Ngaba uziva ngathi intliziyo yakho iyaxina? Makhe sithethe ngeCoronary Artery Spasm!

Ngamanye amaxesha usenokuziva into engaqhelekanga, njengokuxinana esifubeni sakho, okufika kubuye kuhambe, akunjalo? Usenokungayinaki kangako loo nto. Kodwa oku kusenokuba kubangelwa kukuncipha kwemithambo yegazi entliziyweni, imeko esiyibiza ngokuba yi-'Coronary Artery Spasm' ngokwezonyango. Makhe sithethe ngale nto ngokweenkcukacha namhlanje, kuba le asiyonto yokungayinaki.

Yintoni le spasm yemithambo yentliziyo? (`I-Coronary Artery Spasm`)

Kulungile, masiqale sijonge ukuba zeziphi ezi mithambo yentliziyo. Intliziyo yakho sisitho esimangalisayo esisebenza ngokungapheliyo imini yonke, nokuba ulele. Ngoko ke imithambo yegazi enika izihlunu zentliziyo ioksijini kunye nezondlo ezifunekayo ukuze isebenze kakuhle yile nto siyibiza ngokuba yimithambo yentliziyo . Oku kufana nenkqubo yemibhobho ezisa amanzi endlwini.

Ngoku, i-`(Coronary Artery Spasm)` kukuqina ngequbuliso kwemithambo yentliziyo ethwala igazi entliziyweni, njengeqhekeza lenyama emlenzeni wethu elijijekileyo. Oku sikubiza ngokuba yi- `Contraction` . Oku kudla ngokuthatha ixesha elide, kwaye usenokungaziva nangemizuzu embalwa. Nangona kunjalo, le meko inokunyusa umngcipheko wokuhlaselwa yintliziyo kunye nezinye iingxaki zesifo sentliziyo. Yiyo loo nto kubalulekile ukuqaphela oku.

Yintoni umahluko phakathi kwesifo semithambo yegazi yentliziyo kunye ne-angina?

Mhlawumbi ukhe waliva igama elithi 'Angina', akunjalo? Ngamafutshane, lithetha iintlungu zesifuba. Iintlungu zesifuba zinokwenzeka xa kukho ukuxinana kwemithambo yentliziyo. Oku sikubiza ngokuba yi- vasospastic angina .

Ngokwesiqhelo, eyona nto ibangela i-angina kukuvaleka kwemithambo yegazi zizinto ezifana ne-cholesterol (`Plaque`). Kodwa eyona nto ikhethekileyo ngale `(Vasospastic Angina)` kukuba le ntlungu inokwenzeka nokuba uphumle . Ezinye iintlobo ze-angina zihlala zisenzeka xa sidiniwe, njengaxa sizilolonga. Lo ngumahluko ophambili.

Ngubani onokuba nethuba elikhulu lokufumana i-"Coronary Artery Spasm"?

Ngoku makhe sibone ukuba ngubani onokuba nale meko. Ukuba unezinto ezinokubangela isifo sentliziyo, nawe usengozini yokuba nale `(Coronary Artery Spasm)`. Izinto eziphambili ezichaphazela oku zezi:

• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu).
• Amanqanaba aphezulu e-cholesterol egazini (`Hyperlipidemia`).
• Ukusetyenziswa kwecuba, oko kukuthi ukusetyenziswa kwecuba kunye ne-beedis , yingxaki echaphazela abantu abaninzi.
• Ukusetyenziswa kweziyobisi ngokungekho mthethweni .

Kodwa into emangalisayo kukuba le "Coronary Artery Spasm" ikwakho nakubantu abangenayo i-high blood pressure okanye i-cholesterol ephezulu. Kuyaphawuleka ngakumbi ukuba uninzi lwaba bantu batshaya rhoqo. Ke ngoko, kunokucingelwa ukuba ukutshaya kunempembelelo enkulu koku.

Yintoni ebangela oku kuthinteleka?

Kulungile, yintoni kanye kanye ebangela i-"Coronary Artery Spasm"? Ezinye izifo zentliziyo zinokubangela oku:

• Amafutha afakwa kwimithambo yegazi, nto leyo ewanciphisayo (`Atherosclerosis`). Oku kufana nomhlwa oqokelelana ngaphakathi kombhobho wamanzi omdala, uvala umngxuma kumbhobho.
• Igazi elonyukayo .
• I-cholesterol ephezulu .

Kunye nezi zizathu zingundoqo, kukho izinto ezithile ezinokubangela oku kuthinteleka. Oko kukuthi, zibangela ukuba kwenzeke ngequbuliso. Cinga ngako njengomntu ovusa ingonyama eleleyo. Ezi zinto ziquka:

• Ukusebenzisa icuba (iicuba, ii-beedis). Olu lutshaba oluphambili.
• Ukuchanabeka kwingqele egqithisileyo. Cinga ngento efana nokuhlamba emanzini abandayo kakhulu ngaxeshanye, okanye ukuya kwindawo ebanda kakhulu.
• Uxinzelelo olugqithisileyo . Le yinto echaphazela abantu abaninzi, kunye neengxaki esinazo kubomi bethu bemihla ngemihla. Iingxaki emsebenzini, iingxaki zosapho, zonke ezi zinto zinokusichaphazela.
• Ukusetyenziswa kweentlobo ezithile zezinto ezivuselelayo , umzekelo, iziyobisi ezingekho mthethweni ezifana ne-`(Amphetamines)` okanye `(Cocaine)`.

Zithini iimpawu ze-`(Coronary Artery Spasm)`?

Ixesha elininzi, le `(Coronary Artery Spasm)` inokubakho ngaphandle kweempawu . Yiloo nto eyoyikisayo kancinci. Nangona kunjalo, ukuba iimpawu ziyavela, nazi ezinye izinto onokuzifumana:

• Ukuqina kwesifuba okanye uxinzelelo. Kusenokuvakala ngathi kukho umntu okucinezelayo esifubeni, okanye ngathi kukho ubunzima esifubeni sakho.
• Intlungu yesifuba. Le ntlungu ibaluleke kakhulu:
• Inokwenzeka xa uphumle . Ihlala ibonakala emva kweentsuku zobusuku okanye kusasa .
• Le ntlungu idla ngokuvakala kwicala lasekhohlo lesifuba.
• Ngamanye amaxesha le `(Coronary Artery Spasm)` inokukuvusa ebusuku .
• Ezi ngxaki zinokwenzeka rhoqo, zingaba zimbalwa ngonyaka, okanye zingaba zininzi ngemini. Ziyahluka ukusuka kumntu nomntu.

Ingaba oku kuthinteleka kungathatha ixesha elingakanani? Kuvakala njani?

Ubude be-"Coronary Artery Spasm" bunokwahluka kumntu nomntu. Bunokuthatha naphi na ukusuka kwimizuzu emihlanu ukuya kwimizuzu engama-30 . Kwabanye abantu, bunokuba bufutshane, kwaye kwabanye, bunokuba bufutshane kancinci.

Ngokuphathelele indlela ezivakala ngayo, njengoko benditshilo ngaphambili, ngamanye amaxesha usenokungaziva nto konke konke. Okanye ungaziva izinto ezinje:

• Ukuxinana kwesifuba.
• Intlungu ingavakala ngathi iphuma esifubeni sakho iye entanyeni, engalweni (ingakumbi engalweni yakho yasekhohlo), okanye emhlathini, njengokuhlaselwa yintliziyo.

Ungayixilonga njani ngokuchanekileyo i-"Coronary Artery Spasm"?

Ukuze axilonge ngokuchanekileyo esi sifo, ugqirha wakho uza kwenza uvavanyo oluninzi ukujonga impilo yentliziyo yakho. Oku akuyonto inokuqikelelwa ngokuqagela. Ezona ziphambili zezi:

• I-Echocardiogram (`Echocardiogram` - `Uvavanyo lwe-Echo`): Oku kusebenzisa amaza esandi ukuthatha imifanekiso yentliziyo yakho. Kufana nokuskena okwenziwa koomama abakhulelweyo. Kunokujonga indlela amagumbi entliziyo kunye neevalvu ezisebenza ngayo.
• I-Electrocardiogram (EKG okanye i-ECG): Le ilinganisa umsebenzi wombane wentliziyo yakho. Ingakunika umbono wokuba intliziyo yakho ibetha njani kunye nokuba kukho ukuhamba kwegazi okuncinci na entliziyweni.
• I-Coronary Angiography : Olu luvavanyo olucacileyo lokuxilonga. Kolu vavanyo, kufakwa idayi ekhethekileyo kwimithambo yentliziyo ngomthambo osengalweni okanye emlenzeni, kwaye kuthathwa imifanekiso ye-X-ray. Oku kungabonisa ngokucacileyo ukuba kukho ukuncipha okanye ukuqaqamba kwimithambo.

Ukongeza, ugqirha wakho angakunika isixhobo esincinci (i-'Ambulatory Monitor' okanye i-'Holter Monitor') oza kusinxiba ekhaya. Esi sirekhoda umsebenzi wombane wentliziyo yakho iiyure ezingama-24, ezingama-48, okanye nangaphezulu ngelixa usenza imisebenzi yakho yemihla ngemihla. Oku kubaluleke kakhulu kuba '(iCoronary Artery Spasm)' idla ngokuvela ebusuku okanye xa uphumle, ngoko ke kubaluleke kakhulu urekhoda umsebenzi wentliziyo yakho ngaloo maxesha.

Inyangwa njani le `(Coronary Artery Spasm)`?

Kukho iinjongo ezimbini eziphambili zonyango. Enye kukuthintela ezi ntlungu , enye kukunciphisa iintlungu zesifuba .

Ukuba ngequbuliso uneentlungu ezibukhali, unikwa iyeza elibizwa ngokuba yi-nitroglycerin (umz. iNitrostat®) ngelo xesha. Lisebenza ngokwandisa imithambo yegazi, ukuphucula ukuhamba kwegazi, nokunciphisa iintlungu zesifuba ngokukhawuleza. Lidla ngokunikezelwa njengepilisi encinci ebekwa phantsi kolwimi, ukuze ifunxwe ngokukhawuleza emzimbeni.

Ukuthintela ezi ngxaki kwixesha elide, ugqirha wakho unokukunika amanye amayeza oza kuwasebenzisa rhoqo:

• Izithinteli zeCalcium channel : Umzekelo, amayeza afana neAmlodipine (Norvasc®), Diltiazem (Cardizem®), okanye iNifedipine (Procardia®). La mayeza asebenza ngokukhulula udonga lwemithambo yakho yegazi, enciphisa ukuxinana kwayo.
• IiStatins : Umzekelo, amayeza afana neAtorvastatin (Lipitor®) okanye iSimvastatin (Zocor®). Nangona la mayeza ikakhulu ehlisa i-cholesterol, afunyenwe enceda ukuthintela oku kuphazamiseka ngokuphucula ukusebenza kolwelo lwangaphakathi lwemithambo yegazi.

Ngamanye amaxesha, le `(Coronary Artery Spasm)` inokubangela ukubetha kwentliziyo okungaqhelekanga nokuyingozi (`Ventricular Arrhythmia`) kwiindawo ezisezantsi zentliziyo. Le yimeko enzima, njengoko inokuba yingozi ebomini. Ukuba une `(Ventricular Arrhythmia)` enjalo, ugqirha wakho unokucebisa i-inplantable cardioverter defibrillator (`ICD`) ukuthintela iingxaki ezinzima. I`(ICD)` ibona ukubetha kwentliziyo okungaqhelekanga kwaye isebenzisa imiqondiso yombane ukunceda ukugcina intliziyo yakho ibetha ngesingqi esiqhelekileyo.

Ndingayinciphisa njani ingozi ye-coronary artery spasm?

Ukuba unezinto ezinobungozi ezifana ne-cholesterol ephezulu kunye noxinzelelo lwegazi oluphezulu, ukunyanga ezo meko ngokufanelekileyo kunokunciphisa umngcipheko wakho wokuba ne-`(Spasm)`. Kubaluleke kakhulu nokuphepha izinto (`Ii-Triggers`) ezinokubangela le `(Coronary Artery Spasm)`.

Umzekelo, ungenza izinto ezifana nokuphepha ukuchatshazelwa yingqele ngequbuliso, uyeke ukutshaya ngokupheleleyo (le yinto omele uyenze ngokuqinisekileyo), kwaye ufumane iindlela zokulawula uxinzelelo olugqithisileyo (ezifana nokucamngca kunye neyoga).

Oko kuthetha ukwenza utshintsho oluthile kwindlela yokuphila esempilweni. Oku kuquka ukutya ukutya okunempilo (oyile encinci, ityuwa encinci, neswekile encinci, kunye neziqhamo ezininzi kunye nemifuno) kunye nokuzilolonga rhoqo .

Ukuba ndine-`(Coronary Artery Spasm)`, ndimele ndilindele ntoni?

I-Coronary Artery Spasm yimeko engapheliyo . Oku kuthetha ukuba kunzima ukuyinyanga ngokupheleleyo, kodwa inokulawulwa. Uya kufuna unyango lwexesha elide kunye nolawulo lwezonyango ukuze uyilawule. Kodwa ungakhathazeki.

Ngonyango olufanelekileyo, uninzi lwabantu lunokulawula iimpawu zabo, lunciphise ukuphindaphindeka kwezi ziganeko, kwaye luphile ubomi obuqhelekileyo nobulungileyo. Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngokuchanekileyo, usele amayeza akho ngexesha, kwaye uqhubeke nokwenza utshintsho kwindlela ophila ngayo.

Ndingaya nini kwigumbi likaxakeka (ER)?

Le yingxaki ebaluleke kakhulu, ingaba ngumcimbi wobomi nokufa . Ukuba i-coronary artery spasm iqhubeka ixesha elide, inokuba yi-heart attack. Ngoko ke, ukuba ufumana iimpawu ze-heart attack, ungalibazisi nomzuzu kwaye utsalele umnxeba ku-1990 (Suvaseriya) ngoko nangoko okanye uye kwigumbi likaxakeka lesibhedlele esikufutshane.

Zithini iimpawu zokuhlaselwa yintliziyo? Khangela enye okanye ezingaphezulu kwezi mpawu kunye nentlungu yesifuba:

• Ukuba nesiyezi okanye ukuba nentloko ebuthathaka .
• Ukulahlekelwa zingqondo (`iSyncope`).
• Uvakalelwa ngathi intliziyo yakho ibetha ngokukhawuleza, isifuba sakho siyabetha ngamandla (`Iintlungu zentliziyo`).
• Ukucaphuka okanye ukuhlanza, ukuziva ngathi ungagayi kakuhle ukutya (`Isicaphucaphu` okanye `I-Dyspepsia`).
• Ubunzima bokuphefumla, uzive ngathi uyafuthaniseka (Dyspnea).
• Ukubila okubandayo.
• Ukudinwa ngequbuliso, ukuziva udinwe kakhulu.

Ukuba unenye okanye ngaphezulu kwezi mpawu kunye nentlungu yesifuba, musa ukuhlala ekhaya ucinga ukuba yi-gastritis. Funa uncedo lwezonyango ngoko nangoko. Ixesha yeyona nto ibalulekileyo ekusindiseni ubomi.

Sithini isigidimi esifuna ukusithatha sibuyele ekhaya kweli bali?

I-Coronary Artery Spasm kukuxinana ngequbuliso okanye ukuxinana kwemithambo yegazi ehambisa igazi entliziyweni. Ezi zinokufika zize zidlule ngaphandle kwentlungu. Nangona kunjalo, zinokwandisa umngcipheko wokuhlaselwa yintliziyo. Zinokwenzeka ingakumbi ezinzulwini zobusuku okanye kusasa kwaye zinokukuvusa.

Eyona nto ilungileyo kukuba, kukho unyango loku. Ungayinciphisa intlungu yesifuba kwaye uthintele ezi ngxaki. Ukuba uneempawu ezifana nezo zikhankanyiweyo kweli nqaku, kubaluleke kakhulu ukubona ugqirha kwaye ufumane ingcebiso. Ungayinciphisa le ngozi ngokuphepha ngokupheleleyo ukutshaya nokuphila ubomi obusempilweni. Nyamekela intliziyo yakho! Yeyona nto ixabisekileyo kuwe.

Isifo sentliziyo , umthambo wentliziyo, iintlungu zesifuba, i-angina, uhlaselo lwentliziyo, i-Coronary Artery Spasm, impilo yentliziyo