Khawucinge nje unyuka izinyuko, okanye uhamba ngokukhawuleza. Ngequbuliso, uziva uxinana esifubeni sakho, ngokungathi kukho umntu okhwela esifubeni sakho, uxinzelelo, kunye nentlungu. Kodwa into emangalisayo kukuba, xa uyeka oko ukwenzayo uze uhlale phantsi okwethutyana, intlungu iyanyamalala ngokupheleleyo kwimizuzu embalwa. Ngaba ukhe waba nalo mava? Oku kungaba yi -Stable Angina . Musa ukoyika xa usiva oku. Olu luphawu oluncinci olunikwa yintliziyo yakho. Masithethe ngale nto ngokucacileyo nangokulula.
Ngamafutshane, yintoni i-Stable Angina?
I-Stable Angina ayisosifo ngokwenene, luphawu. Ngokuchanekileyo, luphawu oluphambili lwesifo sentliziyo esibizwa ngokuba yiCoronary Artery Disease (CAD), esibangelwa kukuvaleka kwemithambo yegazi ehambisa igazi entliziyweni.
Cinga ngentliziyo yethu njengenjini esebenza ngokungayekiyo. Le njini ifuna ukunikezelwa rhoqo kwegazi elicocekileyo nelinomoya-mpilo ukuze isebenze. Eli gazi lithwalwa liye entliziyweni ngeetyhubhu ezincinci ezibizwa ngokuba yimithambo yentliziyo. Ekuhambeni kwexesha, izinto ezifana ne-cholesterol ekutyeni esikutyayo ziqala ukuqokelelana ngaphakathi kwezi tyhubhu. Kufana ne-moss ekhula ngaphakathi kombhobho wamanzi. Siyibiza ngokuba yi -'plaque' . Olu maleko we-plaque unciphisa ukuhamba kwegazi kancinci kancinci.
Ngoku, xa uphilile, uphumle, intliziyo yakho inegazi elaneleyo lokudlula kule ndlela incinci. Kodwa xa uzilolonga, uhamba ngokukhawuleza, unyuka izinyuko, okanye uphantsi koxinzelelo, intliziyo yakho kufuneka isebenze nzima kunesiqhelo. Emva koko intliziyo icela ioksijini engaphezulu. Kodwa loo mithambo yegazi incinci ayinakunika intliziyo igazi elongezelelweyo elifunekayo. Ngelo xesha, izihlunu zentliziyo ziyakhala zisithi, "Asinayo ioksijini eyaneleyo." Eso sikhalo yinto esiyivayo njengentlungu yesifuba.
Oku kubizwa ngokuba yi "Stable" kuba indlela le ntlungu eyenzeka ngayo yenzeka ngendlela ethile.
- Idla ngokuvela xa usenza into edinisayo.
- Intlungu ivakala ngendlela efanayo ngalo lonke ixesha.
- Iyaphela emva kokuphumla okufutshane, imizuzu emi-5.
I-angina ezinzileyo ivakalelwa njani?
Nangona oku kwahluka kumntu nomntu, kukho iimpawu ezithile eziqhelekileyo. Makhe sijonge ukuba ziyintoni na.
| Uphawu | Indlela evakalelwa ngayo |
|---|---|
| Intlungu yesifuba okanye ukungakhululeki | Oku kufana nentlungu ebukhali, ukuqina kwesifuba, njengobunzima esifubeni, kwaye kwabanye, kunokuvakala ngathi kukudumba kwesisu (njenge-gastritis). |
| Ukusasaza iintlungu | Intlungu idla ngokuqala embindini wesifuba ize isasazeke iye egxalabeni lasekhohlo, iye ezantsi engalweni yasekhohlo, iye entanyeni, emhlathini, okanye emqolo. |
| Ubunzima bokuphefumla | Kunye nentlungu yesifuba, ungaziva kunzima ukuphefumla kwaye uzive ngathi uyakrwitshwa. |
| Ezinye iimpawu | Abanye abantu banokuba nesiyezi, isicaphucaphu, kunye nokudinwa. |
Kutheni le meko isenzeka? (Izizathu kunye nezinto ezibangela oku)
Njengoko besitshilo ngaphambili, imbangela ephambili ye-angina ezinzileyo yiCoronary Artery Disease (CAD) , ebangela ukucutheka kwemithambo yegazi entliziyweni. Nangona kunjalo, le meko inokubangelwa zezinye izinto ezininzi.
- Ukungaphumeleli kwentliziyo emva kokuhlaselwa yintliziyo
- Iingxaki zevalvu yentliziyo
- Iingxaki zesingqisho sentliziyo
- I-Hyperthyroidism
- Ukwehla kwe-hemoglobin egazini (i-Anemia)
Iimpawu ze-Angina
Nangona unobangela wale meko ungaphakathi, kukho izinto ezithile ezinokubangela intlungu. Ezi sizibiza ngokuba 'zii-triggers'.
- Ukuzilolonga komzimba: Izinto ezifana nokuhamba ngokukhawuleza, ukunyuka izinyuko, nokuphakamisa iintsimbi.
- Uxinzelelo: Iimvakalelo ezinamandla ezifana nomsindo ogqithisileyo, usizi, kunye noxinzelelo.
- Utshintsho olukhawulezileyo kubushushu: Ukusuka kwindawo eshushu kakhulu ukuya kwigumbi elibandayo kakhulu (i-AC).
- Ukutya isidlo esinzima: Abanye abantu banokufumana oku kungakhululeki nokuba sele betyile isidlo esipheleleyo.
Yintoni omawuyenze ukuba ufumana i-angina? Zithini iindlela zonyango?
Ukuba uqala ukuziva iintlungu ze-angina, musa ukoyika kwaye yenza ezi zinto kuqala.
1. Yeka into oyenzayo: Ukuba uhamba okanye wenza into ethile, yiyeke ngoko nangoko.
2. Hlala phantsi okanye ulale phantsi: Phumla ngokuhlala esitulweni okanye ulale ebhedini.
3. Sebenzisa amayeza anikwe ngugqirha wakho: Ukuba ugqirha wakho ukunike ipilisi ye-nitroglycerin okanye isitshizi, yibeke phantsi kolwimi lwakho. Oku kuyandisa imithambo yegazi entliziyweni yakho okwethutyana, okwenza kube lula ukuba igazi lihambe liye entliziyweni yakho.
Ngokwesiqhelo, iintlungu kufuneka ziphele ngokupheleleyo kwimizuzu emi-5 emva kokuphumla nokusela iNitroglycerin. Ukuba oko akusebenzanga, ugqirha wakho uya kube ekunike imiyalelo yento omawuyenze. Kubalulekile ukulandela loo miyalelo ngokuchanekileyo.
Esi sisisombululo sexeshana nje kuphela. Ukulawula i-angina kwixesha elide, ugqirha wakho uya kukunika amanye amayeza oza kuwasebenzisa yonke imihla. Umzekelo, ii-beta-blockers , i-nitroglycerin ekhutshwa ixesha elide , okanye i-ranolazine .
Kwakhona, unyango luyafuneka ukunyanga unobangela oyintloko we-angina (CAD). Oku kunokubandakanya ukufaka isixhobo esincinci esifana ne-mesh (stent) kwimithambo yegazi ukuze kwandiswe ukuvaleka, okanye utyando lwe-bypass . Ugqirha wakho uya kugqiba ukuba loluphi unyango olulungele wena aze akuchazele lona.
Sifanele senze ntoni ukuze sizikhusele kule meko?
Eyona ndlela ilungileyo yokuthintela i-angina ezinzileyo kukunciphisa umngcipheko wokuba nesifo semithambo yegazi yentliziyo (CAD), esisisizathu esiyintloko. Oko kuthetha ukwenza utshintsho kwindlela yokuphila.
Indlela yokuphila enempilo yentliziyo yeyona ndlela inamandla yonyango kunamayeza.
- Ukutya okunempilo kwentliziyo: Nciphisa ukutya okuneoyile eninzi, ityuwa, kunye neswekile kangangoko unako. Endaweni yoko, faka imifuno, iziqhamo, iimbotyi, iintlanzi ezincinci, kunye nokutya okunefayibha eninzi (irayisi emdaka, ii-oats) ekutyeni kwakho.
- Ukuzilolonga rhoqo: Yenza umthambo olula, njengokuhamba ubuncinane imizuzu engama-30 ngosuku. Nangona kunjalo, ukuba une-angina, kubalulekile ukubuza ugqirha wakho ukuba zeziphi imithambo efanelekileyo kuwe.
- Ukulawula ezinye izifo: Ukuba une-high blood pressure, isifo seswekile, okanye i-cholesterol ephezulu, sela amayeza achazwe ngugqirha wakho kwaye ulawule ezo meko kakuhle.
- Yeka ukutshaya ngokupheleleyo: Ukuba uyatshaya, yeka namhlanje. Yeyona nkonzo inkulu onokuyenza ngentliziyo yakho.
- Nciphisa uxinzelelo: Gcina impilo-ntle yengqondo ngokwenza izinto ezinje ngokucamngca, i-yoga, ukumamela umculo, kunye nokwenza into oyithandayo.
Sifanele siye kugqirha nini?
Ukuba ufumana iintlungu zesifuba okanye ukungakhululeki ngolu hlobo okokuqala ebomini bakho, musa ukuzityeshela. Bona ugqirha ngoko nangoko. Ugqirha uza kukuhlola aze, ukuba kuyimfuneko, acele uvavanyo olufana nolu.
| Uvavanyo | Kalula nje... |
|---|---|
| Uvavanyo lwegazi | Jonga ukuba akukho monakalo na entliziyweni, kwaye anjani amanqanaba akho e-cholesterol kunye neswekile. |
| I-ECG (i-Electrocardiogram) | Umsebenzi wombane wentliziyo uyarekhodwa ukuze kubonwe ukuba kukho ingxaki na. |
| Uvavanyo loxinzelelo (i-ECG yokuzilolonga) | I-ECG ithathwa xa uhamba kwi-treadmill, ujonge indlela intliziyo esabela ngayo xa usenza umthambo. |
| I-Angiography yeCoronary | I-X-ray ekhethekileyo isetyenziswa ukujonga ngokuchanekileyo ukuvaleka kwemithambo yegazi yentliziyo. |
| Iskena se-CT | I-X-ray ekwikhompyutha ithatha imifanekiso eneenkcukacha zentliziyo kunye nemithambo yegazi. |
Ingxamiseko! Nifanele niye nini kwi-ETU (iYunithi yoNyango oluNgxamisekileyo) kunye?
Nokuba umntu one-angina ezinzileyo, imeko inokuba mandundu ngamanye amaxesha. Oku kungaba luphawu lwe -angina engazinzanga okanye isifo sentliziyo . Kwiimeko ezilandelayo, yiya kwigumbi likaxakeka (ETU) lesibhedlele ngaphandle kokulibazisa okanye utsalele umnxeba inkonzo ye-ambulensi 1990.
| Uphawu lomngcipheko | Kwenziwe ntoni |
|---|---|
| Ukuba intlungu ayipheli emva kokuthatha i-nitroglycerin (okanye ukuba inani leedosi ezichazwe ngugqirha alanelanga). | Yiya kwi-ETU ngoko nangoko. |
| Ukuba intlungu imbi kakhulu kunesiqhelo, okanye ukuba iyancipha ize ibuye kwakhona . | Yiya kwi-ETU ngoko nangoko. |
| Ukuba intlungu iyenzeka nokuba uphumle (ngaphandle kokuzibhokoxa). | Yiya kwi-ETU ngoko nangoko. |
| Ukuba intlungu ivakala yahlukile kunesiqhelo (umz., ukuba ihamba nokubila, ukubila okugqithisileyo, okanye ukuhlanza). | Yiya kwi-ETU ngoko nangoko. |
I-Stable Angina ayisosifo sentliziyo. Kodwa sisilumkiso esinamandla sokuba ukuhlaselwa yintliziyo kuza kwenzeka. Ngoko ke ungaze uyityeshele le nto.
Kuqhelekile ukuba uzive usoyika kwaye uxhalabile ngamanye amaxesha xa uphila nale meko. Thetha ngokukhululekileyo nogqirha wakho ngayo. Uza kukunika inkxaso neengcebiso ozifunayo. Zininzi izinto onokuzenza ukukhusela intliziyo yakho.
Umyalezo Wokuya Ekhaya
- I-angina ezinzileyo yintlungu yesifuba eyenzeka ngokuzibhokoxa kwaye iphele ngokuphumla, kwaye inendlela ethile.
- Olu luphawu lwesifo semithambo yegazi yentliziyo (CAD), hayi uhlaselo lwentliziyo. Kodwa luphawu olunamandla lwesilumkiso sohlaselo lwentliziyo.
- Ukuphumla kunye namayeza e-nitroglycerin achazwe ngugqirha kudla ngokunciphisa iintlungu.
- Ukuba ufumana iintlungu zesifuba okokuqala, okanye ukuba iintlungu zahlukile kwezesiqhelo, zinzima, okanye zenzeka nokuba uphumle, yiya kwiSebe leeNgxamiseko (ETU) ngoko nangoko.
- Ungaphila ubomi obusempilweni ngokwamkela indlela yokuphila enempilo yentliziyo kunye nokulandela unyango oluchazwe ngugqirha wakho.
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