingqalelo.

Ndiza kuziva bhetele nini emva konyango?

Ukuba usebenzisa izixhobo ezinceda intliziyo ipompe igazi, ziya kuqala ngoko nangoko ukuphucula imeko kuba zinceda ngokwasemzimbeni ukuhambisa igazi emzimbeni wonke.

Amayeza afakwa kwimithambo yegazi (IV) nawo aqala ukusebenza ngokukhawuleza .

Singenza ntoni ukuthintela oku? (Ukuthintela)

Ukuze sithintele ukuhlaselwa yintliziyo, kufuneka sizame ukuphepha iingozi ezikhokelela kuyo. Kakade ke, ayizizo zonke iingozi ezinokuthintelwa. Nangona kunjalo, kukho izinto esinokuzenza:

• Kukhuselekile ukuqhuba imoto ene-airbags .
• Soloko unxibe ibhanti xa ukhwela imoto.
• Sebenzisa izixhobo zokhuseleko xa usebenza kwiindawo eziphakamileyo.
• Xa udlala imidlalo, nxiba izixhobo zokuzikhusela ezifanelekileyo kuloo mdlalo.

Ungalibali ukuba ezi zinto zincinci zingakusindisa kwingozi enkulu.

Yintoni Onokuyilindela Ukuba Unesifo Sentliziyo?

Ukuba unesifo sentliziyo, oogqirha baya kukujonga ngokusondeleyo iiyure ezingama-24 ukuya kwezingama-48 . Ngeli xesha, isingqisho sentliziyo yakho siya kuhlolwa nge -EKG (electrocardiogram) . Oku kwenzelwa ukufumanisa ngokukhawuleza naluphi na utshintsho olukhawulezileyo ekusebenzeni kwentliziyo yakho.

Ii-arrhythmias zentliziyo ezingaqhelekanga (ii-arrhythmias) ezibangelwa kukuhlaselwa yintliziyo zihlala ziphela kwiiyure ezingama-24 . Iingxaki ezinkulu nezihlala ixesha elide azixhaphakanga.

Iyintoni imbonakalo yale meko? (Imbonakalo)

Uninzi lwabantu abonzakele kancinci kwaye intliziyo yabo ibetha ngendlela eqhelekileyo ababi nangxaki . Ngokwesiqhelo, abantu abanezihlunu zentliziyo ezibuhlungu bayachacha ngokupheleleyo .

Nangona kunjalo, ukuba ukuxhuzula kwakho kukhulu , kukho ithuba elikhulu lokuba uya kuhlaselwa sisifo sentliziyo okanye isigqi sentliziyo esingaqhelekanga kamva.

Ndingazinyamekela njani? (Ukuzinyamekela)

Udinga ukunika umzimba wakho ixesha lokuphola kwisifo sentliziyo. Oko kuthetha ukuba kusenokufuneka uyeke ukudlala umdlalo owuthandayo okwethutyana. Landela imiyalelo kagqirha wakho ngokuchanekileyo. Musa ukungxama.

Ndifanele ndimbone nini ugqirha kwakhona? (Ndifanele ndimbone nini ugqirha)

Emva kokuba uye kwigumbi likaxakeka, ngokuqinisekileyo kuya kufuneka ubone umboneleli wakho wezempilo oyintloko (ugqirha wosapho) . Kusenokufuneka uqhubeke nonyango lweengxaki ezibangelwa kukukrweleka kwakho. Ukuba kunjalo, gcina amadinga akho okulandela njengoko uyalelwe ngugqirha wakho.

Ekubeni ezinye iingxaki ezingaqhelekanga zinokwenzeka kamva, kungcono ukubona ugqirha ukuze ahlolwe emva kweenyanga ezintathu ukuya kwezintandathu emva kokwenzakala .

Yeyiphi imibuzo endifanele ndiyibuze ugqirha? (Imibuzo ekufuneka ndiyibuze ugqirha wakho)

Xa ubona ugqirha, ungambuza imibuzo efana nale:

• Ndingaqala nini ukuqhuba nokudlala imidlalo kwakhona?
• Ndingenza ntoni ukuze ndizikhusele kwixesha elizayo?
• Ingxaki ezivela kule meko ziya kuhlala ixesha elingakanani?

Iingozi aziyonto oyicebayo. Ngoko ke kuqhelekile ukuba uzive uxhalabile. Kodwa, wakufumana uncedo olungxamisekileyo, usezandleni ezilungileyo. Ukuba uxelelwe ukuba uhlale esibhedlele ukuze ujongwe, musa ukuthi nje, "Hayi, ndiphilile," uze ugoduke. Ukuhlala apho kulungelwe wena. Kuba oogqirha bafuna ukuqinisekisa ukuba awunazo naziphi na iingxaki ezinkulu ezibangelwe yingozi. Emva kokuba uphumile esibhedlele, qiniseka ukuba uya kugqirha wakho kwaye uthathe amayeza njengoko kuyalelwe.

Masikhumbule la manqaku (Umyalezo Wokubuyela Ekhaya)

Ukubetheka kwentliziyo akuyonto ithathwa lula . Ukuba ubetheka kakhulu esifubeni, oku kunokuchaphazela intliziyo.

• Lumka ngeempawu (ubunzima bokuphefumla, iintlungu zesifuba, ukubetha kwentliziyo ngokukhawuleza).
• Ukuba ufumana ezi mpawu emva kwengozi , funa ingcebiso kagqirha ngoko nangoko .
• Landela unyango kunye nemiyalelo enikwe ngoogqirha ngokuchanekileyo .
• Thabatha amanyathelo okhuseleko ukuze uphephe iingozi kangangoko unako.
• Zinike ixesha lokuphola kwaye ufumane unyango olufanelekileyo.

Intliziyo yakho yinto exabisekileyo kakhulu. Luxanduva lwakho ukuyinyamekela.

Ukuxinana kwentliziyo , Ukuxinana kwentliziyo, Ukwenzakala esifubeni, Uhlaselo lwentliziyo, Iingozi, Unyango, Iimpawu