Bonke abo banikezela okanye bajongana nabasetyhini abakhulelweyo bayazi ukuba yintoni ixesha elothusayo kunye nokuba nakuphi na ukrokrela kukagqirha kunokubangela ibhinqa elikhulelweyo lityatyayo. I-Cardiologist, i-Olga Movcha, eyabiweyo nathi isicatshulwa esiluncedo kakhulu malunga nokuba umfazi okhulelweyo akanyanzelekanga ukuba akhathazeke kwaye aphulaphule abo bamoyikayo.
Ukanti, uAbram Lvovich uSykin wayenyanisile. Ndikhumbula ngo-1993 kwisangqa somfundi wabuza: "Ngaba ucinga ukuba eyona inzima kugqirha?" Ukufika kwabaphulaphuli bajongeka ngobuqili kwaye, kusenokwenzeka ukuba babelindele, ngaphandle kokulinda nakweyiphi na impinda, emva kokumanywa, emva kokumanywa, waphendula ke wathi: "Ezona zinzima kugqirha azinyangwa." Kwakumalunga nezo meko xa, ngaphandle kongenelelo lukagqirha, kunokwenzeka kwaye, ngaphezulu, kunqweneleka ukwenza.
Namhlanje ndindivusa umnxeba. Ibizwa ngokuba zii-vazivals eziziinyembezi kunye nokuphelelwa lithemba. Unikwa ukuphazamisa ukukhulelwa okulindelwe ixesha elide kangangeeveki ezili-16 ngenxa yokufunyanwa kwe-supentic ngokungaphaya. Ugqirha wamxelela ukuba akangekhe abakhulelwe, kodwa "nokuba iCessarean yayingayiqondi ukuba ingashenxiswa etafileni."
Akuzange kundothuse kwaye andicaphuki. Ibali liyaqhelekile. Ayizukuba yinto egqithisileyo ukuba ithi qho ngeveki, abafazi beza kum, abanqatshelelwayo ukuze bakhulelwe okanye abanikezele ekukhulelweni ukuphazamiseka ngenxa yezinto ezingaphezulu. Ngeliphandle, nditsho ndinxiba ihlazo malunga nokubhala (uxolo, oogxa bethu): Nasiphi na isikhokelo ekwenzeni abafazi baseCardiac, kwaye nje kulo naluphi na ubunkokeli kwi-Ardesysysysysysysysysysysysysysysysysysysystoy. Le yindawo eqhelekileyo. Kodwa inyani ihlala iyinyani. Oogqirha bahlala rhoqo kwaye banikwa ngokulula ukhulelwe ukukhulelwa xa i-oxtisystole ifunyenwe ngaphandle kwesizathu.
Isimo sengqondo soogqirha ukuba bakhule ngokukhulelwa sisihloko esahlukileyo nesithandayo. Ngelixa ndigqibe kwelokuba ndibhale inqaku elidumileyo, malunga nokukhulelwa kunye nokwahlulahlula. Mhlawumbi ukukhulelwa okukhulelwa kuya kufunda.
Phambi kwam umfazi omncinci omhle. Ukubonakalisa ubuso buhlungu, emehlweni eenyembezi. "Gqirha, nceda undisindise kunye nomntwana wam." Okwesihlandlo sokuqala kwam ukusebenza nabafazi abakhulelweyo, bendiva the the, ndakhwaza, ndaziva ndikhanyisela ukukhanya kwelanga yaseSolaxi.
"Ndixelelwe ukuba kwakuyimfuneko ukuphazamisa ukhulelwe, kodwa andifuni."
Okwangoku, bendilungiselela ukuva isifo se-dismatic kunye neesikroba kwiintloko zam zenkxaso yengqondo emfazini, kuba, kunjalo, kukho ubungqina bezonyango ekukhulelweni kwezonyango. Ihlala inzima kwaye ilusizi kakhulu.
- Kwenzekeni kuwe?
Iminwe emincinci iphoswa kwifolda, hamba ngamaxwebhu. Ekugqibeleni ndithatha iziphumo zophando. Ewe, sonke sirhoxisile, ukuba kukho imfuneko, kodwa yintoni obhalela amaqabane? Ukujonga: "I-echocardiography ilungelelene. I-ECG-ngaphandle kokuphambukisa ngokwesiqhelo. Iziphumo zokubekwa esweni imihla ngemihla yeHolter: 2652 I-Ventricular Experlingstol, kubandakanya iibhakethi ezili-12 kwaye (ijikeleze i-RED) kwimizuzu. "
Ngenxa yomfazi. Yonke into iilungile. -Kwenza nantoni na ekukhathaza? - Ayisiyiyo. Akukho nto. Unyango lweva ivale ukuba ipulse yayingalingani, yathunyelwa kuphando. Kwaye ikho! - Ngaba le yiyo yonke loo nto?
Ndandikhupha ukukhululeka. Isalathiso sokuphazamiseka kokukhulelwa ngentliziyo ye-crediology ayikho. Gcina, kakhulu, akukho mntu kuya kufuneka. Hooray! Ibhinqa lemizuzu eli-10 ikhalela, isebenzela ngolwazi olutsha, ngoku kuvuyo. Ewe, kuya kufuneka aqwalaselwe kwi-Cardiologist ngexesha lokukhulelwa, kodwa akukho nto imbi kuyo.
Kule minyaka mibini idlulileyo, ngaphandle kubafazi abakhulelweyo ababenza i-rightm yokubonisa ukubonisana kwisebe lethu, ubungqina bokuphazamiseka kokukhulelwa kuphela kwi-2nd. Omabini la matyala adityaniswa noxinzelelo lwe-pullary ephezulu ngokuchasene nemvelaphi ye-DMPP engasebenziyo (isifo sentliziyo sokuzalwa).
Amatyala ashiyekileyo angoyiki ogqirha awakufumanisi kuphela ukuphazamiseka kokukhulelwa, kodwa amaxesha amaninzi bengafuni ukuba nonyango olukhethekileyo, nangona kukho izizathu zokuboniswa kwentliziyo kwabasetyhini abakhulelweyo. Ngaphandle kwamanqaku apapashiweyo kunye nezikhokelo zekliniki zonyango lweziphazamiso zesigqi, ezithi i-furdhis eyingozi ngexesha lokukhulelwa kunqamlezwe ngenxa yokukhulelwa, okanye ekucetyiswe ukuba kukhulelwe Kwiimeko xa bekungekho ziphakamiso zokukhulelwa.
Sigqibe kwelokuba sipapashe i-algorithm enokubakho kunye neminqweno kubafazi abakhulelweyo abafumanisa ukophulwa kwentliziyo yentliziyo.
Isizathu sokubhenela kugqirha wentliziyo kunye noviwo ongezelelweyo kunokuba:
-Ukugqitywa i-mpencmia kufumaniseke ukuba i-ECG icwangciswe ngexesha lokukhulelwa; ; - ukusilela kwentliziyo; ukuphefumla okufutshane; -ukuncancisa kwangaphambili okanye izizwe zokudumba; -ndisa uxinzelelo lwegazi; - uvunyelwe ngesaphulelo segazi ngaphambi kokukhulelwa.
Ukuba ugqirha utyhile ukuphazamiseka kwesingqisho, musa ukoyika. Khumbula ukuba xa ukhulelwe, ukuphazamiseka kwesingqisho kuxhaphakile kakhulu. Bona, njengomgaqo, asisizathu sokuphazamisa ukukhulelwa, kwiimeko ezininzi azichaphazeli ukukhulelwa, nangona zifuna ukujikeleza kwentliziyo, uphononongo kwaye nyango, unyango.
Njengoviwo olongezelelweyo, ugqirha kunokwenzeka ukuba uya kukubonisa:
-I-Echocardiografiliografi yokuhlolwa kwe-ECG yohlalutyo lwegazi, jikelele, kukuvavanywa kwegazi le-bicochemical (ngoko kuvavanywa igazi kwi-hormored gland, ukuba kunyanzelekile, uvavanyo lwegazi kwii-antibocias
Qiniseka ukuba uphumelele ukuphonononga ukufumanisa oonobangela be-Exawythmia. Oku kuyakuvumela ugqirha ukuba athathe isigqibo sokuba ufuna unyango ngeli nqanaba okanye unokupheliswa ekuboneni.
Kwimeko apho kunyanzelekile, ungakhathazeki. Xa ukhetha unyango lweziyobisi, ugqirha uya kuqala ukukhokelwa kukhuseleko losana nawe. Unyango luboniswa ukuba:
-Ukuqinisekisa okuphezuluyo kunokusongela impilo kunye nobomi okanye ichaphazele ukuphuculwa komntwana; Isiphelo se-hemizy sihamba-hlulo segazi, i-Edema yemiphunga idluliselwe kakubi Nguwe, uhamba nokungonwabisi, ixhala, unxunguphalo.
Kukho iimeko apho ukuphazamiseka kwesingqisho kufuna ungenelelo lonyango olungxamisekileyo. Ukuba uziva ngokuchasene nemvelaphi yokwaphula umthetho ngesingqisho, ubhengeze ubuthathaka, isiyezi, uxinzelelo lwegazi luncitshiswa kakhulu, kuyenzeka imeko ethe qula, kunyanzelekile ukuba ibangele ngokukhawuleza i-ambulensi.
Ukuba ukrexeza ukuphazamiseka kwesingqisho kwaye ucwangcisa ukukhulelwa, kungcono ukuphonononga i-Cardiologist kwaye uvavanye ubungozi bokuphazamiseka kwesigqi ngexesha lokukhulelwa. Mhlawumbi unezimvo zesingqisho-ngxaki akufuneki unyango kunye nengozi ziya kuba zincinci. Emva koko uyamangalisa. Ndikhulelwe kwaye ndonwabe. Kodwa xa i-vreethmia ifuna unyango olunzulu, kwaye inokupheliswa, kuya kuba ngcono ukususa iimpawu ezingafunekiyo "elunxwemeni." Kwezinye iintlobo ze-Achreythmias, kunokwenzeka ukuphelisa ukufika kwentliziyo ngoncedo lokungangeneli. Kwaye ke kukhulelwe, uya kuphinda udlule epakini, umamele umculo, okanye udibane nabahlobo, ngokungxama, yenza into oyithandayo, endaweni yokwamkela i-crediologist.
Kwaye ekugqibeleni, ukuba isingqisho sokwaphulwa kolwaphulo-mthetho sifunyaniswa, kukho inani leengcebiso ezinokuphucula imeko yakho ngaphambi kokuba ubethe ugqirha wentliziyo. Unako: - Shenxisa ikofu ekutyeni, iti eyomeleleyo kunye nezinye iziselo ezinomdla - ungayisebenzisi itshokholethi- ukulala iiyure ezingama-8- ukubandakanya kwi-Chends yakho yemihla ngemihla - Zama ukonakalisa kwiimeko ezinokukhuthaza uxinzelelo lwengqondo-ngokweemvakalelo. Nangona ihlala inzima ngakumbi kunokushiya itshokholethi, zama ukuphepha yonke into enokukuzisela yona. Ukukhulelwa-akukho xesha lokufunda ukuveza iimvakalelo. Oko kukuthi, ukuba unako, kulungile. Kodwa, ukuba akunjalo, hlala nje kwiimeko ezicaphukisayo.
Ngamanye amaxesha ezi nguqu zilula zendlela yokuphila inokuphucula kakhulu impilo-ntle. Kwaye oku kwanele, okanye kufuna uvavanyo olongezelelweyo kunye nonyango, uya kunceda uqonde ugqirha ofanelekileyo.
Ngayiphi na imeko, ukuba unikwa ukhulelwe ukukhulelwa ngenxa ye-Cardiac Pathology, ngaphambi kokwenza isigqibo, ufumane uluvo lwesibini oluvela kwingcali.