Kufamba Kwemhepo Kazhinji Kunochengetedza Mwoyo Murefu, Neine Kuchengetedzwa Kwakakodzera
Kuva nechirwere chepfungwa kazhinji hazvireve kuti unotofanira kukanda mapfumo ako ekufamba nemhepo. Vanhu vazhinji vane chirwere chemwoyo vanogona kuramba vachifamba sezvavanogara vachiita, chero bedzi ivo vachitora zvidzidzo zvishoma kuti vafambe vakachengeteka.
Ngozi dzekufambisa nemoyo
Nenzira yakawanda, kufamba kwemhepo hakuiti mungozi kune vanhu vazhinji vane chirwere chepfungwa.
Cardiac "zviitiko" zvinongowanikwa muvanhu 1 kusvika ku2 pamamiriyoni panguva yekufambisa kwemhepo.
Zvisinei, vamwe vanhu vane matambudziko emwoyo vanoda kudzivisa kubhururuka, zvishoma kwechinguva, nekuda kwehuwandu hwehutano hunokonzerwa nekuchengetedzwa kunzvimbo yakakwirira-yakakwirira (uye naizvozvo yakaderera-okisijeni). Ndege makwande akaomeswa kusvika kune yakaenzana nemamita 8 000 pamusoro pegungwa. Kunyange zvazvo nzvimbo iyi inopa okisijeni yakakwana kuvanhu vakawanda vane chirwere chepfungwa, avo vane mamiriro emwoyo vasingakwanisi kubhadharwa vanogona kuomerwa, kusanganisira dyspnea , musoro wechena , kana angina .
Zvose, njodzi yekubhururuka iduku zvikuru kune vanhu vane mwoyo yakasimba. Kunyange zvakadaro, kukurumidza kwepfungwa kunokonzera chikamu chakakura mu-kuendesa kuchipatara chirwere ichi. Kugadzirira mamiriro ezvinhu aya, US Federal Aviation Administration inorayira kuti imwe yakasununguka kunze defibrillator (AED) iri mukati mezhinji yevanhu vanofamba ndege (avo vanogona kutakura vatakuri 30 kana kupfuura).
Chimwe chezvipingamupinyi zvikuru kune vanhu vane chirwere chepfungwa avo vari kubhururuka vari kuwedzera ropa clot, kana kuti vema thrombosis . Zvinhu zvakasiyana zvinogona kuwedzera mukana wekudzidzira ropa clot paunenge uchibhururuka. Izvi zvinosanganisira kupererwa mvura, yakadzika huni oxygen mazinga, uye kugara kwenguva refu. Iyo ngozi inonyanya kukwirira kune vanhu vane chirwere chemwoyo.
Mirayiridzo Yekufamba Famba Nemoyo
Ikoko hakuna maitiro, anorongedzwa kliniki miedzo inopindura mubvunzo wekubhururuka nehosha yemwoyo. Zvisinei, nyanzvi dzinowanzobvumirana pane mamwe mazano anobatsira ekuderedza dambudziko rekubhururuka.
Vanhu Vane Mwoyo Matenda Haafaniri Kuramba Kana:
- vakave nekurwadziwa kwepfungwa kana kurohwa mukati mevhiki mbiri yapfuura
- ivo vakave nemapurisa ekugadzirisa kusungirwa mukati mevhiki mbiri yapfuura
- ivo vane chirwere chemuviri wepamusoro mukati mekuvhiyiwa mukati mavhiki matatu apfuura (kureba kana vakave nemakemikari epammonia)
- ivo vane angina isina kugadzikana, kunyatsodzora kukanganisa kwemwoyo , kana kusadzora kurongeka
- havana kudzora kuwedzera kwehutano
Zvinonzwisisika, nyanzvi dzinobvumirana kuti vanhu vane mapemaker kana vanokonzerwa nemagadziri anokonzerwa nemhepo vanogona kubhururuka vakachengeteka.
A Preflight Checklist Kune Vanhu vane Mwoyo Matwere:
- taura nachiremba wako kuti uone kana kuongorora kusati kwamboenda kunogona kuve kwakagadzirirwa kuvimbisa kuti chirwere chemoyo wako chakasimba
- bvunza chiremba wako chirongwa chinotsanangura mwoyo wako, iwe unogona kutakura newe
- endai kunhandare yemhepo mune nguva yakawanda yekudzivisa kudiwa kukurumidzira kusuwo
- kutakura zvakakwana mishonga yako mubhodhi newe
- kutakura kopi yemutano wako wezvokurapa
- kutakura nhamba dzefoni dzechiremba (s) uye nhengo dzemhuri
- kutakura nhamba dzomunharaunda uye webhusaiti yekeroti ye pacemaker nevekare ve ICD
- panguva yekufamba, funga kuva nekwakanikidzwa kwemasikisi, usabatwa doro, uye kunwa mvura yakawanda yekudzivirira ropa
- simbisa nzvimbo yekugara, iyo ichakubvumira kuti usimuke uye kufamba-famba nguva nenguva
- chengetedza webasa reCentral for Disease Control rekugadzirira kusvika kune zuva uye mazano ekuraira maitiro
- chengetedza kana inishuwarenzi yako yezvokurapa inosanganisira kurapwa kwechiremba, uye funga kutenga kuchipatara kuvhara inshuwarisi kana iyo isingaiti
Shoko Rinobva
Kune vanhu vazhinji vane chirwere chemwoyo, zvinokwanisika kuramba dzichibhururuka zvakachengeteka, chero bedzi maitiro anozivikanwa-anowanzozivikanwa anotorwa.
> Sources:
> Aerospace Medical Association Mitsvagiridzo yezveMishonga Dhiyabhorosi Task Force. Nhungamiro Yezvekurapa Kwekufamba Kwemhepo, 2nd ed. Aviat Space Pakati paMud 2003; 74: A1.
> Goodwin T. In-Flight Mvura Dzeperi Dambudziko:. BMJ 2000; 321: 1338.
> Possick SE, Barry M. Kuongorora uye Kutungamirirwa kweMwoyo Mwoyo Murefu Kutanga Mhepo Inofamba. Ann Intern Med 2004; 141: 148.