Ngaba uhlala uziva uxinezelekile, unzima, okanye uqaqamba esifubeni sakho? Ngaba le ntlungu iyanda ngakumbi xa udiniwe kancinci, xa unyuka izinyuko, okanye xa uziva uxhalabile? Kodwa ke wenze i-ECG, mhlawumbi ne-angiogram, kodwa ugqirha wathi akukho zithintelo kwimithambo yegazi emikhulu yentliziyo (imithambo ye-coronary), kwaye zilungile ngokupheleleyo. Usenokuba ucinga, "Kutheni ke ndinayo le ntlungu esifubeni?" Le yingxaki abantu abaninzi abanayo. Awuwedwa. Namhlanje sithetha ngohlobo lwentlungu esifubeni olungabonwa lula ngovavanyo olukhulu, kodwa olukhoyo ngokwenene. Silubiza ngokuba yi-microvascular angina.
Yintoni i-Microvascular Angina?
Ngamafutshane, le ikwayi-angina, ebuhlungu esifubeni obubangelwa kukungabikho kwegazi elaneleyo elineoksijini elifikelela entliziyweni. Kodwa nantsi umahluko. Kwi-angina eqhelekileyo, ingxaki ikwimithambo yegazi emikhulu ehambisa igazi entliziyweni. Isenokuvalwa ngamanqatha.
Kodwa kwi-microvascular angina, ingxaki ayikho kuloo mithambo yegazi mikhulu. Ikwimithambo yegazi emincinci necolekileyo ephuma kuloo mithambo mikhulu (i-coronary microvasculature). Cinga ngayo, sinombhobho omkhulu ozisa amanzi endlwini yethu. Kulungile. Kodwa ukuba imibhobho emincinci eya kwiimpompo ezincinci nakwiishawa ngaphakathi endlwini ivalekile kwaye inomhlwa, amanzi awaphumi. Yiloo nto eyenzekayo apha. Xa le nkqubo incinci yemithambo yegazi ethwala ioksijini kwimisipha yentliziyo ingasebenzi kakuhle, uziva iintlungu zesifuba.
Yiyo loo nto xa ujonga imithambo yakho emikhulu kwiimvavanyo ezifana ne-angiogram, ibonakala iqhelekile. Kodwa intlungu ikhona ngokwenene. Ngaphambili, oogqirha babeyibiza le meko ngokuthi 'yiCardiac Syndrome X.'
Zithini iimpawu zale meko?
Ezi mpawu zifana kakhulu nezo ze-angina eqhelekileyo. Intlungu inokuhlala imizuzu eli-15 nangaphezulu.
| Uphawu | Ingcaciso |
|---|---|
| Intlungu yesifuba okanye ukungakhululeki | Ukuziva uxinezelekile, uxinzelelo, okanye ubunzima esifubeni. Oku kudla ngokwanda xa usenza umthambo okanye uxinezeleko. |
| Ubunzima bokuphefumla | Ubunzima bokuphefumla nokuba unamandla amancinci, uzive ngathi unesifo sohlangothi. |
| Ukudinwa okungaqhelekanga | Ukuziva udiniwe kakhulu kwaye ungenawo amandla ngaphandle kwesizathu. |
| Ezinye iimpawu | Abanye abantu banokufumana izinto ezifana nokubila, isicaphucaphu kunye nesiyezi, kunye nentlungu yesisu. |
Kutheni oku kusenzeka? Zithini izizathu kunye nezinto ezibangela umngcipheko?
Kukho izizathu ezahlukeneyo zoku. Oogqirha bayahlulahlula ibe ngamacandelo amabini: elokuqala nelokwesibini.
- Izizathu eziphambili: Ingxaki apha ikwimithambo yegazi emincinci ngokwayo. Iqina ngequbuliso (i-spasm), okanye ayivuleki ngokufanelekileyo xa umzimba ufuna igazi elingaphezulu. Oku kubizwa ngokuba yi-"Coronary microvascular disease".
- Izizathu zesibini: Kulapho ingxaki ngemithambo yegazi emincinci ibakho njengesiphumo esingesihle senye imeko yezonyango. Umzekelo, inokubangelwa zizifo ezifana ne-cardiomyopathy, ebuthathaka izihlunu zentliziyo, okanye izifo zokuzikhusela komzimba, ezihlasela iiseli zomzimba.
Kwakhona, abanye abantu basengozini enkulu yokuhlaselwa yile meko.
| Into Engumngcipheko | Ngubani osengozini enkulu? |
|---|---|
| Ukuba ngumfazi | Abafazi abaye bafikelela kwixesha lokuya exesheni ngabona basengozini enkulu. |
| Isifo seswekile | Kuba isifo seswekile singonakalisa imithambo yegazi. |
| Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu) | Uxinzelelo lwegazi oluphezulu lungonakalisa imithambo yegazi ebuthathaka. |
| I-cholesterol ephezulu `(i-Hyperlipidemia)` | Ingachaphazela ukusebenza kwemithambo yegazi. |
| Ukusetyenziswa kweemveliso zecuba | Ukutshaya yimbangela enkulu yokuncitshiswa nokonakala kwemithambo yegazi. |
Iphathwa njani le nto?
Zimbini iindlela eziphambili zokulawula le meko: Utshintsho kwindlela yokuphila kunye namayeza. Zombini zibaluleke ngokulinganayo.
Utshintsho oluza kwenziwa kwindlela yokuphila
- Ukuba uyatshaya, yeka ngokupheleleyo. Eli lelona nyathelo libalulekileyo onokulithatha.
- Zimisele ukutya okunempilo kwentliziyo. Nciphisa ioyile nenyama ebomvu, kwaye utye imifuno, iziqhamo kunye nokutya okunefayibha eninzi.
- Yenza umthambo rhoqo. Nokuba yinto elula njengokuhamba imizuzu engama-30 ngosuku inokuba luncedo kakhulu. Nangona kunjalo, buza ugqirha wakho ukuba loluphi uhlobo lomthambo olulungele wena.
- Gcina ubunzima bakho busempilweni.
- Lala kakuhle kwaye unciphise uxinzelelo. Izinto ezifana nokucamngca kunye neyoga zinokunceda.
- Ukuba unezinye izifo ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu, okanye i-cholesterol, zilawule kakuhle.
Amayeza anikwe ngugqirha
Ugqirha wakho angakunika amayeza ahlukeneyo ukuphucula ukusebenza kwezi mithambo yegazi nokunciphisa iintlungu.
- Izithinteli zemijelo yecalcium
- Ii-Beta-blockers
- IiNitrates - umzekelo, i-nitroglycerin
- Iistatins - ukunciphisa i-cholesterol
- Izithinteli ze-ACE
Okubaluleke kakhulu: La mayeza anikwa ngugqirha wakho emva kokuba ehlolisise imeko yakho ngononophelo. Musa, nangasiphi na isizathu, ukusebenzisa la mayeza ngokusekelwe kwiingcebiso zabanye okanye njengoko ubona kufanelekile.
Ubonana nini nogqirha? kunye nokuxilongwa
Impendulo elula yile, ukuba unentlungu esifubeni, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Isenokuba yi-gastritis kuphela, kodwa kuxhomekeke kugqirha ukuba agqibe ukuba yingxaki yentliziyo okanye akunjalo.
Ekubeni le meko inokuba nzima ukuyifumanisa, kubalulekile ukuba ucacise ngeempawu zakho kugqirha wakho. Musa ukoyika ukuthi, "Ndisenentlungu esifubeni xa ndixinezelekile," nokuba uvavanyo alubonisi ngxaki ngemithambo yakho emikhulu.
Ukuba ugqirha uyayikrokrela le meko, angenza ezinye iimvavanyo ezikhethekileyo.
- Uvavanyo loxinzelelo: Ukubona ukuba ukuhamba kwegazi entliziyweni kuyehla na xa usenza umthambo (iMyocardial Ischemia).
- Uvavanyo lweCoronary Flow Reserve (CFR): Ukulinganisa ukuba intliziyo ingakwazi na ukwandisa unikezelo lwayo lwegazi ukuze ihlangabezane neemfuno zayo zeoksijini.
- Iiskeni ezikhethekileyo: Iiskeni zenyukliya, i-MRI, okanye uvavanyo olukhethekileyo lwe-cardiac catheterization lunokuchonga ukungasebenzi kakuhle kwezi mithambo mincinci.
Ukuba ayinyangwa, ukungabikho kwegazi rhoqo entliziyweni kunokubangela umonakalo ongunaphakade kwimisipha yentliziyo. Ngoko ke musa ukuyithatha le ntlungu yesifuba njengempawu nje. Luphawu olubalulekileyo oluvela entliziyweni yakho.
Umyalezo Wokuya Ekhaya
- I-Microvascular angina luhlobo lwentlungu yesifuba eyenzeka xa imithambo yegazi emikhulu entliziyweni isebenza ngendlela eqhelekileyo, kodwa ngenxa yeengxaki ekusebenzeni kwemithambo yegazi emincinci kakhulu.
- Iintlungu zesifuba, ukuphefumla nzima, kunye nokudinwa kakhulu zezona mpawu ziphambili .
- Ukuba uqhubeka unentlungu esifubeni nangona iziphumo zovavanyo lwakho ziqhelekile, musa ukuyityeshela. Thetha nogqirha wakho ngayo kwakhona.
- Oku kuxhaphake kakhulu kubasetyhini, abantu abanesifo seswekile, uxinzelelo lwegazi oluphezulu, kunye ne-cholesterol ephezulu.
- Ngokuxilongwa ngokuchanekileyo kunye nonyango (utshintsho kwindlela yokuphila kunye namayeza), le meko inokulawulwa kakuhle kwaye umgangatho wobomi olungileyo unokugcinwa.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
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Kwiimeko ezininzi, oku kuya kuphela kwiintsuku ezi-3-4 xa kukho umkhuhlane obangelwa yintsholongwane. Kodwa eyona ngozi inkulu! Ukuba, kunye neentlungu zomzimba, 1) kukho 'umkhuhlane ophezulu kunye nokungcangcazela kunye nentamo eqinileyo (Intamo eqinileyo / i-Meningitis - umkhuhlane wobuchopho)', 2) ubunzima bokuphefumla / iintlungu zesifuba, 3) ukwehla kobunzima ngaphandle kwesizathu, ukubila ebusuku (umhlaza / isifo sephepha), 4) umchamo ujika ube mnyama umbala wekofu (Umchamo omnyama / ubuthathaka bemisipha), kufuneka ulaliswe esibhedlele ngoko nangoko!
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