Masiqaphele i-Coronary Artery Spasm!

Ngaba wakha waba nentlungu ekhawulezileyo, ecinezelweyo, okanye enciphayo esifubeni sakho ngaphandle kwesizathu esicacileyo, ingakumbi ezinzulwini zobusuku okanye kusasa? Iphela yodwa emva kwexesha elithile. Nangona abanye abantu becinga ukuba oku kuqhelekile, eneneni le yimeko yempilo esingathethi kakhulu ngayo, kodwa ngokuqinisekileyo kufuneka siyiqaphele. Namhlanje sithetha ngale meko apho imithambo yegazi entliziyweni incipha ngequbuliso, okanye ngokwezonyango, iCoronary Artery Spasm .

Ngamafutshane, yintoni iCoronary Artery Spasm?

Ukuze siqonde oku, masithathe umzekelo omncinci. Khawucinge ngombhobho werabha othwala amanzi. Amanzi ahamba kuwo ngaphandle kokuphazanyiswa. Kodwa kwenzeka ntoni ukuba umntu ngequbuliso ucinezela umbhobho ngokuqinileyo? Ukuhamba kwamanzi kuyama okanye kunciphe kakhulu, akunjalo? Yiloo nto eyenzekayo ezintliziyweni zethu.

Intliziyo yethu sisihlunu esisebenza rhoqo. Ioksijini kunye nezondlo ezifunekayo kwesi sihlunu sentliziyo zibonelelwa yimithambo yentliziyo , ekwindawo ephezulu yentliziyo. I- coronary artery spasm iyenzeka xa iindonga zale mithambo yegazi ziqhawuka ngequbuliso okanye zivaleke. Kufana nokucinezela umbhobho wamanzi.

Olu xinzelelo luthintela okanye luthintele ukuhamba kwegazi entliziyweni okwethutyana. Uninzi lwexesha, olu xinzelelo aluhlali ixesha elide. Abanye abantu abayiqapheli loo nto. Nangona kunjalo, ukuba le meko yenzeka rhoqo, inokunyusa umngcipheko weemeko ezinzulu ezifana nokuhlaselwa yintliziyo .

Ingaba oku kufana nentlungu ye-angina ? Yintoni umahluko?

Lo ngumbuzo abantu abaninzi abawubuzayo. I-Angina yintlungu yesifuba eyenzeka xa intliziyo ingafumani igazi elaneleyo. Eyona nto iphambili neyona ixhaphakileyo yoku kukuqokelelana kwe-cholesterol (i-plaque) kwimithambo yentliziyo, nto leyo ebangela ukuba imithambo ivaleke. Oku sikubiza ngokuba yi-atherosclerosis . Ngokwesiqhelo, olu hlobo lwentlungu ye-angina lwenzeka ngexesha lokuzilolonga, xa udiniwe, okanye xa unyuka izinyuko. Iyancipha xa uphumla.

Nangona kunjalo, iintlungu ze-angina ezibangelwa kukuphazamiseka kwemithambo yegazi yentliziyo zahlukile kancinci. Sizibiza ngokuba yi -Vasospastic Angina . Into ekhethekileyo ngale nto kukuba ezi ntlungu zihlala zenzeka xa uphumle, ungazibhokoxi.Le ntlungu inokwenzeka ingakumbi ebusuku okanye kusasa. Lo ngumahluko ophambili.

Ngubani osengozini enkulu yokuba nale meko?

Izinto ezifanayo ezichaphazela isifo sentliziyo nazo ziyayichaphazela le nto. Oko kukuthi:

• Uxinzelelo lwegazi oluphezulu (Uxinzelelo lwegazi oluphezulu): Uxinzelelo lwegazi oluphezulu luthetha ukuba imithambo yegazi yonakala rhoqo.
• Amanqanaba aphezulu e-cholesterol egazini (i-Hyperlipidemia): La manqanaba ahlala emithanjeni aze anciphise ukuguquguquka kwawo.
• Ukutshaya okanye ukusebenzisa ezinye iimveliso zecuba: Le yeyona nto iphambili neyona iyingozi kakhulu . Ikhemikhali ekwicuba ebizwa ngokuba yi-nicotine ivimba imithambo yegazi.
• Ukusetyenziswa kweziyobisi ngokungekho mthethweni: ingakumbi iziyobisi ezivuselelayo ezifana ne-cocaine.

Zithini izinto ezibangela le spasm?

Ukongeza kwizinto ezibangela umngcipheko, kukho izinto ezithile ezinokubangela ukuba oku kuthinteleka kuqale ngequbuliso. Ezi sizibiza ngokuba 'zizinto ezibangela oku'.

• Ukusetyenziswa kwecuba: Oku kunokwenzeka nasemva kokutshaya icuba.
• Ukuchanabeka kwingqele egqithisileyo: Izinto ezifana nokuhlamba ngequbuliso ngamanzi abandayo kakhulu okanye ukungena kwigumbi eline-AC eshushu kakhulu.
• Uxinzelelo Olugqithisileyo: Ukuziva unomsindo, usizi, okanye uxinzelelo ngequbuliso.
• Izinto ezivuselela ingqondo: Iziyobisi ezifana nee-amphetamines okanye i-cocaine.

Zithini iimpawu zoku? Kuvakala njani?

Abanye abantu banokuba nale meko ngaphandle kweempawu. Kodwa ukuba kukho iimpawu, unokufumana izinto ezifana nezi:

• Ukuqina okanye ukuqina kwesifuba: Kuvakala ngathi isifuba sakho sicinezelwa ngebhanti.
• Intlungu: Uninzi lwexesha, intlungu ivela kwicala lasekhohlo lesifuba.
• Ukwanda kwentlungu: Le ntlungu ingaqala esifubeni ize isasazeke entanyeni, emhlathini, emagxeni, okanye ezingalweni.
• Intlungu xa uphumle: Le ntlungu inokubakho ingakumbi emva kweentsuku ezinzulwini zobusuku okanye kusasa kwaye inokukuvusa ebuthongweni.

Olu xinzelelo lunokuthatha imizuzu emi-5 ukuya kwengama-30. Kwabanye abantu, kwenzeka kanye okanye kabini ngonyaka, ngelixa kwabanye, kwenzeka izihlandlo ezininzi ngemini.

Ugqirha uyixilonga njani le nto?

Ukuba unale mpawu, ngokuqinisekileyo kuya kufuneka ubone ugqirha wakho. Uza kukuhlola aze, ukuba kuyimfuneko, akuthumelele kwezinye zezi vavanyo.

• I-Electrocardiogram (EKG): Le irekhoda umsebenzi wombane wentliziyo, okanye isingqisho sentliziyo. Ukuba i-EKG ithathwa ngexesha lokuxinana, utshintsho oluthile lunokubonwa.
• I-Echocardiogram (Uvavanyo lwe-Echo): Oku kufana ne-ultrasound scan yentliziyo. Ingajonga indlela amagumbi entliziyo, iivalvu, kunye nemisipha yentliziyo esebenza ngayo.
• I-Ambulatory Monitor: Ugqirha wakho angakunika isixhobo esincinci oza kusinxiba usuku olunye okanye ezimbini. Esi sikwabizwa ngokuba yi-Holter Monitor. Sirekhoda izinga lentliziyo yakho imini yonke ngelixa usenza imisebenzi yakho yesiqhelo. Oku kubaluleke kakhulu ekufumaneni i-spasm eyenzeka ebusuku.
• I-Angiography yeCoronary:Olu lolona vavanyo lubalaseleyo lokuqinisekisa le meko. Kolu vavanyo, kufakwa umbhobho omncinci kakhulu ngomthambo osengalweni okanye emlenzeni wakho kwimithambo yentliziyo yakho. Emva koko, kufakwa idayi ekhethekileyo kuyo, kwaye kusetyenziswa ividiyo ye-X-ray ukubona indlela igazi elihamba ngayo. Ukuba imithambo ayivalwanga yi-cholesterol, iyeza elikhethekileyo elibangela ukuxinana linokunikwa ngexesha lovavanyo ukuze kubonwe ukuba imithambo ivalekile na.

Zithini iindlela zonyango? Ngaba oku kunganyangeka?

Kukho iinjongo ezimbini eziphambili zonyango. Enye kukunciphisa iintlungu, enye kukuthintela ukuqaqamba kwemisipha ukuba kungaphindi kwenzeke.

Unyango lwentlungu olungxamisekileyo

I-Nitroglycerin (Nitrostat®) liyeza elisetyenziselwa ukunciphisa iintlungu ngokukhawuleza nje ukuba livele. Liza njengepilisi encinci ebekwa phantsi kolwimi okanye njengespray. Liyandisa ngokukhawuleza imithambo yegazi, linciphise ukuxinana kwegazi, kwaye libuyisele ukuhamba kwegazi.

Unyango lwexesha elide

Ugqirha wakho uza kukunika amayeza omawuwasebenzise yonke imihla ukuze uthintele ukuqaqamba okuphindaphindiweyo.

• IiCalcium Channel Blockers: Amayeza afana ne-Amlodipine kunye ne-Diltiazem akweli qela. La mayeza asebenza ngokukhulula izihlunu ezindongeni zemithambo yegazi. Oku kunciphisa ukuxinana kwemithambo yegazi.
• IiStatins: Amayeza afana neAtorvastatin kunye neSimvastatin. Nangona ezi zisetyenziselwa kakhulu ukunciphisa i-cholesterol, zikwafunyenwe ukuba zinceda ukuphucula ukusebenza kwemithambo yegazi kunye nokuthintela ukuqaqamba.

Kwezinye iimeko ezinzima, olu xinzelelo lunokubangela ukuba intliziyo ibethe ngendlela eyingozi ngendlela engaqhelekanga. Silubiza ngokuba yiVentricular Arrhythmia . Kwabo basengozini, ugqirha unokucebisa ukuba kufakwe isixhobo esincinci esibizwa ngokuba yi-ICD (Implantable Cardioverter Defibrillator) phantsi kwesikhumba sesifuba. Oku kufumanisa xa intliziyo ibetha ngendlela engaqhelekanga, kuthumela isignali yombane encinci, kwaye kubuyisele isingqisho.

Ufanele uye nini esibhedlele xa kukho imeko engxamisekileyo?

Oku kubaluleke kakhulu. Ukuba i-spasm ihlala ixesha elide kakhulu, inokuba yi-heart attack. Ngoko ke, ukuba unenye okanye ngaphezulu kwezi mpawu zilandelayo kunye nentlungu yesifuba, musa ukulibazisa. Fowunela i-ambulensi ngokukhawuleza okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.