Ingaba nawe uneentlungu esifubeni ebusuku ngelixa uphumle? Isenokuba yiPrinzmetal Angina!

Khawuthelekelele ukuba usebenze nzima imini yonke, ugqibe yonke imisebenzi yakho, uze ulale nje ebusuku... Okanye, ngexesha leholide, ngelixa ubukele iTV, ngequbuliso uziva intlungu ebukhali esifubeni sakho, ngokungathi kukho umntu okucinezelayo. Into engaqhelekanga kukuba, awuzange udinwe konke konke, awuzange ubaleke, awukho phantsi koxinzelelo. Le ntlungu iza xa uphumle kwaye ukhululekile. Abantu abaninzi bacinga ukuba le yi-gastritis okanye i-acid reflux ngamaxesha anje. Kodwa le yinto eyahlukileyo ngokupheleleyo, kufuneka ulumke kancinci, inokuba yimeko engaqhelekanga enxulumene nesifo sentliziyo. Yiloo nto siza kuthetha ngayo namhlanje.

Yintoni kanye kanye iPrinzmetal Angina?

Ngamafutshane, i-Prinzmetal Angina luhlobo olungaqhelekanga lwentlungu yesifuba (imeko ye-angina) . Ingxaki enkulu yoku kukuba le ntlungu yenzeka xa uphumle, ingakumbi phakathi kobusuku nasekuseni. Ikwabizwa ngokuba yi-variant angina, i-angina inversa, kunye ne-vasospastic angina.

Ngoku usenokuba uzibuza, "Yintoni i-angina?" I-Angina yintlungu yesifuba eyenzeka xa izihlunu zethu zentliziyo zingafumani igazi elaneleyo elineoksijini. Kanye njengokuba ipompo yamanzi isenza ingxolo xa iphelelwa ngamanzi, intliziyo inika imiqondiso xa ingafumani igazi elaneleyo. Oku kudla ngokubangelwa kukufakwa kwe-cholesterol kwimithambo yentliziyo ehambisa igazi entliziyweni, iyenze inciphe.

Kodwa kwi-Prinzmetal Angina, kwenzeka into eyahlukileyo kancinci. Apha, imithambo yegazi isenokuncitshiswa okanye ivalwe. Isizathu esiphambili soku kukuba imithambo yegazi yentliziyo entliziyweni ngequbuliso nangaphandle kwesizathu iyancipha (i-spasm) okanye i-spasm. Khawuthelekelele ngokungathi umntu ucinezela umbhobho wamanzi ngequbuliso. Emva koko ukunikezelwa kwegazi kunqanyulwa ngokupheleleyo okwethutyana. Kulapho ke loo ntlungu inzima yesifuba ifika khona. Emva kwexesha elithile, xa le ntlungu inyamalala yodwa, intlungu nayo iyancipha.

Yintoni umahluko phakathi kwe-angina eqhelekileyo kunye ne-angina ye-Prinzmetal?

Nangona zombini ezi meko ziyintlungu yesifuba, kukho umahluko ocacileyo phakathi kwezi zimbini. Makhe sijonge le theyibhile ukuze kube lula ukuyiqonda.

Ngubani ochaphazeleka kakhulu yile meko?

I-Prinzmetal Angina yimeko engaqhelekanga kakhulu. Ngokutsho kwe-American Heart Association, zimbini kuphela kwizigulane ezili-100 ze-angina ezinale meko.

Ingachaphazela amadoda nabafazi. Ixhaphake kakhulu kubantu abanezinye iimeko ezibangela ukuvaleka kwemithambo yegazi. Umzekelo:

• Intloko ebuhlungu ye-Migraine: Intloko ebuhlungu ebangelwa kukuxinana kwemithambo yegazi entloko.
• Isiganeko sikaRaynaud: Imeko apho imithambo yegazi kwiminwe nakwiinzwane incipha khona, nto leyo ebangela ukuba itshintshe ibe luhlaza okwesibhakabhaka xa ibekwe emakhazeni.

Ukuba nezi meko zombini kuthetha ukuba imithambo yegazi emzimbeni wakho inovelwano ngakumbi kwaye ivaleke lula kunesiqhelo. Ngoko ke imithambo yegazi entliziyweni yakho inokuziphatha ngendlela efanayo.

Ingakhula nakubantu abane-cholesterol ephezulu okanye uxinzelelo lwegazi oluphezulu. Kodwa into emangalisayo kukuba nomntu osempilweni, osemtsha ongenazo izinto ezinobungozi unokuba ne-Prinzmetal Angina .

Akwaziwa ngokuqinisekileyo ukuba esi sisifo esizuzwa njengelifa. Nangona kunjalo, ezinye izifundo zibonisa ukuba kusenokwenzeka ukuba kukho unxibelelwano lwemfuza. Umzekelo, esi sifo sixhaphake kakhulu phakathi kwabantu baseJapan kunaphakathi kwabantu abamhlophe.

Ziziphi iimpawu zePrinzmetal Angina?

Ukuba une-Prinzmetal Angina, unokufumana ezi mpawu zilandelayo:

• Intlungu ebuhlungu esifubeni: Intlungu yokucinezela, ukucinezela, okanye efana noxinzelelo embindini wesifuba. Le ntlungu inokusasazeka ingalweni yasekhohlo, egxalabeni, entanyeni, okanye entloko.
• Indlela yobuhlungu: Le ntlungu ayihlali ihleli. Iba qatha kangangemizuzu emi-5-15 ize iphele yodwa. Nangona kunjalo, inokuphinda ivele ngexesha elinye, ngendlela efanayo, kangangeentsuku okanye iiveki ezininzi. Oku kuthetha ukuba ezi ziganeko zentlungu zenzeka ngokwendlela ethile.
• Ezinye iimpawu: Iintlungu zesifuba zinokuhamba nokubila, isicaphucaphu, kunye/okanye ukuquleka .
• Ukunceda ngamayeza: Intlungu idla ngokukhululeka ngokukhawuleza ngokuthatha amayeza afana ne-nitrate (iipilisi ezibekwa phantsi kolwimi) adla ngokunikwa le ntlungu.

Kutheni iPrinzmetal Angina isenzeka? Zithini izizathu eziphambili?

Njengoko sele sitshilo, unobangela oyintloko we-Prinzmetal Angina kukuxinana ngequbuliso (ukuxinana) kwemithambo yentliziyo. Kodwa umbuzo ngulo, "Kutheni le mithambo ixinana ngokungazikhetheli?" Kuye kwachongwa izinto ezininzi eziphambili ezichaphazela oku.

• Ukusetyenziswa kwecuba: Ukutshaya yeyona nto iphambili neyona nto ibangela esi sifo. I-nicotine kunye nezinye iikhemikhali ezikwicuba zibangela ukuba imithambo yegazi inciphe kakhulu.
• Ukusetyenziswa kweziyobisi: Ukusetyenziswa kweziyobisi, ezifana ne-cocaine kunye ne-marijuana, kunokuyinciphisa kakhulu imithambo yegazi.
• Amayeza athile: Amanye amayeza aneempawu zokunciphisa imithambo yegazi. Umzekelo, amanye amayeza e-migraine (umz. i-sumatriptan) okanye i-ephedrine, efumaneka kwamanye amayeza okupholisa nokukhupha ukuxinana kweempumlo.
• Uxinzelelo olunzima: Uxinzelelo lweemvakalelo lunokutshintsha ukusebenza kwamahomoni emzimbeni kwaye lubangele ukuba imithambo yegazi inciphe.
• Ukuvezwa kumkhuhlane: Ukuvezwa kwiindawo ezibandayo kakhulu nako kunokubangela le meko kwabanye abantu.
• Ukuzilolonga: Okumangalisayo kukuba, abanye abantu banokuhlangabezana nale meko kungekuphela nje xa bephumla, kodwa naxa bezilolonga. Nangona kunjalo, oku kunqabile kakhulu.

Ifunyaniswa njani le nto?

I-Prinzmetal Angina kunzima ukuyixilonga kuba, ukuba une-ECG okanye i-angiogram xa ungeva ntlungu, yonke into iya kubonakala iqhelekile kuba imithambo yegazi ayivalwanga ngelo xesha.

Ngoko ke ugqirha wakho uza kumamela ngononophelo iimpawu zakho. Izinto ezifana nokuba intlungu ivela nini, indlela eyenzeka ngayo intlungu, into oyenzayo, njl. Emva koko, banokwenza uvavanyo oluthile ukuqinisekisa ukuba unesifo.

• I-Ambulatory Electrocardiogram: Oku kufana nomatshini omncinci we-EKG onamathele emzimbeni wakho iiyure ezingama-24 okanye ezingama-48. Uhlala urekhoda imisebenzi yentliziyo yakho ngelixa usenza imisebenzi yakho yemihla ngemihla. Oku kunokukunceda ubone ukuba i-EKG yentliziyo yakho iyatshintsha na xa unentlungu esifubeni ebusuku.
• I-Coronary Angiography: Oku kuquka ukufaka idayi ekhethekileyo kwimithambo yakho yentliziyo kunye nokuhlola imeko yaloo mithambo usebenzisa ii-X-ray. Oku kunokumisela ngokuchanekileyo ukuba imithambo inciphile ngenxa ye-cholesterol deposits.
• Uvavanyo lokuVuselela: Ngamanye amaxesha, xa sele kuqinisekisiwe ukuba kukho isifo, oogqirha kufuneka benze ukuba umthambo unciphe esibhedlele, bejongiwe. Ngenxa yoku, amayeza anjenge-acetylcholine okanye i-ergonovine anikwa ngeedosi ezincinci. Ukuba umthambo uncipha, utshintsho kwi-EKG kunye neempawu zakho zinokusetyenziswa ukufumanisa isifo ngokuchanekileyo.

Iindlela zonyango kunye nolawulo

Xa sele iqatshelwe le meko, akukho mfuneko yokoyika. Ingalawulwa kakuhle ngamayeza kunye notshintsho kwindlela yokuphila.

Unyango ngamayeza

• IiCalcium Channel Blockers: Olu lolona hlobo luphambili lwamayeza asetyenziswa kwiPrinzmetal Angina. La mayeza asebenza ngokukhulula udonga lwemithambo yegazi nokuthintela ukuba ingabi lukhuni. I-Diltiazem, i-Amlodipine, i-Verapamil zimizekelo yolu hlobo lwamayeza.
• IiNitrates: La ngamayeza asebenza ixesha elide anikwa yonke imihla. Angathathwa njengeepilisi ezisebenza ixesha elifutshane, ezibekwa phantsi kolwimi ukuze kuncedwe ngokukhawuleza xa kukho iintlungu zesifuba ngequbuliso. Ezi zisebenza ngokwandisa imithambo yegazi ngokukhawuleza nokubuyisela ukuhamba kwegazi.

Utshintsho kwindlela yokuphila

Ngaphandle kwamayeza, kubalulekile ukuba utshintshe indlela ophila ngayo, ingakumbi ukuba uphephe ngokupheleleyo izinto ezibangela esithethe ngazo.

• Yeka ukutshaya ngoko nangoko: Ukuba ungumntu otshayayo, kufuneka uyeke ngokupheleleyo ngoku. Le yeyona nto ilungileyo onokuyenza.
• Ziphephe iziyobisi: Ziphephe ngokupheleleyo ukusebenzisa iziyobisi ezifana ne-cocaine kunye ne-marijuana.
• Ziphephe ii-trigger medications: Thetha nogqirha wakho malunga nezinye ii-medication ozisebenzisayo. Ezinye ii-decongestants, iimveliso zokunciphisa umzimba, kwaneziselo zamandla zinokuba nezithako ezinokuvimba imithambo yegazi.

Luhlobo luni lwethemba esinokuba nalo xa siphila nale meko?

Ukuba unyangwa ngokufanelekileyo, ingqikelelo yomntu one-Prinzmetal Angina ilungile kakhulu. Ungaphila ubomi obuqhelekileyo. Nangona kunjalo, kufuneka ufumane unyango lwexesha elide kunye nokulandelelana kweklinikhi phantsi kogqirha wentliziyo.

Nangona kunjalo, ukuba i-Prinzmetal Angina ihamba nokubetha kwentliziyo okungahambelaniyo (i-arrhythmia), okanye ukuba kukho ukuncitshiswa okungapheliyo kwemithambo yentliziyo ngenxa ye-cholesterol deposits (isifo semithambo yentliziyo), imeko inokuba nzima ngakumbi.

I-Prinzmetal Angina ayisosifo esisongela ubomi. Luphawu. Kodwa lubonisa ukuba kukho ingxaki ngokuhanjiswa kwegazi entliziyweni yakho. Ukuba ayinyangwa, oku kuncitshiswa kwemithambo yegazi kunokukhokelela ekuhlaselweni yintliziyo (i-myocardial infarction) okanye i-arrhythmias enzima. Ngoko ke musa ukuyithatha lula le meko.

Ufanele ufune nini ingcebiso kagqirha?

Le yeyona nxalenye ibalulekileyo.

Ugqirha uza kwenza uvavanyo olufunekayo aze afumane unobangela ochanekileyo wentlungu.

Ukuba ufumana iintlungu eziqatha, eziqatha esifubeni, ubunzima bokuphefumla, ukubila kakhulu, okanye ukuquleka, isenokuba yingxamiseko. Kwimeko ezinjalo, yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.

Ukuba ufunyaniswe une-Prinzmetal Angina, landela imiyalelo kagqirha wakho kunye namayeza njengoko kuyalelwe. Yenza utshintsho olufunekayo kwindlela ophila ngayo. Khumbula, le yimeko elawulekayo. Okufunekayo kukuzinikela kwakho kunye nokunxibelelana rhoqo nogqirha wakho.