Iimpawu Zesilumkiso Ezivela Entliziyweni Yakho: Zingaphi Onokuzibona?

Kwintlalo yanamhlanje ekhawulezayo, imizimba yethu isebenza njengoomatshini abantsonkothileyo abaqhuba ngokungayekiyo, intliziyo isebenza njengenjini ebalulekileyo egcina yonke into iqhubeka. Nangona kunjalo, phakathi kokuxakeka kobomi bemihla ngemihla, abantu abaninzi abayinaki "imiqondiso yoxinzelelo" ethunyelwa ziintliziyo zabo. Ezi mpawu zomzimba ezibonakala ziqhelekile zinokuba zizilumkiso ezifihlakeleyo ezisuka entliziyweni yakho. Zingaphi onokuzibona?

◉Ukuphelelwa Ngumoya Xa Ulele Phantsi
Ukuba ufumana ukuphefumla okufutshane emva kwemizuzu embalwa ulele phantsi, okuya kunciphisa xa uhleli, oko kunokubonisa ukungasebenzi kakuhle kwentliziyo. Oku kwenzeka kuba ukulala phantsi kwandisa ukubuyela kwegazi entliziyweni, kuphakamisa ukumelana nomoya kwaye kubangele ukungakwazi ukuphefumla. Kwimeko ezinjalo, funa uncedo olukhawulezileyo kugqirha wentliziyo ngelixa uqwalasela neemeko ezinxulumene nemiphunga.

◉ Ubunzima besifuba, Njengelitye elinzima
Olu phawu, olubizwa ngokuba kukuxinana kwesifuba, lunokubonisa i-myocardial ischemia ukuba izinto ezichaphazela iimvakalelo kunye neengxaki zenkqubo yokuphefumla azibandakanywanga. Ukuba ukuxinana kuqhubeka imizuzu eliqela okanye kunyuke kube yintlungu yesifuba, kunokubonisa i-angina okanye i-acute myocardial infarction (eyaziwa ngokuba "luhlaselo lwentliziyo"). Fowunela u-120 ngoko nangoko uze uye esibhedlele esikufutshane. Ukuba ikhona, thatha iipilisi ze-nitroglycerin okanye iipilisi zokunceda intliziyo ezisebenza ngokukhawuleza njengenyathelo lokuqala.

◉ Ukulahlekelwa yiChalaha
Izigulana ezingasebenzi kakuhle kwentliziyo zinokungafumani nje kuphela ukuphelelwa ngumdla wokutya kodwa zinokuphinda zidumbe, zicaphuze, zihlanze, ziqhine, okanye zibuhlungu esiswini esingaphezulu. Ezi mpawu zihlala zivela ekuxinaneni kwamathumbu okubangelwa kukungasebenzi kakuhle kwentliziyo kwicala lasekunene.

◉ Ukukhohlela
Ukukhwehlela luphawu olubalulekileyo lokusilela kwentliziyo kodwa kudla ngokubhidaniswa nomkhuhlane okanye umkhuhlane oqhelekileyo. Ngokungafaniyo nokukhwehlela okuqhelekileyo okunxulumene nomkhuhlane, ukukhwehlela okubangelwa kukusilela kwentliziyo akusoloko kuvela emqaleni. Kunokuvelisa igwebu elimhlophe, i-phlegm etyebileyo, okanye negazi. Ukukhwehlela okomileyo kuqheleke kakhulu kwi-heart failure kwaye kuya kuba mandundu xa ulele phantsi okanye uvuka.

◉ Ukuphuma komchamo okunciphileyo kunye nemilenze engaphantsi evuvukileyo
Izigulana ezinesifo sentliziyo zihlala zikhupha umchamo omncinci kwiiyure ezingama-24, kunye nokuchama okwandileyo ebusuku. Ukongeza, ukudumba okunxulumene nentliziyo kudla ngokuqala kwiindawo ezixhomekeke kuzo ezifana namaqatha kunye namathole, okubonakala njengokudumba okubangela iintlungu. Ngokwahlukileyo koko, ukudumba kwezintso kudla ngokubonakala kuqala ebusweni. Okuphawulekayo kukuba, uvavanyo lomchamo lokudumba kwentliziyo ludla ngokuqheleka, ngelixa ukudumba kwezintso kudla ngokubonisa amanqanaba aphezulu e-albumin.

◉ Ukubetha kwentliziyo okanye ukubetha kwentliziyo okungavumelekanga
Ukubetha kwentliziyo ngokukhawuleza, ngokungacwangciswanga, okanye okutsha ziimpawu eziqhelekileyo zokusilela kwentliziyo. Izigulana zinokuziva intliziyo yazo ibetha ngamandla, rhoqo ihamba noloyiko. Ezinye iingxaki zesingqisho, ezifana ne-atrial fibrillation okanye i-atrial flutter, zinokuba yingozi ngokulinganayo ukuba azinyangwa.

◉ Isiyezi okanye Ubudenge
Ukuba nesiyezi okanye ukuziva ujikeleza yingxaki eqhelekileyo yokusilela kwentliziyo, ngamanye amaxesha ehamba nesicaphucaphu okanye iimvakalelo ezifana nokushukuma. Ukuba ezi mpawu zenzeka kunye nokubetha kwentliziyo okanye ukubetha kwentliziyo okungaqhelekanga, funa uncedo lwezonyango ngokukhawuleza.

◉ Ixhala okanye Ukungazoli
Iimpawu ezifana nokuphefumla ngokukhawuleza, iingcinga ezikhawulezayo, iintende ezibilayo, kunye nokubetha kwentliziyo ngokukhawuleza ziimpawu eziqhelekileyo zokuxhalaba. Nangona kunjalo, abanye abaguli banokuzithatha gwenxa ezi zinto njengezinxulumene noxinzelelo, bengayinaki into yokuba kukho ukusilela kwentliziyo okubangelwa yiloo nto.

Ungayihlola njani intliziyo yakho kwaye uyihlole ukuba ibuthathaka?

Ukusilela kwentliziyo okwangoku kuthathwa njengemeko engapheliyo, eqhubekayo enzima ukunyanga kodwa enokuthintelwa.Izikhokelo zaseTshayina zowama-2024 zokuQondwa kunye nokuNyangwa koKuhluleka kweNtliziyocebisa ukulinganisa i-natriuretic peptide (i-BNP okanyeI-NT-proBNP) amanqanaba okuhlola abantu abasengozini ephezulu (i-NYHA Uhlu lwe-NYHA lokulinganisa ukusilela kwentliziyo ngolu hlobo lungezantsi).

I-NT-proBNPinobomi obude obumalunga nemizuzu engama-60-120 kwaye ibonisa uzinzo oluhle kakhulu kwi-vitro. Iphuma kancinci egazini, ivumela ukuba iqokeleleke iye kumanqanaba aphezulu, ahambelana ngqo nobunzima bokungasebenzi kakuhle kwentliziyo. Ngaphezu koko,I-NT-proBNPamanqanaba akachatshazelwa yindlela yokuma, imisebenzi yemihla ngemihla, okanye utshintsho lwemihla ngemihla, nto leyo ebonisa ukuphindaphinda okunamandla. Ngenxa yoko, NI-T-proBNPithathwa njengeyona biomarker isemgangathweni yegolide yokusilela kwentliziyo.

I-Xiamen Baysen Medical'sIkhithi yoVavanyo lwe-NT-proBNP(ukusebenzisa i-fluorescence immunochromatography) kwenza kube lula ukulinganisa ubungakanani ngokukhawulezaI-NT-proBNPamanqanaba kwi-serum yomntu, kwi-plasma, okanye kwiisampuli zegazi elipheleleyo, okunceda ekuxilongweni kokusilela kwentliziyo. Iziphumo zingafunyanwa kwimizuzu eli-15