Bonke ababelethe noma babhekane nabesifazane abakhulelwe bayazi ukuthi yimuphi isikhathi esishaqisayo nokuthi kungakanani izinsolo zodokotela zingaphambanisa nowesifazane okhulelwe ukwethuka. Isazi senhliziyo, u-Olga Movchan, sabelana nathi umbhalo owusizo kakhulu lapho owesifazane okhulelwe engadingi ukukhathazeka futhi alalele labo abesabisayo.
Noma kunjalo, u-Abrama uLvovich Syrn wayeqinisile. Ngikhumbula ngo-1993 kuMjikelezo Womfundi abuza: "Ucabanga ukuthi kunzima kakhulu kudokotela?" Ukufika ezilalelini ukubukeka okuqondayo futhi, njengoba bekulindelekile, ngaphandle kokulinda noma yimuphi umfanekiso, ngemuva kokuphumula okufanayo, waphendula wathi: "Kube nzima kakhulu kudokotela akwelashwa." Kwakuphathelene nalezo zimo lapho, ngaphandle kokungenelela kukadokotela, kungenzeka futhi, ngaphezu kwalokho, kuyinto efiselekayo ukuyenza.
Namuhla ngivuse ucingo. Okubizwa ngokuthi abajwayelene ngezinyembezi nokuphelelwa yithemba. Unikezwa ukuphazamisa ukukhulelwa okulindelwe isikhathi eside isikhathi esingamaviki ayi-16 ngenxa ye-supraventic extrasentic extrasistoly. Udokotela wamtshela ukuthi ngeke akhulelwe, kodwa noma "noma ngabe uCesareya ngeke aqonde ukuthi ngabe izosuswa yini etafuleni."
Akusangimangali futhi akukucasuli ngisho. Indaba ijwayelekile. Ngeke kube yihaba ukusho ukuthi masonto onke, abesifazane beza kimi, abavunyelwe ukukhulelwa noma banikele ekuphazamiseni ukukhulelwa ngenxa ye-extrasystole. Ngeqiniso, ngize ngibe namahloni ngakho ukubhala (ngiyaxolisa, ozakwabo): kunoma yisiphi isiqondiso sokwenza abesifazane abakhulelwe nge-cardiac pathology, futhi kunoma yikuphi ubuholi ku-arryhymology kubhalwe ukuthi i-exthyystolology ilotshwe ukuthi kunzima kakhulu isifo. Le yindawo evamile. Kepha iqiniso lihlala liyiqiniso. Odokotela bavame ukunikelwa kalula ukuphazamisa ukukhulelwa lapho kutholwa i-extrasystole ngaphandle kwanoma yisiphi isizathu.
Isimo sodokotela ukuphazamisa ukukhulelwa yisihloko esihlukile nesixakile. Ngenkathi nginqume ukubhala i-athikili ethandwayo, mayelana nokukhulelwa kanye ne-extrasystole. Mhlawumbe okuzofundwa yiphi ukukhulelwa.
Phambi kwami umfazi omuhle omuhle. Bhekana nezinkulumo ezidabukisayo, emehlweni wezinyembezi. "Dokotela, ngicela ungisindise nengane yami." Okokuqala lapho ngiqala ukusebenza nabesifazane abakhulelwe, sebezwile okufanayo, ngathuthumela, futhi ngazizwa ngikhale emkhakheni weSolar Plexus.
"Ngatshelwa ukuthi kwakudingeka ukuthi kuphazamise ukukhulelwa, kepha angifuni."
Ngalesi sikhathi, ngangilungiselela ukuzwa ukuxilongwa okumangazayo nemibhalo emakhanda ami ngokuxhaswa kwengqondo kowesifazane, ngoba, vele, kunobufakazi bezokwelapha bokuphazamisa ukukhulelwa. Kuhlala kunzima futhi kudabukisa kakhulu.
- Kwenzakaleni kuwe?
Iminwe emincane iphonswa kufolda, yenze amadokhumenti. Ekugcineni ngithatha imiphumela yocwaningo. Kuyiqiniso, sonke siyahoxa, uma kunesidingo, kepha yini ozakwethu ababhala ngayo? Ukubuka: "I-EchoCARDIOCICOOgraphy ihlelekile. I-ECG - ngaphandle kokuphambuka kusuka kokujwayelekile. Imiphumela yokuqapha nsuku zonke kwe-holl: 2652 i-ventricular exracsistol, kufaka phakathi ama-bakers ayi-12 futhi (i-red red) 2 ukugijima, ngalinye lezakhiwo ezi-3 ezivela ekulinganisweni kwenhliziyo 182 wt. Emin. "
Ngenxa yowesifazane. Konke kuhamba kahle. - Ngabe kukhona okukhathazayo? - Hhayi. Lutho. I-Therapist yezwa ukuthi ukushaya bekungalingani, kuthunyelwe kunhlolovo. Futhi kukhona! - Ingabe konke lokho?
Ngakhipha impumuzo. Izinkomba zokuphazamiseka kokukhulelwa yi-Cardiology akunjalo. Gcina, kungenzeka, akekho okuzodingeka. Hooray! Owesifazane imizuzu eyi-10 ekhalayo, okujwayelekile ukuthola imininingwane emisha, manje kusuka enjabulweni. Yebo, kuzofanela abhekwe kudokotela wenhliziyo ngalesi sikhathi kulokhu kukhulelwa, kepha akukho lutho olubuhlungu kulo.
Eminyakeni emibili edlule, kwavela abesifazane abakhulelwe abasebenza ekwephulweni kwesigqi ukuze kuboniswe emnyangweni wethu, ubufakazi bokuphazamiseka kokukhulelwa buse-2 kuphela. Womabili la macala ahlotshaniswa nomfutho wegazi ophakeme wamaphaphu ngokumelene nesendlalelo se-DMPP engasebenzi ye-DMPP (isifo senhliziyo ebabazekayo).
Amacala asele ukuthi odokotela abashaqisayo abagcinanga nje kuphela ukuphazamiseka kokukhulelwa, kepha ngokuvamile akudingi ukwelashwa okukhethekile nhlobo, yize bekukhona izizathu zokubukwa kwenhliziyo kwabesifazane abakhulelwe. Naphezu kokushicilelwa kaninginingi ama-athikili nemihlahlandlela yezempilo yokwelashwa kweziphazamiso zeRhythth, ezithi azitholakali ngokuvamile, noma umfazi ongavunyelwe ukukhulelwa kuzo zonke izinjongo, noma anconywe ukukhuthaza ukukhulelwa ngenxa yokwephulwa kwesigqi Ezimweni lapho kwakungekho okuphikisana nokukhulelwa.
Sinqume ukushicilela i-algorithm engenzeka yezenzo nezifiso zabesifazane abakhulelwe bathola ukwephulwa kwesigqi senhliziyo.
Isizathu sokukhanga isazi senhliziyo kanye nokuhlolwa okwengeziwe kungaba:
- I-Arrhythmia kutholakala ukuthi ihlelwe nge-ECG ngesikhathi sokukhulelwa; - Udokotela uthole ukuthukuthela kwenhliziyo ngesikhathi sokuhlolwa; - Ukhathazekile ngokuthile okulandelayo: - Ukuhlaselwa kwenhliziyo okusheshayo: - umuzwa wokuphazamiseka kwenhliziyo; - umuzwa wokuphazamiseka kwenhliziyo; ; - Ukwehluleka kwenhliziyo; - Ukuphefumula; - I-Sensor yangaphambi kwenzwa noma izifundazwe; - Ukuvuvukala; - Khulisa umfutho wegazi; - Uye wanda ukuthi unesiphazamiso se-shythm ngaphambi kokukhulelwa.
Uma udokotela eseveze ukuphazamiseka kwesigqi, ungesabi. Khumbula ukuthi ngesikhathi sokukhulelwa, ukuphazamiseka kwesigqi kuvame kakhulu. Bona, njengomthetho, akusona isizathu sokuphazamiseka ukukhulelwa, ezimweni eziningi azithinti ukukhulelwa, yize zidinga ukujikeleza kwenhliziyo yenhliziyo, izinhlolovo kanye nezinye izimo, ukwelashwa.
Njengokuhlolwa okwengeziwe, udokotela kungenzeka ukuthi uphakamise:
- I-EchoCardiography yokuqashwa kwe-ECG kokuqoqwa kwegazi okuhlaziya, okujwayelekile, ukuhlolwa kwegazi le-biochemical (empeleni ngokuhlolwa kwama-electrorone egazi) - Ukuhlolwa kwegazi kuma-hormone we-thyroid gland, uma kunesidingo, ukuhlolwa kwegazi kwama-antibodies ku-myocardium
Qiniseka ukuthi udlulisela ucwaningo ukuthola izimbangela ze-Arrhythmia. Lokhu kuzovumela udokotela ukuthi anqume ukuthi udinga ukwelashwa ngalesi sigaba noma kungakhawulelwa ekubukeni.
Uma kwenzeka ukwelashwa okudingekayo, ungakhathazeki. Lapho ukhetha ukwelashwa ngezidakamizwa, udokotela uzoqala ukuqondiswa ukuphepha kwale fetu kanye nawe. Ukwelashwa kubonisiwe uma:
- Ukuvezwa kwe-Arrhythmia kungasongela impilo yakho nokuphila noma kuthinte ukuthuthukiswa kwengane; - Ukwephulwa kwesigqi kuhambisana nokulimala kwengcindezi yegazi, isiyezi, i-arryththmia, i-arrhythmia ayidlulisiwe kahle Ngawe, ephelezelwa ukungaphatheki kahle, ukukhathazeka, ukukhathazeka.
Kunezimo lapho ukuphazamiseka kweRhythm kudinga ukungenelela kwezokwelapha eziphuthumayo. Uma unomuzwa wokuthi ngemuva kwesizinda sokwephulwa kwesigqi, ukhulume ubuthakathaka, isiyezi, umfutho wegazi uncishiswe kakhulu, kwenzeka isimo sangaphambi kokukhohlakala, kuyadingeka ukudala i-ambulensi ngokushesha.
Uma utholwe ukuphazamiseka kwesigqi Mhlawumbe unokuphazamiseka kwesigqi awudingi ukwelashwa kanye nezingozi kuzoba mncane. Bese kumangalisa. Ukhulelwe futhi ujabulele. Kepha lapho i-Arrhythmia idinga ukwelashwa okubucayi, futhi ingaqedwa, kuzoba ngcono ukuqeda izimpawu ezingafuneki "ogwini." Kwezinye izinhlobo zama-arrhythmias, kungenzeka ukuqeda indawo ye-Arrhythmogenic ngosizo lokuhlinzwa okulungiselelwe. Futhi-ke ukuba ukhulelwe, uzophinda uhambe futhi ukuhamba epaki, ulalele umculo, noma uhlangane nabangane, uwonke, wenze lokho okuthandayo, esikhundleni sokuhudula ekwamukelweni yi-cardiologist.
Futhi ekugcineni, uma kutholakala ukwephulwa kwesigqi, kunezincomo eziningi ezingathuthukisa isimo sakho ngaphambi kokushaya isazi senhliziyo. Unga: - Qeda ikhofi ekudleni, itiye eliqinile nezinye iziphuzo ezithokozisayo - ungaphuzi ushokoledi- khipha utshwala- ukuyeka ukubhema- ukusetha amahora okungenani ama-8 - Zama ukudideka ezimweni ezingavusa ukucindezelwa ngokomzwelo. Yize kuvame ukuba nzima ngokwengeziwe kunokulahla ushokoledi, zama ukugwema konke okungakukhipha kuwe. Ukukhulelwa - Akunasikhathi sokufunda ukuveza imizwa. Okungukuthi, uma ukwazi, okuhle kakhulu. Kepha, uma kungenjalo, vele uhlale kude nezimo ezicasulayo.
Kwesinye isikhathi lezi zinguquko ezilula endleleni yokuphila zingathuthukisa kakhulu inhlala-kahle. Futhi lokhu kwanele, noma kudinga ukuhlolwa okwengeziwe nokwelashwa, uzosiza ukuqonda udokotela ofanelekayo.
Kunoma ikuphi, uma unikezwa ukuphazamisa ukukhulelwa ngenxa yenhliziyo yenhliziyo, ngaphambi kokwenza isinqumo, thola umbono wesibili ovela kuchwepheshe.