Namhlanje, nge-14 kaMatshi, kubhiyozelwa uSuku lwaseYurophu lokuThintela umngcipheko weentliziyo, ukukhumbula ukubaluleka kothintelo kwicandelo lezi zifo. Umngcipheko wentliziyo uqondwa njenge-pukubakho komntu onesifo sentliziyo ngaphakathi kwexesha elithile kule meko siza kugxila ekukhulelweni.
Ekukhulelweni nasekuzaleni, Umzimba womntu obhinqileyo uphantsi kothotho lweenguqu zomzimba kwinkqubo yakho yentliziyo. Olu tshintsho aluyongxaki kubafazi abaninzi, kodwa ukuba unesifo sentliziyo okanye isifo sentliziyo, inokunyangwa njengokukhulelwa okusemngciphekweni omkhulu.
Utshintsho lwentliziyo ngexesha lokukhulelwa
Ngexesha lokukhulelwa zenzeka kwi umzimba wabasetyhini utshintsho olukhulu emzimbeni. Oku kuyahlangabezana neemfuno zakho kunye nezo zikhulayo umntwana. Olu hlengahlengiso lomzimba womfazi lwenzeka kwasekuqaleni kokukhulelwa, kukho utshintsho kwihomoni, ubukho bokujikeleza kwesibeleko kunye nokwanda kubungakanani besibeleko.
Sidwelisa ezinye ze utshintsho olukhulu kwinkqubo yokujikeleza kwegazi Ngexesha lokukhulelwa:
- Ukonyuka kwevolumu yegazi nge-30-50% ukusuka kwiveki yesithandathu. Umthamo omkhulu ufikelelwe kwiiveki ezingama-20 ukuya ku-24, kwaye ugcinwa de uhanjiswe.
- Nyusa izinga lentliziyo yakho. Intliziyo yomfazi yimpompo ngokukhawuleza, ke ukubetha kwentliziyo kuhamba ukusuka kwi-10 kuye kwi-15 beats ngomzuzu.
- Ukwanda kwimveliso yentliziyo, kunyuka nge-30-40%.
- Ukuthoba ukuxhathisa kwemida.
- Ukunciphisa uxinzelelo lwegazi ngokuxinwa kwemithambo yegazi. Intliziyo iphinda yandiswa, inokunyusa ubungakanani bayo ukuya kuthi ga kwi-30%.
Olu tshintsho lwenzeka ngexesha lokukhulelwa, kubafazi abanesifo sentliziyo, banokwandisa umngcipheko weengxaki, kokubini nakwimveku engekazalwa. Yintoni egqithisile, uninzi lweziphene zentliziyo yokuzalwa zizuzwe njengelifa. Lo mngcipheko uqikelelwa kwi-4%, xa kuthelekiswa nomngcipheko wesifo sentliziyo esibelekweni kubemi be-0,8%.
Umngcipheko weentliziyo, imibuzo ekufuneka uyazi
Unamathuba aphezulu okuba Ukuba nesifo sentliziyo kunxulunyaniswa neendidi ezimbini zezinto. Obu bungozi bunokuba kwicala elinye ngaphakathi, umzekelo, ufuzo, ubudala, kwelinye icala, ngaphandle. Phakathi kokugqibela kwaye esinokukulawula kukungcoliseka kwendalo, icuba, ukutyeba kakhulu, icholesterol, ukungaziqheliseli ezemidlalo ...
Los Ukuphindaphinda ukuphuphuma kwesisu kuhlala kunxulumene ne-thrombophilia, ukuya kuma-50%. Ke ngoko, kubalulekile ukuba kufundwe abasetyhini abanembali yobuqu okanye yosapho yokuqhomfa okuphindaphindiweyo, ukuze kuthathwe amanyathelo afanelekileyo othintelo. Kwelinye icala, zombini i-arrhythmias kunye ne-extrasystoles ezixhaphakileyo zihlala zixhaphakile ngexesha lokukhulelwa, kodwa kufuneka ziphathwe ngolondolozo olunokwenzeka.
Abanye abafazi ngesifo sentliziyo esiqatha, ukukhulelwa kuyaphikiswa, ngenxa yomngcipheko kwimpilo yabo okanye kosana oluzayo. Iindaba ezimnandi zezokuba ukuqhubela phambili kwentliziyo yezigulo zabantwana kunye nokuhlinzwa kwentliziyo kuye kwavumela ngaphezulu kwe-85% yabantwana abanesifo sentliziyo esibelekweni ukuba baphile babe badala.
Ziziphi iingozi ngexesha lokukhulelwa?
Las Isifo sentliziyo, ukuzalwa ngokuzalwa okanye ukufunyanwa, ngoyena nobangela uphambili wokusweleka koomama kwimvelaphi engeyiyo yokubelekisa. Ke ngoko, kubalulekile ukuba uye kugqirha ukuba ufuna ukuba ngumama, okanye ukuba sele ukhulelwe. Ngokubanzi, unonophelo lwaphambi kokubeleka kunye nokuhanjiswa ziyafuneka ukuba zicwangciswe ngononophelo.
Ngokubanzi, kwaye njengoko kufuneka ukwandisa umthamo wegazi kunye nokukhutshwa kwentliziyo, kunokwenzeka ukuba kwabasetyhini abakhulelweyo kukho ukubola okanye ukusilela kwentliziyo. Oku kuneziphumo kwinani leefayile ze iingxaki zomntwana kunye neonatal, efana:
- Ukudodobala kokukhula kwangaphakathi
- Ukubandezeleka komntwana
- Ukopha ngaphakathi
- Ukuhanjiswa kwangaphambili
- Ukufa okungapheliyo kwe-18%
Kwimeko yebakala I yesifo sentliziyo, okanye ithambile, ulawulo olupheleleyo luya kufuneka, bobabini umama kunye nosana olungekazalwa, ukuze kuthwalwe isisu ngempumelelo. Inkqubo ye- Ithuba lomngcipheko okhethekileyo lwenzeka ekupheleni kwekota yokuqala, phakathi kweeveki ezingama-28 nama-32, ngexesha lokuzalwa komntwana kunye ne-puerperium yokuqala, kwiintsuku ezili-10 zokuqala emva kwayo.