Ingaba intliziyo yakho ayifumani gazi laneleyo? Masithethe ngeMyocardial Ischemia!

Ngaba ngamanye amaxesha uziva unesicaphucaphu esingaqhelekanga esifubeni sakho? Kufana nokuba kunzima ukuphefumla, ngathi isifuba sakho siyaqina? Mhlawumbi awuyinaki kangako loo nto, ucinga ukuba, "Le yinto encinci." Kodwa ngamanye amaxesha ezi mpawu zinokubangelwa yingxaki entliziyweni yethu, kuba intliziyo ayifumani gazi laneleyo. Yiyo loo nto siza kuthetha ngayo namhlanje ngemeko apho intliziyo ingafumani gazi laneleyo, kwaye ngenxa yoko ioksijini kunye nesondlo esiyidingayo ziyancitshiswa. Oku kubizwa ngokuba yi -'Myocardial Ischemia' ngokwezonyango.

Yintoni le nto inciphisa ukunikezelwa kwegazi kwimisipha yentliziyo (`Myocardial Ischemia`)?

Ngamafutshane, i-myocardial ischemia ithetha ukuba imisipha yentliziyo (imisipha yentliziyo) ayifumani igazi elaneleyo ukuze isebenze kakuhle. Intliziyo yethu ifana nepompo, ehlala ipompa igazi emzimbeni wonke. Ngoko ke intliziyo ifuna ioksijini eninzi kunye nezondlo ukuze yenze umsebenzi wayo. Intliziyo ifumana ezi zinto kwinkqubo ekhethekileyo yemithambo yegazi enika igazi entliziyweni. Ezi sizibiza ngokuba yimithambo yentliziyo .

Khawucinge nje, ukuba ubungakanani begazi elihamba kule mithambo yentliziyo buyancipha ngesizathu esithile, ubungakanani beoksijini efunekayo entliziyweni alwanelanga. Njengokuba umbhobho wamanzi oya kwintyatyambo uvalekile, intyatyambo iya kubuna. Ukuba oku kunqongophala kwegazi kuba nzima, okanye ukuba kuhlala ixesha elingaphezu kwemizuzu embalwa, izihlunu zentliziyo ziqala ukonakala. Kulapho ke sibiza khona ukuba kukuhlaselwa yintliziyo (`Myocardial Infarction` okanye `Heart Attack`) .

Okubaluleke kakhulu: Ukuhlaselwa yintliziyo yimeko engxamisekileyo yezonyango . Ukuba ukrokrela ukuba unayo, eyona nto ilungileyo onokuyenza kukufowunela u-1990 uze ufumane i-ambulensi ngoko nangoko , endaweni yokuchitha ixesha uze umntu akuqhubele esibhedlele. Abasebenzi bezonyango kwi-ambulensi bangaqala ukubonelela ngoncedo lokuqala olufunekayo xa befika.

Ngubani ochaphazeleka kakhulu yile meko ethi `Myocardial Ischemia`?

Ngoku makhe sibone ukuba ngubani osengozini enkulu yokuncipha kwegazi eliya kwimisipha yentliziyo. Kukho abantu, akunjalo? Nokuba badiniwe kancinci, babamba isifuba sabo bathi, "Owu, isifuba sam sibuhlungu." Abantu abanjalo kufuneka balumke kakhulu ngale meko. Le meko idla ngokubonakala ku:

• Kubantu abanoxinzelelo lwegazi oluphezulu . Oko kukuthi, ukuba uxinzelelo lwegazi oluhamba ngaphakathi kwimithambo yegazi luhlala luphezulu, lubeka uxinzelelo olukhulu entliziyweni. Ekuhambeni kwexesha, oku kungonakalisa imithambo yegazi.
• Kwabo banezinga eliphezulu le-cholesterol egazini. Le cholesterol yiyo ehlala eludongeni lwemithambo yegazi, iyenza inciphe kancinci kancinci.
• Kwabo banesifo seswekile (`iDiabetes Mellitus`) . Isifo seswekile sifana notshaba oluthuleyo, singonakalisa imithambo yegazi yentliziyo kunye nemithambo yegazi emzimbeni wonke.
• Nabani na kusapho, oko kukuthi umama, utata, abantakwabo noodadewabo , banesifo sentliziyo (`Isifo sentliziyo`)Ukuba unayo. Ngamanye amaxesha ezi zinto zinokudluliselwa kwizizukulwana ngezizukulwana, ngoko ke kubalulekile ukuba uqaphele imbali yezonyango zosapho lwakho.
• Kwabo banembali yokusebenzisa iimveliso zecuba (iicuba, ii-beedis, ii-cigar, njl.njl.) Ukutshaya yenye yezona ntshaba zinkulu zentliziyo. Kuyonakalisa ngqo imithambo yegazi.

Ixhaphake kangakanani i-'Myocardial Ischemia'?

Ngamafutshane, kwilizwe elifana neMelika kuphela, abantu abangaphezu kwesigidi bayafa ngenxa yesifo sentliziyo minyaka le. Isizathu esiphambili soku kukungabikho kwegazi kunye neoksijini eya kwizihlunu zentliziyo, imeko ebizwa ngokuba yi-'Myocardial Ischemia'. Isifo sentliziyo siye saxhaphaka naseSri Lanka.

I-'Myocardial Ischemia' iyichaphazela njani umzimba wakho?

Le meko ichaphazela njani umzimba wakho? Xa une-'Myocardial Ischemia', ukuzilolonga okanye ukwenza nawuphi na umsebenzi onzima, ingakumbi xa kubanda, kunokuba nzima kakhulu. Oku kungenxa yokuba intliziyo kufuneka isebenze nzima kwaye ifuna ioksijini engaphezulu. Kodwa ngenxa yokuba ukunikezelwa kwegazi kuncinci, ayifumani ngokwaneleyo.

Njengoko imeko yakho isiba mandundu kancinci kancinci, iimpawu ze-'Myocardial Ischemia' zinokuvela nokuba awusebenzi kakhulu, mhlawumbi uhambahamba nje endlwini. Ekuhambeni kwexesha, nokunyuka izinyuko kunokuba yinto enkulu. Ekugqibeleni, ezi mpawu zinokuvela nokuba umi nje okanye uphumle.

Zithini iimpawu ze-'Myocardial Ischemia'?

Uphawu oluphambili noluqhelekileyo lwale nto ziintlungu zesifuba ezibizwa ngokuba yi-angina (okanye i-angina pectoris) . Kodwa oku akuvakali ngendlela efanayo kuye wonke umntu. Kwabanye, kunokuvakala ngathi sisisu esipheleleyo, okanye njengentliziyo ebuhlungu. Oku kuthetha:

• Ukungakhululeki esifubeni, isicaphucaphu .
• Ukuziva ngathi isifuba sakho sinzima.
• Kuvakala ngathi isifuba sakho siyacinezelwa, ngathi kukho umntu osicinezelayo.
• Ukuziva uxinzelelo esifubeni.
• Iintlungu, iintlungu.
• Imvakalelo yokutsha esifubeni.
• Isifuba sam sivakala singenamsebenzi.
• Ukuziva ugcwele esifubeni, ngokungathi kukho into ebambekileyo.

Kukho iintlobo ezimbini ze-angina:

• I-Angina ezinzileyo: Oku kwenzeka rhoqo xa uxinezelekile okanye uzilolonga. Kudla ngokuphela ngokukhawuleza xa uphumle okanye usela amayeza owanikwe ngugqirha wakho (umz., i-nitroglycerin).
• I-Angina engaqinisekanga: Oku kuyingozi kancinci. Kungavela nangaliphi na ixesha, nokuba umile okanye ulele. Kusenokungapheli nokuba usebenzisa amayeza. Kungaba luphawu lokuhlaselwa yintliziyo.

Ngaphandle koku, ezinye iimpawu ze-'Myocardial Ischemia' zingabandakanya:

• Intlungu okanye ukungakhululeki emzimbeni wakho ongasentla, oko kukuthi iingalo zakho (ingakumbi ingalo yakho yasekhohlo), igxalaba lasekhohlo, umqolo, intamo, umhlathi, okanye isisu esingaphezulu.
• Ubunzima bokuphefumla, uzive ngathi uyafuthaniseka.
• Ukubila, ingakumbi "ukubila okubandayo."
• Ukuziva uzele, ngokungathi ukutya akugayi, okanye ngathi kukho into ebambeke emqaleni (kusenokuvakala ngathi kukutshisa esifubeni).
• Isicaphucaphu okanye ukuhlanza.
• Ukudinwa , ukuziva ungenazintloni, ubuthathaka, kunye noxinzelelo.
• Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza okanye ngendlela engaqhelekanga.

Kubaluleke kakhulu: Ukuba unentlungu ye-angina okanye naziphi na ezi mpawu kangangemizuzu engaphezu kwemihlanu , ungalibali ukufowunela u-1990 ngoko nangoko uze ufumane ingcebiso kagqirha .

Ngamanye amaxesha, le meko 'ye-ischemia', okanye ukuhlaselwa yintliziyo, inokwenzeka ngaphandle kweempawu. Oku kubizwa ngokuba yi -'Silent Myocardial Ischemia' . Nangona ixhaphake kakhulu kubantu abanesifo seswekile, inokwenzeka nakubani na onesifo sentliziyo.

Zithini izizathu ze-'Myocardial Ischemia'?

Amaxesha amaninzi, umntu unokuba nezizathu ezingaphezu kwesinye zale meko ye-'Myocardial Ischemia'. Ezona zizathu ziphambili zezi:

• Isifo seMithambo yeCoronary (CAD). Le yeyona nto iphambili neyona ixhaphakileyo. Iidipozithi zamafutha (i-Plaque) kunye ne-cholesterol ziyaqokelelana kwimithambo yentliziyo enika igazi entliziyweni yethu, kwaye imithambo yentliziyo iyancipha kancinci kancinci. Kufana nokugqwala okwakhela kumbhobho wamanzi omdala. Emva koko igazi elinomoya-mpilo omninzi elifunekayo entliziyweni alikwazi ukuhamba kakuhle, kwaye izihlunu zentliziyo azifumani ioksijini eyaneleyo. Yiyo le nto ibangela i-Ischemia kunye ne-angina. Le dipozithi yamafutha ebizwa ngokuba yi -Atherosclerotic Plaque ibangela i-70% yokuhlaselwa yintliziyo okubulalayo.
• Ihlwili legazi (`Ihlwili legazi`). Ukuba iqhekeza lezinto ezinamafutha (`Iplaque`) eliqokelelene kwimithambo yentliziyo enciphileyo liqhekeka ngequbuliso, ihlwili legazi linokwenziwa apho. Ukuba eli hlwili legazi linamathela kwimithambo yentliziyo esele inciphile, ukuhamba kwegazi kunokuvaleka ngokupheleleyo. Oku kukwabizwa ngokuba yi`Thrombosis` . Le yeyona nto iphambili yokuhlaselwa yintliziyo.
• I-Coronary Artery Spasm. Oku kwenzeka xa imithambo yentliziyo ixina ngequbuliso nangokunzima. Oku kunciphisa okanye kumise ukuhamba kwegazi entliziyweni okwethutyana. Oku kunokwenzeka kubantu abatshayayo okanye abasebenzisa iziyobisi ezifana ne-cocaine.
• Ukusetyenziswa kwecocaine: Icocaine iyingozi kakhulu entliziyweni.
• Ukuqhaqhwa kwemithambo yentliziyo. Le yimeko engaqhelekanga kakhulu. Kwimeko enjalo, udonga lwemithambo yentliziyo luyakrazuka, luvumela igazi ukuba liphume kulo lize livale umthambo.

Le meko ye-'ischemia' inokwenzeka kakhulu xa intliziyo yakho ifuna ioksijini kunye nezondlo ezingaphezulu kunezo izifumanayo. Oko kukuthi, xa imfuno yegazi yomzimba wakho isanda kwaye intliziyo yakho ingakwazi ukuqhubeka. Nazi ezinye zezihlandlo apho umzimba wakho udinga igazi elingakumbi:

• Xa usebenza/usenza umthambo.
• Xa usitya (ingakumbi isidlo esinzima).
• Xa uvuya kwaye uxhalabile.
• Xa uphantsi koxinzelelo.
• Xa ukwindawo ebandayo.

Ifunyanwa njani i-'Myocardial Ischemia'?

Ukongeza ekubuzeni ngeempawu zakho, imbali yezonyango zosapho, kunye nokwenza uvavanyo lomzimba, ugqirha wakho unokuyalela iimvavanyo ezifana nezi ukuqinisekisa imeko nokuqonda ubunzulu bayo:

• I-Electrocardiogram (EKG okanye i-ECG): Njengoko sonke sisazi, i-ECG. Le ilinganisa umsebenzi wombane wentliziyo kwaye inokunika umbono wokuba kukho imeko ebizwa ngokuba yi-'ischemia' okanye isifo sentliziyo.
• I-Echocardiogram: Oku kufana ne-ultrasound scan yentliziyo. Ingajonga amagumbi entliziyo, iivalvu, umsebenzi wemisipha yentliziyo, kunye nendlela epompa ngayo igazi.
• I-Holter Monitor: Esi sisixhobo esincinci esinxitywa emzimbeni wakho usuku olunye okanye ezimbini kwaye sirekhoda rhoqo umsebenzi wentliziyo yakho (ECG). Oku kuluncedo kuba ngamanye amaxesha iimpawu ziyavela zihambe.
• Uvavanyo loxinzelelo lomzimba: Oku kuquka ukubaleka kwi-treadmill okanye ukuhamba ngokukhawuleza, ngelixa i-ECG yakho kunye noxinzelelo lwegazi zijongwa. Oku kwenzelwa ukujonga ukuba intliziyo yakho ayifumani gazi lininzi na xa uxinezelekile.
• I-Coronary Angiogram: Le yeyona ndlela ilungileyo yokubona ukuba kukho naziphi na izithintelo kwimithambo yakho yentliziyo. Oku kuquka ukufaka umbhobho omncinci emlenzeni okanye engalweni yakho, uwufake kwimithambo yentliziyo yakho, ufake idayi (uhlobo oluthile lwedayi) kuyo, uze uthathe i-X-ray ukuze ubone ukuba imincinci kangakanani na imithambo kunye nokuba ivalekile phi.
• I-X-reyi yesifuba: Oku kunokujonga izinto ezinje ngobukhulu bentliziyo kunye nemeko yemiphunga.
• Imifanekiso yentliziyo eshukumayo ngemagnethi (`Heart MRI` okanye` Cardiac MRI`): Oku kunokubonelela ngolwazi oluneenkcukacha malunga nolwakhiwo kunye nomsebenzi wentliziyo.

Ugqirha angenza uvavanyo lwegazi ukujonga:

• Ukubona ukuba kukho iiproteni ezithile kunye nee-enzymes (umz., iTroponin) ezikhutshwa egazini kuphela xa izihlunu zentliziyo zonakele. Ukuba la manqanaba aphezulu, luphawu lokuhlaselwa yintliziyo.
• Ezinye izinto zinokubangela ischemia, umzekelo, amanqanaba eswekile egazini kunye nokusebenza kwezintso.
• Amanqanaba e-cholesterol egazini (i-cholesterol elungileyo `HDL`, i-cholesterol embi `LDL`, `Triglycerides`).

Ziziphi iindlela zonyango lwe-'Myocardial Ischemia'?

I-Myocardial Ischemia inokunyangelwa ngamayeza okanye iinkqubo zonyango eziphucula ukuhamba kwegazi kwimisipha yentliziyo yakho. Unyango olufumanayo luya kuxhomekeka kwisizathu sengxaki, ukuba imeko yakho imbi kangakanani, kunye nempilo yakho iyonke. Ugqirha wakho uza kuxoxa nawe ngonyango olungcono kuwe.

Iinjongo eziphambili zonyango zezi:

• Ukunciphisa iimpawu (ingakumbi iintlungu ze-angina).
• Ukunciphisa umngcipheko wokuba nesifo sentliziyo.
• Ukubuyisela ukusebenza kwentliziyo.

Amayeza kunye nonyango olusetyenzisiweyo

• Ukuze unciphise iintlungu ze-angina ngokukhawuleza, beka iipilisi ze-nitroglycerin okanye utshize phantsi kolwimi lwakho.
• Ii-Beta-blockers: Ezi zinciphisa isantya sentliziyo, zinciphise uxinzelelo lwegazi, kwaye zinciphisa umthwalo womsebenzi entliziyweni.
• IiCalcium Channel Blockers: Ezi ziyenza ibe nkulu kancinci imithambo yegazi yentliziyo, zenze ukuhamba kwegazi kube lula.
• I-Aspirin kunye nezinye iziyobisi ezilwa neeplatelet: Umzekelo, i-clopidogrel . Ezi zinciphisa ukwakheka kwamahlwili egazi.
• Amayeza okwehlisa i-cholesterol (Statins): La mayeza anciphisa inqanaba le-cholesterol embi egazini kwaye athintele ukubekwa kwamafutha ngaphakathi kwemithambo yegazi.
• Ii-ACE inhibitors okanye ii-ARB: Ezi zinceda ukulawula uxinzelelo lwegazi nokukhusela intliziyo.
• I-Thrombolytics (okanye amayeza okususa amahlwili): La ngamayeza anikwa kwiiyure zokuqala emva kokuhlaselwa yintliziyo. Asebenza ngokunyibilikisa amahlwili egazi aze abuyisele ukuhamba kwegazi okuqhelekileyo.
• I-Angioplasty kunye nokubekwa kwe-stent: Oku kungenziwa ngaxeshanye ne-coronary angiogram. Ibhaluni encinci ifakwa kumthambo we-coronary ovalekileyo kwaye ivuthelwe, yandisa indawo encitshisiweyo. Isixhobo esincinci esifana ne-mesh (i-stent) sibekwa kuloo ndawo ukuthintela indawo encitshisiweyo ukuba inganciphi kwakhona.
• I-Coronary Artery Bypass Graft (CABG): Olu lutyando olukhulu. Lubandakanya ukudala umthambo omtsha wegazi ojikeleze umthambo ovalekileyo, kusetyenziswa isiqwenga somthambo esithathwe kwenye indawo yomzimba (umz., umlenze, isifuba) okanye umthambo owenziweyo. Olu tyando lwenziwa ukuba imithambo engaphezulu komnye ivalekile, okanye ukuba ukuvaleka kukhulu kakhulu ukuba kunganyangwa nge-angioplasty.

Iingxaki zonyango

Ezi ngxaki zilandelayo zinokwenzeka, ingakumbi emva kotyando lweCoronary Artery Bypass Graft:

• Usulelo kwindawo yotyando.
• Ukopha.
• Ukuncipha okwethutyana kokusebenza kwezintso (Ukungasebenzi kakuhle kwezintso).
• Istroke.
• Uhlaselo lwentliziyo.
• Ukubetha kwentliziyo okungaqhelekanga (`Arrhythmia`).

Kunqabile kakhulu, ezinye zezi ngxaki zinokwenzeka emva kwe-angioplasty okanye ukufakwa kwe-stent. Nangona kunjalo, iingenelo zezi ndlela zonyango zingaphezulu kakhulu kuneengozi.

Kuthatha ixesha elingakanani ukuchacha emva konyango?

Emva kokufakelwa kwe-coronary artery bypass graft, kuya kufuneka uhlale esibhedlele malunga neveki enye ukuya kwezilishumi. Emva koko, kungathatha malunga neeveki ezi-6 ukuya kwezi-12 ukuba uphile ngokupheleleyo emva kokubuyela ekhaya.

Emva kokuhlinzwa nge-angioplasty okanye ukufakwa kwe-stent, kusenokwenzeka ukuba ukwazi ukuya ekhaya emva kosuku okanye ezimbini esibhedlele. Ufanele ukwazi ukubuyela kwimisebenzi yakho yesiqhelo kwiveki okanye ezimbini.

Ungayinciphisa njani ingozi ye-'Myocardial Ischemia'?

Ugqirha wakho unokucebisa amayeza okanye utshintsho kwindlela ophila ngayo ukunciphisa umngcipheko wakho we-myocardial ischemia. Kubalulekile ukulandela le miyalelo ngononophelo.

Ukunciphisa umngcipheko ngamayeza

• Ukusela i-aspirin yosana yonke imihla (okanye idosi echazwe ngugqirha wakho) ukuthintela ukuhlaselwa yintliziyo.
• Ii-Beta-blockers.
• Amayeza okwehlisa i-cholesterol (`amayeza okwehlisa i-cholesterol` - Statins).
• Izithinteli ze-ACE.

Utshintsho kwindlela yokuphila

Kubaluleke kakhulu ukwenza olu tshintsho kwindlela yokuphila. Lunokuba namandla ngaphezu kwamayeza:

• Ukuba unesifo seswekile , fumana unyango olufanelekileyo kwaye ulawule amanqanaba eswekile egazini lakho.
• Ukuba une -high blood pressure , yifumane unyango kwaye ulawule uxinzelelo lwakho lwegazi.
• Ukuba une -cholesterol ephezulu , yifumane unyango kwaye ulawule amanqanaba akho e-cholesterol.
• Zilolonge. Fumana ubuncinci imizuzu engama-30 yokuzilolonga okulinganiselweyo ngosuku, uninzi lweentsuku. Izinto ezifana nokuhamba, ukukhwela ibhayisekile, kunye nokudada zilungile.
• Yitya ukutya okunempilo. Nciphisa ukutya okuneoyile eninzi, ityuwa, neswekile, kwaye utye iziqhamo ezininzi, imifuno, iimbotyi, iinkozo ezipheleleyo, kunye nokutya okunefayibha eninzi. Kuthi eSri Lanka, kungcono ukutya irayisi enemifuno emihle, iimbotyi, kunye nentlanzi, elungiselelwe ngeoyile encinci.
• Ukuba usebenzisa iimveliso zecuba (ezifana neecuba, ii-beedis), yeka ukuzisebenzisa ngoko nangoko. Cela uncedo kugqirha wakho ngale nto.
• Gcina ubunzima bakho busempilweni. Kubalulekile ukugcina ubunzima obufanele ubude bakho.
• Nciphisa uxinzelelo. Ungalawula uxinzelelo ngezinto ezifana nokucamngca, i-yoga, kunye nezinto ozithandayo.

Yintoni enokulindelwa ngumntu ono-'Myocardial Ischemia'?

Abantu abane -angina engazinzile bahlala besengozini enkulu yokuba nesifo sentliziyo kwiinyanga ezintathu ezizayo. Inani elikhulu labantu abanesifo sentliziyo bayafa kwiiyure ezimbalwa zokuqala. Yiyo loo nto ukufuna iingcebiso zonyango kunye nonyango olungxamisekileyo kwangoko nje ukuba iimpawu zibonakale kusindisa ubomi.

Nangona kunjalo, uninzi lwabantu abafumana unyango ngokukhawuleza baze baphile kwiintsuku zokuqala emva kokuhlaselwa yintliziyo bayachacha ngokupheleleyo. Nangona kunjalo, abanye abantu banokuba neengxaki emva kokuhlaselwa yintliziyo. Ke ngoko, kubaluleke kakhulu ukulandela iingcebiso zonyango kunye nokwenza utshintsho kwindlela abaphila ngayo.

Ihlala ixesha elingakanani i-'Myocardial Ischemia'?

Intlungu ye-Angina ebangelwa yi-'Myocardial Ischemia' idla ngokuhlala imizuzu eli-10 okanye ngaphantsi, ingakumbi ukuba yi-'Stable Angina'. I-'Unstable Angina' inokuhlala ixesha elide, kwaye yimeko engxamisekileyo.

Ndingazinyamekela njani?

Ukuzilolonga kubalulekile ekuphuculeni impilo yakho yentliziyo. Kufumana ioksijini engaphezulu kwimisipha yentliziyo yakho, nto leyo enokunceda kwiimpawu. Oogqirha bacebisa ukuzilolonga imizuzu engama-30 ukuya kwengama-60 ngosuku, iintsuku ezintlanu nangaphezulu ngeveki.

Ezinye iindlela zokuhlala usempilweni zezi:

• Sela onke amayeza owanikwe ngugqirha wakho ngexesha, kanye njengoko uyalelwe. Ungaphoswa lusuku olunye.
• Yitya ukutya okunempilo.
• Gcina ubunzima bakho busempilweni.
• Ziphephe ngokupheleleyo iimveliso zecuba.
• Qiniseka ukuba uya kugqirha ngemihla ebekiweyo.

Ndifanele ndimbone nini ugqirha?

Ukuba awuphili kakuhle ngamayeza amiselweyo, okanye ukuba iziphumo ebezingalindelekanga zinzima, bona ugqirha wakho. Ukuba ukhe wahlinzwa i-angioplasty kunye ne-stent, okanye i-coronary artery bypass graft, kuya kufuneka ubone ugqirha wakho malunga neenyanga ezintandathu kunyaka wokuqala. Kuya kufuneka uye kutyelelo olulandelayo rhoqo emva koko.

Ndingaya nini kwigumbi likaxakeka (ER)?

• Ukuba ucinga ukuba unesifo sentliziyo (iimpawu ezinje ngeentlungu eziqatha esifubeni, ukuphefumla kancinci, ukubila), fowunela ku-1990 ngoko nangoko kwaye, ukuba kunokwenzeka, hlafuna ipilisi ye-aspirin (300mg) . Ukuba unegazi elijiyileyo kwenye yemithambo yakho yentliziyo, i-aspirin inokunceda ukulawula ukukhula kwayo.
• Kwakhona, ukuba usenentlungu ye-angina emva kokusela iidosi ezintathu ze-nitroglycerin (enye rhoqo ngemizuzu emihlanu) , kufuneka uye kwigumbi likaxakeka ngoko nangoko.

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa ubona ugqirha, ungambuza imibuzo efana nale:

• Ndiza kukubona emva kwexesha elingakanani emva kokuba ndiqalile ukuzilolonga? Loluphi uhlobo lokuzilolonga olufanelekileyo kum?
• Ngaba kuya kufuneka ndithathe amayeza owandinika wona ubomi bam bonke? Zithini iziphumo ebezingalindelekanga zala mayeza?
• Ingakanani ingozi yam yokuba nesifo sentliziyo?
• Zeziphi iinguqu endifanele ndizenze kwindlela enditya ngayo?
• Ndingaqala nini ukubuyela emsebenzini?

Ingaba i-'Myocardial Ischemia' iyafana ne-'Angina'?

Hayi. I-Angina luphawu oluqhelekileyo lwesifo esibizwa ngokuba yi-Myocardial Ischemia. I-Myocardial Ischemia yimbangela (ukungabikho kokuhamba kwegazi entliziyweni), kwaye i-Angina luphawu lwaso.

Ngaba i-'Myocardial Ischemia' yi-'Stroke'?

Hayi. I-Myocardial Ischemia yimeko apho ukunikezelwa kwegazi kwimisipha yentliziyo yakho kuncipha. Istroke sibangelwa kukuncipha kokunikezelwa kwegazi engqondweni yakho okanye ukuqhuma komthambo wegazi engqondweni. Nangona zombini ezi ziingxaki zemithambo yegazi, ilungu elichaphazelekayo lahlukile.

Ungaphila ixesha elingakanani une-'Myocardial Ischemia'?

Kuxhomekeke kwizinto ezininzi, umzekelo:

• Nokuba uza kuba nesifo sentliziyo okanye akunjalo.
• Indlela okhawuleza ngayo uxilongwe kwaye unyangwe.
• Indlela olandela ngayo icebiso likagqirha wakho malunga nokutshintsha indlela ophila ngayo.
• Indlela olawula ngayo izinto ezibangela i-myocardial ischemia (ixesha elininzi i-atherosclerosis, isifo seswekile, uxinzelelo lwegazi oluphezulu).

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke iintlungu zesifuba ezibangelwa yi-'Myocardial Ischemia' yinto ekufuneka ixhalatyelwe. Kodwa, akukho mfuneko yokoyika. Wakuba ufumene uxilongo olufanelekileyo kunye nesicwangciso sonyango esifanelekileyo, uya kuziva ukhululekile. Ukulandela imiyalelo kagqirha wakho, ukuthatha amayeza amiselweyo, kunye nokwenza utshintsho olufunekayo kwindlela yokuphila yeyona ndlela ilungileyo yokuphucula impilo yentliziyo yakho.

Kwakhona, nokuba awufuni ukucinga ngayo, kubalulekile ukuba uqaphele iimpawu ezilumkisayo zokuhlaselwa yintliziyo. Ukuba nesicwangciso sokwenza ngokukhawuleza kwaye ungoyiki ukuba kukho into eyenzekayo kunokunceda kakhulu wena okanye umntu omthandayo. Intliziyo yakho yeyakho, yinyamekele!

I- Myocardial Ischemia, uhlaselo lwentliziyo, i-angina, iintlungu zesifuba, isifo sentliziyo, isifo semithambo yegazi, impilo yentliziyo