Kukalamba kusintha kwa zizindikilo zofunika

Zizindikiro zofunikira zimaphatikizapo kutentha thupi, kugunda kwa mtima (kugunda), kupuma (kupuma), komanso kuthamanga kwa magazi. Mukamakula, zizindikilo zanu zimatha kusintha, kutengera momwe muliri athanzi. Mavuto ena azachipatala atha kusintha chizindikiro chimodzi kapena zingapo zofunika.

Kuwona zizindikilo zanu zofunika kumathandizira wothandizira zaumoyo wanu kuyang'anira thanzi lanu komanso mavuto aliwonse azachipatala omwe mungakhale nawo.

Kutentha kwa Thupi

Kutentha kwa thupi sikusintha kwambiri ndi ukalamba. Koma mukamakula, zimakhala zovuta kuti thupi lanu lizilamulira kutentha kwake. Kuchepa kwa mafuta pansi pa khungu kumapangitsa kukhala kovuta kukhala kotentha. Mungafunike kuvala zovala kuti mumve kutentha.

Kukalamba kumachepetsa kuthekera kwanu kutuluka thukuta. Mutha kukhala ndi zovuta kuzidziwitsa mukayamba kutentha kwambiri. Izi zimakuyika pachiwopsezo chotentha kwambiri (kutentha kwamisala). Muthanso kukhala pachiwopsezo cha madontho owopsa kutentha kwa thupi.

Malungo ndi chizindikiro chofunikira cha matenda kwa anthu achikulire. Nthawi zambiri chimakhala chisonyezo chokha chamasiku angapo odwala. Onani omwe akukuthandizani ngati muli ndi malungo omwe sakufotokozedwa ndi matenda omwe amadziwika.

Kutentha thupi ndi chizindikiro cha matenda. Munthu wachikulire ali ndi matenda, thupi lawo silingathe kutentha kwambiri. Pachifukwa ichi, ndikofunikira kuwunika zizindikilo zina zofunika, komanso zizindikiro zilizonse zomwe mungapeze.

MITIMA YA MTIMA NDI KUPUMA KWAMBIRI

Mukamakula, kugunda kwanu kumafanana kwambiri ndi kale. Koma mukamachita masewera olimbitsa thupi, zimatha kutenga nthawi kuti mtima wanu uzikula komanso kuti muchepetse pambuyo pake. Kugunda kwanu kwamphamvu kwambiri pochita masewera olimbitsa thupi ndikotsikiranso kuposa momwe munalili mukadali achichepere.

Kuchuluka kwa kupuma nthawi zambiri sikusintha ndi ukalamba. Koma ntchito yamapapu imachepa pang'ono chaka chilichonse mukamakula. Okalamba athanzi nthawi zambiri amatha kupuma popanda kuyesetsa.

MAFUNSO A MWAZI

Anthu okalamba amatha kuchita chizungulire akaimirira mofulumira kwambiri. Izi ndichifukwa chotsika mwadzidzidzi kwa kuthamanga kwa magazi. Kutsika kwamtundu uwu kuthamanga kwa magazi poyimirira kumatchedwa orthostatic hypotension.

Kuopsa kokhala ndi kuthamanga kwa magazi (kuthamanga kwa magazi) kumawonjezeka mukamakalamba.Mavuto ena okhudzana ndi mtima omwe amakhala okalamba ndi awa:

• Kutentha kwambiri kapena kugunda kwachangu kwambiri
• Mavuto amtundu wamtima monga atril fibrillation

ZOTSATIRA ZA MANKHWALA PA ZIZINDIKIRO ZOFUNIKA

Mankhwala omwe amagwiritsidwa ntchito kuthana ndi mavuto okalamba angakhudze zizindikilo zofunika. Mwachitsanzo, mankhwala a digoxin, omwe amagwiritsidwa ntchito polephera kugunda kwa mtima, komanso mankhwala a kuthamanga kwa magazi otchedwa beta-blockers atha kubweretsa kuchepa kwa thupi.

Odzetsa (mapiritsi amadzi) amatha kuyambitsa kuthamanga kwa magazi, nthawi zambiri akasintha mawonekedwe amthupi mwachangu.

ZINTHU ZINTHU

Mukamakula, mudzasintha zina, kuphatikizapo:

• M'ziwalo, minofu, ndi maselo
• Mumtima ndi mitsempha yamagazi
• M'mapapu

• Kuchita masewera olimbitsa thupi
• Kutenga mtima wanu wa carotid
• Zozungulira zimachitika
• Kutentha ndi kuzirala
• Zotsatira zakubadwa kuthamanga kwa magazi

Chen JC. Yandikirani kwa wodwala yemwe ali ndi vuto. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 183.

Schiger DL. Fikirani kwa wodwalayo ndi zizindikilo zofunika kwambiri: Goldman L, Schafer AI, eds. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: mutu 7.

Walston JD. Zolemba zofananira zamankhwala zakukalamba. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: mutu 22.