Uma imbangela yelapheka, kufanele kuqale kubhekwane nayo. Isibonelo, ukulungisa noma ukufaka esikhundleni se-valve yenhliziyo kungaqedaHeart Ukwehluleka.

Uma kungenakwenzeka ukwenza ngokuqondile imbangela, ukwelashwa kuhloswe ukukhulula izimpawu. Kungenzeka ngempela ukubuyisela izinga lempilo futhi ubambezele ukuqhubeka kwesifo. Ngokwelashwa okusha, ngezinye izikhathi kungenzeka ngisho nokubuyisela emuva isifo.

Iqiniso elibalulekile: lapho isifo sitholakala ngokushesha, ukwelashwa kuphumelela kakhulu. Ngeshwa, kuvame ukutholakala esigabeni esithuthukile.

izinzuzo emtholampilo ukuhluleka kwenhliziyo okuxhunywe ezibhedlela kunikeza ukulandelela kokwelashwa kanye nalo lonke ulwazi oludingekayo. Ungathola izinsiza zabangeneleli abambalwa: udokotela wenhliziyo, umhlengikazi, usokhemisi, udokotela wezokudla, i-physiotherapist kanye nosonhlalakahle.

izidakamizwa

Kwabaningi abantu, kuyodingeka ukuthatha izidakamizwa. Ngokuvamile, izinhlobo ezintathu noma ezine zemithi ziyahlanganiswa ukuze kuzuzwe imiphumela emihle. Isenzo sabo siyaphelelisana: abanye, ngokwesibonelo, bafaka isandla qinisa inhliziyo, abanye ukunciphisa ukugcinwa kwamanzi.

I-Angiotensinogen converting enzyme (ACEI) inhibitors. Isenzo sabo se-vasodilator (okwandisa ukuvuleka kwemithambo yegazi) sinomphumela wokunciphisa umfutho wegazi nokunciphisa umzamo odingwa yisiguli. inhliziyo. Ngaphezu kwalokho, banciphisa ukugcinwa kwamanzi nosawoti yizinso. Ama-ACE inhibitors avimbela ukwakheka kwe-angiotensin II, i-vasoconstrictor (enciphisa ukuvuleka kwemithambo yegazi) enyusa umfutho wegazi. Lolu hlobo lomuthi ludala ukukhwehlela okucasulayo cishe ku-10% wabasebenzisi bawo. Izibonelo zifaka i-lisinopril, i-captopril, ne-enalapril.

I-Angiotensin II receptor blockers. Le mishanguzo ivimba umphumela we-vasoconstrictor we-angiotensin II ngokuyivimbela ukuthi inganamatheli endaweni yayo yokusebenza. Ngakho-ke umphumela wabo uyafana nowe-ACEI. Izibonelo zifaka i-losartan ne-valsartan.

Ama-Beta-blockers. Le mithi (isibonelo, i-carvedilol, i-bisoprolol, ne-metoprolol) yehlisa izinga lokushaya kwenhliziyo futhi yenza inhliziyo ifinyele kangcono.

Izidakamizwa. Ikakhulukazi esetshenziselwa ukwelapha umfutho wegazi ophakeme, ama-diuretics angasiza futhi ezimeni zokuthiHeart Ukwehluleka. Ngokwandisa umthamo womchamo, basiza ukususa uketshezi oluningi olunqwabelana emaphashini noma ezithweni. Okuvame ukusetshenziswa kakhulu yi-furosemide ne-bumetanide. Ngakolunye uhlangothi, lawa ma-diuretics adala ukulahleka kwamaminerali, njenge-potassium ne-magnesium. Ukuthatha izithasiselo kuyafaneleka ezimweni ezithile, ngokwemiphumela etholwe ngesikhathi sokuhlolwa kwegazi.

Abaphikisi be-Aldosterone. Lolu hlobo lomuthi lunomphumela wokukhipha isisu kodwa alubangeli ukulahlekelwa kwe-potassium (i-potassium-sparing diuretic). Izibonelo yi-spironolactone ne-eplerenone (Inspra®). I-Aldosterone yinto ekhiqizwa izindlala ze-adrenal ezandisa umfutho wegazi. Lolu hlobo lwemithi lusebenza kahle kakhulu ezimweni zeHeart Ukwehluleka sina.

I-Digoxin. Umphumela wayo we-tonic enhliziyweni wenza kube nokwenzeka ukuthola ukufinyela kwenhliziyo okusebenzayo. Ngaphezu kwalokho, inciphisa futhi ilawula i- ukushaya kwenhliziyo. I-Digoxin ikhishwa ku-digitalis, isitshalo se-herbaceous.

Indlela yempilo

Ukwenza ngcono isimo somzimba futhi iyingxenye yendlela yokwelapha. Iphinde idlale indima yokunquma izimpawu. Noma yini enciphisa ukuqina kwenhliziyo inomphumela onenzuzo:

• Ukwehla kwesisindo;
• Ukudla okuncane okuphanayo nokunosawoti omncane;
• Ukusetshenziswa kancane kancane kwenyama ebomvu;
• Indlela yokuhamba;
• Izindlela zokunciphisa ingcindezi, njll.

Udokotela noma umhlengikazi osemtholampilo wokuhluleka kwenhliziyo unikeza iseluleko ngalokhu.

ukuhlinzwa

Izinqubo ezithile zokuhlinza zingase zibekwe ukwelapha imbangela yokuhluleka kwenhliziyo. Ngakho-ke, kungenzeka ukubuyisela ukugeleza kwegazi emithanjeni ye-coronary evinjwe yi-atherosclerosis, ngosizo lwe-a i-angioplasty yenhliziyo or ukuhlinzwa kwe-bypass (ukuthola ulwazi olwengeziwe, bheka ikhadi lethu mayelana nokuphazamiseka kwenhliziyo). Kwezinye i-arrhythmias, i-pacemaker yokwenziwa (abenzi benhliziyo) noma eyodwa i-defibrillator, uma kunengozi enkulu yokuboshwa kwenhliziyo.

• Ukuhlinzwa kwe-valve. Ukuhluleka kwenhliziyo kungabangelwa ukwehluleka kwe-valve enhliziyweni. Kuye ngenkinga, udokotela angase anqume ukulungisa i-valve (valvuloplasty) noma ukuyishintsha nge-prosthesis;
• Ukufakelwa inhliziyo. Ukufakelwa kwenhliziyo kwesinye isikhathi kuyacatshangelwa, ikakhulukazi kubantu abaneminyaka engaphansi kwengama-65 uma kubhekwa ukushoda kwabanikela ngezitho zomzimba.