Oonobangela abaqhelekileyo bokufa ngesiquphe kwabantu abadala kubangelwa ziintlekele entliziyweni, kwimithambo yegazi, emiphungeni nasengqondweni, ngokuka I-Forensic Pathology . Ukuwa ngesiquphe kunye nokufa kunokwenzeka kubantu abanomngcipheko kwezonyango owaziwayo kunye nakwinto ebonakala ngathi isempilweni, nkqu nabantu abancinci.
Ukufa ngesiquphe kwiCardiac Arrhythmia
Ukubanjwa kwe-Cardiac ukusuka kwi-arrhythmias yiunobangela wokufa ngesiquphekubantu abadala kwizizathu zendalo, nangona inokuchaphazela nabantu abancinci ngokwe Ikliniki yaseCleveland . Uphengululo kwi Ijenali ye-Electrocardiology amanqaku malunga ne-80% yokufa kwentliziyo ngesiquphe eU. S. nakwihlabathi liphela zivela kwintlungu yentliziyo.
Amanqaku afanelekileyo- Oonobangela abaqhelekileyo abaqhelekileyo boKufa
- Izizathu zokuba Ukuhlanza ngaphambi kokuba kuFe
- Siyintoni esona sizathu sokufa kulutsha?
An arrhythmia Utshintsho kwisiqhelo esiqhelekileyo, esiqhelekileyo sentliziyo, njengoko kubonisiwe yiAmerican Heart Association. Ukuphazamiseka kwe-Iintliziyo zentliziyo-i isinoatrial (SA) kwaye iatrioventricular (AV) iindawo kunye nenkqubo yombane yokuhambisa umbane, kuthintela intliziyo ekumpomeni igazi nasekuhambiseni ioksijini. Intliziyo iyayeka ukubetha, ekhokelela ekubanjweni kwentliziyo kunye nokufa ngesiquphe ukuba ayinyangwa kwangoko.
injani i-oscar
Izizathu kunye neengozi
Inkqubo ye- Ikliniki yaseMayo Uluhlu lwezinto ezininzi ezibangela umngcipheko we-arrhythmias yentliziyo, kubandakanya:
- Iimpazamo kwimicu yentliziyo yomntu ngenxa yengxaki ezuzwe njengelifa okanye isifo sentliziyo esidlulileyo
- Isifo sentliziyo esisifo okanye isifo sentliziyo esivela kuhlaselo lwentliziyo lwangaphambili, usulelo, okanye utywala okanye iziyobisi
- Ukungalingani kwe-Electrolyte
- Isifo se-thyroid
- Ukulala ngokuphefumla
- Uxinzelelo lwegazi okanye uxinzelelo
- Amayeza
- Ukuxhalaba kwizicubu zentliziyo
Iimpawu kunye neempawu
Uninzi lwabantu alunazimpawu ngaphambi nje kokubanjwa kwentliziyo ngequbuliso ukusuka kwi-arrhythmia. Abanye banokuba neempawu zangaphambili eziphindaphindayo ngaphambi nje kokufa ngesiquphe. Ngokwe- Umbutho wentliziyo yaseMelika Iimpawu ze-arrhythmia zibandakanya oku kulandelayo:
- Ukubhabha esifubeni
- Ukubetha kwentliziyo okukhawulezayo
- Yeqa ukubetha kwentliziyo
- Iipalpitations
- Iintlungu zesifuba
- Ukuqhawukelwa ngumphefumlo
- Ukuba nesiyezi okanye ukulahleka kwengqondo
Cinga ngamathuba okuba nesifo sentliziyo nakubani na onale mpawu. Unyango lunokuthintela ukufa ngesiquphe. Qaphela naziphi na iimpawu ingakumbi kulutsha kwaye iimbaleki njengoko eli nani lihlala lingahoyi zimpawu.
Uhlaselo lwentliziyo oluvela kwiCoronary Heart Disease
Isifo sentliziyo ngu Isizathu sokuqala sokufa kwi-U. S., ngokweZiko loLawulo lweZifo noThintelo. Ukuhlaselwa sisifo sentliziyo esibuhlungu (i-CHD) sesona sifo siphambili sokufa ngesiquphe. Ngokusekwe kuphononongo kwijenali Ukujikeleza , Iipesenti ezingama-50 zabo bonke abantu ababulawa yi-CHD kukufa ngesiquphe. Inkqubo ye- Intliziyo yeSizwe, iMiphunga, kunye neZiko leGazi (NHLBI) uphawula ukuvalwa okukhulu kwemithambo okanye imithambo evela kwisifo somthambo kunciphisa ukuhamba kwegazi kunye nokuhanjiswa kweoksijini kwizicubu zentliziyo.
Ukunganeli kwegazi kunye neoksijini kubangela ukonakala kwethishu kunye nokuhlaselwa sisifo sentliziyo, okanye i-infyoction ye-myocardial infarction (i-AMI) ebukhali , enokuthi ikhokelele ekubanjweni kwentliziyo ngesiquphe nasekufeni ukuba ayinyangwa kwangoko. Umonakalo kwinyama yentliziyo ngenxa yokunqongophala konikezelo lweoksijini inokuphazamisa inkqubo yombane yentliziyo kwaye ibangele izingqisho ezingazinzanga ezinokuba sisizathu sokubanjwa kwentliziyo.
Izizathu kunye neengozi
Abantu abaninzi ababulawa sisifo sentliziyo ngesiquphe babenembali yangaphambili ye-CHD kunye nokuhlaselwa sisifo sentliziyo. Abanye banembali yengozi eyaziwayo yesifo sentliziyo. Uluhlu lwe-NHLBI lulandelayo oonobangela kunye nemingcipheko :
- Ukutshaya
- Ukusela
- Ukutyeba kakhulu
- Ubudala
- Imbali yosapho
- Ukungabikho kokuzilolonga
- Igazi elonyukayo
- Seswekile
- Utywala neziyobisi
Utshintsho kwindlela yokuphila kunye nonyango olusebenzayo lwezinto ezinobungozi kunye neempawu ezinokuthi zithintele isifo sentliziyo.
Iimpawu kunye neempawu
Ukuhlaselwa sisifo sentliziyo ngequbuliso kunye nokufa kunokwenzeka ngaphandle kwesilumkiso kubantu abaninzi. Kwabanye, iimpawu zokuhlaselwa sisifo sentliziyo zisenokwandulela ukufa ngequbuliso. Ngoku ka I-MedlinePlus Iimpawu zesifo sentliziyo zibandakanya:
- Intlungu yesifuba (i-angina), enokuthi ikhuphe iingalo, umhlathi, umphezulu wangasemva
- Ubunzima esifubeni
- Ukuphefumla kancinci okanye ukukhohlela
- Ixhala
- Isihlunu okanye ukugabha
- Ukuba nesiyezi
Uninzi lwabantu aluzihoyi iziqendu eziphindaphindayo zezi mpawu kwaye into elandelayo uyazi ukuba bayaphela, bawe kwaye bafe.
Ubuncinci bePulmonary
Ukusweleka kwi-pulmonary embolus (PE) kunokuba ngequbuliso kwaye kuphazamise. Ngoku ka I-MedlinePlus , I-PE yenzeka xa iqhekeza, okanye iziqwenga, zegazi egazini elisuka emthanjeni womlenze (okanye umthambo we-pelvic) laphuka kwaye lihamba ngomthambo ophambili (vena cava) kwicala lasekunene lentliziyo. Ukusuka apho umbungu uya emiphungeni uvimbe umthambo omnye okanye nangaphezulu apho kwaye usike unikezelo lwegazi kwindawo echaphazelekayo yomphunga.
Ukuphulukana okubonakalayo kwethishu yemiphunga kunciphisa ukubonelelwa kweoksijini kwingqondo nasemzimbeni wonke. Xa oku kusenzeka, umntu uya kuwa kwaye angafa. Ukwehla kwegazi ukuphuma emiphungeni ukuya kwicala lasekhohlo lentliziyo kukwaphazamisa ukusebenza kwentliziyo kwaye kunciphise ukuhamba kwegazi ukusuka kwivolontiya yasekhohlo ukuya kuwo wonke umzimba, kube negalelo ekufeni ngequbuliso.
Izizathu kunye neengozi
I-pulmonary embolus yenzeka kakhulu kubantu abadala nakubantu abanobungozi. Eyona ixhaphakileyo oonobangela kunye nemingcipheko , ngokweKliniki yaseMayo, zibandakanya:
zeziphi iimpawu ze-sagittarius ezihambelana nazo
- Abantu abakhubazekileyo okwethutyana njengomntu ohleli kwisitulo esinamavili okanye olele ebhedini
- Ukulimala kwenqanawa yegazi kuqhaqho okanye kolunye ukothuka
- Izizathu ezizezona zibangelwa zizinto ezinokunyusa umngcipheko wamahlwili egazi
- Imbali yangaphambili ye-vein thrombosis (DVT)
- Unyango lwe-Estrogen olonyusa umngcipheko we-DVT
- Ukukhulelwa nokuzala
- Isifo sentliziyo (CVD) kunye nomngcipheko weCVD, njengokutshaya
- Eminye imihlaza, efana neyemiphunga, injeke, kunye namaqanda
Iimpawu kunye neempawu
Uninzi lwabantu abasweleke kwi-PE babengenazo iimpawu zangaphambili kwangoko. Kwabanye, iimpawu zinokwenzeka ngaphambi nje kokuba afe ngesiquphe. Ngokwe-Mayo Clinic ireferensi engentla, iimpawu eziqhelekileyo zepulmonary embolus zibandakanya:
- Ukuqala ngesiquphe kokuphefumla kancinci kunye nokukhohlela
- Intlungu yesifuba ngesiquphe
- Ukubetha kwentliziyo okukhawulezayo, okanye okungaqhelekanga
- Ukubila, intloko elula, kunye nesiyezi
Unyango olukhawulezileyo lunokuthintela ukusweleka kwi-PE.
Ukubanjwa okungxamisekileyo kokuphefumla
Ukubanjwa ngokukhawuleza kokuphefumla kunokubangela ukufa ngesiquphe ukuba ukuphefumla akunakubuyiselwa. Xa ukuphefumla kuyeka ngaphezulu kwemizuzu emihlanu, kubangela ukonakala ekusebenzeni kwengqondo ekhokelela ekufeni. Ukuphazamiseka kunikezelo lweoksijini kunokukhokelela ekubanjweni kwentliziyo enegalelo kumonakalo wobuchopho kunye nokufa.
Izizathu kunye neengozi
Ngokwe- Ukudibana neNgcali yeNgcali uphononongo, oku kulandelayo zizizathu ezaziwayo kunye nemingcipheko yokufa ngesiquphe ekubanjweni ngokuphefumla:
1.Ukuthintela umoya ophezulu emqaleni, epiglottis, imiphimbo, ipharynx, okanye itrachea ene:
- Iplagi yencindi, ukutya, okanye ukugabha
- Igazi, ukudumba, usulelo
- Ithumba, umzimba wangaphandle, i-spasm yomoya, i-edema, okanye umothuko
2.Ukuthintela umoya wangaphantsi kwi-pharynx, i-bronchi, kunye nemiphunga kwiindawo ezinjenge:
- Ukuphefumla kokutya okanye ukugabha
- Bronchospasm kwizifo ezifana sombefu okanye negazi lakho
- I-pneumonia, i-edema yemiphunga, okanye i-pulmonary hemorrhage
3.Uxinzelelo loxinzelelo lwendalo lokuphefumla, olunokubangelwa:
- Iziphazamiso ze-CNS ezinje ngethumba, usulelo, ukopha, ezinokucinezela ukuphefumla kwengqondo kunye namaziko okulala
- Libanda, iziyobisi
- Ukuphazamiseka kwimetabolism efana ne-hypoglycemia, i-hypotension, ii-electrolyte
Iimpawu kunye neempawu
Ukubanjwa kokuphefumla ngokukhawuleza kunokwenzeka ngelixa umntu elele okanye engekho zingqondweni, okanye unokulandelwa yimpawu kunye neempawu zokungaphumeleli kakuhle kokuphefumla. Ngokwe-NHBLI, iimpawu kunye neempawu zibandakanya:
- Ukuxhalaba, ixhala kunye nokudideka
- Ubunzima bokuphefumla, ukukrwitshwa okanye ukudinwa
- Tachycardia, ukubila
- Ukujikeleza kwi-inhaling (i-stridor ekhuthazayo) kunye noxinzelelo lokuphefumla
Kwiimeko ezininzi, umntu unokusindiswa ukuba oyena nobangela wokubanjwa okuphefumlayo unyangiwe ngokukhawuleza.
Isifo sentliziyo
Ngokwe American Stroke Association (ASA), a Isifo esibuhlungu Ukuqhekeka komthambo wegazi ngaphakathi okanye ngaphezulu kwengqondo. Ukopha kunokubangela ukonakala kwezicubu zobuchopho kunye nokufa ngesiquphe, okuyintlekele.
Ukufa ngesiquphe kwenzeka kukuphazamiseka kokuhamba kwegazi okuqhelekileyo kunye neoksijini kwindawo echaphazelekileyo yengqondo. Ukonyuka koxinzelelo olubangelwa kukopha ebuchotsheni, kunokukhokelela nasekufeni. Ezinye izinto ezinokuthi zibe negalelo ekufeni zibandakanya ukuhamba kunye nentliziyo kunye nokudakumba kweziko lokuphefumla kwengqondo.
Izizathu kunye neengozi
Imingcipheko kunye noonobangela besifo esibuhlungu, ngokwe Uphononongo lwe-ASA zibandakanya:
- Imbali yoxinzelelo lwegazi oluphezulu
- I-aneurysm yegazi ye-intracranial yegazi
- I-malteriovenous malformation - iqela lemithambo yegazi engaqhelekanga
- Ukutshaya, ukusebenzisa kakubi utywala neziyobisi, kunye neepilisi zoqingqo-nzala
- Ukonzakala kwengqondo ebuhlungu
Iimpawu kunye neempawu
Abantu abasweleke ngesiquphe ngenxa yesifo esophayo abanakuba nembali yeempawu zangaphambili ezinokubonisa ingxaki ezayo. Ngokwe- Uphengululo lwekliniki yaseMayo , Iimpawu zokulumkisa kunye neempawu zestroke zibandakanya:
- Intloko entsha okanye enye iya iba mbi
- Utshintsho kwisimo sengqondo
- Intetho ehambelanayo
- Ubuso obunamacala amabini obundindisholo be-droop
- Ubuthathaka belungu elinye, ubundindisholo okanye ukukhubazeka
- Ukuphazamiseka okanye ukulahleka kombono
Ukuphulukana nokuqonda kunye nokufa ngesiquphe emva koko kulandela ukuba unyango alufumaneki okanye aluncedisi.
Uxela njani ukuba i-louis vuitton ayisiyonyani
Ukuqaqanjelwa kweAortic Acute okanye iAneurysm eqhekeziweyo
Ukuqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqha kokuqina kwentliziyo (oyena mthambo uphambili wentliziyo) ngunobangela oqhelekileyo wokufa ngesiquphe, okuyintlekele. Ngokwe- uphononongo nge Ijenali yeeNkonzo zoNyango oluNgxamisekileyo , 'intlekele ye-aortic' (uqhaqho okanye uqhekeko) yenye yezona zinto zintlanu zixhaphake ukufa ngesiquphe. Ukuqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqha esi sdidi senzeka ngenxa yokwehla kodonga lwemisipha ye-aorta, naphina kwindlela yayo ukusuka esifubeni ukuya esiswini.
Kwi-aortic dissection, igazi lisasazeka phakathi kwendawo engaphakathi kunye nephakathi kwimiqolo emithathu yodonga lwemisipha ye-aorta. Ekuqhekekeni, igazi liyagqabhuka nge-aneurysm eqhumayo yazo zontathu izihlunu zemisipha. Ukuqhaqhaqhaqha okanye ukuqhekeka kunokukhokelela ekuphulukaneni negazi kwangaphakathi, ukubanjwa kwentliziyo, kunye nokufa ngesiquphe.
Izizathu kunye neengozi
Ukusasazeka kwe-aortic okanye i-aneurysm kuxhaphake kakhulu kwiminyaka yobudala engama-65 nangaphezulu. Umngcipheko wazo zombini yimeko efanayo yomngcipheko wesifo sentliziyo, ebandakanya:
- Igazi elonyukayo
- Ukutshaya
- Ukutyeba kakhulu
- Seswekile
Iimpawu kunye neempawu
I-aortic aneurysm inokuqhubeka ngaphandle kwempawu zeminyaka okanye ibangele umva okanye iintlungu zesisu njengoko i-aneurysm isanda. Kuxhomekeka kwisiza, ukwanda ngokukhawuleza kokuqhekeka okanye ukuqhekeka ngesiquphe kwe-aneurysm kunokubangela:
- Ngesiquphe esiqatha, 'ukukrazula' isifuba kunye nentlungu yomqolo ukuba kukho ukwahlukana
- Iintlungu ezibuhlungu ecaleni, okanye isisu, ukuba kukho uqhekeko
Isifo se-aortic aneurysm sinokubonakala kwisifundo sokucinga okanye sikhulu ngokwaneleyo ukuba sive esiswini ngugqirha kwaye silungiswe ngotyando ngaphambi kokuba siphule.
Isifo sokufa kweentsana ngequbuliso
Ukusweleka kosana olusempilweni ngexesha lokulala kwi-SIDS ngesiquphe kuyabulala. Ukufa ngequbuliso, okungalindelekanga, okungaqondakaliyo kokufa komntwana kwenzeka kwiintsana ezingaphantsi konyaka ubudala, ngokuka IZiko leLizwe lezeMpilo yaBantwana noPhuhliso lwaBantu (i-NICHD) .
I-SIDS ngoyena nobangela uqhelekileyo wokufa phakathi kwenyanga enye ukuya kwi-12, kunye nokusweleka okungaphezulu kwamakhwenkwe. Uninzi lokusweleka lwenzeka ngaphambi kweenyanga ezintandathu, kwaye ukusweleka kwe-SIDS kuhlala kuthe kwenyuka phakathi kweenyanga ezine ukuya kwezintandathu. Ngenxa ye Izibalo zango-2014 kwi-SIDS esuka kwi-CDC:
Ngowuphi umbala ekufuneka unxitywe ngumama womyeni?
- Inani elipheleleyo labantwana abangama-3 500 ababhubhileyo 'babulawa ngesiquphe kwaye bengalindelwanga' okanye i-SUIDS-uninzi lwazo zibangelwa zizizathu ezichazayo, ezinjengosulelo. Kwimiba engama-3 500, i-1,500, okanye i-43%, yayiyi-SIDS, okanye ukufa kwabantwana okungachazekiyo.
- Iintsana ezingezizo ezaseSpain zaseMelika zaseMelika zaziphindwe kabini kunabangengobaseSpain abaseCaucasus ukuba bafe nge-SIDS.
- I-Hispanic kunye ne-Asia / Pacific Islander iintsana zazinamazinga asezantsi e-SIDS.
Izizathu kunye neengozi
Unobangela weSIDS akaziwa. Enye yezinto ezinobungozi kukuzalwa ngaphantsi kweeveki ezingama-39 zokukhulelwa. Ngaphandle koko, kuncinci okwaziwayo malunga nokubeka usana emngciphekweni wokufa ngesiquphe okungachazwanga. Unobangela othile kunye nemingcipheko, ngokwe Ikliniki yaseMayo, ingaquka:
- Ukulibaziseka okanye ukungoneliseki kononophelo lwangaphambi kokubeleka
- Ukuzalwa ngaphambi kwexesha kunye nokuzala okuphantsi
- Ukungalingani kwamaziko obuchopho alawula ukuphefumla kunye nokulala ukuvusa
- Ukubeka usana kwisisu sakhe ukulala
- Ukuphazamiseka ngengozi kwiithoyi ezithambileyo okanye ebhedini
- Ukwabelana ngebhedi nabazali okanye abantakwenu, okanye ubushushu
- Ukubonakaliswa kwityhefu, enje nge-nicotine ngexesha lokukhulelwa okanye emva kokuzalwa
- Intliziyo engafunyaniswanga okanye ukuphazamiseka kwemfuza
Azikho ezinye iimpawu zokulumkisa ngaphambi kokuba kubhubhe i-SIDS. Iunited States' I-NICHD iphephile ukulala umkhankaso iye yehlisa izehlo ze-SIDS ngama-50% ukusukela ngo-1994 ngokukhuthaza abazali ukuba balalise usana emqolo endaweni yesisu.
Isizathu # 1 esiSona siQhelekileyo sokuFa
Esona sizathu siphambili sokufa phakathi kwabantu, abancinci nabadala, ziya kwahluka ngokuxhomekeke kubudala obuthile babo. Oku kulandelayo zezona zinto zixhaphakileyo zokusweleka ngokweminyaka yobudala:
Abatsha
I # 1 ixhaphake kakhulu Unobangela wokufa kolutsha ziingozi. Oku kwenzakala okungenanjongo kwenzeka rhoqo ngenxa yeengozi zemoto kwaye kunokuthi kuthintelwe. NgokwamaZiko oLawulo noThintelo lwezifo, abatsha abathandathu bayabulawa yonke imihla ekonzakaleni ngenxa yengozi yemoto.
Abantu abadala abancinci abangaphantsi kweminyaka engama-35
I # 1 ixhaphake kakhulu unobangela wokufa kwamadoda nabafazi abangaphantsi kweminyaka engama-35 iingozi / ukonzakala okungenanjongo (kwakhona) ikakhulu kubangelwa ziingozi zemoto.
Amadoda aphakathi kunye nabafazi abangaphantsi kweminyaka engama-65
Esona sizathu sokufa kwabo bobabini abesilisa nabasetyhini abakwiminyaka ephakathi sisifo sentliziyo esinomhlaza esivala isikhewu kwaye singena ngomzuzwana osondeleyo.
Abadala
Unobangela oqhelekileyo we Ukufa kwabantu abadala sisifo sentliziyo oko kubandakanya ukubetha kwentliziyo, ukusilela kwentliziyo, kunye nokubetha kwentliziyo. Oku kunxulunyaniswa neminye imicimbi yezempilo eqhubekayo enjengeswekile, uxinzelelo lwegazi kunye nembali yokutshaya.
Ezinye iimeko ezinxulunyaniswa nokufa ngesiquphe
Iimpawu okanye iimeko ezingalindelekanga ezinokuthi zenzeke okanye zinxulunyaniswe nokufa ngesiquphe:
- Ukuba ukugabha kwenzeka ngaphambi kokufa ngesiquphe, kunokuba kunjalo uphawu lwesilumkiso sokubanjwa kwentliziyo okusondele .
- Ukuba ukufa ngesiquphe kwenzeka xa ulele , Zininzi izinto ezibangela ukuba kwenzeke ntoni. Ukubanjwa kwe-Cardiac, ukubanjwa ngokuphefumla, iimeko ezithile zemfuza kunye nokuphazamiseka kokulala njengokuphazamiseka kokulala.
- Ukuba ukufa ngesiquphe kwenzeke ngexesha lokuzilolonga , oku kuya kuba ngenxa yesiphene sentliziyo esingafunyanwanga okanye isifo sentliziyo esiqhubele phambili esingaziwa ngumntu.
- Ukuba bekukho ukufa ngesiquphe ngexesha lokukhulelwa , kunokubakho izizathu ezininzi zokuba kutheni isenokwenzeka. Oonobangela abambalwa kubandakanya amahlwili egazi, ukuphazamiseka koxinzelelo lwegazi, i-eclampsia, ukopha emva kokubeleka, kunye nosulelo.
Iimpawu, imiqondiso kunye nezinto ezinobungozi infographic
Olu lwazi lwe-infographic lushwankathela iimpawu, iimpawu kunye nemingcipheko onokuthi uyibukele ukuze uphile ubomi obude kunye nobunempilo.
Ukuqwalaselwa kuthintelo kunye nonyango
Inkqubo ye-oonobangela abaqhelekileyoUkufa ngesiquphe kwenzeka kwiinkqubo eziphambili zomzimba. Ukuba wena okanye abo ubakhathaleleyo banemingcipheko, ingqalelo kuthintelo okanye unyango lwezi zinto zinokuthintela ukusweleka kwabo ngequbuliso. Kwakhona, ukubeka umntwana wakho ukulala emqolo kunokunciphisa ithuba lokulahlekelwa ngumntwana wakho kwi-SIDS. Njalo khumbula ukubiza i-911 ukuba ubona umntu ewa, okanye awukwazi ukuvusa umntwana wakho.
