"Qaphela, sizisa i-adrenaline. Dade, jonga izikhombisi ze-cardiograph. Ngoko, ulusu luba luhlaza, luza kuye. Siyabonga sonke, ingozi iphelile. " Ngaba ucinga ukuba lawa maxwebhu avela kwiinkomfa zonyango? Kungakhathaliseki ukuba yintoni: le yinto ehlala rhoqo yoogqirha bezona zinto ziqhelekileyo "uncedo lokuqala", obangelwa isigulane esinokuhlasela kwintliziyo kunye nokuqhuba umsebenzi wabo kwiklasi yokuqala.
Kukho amakhulu okanye amawaka eemeko ezinjalo imihla ngemihla. Kodwa ngaphambi kokuba uncedo lwezokwelapha luza, kuya kuthatha ixesha elithile, kwaye isigulane asiyi kuba yimiphunga. Ngako oko, izalamane kunye neentsapho zifuna nje ukuba zibone indlela yokubonelela ngononophelo lwe- myocardial infarction kunye neemeko ezifanayo. Makhe sijonge isicwangciso senkqubo esimele silandelwe ukuba wena okanye omaziyo bakho babanjwe kwiimeko ezintle.
Kutheni i-myocardial infarction ivela?
Kodwa ngaphambi kokuba sifunde ukubonelela ngoncedo lokuqala xa kunesiphelo, masiqhelane nezizathu kunye neendidi zeli meko. Ngale ndlela siya kuba nako ukuqwalasela ukuqala kokuhlaselwa ekuqaleni kwayo kwaye ngokukhawuleza ukuphikisana nokuphuhliswa kwesi simo esiyingozi.
Ngoko, i- myocardial infarction ayikho into ephilileyo yindlala ye-oksijini yesisu senhliziyo. Ngenxa yokunyuka kwengcinezelo yegazi ephezulu okanye enkulu, umsebenzi ogqithiseleyo, umonakalo omkhulu, ukunyanzeliswa kwezifo zentliziyo ekhoyo, ukunikezelwa kwegazi entliziyweni ngokukhawuleza kwehla. Ngenxa yoko, izicubu zomzimba zilahlekelwa izondlo ezingenamlinganiselo kunye ne-oxygen, kwaye kukho ukungasebenzi kakubi kwimisebenzi ye-cardiovascular.
Iklinikhi eqhelekileyo kwi-myocardial infarction yintlungu ephezulu emva kwe-sternum ngakwesobunxele, ihamba kunye nokwesaba ukufa, ukuxubusha kwesikhumba kunye neembrane ezinamaqabunga, ukutshiza kwe-sweat ekhukhulayo, i-nausea kunye nokuhlanza. Ubunzima bunikelwa kwingalo yesobunxele ne-scapula, kumhlathi osezantsi nangamazinyo, kodwa ngokungafani nentlungu e-angina, intlungu kunye ne-myocardial infarction ayinamandla ekupheliseni i-nitraglycyrin.
Ezinye iindlela ze-myocardial infarction zikwahlukana:
- Xa isisu esiswini (isisu) sesifo senhliziyo sibonakalisa, njengokwenyuka kwe-gastritis ye-hyperacid.
- Ngefommatic form, uyaziguqula ngenxa yeempawu ze-asthma ye-bronchial. Nangona kunjalo, ihluke kwinto yokuba isantya okanye i-antiasthmatics inokunceda.
- Uhlobo olungenalubuhlungu lwe- myocardial infarction lubonwa njengona yingozi kakhulu kwaye iyingozi. Iyadlula ngokupheleleyo ngaphandle kweentlungu kwaye ifunyanwa kuphela ukuhla kwehla ngamandla ngamandla kunye nokuzikhandla komzimba.
Kodwa kungakhathaliseki ukuba le ndawo eyingozi ibonakalise njani, ukubonelelwa ngokufanelekileyo kwimeko yokuxakeka kwe-myocardial infarction ngaphambi kokufika "ngoncedo lokuqala" kuya kusindisa loo nto ixhoba ekufeni. Makhe sibone ngoku, amanyathelo afanelekileyo ukuthatha ukuthatha, ngokubhekiselele kumntu onjalo.
Uncedo olukhawulezileyo nge-infyoction ye-myocardial
Ukuba ixhoba liyayazi, ngoko ke izenzo zakhe zokuqala xa kukho intliziyo yesifo ikhwelo kwi-ambulensi, ithatha i-nitroglycerin phantsi kolwimi kwaye imbeka embhedeni. Isisombululo esihle siya kuba nokubiza izihlobo, izalamane okanye ubuncinane ummelwane.
Njengoko uncedo lokuqala kwi-acute myocardial infarction kwi-nitraglycyrin, akunakulungele ukufaka amacwecwe e-aspirin. Baye kwinani leenqanawa ezifakwe emlonyeni wakho kwaye zihlolwe kakuhle, ingahlambulukanga ngamanzi. Iimpawu zamachiza zinokuxhaswa kwakhona kunye nenqaku lokusila. Ngomatshini obumnandi obuneminithi yimizuzu engama-1, ukucofa amanqaku afumaneke kumgca owodwa ojikelezayo. Iyokuqala ingaphantsi kwenzalo yasekhohlo kumadoda okanye ngaphantsi kwesifuba sekhohlo kubasetyhini. Kwaye okwesibini - ekupheleni kwecandelo, lisuka kwinqanaba elichazwe ngasentla kwi-sternum. Ingqalelo, zombini iingongoma zibuhlungu kakhulu, ngoko zihlaziye ngokucophelela.
Ukuba ixhoba lilahlekelwe ingqalelo, kwaye i-pulse kwiimiraro ze-carotid ayifakwanga, qhubela phambili ukusila ngokungahambi ngqo kwintliziyo nokuphefumula ngokwenza umlomo kumlomo okanye umlomo ekhaleni:
- Okokuqala, yenza i-punch eqinileyo kwindawo yesigxina senhliziyo, uze uyifake isifuba esipheleleyo, ufake ihekethi ebusweni bomguli kwaye usebenzise ngamandla ngamandla onke emiphakeni yakhe ibe yimpumlo okanye emlonyeni wexhoba. Isifuba selokugqibela kufuneka siphume, njengokuba kutyalwa.
- Ngoku zibeka izandla zakho esifubeni kwindawo yentliziyo uze wenze ukuchofoza kweziqulatho ezi-15. Bese kwakhona, bhuqa, kwaye kwakhona 15 ukuchofoza entliziyweni.
Ukuhlambalaza kuqhubeka kude kube ixhoba lingazi, okanye i-ambulensi iyafika.
Uncedo olunjalo nge-infyoction ye-myocardial, xa linikezelwa ngokoqobo, lunokudonsa amanye amahlwempu nakwezinye ihlabathi. Nangona kunjalo, ukuba ubeka iliso kwimpilo yakho, fumana unyango ngokukhawuleza kwaye uqhube ngendlela yokuphila, ngoko uncedo oluphuthumayo nge-infyoction ye-myocardial ayifuni ngenxa yokungabi naso.