Iimpawu ezilumkisayo eziphuma kwiNtliziyo Yakho: Zingaphi Onokuziqaphela?

Kwibutho labantu lanamhlanje elikhawulezayo, imizimba yethu isebenza njengoomatshini abantsonkothileyo abaqhuba ngokungayekiyo, nentliziyo esebenza njengenjini ebalulekileyo egcina yonke into iqhubeka. Nangona kunjalo, phakathi kokuphithizela kobomi bemihla ngemihla, abantu abaninzi bayayihoya “imiqondiso yonxunguphalo” ethunyelwa ziintliziyo zabo. Ezi mpawu zibonakala ziqhelekile emzimbeni zisenokuba zizilumkiso ezifihlakeleyo ezisuka entliziyweni yakho. Zingaphi kuzo onokuziqonda?

◉Ukuphefumula kancinci Xa Ulele
Ukuba ufumana ukuphefumula okufutshane kwimizuzu embalwa emva kokulala phantsi, okulula xa uhleli, kunokubonisa ukungaphumeleli kwentliziyo. Oku kwenzeka ngenxa yokuba ukulala phantsi kwandisa ukubuya kwegazi entliziyweni, kuphakamisa ukuxhathisa kwindlela yomoya kwaye kubangela ukuphefumla. Kwiimeko ezinjalo, funa ukubonisana ngokukhawuleza nogqirha wentliziyo ngelixa ulawula iimeko ezinxulumene nemiphunga.

◉ Ubunzima besifuba, Njengelitye elinzima
Ngokuqhelekileyo kubhekiselwa kukuqina kwesifuba, olu phawu lunokuthi lubonise i-myocardial ischemia ukuba iimeko zeemvakalelo kunye nemiba yenkqubo yokuphefumla ayibandakanywanga. Ukuba ukuqina kuyaqhubeka kangangemizuzu emininzi okanye kunyukela kwiintlungu ezibukhali zesifuba, kunokubonisa i-angina okanye i-acute myocardial infarction (eyaziwa ngokuba “luhlaselo lwentliziyo”). Tsalela u-120 ngokukhawuleza kwaye uye kwisibhedlele esikufutshane. Ukuba ikhona, thatha iipilisi ze-nitroglycerin okanye iipilisi zentliziyo ezikhawulezayo njengenyathelo lokuqala.

◉ Ukuphulukana noMdla
Izigulana ezinentliziyo engasebenzi kakuhle zisenokungafumani ukutya nje kuphela kodwa zisenokuqunjelwa, isicaphucaphu, ukugabha, ukuqhinwa, okanye iintlungu emantla esisu. Ezi mpawu zihlala zivela kukuxinana kwesisu okubangelwa kukungaphumeleli kwentliziyo kwicala lasekunene.

◉ Ukukhohlela
Ukukhohlela luphawu olubalulekileyo lokungaphumeleli kwentliziyo kodwa kudla ngokuphazamana nomkhuhlane okanye umkhuhlane oqhelekileyo. Ngokungafaniyo nokhohlokhohlo oluqhelekileyo olunxulumene nokubanda, ukukhohlela okubangelwa kukungaphumeleli kwentliziyo akufane kuqale emqaleni. Inokuvelisa amagwebu amhlophe, iphlegm engqindilili, okanye kwanegazi. Ukukhohlela okomileyo kuxhaphake kakhulu ekuphelelweni kwentliziyo kwaye kudla ngokuba mandundu xa ulele okanye uvuka.

◉ UPhumezo oluNcitshisiweyo loMchamo kunye nokuDumba kwamalungu asezantsi
Izigulana zokusilela kwentliziyo zihlala zivelisa umchamo omncinci kwiiyure ezingama-24, kunye nokunyuka kokuchama ebusuku. Ukongeza, i-edema enxulumene nentliziyo iqala kwiindawo ezixhomekeke kumaqatha kunye namathole, zibonakala njenge-edema ye-pitting. Ngokwahlukileyo, i-edema ye-renal idla ngokubonakala kuqala ebusweni. Ngokucacileyo, iimvavanyo zomchamo we-edema yentliziyo zihlala ziqhelekile, ngelixa i-edema yezintso ihlala ibonisa amanqanaba aphezulu e-albumin.

◉ Ukubetha kwentliziyo okanye ukubetha kwentliziyo okungaqhelekanga
Ukubetha kwentliziyo ngokukhawuleza, okungaqhelekanga, okanye ukubetha kwentliziyo ziimpawu eziqhelekileyo zokusilela kwentliziyo. Abaguli basenokuziva iintliziyo zabo zibetha ngamandla, ngokufuthi zikhatshwa luloyiko. Ezinye iziphazamiso zesingqi, ezifana ne-atrial fibrillation okanye i-atrial flutter, zinokuba yingozi ngokulinganayo xa zinganyangwa.

◉ Ukuba nesiyezi okanye ukuqaqamba
Isiyezi okanye imvakalelo ejikelezayo ngumba oqhelekileyo wokungaphumeleli kwentliziyo, ngamanye amaxesha uhamba nesicaphucaphu okanye iimvakalelo ezinjengokugula. Ukuba ezi mpawu zenzeka ecaleni kokubetha kwentliziyo okanye ukubetha kwentliziyo okungaqhelekanga, funa unyango ngokukhawuleza.

◉ Ukuxhalaba okanye ukungazinzi
Iimpawu ezinjengokuphefumla ngokukhawuleza, iingcinga ezibalekayo, iintendelezo ezibilayo, kunye nokubetha kwentliziyo okukhawulezileyo ziimpawu zakudala zokuxhalaba. Nangona kunjalo, ezinye izigulana zinokuthi zitolike ngokungalunganga ezi zinto njengezinto ezinxulumene noxinzelelo, zijongana nokubakho kokusilela kwentliziyo.

Indlela yokujonga ukusilela kwentliziyo kwaye uvavanye ubungqongqo bayo?

Ukungaphumeleli kwentliziyo okwangoku kuthathwa njengemeko engapheliyo, eqhubekayo ekunzima ukuyinyanga kodwa inokuthintelwa. I2024 IziKhokelo zaseTshayina zoFundo kunye noNyango lweNtliziyo eFailecebisa ukulinganisa i-peptide ye-natriuretic (BNP okanyeNT-proBNP) amanqanaba okuvavanya abantu abasengozini enkulu ( Ukuhlelwa kwe-NYHA ye-heart failure staging njengasezantsi).

NT-proBNPinobomi obude besiqingatha semizuzu emalunga ne-60-120 kwaye ibonisa uzinzo olubalaseleyo kwi-vitro. Icoca ngokucothayo ukusuka kwigazi, ivumela ukuba iqokelele kwiindawo eziphezulu, ezihambelana ngokuthe ngqo kunye nobunzima bokungasebenzi kakuhle kwentliziyo. Ngaphezu koko,NT-proBNPamanqanaba ahlala engachatshazelwa yi-posture, imisebenzi yemihla ngemihla, okanye ukuhluka kwe-diurnal, ebonisa ukuveliswa okunamandla. Nje ngeziphumo, NT-proBNPithathwa njengesiseko segolide sebhayoloji yokusilela kwentliziyo.

Xiamen Baysen Medical'sNT-proBNP Ikhithi yokuHlola(usebenzisa i-fluorescence immunochromatography) yenza umlinganiselo okhawulezayo wobungakananiNT-proBNPamanqanaba kwi-serum yabantu, i-plasma, okanye iisampulu zegazi elipheleleyo, inceda ekuxilongeni ukusilela kwentliziyo. Iziphumo zinokufumaneka kwimizuzu eyi-15