I-Cocaine ineempembelelo ezininzi zentliziyo. Akukho namnye kubo olungileyo.
Kukho izinto ezimbalwa ezigumbini ogqityileyo oogqirha abanesibindi ngaphezu kokubona umsebenzisi omncinci we-cocaine obonisa intlungu yesifuba, okanye ezinye iimpawu ezibonisa ukugula kwesifo senhliziyo. Ukwesaba kwabo kusekelwe kakuhle.
Kubi ngokwaneleyo ukuba lo mfana, umntu onompilo ongekho-mnye unokubandezeleka ngokusongela izidakamizwa okanye ukukhubazeka kwezempilo.
Okubangela ukuba kubi ngakumbi kukuba ugqirha uyazi ukuba ukwenza i-diagnostic echanekileyo kunokuba nzima kwaye kuyabiza (kuba i-cocaine ingabangela ukuba zininzi iingxaki zentliziyo).
Ukukhathazeka ngakumbi, xa kutyalwa ukuxilongwa ngokuchanekileyo, unyango lunokuba lunzima kakhulu, ngenxa yefuthe elibanzi le-cocaine emzimbeni womzimba. Ukongezelela, umphumo wesigulane esisigxina sexesha elide sinokuthi siphumelele, nangona ukuxilongwa ngokuchanekileyo kwenziwa ngokukhawuleza, kwaye unyango lubekwe ngokukhawuleza.
I-Cocaine ichaphazela njani i-Cardiovascular System?
I-Cocaine yiyilisi ekhubaza i-reuptake ye- norepinephrine kwi-neurons. Le ndlela yokuvimbela ivumela i-norepinephrine ukuba ihlale isebenzela ixesha elide, ibenokubangela ukuba i-neurotransmitter enamandla ibe yinkqubo yesantya. Imisebenzi yokhathazeka yentliziyo enobubele yayinefuthe elibi kwiinkqubo zomoya.
Iyakwandisa kakhulu amandla emisipha yeentliziyo njengesivumelwano, kwaye ngexesha elifanayo liphakamisa izinga lentliziyo kunye noxinzelelo lwegazi. Ezi zinto zandisa kakhulu umsebenzi weentliziyo, ngoko ke imfuno yentliziyo ye-oxygen kunye nezondlo.
Kodwa ngexesha elifanayo ukuba kubangela ukuba i-cardiovascular system isebenze nzima kakhulu, i-cocaine nayo ibangela ukunyuka kwama-capillaries, ukunciphisa ukuhamba kwegazi ukuya kwisifo senhliziyo.
Ukongezelela, i-cocaine ikhuthaza ukuphuma kwegazi ngaphakathi kwemithambo yegazi.
Oku kukudibanisa kabi kweempembelelo. Nangona idala isidingo sokwanda kwenhliziyo ye-oksijeni, i-cocaine enye inqanda ukuhamba kwegazi kwi-heart muscle, ukukhawulela umlinganiselo we-oksijini onokuhanjiswa. I-system cardiovascular system ixininisa kakhulu.
Ziziphi iimeko ze-Cardiovascular Circumstances ezibangelwa yiCocaine?
Iziganeko ezininzi ezibalulekileyo ze-cardiovascular can result from this combination of effects caused by cocaine usetyenziso.
Ezi ziquka:
- I-myocardial infarction (ukuhlaselwa kwentliziyo). Ukuhlaselwa yintliziyo yinkxalabo eyaziwayo yokusebenzisa i-cocaine, kwaye iyakwenzeka nanoma yiyiphi inqanaba le-cocaine, kunye nabasebenzisi bokuqala. Uninzi lweentliziyo ze-cocaine zihlaselwa ngehora elilodwa lokusebenzisa iziyobisi, kwaye zibaluleke kakhulu abantu abaselula. Enyanisweni, ukusetyenziswa kwe-cocaine kuye kwabandakanywa malunga ne-25% yeentlungu zentliziyo ezenzeka kubantu abangaphantsi kwe-45. Funda ngokunyangwa kwe-infyoction ye-myocardial.
- I-Aortic dissection. Ukutshatyalaliswa kwe-aortic ngokuthe ngqo-ukutshatyalaliswa ngokukhawuleza kodongeni lwe-aorta - kuyimeko ebuhlungu kakhulu kwaye isongela ubomi. Nangona kukho izimbangela ezininzi ze-aortic dissection, kubantu abancinci abantu basebenzisa i-cocaine iyona nto ibangele.
- I-coronary artery aneurysm. I-coronary artery aneurysms, i-balloon-like dilations of coronary arteries, ixhaphake kakhulu kubasebenzisi be-cocaine, eyenzeka kwi-30% yabasebenzisi abangapheliyo. I-coronary artery aneurysms yimbangela yesifo senhliziyo.
- I-Myocarditis kunye ne-cardiomyopathy. I-Cocaine ibangela i-myocarditis, okanye ukuvuvukala kwesisu senhliziyo. I-Myocarditis ingakhokelela kwimonakalo yentliziyo yesisu, okanye i-cardiomyopathy. Ngenxa yoko, ukungaphumeleli kwentliziyo kungenzeka.
- Iingxaki zengqondo zentliziyo. Ukusetyenziswa kweCocaine kungabangela ezininzi izicwangciso zentliziyo. Ukongeza kokubangela ukufa ngokukhawuleza kwi-fibrillation ye-ventricular, i-cocaine inokuvelisa ibloko legatsha, intloko yenhliziyo, i-torsades de pointes, kunye neendidi ezininzi ze-tachycardias.
- Stroke. Umngcipheko wokubetha phakathi kwabasebenzisi be-cocaine uqikelelwa ukuba ufikelele kwisixhenxe ngokuphindaphindiweyo ukuba ungabasebenzisi.
Kutheni ukusetyenziswa kweCocaine kudibana neNyango yeengxaki zentliziyo
Ngokuqhelekileyo, unyango lweengxaki ze-cocaine ezibangelwa yimizimba yegazi zifana nokunyangwa kweengxaki ezifanayo zenhliziyo xa ukusetyenziswa kwe-cocaine kungeyona nto. Nangona kunjalo, ukusebenzisa i-cocaine kuyinkimbinkimbi yonyango ngeendlela ezimbalwa ezibalulekileyo:
- Iibet blockers akufanele isetyenziswe kwizigulana ezithatha i-cocaine. Iibet blockers zibaluleke kakhulu kunyango lwe-coronary disease, i-heart attack, i-angina, ne-heart failure. Nangona kunjalo, kubantu abaye bathatha i-cocaine, i-blocka blockers (ebangela ukuba i-beta-imfesane imiphumo ye-norepinephrin) "yambule" imiphumo ye-alpha-intsilelo, ekhokelela ekuncincikeni kwemibhobho encinci, kunye neengcinezelo zegazi eziphezulu. Le nyaniso ithatha isicatshulwa esibalulekileyo kwizandla zogqirha xa zijongana nokuhlaselwa kwentliziyo.
- Xa unyanga oko kubonakala kukuhlaselwa kwintliziyo, ukusetyenziswa kwezidakamizwa ezigqithisileyo-iziyobisi ezivelisa i-fibrinolysis - akufanele ziqeshwe kumsebenzisi we-cocaine ngaphandle kokuba zenze i-catheterization yomzimba. Oku kungenxa yokuba utshintsho lwe-ECG olubonisa ukuba loo nto ihlaselwa yintliziyo eyenzekayo ingabonwa kubasebenzisi be-cocaine abangenayo i-heart attack.
- Oogqirha banqwenela ukusebenzisa i-stents ukuze baphathe isifo se-coronary disease kubasebenzisi be-cocaine, kuba isifo sengqondo esisisigxina (ukucima i-stent) kuphakamileyo kakhulu kula bantu.
ILizwi
Ukusetyenziswa kwe-cocaine kunokubeka uxinzelelo olukhulu kwiintliziyo kunye neenkqubo zesistim, kwaye kunokukhokelela kwiimeko ezininzi zempilo. Ngaphezu koko, ngenxa yefuthe le-cocaine kwi-physiology yabantu, ukhetho lwonyango lunqunyelwe kubantu abanochocaine-bangela ukuphazamiseka kwengqondo.
> Imithombo:
> Afonso L, Mohammad T, Thatai D. Crack Whips Intliziyo: Ukuhlaziywa kweSifo soKhuseleko lweCafeine. InguJ Cardiol 2007; 100: 1040.
> Maraj S, Figueredo VM, uLynn Morris D. Cocaine kunye nentliziyo. KwiKlinikhi yeKardiol 2010; 33: 264.
> McCord J, Jneid H, Hollander JE, et al. Ulawulo lweCainine-Associated Pain and Myocardial Infarction: Ingxelo yeSayensi evela kwi-American Heart Association IComputer Care Cardiac Committee yeBhunga kwiCliniological Cardiology. Uhambo luka-2008; 117: 1897.
> Schwartz BG, uRezkalla S, uKloner RA. Iimpembelelo ze-Cardiovascular of Cocaine. Ukuhamba ngo-2010; 122: 2558.