Ngaba ukhe weva ngesifo esichaphazela imithambo yegazi emincinci entliziyweni yakho? Masithethe nge-'Microvascular Coronary Disease (Isifo seMithambo emincinci)'!

Ngaba ngamanye amaxesha uziva isicaphucaphu okanye intlungu esifubeni sakho? Kodwa xa uye kugqirha, bathi akukho nto imbi ngemithambo emikhulu? Oko kunokuba njalo. Kuba, ukongeza kwimithambo yegazi emikhulu entliziyweni, kukwakho nenethiwekhi yemithambo yegazi emincinci kakhulu , ethambileyo njengentambo yeenwele. Ngamanye amaxesha ingxaki inokuba khona. Yiloo nto siza kuthetha ngayo namhlanje.

Yintoni le nto ibizwa ngokuba yi-'Microvascular Coronary Disease'?

Ngamafutshane, i-'Microvascular Coronary Disease' (MCD) yimeko echaphazela imithambo yegazi emincinci kakhulu , ethambileyo (ekwabizwa ngokuba yi-'coronary microvasculature') ephuma kwimithambo yegazi ephambili entliziyweni yakho. Kufana nokuba nombhobho wamanzi ozisa amanzi ekhayeni lakho, kodwa ukuba umbhobho omncinci okhokelela empompini uvalekile, amanzi awayi kuphuma.

Kukho amanye amagama alo mbandela, osenokuba ukhe waweva:

• `Isifo semithambo emincinci`
• Isifo semithambo emincinci
• Isifo sentliziyo X
• Isifo seMicrovessel
• ``Isifo sentliziyo esingenamqobo`` (imeko apho kungekho kuvalwa ngenxa yokugcwala kwamafutha kwimithambo emikhulu yemithambo yegazi)

Yintoni eyenziwa yile nkqubo incinci yegazi (iCoronary Microvasculature) entliziyweni?

Cinga ngentliziyo yakho njengenjini encinci esebenza rhoqo. Ukuze le njini isebenze kakuhle, ifuna ukondliwa rhoqo kunye neoksijini. Loo msebenzi ubalulekileyo wenziwa yile nethiwekhi yemithambo emincinci efana neenwele ebizwa ngokuba yi-'coronary microvasculature.'

Le mithambo mincinci ilawula ukuhamba kwegazi entliziyweni. Ikwabalulekile kwinkqubo enzima ebizwa ngokuba yi-capillary exchange. Ukutshintshwa kwe-capillary kuthetha ukuba le mithambo mincinci ihambisa igazi elineoksijini kwizicubu zentliziyo kwaye ibuyisele igazi elingenaoksijini entliziyweni. Kufana nenkonzo yokuhambisa, ukuhambisa izinto ezilungileyo nokususa izinto ezimbi. Kolu tshintshiselwano, izinto ezininzi ziyatshintshiselwana, kuquka iigesi, izondlo, kunye nemveliso engcolileyo.

Yintoni umahluko phakathi kwesi `Sifo seMikrovascular Coronary` kunye `Isifo seMitha yeCoronary` esiqhele ukuva ngaso?

Zombini ezi meko zonyusa umngcipheko wokuba nesifo sentliziyo . Nangona kunjalo, kukho umahluko omncinci kwindlela ezichaphazela ngayo intliziyo.

• Isifo seMithambo yeCoronary: Oku kuchaphazela imithambo yegazi emikhulu ebaleka iye entliziyweni yakho (imithambo yecoronary). Idla ngokubangelwa kukugcwala kwamafutha (iiplaque - njengothuli kumbhobho wamanzi) okuqokelelana ngaphakathi kwimithambo yegazi, okunciphisa okanye ukuvala ngokupheleleyo ukuhamba kwegazi.
• Isifo seMicvascular Coronary: Oku kuchaphazela imithambo yegazi emincinci nethambileyo ('i-microvasculature') ephuma kwimithambo yegazi emikhulu. Oku kuthintela izicwili zentliziyo izondlo ezizidingayo. Oku akubangelwa yi-fatty deposits ('plaques')., nokuba kungenxa yomonakalo kule mithambo mincinci okanye ngenxa yesiphene esithile ekusebenzeni kwayo.

Ngamafutshane, enye ifana nezithuthi kwindlela enkulu (iCoronary Artery Disease), kwaye enye ifana nendlela encinci enebhulorho ephukileyo (iMicrovascular Coronary Disease). Zombini ziyaphazamisa uhambo.

Ngubani onokuba nethuba elikhulu lokufumana 'iSifo seMikrovascular Coronary'?

Le meko, ebizwa ngokuba yi-'Small Vessel Disease', inokwenzeka kakhulu kubasetyhini kunakumadoda. Le ngozi iphezulu kakhulu kubafazi abanamanqanaba aphantsi e-hormone ethi 'estrogen' (umzekelo, ngexesha lokuya exesheni).

Ngaphandle koko, kukho nezinye izinto ezininzi ezibangela umngcipheko:

• Isifo sokuzikhusela komzimba: Umzekelo, iimeko ezifana ne-vasculitis (ukudumba kwemithambo yegazi). Oku kwenzeka xa inkqubo yomzimba wethu yokuzikhusela ihlasela iiseli zethu.
• Ukutyeba kakhulu: Ubunzima bomzimba obugqithisileyo bubangela izifo ezininzi.
• Isifo seswekile: Isifo seswekile sisifo apho amazinga eswekile egazini engalawulwa khona. Oku kunokonakalisa nemithambo yegazi.
• Ukutya okungenampilo: Ukutya ityuwa eninzi, amafutha agcweleyo, kunye nokutya okucutshungulweyo.
• Uxinzelelo lwegazi oluphezulu: Uxinzelelo lwegazi oluphezulu alulungelanga imithambo yegazi.
• I-cholesterol ephezulu: Amanqanaba aphezulu amafutha egazini.
• Izifo zeRheumatologic: Umzekelo, izifo ezifana ne-lupus okanye i-rheumatoid arthritis.
• Indlela yokuphila yokuhlala phantsi: Ukungazilolongi sisiseko sezifo ezininzi.
• Ukutshaya: Ukutshaya akubi nje entliziyweni, kodwa nakumzimba wonke.

Kutheni le nto esi sifo 'seMicrovascular Coronary Disease' senzeka? Zithini izizathu?

Le meko ichaphazela izihlunu ezigudileyo ezindongeni zemithambo emincinci entliziyweni yakho. Kwintliziyo ephilileyo, ezi zihlunu kufuneka zinciphe kwaye zande njengoko kufuneka. Kanye njengokuba ilensi yekhamera inokukhula kwaye inciphe ukuhlangabezana neemfuno ezitshintshayo zentliziyo, le yindlela ukuhamba kwegazi okulawulwa ngayo.

Kodwa kumntu one-'Microvascular Coronary Disease', iindonga zangaphakathi zale mithambo mincinci zonakele. Ngenxa yalo monakalo, ngamanye amaxesha le mithambo inokuthi iqine ngequbuliso ('i-spasms'). Emva koko ukuhamba kwegazi entliziyweni kuyaphazamiseka. Khawuthelekelele nje ngombhobho wamanzi otyunyuzwa ngequbuliso, ukuhamba kwamanzi kuya kuncipha.

Zithini iimpawu zesifo semithambo emincinci? Uyazi njani?

Uphawu oluphambili ziintlungu zesifuba okanye ukungakhululeki okubizwa ngokuba yi-'angina' . Oku kunokuhlala imizuzu eli-10 nangaphezulu., nokuba uphumle. Le ntlungu inokwanda xa uxinezelekile engqondweni, kodwa akunakwenzeka ukuba ikhule xa uzilolonga. Ezi mpawu ze-'Microvascular Coronary Disease' zinokwenza kube nzima ukwenza imisebenzi yemihla ngemihla.

Ezinye iimpawu zingabandakanya:

• Ukudinwa: Ukuziva udiniwe kakhulu.
• Ukuphefumla nzima: Ubunzima bokuphefumla nokuba ungazibhokoxa kancinci.
• Iingxaki zokulala: Izinto ezifana nokungalali.

Kubalulekile: Intlungu yesifuba inokuba luphawu lokuhlaselwa yintliziyo. Ngoko ke ziqaphele ezi zinto:

* Ukuba iintlungu zesifuba sakho azipheli okanye ziya zisiba mandundu.

* Ukuba unezinye iimpawu zokuhlaselwa yintliziyo, ezinje ngokuphefumla kancinci, iintlungu emqolo, entanyeni, okanye ezingalweni, kunye nentlungu yesifuba, fowunela u-911 ngoko nangoko okanye uye kwigumbi likaxakeka lesibhedlele elikufutshane.

Ungayixilonga njani ngokuchanekileyo 'iSifo seMikrovascular Coronary'? ('uXilongo`)

Inyaniso kukuba, kunokuba nzima kancinci ukufumanisa isifo sentliziyo esinemithambo yegazi emincinci. Ngenxa yokuba imithambo yegazi emincinci ibuthathaka kakhulu, kunzima ukuyibona ngovavanyo oluqhelekileyo lwentliziyo. Ngoko ke, kungcono ukubona ugqirha wentliziyo ogxile kwisifo semithambo yegazi emincinci. Emva koko ungafumana ukuxilongwa ngokuchanekileyo kunye nonyango olukhawulezileyo.

Uvavanyo olungcono ("umgangatho wegolide"`) lokuqinisekisa ukuba le yi-"Microvascular Coronary Disease" yi-"Cardiac Catheterization" (i-heart catheterization) ngomlinganiselo we-"Coronary Flow Reserve (CFR)``. Olu luvavanyo oluntsonkothileyo kancinci. Lujonga ukuba loo mithambo mincinci inokukhula ngokukhawuleza kangakanani kwaye inike igazi elingakumbi entliziyweni, kuxhomekeke kwiimfuno zomzimba wakho.

Ukongeza, kukho nezinye iimvavanyo ezilinganisa ubungakanani bokuhamba kwegazi entliziyweni:

• `Uvavanyo loxinzelelo lwentliziyo yenyukliya (i-PET scan)`
• `I-MRI yentliziyo ene-perfusion`

Ziziphi iindlela zonyango zale meko? (`Unyango`)

Amayeza adla ngokunikezelwa njengonyango. La mayeza asebenza ngokuphucula ukusebenza kwemithambo yegazi nokunciphisa umngcipheko weengxaki.

Olu nyango lungabandakanya:

• Izithinteli ze-Angiotensin-converting enzyme (ACE): Ezi zivula imithambo yegazi kwaye zinciphise uxinzelelo lwegazi.
• Ii-Anticoagulants: Ezi zithintela igazi ekujiyeni.
• I-Aspirin: Oku kunceda ekunciphiseni ukujiya kwegazi.
• Ii-Beta-blockers: Yehlisa isantya sentliziyo kwaye yehlise uxinzelelo lwegazi.
• Izithinteli zeCalcium channel: Yandisa imithambo yegazi.
• I-Diuretics: Yehlisa uxinzelelo lwegazi ngokususa amanzi angaphezulu kunye netyuwa emzimbeni.
• IiStatins: Zinciphisa amanqanaba e-cholesterol egazini.

Ugqirha wakho uza kuhlola imeko yakho aze agqibe ukuba loluphi unyango olulungele wena.

Singazikhusela njani kwesi 'Sifo seMikhumbi emincinci'? ('Ukuthintela')

Ukunyamekela intliziyo yakho kakuhle kunokukunceda uhlale usempilweni kwaye kunciphise iingxaki zezi zifo. Ezi zinto zilandelayo zinokunceda:

• Yiba nomdla womzimba ngakumbi: Kubalulekile ukwenza umthambo yonke imihla. Ukuba usandul' ukuqala ukwenza umthambo, inkqubo yokuvuselela intliziyo inokukunceda.
• Ukutya ukutya okunempilo kwentliziyo: ukutya okunamafutha aphantsi, ityuwa, neswekile, kunye neziqhamo nemifuno eninzi.
• Ukugcina uxinzelelo lwegazi lukwinqanaba elifanelekileyo.
• Ukugcina ubunzima obusempilweni obukufaneleyo.
• Ziphephe ngokupheleleyo ukutshaya.
• Ukulawula amanqanaba eswekile egazini, ingakumbi ukuba unesifo seswekile.

Nangona ukwenza ezi zinto kusenokubonakala kunzima kancinci, ungabona umahluko omkhulu xa uziqhela kancinci kancinci.

Zithini amathuba okuchacha kumntu `onesifo semithambo emincinci`? (`Outlook`)

Ngonyango oluphumelelayo, uninzi lwabantu luyaphila kakuhle kwaye luyakwazi ukuqhubeka nemisebenzi yalo yemihla ngemihla. Nangona kunjalo, kubalulekile ukuqhubeka nokufumana unyango olulandelayo ukuqinisekisa ukuba unyango lusebenza kakuhle.

Kunjani ukuphila nesifo sentliziyo esibizwa ngokuba yi-'Microvascular Heart Disease'?

Kuthatha ixesha ukuqhela ukusebenzisa amayeza nokwenza utshintsho kwindlela ophila ngayo. Amanye amayeza anokubangela iziphumo ebezingalindelekanga, ezifana nesiyezi. Kubalulekile ukuthetha nogqirha wakho ngale nkxalabo. Angakunceda, mhlawumbi akunike amayeza ahlukileyo, okanye akufundise indlela yokufumana okuninzi kunyango lwakho.

Ugqirha wakho angakucela ukuba ugcine idayari yemihla ngemihla yeempawu zakho nezinto ezifana noxinzelelo lwakho lwegazi. Olu lwazi lunokubanceda balungelelanise unyango lwakho neemfuno zakho kunye nezinto ozithandayo.

Okokugqibela, khumbula ukuba iMicrovascular Coronary Disease yimeko echaphazela ukuhamba kwegazi kwimithambo yegazi emincinci kakhulu entliziyweni. Ayikokuvaleka okubangelwa kukugcwala kwamafutha njengesifo semithambo yegazi, kodwa kukonakalisa imithambo yegazi. Le meko inokubangela iintlungu zesifuba ezingapheliyo kwaye yonyuse umngcipheko wokuhlaselwa yintliziyo. Nangona kunjalo, ngamayeza afanelekileyo kunye notshintsho lwendlela yokuphila, abantu abaninzi banokulawula iimpawu zabo kwaye baphephe iingxaki.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

• Isifo seMicvascular Coronary sisifo esichaphazela imithambo yegazi emincinci yentliziyo, esahlukileyo kwisifo sentliziyo esiqhelekileyo esibangelwa kukuvaleka kwemithambo emikhulu.
• Le meko ixhaphakile phakathi kwabasetyhini , ingakumbi ngexesha lokuya exesheni.
• Iimpawu zingabandakanya iintlungu zesifuba (i-angina), ukuphefumla nzima, kunye nokudinwa. Musa ukuzityeshela ezi zinto.
• Ukuxilongwa ngamanye amaxesha kunokuba nzima, kodwa kungenziwa ngovavanyo oluthile.
• Ingxaki enokulawulwa ngempumelelo ngamayeza kunye notshintsho kwindlela yokuphila.
• Ukuba unale mpawu, qiniseka ukuba ucela ingcebiso kugqirha. Ungakhathazeki, ngonyango olufanelekileyo, unethuba elihle lokuchacha.

Lumka intliziyo yakho!

Isifo sentliziyo , isifo semithambo emincinci, isifo sentliziyo esincinci, iintlungu zesifuba, impilo yabasetyhini, umngcipheko wokuhlaselwa sisifo sentliziyo, impilo yentliziyo